Self-Reported Serious Illnesses in Rural Cambodia: A Cross-Sectional Survey

BACKGROUND: There is substantial evidence that ill-health is a major cause of impoverishment in developing countries. Major illnesses can have a serious economic impact on poor households through treatment costs and income loss. However, available methods for measuring the impact of ill-health on household welfare display several shortcomings and new methods are thus needed. To understand the potential complex impact of major illnesses on household livelihoods, a study on poverty and illness was conducted in rural Cambodia, as part of an international comparative research project. A cross-sectional survey was performed to identify households affected by major illness for further in-depth interviews. METHODOLOGY AND PRINCIPAL FINDINGS: 5,975 households in three rural health districts were randomly selected through a two-stage cluster sampling and interviewed. 27% of the households reported at least one member with a serious illness in the year preceding the survey and 15% of the household members reported suffering from at least one serious illness. The most reported conditions include common tropical infectious diseases, chronic diseases (notably hypertension and heart diseases) and road traffic accidents. Such conditions were particularly concentrated among the poor, children under five, women, and the elderly. Poor women often reported complications related to pregnancy and delivery as serious illnesses. CONCLUSIONS AND SIGNIFICANCE: Despite some methodological limitations, this study provides new information on the frequency of self-reported serious illnesses among the rural Cambodia's population, which serves as a basis for further in-depth investigation on 'major illnesses' and their economic consequences on poor households. This can in turn help policy makers to formulate appropriate interventions to protect the poor from the financial burden associated with ill-health. Our findings suggest that every year a considerable proportion of rural population in Cambodia, especially the poor and vulnerable, are affected by serious illnesses, both communicable and non-communicable diseases

Whole-exome sequencing as a powerful tool to unravel the molecular pathogenesis of osteogenesis imperfecta

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Rotifers in the Schelde estuary (Belgium): a test of taxonomic relevance

To investigate the reaction of the zooplankton community to improving water quality in the Schelde estuary, we studied the relationship between rotifer species distribution and environmental factors, and the feasibility of using a coarser level of taxonomic resolution. Fifty-two taxa, belonging to 26 genera, were identified, including 22 taxa new for the Schelde. Brachionus calyciflorus, Keratella cochlearis and B. angularis were the most abundant species. The highest diversity and abundances were observed in the freshwater reach. Redundancy analyses (RDA) showed that the main environmental factors explaining rotifer distribution were chlorinity and seasonal factors (discharge levels, cyclopoid abundance). Analysis carried out with data at the species and the genus level gave similar ordination plots, but the positioning of a genus relative to environmental factors did not always adequately represent the associations between the various species within the genus and environmental factors. Similar patterns in space and time were observed using taxonomic richness and diversity indices for analyses at species or genus level. Thus, in the context of the restoration of the Schelde estuary, the identification of rotifer species is very informative, but not essential for detecting important ecological associations

Short and long term retention in antiretroviral care in health facilities in rural Malawi and Zimbabwe.

Despite the successful scale-up of ART services over the past years, long term retention in ART care remains a major challenge, especially in high HIV prevalence and resource-limited settings. This study analysed the short (<12 months) and long (>12 months) term retention on ART in two ART programmes in Malawi (Thyolo district) and Zimbabwe (Buhera district)