10,156 results match your criteria: "institute of Tropical Medicine[Affiliation]"

Article Synopsis
  • Achieving universal health coverage (UHC) in low-income countries, like Burkina Faso, faces challenges due to uncertainties; this study explores how policy learning can influence health financing outcomes.
  • The research employed qualitative methods to assess the presence and impact of different modes of policy learning, finding that while reflective learning was present, other crucial types were lacking, which hindered progress.
  • Despite initial setbacks in implementing strategic health purchasing, effective facilitation and conducive contexts allowed for some advancements, highlighting the need for comprehensive learning approaches in health policy efforts.
View Article and Find Full Text PDF

Relative efficacy of anti-Plasmodium vivax malaria combination drugs in preventing transmission to two major Anopheles mosquitoes in the first few days of treatment.

Int J Infect Dis

January 2025

Programa de Pós-Graduação em Medicina Tropical, Fundação de Medicina Tropical Heitor Vieira Dourado, Universidade do Estado do Amazonas, Manaus, Brazil; Laboratório de Entomologia Médica, Instituto de Pesquisas René Rachou, Fundação Oswaldo Cruz Minas, Belo Horizonte, Minas Gerais, Brazil. Electronic address:

Objectives: The World Health Organization recommends three drug anti-malarial combinations: cloroquine+primaquine, artesiminin+primaquine, and cloroquine+tafenoquine. These combinations aim to eradicate Plasmodium by disrupting its life cycle within the human body. We evaluated the effect of these medications on the vectorial competence of two main vectors in the New World.

View Article and Find Full Text PDF

International migrants, especially those belonging to key populations, face a considerable HIV burden. However, continuity of HIV care for this group is often challenged along the migration route. We assess the available evidence on the existing interventions that aim to strengthen community and health systems to ensure the continuity of HIV care for international migrants.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how meteorological factors like temperature and humidity influence COVID-19 transmission across 439 cities from February 2020 to August 2022.
  • Researchers found that lower temperatures (5 °C) significantly increase the risk of COVID-19 incidents compared to moderate temperatures (17 °C), with absolute humidity showing an inverse relationship.
  • The analysis revealed no significant interaction between vaccination rates or variants and the effects of weather on COVID-19 transmission, reinforcing the importance of environmental factors in understanding the pandemic.
View Article and Find Full Text PDF

Introduction: As in other countries worldwide, Diabetes mellitus type 2 (T2D) and hypertension (HTN) prevalence is increasing in Cambodia. The country is examining models to scale-up integrated T2D and HTN care. However, costs of integrated care in this setting are not yet well-understood.

View Article and Find Full Text PDF

Process Evaluations for the Scale-Up of Complex Interventions - a Scoping Review.

Int J Integr Care

November 2024

Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Introduction: Complex health interventions (CHIs) are common in (public) health and social care practice and policy. A process evaluation (PE) is an essential part of designing and testing CHIs and questions what is implemented, the mechanisms of change, and how context affects implementation. The scale-up of CHIs is challenging and heterogeneous, making the accompanying PE unique to the nature of the inquiry.

View Article and Find Full Text PDF

Commensal streptococci are common inhabitants of the oral microbiome and regulate its structure and function in beneficial ways for human health. They can, however, also be opportunistic pathogens and act as a reservoir of resistance genes that can be passed on to other bacteria, including pathogens. Little is known about the prevalence of these commensals in parents and their children and their antimicrobial susceptibilities in the Belgian general population.

View Article and Find Full Text PDF
Article Synopsis
  • Febrile illnesses are a major health issue in sub-Saharan Africa, often leading to inadequate treatment due to limited diagnostic resources and a wide range of possible pathogens.
  • This study focused on evaluating a multiplex polymerase chain reaction (PCR) method for diagnosing febrile diseases in patients at a hospital in Central Ethiopia over two years, testing samples from 511 patients.
  • The results showed that while pathogens were detected in only 6.3% of the samples, including Plasmodium and Borrelia, the use of multiplex PCR can still enhance diagnostic capabilities and inform better clinical management in settings with limited resources.
View Article and Find Full Text PDF
Article Synopsis
  • * The study focused on SBP3, a protein exported by the parasite, which plays a crucial role in the formation of surface protrusions on infected red blood cells that help the parasite adhere to blood vessel cells.
  • * Knocking down SBP3 resulted in hindered parasite growth, fewer adhesion sites, and fewer protrusions, indicating its essential function for the parasite's survival and interaction with the host's cells.
View Article and Find Full Text PDF

Targeting the IspE Enzyme.

