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Can women empowerment boost dietary diversity among children aged 6-23 months in sub-Saharan Africa? 增强妇女权能能否促进撒哈拉以南非洲 6-23 个月大儿童的饮食多样性?
IF 4.5 Q1 Medicine Pub Date : 2024-06-04 DOI: 10.1186/s41182-024-00579-3
Richard Gyan Aboagye, Irene Esi Donkoh, Joshua Okyere, Abdul-Aziz Seidu, Bright Opoku Ahinkorah, Sanni Yaya

Background: The empowerment of women has implications on the health and dietary needs of children. Using the survey-based women's empowerment index (SWPER), we examined the association between women's empowerment and dietary diversity among children aged 6-23 months in sub-Saharan Africa.

Methods: Data from the Demographic and Health Surveys of 21 countries were utilized. Descriptive spatial map was used to present the proportions of dietary diversity among the children. Multilevel binary logistic regression was used to examine the association between SWPER and dietary diversity.

Results: Overall, 22.35% of children aged 6-23 months had adequate minimum dietary diversity (MDD) in sub-Saharan Africa. The countries with the highest proportions of adequate MDD were Angola, Benin, Madagascar, Rwanda, Sierra Leone, and South Africa. South Africa had the highest proportion of MDD (61.00%), while Liberia reported the least (9.12%). Children born to mothers who had high social independence were more likely to have adequate MDD compared to those with low social independence [aOR = 1.31, 95% CI 1.21, 1.41]. In addition, children born to women with medium [aOR = 1.12; 95% CI 1.03, 1.21] and high decision-making [aOR = 1.25, 95% CI 1.14, 1.37] were more likely to receive MDD than those with low decision-making.

Conclusions: Insufficient dietary diversity is evident among children aged 6-23 months in sub-Saharan Africa. MDD in children is influenced by women's empowerment. Policies and interventions promoting women's empowerment can enhance MDD, especially for vulnerable groups in rural and poorer households. It is crucial to leverage media and poverty reduction strategies to improve MDD among children in sub-Saharan African countries.

背景:妇女赋权对儿童的健康和饮食需求有影响。利用基于调查的妇女赋权指数(SWPER),我们研究了撒哈拉以南非洲地区 6-23 个月大儿童中妇女赋权与饮食多样性之间的关系:方法:利用 21 个国家的人口与健康调查数据。方法:利用 21 个国家的人口与健康调查数据,采用描述性空间地图来显示儿童膳食多样性的比例。采用多层次二元逻辑回归法研究 SWPER 与饮食多样性之间的关系:结果:总体而言,在撒哈拉以南非洲地区,22.35%的 6-23 个月大儿童有足够的最低膳食多样性(MDD)。最低膳食多样性充足比例最高的国家是安哥拉、贝宁、马达加斯加、卢旺达、塞拉利昂和南非。南非的 MDD 比例最高(61.00%),而利比里亚报告的 MDD 比例最低(9.12%)。与社会独立性低的母亲相比,社会独立性高的母亲所生的孩子更有可能患有适当的 MDD [aOR = 1.31,95% CI 1.21,1.41]。此外,中度[aOR = 1.12; 95% CI 1.03, 1.21]和高度决策[aOR = 1.25, 95% CI 1.14, 1.37]妇女所生子女比低度决策妇女所生子女更有可能获得MDD:结论:撒哈拉以南非洲地区 6-23 个月大的儿童明显缺乏饮食多样性。儿童的 MDD 受妇女赋权的影响。促进妇女赋权的政策和干预措施可以提高儿童的膳食多样性,尤其是农村和贫困家庭中的弱势群体。利用媒体和减贫战略来改善撒哈拉以南非洲国家儿童的 MDD 至关重要。
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引用次数: 0
Barriers and misconceptions hindering reduction of intestinal schistosomiasis in Mbita Sub-County, Western Kenya. 肯尼亚西部 Mbita 县减少肠血吸虫病的障碍和误解。
IF 4.5 Q1 Medicine Pub Date : 2024-05-14 DOI: 10.1186/s41182-024-00602-7
Ngetich B Cheruiyot, Sachiyo Nagi, Asena E Chadeka, Rie Takeuchi, Miho Sassa, Bahati Felix, Noriko Kobayashi, Taeko Moriyasu, Janet Masaku, Gordon Okomo, Collins Ouma, Doris Njomo, Sammy M Njenga, Shinjiro Hamano

Background: Community and individual participation are crucial for the success of schistosomiasis control. The World Health Organization (WHO) has highlighted the importance of enhanced sanitation, health education, and Mass Drug Administration (MDA) in the fight against schistosomiasis. These approaches rely on the knowledge and practices of the community to be successful; however, where the community knowledge is low and inappropriate, it hinders intervention efforts. Hence, it is essential to identify barriers and misconceptions related to awareness of schistosomiasis, sources of infection, mode of transmission, symptoms, and control measures.

