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Imported viremic dengue case in a southeastern European country: Established Aedes mosquitoes warrant urgent surveillance. 欧洲东南部某国出现登革热输入性病毒血症病例:已确定的伊蚊需要紧急监测。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/JVBD.JVBD_9_24
Kostadin Poposki, Zaklina Shopova, Arlinda Osmani Loga, Dejan Jakimovski, Mile Bosilkovski
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引用次数: 0
Dry LAMP: A point of care diagnostics for diagnosis of bovine tropical theileriosis. 干式LAMP:用于诊断牛热带细小病毒病的护理点诊断法。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/0972-9062.392261
Sindhoora Divakar, H Dhanalakshmi, N Sandeep, Shrikrishna Isloor, R Rashmi, K J Ananda, Manjunatha Reddy

Background objectives: Theileriosis is an important tick-bome hemoprotozoan disease of cattle which causes severe economic loss due to morbidity and mortality. A diagnostic test having high sensitivity, specificity and easy application at the field level is the need of the hour. In this regard Loop-mediated isothermal amplification (LAMP) is proven to be a sensitive, easy and time efficient method. One of the major obstacles for the application of LAMP is the difficulty in maintaining the cold chain to preserve reagents. Thus, the challenge is to develop a LAMP kit in a ready-to-use format with dried reagents useful for quick and simple application in field conditions.

Methods: The optimized reaction of wet LAMP was followed for the standardization of dry LAMP with certain modifications which are needful. The major modification is vitrification technology of enzyme using trehalose.

Results: LAMP assay (dry and wet LAMP) was found to be more sensitive (100%) when compared to microscopy (69.5%) and PCR (86.9%). It was observed that the dry LAMP reaction tubes at room temperature as well as refrigeration temperature provided successful amplification till 7 weeks.

Interpretation conclusion: The drying conditions of LAMP reagents were optimized, and finally managed to dry them in a single reaction tube without reducing the sensitivity. This technology enables us to transport LAMP kits to areas where the cold chain is not easily available.

背景目标:牛线虫病是牛的一种重要的蜱虫血吸虫病,由于发病率和死亡率高,造成了严重的经济损失。目前需要一种灵敏度高、特异性强且易于现场应用的诊断检测方法。在这方面,环路介导等温扩增法(LAMP)被证明是一种灵敏、简便、省时的方法。应用 LAMP 的主要障碍之一是难以保持冷链以保存试剂。因此,我们面临的挑战是开发一种即用型 LAMP 试剂盒,其中的干燥试剂可在野外条件下快速、简单地使用:方法:按照湿式 LAMP 的优化反应,对干式 LAMP 进行标准化,并做了一些必要的修改。方法:按照优化的湿式 LAMP 反应,对干式 LAMP 进行了必要的改进,主要改进是使用树胶糖对酶进行玻璃化处理:与显微镜法(69.5%)和 PCR 法(86.9%)相比,LAMP 法(干法和湿法 LAMP)的灵敏度更高(100%)。据观察,室温和冷藏温度下的干LAMP反应管可成功扩增至7周:对 LAMP 试剂的干燥条件进行了优化,最终成功地在不降低灵敏度的情况下在单个反应管中进行了干燥。这项技术使我们能够将 LAMP 试剂盒运送到不易获得冷链的地区。
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引用次数: 0
Molecular docking of daunorubicin and etoposide drugs against Leishmania donovani : A theoretical study. 多柔比星和依托泊苷抗利什曼原虫药物的分子对接:一项理论研究。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/JVBD.JVBD_174_23
Afnan Mohammed Shakoori, Fatemah Alhakami, Ghadir Sindi, Areej Yahya Alyahyawi, Rasha Abdullah Alhazzaa

Background objectives: The human blood parasite Leishmania donovani causes visceral leishmaniasis or grayish discoloration of the skin (black fever/kala-azar). Antitumor drugs such as daunorubicin and etoposide can help to treat such diseases. The computational approach is used to find a better interaction of drugs with the active site of the protein and help to design new drugs.