ACS Omega

November 2024

Helmholtz Institute for Pharmaceutical Research Saarland (HIPS)-Saarland University, Department of Pharmacy, Helmholtz Centre for Infection Research (HZI), Campus Building E8.1, 66123 Saarbrücken, Germany.

The enzyme IspE in is considered an attractive drug target, as it is essential for parasite survival and is absent in the human proteome. Yet it still has not been addressed by a small-molecule inhibitor. In this study, we conducted a high-throughput screening campaign against the IspE enzyme.

View Article and Find Full Text PDF

Undiagnosed AIDS in a 13-year-old boy in rural Gabon.

IDCases

October 2024

Center for Tropical Medicine, Bernhard-Nocht Institute for Tropical Medicine & I. Dept. of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Article Synopsis
  • Prevalence of HIV
  • : Approximately 38.4 million people live with HIV globally, with a significant number (1.7 million) being children under 14, primarily in sub-Saharan Africa, where mother-to-child transmission is common and diagnoses are often delayed.
  • Case Report
  • : A 13-year-old boy from rural Gabon experienced repeated fever and fatigue for years, leading to multiple undiagnosed hospital visits. Ultimately, he was diagnosed with late-onset AIDS after serologic testing revealed HIV-1 infection.
  • Importance of Early Detection
  • : The case underlines the critical need for HIV testing in children and adolescents, especially in malaria-prone areas, as early diagnosis can significantly improve
View Article and Find Full Text PDF

Background: The population structure of the malaria parasite Plasmodium falciparum can reveal underlying adaptive evolutionary processes. Selective pressures to maintain complex genetic backgrounds can encourage inbreeding, producing distinct parasite clusters identifiable by population structure analyses.

Methods: We analysed population structure in 3783 P falciparum genomes from 21 countries across Africa, provided by the MalariaGEN Pf7 dataset.

View Article and Find Full Text PDF

Yellow fever breakthrough infections after yellow fever vaccination: a systematic review and meta-analysis.

Lancet Microbe

December 2024

Amsterdam UMC, Location University of Amsterdam, Center for Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam Public Health - Global Health, and Amsterdam Institute for Immunology and Infectious Diseases, Amsterdam, Netherlands. Electronic address:

Article Synopsis
  • This systematic review and meta-analysis investigated symptomatic yellow fever breakthrough infections in vaccinated individuals, focusing on cases occurring less than and more than ten years after vaccination.
  • The research reviewed 1975 records, ultimately identifying 37 relevant studies that documented 6951 yellow fever cases, with 537 involving vaccinated patients, primarily from Brazil.
  • A total of 33 confirmed or probable breakthrough cases were found, with two patients severely ill and resulting in death, highlighting a need for ongoing surveillance in vaccinated populations.
View Article and Find Full Text PDF
Article Synopsis
  • * A 74-year-old man receiving BCG therapy for bladder cancer developed severe complications, including multiple arterial aneurysms and other infections, complicating his existing spondylitis condition.
  • * Despite undergoing several treatments and diagnostic procedures, BCGosis was ultimately confirmed through PCR testing, emphasizing the need for careful monitoring of patients undergoing BCG therapy to identify potential complications early.
View Article and Find Full Text PDF
Article Synopsis
  • Periodical cicadas have unique life cycles based on prime numbers and emerge in large groups, called broods, at the same time.
  • These broods usually don't overlap in their emergence times, but some cicadas, referred to as stragglers, can appear outside of these schedules, which risks mixing the broods.
  • The study suggests that predation might help maintain these distinct broods by preventing stragglers from settling near dominant broods, but higher predation can also risk the survival of the entire population if it becomes too intense.
View Article and Find Full Text PDF

The corona virus (SARS-CoV-2) pandemic and the resulting long-term neurological complications in patients, known as long COVID, have renewed interest in the correlation between viral infections and neurodegenerative brain disorders. While many viruses can reach the central nervous system (CNS) causing acute or chronic infections (such as herpes simplex virus 1, HSV-1), the lack of a clear mechanistic link between viruses and protein aggregation into amyloids, a characteristic of several neurodegenerative diseases, has rendered such a connection elusive. Recently, we showed that viruses can induce aggregation of purified amyloidogenic proteins via the direct physicochemical mechanism of heterogeneous nucleation (HEN).

