The return of brucellosis

Brucellosis, also known under the names of Undulant fever, Mediterranean fever and Malta fever is closely linked with Malta’s medical history and for long endemic to our Islands. Every reported case was investigated by the medical officers of health who contacted the head of each affected household for an epidemiological enquiry including a food history. All these cases were associated with the consumption of fresh cheeselets made from unpasteurised milk. During the investigation some 900 kgs of cheeselets from 27 producers, 12 wholesalers and 384 retailers were seized and tested.peer-reviewe

Epidemiology of AIDS in Malta

The occurrence, frequency, distribution and determinants of HIV and AIDS are described for Maltese residents. Up to 30 June 1996, 38 notifications of AIDS were received by the Public Health Department (36 in males), 35 died. The overall mean survival between notification date and death was calculated using data for 28 reported cases as 216.71 days. Mean age at notification was 30.5 years (range: 2 to 48; median 31). Occurrence in males was highest for homosexuals/bisexuals (52.8%), followed by recipients of contaminated blood products (30.6 %) and heterosexual contact (5.6%). The two females acquired HIV through mother-to-child transmission (abroad) and heterosexual intercourse respectively. Mode of transmission was unrecognised in 7.9% of cases. Epidemiological data on AIDS cases usually reflects the situation of HIV transmission some twelve to fifteen years previously. Sero-surveillance studies are now indicated to clarify the actual prevalence of HIV infection.peer-reviewe

Surveillance of Hepatitis B in Malta : a four year trend

Surveillance systems include three fundamental elements of ongoing collection, analysis and feedback or dissemination of the data. A surveillance system for Hepatitis B was established in 1988 in order to improve prevention and control of transmission of this endemic disease. A disease register including data obtained mainly from notifications, laboratory reports and active case finding was established. This paper shows the findings from 1990 to 1993. The system shown cannot claim to be complete. However the findings suggest that some 14 clinically evident cases of Hepatitis B are confirmed each year. No rising trend has been seen. In anyone year a prevalence of 15.4 x 10-5 HBsAg positive results in persons who had previously not known that they were positive may be detected. Six month follow-up of these persons reveals that some 39 persons become chronic carriers each year. This has implications both for the targeted vaccination programme as well as for the individual’s chronic liver complications and treatment.peer-reviewe

A cross-sectional survey of a dermatology outpatient service in Malta

A survey of the outpatient service provided by a consultant dermatologist at the national dermatology department in Malta was carried out. The aims of this study were to identify the main conditions being treated and to analyze management and referral practices. Possible implications for future training of primary care physicians were also investigated. The survey was carried out for one week every season over a 12-month period, giving a total study period of four weeks. Data was collected on a total of 662 patients (401 new patients and 261 follow-ups). The average waiting time for a routine clinic appointment for new cases was 4 weeks, but 18% of patients were seen within 48 hours of referral and 7% were seen within one week. Age-specific attendance rates were highest for females over 50 years and males over 60. Overall, the commonest conditions seen were chronic leg ulcers, psoriasis, skin infections and seborrhoeic keratoses. Skin biopsy was the most frequent investigation performed and topical treatment was the commonest form of therapy. Private general practitioners and government doctors based in health centres accounted for 51% and 29% of all referrals respectively. A diagnosis was offered in 65% of referral notes. Of these, 44% had a diagnosis matching that given by the dermatologist at the patient's first visit. Treatment was attempted prior to referral in 64% of patients with acne but in only 15% of patients with viral warts.peer-reviewe

