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https://www.readbyqxmd.com/read/28813542/the-african-cholera-surveillance-network-africhol-consortium-meeting-10-11-june-2015-lom%C3%A3-togo
#1
Aline Munier, Berthe-Marie Njanpop-Lafourcade, Delphine Sauvageot, Raymond B Mhlanga, Léonard Heyerdahl, Johara Nadri, Richard Wood, Issaka Ouedraogo, Alexandre Blake, Laurent Akilimali Mukelenge, Jean-Claude B Anné, Abiba Banla Kere, Lucienne Dempouo, Sakoba Keita, José P M Langa, Issa Makumbi, Elibariki R Mwakapeje, Ian J Njeru, Olubunmi E Ojo, Isaac Phiri, Lorenzo Pezzoli, Bradford D Gessner, Martin Mengel
The fifth annual meeting of the African cholera surveillance network (Africhol) took place on 10-11 June 2015 in Lomé, Togo. Together with international partners, representatives from the 11 member countries -Cameroon, Côte d'Ivoire, Democratic Republic of Congo, Guinea, Kenya, Mozambique, Nigeria, Tanzania, Togo, Uganda, Zimbabwe- and an invited country (Malawi) shared their experience. The meeting featured three sessions: i) cholera surveillance, prevention and control in participating countries, ii) cholera surveillance methodology, such as cholera mapping, cost-effectiveness studies and the issue of overlapping epidemics from different diseases, iii) cholera laboratory diagnostics tools and capacity building...
2017: BMC Proceedings
https://www.readbyqxmd.com/read/28810670/journey-towards-universal-viral-load-monitoring-in-maputo-mozambique-many-gaps-but-encouraging-signs
#2
Sarah Swannet, Tom Decroo, Sheila M T L de Castro, Caroline Rose, Ruggero Giuliani, Lucas Molfino, Ana W Torrens, Walter S E D Macueia, Sharon Perry, Tony Reid
Introduction: Viral load (VL) monitoring for people on antiretroviral therapy (ART) is extremely challenging in resource-limited settings. We assessed the VL testing scale-up in six Médecins Sans Frontières supported health centres in Maputo, Mozambique, during 2014-15. Methods: In a retrospective cohort study, routine programme data were used to describe VL testing uptake and results, and multi-variate logistical regression to estimate predictors of VL testing uptake and suppression...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28810665/determinants-of-full-vaccination-status-in-children-aged-12-23-months-in-gur%C3%A3-%C3%A3-and-milange-districts-mozambique-results-of-a-population-based-cross-sectional-survey
#3
Shellese A Shemwell, Meridith B Peratikos, Lázaro González-Calvo, Montse Renom-Llonch, Alexandre Boon, Samuel Martinho, Charlotte B Cherry, Ann F Green, Troy D Moon
Background: In 2011, 64% of children in Mozambique, ages 12-23 months, were fully immunized. Large provincial differences in vaccine uptake exist. Methods: We conducted a survey of 1650 females with children aged 12-23 months in the districts of Gurùé and Milange. Implementation occurred from November to December 2014. Descriptive statistics and logistic regression using R-software 3.0.2 were used to examine factors associated with full vaccination status. ArcGIS version 10...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28808319/ip-10-levels-as-an-accurate-screening-tool-to-detect-acute-hiv-infection-in-resource-limited-settings
#4
Lucía Pastor, Aina Casellas, Jorge Carrillo, Sergi Alonso, Erica Parker, Laura Fuente-Soro, Chenjerai Jairoce, Inacio Mandomando, Julià Blanco, Denise Naniche
Acute HIV infection (AHI) is the period prior to seroconversion characterized by high viral replication, hyper-transmission potential and commonly, non-specific febrile illness. AHI detection requires HIV-RNA viral load (VL) determination, which has very limited access in low-income countries due to restrictive costs and implementation constraints. We sought to identify a biomarker that could enable AHI diagnosis in scarce-resource settings, and to evaluate the feasibility of its implementation. HIV-seronegative adults presenting at the Manhiça District Hospital, Mozambique, with reported-fever were tested for VL...