Methods: This was a mixed-method cross-sectional study involving 1200 pre-school children randomly selected and examined for Schistosoma mansoni infection using the Kato-Katz technique. All parents/guardians of selected children were enrolled for a pre-tested questionnaire survey, while 42 were engaged in focus group discussions (FGDs). The level of knowledge and awareness among parents/guardians about schistosomiasis was evaluated in relation to the infection status of their pre-school children.

Results: Among pre-school children, the prevalence of intestinal schistosomiasis was 45.1% (95% CI 41.7-48.5). A majority of parents/guardians (85.5%) had heard about schistosomiasis, and this awareness was associated with the participant's level of education (OR = 0.16, 95% CI 0.08, 0.34). In addition, a positive association was observed between higher educational attainment and knowledge of the causative agent (OR = 0.69, 95% CI 0.49, 0.96). Low education level was significantly associated with limited knowledge of transmission through lake water contact (OR = 0.71, 95% CI 0.52, 0.97) and infection from the lake (OR = 0.33, 95% CI 0.19, 0.57). Notably, parents/guardians who have heard of schistosomiasis could not recognize symptoms of S. mansoni infection, such as abdominal pain (91.8%, 815/888) and blood in the stool (85.1%, 756/888). Surprisingly, 49.8% (442/888) incorrectly identified hematuria (blood in urine), a key sign of S. haematobium, but not S. mansoni, in an endemic area for S. mansoni infection. The majority (82.6%, 734/888) of parents/guardians were unaware that dams are potential infection sites, despite 53.9% (479/888) of their pre-school-aged children testing positive for schistosome infection.

Conclusions: Despite the high level of awareness of intestinal schistosomiasis in the study area, we identified a low level of knowledge regarding its causes, modes of transmission, signs and symptoms and potential sites of transmission within the community. This study emphasizes the need for targeted educational interventions to address the misconceptions and knowledge gaps surrounding intestinal schistosomiasis through tailored community-based programs.

背景:社区和个人的参与对于血吸虫病防治工作的成功至关重要。世界卫生组织(WHO)强调了加强环境卫生、健康教育和大规模药物管理(MDA)在血吸虫病防治中的重要性。这些方法的成功有赖于社区的知识和实践;然而,如果社区的知识水平低且不恰当,就会阻碍干预工作。因此,必须找出与血吸虫病的认识、感染源、传播方式、症状和控制措施有关的障碍和误解:这是一项混合方法横断面研究,随机选取了 1200 名学龄前儿童,采用卡托-卡茨(Kato-Katz)技术对其进行曼氏血吸虫感染检查。所有入选儿童的家长/监护人都参加了预先测试的问卷调查,42 名家长/监护人参加了焦点小组讨论(FGDs)。根据学龄前儿童的感染情况,评估了家长/监护人对血吸虫病的了解和认识水平:结果:在学龄前儿童中,肠血吸虫病的感染率为 45.1%(95% CI 41.7-48.5)。大多数家长/监护人(85.5%)听说过血吸虫病,这种认识与参与者的教育水平有关(OR = 0.16,95% CI 0.08,0.34)。此外,教育程度较高与对病原体的了解程度呈正相关(OR = 0.69,95% CI 0.49,0.96)。教育程度低与对通过湖水接触传播(OR = 0.71,95% CI 0.52,0.97)和从湖水中感染(OR = 0.33,95% CI 0.19,0.57)的了解有限有很大关系。值得注意的是,听说过血吸虫病的父母/监护人无法识别感染曼森氏疟的症状,如腹痛(91.8%,815/888)和便血(85.1%,756/888)。令人惊讶的是,在曼氏沙门氏菌感染流行区,49.8%(442/888)的人错误地识别出了血尿(尿血),而血尿是沙门氏菌感染的一个重要征兆,但并非曼氏沙门氏菌感染的征兆。尽管53.9%(479/888)的学龄前儿童血吸虫感染检测呈阳性,但大多数家长/监护人(82.6%,734/888)并不知道水坝是潜在的感染场所:尽管研究地区对肠道血吸虫病的认知度较高,但我们发现社区居民对血吸虫病的病因、传播方式、体征和症状以及潜在传播地点的了解程度较低。这项研究强调,有必要采取有针对性的教育干预措施,通过量身定制的社区计划来消除人们对肠道血吸虫病的误解和知识差距。
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引用次数: 0
Ghana's path towards eliminating lymphatic filariasis. 加纳消除淋巴丝虫病之路。
IF 4.5 Q1 Medicine Pub Date : 2024-05-11 DOI: 10.1186/s41182-024-00596-2
Munawar Harun Koray

