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https://www.readbyqxmd.com/read/28820704/the-price-of-peace-peacekeeping-with-impunity-harms-public-health-in-haiti
#1
Louise C Ivers, Yodeline Guillaume
In April, 2017, the United Nations (UN) announced that it will withdraw peacekeeping soldiers from Haiti after 13 years there.(1) Known by its French acronym MINUSTAH, the mission has been controversial in security terms, but in terms of public health, it is not controversial to state that peacekeepers will be leaving a heavy mark on the health of Haitians. The UN has acknowledged that peacekeeping soldiers were responsible for both the introduction of cholera (which sparked a nationwide epidemic) and the sexual abuse and exploitation of Haitians, including minors...
August 7, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28820691/field-trial-of-the-carestart-biosensor-analyzer-for-the-determination-of-glucose-6-phosphate-dehydrogenase-activity-in-haiti
#2
Thomas A Weppelmann, Michael E von Fricken, Tara D Wilfong, Elisa Aguenza, Taina T Philippe, Bernard A Okech
Throughout many developing and tropical countries around the world, malaria remains a significant threat to human health. One barrier to malaria elimination is the ability to safely administer primaquine chemotherapy for the radical cure of malaria infections in populations with a high prevalence of glucose-6-phosphate dehydrogenase (G6PD) deficiency. In the current study, a field trial of the world's first quantitative, point-of-care assay for measuring G6PD activity was conducted in Haiti. The performance of the CareStart Biosensor Analyzer was compared with the gold standard spectrophotometric assay and genotyping of the G6PD allele in schoolchildren (N = 343) from the Ouest Department of Haiti...
August 14, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28818627/cross-sectional-analysis-of-the-association-between-bedtime-and-malaria-exposure-in-the-ouest-and-sud-est-departments-of-haiti
#3
Caroline J Stephenson, Matthew E Rossheim, Cara L Frankenfeld, Jacques Boncy, Bernard O Okech, Michael E von Fricken
INTRODUCTION: The governments of Haiti and the Dominican Republic have a binational agreement to work towards malaria elimination for the island of Hispaniola by the year 2020. Understanding malaria-related knowledge and behaviors can help inform elimination efforts. This study examined the association between social-behavioral factors, like bedtime and bed net ownership, with malaria seroconversion status among people in the Ouest and Sud-Est departments of Haiti. METHODS: In 2013, cross-sectional survey data (n=377) and blood samples were collected from a convenience sample of individuals within community, clinic and school settings...
August 14, 2017: Acta Tropica
https://www.readbyqxmd.com/read/28799117/concurrent-hydrocelectomy-during-inguinal-herniorrhaphy-is-a-risk-factor-for-complications-and-reoperation-data-from-rural-haiti
#4
D P Kuwayama, J Augustin
PURPOSE: Series of conventional inguinal herniorrhaphy from low and middle income countries (LMICs) suggest elevated rates of morbidity, mortality, and recurrence, although the reasons remain incompletely understood. We sought to identify risk factors for adverse outcomes from inguinal herniorrhaphy performed in a resource-limited LMIC setting. METHODS: We performed mesh-free modified Bassini inguinal herniorrhaphies on 141 consecutive patients with 156 inguinal hernias over 10 months in rural Haiti...