August 14, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28801427/effect-of-community-art-groups-on-retention-in-care-among-patients-on-art-in-tete-province-mozambique-a-cohort-study
#5
Tom Decroo, Barbara Telfer, Carla Das Dores, Richard A White, Natacha Dos Santos, Alec Mkwamba, Sergio Dezembro, Mariano Joffrisse, Tom Ellman, Carol Metcalf
OBJECTIVES: Estimate the effect of participation in Community ART Groups (CAG) versus individual care on retention-in-care (RIC) on antiretroviral therapy (ART). DESIGN: Retrospective cohort study. SETTING: High levels of attrition (death or loss-to-follow-up (LTFU) combined) on ART indicate that delivery models need to adapt in sub-Saharan Africa. In 2008, patients more than 6 months on ART began forming CAG, and took turns to collect ART refills at the health facility, in Tete Province, Mozambique,...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28799776/mycotoxin-contamination-of-foods-in-southern-africa-a-10-year-review-2007-2016
#6
J M Misihairabgwi, C N Ezekiel, M Sulyok, G S Shephard, R Krska
Major staple foods in Southern Africa are prone to mycotoxin contamination, posing health risks to consumers and consequent economic losses. Regional climatic zones favor the growth of one or more main mycotoxin producing fungi, Aspergillus, Fusarium and Penicillium. Aflatoxin contamination is mainly reported in maize, peanuts and their products, fumonisin contamination in maize and maize products and patulin in apple juice. Lack of awareness of occurrence and risks of mycotoxins, poor agricultural practices and undiversified diets predispose populations to dietary mycotoxin exposure...
August 11, 2017: Critical Reviews in Food Science and Nutrition
https://www.readbyqxmd.com/read/28795611/the-relationship-of-repeated-technical-assistance-support-visits-to-the-delivery-of-positive-health-dignity-and-prevention-phdp-messages-by-healthcare-providers-in-mozambique-a-longitudinal-multilevel-analysis
#7
Sarah A Gutin, K Rivet Amico, Elsa Hunguana, António Orlando Munguambe, Carol Dawson Rose
BACKGROUND: Positive health, dignity, and prevention (PHDP) is Mozambique's strategy to engage clinicians in the delivery of prevention messages to their HIV-positive clients. This national implementation strategy uses provider trainings on offering key messages and focuses on intervening on 9 evidence-based risk reduction areas. We investigated the impact of longitudinal technical assistance (TA) as an addition to this basic training. METHODS: We followed 153 healthcare providers in 5 Mozambican provinces over 6 months to evaluate the impact of on-site, observation-based TA on PHDP implementation...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28794413/chemical-diplomacy-in-male-tilapia-urinary-signal-increases-sex-hormone-and-decreases-aggression
#8
João L Saraiva, Tina Keller-Costa, Peter C Hubbard, Ana Rato, Adelino V M Canário
Androgens, namely 11-ketotestosterone (11KT), have a central role in male fish reproductive physiology and are thought to be involved in both aggression and social signalling. Aggressive encounters occur frequently in social species, and fights may cause energy depletion, injury and loss of social status. Signalling for social dominance and fighting ability in an agonistic context can minimize these costs. Here, we test the hypothesis of a 'chemical diplomacy' mechanism through urinary signals that avoids aggression and evokes an androgen response in receiver males of Mozambique tilapia (Oreochromis mossambicus)...
August 9, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28793074/sustainability-of-arv-provision-in-developing-countries-challenging-a-framework-based-on-program-history
#9
Thiago Botelho Azeredo, Maria Auxiliadora Oliveira, Cláudia Du Bocage Santos-Pinto, Elaine Silva Miranda, Claudia Garcia Serpa Osorio-de-Castro
The provision of ARVs is central to HIV/AIDS programs, because of its impact on the course of the disease and on quality of life. Although first-line treatments costs have declined, treatment-associated expenses are steeper each year. Sustainability is therefore an important variable for the success of treatment programs. A conceptual framework on sustainability of ARV provision was developed, followed by data collection instruments. The pilot study was undertaken in Brazil. Bolivia, Peru and Mozambique, were visited...
August 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28792540/antibiotics-resistance-in-el-tor-vibrio-cholerae-01-isolated-during-cholera-outbreaks-in-mozambique-from-2012-to-2015
#10
Liliana Candida Dengo-Baloi, Cynthia Amino Semá-Baltazar, Lena Vania Manhique, Jucunu Elias Chitio, Dorteia Luísa Inguane, José Paulo Langa
RATIONALE: Mozambique has recorded cyclically epidemic outbreaks of cholera. Antibiotic therapy is recommended in specific situations for management and control of cholera outbreaks. However, an increase in resistance rates to antibiotics by Vibrio cholerae has been reported in several epidemic outbreaks worldwide. On the other hand, there are few recent records of continuous surveillance of antibiotics susceptibility pattern of V. cholerae in Mozambique. GOALS: The purpose of this study was to evaluate antibiotics resistance pattern of Vibrio cholerae O1 Ogawa isolated during Cholera outbreaks in Mozambique to commonly used antibiotics...
