scholarly journals Implications of the COVID-19 pandemic on eliminating trachoma as a public health problem

Author(s):  
Seth Blumberg ◽  
Anna Borlase ◽  
Joaquin M Prada ◽  
Anthony W Solomon ◽  
Paul Emerson ◽  
...  

AbstractBackgroundProgress towards elimination of trachoma as a public health problem has been substantial, but the COVID-19 pandemic has disrupted community-based control efforts.MethodsWe use a susceptible-infected model to estimate the impact of delayed distribution of azithromycin treatment on the prevalence of active trachoma.ResultsWe identify three distinct scenarios for geographic districts depending on whether the basic reproduction number and the treatment-associated reproduction number are above or below a value of one. We find that when the basic reproduction number is below one, no significant delays in disease control will be caused. However, when the basic reproduction number is above one, significant delays can occur. In most districts a year of COVID-related delay can be mitigated by a single extra round of mass drug administration. However, supercritical districts require a new paradigm of infection control because the current strategies will not eliminate disease.ConclusionIf the pandemic can motivate judicious, community-specific implementation of control strategies, global elimination of trachoma as a public health problem could be accelerated.

2019 ◽  
Vol 12 (02) ◽  
pp. 1950012 ◽  
Author(s):  
C. Balde ◽  
M. Lam ◽  
A. Bah ◽  
S. Bowong ◽  
J. J. Tewa

A mathematical model for the dynamical transmission of polio is considered, with the aim of investigating the impact of environment contamination. The model captures two infection pathways through both direct human-to-human transmission and indirect human-to-environment-to-human transmission by incorporating the environment as a transition and/or reservoir of viruses. We derive the basic reproduction number [Formula: see text]. We show that the disease free equilibrium is globally asymptotically stable (GAS) if [Formula: see text], while if [Formula: see text], there exists a unique endemic equilibrium which is locally asymptotically stable (LAS). Similar results hold for environmental contamination free sub-model (without the incorporation of the indirect transmission). At the endemic level, we show that the number of infected individuals for the model with the environmental-related contagion is greater than the corresponding number for the environmental contamination free sub-model. In conjunction with the inequality [Formula: see text], where [Formula: see text] is the basic reproduction number for the environmental contamination free sub-model, our finding suggests that the contaminated environment plays a detrimental role on the transmission dynamics of polio disease by increasing the endemic level and the severity of the outbreak. Therefore, it is natural to implement control strategies to reduce the severity of the disease by providing adequate hygienic living conditions, educate populations at risk to follow rigorously those basic hygienic rules in order to avoid adequate contacts with suspected contaminated objects. Further, we perform numerical simulations to support the theory.


2021 ◽  
Vol 53 (2) ◽  
pp. 243-260
Author(s):  
Agatha Abokwara ◽  
Chinwendu Emilian Madubueze

Schistosomiasis is a neglected tropical disease affecting communities surrounded by water bodies where fishing activities take place or people go to swim, wash and cultivate crops. It poses a great risk to the health and economic life of inhabitants of the area. This study was carried out to evaluate the impact of public health education and snail control measures on the incidence of schistosomiasis. A model was developed with attention given to the snail and human populations that are the hosts of the cercariae and miracidia respectively. The existence and stability of disease-free and endemic equilibrium states were established. The disease-free and endemic equilibrium states were shown to be locally asymptotically stable whenever the basic reproduction number was less than unity. Numerical simulations of the model were carried out to evaluate the impact of interventions (public health education and snail control measures) on schistosomiasis transmission. It was observed that the implementation of low coverage snail control with highly efficacious molluscicide and massive public health education will make the basic reproduction number smaller than unity, which implies the eradication of schistosomiasis in the population.


2020 ◽  
Author(s):  
Fulgensia Kamugisha Mbabazi ◽  
Yahaya Gavamukulya ◽  
Richard Awichi ◽  
Peter Olupot–Olupot ◽  
Samson Rwahwire ◽  
...  

