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1.
Zootaxa ; 4941(3): zootaxa.4941.3.3, 2021 Mar 09.
Article in English | MEDLINE | ID: mdl-33756930

ABSTRACT

The island of Barbuda was recently surveyed for the presence of Haplaxius crudus to establish the risk of Lethal Yellowing to palms on the island. After extensive collecting, H. crudus was not found on the island. A new species of Patara Westwood was found on coconut palms on the southwest portion of Barbuda. Herein, we describe the new species as Patara cooki sp. n. and provide DNA sequence data for cytochrome c oxidase subunit I (COI) and 18S genes for it and Patara guttata Westwood. Patara cooki differed from Patara guttata sp. n. by 1.8% for 18S and 7.8% for COI, similar to intrageneric differences reported for other taxa. A phylogenetic analysis of available Otiocerinae near Patara using found Patara cooki sp. n. nested among other Patara species. We also offer commentary regarding the interpretation of forewing venation in Patara.


Subject(s)
Cocos , Hemiptera , Animals , Antigua and Barbuda , Hemiptera/genetics , Islands , Phylogeny
2.
J Hosp Infect ; 110: 122-132, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33524426

ABSTRACT

BACKGROUND: Healthcare-associated infections (HCAIs) and variation in antibiotic prescribing pose a significant public health challenge in hospitals of low-resource countries. AIM: To critically appraise and synthesize the evidence on HCAI and the prescribing of antibiotics in Caribbean Community (CARICOM) states. METHODS: All primary qualitative and quantitative studies that addressed HCAI, and the prescribing of antibiotics in hospitalized patients of CARICOM states were included. Ovid Medline, Embase, Global Health, and regional databases were searched. Risk of bias was assessed using the Mixed Methods Appraisal Tool. Findings were presented in narrative and table formats. FINDINGS: Twenty-one studies met the inclusion criteria for this mixed-methods systematic review (MMSR). Studies were from four different CARICOM states: Trinidad and Tobago, Jamaica, Haiti, and Antigua and Barbuda. Intensive care units (ICUs) had the highest rate of infections (67% over four years). Surgical site infections were discussed by seven studies and ranged from 1.5% to 7.3%. For inpatients with contaminated or infected wounds, rates ranged from 29% to 83%. Empiric and prophylactic therapies were common and inappropriately prescribed. Resources and training for healthcare workers in infection control and antimicrobial stewardship were insufficient. Few qualitative studies existed, so it was not possible to integrate evidence from qualitative and quantitative paradigms. CONCLUSION: Evidence from CARICOM states shows high rates of HCAI and inappropriately prescribed antibiotics, primarily in ICUs. Disease surveillance, infection control, and antimicrobial stewardship programmes require urgent evidence-based improvements.

4.
Integr Zool ; 2020 Nov 09.
Article in English | MEDLINE | ID: mdl-33166046

ABSTRACT

Redonda is a small volcanic Caribbean island that is home to at least 4 endemic lizard species, including the Critically Endangered ground lizard (Pholidoscelis atratus). Black rats (Rattus rattus) and domestic goats (Capra hircus) were introduced to the island at some time after its discovery by Europeans in the late 1500s. They had a devastating effect on the island, resulting in the loss of nearly all trees and most of the ground vegetation. Point count surveys of P. atratus in 2012 indicated low densities, and the invasive rats were observed hunting and preying on the lizards. Both populations of rats and goats were successfully removed in 2017 as part of an ecological restoration program, and native vegetation and invertebrate populations have increased rapidly since. Population surveys in 2017, 2018, and 2019 show the lizard population has increased by more than sixfold. In 2017, as rats and goats were being removed, we evaluated the morphology and escape behavior of this species and repeated these measurements 1 year later. We observed that P. atratus had become bolder, with a reduced flight distance. We also detected changes in limb morphology related to locomotion and suggest possible explanations that will need to be further investigated in the future. These results show how the removal of invasive species can rapidly affect lizard population recovery and behavior, potentially restoring island ecosystems to their pre-human interference dynamics.

