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1.
West Indian med. j ; 60(1): 53-56, Jan. 2011. graf, tab
Artigo em Inglês | LILACS | ID: lil-672717

RESUMO

OBJECTIVE: To determine the antimicrobial resistance profile of Escherichia coli (E coli) isolated from the shell membrane and yolk of commercial chicken eggs in Grenada. METHODS: A total of 450 eggs were collected from different locations including small (33.3%) and big farms (26.7%), roadside vendors (26.7%) and supermarkets (13.3%). The shell membranes and yolk were cultured separately on blood agar and McConkey Agar. Escherichia coli were identified using biochemical tests and API20E strips. The isolates were tested for antimicrobial sensitivity. RESULTS: A total of 55 E coli isolates were obtained. Of which 34 isolates were from shell membrane and 21 from yolk samples. Twenty-two of the total 34 isolates from shell membrane exhibited resistance to one or more ofthe antibiotics used in the study whereas 11 of the 21 yolks isolate also showed resistance to one or more ofthe tested antibiotics. Among the six antibiotics tested, the highest level of resistance was observed for ampicillin, 42.9 per cent and 31.8 per cent respectively for shell membrane and yolk isolates. The lowest resistance rate among all the antibiotics was observed against enrofloxacin (0%). Multi-drug resistance (resistance to > 3 compounds) was observed in 10.9% of the isolates. CONCLUSIONS: This study on E coli drug resistance in commercial chicken eggs in Grenada generated baseline data indicating that chicken eggs used for food can harbour resistant E coli. A regular monitoring ofcommensal and clinical isolates of E coli for antibacterial resistance is warranted.


OBJETIVO: Determinar el perfil de resistencia antimicrobiana de Escherichia coli (E coli) aislada de la membrana de la cáscara y la yema de huevos comerciales de gallinas en Granada. MÉTODO: Un total de 450 huevos fueron recolectados de diferentes localidades, incluyendo granjas pequeñas (33.3%) y grandes (26.7%), vendedores a la orilla de los caminos (26.7%), y los supermercados (13.3%). Las membranas de la cáscara y yema fueron puestas por separado en un cultivo de agar sangre y agar McConkey. Las Escherichia coli fueron identificadas usando pruebas bioquímicas y tiras API20E. Los aislados fueron sometidos a pruebas para determinar su sensibilidad antimicrobiana. RESULTADOS: Se obtuvo un total de 55 aislados de E coli. De estos, 34 aislados provenían de la membrana de las cáscaras y 21 de las muestras de yemas. Veintidós del total 34 aislados de la membrana, mostraron ser resistentes a uno o más de los antibióticos usados en el estudio, mientras que 11 de los 21 aislados de yemas también mostraron resistencia a uno o más de los antibióticos probados. Entre los seis antibióticos probados, el nivel más alto de resistencia se observó frente a la ampicilina, 42.9 por ciento y 31.8 por ciento respectivamente para la membrana de la cáscara y los aislados de yema. La tasa de resistencia más baja entre todos los antibióticos se observó frente a la enrofloxacina (0%). Una resistencia multidroga (resistencia a > 3 compuestos) se observó en 10.9% de los aislados. CONCLUSIONES: Este estudio sobre la resistencia medicamentosa de E en los huevos comerciales de gallina en Granada, generó datos básicos que indican que los huevos de gallina usados para la alimentación pueden ser fuente de E coli resistentes a los medicamentos. Se garantiza un monitoreo regular de aislados comensales y clínicos de E coli a fin de detectar su resistencia antibacteriana.


