scholarly journals Contribution of amenable mortality to life expectancy differences between the Dutch Caribbean islands of Aruba and Curaçao and the Netherlands

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Soraya P. A. Verstraeten ◽  
Hans A. M. van Oers ◽  
Johan P. Mackenbach
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Life Expectancy ◽  
The Netherlands ◽  
Population Data ◽  
Mortality Trends ◽  
Caribbean Islands ◽  
Amenable Mortality ◽  
Dutch Caribbean ◽  
Circulatory Diseases

Objective. To identify specific health care areas whose optimization could improve population health in the Dutch Caribbean islands of Aruba and Curaçao. Methods. Comparative observational study using mortality and population data of the Dutch Caribbean islands and the Netherlands. Mortality trends were calculated, then analyzed with Joinpoint software, for the period 1988–2014. Life expectancies were computed using abridged life tables for the most recent available data of all territories (2005–2007). Life expectancy differences between the Dutch Caribbean and the Netherlands were decomposed into cause-specific contributions using Arriaga’s method. Results. During the period 1988–2014, levels of amenable mortality have been consistently higher in Aruba and Curaçao than in the Netherlands. For Aruba, the gap in amenable mortality with the Netherlands did not significantly change during the study period, while it widened for Curaçao. If mortality from amenable causes were reduced to similar levels as in the Netherlands, men and women in Aruba would have added, respectively, 1.19 years and 0.72 years to their life expectancies during the period 2005–2007. In Curaçao, this would be 2.06 years and 2.33 years. The largest cause-specific contributions were found for circulatory diseases, breast cancer, perinatal causes, and nephritis/nephrosis (these last two causes solely in Curaçao). Conclusions. Improvements in health care services related to circulatory diseases, breast cancer, perinatal deaths, and nephritis/nephrosis in the Dutch Caribbean could substantially contribute to reducing the gap in life expectancy with the Netherlands. Based on our study, we recommend more in-depth studies to identify the specific interventions and resources needed to optimize the underlying health care areas.

scholarly journals Plasmid diversity among genetically related Klebsiella pneumoniae blaKPC-2 and blaKPC-3 isolates collected in the Dutch national surveillance

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Antoni P. A. Hendrickx ◽  
◽  
Fabian Landman ◽  
Angela de Haan ◽  
Dyogo Borst ◽  
...  
Keyword(s):  
The Netherlands ◽  
Klebsiella Pneumoniae ◽  
Antibiotic Resistance Genes ◽  
Transport Systems ◽  
Sequencing Analysis ◽  
Caribbean Islands ◽  
Long Read ◽  
The Caribbean ◽  
Dutch Caribbean ◽  
Generation Sequencing

Abstract Carbapenemase-producing Klebsiella pneumoniae emerged as a nosocomial pathogen causing morbidity and mortality in patients. For infection prevention it is important to track the spread of K. pneumoniae and its plasmids between patients. Therefore, the major aim was to recapitulate the contents and diversity of the plasmids of genetically related K. pneumoniae strains harboring the beta-lactamase gene blaKPC-2 or blaKPC-3 to determine their dissemination in the Netherlands and the former Dutch Caribbean islands from 2014 to 2019. Next-generation sequencing was combined with long-read third-generation sequencing to reconstruct 22 plasmids. wgMLST revealed five genetic clusters comprised of K. pneumoniae blaKPC-2 isolates and four clusters consisted of blaKPC-3 isolates. KpnCluster-019 blaKPC-2 isolates were found both in the Netherlands and the Caribbean islands, while blaKPC-3 cluster isolates only in the Netherlands. Each K. pneumoniae blaKPC-2 or blaKPC-3 cluster was characterized by a distinct resistome and plasmidome. However, the large and medium plasmids contained a variety of antibiotic resistance genes, conjugation machinery, cation transport systems, transposons, toxin/antitoxins, insertion sequences and prophage-related elements. The small plasmids carried genes implicated in virulence. Thus, implementing long-read plasmid sequencing analysis for K. pneumoniae surveillance provided important insights in the transmission of a KpnCluster-019 blaKPC-2 strain between the Netherlands and the Caribbean.

scholarly journals Ki sorto di Reino/What kind of Kingdom? : Antillean and Aruban views and expectations of the Kingdom of the Netherlands