AbstractThe human–infecting corona virus disease (COVID–19) caused by the novel severe acute respiratory syndrome corona virus 2 (SARS–CoV–2) was declared a global pandemic on March 11th, 2020. Current human deaths due to the infection have raised the threat globally with only 1 African country free of Virus (Lesotho) as of May 6th, 2020. Different countries have adopted different interventions at different stages of the outbreak, with social distancing being the first option while lock down the preferred option for flattening the curve at the peak of the pandemic. Lock down is aimed at adherence to social distancing, preserve the health system and improve survival. We propose a Susceptible–Exposed–Infected–Expected recoveries (SEIR) mathematical model to study the impact of a variety of prevention and control strategies Uganda has applied since the eruption of the pandemic in the country. We analyze the model using available data to find the infection–free, endemic/infection steady states and the basic reproduction number. In addition, a sensitivity analysis done shows that the transmission rate and the rate at which persons acquire the virus, have a positive influence on the basic reproduction number. On other hand the rate of evacuation by rescue ambulance greatly reduces the reproduction number. The results have potential to inform the impact and effect of early strict interventions including lock down in resource limited settings and social distancing.


2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Jianping Wang ◽  
Shujing Gao ◽  
Yueli Luo ◽  
Dehui Xie

We analyze the impact of seasonal activity of psyllid on the dynamics of Huanglongbing (HLB) infection. A new model about HLB transmission with Logistic growth in psyllid insect vectors and periodic coefficients has been investigated. It is shown that the global dynamics are determined by the basic reproduction numberR0which is defined through the spectral radius of a linear integral operator. IfR0< 1, then the disease-free periodic solution is globally asymptotically stable and ifR0> 1, then the disease persists. Numerical values of parameters of the model are evaluated taken from the literatures. Furthermore, numerical simulations support our analytical conclusions and the sensitive analysis on the basic reproduction number to the changes of average and amplitude values of the recruitment function of citrus are shown. Finally, some useful comments on controlling the transmission of HLB are given.


2021 ◽  
Vol 9 (1) ◽  
pp. 198-212
Author(s):  
Cheryl Q. Mentuda

Abstract Dengue is the most common mosquito-borne viral infection transmitted disease. It is due to the four types of viruses (DENV-1, DENV-2, DENV-3, DENV-4), which transmit through the bite of infected Aedes aegypti and Aedes albopictus female mosquitoes during the daytime. The first globally commercialized vaccine is Dengvaxia, also known as the CYD-TDV vaccine, manufactured by Sanofi Pasteur. This paper presents a Ross-type epidemic model to describe the vaccine interaction between humans and mosquitoes using an entomological mosquito growth population and constant human population. After establishing the basic reproduction number ℛ0, we present three control strategies: vaccination, vector control, and the combination of vaccination and vector control. We use Pontryagin’s minimum principle to characterize optimal control and apply numerical simulations to determine which strategies best suit each compartment. Results show that vector control requires shorter time applications in minimizing mosquito populations. Whereas vaccinating the primary susceptible human population requires a shorter time compared to the secondary susceptible human.


2020 ◽  
Author(s):  
Shelui Collinson ◽  
Joseph Timothy ◽  
Samuel K Zayay ◽  
Karsor K Kollie ◽  
Eglantine Lebas ◽  
...  

AbstractBackgroundScabies is known to be a public health problem in many settings but the majority of recent data is from rural settings in the Pacific. There is a need for high quality data from sub-Saharan Africa and peri-Urban settings to inform scale up of scabies control efforts. There have been anecdotal reports of scabies being a public health problem in Liberia but robust data are lacking.MethodsWe conducted a cross-sectional cluster-randomised prevalence survey for scabies in a peri-urban community in Monrovia, Liberia in February-March 2020. Participants underwent a standardised examination conducted by trained local health care workers. Health related quality of life (HRQoL) was assessed using age-appropriate dermatology life quality indices (DLQIs). Prevalence estimates were calculated accounting for clustering at community and household levels and associations with key demographic variables assessed through multivariable random-effects logistic regression.Results1,318 participants from 477 households were surveyed. The prevalence of scabies prevalence was 9.3% (95% CI: 6.5-13.2%), across 75 (19.7%) households; impetigo or infected scabies prevalence was 0.8% (95% CI: 0.4-1.9%). The majority (52%) of scabies cases were classified as severe. Scabies prevalence was lower in females and higher in the youngest age group; no associations were found with other collected demographic or socio-economic variables. DLQI scores indicated a very or extremely large effect on HRQoL in 29% of adults and 18% of children diagnosed with scabies.ConclusionsOur study indicates a substantial burden of scabies in this peri-Urban population in Liberia. This was associated with significant impact on quality of life, highlighting the need for action to control scabies in this population. Further work is needed to assess the impact of interventions in this context on both the prevalence of scabies and quality of life.Plain English summaryScabies is an infestation with a microscopic mite which affects many people living in low-resource tropical countries. It causes intense itching, which can lead to complications through bacterial infection and poor quality of life. To help develop global scabies control programmes, we need a better understanding of how common it is across different tropical settings. We conducted a survey to assess the burden of scabies and bacterial skin infection in a random sample of people living in a community in Monrovia, Liberia. Information about participants and their household were collected and their skin was examined; those with skin conditions were asked about its impact on quality of life.We examined 1,318 participants and found that almost 10% of people had scanies. Scabies was more common in young children, and was more common in male children than female children. We found that there was a large impact on quality of life due mostly to the itching that scabies causes and to people feeling embarrassed or sad because of their skin condition. This scabies survey is one of the first conducted across all age groups in recent years in sub-Saharan Africa and indicates a substantial burden and impact on quality of life. More work is needed to understand how common scabies is in different settings and the impact that different treatment strategies may have.


