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1. High Levels of HIV-1 Drug Resistance in Children Who Acquired HIV Infection Through Mother to Child Transmission in the Era of Option B+, Haiti, 2013-2014. (Abstract)

High Levels of HIV-1 Drug Resistance in Children Who Acquired HIV Infection Through Mother to Child Transmission in the Era of Option B+, Haiti, 2013-2014. The main objective of this study was to determine the frequency and patterns of HIVDR-associated mutations among children <18 months old born to HIV-1-positive mothers enrolled in the prevention of mother-to-child transmission (PMTCT) services in Haiti.Between January 1, 2013 and December 31, 2014, HIV-positive remnant dried blood spots (DBS (...) ) collected from children under 18 months old for Early Infant Diagnosis (EID) at the National Public Health Laboratory were used for HIV-1 genotyping. HIVDR mutations were analyzed using the Stanford Drug Resistance HIVdb program.Of the 3,555 DBS collected for EID, 360 (10.1%) were HIV-positive and 355 were available for genotyping. Of these, 304 (85.6%) were successfully genotyped and 217 (71.4%) had ≥ one DR mutation. Mutations conferring resistance to NRTIs and NNRTIs were present in 40.5% (123

2018 Pediatric Infectious Dsease Journal

2. Public health guidance on screening and vaccination for infectious diseases in newly arrived migrants within the EU/EEA

. Evidence synthesis and guidance for VPDs in migrant populations 50 Table 17. International guideline VPD recommendations for refugees and/or other migrant populations 51 Table A-1. Composition of the ad hoc scientific panel 76 SCIENTIFIC ADVICE Public health guidance on screening and vaccination for infectious diseases in newly arrived migrants v Abbreviations AIDS Acquired immunodeficiency syndrome ART Antiretroviral therapy BCG Bacillus Calmette–Guerin vaccine CDC US Centers for Disease Control (...) for infectious diseases and vaccination, it should be noted that certain migrant populations also face an undue burden of non-communicable diseases, and health systems should take an integrated approach to migrant health, ensuring it is non-stigmatising and carried out for the benefit of the individual. 1.3 Scope of the guidance This guidance document covers key infectious diseases selected by an ad hoc scientific panel: active tuberculosis (TB) and latent TB infection (LTBI), HIV, hepatitis B, hepatitis C

2019 European Centre for Disease Prevention and Control - Public Health Guidance

3. Clinical and Epidemiologic Patterns of Chikungunya Virus Infection and Coincident Arboviral Disease in a School Cohort in Haiti, 2014-2015. Full Text available with Trip Pro

Clinical and Epidemiologic Patterns of Chikungunya Virus Infection and Coincident Arboviral Disease in a School Cohort in Haiti, 2014-2015. Beginning in December 2013, an epidemic of chikungunya virus (CHIKV) infection spread across the Caribbean and into virtually all countries in the Western hemisphere, with >2.4 million cases reported through the end of 2017.We monitored a cohort of school children in rural Haiti from May 2014, through February 2015, for occurrence of acute undifferentiated (...) febrile illness, with clinical and laboratory data available for 252 illness episodes.Our findings document passage of the major CHIKV epidemic between May and July 2014, with 82 laboratory-confirmed cases. Subsequent peaks of febrile illness were found to incorporate smaller outbreaks of dengue virus serotypes 1 and 4 and Zika virus, with identification of additional infections with Mayaro virus, enterovirus D68, and coronavirus NL63. CHIKV and dengue virus serotype 1 infections were more common

2018 Clinical Infectious Diseases

4. Latent TB infection (LTBI): testing and treatment

information collection without patient consent to be processed for purposes related to “communicable disease and other risks to public health”. The SCCI approval means that GPs and their practices will not be in breach of the common law duty of confidentiality when they share the requested LTBI data with PHE. They will still be responsible for complying with all other relevant data. Patients can always opt out of the sharing their data by sending a letter to the address noted on the a patient information (...) XaR72 520351000000108 BCG Scar 2FG6. XaKaC 416745009 BCG vaccination 653.. 653.. 42284007 Booster BCG vaccination XaLK7 201421000000100 Signs and symptoms of active TB indicating active TB diagnosis EMISWeb S1 (Ctv3) SNOMED CT TB - tuberculosis notification 65V9. 65V9. 170525009 Previous active TB EMISWeb S1 (Ctv3) SNOMED CT H/O: tuberculosis 1411. 1411. 161414005 H/O: tuberculosis drug therapy 14P9. XaQk2 473151000 Latent TB infection testing and treatment programme: technical guidance