Lymphatic filariasis, also known as elephantiasis, is a debilitating parasitic disease that has been prevalent in various parts of the world, including China and Ghana. This paper explores the historical context of lymphatic filariasis in Ghana and China, as well as the fights towards eliminating the disease in both countries. The review also covered the strategies employed by the Chinese government to eliminate lymphatic filariasis and the key lessons that Ghana can learn from China's success. The discussion highlights the importance of political commitment, multisectoral collaboration, tailoring control strategies to local contexts, adopting a comprehensive approach, and emphasising health education and community mobilisation. By adopting these lessons and fostering a robust national strategy, engaging diverse stakeholders, and ensuring active community involvement, Ghana can work towards achieving lymphatic filariasis elimination, improving public health, and fostering sustainable development.

淋巴丝虫病又称象皮病,是一种使人衰弱的寄生虫病,在包括中国和加纳在内的世界各地流行。本文探讨了淋巴丝虫病在加纳和中国的历史背景,以及两国为消除这一疾病所做的努力。文章还介绍了中国政府为消除淋巴丝虫病所采取的战略,以及加纳可从中国的成功中吸取的主要经验教训。讨论强调了政治承诺、多部门合作、因地制宜的控制策略、采用综合方法以及重视健康教育和社区动员的重要性。通过吸取这些经验教训,制定强有力的国家战略,吸引不同的利益相关方参与,并确保社区的积极参与,加纳可以努力实现消除淋巴丝虫病、改善公共卫生和促进可持续发展的目标。
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引用次数: 0
Adherence to COVID-19 preventive measures among residents in selected townships, Yangon Region, Myanmar: a community-based cross-sectional study. 缅甸仰光地区部分城镇居民对 COVID-19 预防措施的遵守情况:一项基于社区的横断面研究。
IF 4.5 Q1 Medicine Pub Date : 2024-05-11 DOI: 10.1186/s41182-024-00603-6
Ye Minn Htun, Nyan Lin Maung, Dwe Kyaw Ko, Han Myo Htut, Min Khant Phyo, Wai Lynn Aung, Hein Khant Zaw, Aung Kyaw Min, Aung Phyo Kyaw, Thet Swe, Kaung Khant Zaw, Kyaw Swar Naing Win, Khant Ko Ko, Khant Min Thaw, Saw Pyae Aung, Saw Yan Aung, Soe San Htun, Soe Htet Paing, Soe Lin Htun, Zaw Myo Naing, Zin Ko Htun, Htoo Naung, Htun Htun Oo, Naing Ye Hla, Aung Kyaw San, Hpone Myint Myat, Phone Shan Htet, Min Khant Mon, Ye Myat Paing, Wai Lin Phyo, Win Khant Paing, Thu Rein, Thit Lwin Oo, Thet Paing Zaw, Thet Lynn Oo, Thint Myat Thu, Than Toe Aung, Hein Htet Soe, Aung Kyaw Soe, Aung Myint Oo, Aung Aung, Pyae Phyo Aung, Htun Aung Kyaw, Hpone Pji Kyaw, Yan Naing Myint Soe, Myint Myat Ko, Zin Ko Aung, Kyaw Thiha Aung, Yan Paing Chit Lwin, Wai Yan, Phyo Tayza Soe, Zin Linn Htet, Nay Hein Sint, Zayar Aung, Zin Thu Winn, Kaung Si Thu, Nyan Htet Shan, Nyan Sint Htun, Tun Tun Win, Kyaw Myo Tun

Background: To fight the current coronavirus disease (COVID-19) pandemic, many countries have implemented various mitigation measures to contain the spread of the disease. By engaging with health service providers, the community's participation in adherence to preventive measures is certainly required in the implementation of COVID-19 mitigation strategies. Therefore, this study aimed to assess the level of adherence to COVID-19 preventive measures and its associated factors among the residents, Yangon Region, Myanmar.

