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  1. Article ; Online: Mozambique field epidemiology and laboratory training program

    Cynthia Seme Baltazar / Cetia Taibo / Jahit Sacarlal / Lorna Gujral / Cristolde Salomeo / Timothy Doyle

    The Pan African Medical Journal, Vol 27, Iss

    a pathway for strengthening human resources in applied epidemiology

    2017  Volume 233

    Abstract: INTRODUCTION: In the last decades, Mozambique has been undergoing demographic, epidemiological, economic and social transitions, which have all had a notable impact on the National Health System. New challenges have emerged, causing a need to expand the ... ...

    Abstract INTRODUCTION: In the last decades, Mozambique has been undergoing demographic, epidemiological, economic and social transitions, which have all had a notable impact on the National Health System. New challenges have emerged, causing a need to expand the preparation and response to emerging disease threats and public health emergencies. METHODS: we describe the structure and function of the Mozambique Field Epidemiology Training Program (MZ-FELTP) and the main outputs achieved during the first 6 years of program implementation (consisting of 3 cohorts). We also outline the contribution of the program to the National Health System and assess the retention of the graduates. RESULTS: the MZ-FELTP is a post-graduate in-service training program, based on the acquisition of skills, within two tracks: applied epidemiology and laboratory management. The program was established in 2010, with the objective of strengthening capacity in applied epidemiology and laboratory management, so that events of public health importance can be detected and investigated in a timely and effective manner. The program is in its seventh year, having successfully trained 36 health professionals in the advanced course. During the first six years of the program, more than 40 outbreaks were investigated, 37 surveillance system evaluations were conducted and 39 descriptive data analyses were performed. Surveillance activities were implemented for mass events and emergency situations. In addition, more than 100 oral and poster presentations were given by trainees at national and international conferences. CONCLUSION: the MZ-FELTP has helped provide the Ministry of Health with the human and technical resources and operational capacity, to rapidly and effectively respond to major public health challenges in the country. The continuous involvement of key stakeholders is necessary for the continuation, expansion and ongoing sustainability of the program.
    Keywords mozambique ; field ; epidemiology ; Medicine ; R
    Subject code 796
    Language English
    Publishing date 2017-07-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Multiplex serology for impact evaluation of bed net distribution on burden of lymphatic filariasis and four species of human malaria in northern Mozambique.

    Mateusz M Plucinski / Baltazar Candrinho / Geraldo Chambe / João Muchanga / Olinda Muguande / Graça Matsinhe / Guidion Mathe / Eric Rogier / Timothy Doyle / Rose Zulliger / James Colborn / Abu Saifodine / Patrick Lammie / Jeffrey W Priest

    PLoS Neglected Tropical Diseases, Vol 12, Iss 2, p e

    2018  Volume 0006278

    Abstract: Universal coverage with long-lasting insecticidal nets (LLINs) is a primary control strategy against Plasmodium falciparum malaria. However, its impact on the three other main species of human malaria and lymphatic filariasis (LF), which share the same ... ...

    Abstract Universal coverage with long-lasting insecticidal nets (LLINs) is a primary control strategy against Plasmodium falciparum malaria. However, its impact on the three other main species of human malaria and lymphatic filariasis (LF), which share the same vectors in many co-endemic areas, is not as well characterized. The recent development of multiplex antibody detection provides the opportunity for simultaneous evaluation of the impact of control measures on the burden of multiple diseases.Two cross-sectional household surveys at baseline and one year after a LLIN distribution campaign were implemented in Mecubúri and Nacala-a-Velha Districts in Nampula Province, Mozambique. Both districts were known to be endemic for LF; both received mass drug administration (MDA) with antifilarial drugs during the evaluation period. Access to and use of LLINs was recorded, and household members were tested with P. falciparum rapid diagnostic tests (RDTs). Dried blood spots were collected and analyzed for presence of antibodies to three P. falciparum antigens, P. vivax MSP-119, P. ovale MSP-119, P. malariae MSP-119, and three LF antigens. Seroconversion rates were calculated and the association between LLIN use and post-campaign seropositivity was estimated using multivariate regression. The campaign covered 68% (95% CI: 58-77) of the population in Nacala-a-Velha and 46% (37-56) in Mecubúri. There was no statistically significant change in P. falciparum RDT positivity between the two surveys. Population seropositivity at baseline ranged from 31-81% for the P. falciparum antigens, 3-4% for P. vivax MSP-119, 41-43% for P. ovale MSP-119, 46-56% for P. malariae MSP-119, and 37-76% for the LF antigens. The seroconversion rate to the LF Bm33 antigen decreased significantly in both districts. The seroconversion rate to P. malariae MSP-119 and the LF Wb123 and Bm14 antigens each decreased significantly in one of the two districts. Community LLIN use was associated with a decreased risk of P. falciparum RDT positivity, P. falciparum ...
    Keywords Arctic medicine. Tropical medicine ; RC955-962 ; Public aspects of medicine ; RA1-1270
    Subject code 630
    Language English
    Publishing date 2018-02-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Field Epidemiology and Laboratory Training Programs in sub-Saharan Africa from 2004 to 2010

