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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
Diversity of mosquito natural enemies and their feeding efficacy on Aedes vectors. 蚊子天敌的多样性及其对伊蚊病媒的捕食效果。
IF 0.5 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-05-20 DOI: 10.4103/JVBD.JVBD_50_24
Dinithi Shamalee Dissanayake, Chandana Dammika Wijekoon, Hemantha Wegiriya

Background objectives: Mosquito-borne diseases are a major health issue among communities in Asia, and dengue has grown up as a serious public health concern in Sri Lanka with varying magnitude since 1960. With the realization of the failures and limitations of current vector control strategies, the authorities are moving towards simple, low-cost, and eco-friendly vector management methods. Thus, the present study was devised to evaluate the potential densities of mosquito natural enemies in natural water habitats in Galle district, Sri Lanka, and to investigate the feeding efficacy of prominent mosquito natural enemies on main dengue vectors ( Aedes sp.) in a laboratory setting.

Methods: The survey was carried out using eight sentinel sites in Galle district, and samples of mosquito natural enemies and mosquito larvae were collected, and then they were identified using taxonomic keys.

Results: Study records, the aquatic insects of Family Hydrometridae, Belostomatidae, Notonectidae, Nepidae, Ranatridae, and Corixidae as dominant mosquito natural enemies, and Libellulidae and Dytiscidae insects as sub-dominant families. The highest density of the family Hydrometridae was recorded in rural, natural inland, and rocky study sites. The order Hemiptera was recorded as the key order of the mosquitoes natural enemies in Galle district. The family Hydrometridae had the highest density of recorded mosquito natural enemies.

Interpretation conclusion: Aedes aegypti and Ae. albopictus were recorded as abundant vector mosquitoes. Family Nepidae is the most effective natural mosquito predator on Ae. aegypti and Ae. albopictus, and this knowledge will be vital for implementing future biological control strategies for Aedes vectors in Sri Lanka.

背景目标:蚊子传播的疾病是亚洲社区的一个主要健康问题,自 1960 年以来,登革热已成为斯里兰卡一个严重的公共卫生问题,其严重程度不尽相同。由于认识到当前病媒控制策略的失败和局限性,当局正在转向简单、低成本和环保的病媒管理方法。因此,本研究旨在评估斯里兰卡加勒地区天然水栖息地中蚊子天敌的潜在密度,并在实验室环境中调查主要蚊子天敌对登革热主要病媒(伊蚊)的摄食效果:方法:在加勒地区的八个哨点进行调查,收集蚊子天敌和蚊子幼虫样本,然后用分类学钥匙对其进行鉴定:研究结果表明,蚊子天敌主要是水蚤科、水蚤属、水蚤科、水蚤属、水蚤科、水蚤属和水蚤科的水生昆虫,次主要是水蚤科和水蚤属的昆虫。在农村、自然内陆和多岩石的研究地点记录到的水蝇科密度最高。根据记录,半翅目是加勒地区蚊子天敌的主要目。水蝇科记录的蚊子天敌密度最高:埃及伊蚊和白纹伊蚊被记录为大量的病媒蚊子。蚊科是埃及伊蚊和白纹伊蚊最有效的蚊子天敌,这一知识对斯里兰卡未来实施伊蚊病媒生物控制策略至关重要。
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引用次数: 0
Influence of climatic factors on the life stages of Aedes mosquitoes and vectorial transmission: A review. 气候因素对伊蚊生命阶段和病媒传播的影响:综述。
IF 0.5 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-05-13 DOI: 10.4103/JVBD.JVBD_42_24
Pooja Prasad, Sanjeev Kumar Gupta, Kaushal Kumar Mahto, Gaurav Kumar, Alka Rani, Iyyappan Velan, Deepak Kumar Arya, Himmat Singh

Background objectives: Aedes aegypti and Aedes albopictus are two sympatric mosquito species that compete with each other for resources when their breeding habitats overlap. This study examines what happens when sympatric Aedes aegypti and Aedes albopictus mosquitoes' mate with each other and other species by looking at insemination rates, fecundity, and hatchability rate.

