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    4038 research outputs found

    The Genomics and Epidemiology of Typhoid Fever in Samoa

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    Time-discrete SIR model for COVID-19 in Fiji

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    Using the data provided by Fiji’s ministry of health and medical services, we apply an implicit time-discrete SIR (susceptible people–infectious people–removed people) model that tracks the transmission and recovering rate at time, t to predict the trend of the coronavirus disease 2019 (COVID-19) pandemic in Fiji. The model implied time-varying transmission and recovery rates were calculated from 4 May 2021 to 9 October 2021. The estimator functions for these rates were determined, and a short-term (30 days) forecast was done. The model was validated with observed values of the active and recovered cases from 11 October 2021 to 9 December 2021. Statistical results reveal a good fit of profiles between model simulated and the reported COVID-19 data. The gradual decrease of the time-varying basic reproduction number with values below one towards the end of the study period suggest the government’s success in controlling the epidemic. The mean reproduction number for the second wave of COVID-19 in Fiji was estimated as 2.7818. The results from this study can be used by researchers, the Fijian government, and the relevant health policy makers in making informed decisions should a third COVID-19 wave occur

    Asia–Pacific consensus statement on integrated 24-hour activity guidelines for the early years

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    Summary Background Early childhood is a vital period for development and growth. Promoting beneficial lifestyle behaviours in early childhood can help optimise children’s health, development and learning, shape their behaviours in adulthood and offer the best protection against future non-communicable diseases (NCDs). In the Asia–Pacific region, NCDs are significant causes of healthcare burden and mortality. Furthermore, there is also a high prevalence of adverse metabolic risk factors and unhealthy lifestyle behaviours among these children. Method Representatives from 19 Asia–Pacific nations and/or jurisdictions developed a consensus statement on integrated 24-hour activity guidelines for the early years using the GRADE-ADOLOPMENT framework. Findings These guidelines apply to all infants, toddlers and pre-schoolers below 5 years of age. The guidelines aim to provide a holistic and practical approach to lifestyle activities by framing physical activity, sedentary behaviour and sleep within a 24-hour period. Dietary patterns were included as they play an integral role in metabolic health and energy balance. Interpretation Aligned with the World Health Organization’s Global Action Plan for the Prevention and Control of NCDs through health promotion interventions in early life, through cultivating healthy lifestyle behaviours in the children’s early years, we aim to provide children with the best start in life and reduce the burden of future NCDs in the Asia–Pacific regio

    The pacific pathology training centre external quality assessment programme

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    The Pacific Pathology Training Centre (PPTC) external quality assessment programme (PPTC-EQAP) commenced in 1985 as an evaluation process for students attending residential courses. This was enhanced when the PPTC was conferred Collaborating Centre status by the World Health Organization and is now the main EQA provider to the laboratories in the Pacific region. The PPTC accommodates seven medical laboratory science disciplines within its EQA programme, and these include serology, blood bank, microbiology, haematology, biochemistry, anatomical pathology, and molecular SARS-CoV-2. Samples for each survey are dispatched from Wellington, in lyophilised form or as a whole specimen, following the IATA shipping of biological substance guidelines. All disciplines are delivered over three cycles except for biochemistry, which consists of two cycles with four analyses. The PPTC contracts consultants (registered New Zealand Medical Laboratory Scientists and a Pathologist) who are specialists in their selected disciplines for analysis and reporting of the results. Participating laboratories are given five weeks to process the samples and return their results to the centre. Interim reports are provided a week after the due date for all programmes. A final report compiled by the appropriate PPTC consultant is sent to each participating laboratory for the specific discipline that the laboratory has participated in and each report sent details the laboratory's score for the respective cycle, their accumulated score for the previous cycle in that discipline, and the average score for all participating laboratories. This year (2021) there are 86 laboratories from 22 countries participating in all or part of the PPTC EQA programme. The New Zealand Government, through the Ministry of Foreign Affairs and Trade (NZ-MFAT), provides funding to the PPTC to deliver the EQA programme at no cost to 31 laboratories in 17 countries, while the rest of the laboratories are privately enrolled through their own funding or through donor partner funding. The PPTC provides a free external quality assurance programme for government-owned and operated medical laboratories in the South Pacific regio

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