Non-Communicable Diseases Attributed Mortality and Associated Sociodemographic Factors in Papua New Guinea: Evidence from Comprehensive Health and Epidemiological Surveillance System

2021 ◽  
Author(s):  
Bang Nguyen Nguyen Pham ◽  
Ronny Jorry ◽  
Norah Abori ◽  
Vinson D. Silas ◽  
Anthony D. Okely ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Bang Nguyen Pham ◽  
Vinson D. Silas ◽  
Anthony D. Okely ◽  
William Pomat

Background: Papua New Guinea (PNG) has undergone a significant health transition, with the prevalence of non-communicable diseases increasing. Many children under 5 years of age suffer from the burden of malnutrition. While wasting and stunting still remain high, children who are overweight and obese are reportedly increasing.Objective: This study reports the prevalence of wasting, stunting, underweight, and overweight children under five in PNG and explores potential household and maternal socioeconomic factors associated with malnutrition.Method: Data were drawn from the Comprehensive Health and Epidemiological Surveillance System (CHESS) in PNG. Height and weight were directly measured, and wasting, stunting, overweight, and underweight statistics were determined using the 2006 WHO Standard Growth Standards. Household and maternal factors were assessed with parent interviews conducted by trained data collectors. Multivariate logistic regression analyses were conducted to report associations between selected socioeconomic correlates and child malnutrition outcomes.Result: The prevalence of wasting, stunting, underweight, and overweight children was 13.8, 46.5, 18.2, and 18%, respectively. Children from households with food shortage were more likely to be wasted than those from households without such an experience [OR: 1.43 (95% CI: 0.93–2.21)]. Children from the poor quintile were more likely to be stunted than those from the richest quintile [OR: 1.2 (95% CI: 0.79–1.82)]. Other factors associated with wasting included living in an urban vs. rural area [OR: 1.36 (0.77–2.4)], middle household wealth quintile vs. richest quintile [OR: 0.77 (0.38–1.55)], mothers in union with a man vs. mother unmarried or live in union [OR: 0.76 (0.4–1.42)], and male children vs. female [OR: 0.77 (0.53–1.11)]. Factors associated with stunting included residing in urban vs. rural areas [OR: 1.13 (0.8–1.6)], mother in union vs. single mother [OR: 0.86 (0.59–1.24)], and mothers with preparatory/elementary vs. mothers with vocational/college education [OR: 0.15 (0.02–1.01)].Conclusion: An integrated approach is needed to comprehensively address the household socioeconomic factors at the household level, contributing to the improvement of child health and development in PNG.



2020 ◽  
Vol 8 ◽  
pp. 205031212097384
Author(s):  
Patricia Rarau ◽  
Shuaijun Guo ◽  
Shaira Nicole Baptista ◽  
Justin Pulford ◽  
Barbara McPake ◽  
...  

Introduction: The mortality associated with non-communicable diseases has increased significantly in most countries in the World Health Organization Western Pacific Region over the last 20 years, as have the underlying risk factors. This study aimed to collate evidence on the prevalence of four major non-communicable diseases and their risk factors in Papua New Guinea in order to inform appropriate policy for their prevention and management. Methods: We performed a systematic review of Papua New Guinea-based population prevalence studies of cardiovascular diseases, type 2 diabetes mellitus, chronic respiratory diseases, and cancers, as well as non-communicable disease risk factors published before 2016. Five online databases were searched and screened against eligibility criteria according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: A total of 57 articles were included in this review, most of which (n = 48) were published prior to 2000. Eleven articles reported on diabetes, six reported on chronic lung disease/asthma, two reported on cardiovascular diseases, and two reported cancer as the primary outcome, while the remaining 36 papers reported non-communicable disease risk factors. Conclusion: This review demonstrated variations in the prevalence of non-communicable diseases (0%–19%) and their risk factors (0%–80.6%) attributed to the lifestyle and genetic diversity of the Papua New Guinea population. There is a strong suggestion that the prevalence of non-communicable diseases (particularly type 2 diabetes mellitus) and key non-communicable disease risk factors (hypertension, overweight, and obesity) has increased, but there is a lack of recent data. As such, there is an urgent need for new and up-to-date data in all areas of Papua New Guinea.



2012 ◽  
Vol 45 (3) ◽  
pp. 395-398 ◽  
Author(s):  
Dionatas Ulisses de Oliveira Meneguetti ◽  
Olzeno Trevisan ◽  
Luís Marcelo Aranha Camargo ◽  
Renato Moreira Rosa

INTRODUCTION: This study analyzed the occurrence and the contamination of triatomines by trypanosomatids in Orbignya speciosa (babassu) specimens in the State of Rondônia, Brazil, in two different environments (pasture and woods). METHODS: Capture of triatomines on babassus and microscopic search for trypanosomatids in their digestive tube were carried out. RESULTS: Four hundred ninety-four (494) specimens were captured (Rhodnius prolixus and R.robustus), of which 35.6% of the triatomines were positive for trypanosomatids. CONCLUSIONS: The high index of natural infection along with the abundance of triatomines points out to the necessity to create an epidemiological surveillance system to monitor vector-borne transmission and deepen the studies on the ecology of such vectors in the Amazon.



