Epidemiological Analysis of Malaria Outbreak in Ankesha District, Awi Zone, Amhara Region, Ethiopia, 2012: Weaknesses in Control Measures and Risk Factors

Background: Measles is highly contagious vaccine preventable disease (VPD), and a major public health problem considered as leading cause of morbidity and mortality in developing countries like Pakistan. An outbreak of measles was reported in Sharifabad Islamabad on 15th of April 2017, and an investigation was launched to assess the magnitude of outbreak, evaluate risk factors and recommend control measures. Methods: A comprehensive house to house active case search along with vaccine coverage survey was conducted from April 19-22, 2017. A case was defined as "onset of maculopapular rash with fever in a resident of Sharifabad with at least one of the following signs/ symptoms, Coryza, Conjunctivitis, Cough, Otitis media or Pneumonia present in between 19 March to 22nd April 2017". Four age & sex matched controls were selected from the neighborhood. Data was collected through interview method using structured questionnaire and vaccination coverage was determined by using Epi survey form. Blood samples were sent for laboratory confirmation. Results: A total of eight cases were identified through active case finding while three were reported by local practitioner. Mean age of cases were 20 months (range 8-36 months). Severely affected age-group was 1-2 years with attack rate of 46%. Around two-third (64%) of cases and a few (16%) of controls were unvaccinated against measles. Contact with measles patient [OR 25.2, CI 3.9-160.1, P=0.00], unvaccinated children [OR 9.2 CI 2.12-40.4, P=0.000], social misconception regarding vaccination [OR 7.8 CI 1.42-42.6, P=0.00], and distance from healthcare facility [OR 5.7 CI 1.15-28.35, P=0.02] were significant risk factors. Vaccine efficacy was 90%. Conclusion: Main reasons of the outbreak were contact with the cases, and low vaccination status. We recommended comprehensive measles vaccination and community awareness sessions. On our recommendations district health authority Islamabad carried out mop up of whole area.

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Client satisfaction with existing postnatal care and associated factors: A study among mothers in Awi Zone, Amhara region, Ethiopia

Women s Health ◽

10.1177/1745506520976017 ◽

2020 ◽

Vol 16 ◽

pp. 174550652097601

Author(s):

Daniel Adane ◽

Biresaw Wassihun

Keyword(s):

Antenatal Care ◽

Health Care Providers ◽

Postnatal Care ◽

Associated Factors ◽

Client Satisfaction ◽

Post Partum ◽

Care Providers ◽

Amhara Region ◽

Awi Zone

Background: The majority of maternal and neonatal adverse events take place during the postnatal period. However, it is the most neglected period for the provision of quality care. Objective: The aim of this study among mothers in the Awi Zone, Amhara region, Ethiopia, was to assess client satisfaction with existing postnatal care and associated factors. Methods: An institution-based cross-sectional study was conducted in Awi Zone hospitals from 1 to 30 April 2018. A total of 422 post-partum mothers were selected by systematic sampling. The data were collected using a pre-tested structured questionnaire via a face-to-face interview. Data entry and analysis were completed using EpiData version 3.1 and SPSS version 22, respectively. The data were summarized with frequency and cross-tabulation. Both binary and multiple logistic regressions were used to identify predictor variables using odds ratios and 95% confidence intervals. Result: The prevalence of postnatal care satisfaction was 63%. Being from urban area (AOR = 2.1, 95% CI = (1.11–3.99)), having a history of antenatal care follow up (AOR = 1.62, 95% CI = (1.23–1.64)), spontaneous vaginal birth (AOR = 3.14, 95% CI = (1.77–3.28)), and those who did not face any complications during birth (AOR = 2.90, 95% CI = (1.47–1.69)) were some of the factors associated with client satisfaction. Conclusion: According to the results of this study, the majority of mothers were satisfied with post-partum care services. The study findings indicate that maternal satisfaction on post-partum care is mainly affected by residency, antenatal care follow up, mode of delivery, and complications during birth. Therefore, health care providers and other concerned bodies should give special attention to those mothers who are from rural areas, who face complications during birth or who have instrumental-assisted or cesarean section birth. Also, every pregnant mother should be supported to have at least four regular antenatal care visits.

