883 results match your criteria: "School of Tropical Medicine and Global Health[Affiliation]"

Mortality burden and economic loss attributable to cold and heat in Central and South America.

Environ Epidemiol

December 2024

Environment & Health Modelling (EHM) Lab, Department of Public Health Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom.

Background: We quantify the mortality burden and economic loss attributable to nonoptimal temperatures for cold and heat in the Central and South American countries in the Multi-City Multi-Country (MCC) Collaborative Research Network.

Methods: We collected data for 66 locations from 13 countries in Central and South America to estimate location-specific temperature-mortality associations using time-series regression with distributed lag nonlinear models. We calculated the attributable deaths for cold and heat as the 2.

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Article Synopsis
  • The study investigates how daily rainfall characteristics—like intensity, duration, and frequency—affect mortality rates from all causes, cardiovascular issues, and respiratory problems across 34 countries from 1980 to 2020.
  • It utilizes a time series analysis to evaluate the association between daily mortality and rainfall events that occur at different return periods (one, two, and five years), including the effects of extreme rainfall with a 14-day lag.
  • The results indicate that extreme rainfall events (five-year return period) correlate with increased mortality rates, particularly for respiratory cases, while moderate rainfall shows protective effects, and the impact varies based on climate and vegetation.
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  • Teenage pregnancies can create serious problems for young moms and their babies, and in Kenya, the government wants to end this issue by 2030, but not much progress has been made yet.
  • A study done in 2023 highlighted four main reasons for unexpected pregnancies: not knowing how the body works, not knowing about family planning, money troubles, and not being able to get family planning resources.
  • Many cultural beliefs make it harder to talk about family planning, and girls from poorer backgrounds are especially at risk, often leading to issues like leaving school and having financial difficulties.
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Buruli ulcer: An epidemiological update from Japan.

J Dermatol

January 2025

Department of Tropical Medicine and Infectious Disease, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.

Article Synopsis
  • Japan has reported cases of Buruli ulcer (BU), a rare disease caused by Mycobacterium ulcerans subsp. shinshuense, dating back to 1982, with an increase in cases, especially in the last decade.
  • Out of 87 total reported cases to date, 50 occurred within the last ten years, indicating a rising trend.
  • The country's advanced healthcare system aids in the investigation and treatment of BU, but a lack of awareness among medical professionals often leads to delayed diagnoses, highlighting the need for increased education and awareness efforts.
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Long-term waning of vaccine-induced immunity to measles in England: a mathematical modelling study.

Lancet Public Health

October 2024

Centre for the Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK; Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.

Article Synopsis
  • The proportion of measles cases in England from 2010 to 2019 among vaccinated individuals has increased, particularly in young adults, raising concerns about vaccine-induced immunity and measles control efforts.
  • A mathematical model was developed to analyze measles transmission dynamics, comparing scenarios with and without the waning of vaccine immunity, using data from the UK Health Security Agency.
  • Results indicated that the model incorporating waning immunity accurately predicted the number of measles cases among vaccinated individuals, suggesting that waning immunity is a significant factor in the current outbreak patterns.
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Characterizing the seasonal influenza disease burden attributable to climate variability: A nationwide time-series modelling study in Japan, 2000-2019.

Environ Res

December 2024

Department of Global Health, School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan; Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Article Synopsis
  • This study investigates how non-optimal ambient temperature and humidity affect influenza cases in Japan, emphasizing geographical differences in vulnerability.
  • The analysis utilized data from 2000-2019 across all 47 prefectures, using a sophisticated statistical model to establish exposure relationships and estimate disease burden.
  • Results revealed that cold and dry conditions significantly raise influenza risk, with specific cumulative relative risks identified, particularly in central and northern regions of Japan, while demographic and socioeconomic factors didn't show strong correlations.
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In Burkina Faso, there is lack of awareness of antibiotic use at the community level. This study aims to generate information on the commonly used antibiotics along with the reasons for which they have been used in rural Burkina Faso. The drug bag method was employed to collect information from 423 households in the health district of Nanoro.

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Temperature-mortality associations by age and cause: a multi-country multi-city study.

Environ Epidemiol

October 2024

Environment and Health Modelling (EHM) Lab, Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom.

