INSERT INTO `reviewer_ones` (`id`, `submitter_name`, `submitter_designation`, `submitter_email_address`, `first_author_title`, `first_author_fiirst_name`, `first_author_last_name`, `first_author_gender`, `first_author_country`, `first_author_email`, `first_author_affiliation`, `first_author_category`, `first_author_other_category`, `forst_author_alumni_completion`, `first_author_fetp_level`, `abstract_sub_theme`, `co_authors`, `abstract_title`, `abstract_backgound`, `abstract_methods`, `abstract_results`, `abstract_conclusion`, `key_words`, `reviewer_1_background_study`, `reviewer_1_method_apporpriate`, `reviewer_1_results_presentable`, `reviewer_1_results_conclusion`, `reviewer_1_ph_signicance`, `reviewer_1_overall_clarity`, `reviewer_1_total`, `reject_accept`, `presentation_type`, `reviewer_1_complete`, `reviewer_1_comments`, `created_at`, `updated_at`, `deleted_at`, `reviewer_id`) VALUES
(512, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'dr', 'ALBERT', 'PASCHAL', 'male', 'tanzania', 'paschalalbert54@yahoo.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'alumni', '', '10/12/2022', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'HAMAD MNIMBO, Tanzania Field Epidemiology and Laboratory Training Program, nnimbo3@gmail.com\nOMARY NASSORO,Tanzania Field Epidemiology and Laboratory Training Program, omarykipuli@gmail.com\nFIDELIS MTUNZI, Tanzania Field Epidemiology and Laboratory Training Program, mutunzi@africa-union.org\nPROSPER NJAU, National AIDS Control Program, Tanzania Ministry of Health, prosperpendo@gmail.com\nLOVENESS URIO, Tanzania Field Epidemiology and Laboratory Training Program, loveness13us@yahoo.com\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program, allykhussein@gmail.com\nROGATH KISHIMBA, Epidemiology section of Tanzania Ministry of Health, rogatkishimba@gmail.com\nELIAS MMBAGA, Department of Epidemiology and Biostatistics Muhimbili University of Health and Allied Science, eliajelia@yahoo.co.uk \n', 'Mortality trend and associated factors among HIV clients on antiretroviral therapy in Tanzania from 2018-2020', 'Studies on Antiretroviral therapy programs in Africa have shown a significant reduction of mortality among HIV clients. Mortality trend among HIV clients on Antiretroviral therapy (ART) in Tanzania from 2018 to 2020 and factors associated with it are poorly described. The aim of this study was to assess the mortality trends and to identify predictors of mortality in HIV-infected patients on ant-retroviral therapy in 26 regions in Tanzania mainland\n\n', 'Observational analysis of data from HIV-positive patients obtaining care and treatment from health facilities in Tanzania, Data were reviewed for mortality between January 2018 and December 2020. The proportional death by age, sex, ART program year, marital status, WHO clinical stage, and Region were summarized using cross-tabulation and Pearson\'s chi-squared for significance. Logistic regression was used to determine the independent predictors of mortality at bivariate and multivariate levels, respectively.\n\n', 'A total of 29982 study participants were randomly selected from each program year (2018-2020) making a total of 89946 participants for this study. The annual specific mortality was found to be 5.9%, 4.3%, and 3.14% in 2018, 2019, and 2020 respectively. Mortality was significantly associated with malnutrition AOR= 2.1 (95% CI 1.4 – 3.1), Being a male AOR=2.0 (95% CI: 1.6-3.9) participants with active TB or history of TB treatment AOR= 1.7 (95% CI: 1.4-6.6), WHO clinical stage (3) AOR=2.2 (1.5-3.3), WHO clinical stage (4) AOR=7.3 (3.9-13.7) and CD4 count less than 200cells/mil AOR=1.7(95% CI: 1.31-2.3).\n\n\n', 'The mortality trend in Tanzania was seen to decrease with time from 2018 to 2020. Most deaths occurred among male patients, patients with advanced diseases (WHO stage 3 and 4), TB coinfection, CD4 count &amp;lt;200 cells/µl, and those with malnutrition. This mortality would be further reduced by improving TB screening and treatment, nutritional support, and promoting early diagnosis and treatment of HIV infection.', 'Mortality, HIV clients, anti-retroviral,  Tanzania', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-21 10:13:00', NULL, NULL, 117),
