Mapping occurrence of Taenia solium taeniosis/cysticercosis and areas at risk of porcine cysticercosis in Central America and the Caribbean basin

Background: This study aimed to map the occurrence of Taenia solium taeniosis/cysticercosis at national level within Central America and the Caribbean basin, and to map the distribution of porcine cysticercosis at first-level administrative subdivision level (department level) and the porcine population at risk. This zoonotic parasite is believed to be widely endemic across most of Latin America. However, there is little information readily available for Central America and the Caribbean basin. Taenia solium has been ranked the most important foodborne parasitic hazard globally and within endemic areas is a common cause of preventable epilepsy. Methods: We conducted a structured literature search in PubMed, supplemented and crossed-referenced with relevant academic databases, grey literature, and active searches in identified literature, to identify all records of T. solium presence in Central America and the Caribbean basin between 1986 and April 2017. To retrieve grey literature, government entities, researchers and relevant institutions across the region were contacted in an attempt to cover all countries and territories. Identified records containing data on porcine cysticercosis were geo-referenced to identify department level distribution and compared to modelled distributions of pigs reared under extensive production systems. Results: We identified 51 records of T. solium at the national level, covering 13 countries and an additional three countries were included based on World Organisation for Animal Health (OIE) reports, giving a total of 16 countries out of 41 with evidence of the parasite's presence. Screening records for porcine cysticercosis data at the departmental level confirmed porcine cysticercosis presence in 11 departments across six countries (Colombia, Guatemala, Honduras, Mexico, Nicaragua and Venezuela). Conclusions: When comparing these results to areas where pigs were kept in extensive production systems and areas where no information on porcine cysticercosis exists, it is apparent that porcine cysticercosis is likely to be underreported, and that a substantial part of the regional pig population could be at risk of contracting porcine cysticercosis. More detailed information on the distribution of T. solium and accurate burden estimations are urgently needed to grasp the true extent of this zoonotic parasite and the public health and agricultural problems it potentially poses

Committing to Child Survival: A Promise Renewed Progress Report 2015

Twenty-five years ago this month, when the Convention on the Rights of the Child came into force, the world made a promise to its children. It was a promise to do everything we could to keep them alive, to keep them healthy, and to help them realize their full potential. Fifteen years ago, the world extended these promises through the Millennium Development Goals. They included cutting the number of young children dying before their fifth birthdays, keeping their mothers alive, and tackling diseases and deprivations that threatened their futures. And three years ago, we renewed those promises with the Child Survival Call to Action, which launched the A Promise Renewed movement to end preventable child deaths. Since then, nearly 180 countries have pledged to make child survival a priority -- and 30 countries have followed this pledge with sharpened strategies to address child mortality. This report takes stock of our collective progress towards fulfilling those promises

Overflowing Cities: The State of the World's Toilets 2016

Human beings are now largely an urban species: for the first time in history, more than half of the world's population (54%, or 3.9 billion people) lives in towns, cities and megacities. By 2050, that's expected to rise to two-thirds.Many new urbanites, and particularly the poorest, are not moving into gleaming apartment blocks or regenerated postindustrial areas. They are arriving – or being born into – overcrowded, rapidly expanding slums. Economic growth is usually driven by urbanization, and all industrialized countries already have a mostly urban population. This means that nearly all the current urban population growth is happening in developing countries.UN Habitat estimates that more than one-third of the developing world's urban population – over 863 million people – live in slums.Often, city planning and infrastructure building have been unable to keep pace

Rubella Elimination and Improving Health Care for Women1

Health care for women can be improved by strengthening adult health services, improving health awareness and community participation, decentralizing decision-making, and using epidemiologic surveillance

First, Treat the System: The Atlantic Philanthropies' Effort to Promote Health and Equity in Viet Nam by Investing in a Healthier, More Equitable System of Policy, Practice, and Care

Describes Atlantic's investments and early outcomes in helping develop a more complete and equitable primary care system as well as a culture of public health policy and practice in partnership with the East Meets West Foundation and local institutions