Methods: In this study, we have optimized two antitumor drugs, daunorubicin and etoposide. We studied frontier molecular orbitals, electrostatic potential (MEP) maps, and the natural bond order analysis of these anticancer drugs, followed by molecular docking with Leishmania donovani protein.

Results: The three-dimensional structure of MapK from Leishmania donovani is LDBPK-331470. Our computational calculations reveal that daunorubicin and etoposide drugs can have an affinity with MapK from Leishmania donovani .

Interpretation conclusion: Our study predicted that both daunorubicin and etoposide could have a similar affinity with the protein (UvrD) Leishmania donovani .

背景目标:人类血液寄生虫利什曼原虫(Leishmania donovani)会引起内脏利什曼病或皮肤灰白色变色(黑热病/卡拉扎尔病)。多柔比星和依托泊苷等抗肿瘤药物有助于治疗此类疾病。计算方法可用于寻找药物与蛋白质活性位点之间更好的相互作用,并有助于设计新药:在这项研究中,我们对两种抗肿瘤药物达乌鲁比星和依托泊苷进行了优化。我们还研究了这些抗癌药物的前沿分子轨道、静电位(MEP)图和自然键序分析,然后与利什曼原虫蛋白进行了分子对接:唐氏利什曼病蛋白 MapK 的晶体结构为 LDBPK-331470。我们的计算结果揭示了daunorubicin和etoposide药物能与唐氏利什曼原虫蛋白产生亲和力:我们的研究预测,daunorubicin 和 etoposide 都能与多诺万利什曼原虫蛋白(UvrD)具有相似的亲和力。
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引用次数: 0
The correspondence between the physiological cold tolerance and the distribution border of Mediterranean sandflies in Southeast Europe. 东南欧地中海沙蝇生理耐寒性与分布边界的对应关系。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/JVBD.JVBD_63_22
A J Trájer

Background objectives: The distribution of sandflies is influenced by several climatic factors, like winter temperature limits, summer humidity, and drought. Only a few studies were performed to search for the connection between the physiological tolerance of sandflies and the result of the Climate Envelope Models projected distribution borders.

Methods: It was studied how the depth of rodent burrows could determine the occurrence of five European Phlebotomus species based on their known physiological cold tolerances.

Results: The modelled distributions based on the monthly minimum temperatures showed notable differences by soil depth and species. The observed and modelled European distribution areas of sandflies according to - 20 cm soil depth showed good coincidence with the observed occurrences of Phlebotomus neglectus , Ph. papatasi , and Ph. perfiliewi in East-Central, Southeast, and East Europe. Also, a good coincidence was found in the case of the modelled and observed occurrences of Phlebotomus perniciosus in Western Europe.

Interpretation conclusion: It can be concluded that in their north-eastern distribution borders, sandflies can overwinter in rabbit and rodent burrows at depths of - 20 cm below the surface. The physical cold tolerance of Ph. ariasi could be underestimated. In more than - 50 cm of depth, the stable and continuously cold environment of the shelters (mean temperature less than 10°C) could inhibit the post-winter diapause activation of sandflies in the northern regions.

背景目标:沙蝇的分布受多种气候因素的影响,如冬季温度极限、夏季湿度和干旱。只有少数研究是为了寻找沙蝇的生理耐受性与气候包络模式预测分布边界结果之间的联系:方法:研究了啮齿动物洞穴的深度如何根据已知的生理耐寒能力决定欧洲五种沙蝇的出现:结果:根据月最低气温模拟的分布区因土壤深度和物种的不同而存在明显差异。根据-20厘米土壤深度观测到的沙蝇分布区和模拟的欧洲分布区与观测到的Phlebotomus neglectus、Ph. papatasi和Ph. perfiliewi在中东欧、东南欧和东欧的分布区非常吻合。此外,在西欧,Phlebotomus perniciosus 的模拟结果与观测结果也非常吻合:可以得出结论,在东北部分布区,沙蝇可以在低于地表零下 20 厘米的兔子和啮齿动物洞穴中越冬。Ph. ariasi的物理耐寒性可能被低估了。在-50厘米以上的深度,洞穴内稳定且持续寒冷的环境(平均温度低于10°C)可能会抑制北方地区沙蝇的冬后休眠激活。
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引用次数: 0
Frequency of Lyme disease in patients with tick contact and identification of ticks from Bolu province of Turkey. 土耳其博卢省蜱虫接触患者中莱姆病的发病率及蜱虫鉴定。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/JVBD.JVBD_194_23
Nebil Arslan, Hasan Tahsin Gozdas, Kerem Yaman, Seyda Karabork