Trends in sun exposure awareness and protection practices in Malta : 1999-2004

Rising skin cancer incidence rates have led to sun awareness campaigns in Malta since the early 1990s. The aim of this study is to assess the impact of these campaigns by analysing trends in sun exposure-related knowledge and behaviour amongst the Maltese people. A total of 559 Maltese pedestrians aged 16-50 years were interviewed in 1999. The same questionnaire was used to interview 304 pedestrians in 2004. More people admitted spending leisure time outdoors during peak sunshine hours in 2004 than in 1999 (85.9% vs 62.4%, p<0.001). There was a drop in people regularly wearing a hat during outdoor leisure activities from 32.4% to 18.4% (p<0.001), and from 37.5% to 9.3% (p<0.001) during outdoor work activities. Rates of regular sunscreen use remained constant at about 50% using it for outdoor leisure activities, but dropped from 25.0% to 9.3% for outdoor work (p=0.02). In 2004, 96.1% of participants having children aged less than 12 years stated that they regularly used sunscreen on their children (87.0% in 1999, p=0.01), while 66.2% said that their children regularly wore a hat (78.4% in 1999, p=0.05). More people were regarding a suntan as unhealthy in 2004 than in 1999 (62.8% versus 37.0%, p<0.001). The mass media remained the most important source of health information.peer-reviewe

The H1N1 (2009) influenza pandemic: insights into its dynamics from different types of epidemiological data

For the assessment of the transmission potential and the severity of the recent H1N1 (2009) influenza pandemic, a series of different types of epidemiological data were used. We describe the way these data have been employed to estimate some key epidemiological parameters of the pandemic. A preliminary statistical analysis of European data related to Severe Acute Respiratory Infections (SARI) provided interesting insights into the severity of the pandemic as this was manifested in Europe.JRC.G.2-Global security and crisis managemen

Degradation studies of crosslinked polyethylene. 1, Aged in air

Silane crosslinking of polyethylene, carried out by grafting an organofunctional silane (vinyltrimethoxysilane) onto polyethylene and by subsequent moisture crosslinking in hot water using a tin catalyst, has been widely used in industrial applications because of its advantages in terms of low cost and easy processing. This study focused on the degradation processes which occurred in the material after air ageing in an oven; temperatures ranged from 90 to 220°C, while ageing times ranged from 2h to 500h. Significant structural changes were observed according to the different ageing conditions (below and above the melting region of the material), since the carbonyl group concentration increased substantially during ageing above the melting region and the silicone containing groups were also affected by the degradation. These structural changes affected the mechanical and thermal properties of the material, which was annealed at lower ageing temperatures (up to 155°C) and highly degraded at higher temperatures, when C-C crosslinks formed. Experimental design software was used in order to optimise the number of experimental trials and to model the results obtained; its analysis contributed to the interpretation of the results

Degradation studies of crosslinked polyethylene. 2, Aged in water

Silane crosslinking of polyethylene was carried out by grafting an organofunctional silane (vinyltrimethoxysilane) onto polyethylene and by subsequent moisture crosslinking in hot water using a tin catalyst. This study focuses on the degradation processes, which occurred in the material after water ageing in an autoclave; ageing temperatures ranged from 90 to 190°C, while ageing times ranged from 2h to 500h. Significant changes in the chemical structure of the material were observed by FTIR, as carbonyl group concentration increased and different structures formed in the region of absorbance of groups containing silicone; the structural changes affected significantly the mechanical properties as shown by the tensile data. A chemical analysis of the extracts in chloroform of water aged samples carried out by using FTIR, LIMA and GPC techniques and some optical microscopy evidence, suggested that the mechanism of degradation in water is different from the one in air, as during water ageing the antioxidants are washed away by water and hydrolytic oxidation also occurs. ECHIP experimental design software was used in order to optimise the number of experimental trials and to model the results obtained. Keywords: PE-crosslink, water ageing, carbonyl ratio, silane, antioxidants

Enhanced superexchange in a tilted mott insulator

In an optical lattice, entropy and mass transport by first-order tunneling are much faster than spin transport via superexchange. Here we show that adding a constant force (tilt) suppresses first-order tunneling, but not spin transport, realizing new features for spin Hamiltonians. Suppression of the superfluid transition can stabilize larger systems with faster spin dynamics. For the first time in a many-body spin system, we vary superexchange rates by over a factor of 100 and tune spin-spin interactions via the tilt. In a tilted lattice, defects are immobile and pure spin dynamics can be studied