2019 Public Health England

5. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection

ON THE USE OF ANTIRETROVIRAL DRUGS FOR TREATING AND PREVENTING HIV INFECTIONCONSOLIDATED GUIDELINES ON THE USE OF ANTIRETROVIRAL DRUGS FOR TREATING AND PREVENTING HIV INFECTION 2016 RECOMMENDATIONS FOR A PUBLIC HEALTH APPROACH SECOND EDITIONWHO Library Cataloguing-in-Publication Data Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach – 2nd ed. 1.HIV Infectionsdrug therapy. 2.HIV Infections – prevention (...) infected and reducing the number of people dying from HIV-related causes over the coming years. The number of people eligible for ART increases from 28 million to all 37 million people currently living with HIV globally. iv Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection Expanding access to treatment is at the heart of a new treatment targets for 2020 with the aim of ending the AIDS epidemic as a public health threat by 2030. The 90–90–90 targets

2016 World Health Organisation HIV Guidelines

6. High consequence infectious disease: country specific risk

High consequence infectious disease: country specific risk High consequence infectious disease: country specific risk - GOV.UK Tell us whether you accept cookies We use about how you use GOV.UK. We use this information to make the website work as well as possible and improve government services. Accept all cookies You’ve accepted all cookies. You can at any time. Hide Search Stay at home Only go outside for food, health reasons or work (but only if you cannot work from home) If you go out, stay (...) 2 metres (6ft) away from other people at all times Wash your hands as soon as you get home Do not meet others, even friends or family. You can spread the virus even if you don’t have symptoms. Guidance High consequence infectious disease: country specific risk Listing of countries with a known occurrence of high consequence infectious disease (HCID). Published 30 January 2019 Last updated 21 March 2020 — From: Contents How to use this guidance The information presented below is provided

2020 Public Health England

7. Live with the Disease Like You Used to Before You Knew You Were Infected: A Qualitative Study Among 10-Year Survivors Living with HIV in Haiti Full Text available with Trip Pro

Live with the Disease Like You Used to Before You Knew You Were Infected: A Qualitative Study Among 10-Year Survivors Living with HIV in Haiti In 2003, the Haitian Study Group on Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), a nonprofit organization, began administering antiretroviral therapy (ART) to its patients. This practice transformed HIV from a fatal disease to a more manageable chronic condition. However, relatively few studies focus on the experiences of survivors (...) medication adherence practices. The overarching theory was that having a reason to live despite one's circumstances and living life as usual enabled one to survive. Having a strong spiritual foundation coupled with supportive family and providers motivated participants to live and adhere to their ART. As the number of patients who are living longer with HIV in Haiti increases, results from this study will be important in helping tailor interventions that enhance their overall quality of life.

2017 AIDS patient care and STDs

8. Prevalence of Chronic Hepatitis B Virus Infection among Children in Haiti, 2017. (Abstract)

Prevalence of Chronic Hepatitis B Virus Infection among Children in Haiti, 2017. In 2016, the World Health Assembly endorsed the Global Health Sector Strategy on Viral Hepatitis, which calls for elimination of hepatitis B virus (HBV) by 2030 (definition: ≤ 0.1% hepatitis B surface antigen [HBsAg] prevalence among children aged 5 years). The burden of chronic HBV infection among children in Haiti is unknown. We conducted a nationally representative cross-sectional serological survey among 5 (...) documented vaccination with hepatitis B vaccine (HepB). Haiti's chronic HBV infection prevalence among children is low; however, it is above the elimination target. To reach elimination, Haiti needs to achieve high coverage with the three HepB doses and introduce a HepB birth dose.

