2,420 results match your criteria Revista panamericana de salud publica = Pan American journal of public health[Journal]


Development of the International Alcohol Policy and Injury Index.

Rev Panam Salud Publica 2018 ;42

Pan American Health Organization, Washington, DC.

Objective: The current work develops the International Alcohol Policy Injury Index (IAPII) to measure the effectiveness of control policies that impact reduction of alcohol-related injury.

Methods: Using cross-sectional data on alcohol policies from five policy domains ( and ), injury death, and alcohol-attributable fractions (AAFs) for vehicular deaths were accessed from the WHO database for 156 countries. A composite indicator, the International Alcohol Policy Injury Index (IAPII), was created to assess the association between policy and death due to injury. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007029PMC
January 2018
1 Read

Risk of violence-related injury from alcohol consumption and its burden to society in Latin America and the Caribbean.

Rev Panam Salud Publica 2018 Jan;42

Pan American Health Organization, Washington DC.

Objectives: The risk for violence-related injury from drinking and attributable burden in the Latin American and Caribbean region was explored.

Methods: A probability sample of 1024 emergency department patients reporting a violence-related injury was analyzed from 11 countries, using case-crossover fractional polynomial analysis of the number of drinks consumed prior to the event.

Results: A dose-response relationship was observed with a six-fold increase in risk (RR=5. Read More

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http://dx.doi.org/10.26633/RPSP.2018.7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881603PMC
January 2018
3 Reads

[Ethics in clinical trials designs and alternative methods].

Rev Panam Salud Publica 2018 Jan;42

Investigación en Salud, Coordinación Interinstitucional, Ministerio de Salud Pública y Asistencia Social, Guatemala, Guatemala.

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http://dx.doi.org/10.26633/RPSP.2018.38DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881927PMC
January 2018
2 Reads

La ruta abreviada de comparabilidad colombiana para medicamentos biotecnológicos: ¿tendencia global o caso único?

Rev Panam Salud Publica 2018 Feb 19;41:e94. Epub 2018 Feb 19.

Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombia.

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February 2018
4 Reads

[Future type 2 diabetes mellitus scenario estimated with a predictive dynamic simulation model].

Rev Panam Salud Publica 2018 Feb 19;41:e93. Epub 2018 Feb 19.

Facultad Enfermería, Universidad Autónoma de San Luis Potosí-Posgrado, San Luis Potosí, San Luis Potosí, Mexico. La correspondencia se debe dirigir a Sandra Olimpia Gutiérrez. Correo electrónico:

Objective: Develop a predictive dynamic model to estimate future scenarios for the incidence rate of type 2 diabetes mellitus (T2DM).

Methods: A retrospective ecological study was conducted in 2013-2015 in the city of San Luis Potosí, Mexico. Secondary official data from the 58 municipalities making up the state of San Luis Potosí were analyzed. Read More

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February 2018
3 Reads

How Colombia's biosimilar regulation departs from international norms.

Authors:
Erika Lietzan

Rev Panam Salud Publica 2018 Feb 19;41:e78. Epub 2018 Feb 19.

Associate Professor of Law, University of Missouri School of Law, Columbia, Missouri, United States of America

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February 2018
4 Reads

[Spatial distribution of hospital discharges of cases of viral infection from mosquito bites in Mexico in the period 2004-2014].

Rev Panam Salud Publica 2018 Feb 19;41:e30. Epub 2018 Feb 19.

Colegio de la Frontera Norte, Nogales, México. La correspondencia se debe dirigir a José Luis Manzanares. Correo electrónico:

Objective: Determine the spatial distribution of hospital discharges of viral fever caused by mosquito bites in Mexico and characterize its historical trend in the period 2004-2014.

Methods: An exploratory cross-sectional inferential analysis was performed. The primary data were obtained from the hospital discharge registries of the National Health Information System (SINAIS) for the period 2004-2014. Read More

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February 2018
5 Reads

[Chronic diseases in the population affected by the armed conflict in Colombia, 2015].

Rev Panam Salud Publica 2018 Feb 19;41:e144. Epub 2018 Feb 19.

Pontificia Universidad Javeriana. Bogotá, Colombia.

Objective: The purpose of this study was to identify the most frequent non-mental chronic illnesses in the Colombian population affected by the armed conflict.

