scholarly journals Knowledge, perceptions, and environmental risk factors among Jamaican households with a history of leptospirosis

2014 ◽  
Vol 7 (4) ◽  
pp. 314-322 ◽  
Author(s):  
Paul Allwood ◽  
Claudia Muñoz-Zanzi ◽  
Martin Chang ◽  
Paul D. Brown
2016 ◽  
Vol 8 (1) ◽  
pp. 48
Author(s):  
Annisa Rahim ◽  
Ririh Yudhastuti

Abstract: One  of the  zoonosis in Indonesia is leptospirosis. Leptospirosis is caused due  to infection  of bacteria Leptospira. There  were  107 cases and  9 deaths due  to leptospirosis in Sampang. The  incidence of leptospirosis in Sampang was an outbreak. The purpose of this study  was to map the distribution  of leptospirosis cases in Sampang in 2013 and to analyze environmental risk factors of leptospirosis cases (rainfall, altitude, and the presence of flood). This study  was an observational-descriptive study  and used cross-sectional study  design. The unit of analysis  of the study was administrative  regions  based on the districts.  There was patients  of leptospirosis in 4 districts in Sampang regency, there are Sampang district, Camplong district Robatal district and Omben district. The highest incidence of leptospirosis in Sampang regency was occured in Sampang district with rainfall more than 177.6 mm,  altitude less  than 47mdpl, and had experienced flooding.  Mapping  the incidence of leptospirosis showed the distribution  of leptospirosis cases tend to be  concentrated in Sampang district which  had a history of flooding  status.  The conclusion is rainfall, altitude, and presence of flood are risk factors  of leptospirosis. The advice is to improve  surveillance of patients  with leptospirosis particularly during floods,  to do outreach to the community, to perform cross-sector cooperation, to avoid or to reduce the frequency of direct contact with the flood to minimize  transmission of leptospirosis.Keywords: leptospirosis incidence, risk factors,  mapping


1999 ◽  
Vol 175 (4) ◽  
pp. 351-356 ◽  
Author(s):  
Kenneth S. Kendler ◽  
Laura M. Karkowski ◽  
Linda A. Corey ◽  
Carol A. Prescott ◽  
Michael C. Neale

BackgroundSubsequent to initial exposure to the use of a psychoactive substance, psychoactive substance use disorder (PSUD) may or may not develop.AimsTo investigate the relationship between the risk factors for initiation and the subsequent misuse of psychoactive substances.MethodThe lifetime history of illicit substance use and misuse was obtained by telephone interview with 1934 members of female–female twin pairs. We apply a novel model, which estimates the role of genetic and environmental risk factors that influence initiation and those specific to misuse, to three classes of illicit psychoactive substances.ResultsThe individual-specific environment and family environment influenced the probability of initiation, but only individual-specific environment had an impact on the probability of subsequent misuse. Genetic factors which influence the risk of initiation and of misuse were identified.ConclusionsAetiological factors that influence drug initiation and subsequent misuse are correlated but not identical. Family environment is an important determinant of risk for drug experimentation. Two classes of genetic risk factors act on the liability to PSUD: those that influence the probability of initiation and those that influence the risk of misuse.


Blood ◽  
2009 ◽  
Vol 114 (22) ◽  
pp. 269-269
Author(s):  
Ruth Jarrett ◽  
Paul CD Johnson ◽  
Klaus Rostgaard ◽  
Annette Lake ◽  
Lesley Shield ◽  
...  

Abstract Abstract 269 Introduction: Markers in the human leukocyte antigen (HLA) class I locus and infectious mononucleosis (IM) have both been associated with Epstein-Barr (EBV)-positive Hodgkin lymphoma (HL). IM is caused by late infection with EBV. To further explore associations between HLA class I genes and EBV-positive HL and to investigate potential interactions between genetic (HLA) and environmental risk factors in the development of HL, we performed a case-only study of 934 HL cases. Methods: HLA-A and B typing were performed by PCR sequence specific oligonucleotide assay. Logistic regression was used to estimate odds ratios (ORs) of EBV-positive HL relative to EBV-negative HL for HLA-A and B genotypes and other known risk factors. Results: Increasing age, male sex, HLA-A*01 and a previous history of IM were all associated with a statistically significant increased odds of EBV-positive HL while HLA-A*02 and HLA-B*07 were associated with a protective effect. Significant interactions were detected between HLA-A*01 and HLA-B*07 and between prior IM and HLA-A*02, such that HLA-B*07 abolished the increased odds associated with HLA-A*01 and HLA-A*02 abrogated the increased odds associated with prior IM. In our final model of EBV-positive HL, HLA-B*07 was associated with a dominant protective effect (OR=0.57, 95% confidence interval (CI): 0.34–0.94); HLA-A*02 was associated with a protective effect which was additive (for individuals with no prior IM, ORper allele =0.69, 95% CI: 0.50–0.97); and HLA-A*01 was associated with an increased odds in patients who were HLA-B*07-negative (ORper allele=2.15, 95% CI: 1.54–3.01). Prior IM was independently associated with EBV-positive HL (OR=3.35, 95% CI: 1.67–6.73). This resulted in a >32-fold higher odds of EBV-positive HL in HLA-A*01 homozygotes with IM compared to HLA-A*02 homozygotes without IM. Conclusions: We have identified strong associations between both genetic and environmental risk factors and EBV-positive HL. Our findings suggest that HLA class I-restricted, cell-mediated responses to EBV and a prior history of IM play critical roles in the pathogenesis of EBV-positive HL. Disclosures: No relevant conflicts of interest to declare.


2010 ◽  
Author(s):  
Thomas A. Wills ◽  
Pallav Pokhrel ◽  
Frederick X. Gibbons ◽  
James D. Sargent ◽  
Mike Stoolmiller

2012 ◽  
Author(s):  
M. Pugliatti ◽  
I. Casetta ◽  
J. Drulovic ◽  
E. Granieri ◽  
T. Holmøy ◽  
...  

2019 ◽  
Author(s):  
I-Chao Liu ◽  
Shu-Fen Liao ◽  
Lawrence Shih-Hsin ◽  
Susan Shur-Fen Gau ◽  
Wen-Chung Lee ◽  
...  

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