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Rising threat of Oropouche virus transmission from mother to child: An urgent call for action 奥罗普切病毒母婴传播的威胁日益严重:紧急行动呼吁》。
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-16 DOI: 10.1016/j.tmaid.2024.102776
Ashutosh Pareek, Runjhun Singhal, Aaushi Pareek, Anil Chuturgoon, Vasso Apostolopoulos
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引用次数: 0
Imported malaria cases by Plasmodium falciparum and Plasmodium vivax in Mexican territory: Potential impact of the migration crisis 墨西哥境内由恶性疟原虫和间日疟原虫引起的输入性疟疾病例:移民危机的潜在影响。
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-10 DOI: 10.1016/j.tmaid.2024.102773
Miguel Ángel Loyola-Cruz , Emilio Mariano Durán-Manuel , Clemente Cruz-Cruz , Juan Carlos Bravata-Alcántara , Victor Hugo Gutierrez-Muñoz , Laura Margarita Márquez-Valdelamar , Beatriz Leal-Escobar , Enzo Vásquez-Jiménez , Mónica Alethia Cureño-Díaz , Gustavo Esteban Lugo-Zamudio , Claudia Camelia Calzada-Mendoza , Gamaliel López-Leal , Graciela Castro-Escarpulli , Araceli Rojas-Bernabé , Verónica Fernández-Sánchez , Estibeyesbo Said Plascencia-Nieto , Nayeli Goreti Nieto-Velázquez , Juan Manuel Bello-López

Background

As the migratory flow to the USA has intensified in recent months, health problems associated have been identified. The aim of this work was the identification of malaria cases imported into Mexican territory.

Methods

Operational definitions of suspected and confirmed cases were used for investigation of malaria cases. Detection of parasitic entities by thick blood smear and molecular biology served as a confirmatory test. With the characteristics of the cases, a heat map was made to determine common clinical pictures. Finally, epidemiological analysis of cases was performed for the construction of timelines of imported malaria and the tracing of migratory routes.

Results

Twelve migrants from four countries were treated for presenting clinical symptoms with suspected dengue or malaria. Malaria was confirmed and two Plasmodium species were identified. From the epidemiological dates of arrival in Mexico, onset of symptoms and migratory routes, we speculate that ten cases acquired P. vivax during their crossing through Honduras, El Salvador or Guatemala. For the Guinea cases, we conclude that there was African importation of P. falciparum.

Conclusion

The epidemiological panorama of malaria cases imported into Mexico show the need to join efforts to ensure universal access to health services, with the objective of timely detection of imported cases.
背景:近几个月来,前往美国的移民潮愈演愈烈,相关的健康问题也随之而来。这项工作的目的是确定墨西哥境内输入的疟疾病例:调查疟疾病例时使用了疑似病例和确诊病例的操作定义。通过厚血涂片和分子生物学检测寄生虫实体作为确诊试验。根据病例的特征,绘制了热图,以确定常见的临床症状。最后,对病例进行了流行病学分析,以构建输入性疟疾的时间轴并追踪迁徙路线:来自四个国家的 12 名移民因出现疑似登革热或疟疾的临床症状而接受了治疗。疟疾得到确诊,并确定了两种疟原虫。根据到达墨西哥的流行病学日期、发病症状和迁徙路线,我们推测 10 个病例是在途经洪都拉斯、萨尔瓦多或危地马拉时感染了间日疟原虫。对于几内亚的病例,我们的结论是非洲输入了恶性疟原虫:墨西哥输入性疟疾病例的流行病学概况表明,有必要共同努力确保普及医疗服务,以便及时发现输入性病例。
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引用次数: 0
Public Health Challenges at the Upcoming Kumbh Mela 2025: Addressing the Mpox global public health emergency of international concern 即将到来的 2025 年昆布节的公共卫生挑战:应对引起国际关注的 Mpox 全球公共卫生紧急事件。
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-09 DOI: 10.1016/j.tmaid.2024.102771
Avinash Sharma, Alfonso J. Rodriguez-Morales, Shruti Srivastava, Ziad A. Memish, Alimuddin Zumla
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引用次数: 0
Coordinated public health actions following the identification of a measles case arriving on an international flight, Spain: December 2022–January 2023 西班牙,国际航班上发现麻疹病例后的公共卫生协调行动:2022 年 12 月至 2023 年 1 月。
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-05 DOI: 10.1016/j.tmaid.2024.102768
Noemí López-Perea , Silvia Rivera Ariza , María Magdalena Salom Castell , Conchita Izquierdo Gómez , Montserrat Guillaumes , Aurora Fernández-García , Juan E. Echevarría , María Mar Mosquera , Lourdes Oliva Íñiguez , Ana Delia Cebollada Gracia , Virtudes Gallardo García , María Victoria García Rivera , Bernardo Guzmán Herrador , Isabel Huertas-Zarco , María del Carmen Pacheco Martínez , Inmaculada Rodero Garduño , Oscar Paz Montero , Berta Suárez Rodríguez , Josefa Masa-Calles
Contact tracing of individual exposed to any infectious measles case deserves special attention when in the country the disease is mostly imported. We present the coordinated public health actions triggered after reporting a suspected measles case in an aircraft. Spanish public health authorities and airlines responded promptly to allow a rapid contact tracing. Even one secondary measles case was reported no further transmission was identified, revealing that giving PEP and appropriate information help to avoid transmission and to maintain measles elimination in Spain.
当麻疹在国内主要是通过输入传播时,对接触过任何传染性麻疹病例的个人进行接触追踪值得特别关注。我们介绍了在报告飞机上出现麻疹疑似病例后所采取的公共卫生协调行动。西班牙公共卫生当局和航空公司迅速做出反应,对接触者进行了快速追踪。即使报告了一例继发性麻疹病例,也没有发现进一步的传播,这表明提供预防性治疗和适当的信息有助于避免传播并保持在西班牙消灭麻疹。
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引用次数: 0
Understanding the journey towards rabies vaccination for travellers: Results of a cross-sectional survey with patients and providers in the US, Germany, Sweden, and Switzerland 了解旅行者接种狂犬病疫苗的过程:对美国、德国、瑞典和瑞士的患者和医疗服务提供者进行横断面调查的结果。
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-04 DOI: 10.1016/j.tmaid.2024.102767
Jennifer Cummins , Florian Lienert , Annabel Su , Elaine Melander , Rebecca L. West , Fernanda Salgado