2017: PloS One
https://www.readbyqxmd.com/read/28792502/harmonization-of-community-health-worker-programs-for-hiv-a-four-country-qualitative-study-in-southern-africa
#11
Jan-Walter De Neve, Henri Garrison-Desany, Kathryn G Andrews, Nour Sharara, Chantelle Boudreaux, Roopan Gill, Pascal Geldsetzer, Maria Vaikath, Till Bärnighausen, Thomas J Bossert
BACKGROUND: Community health worker (CHW) programs are believed to be poorly coordinated, poorly integrated into national health systems, and lacking long-term support. Duplication of services, fragmentation, and resource limitations may have impeded the potential impact of CHWs for achieving HIV goals. This study assesses mediators of a more harmonized approach to implementing large-scale CHW programs for HIV in the context of complex health systems and multiple donors. METHODS AND FINDINGS: We undertook four country case studies in Lesotho, Mozambique, South Africa, and Swaziland between August 2015 and May 2016...
August 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28782604/first-serological-evidence-of-crimean-congo-haemorrhagic-fever-in-febrile-patients-in-mozambique
#12
Argentina Felisbela Muianga, Robert Watson, Anitha Varghese, Inocencio Salvador Chongo, Sadia Ali, Vanessa Monteiro, Flora Inalda, Imelda Chelene, Virgilio António, Roger Hewson, Eduardo Samo Gudo
OBJECTIVE: Despite its geographical spread, the epidemiology of Crimean-Congo haemorrhagic fever (CCHF) in Sub-Saharan Africa is incompletely understood and its occurrence in Mozambique is unknown. This study was conducted with the aim of investigating the occurrence of CCHF virus (CCHFV) among febrile patients attending an outpatient appointment clinic at three separate primary health care centres in Mozambique. METHODS: Serum samples were collected from a total of 300 febrile patients aged >5 years who were recruited between March 2015 and March 2016 at three health centres in Mozambique...
August 3, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/28777264/feasibility-acceptability-and-adherence-with-short-term-hiv-pre-exposure-prophylaxis-in-female-sexual-partners-of-migrant-miners-in-mozambique
#13
Maria Lahuerta, Allison Zerbe, Rachel Baggaley, Joana Falcao, Laurence Ahoua, Pietro DiMattei, Fernando Morales, Isaias Ramiro, Wafaa M El-Sadr
BACKGROUND: Pre-exposure prophylaxis (PrEP) offers protection from HIV acquisition if taken as prescribed. We evaluated the feasibility, acceptability and adherence with short-term PrEP among female sexual partners of migrant miners in Mozambique. METHODS: HIV-negative female sexual partners of migrant miners were offered daily tenofovir/emtricitabine (TDF/FTC) for 6 weeks concurrent with miners' return home. Study visits occurred at baseline, Week 4, 6 and 8. Dried blood spots (DBS) were collected at Week 4 and 6...
August 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28777263/a-stepped-wedge-cluster-randomized-controlled-trial-to-promote-option-b-retention-in-central-mozambique
#14
James T Pfeiffer, Manuel Napúa, Bradley H Wagenaar, Falume Chale, Roxanne Hoek, Mark Micek, Joao Manuel, Cathy Michel, Jessica Greenberg Cowan, James F Cowan, Sarah Gimbel, Kenneth Sherr, Stephen Gloyd, Rachel R Chapman
BACKGROUND: This randomized trial studied performance of Option B+ in Mozambique, and evaluated an enhanced retention package in public clinics. SETTING: The study was conducted at 6 clinics in Manica and Sofala Provinces in central Mozambique. METHODS: 761 pregnant women tested HIV+, immediately initiated ART, and were followed to track retention at 6 clinics from May 2014 - May 2015. Clinics were randomly allocated within a stepped-wedge fashion to intervention and control periods...