Background: Heterogeneity in temperature-mortality relationships across locations may partly result from differences in the demographic structure of populations and their cause-specific vulnerabilities. Here we conduct the largest epidemiological study to date on the association between ambient temperature and mortality by age and cause using data from 532 cities in 33 countries.

Methods: We collected daily temperature and mortality data from each country.

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Association between long-term exposure to low ambient PM and cardiovascular hospital admissions: A UK Biobank study.

Environ Int

October 2024

Environment & Health Modelling (EHM) Lab, Department of Public Health Environments and Society, London School of Hygiene & Tropical Medicine, London, UK. Electronic address:

Introduction: A causal link between air pollution exposure and cardiovascular events has been suggested. However fewer studies have investigated the shape of the associations at low levels of air pollution and identified the most important temporal window of exposure. Here we assessed long-term associations between particulate matter < 2.

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Article Synopsis
  • - Cutaneous leishmaniasis (CL) is a neglected tropical disease with very few cases reported in Côte d'Ivoire since its identification in 1967, highlighting a significant gap in awareness and diagnosis.
  • - A recent case involved a 15-year-old male with skin lesions and accompanying symptoms, which was confirmed as CL through a biopsy, but he sadly passed away before treatment could be administered.
  • - The rarity of CL in Côte d'Ivoire leads to low awareness among healthcare professionals, necessitating urgent strategies for better education on diagnosis and treatment, along with the need for improved epidemiological data.
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In Thailand, since the 2000s, malaria post (MP) workers have been tasked with promptly detecting and treating all malaria cases to prevent onward transmission in the communities. Expanding their roles to provide health services beyond malaria has been proposed as a strategy to sustain their activities until elimination is reached. This article examines the perspectives of stakeholders on community-based malaria care to assess prospects for expanding the role of MPs.

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'Not finding causal effect' is not 'finding no causal effect' of school closure on COVID-19.

F1000Res

September 2024

The Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK.

In a paper recently published in , Fukumoto et al. tried to assess the government-led school closure policy during the early phase of the COVID-19 pandemic in Japan. They compared the reported incidence rates between municipalities that had and had not implemented school closure in selected periods from March-May 2020, where they matched for various potential confounders, and claimed that there was no causal effect on the incidence rates of COVID-19.

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Post-Transcriptional Induction of the Antiviral Host Factor GILT/IFI30 by Interferon Gamma.

Int J Mol Sci

September 2024

Department of Clinical Medicine, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan.

Gamma-interferon-inducible lysosomal thiol reductase (GILT) plays pivotal roles in both adaptive and innate immunities. GILT exhibits constitutive expression within antigen-presenting cells, whereas in other cell types, its expression is induced by interferon gamma (IFN-γ). Gaining insights into the precise molecular mechanism governing the induction of GILT protein by IFN-γ is of paramount importance for adaptive and innate immunities.

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Identification of Chemical Scaffolds That Inhibit the Respiratory Complex Succinate Dehydrogenase.

ACS Infect Dis

October 2024

Department of Microbiology and Immunology, School of Biomedical Sciences, University of Otago, Dunedin 9054, New Zealand.

Article Synopsis
  • Drug-resistant infections are a major health issue, prompting the need for new antibiotics, particularly targeting mycobacterial SDH, which is crucial for energy production and growth in these bacteria.
  • Researchers used biochemical screening and advanced computational methods to find several compounds that inhibit mycobacterial SDH, showing effectiveness against both regular and drug-resistant strains.
  • The study highlights that these SDH inhibitors disrupt mycobacterial metabolism and can enhance the effectiveness of other treatments while helping to prevent the development of resistance.
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Temporal variations in the short-term effects of ambient air pollution on cardiovascular and respiratory mortality: a pooled analysis of 380 urban areas over a 22-year period.

Lancet Planet Health

September 2024

Institute of Epidemiology, Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany; Institute for Medical Information Processing, Biometry, and Epidemiology, Faculty of Medicine, LMU Munich, Munich, Germany.