2019 American Journal of Tropical Medicine & Hygiene

9. Detection and phylogenetic characterization of arbovirus dual-infections among persons during a chikungunya fever outbreak, Haiti 2014 Full Text available with Trip Pro

Detection and phylogenetic characterization of arbovirus dual-infections among persons during a chikungunya fever outbreak, Haiti 2014 In the context of recent arbovirus epidemics, questions about the frequency of simultaneous infection of patients with different arbovirus species have been raised. In 2014, a major Chikungunya virus (CHIKV) epidemic impacted the Caribbean and South America. As part of ongoing screening of schoolchildren presenting with acute undifferentiated febrile illness (...) in rural Haiti, we used RT-PCR to identify CHIKV infections in 82 of 100 children with this diagnosis during May-August 2014. Among these, eight were infected with a second arbovirus: six with Zika virus (ZIKV), one with Dengue virus serotype 2, and one with Mayaro virus (MAYV). These dual infections were only detected following culture of the specimen, suggesting low viral loads of the co-infecting species. Phylogenetic analyses indicated that the ZIKV and MAYV strains differ from those detected later

2018 PLoS neglected tropical diseases

10. Capturing Changes in HIV-Infected Breastfeeding Mothers’ Cognitive Processes from Before Delivery to 5 Months Postpartum: An Application of the Pile-Sorting Technique in Haiti Full Text available with Trip Pro

Capturing Changes in HIV-Infected Breastfeeding Mothers’ Cognitive Processes from Before Delivery to 5 Months Postpartum: An Application of the Pile-Sorting Technique in Haiti The cognitive processes involved in individuals' perceptions and prioritization of information, and how these change with experience or exposure to interventions, are rarely examined in the evaluation of nutrition interventions. Exclusive breastfeeding counseling is a common infant and young-child feeding intervention (...) from pregnancy through the first 5 mo postpartum.With the use of semistructured interviews and the cognitive mapping technique of pile sorting, we interviewed 30 HIV-infected breastfeeding mothers in Port-au-Prince, Haiti. We asked them to sort and rate 18 infant feeding messages 3 times (during pregnancy, 0- to 1-mo postpartum, and 3- to 5-mo postpartum). We analyzed their responses by using multidimensional scaling, property fitting, and partition analyses.At all 3 visits, we found consistency

2018 Current Developments in Nutrition

11. Treating loss-to-follow-up as a missing data problem: a case study using a longitudinal cohort of HIV-infected patients in Haiti. Full Text available with Trip Pro

Treating loss-to-follow-up as a missing data problem: a case study using a longitudinal cohort of HIV-infected patients in Haiti. HIV programs are often assessed by the proportion of patients who are alive and retained in care; however some patients are categorized as lost to follow-up (LTF) and have unknown vital status. LTF is not an outcome but a mixed category of patients who have undocumented death, transfer and disengagement from care. Estimating vital status (dead versus alive) among (...) this category is critical for survival analyses and program evaluation.We used three methods to estimate survival in the cohort and to ascertain factors associated with death among the first cohort of HIV positive patients to receive antiretroviral therapy in Haiti: complete case (CC) (drops missing), Inverse Probability Weights (IPW) (uses tracking data) and Multiple Imputation with Chained Equations (MICE) (imputes missing data). Logistic regression was used to calculate odds ratios and 95% confidence

2018 BMC Public Health

12. Blood pressure and mortality in a prospective cohort of HIV-infected adults in Port-au-Prince, Haiti. Full Text available with Trip Pro

Blood pressure and mortality in a prospective cohort of HIV-infected adults in Port-au-Prince, Haiti. The objective of this study was to determine how baseline blood pressure and incident hypertension related to antiretroviral therapy (ART) initiation, HIV-related inflammation and mortality in HIV-infected adults in a low-income country.We conducted long-term follow-up of HIV-infected adults who had participated in a trial of early vs. delayed initiation of ART in Port-au-Prince, Haiti. Between (...) 2005 and 2008, 816 HIV-infected adults were randomized to early (N = 408) vs. delayed ART (when CD4 cell count <200 cells/μl or AIDS-defining condition; N = 408). Blood pressure was measured every 3 months. Hypertension was diagnosed according to the Joint National Committee (JNC-7) guidelines. Biomarkers of inflammation and coagulation were measured from banked enrolment plasma samples. Survival analyses were performed using Stata 14.The median age at enrolment was 39 years. The median follow-up