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Seroprevalence of Toxoplasma gondii and associated risk factors in domestic pigs raised from Cuba

Parasitology Research ◽

10.1007/s00436-021-07245-1 ◽

2021 ◽

Author(s):

Julio César Castillo-Cuenca ◽

Álvaro Martínez-Moreno ◽

José Manuel Diaz-Cao ◽

Angel Entrena-García ◽

Jorge Fraga ◽

...

Keyword(s):

Risk Factors ◽

Toxoplasma Gondii ◽

Meat Products ◽

Control Measures ◽

Health Concern ◽

Enzyme Linked Immunosorbent Assay ◽

Serum Samples ◽

Cross Sectional ◽

Weaning Pigs ◽

Associated Risk Factors

AbstractA cross-sectional study was carried out to determine the seroprevalence of Toxoplasma gondii and associated risk factors in pigs in the largest pork-producing region in Cuba. Serum samples from 420 pigs, including 210 sows and 210 post-weaning pigs, were tested for antibodies against T. gondii using a commercial indirect enzyme-linked immunosorbent assay. Anti-T. gondii antibodies were detected in 56 animals (13.3%, 95% CI: 10.1–16.6). A generalized estimating equations model revealed that the risk factors associated with higher seropositivity in pigs were altitude (higher in farm’s location < 250 m above sea level (masl) versus ≥ 250 masl) and age (higher in sows compared to post-weaning pigs). The results indicated that this protozoan parasite is widely distributed on pig farms in the study area, which is a public health concern since the consumption of raw or undercooked pork meat products containing tissue cysts is considered one of the main routes of T. gondii transmission worldwide. Control measures should be implemented to reduce the risk of exposure to T. gondii in pigs in Cuba.

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Prevalence and risk factors of Strongyloides stercoralis infection among Orang Asli schoolchildren: new insights into the epidemiology, transmission and diagnosis of strongyloidiasis in Malaysia

Parasitology ◽

10.1017/s0031182019000945 ◽

2019 ◽

Vol 146 (12) ◽

pp. 1602-1614 ◽

Cited By ~ 4

Author(s):

Hesham M. Al-Mekhlafi ◽

Nabil A. Nasr ◽

Yvonne A. L. Lim ◽

Fatin Nur Elyana ◽

Hany Sady ◽

...

Keyword(s):

Risk Factors ◽

Intestinal Parasites ◽

Agar Plate ◽

Significant Risk ◽

Control Programme ◽

Control Measures ◽

Parasitic Infections ◽

Cross Sectional ◽

Orang Asli ◽

Direct Smear

AbstractThis cross-sectional study aimed to determine the prevalence and risk factors of S. stercoralis infection among 1142 Orang Asli primary schoolchildren in six different states of Peninsular Malaysia. Fecal samples were examined using direct smear, formalin-ether sedimentation (FES), agar plate culture (APC) and PCR techniques. Overall, 15.8% of the children were found to be infected with S. stercoralis. The prevalence was 0.2, 1.3, 15.2 and 13.7% by direct smear, FES, APC and PCR, respectively. Multivariate analysis showed that an age of >10 years, being male, belonging to a Proto-Malay tribe, belonging to the Senoi tribe, indiscriminate defecation, using an unimproved water source for drinking water and not wearing shoes when outside were the significant risk factors of infection among these children. In conclusion, we provide new evidence on the occurrence of S. stercoralis in Malaysia to show that there is a relatively high prevalence of infection among Orang Asli schoolchildren. Therefore, the use of specific methods for detecting S. stercoralis should be considered when screening these children for intestinal parasites. Moreover, prevention and control measures specific to S. stercoralis should be integrated into the intestinal parasitic infections control programme in Malaysia.

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Prevalence and risk factors for Toxoplasma gondii infection in certified and non-certified pig breeding farms in the Toledo microregion, PR, Brazil

Revista Brasileira de Parasitologia Veterinária ◽

10.1590/s1984-29612010000300005 ◽

2010 ◽

Vol 19 (3) ◽

pp. 152-156 ◽

Cited By ~ 9

Author(s):

Piassa Franciele Rossandra ◽

Jacqueline Baptista de Araújo ◽

Ronaldo César da Rosa ◽

Rodrigo José Mattei ◽

Rodrigo Costa da Silva ◽

...

