RESUMO
There was a sudden, severe outbreak of acute respiratory disease in North Trinidad from October - December 1967, affecting all age groups but it was particularly severe and widespread among young children under the age of three years. Southern Trinidad was not affected although there is easy communication with the north. Seventy-one strains of the para-influenza viruses have been isolated from five hundred and seventy-three patients with respiratory disease admitted to the Port-of-Spain General Hospital. The clinical features and management have been discussed. It seems likely that the virus was introduced by overseas visitors at points of entry into Trinidad. (AU)
Assuntos
Pré-Escolar , Humanos , Infecções Respiratórias/terapia , Trinidad e Tobago , Surtos de DoençasRESUMO
An outbreak of acute respiratory disease occurred among infants and children in northern Trinidad during the last quarter of 1967. Between October 1 and December 31, six hundred children were admitted to Port-of-Spain General Hospital. Approximately one half of these patients were less than two years of age. Clinical syndromes ranged from severe acute upper respiratory infections to bronchitis and pneumonia. Profuse muco-purulent upper respiratory secretions and severe bronchospasm were prominent clinical manifestations. There were six deaths. Hemabsorbing agents were isolated from 60 patients. To date, 31 have been identified as para-influenza I, eight as para-influenza III and one as para-influenza II. Although para-influenza viruses have been implicated as the cause of sporadic respiratory illnesses in Trinidad in the past, the occurrence of a large outbreak due to these agents is an epidemiologic pattern not previously recognized in the Eastern Caribbean(AU)
Assuntos
Lactente , Pré-Escolar , Criança , Humanos , Influenza Humana/epidemiologia , Infecções Respiratórias/epidemiologia , Trinidad e Tobago , Surtos de DoençasRESUMO
From May to December, 1960, sixty-one stool specimens were collected from patients under 3 years of age in the Children's Medical Ward, General Hospital, Port-of-Spain, and tested for enteroviruses. Twenty-three (38 percent) of the specimens yielded viruses. Eleven of the viruses were identified as poliovirus type I, three as adenovirus type 2 and nine have not been identified. In spite of the presence of polioviruses no epidemic of poliomyelitis occurred in Trinidad in 1960 (AU)
Assuntos
Humanos , Recém-Nascido , Lactente , Masculino , Feminino , /isolamento & purificação , Poliomielite/epidemiologia , Poliomielite/etiologia , Trinidad e Tobago/epidemiologiaRESUMO
A study was made of an Indian family in Trinidad in which five sisters were similarly affected with an abnormality involving mainly the lower limbs and showing radiological features of rickets. The limb deformities became apparent between 2-4 years of age soon after they started to walk. Three brothers and a sister have not so far shown evidence of this abnormality. Four of the sisters have had raised serum calcium and alkaline phosphatase levels and have shown gradual improvement in the bony deformity without any special treatment (AU)
Assuntos
Humanos , Masculino , Feminino , Hipercalcemia/diagnóstico , Raquitismo , Relações entre Irmãos/etnologia , Trinidad e TobagoRESUMO
From 1956-1961, 39 cases of neonatal tetanus were admitted to the pediatric unit, Port of Spain, with a mortality of 90 percent. There were also 87 other cases in children under 10 years of age with a mortality of 23 percent. During this same period there were 215 cases of tetanus in persons over 10 years of age, with a mortality of 41 percent. Males predominated in all cases. Half of the deaths in infants and children occured within the first 24 hours of admission to hospital and 61 percent of the neonatal cases were 8 days of age or less. In all groups short incubation period and frequent severe spasms presaged poor prognosis. Active immunization against tetanus for all children, agricultural and industrial workers was suggested (AU)
Assuntos
Humanos , Masculino , Lactente , Criança , Tétano/diagnóstico , Trinidad e Tobago , Programas de ImunizaçãoRESUMO
From May to December 1960, sixty-one stool specimens were collected from patients under 3 years of age in the Children's Medical Ward, General Hospital Port of Spain, Trinidad, and tested for entero-viruses. Twenty-three (38 percent) of the specimens were positive. Eleven of the viruses isolated were identified as polio type I. In spite of the presence of polioviruses no epidemic of poliomyelitis occurred in Trinidad in 1960 (AU)
Assuntos
Humanos , Criança , Prevalência , Poliovirus , Trinidad e TobagoAssuntos
Humanos , Lactente , Pré-Escolar , Criança , /epidemiologia , /etiologia , /terapia , Adenovírus Humanos , Sinais e Sintomas Respiratórios/epidemiologiaRESUMO
More than 800 children with acute glomerulonephritis were admitted to one hospital in Trinidad during three and one-half years. In the first 15 months the disease was epidemic. The illness affected chiefly the children of the rural poor, with the most cases attributable to streptococcal infection of the skin rather than of the respiratory tract. In signs, symptoms and clinical course, the disease in Trinidad resembles closely the acute glomerulonephritis which follows streptoccocal pharyngitis in temperate climates. (AU)