Assuntos
Animais , Antibacterianos/farmacologia , Galinhas/microbiologia , Ovos/microbiologia , Escherichia coli/efeitos dos fármacos , Escherichia coli/isolamento & purificação , Farmacorresistência Bacteriana , Granada , Testes de Sensibilidade Microbiana
2.
West Indian med. j ; 59(4): 356-361, July 2010.
Artigo em Inglês | LILACS | ID: lil-672639

RESUMO

OBJECTIVE: This exploratory study conducted in 2008 aimed at gathering the views and opinions of leaders of the faith-based community (FBC) in Grenada about the increased incidence of HIV/AIDS in the Caribbean region including their beliefs and attitudes towards persons living with HIV/AIDS (PLHIV/AIDS). DESIGN AND METHODS: The study followed a cross-sectional design and used a qualitative approach. Telephone surveys were conducted with all faith-based organizations and semi-structured interviews done with key leaders representing the faith-based community in Grenada. RESULTS: Findings showed that perceptions of HIV/AIDS are embedded in a socio-political-cultural context where many risk behaviours and factors intertwine in complex ways. Religious beliefs are based on love, compassion and acceptance. The most prominent risk behaviours associated with the spread of HIV/AIDS identified by leaders are homosexuality, prostitution, promiscuity and substance abuse which are in direct contradiction to their beliefs and teachings. Leaders felt that these risk behaviours were exacerbated by changes in family structure and the absence of a common moral discourse shared by all sectors of society. CONCLUSION: The faith-based community has a significant presence across Grenada and it can be an effective partner in helping communities understand and prevent HIV/AIDS and overcome the stigma and discrimination associated with this disease. Training and effective strategies are needed to engage them in the national response to HIV/AIDS without threatening their ideologies and practices.


OBJETIVO: Este estudio exploratorio realizado en 2008 tuvo por objetivo recoger los puntos de vistas y opiniones de líderes de la comunidad de fe en Granada, acerca del aumento de la incidencia de VIH/SIDA en la región caribena, incluyendo sus creencias y actitudes hacia personas que viven con VIH/SIDA (PLVIH/SIDA). DISEÑO Y MÉTODOS: El estudio tuvo por base un diseno transversal y un enfoque cualitativo. Se llevaron a cabo encuestas telefónicas con todas las organizaciones de fe y se realizaron entrevistas semiestructuradas a líderes importantes, representantes de la comunidad defe en Granada. RESULTADOS: Los hallazgos mostraron que las percepciones del VIH/SIDA se hallan embebidas en un contexto socio-político-cultural en el que múltiples comportamientos y factores de riesgo se entrelazan deformas complejas. Las creencias religiosas se basan en el amor, la compasión y la aceptación. Los comportamientos de riesgo más sobresalientes asociados con la diseminación del VIH/SIDA, identificados por los líderes fueron la homosexualidad, la prostitución, la promiscuidad, y el abuso de substancias que están en la contradicción directa con sus creencias y ensenanzas. Los líderes sentían que estas conductas de riesgo se hallaban exacerbadas por los cambios en la estructura de la familia y la ausencia de un discurso moral común compartido por todos los sectores de la sociedad. CONCLUSIÓN: La comunidad de fe tiene una presencia significativa en toda Granada y puede ser un aliado eficaz a la hora de ayudar a las comunidades a entender y prevenir el VIH/SIDA, así como a superar el estigma y la discriminación asociados con esta enfermedad. Se necesitan entrenamiento y estrategias efectivas para comprometer a las comunidades de fe a una respuesta nacional frente al VIH/SIDA, sin amenazar sus prácticas e ideologías.


Assuntos
Feminino , Humanos , Masculino , Infecções por HIV/psicologia , Religião e Psicologia , Doenças Virais Sexualmente Transmissíveis/psicologia , Estudos Transversais , Características Culturais , Granada/epidemiologia , Infecções por HIV/epidemiologia , Homossexualidade/psicologia , Incidência , Entrevistas como Assunto , Trabalho Sexual/psicologia , Assunção de Riscos , Fatores Socioeconômicos , Comportamento Sexual/psicologia , Doenças Virais Sexualmente Transmissíveis/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/psicologia
3.
West Indian med. j ; 58(5): 441-445, Nov. 2009. ilus, tab
Artigo em Inglês | LILACS | ID: lil-672518