Methods: A community-based cross-sectional study was carried out among 636 residents in Yangon Region, Myanmar, from October to December 2021. A multistage non-probability sampling method, purposively selected for three townships in Yangon Region and convenience sampling for 212 participants from each township, was applied and the data were collected by face-to-face interviews using structured and pretested questionnaires. Data were entered, coded, and analyzed using IBM SPSS version 25.0. Simple and multiple logistic regression analysis were performed to identify the significant variables of adherence to COVID-19 preventive measures.

Results: As a level of adherence to COVID-19 preventive measures, the proportion of residents who had good adherence was 39.3% (95% CI 35.5-43.2%), moderate adherence was 37.6% (95% CI 33.8-41.5%), and poor adherence was 23.1% (95% CI 19.9-26.6%). The age group of 31-40 years (AOR: 3.13, 95% CI 1.62-6.05), 30 years and younger (AOR: 3.22, 95% CI 1.75-5.92), Burmese ethnicity (AOR: 2.52, 95% CI 1.44-4.39), own business (AOR: 3.19, 95% CI 1.15-8.87), high school education level and below (AOR: 1.64, 95% CI 1.02-2.69), less than 280.90 USD of monthly family income (AOR: 1.51, 95% CI 1.01-2.29), low knowledge about COVID-19 (AOR: 1.90, 95% CI 1.26-2.88) were significantly associated with poor adherence to COVID-19 preventive measures.

Conclusions: In this study, nearly one-fourth of the residents were experiencing poor adherence to COVID-19 preventive measures. Therefore, building up the risk communication through the community using widely used mainstream media, the continuation of disease surveillance and announcement of updated information or advice for the public to increase awareness towards COVID-19, and enforcement to follow the recommended directions and regulations of health institutions are vital to consider for improving the adherence to preventive measures against COVID-19 among the residents.