Keyword(s):

Risk Factors ◽

Toxoplasma Gondii ◽

Human Infection ◽

Control Measures ◽

Rodent Control ◽

Reproductive Disorders ◽

Toxoplasma Infection ◽

Pork Products ◽

Toxoplasma Gondii Infection ◽

Breeding Farms

Toxoplasma gondii infection has been diagnosed in pigs all over the world. Economical losses are generally related to reproductive disorders. Toxoplasma infection is also a matter of public health because tissue cysts of the parasite may remain in pork and pork products, and become sources of human infection. The objective of this study was to evaluate the frequency and risk factors associated with Toxoplasma infection in certified and non-certified pig breeding farms in the Toledo microregion, in the State of Paraná, Brazil which includes the cities of Toledo, Nova Santa Rosa, Sao José das Palmeiras and Sao Pedro do Iguaçu. Relative frequency of infection was 13.4%, independently of the type of farm. Logistic regression analysis showed that the following factors were associated with infection: absence of workers exclusive for each area of the farm, access of other animals to feeders and drinkers, lack of lids in drinkers, lack of rodent control measures, mean piglet number and weight at weaning per female.

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Seroprevalence and risk factors associated with infection by Neospora caninum of dairy cattle in the state of Alagoas, Brazil

Pesquisa Veterinária Brasileira ◽

10.1590/s0100-736x2012001000011 ◽

2012 ◽

Vol 32 (10) ◽

pp. 1009-1013 ◽

Cited By ~ 9

Author(s):

Maria E. Sousa ◽

J.N. Porto Wagnner ◽

Pedro P.F. Albuquerque ◽

Orestes L. Souza Neto ◽

Eduardo B. Faria ◽

...

Keyword(s):

Risk Factors ◽

Dairy Cattle ◽

Indirect Immunofluorescence ◽

Neospora Caninum ◽

Infection Risk ◽

Control Measures ◽

Risk Indicators ◽

Blood Samples ◽

Factors Associated ◽

Serological Investigation

The objective of this study was to investigate the prevalence of anti-Neospora caninum antibodies in cattle from milk producing farms of the microregion of Batalha, state of Alagoas, Brazil, as well as to identify the risk factors associated with the infection. Blood samples were collected from 1,004 cattle of 17 farms for the serological investigation regarding the presence of anti-N. caninum antibodies by the Indirect Immunofluorescence Reaction Technique (IMRT). From the total amount of samples analyzed, 77/1,004 (7.67%) were positive and 927/1,004 (92.33%) were negative. The logistical regression identified that cattle from farms without consortium breeding have an infection risk 6.33 (p<0.001; C.I. 2.89-13.10) times higher than cattle from farms with that type of breeding. Cattle from farms where the aborted fetuses are not adequately buried have an infection risk 3.04 (p<0.001; C.I. 1.64-5.63) times higher than cattle from farms with adequate destination of these fetuses. Infection by N. caninum occurs in cattle of the investigated region. The factors identified in our study can be used as risk indicators, so that control measures could be implemented to avoid infection by N. caninum in the herds of this region.

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Seroprevalence of AsymptomaticLeishmania donovaniamong Laborers and Associated Risk Factors in Agricultural Camps of West Armachiho District, Northwest Ethiopia: A Cross-Sectional Study

Journal of Parasitology Research ◽

10.1155/2018/5751743 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8

Author(s):

Animen Ayehu ◽

Yibeltal Aschale ◽

Wossenseged Lemma ◽

Animut Alebel ◽

Ligabaw Worku ◽

...

Keyword(s):

Risk Factors ◽

Leishmania Donovani ◽

Public Health Problem ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Control Measures ◽

