7 research outputs found
Pediculosis and the Pediatrician
Head lice commonly evoke feelings of disgust, revulsion, anger, and shame among parents and patients. There should, however, be no great cause for such alarm if a physician suspects pediculosis capitis. The recent introduction of several new pediculicidal drugs now allows a choice among four distinct therapeutic agents, which should substantially improve control of isolated cases and epidemics. Physicians must be aware that consumer groups are pressing public health authorities and drug manufacturers to establish proper treatment standards and safety warnings for the use of these agents. In addition, some controversy surrounds the use of lindane in children. This paper reviews the epidemiology and clinical appearance of pediculosis capitis in children, with emphasis on these recent developments. Pubic lice ( Phthirus pubis ) and body lice ( Pedicutus humanus corporis ), both of which are much less common pediatric infestations, are mentioned only briefly.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72607/1/j.1525-1470.1984.tb00447.x.pd
Disparities in Beef Tapeworm Identification Rates in the Abattoirs of Gauteng Province, South Africa: A Descriptive Epidemiologic Study
BACKGROUND
Bovine Taenia saginata cysticercus infections (also called bovine cysticercosis or beef measles)
is usually diagnosed in cattle only during post-mortem meat inspection. The aim of this
study was to investigate the identification rates of these infections in and to identify predictors/
determinants of variations in the identification rates in abattoirs in Gauteng province,
South Africa.
METHODS
Retrospective data for over 1.4 million cattle carcasses inspected in 26 abattoirs between
January 2010 and December 2013 were used for the study. The identification rates (proportion
of bovine Taenia saginata cysticercus positive carcasses) were computed and generalized
estimating equations used to identify predictors/determinants of identification rates.
RESULTS
The overall identification rate was 0.70% (95% CI: 0.45, 0.95). Significantly (p< 0.05) lower
rates were reported during summer (0.55%) than other seasons. Some geographic areas
reported significantly (p<0.05) higher rates than others. The identification rates in high
throughput abattoirs was significantly (p<0.05) higher (RR: 9.4; 95% CI: 4.7–19.1) than in
low throughput abattoirs. Similarly, the identification rates among animals from feedlots
were significantly (p0.05) association was identified between identification rates and
either the number of meat inspectors per abattoir or the provider of inspection services.
CONCLUSION
Although no significant association was found between identification rates and provider of
inspection services, follow-up studies will need to be done to specifically investigate the
potential conflict of interest arising from the fact that abattoir owners hire meat inspection
services directly. Capture of abattoir surveillance data needs to include farm address and
for each case to be reported separately. Finally, information on the type of identified cysts
(alive or calcified) need to be collected to help better estimate risk to consumers. This study
provides useful baseline data to guide future studies, surveillance and control efforts.http://www.plosone.orgam2016Paraclinical Science