scholarly journals Epidemiology of Cryptosporidiosis in France from 2017 to 2019

2020 ◽  
Vol 8 (9) ◽  
pp. 1358
Author(s):  
Damien Costa ◽  
Romy Razakandrainibe ◽  
Stéphane Valot ◽  
Margot Vannier ◽  
Marc Sautour ◽  
...  

Cryptosporidiosis is currently recognized worldwide as a leading cause of moderate to severe diarrhea. In Europe, large water- and foodborne outbreaks have been reported, highlighting the widespread distribution of the parasite and its important health impact. Surveillance networks have been progressively set up and the aim of this study was to present recent epidemiological data obtained in France from 2017 to 2019 by the National Reference Center—Expert Laboratory of cryptosporidiosis (Centre National de Référence–Laboratoire Expert cryptosporidioses CNR-LE). Data were obtained from online reports of volunteer network participants and stools were sent to the CNR-LE for species identification and GP60 genotyping. During this period, data from 750 online reports were available. Cryptosporidiosis occurred predominantly in young children (<5 years old) and in young adults, especially during late summer. Most patients were immunocompetent (60%), and deaths were reported only in immunocompromised patients. Cryptosporidium parvum was largely predominant (72% of cases) over C. hominis (24%) and some other uncommon species. C. parvum GP60 subtypes IIa and IId were the most represented, which suggests frequent zoonotic transmission. For C. hominis, subtypes IbA10G2 and IaA22R2 were predominant.

2010 ◽  
Vol 15 (33) ◽  
Author(s):  
Collective The ANOFEL Cryptosporidium National Network

In 2002, the French Food Safety Agency drew attention to the lack of information on the prevalence of human cryptosporidiosis in the country. Two years later, the ANOFEL Cryptosporidium National Network (ACNN) was set up to provide public health authorities with data on the incidence and epidemiology of human cryptosporidiosis in France. Constituted on a voluntary basis, ACNN includes 38 hospital parasitology laboratories (mainly in university hospitals). Each laboratory is engaged to notify new cases of confirmed human cryptosporidiosis, store specimens (e.g. stools, duodenal aspirates or biopsies) and related clinical and epidemiological data, using datasheet forms. From January 2006 to December 2009, 407 cryptosporidiosis cases were notified in France and 364 specimens were collected. Of the notified cases, 74 were children under four years of age, accounting for 18.2%. HIV-infected and immunocompetent patients represented 38.6% (n=157) and 28% (n=114) of cases, respectively. A marked seasonal pattern was observed each year, with increased number of cases in mid to late summer and the beginning of autumn. Genotyping of 345 isolates from 310 patients identified C. parvum in 168 (54.2%) cases, C. hominis in 113 (36.4%) and other species in 29 (9.4%), including C. felis (n=15), C. meleagridis (n=4), C. canis (n=4), Cryptosporidium chipmunk genotype (n=1), Cryptosporidium rabbit genotype (n=1) and new Cryptosporidium genotypes (n=4). These data represent the first multisite report of laboratory-confirmed cases of cryptosporidiosis in France.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Alicia A. King ◽  
Jayme Cox ◽  
Shalini Bhatia ◽  
Karen T. Snider

Abstract Context Osteopathic manipulative medicine (OMM) is an adjunctive treatment approach available to geriatric patients, but few studies provide details about presenting conditions, treatments, and response to osteopathic manipulative treatment (OMT) in that patient population. Objectives To provide descriptive data on the presentation and management of geriatric patients receiving OMT at an outpatient osteopathic neuromusculoskeletal medicine (ONMM) clinic. Methods Data were retrospectively collected from electronic health records (EHR) at a single outpatient clinic for clinical encounters with patients over 60 years of age who were treated with OMT between July 1, 2016, and June 30, 2019. Records were reviewed for demographic information, insurance type, presenting concerns, assessments, regions treated, OMT techniques used, and treatment response. Results There were 9,155 total clinical encounters with 1,238 unique patients found during the study period. More women than men were represented for overall encounters (6,910 [75.4%] vs. 2,254 [24.6%]) and unique patients (850 [68.7%] vs. 388 [31.3%]; both p<0.001). The mean (standard deviation, SD) number of encounters per patient per year was 4.5 (4.0) and increased with increasing age by decade (p<0.001). Medicare was the most common primary insurance (7,246 [79.2%]), with private insurance the most common secondary insurance (8,440 [92.2%]). The total number of presenting concerns was 12,020, and back concerns were most common (6,406 [53.3%]). The total number of assessments was 18,290; most were neuromusculoskeletal (17,271 [94.5%]) and in the thoracolumbar region (7,109 [38.9%]). The mean (SD) number of somatic dysfunction assessments per encounter was 5 (1.7); the thoracic region was the most documented and treated (7,263 [15.8%]). With up to 19 technique types per encounter, the total number of OMT techniques documented across all encounters was 43,862, and muscle energy (7,203 [16.4%]) was the most documented. The use of high-velocity, low-amplitude (HVLA) declined as age increased (p<0.001). The overall treatment response was documented in 7,316 (79.9%) encounters, and most indicated improvement (7,290 [99.6%]). Conclusions Our results showed that geriatric patients receiving OMT at our clinic were predominately presenting for neuromusculoskeletal concerns associated with back, neck, and extremity conditions, consistent with national epidemiological data for this population. The most common OMT techniques were also consistent with those used nationally by osteopathic medical students and practicing physicians. Future longitudinal studies are needed to determine the length of time improvement persists and the overall health impact experienced by geriatric patients receiving OMT.


