Rubella vaccination coverage among women of childbearing age in Vietnam

10.3390/ijerph16101741International Journal of Environmental Research and Public Health1610174

Rubella Vaccination Coverage Among Women of Childbearing Age in Vietnam

Despite the availability of effective and safe rubella vaccines for women of childbearing age, prevention and control of congenital rubella syndrome in children remains challenging in Vietnam. In order to examine this issue, we conducted a cross-sectional study, examining the current coverage of rubella vaccination before pregnancy among 807 pregnant women and women with children under 12 months of age in urban and rural districts, Dong Da and Ba Vi, in Hanoi, Vietnam. In this population, we observed an alarming non-compliance rate with rubella vaccination before pregnancy in both localities. Among the 82.0% of participants who remained unvaccinated against this contagious viral infection, 95.8% of them were in Ba Vi district, compared to 68.0% in Dong Da district (p < 0.001). Besides the differences in age, number of children, education levels, primary occupations and monthly incomes among the participants between the two districts, other reasons for noncompliance with rubella vaccination includeddisinterest in rubella vaccination, the high cost and long distance to vaccination sites as well as unawareness of vaccination locations. In addition to addressing the unique socio-economicchallenges behind one’s accessibility to vaccination services in urban and rural areas, our study supports a continued effort in ensuring proper access to and education about pre-pregnancy vaccines and vaccination among women of childbearing age in order to achieve and sustain sufficient immunization coverage of rubella and other vaccine-preventable diseases in both settings

Heavy metals in soils and crops in southeast Asia. 2. Thailand

A reconnaissance soil geochemical and concomitant plant survey based on 318 soil (0-15 cm) and 122 plant samples was used for the assessment of heavy metal pollution of agricultural soils and crops of Thailand. Arsenic (As), cadmium (Cd), cobalt (Co), chromium (Cr), copper (Cu), mercury (Hg), nickel (Ni), lead (Pb) and zinc (Zn) were determined in soils using aqua regia digestion, and in plants using nitric acid digestion. Organic carbon (C), pH, electrical conductivity (EC) and available phosphorus (P) were determined on the soil samples using appropriate procedures. Results indicated that concentrations of heavy metals varied widely among the different regions of Thailand. Regression analysis between the concentrations of metals in soil (aqua regia extractable) and edible plant parts indicated a small but positive relationship for Cd in all the plants sampled in the survey (R2 = 0.081, p < 0.001). There was also a positive relationship between soil and plant Cd concentrations in rice (R2 = 0.242, p < 0.010), and negative relationships for Zn in rice (R2 = 0.385, p < 0.001), and Cu (R2 = 0.355, p < 0.001) and Zn (R2 = 0.122, p < 0.026) in glutinous rice. Principal component analysis of the soil data suggested that concentrations of As, Co, Cr, Cu, Hg, Ni and Pb were strongly correlated with concentrations of Al and Fe, which is suggestive of evidence of background variations due to changes in soil mineralogy. Thus, the evidence for widespread contamination of soils by these elements through agricultural activities is not strong. On the other hand, Cd and Zn were strongly correlated with organic matter and concentrations of available and aqua regia extractable P. This is attributed to input of contaminants in agricultural fertilisers and soil amendments (e.g. manures, composts).Bernhard A. Zarcinas, Pichit Pongsakul, Mike J. McLaughlin and Gill Cozen