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This report announces the genome of a newly confirmed Salmonella serovar (Salmonella enterica serovar Abeokuta) that was isolated from a poultry feed sample collected on a farm in Abeokuta, capital of Ogun State in Nigeria. Salmonella Abeokuta has not been identified outside Nigeria, nor does it appear to be a cause for concern for animal and human health.
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INTRODUCTION: intestinal parasitic infection has been reported as a cause of morbidity and mortality among HIV patients on antiretroviral therapy (ART) due to interruption in treatment of the defaulting HIV patients. This study aimed to determine the prevalence and possible causes of intestinal parasites among HIV patients on ART. METHODS: a survey involving 375 adult HIV/AIDS patients selected using a systematic random sampling technique was conducted in a Jos University Teaching hospital, Plateau State, Nigeria. Socio-demographic and clinical data was collected using semi-structured interviewer administered questionnaire and electronic dataset review. Fresh stool samples were collected from all participants for laboratory identification of intestinal parasites using formol-ether sedimentation and modified Ziehl-Neelsen techniques. Descriptive statistics, odds ratio and logistic regression model were computed at P ≤ 0.05. RESULTS: the mean age of the study participants was 41.6±9.3years. Majority 294 (78.4%) were females, 141 (37.6%) lived in the rural area, 50 (13.3%) respondents did not have toilets in their homes. Most 275 (73.3%) had ART adherence level of 95% and above. Prevalence of intestinal parasites was 28.5%. Females (aOR = 2.14, 95% CI=1.12 - 3.89) and participants with no toilet facilities (aOR = 2.0, 95% CI=1.03 - 3.94) were significantly more likely to have intestinal parasites. CONCLUSION: the prevalence of intestinal parasites was high among HIV patients. Gender and unavailability of toilet in homes were found to be predictors of having parasites. We recommend that HIV patients should be periodically screened for IPs during the follow-up clinic visits.
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Fármacos Anti-VIH/administración & dosificación , Infecciones por VIH/epidemiología , Parasitosis Intestinales/epidemiología , Cuartos de Baño/estadística & datos numéricos , Adulto , Estudios Transversales , Femenino , Infecciones por VIH/tratamiento farmacológico , Humanos , Masculino , Cumplimiento de la Medicación/estadística & datos numéricos , Persona de Mediana Edad , Nigeria/epidemiología , Prevalencia , Factores de Riesgo , Factores Sexuales , Encuestas y Cuestionarios , Adulto JovenRESUMEN
INTRODUCTION: Despite the availability of vaccines, pertussis outbreaks still occur in developing countries. In December 2015 we investigated a pertussis outbreak in Kaltungo, Nigeria to identify determinants of infection and institute control measures. METHODS: We enrolled 155 cases and 310 unmatched controls. We defined cases as residents of Kaltungo with paroxysmal or whooping cough lasting 2 weeks with or without vomiting and randomly selected neighborhood controls. Using structured questionnaire, we collected data on socio-demographics, clinical and risk factors. We collected twelve nasopharyngeal swabs for laboratory analysis using Polymerase Chain Reaction. RESULTS: Median age was 24 months (range 1-132 months) for cases and 27 months (range 1-189 months) for controls. Female cases and controls were 86 (55.5%) and 150 (48.4%) respectively. A total of 83 (56.6%) cases were in age group 12-59 months. Age-specific-attack-rate was 83/1,786 (4.7%); Age-specific-case-fatality-rate was 21/83 (25.3%); Age-specific-proportional-mortality-ratio was 21/24 (87.5%). A total of 61 (39.4%) zero doses and 30.1% Pentavalent dropouts were documented. Multivariate analysis revealed parental refusal (adjusted OR = 27.8; CI = 8.8-87.7), contact with a case (AOR = 7.9, CI = 4.3-14.7, P = 0.000), belonging to the Muslim faith (AOR = 2.0; CI = 1.1-3.5) and having mothers with informal education only (AOR = 4.7, CI-2.6-8.4) as independent predictors of pertussis infection. CONCLUSION: Sub-optimal vaccination due to parental refusal and informal education of mothers were major determinants of pertussis infection. We conducted awareness campaigns of key immunization messages targeted at the informal education sector. We ensured appropriate case management, contact vaccination and health education in public gatherings, worship places and schools.
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Brotes de Enfermedades , Vacuna contra la Tos Ferina/administración & dosificación , Cobertura de Vacunación , Tos Ferina/epidemiología , Adolescente , Estudios de Casos y Controles , Niño , Preescolar , Escolaridad , Femenino , Humanos , Lactante , Masculino , Análisis Multivariante , Nigeria/epidemiología , Factores de Riesgo , Encuestas y Cuestionarios , Vacunación/estadística & datos numéricos , Negativa a la Vacunación/estadística & datos numéricos , Tos Ferina/prevención & controlRESUMEN
BACKGROUND: In 2012/13, the Federal government of Nigeria approved the surveillance of salmonellae in commercial poultry farms with the aim of generating baseline data for the development of a control programme. That baseline provided an opportunity to investigate potential risk factors in commercial layer farms. METHODS: Five hundred and twenty-three farms were evaluated for the presence of Salmonella. Each farmer was interviewed through a structured questionnaire. Univariate analysis identified 26 variables potentially associated with Salmonella presence on the farms, with different levels of significance. To simultaneously evaluate the effect of these variables, a multivariable logistic regression model was implemented. RESULTS: Farmers that are member of the Poultry Association of Nigeria (PAN) emerged as a risk factor, as well as being farmer as exclusive occupation. The risk of Salmonella increased in farms with a combined housing system as compared to farms with a single housing system. Moreover, in terms of farm management the use of plastic egg crates had a higher risk of Salmonella presence compared to paper crates. Higher risk of contamination was also identified in farms having regular contact with animal health workers, since this could be indicative of animal health problems requiring continuous assistance. Farms with no previous outbreak of salmonellosis were associated with an increase risk, since most of the farms in this category were newly established. With regard to feeding, the use of coccidiostats and commercial feeds were associated with the spread of Salmonella. Unexpectedly, the presence of other farms at distances further than 1â¯km away was associated with an increase in Salmonella presence as compared to farms which were in closer proximity. Close proximity among farms could favour the application of stricter biosecurity measures. CONCLUSIONS: The results of the survey can be considered a baseline for implementing effective measures aimed at reducing the Salmonella prevalence in Nigerian laying hen farms.