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1.
MMWR Morb Mortal Wkly Rep ; 72(9): 217-222, 2023 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-36862590

RESUMO

On July 26, 2022, a pediatric nephrologist alerted The Gambia's Ministry of Health (MoH) to a cluster of cases of acute kidney injury (AKI) among young children at the country's sole teaching hospital, and on August 23, 2022, MoH requested assistance from CDC. CDC epidemiologists arrived in The Gambia, a West African country, on September 16 to assist MoH in characterizing the illness, describing the epidemiology, and identifying potential causal factors and their sources. Investigators reviewed medical records and interviewed caregivers to characterize patients' symptoms and identify exposures. The preliminary investigation suggested that various contaminated syrup-based children's medications contributed to the AKI outbreak. During the investigation, MoH recalled implicated medications from a single international manufacturer. Continued efforts to strengthen pharmaceutical quality control and event-based public health surveillance are needed to help prevent future medication-related outbreaks.


Assuntos
Injúria Renal Aguda , Humanos , Criança , Pré-Escolar , Gâmbia/epidemiologia , África Ocidental , Injúria Renal Aguda/induzido quimicamente , Injúria Renal Aguda/epidemiologia , Preparações Farmacêuticas
2.
Afr Health Sci ; 22(4): 386-395, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37092106

RESUMO

Background: A 2010 survey in The Gambia among women of reproductive age put the prevalence rate of FGM/C at 76.3%. FGM/C was banned in 2015, but there is no real effort at enforcement of the ban. This study aimed to provide national data on obstetric outcomes to support advocacy and health education. A multicentre observational study to assess the obstetric and neonatal outcomes of parturient women with and without FGM/C was carried out across 4 healthcare facilities in The Gambia. The primary outcome was postpartum haemorrhage (>500ml) and secondary outcomes were caesarean section, perineal tears (including episiotomy), neonatal resuscitation and perinatal death. Of the 1,569 participants recruited into the study, 23% had no FGM/C while 77% had FGM/C of varying severity. The risk of postpartum haemorrhage was doubled for women with type I FGM/C, tripled in type II FGM/C and increased by 5-fold for those with type III and IV FGM/C. Caesarean section and perineal tears were also increased. FGM/C was associated with increased risk for neonatal resuscitation and perinatal death. FGM/C is associated with poor obstetric and neonatal outcomes in the Gambia with degree of risk correlating with the severity of FGM/C.


Assuntos
Circuncisão Feminina , Complicações do Trabalho de Parto , Morte Perinatal , Hemorragia Pós-Parto , Gravidez , Feminino , Recém-Nascido , Humanos , Hemorragia Pós-Parto/epidemiologia , Hemorragia Pós-Parto/etiologia , Cesárea/efeitos adversos , Resultado da Gravidez/epidemiologia , Morte Perinatal/etiologia , Complicações do Trabalho de Parto/epidemiologia , Complicações do Trabalho de Parto/etiologia , Gâmbia/epidemiologia , Circuncisão Feminina/efeitos adversos , Ressuscitação/efeitos adversos
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