scholarly journals Seroprevalence Survey of American Trypanosomiasis in Central Valley of Toluca

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Israel A. Quijano-Hernández ◽  
Alejandro Castro-Barcena ◽  
Alberto Barbabosa-Pliego ◽  
Laucel Ochoa-García ◽  
Javier Del Ángel-Caraza ◽  
...  

American trypanosomiasis is a growing health issue in the Americas. México is an endemic country, where some locations such as in the State of México are considered highly prevalent. In the valley of Toluca city, the capital of the State of Mexico, there exists an apparent high prevalence in dogs. The absence of triatomine vectors suggests that dogs may not be infected. Therefore, we conducted a directed survey to domiciliated and nondomiciliated dogs to reassess dogs’T. cruziseroprevalence status. HAI and ELISA serologic tests were applied to 124 and 167 serums of domiciliated and nondomiciliated dogs in the target city. Risk factors were estimated, but the results did not show any evidence to assess them. No domiciliated dogs tested positive to both tests, whereas only one non-domiciliated dog resulted positive. This animal may have acquired the infection in an endemic area and then migrated to Toluca. Research results indicate thatT. cruziinfection is not actively transmitted among dogs, and it is pointed out that dogs are the main sentinel animal population to evaluate a possible expansion of the territory affected by Chagas’ disease.

2014 ◽  
Vol 51 (4) ◽  
pp. 316-319 ◽  
Author(s):  
Gabriel de Deus VIEIRA ◽  
Cledson Gonçalves VENTURA ◽  
Camila Maciel de SOUSA

Context Hepatitis C causes a major impact on public health due to the high prevalence in the population. Objectives Evaluate the epidemiological data of hepatitis C in the State of Rondônia, Brazil. Methods Data from hepatitis C were analyzed during the period 2002 to 2012, assigned by the Agency for Sanitary Vigilance of the State of Rondônia. The variables studied were: year of diagnosis, gender, age, associated disease, exposure to risk factors and clinical presentation. Results Eight hundred fifty-nine cases were reported during the study period. Of this total, 542 (63.1%) cases were male. In relation to age group, the one with the highest number of cases was between 40-59 years (54%), followed by 20-39 years (33.5%). In relation to sexually transmitted diseases (STDs) association, 1.8% of patients had HIV and 2.1% other type of sexually transmitted disease. About exposure to risk factors, 288 (28.1%) individuals were exposed to a surgical procedure. Was also analyzed the clinical form of the disease, 9.9% are in acute disease and 91.1% in the chronic phase. Conclusions In the State of Rondônia, hepatitis C had a mean annual incidence of 5.1 cases/100,000 inhabitants, similar to the national rate.


Author(s):  
Stephen Raimon ◽  
Alfred Dusabimana ◽  
Gasim Abd-Elfarag ◽  
Samuel Okaro ◽  
Charles Newton ◽  
...  

In June 2020, a door-to-door household survey was conducted in Mvolo County, an onchocerciasis endemic area in South Sudan. A total of 2,357 households containing 15,699 individuals agreed to participate in the study. Of these, 5,046 (32.1%, 95%CI: 31.4-32.9%) had skin itching and 445 (2.8%, 95% CI: 2.6-3.1%) were blind. An epilepsy screening questionnaire identified 813 (5.1%) persons suspected to have epilepsy. Of them, 804 (98.9%) were seen by a medical doctor and in 798 (98.1%) the diagnosis of epilepsy was confirmed. The overall epilepsy prevalence was 50.8/1000 (95% CI: 47.6-54.4/1000) and prevalence of nodding syndrome was 22.4/1000 (95% CI: 20.1-24.9/1000). Younger age, being male, skin itching, blindness and living in a village close to the Naam river were risk factors for epilepsy. The annual incidence of epilepsy was 82.8/100,000 (95% CI: 44.1-141.6/100,000). In conclusion, a high prevalence and incidence of epilepsy was observed in Mvolo, South Sudan. Strengthening the onchocerciasis elimination programme is urgently needed to prevent epilepsy in this region.