Methods: We performed controlled mating experiments in laboratory setting, assessing both conspecific and interspecific crosses. We measured insemination rates, egg numbers, and hatching success to examine the reproductive interference dynamics between these two distinct mosquito species.

Results: In the context of conspecific mating, it was observed that both female Ae. aegypti and Ae. albopictus exhibited high insemination rates, with percentages of 98% and 94%, respectively. However, interspecific mating exhibited interesting asymmetries: Ae. albopictus males achieved a notable insemination success rate of 28% when mating with Ae. aegypti females, while Ae. aegypti males achieved only 8% insemination success with Ae. albopictus females. Additionally, females that mated with interspecific males had reduced production of viable eggs compared to conspecific mating. Most notably, interspecific mating resulted in the production of infertile eggs, while conspecific mating led to successful hatching.

Interpretation conclusion: The study reveals that, Ae. aegypti and Ae. albopictus can asymmetrically interfere with each other's reproduction, causing a 'satyr' effect. This understanding of interspecific competition and reproductive interference in these mosquito species could impact their coexistence in shared breeding habitats.

背景目标:埃及伊蚊和白纹伊蚊是两种同域蚊子,当它们的繁殖栖息地重叠时,它们会相互竞争资源。本研究通过观察受精率、繁殖力和孵化率,探讨埃及伊蚊和白纹伊蚊相互交配和与其他物种交配时发生的情况:我们在实验室环境中进行了受控交配实验,评估了同种和种间杂交。我们测量了受精率、卵数和孵化成功率,以研究这两种不同蚊子之间的生殖干扰动态:结果:在同种交配中,雌性埃及姬蚊和白纹伊蚊都表现出很高的受精率,分别为 98% 和 94%。然而,种间交配表现出有趣的不对称性:白纹伊蚊雄性与埃及伊蚊雌性交配的受精成功率高达 28%,而埃及伊蚊雄性与白纹伊蚊雌性交配的受精成功率仅为 8%。此外,与同种雄性交配相比,与异种雄性交配的雌性产卵量减少。最明显的是,种间交配导致产生不孕卵,而同种交配则导致成功孵化:这项研究揭示了埃及伊蚊和白喉伊蚊可以不对称地干扰对方的繁殖,造成 "萨梯尔 "效应。对这些蚊子物种的种间竞争和生殖干扰的了解可能会影响它们在共同繁殖栖息地的共存。
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引用次数: 0
Assessment of radiation-induced sterility, longevity, and reproductive characteristics of the Aedes aegypti (Diptera: Culicidae) strain of Swat: A step towards the implementation of SIT in Pakistan. 评估斯瓦特埃及伊蚊(双翅目:库里科)菌株的辐射诱导不育症、寿命和生殖特征:向在巴基斯坦实施 SIT 迈出的一步。
IF 0.5 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-05-06 DOI: 10.4103/JVBD.JVBD_131_23
Inamullah Khan, Gul Zamin Khan, Jehangir Khan, Muhammad Amin

Background objectives: Biological approaches for vector mosquito control such as sterile insect technique (SIT) requires sterilization of male mosquitoes through specific radiation doses for sterility induction in males. Under the SIT program, the males used must be compatible with the wild males in vigor, flight and selection of mate. Much of this potential is determined by the diet provided in the larval stages and optimizing the irradiation doses that cause complete sterility but have very minimal effect on the lives of irradiated males. The current study is designed to evaluate gamma radiation doses for inducing sterility in male Aedes aegypti mosquitoes with a genomic background from Pakistan (Swat district) and to assess the effects of radiation exposure on the competency of irradiated males and other life traits of irradiated mosquitoes.

Methods: Sterilization of 17-hour-old male pupae (groups of 50 pupa/cup in three replicates) of the Ae. aegypti Swat strain was conducted using radiation doses of 30, 60, 70, 90, and 105 gray (Gy) from (Co60) at the Nuclear Institute for Food and Agriculture (NIFA) in Peshawar, Pakistan. Post-irradiated pupae were released in adult cages. Virgin females of the same cohort were released (1:1) to mate with the irradiated males. Mortality, longevity, mating competitiveness of males, and female fecundity were recorded.