背景:为抗击当前的冠状病毒病(COVID-19)大流行,许多国家都实施了各种缓解措施来遏制疾病的传播。在实施 COVID-19 缓解战略的过程中,当然需要社区与医疗服务提供者共同参与,坚持采取预防措施。因此,本研究旨在评估缅甸仰光地区居民对 COVID-19 预防措施的遵守程度及其相关因素:方法:2021 年 10 月至 12 月,对缅甸仰光地区的 636 名居民进行了社区横断面研究。研究采用多阶段非概率抽样法,在仰光地区的三个乡镇有目的性地抽取 212 名参与者,在每个乡镇方便地抽取 212 名参与者。数据使用 IBM SPSS 25.0 版进行输入、编码和分析。对数据进行了输入、编码和 IBM SPSS 25.0 版分析,并进行了简单和多重逻辑回归分析,以确定遵守 COVID-19 预防措施的重要变量:从对 COVID-19 预防措施的依从性来看,依从性良好的居民比例为 39.3%(95% CI 35.5-43.2%),依从性中等的居民比例为 37.6%(95% CI 33.8-41.5%),依从性差的居民比例为 23.1%(95% CI 19.9-26.6%)。31-40 岁(AOR:3.13,95% CI 1.62-6.05)、30 岁及以下(AOR:3.22,95% CI 1.75-5.92)、缅甸族(AOR:2.52,95% CI 1.44-4.39)、自己做生意(AOR:3.19,95% CI 1.15-8.87)、高中及以下文化程度(AOR:1.64,95% CI 1.02-2.69)、家庭月收入低于 280.90 美元(AOR:1.51,95% CI 1.01-2.29)、对 COVID-19 知识知晓率低(AOR:1.90,95% CI 1.26-2.88)与 COVID-19 预防措施依从性差显著相关:在本研究中,近四分之一的居民对 COVID-19 预防措施的依从性较差。因此,要提高居民对 COVID-19 预防措施的依从性,必须考虑利用广泛使用的主流媒体在社区建立风险沟通,继续开展疾病监测并向公众公布最新信息或建议,以提高公众对 COVID-19 的认识,以及强制居民遵守卫生机构的建议指示和规定。
{"title":"Adherence to COVID-19 preventive measures among residents in selected townships, Yangon Region, Myanmar: a community-based cross-sectional study.","authors":"Ye Minn Htun, Nyan Lin Maung, Dwe Kyaw Ko, Han Myo Htut, Min Khant Phyo, Wai Lynn Aung, Hein Khant Zaw, Aung Kyaw Min, Aung Phyo Kyaw, Thet Swe, Kaung Khant Zaw, Kyaw Swar Naing Win, Khant Ko Ko, Khant Min Thaw, Saw Pyae Aung, Saw Yan Aung, Soe San Htun, Soe Htet Paing, Soe Lin Htun, Zaw Myo Naing, Zin Ko Htun, Htoo Naung, Htun Htun Oo, Naing Ye Hla, Aung Kyaw San, Hpone Myint Myat, Phone Shan Htet, Min Khant Mon, Ye Myat Paing, Wai Lin Phyo, Win Khant Paing, Thu Rein, Thit Lwin Oo, Thet Paing Zaw, Thet Lynn Oo, Thint Myat Thu, Than Toe Aung, Hein Htet Soe, Aung Kyaw Soe, Aung Myint Oo, Aung Aung, Pyae Phyo Aung, Htun Aung Kyaw, Hpone Pji Kyaw, Yan Naing Myint Soe, Myint Myat Ko, Zin Ko Aung, Kyaw Thiha Aung, Yan Paing Chit Lwin, Wai Yan, Phyo Tayza Soe, Zin Linn Htet, Nay Hein Sint, Zayar Aung, Zin Thu Winn, Kaung Si Thu, Nyan Htet Shan, Nyan Sint Htun, Tun Tun Win, Kyaw Myo Tun","doi":"10.1186/s41182-024-00603-6","DOIUrl":"10.1186/s41182-024-00603-6","url":null,"abstract":"<p><strong>Background: </strong>To fight the current coronavirus disease (COVID-19) pandemic, many countries have implemented various mitigation measures to contain the spread of the disease. By engaging with health service providers, the community's participation in adherence to preventive measures is certainly required in the implementation of COVID-19 mitigation strategies. Therefore, this study aimed to assess the level of adherence to COVID-19 preventive measures and its associated factors among the residents, Yangon Region, Myanmar.</p><p><strong>Methods: </strong>A community-based cross-sectional study was carried out among 636 residents in Yangon Region, Myanmar, from October to December 2021. A multistage non-probability sampling method, purposively selected for three townships in Yangon Region and convenience sampling for 212 participants from each township, was applied and the data were collected by face-to-face interviews using structured and pretested questionnaires. Data were entered, coded, and analyzed using IBM SPSS version 25.0. Simple and multiple logistic regression analysis were performed to identify the significant variables of adherence to COVID-19 preventive measures.</p><p><strong>Results: </strong>As a level of adherence to COVID-19 preventive measures, the proportion of residents who had good adherence was 39.3% (95% CI 35.5-43.2%), moderate adherence was 37.6% (95% CI 33.8-41.5%), and poor adherence was 23.1% (95% CI 19.9-26.6%). The age group of 31-40 years (AOR: 3.13, 95% CI 1.62-6.05), 30 years and younger (AOR: 3.22, 95% CI 1.75-5.92), Burmese ethnicity (AOR: 2.52, 95% CI 1.44-4.39), own business (AOR: 3.19, 95% CI 1.15-8.87), high school education level and below (AOR: 1.64, 95% CI 1.02-2.69), less than 280.90 USD of monthly family income (AOR: 1.51, 95% CI 1.01-2.29), low knowledge about COVID-19 (AOR: 1.90, 95% CI 1.26-2.88) were significantly associated with poor adherence to COVID-19 preventive measures.</p><p><strong>Conclusions: </strong>In this study, nearly one-fourth of the residents were experiencing poor adherence to COVID-19 preventive measures. Therefore, building up the risk communication through the community using widely used mainstream media, the continuation of disease surveillance and announcement of updated information or advice for the public to increase awareness towards COVID-19, and enforcement to follow the recommended directions and regulations of health institutions are vital to consider for improving the adherence to preventive measures against COVID-19 among the residents.</p>","PeriodicalId":23311,"journal":{"name":"Tropical Medicine and Health","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decentralization and immunization program in a single-party state: the case of the Lao People's Democratic Republic. 一党制国家的权力下放和免疫计划:老挝人民民主共和国的案例。
IF 4.5 Q1 Medicine Pub Date : 2024-05-07 DOI: 10.1186/s41182-024-00601-8
Phonevilay Viphonephom, Sengchanh Kounnavong, Daniel Reinharz

Background: The Lao People's Democratic Republic (Lao PDR), a lower-middle-income country, lags behind other Southeast Asian countries in immunization coverage for children under two years of age. The organization of health services is a key determinant of the functionality of immunization programs. However, this aspect, and in particular its decentralization component of the healthcare system, has never been studied.

