Publications by authors named "Ryan MacLaren Wallace"
Effect of counselling on health-care-seeking behaviours and rabies vaccination adherence after dog bites in Haiti, 2014-15: a retrospective follow-up survey.
Lancet Glob Health
October 2017
Article Synopsis
- Haiti's integrated bite case management (IBCM) program offers guidance on rabies risks and treatment for animal-bite victims, alongside the Haiti Animal Rabies Surveillance Program (HARSP) to evaluate the animal exposures.
- A study followed up with bite victims who received IBCM counseling between 2014 and 2015, assessing their healthcare actions and outcomes in relation to rabies exposure classification.
- Results showed that IBCM counseling led to a 1.2x increase in those seeking medical care and a 2.4x rise in vaccination rates, potentially reducing rabies deaths by 65% among assessed victims.
Background: Rabies is a neglected disease despite being responsible for more human deaths than any other zoonosis. A lack of adequate human and dog surveillance, resulting in low prioritization, is often blamed for this paradox. Estimation methods are often employed to describe the rabies burden when surveillance data are not available, however these figures are rarely based on country-specific data.
View Article and Find Full Text PDFObjectives: We examined demographic, clinical, and treatment outcome characteristics of Filipinos with tuberculosis (TB) in the United States.
Methods: We calculated TB case rates from US Census Bureau population estimates and National Tuberculosis Surveillance System data for US-born non-Hispanic Whites and for US residents born in the Philippines, India, China, Cambodia, Vietnam, Pakistan, and Korea--countries that are major contributors to the TB burden in the United States. We compared Filipinos with the other groups through univariate and multivariate analyses.
Rationale: Delays in the diagnosis of tuberculosis (TB) can result in progression to advanced disease. Patients with pulmonary TB and advanced disease are more likely to transmit disease and fail treatment.
Objectives: To examine clinical, epidemiological, and geographic factors associated with advanced pulmonary TB to further understanding of delayed diagnosis and transmission.