scholarly journals Surveillance and Epidemiology of Dengue in Medellín, Colombia from 2009 to 2017

2021 ◽  
Author(s):  
Colin M. Warnes ◽  
Eduardo Santacruz Sanmartín ◽  
Fausto Bustos Carrillo ◽  
Iván Darío Vélez
Keyword(s):  
Incidence Rate ◽  
Diagnostic Test ◽  
Disease Surveillance ◽  
Descriptive Analysis ◽  
Age Groups ◽  
Human Movement ◽  
Viral Disease ◽  
Severe Illness ◽  
Gender And Age ◽  
Using Data

Dengue is the most prevalent arthropod-borne viral disease in humans, primarily transmitted by the Aedes aegypti mosquito. We conducted a descriptive analysis of dengue cases from 2009 to 2017 in Medellín, Colombia, using data available from the Secretariat of Health. We analyzed the burden of outbreak years on the healthcare system, risk of cases exhibiting severe illness, potential disease surveillance problems, gender and age as risk factors, and spatiotemporal patterns of disease occurrence. Our data consisted of 50,083 cases, separated based on whether they were diagnostic test negative, diagnostic test positive (primarily IgM ELISA), clinically confirmed, epidemiologically linked, or probable. We used dengue incidence to analyze epidemiological trends between our study years, related to human movement patterns, between gender and age-groups, and spatiotemporally. We used risk to analyze the severity of dengue cases between the study years. We identified human movement could contributed to dengue spread, and male individuals (incidence rate: 0.86; 95% CI: 0.76–0.96) and individuals younger than 15 years (incidence rate: 1.24; 95% CI: 1.13–1.34) have higher incidence of dengue and located critical parts of the city where dengue incidence was high. Analysis was limited by participant diagnostic information, data concerning circulating strains, and a lack of phylogenetic information. Understanding the characteristics of dengue is a fundamental part of improving the health outcomes of at-risk populations. This analysis will be useful to support studies and initiatives to counteract dengue and provide context to the surveillance data collected by the health authorities in Medellín.

Risk factors for sporadic Shiga toxin-producingEscherichia coliO157 and non-O157 illness in The Netherlands, 2008–2012, using periodically surveyed controls

2014 ◽  
Vol 143 (7) ◽  
pp. 1360-1367 ◽  
Author(s):  
I. H. M. FRIESEMA ◽  
M. SCHOTSBORG ◽  
M. E. O. C. HECK ◽  
W. VAN PELT
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
The Netherlands ◽  
Shiga Toxin ◽  
Age Groups ◽  
Meat Products ◽  
Farm Animals ◽  
Severe Illness ◽  
Main Risk Factor ◽  
Using Data

SUMMARYShiga toxin-producingEscherichia coli(STEC) infections have been associated with severe illness. Ruminants are seen as the main reservoir and the major transmission route is considered to be foodborne. In The Netherlands, a case-control study was conducted, using data collected during 2008–2012. Patients were interviewed and controls completed a self-administered questionnaire. Patients travelling abroad were excluded from the analyses. STEC O157 and non-O157 were examined separately and differentiated into two age groups (<10 years, ⩾10 years). We included 130 O157 cases, 78 non-O157 cases and 1563 controls. In both age groups of O157 patients, raw spreadable sausage was the main risk factor for infection. For STEC non-O157 cases aged <10 years, contact with farm animals was the main risk factor and in non-O157 cases aged ⩾10 years, consumption of beef was the main risk factor. During 2008–2012, risk factors for STEC infections in the Dutch population differed between age groups and serogroup categories, and were related to eating meat and contact with farm animals. Advising the public about the risks of consuming raw or undercooked meat (products) and hygiene habits in case of contact with farm animals, could help in the prevention of STEC infections.

scholarly journals The Mixed Motives of Unaccompanied Child Migrants from Central America's Northern Triangle

2017 ◽  
Vol 5 (4) ◽  
pp. 744-767 ◽  
Author(s):  
Matthew Lorenzen
Keyword(s):  
Age Groups ◽  
Family Reunification ◽  
Mature Male ◽  
Unaccompanied Minors ◽  
Male Adolescents ◽  
Clear Cut ◽  
Gender And Age ◽  
Mexican Government ◽  
Using Data ◽  
Mixed Motives