Methodology: A cross-sectional study using data from the National Mental Health Survey 2015. The study population was stratified by sex and age and other general data were extracted, including education and poverty level, measured by the Multidimensional Poverty Index. Read More

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February 2018
3 Reads

[Social determinants of intestinal parasitism, malnutrition, and anemia: systematic review].

Rev Panam Salud Publica 2018 Feb 19;41:e143. Epub 2018 Feb 19.

Universidad de Antioquia. Medellín, Colombia. La correspondencia se debe dirigir a Jaiberth Antonio Cardona-Arias. Correo electrónico:

Objective: Characterize the publications on social determinants of intestinal parasitism, malnutrition, and anemia at the global level.

Methods: A systematic review was conducted of the scientific literature in Pubmed, Science Direct, SciELO, LILACS, and Google Scholar with eight search strategies, guaranteeing completeness and replicability, following the phases of the PRISMA guidelines.

Results: The review included 18 studies on malnutrition, three on parasitism, three on anemia, and two on both parasitism and malnutrition; 65. Read More

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February 2018
3 Reads

[Breastfeeding and externalizing behaviors in childhood and adolescence in a birth cohort].

Rev Panam Salud Publica 2018 Feb 19;41:e142. Epub 2018 Feb 19.

Universidade Federal de Pelotas (UFPEL), Faculdade de Medicina, Programa de Pós-Graduação em Epidemiologia, Pelotas (RS), Brasil.

Objective: To assess the association between breastfeeding duration and externalizing behaviors in childhood and adolescence.

Methods: Data from the 1993 Pelotas Birth Cohort was used. Information on breastfeeding was assessed at 12 months of age. Read More

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February 2018
5 Reads

[Health technology assessment for decision-making in Latin America: good practice principles].

Rev Panam Salud Publica 2018 Feb 19;41:e138. Epub 2018 Feb 19.

Hospital Clinic de Barcelona, Barcelona, España.

Objective: Identify the most relevant, applicable, and priority good practice principles in health technology assessment (HTA) in Latin America, and potential barriers to implementing them in the region.

Methods: HTA good practice principles postulated worldwide were identified and then explored through a deliberative process in a forum of evaluators, funders, and technology producers.

Results: Forty-two representatives from ten Latin American countries participated in the forum. Read More

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February 2018
15 Reads

Prolonged Zika virus viremia in a patient with Guillain-Barré syndrome in Trinidad and Tobago.

Rev Panam Salud Publica 2018 Feb 19;41:e136. Epub 2018 Feb 19.

Caribbean Public Health Agency (CARPHA), Port of Spain, Trinidad and Tobago. Send correspondence to Gabriel Gonzalez-Escobar at

An emerging mosquito-borne flavivirus, Zika virus (ZIKV) is a significant public health concern because of the syndromes associated with the infection. In addition, ZIKV is considered a major problem due to large-scale spread of the disease and the possible clinical complications for the central nervous system, especially Guillain-Barré syndrome (GBS) and microcephaly. Since the introduction of ZIKV in the Caribbean, molecular detection of the viral RNA has been utilized as a more specific and sensitive approach to demonstrating acute infection. Read More

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February 2018
13 Reads

Respuesta sobre la regulación colombiana de los productos bioterapéuticos.

Rev Panam Salud Publica 2018 Feb 19;41:e135. Epub 2018 Feb 19.

Ministerio de Salud y Protección Social de Colombia, Colombia.

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February 2018
4 Reads

A road map for leptospirosis research and health policies based on country needs in Latin America.

Rev Panam Salud Publica 2018 Feb 19;41:e131. Epub 2018 Feb 19.

World Health Organization, Geneva, Switzerland.

This report summarizes the presentations, discussions and the recommendations coming from the Oswaldo Cruz Institute/FIOCRUZ International Workshop for Leptospirosis Research Based on Country Needs and the 5th Global Leptospirosis Environmental Action Network meeting, which was held in the city of Rio de Janeiro, Brazil, 10-12 November 2015. The event focused on health policy and worked to develop a road map as a consensus document to help guide decision-making by policymakers, funding bodies, and health care professionals. The direction that leptospirosis research should take in the coming years was emphasized, taking into account the needs of countries of Latin America, as well as experiences from other world regions, as provided by international experts. Read More

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February 2018
8 Reads

Response regarding Colombian regulation of biotherapeutic products.

