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1.
West Indian med. j ; 45(Supl. 2): 29, Apr. 1996.
Artigo em Inglês | MedCarib | ID: med-4621

RESUMO

The sensitivity of hospital-active-surveillance (HAS) system for acute flaccid paralysis (AFP) was reviewed at six acute-care hospitals and one rehabilitation facility in Jamaica for the years 1991, 1992 and 1993. HAS evaluated cases at a rate of 0.70, 0.35, and 0.35 AFP cases per 100,000 population under 15-years-of-age for the years 1991, 1992 and 1993, respectively. Analysis of admission registers and discharge diagnoses determined six additional cases meeting the Pan American Health Organization (PAHO) case definition of AFP in 1991, and one additional case in 1993. Thus, the prevalence of AFP was 1.41, 0.35 and 0.47 for the three years under review. In only one year (1991) did the prevalence of AFP exceed 1.0, the rate considered by PAHO norm was derived from large continental countries in South America. This rate may not apply to small island nations (AU)


Assuntos
Criança , Lactente , Humanos , Paralisia/epidemiologia , Hipotonia Muscular/epidemiologia , Jamaica/epidemiologia
3.
J Med Virol ; 29(4): 315-9, Dec. 1989.
Artigo em Inglês | MedCarib | ID: med-12251

RESUMO

An outbreak of acute flaccid paralysis in Jamaica in 1986 associated with echovirus type 22 is described. Six patients aged 1 to 27 years developed acute onset of severe flaccid paralysis, with inability to walk. Three cases had facial weakness, four required intensive care with assisted ventilation and two died. Echovirus type 22 was isolated from the stool of two patients who showed a significant increase in antibody titre. Echovirus type 22 was also isolated from the stool of another patient who had aseptic meningitis without any neurological deficit. There was no evidence of poliovirus infection in any of these patients, most of whom were fully immunized. Of the four surviving cases with flaccid paralysis, three had residual weakness in their lower limbs and walked with an abnormal gait 3 years after the acute paralytic attack. This is the first report in the literature of acute flaccid paralysis associated with type 22 echovirus. (AU)


Assuntos
Humanos , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Masculino , Feminino , Infecções por Echovirus , Hipotonia Muscular/etiologia , Paralisia/epidemiologia , Doença Aguda , Anticorpos Antivirais/análise , Surtos de Doenças , Enterovirus Humano B/imunologia , Jamaica/epidemiologia , Paralisia/complicações
4.
West Indian med. j ; 30(4): 193-6, Dec. 1981.
Artigo em Inglês | MedCarib | ID: med-11322

RESUMO

Crusted scabies is reported in 12 patients seen in a one-year period at the Dermatology Unit of the University Hospital of the West Indies. Interesting variations in the clinical presentation have been noted, including muscle weakness, a previously unreported predisposing factor. Crusted scabies is not uncommon in Jamaica and therefore there is greater need for an awareness of the condition both in terms of its underlying associations and its epidemiological significance (AU)


Assuntos
Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infestações por Ácaros/complicações , Escabiose/complicações , Anemia Falciforme/parasitologia , Linfoma/parasitologia , Hipotonia Muscular/parasitologia , Jamaica
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