Publications by authors named "Harry Hutchins"

Background: Arthropod vectors feeding on the blood of individuals treated with ivermectin have substantially increased mortality. Whether this effect will translate into a useful tool for reducing malaria burden at scale is not clear. Our trial aimed to assess whether using ivermectin as an adjunct to mass drug administration (MDA) with dihydroartemisinin-piperaquine would further reduce malaria prevalence.

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  • Anopheles melas, a lesser-known malaria-carrying mosquito, was studied for its population genetics in the Bijagós Archipelago, with the first whole-genome sequencing of this species in the area.
  • A total of 30 individual mosquitoes were sequenced, revealing no insecticide resistance mutations commonly found in other malaria mosquitoes, but some structural variations in relevant genes.
  • The findings also indicated two distinct genetic groups among the An. melas populations based on mitochondrial DNA, highlighting the need for further research to clarify their role in malaria transmission.
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  • Insecticide resistance is diminishing the effectiveness of malaria control measures in the Bijagós Archipelago, prompting a need to understand the molecular markers associated with this resistance.
  • A study analyzed 214 Anopheles mosquitoes from 13 islands using advanced sequencing techniques to identify 17 molecular markers related to insecticide resistance, finding four significant mutations.
  • This research is the first to document specific genetic markers, such as vgsc L995F, in malaria vectors on the Bijagós, highlighting higher prevalence in the more populated Bubaque Island, indicating potential links between population density and resistance.
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Background: As the control of malaria remains heavily dependent on vector management interventions, it is important to understand the impact of these on mosquito populations. Age-grading is a valuable tool for this; however, logistical challenges in remote, resource-poor areas make current methodologies difficult to incorporate into clinical trials and routine surveillance. Our aim was to validate a methodology that could be easily implemented in such settings.

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Introduction: As malaria declines, innovative tools are required to further reduce transmission and achieve elimination. Mass drug administration (MDA) of artemisinin-based combination therapy (ACT) is capable of reducing malaria transmission where coverage of control interventions is already high, though the impact is short-lived. Combining ACT with ivermectin, an oral endectocide shown to reduce vector survival, may increase its impact, while also treating ivermectin-sensitive co-endemic diseases and minimising the potential impact of ACT resistance in this context.

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Ivermectin is a broad-spectrum antiparasitic agent that interferes with glutamate-gated chloride channels found in invertebrates but not in vertebrate species. Mass drug administration (MDA) with ivermectin-based regimes has been a mainstay of elimination efforts targeting onchocerciasis and lymphatic filariasis for more than 3 decades. More recently, interest in the use of ivermectin to control other neglected tropical diseases (NTDs) such as soil-transmitted helminths and scabies has grown.

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Aim: To explore the population-at-risk and potential cost of a sepsis episode in New Zealand.

Method: Retrospective analysis of the National Minimum Data Set using two code-based algorithms selecting (i) an inclusive cohort of hospitalised patients diagnosed with a 'major infection' with the potential to cause sepsis and (ii) a restricted subset of these patients with a high likelihood of clinical sepsis based on the presence of both a primary admission diagnosis of infection and at least one sepsis-associated organ failure.

Results: In 2016, 24% of all inpatient episodes were associated with diagnosis of a major infection.

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  • Malaria is a major health issue in Guinea-Bissau, particularly in the Bijagos Archipelago, and while there are government bed net distribution efforts, local understanding of the problem remains unclear.
  • A study involving 100 households showed high awareness of malaria, with 94 participants recognizing it as a significant health concern, though some felt under-informed about it.
  • Despite widespread access to long-lasting insecticide-treated nets (LLINs), 23% of households had expired nets, and only 35% used them correctly, with proper usage tied to better health practices during pregnancy.
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  • The World Health Organization is working to eliminate trachoma, a blinding disease, using the SAFE strategy, especially in the Bijagos Archipelago of Guinea-Bissau, where sociocultural factors affecting hygiene and environmental conditions are not well understood.
  • Researchers conducted two sets of interviews a year apart in different settings on Bubaque Island to explore local health beliefs and hygiene practices related to trachoma.
  • The findings revealed that while participants in semi-urban areas had a better understanding of hygiene, rural populations relied more on traditional practices, highlighting the need for targeted education and improved healthcare access, especially in rural communities.
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This study examined the interrelationships of the fall seed-foraging guild with Korean pine (Pinus koraiensis) and its regeneration. The study took place in old-growth and secondary-growth forests in Northeastern China. Foraging behavior, seed transportation distance, and cache location of various birds and mammals were observed.

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