scholarly journals Clonorchiasis: An emerging foodborne disease of public health concern

2020 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Mahendra Pal
Keyword(s):  
Public Health ◽  
Clonorchis Sinensis ◽  
Gall Stone ◽  
Age Groups ◽  
Public Health Problem ◽  
Health Concern ◽  
Elderly Persons ◽  
Foodborne Disease ◽  
Fish Food ◽  
Drug Of Choice

Foodborne diseases caused by multiple etiologic agents are prevalent worldwide affecting both sexes and all age groups. Clonorchiasis is considered as an emerging major foodborne disease of public health problem as about 35 million people are infected globally. It is a foodborne helminthic zoonosis of a greater socioeconomic importance in several countries of Asia. The disease is caused by Clonorchis sinensis, which is a trematode. The infection occurs by the consumption of raw or inadequately cooked fish contaminated with metacercaria of the parasite. The clinical spectrum of disease in humans depends on the burden of parasites. In severe infections, jaundice, cholangitis, ascites, cholecystitis, formation of gall stone, and gastrointestinal bleeding are observed. Maximum cases are observed in males than females, and infection is serious in elderly persons. The diagnosis of disease can be confirmed by parasitological technique. Presently, praziquantel is the drug of choice as it has shown high cure rates in endemic areas. The education campaigns regarding the consumption of properly cooked fish and avoidance of faecal matter to ponds as a fish food are practical strategies that may help to control the disease.

scholarly journals An epidemiological study of the prevalence and determinants of overweight and obesity in women of reproductive age (15 to 49 years) group in an urban slum

2021 ◽  
Vol 8 (5) ◽  
pp. 2460
Author(s):  
Pratibha U. Mulik ◽  
Sudam R. Suryawanshi
Keyword(s):  
Public Health ◽  
Physical Exercise ◽  
Significant Relationship ◽  
Public Health Problem ◽  
Urban Slum ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Health Concern ◽  
Age Group ◽  
History Of

Background: After comparing data of NFHS-3 and 4, prevalence of overweight and obesity in women of an urban population almost doubled in 10 yr. So, the causes of increasing prevalence need to be studied as public health concern. Objective of the study is to determine prevalence of overweight and obesity among reproductive age group (15-49 years) of women in an urban slum of Mumbai.Methods: Total 220 women were selected among 11 sectors from A to K by simple random method and data collected by using validated questionnaire. WHO’s classification was used to classify as overweight and obese.Results: Out of 220 women participated in study, 14 (6.36%) were obese, 75 (34.09%) were overweight according to BMI and 17 (7.7%) were found to be obese according to waist to hip ratio. From the present study it was seen that age group of the women, socio economic class, education, history of hypothyroidism, family history of obesity, types of work women do, hours of television watching, calorie and fat intake, had a significant relationship with BMI, whereas physical exercise they used to do and tendency to sleep in the afternoon and hours of sleep in the night had non-significant relationship with BMI.Conclusions: Obesity and overweight is found to be a growing public health problem and can be preventable. Interventional measures include developing healthy eating habits, regular moderate physical exercise, sleeping habits, health camps for screening of overweight and obesity.

scholarly journals Comprehensive Contraceptive Education Intervention in a College Setting: Design and Methodology

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Marian Evans ◽  
Breanna De Leon ◽  
Reaghan Bathrick ◽  
Annie Ricupero
Keyword(s):  
Public Health ◽  
Young Adults ◽  
Health Education ◽  
Unintended Pregnancy ◽  
Public Health Problem ◽  
Health Concern ◽  
Education Intervention ◽  
Reproductive Justice ◽  
Unintended Pregnancies ◽  
Contraceptive Education

Background: Unintended pregnancy continues to be a public health concern across the nation. National data demonstrates the highest rates of unintended pregnancy occurs in women who are 18 to 24 years old. Providing practical and meaningful health education about contraception has the potential to reduce unintended pregnancy and improve quality of life for young adults. This paper describes the design and methodology for a comprehensive contraceptive education intervention at a public university. Methods: Convenience sampling was used with a custom survey conducted in Women’s Health classes from 2015-2021. Surveys contained questions about demographic characteristics, knowledge of contraception options, sources of knowledge, stress levels, and confidence in knowledge. Students completed a pretest, received a comprehensive contraception health education lecture, and completed a post-test. Data collection was approved by the university’s IRB, and analyses were conducted using SPSS Version 27. Conclusion: At a time when reproductive freedom, choice, and justice is scrutinized and suppressed, it is imperative that young adults maintain and understand the importance of having control over when, where, and how they decide to have children if they desire to do so. There is a need for continued comprehensive health education and appropriate resources at the university level. The use of assessments, building trusted professor-student relationships, and exploring credible and reliable information sources can be used to reduce the number of unintended pregnancies for college-aged students. If significant, the replication of the design and methods could have a significant impact on the public health problem of unintended pregnancies, maternal health equity, and reproductive justice.

