Epidemiology of typhoid fever in the Philippines during the last six decades from 1960-2019: a profile and its trend

Regardless of the numerous reviews and publications on typhoid fever in the Philippines, it continues to be an issue regarding public health. Using data obtained from the Philippine Health Statistics (PHS), this study examined trends in typhoid fever mortality across an interval of six decades in the Philippines. The mortality and morbidity rates of typhoid fever were analyzed to discover trends of change for each year, age group, sex, and area. The Microsoft Excel software tool became used for all data analysis. The results show a decrease in typhoid fever fatality rates in the Philippines over the previous year. In terms of sex-specific deaths, males outnumbered females. The individuals aged 70 and older have the highest death rates when it comes to age-specific mortality rates. In the Philippines, Region I also has the highest mortality rate from typhoid fever. For instance, the Autonomous Region of Muslim Mindanao (ARMM) has the lowest mortality rate from typhoid fever. The highest average morbidity rate is in the Cordillera administrative region (CAR), while the lowest is in Region IVB. To eliminate typhoid fever in the next few years and to completely combat typhoid fever throughout the years, educational campaign awareness or intimate knowledge must be conducted locally and globally

Profile and trend analysis of diseases of the genitourinary system in the Philippines

In the Philippines, kidney disease is acknowledged as a significant public health issue as it causes considerable suffering, negatively impacts health, and possibly death to people inflicted it, this is despite the available programs and efforts to combat these diseases. This study evaluated and analyzed six decades of data (1960-2019) from Philippine Health Statistics to provide precise and valid information regarding its mortality trend and to assess the country’s improvement in effectively dealing with these diseases. Factors such as gender, geographical location, and lifestyle were found to affect kidney disease chances. We also found out that there are age and gender disparities in the vulnerability of the people of the Philippines to kidney diseases, with elderly ages 70 and up and males recorded to be at greater risk of dying due to it. Differences in the regional outcome were also observed with Region XII having the highest mortality rate, and Region ARMM having the lowest. Urgent need to expand treatment advancements and programs for the population is needed to decrease the burden of kidney disease in the country in the following years

Two decades of HIV/AIDS mortality trend analysis in the Philippines

Public health surveillance indicates that the country's HIV infection rate is rising, with the Western Pacific region experiencing the highest growth. Due to the scarcity of studies on HIV in the nation, the present state of the HIV epidemic must be ascertained by gathering data from public health surveillance and HIV mortality time trend analysis. The Department of Health's Philippine Health Statistics (PHS) provided the information. The PHS-recommended algorithms for vital health indicators were used to calculate mortality rates. According to the study's findings, the death rate in the nation is rising, necessitating tight efforts to stop the virus's transmission and provide access to anti-retroviral therapy. Although there is a considerable difference between the two sexes, men had a greater mortality rate than women, suggesting that men were more vulnerable to HIV/AIDS mortality. The study also revealed that HIV testing hurdles were to blame for making young to middle-aged individuals the population most susceptible to mortality from this illness. Additionally, the National Capital Region has the most significant mortality rate, so the government should focus on promoting health in this area as it has the highest mortality rate

Adolescent Waterpipe Use is Associated with Greater Body Weight: The Irbid-TRY

Background: Adult waterpipe smokers are at increased risk of obesity. However, it is unclear if adolescents, who are at the epicenter of the global waterpipe epidemic, are at similar risk. Objective: Therefore, the current study examined the waterpipe smoking relationship with obesity among adolescents. Methods: A sample of 2,313 boys and girls in grades 7–10 were surveyed about waterpipe and cigarette use in Jordan. Weight, body mass index (BMI), waist circumference, waist-to-hip ratio, and waist-to-height ratio were measured. Obesity indices were assessed as a function of smoking status (never used tobacco, current waterpipe only, current cigarettes only, and current dual smoking) as well as frequency of use of each tobacco product. Results: About 51.5% of adolescents smoked waterpipe whereas 29.8% were overweight/obese. Students who smoked waterpipe weekly had twofold greater odds of being obese than never-smokers (OR = 2.14; 95% CI = 1.08–4.21). Approximately 12% of students currently smoked waterpipe but not cigarettes, 2% smoked cigarettes but not waterpipe, and 11% smoked both. Body weight and age- and gender-specific BMI were greater for waterpipe and dual users compared to never users, especially for dual vs. never users (58.6 ±.8 vs. 55.6 ±.4 and.48 ±.07 vs.29 ±.03, respectively; p \u3c.005). Conclusions: For dual users, greater frequency of tobacco use was associated with greater weight and BMI. Waterpipe and dual use is associated with greater obesity, BMI, and body weight among Jordanian adolescents. Given the rising epidemics of both tobacco use and obesity among Middle Eastern adolescents, the clustering of these risk factors warrants public health action