2018 Journal of Hypertension Controlled trial quality: uncertain

13. Prevalence Studies After Triple Drug Therapy for Lymphatic Filariasis

: Washington University School of Medicine Collaborators: Case Western Reserve University Ministere de la Sante Publique et de la Population, Haiti Indonesia University Papua New Guinea Institute for Medical Research Information provided by (Responsible Party): Washington University School of Medicine Study Details Study Description Go to Brief Summary: This study will assess the impact of 2-drug (DA) or 3-drug (IDA) regimens on lymphatic filariasis infection parameters in communities. Parameters measured (...) Reserve University Ministere de la Sante Publique et de la Population, Haiti Indonesia University Papua New Guinea Institute for Medical Research Investigators Layout table for investigator information Principal Investigator: Gary Weil, MD Washington University School of Medicine More Information Go to Publications: World Health Organization. Monitoring and Epidemiological Assessment of Mass Drug Administration in Global Programme to Eliminate Lymphatic Filariasis: A Manual for National Elimination

2017 Clinical Trials

14. Community-based diagnosis of non-communicable diseases and their risk factors in rural and urban Haiti: a cross-sectional prevalence study. Full Text available with Trip Pro

Community-based diagnosis of non-communicable diseases and their risk factors in rural and urban Haiti: a cross-sectional prevalence study. To estimate the prevalence of hypertension, diabetes and chronic kidney disease and their risk factors in a rural and urban region of Haiti.Community health workers enumerated 2648 households (909 rural and 1739 urban) via a multistage cluster random sampling method from July 2015 to May 2016, completed 705 rural and 1419 urban assessments for adults aged (...) -communicable diseases (NCDs), only diabetes showed a significant difference between rural and urban sites (p=0.000), with the rural site (23.1%) having a higher prevalence than the urban site (16.4%). When comparing male and female participants, females were significantly more likely than males to have an NCD (p≤0.011). Females had a higher prevalence of most of the risk factors when compared with males. The urban location had a higher prevalence than the rural location for four risk factors that showed

2018 BMJ open

15. Community health workers and smartphones for the detection of surgical site infections in rural Haiti: a pilot study. Full Text available with Trip Pro

Community health workers and smartphones for the detection of surgical site infections in rural Haiti: a pilot study. Absence of outcome data is a barrier to quality improvement in resource poor settings. To address this challenge, we set out to determine whether follow up for surgical site infections (SSIs) using community health workers (CHWs) and smartphones is feasible in rural Haiti.In this pilot study, all patients from a specific mountain region who received an operation between March 10 (...) , and July 1, 2014, at Hôpital Albert Schweitzer in rural Haiti were eligible for inclusion. Patients or guardians of minors were approached for consent. We designed a smartphone application to enable CHWs to screen for SSIs during home visits by administering a questionnaire, obtaining GPS data, and submitting a photograph of an incision. We selected and trained CHWs to use the smartphone application and compensated them based on performance. CHWs completed home visits for 30 days after an operation

2015 Lancet

16. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection

preventive therapy 156 8.1.2 Tuberculosis 158 8.1.3 Cryptococcal infection 165 8.1.4 Hepatitis B and C 166 8.1.5 Malaria 167 8.1.6 Sexually transmitted infections and cervical cancer 168 8.1.7 Vaccines for people living with HIV 169 8.2 Preventing and managing other comorbidities and chronic care for people living with HIV 170 8.2.1 Screening for and care of noncommunicable diseases 170 8.2.2 Mental health 171 8.2.3 Drug use and drug use disorders 171 8.2.4 Nutritional care and support 172 8.2.5 (...) Library Cataloguing-in-Publication Data Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: r ecommendations for a public health approach June 2013. 1.HIV infectionsdrug therapy. 2.HIV infections – prevention and control. 3.Anti-r etroviral agents – therapeutic use. 4.Guideline. I.World Health Organization. ISBN 978 92 4 150572 7 (NLM classification: WC 503.2) © World Health Organization 2013 All rights reserved. Publications of the World Health