5.
Am J Trop Med Hyg ; 103(6): 2268-2277, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32901608

ABSTRACT

Investigations leading to a WHO-validated declaration of elimination of schistosomiasis transmission are contemplated for several countries, including Caribbean island nations. With assistance from the Pan American Health Organization, we undertook freshwater snail surveys in two such nations, Antigua and Barbuda, and Montserrat in September and October 2017. Historically, the transmission of Schistosoma mansoni supported by the Neotropical vector snail Biomphalaria glabrata occurred in both countries. Transmission on the islands is thought to have been interrupted by the treatment of infected people, improved sanitation, introduction of competitor snails, and on Montserrat with the eruption of the Soufrière volcano which decimated known B. glabrata habitats. Guided by the available literature and local expertise, we found Biomphalaria snails in seven of 15 and one of 14 localities on Antigua and Montserrat, respectively, most of which were identified anatomically and molecularly as Biomphalaria kuhniana. Two localities on Antigua harbored B. glabrata, but no schistosome infections in snails were found. For snail-related aspects of validation of elimination, there are needs to undertake basic local training in medical malacology, be guided by historical literature and recent human schistosomiasis surveys, improve and validate sampling protocols for aquatic habitats, enlist local expertise to efficiently find potential transmission sites, use both anatomical and molecular identifications of schistosomes or putative vector snail species found, if possible determine the susceptibility of recovered Biomphalaria spp. to S. mansoni, publish survey results, and provide museum vouchers of collected snails and parasites as part of the historical record.

6.
Article in English | MEDLINE | ID: mdl-32742667

ABSTRACT

Background: Mental disorders are the leading cause of years lived with disability worldwide. While over three-quarters of people with mental disorders live in low- and middle-income countries (LMICs) and effective low-cost interventions are available, resource commitments are extremely limited. This paper seeks to understand the role of philanthropy in this area and to inform discussions about how to increase investments. Methods: Novel analyses of a dataset on development assistance for health were conducted to study philanthropic development assistance for mental health (DAMH) in 156 countries between 2000 and 2015. Results: Philanthropic contributions more than doubled over 16 years, accounting for one-third (US$364.1 million) of total DAMH 2000-2015. However, across health conditions, mental disorders received the lowest amount of philanthropic development assistance for health (0.5%). Thirty-seven of 156 LMICs received no philanthropic DAMH between 2000 and 2015 and just three LMICs (Antigua and Barbuda, Grenada, Saint Vincent and the Grenadines) received more than US$1 philanthropic DAMH per capita over the entire period. Eighty-one percent of philanthropic DAMH was disbursed to unspecified locations. Conclusions: Philanthropic donors are potentially playing a critical role in DAMH, and the paper identifies challenges and opportunities for increasing their impact in sustainable financing for mental health.

7.
Washington, D.C.; PAHO; 2020-07-15.
in English, Spanish | PAHO-IRIS | ID: phr-52609

ABSTRACT

In the past 4 weeks, reported cases of coronavirus disease (COVID-19) have continued to increase in most countries and territories in the Region of the Americas. In particular, there has been a rapid increase in cases in some countries in Central America and South America. There is currently no indication, at the regional level, that the pandemic has reached its peak. Since the first confirmed case of COVID-19 in the Region of the Americas and until 14 July 2020, a cumulative total of 6,884,151 confirmed cases of COVID-19, including 290,674 deaths, were reported. Between 24 June and 14 July 2020, there were 2,280,017 additional confirmed cases of COVID-19, including 60,509 additional deaths, reported in the Region of the Americas. This represents a 50% relative increase in cases and a 26% relative increase in deaths. The highest proportions of new cases were reported in Turks and Caicos (414%), Costa Rica (239%), and Antigua and Barbuda (185%), while the highest proportions of new deaths were reported in Venezuela (166%), Costa Rica (158%)and El Salvador (134%). During the same period, the largest relative increases in cases and deaths occurred in the subregions of Central America (94% increase in cases and 95% increase in deaths) and South America (57% increase in cases and 43% increase in deaths).


En las últimas 4 semanas, los casos notificados de enfermedad por coronavirus 2019 (COVID-19) continúan aumentando en la mayoría de los países y territorios de la región de las Américas. En particular, se ha observado un crecimiento acelerado en algunos países de América Central y de América del Sur. Actualmente no hay indicios, a nivel regional, de que la pandemia haya alcanzado su punto máximo. Desde el primer caso confirmado de COVID-19 en las Americas y hasta el 14 de julio de 2020, fue notificado un total de 6.884.151 casos confirmados acumulados, incluyendo 290.674 defunciones. Entre el 24 de junio y el 14 de julio se notificaron 2.280.017 casos confirmados de COVID-19, incluidas 60.509 defunciones adicionales en la región de las Américas. Esto representa un aumento relativo de 50% en casos nuevos y de 26% en defunciones. La mayor proporción de nuevos casos fueron reportados en Islas Turcas y Caicos (414%), Costa Rica (239%) y Antigua y Barbuda (185%); mientras que la mayor proporción de nuevas defunciones fueron reportadas en Venezuela (166%), Costa Rica (158%) y El Salvador (134%). En el mismo periodo, el mayor aumento relativo de casos y defunciones ocurrió en las subregiones de América Central (94% de aumento en casos y 95% de aumento en defunciones) y de América del Sur (57% de incremento en casos y 43% de incremento en defunciones).


