scholarly journals Sago Haemolytic Disease: A Case Due to Climate-Induced Food Insecurity in Western Province, Papua New Guinea

2021 ◽  
Vol 6 (4) ◽  
pp. 190
Author(s):  
Mikaela Seymour

Sago haemolytic disease (SHD) is a rare but significant condition presenting in sago starch-eating populations in Western Province, Papua New Guinea. Although rare, case fatality rates are high, and no known antidote is available. The exact cause of the disease is unknown, but it is believed to be secondary to mycotoxins produced by fungi in old sago. In this case report, a 50-year-old female was treated in a low-resource setting in Middle Fly, with fluid resuscitation and transfusion, making a full recovery without complications. The mainstay of treatment for SHD is intravenous fluid resuscitation and strict fluid balance, which can be achieved in even the most remote Western Province aid post. Increased food insecurity, secondary to climate change, may see the incidence of this condition increase. Therefore, all health workers in Western Province should be comfortable with fluid resuscitation and fluid balance practices.

2006 ◽  
Vol 33 (5) ◽  
pp. 373 ◽  
Author(s):  
Arthur Georges ◽  
Fiorenzo Guarino ◽  
Biatus Bito

The Chelidae is a family of side-necked turtles restricted in distribution to South America and Australasia. While their biology in Australia is reasonably well known, species in New Guinea are very poorly known despite high diversity, especially in the southern lowlands. In this paper, we report on the diversity, distribution, habitat and reproductive biology of the freshwater turtles of the TransFly region of the Western Province of Papua New Guinea, with special emphasis on reproduction of Emydura subglobosa, Elseya branderhorsti and Elseya novaeguineae. Seven species were captured, with reliable records of an eighth. A key to the freshwater turtles of the TransFly region is provided. Harvest methods, consumption, and trade in turtles by the TransFly communities are documented. There is mounting pressure to take advantage of revenue opportunities afforded by the Asian turtle trade, but this is impeded by lack of transport infrastructure. There is also insufficient demographic information on any New Guinean turtle species to make a reasoned judgment on the level of harvest that would be sustainable. Nor is there sufficient information on captive rearing for most species, and where it is available it is not accessible by local villagers. These knowledge gaps need to be addressed and factored into a management plan that is implemented before local communities can capitalise on the commercial opportunities provided by the turtle fauna without risking collapse of the resource and the implications for their concurrent subsistence economy that would follow.


1996 ◽  
Vol 40 (1) ◽  
pp. 139
Author(s):  
Mervyn McLean ◽  
Wolfgang Laade ◽  
Artur Simon ◽  
Ekkehart Royal ◽  
Volker Heeschen ◽  
...  

2019 ◽  
Vol 4 (1) ◽  
pp. 33 ◽  
Author(s):  
Tanya Diefenbach-Elstob ◽  
Vanina Guernier ◽  
Graham Burgess ◽  
Daniel Pelowa ◽  
Robert Dowi ◽  
...  

Papua New Guinea (PNG) has a high burden of tuberculosis (TB), including drug-resistant TB (DR-TB). DR-TB has been identified in patients in Western Province, although there has been limited study outside the provincial capital of Daru. This study focuses on the Balimo region of Western Province, aiming to identify the proportion of DR-TB, and characterise Mycobacterium tuberculosis (MTB) drug resistance-associated gene mutations. Sputum samples were investigated for MTB infection using published molecular methods. DNA from MTB-positive samples was amplified and sequenced, targeting the rpoB and katG genes to identify mutations associated with rifampicin and isoniazid resistance respectively. A total of 240 sputum samples were collected at Balimo District Hospital (BDH). Of these, 86 were classified as positive based on the results of the molecular assays. For samples where rpoB sequencing was successful, 10.0% (5/50, 95% CI 4.4–21.4%) were considered rifampicin-resistant through detection of drug resistance-associated mutations. We have identified high rates of presumptive DR-TB in the Balimo region of Western Province, PNG. These results emphasise the importance of further surveillance, and strengthening of diagnostic and treatment services at BDH and throughout Western Province, to facilitate detection and treatment of DR-TB, and limit transmission in this setting.


1988 ◽  
Vol 22 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Sherilynn F. Spear ◽  
Ellen Vor Der Bruegge ◽  
Charles B. Hamilton ◽  
Stewart N. Blumenfeld

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