Background

Although cases of rabies in international travellers are uncommon, they are a fatal risk which can be alleviated through vaccination prior to travel. As international travel recovers post-COVID, it is vital that travellers are made aware of the risk of rabies when travelling to endemic countries and supported to receive the vaccine when eligible.

Methods

Online surveys were conducted in the US, Germany, Sweden and Switzerland between November 2022–January 2023 with both patients and healthcare providers (HCPs). Eligibility criteria for patients included those eligible for rabies pre-exposure prophylaxis (PrEP) due to travel location and activity; HCPs had to be providers of travel vaccinations. In both surveys, questions were asked about discussion of rabies vaccination, decision of whether to administer a rabies vaccine, recommendation to get the rabies vaccine, and final decision to get a vaccine.

Results

The final patient sample included n = 1557 patients who were eligible for rabies pre-exposure prophylaxis (US n = 504, Germany n = 353, Sweden n = 350, Switzerland n = 350) and n = 219 HCPs (US n = 75, Germany n = 75, Sweden n = 32, Switzerland n = 37). Although all patients in the sample were eligible for rabies vaccination, only 15 % felt they were at risk of getting rabies, and only 18 % received the rabies vaccine before their trip. HCPs reported discussing PrEP and/or PrEP and PEP with 30 % of patients presenting for travel vaccination advice, on average.

Conclusions

Awareness and perception of rabies risk, and lack of consistent HCP discussion of the need for rabies PrEP may be major barriers to uptake of the vaccine for patients who are eligible to receive it.
背景:虽然狂犬病在国际旅行者中的病例并不常见,但这是一种致命的风险,可以通过在旅行前接种疫苗来降低风险。随着狂犬病疫情后国际旅行的恢复,让旅行者了解在狂犬病流行国家旅行时的狂犬病风险并支持他们在符合条件时接种疫苗至关重要:方法:2022 年 11 月至 2023 年 1 月期间,在美国、德国、瑞典和瑞士对患者和医疗保健提供者 (HCP) 进行了在线调查。患者的资格标准包括因旅行地点和活动而符合狂犬病暴露前预防 (PrEP) 条件者;医疗保健提供者必须是旅行疫苗接种者。在这两项调查中,都询问了有关狂犬病疫苗接种的讨论、是否接种狂犬病疫苗的决定、接种狂犬病疫苗的建议以及接种疫苗的最终决定等问题:最终的患者样本包括符合狂犬病暴露前预防条件的 1557 名患者(美国为 504 人,德国为 353 人,瑞典为 350 人,瑞士为 350 人)和 219 名医护人员(美国为 75 人,德国为 75 人,瑞典为 32 人,瑞士为 37 人)。尽管样本中的所有患者都符合接种狂犬病疫苗的条件,但只有 15% 的患者认为自己有患狂犬病的风险,只有 18% 的患者在旅行前接种了狂犬病疫苗。在前来寻求旅行疫苗接种建议的患者中,保健医生平均与 30% 的患者讨论过 PrEP 和/或 PrEP 和 PEP:结论:对狂犬病风险的认识和看法,以及保健医生对狂犬病预防接种必要性缺乏一致的讨论,可能是符合接种条件的患者接种疫苗的主要障碍。
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引用次数: 0
Is it safe to travel? The H5N1 avian flu and the Aesop novel 旅行安全吗?H5N1 禽流感与伊索小说。
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-03 DOI: 10.1016/j.tmaid.2024.102769
Francesco Branda, Alessandra Ciccozzi, Chiara Romano, Daria Sanna, Massimo Ciccozzi, Fabio Scarpa
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引用次数: 0
Travellers with prosthetic limbs: A neglected population 装有假肢的旅行者:一个被忽视的群体。
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-03 DOI: 10.1016/j.tmaid.2024.102770
Irmgard L. Bauer, Vikranth H. Nagaraja
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引用次数: 0
First imported Clade 1b Mpox case in India: Implications for travel medicine and public health surveillance 印度首例输入性 1b 支原体麻疹病例:对旅行医学和公共卫生监测的影响。
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-01 DOI: 10.1016/j.tmaid.2024.102766
Sanjit Sah, Yogesh Kumar Dhandh, Rachana Mehta, Mahendra Pratap Singh, Ganesh Bushi, Muhammed Shabil, Kiran Bhopte, Amogh Verma
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引用次数: 0
Demographic, epidemiological and clinical characteristics of Ukrainian war refugees with HIV infection in the Slovak Republic 斯洛伐克共和国感染艾滋病毒的乌克兰战争难民的人口、流行病学和临床特征。
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-27 DOI: 10.1016/j.tmaid.2024.102764
Ricardo Massmann , Kristína Doležalová (Mgr) , Lubomír Soják , Olena Samsonová , Danica Valkovičová Staneková , Ondrej Zahornacký , Pavol Jarčuška , Mária Záriš Vachalíková , Diana Vološinová , Ľubica Piesecká , Veronika Vahalová , Katarína Šimeková , Terézia Smiešková , Alexandra Bražinová , Ivy Kigen , Marek Malý , Ladislav Machala