Background objectives: Lyme disease is a multisystemic disease caused by the bacteria in the Borrelia burgdorferi sensu lato complex, which is transmitted by ticks of the Ixodes genus. Although there are seroprevalence studies and case reports of Lyme disease from various regions in Turkey, there is no widespread epidemiological research. This study aimed to determine the frequency of Lyme disease in the cases followed-up after tick contact and to examine the isolated ticks to reveal tick population from Bolu province.

Methods: In this study, cases who applied to the emergency department due to tick contact between April and September 2020 were firstly evaluated in our infectious diseases and clinical microbiology outpatient clinic on the third day of exposure and antibodies against Lyme disease were investigated with the IFA method to exclude the patients who were previously exposed to B. burgdorferi. Thereafter, patients were requested to continue outpatient visits at the 1 st and 3 rd month control. At these controls, serum samples were taken to study B.burgdorferi antibodies with the ELISA method which were stored at - 20°C until the study day.

Results: Out of 123 patients who came to first control, 69 patients continued later to at least one of the two controls (either at first or third month). Of these 69 patients, only one (1.4%) was diagnosed with Lyme borreliosis according to clinical and laboratory features. Erythema migrans did not occur in any of the cases. Serum samples were assessed by ELISA method. Asymptomatic infection was detected in 22 cases (30.5%). In addition, we could obtain 46 ticks from our cases and two genera were identified. Forty-two (91.3%) were Ixodes spp. , and two (4.3%) were Hyalomma spp.

Interpretation conclusion: In this study, which was carried out for the first time in the province of Bolu, it was concluded that the cases presenting with a history of tick contact were most frequently exposed to Ixodes spp ticks, and the probability of developing Lyme borreliosis was low (1,4%) during the three-month follow-up period. Further studies with more number of cases and more extended follow-up period are needed.

背景目标:莱姆病是一种多系统疾病,由博氏菌(Borrelia burgdorferi sensu lato)复合体中的细菌引起,由伊科蜱(Ixodes)属的蜱传播。虽然土耳其不同地区都有莱姆病的血清流行率研究和病例报告,但没有广泛的流行病学研究。本研究旨在确定蜱虫接触后随访病例中莱姆病的发病率,并检查分离出的蜱虫,以揭示博卢省的蜱虫种群:2020年4月至9月期间因接触蜱虫而到急诊科就诊的病例,首先在接触蜱虫的第三天在本院传染病与临床微生物学门诊进行评估,并用IFA法检测莱姆病抗体,以排除之前接触过布氏杆菌的患者。此后,要求患者在第 1 个月和第 3 个月对照时继续到门诊就诊。在这些对照组中,患者的血清样本将被保存在-20°C的环境中,直到研究当天,用ELISA方法研究布氏菌抗体:结果:在接受首次对照的 123 名患者中,有 69 名患者后来继续接受了两个对照中的至少一个(在第一个月或第三个月)。在这 69 名患者中,只有一人(1.4%)根据临床和实验室特征被确诊为莱姆病。所有病例均未出现迁延性红斑。血清样本采用 ELISA 方法进行评估。22例(30.5%)患者无症状感染。此外,我们从病例中获得了 46 只蜱虫,并确定了两个属。其中 42 个(91.3%)为 Ixodes spp,2 个(4.3%)为 Hyalomma spp:这项研究是首次在博卢省进行的,其结论是,有蜱虫接触史的病例最常接触的是 Ixodes spp 蜱虫,在三个月的随访期间,患莱姆包虫病的概率很低(1.4%)。需要进行更多病例和更长随访期的进一步研究。
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引用次数: 0
Association between malaria parasite density and hematological profile in malaria infected children at a Nigerian Private hospital. 尼日利亚一家私立医院受疟疾感染儿童的疟原虫密度与血液学特征之间的关系。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/0972-9062.393971
Oyedeji Olusola Adetunji

Background objectives: The correct association between Plasmodium falciparum parasite density and the cellular constituents of blood is not known in entirety in Nigerian children. Thus, we decided to study the association between cellular blood constituents and malaria parasite density in malaria infected children attending a Nigerian hospital.