Stability and persistence analysis on the epidemic model multiregion multi-patches

Abstract Spread of the virus can also occur between cities, countries and continents including the spread of H1N1 pandemic in 2009, the virus H7N9 that once plagued the plains of China, Virus Ebolla 2014 outbreak in the peninsula mainland West Africa, In this paper Mathematical model is constructed based on Metapopulation in 2 Region are connected by three tracks that do not intersect, therefore displacement individually in each region will not move trajectory, movement of individual populations between the Region is influenced by the density function Kernel Exponential and Laplace so Model Metapopulation shaped Equation System differential Partial-Integral loading the second region, stability and persistence analysis conducted through the basic reproduction number and Lipschitz constant showed that the analysis so that the system can be done through a model of each region’s to subsystem and system stability and persistence of the population affected by the virus and infected susceptible to the limited and quite large.</jats:p

Comparing Patient Perspectives on Diabetes Management to the Deficit-Based Literature in an Ethnic Minority Population: A Mixed-Methods Study

Marginalized racial/ethnic minorities have disproportionately high rates of type 2 diabetes prevalence, complications and mortality. Researchers and policymakers have typically addressed these disparities using a deficit-based discourse focused on individual/cultural deficiencies or failure. A mixed-methods study was used to compare the deficit discourse to the perspectives of adults with diabetes in the Arab minority in Israel, using data from 10 focus groups (5 men&rsquo;s, 5 women&rsquo;s) and 296 quantitative in-person surveys. Both qualitative and quantitative data were triangulated. In addition, multivariable regression models tested associations between diabetes management perspectives and participant characteristics. Contrary to the deficit-based characterizations of patients as fatalistic and unknowledgeable, participants viewed diabetes as a chronic disease with serious complications. They expressed more support for patient responsibility in diabetes management than for passive fatalism, and were less fatalistic as educational level and adequacy of diabetes self-care training increased. The impact of social/environmental barriers and changing cultural norms on lifestyle behaviors was highlighted. Over 95% used prescription medications for diabetes management, although 35% reported economic barriers. The deficit discourse is not well-aligned with Arab patients&rsquo; evolving perceptions and needs, and has deflected attention from the socioeconomic/structural determinants of health, and the healthcare system&rsquo;s responsibility to provide effective, culturally-relevant diabetes services

A strengths-based approach to exploring diabetes management in an Indigenous minority population: A mixed methods study

Indigenous and other marginalized racial/ethnic minorities have poorer health status than majority populations, including higher rates of type 2 diabetes. These disparities have typically been addressed using a ‘deficit-based’ discourse that isolates disease management from the broader social, economic, political context and does not incorporate patient perspectives. We aimed to explore factors affecting glycemic control among Indigenous Arabs with diabetes in Israel using a strengths-based approach that centered participants’ knowledge of their context, needs, resources and strengths. We conducted an exploratory sequential mixed methods study, which included 10 focus groups (5 men’s, 5 women’s) and 296 quantitative in-person surveys. Participants with diagnosed diabetes were randomly drawn from the patient list of the largest healthcare service organization (survey response rate: 93%). Prominent and interconnected themes emerged from focus group discussions, including: diet, physical activity, and social, economic, mental/psychological and political stress. The discussions raised the need for adapting diabetes management approaches to incorporate participants’ communal, physical and psychological well-being, and socioeconomic/political realities. The connections between these factors and diabetes management were also reflected in multivariable analyses of the survey data. Women (OR: 2.03; 95% CI: 1.09–4.63), people with disabilities (OR: 2.43; 95% CI: 1.28–4.64), and unemployed people (OR: 2.64; 95% CI: 1.28–5.44) had higher odds of economic barriers to diabetes management. Furthermore, female sex (OR: 2.26; 95% CI: 1.25–4.09), unemployment (OR: 4.07; 95% CI: 1.64–10.10), and suboptimal glycemic control (OR: 1.20, 95% CI: 1.03–1.41 per 1-unit increase in HbA1c) were associated with moderate-to-severe depressive symptoms. A pro-active, team-based healthcare approach incorporating Indigenous/minority participants’ knowledge, experience, and strengths has the potential to improve individuals’ diabetes management. Healthcare services should be structured in ways that enable providers to listen to their patients, address their key concerns, and foster their strengths.</jats:p

Selected characteristics of the DAPI survey respondents by gender (n = 296).

Selected characteristics of the DAPI survey respondents by gender (n = 296).</p