Economics of brucellosis impact and control in low-income countries

2013 ◽  
Vol 32 (1) ◽  
pp. 249-261 ◽  
Author(s):  
J.J. MCDERMOTT ◽  
D. GRACE ◽  
J. ZINSSTAG
Author(s):  
Thomas F. Babor ◽  
Jonathan Caulkins ◽  
Benedikt Fischer ◽  
David Foxcroft ◽  
Keith Humphreys ◽  
...  

International drug control efforts are designed to coordinate domestic laws with international activities that regulate or limit the supply of psychoactive substances. These efforts are organized around three main drug control treaties that almost all countries have ratified in order to prevent illicit trafficking and other drug-related crime, while at the same time allowing access to prescription medications. The effects of the system have been evaluated mostly in terms of the ability to eliminate illicit markets and supply. The gross imbalance in world consumption of legal opiates is a pointer to the limited availability of effective pain medications in many low-income countries, with 80% of the world’s population having either no or inadequate access to treatment for moderate or severe pain.


2021 ◽  
pp. 361-376
Author(s):  
Corinne Peek-Asa ◽  
Adnan A. Hyder

Injuries are among the leading causes of death and disability throughout the world and contribute disproportionately to premature life lost. Injury rates are highest among middle- and low-income countries. According to analyses of the 2016 Global Burden of Disease data, injuries cause over 4.6 million deaths per year, accounting for nearly 8.4% of all deaths and 10.7% of disability-adjusted life years. Many opportunities to implement injury prevention strategies exist, and a systematic approach to injury prevention can help identify the most effective and efficient approaches. Building capacity for injury prevention activities in low- and middle-income countries is an important public health priority.


2021 ◽  
Author(s):  
Choolwe Muzyamba ◽  
Ogylive Mphanza Makova ◽  
Geofrey Mushibi

Abstract Background: While lockdowns have become a gold standard response to the Covid-19 pandemic, debates on its usefulness still continue. There is currently good amount of research work originating from western countries on the usefulness of lockdowns, however, similar research is still missing in low income countries like Uganda which implemented stricter lockdowns. More importantly, not much is known about the views of the residents of Uganda for which such a measure was meant for. Despite the implementation of lockdowns, it is still not yet known how relevant residents of Uganda view the lockdown. Research has demonstrated that interventions are most successful when they resonate with the target population This study fills this identified gap by investigating the views and lived experiences of residents of Uganda with regards to the usefulness of the lockdown as a response to the prevention and control of COVID-19.Methods: This was a cross sectional survey using qualitative methods of data collection. Data will was collected from 1000 participants in the four regions of Uganda on the views and experiences on lockdown as a response to the prevention and control of COVID-19 crisis among residents of Uganda. Data collection was down through use of a Qualtrics Survey Tool. Thematic analysis with the help of the Social representation theory was then used to analyze the data. Findings: The study demonstrated that there was visible nuance in the manner in which the lockdown was characterized. On one hand it was seen as useful in slowing down the spread, protecting the fragile healthcare system and giving government enough time to learn about the novel virus and thus respond efficiently. On the other hand, our participants were critical of its devastative nature on the livelihoods of people. Particularly, the lockdown closed down economic survival opportunities for the most vulnerable in society, increased unemployment and poverty levels. The lockdown also contributed to worsening mental health conditions and simultaneously provided fertile ground for domestic abuse including sexual abuse especially among girls.Conclusion: Ultimately, our study questions the narrow view of branding the lockdown as unequivocally good or bad. It rather sheds light on the complexities of its effect on society in Uganda by pointing out its multicapillary-like consequences in society wherein it can, in various ways protect lives and at the same time destroy livelihoods. Our study thus highlights that responding to such complexities defies the logic of implementing the lockdown as a ‘one-size-fits-all magic bullet’, but rather that it must be contextualized, localized and appropriated to the realities of Uganda.


Author(s):  
Anahita Zakeri ◽  
Firouz Amani ◽  
Vahid Abbasi

Background: Burns after traffic accidents, falls and interpersonal violence are the fourth most commonly damaged worldwide. Annually more than 11 million people suffered to sever burns that most of them need for interventions and according WHO statistics, yearly more than 300000 people die from fire-related burns and most of them occurred in low income countries. The aim of this study was Epidemiological study of burns registered in Fatemi hospital in Ardabil, 2016.Methods: This cross-sectional descriptive study has been done on 200 burns registered in burn unit of Fatemi hospital in 2016. Information included age, sex, residence place (urban-rural), marital status, time and area of burn, percent and degree of burn, cause and mechanism of burn, hospitalized time and result of treatment completed by a checklist and analyzed by statistical methods in SPSS version 19.Results: Of all patients, 118 (59%) were male, 62.5% rural and 50% single. Most of burns occurred in age group less than 10 with 33%. The most common cause of burns was hot liquids with 51.5%. Most of cases had burn in degree 2 (71%) and 53.5% of cases hospitalized five days in hospital. 93.5% of patients improved and discharged.Conclusions: Results showed that most of burns in this study occurred in age group less than 10 year. So, that it is necessary to prevent these events in future by taking the necessary measures and control and prevention by families.