View Article and Find Full Text PDF

Objectives: This study aims to identify the factors influencing vaccine hesitancy, willingness and its variation over time in order to inform more responsive strategies for increasing vaccination uptake. The specific objectives are: (1) to describe and compare levels of COVID-19 vaccine hesitancy among the general population in rural and urban settings in West Africa over time and (2) to identify factors associated with COVID-19 vaccination willingness and hesitancy among the general population across five West African countries over time.

Design: Following a baseline survey (Wave I), three serial cross-sectional surveys (Waves II-IV) were implemented.

View Article and Find Full Text PDF
Article Synopsis
  • Typhoid conjugate vaccines are recommended for inclusion in India's Universal Immunisation Programme to combat typhoid fever, and this study aims to gather evidence to support their implementation.
  • A literature review was conducted to evaluate evidence regarding the disease's burden, the vaccine's benefits and harms, its cost-effectiveness, and the feasibility of implementing it in India.
  • The study found significant evidence gaps in areas like budget impact, vaccine demand, and provider acceptability, suggesting a need for targeted research to aid decision-making for the vaccine's rollout.
View Article and Find Full Text PDF

Evaluating methods for identifying and quantifying co-colonization using next-generation sequencing data.

Microbiol Spectr

November 2024

Faculty of Epidemiology and Population Health, Department of Infectious Disease Epidemiology, The London School of Hygiene and Tropical Medicine, London, United Kingdom.

Detection of multiple pneumococcal serotype carriage can enhance monitoring of pneumococcal vaccine impact, particularly among high-burden childhood populations. We assessed methods for identifying co-carriage of pneumococcal serotypes from whole-genome sequences. Twenty-four nasopharyngeal samples were collected during community carriage surveillance from healthy children in Blantyre, Malawi, which were then serotyped by microarray.

View Article and Find Full Text PDF

Comparative genomics of Plasmodium yoelii nigeriensis N67 and N67C: genome-wide polymorphisms, differential gene expression, and drug resistance.

BMC Genomics

November 2024

Malaria Functional Genomics Section, Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Disease, National Institutes of Health, Rockville, MD, 20852, USA.

Background: The study of rodent malaria parasites has significantly advanced our understanding of malaria parasite biology and host responses to parasite infections. There are four well-characterized rodent malaria parasite species (Plasmodium yoelii, P. chabaudi, P.

View Article and Find Full Text PDF

Variable effects of transient Wolbachia infections on alphaviruses in Aedes aegypti.

PLoS Negl Trop Dis

November 2024

Department of Entomology, Pennsylvania State University, University Park, Pennsylvania, United States of America.

Wolbachia pipientis (= Wolbachia) has promise as a tool to suppress virus transmission by Aedes aegypti mosquitoes. However, Wolbachia can have variable effects on mosquito-borne viruses. This variation remains poorly characterized, yet the multimodal effects of Wolbachia on diverse pathogens could have important implications for public health.

View Article and Find Full Text PDF

Background: Health-related quality of life (HRQOL) is an important and frequently used patient-reported outcome in health research. However, little qualitative research exists in this field in South Africa. This study was set in Khayelitsha, one of the largest informal settlements in South Africa, where the burden of HIV and tuberculosis (TB) co-infection are amongst the highest in the world and significantly affect HRQOL.

View Article and Find Full Text PDF

Network analysis may improve the understanding of malaria epidemiology in rural areas of the Amazon region by explicitly representing the relationships between villages as a proxy for human population mobility. This study tests a comprehensive set of connectivity metrics and their relationship with malaria incidence across villages with contrasting PAMAFRO (a malaria control initiative) coverage levels in the Loreto department of Peru using data from the passive case detection reports from the Peruvian Ministry of Health between 2011 and 2018 at the village level. A total of 24 centrality metrics were computed and tested on 1608 nodes (i.

View Article and Find Full Text PDF