The Consequences of Population Health for Economic Performance

This chapter goes beyond the traditional economic thinking about the relationship between health and income – simply stated: wealth is needed to achieve health – by presenting evidence that population health is an important factor in strengthening economies and reducing poverty. The world's overarching framework for reducing poverty is expressed in the UN's eight Millennium Development Goals. Three of these eight goals pertain to health: reducing child mortality, improving maternal health, and combating HIV/AIDS, malaria, and other diseases. These potentially huge improvements in health are extremely important goals in themselves, and they serve as beacons toward which numerous development efforts are oriented. But these potential improvements in health are not only endpoints that we seek through a variety of means. The improvements are actually instruments for achieving economic growth and poverty reduction. That is, better health does not have to wait for an improved economy; measures to reduce the burden of disease, to give children healthy childhoods, to increase life expectancy will in themselves contribute to creating healthier economies.health, economic growth, developmennt, income, burden of disease

Outbreaks of Disease: Current Official Reporting

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Meningococcal disease in North America: Updates from the Global Meningococcal Initiative

This review summarizes the recent Global Meningococcal Initiative (GMI) regional meeting, which explored meningococcal disease in North America. Invasive meningococcal disease (IMD) cases are documented through both passive and active surveillance networks. IMD appears to be decreasing in many areas, such as the Dominican Republic (2016: 18 cases; 2021: 2 cases) and Panama (2008: 1 case/100,000; 2021: <0.1 cases/100,000); however, there is notable regional and temporal variation. Outbreaks persist in at-risk subpopulations, such as people experiencing homelessness in the US and migrants in Mexico. The recent emergence of β-lactamase-positive and ciprofloxacin-resistant meningococci in the US is a major concern. While vaccination practices vary across North America, vaccine uptake remains relatively high. Monovalent and multivalent conjugate vaccines (which many countries in North America primarily use) can provide herd protection. However, there is no evidence that group B vaccines reduce meningococcal carriage. The coronavirus pandemic illustrates that following public health crises, enhanced surveillance of disease epidemiology and catch-up vaccine schedules is key. Whole genome sequencing is a key epidemiological tool for identifying IMD strain emergence and the evaluation of vaccine strain coverage. The Global Roadmap on Defeating Meningitis by 2030 remains a focus of the GMI.Medical writing support for the development of this manuscript, under the direction of the authors, was provided Matthew Gunther of Ashfield MedComms, an Inizio company. Medical writing support was funded by Sanofi Pasteur. All authors discussed and agreed to the objectives of this manuscript and con- tributed throughout its production. All authors read and approved the final manuscript.S

Vaccine-preventable diseases and foreign-born populations

Foreign-born individuals account for over 12% of the U.S. population, according to the most recent census data. Since many vaccine-preventable outbreaks in the U.S. have been correlated with disease importation, Congress has mandated vaccinations for numerous immigrant populations. It is essential for primary care physicians to be knowledgeable on the unique immunization-related needs of foreign-born individuals, to recognize some of the cultural and linguistic challenges that immigrants have accessing healthcare, and remember to use each medical encounter as an opportunity to provide necessary vaccinations

The Cuban Experience: Comparative of Health Systems and Infant Mortality Rates

Although the United States is a developed country that spends billions of dollars for its healthcare sector, there are still many risk factors that highly influence our country’s respectively high infant mortality rates. Infant mortality rates are affected by a range of social determinants of health, low birth weight, and racial disparities. This paper addresses the United States’ and Cuban models of healthcare through a comparative lens to investigate the potential use of Cuba’s maternal and infant health practices to mirror similar preventative strategies that promote infant health. The field-based project with the Escuela Nacional de Salud Publica (ENSAP) drew from direct interactions with physicians, patients, professors, and site visits to a variety of community-based clinics and hospitals. Fieldwork experiences strengthened interdisciplinary skills and practices to promote action strategies for community health. The Cuban primary care/prevention-based model was found to be very beneficial and impactful in improving infant mortality rates. The United States can certainly utilize lessons learned from Cuba’s community-based health system to integrate public health methods into the medical care field at local, state, and national levels. The cooperative prioritization of maternal and infant health initiatives between social and political sectors in Cuba (Kath, 2007) is an aspect to be learned from by the U.S. in order to benefit maternal and infant health indicators that represent our country’s health development for current and future generations