Recovery of Salmonella, Listeria monocytogenes, and Mycobacterium bovis from Cheese Entering the United States through a Noncommercial Land Port of Entry

2007 ◽  
Vol 70 (1) ◽  
pp. 47-52 ◽  
Author(s):  
HAILU KINDE ◽  
ANDREA MIKOLON ◽  
ALFONSO RODRIGUEZ-LAINZ ◽  
CATHY ADAMS ◽  
RICHARD L. WALKER ◽  
...  
Keyword(s):  
United States ◽  
Mycobacterium Bovis ◽  
San Diego ◽  
Animal Health ◽  
The United States ◽  
San Diego County ◽  
Laboratory System ◽  
Mexico Border ◽  
United States Mexico ◽  
San Ysidro

A joint multiagency project was initiated in response to a Salmonella outbreak in San Diego County, California, in 2004. Samples of cheese were collected during four 1-day operations at the San Ysidro port of entry, along the United States–Mexico border. Surveyed participants were persons crossing the border as pedestrians or in vehicles who had a minimum of 2.27 kg of cheese, which may suggest a potential diversion to illegal marketing. In addition, data were collected about the cheese to identify risk factors for cheese contamination. Two hundred four cheese samples were submitted to the California Animal Health and Food Safety Laboratory System–San Bernardino Branch and analyzed for potential food pathogens. Ninety-four percent (190 of 203) of the samples tested positive for alkaline phosphatase. Salmonella was detected from 13% (27 of 204) of the samples comprising 11 serogroups and 28 serotypes. Pulsed-field gel electrophoresis DNA fingerprinting analysis, performed following standardized methods, determined that an isolate obtained from this study had an indistinguishable pattern from a recent Salmonella enterica serovar Typhimurium var. Copenhagen epidemic in the San Diego County that was linked to 14 illnesses. Listeria spp. were detected from 4% (8 of 204) of the samples, and of these, half were identified as L. monocytogenes. Escherichia coli O157:H7 was not detected from any of the samples. Mycobacterium bovis was detected from one panela-style cheese sample. Nine additional samples yielded Mycobacterium spp.

scholarly journals 1618. Public Health at the United States/Mexico Border: Evaluation of the County of San Diego Health and Human Services Agency’s Health Screening Assessment of Asylum-Seeking Families at the San Diego Rapid Response Network Shelter

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S590-S590
Author(s):  
Lucy E Horton ◽  
Susannah Graves ◽  
Kathleen Fischer ◽  
Gina Fleming-Magit ◽  
Camila Romero ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
San Diego ◽  
Communicable Disease ◽  
The United States ◽  
Health Screening ◽  
Response Network ◽  
United States Mexico Border ◽  
Mexico Border ◽  
United States Mexico

Abstract Background Many families arrive at the United States–Mexico border seeking asylum. Jewish Family Service and the San Diego Rapid Response Network operate a shelter in San Diego that provides shelter, food, clothing, legal services and travel coordination for asylum-seeking families. Two local federally qualified health centers provide on-site urgent care. Methods In late December 2018, the County of San Diego expanded public health efforts by conducting health screenings of guests upon entry to the shelter with the goal of identifying health issues requiring urgent or emergent evaluation and preventing the spread of communicable disease. University of California San Diego Health physicians contracted by the County of San Diego Health and Human Services Agency (HHSA) nurses and ancillary staff provide daily on-site services to all shelter entrants including: health screening for diseases of public health significance, treatment and/or referral of urgent conditions, and medical clearance for shelter entry or medical isolation as needed. Official tracking of screening outcomes from January 2 to April 24, 2019 were collected using standardized surveys and analyzed for program evaluation and surveillance purposes. Results During that time a total of 9,124 asylum-seekers were screened, averaging 81 guests daily, identifying: 42 influenza-like illness, 645 lice, 330 scabies, 8 varicella, and 0 hepatitis A cases. Chest radiography for suspected tuberculosis was performed for 29 guests. Only one chest x-ray was abnormal. Sputum specimens for acid-fast stain (n = 3) and nucleic acid testing (n = 2) were all negative and no tuberculosis cases were diagnosed. Emergency department referrals were made for <1% of guests (n = 90) for conditions including pregnancy complications, asthma, dysentery, hemoptysis and fractures. No deaths or outbreaks of communicable disease occurred. Conclusion Coordination among local partner agencies resulted in early identification of communicable and acute health conditions prior to shelter entry allowing evaluation, treatment and off-site isolation, and minimizing stress on the emergency medical services system. This approach provides a successful model for health screening of asylum-seeking families arriving at the United States–Mexico border. Disclosures All authors: No reported disclosures.

Immigration and Tuberculosis Among Children on the United States–Mexico Border, County of San Diego, California

PEDIATRICS ◽  
1999 ◽  
Vol 104 (1) ◽  
pp. e8-e8 ◽  
Author(s):  
Thomas A. Kenyon ◽  
Cynthia Driver ◽  
Elisabeth Haas ◽  
Sarah E. Valway ◽  
Kathleen S. Moser ◽  
...  
Keyword(s):  
United States ◽  
San Diego ◽  
The United States ◽  
United States Mexico Border ◽  
Mexico Border ◽  
United States Mexico

scholarly journals Equitable COVID-19 Vaccination for Hispanics in the United States: A Success Story from California Border Communities

2022 ◽  
Vol 19 (1) ◽  
pp. 535
Author(s):  
Maria Elena Martinez ◽  
Jesse N. Nodora ◽  
Corinne McDaniels-Davidson ◽  
Noe C. Crespo ◽  
Amir Adolphe Edward
Keyword(s):  
United States ◽  
Cancer Screening ◽  
San Diego ◽  
Underserved Populations ◽  
The United States ◽  
Border Region ◽  
Vaccination Rates ◽  
United States Mexico Border ◽  
Mexico Border ◽  
United States Mexico