A growing body of literature has argued that the distinction between forced and voluntary migration can be, in practice, unclear. This literature points out that each individual migrant may have mixed motives for migrating, including both forced and voluntary reasons. Few studies, however, have actually set out to analyze mixed-motive migration. This paper examines the mixed-motive migration of unaccompanied minors from Central America's Northern Triangle states (Guatemala, Honduras, and El Salvador), using data from a small 2016 survey carried out in 10 shelters for unaccompanied child migrants run by a Mexican government child welfare agency. Using this survey, the paper identifies the immigrating minor's motives, which are oftentimes mixed, and details differences by nationality, gender, and age groups. Some of the key findings include: • Around one-third of the child migrants surveyed had mixed motives, including both forced and voluntary reasons for migrating. • Violence appears most often as a reason for migrating among minors with mixed motives, as opposed to the search for better opportunities, which appears more often as an exclusive motive. • Significant differences between the three nationalities are observed. Relatively few Guatemalan minors indicated violence as a motive, and few displayed mixed motives, as opposed to Hondurans, and especially Salvadorans. • The minors fleeing violence, searching for better opportunities, and indicating both motives at the same time were largely mature male adolescents. • The minors mentioning family reunification as their sole motive were predominantly girls and young children. The results indicate that binary formulations regarding forced and voluntary migration are often inadequate. This has important implications, briefly addressed in the conclusions. These implications include: • the need for migration scholars to consider forced reasons for migrating in the context of mixed-motive migration; • the fact that mixed motives call into question the established, clear-cut categories that determine whether someone is worthy of humanitarian protection or not; • the need to have in-depth, attentive, and individual asylum screening because motives may be interconnected and entangled, and because forced reasons may be hidden behind voluntary motives; and • the need for a more flexible policy approach, so that immigration systems may be more inclusive of migrants with mixed motives.

Age-Related Child Sexual Abuse Experiences

2020 ◽  
pp. 019394592095872
Author(s):  
Mona A. Hassan ◽  
Faye A. Gary ◽  
Linda Lewin ◽  
Cheryl Killion ◽  
Vicken Totten
Keyword(s):  
Sexual Abuse ◽  
Sexually Abused ◽  
Descriptive Analysis ◽  
Age Groups ◽  
Child Victims ◽  
Physical Trauma ◽  
Age Related ◽  
Different Types ◽  
Using Data ◽  
Two Age Groups

The study aimed to describe differences in the types of sexual abuse injuries between two age groups of children presenting to an emergency department. This descriptive correlational study explored the relationships between sexual abuse type and child’s age using data from the hospital health records of 95 children ages 6–14 years. Descriptive analysis indicated that sexually abused child victims’ ages were significantly associated with different types of penetrations and mucosal tears or injuries (p < 0.05). These findings highlighted the need for increased awareness about the different types of physical trauma associated with the ages of the child victims.

scholarly journals Analysis of the risk factors in SARS-CoV-2: gender and age

2021 ◽  
Vol 8 (4) ◽  
pp. 2034
Author(s):  
A. A. Sanghai ◽  
Vikram Khan ◽  
D. B. Zala ◽  
V. K. Das
Keyword(s):  
Disease Surveillance ◽  
Public Health Surveillance ◽  
Age Groups ◽  
Secondary Data ◽  
Age Group ◽  
Surveillance Programme ◽  
Gender And Age ◽  
Working Age ◽  
And Gender ◽  
Key Indicators

Age and gender are key indicators of health to understand the extent to which outbreaks affect a specific age group or gender. Therefore, the present study was conducted to know whether gender equality in SARS-CoV-2 infections prevails across different age groups in the Dadra and Nagar Haveli district of the UT of Dadra and Nagar Haveli and Daman and Diu, India. The secondary data were collected up to 21st September 2020 through public health surveillance activities undertaken by, Integrated Disease Surveillance Programme, UT of the Dadra Nagar Haveli and Daman Diu. Till date, a total of 37.89 thousand samples were tested for detection of SARS-CoV-2. Only 1429 (3.76%) samples were found positive for SARS-CoV-2. Out of total positive cases, 71.38% were male and 28.62 % were female. The maximum case was encountered in the working-age group (between 19 to 50 years). However, the highest positivity rate (8.5%) was encountered in the age group of more than 50 years.

scholarly journals Four decades of epidemiological data reveal trajectories towards malaria elimination in Kheda district (Gujarat), western part of India

2021 ◽  
Vol 6 (12) ◽  
pp. e005815
Author(s):  
Rajendra Kumar Baharia ◽  
Chander Prakash Yadav ◽  
Amit Sharma
Keyword(s):  
Descriptive Analysis ◽  
Age Groups ◽  
Public Health Problem ◽  
Epidemiological Data ◽  
Common Symptom ◽  
Malaria Burden ◽  
Malaria Clinic ◽  
And Gender ◽  
Using Data ◽  
Insecticide Spray