Results: An average of 71 eggs per female was recorded in control with 86% hatch rate. Individual females mated with a 60 Gy treated males produced 60 ± 0.6 eggs per female with 17% hatch rate, and those mated with 70 Gy males produced 42 ± 0.01 eggs with a nil hatch rate, whereas females mated with males treated with ≥70 Gy doses did not reproduce to next generation. Females in groups of 50 mated with 60, 70 Gy treated males (equal pairs), produced 369±1.3 and 98±0.01 eggs with 15% and zero hatch rate. Significant dose dependent reduction in longevity was observed for >30 Gy doses. The matting competence of irradiated males was about half that of un-irradiated males.

Interpretation conclusion: Aedes aegypti with a Pakistani genomic background treated with a ≥70 Gy dose of gamma radiation induced complete sterility in males and provided the first- step foundation for SIT application in Pakistan. Further extensive studies are required to optimize the SIT techniques so that fully sterile males with very minor quality changes can be produced on large scales for field trials.

背景目标:病媒蚊虫控制的生物方法,如昆虫不育技术(SIT),需要通过特定辐射剂量诱导雄蚊不育,使其绝育。在 SIT 计划中,使用的雄蚊必须在活力、飞行和择偶方面与野生雄蚊相容。这种潜力在很大程度上取决于在幼虫阶段提供的食物,以及优化辐照剂量,使其导致完全不育,但对受辐照雄蚊的生命影响极小。目前的研究旨在评估伽马辐射剂量对具有巴基斯坦(斯瓦特地区)基因组背景的埃及伊蚊雄蚊不育的诱导作用,并评估辐照对受辐照雄蚊的能力和受辐照蚊子的其他生命特征的影响:方法:在巴基斯坦白沙瓦的核食品与农业研究所(NIFA),使用30、60、70、90和105戈瑞(Gy)的辐照剂量(Co60),对17小时大的埃及姬蚊斯瓦特品系雄蛹(50只蛹/杯一组,三个重复)进行绝育。辐照后的蛹在成虫笼中释放。同一批的处女雌虫被释放(1:1)与受辐照的雄虫交配。记录死亡率、寿命、雄性交配竞争力和雌性繁殖力:对照组雌虫平均产卵 71 粒,孵化率为 86%。雌性个体与经60 Gy处理的雄性个体交配,每只雌性个体产卵60 ± 0.6枚,孵化率为17%;与经70 Gy处理的雄性个体交配,每只雌性个体产卵42 ± 0.01枚,孵化率为零;而与经≥70 Gy处理的雄性个体交配的雌性个体没有繁殖下一代。50只一组的雌性与经60、70 Gy处理的雄性(等量成对)交配,分别产下369±1.3和98±0.01枚卵,孵化率分别为15%和0。在大于 30 Gy 的剂量下,观察到寿命的显著降低与剂量有关。受辐照雄虫的垫席能力约为未受辐照雄虫的一半:以巴基斯坦基因组为背景的埃及伊蚊经≥70 Gy剂量的伽马辐射处理后,雄性完全不育,为SIT在巴基斯坦的应用奠定了第一步基础。需要进一步开展广泛研究,以优化 SIT 技术,从而大规模生产出质量变化极小的完全不育雄虫,用于田间试验。
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引用次数: 0
Distribution changes of cutaneous leishmaniasis: A postulated risk of disease transmission in Hambantota, Sri Lanka. 皮肤利什曼病的分布变化:斯里兰卡汉班托塔的疾病传播风险推测。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-04-01 Epub Date: 2024-06-06 DOI: 10.4103/jvbd.jvbd_117_23
Mangala K A Sudarshani, T Eswaramohan, A Murugananthan, H C E Wegiriya, V N H de Silva, P L A N Liyanage, S N Surendran

Background objectives: Leishmaniasis is caused by various species of parasite Leishmania. Approximately twenty of them are pathogenic to mammals. In Sri Lanka, cutaneous leishmaniasis (CL) is an established vector-borne disease. CL originates and spreads mainly through sandfly bite in many endemic countries. The aim of the present study was to compare the geographical distribution and demographic features of CL cases in Hambantota district, Sri Lanka in 2014 and 2016.

