scholarly journals An epidemiological study of an outbreak of Q fever in a secondary school

1990 ◽  
Vol 104 (3) ◽  
pp. 467-477 ◽  
Author(s):  
L. R Jorm ◽  
N. F Lightfoot ◽  
K. L Morgan

SUMMARYFive cases of clinical Q fever were identified amongst students and staff of a Somerset secondary school between 23 October 1987 and 21 December 1987. Five goats which were kept at the school were found to have antibodies toCoxiella burnetiiphase II.A cross-sectional study was conducted at the school in July 1988. A single CF test was used to identify evidence of prior infection, and a self-administered questionnaire was used to collect data on exposure variables and illness during 1987.Four hundred and ninety-nine eligible subjects took part in the study, and serological information was obtained from 461 of these. Eighty-seven subjects (18·9%) had CF titres of 20 or greater. It was estimated that only 1 in every 30 individuals with evidence of pastC. burnetiiinfection had been recognized as a clinical case of Q fever.Antibody positive subjects were more likely to have been off school sick and to report having suffered chest pain than negative subjects.Contact with school animals, specifically cleaning the school poultry, collecting their eggs and visiting a school goat on the day of kidding, was associated with the presence of antibodies toC. burnetii. However a large proportion of the antibody positives (24·2%) had no known contact with the school animals. Spread of organisms, either wind-borne or in straw or manure, may have been responsible for the high prevalence of unexplained infection.

2019 ◽  
Vol 7 (1) ◽  
pp. 140
Author(s):  
Bharatkumar Balkrishna Pandya ◽  
Upendrakumar Rameshbhai Chaudhari ◽  
Avirat A. Bhatt ◽  
Nilesh Thakor

Background: Adolescence period is very crucial in the life of an individual, when major physical, psychological and behavioral changes take place. Tobacco and Areca nut use among school going adolescent is becoming a major public health problem. Objective of this study was to determine the prevalence and pattern of smokeless tobacco and betel nut use among school going adolescents.Methods: The study was a cross sectional study. After taking the permission of principal of Government high schools of Vadodara and Surat city of Gujarat and consent of the parents of adolescents, 1107 adolescents were interviewed during March-April 2017. A self-administered questionnaire was used for data collection. Thus collected data was analyzed using SPSS 17 (Trial Version).Results: Age of the study students (total 1107) ranged from 10-19 years. (Mean age=14.61±2.85 years). Out of 1107 children 389 (35.1%) children had addiction. Prevalence of any type of addiction in girls and boys was 14.3% and 20.7% respectively. Tobacco prevalence was 13.4% and betel nut prevalence was 21.6%. Type of addiction and its association with gender was highly significant. All children addicted to tobacco using chewing form (gutkha) of tobacco. The mean age group of children who consume tobacco and betel nut was 16.13±1.32 years and 16.01±1.21 years respectively. Most common reasons among adolescents for starting addiction of tobacco and betel nut was to look mature (93.8%) followed by to look good (63.2%) and to refresh breathe (48.6%).Conclusions: High prevalence of tobacco and betel nut use among adolescents needs attention of parents, teachers and health officials.


2017 ◽  
Vol 4 (2) ◽  
pp. 306 ◽  
Author(s):  
Nisha Prajapati ◽  
Chintu C. Chaudhari ◽  
Grishma T. Dixit ◽  
Rajendra Gadhavi ◽  
Avirat A. Bhatt ◽  
...  

Background: Adolescence period is very crucial in the life of an individual, when major physical, psychological and behavioral changes take place. Tobacco and areca nut use among school going adolescent is becoming a major public health problem. The aim was to determine the prevalence and pattern of smokeless tobacco and betel nut use among school going adolescents.Methods: The study was a cross sectional study. After taking the permission of principal of Government high school and consent of the parents of adolescents, 546 adolescents were interviewed during February-March 2016. A self-administered questionnaire was used for data collection. Thus collected data was analyzed using SPSS 17 (Trial Version). Results: Age of the study students (total 546) ranged from 10-19 years. (Mean age=14.60 ± 2.84 years). Out of 546 children 166 (30.4%) children had addiction. Prevalence of any type of addiction in girls and boys was 13.4% and 17.0% respectively. Tobacco prevalence was 12.3% and betel nut prevalence was 18.1%. Type of addiction and its association with gender was highly significant. All children addicted to tobacco using chewing form (gutkha) of tobacco. The mean age group of children who consume tobacco and betel nut was 16.14±1.33 years and 16.13±1.51 years respectively. Most common reasons among adolescents for starting addiction of tobacco and betel nut was to look mature (88.0%) followed by to look good (73.5%) and to refresh breathe (56.0%).Conclusions: High prevalence of tobacco and betel nut use among adolescents needs attention of parents, teachers and health officials.


2020 ◽  
Vol 17 (1) ◽  
pp. 12-16
Author(s):  
Shuaibu Gidado Adamu ◽  
Junaid Kabir ◽  
JU Umoh ◽  
MA Raji

Coxiellosis is a zoonotic disease caused by the obligate intracellular bacterium Coxiella burnetii which affect the prolific and reproductive competences of animals. A cross sectional study was conducted to determine the seroprevalence of coxiellosis (Q fever) in flocks of goats in Kaduna State, Nigeria.The study aimed to determinethe seroprevalence of coxiellosis in goats in Birnin Gwari and Maigana agro-ecological zone of Kaduna State, Nigeria. A total of 400serum samples from goats of both sexes and of different age groupswere collected and screened forCoxiella burnetiiantibodiesusing indirect enzyme-linked immunosorbent assay (iELISA).Out of the 400 sera analysed,8.8% wereseropositive coxiellosis. Of the 253 female goats tested, 9.5% were seropositive, while 7.5% were seropositive out of the 147 male goats tested. There was no statistically significant association between sex of goats and coxiellosis (Q fever). A significant association was detected betweenage of goatstested andsensitivity of iELISA, non-significantassociation was found between breed ofgoats with sensitivity of iELISA. The study indicates that coxiellosis exists with high prevalence predominantly among femalegoats and is major public health challenge calling for awareness amongstinterested party for organized surveillance for the diseases in goats in Nigeria.