BackgroundMalaria is a main public health problem in India and was so particularly in the state of Gujarat in the western part of the country. This study assesses the effects of various interventions on malaria cases using data from the last 33 years (1987–2019).MethodsHere we have analysed 33 years of malaria epidemiological data from a malaria clinic in Kheda district in Gujarat. The data were digitised yearly and monthly, age-wise and gender-wise, and descriptive analysis was performed to assess the effects of several interventions on malaria burden.ResultsDuring 1987–2019, our clinic diagnosed 5466 Plasmodium vivax and 4732 P. falciparum malaria cases. Overall, there was a declining trend in malaria cases except for the years 1991, 1994, 2004 and 2005. The year 2004 especially witnessed an epidemic in Kheda as well as throughout Gujarat. Malaria infections were most common (40%) among the 21–40 years age group. Fever was the most common symptom in all age groups.InterpretationIntroduction of revised drug policy and improved surveillance technique (rapid diagnosis kits) have strengthened the diagnosis and treatment of malaria in the district. Use of pyrethroid in indoor residual insecticide spray has also strengthened vector control. Among the various interventions used, long-lasting insecticide nets and introduction of artemisinin-based combination therapy have played significant roles in controlling malaria cases. A more drastic decline in P. falciparum cases versus P. vivax is evident, but the latter persists in high proportions and therefore new tools for malaria control will be needed for elimination.

scholarly journals Acute and chronic brucellosis eleven-year audit from a tertiary hospital in Armenia

2019 ◽  
Vol 13 (05.1) ◽  
pp. 042S-050S
Author(s):  
Lilit Sargsyan ◽  
Karapet Davtyan ◽  
Katrina Hann ◽  
Samvel Gasparyan ◽  
Vladimir Davidyants ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
Age Groups ◽  
Tertiary Hospital ◽  
Medical Attention ◽  
Human Brucellosis ◽  
Symptom Duration ◽  
Acute Case ◽  
Factors Associated ◽  
Unpasteurized Milk ◽  
Using Data

Introduction: The incidence of brucellosis in Armenia in 2010 was twice as high as in other countries of the Caucasian region and has almost doubled over the last three decades. This study aimed to investigate factors associated with acute or chronic forms of presentation of human brucellosis. Methodology: Retrospective study using data from medical records of 455 patients hospitalized for the first time at the Nork Republican Infectious Disease Referral Hospital in Yerevan, Armenia between the years 2006 and 2016. We undertook descriptive analysis of cases, compared acute and chronic cases, and identified factors associated with acute and chronic cases using regression. Results: The majority of brucellosis cases had acute case presentation (73.0%), were males (70.3%), between the ages of 20-60 years (66.2%) and unemployed (89.9%). About two-thirds of cases reported a history of consumption of raw unpasteurized milk. The multivariate analysis revealed that factors associated with the form of brucellosis were age, symptom duration preadmission, fever, antibody titer, and hospitalization outcomes. Conclusion: This study revealed that brucellosis is unevenly distributed across different age groups, as well as regions of Armenia. Affected individuals did not seek medical attention after the onset of the symptoms for about 2 months. Therefore, the targeted educational campaigns could be of crucial importance to prevent the disease in humans, contribute to its early diagnosis and treatment.

scholarly journals Changes in Health and Well-Being in COVID-19 Clinically Vulnerable Older English People During the Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 95-95
Author(s):  
Giorgio Di Gessa ◽  
Debora Price
Keyword(s):  
Older People ◽  
Age Groups ◽  
Well Being ◽  
Severe Illness ◽  
Using Data ◽  
June July ◽  
Anxiety Depression ◽  
Health And Well Being ◽  
Specific Health

Abstract People with specific health profiles and diseases (such as diabetes, lung and heart conditions) have been classified as ‘clinically vulnerable’ (CV) to Covid-19, i.e. at higher risk of severe illness and mortality from Covid-19, and were targeted for shielding. However, there is as yet little evidence on how the pandemic and shielding impacted the health and social well-being of CV older people. Using data from Wave 9 (2018/19) and the first Covid-19 sub-study (June/July 2020) of the English Longitudinal Study of Ageing, we investigated changes in health and well-being during the pandemic by clinical vulnerability. We also explored the interactions between CV and age-group (50s, 60s, 70s, 80+), and between CV and shielding. Results suggest that CV older people (~39% of the sample) were more likely to report worse health and social well-being outcomes during the pandemic compared to non-CV participants, even considering pre-pandemic levels of health and well-being. However, changes in health were not uniform across age groups, with those in their 50s and 60s more likely to report greater deterioration in mental health than those in their 70s and over 80. Moreover, older adults who were shielding and were CV reported the most substantial rises in anxiety, depression, receipt of formal care as well as decreases in well-being and physical activity. While policies focussing on shielding CV older people reduce rates of hospitalisation and death from Covid-19, policymakers should address the wider needs of this group if their long-term health and social well-being are not to be compromised.