Methods: The patients who were presented to the Tangalle Base Hospital from June to December in 2014 and 2016 were examined and a descriptive study was carried out using a structured-questionnaire. Slit-skin smears were collected from each patient, Giemsa-stained and examined under the light microscope to identify Leishmania amastigotes.

Results: Out of 256 and 314 suspected CL patients, 156 and 155 were identified positive for the year 2014 and 2016, respectively. Out of 12 District Secretary Divisions (DSD) in Hambantota district, the highest number of CL cases, 85 and 86 was reported from Tangalle DSD in 2014 and 2016 respectively. Number of identified CL patients in Beliatta DSD had increased from 50 to 67 during the study period. In both years, majority of CL patients were ≥50 years old with males more infected than females. Although CL association with occupations were insignificant, housewives were the highly (23%) infected occupants in this area.

Interpretation conclusion: Based on the present findings, geographical distribution within DSDs in Hambantota district had changed. This emphasizes the importance of CL as a health problem in Hambantota district.

背景目标:利什曼病是由不同种类的利什曼寄生虫引起的。其中约有 20 种对哺乳动物具有致病性。在斯里兰卡,皮肤利什曼病(CL)已成为一种病媒传播疾病。在许多利什曼病流行的国家,利什曼病主要通过沙蝇叮咬传播。本研究旨在比较 2014 年和 2016 年斯里兰卡汉班托塔地区 CL 病例的地理分布和人口特征:方法:对2014年和2016年6月至12月在坦加勒基地医院就诊的患者进行了检查,并使用结构化问卷进行了描述性研究。收集每位患者的裂隙皮肤涂片,用吉氏涂片染色并在光学显微镜下进行检查,以确定利什曼原虫:在 256 名和 314 名疑似利什曼病患者中,2014 年和 2016 年分别有 156 名和 155 名患者被确定为阳性。在汉班托塔县的 12 个区委书记分区(DSD)中,2014 年和 2016 年丹加勒区委书记分区报告的 CL 病例数最多,分别为 85 例和 86 例。在研究期间,贝里亚塔区已确认的CL患者人数从50人增至67人。在这两年中,大多数CL患者的年龄≥50岁,男性感染者多于女性。虽然CL与职业的关系不明显,但家庭主妇是该地区感染率较高的职业(23%):根据目前的研究结果,汉班托塔地区膳食营养不良者的地理分布发生了变化。这强调了CL作为健康问题在汉班托塔地区的重要性。
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引用次数: 0
Malaria elimination in West Java, Indonesia: A descriptive-and-qualitative study. 在印度尼西亚西爪哇消灭疟疾:一项描述性和定性研究。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-04-01 Epub Date: 2024-06-06 DOI: 10.4103/jvbd.jvbd_113_23
Nisa Fauziah, Fedri Ruluwedrata Rinawan, Naufal Fakhri Nugraha, Lia Faridah, Karomahul Malaya Jati, Angelina Dakosta, Mahatyanta Kalya Santika, Muhammad Yusuf Zakiyyudin, Ahmad Muhsin, Kiky Furbani Rizkillah, Miftahul Nurun Nisa, Ryan Bayusantika Ristandi

Background objectives: Following World Health Organization (WHO) plans for thirty-five malaria-endemic countries, Indonesia will eliminate malaria by 2030. As one of the Indonesian provinces, West Java targeted subnational malaria elimination in 2022. This article aims to describe malaria surveillance data and elimination programs, including weaknesses in sustaining the program.

Methods: This study used secondary data from malaria surveillance information system regencies/cities' case reports for 2019-2022 and achievement data of sub-national malaria elimination certification from each regency/city from 2014-2022. The data was confirmed from the evaluation study document, analysis of reported cases, and interviews.