Rev Panam Salud Publica 2018 Feb 19;41:e129. Epub 2018 Feb 19.

Think Tank "Medicines, Information and Power", Universidad Nacional de Colombia, Bogotá, Colombia.

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February 2018
3 Reads

Potential occurrence of Zika from subtropical to temperate Argentina considering the basic reproduction number (R0).

Rev Panam Salud Publica 2018 Feb 19;41:e120. Epub 2018 Feb 19.

CONICET, Instituto Nacional de Medicina Tropical, Argentina.

Objective: To assess the potential occurrence of Zika transmission throughout Argentina by the mosquito Aedes aegypti considering the basic reproduction number (R0).

Methods: A model originally developed for dengue was adapted for Zika. R0 was estimated as a function of seven parameters, three of them were considered temperature-dependent. Read More

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February 2018
2 Reads

[Infoxication in health. Health information overload on the Internet and the risk of important information becoming invisible].

Rev Panam Salud Publica 2018 Feb 19;41:e115. Epub 2018 Feb 19.

Organización Panamericana de la Salud, Unidad de Información y Análisis de Salud, Departamento de Enfermedades Transmisibles, Washington, DC, Estados Unidos de América,

Objective: The objectives of this study were to: 1) raise awareness of the volume of quality health information on the Internet; 2) explore perceptions of information professionals with regard to the use of qualified sources for health decision-making; and 3) make recommendations that facilitate strengthening health worker capacities and institutional competencies related to digital literacy.

Methods: A non-experimental, descriptive cross-sectional study was conducted with a non-probability sample of 32 information professionals from nine countries. Internet information was compiled on the volume of content in Internet tools, social networks, and health information sources. Read More

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February 2018
10 Reads

Individual deprivation, regional deprivation, and risk for oral clefts in Argentina.

Rev Panam Salud Publica 2018 02 19;41:e110. Epub 2018 Feb 19.

Estudio Colaborativo Latinoamericano de Malformaciones Congénitas (ECLAMC), Laboratorio de Epidemiología Genética, Centro de Educación Médica e Investigaciones Clínicas (CEMIC-CONICET), Buenos Aires, Argentina. Send correspondence to Mariela Soledad Pawluk, at

Objective: The aim of this study was to analyze the effects of individual low socioeconomic status (SES) and deprived geographical area (GA) on the occurrence of isolated cleft lip with or without cleft palate (CL±P) in Argentina.

Methods: This case-control study included 577 newborns with isolated CL±P and 13 344 healthy controls, born between 1992 and 2001, from a total population of 546 129 births in 39 hospitals in Argentina. Census data on unsatisfied basic needs were used to establish the degree of geographical area deprivation. Read More

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February 2018
7 Reads

Embedding research in health policy and systems in the Americas.

Rev Panam Salud Publica 2017 Oct 19;41:e68. Epub 2017 Oct 19.

Pan American Health Organization, Washington, DC, United States of America.

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October 2017
6 Reads

[Women's health prevention indicator: a proposal for combining mammography and Papanicolaou smear].

Rev Panam Salud Publica 2017 Aug 21;41:e99. Epub 2017 Aug 21.

Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Estudos em Saúde Coletiva, Rio de Janeiro (RJ), Brasil.

This article proposes a women's health prevention indicator (WHPI) reflecting the combined status of mammography and Papanicolaou (Pap) smear according to the recommendations for age and considering the time elapsed since the last exam/test. The WHPI classifies prevention status into desirable, alert, or risk categories. The risk category includes women of all ages who never had a Pap smear, those aged >60 years who had a Pap smear more than 3 years ago but never had a mammography, and those aged ≥71 years who are up to date with the Pap smear but never had a mammography. Read More

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August 2017
3 Reads

The United States-Mexico border environmental public health: the challenges of working with two systems.

Rev Panam Salud Publica 2017 Aug 21;41:e98. Epub 2017 Aug 21.

Sustainable Development and Human Security, Pan American Health Organization, Washington, D.C., United States of America.

This report shares the challenges and opportunities encountered by a binational project that examined the availability of environmental and public health information for the United States-Mexico border area. The researchers interviewed numerous national and binational agencies on both sides of the border, endeavoring to develop a framework to advance the knowledge of academic and public health professionals in the area of environmental border health. However, the lack of standardized indicators and metrics in both countries validates the emergent need to establish a viable framework for the collection, analysis, and dissemination of environmental information. Read More

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August 2017
5 Reads

[Impact of physical inactivity on mortality and the economic costs of cardiovascular deaths: evidence from Argentina].

