scholarly journals Agro-Environmental Determinants of Leptospirosis: A Retrospective Spatiotemporal Analysis (2004−2014) in Mahasarakham Province (Thailand)

2021 ◽  
Vol 6 (3) ◽  
pp. 115
Author(s):  
Jaruwan Viroj ◽  
Julien Claude ◽  
Claire Lajaunie ◽  
Julien Cappelle ◽  
Anamika Kritiyakan ◽  
...  

Leptospirosis has been recognized as a major public health concern in Thailand following dramatic outbreaks. We analyzed human leptospirosis incidence between 2004 and 2014 in Mahasarakham province, Northeastern Thailand, in order to identify the agronomical and environmental factors likely to explain incidence at the level of 133 sub-districts and 1,982 villages of the province. We performed general additive modeling (GAM) in order to take the spatial-temporal epidemiological dynamics into account. The results of GAM analyses showed that the average slope, population size, pig density, cow density and flood cover were significantly associated with leptospirosis occurrence in a district. Our results stress the importance of livestock favoring leptospirosis transmission to humans and suggest that prevention and control of leptospirosis need strong intersectoral collaboration between the public health, the livestock department and local communities. More specifically, such collaboration should integrate leptospirosis surveillance in both public and animal health for a better control of diseases in livestock while promoting public health prevention as encouraged by the One Health approach.

2018 ◽  
Vol 20 (4) ◽  
Author(s):  
Edson Kinimi ◽  
Bisimwa N. Patrick ◽  
Gerald Misinzo

Background: Chikungunya is an emerging mosquito-borne viral illness of major public health concern and is becoming a common infection in many geographical areas of Tanzania. This study was carried out to determine the incidence of malaria and chikungunya infections among febrile patients seeking medical care in Karagwe district, Tanzania.Methods: Febrile patients were enrolled into the study at Nyakahanga district designated hospital and Kayanga heath centre in May and June 2015. Questionnaires were administered to collect clinical and socio-demographic characteristics of patients. All participants were tested for malaria using malarial rapid diagnostic test and those tested positive by mRDT were confirmed by microscopy. Both outpatients tested malaria positive and negative were further screened for immunoglobulin M (IgM) and G (IgG) antibodies for chikungunya using enzyme-linked immunosorbent assay.Results: A total of 400 febrile patients were enrolled in the study. Out of 400 febrile outpatients tested for malaria, 116 (28.75%) tested positive with mRDT. Microscopy confirmed presence malaria parasites in 112 (96.55%) of the malaria RDT-positive. The overall seroprevalence of chikungunya infection was 24.25% (97/400). Out of those chikungunya seropositive subjects, 89 (91.75%) had no malaria. Co-infection rate of chikungunya and malaria was found to be 7.14% (8/112).Conclusions: Our findings confirmed the existence of chikungunya and malaria co-infection among febrile patients seeking health care in Karagwe district. Chikungunya should be considered in the differential diagnosis of malaria for appropriate case management and in order to monitor the public health burden and to inform possible preventative and control measures.


Author(s):  
Eric Pelfrene ◽  
Radu Botgros ◽  
Marco Cavaleri

Abstract Background Antimicrobial resistance (AMR) is a growing global problem to which the ongoing COVID-19 pandemic may further contribute. With resources deployed away from antimicrobial stewardship, evidence of substantial pre-emptive antibiotic use in COVID-19 patients and indirectly, with deteriorating economic conditions fuelling poverty potentially impacting on levels of resistance, AMR threat remains significant. Main body In this paper, main AMR countermeasures are revisited and priorities to tackle the issue are re-iterated. The need for collaboration is stressed, acknowledging the relationship between human health, animal health and environment (“One Health” approach). Among the stated priorities, the initiative by the European Medicines Regulatory Network to further strengthen the measures in combatting AMR is highlighted. Likewise, it is asserted that other emerging health threats require global collaboration with the One Health approach offering a valuable blueprint for action. Conclusion The authors stress the importance of an integrated preparedness strategy to tackle this public health peril.


2009 ◽  
Vol 3 (S2) ◽  
pp. S160-S165 ◽  
Author(s):  
Jeanne S. Ringel ◽  
Melinda Moore ◽  
John Zambrano ◽  
Nicole Lurie

ABSTRACTObjective: To assess the extent to which the systems in place for prevention and control of routine annual influenza could provide the information and experience needed to manage a pandemic.Methods: The authors conducted a qualitative assessment based on key informant interviews and the review of relevant documents.Results: Although there are a number of systems in place that would likely serve the United States well in a pandemic, much of the information and experience needed to manage a pandemic optimally is not available.Conclusions: Systems in place for routine annual influenza prevention and control are necessary but not sufficient for managing a pandemic, nor are they used to their full potential for pandemic preparedness. Pandemic preparedness can be strengthened by building more explicitly upon routine influenza activities and the public health system’s response to the unique challenges that arise each influenza season (eg, vaccine supply issues, higher than normal rates of influenza-related deaths). (Disaster Med Public Health Preparedness. 2009;3(Suppl 2):S160–S165)


PEDIATRICS ◽  
1967 ◽  
Vol 40 (4) ◽  
pp. 691-693
Author(s):  
STARKEY D. DAVIS ◽  
RALPH J. WEDGWOOD

Dr. Yerushalmy points out the excess mortality in the isoniazid pupulation in two trials: contacts of new cases and patients in mental hospitals. He failed to mention that the Public Health Service has conducted five other isoniazid prophylaxis trials (Table I). In the six trials listed, excluding the one in institutions, the isoniazid groups had more deaths in three trials, the placebo group had more deaths in two trials, and in one trial the number of deaths in each group was equal.