Results: Most cases were confirmed by microscopic examination (84.1% in 2021 and 94.4% in 2022) and rapid diagnostic tests (57% in 2019 and 58.1% in 2020). Malaria is more prevalent among men (93% in 2019, 95% in 2020, 96% in 2021, and 95.9% in 2022) and productive ages of 15-64 years (98.8% in 2019, 100% in 2020, 99.2% in 2021, and 98.8% in 2022), frequently occurs in the military (56.3% in 2019, 75.7% in 2020, 45.2% in 2021) and police (40.5% in 2022), often uses passive case detection for identifying cases (97.9% in 2019 and 2020, 95.2% in 2021, and 97.6% in 2022), and the majority undergo inpatient treatment (86.4% in 2019, 81.7% in 2021, and 82.6% in 2022). Most positive cases originated from imported cases, and last indigenous cases were still found in 2019. Plasmodium vivax dominated malaria cases and and relapses were high (55.0% in 2020, and 47.3% in 2022).

Interpretation conclusion: All regencies/cities have obtained sub-national malaria elimination certification in 2022. West Java has the potential to be verified for Java-Bali sub-national malaria elimination targeted in 2023, albeit cases of imported malaria still occur. It is imperative to address the issue of imported cases transitioning into locally transmitted cases (introduced) by effective coordination across all regencies/cities and inter-provincial efforts.

背景目标:根据世界卫生组织(WHO)为 35 个疟疾流行国家制定的计划,印度尼西亚将在 2030 年前消灭疟疾。作为印度尼西亚的省份之一,西爪哇省的目标是在 2022 年消除次国家级疟疾。本文旨在介绍疟疾监测数据和消除疟疾计划,包括在维持该计划方面的不足之处:本研究使用了疟疾监测信息系统各县/市 2019-2022 年病例报告的二手数据,以及各县/市 2014-2022 年国家以下各级消除疟疾认证的成果数据。评估研究文件、报告病例分析和访谈对数据进行了确认:大多数病例是通过显微镜检查(2021 年为 84.1%,2022 年为 94.4%)和快速诊断检测(2019 年为 57%,2020 年为 58.1%)确诊的。疟疾多发于男性(2019 年为 93%,2020 年为 95%,2021 年为 96%,2022 年为 95.9%)和 15-64 岁的高产年龄段(2019 年为 98.8%,2020 年为 100%,2021 年为 99.2%,2022 年为 98.8%),常发于军人(2019 年为 56.3%,2020 年为 75.7%,2021 年为 45.2%)和警察(2020 年为 99.2%,2022 年为 99.2%)。在军队(2019 年为 56.3%,2020 年为 75.7%,2021 年为 45.2%)和警察(2022 年为 40.5%)中经常出现,通常使用被动病例检测来识别病例(2019 年和 2020 年为 97.9%,2021 年为 95.2%,2022 年为 97.6%),大多数人接受住院治疗(2019 年为 86.4%,2021 年为 81.7%,2022 年为 82.6%)。大多数阳性病例来自外来病例,最后一个本地病例仍是在 2019 年发现的。间日疟原虫在疟疾病例中占主导地位,复发率较高(2020 年为 55.0%,2022 年为 47.3%):所有地区/城市都已获得 2022 年国家以下各级消除疟疾认证。尽管仍有输入性疟疾病例,但西爪哇有可能在 2023 年通过爪哇-巴厘次国家级消除疟疾认证。当务之急是通过有效协调所有县/市和省际努力,解决输入病例转变为本地传播病例(引入)的问题。
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引用次数: 0
In silico screening of potential plant peptides against the non-structural proteins of dengue virus. 针对登革热病毒非结构蛋白的潜在植物多肽的硅学筛选。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-04-01 Epub Date: 2024-06-06 DOI: 10.4103/jvbd.jvbd_47_23
G Reena, R Ranjani, D Goutham, K Sangeetha

Background objectives: Peptides isolated from different sources of plants have the advantages of specificity, lower toxicity, and increased therapeutic effects; hence, it is necessary to search for newer antivirals from plant sources for the treatment of dengue viral infections.