scholarly journals Evaluation of Drug Utilisation Pattern and Clinical Presentation in Covid19 Patients Based on the Disease Severity

2021 ◽  
Vol 11 (2) ◽  
pp. 25-33
Author(s):  
Kamsali Hema ◽  
Peddoju Moulika ◽  
Dinesh Kumar Kukunuri ◽  
Ganta Saidhulu ◽  
Dhivya K ◽  
...  
Keyword(s):  
Clinical Features ◽  
Communicable Disease ◽  
Age Groups ◽  
The Elderly ◽  
Viral Disease ◽  
Severe Illness ◽  
Laboratory Findings ◽  
Clinical Presentations ◽  
Significant Difference ◽  
Study Population

Coronavirus disease of 2019 (COVID-19) is an extremely communicable disease characterized by the serious acute respiratory influenza virus 2, a recently identified novel viral disease (SARS-CoV-2). Hitherto, the quantity of established instances worldwide has reached 135 million, and the number of deaths is 2.9 million. In India, the cases were found to be 20 million and the mortality rate is 3,51,000. This virus was first identified in Wuhan City, Hubei Province in China, at the end of 2019. Until now, it affected more than 200 countries. The treatment pattern and clinical presentations were assessed in COVID 19 patients. A total of 146 patients, severe patients (n = 71) and non-severe patients (n = 75) where included in the study. The mean age of the study population was found to be 58.76±14.32 and the most common symptoms of patients include fever, fatigue, dry cough, and diarrhea there is no statistically significant difference in the clinical features between severe and non-severe patients. There is no significant difference in the laboratory findings except lymphocyte count, CORADS and N/L ratio between severe and non-severe patients. COVID-19 affects all age groups especially the elderly. The risk for severe illness with COVID-19 increases with age. COVID 19 patients were presented with various the risk factors and the clinical features in the severe and non severe conditions patients, our study shows great significance to prevent the patient turning to critical condition during diagnosis and treatment.

scholarly journals How Do Sociodemographics and Activity Participations Affect Activity-Travel? Comparative Study between Women and Men

2014 ◽  
Vol 2014 ◽  
pp. 1-10
Author(s):  
Min Yang ◽  
Wei Wang ◽  
Feifei Yu ◽  
Jian Ding
Keyword(s):  
Travel Behavior ◽  
Descriptive Analysis ◽  
Age Groups ◽  
Developed Countries ◽  
Logistic Regression Models ◽  
Data Processing Method ◽  
The Difference ◽  
Role Based ◽  
Using Data ◽  
Subsistence Activities

Activity-travel behaviors of women and men are different because they have different social and household responsibilities. However, studies concerning gender differences are mainly limited in developed countries. This paper concentrates on gender role-based differences in activity-travel behavior in a typical developing country, namely, China. Using data from 3656 cases collected through surveys conducted in Shangyu, data processing, method choice, and descriptive analysis were conducted. Binary and ordered logistic regression models segmented by gender were developed to evaluate the mechanism through which individual sociodemographics, household characteristics, and activity participations affect the number of trip chain types and activities for women and men. The results show that women aged 30 to 50 perform less subsistence activities. However, the difference between the different age groups of men is not as significant. In addition, men with bicycles and electric bicycles have more subsistence and maintenance activities, whereas women do not have these attributes. Moreover, women with children under schooling age make more maintenance trip chains but less leisure trip chains and activities, whereas men are free from this influence. Furthermore, both women and men perform more subsistence activities if the duration increases, and men have less influences than women do.

Measurement Invariance of Divergent Thinking Across Gender, Age, and School Forms

2009 ◽  
Vol 25 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Jörg-Tobias Kuhn ◽  
Heinz Holling
Keyword(s):  
Measurement Invariance ◽  
Divergent Thinking ◽  
Factor Model ◽  
Age Groups ◽  
Thinking Skills ◽  
Specific Model ◽  
Confirmatory Factor Analyses ◽  
Domain Specific ◽  
Gender And Age ◽  
Confirmatory Factor

The present study explores the factorial structure and the degree of measurement invariance of 12 divergent thinking tests. In a large sample of German students (N = 1328), a three-factor model representing verbal, figural, and numerical divergent thinking was supported. Multigroup confirmatory factor analyses revealed that partial strong measurement invariance was tenable across gender and age groups as well as school forms. Latent mean comparisons resulted in significantly higher divergent thinking skills for females and students in schools with higher mean IQ. Older students exhibited higher latent means on the verbal and figural factor, but not on the numerical factor. These results suggest that a domain-specific model of divergent thinking may be assumed, although further research is needed to elucidate the sources that negatively affect measurement invariance.

Sign in / Sign up

Export Citation Format

Share Document