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https://www.readbyqxmd.com/read/29156400/-i-have-it-just-in-case-naloxone-access-and-changes-in-opioid-use-behaviours
#1
Sarah Cercone Heavey, Yu-Ping Chang, Bonnie M Vest, R Lorraine Collins, William Wieczorek, Gregory G Homish
BACKGROUND: The past decade has seen over a four-fold increase in deaths from opioid overdose in the United States. To address this growing epidemic, many localities initiated policies to expand access to naloxone (a drug that reverses the effects of opioids); however, little is known how naloxone access affects opioid use behaviours. METHODS: The present qualitative study used semi-structured, in-depth interviews with inpatients at a substance use treatment centre...
November 17, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29156248/the-symbolic-violence-of-outbreak-a-mixed-methods-quasi-experimental-impact-evaluation-of-social-protection-on-ebola-survivor-wellbeing
#2
Eugene T Richardson, J Daniel Kelly, Osman Sesay, Michael D Drasher, Ishaan K Desai, Raphael Frankfurter, Paul E Farmer, Mohamed Bailor Barrie
Despite over 28,000 reported cases of Ebola virus disease (EVD) in the 2013-16 outbreak in West Africa, we are only beginning to trace the complex biosocial processes that have promoted its spread. Important questions remain, including the effects on survivors of clinical sequelae, loss of family and livelihood, and other psychological and social trauma. Another poorly understood question is what effect social protection and job creation programs have had on survivors' wellbeing. Several clinical and social protection programs have been developed to respond to the needs of EVD survivors; however, little in the way of impact evaluation has taken place...
November 11, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29155827/the-asian-house-shrew-suncus-murinus-as-a-reservoir-and-source-of-human-outbreaks-of-plague-in-madagascar
#3
Soanandrasana Rahelinirina, Minoarisoa Rajerison, Sandra Telfer, Cyril Savin, Elisabeth Carniel, Jean-Marc Duplantier
Identifying key reservoirs for zoonoses is crucial for understanding variation in incidence. Plague re-emerged in Mahajanga, Madagascar in the 1990s but there has been no confirmed case since 1999. Here we combine ecological and genetic data, from during and after the epidemics, with experimental infections to examine the role of the shrew Suncus murinus in the plague epidemiological cycle. The predominance of S. murinus captures during the epidemics, their carriage of the flea vector and their infection with Yersinia pestis suggest they played an important role in the maintenance and transmission of plague...
November 20, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29155674/ebola-response-impact-on-public-health-programs-west-africa-2014-2017
#4
Barbara J Marston, E Kainne Dokubo, Amanda van Steelandt, Lise Martel, Desmond Williams, Sara Hersey, Amara Jambai, Sakoba Keita, Tolbert G Nyenswah, John T Redd
Events such as the 2014-2015 West Africa epidemic of Ebola virus disease highlight the importance of the capacity to detect and respond to public health threats. We describe capacity-building efforts during and after the Ebola epidemic in Liberia, Sierra Leone, and Guinea and public health progress that was made as a result of the Ebola response in 4 key areas: emergency response, laboratory capacity, surveillance, and workforce development. We further highlight ways in which capacity-building efforts such as those used in West Africa can be accelerated after a public health crisis to improve preparedness for future events...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155672/establishment-of-cdc-global-rapid-response-team-to-ensure-global-health-security
#5
Tasha Stehling-Ariza, Adrienne Lefevre, Dinorah Calles, Kpandja Djawe, Richard Garfield, Michael Gerber, Margherita Ghiselli, Coralie Giese, Ashley L Greiner, Adela Hoffman, Leigh Ann Miller, Lisa Moorhouse, Carlos Navarro-Colorado, James Walsh, Dante Bugli, Cyrus Shahpar