Methods: In silico screening of selected plant peptides against the non-structural protein 1, NS3 protease domain (NS2B-NS3Pro) with the cofactor and ATPase/helicase domain (NS3 helicase domain/NS3hel) of dengue virus was performed. The physicochemical characteristics of the peptides were calculated using Protparam tools, and the allergenicity and toxicity profiles were assessed using allergenFP and ToxinPred, respectively.

Results: Among the tested compounds, Ginkbilobin demonstrated higher binding energy against three tested nonstructural protein targets. Kalata B8 demonstrated maximum binding energy against NSP-1 and NSP-2, whereas Circulin A acted against the NSP3 protein of dengue virus.

Interpretation conclusion: The three compounds identified by in silico screening can be tested in vitro, which could act as potential leads as they are involved in hampering the replication of the dengue virus by interacting with the three prime non-structural proteins.

背景目标:从不同植物中分离出的多肽具有特异性强、毒性低、治疗效果好等优点,因此有必要从植物中寻找更新的抗病毒药物来治疗登革热病毒感染:方法:针对登革热病毒的非结构蛋白 1、NS3 蛋白酶结构域(NS2B-NS3Pro)以及辅助因子和 ATPase/螺旋酶结构域(NS3 螺旋酶结构域/NS3hel),对选定的植物肽进行了硅学筛选。使用 Protparam 工具计算了多肽的理化特性,并分别使用 allergenFP 和 ToxinPred 评估了过敏性和毒性特征:结果:在测试的化合物中,金克比洛宾对三个测试的非结构蛋白靶标具有较高的结合能。Kalata B8 对 NSP-1 和 NSP-2 的结合能最大,而 Circulin A 则对登革热病毒的 NSP3 蛋白起作用:这三种化合物通过与登革热病毒的三种主要非结构蛋白相互作用,阻碍了登革热病毒的复制。
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引用次数: 0
Vectors, knowledge, attitudes, and practices in relation to malaria transmission in Bauchi State, Nigeria. 尼日利亚包奇州与疟疾传播有关的病媒、知识、态度和做法。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-04-01 Epub Date: 2024-06-06 DOI: 10.4103/jvbd.jvbd_66_23
U M Kurmi, N Nanvyat, M P Lapang, M J Mafuyai, I Luka, O Akwashiki, G I Yina, E O Otakpa, R L Simse, G S Mwansat

Background objectives: Malaria remains a major public health concern in Nigeria and the vector (Anopheles species) can only be controlled effectively by having good knowledge of its composition and potential for disease transmission. This work aimed at surveying indoor malaria vectors and, Knowledge, Attitudes, and Practices (KAP) in relation to disease transmission in Toro LGA, Bauchi State, Nigeria.

Methods: Mosquitoes were collected by Pyrethrum Spray Catch (PSC) between October and December 2019 and were morphologically identified using standard keys. Blood samples were collected from individuals who slept in the rooms where PSC was conducted. Thick and thin blood smears were made for malaria parasite examination. Questionnaires were administered to 120 participants for the KAP studies.

Results: Ninety-seven Anopheles mosquitoes were collected and identified as Anopheles gambiae 76 (78.35%), An. funestus 20 (20.62%) and An. coustani 1(1.03%). The overall malaria prevalence was 15.8%. KAP studies revealed that measures and treatment-seeking behaviours against malaria varied significantly (P<0.05) among the respondents. Sleeping under a net 55 (45.8%) and use of insecticides 24 (20.0%) were some of the preventive measures highlighted while the treatment-seeking behaviours included visit to a pharmacy 74 (61.7%) and use of local herbs 11 (9.2%).

Interpretation conclusion: This work revealed that An. gambiae and An. funestus are predominant malaria vectors in the area. The KAP information demonstrated fair knowledge about the disease by the respondents. Therefore, public enlightenment about malaria prevention, control and treatment is recommended to address the few but highly negative impact knowledge gaps about malaria.