August 10, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28796056/examining-the-association-between-possessing-a-regular-source-of-healthcare-and-adherence-with-cancer-screenings-among-haitian-households-in-little-haiti-miami-dade-county-florida
#5
Hauchie Pang, Mariel Cataldi, Emmanuelle Allseits, Melissa Ward-Peterson, Pura Rodríguez de la Vega, Grettel Castro, Juan Manuel Acuña
Immigrant minorities regularly experience higher incidence and mortality rates of cancer. Frequently, a variety of social determinants create obstacles for those individuals to get the screenings they need. This is especially true for Haitian immigrants, a particularly vulnerable immigrant population in South Florida, who have been identified as having low cancer screening rates. While Haitian immigrants have some of the lowest cancer screening rates in the country, there is little existing literature that addresses barriers to cancer screenings among the population of Little Haiti in Miami-Dade County, Florida...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28767964/-international-migration-health-and-work-an-analysis-of-haitians-in-mato-grosso-state-brazil
#6
Luís Henrique da Costa Leão, Ana Paula Muraro, Cássia Carraco Palos, Maria Angela C Martins, Fabiano Tonaco Borges
This article addresses the relations between immigration, health, and work in Haitian immigrants in Cuiabá and Várzea Grande, Mato Grosso State, Brazil, emphasizing their work conditions. This was an exploratory study based on primary data collected through a survey of the Haitian population in Cuiabá in 2014-2015. A total of 452 Haitians were interviewed, living in Cuiabá and Várzea Grande (373 men and 79 women), and the findings point to the precarious social situation of Haitian immigrants in Mato Grosso State, marked by high unemployment...
July 27, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28749774/assessment-of-risk-of-cholera-in-haiti-following-hurricane-matthew
#7
Rakib Khan, Rifat Anwar, Shafqat Akanda, Michael D McDonald, Anwar Huq, Antarpreet Jutla, Rita Colwell
Damage to the inferior and fragile water and sanitation infrastructure of Haiti after Hurricane Matthew has created an urgent public health emergency in terms of likelihood of cholera occurring in the human population. Using satellite-derived data on precipitation, gridded air temperature, and hurricane path and with information on water and sanitation (WASH) infrastructure, we tracked changing environmental conditions conducive for growth of pathogenic vibrios. Based on these data, we predicted and validated the likelihood of cholera cases occurring past hurricane...
July 24, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28742880/same-day-hiv-testing-with-initiation-of-antiretroviral-therapy-versus-standard-care-for-persons-living-with-hiv-a-randomized-unblinded-trial
#8
Serena P Koenig, Nancy Dorvil, Jessy G Dévieux, Bethany L Hedt-Gauthier, Cynthia Riviere, Mikerlyne Faustin, Kerlyne Lavoile, Christian Perodin, Alexandra Apollon, Limathe Duverger, Margaret L McNairy, Kelly A Hennessey, Ariadne Souroutzidis, Pierre-Yves Cremieux, Patrice Severe, Jean W Pape
BACKGROUND: Attrition during the period from HIV testing to antiretroviral therapy (ART) initiation is high worldwide. We assessed whether same-day HIV testing and ART initiation improves retention and virologic suppression. METHODS AND FINDINGS: We conducted an unblinded, randomized trial of standard ART initiation versus same-day HIV testing and ART initiation among eligible adults ≥18 years old with World Health Organization Stage 1 or 2 disease and CD4 count ≤500 cells/mm3...
July 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28737079/menstrual-education-and-personal-hygiene-supplies-to-empower-young-women-in-haiti
#9
Patricia Coker-Bolt, Annika Jansson, Sherridan Bigg, Elizabeth Hammond, Harmony Hudson, Sarah Hunkler, Jana Kitch, Heather Richardson, Erica Tiedemann, Janet O'Flynn, Marie Dominque Laurent
Recent studies report that Haitian women are concerned about unmet women's health issues. The Days for Girls (DfG) International program features women's health education and personal hygiene kits to ensure women understand the process of menstruation and sanitary hygiene practices. The aim was to train Haitian seamstresses to produce the DfG kits during an in-country workshop and investigate the perceived benefit of the DfG program in young women who used the DfG kits. Posttest only design was used to measure the effectiveness of DfG workshop and postsurvey to study perception of women using DfG kits...
