To determine the epidemiology of Candida auris in South Africa, we reviewed data from public- and private-sector diagnostic laboratories that reported confirmed and probable cases of invasive disease and colonization for October 2012-November 2016. We defined a case as a first isolation of C. auris from any specimen from a person of any age admitted to any healthcare facility in South Africa. We defined probable cases as cases where the diagnostic laboratory had used a nonconfirmatory biochemical identification method and C. haemulonii was cultured. We analyzed 1,692 cases; 93% were from private-sector healthcare facilities, and 92% of cases from known locations were from Gauteng Province. Of cases with available data, 29% were invasive infections. The number of cases increased from 18 (October 2012-November 2013) to 861 (October 2015-November 2016). Our results show a large increase in C. auris cases during the study period, centered on private hospitals in Gauteng Province.
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http://dx.doi.org/10.3201/eid2411.180368 | DOI Listing |
Front Public Health
January 2025
School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
Introduction: HIV self-testing (HIVST) is an innovative strategy that has been shown to increase uptake of HIV testing compared to conventional facility-based testing. HIVST implementation with digital-based supports may help facilitate testing accessibility and linkage to care after a reactive self-test. Economic evidence around community-based implementation of HIVST is growing; however, economic evidence around digital-based HIVST approaches remains limited.
View Article and Find Full Text PDFFront Public Health
January 2025
Department of Psychiatry and Neurosciences, Psychiatric University Clinic of Charité at St. Hedwig Hospital, Berlin, Germany.
Introduction: Female sex workers are a vulnerable hard-to-reach group. Research in this field is scarce due to several issues, such as methodological difficulties or societal stigmatization. Most of the available literature focuses on sexually transmittable diseases.
View Article and Find Full Text PDFIntroduction: About 39.9 million people were living with HIV as of 2023, and HIV is more prevalent in sub-Saharan Africa. Pre-exposure prophylaxis (PrEP) is highly effective in HIV prevention.
View Article and Find Full Text PDFJID Innov
March 2025
Second Department of Dermatology, School of Medicine, Papageorgiou Hospital, Aristotle University, Thessaloniki, Greece.
Heliyon
January 2025
Risk and Vulnerability Science Centre, Faculty of Science and Agriculture, University of Fort Hare, P. Bag X1314, 1 King William's Town Road, Alice, 5700, South Africa.
This study explores the factors influencing smallholder farmers' decisions on livestock ownership and herd size in the context of climate change. A cross-sectional approach was employed, using a multi-stage sampling method to survey 600 smallholder farmers, 495 of whom were engaged in livestock production. Data were collected through a semi-structured questionnaire and analysed using a double hurdle model.
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