July 31, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28775390/isolation-characterization-and-selection-of-indigenous-bradyrhizobium-strains-with-outstanding-symbiotic-performance-to-increase-soybean-yields-in-mozambique
#15
Amaral Machaculeha Chibeba, Stephen Kyei-Boahen, Maria de Fátima Guimarães, Marco Antonio Nogueira, Mariangela Hungria
Soybean inoculation with effective rhizobial strains makes unnecessary the use of N-fertilizers in the tropics. A frequently reported problem is the failure of the inoculant strains to overcome the competition imposed by indigenous rhizobial populations. The screening of indigenous rhizobia, already adapted to local conditions, searching for highly effective strains for use as inoculants represents a promising strategy in overcoming inoculation failure. The objective of this study was to isolate and characterize indigenous rhizobia and to identify strains that hold potential to be included in inoculant formulations for soybean production, with both promiscuous and non-promiscuous soybean cultivars, in Mozambican agro-climatic conditions...
August 1, 2017: Agriculture, Ecosystems & Environment
https://www.readbyqxmd.com/read/28774694/improvement-of-fungal-disease-identification-and-management-combined-health-systems-and-public-health-approaches
#16
REVIEW
Donald C Cole, Nelesh P Govender, Arunaloke Chakrabarti, Jahit Sacarlal, David W Denning
More than 1·6 million people are estimated to die of fungal diseases each year, and about a billion people have cutaneous fungal infections. Fungal disease diagnosis requires a high level of clinical suspicion and specialised laboratory testing, in addition to culture, histopathology, and imaging expertise. Physicians with varied specialist training might see patients with fungal disease, yet it might remain unrecognised. Antifungal treatment is more complex than treatment for bacterial or most viral infections, and drug interactions are particularly problematic...
July 31, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28771193/urinary-sodium-and-potassium-excretion-and-dietary-sources-of-sodium-in-maputo-mozambique
#17
Ana Queiroz, Albertino Damasceno, Neusa Jessen, Célia Novela, Pedro Moreira, Nuno Lunet, Patrícia Padrão
This study aimed to evaluate the urinary excretion of sodium and potassium, and to estimate the main food sources of sodium in Maputo dwellers. A cross-sectional evaluation of a sample of 100 hospital workers was conducted between October 2012 and May 2013. Sodium and potassium urinary excretion was assessed in a 24-h urine sample; creatinine excretion was used to exclude unlikely urine values. Food intake in the same period of urine collection was assessed using a 24-h dietary recall. The Food Processor Plus(®) was used to estimate sodium intake corresponding to naturally occurring sodium and sodium added to processed foods (non-discretionary sodium)...
August 3, 2017: Nutrients
https://www.readbyqxmd.com/read/28771092/advancing-nursing-scholarship-the-mozambique-model
#18
Judith C Bruce, Joan Dippenaar, Shelley Schmollgruber, David D Mphuthi, Agnes Huiskamp
BACKGROUND: Despite the importance of Human Resources for Health for the development and functioning of health systems worldwide, many countries continue to be plagued by poor health systems and a lack of adequate health care. Health systems failures may be attributed to both quantitative and qualitative nursing shortages including the lack of advanced skills to lead health initiatives, to conduct research and to educate other nurses. The response by development partners is usually framed around the production of skilled nurses through the processes of up-skilling and scaling-up...
2017: Global Health Action
https://www.readbyqxmd.com/read/28766846/managing-conflicts-between-economic-activities-and-threatened-migratory-marine-species-toward-creating-a-multiobjective-blue-economy
#19
Linda R Harris, Ronel Nel, Herman Oosthuizen, Mike Meyer, Deon Kotze, Darrell Anders, Steven McCue, Santosh Bachoo
Harnessing the economic potential of the oceans is key to combating poverty, enhancing food security, and strengthening economies. But the concomitant risk of intensified resource extraction to migratory species is worrying given that these species contribute to important ecological processes, often underpin alternatively livelihoods, and many are already threatened. We thus sought to quantify the potential conflict between key economic activities (five fisheries and hydrocarbon exploitation) and sea turtle migration corridors in a region with rapid economic development: Southern and East Africa...
August 2, 2017: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/28761787/a-mutualism-without-honeydew-what-benefits-for-melissotarsus-emeryi-ants-and-armored-scale-insects-diaspididae
#20
Christian Peeters, Imre Foldi, Danièle Matile-Ferrero, Brian L Fisher
Mutualisms between ants and sap-sucking insects generally involve clear benefits for both partners: the ants provide protection in exchange for honeydew. However, a single ant genus associates with armoured scale insects (Diaspididae) that do not excrete honeydew. We studied three colonies of Melissotarsus emeryi ants from two localities in Mozambique. Vast numbers of the diaspidid Morganella conspicua occupied galleries dug by the ants under the bark of living trees. Unlike free-living M. conspicua and other diaspidids, M...
2017: PeerJ
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