The 2014-2016 Ebola virus disease epidemic in West Africa highlighted challenges faced by the global response to a large public health emergency. Consequently, the US Centers for Disease Control and Prevention established the Global Rapid Response Team (GRRT) to strengthen emergency response capacity to global health threats, thereby ensuring global health security. Dedicated GRRT staff can be rapidly mobilized for extended missions, improving partner coordination and the continuity of response operations. A large, agencywide roster of surge staff enables rapid mobilization of qualified responders with wide-ranging experience and expertise...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155670/lessons-learned-from-emergency-response-vaccination-efforts-for-cholera-typhoid-yellow-fever-and-ebola
#6
Jenny A Walldorf, Kashmira A Date, Nandini Sreenivasan, Jennifer B Harris, Terri B Hyde
Countries must be prepared to respond to public health threats associated with emergencies, such as natural disasters, sociopolitical conflicts, or uncontrolled disease outbreaks. Rapid vaccination of populations vulnerable to epidemic-prone vaccine-preventable diseases is a major component of emergency response. Emergency vaccination planning presents challenges, including how to predict resource needs, expand vaccine availability during global shortages, and address regulatory barriers to deliver new products...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155667/use-of-a-diagonal-approach-to-health-system-strengthening-and-measles-elimination-after-a-large-nationwide-outbreak-in-mongolia
#7
José E Hagan, Ashley Greiner, Ulzii-Orshikh Luvsansharav, Jason Lake, Christopher Lee, Roberta Pastore, Yoshihiro Takashima, Amarzaya Sarankhuu, Sodbayar Demberelsuren, Rachel Smith, Benjamin Park, James L Goodson
Measles is a highly transmissible infectious disease that causes serious illness and death worldwide. Efforts to eliminate measles through achieving high immunization coverage, well-performing surveillance systems, and rapid and effective outbreak response mechanisms while strategically engaging and strengthening health systems have been termed a diagonal approach. In March 2015, a large nationwide measles epidemic occurred in Mongolia, 1 year after verification of measles elimination in this country. A multidisciplinary team conducted an outbreak investigation that included a broad health system assessment, organized around the Global Health Security Agenda framework of Prevent-Detect-Respond, to provide recommendations for evidence-based interventions to interrupt the epidemic and strengthen the overall health system to prevent future outbreaks of measles and other epidemic-prone infectious threats...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155665/cholera-mortality-during-urban-epidemic-dar-es-salaam-tanzania-august-16-2015-january-16-2016-1
#8
Lindsey S McCrickard, Amani Elibariki Massay, Rupa Narra, Janneth Mghamba, Ahmed Abade Mohamed, Rogath Saika Kishimba, Loveness John Urio, Neema Rusibayamila, Grace Magembe, Muhammud Bakari, James J Gibson, Rachel Barwick Eidex, Robert E Quick
In 2015, a cholera epidemic occurred in Tanzania; most cases and deaths occurred in Dar es Salaam early in the outbreak. We evaluated cholera mortality through passive surveillance, burial permits, and interviews conducted with decedents' caretakers. Active case finding identified 101 suspected cholera deaths. Routine surveillance had captured only 48 (48%) of all cholera deaths, and burial permit assessments captured the remainder. We interviewed caregivers of 56 decedents to assess cholera management behaviors...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155660/real-time-surveillance-in-emergencies-using-the-early-warning-alert-and-response-network
#9
Kristina M Cordes, Susan T Cookson, Andrew T Boyd, Colleen Hardy, Mamunur Rahman Malik, Peter Mala, Khalid El Tahir, Marthe Everard, Mohamad Jasiem, Farah Husain
Humanitarian emergencies often result in population displacement and increase the risk for transmission of communicable diseases. To address the increased risk for outbreaks during humanitarian emergencies, the World Health Organization developed the Early Warning Alert and Response Network (EWARN) for early detection of epidemic-prone diseases. The US Centers for Disease Control and Prevention has worked with the World Health Organization, ministries of health, and other partners to support EWARN through the implementation and evaluation of these systems and the development of standardized guidance...