(514, 'Labiba Anam', 'YFETP', 'labibaanam@gmail.com', 'dr', 'Fathi Abdullah', 'Abdullah', 'male', 'yemen', 'fathimasouad@gmail.com', 'Ministry of public health ', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Mohammed Al Dawla/Ministry of public health /Aldawla79@gmail.com \n Abdulhafedh Al Ward/Ministry of public health/war762005@yahoo.com\nMohammed Al Amad/ Ministry of public health /mohdalemad@yahoo.com, alemadm69@gmail.com\n', 'Reporting System Evaluation for HIV Counseling and Testing, National AIDS Control Program Sana’a city, Yemen 2022', 'The human immunodeficiency virus (HIV) is still a global public health problem. HIV counseling and testing (HCT) is the gateway to HIV prevention, treatment, and care support.  In Yemen, the HCT services have been established in 2007 and since its launch, the HCT reporting system had never been evaluated.This study aimed to assess the usefulness and performance of HCT reporting system in terms of its attributes', 'A descriptive evaluation of the system attributes based on the updated Centers for Disease Control and Prevention guidelines was performed. Related HCT documents and reports were reviewed. Dual methods for collecting data were used; A semi-structured questionnaire through face-to-face interviews with stakeholders at the central level, and self-administered questionnaires for stakeholders at governorate and health facility levels. A scoring system for the performance indicators of each attribute was used. The attributes of the system were ranked based on the percentage of gained scores; &amp;gt; 80% as good, between 60% and 80% as average, and &amp;lt; 60% as poor. The analysis was by Excel and Epi Info version 7.2 \n', 'HCT reporting system had (96%) usefulness scores. The percentage of all attribute scores was (74%).  The higher 99% and 80% were for the attributes of data quality and flexibility, followed by 78%, 72%, and 71%, for timeliness, acceptability, and simplicity, respectively. The lower percentages   60%, and (56%) were for representativeness and stability due to a lack of regular staff training and convenient governmental funds, respectively.', 'The reporting system of HTC was useful. The overall performance was average and varied by each attribute; good performance in data quality, and flexibility; average in simplicity, acceptability, representativeness, timeliness, and poor performance in stability. To improve the system’s performance; securing governmental funds, introducing an electronic system, and regular refresher training for health staff are strongly recommended', 'HIV, Counseling and Testing, Evaluation', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-22 10:13:00', NULL, NULL, 241),
(517, 'Dr Seogo Pedwindé Hamadou', 'Djibouti FETP', 'hseogo@afenet.net', 'mr', 'Oudoum', 'Kamil Aboubaker', 'male', 'djibouti', 'awdahiss@gmail.com', 'Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti', 'alumni', '', '9/2/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1.	Fozia Youssouf Barkadleh, Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti kara.youss00@gmail.com\n2.	Prosper Ilunga Kelebwe, Djibouti Field Epidemiology Training Program,African Field Epidemiology Network of Djibouti, prosperkelebwe@yahoo.fr\n3.	Abdo Ali Houmed, Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti, emelganib@gmail.com\n4.	Abdoulkader Mouhamed Ali, Hôpital Cheiko de Djibouti, Ministry of Health of Djibouti, abdoulkader253@gmail.com\n5.	Abdoulkader Mohamed Ali, Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti? abdoulkadermed30@gmail.com\n6.	Sahra Moussa Bouh, Djibouti Field Epidemiology Training Program, Ministry of health, saharamousa62@yahoo.com\n7.	Ahmed Robleh Abdilleh, Ministry of health, ahmedrobleh@hotmail.com\n8.	Tatek Anbessie Bogale, African Field Epidemiology Network, btatek@afenet.net\n9.	Herbert Kazoora Brian, African Field Epidemiology Network, hkazoora@afenet.net\n10.	Houssein Youssouf Darar, Djibouti Field Epidemiology Training Program, Ministry of health, hyusef@gmail.com \n11.	Pedwindé Hamadou Seogo, Djibouti Field Epidemiology Training Program, African Field Epidemiology Network of Djibouti, seogoph@gmail.com\n', 'Investigation des cas de Brucellose dans la région d’Obock, Djibouti, Novembre 2021', 'Le 21 novembre 2021, le Centre Médico-Hospitalier d’Obock (CMHO), notifié 5 cas de brucellose humaine confirmés. Nous avons mené une investigation pour confirmer, caractériser la flambée, rechercher les facteurs favorisants et proposer les actions appropriées. ', 'Nous avons mené une étude descriptive du 1er au 25 novembre 2021. Un cas suspect de Brucellose était défini comme toute personne présentant une fièvre(Temp≥38.5°C) ou des arthralgies avec au moins un des signes suivants : sueurs profuses, asthénie, anorexie, perte de poids, céphalées et douleurs généralisées notifié pendant la période d’étude et comme cas confirmé, tout cas suspect confirmé par le laboratoire. Une recherche active au CMHO, à Wadi et Dalay Af a été réalisée. Nous avons utilisé un questionnaire pour collecter les données dans les registres et la communauté. Un test de Wright était utilisé chez les humains et caprins. Nos données ont été analysées avec Excel. Des médianes, ratios et proportions ont été calculés.', 'Au total 47 cas suspects de brucellose ont été enregistrés dont 21 cas confirmés positifs.  