Methods: A case study in the Lao National Immunization Program was performed using a neo-institutional theory-based conceptual framework, highlighting the structure (rules, laws, resources, etc.) and interpretative schemes (dominant beliefs and ideas) that underlie the state of decentralization of the healthcare system that support the conduct of the immunization program. Twenty-two semi-structured interviews were conducted with representative actors from various government levels, external donors, and civil society, in four provinces. Data were complemented with information retrieved from relevant documents.

Results: The Lao healthcare system has a deconcentrated form of decentralization. It has a largely centralized structure, albeit with certain measures promoting the decentralization of its immunization programs. The structure underlying the state of centralization of immunization services provided is coherent with a shared dominant interpretive scheme. However, the rapid economic, technical, and educational changes affecting the country suggest that the coherence between structure and interpretative schemes is bound to change.

Conclusion: Unprecedented opportunities to access quality higher education and the use of social networks are factors in Lao PDR that could affect the distribution of responsibilities of the different levels of government for public health programs such as the National Immunization Program.

背景:老挝人民民主共和国(老挝)是一个中低收入国家,在两岁以下儿童免疫接种覆盖率方面落后于其他东南亚国家。保健服务的组织是免疫接种计划能否发挥作用的关键决定因素。然而,对这一方面,特别是医疗保健系统的权力下放部分,却从未进行过研究:方法:采用基于新制度理论的概念框架,对老挝国家免疫计划进行了案例研究,突出强调了支持免疫计划开展的医疗保健系统权力下放状态的结构(规则、法律、资源等)和解释方案(主导信念和观念)。我们在四个省对各级政府、外部捐助者和民间社会的代表人物进行了 22 次半结构式访谈。从相关文件中获取的信息对数据进行了补充:老挝的医疗保健系统采用了分散的权力下放形式。尽管采取了一些措施促进免疫接种计划的权力下放,但其结构基本上是中央集权。所提供的免疫接种服务的集中状态所依据的结构与共同的主导解释方案是一致的。然而,影响该国的经济、技术和教育的快速变化表明,结构和解释方案之间的一致性必然会发生变化:在老挝人民民主共和国,获得优质高等教育的机会前所未有,社会网络的使用也是可能影响各级政府在国家免疫计划等公共卫生计划中的责任分配的因素。
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引用次数: 0
Bio-efficacy of Olyset® Plus, PermaNet® 3.0 and Interceptor® G2 on pyrethroid-resistant populations of Anopheles gambiae s.l. prior to the June 2023 net distribution campaign in Benin, West Africa. 2023 年 6 月在西非贝宁开展撒网行动之前,Olyset® Plus、PermaNet® 3.0 和 Interceptor® G2 对抗除虫菊酯的冈比亚按蚊种群的生物功效。
IF 4.5 Q1 Medicine Pub Date : 2024-04-30 DOI: 10.1186/s41182-024-00599-z
David Mahouton Zoungbédji, Germain Gil Padonou, Arthur Sovi, Alphonse Keller Konkon, Albert Sourou Salako, Roseric Azondékon, Aboubakar Sidick, Juvénal Minassou Ahouandjinou, Linda Towakinou, Razaki Ossè, Rock Aïkpon, Cyriaque Affoukou, Lamine Baba-Moussa, Martin Akogbéto

Background: This study investigates the effectiveness of new-generation mosquito nets, like Olyset® Plus and PermaNet® 3.0, and dual-action nets such as Interceptor® G2, against pyrethroid-resistant Anopheles gambiae mosquitoes following the 2023 mass distribution of long-lasting insecticidal nets in Benin.

Methods: We tested wild mosquito populations from six communes in Benin against various pyrethroid (permethrin 0.75%, alphacypermethrin 0.05%, and deltamethrin 0.05%) using WHO tube tests. Additionally, we exposed mosquitoes to chlorfenapyr 100 µg/ml using the CDC bottle bioassay method. A subset of mosquitoes underwent biochemical and PCR tests to check the overexpression of metabolic enzymes and the Kdr L1014F mutation. We evaluated the effectiveness of Olyset® Plus, PermaNet® 3.0, and Interceptor® G2 nets using cone and tunnel tests on both laboratory and field populations of An. gambiae.