2021 ◽  
Vol 23 (11) ◽  
pp. 381-401
Author(s):  
Umar Abdullahi Tawfiq ◽  
◽  
Shohaimi Shamarina ◽  
Syafinaz Amin Nordin ◽  
Mohd Noor Hisham Mohd Nadzir ◽  
...  

Typhoid is a life-threatening disease that has remained endemic in parts of Africa and Asia where its burden is elevated by the inefficiency of control efforts which have been hampered by lack of epidemiological data, among others. In Nigeria, such data is absent in most of the States like Gombe where the disease has been rife for a long time, hence, to bridge that knowledge gap, this study was set up to determine the host-associated risk factors for typhoid occurrence and recurrence in Gombe. A questionnaire that was designed and validated for this location was used to obtain data from 663 respondents using simple random sampling and analyzed using the Chi-square test for association and binomial logistic regression to obtain risk factors for typhoid occurrence and recurrence, respectively. The study revealed that occurrences were statistically significantly associated with the variables for vaccination (χ2 = 39.729, p < 0.01), having houseboy/girl (χ2 = 16.909, p < 0.01), typhoid patient at home (χ2 = 13.393, p < 0.01), hand washing before handling food (χ2 = 22.856, p < 0.01), consuming iced/frozen items (χ2 = 16.805, p < 0.01), boiling drinking water (χ2 = 49.633, p < 0.01), and eating commercially available foods/drinks (χ2 = 27.864, p < 0.01), while recurrences were statistically significantly predicted by „not sure of been vaccinated‟ (OR = 2.962, CI = 1.290 to 6.802, p < 0.01), „not having another typhoid patient at home‟ (OR = 1.799, CI = 0.998 to 3.244, p < 0.01), and „drinking unboiled water sometimes‟ (OR = 2.130, CI = 1.023 to 4.434, p < 0.01). It is believed that these findings will guide efforts by the Government for health interventions against typhoid in the study area, thus improving the quality of life for the population.


2020 ◽  
Author(s):  
Quyen G To ◽  
Mitch J Duncan ◽  
Anetta Van Itallie ◽  
Corneel Vandelanotte