RESUMO

OBJECTIVE: To assess and explore the health and socio-economic outcomes of Jubilee, a community on the Caribbean island of Grenada hit by Hurricane Ivan in 2004 and to identify remaining barriers to recovery. METHODS: The assessment consisted of a mixed methods approach employing observations, household surveys, in-depth interviews and focus groups. RESULTS: Eighty-five per cent of the residents live in a single-family home type dwelling which is occupied by multiple families. Twenty-seven per cent of the respondents depended on a river or stream for water and 83% utilized an outdoor pit latrine. Construction accounted for 28% of the employment while 16% reported having no occupation. Public and private transportation was limited and 48% of the residents lived on less than one United States of America (US) dollar per day. Access to healthcare was reported by 89% and the prevalence of diabetes and hypertension was identified by 13% and 30% of the residents respectively. Social fragmentation within the community represents a barrier that keeps the community from developing common goals leading to full economic recovery. CONCLUSION: Jubilee has not fully recovered from the effects of Hurricane Ivan, but progress has been made in the reconstruction effort. These efforts have addressed the most immediate and basic needs of the community, mainly utility service infrastructure and home repairs. However, issues related to the community's economic recovery are still unresolved.


OBJETIVO: Evaluar y explorar la salud y los resultados socio-económicos de Jubilee, una comunidad de la isla caribeña de Granada, afectada por el huracán Iván en el 2004, e identificar los obstáculos que aún quedan para la recuperación. MÉTODOS: La evaluación consistió en un abordaje de métodos mezclados que empleaban la observación, encuestas domésticas, entrevistas detalladas, y grupos focales (grupos de discusión). RESULTADOS: El ochenta y cinco por ciento de los residentes viven en viviendas que son para una sola familia, pero están ocupadas por familias múltiples. El veinte por ciento de los encuestados dependían de un río o una corriente para obtener agua, y un 83% utilizaba letrinas de pozo exteriores. La construcción daba cuenta del 28% de los empleos, en tanto que el 16% reportó no tener ocupación. Tanto el transporte público como el privado se hallaban limitados, y el 48% de los residentes vivían con menos de un dólar americano (1 USD) por día. Acceso a la atención a la salud fue reportado por 89% y la prevalencia de la diabetes y la hipertensión fue identificada por el 13% y el 30% de los residentes, respectivamente. La fragmentación social dentro de la comunidad representa un obstáculo que impide que la comunidad desarrolle metas comunes, que conduzcan a una plena recuperación económica. CONCLUSIÓN: Jubilee no se ha recuperado totalmente de los efectos del huracán Iván, pero ha habido progreso en los esfuerzos por la reconstrucción. Estos esfuerzos han estado dirigidos a las necesidades básicas y más inmediatas de la comunidad, fundamentalmente a la reparación de las casas y las infraestructuras de servicios. Sin embargo, los problemas relacionados con la recuperación económica de la comunidad siguen aún sin solución.


Assuntos
Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Tempestades Ciclônicas , Desastres , Nível de Saúde , Apoio Social , Grupos Focais , Granada , Acesso aos Serviços de Saúde , Higiene , Qualidade de Vida , Fatores Socioeconômicos
4.
West Indian med. j ; 58(2): 114-117, Mar. 2009. graf, tab
Artigo em Inglês | LILACS | ID: lil-672453