Background: Ambient air pollution, including particulate matter (such as PM and PM) and nitrogen dioxide (NO), has been linked to increases in mortality. Whether populations' vulnerability to these pollutants has changed over time is unclear, and studies on this topic do not include multicountry analysis. We evaluated whether changes in exposure to air pollutants were associated with changes in mortality effect estimates over time.

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γδ T cells facilitate the CD4 T helper 1 (Th1) cell response against infection by activating conventional dendritic cells (cDCs), although the underlying mechanism remains elusive. Our study revealed that γδ T cells promote the complete maturation and production of interleukin-12 and CXCR3-ligands specifically in type 1 cDCs (cDC1), with minimal impact on cDC2 and monocyte derived DCs (Mo-DCs). During the initial infection phase, γδ T cell activation and temporal accumulation in the splenic white pulp, alongside cDC1, occur via CCR7-signaling.

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Background: Sepsis remains a major cause of mortality in intensive care units (ICUs). Prompt diagnosis and effective management are imperative for better outcomes. In this systematic review and meta-analysis, we explore the potential of circulating cell-free DNA (cfDNA), as a promising tool for early sepsis detection and prognosis assessment, aiming to address limitations associated with traditional diagnostic methods.

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During the 2018-2020 Ebola virus disease outbreak in Democratic Republic of the Congo, a phase 3 trial of the Ad26.ZEBOV, MVA-BN-Filo Ebola vaccine (DRC-EB-001) commenced in Goma, with participants being offered the two-dose regimen given 56 days apart. Suspension of trial activities in 2020 due to the COVID-19 pandemic led to some participants receiving a late dose 2 outside the planned interval.

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Article Synopsis
  • * While fewer than 1% of non-pregnant participants faced serious adverse events (SAEs), 30.4% of pregnant women experienced SAEs, primarily due to caesarean sections, but none were linked to the vaccine.
  • * Among 1169 tracked pregnancies, there were some miscarriages, stillbirths, and low birth weights, yet the vaccine was generally well-tolerated, with a high uptake rate of 75.1%, prompting calls for more controlled trials for further insights.
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Syndemics theory has been applied to study interactions between biomedical and social factors leading to the clustering of diseases. Because syndemics theory focuses on interactions that enhance risk, the concept of vulnerability is central to this approach. We conducted a scoping review to better understand how this theoretical framework helped to define, operationalize, and tackle issues of vulnerability during the COVID-19 pandemic.

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Article Synopsis
  • The initial phase of the 2022 mpox outbreak saw a rapid increase in countries reporting imported cases, but the rate of new cases slowed significantly by the end of the year.
  • Researchers developed a mathematical model that used sexual networks and global travel data to analyze patterns of mpox importation and potential future spread.
  • The study found that the decrease in importation risk may be linked to increased immunity in high-risk groups, but some countries still pose a risk for future global outbreaks, emphasizing the need for equitable access to resources to prevent resurgence.
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SARS-CoV-2 Omicron subvariants progressively adapt to human cells with altered host cell entry.

mSphere

September 2024

Department of Emerging Infectious Diseases, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Nagasaki, Japan.

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant exhibits high transmissibility with a strong immune escape ability and causes frequent large-scale global infections by producing predominant subvariants. Here, using human upper/lower airway and intestinal cells, we examined the previously dominant BA.1-BA.

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Background: Actinomyces spp. are most commonly found in human commensal flora; however, they have also been shown to cause suppurative infections. We present a case of a rare Actinomyces funkei bacteraemia from an infected deep vein thrombosis in a patient who went on to develop pulmonary cavities secondary to septic emboli.

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Global health photography has historically been commissioned and, therefore, dominated by the gaze of Western photographers on assignments in the Global South. This is changing as part of international calls to decolonise global health and stimulate 'empowerment', spawning a growing initiative to hire local photographers. This article, based on interviews with global health photographers, reflects on this paradigm shift.

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Buruli ulcer, caused by , is a neglected tropical disease (NTD) characterized by necrosis of the cutaneous tissue, predominantly affecting the limbs. The pathogenesis of this disease is mainly attributed to mycolactone, a lipid toxin produced by . Here, we report the case of a 7-year-old Japanese girl who presented with worsening ulceration on her left forearm, extending to the elbow, following antimicrobial treatment.

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