BACKGROUND Physical activity is an important health behavior, due to its association with many physical and mental health conditions. During distressing events, such as the COVID-19 pandemic, there is a concern that physical activity levels may be negatively impacted. However, recent studies have shown inconsistent results. Additionally, there is a lack of studies in Australia on this topic. OBJECTIVE The aim of this study is to investigate changes in physical activity reported through the 10,000 Steps program and changes in engagement with the program during the COVID-19 pandemic. METHODS Data between January 1, 2018, and June 30, 2020, from registered members of the 10,000 Steps program, which included 3,548,825 days with step data, were used. The number of daily steps were logged manually by the members or synced automatically from their activity trackers connected to the program. Measures on program usage were the number of new registered members per day, the number of newly registered organizations per day, the number of steps logged per day, and the number of step entries per day. Key dates used for comparison were as follows: the first case with symptoms in Wuhan, China; the first case reported in Australia; the implementation of a 14-day ban for noncitizens arriving in Australia from China; the start of the lockdown in Australia; and the relaxing of restrictions by the Australian Government. Wilcoxon signed-rank tests were used to test for significant differences in number of steps between subgroups, between engagement measures in 2019 versus 2020, and before and after an event. RESULTS A decrease in steps was observed after the first case in Australia was reported (1.5%; <i>P</i>=.02) and after the start of the lockdown (3.4%; <i>P</i>&lt;.001). At the time that the relaxing of restrictions started, the steps had already recovered from the lockdown. Additionally, the trends were consistent across genders and age groups. New South Wales, Australian Capital Territory, and Victoria had the greatest step reductions, with decreases of 7.0% (<i>P</i>&lt;.001), 6.2% (<i>P</i>=.02), and 4.7% (<i>P</i>&lt;.001), respectively. During the lockdown, the use of the program increased steeply. On the peak day, there were more than 9000 step entries per day, with nearly 100 million steps logged per day; in addition, more than 450 new users and more than 15 new organizations registered per day, although the numbers decreased quickly when restrictions were relaxed. On average per day, there were about 55 new registered users (<i>P</i>&lt;.001), 2 new organizations (<i>P</i>&lt;.001), 25.6 million steps (<i>P</i>&lt;.001), and 2672 log entries (<i>P</i>&lt;.001) more in 2020 compared to the same period in 2019. CONCLUSIONS The pandemic has had negative effects on steps among Australians across age groups and genders. However, the effect was relatively small, with steps recovering quickly after the lockdown. There was a large increase in program usage during the pandemic, which might help minimize the health impact of the lockdown and confirms the important role of physical activity programs during times of distress and lockdowns.


2021 ◽  
Author(s):  
Steffen Dörner ◽  
Sebastian Donner ◽  
Lisa Behrens ◽  
Steffen Beirle ◽  
Sergey Osipov ◽  
...  

&lt;p&gt;During the Air Quality and Climate Change in the Arabian Basin (AQABA) campaign a MAX-DOAS instrument was set up on board of the Kommandor Iona. The ship route covered a variety of regions with different atmospheric compositions: Clean air in the Mediterranean and the Arabian Sea, anthropogenic air pollution near the oil fields in the Arabian Gulf or in areas of dense ship traffic like the Suez Channel or the dust clouds of the nearby deserts in the Red sea. The measured spectra in the UV/VIS spectral range (302 to 467nm) provide sufficient information for the retrieval of aerosol and trace gas profiles. In this study, we focus on evidences of direct nitrous acid emission sources in harbor areas around Jeddah and Kuwait. Since HONO daytime chemistry is debated in recent literature and missing sources are being discussed, we compared the results of the MAX DOAS measurements to WRF-Chem model output in order to identify potential daytime sources in maritime/harbor regions.&lt;/p&gt;


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Vikram Kumar ◽  
Srivastava Granthi

Purpose The purpose of this study is to understand the basics of interactions of groundwater and surface water, which is needed for effective management of water resources. Design/methodology/approach The experimental setup was framed using curved flume and the straight flume, which simulates the model of river and groundwater storage, respectively. The model set up further consists, downstream, central and upstream sections where 14 observation wells, which are arranged at a measured distance from the canal side. Findings Exit gradient is higher at downstream when the average head differences between canal and river are 31.9 cm and 35.7 cm. Free seepage height is more in the downstream wells than upstream and central wells. At the downstream section, there is a greater chance of instability of the riverbank. Research limitations/implications Results will be used for better planning of hydraulic structural design. Practical implications Results will help in storing the large water and better irrigation planning for the water acute states and locations. Originality/value The originality is own developed physical model and its own first type to understand the basic of interaction and effects.


Author(s):  
Juhi Ankit Patel ◽  
Kanaklata D. Nakum ◽  
Aditi Vithal ◽  
Mayank R. Lunagariya

Background: Epidemiological data pertaining to maternal mortality is valuable in each set up to design interventional programs to favourably reduce the ratio. This study was done to evaluate the maternal mortality rate in our hospital, to assess the epidemiological aspects and causes of maternal mortality, and to suggest recommendations for improvement.Methods: This was a 2-year retrospective study. Epidemiological data was collected from the Last 2 years of Facility Based Maternal Death Review Form. Maternal mortality ratio, epidemiological factors and causes affecting maternal mortality were assessed.Results: A total of 72 maternal deaths occurred. Most maternal deaths occurred in the age group of 20–24 years (40.27%), multiparous women (70.83%), women from rural areas (65.27%), illiterate women, unbooked patients (83.33%), and patients of low socioeconomic status. Direct causes accounted for 62.4% of maternal deaths where as 37.4% of maternal deaths were due to indirect causes.Conclusions: There is a wide scope for improvement as a large proportion of the observed deaths could be preventable.