2013 World Health Organisation HIV Guidelines

17. FANMI: Community Cohort Care for HIV-Infected Adolescent Girls in Haiti

: Community Cohort Care for HIV-Infected Adolescent Girls in Haiti The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03286504 Recruitment Status : Recruiting First Posted : September 18, 2017 Last Update Posted : October 12, 2018 (...) in Haiti (80 adolescents per arm). Group Care includes receiving integrated clinical and social support services in groups of 5-8 adolescents at a monthly visit. The primary outcome is retention in HIV care at 12 months after randomization. Condition or disease Intervention/treatment Phase HIV Behavioral: FANMI - Cohort Care Not Applicable Detailed Description: The investigators will conduct a randomized controlled trial of Group Care in the GHESKIO Community Center versus Individual Care

2017 Clinical Trials

18. Point-of-care Viral Load Testing Among HIV-infected Adolescents in Haiti

to addresses health systems-based barriers which delay clinic, laboratory, and data management processes for VL monitoring for HIV-infected adolescents. Our results will contribute to research on whether POC VL testing is a feasible testing method which could be incorporated into health systems in similar resource-limited settings and whether it can improve outcomes among HIV-infected adolescents. Condition or disease Intervention/treatment Phase HIV Diagnostic Test: point-of-care viral load test (...) (Open Label) Primary Purpose: Health Services Research Official Title: Point-of-care Viral Load Testing Among HIV-infected Adolescents in Haiti Actual Study Start Date : May 3, 2018 Estimated Primary Completion Date : November 30, 2019 Estimated Study Completion Date : May 1, 2020 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment No Intervention: Standard-of-care Participants in the standard-of-care arm will receive

2017 Clinical Trials

19. Building and Rebuilding: The National Public Health Laboratory Systems and Services Before and After the Earthquake and Cholera Epidemic, Haiti, 2009-2015. Full Text available with Trip Pro

Building and Rebuilding: The National Public Health Laboratory Systems and Services Before and After the Earthquake and Cholera Epidemic, Haiti, 2009-2015. Before the 2010 devastating earthquake and cholera outbreak, Haiti's public health laboratory systems were weak and services were limited. There was no national laboratory strategic plan and only minimal coordination across the laboratory network. Laboratory capacity was further weakened by the destruction of over 25 laboratories and testing (...) laboratory network; introduction of automation of testing to ensure better quality of results and diversify the menu of tests to effectively respond to outbreaks; expansion of molecular testing for tuberculosis, human immunodeficiency virus, malaria, diarrheal and respiratory diseases; establishment of laboratory-based surveillance of epidemic-prone diseases; and improvement of the overall quality of testing. Nonetheless, the progress and gains made remain fragile and require the full ownership

2017 American Journal of Tropical Medicine & Hygiene

20. The Haiti Medical Education Project: development and analysis of a competency based continuing medical education course in Haiti through distance learning Full Text available with Trip Pro

, infectious diseases, renal and endocrine competencies were well-represented, with more than 50 % of the joint AAFP and CFPC recommended competencies outlined. Areas under-represented included allergy and immunology, cardiology, surgery, pain management, gastroenterology, neurology, pulmonology, men's health and rheumatology; these topics accounted for less than 25 % of AAFP/CFPC recommended competencies. Areas not covered included geriatrics, nutrition, occupational health and women's health. Within (...) The Haiti Medical Education Project: development and analysis of a competency based continuing medical education course in Haiti through distance learning Recent calls for reform in healthcare training emphasize using competency-based curricula and information technology-empowered learning. Continuing Medical Education programs are essential in maintaining physician accreditation. Haitian physicians have expressed a lack access to these activities. The Haiti Medical Education Project works

2016 BMC medical education

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