Author(s):  
Benjamin Roche ◽  
Hélène Broutin ◽  
Frédéric Simard

Through malaria elimination in Italy at the end of 19th century (when the epidemiological situation could be seen as similar to the one present in low-income countries today) and control strategies against Buruli ulcer and schistosomiasis in Africa, we have shown examples demonstrating that the translation of evolutionary ecology knowledge to infectious diseases control in low-income countries can be successful. These successes have reached different stages, from increasing our understanding of the whole infectious system dynamics toward implementation of innovative control strategies in the short term (Buruli ulcer), to improving transmission control by reducing abundance of host population (schistosomiasis in Senegal), as well as ensuring complete disease elimination locally, through a combination of massive reduction of vector populations at key periods and human-population protection and education (malaria in Italy)....


2018 ◽  
Author(s):  
Yan Guo ◽  
Zhimeng Xu ◽  
Jiaying Qiao ◽  
Y Alicia Hong ◽  
Hanxi Zhang ◽  
...  

BACKGROUND Most people living with HIV (PLWH) reside in middle- and low-income countries with limited access to health services. Thus, cost-effective interventions that can reach a large number of PLWH are urgently needed. OBJECTIVE The objective of our study was to assess the feasibility and acceptability of an mHealth intervention among PLWH in China. METHODS Based on previous formative research, we designed an mHealth intervention program that included sending weekly reminders to participants via text messages (short message service, SMS) and articles on HIV self-management three times a week via a popular social media app WeChat. A total of 62 PLWH recruited from an HIV outpatient clinic were randomly assigned to intervention or control group. The intervention lasted for 3 months, and all participants were assessed for their medication adherence, presence of depression, quality of life (QoL), and CD4 (cluster of differentiation 4) counts. Upon completing the intervention, we interviewed 31 participants to further assess the feasibility and acceptability of the study. RESULTS At baseline, the intervention and control groups did not differ in terms of demographic characteristics or any of the major outcome measures. About 85% (53/62) of the participants completed the intervention, and they provided valuable feedback on the design and content of the intervention. Participants preferred WeChat as the platform for receiving information and interactive communication for ease of access. Furthermore, they made specific recommendations about building trust, interactive features, and personalized feedback. In the follow-up assessment, the intervention and control groups did not differ in terms of major outcome measures. CONCLUSIONS This pilot study represents one of the first efforts to develop a text messaging (SMS)- and WeChat-based intervention that focused on improving the medication adherence and QoL of PLWH in China. Our data indicates that an mHealth intervention is feasible and acceptable to this population. The data collected through this pilot study will inform the future designs and implementations of mHealth interventions in this vulnerable population. We recommend more innovative mHealth interventions with rigorous designs for the PLWH in middle- and low-income countries. CLINICALTRIAL Chinese Clinical Trial Registry ChiCTR1800017987; http://www.chictr.org.cn/showprojen.aspx?proj=30448 (Archived by WebCite at http://www.webcitation.org/71zC7Pdzs) REGISTERED REPORT IENTIFIER RR1-10.2196


2019 ◽  
Vol 41 (1) ◽  
pp. 130-144
Author(s):  
Rodrigo Macedo Couto ◽  
Otavio T Ranzani ◽  
Eliseu Alves Waldman

Abstract Zoonotic tuberculosis is a reemerging infectious disease in high-income countries and a neglected one in low- and middle-income countries. Despite major advances in its control as a result of milk pasteurization, its global burden is unknown, especially due the lack of surveillance data. Additionally, very little is known about control strategies. The purpose of this review was to contextualize the current knowledge about the epidemiology of zoonotic tuberculosis and to describe the available evidence regarding surveillance and control strategies in high-, middle-, and low-income countries. We conducted this review enriched by a One Health perspective, encompassing its inherent multifaceted characteristics. We found that the burden of zoonotic tuberculosis is likely to be underreported worldwide, with higher incidence in low-income countries, where the surveillance systems are even more fragile. Together with the lack of specific political commitment, surveillance data is affected by lack of a case definition and limitations of diagnostic methods. Control measures were dependent on risk factors and varied greatly between countries. This review supports the claim that a One Health approach is the most valuable concept to build capable surveillance systems, resulting in effective control measures. The disease characteristics and suggestions to implement surveillance and control programs are discussed.


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