7,418 results match your criteria: "Swiss Tropical & Public Health Institute[Affiliation]"

RTS,S/AS01, the first approved malaria vaccine, demonstrated moderate efficacy during the phase 3 pediatric trial. We previously investigated cell-mediated immune (CMI) responses following the primary 3-dose immunization and now report responses to the booster dose given 18 months later. Thirty CMI markers were measured by Luminex in supernatants of peripheral blood mononuclear cells from 709 children and infants after RTS,S/AS01 antigen stimulation, and their associations with malaria risk and antibodies one month post-booster and one year later were assessed.

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  • * Using advanced statistical models, researchers analyzed data over a significant follow-up period, revealing that lung cancer incidence was positively linked to fine particulate matter (PM), nitrogen dioxide (NO₂), and black carbon (BC), while showing a negative association with ozone (O) which flipped after adjusting for NO.
  • * The results indicated that the increased risk of lung cancer incidence was nearly as strong as that for mortality, with both associations remaining significant even at lower pollution levels, suggesting that air quality should be a crucial public health consideration.
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  • * A study involving 299 adult pastoralists revealed that 17.0% of males and 34.7% of females reported experiencing chronic pain, with prevalence increasing with age.
  • * The most affected body parts were the knees, lower back, and head, suggesting the need for tailored health interventions to address chronic pain specifically for pastoralists and improve their quality of life.
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Travel to malaria-endemic areas: using digital geo-location to assess potential exposure risks and health behaviours.

J Travel Med

October 2024

Department of Public and Global Health, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001, Zurich, Switzerland.

Background: Travellers frequently visit popular destinations like Brazil, India, Peru, Thailand, and Tanzania, each presenting varying malaria risks. The extent to which travellers enter high-risk malaria-endemic areas in destinations with heterogeneous malaria risk remains unclear. We used geo-location via smartphone application to (i) describe where travellers go within countries with heterogeneous malaria risk (Brazil, India, Peru, Thailand), and (ii) compare mosquito bite prevention behaviours between these destinations and Tanzania, considered entirely high-risk for malaria.

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Background: The coronavirus disease 2019 (COVID-19) had a profound impact worldwide. In Bangladesh, the official number of deaths for COVID-19 was around 29 000. However, many countries including Bangladesh experienced substantial underreporting of COVID-19 deaths due to lack of complete national civil registration system.

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Objective: Health Impact Assessments (HIAs) for air pollutant mixtures are challenging because risk estimates are primarily derived from single-pollutant models. Combining risk estimates from multiple pollutants requires new approaches, as a simple addition of single pollutant risk estimates from correlated air pollutants may result in double counting. We investigated approaches applying concentration-response functions (CRFs) from single- and two-pollutant models in HIAs, focusing on long-term exposure to particulate matter with a diameter less than 2.

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The malaria parasite employs antigenic variation of the virulence factor erythrocyte membrane protein 1 (PfEMP1) to escape adaptive immune responses during blood infection. Antigenic variation of PfEMP1 occurs through epigenetic switches in the mutually exclusive expression of individual members of the multi-copy gene family. genes are located in perinuclear clusters of transcriptionally inactive heterochromatin.

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anti-schistosomal activity of the methanol extracts from and .

Parasite Epidemiol Control

November 2024

The Nelson Mandela African Institution of Science and Technology, School of Life Sciences and Bioengineering, P.O. Box 447, Arusha, Tanzania.

Schistosomiasis is a disease caused by the flat worms under the genus . The disease is prominent in tropical and sub tropical countries and it is manifested in two forms; the acute and the chronic form. Treatment and control of the schistosomiasis is constrained with various factors including immerging worm resistance and selective efficacy of the current recommended drug of choice.

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Globally, achieving universal health coverage remains significant challenge. Health insurance coverage in low- and middle-income countries is still low with only a few African countries managed to reach 50% coverage. This study aimed to investigate the factors influencing patients' willingness to pay (WTP) for medication and various versions of the improved Community Health Insurance Fund (iCHF) in Tanzania.

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  • A study was conducted to explore the effects of extreme heat stress on pregnant subsistence farmers in West Kiang, The Gambia, addressing a gap in research for at-risk populations.
  • The study utilized both historical climate data and on-site measurements from 92 women to analyze the relationship between physiological responses (like skin temperature) and environmental factors, revealing stronger effects during the third trimester and heightened risks with higher humidity levels.
  • It is recommended that local health systems adopt heat stress indices, such as UTCI or WBGT, to better inform and protect pregnant women from heat-related health issues.
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Objectives: We assessed the relationship between heat and emergency hospital admissions (EHAs) in Switzerland using clinically relevant metrics.

Methods: Applying distributed lag non-linear models, we investigated temperature-admission associations between May and September 1998-2019 for various disease groups, by age class and gender. We estimated the relative risk (RR) for moderate (29°C) and extreme (34°C) daily maximum temperatures relative to disease-specific optimum temperature, and calculated attributable fractions (AFs) for hot days and the following week.

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Introduction: Larval source management, particularly larviciding, is mainly implemented in urban settings to control malaria and other mosquito-borne diseases. In Tanzania, the government has recently expanded larviciding to rural settings across the country, but implementation faces multiple challenges, notably inadequate resources and limited know-how by technical staff. This study evaluated the potential of training community members to identify, characterize and target larval habitats of mosquitoes, the dominant vector of malaria transmission in south-eastern Tanzania.

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To facilitate the use of the mounting evidence on how human health is inextricably linked to the health of the planet and the urgent need for measures against the escalating triple planetary crisis, the WHO has developed a repository of systematic reviews on interventions in the area of environment, climate change and health (ECH). This commentary introduces the repository, describes its rationale and development, and points to potential future evolutions. The repository aims to provide a user-friendly tool for quickly finding systematic reviews and meta-analyses on specific ECH topics.