Rev Panam Salud Publica 2017 Aug 21;41:e92. Epub 2017 Aug 21.

Facultad de Ciencias del Deporte, Universidad Pablo de Olavide, Sevilla, España.

Objective: Estimate mortality and economic costs from cardiovascular diseases attributable to physical inactivity in Argentina.

Methods: Attributable mortality (AM) from physical inactivity was estimated as the product of the population attributable fraction and the number of deaths caused by associated cardiovascular diseases. Value of statistical life (VSL) was calculated using the human capital approach, in which VSL was estimated through lost productivity from premature death. Read More

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August 2017
4 Reads

[Aging and long-term care in Chile: challenges in the OECD context].

Rev Panam Salud Publica 2017 Aug 21;41:e86. Epub 2017 Aug 21.

Harvard University, T H Chan School of Public Health, Boston, Massachusetts, Estados Unidos de América.

Chile is fully in the process of demographic transition, with a rapidly aging population. This situation poses multiple public policy challenges, including those in the public health sector. Specifically, the association between aging and the loss of autonomy calls for the rapid design of a long-term care policy in the country. Read More

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August 2017
3 Reads

Minimum infectious dose for chikungunya virus in Aedes aegypti and Ae. albopictus mosquitoes.

Rev Panam Salud Publica 2017 Aug 21;41:e65. Epub 2017 Aug 21.

Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, United States of America.

Understanding the ability of the chikungunya virus (CHIKV) to be transmitted by Aedes vectors in the Americas is critical for assessing epidemiological risk. One element that must be considered is the minimum infectious dose of virus that can lead to transmission following the extrinsic incubation period. This study aimed to determine the minimum infection rate for the two Aedes species studied. Read More

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August 2017
9 Reads

Clinical manifestations of chikungunya among university professors and staff in Santo Domingo, the Dominican Republic.

Rev Panam Salud Publica 2017 Aug 21;41:e64. Epub 2017 Aug 21.

Facultad de Ciencias de Salud, Universidad Autónoma de Santo Domingo, Santo Domingo, Dominican Republic.

Objective: To further characterize chikungunya virus infection and its associated clinical manifestations, using a sample of university professors and staff in Santo Domingo, the Dominican Republic.

Methods: A cross-sectional study with quota sampling by department was performed to obtain a convenience sample of professors (n = 736) and staff (n = 499) at the Universidad Autónoma de Santo Domingo. Surveys were used to collect demographic and infection data during the fall term of 2014. Read More

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August 2017
4 Reads

First detection of dengue and chikungunya viruses in natural populations of Aedes aegypti in Martinique during the 2013 - 2015 concomitant outbreak.

Rev Panam Salud Publica 2017 Aug 21;41:e63. Epub 2017 Aug 21.

Centre de Démoustication et de Recherches Entomologiques/Lutte antivectorielle, Collectivité Territoriale et Agence Régionale de Santé, Fort-de-France, Martinique, France.

Dengue and chikungunya viruses are transmitted by Aedes mosquitoes. In Martinique, an island of the French West Indies, Aedes aegypti is the suspected vector of both arboviruses; there is no Aedes albopictus on the island. During the concomitant outbreak of 2013 - 2015, the authors collected wild A. Read More

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August 2017
16 Reads

Evaluation of three commercially-available chikungunya virus immunoglobulin G immunoassays.

Rev Panam Salud Publica 2017 Aug 21;41:e62. Epub 2017 Aug 21.

Centers for Disease Control and Prevention, Division of Vector-Borne Diseases, Fort Collins, Colorado, United States of America.

The emergence of chikungunya virus in the Americas means the affected population is at risk of developing severe, chronic, rheumatologic disease, even months after acute infection. Accurate diagnostic methods for past infections are essential for differential diagnosis and consequence management. This study evaluated three commercially-available chikungunya Immunoglobulin G immunoassays by comparing them to an in-house Enzyme-Linked ImmunoSorbent Assay conducted by the Centers for Disease Control and Prevention (Atlanta, Georgia, United States). Read More

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August 2017
6 Reads

Chikungunya virus outbreak in Sint Maarten, 2013-2014.

