scholarly journals Probability of dengue transmission and propagation in a non-endemic temperate area: conceptual model and decision risk levels for early alert, prevention and control

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Cecilia A. Marques-Toledo ◽  
Maria Mercedes Bendati ◽  
Claudia T. Codeço ◽  
Mauro M. Teixeira
2021 ◽  
Author(s):  
Yunyun Yan ◽  
Teng-yang Fan ◽  
Yan-ling Zheng ◽  
Hai-qin Yang ◽  
Tian-shu Li ◽  
...  

Abstract Background In fulfilling the COVID-19 containment, primary health care (PHC) facilities in China played an important role. We sought to investigate the exact tasks performed at the PHC facilities and the processes of COVID-19 prevention and control.Methods Semi-structured face-to-face interviews for primary care physicians (PCPs) and a simple survey for residents were conducted in the field survey. Based-on purposive stratified sampling, 32 PCPs were selected from 22 PHC facilities in Wuhan as a high-risk city, in Shanghai as medium-risk city and in Zunyi as low-risk city. In the field survey, semi-structured face-to-face interviews were conducted with PCPs to summarize the tasks of COVID-19 prevention and control at the PHC facilities. A simple survey was used to investigate the local residents’ awareness about COVID-19 prevention and control.Results In pre-outbreak period, the PHC facilities mainly engaged in storing medical supplies; in out-break period, they were responsible for screening, transferring, quarantine and treatment; in regular prevention and control period, attention was given to the employees and items of cold-chain & fresh food markets, etc. In Wuhan, PHC facilities focused on graded diagnoses and treatments of patients; in Shanghai, they were mainly engaged in at-home/centralized quarantine; in Zunyi, they focused on the screening of high-risk individuals. In urban areas, COVID-19 were more likely to be transmitted; in urban-rural areas, it was difficult to perform screening on the migrant populations; in rural areas, the risk was much lower. The community residents had satisfactory compliance with the preventive measures.Conclusion We identified differences in the prevention and control tasks performed at the PHC facilities in China. During the different phases of the pandemic, the tasks were adjusted depending on the gradually comprehensive understanding of COVID-19. Among the cities at different risk levels, screening, quarantine, transferring or treatment was chosen to be a priority accordingly. Located in different intra-city geographic locations at different risk levels, the PHC facilities conducted their own tasks accordingly. Additionally, compliance on the part of the local community residents could not be overemphasized in COVID-19 prevention and control.


2021 ◽  
Author(s):  
Rhanye Mac Guad ◽  
Maw Shin Sim ◽  
Yuan Seng Wu ◽  
Yin Nwe Aung ◽  
Wah Yun Low ◽  
...  

Abstract Background: Dengue, a major global public health concern, is growing more prevalent. Extensive measures have been undertaken to prevent and control dengue transmission in Malaysia including understanding and modification of human behaviour. This study was designed to assist in planning an effective health intervention for dengue by measuring residents’ knowledge, attitudes, and practice (KAP) in hotspot areas of Sabah, East Malaysia. Methods: A community-based and cross-sectional study was conducted at dengue hotspot area in Sabah involving 463 residents (aged 18 years and above). Information on the socio-demographic characteristics of the residents and their KAP towards dengue was collected using a structured pre-validated questionnaire developed by the researchers. In addition, residents were invited to participate in a dengue seroprevalence study using dengue Immunoglobulin M (IgM) and Immunoglobulin G (IgG) ELISA kit. Results: Most of the residents correctly identified common signs and symptoms of dengue such as fever (84.4%), chills (70.7%), and nausea or vomiting (56.0%). Nearly half of the residents (51.3%) had good knowledge, 66.0% had a positive attitude, and 63.7% had a positive practice for dengue prevention and control, respectively. The dengue seroprevalence study included 200 of the 463 residents; IgG and IgM seropositivity was 74.1% (n = 63) and 7.1% (n = 6) respectively. Based on logistic regression analysis, local and migrants differs considerably in terms of their knowledge and attitude toward dengue prevention and control, while gender and level of education were predictive of practice level (p<0.05) among all sociodemographic variables examined. Knowledge was correlated with attitude (p<0.0001) and practice (p< 0.0014). Discussion: To combat dengue epidemics in the hotspot area of Sabah, a proactive and behavioural changes among residents, are required. To effectively prevent and manage dengue transmission, a collaborative effort of government sectors, private sectors, housing residential committees, and community residents is essential.


Author(s):  
Bianca BORDEANU ◽  
Ioan OROIAN ◽  
Antonia ODAGIU ◽  
Ioan BRASOVEAN ◽  
Cristian IEDERAN

Transylvania  Region,  due  to  its  climatic conditions  represents  a  propitious  region  for  fruit trees  nurseries  that  produce  fruit  planting  material.  Prospects  for  fruit  tree  nurseries  are  huge considering the very large areas of sloping lands, often with bound soils for perennial crops, as trees and  shrubs.  Currently  in  Transylvania  Region,  fruit  tree  nurseries  occupy  a  percentage  of  15.78  % reported  to  the  percentage  of  tree  nurseries  in  Romania.    The  main  pathogens  identified  in Transylvania  region  at  apple  and  pear  nurseries:  for  Apple  nurseries:  Apple  scab  (Venturia Inaequalis),  Apple  Brown  Rot  (Monilinia  fructigena),  Apple  powdery  mildew  (Podosphaera leucotricha)  and  for  pear  nurseries:  Pear  scab  (Venturia  pirina),   Pear  leaf  spot  (Mycosphaerella sentina), Pear blossom blast (Pseudomonas syringae). This  paper aims  toi dentify  the  main pathogens in fruit nurseries  in  Transylvania, in the context of climate change, and to develop a conceptual model of prevention and control of pathogens attack.