scholarly journals Thinness as Major Underlying Problem Among Adolescents of Northeast India

2014 ◽  
Vol 34 (1) ◽  
pp. 39-47 ◽  
Author(s):  
N Mondal
Keyword(s):  
Public Health ◽  
Nutritional Status ◽  
Intervention Program ◽  
Public Health Problem ◽  
Northeast India ◽  
Health Concern ◽  
Rural Regions ◽  
Cross Sectional ◽  
S Model ◽  
Model Approach

Background: Undernutrition is a major public health concern in many of the developing countries of Asia. Due to immense population size, socioeconomic disparities, illiteracy and inadequate access to health facilities prevalence is very high in India. The objective of this study was to determine the prevalence of age-sex specific thinness (low BMI-for-age) among adolescents residing in rural regions in India. Materials and Methods: This cross-sectional study has conducted among 1165 adolescent (602 boys; 563 girls) aged 10-18 years of Darjeeling district, West Bengal, India. Anthropometric measurements were height and weight obtained and BMI (weight/height2, kg/ m2) was calculated. The prevalence of thinness was assessed using newly proposed age-sex specific cut-offs of Cole et al. The data were analyzed using chi-square, ANOVA and Least Mean and Square (L,M and S) model approach. Results: Prevalence of overall thinness is 49.10% (51.16% boys, 46.89% girls) among rural adolescents. The boys are found to be more sufferer than girls in the different thinness grades include mild (grade I; 27.41% vs. 27.11%), moderate (grade II; 14.62% vs. 12.08%) and severe (grade III; 9.14% vs. 8.70%) (p>0.05). The age and sex specific smooth percentile curves of BMI were derived using L,M and S model approach for further evaluation of nutritional status. Conclusion: The existence of high prevalence of thinness among adolescents indicates nutritional deprivation among rural Indian adolescents. There is an urgent need of appropriate nutritional intervention program to address the public health problem related to undernutrition especially among nutritionally vulnerable segments of adolescents residing in rural regions to ameliorate the nutritional status DOI: http://dx.doi.org/10.3126/jnps.v34i1.8922    J Nepal Paediatr Soc 2014;34(1):39-47

scholarly journals Immunological Impacts of Diabetes on the Susceptibility of Mycobacterium tuberculosis

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Birhanu Ayelign ◽  
Markos Negash ◽  
Meaza Genetu ◽  
Tadelo Wondmagegn ◽  
Tewodros Shibabaw
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Bacterial Load ◽  
Miliary Tuberculosis ◽  
Public Health Problem ◽  
Health Concern ◽  
Diabetic Patients ◽  
Global Public Health ◽  
Biochemical Basis ◽  
Dual Burden

The interaction between diabetes and major world infections like TB is a major public health concern because of rapidly rising levels of diabetes. The dual burden of tuberculosis (TB) and diabetes mellitus (DM) has become a major global public health problem. Diabetes mellitus is a major risk factor for the development of active and latent tuberculosis. Immune mechanisms contributing to the increased susceptibility of diabetic patients to TB are due to the defects in bacterial recognition, phagocytic activity, and cellular activation which results in impaired production of chemokines and cytokines. The initiation of adaptive immunity is delayed by impaired antigen-presenting cell (APC) recruitment and function in hyperglycemic host, which results in reduced frequencies of Th1, Th2, and Th17 cells and its secretion of cytokines having a great role in activation of macrophage and inflammatory response of tuberculosis. In addition, impaired immune response and killing of intracellular bacteria potentially increase bacterial load, chronic inflammation, and central necrosis that facilitate bacterial dissemination and miliary tuberculosis. Understanding of the immunological and biochemical basis of TB susceptibility in diabetic patients will tell us the rational development of implementation and therapeutic strategies to alleviate the dual burden of the diseases. Therefore, the aim of this review was focused on the association between diabetes and tuberculosis, focusing on epidemiology, pathogenesis, and immune dysfunction in diabetes mellitus, and its association with susceptibility, severity, and treatment outcome failure to tuberculosis.