Rev Panam Salud Publica 2017 Aug 21;41:e61. Epub 2017 Aug 21.

Surveillance, Disease Prevention and Control, Caribbean Public Health Agency, Port-of-Spain, Trinidad and Tobago.

This report describes the outbreak of chikungunya virus (CHIKV) in Sint Maarten, a constituent country of Kingdom of the Netherlands comprising the southern part of the Caribbean island of Saint Martin, from 22 December 2013 (first reported case) through 5 December 2014. The outbreak was first reported by the French overseas collectivity of Saint-Martin in the northern part of the island-the first site in the Americas to report autochthonous transmission of CHIKV. By 5 December 2014, Sint Maarten had reported a total of 658 cases-an overall attack rate of 1. Read More

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August 2017
3 Reads

Chikungunya: important lessons from the Jamaican experience.

Rev Panam Salud Publica 2017 Aug 21;41:e60. Epub 2017 Aug 21.

Ministry of Health, Kingston, Jamaica.

Objectives: To describe the clinical presentation of chikungunya virus (CHIKV) illness in adults during the 2014 outbreak in Jamaica and to determine the predictive value of the case definition.

Methods: A cross-sectional study was conducted using clinical data from suspected cases of CHIKV that were reported to the Ministry of Health in April - December 2014. In addition, charts were reviewed of all individuals over 15 years of age with suspected CHIKV based on a diagnosis of CHIKV or "acute viral illness" that presented to four major health centers in Jamaica during the week prior to and the peak week of the epidemic. Read More

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August 2017
3 Reads

[Chikungunya seroprevalence and clinical case rate in Nicaragua, 2014-2015].

Authors:

Rev Panam Salud Publica 2017 Aug 21;41:e59. Epub 2017 Aug 21.

Objective: Estimate seroprevalence, clinical case rate, and proportion of subclinical infections from chikungunya.

Methods: A cross-sectional study was conducted in October 2015 at 39 sites distributed across Nicaragua. Demographic and clinical information was compiled through a personal survey. Read More

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August 2017
11 Reads

[Clinical and epidemiological characterization of chikungunya fever in Mexico].

Rev Panam Salud Publica 2017 Aug 21;41:e58. Epub 2017 Aug 21.

Instituto de Diagnóstico y Referencia Epidemiológicos "Dr. Manuel Martínez Báez", México D.F., México.

On 6 December 2013, the Pan American Health Organization (PAHO) and the World Health Organization (WHO) reported confirmation of the first two cases of indigenous transmission of chikungunya fever (CHIK) in the Region of the Americas on the island of Sint Maarten (Netherlands Antilles). For the period 2013-2014, a total of 25 627 confirmed autochthonous cases were distributed in 43 countries, with Mexico reporting 155 cases in five states. Information on cases of CHIK in Mexico was obtained from the database of the General Directorate of Epidemiology (Ministry of Health of Mexico). Read More

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August 2017
45 Reads

Public health response and lessons learned from the 2014 chikungunya epidemic in Grenada.

Rev Panam Salud Publica 2017 Aug 21;41:e57. Epub 2017 Aug 21.

Public Health & Preventive Medicine, St. George's University, St. George, Grenada.

In June 2014, the first cases of chikungunya virus (CHIKV) were diagnosed on the island of Carriacou, part of the tri-island state of Grenada. In the three months that followed, CHIKV spread rapidly, with conservative estimates of the population infected of at least 60%. Multiple challenges were encountered in the battle to manage the spread and impact of this high-attack rate virus, including 1) limited indigenous laboratory diagnostic capabilities; 2) an under-resourced health care system; 3) a skeptical general public, hesitant to accept facts about the origin and mode of transmission of the new virus; and 4) resistance to the vector control strategies used. Read More

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August 2017
4 Reads

Development of in-house serological methods for diagnosis and surveillance of chikungunya.

Rev Panam Salud Publica 2017 Aug 21;41:e56. Epub 2017 Aug 21.

National Virology Laboratory, Centro Nacional de Diagnóstico y Referencia, Ministry of Health, Managua, Nicaragua.

Objective: To develop and evaluate serological methods for chikungunya diagnosis and research in Nicaragua.