Methods: A study of all children diagnosed with malaria fever at the Pediatric out-patient clinic, Cedar Crest Hospital, Abuja, Nigeria, was conducted. Packed cell volume, white blood cells with differentials and platelet counts and malaria parasite densities obtained from blood samples were studied. Malaria parasite densities more than 2 pluses were classified as significant parasitemia and 1 plus as non-significant. Information obtained was recorded and analysed with SPSS 22 software.

Results: A total 143 children (74 boys and 69 girls) diagnosed with malaria of ages between 5 months to 17 years (mean 5.24 ±4.60) were studied. The majority of 141 (98.6%) had non-significant P. falciparum parasitemia, while 2 (2.4%) had significant parasitemia. Of the 143 children with malaria, 116 (81.1%) had a normal leucocyte count. All children with significant parasitemia had a normal leucocyte count. Of the 143 children, 11 (7.7%) had anemia and 10 (7.0%) thrombocytopenia. Anemia, monocytosis and thrombocytopenia were significantly associated with significant malaria parasitemia (p<0.05). Mean platelet counts was significantly less amongst those with significant parasitemia (p<0.01).

Interpretation conclusion: All patients with significant malaria parasitemia had normal leucocyte count. Significant malaria parasitemia is significantly associated with anemia, thrombocytopenia and monocytosis. Blood film appearances showing these changes are suggestive of significant malaria parasitemia.