Subject(s)
Emergencies , International Health Regulations , Coronavirus Infections , Coronavirus Infections , Coronavirus , Emergencies , International Health Regulations , Coronavirus Infections
8.
PeerJ ; 8: e9236, 2020.
Article in English | MEDLINE | ID: mdl-32547869

ABSTRACT

The nation of Antigua and Barbuda has experienced major degradation of its coral reef ecosystems over the past 40+ years. The primary drivers of this degradation are multiple and are highly linked to anthropogenic influences, including over-exploitation and poor management of marine resources. The effectiveness of management actions in marine protected areas (MPAs) has often been hampered by a lack of data to inform management recommendations. This was emphasized by The Nature Conservancy's (TNC) Coral Reef Report Card which highlighted not only the lack of data collection in Antigua and Barbuda and other Caribbean nations, but also illustrated how spatially dispersed available datasets are. The government of Antigua and Barbuda recognized the need for a marine data collection program to better inform the designation and management of MPAs as a tool to improve the health of the marine ecosystems. The Atlantic Gulf Rapid Reef Assessment (AGRRA) protocol has been identified as a means to address planning and management for marine areas. Three AGRRA surveys have been conducted in the years following the TNC 2016 report, in previously established managed areas: North East Marine Management Area (NEMMA) in 2017 and Nelson Dockyard National Park (NDNP) in 2019 as well as areas outlined for future management (Redonda in 2018). Our surveys were conducted to provide updated datasets to inform management for the aforementioned areas. While the results of these surveys mirror the underlying poor coral reef-health conditions, which have been shown to exist within the Caribbean region, they also highlight intra-site variation that exists within each survey location. This knowledge can be crucial in guiding management decisions in these marine areas, through zoning and other management prescriptions. Additionally, the marine surveys conducted around Redonda established useful marine baselines to aid in monitoring the island's recovery following removal of terrestrial invasive species. This article provides an overview of data collected using the AGRRA methodology in marine zones across Antigua and Barbuda which have current or future management prescriptions and provides recommendations to demonstrate the data's future utilization for marine conservation and management.

9.
Internet resource in English, Spanish | LIS -Health Information Locator | ID: lis-47549

ABSTRACT

El Reino Unido acordó contribuir con 3 millones de libras (unos 3,8 millones de dólares) a la Organización Panamericana de la Salud (OPS) para ayudar a ocho países del Caribe a contener la propagación de la pandemia por la nueva enfermedad por el coronavirus del 2019 (COVID-19) y mitigar su impacto. Los países beneficiarios son Antigua y Barbuda, Belice, Dominica, Granada, Guyana, Jamaica, Santa Lucía y San Vicente y las Granadinas.


Subject(s)
Coronavirus Infections , Caribbean Region/epidemiology , Betacoronavirus
10.
Terminology | DeCS - Descriptors in Health Sciences | ID: 000961

ABSTRACT

Islands in the Lesser Antilles, within the Leeward Islands. ANTIGUA, BARBUDA, and Redonda, an uninhabited island, constitute the independent state of ANTIGUA AND BARBUDA. The capital is St. Johns.


Islas de las Antillas Menores, dentro de las Islas Leeward. Antigua, Barbuda y Redonda, una isla inhabitada, constituyen el estado independiente de Antigua y Barbuda. Su capital es St. Johns.


Ilhas nas Pequenas Antilhas, dentro das Ilhas Leeward. Antígua, Barbuda e Redonda, uma ilha despovoada, constituem o estado independente de Antígua e Barbuda. A capital é St. Johns.