November 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155659/us-federal-travel-restrictions-for-persons-with-higher-risk-exposures-to-communicable-diseases-of-public-health-concern
#10
Laura A Vonnahme, M Robynne Jungerman, Reena K Gulati, Petra Illig, Francisco Alvarado-Ramy
Published guidance recommends controlled movement for persons with higher-risk exposures (HREs) to communicable diseases of public health concern; US federal public health travel restrictions (PHTRs) might be implemented to enforce these measures. We describe persons eligible for and placed on PHTRs because of HREs during 2014-2016. There were 160 persons placed on PHTRs: 142 (89%) involved exposure to Ebola virus, 16 (10%) to Lassa fever virus, and 2 (1%) to Middle East respiratory syndrome coronavirus. Most (90%) HREs were related to an epidemic...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155657/frontline-field-epidemiology-training-programs-as-a-strategy-to-improve-disease-surveillance-and-response
#11
A McKenzie André, Augusto Lopez, Samantha Perkins, Stephanie Lambert, Lesley Chace, Nestor Noudeke, Aissatou Fall, Biagio Pedalino
Since 1980, Field Epidemiology Training Programs (FETPs) have trained highly qualified field epidemiologists to work for ministries of health (MOH) around the world. However, the 2013-2015 Ebola epidemic in West Africa, which primarily affected Guinea, Liberia, and Sierra Leone, demonstrated a lack of field epidemiologists at the local levels. Trained epidemiologists at these levels could have detected the Ebola outbreak earlier. In 2015, the US Centers for Disease Control and Prevention (CDC) launched FETP-Frontline, a 3-month field training program targeting local MOH staff in 24 countries to augment local public health capacity...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155654/surveillance-training-for-ebola-preparedness-in-c%C3%A3-te-d-ivoire-guinea-bissau-senegal-and-mali
#12
Victor M Cáceres, Sekou Sidibe, McKenzie Andre, Denise Traicoff, Stephanie Lambert, Melanie King, Ditu Kazambu, Augusto Lopez, Biagio Pedalino, Dionisio J Herrera Guibert, Peter Wassawa, Placido Cardoso, Bernard Assi, Alioune Ly, Bouyagui Traore, Frederick J Angulo, Linda Quick
The 2014-2015 epidemic of Ebola virus disease in West Africa primarily affected Guinea, Liberia, and Sierra Leone. Several countries, including Mali, Nigeria, and Senegal, experienced Ebola importations. Realizing the importance of a trained field epidemiology workforce in neighboring countries to respond to Ebola importations, the Centers for Disease Control and Prevention Field Epidemiology Training Program unit implemented the Surveillance Training for Ebola Preparedness (STEP) initiative. STEP was a mentored, competency-based initiative to rapidly build up surveillance capacity along the borders of the at-risk neighboring countries Côte d'Ivoire, Mali, Senegal, and Guinea-Bissau...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155649/sustainable-model-for-public-health-emergency-operations-centers-for-global-settings
#13
S Arunmozhi Balajee, Omer G Pasi, Alain Georges M Etoundi, Peter Rzeszotarski, Trang T Do, Ian Hennessee, Sharifa Merali, Karen A Alroy, Tran Dac Phu, Anthony W Mounts
Capacity to receive, verify, analyze, assess, and investigate public health events is essential for epidemic intelligence. Public health Emergency Operations Centers (PHEOCs) can be epidemic intelligence hubs by 1) having the capacity to receive, analyze, and visualize multiple data streams, including surveillance and 2) maintaining a trained workforce that can analyze and interpret data from real-time emerging events. Such PHEOCs could be physically located within a ministry of health epidemiology, surveillance, or equivalent department rather than exist as a stand-alone space and serve as operational hubs during nonoutbreak times but in emergencies can scale up according to the traditional Incident Command System structure...
October 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29155498/global-impact-of-nephropathies
#14
REVIEW
Philip Kam-Tao Li, Terry King-Wing Ma
The global burden of chronic kidney disease (CKD) has increased substantially in recent years, partly attributed to the global epidemic of diabetes mellitus. In many countries including China, glomerulonephritis was the most common cause of end stage renal disease (ESRD). The mortality rate of dialysis patients can be as high as patients with colon, breast and prostate cancers. CKD has important socio-economic impact on the healthcare system and society. Increasing awareness and early detection of CKD cannot be overemphasized...
December 2017: Nephrology
https://www.readbyqxmd.com/read/29155133/seirs-epidemics-with-disease-fatalities-in-growing-populations
#15
REVIEW
Tom Britton, Désiré Ouédraogo
An SEIRS epidemic with disease fatalities is introduced in a growing population (modelled as a super-critical linear birth and death process). The study of the initial phase of the epidemic is stochastic, while the analysis of the major outbreaks is deterministic. Depending on the values of the parameters, the following scenarios are possible. i) The disease dies out quickly, only infecting few; ii) the epidemic takes off, the number of infected individuals grows exponentially, but the fraction of infected individuals remains negligible; iii) the epidemic takes off, the number of infected grows initially quicker than the population, the disease fatalities diminish the growth rate of the population, but it remains super critical, and the fraction of infected go to an endemic equilibrium; iv) the epidemic takes off, the number of infected individuals grows initially quicker than the population, the diseases fatalities turn the exponential growth of the population to an exponential decay...