2008 ◽  
Vol 87 (8) ◽  
pp. 736-739 ◽  
Author(s):  
M. Inukai ◽  
K. Baba ◽  
M.T. John ◽  
Y. Igarashi

The impact of oral disorders and interventions on individuals’ perceived oral health and oral-health-related quality of life (OHRQoL) is being increasingly recognized as an important health component. This study examined the association between denture quality and OHRQoL in individuals wearing removable partial dentures (RPDs). The study participants were 245 consecutive patients (mean age: 63.3 ± 8.7 yrs) at a university-based prosthodontic clinic who wore RPDs for more than one month. RPD quality and OHRQoL were determined by means of a 100-mm visual analog scale (VAS) and the 49-item Oral Health Impact Profile-Japanese version (OHIP-J49), respectively. Linear regression analysis between RPD quality and OHRQoL revealed that a 10-mm VAS increase in RPD quality rating was related to −2.8 OHIP-J49 units (95% confidence interval: −4.5 to −1.1, p = 0.001), which represents an improvement in OHRQoL. The results suggest that RPD quality influences individuals’ OHRQoL to a clinically significant extent.


2020 ◽  
Author(s):  
Franziska Bucka ◽  
Shu-Yin Tung ◽  
Ingrid Kögel-Knabner

&lt;p&gt;Aggregate formation and stabilization depends on the interaction of minerals and soil organic matter (SOM). So far, little is known about the interplay of individual organic matter qualities and soil texture within this process. We developed an experimental set-up to study early soil development and aggregate formation within a controlled lab environment. We designed artificial soil microcosms with different texture, mimicking natural soils, and added organic carbon (OC) derived from particulate organic matter (POM, milled hay litter), dissolved organic matter (DOM, solution derived from hay), and bacterial necromass (&lt;em&gt;Bacillus subtilis&lt;/em&gt;). We performed a short-term incubation for 30 days under constant water tension and investigated microbial activity, soil structure development and OC allocation compared to a control that did not receive additional OC input.&amp;#160;&lt;/p&gt;&lt;p&gt;OC input led to the formation of mostly large, water-stable macroaggregates (3000-630 &amp;#181;m) and some small microaggregates (&lt;63 &amp;#181;m) in all microcosms as effect of microbial processing of the added OM. The addition and microbial decay of litter pieces led to physical occlusion of the particles into mainly large (3000-630 &amp;#181;m), OC-rich macroaggregates independent of the texture. The addition of DOM solution also induced the formation of large macroaggregates besides small microaggregates, although the OC input was much lower. Here, the aggregate formation was impaired by higher sand content in the mixtures. The addition of bacterial necromass led to the highest microbial activity, but relatively low aggregate formation, which might be a result of less physically active organic matter nuclei.&lt;/p&gt;&lt;p&gt;The results show that our experimental design allows to specifically investigate selected process complexes of soil structure formation defined by the addition of OM and soil texture.&lt;/p&gt;


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Bonnet ◽  
O. Bodson ◽  
F. Le Marcis ◽  
A. Faye ◽  
N. E. Sambieni ◽  
...  

Abstract Background In early March 2020, the COVID-19 pandemic hit West Africa. In response, countries in the region quickly set up crisis management committees and implemented drastic measures to stem the spread of the SARS-CoV-2 virus. The objective of this article is to analyse the epidemiological evolution of COVID-19 in seven Francophone West African countries (Benin, Burkina Faso, Côte d’Ivoire, Guinea, Mali, Niger, Senegal) as well as the public health measures decided upon during the first 7 months of the pandemic. Methods Our method is based on quantitative and qualitative data from the pooling of information from a COVID-19 data platform and collected by a network of interdisciplinary collaborators present in the seven countries. Descriptive and spatial analyses of quantitative epidemiological data, as well as content analyses of qualitative data on public measures and management committees were performed. Results Attack rates (October 2020) for COVID-19 have ranged from 20 per 100,000 inhabitants (Benin) to more than 94 per 100,000 inhabitants (Senegal). All these countries reacted quickly to the crisis, in some cases before the first reported infection, and implemented public measures in a relatively homogeneous manner. None of the countries implemented country-wide lockdowns, but some implemented partial or local containment measures. At the end of June 2020, countries began to lift certain restrictive measures, sometimes under pressure from the general population or from certain economic sectors. Conclusion Much research on COVID-19 remains to be conducted in West Africa to better understand the dynamics of the pandemic, and to further examine the state responses to ensure their appropriateness and adaptation to the national contexts.


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