11.
Terminology | DeCS - Descriptors in Health Sciences | ID: 015302

ABSTRACT

Islands lying between southeastern North America and northern South America, enclosing the Caribbean Sea. They comprise the Greater Antilles (CUBA; DOMINICAN REPUBLIC; HAITI; JAMAICA; and PUERTO RICO), the Lesser Antilles (ANTIGUA AND BARBUDA and the other Leeward Islands, BARBADOS; MARTINIQUE and the other Windward Islands, NETHERLANDS ANTILLES; VIRGIN ISLANDS OF THE UNITED STATES, BRITISH VIRGINI ISLANDS, and the islands north of Venezuela which include TRINIDAD AND TOBAGO), and the BAHAMAS. (From Webster's New Geographical Dictionary, 1988, p1330)


Islas que se extienden entre el sudeste de América del Norte y el norte de América del Sur, que encierra el mar Caribe. Comprenden las Antillas Mayores (CUBA; REPÚBLICA DOMINICANA; HAITÍ; JAMAICA y PUERTO RICO), las Antillas Menores (ANTIGUA y BARBUDA y las demás islas de Sotavento, BARBADOS, MARTINICA y el resto de las Islas de Barlovento, ANTILLAS HOLANDESAS; ISLAS VÍRGENES DE LOS ESTADOS UNIDOS, ISLAS VÍRGENES BRITÁNICAS, y las islas del norte de Venezuela que incluyen TRINIDAD Y TOBAGO), y las BAHAMAS. (Traducción libre del original: Webster's New Geographical Dictionary, 1988, p1330)


Ilhas que se situam entre o sudeste da América do Norte e norte da América do Sul, incluindo o Mar do Caribe. Compreendem as Grandes Antilhas (CUBA, REPÚBLICA DOMINICANA, HAITI, JAMAICA e PORTO RICO), as Pequenas Antilhas (ANTÍGUA E BARBUDA e as outras Ilhas de Sotavento, BARBADOS, MARTINICA e as outras Ilhas de Barlavento, ANTILHAS HOLANDESAS, ILHAS VIRGENS AMERICANAS, e as ilhas ao norte da Venezuela que incluem TRINIDAD E TOBAGO) e as BAHAMAS. (Tradução livre do original: Webster's New Geographical Dictionary, 1988, p1330)

12.
Geneva; World Health Organization; 2020. (WHO/HEP/ECH/CCH/20.01.06).
in English | WHO IRIS | ID: who-336273
13.
Pan Afr Med J ; 35(Suppl 2): 27, 2020.
Article in English | MEDLINE | ID: mdl-33623552

ABSTRACT

The emergence of corona virus disease 2019 (COVID-19) has caused a global public health emergency and the pandemic has forced the healthcare givers to organise their work differently to provide the same level of care to their patients. Meticulous planning and implementation of robust infection control, proper triage of patients, patient education and awareness and establishment of good command structure has become the norm. In this article we illustrate how the COVID-19 pandemic has affected the oncology department in a tertiary centre in the Caribbean country of Antigua & Barbuda. We describe the changes in treatment decisions for outpatient and inpatient services along with a look at the ethical considerations and the well-being of the oncology team.


Subject(s)
/prevention & control , Infection Control/methods , Neoplasms/therapy , Patient Care Team/organization & administration , Antigua and Barbuda , Humans , Patient Care Team/ethics , Patient Education as Topic/methods , Tertiary Care Centers , Triage/methods
14.
Zootaxa ; 4688(3): zootaxa.4688.3.10, 2019 Oct 23.
Article in English | MEDLINE | ID: mdl-31719444

ABSTRACT

A new species of Elaphidion, E. antiguensis sp. nov. is described from Antigua (West Indies). The host plants and larval biology of E. antiguensis are described and compared to those of E. excelsum, Gahan.


Subject(s)
Coleoptera , Animals , Antigua and Barbuda , Guadeloupe , Larva , West Indies
15.
Int J Drug Policy ; 71: 36-46, 2019 09.
Article in English | MEDLINE | ID: mdl-31200326