2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Hongmei Liu ◽  
Luhong Liu ◽  
Peng Cheng ◽  
Linlin Yang ◽  
Junhu Chen ◽  
...  

Abstract Background Dengue fever outbreaks tend to spread northward in China, and Jining is the northernmost region where local dengue fever cases have been detected. Therefore, it is important to investigate the density of Aedes albopictus and its resistance to deltamethrin. Methods The Breteau index (BI) and container index (CI) were calculated to assess the larval density of Ae. albopictus and human-baited double net trap (HDN) surveillance was performed in six subordinate counties (Rencheng, Yanzhou, Sishui, Liangshan, Zoucheng and Jiaxiang) of Jining City in 2017 and 2018. The resistance of Ae. albopictus adults to deltamethrin was evaluated using the World Health Organization (WHO) standard resistance bioassay. The mutations at Vgsc codons 1532 and 1534 were also analysed to determine the association between kdr mutations and phenotypic resistance in adult mosquitoes. Results The average BI, CI and biting rate at Jining were 45.30, 16.02 and 1.97 (female /man/hour) in 2017 and 15.95, 7.86 and 0.59 f/m/h in 2018, respectively. In August 26, 2017, when the first dengue fever case was diagnosed, the BI at Qianli village in Jiaxiang County was 107.27. The application of prevention and control measures by the government sharply decreased the BI to a value of 4.95 in September 3, 2017. The mortality of field-collected Ae. albopictus females from Jiaxiang was 41.98%. I1532T, F1534L and F1534S mutations were found in domain III of the Vgsc gene. This study provides the first demonstration that both I1532T and F1534S mutations are positively correlated with the deltamethrin-resistant phenotype. Conclusions Mosquito density surveillance, resistance monitoring and risk assessment should be strengthened in areas at risk for dengue to ensure the sustainable control of Ae. albopictus and thus the prevention and control of dengue transmission.


2021 ◽  
Vol 15 (08) ◽  
pp. 1074-1079
Author(s):  
Shuang Liu ◽  
Yan Ren ◽  
Hong Li ◽  
Yue Liu ◽  
Jiao Shan ◽  
...  

Introduction: Public life in China is gradually returning to normal with strong measures in coronavirus 2019 (COVID-19) control. Because of the long-term effects of COVID-19, medical institutions had to make timely adjustments to control policies and priorities to balance between COVID-19 prevention and daily medical services. Methodology: The framework for infection prevention and control in the inpatient department was effectively organized at both hospital and department levels. A series of prevention and control strategies was implemented under this leadership: application of rigorous risk assessment and triage before admission through a query list; classifying patients into three risk levels and providing corresponding medical treatment and emergency handling; establishing new ward visiting criteria for visitors; designing procedures for PPE and stockpile management; executing specialized disinfection and medical waste policies. Results: Till June 2020, the bed occupancy had recovered from 20.0% to 88.1%. In total, 13045 patients were received in our hospital, of which 54 and 127 patients were identified as high-risk and medium-risk, respectively, and 2 patients in the high-risk group were eventually laboratory-confirmed with COVID-19. No hospital-acquired infection of COVID-19 has been observed since the emergency appeared. Conclusions: The strategies ensured early detection and targeted prevention of COVID-19 following the COVID-19 pandemic, which improved the recovery of medical services after the pandemic.


Author(s):  
Sunaryo Sunaryo ◽  
Dyah Widiastuti

Dengue prevention and control still depend on insecticides usage. Household insecticides were the most preferable choice to prevent and control Aedes aegypti at settlements. The purpose of this study was to analyze the usage of household insecticides to prevent and control Ae. aegypti in settlement, especially in North Sumatra Province. The research was conducted during April-November 2015. The larvae examination and interviews were conducted on 900 respondents in three districts in North Sumatra Province (Tebing Tinggi, Pematang Siantar and Deli Serdang). The results of the study showed that the house index, container  index, breteau index and densty figure in three districts were revealed that the regions were at moderate and high risk of dengue transmission. Most people in three districts use household insecticide at night to prevent dengue transmission. In conclusion, the household insecticides usage by the community in North Sumatra Province is ineffective to Ae. aegypti prevent and control in settlements, because the community only use adulticide and the time of use of insecticide is not in accordance with the activities of Ae. aegypti to transmit DHF during the daytime without any larva control activity.


2005 ◽  
Vol 24 (4, Suppl) ◽  
pp. S106-S110 ◽  
Author(s):  
Kevin D. McCaul ◽  
Ellen Peters ◽  
Wendy Nelson ◽  
Michael Stefanek

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