背景目标:疟疾仍然是尼日利亚的一个主要公共卫生问题,只有充分了解病媒(疟原虫)的组成和传播疾病的潜力,才能有效控制疟疾。这项工作旨在调查尼日利亚包奇州托罗地区的室内疟疾病媒以及与疾病传播有关的知识、态度和做法(KAP):在 2019 年 10 月至 12 月期间通过除虫菊喷雾捕捉法(PSC)收集蚊子,并使用标准钥匙进行形态鉴定。从在进行除虫菊喷洒捕捉的房间内睡觉的人身上采集血液样本。制作了厚和薄的血液涂片,用于检查疟疾寄生虫。对 120 名参与者进行了 KAP 研究问卷调查:收集到 97 只按蚊,经鉴定为冈比亚按蚊 76 只(78.35%)、疟原虫 20 只(20.62%)和库斯坦蚊 1 只(1.03%)。疟疾的总体流行率为 15.8%。KAP 研究显示,针对疟疾的措施和寻求治疗的行为差异很大(P 解释性结论):这项工作表明,冈比亚疟原虫和疟原虫是该地区主要的疟疾病媒。KAP 信息表明,受访者对该疾病的了解程度尚可。因此,建议开展有关疟疾预防、控制和治疗的公众启蒙活动,以解决有关疟疾的知识缺口虽少但负面影响很大的问题。
{"title":"Vectors, knowledge, attitudes, and practices in relation to malaria transmission in Bauchi State, Nigeria.","authors":"U M Kurmi, N Nanvyat, M P Lapang, M J Mafuyai, I Luka, O Akwashiki, G I Yina, E O Otakpa, R L Simse, G S Mwansat","doi":"10.4103/jvbd.jvbd_66_23","DOIUrl":"10.4103/jvbd.jvbd_66_23","url":null,"abstract":"<p><strong>Background objectives: </strong>Malaria remains a major public health concern in Nigeria and the vector (Anopheles species) can only be controlled effectively by having good knowledge of its composition and potential for disease transmission. This work aimed at surveying indoor malaria vectors and, Knowledge, Attitudes, and Practices (KAP) in relation to disease transmission in Toro LGA, Bauchi State, Nigeria.</p><p><strong>Methods: </strong>Mosquitoes were collected by Pyrethrum Spray Catch (PSC) between October and December 2019 and were morphologically identified using standard keys. Blood samples were collected from individuals who slept in the rooms where PSC was conducted. Thick and thin blood smears were made for malaria parasite examination. Questionnaires were administered to 120 participants for the KAP studies.</p><p><strong>Results: </strong>Ninety-seven Anopheles mosquitoes were collected and identified as Anopheles gambiae 76 (78.35%), An. funestus 20 (20.62%) and An. coustani 1(1.03%). The overall malaria prevalence was 15.8%. KAP studies revealed that measures and treatment-seeking behaviours against malaria varied significantly (P<0.05) among the respondents. Sleeping under a net 55 (45.8%) and use of insecticides 24 (20.0%) were some of the preventive measures highlighted while the treatment-seeking behaviours included visit to a pharmacy 74 (61.7%) and use of local herbs 11 (9.2%).</p><p><strong>Interpretation conclusion: </strong>This work revealed that An. gambiae and An. funestus are predominant malaria vectors in the area. The KAP information demonstrated fair knowledge about the disease by the respondents. Therefore, public enlightenment about malaria prevention, control and treatment is recommended to address the few but highly negative impact knowledge gaps about malaria.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":"61 2","pages":"176-182"},"PeriodicalIF":0.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141450829","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
Unveiling malaria's silent threat: A path to effective prevention in India. 揭示疟疾的无声威胁:印度的有效预防之路。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-04-01 Epub Date: 2024-06-06 DOI: 10.4103/jvbd.jvbd_165_23
Ume Aiman, Zainab Azad, Abdul Raffay Awais
{"title":"Unveiling malaria's silent threat: A path to effective prevention in India.","authors":"Ume Aiman, Zainab Azad, Abdul Raffay Awais","doi":"10.4103/jvbd.jvbd_165_23","DOIUrl":"10.4103/jvbd.jvbd_165_23","url":null,"abstract":"","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":"61 2","pages":"311"},"PeriodicalIF":0.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141450828","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
期刊
Journal of Vector Borne Diseases
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