Background

The Slovak Republic, an Eastern European country, borders Ukraine, which has one of the highest rates of HIV/AIDS in Europe. This study aims to inform readers about the demographic characteristics of Ukrainian war refugees with HIV/AIDS seeking temporary protection status in Slovakia due to the Russian invasion of February 24, 2022. It focuses on their epidemiology, immunological profiles, co-infections, and treatment.

Design

Multicenter, retrospective study between March 1, 2022, and March 31, 2023.

Methods

Data were collected from all Ukrainian patients with refugee status living with HIV or newly diagnosed, who presented to any of the five HIV/AIDS centers in Slovakia. Information was obtained through medical interviews, physical examinations, laboratory tests and medical reports from the Ukrainian Ministry of Health.

Results

From March 1, 2022, to March 31, 2023, 141 Ukrainian refugees were included, mostly women (56.7 %, n = 80), with a median age of 41 years. The median CD4+ count was 680 cells/mL; 69.2 % (n = 97) had a viral load below 40 copies/mL. On arrival, 87.8 % (n = 123) were on ART, 90.2 % (n = 111) on dolutegravir. Coinfections included hepatitis C (31 %, n = 41), hepatitis B (12.5 %, n = 17), and tuberculosis (11.3 %, n = 16). Three died from AIDS complications.

Conclusion

The study provides a detailed overview of the epidemiological, demographic, immunological, co-infection, and treatment characteristics of Ukrainian PLWHA displaced by the war to the Slovak republic. With the conflict ongoing, it is necessary to be prepared for more refugees in the coming months.
背景:斯洛伐克共和国是一个东欧国家,与乌克兰接壤,而乌克兰是欧洲艾滋病毒/艾滋病感染率最高的国家之一。本研究旨在向读者介绍因 2022 年 2 月 24 日俄罗斯入侵而在斯洛伐克寻求临时保护身份的感染艾滋病毒/艾滋病的乌克兰战争难民的人口特征。研究重点是他们的流行病学、免疫学特征、合并感染和治疗情况:设计:2022 年 3 月 1 日至 2023 年 3 月 31 日期间的多中心回顾性研究:方法:收集所有在斯洛伐克五个艾滋病中心就诊的乌克兰难民身份艾滋病感染者或新确诊患者的数据。信息通过医学访谈、身体检查、实验室检测和乌克兰卫生部的医疗报告获得:从2022年3月1日至2023年3月31日,共纳入141名乌克兰难民,其中大部分为女性(56.7%,n=80),中位年龄为41岁。CD4+ 细胞计数中位数为 680 cells/mL;69.2%(n=97)的病毒载量低于 40 copies/mL。抵达时,87.8%(n=123)的患者正在接受抗逆转录病毒疗法,90.2%(n=111)的患者正在接受多鲁曲韦治疗。合并感染包括丙型肝炎(31%,n=41)、乙型肝炎(12.5%,n=17)和肺结核(11.3%,n=16)。3 人死于艾滋病并发症:这项研究详细概述了因战争而流落到斯洛伐克共和国的乌克兰 PLWHA 的流行病学、人口统计学、免疫学、合并感染和治疗特征。随着冲突的持续,有必要为未来几个月更多的难民做好准备。
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引用次数: 0
Locally acquired cutaneous larva migrans in Ontario? 安大略省本地获得性皮肤幼虫移行症?
IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-09-26 DOI: 10.1016/j.tmaid.2024.102765
Manreet Dhaliwal, Isaac I. Bogoch
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引用次数: 0
期刊
Travel Medicine and Infectious Disease
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