Results: Overall, the highest mortality rate was 60% with pyrethroid and 98 to100% with chlorfenapyr. In cone tests, all three types of nets induced mortality rates above 80% in the susceptible laboratory strain of An. gambiae. Notably, Olyset® Plus showed the highest mortality rates for pyrethroid-resistant mosquitoes in cone tests, ranging from 81.03% (95% CI: 68.59-90.13) in Djougou to 96.08% (95% CI: 86.54-99.52) in Akpro-Missérété. PermaNet® 3.0 had variable rates, from 42.5% (95% CI: 27.04-59.11) in Djougou to 58.54% (95% CI: 42.11-73.68) in Porto-Novo. However, revealed good results for Interceptor® G2, with 94% (95% CI: 87.40-97.77) mortality and 89.09% blood sampling inhibition in local populations of An. gambiae. In comparison, Interceptor® had lower rates of 17% (95% CI: 10.23-25.82) and 60%, respectively.

Conclusion: These results suggest that tunnel tests are effective for evaluating dual-active ingredient nets. Additionally, Interceptor® G2 and PBO nets like Olyset® Plus could be considered as alternatives against pyrethroid-resistant mosquitoes.

背景:本研究调查了新一代蚊帐(如 Olyset® Plus 和 PermaNet® 3.0)以及双效蚊帐(如 Interceptor® G2)在贝宁 2023 年大规模分发长效驱蚊蚊帐后对抗拟除虫菊酯的冈比亚按蚊的有效性:我们使用世界卫生组织的试管测试法,对贝宁六个社区的野生蚊子种群进行了针对各种拟除虫菊酯(0.75% 氯菊酯、0.05% 阿尔法氯菊酯和 0.05%溴氰菊酯)的测试。此外,我们还采用疾病预防控制中心的瓶式生物测定法,让蚊子接触 100 µg/ml 氯虫苯甲酰胺。一部分蚊子接受了生化和 PCR 检测,以检查代谢酶的过度表达和 Kdr L1014F 突变。我们使用锥形和隧道测试评估了 Olyset® Plus、PermaNet® 3.0 和 Interceptor® G2 蚊帐对实验室和野外冈比亚疟蚊种群的效果:总体而言,拟除虫菊酯的最高死亡率为 60%,氯虫苯甲酰胺的死亡率为 98% 至 100%。在锥形试验中,所有三种蚊帐对易感的实验室冈比亚蚂蚁菌株的致死率都超过了 80%。值得注意的是,在锥形试验中,Olyset® Plus 对抗除虫菊酯蚊子的死亡率最高,在 Djougou 为 81.03%(95% CI:68.59-90.13),在 Akpro-Missérété 为 96.08%(95% CI:86.54-99.52)。PermaNet® 3.0 的使用率从 Djougou 的 42.5%(95% CI:27.04-59.11)到 Porto-Novo 的 58.54%(95% CI:42.11-73.68)不等。然而,Interceptor® G2的效果很好,在当地的冈比亚蚂蚁种群中,死亡率为94%(95% CI:87.40-97.77),血液采样抑制率为89.09%。相比之下,Interceptor® 的死亡率较低,分别为 17%(95% CI:10.23-25.82)和 60%:这些结果表明,隧道测试可有效评估双效成分蚊帐。此外,Interceptor® G2 和 PBO 蚊帐(如 Olyset® Plus)可考虑作为替代品,以对付耐除虫菊酯的蚊子。
{"title":"Bio-efficacy of Olyset<sup>®</sup> Plus, PermaNet<sup>®</sup> 3.0 and Interceptor<sup>®</sup> G2 on pyrethroid-resistant populations of Anopheles gambiae s.l. prior to the June 2023 net distribution campaign in Benin, West Africa.","authors":"David Mahouton Zoungbédji, Germain Gil Padonou, Arthur Sovi, Alphonse Keller Konkon, Albert Sourou Salako, Roseric Azondékon, Aboubakar Sidick, Juvénal Minassou Ahouandjinou, Linda Towakinou, Razaki Ossè, Rock Aïkpon, Cyriaque Affoukou, Lamine Baba-Moussa, Martin Akogbéto","doi":"10.1186/s41182-024-00599-z","DOIUrl":"https://doi.org/10.1186/s41182-024-00599-z","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the effectiveness of new-generation mosquito nets, like Olyset<sup>®</sup> Plus and PermaNet<sup>®</sup> 3.0, and dual-action nets such as Interceptor<sup>®</sup> G2, against pyrethroid-resistant Anopheles gambiae mosquitoes following the 2023 mass distribution of long-lasting insecticidal nets in Benin.</p><p><strong>Methods: </strong>We tested wild mosquito populations from six communes in Benin against various pyrethroid (permethrin 0.75%, alphacypermethrin 0.05%, and deltamethrin 0.05%) using WHO tube tests. Additionally, we exposed mosquitoes to chlorfenapyr 100 µg/ml using the CDC bottle bioassay method. A subset of mosquitoes underwent biochemical and PCR tests to check the overexpression of metabolic enzymes and the Kdr L1014F mutation. We evaluated the effectiveness of Olyset<sup>®</sup> Plus, PermaNet<sup>®</sup> 3.0, and Interceptor<sup>®</sup> G2 nets using cone and tunnel tests on both laboratory and field populations of An. gambiae.