November 16, 2017: Mathematical Biosciences
https://www.readbyqxmd.com/read/29154748/cdc-safety-training-course-for-ebola-virus-disease-healthcare-workers
#16
Rupa Narra, Jeremy Sobel, Catherine Piper, Deborah Gould, Nahid Bhadelia, Mary Dott, Anthony Fiore, William A Fischer, Mary Jo Frawley, Patricia M Griffin, Douglas Hamilton, Barbara Mahon, Satish K Pillai, Emily F Veltus, Robert Tauxe, Michael Jhung
Response to sudden epidemic infectious disease emergencies can demand intensive and specialized training, as demonstrated in 2014 when Ebola virus disease (EVD) rapidly spread throughout West Africa. The medical community quickly became overwhelmed because of limited staff, supplies, and Ebola treatment units (ETUs). Because a mechanism to rapidly increase trained healthcare workers was needed, the US Centers for Disease Control and Prevention developed and implemented an introductory EVD safety training course to prepare US healthcare workers to work in West Africa ETUs...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29154393/using-participatory-system-dynamics-modeling-to-examine-the-local-hiv-test-and-treatment-care-continuum-in-order-to-reduce-community-viral-load
#17
Margaret R Weeks, Jianghong Li, David Lounsbury, Helena Danielle Green, Maryann Abbott, Marcie Berman, Lucy Rohena, Rosely Gonzalez, Shawn Lang, Heather Mosher
Achieving community-level goals to eliminate the HIV epidemic requires coordinated efforts through community consortia with a common purpose to examine and critique their own HIV testing and treatment (T&T) care system and build effective tools to guide their efforts to improve it. Participatory system dynamics (SD) modeling offers conceptual, methodological, and analytical tools to engage diverse stakeholders in systems conceptualization and visual mapping of dynamics that undermine community-level health outcomes and identify those that can be leveraged for systems improvement...
November 20, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29154369/hepatitis-e-virus-infection
#18
REVIEW
Nassim Kamar, Jacques Izopet, Nicole Pavio, Rakesh Aggarwal, Alain Labrique, Heiner Wedemeyer, Harry R Dalton
Hepatitis E virus (HEV) infection can lead to acute and chronic hepatitis as well as to extrahepatic manifestations such as neurological and renal disease; it is the most common cause of acute viral hepatitis worldwide. Four genotypes are responsible for most infection in humans, of which HEV genotypes 1 and 2 are obligate human pathogens and HEV genotypes 3 and 4 are mostly zoonotic. Until quite recently, HEV was considered to be mainly responsible for epidemics of acute hepatitis in developing regions owing to contamination of drinking water supplies with human faeces...
November 16, 2017: Nature Reviews. Disease Primers
https://www.readbyqxmd.com/read/29153921/zika-virus-epidemic-in-puerto-rico-health-justice-too-long-delayed
#19
Carlos E Rodríguez-Díaz, Adriana Garriga-López, Souhail M Malavé-Rivera, Ricardo L Vargas-Molina
Over the course of 16 months, more than 35400 cases of Zika virus infection have been confirmed in Puerto Rico. This represents 85% of all cases reported in the USA and its territories. The Zika epidemic is exposing the profound failure of socioeconomic policies, as well as the failure to protect sexual and reproductive health rights in Puerto Rico. Considering the high poverty rates, high levels of sexuality-related stigma, poor quality sex education, limited access to contraception, and limited participation in the allocation of resources for prevention, it is unreasonable to focus public health efforts to prevent Zika virus infection on vector control...
November 15, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29153585/identify-the-susceptibility-profile-to-measles-in-the-general-population-serological-survey-of-measles-antibodies-in-shaanxi-province-china-in-2016
#20
Lin Pei, Yuxuan Yang, Xiaodan Zhao, Shaobai Zhang, Lingyun Yuan, Yamei Liu, Yan Yu
The reported coverage with two doses of the measles vaccine (MCV) in Shaanxi Province, China, is greater than 95%, but the measles incidence over the whole province remains high. Cross-sectional serological surveys of measles antibodies in Shaanxi Province were conducted in 2016 to assess the population's immunity. The measles IgG levels were measured in serum samples using ELISA. The geometric means concentration (GMC) levels and seroprevalence rates with 95% CIs were calculated by region, gender, and age...
November 15, 2017: Vaccine
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