2002 ◽  
Vol 97 (7) ◽  
pp. 947-952 ◽  
Author(s):  
MC Sánchez-Guillén ◽  
C Barnabé ◽  
JF Guégan ◽  
M Tibayrenc ◽  
M Velásquez-Rojas ◽  
...  

2014 ◽  
Vol 56 (2) ◽  
pp. 213 ◽  
Author(s):  
César A Sandoval-Ruiz ◽  
Roger Guevara ◽  
Sergio Ibáñez-Bernal

 Objective. To evaluate risk factors facilitating the coloniza­tion of dwellings by Triatoma dimidiata in the central region of the state of Veracruz. Materials and methods. We applied socioeconomic questionnaires and entomologic surveys in three localities (Chavarrillo, Soyacuautla and Arroyo Agrio) in central Veracruz involving 115 households. Results. We found that the main risk factors were the predominance of unplastered walls and particularly those made of light weight aggregate concrete blocks and wood. At Chavarrillo, houses usually have unplastered walls, whereas in Soyocuautla walls are commonly manufactured with wood. In Arroyo Agrio, the phenomenon was seasonal, and bugs were commonly found in the dry season, particularly in relatively new houses, less than 20 years old. Conclusions. These results help to improve the surveillance capacity for this vector and the control strategies to reduce the transmission of Chagas disease in the state of Veracruz and other sites where this species is present.


Acta Tropica ◽  
2002 ◽  
Vol 84 (3) ◽  
pp. 189-198 ◽  
Author(s):  
Luis Eduardo Ramirez ◽  
Eliane Lages-Silva ◽  
Frederico Alvarenga-Franco ◽  
Aldo Matos ◽  
Nancy Vargas ◽  
...  

Pathogens ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 599
Author(s):  
Stephen Raimon ◽  
Alfred Dusabimana ◽  
Gasim Abd-Elfarag ◽  
Samuel Okaro ◽  
Jane Y. Carter ◽  
...  

In June 2020, a door-to-door household survey was conducted in Mvolo County, an onchocerciasis-endemic area in South Sudan. A total of 2357 households containing 15,699 individuals agreed to participate in the study. Of these, 5046 (32.1%, 95% CI: 31.4–32.9%) had skin itching and 445 (2.8%, 95% CI: 2.6–3.1%) were blind. An epilepsy screening questionnaire identified 813 (5.1%) persons suspected of having epilepsy. Of them, 804 (98.9%) were seen by a medical doctor, and in 798 (98.1%) the diagnosis of epilepsy was confirmed. The overall epilepsy prevalence was 50.8/1000 (95% CI: 47.6–54.4/1000), while the prevalence of nodding syndrome was 22.4/1000 (95% CI: 20.1–24.9/1000). Younger age, being male, skin itching, blindness, and living in a neighbourhood or village close to the Naam River were risk factors for epilepsy. The annual incidence of epilepsy was 82.8/100,000 (95% CI: 44.1–141.6/100,000). Among children 7–9 years old without epilepsy, 34% were Ov16 seropositive, suggesting high ongoing Onchocerca volvulus transmission, but only 41.9% of them took ivermectin during the last mass distribution. In conclusion, a high prevalence and incidence of epilepsy was observed in Mvolo, South Sudan. Strengthening of the onchocerciasis elimination programme is urgently needed in order to prevent epilepsy in this region.


PEDIATRICS ◽  
1980 ◽  
Vol 66 (2) ◽  
pp. 266-268
Author(s):  
Lucy D. C. Montalvo-Hicks ◽  
Cynthia L. Trevenen ◽  
James Nixon Briggs

A case of American trypanosomiasis (Chagas' disease) is reported. A 13-month-old Mennonite girl who immigrated to Canada from Paraguay, died at the Children's Centre in Winnipeg from an acute myocarditis due to infection with Trypanosoma cruzi. This diagnosis should be considered when a patient from an endemic area presents with a clinical picture of myocarditis.