背景目标:在尼日利亚儿童中,恶性疟原虫密度与血液细胞成分之间的正确联系尚不完全清楚。因此,我们决定研究在尼日利亚一家医院就诊的疟疾感染儿童的血液细胞成分与疟原虫密度之间的关系:方法:对阿布贾 Cedar Crest 医院儿科门诊诊断为疟疾发烧的所有儿童进行研究。研究了从血液样本中获得的包装细胞体积、白细胞和血小板计数以及疟原虫密度。疟原虫密度超过 2 个正数被归类为重要寄生虫血症,1 个正数为非重要寄生虫血症。获得的信息用 SPSS 22 软件进行记录和分析:共有 143 名儿童(74 名男孩和 69 名女孩)被诊断患有疟疾,年龄在 5 个月至 17 岁之间(平均 5.24 ± 4.60)。大多数 141 名儿童(98.6%)无明显恶性疟原虫寄生虫血症,2 名儿童(2.4%)有明显寄生虫血症。在 143 名疟疾患儿中,116 名(81.1%)的白细胞计数正常。所有患有严重寄生虫血症的儿童的白细胞计数均正常。143 名儿童中有 11 人(7.7%)贫血,10 人(7.0%)血小板减少。贫血、单核细胞减少和血小板减少与明显的疟原虫血症明显相关(p解释性结论:所有重度疟原虫血症患者的白细胞计数均正常。明显的疟原虫血症与贫血、血小板减少和单核细胞增多明显相关。显示这些变化的血片提示存在严重的疟原虫血症。
{"title":"Association between malaria parasite density and hematological profile in malaria infected children at a Nigerian Private hospital.","authors":"Oyedeji Olusola Adetunji","doi":"10.4103/0972-9062.393971","DOIUrl":"10.4103/0972-9062.393971","url":null,"abstract":"<p><strong>Background objectives: </strong>The correct association between Plasmodium falciparum parasite density and the cellular constituents of blood is not known in entirety in Nigerian children. Thus, we decided to study the association between cellular blood constituents and malaria parasite density in malaria infected children attending a Nigerian hospital.</p><p><strong>Methods: </strong>A study of all children diagnosed with malaria fever at the Pediatric out-patient clinic, Cedar Crest Hospital, Abuja, Nigeria, was conducted. Packed cell volume, white blood cells with differentials and platelet counts and malaria parasite densities obtained from blood samples were studied. Malaria parasite densities more than 2 pluses were classified as significant parasitemia and 1 plus as non-significant. Information obtained was recorded and analysed with SPSS 22 software.</p><p><strong>Results: </strong>A total 143 children (74 boys and 69 girls) diagnosed with malaria of ages between 5 months to 17 years (mean 5.24 ±4.60) were studied. The majority of 141 (98.6%) had non-significant P. falciparum parasitemia, while 2 (2.4%) had significant parasitemia. Of the 143 children with malaria, 116 (81.1%) had a normal leucocyte count. All children with significant parasitemia had a normal leucocyte count. Of the 143 children, 11 (7.7%) had anemia and 10 (7.0%) thrombocytopenia. Anemia, monocytosis and thrombocytopenia were significantly associated with significant malaria parasitemia (p<0.05). Mean platelet counts was significantly less amongst those with significant parasitemia (p<0.01).</p><p><strong>Interpretation conclusion: </strong>All patients with significant malaria parasitemia had normal leucocyte count. Significant malaria parasitemia is significantly associated with anemia, thrombocytopenia and monocytosis. Blood film appearances showing these changes are suggestive of significant malaria parasitemia.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":"364-368"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Malaria and dengue outbreaks: A double health threat in southeastern Iran. 疟疾和登革热爆发:伊朗东南部的双重健康威胁。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/JVBD.JVBD_186_23
Jalil Nejati, Rubén Bueno-Marí
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引用次数: 0
Vector-control potential of Unani medicines: A review of classical Unani texts and contemporary scientific literature. 尤那尼药物的病媒控制潜力:经典乌纳尼文献和当代科学文献综述。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/JVBD.JVBD_173_23
Fauzia Shahabuddin, Malik Itrat, Sampath Kumar

Background objectives: Vector-borne diseases pose substantial global health challenges, with a notable impact on India. Effective vector control strategies are crucial to mitigating these diseases as there are no effective vaccines available. Synthetic chemicals are widely used but concerns about safety and environmental impact have prompted exploration of alternative natural solutions. Unani medicine offers a potential source of natural products. This study aims to systematically review classical Unani texts and contemporary scientific literature to evaluate the vector control potential of Unani medicines.

Methods: A comprehensive review of classical Unani texts was carried out to compile data on herbal and mineral substances suggested in Unani medicine for control of insects. Furthermore, electronic databases like PubMed, Google Scholar, and Science Direct were explored for research studies evaluating the insect repellent, larvicidal, and insecticidal activities of the Unani medicines. Time restriction was not imposed to ensure comprehensive retrieval of pertinent and up-to-date information.

Results: From classical Unani texts, 29 drugs were identified for control of insects, primarily of plant origin from diverse botanical families. Recent scientific investigations have confirmed the insect-repellent, insecticidal, and larvicidal activities of 19 of these Unani medicines against various insect species, including mosquitoes.

Interpretation conclusion: These findings underscore the potential of Unani medicines as a natural source for vector control. However, further research is essential to explore mechanism, delivery methods, and optimal concentrations for developing effective vector-control formulations.