Methods: Two IgM ELISA capture systems (MAC-ELISA) for diagnosis of acute chikungunya virus (CHIKV) infections, and two Inhibition ELISA Methods (IEM) to measure total antibodies against CHIKV were developed using monoclonal antibodies (mAbs) and hyperimmune serum at the National Virology Laboratory of Nicaragua in 2014-2015. The sensitivity, specificity, predictive values, and agreement of the MAC-ELISAs were obtained by comparing the results of 198 samples (116 positive; 82 negative) with the Centers for Disease Control and Prevention's IgM ELISA (Atlanta, Georgia, United States; CDC-MAC-ELISA). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5638038PMC
August 2017
7 Reads

Cystic echinococcosis in South America: a call for action.

Rev Panam Salud Publica 2017 Aug 21;41:e42. Epub 2017 Aug 21.

Department of Communicable Diseases and Health Analysis, Pan American Health Organization, Regional Office of the World Health Organization, Washington, DC, United States.

Cystic echinococcosis (CE) or hydatidosis, a parasitic zoonosis caused by a cestode of the family Taeniidae, species Echinococcus granulosus, is endemic in Argentina, Chile, Peru, Uruguay, and southern Brazil. This report presents CE figures for these five countries in 2009 - 2014 and proposes indicators to measure national control programs. Nearly 5 000 new CE cases were diagnosed annually in the five countries during the study period. Read More

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August 2017
15 Reads

[Public production as a key factor for access to antivenoms in the Region of the Americas].

Rev Panam Salud Publica 2017 Aug 21;41:e109. Epub 2017 Aug 21.

Instituto Nacional de Producción de Biológicos, Administración Nacional de Laboratorios e Institutos de Salud - ANLIS "Dr. Carlos G. Malbrán", Buenos Aires, Argentina.

Injuries caused by venomous animals affect vast areas of Latin America, Southern Asia, Southeast Asia, sub-Saharan Africa, and Oceania, and pose a serious problem for global public health. Based on an analysis of the current panorama of global production of ophidian and arachnid antivenoms, it is concluded that they are semi-orphaned products. This is a favorable scenario in which to strengthen public laboratory production. Read More

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August 2017
3 Reads

Infant morbidity and mortality attributable to prenatal smoking in Chile.

Rev Panam Salud Publica 2017 Aug 21;41:e106. Epub 2017 Aug 21.

Division of Obstetrics and Gynecology, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Objective: To estimate annual infant morbidity and mortality attributable to prenatal smoking in Chile during 2008-2012.

Methods: Population-attributable fractions (PAFs) for several infant outcomes were calculated based on previous study estimates of prenatal smoking prevalence and odds ratios associated with exposure (prenatal smoking relative to non-prenatal smoking). Prenatal smoking-attributable infant morbidity and mortality cases were calculated by multiplying the average annual number of morbidity and mortality cases registered in Chile during 2008-2012 by the corresponding PAF. Read More

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August 2017
8 Reads

[Model for a risk-focused approach to health inspection, surveillance, and control in Colombia].

Rev Panam Salud Publica 2017 Aug 21;41:e105. Epub 2017 Aug 21.

Instituto Nacional de Vigilancia de Medicamentos y Alimentos, Bogotá, Colombia.

Colombian Ministry of Health Resolution 1229 of 2013 established that health inspection, surveillance, and control (IVC, Spanish acronym) should be based on a risk-focused approach. In 2014 Colombia´s National Food and Drugs Surveillance Institute (INVIMA) designed and implemented a risk-based health surveillance model called IVC-SOA. This model measures the risks of drugs, medical devices, food, and cosmetics by taking into account three factors: severity of the product (S), occurrence of product failure (O), and the potentially affected population (A) - hence its name, SOA. Read More

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August 2017
4 Reads

Intimate partner violence as a predictor of antenatal care service utilization in Honduras.

Rev Panam Salud Publica 2017 Aug 21;41:e104. Epub 2017 Aug 21.

Departamento de Salud Pública, Facultad de Ciencias Médicas, Universidad Nacional Autónoma de Honduras, Tegucigalpa, Francisco Morazán, Honduras.

Objective: To describe the relationship between exposure to physical and/or sexual intimate partner violence (IPV) and indicators of antenatal care (ANC) service utilization among Honduran women of reproductive age.

