scholarly journals Analisis Indikator Entomologi dan Sebaran Jentik Aedes aegypti pada Daerah Stratifi kasi Endemisitas Demam Berdarah Dengue di Kota Jayapura

2021 ◽  
Vol 13 (2) ◽  
pp. 127-136
Author(s):  
Risda Hartati ◽  
Tri Baskoro T. Satoto ◽  
Elsa Herdiana Murhandarwati ◽  
Mutiara Widawati

The incidence rate (IR) of Dengue Hemorrhagic Fever in Papua Province in 2017 was8.04 per 100,000 population, with a case fatality rate (CFR) of 1.12%. In 2016, the Health Offi ce ofJayapura City declared six urban villages as high endemic areas, four urban villages as high sporadicareas, and ten villages as DHF-free areas from a total of 39 urban villages in Jayapura. This studyaims to analyze larval by House index [HI], Container index [CI], Breateu index (BI), and Maya index[MI] as well as the distribution of vector Ae. aegypti in endemic, sporadic and DHF-free areas inJayapura City. The design of this study was a cross-sectional study. This research was conducted fromJanuary to March 2019. Subjects (375 houses) were surveyed according to WHO guidelines basedon its endemicity stratifi cation. Observations of mosquitos’ larvae were done using visual and singlelarvae methods. The result of this research showed that endemic areas had their HI, CI and BI as muchas 43.3%, 16.5%, and 90.0%, respectively, with density fi gure is six. Sporadic areas had their HI,CI and BI as much as 35.4%, 10.9%, and 57.5%, respectively, with density fi gure is fi ve. DHF-freeareas had their HI, CI, and BI as much as 14.8%, 5.7%, and 35.2%, respectively, with density fi gureis fi ve. The Maya index for endemic and sporadic areas was categorized as moderate, while DHF-freeareas were low.

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S22-S22
Author(s):  
Igor Thiago Queiroz ◽  
Jessika Thais Da Silva Maia ◽  
Gleysson Rosa ◽  
Tatyana Vidal Mendes ◽  
S Jayne Alves Vidal ◽  
...  

Abstract Background Many studies have demonstrated a causal link between Zika virus (ZIKV) infection, microcephaly (MCP), and other congenital abnormalities (CA). This study aimed to determine perinatal case fatality rate in cases of Congenital Zika Syndrome (CZS) in the Rio Grande do Norte State (RN), a Brazilian Northeast State highly impacted by the Zika virus outbreak. Methods A cross-sectional study was conducted using data obtained through the State Health Department (SHD) for cases of MCP and CA in Rio Grande do Norte from April 2015 to February 5, 2016. Definition of perinatal period: commences at 22 completed weeks (154 days) of gestation and ends seven completed days after birth. Results During the study period, there were 486 cases of MCP and others CA notified in RN, of which 142 were confirmed and 108 remain under investigation. The remaining 236 cases have been ruled out by presenting normal examinations or due to presenting microcephaly by noninfectious causes. Of the total confirmed cases, 26.7% (38/142) died after birth or during pregnancy. 15.78% (06/38) of confirmed deaths had ZIKV infection during pregnancy and 2.63% (01/38) had a positive TORCH blood test. The six cases related to ZIKV were confirmed by RT–PCR and/or IgM/IgG antibodies against ZIKV. The remaining cases of deaths remain either under investigation or have been ruled out. Conclusion This study highlights a high rate of perinatal lethality (15.78%) in cases of CZS. Despite the growing number of CZS cases, the real incidence and prevalence might be higher due to the underreporting and lack of resources for confirmatory diagnostic tests (laboratory and imaging). Due to the high rate of lethality and the ongoing uncontrolled ZIKV outbreak, this study predicts an increase in the infant mortality rate in Brazil and highlights the need for developing public health programs to control the ZIKV outbreak. Disclosures All authors: No reported disclosures.


2018 ◽  
Vol 81 ◽  
pp. 47-48 ◽  
Author(s):  
Nilson N. Mendes Neto ◽  
Jessika Thais da Silva Maia ◽  
Marcelo Rodrigues Zacarkim ◽  
Igor Queiroz ◽  
Angelle Desiree Labeaud ◽  
...  