背景目标:病媒传播疾病对全球健康构成重大挑战,对印度也有显著影响。由于目前还没有有效的疫苗,有效的病媒控制策略对于缓解这些疾病至关重要。合成化学品被广泛使用,但对安全性和环境影响的担忧促使人们探索替代的天然解决方案。乌纳尼医药提供了天然产品的潜在来源。本研究旨在系统回顾经典乌纳尼经文和当代科学文献,以评估乌纳尼药物的病媒控制潜力:方法:对古典乌纳尼经文进行了全面审查,以汇编乌纳尼医药中建议用于控制昆虫的草药和矿物质的数据。此外,还在 PubMed、Google Scholar 和 Science Direct 等电子数据库中搜索了评估这些典籍中推荐的乌那尼药物驱虫、杀幼虫剂和杀虫剂活性的研究。为了确保能全面检索到相关的最新信息,我们没有设置时间限制:结果:从经典的乌那尼文献中发现了 29 种用于控制昆虫的药物,主要来自不同的植物科。最近的科学调查证实,其中 19 种尤那尼药物对包括蚊子在内的各种昆虫具有驱虫、杀虫和杀幼虫活性:这些发现强调了乌纳尼药作为病媒控制天然来源的潜力。然而,进一步的研究对于探索机制、给药方法和最佳浓度以开发有效的病媒控制配方至关重要。
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引用次数: 0
Enhancing healthcare access and malaria management via mobile clinics and phone call services in Nuh district of Haryana, India. 在印度哈里亚纳邦努赫县通过移动诊所和电话呼叫服务加强医疗服务的可及性和疟疾管理。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/JVBD.JVBD_163_23
Manju Rahi, Aarifa Nazmeen, Sanjeev Kumar, Chander Prakash Yadav, Gaurav Kumar, Peeyush Mittal, Sam Joy, Sachin Sharma, Rajendra Kumar Baharia, Gaurav Bhati, Pawan Goel, Amit Sharma

Background objectives: Malaria remains a complex challenge in India due to its diverse epidemiology, multi-ethnic population, and multiplicity of malaria vectors. While progress has been made in reducing malaria nationally, persistent pockets hinder elimination efforts. These challenges include hidden reservoirs, inadequate healthcare, suboptimal surveillance, non-compliance, and subclinical infections. Shortage of grassroot level and primary care health staff, transportation issues and general inaccessibility and unavailability of healthcare services are additional challenges.

Methods: Mobile healthcare vans have been tried and found useful in enhancing healthcare availability in several health conditions in different settings. Nuh district in Haryana, India is a malaria endemic region; it is indeed one of the districts included by India's NITI Aayog in the Aspirational Districts Programme, a government initiative that focuses on rapidly transforming and developing the most underdeveloped districts in country. With an aim to improve the healthcare seeking behavior of malaria-endemic community of selected villages of Nuh district, we carried out a study using interventions in two villages of the district, that had mobile malaria clinics and toll-free telephone services in enhancing healthcare access.

Results: We found that Sangel village had higher literacy rates (60.6%) as compared to 39.4% in Naushera. Similarly, the unemployment rate was higher for Naushera. It the mobile malaria clinic was deployed from December 2019 to July 2020 and a total of 269 phone calls were received from both the villages. A similar number of rapid tests and microscopy smears were examined and all were negative for malaria. The febrile patients were referred to the nearest healthcare facility.

Interpretation conclusion: The study shows that the community is open to using these healthcare interventions. These initiatives of mobile malaria clinics and toll-free telephone services can bridge healthcare gaps, especially in malaria-endemic regions, aligning with India's malaria elimination and equitable healthcare access goals.

背景目标:由于流行病学的多样性、多种族人口以及疟疾病媒的多样性,疟疾在印度仍然是一项复杂的挑战。虽然全国在减少疟疾方面取得了进展,但长期存在的问题阻碍了消灭疟疾的努力。这些挑战包括隐藏的储库、不适当的医疗保健、不理想的监测、不遵守规定和亚临床感染。基层和初级保健人员短缺、交通问题以及普遍无法获得保健服务也是额外的挑战:方法:移动医疗保健车已在不同环境下的若干健康状况中试用,并被认为有助于提高医疗保健服务的可用性。哈里亚纳邦的 Nuh(Mewat)区是疟疾流行区,也是 NITI Aayog 纳入 "理想地区计划"(ADP)的地区之一。为了改善努赫县部分村庄疟疾流行社区的就医行为,我们在努赫县的两个村庄开展了一项研究,利用流动疟疾诊所和免费电话服务等干预措施来提高医疗服务的可及性:我们发现,桑格尔村的识字率(60.6%)高于瑙谢拉村的 39.4%。同样,瑙谢拉村的失业率也较高。流动疟疾诊所从 2019 年 12 月部署到 2020 年 7 月,两个村庄共接到 269 个电话。对类似数量的快速检测和显微镜涂片进行了检查,结果均为阴性。发热病人被转诊到最近的医疗机构:这项研究表明,社区对使用这些医疗保健干预措施持开放态度,这些流动疟疾诊所和免费电话服务举措可以弥补医疗保健差距,尤其是在疟疾流行地区,符合印度消除疟疾和公平获得医疗保健服务的目标。
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引用次数: 0
Investigating public understanding and actions regarding Aedes mosquitoes and dengue prevention across altitudinal range in central Nepal. 调查尼泊尔中部不同海拔地区公众对伊蚊和登革热预防的理解和行动。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-07-01 Epub Date: 2024-09-21 DOI: 10.4103/JVBD.JVBD_24_24
Punya Ram Sukupayo, Ram Chandra Poudel, Tirth Raj Ghimire

