Mucocutaneous manifestations in 150 HIV-infected Indian patients and their relationship with CD4 lymphocyte counts.

Mucocutaneous findings in 150 HIV+ve cases (F, 79; M, 71) were evaluated over a one-year period. Mucocutaneous manifestations were seen in 96% with 2.9 mean number of dermatoses and mean cluster of differentiation (CD4) count of 196.33 cells/mm(3). The highest number of mean dermatoses, 3.29, was seen in individuals with severe immunosuppression. The most common mucocutaneous manifestation seen was candidiasis (35.33%), followed by seborrhoeic dermatitis (31.33%), oral pigmentation (29.33%), xerosis/ichthyosis (22.67%), pyodermas (22%), periodontitis (17.33%) and nail pigmentation (16.67%). Patient stratification according to the WHO immunological staging, according to CD4 counts, showed a statistically significant association (P < 0.05) for candidiasis, scabies, paronychia, oral pigmentation and diffuse hair loss. Nail and oral pigmentary changes, trichomegaly and subcutaneous fungal infections caused by dermatophytes were highlights of the study. Incidences of xerosis/ichthyosis, pyodermas, scabies and molluscum contagiosum reported in our study were higher and pruritic popular eruptions was lower than those in previous Indian studies. Cutaneous neoplasms were not seen in the present study.

Perceptions and problems of disease in the one-humped camel in southern Africa in the late 19th and early 20th centuries.

The one-humped camel (Camelus dromedarius) was first introduced to German South West Africa (Namibia) for military purposes in 1889. Introductions to the Cape of Good Hope (South Africa) in 1897 and Rhodesia (Zimbabwe) in 1903 were initially with a view to replacing oxen that died of rinderpest. Disease risks attendant on these introductions were recognised and to some extent guarded against. There were, however, relatively few problems. One camel was diagnosed as having foot-and-mouth disease. Mange in camels from India caused some concern as did trypanosomosis from Sudan. Trypanosomosis was introduced into both the Cape of Good Hope and Transvaal. Antibodies to some common livestock disease were found in later years.

Health status of Orang Asli (aborigine) community in Pos Piah, Sungai Siput, Perak, Malaysia.

A study of health status of Orang Asli population (based on physical examination findings) was conducted in 4 villages in Pos Piah, Sungai Siput Perak, Malaysia. In all 356 individuals between 4 months-72 years old (178 males and 178 females) participated in this study. Poor general health status, physical and mental handicaps were seen in 7.8%, 0.3% and 0.3% of the population, respectively. About one-fifth of the population had dental caries. Splenomegaly, hepatomegaly and hepatosplenomegaly were among the commonest abnormalities with the occurrence rates of 19.8%, 13.7% and 6.7%, respectively, being detected in the population. About one-fifth of the population showed signs suggestive of protein-energy deficiency; whilst less than 5% showed signs indicative of riboflavin, iodine and iron deficiencies. Vitamin A deficiency was the commonest nutritional deficiency identified in this community with almost 38.4% of them showing signs of the deficiency. The commonest skin infection was scabies.

An Auckland high school health survey.

To assess the importance of racial and socio-economic factors on the health of teenagers attending an Auckland High School a full clinical examination was conducted. The socio-economic status of the four major racial groups, European, Maori, Pacific Island Polynesian and Asian was relatively constant and predominantly from Social Classes 4 and 5. The pattern of health in each group was not significantly different between races with the exception of a high incidence of scabies and impetigo among the Maori and Pacific Island Polynesians. These skin infections were possibly related to a significant degree of overcrowding that was found in this group where 21 to 29% of the families had five or more children under 15 years of age in the one house. Dental caries was commoner among Maori teenagers. These findings are in accord with the hypothesis that health differences between races are a reflection of socio-economic factors rather than due to any intrinsic differences in susceptibility to disease.