</p><p><strong>Results: </strong>Overall, the highest mortality rate was 60% with pyrethroid and 98 to100% with chlorfenapyr. In cone tests, all three types of nets induced mortality rates above 80% in the susceptible laboratory strain of An. gambiae. Notably, Olyset<sup>®</sup> Plus showed the highest mortality rates for pyrethroid-resistant mosquitoes in cone tests, ranging from 81.03% (95% CI: 68.59-90.13) in Djougou to 96.08% (95% CI: 86.54-99.52) in Akpro-Missérété. PermaNet<sup>®</sup> 3.0 had variable rates, from 42.5% (95% CI: 27.04-59.11) in Djougou to 58.54% (95% CI: 42.11-73.68) in Porto-Novo. However, revealed good results for Interceptor<sup>®</sup> G2, with 94% (95% CI: 87.40-97.77) mortality and 89.09% blood sampling inhibition in local populations of An. gambiae. In comparison, Interceptor<sup>®</sup> had lower rates of 17% (95% CI: 10.23-25.82) and 60%, respectively.</p><p><strong>Conclusion: </strong>These results suggest that tunnel tests are effective for evaluating dual-active ingredient nets. Additionally, Interceptor<sup>®</sup> G2 and PBO nets like Olyset<sup>®</sup> Plus could be considered as alternatives against pyrethroid-resistant mosquitoes.</p>","PeriodicalId":23311,"journal":{"name":"Tropical Medicine and Health","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dengue haemorrhagic fever in chronic kidney disease and heart failure: challenges in fluid management 慢性肾病和心力衰竭患者的登革出血热:输液管理的挑战
IF 4.5 Q1 Medicine Pub Date : 2024-04-24 DOI: 10.1186/s41182-024-00600-9
M. Vidanapathirana
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引用次数: 0
Current advances in serological and molecular diagnosis of Schistosoma mekongi infection 梅孔血吸虫感染血清学和分子诊断的最新进展
IF 4.5 Q1 Medicine Pub Date : 2024-04-22 DOI: 10.1186/s41182-024-00598-0
A. M. Macalanda, Atcharaphan Wanlop, K. A. L. Ona, E. Galon, Virak Khieu, S. Sayasone, A. Yajima, J. M. Angeles, S. Kawazu
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引用次数: 0
Factors influencing Thai university students’ decisions to take COVID-19 vaccine booster doses: a cross-sectional survey 影响泰国大学生决定接种 COVID-19 疫苗加强剂量的因素:一项横断面调查
IF 4.5 Q1 Medicine Pub Date : 2024-04-17 DOI: 10.1186/s41182-024-00597-1
Weerakorn Thichumpa, Naphat Yimthin, Anawat Ratchatorn, Satoko Izumi, W. Pan-ngum
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引用次数: 0
The overlap of accessory virulence factors and multidrug resistance among clinical and surveillance Klebsiella pneumoniae isolates from a neonatal intensive care unit in Nepal: a single-centre experience in a resource-limited setting 尼泊尔新生儿重症监护室临床和监测分离的肺炎克雷伯氏菌中附属毒力因子和多重耐药性的重叠:在资源有限环境中的单中心经验
IF 4.5 Q1 Medicine Pub Date : 2024-04-08 DOI: 10.1186/s41182-024-00595-3
Raj Kumar Shrestha, D. Shrestha, A. Kunwar, Sandeep Thapa, Nipun Shrestha, B. G. Dhoubhadel, Christopher M Parry
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引用次数: 0
期刊
Tropical Medicine and Health
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