scholarly journals TUBERCULOSIS: EPIDEMIOLOGY AND CONTROL

2014 ◽  
Vol 6 (1) ◽  
pp. e2014070 ◽  
Author(s):  
Giorgia Sulis ◽  
Alberto Roggi ◽  
Alberto Matteelli ◽  
Mario C. Raviglione
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Multidrug Resistant ◽  
World Health ◽  
Health Concern ◽  
Marginalized Groups ◽  
Tuberculosis Epidemiology ◽  
Slow Decline ◽  
Health Organization ◽  
And Control

Tuberculosis (TB) is a major public health concern worldwide: despite a regular, although slow, decline in incidence over the last decade, as many as 8.6 million new cases and 1.3 million deaths were estimated to have occurred in 2012. TB is by all means a poverty-related disease, mainly affecting the most vulnerable populations in the poorest countries. The presence of multidrug-resistant strains of M. tuberculosis in most countries, with some where prevalence is high, is among the major challenges for TB control, which may hinder recent achievements especially in some settings. Early TB case detection especially in resource-constrained settings and in marginalized groups remains a challenge, and about 3 million people are estimated to remain undiagnosed or not notified and untreated. The World Health Organization (WHO) has recently launched the new global TB strategy for the “post-2015 era” aimed at “ending the global TB epidemic” by 2035, based on the three pillars that emphasize patient-centred TB care and prevention, bold policies and supportive systems, and intensified research and innovation.This paper aims to provide an overview of the global TB epidemiology as well as of the main challenges that must be faced to eliminate the disease as a public health problem everywhere.

scholarly journals Bovine tuberculosis at the human-livestock-wildlife interface: Is it a public health problem in Tanzania? A review

2012 ◽  
Vol 79 (2) ◽  
Author(s):  
Bugwesa Z. Katale ◽  
Erasto V. Mbugi ◽  
Sharon Kendal ◽  
Robert D. Fyumagwa ◽  
Gibson S. Kibiki ◽  
...  
Keyword(s):  
Public Health ◽  
Mycobacterium Bovis ◽  
Bovine Tuberculosis ◽  
Skin Testing ◽  
Public Health Problem ◽  
Molecular Techniques ◽  
Health Concern ◽  
Tuberculin Skin Testing ◽  
Mycobacterium Tuberculosis Infection ◽  
Potential Health

Despite the apparent public health concern about Bovine tuberculosis (BTB) in Tanzania, little has been done regarding the zoonotic importance of the disease and raising awareness of the community to prevent the disease. Bovine tuberculosis is a potential zoonotic disease that can infect a variety of hosts, including humans. The presence of multiple hosts including wild animals, inefficient diagnostic techniques, absence of defined national controls and eradication programs could impede the control of bovine TB. In Tanzania, the diagnosis of Mycobacterium bovis in animals is mostly carried out by tuberculin skin testing, meat inspection in abattoirs and only rarely using bacteriological techniques. The estimated prevalence of BTB in animals in Tanzania varies and ranges across regions from 0.2% to 13.3%, which is likely to be an underestimate if not confirmed by bacteriology or molecular techniques. Mycobacterium bovis has been detected and isolated from different animal species and has been recovered in 10% of apparently healthy wildebeest that did not show lesions at post-mortem. The transmission of the disease from animals to humans can occur directly through the aerosol route and indirectly by consumption of raw milk. This poses an emerging disease threat in the current era of HIV confection in Tanzania and elsewhere. Mycobacterium bovis is one of the causative agents of human extra pulmonary tuberculosis. In Tanzania there was a significant increase (116.6%) of extrapulmonary cases reported between 1995 and 2009, suggesting the possibility of widespread M. bovis and Mycobacterium tuberculosis infection due to general rise of Human Immunodeficiency virus (HIV). This paper aims to review the potential health and economic impact of bovine tuberculosis and challenges to its control in order to safeguard human and animal population in Tanzania.

scholarly journals Epidemiological Correlates and Treatment Outcomes among Patients with MDR Tuberculosis in Northern India

2018 ◽  
Vol 54 (02) ◽  
pp. 090-095
Author(s):  
Anjana Singh ◽  
Ved Prakash ◽  
Ravi Kant
Keyword(s):  
Public Health ◽  
Treatment Outcomes ◽  
Public Health Problem ◽  
Respiratory Medicine ◽  
Health Concern ◽  
Tb Control ◽  
Northern India ◽  
Tb Treatment ◽  
Mdr Tb ◽  
Spss Software