July 1, 2017: OTJR: Occupation, Participation and Health
https://www.readbyqxmd.com/read/28722608/active-tuberculosis-case-finding-in-haiti
#10
Jack Masur, Serena P Koenig, Pierrot Julma, Oksana Ocheretina, Maria A Durán-Mendicuti, Daniel W Fitzgerald, Jean W Pape
In 2010, Haiti suffered from a devastating earthquake; data on the impact on the tuberculosis (TB) epidemic are limited. From January to June 2013, we conducted active case finding at the household level in a slum in Port-au-Prince. Community health workers identified individuals with cough ≥ 2 weeks, and referred them for evaluation. Contact tracing was conducted for patients with active TB. Of an estimated 7,500 residents screened, 394 (5%) had cough and were tested for TB. One hundred (25%) were diagnosed with active TB; 53 (53%) were smear positive...
May 30, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28722575/household-and-individual-risk-factors-for-cholera-among-cholera-vaccine-recipients-in-rural-haiti
#11
Wilfredo R Matias, Jessica E Teng, Isabelle J Hilaire, Jason B Harris, Molly F Franke, Louise C Ivers
Oral cholera vaccination was used as part of cholera control in Haiti, but the vaccine does not provide complete protection. We conducted secondary data analyses of a vaccine effectiveness study in Haiti to evaluate risk factors for cholera among cholera vaccine recipients. Individuals vaccinated against cholera that presented with acute watery diarrhea and had a stool sample positive for Vibrio cholerae O1 were included as cases. Up to four vaccinated individuals who did not present for treatment of diarrhea were included as controls for each case, and matched by location of residence, enrollment time, and age...
May 30, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28721935/prevalence-of-eye-disease-and-visual-impairment-in-%C3%A3-le-de-la-gonave-ha%C3%A3-ti
#12
B Tousignant, J Brûlé
Epidemiological data describing the prevalence of blindness and visual impairment in Haiti are sparse. The Haitian National Committee for the Prevention of Blindness (CNPC) estimates the prevalence of blindness at 1 %. Other regional data estimate moderate and severe visual impairment at 5% and 22%, respectively. IRIS Mundial (IM) is a non-governmental organization collaborating with the CNPC to develop eye care infrastructure in Haiti. To estimate the prevalence and causes of blindness and visual impairment on the Haitian island of Gonâve, to assist in planning of relevant eye care infrastructure...
July 19, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28719305/optimizing-household-chlorination-marketing-strategies-a-randomized-controlled-trial-on-the-effect-of-price-and-promotion-on-adoption-in-haiti
#13
RANDOMIZED CONTROLLED TRIAL
Michael Ritter, Eveline Camille, Christophe Velcine, Rose-Kerline Guillaume, Daniele Lantagne
Household water treatment can reduce diarrheal morbidity and mortality in developing countries, but adoption remains low and supply is often unreliable. To test effects of marketing strategies on consumers and suppliers, we randomized 1,798 households in rural Haiti and collected data on purchases of a household chlorination product for 4 months. Households received randomly selected prices ($0.11-$0.56 per chlorine bottle), and half received monthly visits from sales agents. Each $0.22 drop in price increased purchases by 0...
July 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28719253/cost-effectiveness-evaluation-of-a-novel-integrated-bite-case-management-program-for-the-control-of-human-rabies-haiti-2014-2015
#14
Eduardo A Undurraga, Martin I Meltzer, Cuc H Tran, Charisma Y Atkins, Melissa D Etheart, Max F Millien, Paul Adrien, Ryan M Wallace
AbstractHaiti has the highest burden of rabies in the Western hemisphere, with 130 estimated annual deaths. We present the cost-effectiveness evaluation of an integrated bite case management program combining community bite investigations and passive animal rabies surveillance, using a governmental perspective. The Haiti Animal Rabies Surveillance Program (HARSP) was first implemented in three communes of the West Department, Haiti. Our evaluation encompassed all individuals exposed to rabies in the study area (N = 2,289) in 2014-2015...