Medwave ◽  
2020 ◽  
Vol 20 (05) ◽  
pp. e7939-e7939 ◽  
Author(s):  
Maximiliano Barahona ◽  
Álvaro Martínez ◽  
Julián Brañes ◽  
Daniel Rodríguez ◽  
Cristian Barrientos

2017 ◽  
Vol 140 (1) ◽  
pp. 119-120 ◽  
Author(s):  
Gamal K. Adam ◽  
Saeed M. Omar ◽  
MohammedAhmed A. Ahmed ◽  
Tajeldin M. Abdallah ◽  
AbdelAziem A. Ali

2010 ◽  
Vol 76 (9) ◽  
pp. 977-981 ◽  
Author(s):  
Sanchia S. Goonewardene ◽  
Khalid Baloch ◽  
Keith Porter ◽  
Ian Sargeant ◽  
Gamini Punchihewa

Road traffic collisions (RTCs) are one of the most common preventable causes of death and disability worldwide. We investigated changes in numbers of motor vehicles, case fatality rate, and crash injury rate for the most present recorded year (2002) 5 and 10 years before that in the United Kingdom (UK) and Sri Lanka (SL). We also investigated environmental and individual factors impacting patients at South Birmingham Trauma Unit, UK and Colombo General Hospital, SL. We conducted a descriptive cross-sectional study (both quantitative and qualitative). Over the 10-year period, numbers of motor vehicles have risen in both countries; the crash injury remained stable in both countries. Case fatality rate (far higher) in SL has decreased, as in the UK. Three hundred and twenty-five patients took part in the survey in SL, with 83 in the UK. In the categories investigated, including patient demographics, RTC environment, visual impairment, pedestrian and driver factors, the majority of results were significantly different between the two countries. Target factors such as inadequate street lighting, visual impairment, speeding, and not wearing seatbelts at time of accident were identified, and recommendations developed as a result.


2021 ◽  
Vol 8 ◽  
Author(s):  
Honggang Ren ◽  
Xingyi Guo ◽  
Antonio Palazón-Bru ◽  
Pengcheng Yang ◽  
Nan Huo ◽  
...  

Background: The Coronavirus disease 2019 (COVID-19) pandemic has been a major threat to global health. Regional differences in epidemiological and clinical characteristics, treatment and outcomes of patients have not yet been investigated. This study was conducted to investigate these differences amongCOVID-19 patients in Hubei Province, China.Methods: This retrospective cross-sectional study analyzed data on 289 COVID-19 patients from designated hospitals in three regions:Urban (Wuhan Union West Hospital), Suburban areas of Wuhan (Hannan Hospital) and Enshi city, between February 8 and 20, 2020. The final date of follow-up was December 14th, 2020. The outcomes were case fatality rate and epidemiological and clinical data.Results: Urban Wuhan experienced a significantly higher case fatality rate (21.5%) than suburban Wuhan (5.23%) and rural area of Enshi (3.51%). Urban Wuhan had a higher proportion of patients on mechanical ventilation (24.05%) than suburban Wuhan (0%) and rural Enshi (3.57%). Treatment with glucocorticoids was equivalent in urban and suburban Wuhan (46.84 and 45.75%, respectively) and higher than Enshi (25.00%). Urban Wuhan had a higher proportion of patients with abnormal tests including liver function and serum electrolytes and a higher rate of pneumonia (p < 0.01 for all). Urban Wuhan also had a higher incidence of respiratory failure, heart disease, liver disease and shock, compared with the other two regions (all p < 0.05).Conclusions: Our findings revealed that there are regional differences in COVID-19. These findings provide novel insights into the distribution of appropriate resources for the prevention, control and treatment of COVID-19 for the global community.