Methods: Data from the 2011-2012 Honduras Demographic and Health Survey were analyzed to describe the relationship between self-reported exposure to IPV and two ANC outcomes: (1) sufficient ANC visits (defined by the Honduran Ministry of Health as five or more visits) and (2) early ANC initiation (within the first trimester). Multiple logistic regression was used to estimate effects of physical and sexual IPV on the outcomes, controlling for women's age, education, literacy, residence, household size, religion, parity, wealth, husband's age, and husband's education. Read More

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August 2017
10 Reads

Factors associated with timely treatment of malaria in the Brazilian Amazon: a 10-year population-based study.

Rev Panam Salud Publica 2017 Aug 21;41:e100. Epub 2017 Aug 21.

Tropical Medicine Department, School of Medicine, University of Brasília, Brasília, Brazil.

Objective: To identify factors associated with timely treatment of malaria in the Brazilian Amazon. Malaria, despite being treatable, has proven difficult to control and continues to be an important public health problem globally. Brazil accounted for almost half of the 427 000 new malaria cases notified in the Americas in 2013. Read More

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August 2017
4 Reads

[Meeting contraceptive needs of HIV-positive women: effect on elimination of vertical transmission of HIV].

Rev Panam Salud Publica 2016 Dec;40(6):479-484

Universidad Nacional de Colombia, Doctorado Interfacultades en Salud Pública, Bogotá, Colombia.

Nearly 38% of unplanned pregnancies occur because of unmet contraceptive needs. In HIV-positive women, these figures triple, a phenomenon explained by social determinants such as poverty, access to health services, violence, and forced displacement, all of which are frequent elements in the lives of these women. Unplanned pregnancies represent a psychological burden related to women's fear of transmitting the infection to their children, orphanhood, and assuming risks during pregnancy, in addition to family and social consequences that are expressed in lack of prenatal care, neglect of their health, and an increased likelihood of vertical transmission. Read More

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December 2016
7 Reads

Review of HIV treatment progress, gaps, and challenges in the Caribbean, 2005-2015.

Rev Panam Salud Publica 2016 Dec;40(6):468-473

Pan American Health Organization/World Health Organization, Trinidad and Tobago Country Office, Port-of-Spain, Trinidad and Tobago.

Objective: To highlight the current context of the HIV response in the Caribbean and what remains to be addressed to close gaps in HIV treatment and care and end AIDS by 2030.

Methods: We reviewed and analyzed reports from peer-reviewed and gray literature for the period of 2005-2015 on HIV treatment progress and gaps in the Caribbean, based on searches done in four bibliographic databases and three organizations' websites and/or libraries. Data were extracted using forms detailing study objectives, thematic areas for HIV care and treatment in the Caribbean, results, and other key information. Read More

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December 2016
7 Reads

[Introduction of rapid syphilis and HIV testing in prenatal care in Colombia: qualitative analysis].

Rev Panam Salud Publica 2016 Dec;40(6):462-467

Unidad de VIH, Hepatitis, Tuberculosis e Infecciones de Transmisión Sexual, Organización Panamericana de la Salud, Washington, D.C., Estados Unidos de América.

Objective: Interpret perceptions of Colombian health professionals concerning factors that obstruct and facilitate the introduction of rapid syphilis and HIV testing in prenatal care services.

Methods: A qualitative study based on semi-structured interviews was carried out. A convenience sample was selected with 37 participants, who included health professionals involved in prenatal care services, programs for pregnant women, clinical laboratories, and directors of health care units or centers, as well as representatives from regional departments and the Ministry of Health. Read More

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December 2016
6 Reads

Comparative effectiveness of single and dual rapid diagnostic tests for syphilis and HIV in antenatal care services in Colombia.

Rev Panam Salud Publica 2016 Dec;40(6):455-461

Pan American Health Organization, Washington, D.C., United States of America.

Objective: To assess the effectiveness of a dual rapid test compared to a single rapid test for syphilis and HIV screening.

Methods: A cluster-randomized open-label clinical trial was performed in 12 public antenatal care (ANC) centers in the cities of Bogotá and Cali, Colombia. Pregnant women who were over 14 years of age at their first antenatal visit and who had not been previously tested for HIV and syphilis during the current pregnancy were included. Read More

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December 2016
20 Reads

The HIV care cascade in Buenos Aires, Argentina: results in a tertiary referral hospital.

Rev Panam Salud Publica 2016 Dec;40(6):448-454

Hospital General de Agudos Juan A. Fernández, Infectología, Buenos Aires, Argentina.