The ongoing 2019 novel coronavirus disease (COVID-19) pandemic continues to impact the health of individuals worldwide, including causing pauses in lifesaving cancer screening and prevention measures. From time to time, elective medical procedures, such as those used for cancer screening and early detection, were deferred due to concerns regarding the spread of the infection. The short- and long-term consequences of these temporary measures are concerning, particularly for medically underserved populations, who already experience inequities and disparities related to timely cancer care. Clearly, the way out of this pandemic is by increasing COVID-19 vaccination rates and doing so in an equitable manner so that communities most affected receive preferential access and administration. In this article, we provide a perspective on vaccine equity by featuring the experience of the California Hispanic community, who has been disproportionately impacted by the pandemic. We first compared vaccination rates in two United States–Mexico border counties in California (San Diego County and Imperial County) to counties elsewhere in California with a similar Hispanic population size. We show that the border counties have substantially lower unvaccinated proportions of Hispanics compared to other counties. We next looked at county vaccination rates according to the California Healthy Places Index, a health equity metric and found that San Diego and Imperial counties achieved more equitable access and distribution than the rest of the state. Finally, we detail strategies implemented to achieve high and equitable vaccination in this border region, including Imperial County, an agricultural region that was California’s epicenter of the COVID-19 crisis at the height of the pandemic. These United States–Mexico border county data show that equitable vaccine access and delivery is possible. Multiple strategies can be used to guide the delivery and access to other public health and cancer preventive services.

scholarly journals The Dispossessed of Necropolitics on the San Diego-Tijuana Border

2020 ◽  
Vol 9 (6) ◽  
pp. 91 ◽  
Author(s):  
Gustavo Aviña Cerecer
Keyword(s):  
United States ◽  
Latin American ◽  
San Diego ◽  
The United States ◽  
The Body ◽  
Latin American Studies ◽  
Political Discourses ◽  
Mexico Border ◽  
Hard Drugs ◽  
United States Mexico

This article presents results of a first-hand investigation that took a year of ethnographic work (methods of observation and interviews) during 2016–2017, with the post-structural theoretical framework of Gilles Deleuze, on the United States–Mexico border, in the San Diego-Tijuana corridor. The Center for Iberian and Latin American Studies of the University of California San Diego, PREVENCASA A. C., and Universidad Autónoma de San Luis Potosi supported this research. In this research, statistical data, observations, and synthesis of in-depth interviews were utilized about those defined as the ‘dispossessed’: users of hard drugs, and/or in homelessness conditions of discrimination in a highly contrasting border such as that of the United States and Mexico. Among the main results are the relations between mental and embodiment limits, necropolitics and territory, as well as the approach of post-structural political discourses about the body and mind that allow us to understand the subjectivities in question, proposing two types of homelessness.

scholarly journals Improving Pediatric Neuro-Oncology Survival Disparities in the United States–Mexico Border Region: A Cross-Border Initiative Between San Diego, California, and Tijuana, Mexico

2020 ◽  
pp. 1791-1802
Author(s):  
Paula Aristizabal ◽  
Luke P. Burns ◽  
Nikhil V. Kumar ◽  
Bianca P. Perdomo ◽  
Rebeca Rivera-Gomez ◽  
...  
Keyword(s):  
United States ◽  
San Diego ◽  
The United States ◽  
Total Resection ◽  
Middle Income ◽  
Middle Income Countries ◽  
Cross Border ◽  
Mexico Border ◽  
Oncology Care ◽  
United States Mexico

PURPOSE Treatment of children with CNS tumors (CNSTs) demands a complex, interdisciplinary approach that is rarely available in low- and middle-income countries. We established the Cross-Border Neuro-Oncology Program (CBNP) between Rady Children’s Hospital, San Diego (RCHSD), and Hospital General, Tijuana (HGT), Mexico, to provide access to neuro-oncology care, including neurosurgic services, for children with CNSTs diagnosed at HGT. Our purpose was to assess the feasibility of the CBNP across the United States-Mexico border and improve survival for children with CNSTs at HGT by implementing the CBNP. PATIENTS AND METHODS We prospectively assessed clinicopathologic profiles, the extent of resection, progression-free survival, and overall survival (OS) in children with CNSTs at HGT from 2010 to 2017. RESULTS Sixty patients with CNSTs participated in the CBNP during the study period. The most common diagnoses were low-grade glioma (24.5%) and medulloblastoma (22.4%). Of patients who were eligible for surgery, 49 underwent resection at RCHSD and returned to HGT for collaborative management. Gross total resection was achieved in 78% of cases at RCHSD compared with 0% at HGT ( P < .001) and was a predictor of 5-year OS (hazard ratio, 0.250; 95% CI, 0.067 to 0.934; P = .024). Five-year OS improved from 0% before 2010 to 52% in 2017. CONCLUSION The CBNP facilitated access to complex neuro-oncology care for underserved children in Mexico through binational exchanges of resources and expertise. Survival for patients in the CBNP dramatically improved. Gross total resection at RCHSD was associated with higher OS, highlighting the critical role of experienced neurosurgeons in the treatment of CNSTs. The CBNP model offers an attractive alternative for children with CNSTs in low- and middle-income countries who require complex neuro-oncology care, particularly those in close proximity to institutions in high-income countries with extensive neuro-oncology expertise.

Sign in / Sign up

Export Citation Format

Share Document