2021 ◽  
Author(s):  
Karla Flores Sacoto ◽  
Galo Sánchez Del Hierro ◽  
Xavier Jarrín Estupiñan ◽  
Felipe Moreno-Piedrahita Hernandez

Abstract Background COVID-19 has caused deaths worldwide affecting the most vulnerable population with different case fatality rates. Socioeconomic conditions have demonstrated a role regarding the spread of infections and mortality. Socioeconomic characteristics of Ecuador related to poverty, ethnicity and demographic characteristics increase the impact of COVID-19 in certain populations. Methods Objective To analyze the influence of demographic factors on the COVID-19 case fatality rate (CFR) in Ecuador. Design: cross sectional study. Setting 24 provinces in Ecuador-221 cantons. Population: data including 233.277 confirmed COVID-19 cases of Ecuador. Primary and secondary outcome measures COVID-19 CFR and crude cause-specific death rate weight calculated using province-country level data from health ministry of Ecuador in data website. Results Ecuadors CFR is 4,03%, analyzed by cantons the CFR increases to a median of 5,75%, with cantons like Playas with a CFR of 32,39%. The morbidity rate has a median of 795,31 per 100 000 hab. with the highest rate in Isabela-Galápagos (10185,49), Aguarico-Orellana (9506,75) and Baños-Tungurahua (4156,85). And the crude COVID-19 death rate has a median of 39,73 per 100 000 hab. with the highest rate in Penipe-Chimborazo (201,29), 24 de Mayo-Manabí (143,79) and San Pedro de Huaca-Carchi (134,36). The correlations show relations with sociodemographic factors like poverty, ethnicity and scholarity. Conclusion The CFR is the proxy indicator of COVID-19 impact in Ecuador and the analysis made by location give us new information about the specific impact of this disease.


Author(s):  
Niranjan Mohanty ◽  
Debasis Patro ◽  
Subhranshu Sekhar Dhal

Background: To find out the prevalence of multiorgan dysfunction in cases of severe falciparum malaria in children, correlating the organ dysfunction in different age group and relationship with case fatality rate (CFR).Methods: This prospective cross-sectional study was conducted from Jan 2014 to June 2016 in the Department of Pediatrics, Maharaja Krushna Chandra Gajapati medical college and hospital (MKCG MCH), Berhampur, Odisha, India. Total 340 cases belonging to <14 yrs having severe malaria (as per the WHO criteria) were included in the study. Mixed malaria and Plasmodium falciparum (Pf) positive cases having other significant disease e.g. chronic hemolytic anaemia, cardiac, renal or other chronic diseases were excluded. The study subjects were thoroughly screened for presence of organ dysfunction clinically and by appropriate laboratory tests and analysed.Results: Out of 340 subjects, maximum no of cases (56.76%) were found in >5yr age group. Hyperparasitemia (>10%) was detected in 12.35% cases. Cerebral malaria was most common organ dysfunction found in 1-5 years, followed by anaemia in 5-10 years, acute renal failure (ARF) in 10-14 years age group. Multiorgan dysfunction (MOD) was detected in 32.94% cases of severe malaria. Overall CFR was 8.82%, being directly proportional to no. of organ involvement, 31.81% with 4 organs and 100 % with five organs involvement respectively which was statistically significant.Conclusions: MOD is of grave outcome in severe Pf malaria increasing the case fatality rate proportionate to number of organs involved.


2021 ◽  
Vol 10 (4) ◽  
pp. 201-207
Author(s):  
Humaira Mahmood ◽  
Mehwish Riaz ◽  
Naila Azam ◽  
Zaffar Iqbal ◽  
Saira Maroof

Background: Current study aim to describe epidemiological, clinical and  demographic features in patients confirmed to have COVID-19 in Balochistan Methods: This descriptive cross sectional Study was conducted during months of March and April 2020 based on the secondary data available regarding COVID-19 positive patients from the health service records of Government of Balochistan quarantine centers and hospitals during this period. Data was analyzed by using Excel and SPSS version 23. Mean and standard deviations are used for continuous variables like age and duration of stay (of recovered patients), while frequencies and percentages were used to describe age categories, point of entry and current status. Age specific case fatality rate is calculated by keeping deaths in numerator and confirmed cases in denominator. Results: Mean age of respondents was 35.3±16.12 years , two third of the study population i.e,652(76.3%) were males,353 (40.6)% were in the age group 30-49 years and 417(48.9%) had history of contact with COVID-19 case. Overall case fatality rate was 1.87% and Age Specific Mortality Rate was found to be highest (30%) in age group 70 years and above Conclusion: The epidemiologic behavior of COVID-19 infection introduced in Pakistani population from neighboring country has responded differently in community spread among different ethnic groups represented in different provinces of Pakistan. The case fatality ratios among Baloch ethnic group were much lower than international COVID-19 case responses


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