    Peter Nsubuga / Kenneth Johnson / Christopher Tetteh / Joseph Oundo / Andrew Weathers / James Vaughan / Suzanne Elbon / Mufuta Tshimanga / Faustine Ndugulile / Chima Ohuabunwo / Michele Evering-Watley / Fausta Mosha / Obinna Oleribe / Patrick Nguku / Lora Davis / Nykiconia Preacely / Richard Luce / Simon Antara / Hiari Imara /
    Yassa Ndjakani / Timothy Doyle / Yescenia Espinosa / Ditu Kazambu / Dieula Delissaint / John Ngulefac / Kariuki Njenga

    The Pan African Medical Journal, Vol 10, Iss

    need, the process and prospects

    2011  Volume 24

    Abstract: health workforce that can operate multi-disease surveillance and response systems. ...

    Abstract health workforce that can operate multi-disease surveillance and response systems.
    Keywords Field epidemiology ; laboratory management ; multi-disease surveillance and response systems ; public health workforce capacity building ; Medicine ; R
    Language English
    Publishing date 2011-10-01T00:00:00Z
    Publisher The Pan African Medical Journal
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Investigation of Bioterrorism-Related Anthrax, United States, 2001

    Daniel B. Jernigan / Pratima L. Raghunathan / Beth P. Bell / Ross Brechner / Eddy A. Bresnitz / Jay C. Butler / Marty Cetron / Mitch Cohen / Timothy Doyle / Marc Fischer / Carolyn M. Greene / Kevin S. Griffith / Jeannette Guarner / James L. Hadler / James A. Hayslett / Richard Meyer / Lyle R. Petersen / Michael Phillips / Robert W. Pinner /
    Tanja Popovic / Conrad P. Quinn / Jennita Reefhuis / Dori Reissman / Nancy Rosenstein / Anne Schuchat / Wun-Ju Shieh / Larry Siegal / David L. Swerdlow / Fred C. Tenover / Marc Traeger / John W. Ward / Isaac Weisfuse / Steven Wiersma / Kevin Yeskey / Sherif Zaki / David A. Ashford / Bradley A. Perkins / Steve Ostroff / James M. Hughes / David Fleming / Jeffrey P. Koplan / Julie L. Gerberding

    Emerging Infectious Diseases, Vol 8, Iss 10, Pp 1019-

    Epidemiologic Findings

    2002  Volume 1028

    Abstract: In October 2001, the first inhalational anthrax case in the United States since 1976 was identified in a media company worker in Florida. A national investigation was initiated to identify additional cases and determine possible exposures to Bacillus ... ...

    Abstract In October 2001, the first inhalational anthrax case in the United States since 1976 was identified in a media company worker in Florida. A national investigation was initiated to identify additional cases and determine possible exposures to Bacillus anthracis. Surveillance was enhanced through health-care facilities, laboratories, and other means to identify cases, which were defined as clinically compatible illness with laboratory-confirmed B. anthracis infection. From October 4 to November 20, 2001, 22 cases of anthrax (11 inhalational, 11 cutaneous) were identified; 5 of the inhalational cases were fatal. Twenty (91%) case-patients were either mail handlers or were exposed to worksites where contaminated mail was processed or received. B. anthracis isolates from four powder-containing envelopes, 17 specimens from patients, and 106 environmental samples were indistinguishable by molecular subtyping. Illness and death occurred not only at targeted worksites, but also along the path of mail and in other settings. Continued vigilance for cases is needed among health-care providers and members of the public health and law enforcement communities.
    Keywords United States ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
    Language English
    Publishing date 2002-10-01T00:00:00Z
    Publisher Centers for Disease Control and Prevention
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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