RESUMO

OBJETIVE: To determine the seroprevalence of Leptospira and the serovars responsible for Leptospira exposure in rats in Grenada in order to assess rats as a reservoir host for human infection. DESIGN AND METHODS: Rattus norvegicus rodents were collected representing each of the six parishes on the island of Grenada. Serum from 237 rats was tested by the microscopic agglutination test (MAT) and an Immunoglobulin G (IgG) Enzyme-Linked Immunosorbent Assay (ELISA). Seroprevalence rates among parishes were compared using a chi-squared test of homogeneity. RESULTS: Of the 237 serum samples tested, 64 were positive by either MAT or ELISA for an overall seroprevalence of 27%. The ELISA identified 24.5 % (57/233) of the rats positive at a titer of > 1:160. The MAT identified 7.1% (13/183) of the rats positive at a titer of > 1:100. Six of the 13 MAT positive samples had antibodies to multiple serovars. The serovars identified by the MAT with the greatest frequency were from the Icterohaemorrhagiae serogroup. Two rats had antibodies for serogroup Cynopteri, the first time this serogroup has been identified on Grenada. CONCLUSIONS: Our results for Leptospira exposure in rats in Grenada support R. norvegicus as an important reservoir host for Leptospira, particularly those from the Icterohaemorrhagiae serogroup. Because this serogroup is the primary serogroup responsible for documented human exposure in Grenada, exposed rats represent a public health threat.


Assuntos
Animais , Leptospira/isolamento & purificação , Ratos/microbiologia , Granada
5.
Rev. panam. salud pública ; 18(4/5): 338-345, oct.-nov. 2005.
Artigo em Inglês | LILACS | ID: lil-422746

RESUMO

En el presente trabajo se describe un programa de entrenamiento para la atención de la salud mental después de desastres, desarrollado por la Sección Internacional del Departamento de Psiquiatría de la Universidad de Dalhousie (Halifax, Canadá) y llevado a cabo en la isla de Granada después de que el huracán Iván azotó ese país en septiembre de 2004. Este programa de entrenamiento para entrenadores utilizó un modelo integrado de salud comunitaria para ayudar a los proveedores de los servicios sanitarios locales a desarrollar las habilidades necesarias para identificar los trastornos mentales frecuentes después de un desastre natural y aplicar tratamientos basados en pruebas científicas. Este programa también favorece el enfoque actual de atención sostenible de salud mental en la comunidad, promovido por la Organización Mundial de la Salud y la Organización Panamericana de la Salud. Además, se contrapone a las actividades verticales de consejería psicosocial dirigidas a toda la población, en su mayoría ineficaces y costosas, que se han venido empleando en el Caribe después de desastres naturales.


Assuntos
Humanos , Planejamento em Desastres , Desastres , Pessoal de Saúde/educação , Serviços de Saúde Mental , Transtornos de Estresse Pós-Traumáticos/terapia , Região do Caribe , Educação Baseada em Competências , Medicina Baseada em Evidências/educação , Granada , Serviços de Saúde Mental/normas
7.
West Indian med. j ; 54(1): 22-27, Jan. 2005.
Artigo em Inglês | LILACS | ID: lil-410080

RESUMO

The objective of this study is to determine the prevalence of beta-haemolytic streptococci in the pharynx and antibodies to beta-haemolytic streptococci in school children 5-15 years of age in the tri-island state of Grenada Blood samples and throat swabs were obtained from 1388 school children, aged 5-15 years old attending randomly selected schools in each parish of the tri-island state of Grenada. Serum samples were subjected to antistreptolysin o testing (ASOT) while throat swabs were cultured on sheep blood agar plates. The prevalence of positive throat swab was 15.4 (95 CI = 13.4, 17.2). The rate was highest in St Patrick (21.8) and lowest in Carriacou (5.7). The prevalence of antibodies was 38.6 (95 CI = 37.6, 42.8). It was highest in St Patrick (54.4) and lowest in Petit Martinique (26.8). In St Patrick, males were significantly more likely than females to have a positive ASOT (p = 0.0084). In St George's, males were significantly more likely than females to have a positive throat culture (p = 0.0172). Thirty-four per cent of the positive cultures were type A, 10 were type C and 56 type G. The data illustrate that there is a high prevalence of beta-haemolytic streptococci in school children in certain parishes in Grenada. Public health measures should address prevention and control of beta3-haemolytic streptococcal infection in order to prevent the possible sequelae of this disease