PEDIATRICS ◽  
1983 ◽  
Vol 71 (4) ◽  
pp. 653-654
Author(s):  
SAMUEL L. KATZ

The passage of 20 years since the first International Conference on Measles Immunization in November 1961 has been accompanied by very significant advances in our understanding of the impact of measles among different groups, in the development and the utilization of measles vaccines, and in the control of the disease. Throughout all these considerations, there remains great variability. This is manifest in the surveillance data on morbidity and mortality, the extent of vaccine utilization, and the attitudes about measles as a serious public health problem. Because of these variations it is obvious that any recommendations must be evaluated carefully and adapted appropriately to meet the needs of a given nation, a population group, a geographic locale, or an environmental setting.


Author(s):  
A. BURGESS Deseri ◽  
Lisa Weed Phifer

Domestic violence is a growing public health problem that affects children nationwide. In fact, research estimates that anywhere between three and 17.8 million children witness domestic abuse each year5. Therefore, it is likely that teachers will regularly encounter students in their classroom who have been exposed to domestic violence. The impact of domestic violence is widespread, affecting academic performance, behavior, and social development. Teachers can make a positive impact by learning how best to identify and support these students. The following chapter will provide an overview of domestic violence, developmental considerations, and strategies for helping children who have been affected by it.


2015 ◽  
Vol 23 (03) ◽  
pp. 423-455
Author(s):  
P. MOUOFO TCHINDA ◽  
JEAN JULES TEWA ◽  
BOULECHARD MEWOLI ◽  
SAMUEL BOWONG

In this paper, we investigate the global dynamics of a system of delay differential equations which describes the interaction of hepatitis B virus (HBV) with both liver and blood cells. The model has two distributed time delays describing the time needed for infection of cell and virus replication. We also include the efficiency of drug therapy in inhibiting viral production and the efficiency of drug therapy in blocking new infection. We compute the basic reproduction number and find that increasing delays will decrease the value of the basic reproduction number. We study the sensitivity analysis on the key parameters that drive the disease dynamics in order to determine their relative importance to disease transmission and prevalence. Our analysis reveals that the model exhibits the phenomenon of backward bifurcation (where a stable disease-free equilibrium (DFE) co-exists with a stable endemic equilibrium when the basic reproduction number is less than unity). Numerical simulations are presented to evaluate the impact of time-delays on the prevalence of the disease.


2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Yali Yang ◽  
Chenping Guo ◽  
Luju Liu ◽  
Tianhua Zhang ◽  
Weiping Liu

The statistical data of monthly pulmonary tuberculosis (TB) incidence cases from January 2004 to December 2012 show the seasonality fluctuations in Shaanxi of China. A seasonality TB epidemic model with periodic varying contact rate, reactivation rate, and disease-induced death rate is proposed to explore the impact of seasonality on the transmission dynamics of TB. Simulations show that the basic reproduction number of time-averaged autonomous systems may underestimate or overestimate infection risks in some cases, which may be up to the value of period. The basic reproduction number of the seasonality model is appropriately given, which determines the extinction and uniform persistence of TB disease. If it is less than one, then the disease-free equilibrium is globally asymptotically stable; if it is greater than one, the system at least has a positive periodic solution and the disease will persist. Moreover, numerical simulations demonstrate these theorem results.


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