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Topical repellents provide protection against mosquito bites and their efficacy is often assessed using the arm-in-cage test. The arm-in-cage test estimates the repellent's protection time by exposing a repellent-treated forearm to host-seeking mosquitoes inside a cage at regular intervals until the first confirmed mosquito bite. However, the test does not reveal the repellents' behavioural mode of action.

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Background: Distinguishing Plasmodium falciparum recrudescence from new infections is crucial for the assessment of antimalarial drug efficacy against P falciparum. We aimed to compare the efficacy of different genotyping methods to assess their effect on drug efficacy estimates, particularly in patients from high-transmission settings with polyclonal infections.

Methods: In this head-to-head comparison study, we compared five different genotyping methods currently used: fast capillary electrophoresis (F-CE) using msp1, msp2, and glurp; high-resolution capillary electrophoresis (H-CE) using msp1, msp2, and glurp; H-CE using microsatellites; targeted amplicon deep sequencing (TADS) using single nucleotide polymorphism (SNP)-rich markers; and high-resolution melting (HRM) analysis using msp1 and msp2.

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Background: The SOPHYA-cohort-study investigated whether the objectively characterized and perceived residential neighborhood of Swiss youth predict accelerometer-measured physical activity and activity in specific domains (participation in a sports club and cycling) five years later.

Methods: At baseline in 2014, 1230 children and adolescents aged 6 to 16 years participated and wore accelerometers for 7 days. Of these children, 447 participated again in the follow-up study in 2019 and provided longitudinal accelerometer measurements.

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Aryl hydantoins were identified in the early 1980s as a promising antischistosomal chemotype. However, as exemplified by Ro 13-3978, this compound series produced antiandrogenic side effects on the host, a not unexpected outcome given their structural similarity to the antiandrogenic drug nilutamide. The two key advances in our optimization of Ro 13-3978 were swapping the aryl trifluoromethyl substituent with a difluoroethyl to abolish antiandrogenic effects and replacing the hydrogen atoms of the -dimethyl substructure with deuterium atoms to increase metabolic stability.

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Objectives: To discuss the opportunities and challenges of the qualitative solicited diary approach using digital technologies as an innovative way to access insights into people's lives and their unique stories in times of COVID-19-related social distancing in Switzerland.

Methods: This case study provides reflective arguments from a social science perspective for the selection of different (digital) diary designs to optimize data collection in the SNSF-funded project "PubliCo - an experimental online platform for COVID-19-related public perception."

Results: The findings highlight some opportunities of using (digital) diaries, such as empowering participants, gathering real-time data, and ethical and methodological challenges when it comes to gaining access to alternative narratives.

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Background: Non-inferiority trials are recommended by the World Health Organization (WHO) to demonstrate that health products show comparable efficacy to that of existing standard of care. As part of the WHO Global Malaria Programme (GMP) process of assessment of malaria vector control products, a second-in-class insecticide-treated net (ITN) must be shown to be non-inferior to a first-in-class product based on mosquito mortality. The public health impact of the first-in-class pyrethroid-piperonyl butoxide (PBO) ITN, Olyset Plus, has been demonstrated in epidemiological trials in areas with insecticide-resistant mosquitoes, but there is a need to determine the efficacy of other pyrethroid-PBO nets to ensure timely market availability of nets in order to increase access to ITNs.

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Innovative COVID-19 Point-of-Care Diagnostics Suitable for Tuberculosis Diagnosis: A Scoping Review.

J Clin Med

October 2024

Department of Infectious Diseases and Tropical Medicine, Heidelberg University Hospital and Faculty of Medicine, Heidelberg University, 69120 Heidelberg, Germany.

Rapid and accurate point-of-care (POC) tuberculosis (TB) diagnostics are crucial to bridge the TB diagnostic gap. Leveraging recent advancements in COVID-19 diagnostics, we explored adapting commercially available POC SARS-CoV-2 tests for TB diagnosis in line with the World Health Organization (WHO) target product profiles (TPPs). A scoping review was conducted following PRISMA-ScR guidelines to systematically map POC antigen and molecular SARS-CoV-2 diagnostic tests potentially meeting the TPPs for TB diagnostic tests for peripheral settings.

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  • * Analysis of data from over 1 million forest plots and thousands of tree species shows that wood density varies significantly by latitude, being up to 30% denser in tropical forests compared to boreal forests, and is influenced mainly by temperature and soil moisture.
  • * The research also finds that disturbances like human activity and fire alter wood density at local levels, affecting forest carbon stock estimates by up to 21%, emphasizing the importance of understanding environmental impacts on forest ecosystems.
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Governments in low and middle-income countries (LMICs) are increasingly considering the introduction of national health insurance scheme (NHIS) as a strategy to achieve universal health coverage (UHC) targets. The literature has widely documented the technical challenges associated with implementing UHC policies in LMICs but much less is known about the political process necessary to pass UHC legislation. In this article, we document the political economy issues surrounding the establishment of the Zambia NHIS in 2018.

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  • Next-generation insecticide-treated bed nets (ITNs), which combine new insecticides or add synergists, are essential for fighting malaria, especially in regions with mosquito resistance to traditional pyrethroid nets.
  • A study in Misungwi, Tanzania, tested the effectiveness of three types of these new nets over three years, comparing them against the standard Interceptor net; tests revealed they showed better efficacy against malaria-carrying mosquitoes.
  • While over 80% of the new nets were effective after three years for susceptible mosquitoes, their effectiveness against resistant strains declined over time, indicating the need for ongoing research and potential replacements for long-term malaria control.
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