Backgrounds objectives: Dengue fever, transmitted by Aedes mosquitoes, is a significant public health concern in Nepal. An extensive Knowledge, Attitude, and Practice (KAP) survey related to Aedes mosquitoes and prevention of dengue was conducted along the route from Matihani (62 m above sea level) to Kalinchok (3840 m asl) in central Nepal. This research examined residents' awareness of Aedes mosquitoes and the diseases they transmit, aiming to support the World Health Organization's national and global fight against mosquito-borne diseases.

Methods: The survey included 550 participants aged 18-75 years (249 males and 201 females). Door-to-door campaigns were conducted to gather data on knowledge scores, practices, and attitudes about Aedes mosquitoes using a standard structured questionnaire.

Results: Findings of this study revealed a moderate level of knowledge across the study area, with a mean knowledge score of 5.525±2.58 (correct answer rate of 46.05%). While 99.6% of respondents were aware of dengue transmission by mosquitoes, only 64.5% were able to report Aedes mosquitoes as the key transmitter. Less than one-third of the participants (27.8%) were familiar with black-and-white stripes in Aedes. Additionally, only 36.7% were knowledgeable about the day-biting behavior of Aedes mosquitoes.

Interpretation conclusion: This KAP survey provides valuable insights into community understanding of Aedes mosquitoes and dengue prevention practices associated with various Nepalese communities residing in low to high altitudes of central Nepal. These findings can be adopted to address the increasing health burden faced by countries with low-to-high altitude regions within the Hindu Kush Himalayas.

背景目标:伊蚊传播的登革热是尼泊尔的一个重大公共卫生问题。在尼泊尔中部从马蒂哈尼(海拔 62 米)到卡林乔克(海拔 3840 米)的路线上,开展了一项与伊蚊和登革热预防有关的广泛知识、态度和实践(KAP)调查。这项研究考察了居民对伊蚊及其传播疾病的认识,旨在支持世界卫生组织在全国和全球范围内开展的防治蚊媒疾病的斗争:调查对象包括 550 名 18-75 岁的参与者(男性 249 人,女性 201 人)。采用标准结构式问卷,挨家挨户收集有关伊蚊的知识得分、做法和态度的数据:研究结果表明,整个研究地区对伊蚊知识的了解处于中等水平,平均知识分为 5.525±2.58(正确答案率为 46.05%)。虽然 99.6% 的受访者知道登革热是通过蚊子传播的,但只有 64.5% 的受访者能说出伊蚊是登革热的主要传播者。不到三分之一的参与者(27.8%)熟悉伊蚊的黑白条纹。此外,只有 36.7% 的人了解伊蚊的日间叮咬行为:这项 KAP 调查为居住在尼泊尔中部低海拔到高海拔地区的各个尼泊尔社区了解伊蚊和登革热预防方法提供了宝贵的信息。这项研究的结果可用于应对兴都库什喜马拉雅山低海拔至高海拔地区国家面临的日益沉重的健康负担。
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引用次数: 0
期刊
Journal of Vector Borne Diseases
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