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Febre Reumática/epidemiologia , Infecções Estreptocócicas/epidemiologia , Controle de Doenças Transmissíveis , Febre Reumática/prevenção & controle , Granada/epidemiologia , Infecções Estreptocócicas/prevenção & controle , Morbidade
8.
West Indian med. j ; 53(6): 368-373, Dec. 2004.
Artigo em Inglês | LILACS | ID: lil-410099

RESUMO

This paper summarizes and discusses the available cancer incidence (1996-2000) and mortality data (1990-2000) for the tri-island Caribbean nation of Grenada, Carriacou and Petit Martinique. Data for the analysis came from three sources: the Grenada Department of Statistics, the histopathology specimen books from St George's General Hospital and the Death Registry of the Ministry of Health, Grenada. The age-standardized rates (ASR) per 100 000 for all cancer sites combined were 170.2 in females and 158.2 in males. The four most frequent diagnoses (ASR) by cancer site in females were cervix (60.7), breast (49.1), uterus (28.4) and skin (13.3); and among males, prostate (61.4), bladder (16.3), skin (19.3) and stomach (10). Age-standardized mortality rates per 100 000 for all cancer sites combined were 105.4 in females and 165 in males. The four most frequent cancer associated mortalities (ASR) in females were breast (17.9), uterus (11.2), colon (10.3) and cervix (9.7); and among males, prostate (53.6), lung (18.7), stomach (14.5) and colon (10.9). This study found statistically significant spatial trends for overall cancer mortality and temporal trends in incidence and mortality rates for prostate and for incidence rates of stomach cancer. These rates are compared with those from other areas in the Caribbean and the United States of America and encourage efforts to establish a cancer registry in Grenada


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Neoplasias/epidemiologia , Vigilância da População , Granada/epidemiologia , Incidência , Neoplasias/mortalidade
9.
Electron. j. biotechnol ; 7(2): 85-91, Aug. 2004.
Artigo em Inglês | LILACS | ID: lil-387550

RESUMO

Grenada's capacity to manage risks posed by living modified organisms (LMOs) is augmented through an Organization of American States funded project called "Biosafety Regulations in Latin America and the Caribbean under the International Biosafety Protocol" The Project is implemented in six countries in Central America and the Caribbean is designed to identify the weaknesses and needs of participating countries in managing of risks posed by LMOs, while also developing a trusting environment for maximizing the benefits of the modern biotechnology industry. The results of the study indicated that the Grenada's legal and institutional framework is not fully conducive for the implementation of the Biosafety Protocol. Specifically, a number of constraints exists which included, limited competencies in risk assessment and management; inadequate legal framework; lack of an established administrative arrangement for risk management; lack of coherence in policies and programs among key implementing agencies; lack of, and/or insignificant awareness among the populace of the implications of biotechnology and inadequate systems of information exchange. To augment national capacity to successfully implement the Cartagena Protocol, training would be needed in the developing relevant legal instruments; conducting risk assessments and developing more effective platforms for information exchange.


Assuntos
Gestão da Segurança/legislação & jurisprudência , Biotecnologia/legislação & jurisprudência , Biotecnologia/normas , Protocolos , Países em Desenvolvimento , Granada , Organismos Geneticamente Modificados , Medição de Risco
10.
West Indian med. j ; 50(3): 186-188, Sept. 2001.
Artigo em Inglês | LILACS | ID: lil-333378

RESUMO

Unanticipated questions arose when starting an institutional research ethics committee in Grenada. Research ethics committees are charged with the ethical review of research protocols. They serve to protect people who volunteer as research subjects from harm or wrong that may result from participating in research. The Caribbean has a rich history of medical research involving human subjects. There is a growing will in the region to establish effective and sustainable research ethics committees that adhere to international standards. This paper examines uncertainties and questions that arose in starting a research ethics committee in Grenada, and describes how uncertainties were resolved. The questions centre on which guidelines to follow, who to appoint as members, what procedures to follow, and how to train members. An additional question relates to the role of a Ministry of Health in founding a research ethics committee. Resolution of these uncertainties shows that ethical review of research can be both effective and sustainable in the Caribbean.


