Publications by authors named "Joyce Nguna"

Article Synopsis
  • Communicable diseases, particularly tuberculosis (TB) and HIV/AIDS, are major health issues in refugee settings, contributing significantly to morbidity and mortality during complex emergencies.
  • A study was conducted on TB treatment outcomes among 254 patients at two healthcare facilities in Kyangwali Refugee Settlement, revealing that 55% of patients had favorable outcomes while 45% had unfavorable ones.
  • Factors such as increasing age were linked to unfavorable outcomes, and those diagnosed with multidrug-resistant TB (MDR-TB) had better odds of achieving favorable treatment outcomes, although overall treatment success rates were lower than the World Health Organization's recommended 85%.
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Background: Despite providing tetanus-toxoid-containing vaccine (TTCV) to infants and reproductive-age women, Uganda reports one of the highest incidences of non-neonatal tetanus (non-NT). Prompted by unusual epidemiologic trends among reported non-NT cases, we conducted a retrospective record review to see whether these data reflected true disease burden.

Methods: We analysed nationally reported non-NT cases during 2012-2017.

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Background: Methanol, an industrial solvent, can cause illness and death if ingested. In June 2017, the Uganda Ministry of Health was notified of a cluster of deaths which occurred after drinking alcohol. We investigated to determine the cause of outbreak, identify risk factors, and recommend evidence-based control measures.

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Background: Malaria is a leading cause of morbidity and mortality in Uganda. In April 2018, malaria cases surged in Nwoya District, Northern Uganda, exceeding expected limits and thereby requiring epidemic response. We investigated this outbreak to estimate its magnitude, identify exposure factors for transmission, and recommend evidence-based control measures.

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Introduction: The burden of brucellosis among smallholder farmers is poorly-documented in Uganda. The disease burden is likely to be high, given the high levels of endemicity, lots of exposures and due to lack of control measures. In order to designate appropriate control measures, the magnitude and risk factors for brucellosis need to be known.

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Background: Cryptococcal meningitis can best be diagnosed by cerebrospinal fluid India ink microscopy, cryptococcal antigen detection, or culture. These require invasive lumbar punctures. The utility of cryptococcal antigen detection in saliva is unknown.

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