Epidemiology and Prevention of Prostate Cancer in Vietnam

Prostate cancer is the second most common cancer in men worldwide and a leading cause of mortality. Incidences continues to rise and vary substantially between populations. Although the prevalence of prostate cancer is relatively low in Vietnam, some hospital-based reports have shown an upward trend in recent years. While certain non-modifiable factors such as age, race and genetics are known to be mainly responsible, the literature has also suggested that environmental exposures can delay the onset of this disease. The present study provides a review of the epidemiology of prostate cancer in Vietnam by systematically searching several electronic databases. The results confirm an increasing trend of prostate cancer over the past decade, with age-standardised rate more than doubled from 2.2 per 100,000 men in 2000 to 4.7 per 100,000 men in 2010. However, no study has been found on modifiable risk factors, with the exception of one in vitro experiment that showed the inhibitory effect of garlic on the growth of prostate cancer cells. The lack of epidemiological information poses a difficulty to develop public health interventions to prevent this emerging malignant disease in Vietnam

The baseline characteristics and interim analyses of the high-risk sentinel cohort of the Vietnam Initiative on Zoonotic InfectiONS (VIZIONS)

The Vietnam Initiative for Zoonotic Infections (VIZIONS) includes community-based 'high-risk sentinel cohort' (HRSC) studies investigating individuals at risk of zoonotic infection due to occupational or residential exposure to animals. A total of 852 HRSC members were recruited between March 2013 and August 2014 from three provinces (Ha Noi, Dak Lak, and Dong Thap). The most numerous group (72.8%) corresponded to individuals living on farms, followed by slaughterers (16.3%) and animal health workers (8.5%). Nasal/pharyngeal and rectal swabs were collected from HRSC members at recruitment and after notifying illness. Exposure to exotic animals (including wild pigs, porcupine, monkey, civet, bamboo rat and bat) was highest for the Dak Lak cohort (53.7%), followed by Ha Noi (13.7%) and Dong Thap (4.0%). A total of 26.8% of individuals reported consumption of raw blood over the previous year; 33.6% slaughterers reported no use of protective equipment at work. Over 686 person-years of observation, 213 episodes of suspect infectious disease were notified, equivalent of 0.35 reports per person-year. Responsive samples were collected from animals in the farm cohort. There was noticeable time and space clustering of disease episodes suggesting that the VIZIONS set up is also suitable for the formal epidemiological investigation of disease outbreaks

A clinical and epidemiological investigation of the first reported human infection with the zoonotic parasite Trypanosoma evansi in Southeast Asia

Background. Trypanosoma is a genus of unicellular parasitic flagellate protozoa. Trypanosoma brucei species and Trypanosoma cruzi are the major agents of human trypanosomiasis; other Trypanosoma species can cause human disease, but are rare. In March 2015, a 38-year-old woman presented to a healthcare facility in southern Vietnam with fever, headache, and arthralgia. Microscopic examination of blood revealed infection with Trypanosoma. Methods. Microscopic observation, polymerase chain reaction (PCR) amplification of blood samples, and serological testing were performed to identify the infecting species. The patient's blood was screened for the trypanocidal protein apolipoprotein L1 (APOL1), and a field investigation was performed to identify the zoonotic source. Results. PCR amplification and serological testing identified the infecting species as Trypanosoma evansi. Despite relapsing 6 weeks after completing amphotericin B therapy, the patient made a complete recovery after 5 weeks of suramin. The patient was found to have 2 wild-type APOL1 alleles and a normal serum APOL1 concentration. After responsive animal sampling in the presumed location of exposure, cattle and/or buffalo were determined to be the most likely source of the infection, with 14 of 30 (47%) animal blood samples testing PCR positive for T. evansi. Conclusions. We report the first laboratory-confirmed case of T. evansi in a previously healthy individual without APOL1 deficiency, potentially contracted via a wound while butchering raw beef, and successfully treated with suramin. A linked epidemiological investigation revealed widespread and previously unidentified burden of T. evansi in local cattle, highlighting the need for surveillance of this infection in animals and the possibility of further human cases

Utilização de indicadores para estimar a digestibilidade aparente em gatos Use of markers to estimate the apparent digestibility in domestic cats

Compararam-se os métodos de coleta total (CT) e dos indicadores óxido crômico (Cr2O3), cinzas insolúveis em ácido (CIA) e lignina na determinação dos coeficientes de digestibilidade aparente (CDA) dos nutrientes para gatos. Os CDA de quatro rações foram determinados pela CT e estimados pelos diferentes indicadores em teste. Foram utilizados 24 gatos adultos castrados, alojados em gaiolas metabólicas individuais, totalizando seis animais por ração. O experimento seguiu um delineamento inteiramente ao acaso, em parcelas subdivididas, sendo as rações as parcelas, os métodos as subparcelas e cada gato uma unidade experimental. Os CDA foram significativamente menores pelo método da lignina em uma das rações estudadas (P<0,05). Os métodos Cr2O3, CIA e CT resultaram em CDA iguais em todas as rações (P>0,05). As taxas de recuperação dos indicadores, médias&plusmn;erro-padrão da média, foram, respectivamente, de 97,1&plusmn;2,5%, 97,3&plusmn;2,9% e 83,9&plusmn;9,1% para o Cr2O3, CIA e lignina. A CIA e o Cr2O3 mostraram grande potencial para utilização como indicadores, enquanto a ampla variabilidade dos resultados obtidos com a utilização da lignina não justificou seu emprego como substância índice para felinos.<br>The total collection (TC) method was compared to chromium oxide (Cr2O3), acid-insoluble ash (AIA) and lignin marker methods for determining the coefficients of apparent digestibility (CAD) of nutrients in domestic cats. The CAD of four diets were determined by TC and estimated for the three markers through tests. Twenty-four adult neutered cats were housed in individual metabolic cages, totaling six animals per diet. The experiment was carried out using a completely randomized design in subdivided blocks where diets were blocks, methods were sub-blocks and each cat an experimental unit. CAD for the lignin method was significantly lower than TC method (P<0.05) in one of the studied diets. CAD for the Cr2O3, AIA and TC methods were similar in all diets. Recuperation rates of Cr2O3, AIA and lignin markers were 97.1&plusmn;2.5%, 97.3&plusmn;2.9% and 83.9&plusmn;9.1% respectively. AIA and Cr2O3 methods showed high potential for use as markers while the higher variability in results obtained with the use of lignin did not justify its usage as an indicator substance for felines