Assuntos
Humanos , Comitês de Ética em Pesquisa/organização & administração , Comitês de Ética em Pesquisa/normas , Experimentação Humana , Protocolos Clínicos/normas , Comitês de Ética em Pesquisa/economia , Granada
12.
Washington, D.C; Pan Américan Health Organization. División of Health Systems and Services Development. Regional Program on Oral Health; Mar. 1998. 42 p. ilus.
Monografia em Inglês | LILACS | ID: lil-379102
13.
St. George's; WINDREF; 1998. 12 p. tab, graf.
Monografia em Inglês | LILACS | ID: lil-386309

RESUMO

Malaria was eradicated from Grenada in 1962 and the island has since remained free of the disease. The resurgence of malaria in endemic areas, as well as in countries where it had been previously eradicated, provided the impetus for a study to assess the risk of the re-introduction and re-establishment of malaria in Grenada. This study surveyed the recorded historical breeding sites of Anopheles spp in Grenada between April 1996 and April 1997, thereby encompassing two dry seasons and one wet season. Although the threat of imported cases of malaria into Grenada has never been greater since the eradication of the disease, the results of this study indicate that the re-establishment of malaria as a serious public health problem is less likely. The unfamiliarity of diagnosis of malaria in this malaria free country, coupled with the presence of the vectors, however, mandates that malaria surveillance must be maintained, particularly since the government's spending on vector control activities has been reduced over the years


Assuntos
Anopheles , Malária , Granada
14.
s.l; s.n; 1998. 10 p. graf.
Monografia em Inglês | LILACS | ID: lil-386315

RESUMO

This study was done to analyse the quality of Maternal and Child Health (MCH) Services delivered according to the perception of users. Data was collected using a pre-tested structured questionnaire, focus group discussions and natural group interviews. 237 users of MCH services were interviewed at randomly selected community health facilities. Ninety-six percent of users were of the opinion that their health workers showed interest and understanding and were friendly and courteous. Ninety-six percent of users were comfortable with the health workers who attended to them. Ninety-two percent of users were questioned by health workers. However, 26 percent received no explanations and instructions. Forty-nine percent of users perceived consultations with health workers to be short. The hours of service delivery were inconvenient for employed persons using the service. Statistically significant differences existed in user satisfaction by location of facility and type of facility at which care was received. Areas identified for improvement include health workers' interpersonal relations and infrastructure including the availability of sanitary facilities and supplies for users. 65 percent of users of MCH services were not gainfully employed (37 percent - unemployed, 28 percent - housewives). Occupational status and educational attainment levels of respondents reflected a disproportionately higher number from lower socioeconomic groups among users of the MCH services. Rescheduling of hours for service delivery is recommended to encouraged more employed persons to use the services.


Assuntos
Saúde Materno-Infantil , Qualidade da Assistência à Saúde , Programas Governamentais , Granada
15.
Trenton, New Jersey; Africa World Press; 1998. vii,272 p. ilus, mapas.
Monografia em Inglês | LILACS | ID: lil-386439

RESUMO

This book developed from a study designed to examine the levels of efficiency and adequacy of state health care policy and service provision with respect to women during the 1975 to 1983 period in Barbados and Grenada, two small post-colonial states in the English-speaking Caribbean


Assuntos
Adulto , Feminino , Barbados , Granada , Assistência Médica , Saúde da Mulher , Serviços de Saúde da Mulher
17.
Managua; Nicaragua. Comisión Técnica Plan Estratégico de Lucha contra el VIH/SIDA; oct. 1990. 70 p. tab.
Monografia em Espanhol | LILACS | ID: lil-298776