ABSTRACT Introduction: Multi drug resistant-TB (MDR-TB) threatens global TB control and is a major public health concern in several countries. The present study was undertaken to detect the epidemiological correlates and treatment outcomes among patients with MDR-TB previously or currently admitted in Department of Respiratory Medicine and Pulmonary and Critical Medicine, KGMU, Lucknow. Material & Methods: This retrospective study included 2370 TB patients admitted in the Department of Respiratory Medicine and Pulmonary and Critical Medicine, KGMU, Lucknow between years 2012 to 2015. Treatment outcomes were observed. SPSS software was used for data analysis. Results: The total number of MDR-TB cases enrolled were 2370. There were 772 (32.6%) males (95% CI: 30.7 % -34.5%) and 1598 (67.4%) females (95% CI: 65.5% -69.3%) registered for MDR-TB treatment. The treatment outcomes were as follows: majority (77.1%) were under treatment, 279 (11.8%) patients were declared cured, 10 (0.4%) were failure cases, while 64 (2.7%) were defaulters, 149 (6.3%) had died and 41(1.7%) were transferred out. Conclusion: Emergence of MDR-TB has the potential to be a serious public health problem in Northern India and this necessitates strengthening of TB control and improved continuous monitoring of therapy.

scholarly journals Potential human rabies exposure in Nunavik: importance of age and dogs

2019 ◽  
Author(s):  
Sarah Mediouni ◽  
Mario Brisson ◽  
André Ravel
Keyword(s):  
Public Health ◽  
Age Groups ◽  
Young Male ◽  
Health Concern ◽  
Human Rabies ◽  
Health Board ◽  
Prevention Measures ◽  
Male Adult ◽  
Potential Exposure ◽  
The Difference

Abstract Background In Nunavik, arctic rabies is still endemic with spillover from wildlife to dogs. The prevention of human exposure and the management of potential exposure is a high public health concern there.Methods The study retrospectively described cases of potential exposure to rabies in human reported to the Nunavik Public Health Board using the registry of declared cases. Multi-correspondence analysis as well as univariable and multivariable regression models were used to appraise the difference between children and adults and the importance of dogs.Results From 2008 to 2017, 320 cases of potential exposures to rabies were reported, 92% linked to dogs. The annual incidence rate was 2.5 per 1,000 population. The incidence increased significantly during the study period without clear explanation for that. Fifteen exposures actually were with rabid animals, mostly dogs (9 out of the 15). No human cases of rabies occurred thank to adequate medical case management. Two specific profiles for potential exposure to rabies were identified based on age and gender. Children (< 15 y/o), male or female, were more likely to be exposed through playing with dogs and more often injured in the head and/or the neck. Young male adult cases (aged 15 to 34 y/o) were more involved with wildlife than other age groups and mostly injured in the upper limbs and as a reaction from the animal.Conclusions Rabies being a serious and genuine public health threat in Nunavik, potential exposure to rabies needs to be prevented and prevention measures should be tailored to the two risk profiles identified based on age, gender and the animal involved.

scholarly journals DETERMINANTS OF NUTRITIONAL STATUS OF UNDER 5 YEARS CHILDREN

2019 ◽  
Vol 17 (1) ◽  
pp. 6-10
Author(s):  
Hira Ejaz ◽  
Nirmal Walicha ◽  
Saba Rizwan ◽  
Sadaf Javeria ◽  
Sana Iqbal ◽  
...  
Keyword(s):  
Public Health ◽  
Nutritional Status ◽  
Family Structure ◽  
Family System ◽  
Nuclear Family ◽  
Age Groups ◽  
Public Health Problem ◽  
Severe Malnutrition ◽  
Major Public Health Problem ◽  
Cross Sectional

Background: Malnutrition continues to be a major public health problem in developing and underdeveloped countries. The objectives of the study were to determine the determinants of nutritional status of under 5 years children in our population. Materials & Methods: This analytical cross sectional study was conducted by the Department of Public Health, Islamabad, Federal College, Islamabad, from November 2016 to March 2017. Sample size was 200 selected by convenient sampling. Demographic variables were sex, age-groups, socio-economics status, family structure. Research variable was nutritional status. The data collection was done in urban slums of Islamabad on a structured questionnaire. Statistical analysis was done by using SPSS software. Results: Out of 200 children, 117(58.5%) were boys and 83(41.5 %) were girls. One hundred (50%) children were of 6 to 24 months and 100(50%) were of 25 to 59 months of age. Eighty three (41.5%) were rich and 117(58.5%) were poor. One hundred and fifty eight (79%) children were from joint family system and 42(21%) were living in nuclear family system were children. One hundred and fifty one (75.50%) were normal, 39(19.50%) were mild and 10(5%) were having severe malnutrition. Conclusion: Except age all the other factors including sex, socio-economics status and family structure were associated with nutritional status of under 5 year children.

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