June 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28716274/head-ct-findings-at-a-public-hospital-in-rural-haiti
#15
Yannis K Valtis, Maggie F Cochran, Louine Martineau, Bregenet Lamour, Jeffrey B Mendel, Aaron L Berkowitz
BACKGROUND: Neuroimaging is often unavailable in low-income countries, creating challenges for precise diagnosis of neurologic disease in individual patients, and impeding acquisition of precise neuroepidemiologic data for program and policy development. METHODS: We analyzed reports from 3614 head CTs performed between July 2013 and January 2016 at Hôpital Universitaire de Mirebalais, a public academic hospital in rural Haiti, extracting patients' age, study indication, and radiologic findings...
August 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28695970/web-based-video-assessments-of-operative-performance-for-remote-telementoring
#16
Alexandra M Moore, Nicholas H Carter, Justin P Wagner, Charles J Filipi, David C Chen
INTRODUCTION: Performance-based feedback is critical to surgical skills acquisition. Barriers of geography and time limit trainees' access to expert mentorship. In this study, we hypothesized that telementoring using an asynchronous, web-based video interface would allow trainees to receive systematic feedback from expert mentors despite these barriers. MATERIALS AND METHODS: Between October 2014 and October 2016, 18 surgeons in Brazil, Dominican Republic, Haiti, and Paraguay underwent in-person training in Lichtenstein for hernioplasty or laparoscopic total extraperitoneal inguinal hernia repair...
July 11, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/28686521/experiences-of-pregnancy-complications-voices-from-central-haiti
#17
Marion Alex, Joanne Whitty-Rogers
No abstract text is available yet for this article.
July 7, 2017: Health Care for Women International
https://www.readbyqxmd.com/read/28685045/comprehensive-review-of-the-evidence-regarding-the-effectiveness-of-community-based-primary-health-care-in-improving-maternal-neonatal-and-child-health-7-shared-characteristics-of-projects-with-evidence-of-long-term-mortality-impact
#18
Henry B Perry, Bahie M Rassekh, Sundeep Gupta, Paul A Freeman
BACKGROUND: There is limited evidence about the long-term effectiveness of integrated community-based primary health care (CBPHC) in improving maternal, neonatal and child health. However, the interventions implemented and the approaches used by projects with such evidence can provide guidance for ending preventable child and maternal deaths by the year 2030. METHODS: A database of 700 assessments of the effectiveness of CBPHC in improving maternal, neonatal and child health has been assembled, as described elsewhere in this series...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28681141/epidemiology-of-traumatic-injuries-at-an-urban-hospital-in-port-au-prince-haiti
#19
Christopher Zuraik, John Sampalis
BACKGROUND: Traumatic injuries represent a major burden of disease worldwide. Haiti lacks statistics on the epidemiology of traumatic injuries, as there is no formal injury surveillance program. This study will assess the burden of traumatic injuries in an urban trauma center in the capital city of Port-au-Prince, Haiti. METHODS: A retrospective, cross-sectional chart review study at an urban trauma hospital was carried out for the period December 1, 2015, to January 31, 2016...
July 5, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28674316/vibrio-cholerae-o1-ogawa-strains-carrying-the-ctxb7-allele-caused-large-cholera-outbreak-during-2014-in-the-tribal-areas-of-odisha-india
#20
Bibhuti Bhusan Pal, Hemant Kumar Khuntia, Smruti Ranjan Nayak, Anima Mohanty, Bhagyalaxmi Biswal
The large outbreak of cholera reported during July to Sept, 2014 in Narla block of Kalahandi district was investigated to find out the causative organism. The rectal swabs collected from diarrhoea patients and environmental water samples were sub-cultured following standard techniques. The causative organism was V.cholerae O1 Ogawa biotype El Tor while DMAMA-PCR assay confirmed that all strains were ctxB7 of Haitian variants V.cholerae O1. The water samples were negative for V. cholerae .The V.cholerae O1 strains were sensitive to tetracycline, ciprofloxacin, norfloxacin, ofloxacin, doxycycline, azithromycin,; but were resistant to erythromycin, gentamicin, chloramphenicol, furazolidone, neomycine, cotrimoxazole, nalidixic acid and ampicilin...
July 1, 2017: Japanese Journal of Infectious Diseases
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