ABSTRACT

BACKGROUND: Cannabis policies should be relevant to communities most impacted by them. Home cultivation policies can engage people who grow cannabis and build on their motivation to supply a safe product. This paper aims to examine the laws pertaining to "home" (i.e. personal, small-scale) cannabis cultivation internationally and their different aspects, and to discuss the potential of these policies to be expanded into community-level cannabis supply models. METHODS: We reviewed relevant laws and regulations in states/countries that legalised, decriminalised or applied other non-prohibitive approaches to home cannabis cultivation. FINDINGS: Non-prohibitive approaches to home cannabis cultivation have been adopted in at least 27 jurisdictions. Twelve jurisdictions "de jure" legalised home cultivation (three U.S. states and Antigua and Barbuda legalised only home cultivation; six U.S. states, Uruguay and Canada legalised commercial sales as well). Eight states/countries "de facto" (Belgium, the Netherlands) or "de jure" decriminalised it (Czech Republic, Spain, Jamaica, and three Australian states). "De jure" depenalisation was in place in Chile and Brazil and recent court rulings yielded "de facto" depenalisation or "de facto" legalisation in five other jurisdictions (South Africa, Mexico, Colombia, Costa Rica and Georgia). Varying number of plants (per person and per property) and the circumstances of cultivation were in place. The key limitations of the regulations included (i) possession thresholds for the produce from home cultivations, (ii) rules about sharing the produce, and (iii) potentially disproportionate sanctions for non-authorised behaviours. Despite currently being limited, home cultivation policies might have the capacity to engage cannabis networks that already exist in the community and like that, enhance their participation in legitimate policy schemes. CONCLUSIONS: Rules around pooled cultivation and sharing could be made fit for purpose to accommodate community supply of cannabis. Home cultivation policies could serve as a basis for community-level cannabis supply models and as such, for more inclusive cannabis policies.


Subject(s)
Cannabis/growth & development , Legislation, Drug , Marijuana Use/legislation & jurisprudence , Commerce/legislation & jurisprudence , Humans , Public Policy/legislation & jurisprudence
16.
Acta Parasitol ; 64(4): 738-744, 2019 Dec.
Article in English | MEDLINE | ID: mdl-31111358

ABSTRACT

PURPOSE: Toxoplasma gondii is a zoonotic parasite capable of infecting a wide range of hosts. Free-range chickens are important sentinels in the epidemiology of this parasite as they feed from the ground and are likely to ingest oocysts shed in the faeces of infected cats. Atypical strains of T. gondii are known to dominate in South America where they are associated with more severe disease in humans, yet relatively little is known about the strains circulating in neighbouring Caribbean islands. METHODS: In this study, hearts and brains were collected from free-range chickens in Antigua and Barbuda (n = 45), Dominica (n = 76) and Trinidad (n = 41), and DNA was extracted for nested ITS1 PCR and PCR-RFLP. Sera were collected and screened for antibodies using the modified agglutination test (MAT). RESULTS: Antibodies to T. gondii were detected in 20.5, 38.2 and 17.1% of chickens in Antigua and Barbuda, Dominica and Trinidad, respectively. Toxoplasma gondii DNA was also detected by PCR in 24.4, 17.1 and 17.1% of chickens, respectively, giving an overall prevalence of 31.1, 42.1, and 29.3% for each of the 3 island nations. Results of PCR-RFLP revealed 2 new atypical genotypes (designated ToxoDB #281 and #282) and one Type III (ToxoDB #2) in chickens from Antigua. Partial genotyping of a further 8 isolates (7 from Antigua and one from Trinidad) revealed different allele-types at five or more markers for 7 of the isolates, suggesting atypical genotypes. CONCLUSIONS: This is the first study to report the prevalence of T. gondii in free-range chickens in Antigua and Barbuda, Dominica and Trinidad and Tobago. It is also the first to report the presence of atypical genotypes in Antigua and Barbuda and Trinidad and Tobago.


Subject(s)
Chickens/parasitology , Genetic Variation , Poultry Diseases/epidemiology , Poultry Diseases/parasitology , Toxoplasma/genetics , Toxoplasmosis, Animal/epidemiology , Animals , Antibodies, Protozoan/blood , Brain/parasitology , DNA, Protozoan/genetics , Genotype , Heart/parasitology , Prevalence , West Indies/epidemiology
17.
Article in English, Spanish | PAHO-IRIS | ID: phr-50536

ABSTRACT

In 2018, as of 30 November, a total of 16,039 confirmed measles cases, including 86 deaths, have been reported in 12 countries of the Region of the Americas: Antigua and Barbuda (1 case), Argentina (14 cases), Brazil (9,898 cases, including 13 deaths), Canada (27 cases), Chile (2 cases), Colombia (171 cases), Ecuador (19 cases), Guatemala (1 case), Mexico (5 cases), Peru (38 cases), the United States of America (220 cases), and the Bolivarian Republic of Venezuela (5,643 cases, including 73 deaths). Chile is now part of the list of countries that have reported confirmed cases of measles in 2018.