2018 ◽  
pp. 15
Author(s):  
Rieski Prihastuti ◽  
Trisno Agung Wibowo ◽  
Misinem Misinem

Purpose: Non-communicable diseases are leading cause of the global death, especially from cardiovascular disease, cancers, chronic obstructive pulmonary disease, and diabetes. Prevention and primary detection of non-communicable disease in Indonesia were done through integrated community-based intervention called ‘Posbindu PTM’. Implementation of ‘Posbindu PTM’ needed to be evaluated to determine each component in the non-communicable disease surveillance systems. Methods: This study was descriptive. Respondent were programmer in district health office and programmer in 24 primary health care in Wonosobo. Surveillance system evaluation that used was programs evaluation based on WHO (structure, main function, support function and quality of surveillance system). Results: The weakness of ‘Posbindu PTM’ in Wonosobo were lack of knowledge in the regulation, networking, collaborating, risk factor detecting and reporting; not availability of technical guidebook; low training participant; low monitoring and evaluation activity; also complex reporting system. There was 84% ‘Posbindu PTM’ that had not reported on time and 87,50 % programmer had not done the analysis, interpretation, and dissemination. This was related to the completeness of the report caused too many data that needed to be collected and affect the timeliness of the report. Conclusion: Strengthening ‘Posbindu PTM’ should be done in the reporting system aspect, especially in the timeliness and analysis of the report. Monthly reminder and refreshing in reporting system were done to improve the reporting system aspect.



2021 ◽  
pp. e1-e8
Author(s):  
Rodrigo Guerrero-Velasco ◽  
Víctor Hugo Muñoz ◽  
Alberto Concha-Eastman ◽  
Álvaro J. Pretel-Meneses ◽  
Maria I. Gutiérrez-Martínez ◽  
...  

Objectives. To examine homicide rates in Cali, Colombia, during the 1993–2018 period, using information derived from an interagency surveillance system. Methods. We used homicide data from Cali’s Epidemiological Surveillance System to examine homicide trends by victim’s age and sex, time, and type of method used. We estimated trend changes and the annual percentage changes using joinpoint regression analyses. Results. Homicide rates per 100 000 inhabitants dropped from 102 in 1993 to 47.8 in 2018. We observed reductions in homicide rates across age and sex groups. Most homicide victims were men aged 20 to 39 years from poor, marginalized areas. Firearms were used in 84.9% of all cases. The average annual percentage change for the entire period was −3.6 (95% confidence interval = −6.7, −0.4). Conclusions. Fluctuations in homicide rates in Cali show a clear epidemic pattern, occurring concurrently with the “crack epidemic” in different countries. Reliable and timely information provided by an Epidemiological Surveillance System allowed opportune formulation of public policies to reduce the impact of violence in Cali. (Am J Public Health. Published online ahead of print June 10, 2021: e1–e8. https://doi.org/10.2105/AJPH.2021.306254 )



Author(s):  
Omar Yaxmehen Bello-Chavolla ◽  
Neftali Eduardo Antonio-Villa ◽  
Arsenio Vargas-Vázquez ◽  
Carlos A Fermín-Martínez ◽  
Alejandro Márquez-Salinas ◽  
...  

Abstract We profiled cases with nonrespiratory symptoms (NRS) and asymptomatic severe acute respiratory syndrome coronavirus 2 infections assessed within Mexico City’s Epidemiological Surveillance System. Initially asymptomatic or NRS cases have decreased risk of adverse outcomes compared with cases with respiratory symptoms. Comorbidity and age influence symptom development in initially asymptomatic cases.



2016 ◽  
Vol 23 (2) ◽  
pp. 109-123 ◽  
Author(s):  
Tippawan Liabsuetrakul ◽  
Tagoon Prappre ◽  
Pakamas Pairot ◽  
Nurlisa Oumudee ◽  
Monir Islam

Surveillance systems are yet to be integrated with health information systems for improving the health of pregnant mothers and their newborns, particularly in developing countries. This study aimed to develop a web-based epidemiological surveillance system for maternal and newborn health with integration of action-oriented responses and automatic data analysis with results presentations and to assess the system acceptance by nurses and doctors involved in various hospitals in southern Thailand. Freeware software and scripting languages were used. The system can be run on different platforms, and it is accessible via various electronic devices. Automatic data analysis with results presentations in the forms of graphs, tables and maps was part of the system. A multi-level security system was incorporated into the program. Most doctors and nurses involved in the study felt the system was easy to use and useful. This system can be integrated into country routine reporting system for monitoring maternal and newborn health and survival.



2016 ◽  
Vol 10 (3) ◽  
pp. 224
Author(s):  
Ana Virginia Piauilino SANTOS ◽  
Mikaela Lopes de CALDAS ◽  
Manoel Henrique KLEIN JUNIOR ◽  
Airton Leôncio Dutra da SILVA ◽  
Francisco Das Chagas CARDOSO FILHO

Rabies is an acute contagious infectious disease, mainly characterized by nervous symptoms that can affect all mammals. It is characterized by sometimes signs of aggression, and others by paresis, paralysis and acute viral encephalitis. This study aimed to describe, by using the basis of the data recorded in the Continental Epidemiological Surveillance System , SivCont, the epidemiological profile of rabies of herbivores in Piauí in 2007 to 2011. Durante the period there were reported 66 cases of nervous syndromes in the state of Piaui, where 35 cases were confirmed positive laboratory result for rabies in herbivores, and of this total, 94%were in cattle. Also noted is that there are areas in the state of Piaui without nerve syndromes notifications, showing the complete "epidemiological silence", suggesting situations of underreporting, even when in the vicinity there have been outbreaks of disease. Situations like this suggests the necessity of an increase in animal health protection actions, actions in health education, covering all segments of the community and intensifying surveillance activities.



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