1998 ◽  
Vol 72 (1-2) ◽  
pp. 43-75 ◽  
Author(s):  
Peter Verton ◽  
Gert Oostindie
Keyword(s):  
The Netherlands ◽  
Research Report ◽  
Opinion Poll ◽  
Constitutional Rule ◽  
Caribbean Islands ◽  
Economic Support ◽  
Dutch Caribbean

Article, based on the research report Ki sorto di Reino / What kind of Kingdom (1998), presents the outcome of an opinion poll carried out on the 6 Dutch Caribbean islands in 1997-98. The survey covers the views and expectations of the Antilleans and Arubans with regard to the Kingdom, and in particular the Netherlands. Themes covered include the constitutional structure; residence and passport; protection of national territory, democracy, and constitutional rule; economic support; respect; and education.

An annotated checklist of the Branchiopoda (Crustacea) of the Dutch Caribbean islands

Zootaxa ◽  
2019 ◽  
Vol 4701 (1) ◽  
pp. 25-34
Author(s):  
MARTIN SOESBERGEN ◽  
JOS SINKELDAM
Keyword(s):  
The Netherlands ◽  
Caribbean Islands ◽  
Large Branchiopods ◽  
Annotated List ◽  
The Caribbean ◽  
Dutch Caribbean ◽  
Annotated Checklist

The launch of the Dutch Caribbean Species Register by Naturalis Biodiversity Center (2017)—https://www.dutchcaribbeanspecies.org/—raised the question of which branchiopods originate from this part of the Netherlands. To answer this question, surveys of literature and of the Naturalis collection were conducted. The additional samples (collected in 2003–2005 and 2008) were analyzed. We present an annotated checklist of the Branchiopoda of the Dutch Caribbean.                 The Kingdom of the Netherlands includes the Dutch mainland and six Caribbean islands. From the Caribbean part of the kingdom, an annotated list of all known species is given. Fifteen taxa and three genera have been encountered and the species are discussed. To date, six species of large branchiopods and nine species of cladocerans are known. Two more genera of cladocerans have been found. One species is endemic to Bonaire. 

Time trends in avoidable cancer mortality in Lithuania 1992–2008

2011 ◽  
Vol 18 (4) ◽  
pp. 156-160
Author(s):  
Giedre SMAILYTE ◽  
Laurynas PAREIGIS
Keyword(s):  
Health Care ◽  
Secondary Prevention ◽  
Cancer Mortality ◽  
Time Trends ◽  
Health Care Services ◽  
Population Data ◽  
Medical Intervention ◽  
Mortality Trends ◽  
Avoidable Death ◽  
Medical Health Care

Background. This study was aimed to evaluate achievements of medical health care services in Lithuania by analysing time trends in avoidable cancer mortality of the whole Lithuanian population from 1992 through 2008. Materials and methods. Data of the Lithuanian Cancer Registry for 1992–2008 were used to analyse avoidable cancer mortality trends. Mortality rates for all cancer and selected cancer sites were analysed. Age-standardised rates were calculated for both sexes. The age of the study subjects ranged between 5 and 75 years. The corresponding population data by age, sex and year were available from the Statistics Lithuania. Results. Cancer mortality has been decreasing continuously over time in both sexes. The degree of reduction in all-site cancer mortality was slightly higher in women (by 1.03% per year) than in men (by 0.83% per year). Mortality avoidable by medical intervention has been continuously decreasing since 1992 in both sexes by more than 2% per year, while mortality avoidable by primary prevention decreased only in men. Cancer mortality avoidable by secondary prevention was decreasing in women and increasing in men. Conclusions. In Lithuania, a remarkable reduction in avoidable cancer mortality over the past decade has been found. However, the rate of reduction was slower in mortality avoidable by primary or secondary prevention methods than in mortality preventable by direct medical care, indicating that there is a need to put more effort towards primary and secondary prevention. Keywords: avoidable death, cancer mortality, quality of health care

scholarly journals Sharp upturn of life expectancy in the Netherlands: effect of more health care for the elderly?

2011 ◽  
Vol 26 (12) ◽  
pp. 903-914 ◽  
Author(s):  
Johan Pieter Mackenbach ◽  
Lany Slobbe ◽  
Caspar Wilhelmus Nicolaas Looman ◽  
Agnes van der Heide ◽  
Johan Polder ◽  
...  
Keyword(s):  
Health Care ◽  
Life Expectancy ◽  
The Netherlands ◽  
The Elderly ◽  
Care For The Elderly
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