2011 ◽  
Vol 2 (2) ◽  
pp. 108-111 ◽  
Author(s):  
Dayanne Rakelly De Oliveira ◽  
Mayanne Santana Nóbrega De Figueiredo

Este texto tem como objetivo trazer considerações epidemiológicas e conceituais sobre a sífilis, o tratamento de parceiros sexuais e a inserção do enfermeiro em ações de prevenção e controle desse importante agravo à saúde pública. Enfatiza os aspectos relacionados às medidas de controle dos casos, à terapêutica da doença e à magnitude das complicações visando a contribuir para o aprofundamento da temática e reflexão da prática profissional.Descritores: Sífilis, Parceiros Sexuais, Enfermagem, Saúde Pública.Conceptual approach on syphilis in pregnancy and the treatment of sexual partnersThis text aims to bring epidemiological and conceptual considerations on syphilis, the treatment of sexual partners and the insertion of the nurse in prevention actions and control of this relevant grievance to the public health. It emphasizes the aspects related to control measures of the cases, to the therapeutics of disease and the magnitude of the complications seeking to contribute to the deepening of the theme and the reflection of professional practice.Descriptors: Syphilis, Sexual Partners, Nursing, Public Health.Abordaje conceptual sobre la sífilis en la gestación y lo tratamiento de las parejas sexualesEnfoque conceptual de la sífilis en el embarazo y el tratamiento de las parejas sexuales. Este texto tiene como objetivo integrar consideraciones conceptuales y epidemiológicas sobre la sífilis, el tratamiento de las parejas sexuales y la inclusión de los enfermeros en la prevención y control de este importante agravio de salud pública. Destaca los aspectos relacionados con los casos, con la terapéutica de la enfermedad y con la magnitud de las complicaciones con el objetivo de contribuir a la profundización de la temática y la reflexión de la práctica profesional.Descriptores: Sífilis, Las Parejas Sexuales, Enfermería, Salud Pública.


Complexity ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Yi-Cheng Zhang ◽  
Zhi Li ◽  
Guo-Bing Zhou ◽  
Nai-Ru Xu ◽  
Jia-Bao Liu

After the occurrence of public health emergencies, due to the uncertainty of the evolution of events and the asymmetry of pandemic information, the public’s risk perception will fluctuate dramatically. Excessive risk perception often causes the public to overreact to emergencies, resulting in irrational behaviors, which have a negative impact on economic development and social order. However, low-risk perception will reduce individual awareness of prevention and control, which is not conducive to the implementation of government pandemic prevention and control measures. Therefore, it is of great significance to accurately evaluate public risk perception for improving government risk management. This paper took the evolution of public risk perception based on the COVID-19 region as the research object. First, we analyze the characteristics of infectious diseases in the evolution of public risk perception of public health emergencies. Second, we analyze the characteristics of risk perception transmission in social networks. Third, we establish the dynamic model of public risk perception evolution based on SEIR, and the evolution mechanism of the public risk perception network is revealed through simulation experiments. Finally, we provide policy suggestions for government departments to deal with public health emergencies based on the conclusions of this study.


2005 ◽  
Vol 11 (1) ◽  
pp. 90-112 ◽  
Author(s):  
Lincoln Dahlberg

Much communications research is in agreement about the failure of mass media to adequately facilitate a public sphere of open and reflexive debate necessary for strong democratic culture. In contrast , the internet's decentralised, two-way communication is seen by many commentators to be extending such debate. However, there is some ambivalence among critical theorists as to the future role of the internet in advancing the public sphere. On the one hand, the internet is providing the means fot the voicing of positions and identities excluded from the mass media. On the other hand, a number of problem are limiting the extensiveness and effetivness of this voicing. One of the most significant problems is the corporate colonisation of cyberspace, and subsequent marginalisation rational-critical communication. It is this problem that i will focus on in this article, with reference to examples from what I refer to as the 'New Zealand online public sphere'. I show how online corporate portals and media sites are gaining the most attention orientated to public communication, including news, information, and discussion. These sites generally support conservative discourse and consumer practices. The result is a marginalisation online of the very voices marginalised offline, and also of the critical-reflexive form of communication that makes for a strong public sphere. I conclude by noting that corporate colonisation is as yet only partial, and control of attention and media is highly contested by multiple 'alternative' discursive spaces online.


2021 ◽  
Vol 96 (3) ◽  
pp. 53-59
Author(s):  
D. Yang ◽  

New coronavirus pneumonia has had a significant impact on people's health and safety since the outbreak in the early 2020. The latest version of the new coronavirus pneumonia virus is still spreading around the world. China's public health system has passed a severe test: under the leadership of the Chinese Communist Party and the joint efforts of people of all ethnic groups, China won a great victory in the anti-epidemic campaign. Nevertheless, the public health system has also identified some challenges that need to be actively addressed in the area of medicine and health during the prevention and control of epidemics. This article deals with these issues.


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