RESUMO

El presente documento es un análisis de la situación del VIH/SIDA en Nicaragua y la respuesta que hasta la fecha se ha brindado por los diferentes sectores de la sociedad. La importancia de realizar este análisis radica en la necesidad de ubicar el problema de VIH/SIDA, en un contexto, económico,social, cultural y territorial que de una u otra forma determina las causas por la que la epidemia se disemina en los diferentes sectores de la población. Igualmente es de importancia conocer la característica epidemiológica por las cuales se ha venido presentando la epidemia en el territorio nacional. Así mismo este análisis permite definir las poblaciones, las metas, estrategias e implementar y las mejores intervenciones que contribuiran a prevenir y controlar la misma, asícomo definir acciones orientadas a brindar una vida digna a las personas que viven con VIH/SIDA


Assuntos
Síndrome de Imunodeficiência Adquirida/diagnóstico , Síndrome de Imunodeficiência Adquirida/epidemiologia , Síndrome de Imunodeficiência Adquirida/história , Apoio Social , Granada
18.
Rev. Inst. Nac. Hig ; 19(3/4): 33-40, jul-dic. 1986. tab
Artigo em Espanhol | LILACS | ID: lil-48204

RESUMO

1. El Dengue febril clásico (benigno), se mantiene en los países de la cuenca del Caribe en forma endemo-epidémica. 2. La situación anterior, se ha empeorado desde el año 1981, en que la forma clínica grave del Dengue, el Dengue hemorrágico febril causó una importante epidemia en Cuba. Posteriormente en 1984, en México y en Aruba, en el período noviembre de 1984 a marzo de 1985, en epidemias de Dengue ocurridas en estas zonas, se comprobaron muertes por Dengue hemorrágico. 3. La transimisión de los cuatro serotipos de Dengue, en el área del Caribe, y la gran facilidad del desplazamiento humano por vía aérea, hace que la difusión de la forma de Dengue hemorrágico tienda a aumentar en vez de disminuir. 4. Es necesario mayor investigación a objeto de determinar: a) la posible existencia de ciclos naturales selváticos de Dengue, monos, mosquitos, en el continente americano, y b) qué factores influyen en la ocurrencia de las dos formas clínicas del Dengue en el humanos. 5. Se hace necesario una vigilancia epidemiológica de esta enfermedad, que tenga como objetivo el incremento de la toma de muestras, por los servicios médicos locales, en aquellos cuadros febriles inespecíficos y casos sospechosos de Dengue. El procesamiento de estas muestras por el laboratorio podrá confirmar la actividad del Dengue y serotipos de los virus circulantes. 6. Ante la inexistencia de medidas de prevención efectivas, tales como la protección de la población mediante la aplicación de vacunas, y el abandono de la lucha contra el Aedes aegypti, se debe tratar que la población a través de campañas de educación sanitaria, participe activamente en la lucha contra el vector. 7. Se debe estar preparado para dar asistencia médica a los casos que requieran hospitalización, específicamente la reposición de plasma, administración de soluciones de electrolitos y transfusión sanguínea, a los casos de Dengue hemorrágico. No olvidar que Cuba en 1981, tuvo que proveer facilidades de hospitalización, para 1116.000 enfermos de Dengue en el corto lapso de tres meses


Assuntos
Aedes/microbiologia , Vírus da Dengue/patogenicidade , Dengue/epidemiologia , Barbados , Belize , Colômbia , Dengue/prevenção & controle , República Dominicana , El Salvador , Granada , Guadalupe , Guiana , Haiti , Honduras , Jamaica , México , Porto Rico , São Cristóvão e Névis , Trinidad e Tobago , Venezuela , Índias Ocidentais
20.
St. Augustine; Caribbean Food and Nutrition Institute; May 1986. 21 p. (CFNI-T-4-86).
Monografia em Inglês | LILACS | ID: lil-142557
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