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Three Steps to Improve Management of Noncommunicable Diseases in Humanitarian Crises
No full textKiran Jobanputra and colleagues argue that better evidence, guidance, and tools are needed to improve the effectiveness and feasibility of noncommunicable disease care in humanitarian settings
Transmission Networks and Risk of HIV Infection in KwaZulu-Natal, South Africa: A Community-Wide Phylogenetic Study
No full textThe incidence of HIV infection in young women in Africa is very high. We did a large-scale community-wide phylogenetic study to examine the underlying HIV transmission dynamics and the source and consequences of high rates of HIV infection in young women in South Africa
A Worldwide Map of Plasmodium Falciparum K13-Propeller Polymorphisms
No full textRecent gains in reducing the global burden of malaria are threatened by the emergence of Plasmodium falciparum resistance to artemisinins. The discovery that mutations in portions of a P. falciparum gene encoding kelch (K13)-propeller domains are the major determinant of resistance has provided opportunities for monitoring such resistance on a global scale
An Assessment of Water, Sanitation, and Hygiene (WASH) Practices and Quality of Routinely Collected Data in Machakos County Kenya
No full textPrevalence and correlates of MRSA and MSSA nasal carriage at a Ugandan regional referral hospital
No full textDespite increasing antimicrobial resistance globally, data are lacking on prevalence and factors associated with Staphylococcus aureus (SA) and MRSA carriage in resource-limited settings
Eye Examination for Early Diagnosis of Disseminated Tuberculosis in Patients with AIDS
No full textChoroidal tuberculosis is present in 5-20% of patients with disseminated tuberculosis, and point-of-care dilated binocular indirect ophthalmoscopy eye examination can provide immediate diagnosis. In geographical areas of high tuberculosis prevalence and in susceptible patients (CD4 counts less than 200 cells per μL) detection of choroidal granulomas should be accepted as evidence of disseminated tuberculosis. With training and proper support, eye screening can be done by HIV/AIDS clinicians, allowing early tuberculosis treatment. In regions with a high burden of tuberculosis, we recommend that eye screening be a standard part of the initial assessment of susceptible patients, including at a minimum all patients with HIV/AIDS with CD4 less than 100 cells per μL with or without eye symptoms, and with or without suspicion of disseminated tuberculosis
Measles Outbreak in a Refugee Settlement in Calais, France: January to February 2016
No full textWe report a measles outbreak in a refugee settlement
in Calais, France, between 5 January and 11 February
2016. In total, 13 confirmed measles cases were identified
among migrants, healthcare workers in hospital
and volunteers working on site. A large scale vaccination
campaign was carried out in the settlement within
two weeks of outbreak notification. In total, 60% of
the estimated target population of 3,500 refugees was
vaccinated during the week-long campaign