Desde el inicio del año y hasta el 30 de noviembre de 2018 se han notificado 16.039 casos confirmados de sarampión, incluidas 86 defunciones, en 12 países de la Región de las Américas: Antigua y Barbuda (1 caso), Argentina (14 casos), Brasil (9.898 casos, incluidas 13 defunciones), Canadá (27 casos), Chile (2 casos) Colombia (171 casos), Ecuador (19 casos), Estados Unidos de América (220 casos), Guatemala (1 caso), México (5 casos), Perú (38 casos) y la República Bolivariana de Venezuela (5.643 casos, incluidas 73 defunciones). Chile se ha sumado al listado de países que notificaron casos confirmados de sarampión durante el 2018.


Subject(s)
Measles , Measles , International Health Regulations , Emergencies , International Health Regulations
18.
Article in English, Spanish | PAHO-IRIS | ID: phr-50532

ABSTRACT

In 2018, as of 23 October, a total of 8,091 confirmed measles cases, including 85 deaths, have been reported in 11 countries of the Region of the Americas: Antigua and Barbuda (1 case), Argentina (14 cases), Brazil (2,192 cases, including 12 deaths), Canada (25 cases), Colombia (129 cases), Ecuador (19 cases), Guatemala (1 case), Mexico (5 cases), Peru (38 cases), the United States of America (142 cases), and the Bolivarian Republic of Venezuela (5,525 cases, including 73 deaths).


Desde el inicio del año y hasta el 23 de octubre de 2018 se han notificado 8.091 casos confirmados de sarampión, incluidas 85 defunciones, en 11 países de la Región de las Américas: Antigua y Barbuda (1 caso), Argentina (14 casos), Brasil (2.192 casos, incluidas 12 defunciones), Canadá (25 casos), Colombia (129 casos), Ecuador (19 casos), Estados Unidos de América (142 casos), Guatemala (1 caso), México (5 casos), Perú (38 casos) y la República Bolivariana de Venezuela (5.525 casos, incluidas 73 defunciones).


Subject(s)
Measles , Measles , International Health Regulations , Emergencies , International Health Regulations
19.
Article in English, Spanish | PAHO-IRIS | ID: phr-50539

ABSTRACT

In 2018, as of 21 September, a total of 6,629 confirmed cases of measles, including 72 deaths, have been reported in 11 countries of the Region of the Americas: Antigua and Barbuda (1 case), Argentina (11 cases), Brazil (1,735 cases, including 10 deaths), Canada (22 cases), Colombia (85 cases), Ecuador (19 cases), Guatemala (1 case), Mexico (5 cases), Peru (21 cases), the United States of America (124 cases), and the Bolivarian Republic of Venezuela (4,605 cases, including 62 deaths).


En lo que va de 2018 y hasta el 21 de septiembre se han notificado 6.629 casos confirmados de sarampión, incluidas 72 defunciones, en 11 países de la Región de las Américas: Antigua y Barbuda (1 caso), Argentina (11 casos), Brasil (1.735 casos, incluido 10 defunciones), Canadá (22 casos), Colombia (85 casos), Ecuador (19 casos), Estados Unidos de América (124 casos), Guatemala (1 caso), México (5 casos), Perú (21 casos) y la República Bolivariana de Venezuela (4.605 casos, incluido 62 defunciones).


Subject(s)
Measles , Measles , International Health Regulations , Emergencies , International Health Regulations
20.
Article in English, Spanish | PAHO-IRIS | ID: phr-50541

ABSTRACT

Between epidemiological week (EW) 1 and EW 33 of 2018, a total of 5,004 confirmed measles cases, including 68 deaths, were reported in 11 countries in the Region of the Americas: Antigua and Barbuda (1 case), Argentina (8 cases), Brazil (1,237 cases, including 6 deaths), Canada (19 cases), Colombia (60 cases), Ecuador (17 cases), Guatemala (1 case), Mexico (5 cases), Peru (4 cases), the United States (107 cases), and the Bolivarian Republic of Venezuela (3,545 cases, including 62 deaths).


Entre las semanas epidemiológicas (SE) 1 y la SE 33 de 2018 se notificaron 5.004 casos confirmados de sarampión, incluidas 68 defunciones, en 11 países de la Región de las Américas: Antigua y Barbuda (1 caso), Argentina (8 casos), Brasil (1.237 casos, incluido 6 defunciones), Canadá (19 casos), Colombia (60 casos), Ecuador (17 casos), Estados Unidos de América (107 casos), Guatemala (1 caso), México (5 casos), Perú (4 casos) y la República Bolivariana de Venezuela (3.545 casos, incluido 62 defunciones).


Subject(s)
Measles , Measles , International Health Regulations , Emergencies , International Health Regulations
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