Sectional Study ◽

Cross Sectional ◽

Associated Risk Factors ◽

Study Participants

Background. Visceral leishmaniasis (VL, also called kala-azar) is a public health problem in Ethiopia, especially in sesame and sorghum growing areas. Compared to other populations, labor migrants are the most exposed. Knowing the seroprevalence ofLeishmania donovaniand associated risk factors is essential to design appropriate control measures. The main aim of this study was to assess the seroprevalence of asymptomaticL. donovaniamong laborers and associated risk factors in agricultural camps of West Armachiho district, Northwest Ethiopia. Therefore, this study was conducted to know the seroprevalence and associated risk factors ofL. donovaniinfection.Method. A cross-sectional study was conducted among 185 laborers from October to December 2017. A simple random sampling technique was used to select study participants from selected agricultural camps. After obtaining written informed consent, data were collected using a structured pretested Amharic version questionnaire using the interview technique. A single finger prick blood sample was collected from the study participants and the blood samples were subjected to the serological diagnostic method using the rk39 kit. The multivariable logistic regression model was used to identify risk factors associated withL. donovaniinfection.Result. Among 185 participants examined using rk39, 14 (7.6%) were seroreactive forL. donovani.Leishmania donovaniinfection had a statistically significant association with sleeping underBalanitestrees (AOR: 4.36, 95%CI: 1.186-16.06), presence of domestic animals near sleeping place (AOR: 4.68, 95% CI: 1.25-17.56), and lack of knowledge about VL transmission (AOR: 3.79, 95% CI: 1.07-13.47).Conclusion. Seroprevalence of asymptomaticL. donovaniamong laborers in agricultural camps of West Armachiho was low. Prevention measures and health education about risk factors that expose toL. donovaniinfection for the laborers are essential to prevent the spread of the disease.

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Serum epidemiological survey and risk factors investigation for lentivirus in goats from Sisal Region, Bahia, Brazil

Arquivos do Instituto Biológico ◽

10.1590/1808-1657000812016 ◽

2018 ◽

Vol 85 (0) ◽

Author(s):

Danielle Nobre Santos Pinheiro ◽

Joselito Nunes Costa ◽

Thiago Sampaio de Souza ◽

Vanderlan Warlington Souza Santos ◽

Dalva Alana Azevedo ◽

...

Keyword(s):

Risk Factors ◽

Blood Serum ◽

Epidemiological Survey ◽

Control Measures ◽

Breeding Systems ◽

Agar Gel ◽

Pattern Type ◽

Significant Difference ◽

Males And Females

ABSTRACT: This study aimed to carry out a serum epidemiological survey of goat arthritis encephalitis in the sisal region of Bahia, Brazil, and to evaluate risk factors. We evaluated 831 samples of goat blood serum among males and females older than six months, from 49 farms distributed among the municipalities of Araci, Cansanção, Conceição do Coité, Itiúba, Monte Santo, Nordestina, Queimadas, Santa Luz, São Domingos and Valente. An epidemiological questionnaire for the analysis of possible risk factors was applied. All sera were tested for immune-agar gel. The seroprevalence obtained in surveyed herds was 1.56% (13/831). There was significant difference (p<0.05) for animal racial pattern, type of farming and breeding systems. However, when considering herds with predominantly dairy breeds (Saanen and Alpine Pardo), the seropositivity in animals from Valente, Conceição do Coité and São Domingos amounted to 5.06% (12/237). In these municipalities, from 14 properties analyzed, five (38.5%) had at least one positive-testing animal. This result is extremely worrying when one considers that few control measures are adopted by farmers to prevent the goat arthritis encephalitis in the most important dairy region of Bahia state.

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Erratum: Comparative study of the two-period of epidemiological analysis of risk factors for breast cancer in Indonesia. Does it change?

Medical Journal of Indonesia ◽

10.13181/mji.v8i3.788 ◽

1999 ◽

pp. 140

Author(s):

Muchlis Ramli ◽

Setyawati Budiningsih ◽

Yoshiyuki Ohno ◽

Didid Tjindarbumi ◽

Goi Sakamoto ◽

...

Keyword(s):

Breast Cancer ◽

Risk Factors ◽

Comparative Study ◽

Epidemiological Analysis

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The epidemiological situation as a factor determining the strategy for reducing mortality in the Russian Federation

Terapevticheskii arkhiv ◽

10.26442/00403660.2020.01.000510 ◽

2020 ◽

Vol 92 (1) ◽

pp. 4-9 ◽

Cited By ~ 3

Author(s):

S A Boytsov ◽

S A Shalnova ◽

A D Deev

Keyword(s):

Risk Factors ◽

Cardiovascular Diseases ◽

Cause Of Death ◽

Russian Federation ◽

Communicable Diseases ◽

Epidemiological Analysis ◽

Non Communicable Diseases ◽

The Russian Federation ◽

Epidemiological Situation

Chronic non - communicable diseases, mainly cardiovascular diseases, are the leading cause of death worldwide, including in the Russian Federation (RF). The article analyzes the negative and positive trends of the most relevant risk factors for cardiovascular diseases for the period from 2013 to 2017, and also provides a strategy for reducing mortality in the Russian Federation for the period up to 2024 based on data from an epidemiological analysis.

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