Creating Diversity and Navigating Social Change in Portuguese West Africa

The twin phenomena of the formation of Creole strata and societies and cultural creolization have dominated debates on the uniqueness of Caribbean contexts and universalist notions of cross-cultural interaction at a global level. These analytical threads are integrated into a study of processes of creolization and acculturation in their multiple forms in areas of (former) Portuguese presence in West Africa. Deeply entangled with four centuries of the Atlantic slave trade and the rise and fall of the colonial state, the remarkable diversity of cross-cultural encounters in empire is addressed here for Cabo Verde, Guinea-Bissau, São Tomé and Príncipe, and Angola.publishersversionpublishe

Rethinking Historical Trajectories of Tropical Medicine in a Global Perspective

The Workshop on the History of Tropical Medicine (WHTM) organized under the auspices of the Centre for Global Health and Tropical Medicine (GHTM) took place at the Institute for Hygiene and Tropical Medicine of the Universidade NOVA in Lisbon on 14th and 15th December 2017, forming part of the celebrations of the institute’s 115th anniversary. It brought together 27 scholars from Europe, North America, Latin America and Africa who presented 22 papers, distributed across six thematic sessions, preceded by a keynote address. The papers presented and discussed during the meeting, covered a wide range of issues, including epidemiology, health systems and services, disease control and eradication programmes, biomedical knowledge and research, military and civil medicine, veterinary medicine, colonial and post-colonial medicine, entomology, medical networks, and international and global health. The present paper provides a summary of workshop proceedings and of the papers presented during the two-day meeting, the first of its kind held at the IHMT.publishersversionpublishe

trajetórias institucionais desde 1950

The present article focuses on the institutional aspects of the recent history of the IHMT, from the mid twentieth century to the present. In order to do so, it analyses its internal organization, research, training and intervention, as well as national and international relations during the colonial and the post-colonial periods. By associating internal and external changes, the essay intends to contextualize the scientific ques-tions discussed in the other texts of this dossier and simultaneously fill a gap in the published literature. Beginning with the first National Con-gress on Tropical Medicine in 1952, the Institute’s history until 1974 is dominated by the Portuguese colonial context. A new phase is initiated with the fall of the New State, decolonization, and Portugal’s joining of the Tropical Diseases Research (TDR) programme of the World Health Or-ganization (WHO). The frequent internal reorganizations of a scientific, financial and operational nature are analysed in the context of political changes, and alterations in ministerial supervision and of management models which had a significant impact on the Institute’s activities. The framing of the latter is also addressed against the background of the growing importance of international bilateral and multilateral coopera-tion with the WHO, the CEE/UE, and PALOP and CPLP countries. O presente artigo foca os aspetos institucionais da história recente do Instituto de Higiene e Medicina Tropical (IHMT), dos anos cinquenta do século XX até ao presente. Para tal, debruça-se sobre a sua organização interna, as atividades de investigação, ensino e intervenção, e as colaborações nacionais e internacionais tanto na fase colonial como no período pós-colonial. Ao focar o percurso científico do Instituto pretende- se preencher uma lacuna na literatura publicada. Começando com o I Congresso Nacional de Medicina Tropical em 1952, a história do IHMT até 1974 é dominada pelo contexto colonial português. Inicia-se uma nova fase com a queda do Estado Novo, a descolonização, e a adesão ao Programa Tropical Diseases Research (TDR) da Organização Mundial de Saúde (OMS). As frequentes reorganizações internas de caráter científico, financeiro e operacional são analisadas no contexto das mudanças políticos, de tutela e de modelos de gestão que tiveram um impacto significativo sobre as atividades do Instituto. O enquadramento destas é também analisado contra o pano de fundo da crescente importância da cooperação internacional com a OMS, com a Comunidade Económica Europeia/União Europeia (CEE/UE), e com os países de língua oficial portuguesa.publishersversionpublishe

Pre-travel consultations quality criteria: a Delphi consensus

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Knowledge, attitudes and practice about zika

No Brasil um surto causado pelo vírus zika foi relatado em 2015 e estima-se a ocorrência de 1,5 milhões de casos entre 2015 e 2016. Este trabalho pretende descrever conhecimentos, atitudes e práticas sobre zika em gestantes e puérperas de uma maternidade de alto risco no estado do Rio de Janeiro. Objetiva traçar o perfil das mulheres, analisar as características socio-demográficas, clínico-epidemiológicas, investigar conhecimentos, atitudes e práticas sobre zika destas mulheres e construir um escore de avaliação do conhecimento sobre a doença. Trata-se de um estudo seccional realizado por meio de questionário estruturado elaborado com base no modelo da OMS. A criação do escore (EFWC) permitiu a qualificação do grau de conhecimento sobre zika. A maior parte das gestantes e puérperas julgou insuficiente a informação que possui sobre zika (71%) em relação a sinais e sintomas (68,3%), causa (67,5%), prevenção (61,8%) e consequências (57%). A partir do cálculo do escore, observou-se que 1,6% das mulheres não tinham conhecimento algum sobre zika; 58,5% das mulheres tem conhecimento ruim ou inferior sobre zika. Não foi observada correlação entre renda, escolaridade ou idade da população deste estudo ao conhecimento sobre zika medido pelo escore. In Brazil an outbreak caused by the zika virus was reported in 2015 and an estimated 1.5 million cases were reported in 2015 and 2016. This paper aims to describe knowledge, attitudes and practices about zika in pregnant and postpartum women of a high risk maternity hospital in the state of Rio de Janeiro. It aims to trace the profile of women, analyze the demographic, clinical and epidemiological characteristics, investigate knowledge, attitudes and practices about zika of these women and build a knowledge assessment score on the disease. This is a sectional study carried out using a structured questionnaire based on the WHO model. The score (EFWC) was elaborated to assess the degree of knowledge about zika. Most of pregnant and postpartum women considered the information they had about zika insufficient (71%) regarding signs and symptoms (68.3%), cause (67.5%), prevention (61.8%), consequences (57%). The score revealed that 1.6% of the women had no knowledge about zika; 58.5% of women had poor or inferior knowledge about zika. No correlation was found between income, schooling or age of the study population and knowledge about zika measured by the score.publishersversionpublishe