Author(s):  
Okechukwu B. Anozie ◽  
Nwafor I. Johnbosco ◽  
Chidi U. Esike ◽  
Chukwuemeka I. Ukaegbe ◽  
Ifeanyi E. Enyanwuma ◽  
...  

Introduction: The growing of non-medical use of prescription drugs is a global health problem and it has emerged as a particularly dangerous health-behavior among young people. However studies assessing misuse among people in Abakaliki are non-existent. Aim: To determine the prevalence and pattern of non-medical use of prescription drugs in Abakaliki. Materials and method: This was a cross-sectional study that involved 420 participants. The respondents completed an anonymous, self-administered questionnaire assessing past-year prevalence and pattern of non-medical use of five classes of prescription drugs. The data was analyzed using SPSS version 20. Results: The prevalence of non-medical use of prescription drugs in this study was 38.3%. The mean age of the participants was 22.2 ± 3.8 years with majority of them (38.3%) being within the 19-25 years age bracket. The majority of participants were males (52.1%) whereas female accounted for 47.9% of the respondents. Pain medications such as tramadol, codeine and morphine accounted for majority (73.8%) of unprescribed medication abused by the respondents. This is followed by other medications such as ibuprofen which was 45%. Sleeping medications and stimulants accounted for 28.3% and 27.4% of unprescribed drugs respectively. Similarly, pain medication accounted for majority (74.8%) of prescribed medicines used by the participants for non medicinal purposes. The least abused class of drugs in the prescribed category were sedative/anxiety medications which accounted for just over 18%. To relax or relieve tension is the most common reasons (20.5%) for use of drugs for non medical purposes reported in this study. Other reasons include to improve concentration (16.7%), to get high (10.7%) and for recreation (6.9%). Conclusion: This study shows high prevalence of non medical use of prescription drugs among our study participants in Abakaliki.


2012 ◽  
pp. 129-134
Author(s):  
Thi Lan Tran ◽  
Thi Huong Le ◽  
Xuan Ninh Nguyen

Objectives: Assess the nutritional status, worm infection status and some related factors among children aged 12-36 months of Dakrong district, Quang Tri province. Subject and method: A cross sectional study was carried out in 2010, in 680 children aged 12-36 months in 4 communes of Dakrong district, Quang Tri province. Results: The malnutrition rate was 55.0% for underweight, 66.5% for stunting and 16.2% for wasting. The prevalence of malnutrition increases by age group. The prevalence of worm infection was 31.6%, the highest prevalence was belong to Ascaris infection (24.6%), followed by Hookworm and Trichuris (6.5% and 6.2%, respectively). The prevalence of worm infection among children under two is very high (27.0%). The prevalence of worm infection was distributed quite equally between the malnutrition children group and normal children group. Recommendation: Early deworming forchildren from 12 months should be considered as important strategy against the malnutrition of children in Dakrong district, Quang Tri province


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. Calas ◽  
N. Zemali ◽  
G. Camuset ◽  
J. Jaubert ◽  
R. Manaquin ◽  
...  

Abstract Background Recommendations for sexually transmitted infection (STI) screening vary significantly across countries. This study evaluated the prevalence of urogenital and extragenital infections with Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Mycoplasma genitalium (MG) in patients visiting a French STI clinic in the Indian Ocean region to determine whether current STI screening practices should be updated. Methods This cross-sectional study examined all patients who visited the STI clinic between 2014 and 2015. Triplex polymerase chain reaction screening for CT, NG, and MG was performed on urine, vaginal, pharyngeal, and anal specimens (FTD Urethritis Basic Kit, Fast Track Diagnostics, Luxembourg). Results Of the 851 patients enrolled in the study, 367 were women (367/851, 43.2%) and 484 were men (484/851, 56.0%). Overall, 826 urogenital specimens (826/851, 97.1%), 606 pharyngeal specimens (606/851, 71.2%), and 127 anal specimens (127/851, 14.9%) were taken from enrolled patients. The prevalence of urogenital CT and MG was high in women ≤25 years (19/186, 10.21%; 5/186, 2.69%) and in men who have sex with women ≤30 years (16/212, 7.54%; 5/212, 2.36%). Among patients with urogenital CT infection, 13.7% (7/51) had urethritis. All patients with urogenital MG infection were asymptomatic. Men who have sex with men had a high prevalence of pharyngeal CT (2/45, 4.44%) and NG (3/44, 6.81%) and a high prevalence of anal CT (2/27, 7.41%), NG (2/27, 7.40%), and MG (1/27, 3.70%). After excluding patients with concomitant urogenital infection, extragenital infections with at least 1 of the 3 pathogens were found in 20 swabs (20/91, 21.9%) taken from 16 patients (16/81, 19.7%), all of them asymptomatic. Conclusions Routine multisite screening for CT, NG, and MG should be performed to mitigate the transmission of STIs in high-risk sexually active populations.


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