Objective: To determine rates of retention, antiretroviral therapy (ART) use, and viral suppression in an adult cohort from a public tertiary referral hospital in the city of Buenos Aires, Argentina.

Methods: HIV-positive ART-naïve patients ≥ 18 years old starting care 2011-2013 contributed data until the end of 2014. Three outcomes were assessed in 2014: retention in care, ART use, and viral suppression. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5518480PMC
December 2016
14 Reads

The HIV continuum of care in the Bahamas in 2014.

Rev Panam Salud Publica 2016 Dec;40(6):443-447

The University of South Carolina, School of Medicine, Columbia, South Carolina, United States of America.

Objective: The HIV cascade of care describes the spectrum of engagement in HIV care from diagnosis to viral suppression (VS). The study objective was to develop a baseline HIV cascade of care for new HIV diagnoses in the Bahamas in 2014.

Methods: Individuals who were newly diagnosed with HIV in 2014 and known to be alive within a year of that diagnosis were included in the cascade of care (n = 250). Read More

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December 2016
6 Reads

[HIV and syphilis coinfection in pregnancy and vertical HIV transmission: a study based on epidemiological surveillance data].

Rev Panam Salud Publica 2016 Dec;40(6):435-442

Programa de Pós-Graduação em Saúde Coletiva, UNISINOS, São Leopoldo (RS), Brasil.

Objective: To estimate the rate of HIV and syphilis coinfection among pregnant women living in Porto Alegre, Brazil, as well as the association of coinfection with vertical HIV transmission and socioeconomic variables.

Method: This analytical retrospective cross-sectional study employed data from the regular epidemiological surveillance system for the period from 2010 to 2013. Data were obtained regarding pregnant women with HIV and exposed children, syphilis in pregnancy, and congenital syphilis. Read More

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December 2016
6 Reads

[HIV/AIDS surveillance among pregnant women: assessing the quality of the available information].

Rev Panam Salud Publica 2016 Dec;40(6):427-434

Universidade Federal do Rio Grande do Norte, Departamento de Saúde Coletiva, Programa de Pós-Graduação em Saúde Coletiva, Natal (RN), Brasil.

Objective: To analyze the quality of the information available in the Reportable Disease Information System (SINAN) regarding pregnant women with HIV/AIDS in the state of Rio Grande do Norte, Brazil, between 2007 and 2014.

Method: The quality of information was analyzed based on completeness (percentage of fields containing values that were not null) of fields (sociodemographic information, epidemiologic maternal history, pre-natal care, and delivery) and on the existence of discrepancy between the data sources analyzed (Natal and Mossoró municipal departments of health, state department of health, and Unified Health System information database, DATASUS). Completeness was classified as excellent (>90% of fields with values that are not null), regular (70%-89%), and poor (<70%). Read More

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December 2016
4 Reads

Barriers to HIV testing, linkage to care, and treatment adherence: a cross-sectional study from a large urban center of Brazil.

Rev Panam Salud Publica 2016 Dec;40(6):418-426

Instituto de Saúde Coletiva/Universidade Federal da Bahia, Salvador, Bahia, Brazil.

Objective: Early, continued engagement with the HIV treatment continuum can help achieve viral suppression, though few studies have explored how risk factors for delays differ across the continuum. The objective of this study was to identify predictors of delayed diagnosis, delayed linkage to care, and nonadherence to treatment in the city of Salvador, Bahia, Brazil.

Methods: Data were collected during 2010 in a cross-sectional study with a sample (n = 1 970) of HIV-infected individuals enrolled in care. Read More

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December 2016
10 Reads

[Profile of transvestites and transgender women: tuberculosis and HIV/AIDS in the city of São Paulo].

Rev Panam Salud Publica 2016 Dec;40(6):410-417

Universidade de São Paulo (USP), Faculdade de Saúde Pública, Departamento de Epidemiologia, São Paulo (SP), Brasil.

Objective: To characterize the profile of transvestites and transgender women participating in a survey regarding tuberculosis and HIV/Aids in the city of São Paulo.

Method: This cross-sectional study employed the Knowledge, Attitudes and Practices (KAP) questionnaire adapted for data collection. Sociodemographic aspects as well as aspects related to history of imprisonment, process of gender transition, use of condoms, previous treatment of sexually transmitted diseases and tuberculosis and knowledge regarding HIV/Aids were addressed. Read More

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December 2016
10 Reads