2015 ◽  
Vol 15 (10) ◽  
pp. 602-610 ◽  
Author(s):  
Ram K. Raghavan ◽  
Ashley B. Saunders ◽  
Doug G. Goodin ◽  
Gary A. Anderson ◽  
Kenneth R. Harkin

2017 ◽  
Vol 28 (1) ◽  
Author(s):  
Ricardo Arce-Vega ◽  
Angélica Ángeles-Llerenas ◽  
Alejandro Villegas-Trejo ◽  
Celso Ramos

Introduction.  Chagas disease is endemic in the state of Morelos. The available medication is benznidazole, however adherence to treatment is generally not monitored by medical personnel to verify the accomplishment.Objective. To evaluate the adherence to therapeutic treatment and the risk factors associated with its compliance and the registry of adverse effects in patients with Chagas disease in the state of Morelos.Material and Methods. Follow-up study in 20 chronic asymptomatic patients. Adherence was assessed using the Morisky-Green structured test, a questionnaire was applied to record the risk factors related to adherence to treatment, home visits were made to the cases, and personalized interviews were conducted in 8 cases to obtain information on positive and negative factors associated with treatment.Results. Sixty five percent of patients were adherent to treatment and 35% were non-adherent due to non-compliance behaviors. Seven cases (35%) had some type of adverse reaction to the drug that did not warrant treatment discontinuation, except for two cases that had severe reactions. Statistical analysis of the variables in adherent and non-adherent cases showed no statistical association between adherence and variables of socioeconomic level, school level, access to medical service, marital status, age and sex.Conclusions.  Adherence assessment in patients with a confirmed diagnosis of Chagas' disease in the state of Morelos provided information to follow up on treatment compliance and record of adverse effects. Introducción. La enfermedad de Chagas es endémica en el estado de Morelos.  El medicamento disponible es el benznidazol, sin embargo generalmente la adherencia al tratamiento no es vigilado por el personal médico para verificar su cumplimiento.Objetivo. Evaluar la adherencia al tratamiento terapéutico y los factores de riesgo asociados con su cumplimiento y el registro de efectos adversos en pacientes con enfermedad de Chagas del estado de Morelos.Material y Métodos. Estudio de seguimiento en 20 pacientes asintomáticos. La adherencia se evaluó mediante la aplicación del cuestionario estructurado de Morisky-Green, se aplicó un cuestionario para registrar los factores de riesgo relacionados con el apego al tratamiento, se hicieron visitas domiciliarias y se hicieron entrevistas personalizadas a 8 casos para obtener información sobre factores positivos y negativos asociados al tratamiento.Resultados. El 65% de los pacientes fueron adherentes al tratamiento y 35% fueron no adherentes debido a conductas de incumplimiento. Siete casos (35%) presentaron algún tipo de reacción adversa al medicamento que no ameritó la suspensión del tratamiento, excepto dos casos que tuvieron reacciones severas. El análisis estadístico de las variables en los casos adherentes y no adherentes no mostró asociación estadística entre la adherencia y las variables de nivel socioeconómico, escolaridad, acceso al servico médico, estado civil, edad y sexo. Conclusiones. La evaluacion de la adherencia en pacientes con diagnóstico confirmado de enfermedad de Chagas del estado de Morelos, aportó información para dar seguimiento al cumplimiento del tratamiento y registrar los efectos adversos. 


Crisis ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 91-101 ◽  
Author(s):  
Marie Alderson ◽  
Xavier Parent-Rocheleau ◽  
Brian Mishara

Background: Research shows that there is a high prevalence of suicide among nurses. Despite this, it has been 15 years since the last literature review on the subject was published. Aim: The aim of this article is to review the knowledge currently available on the risk of suicide among nurses and on contributory risk factors. Method: A search was conducted in electronic databases using keywords related to prevalence and risk factors of suicide among nurses. The abstracts were analyzed by reviewers according to selection criteria. Selected articles were submitted to a full-text review and their key elements were summarized. Results: Only nine articles were eligible for inclusion in this review. The results of this literature review highlight both the troubling high prevalence of suicide among nurses as well as the persistent lack of studies that examine this issue. Conclusion: Considering that the effects of several factors related to nurses' work and work settings are associated with high stress, distress, or psychiatric problems, we highlight the relevance of investigating work-related factors associated with nurses' risk of suicide. Several avenues for future studies are discussed as well as possible research methods.


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