L’âge médian des cas confirmés était de 42 ans(10-67 ans). Quatorze (67%) était de sexe masculin (sexe ratio (M/F)=2 :1). La fièvre(19/21(90%)), l’arthralgie(21/21(100%)) et la transpiration (14/21(67%)) étaient les principaux signes cliniques. La majorité des cas (17/21(81%) provenait de Wadi. Les cas confirmés ont été pris en charge et des actions de sensibilisation communautaires ont été menées. Cinq prélèvements effectués sur les caprins se sont révélés positifs à la brucellose. Dix-neuf (90%) cas avaient bu le lait non pasteurisé des caprins.', 'L\'investigation a confirmé une épidémie de brucellose dans la région de Obock. Des campagnes de sensibilisation de la communauté à l\'abattage des animaux infectés, la non-consommation de produits laitiers non pasteurisés et la vaccination des animaux sains permettra de lutter contre la brucellose.\n', 'Brucellose humaine, Investigation, Région Obock, Djibouti,Novembre 2021', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-23 10:13:00', NULL, NULL, 34),
(518, 'Samuel Rwunganira', 'Field Coordinator', 'srwunganira@afenet.net', 'mr', 'Jean Paul', 'Niyomugabo', 'male', 'rwanda', 'niyopaul55@gmail.com', 'KIRINDA District Hospital', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'E.Nshimiyimana | AFENET Rwanda | nshimiyimanaemmanuel78@gmail.com \nS. Semakula | Rwanda Biomedical Center | semakulam@gmail.com \nJ.Ntaganira | University of Rwanda-School of Public Health| jntaganira@nursph.org \nV.Ndahindwa | University of Rwanda-School of Public Health | ndahindwa@nursph.org \n\n', 'SARS-CoV-2 positivity test and associated factors in Karongi district, Rwanda: A cross-sectional study', 'The SARS-CoV-2 infections in Rwanda had been decreasing nationally in 2021, However case numbers appeared to increase in Karongi district. The objective of this retrospective cross-sectional study was to assess the positivity rate and sociodemographic factors associated with SARS-CoV-2 infection in Karongi District.', 'The study population comprised all individuals who were tested for SARS-CoV-2 infection at health facilities and testing centers using a rapid antigen test and results captured from January to December 2021. Electronic medical data including demographic and clinical information were obtained from the Health Management Information System. All analyses were conducted using STATA V.16. Multivariable logistic regression analyses were performed to identify factors independently associated with testing positive. The findings were presented as adjusted odds ratios (aORs) with 95% confidence intervals (CIs). ', 'A total of 41,602 individuals were tested for SARS-CoV-2, with 6,355 confirmed positive infections (15.3%). Significant factors independently associated with SARS-CoV-2 positivity were age &amp;gt; 4 years, male sex (aOR 1.2, 95% CI 1.1 to 1.3), being a health care worker (aORs 1.2, 95% CI 1.1 to 1.4), refugee status (aOR  3.2, 95% CI 2.4 T0 4.2), residing in an urban environment (aOR 1.3, 95% CI 1.2 to 1.4), and attending secondary school (aOR 7.0, 95% CI 4.0-12.0). The odds of a positive test were higher among those who did not receive any COVID-19 vaccine doses (aOR 2.4, 95% CI 2.1 to 2.7).', 'The positivity rate from January-December 2021 in Karongi district was 15.3% among all patients. Age &amp;gt; 4 years, male gender, residing in an urban area, being a health care worker, being a refugee, and not receiving COVID-19 vaccination are at higher risk for SARS-CoV-2 and may benefit from public health measures.', 'COVID19, Positivity rate, factors, Karongi. ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-24 10:13:00', NULL, NULL, 54),
(519, 'Dabwitso J Banda', 'Coordinator Advanced FETP', 'bandadb3@gmail.com', 'mr', 'Gershom', 'Chisenga', 'male', 'zambia', 'jamesexnobert@yahoo.com', 'Kasempa District Health Office', 'alumni', '', '28/02/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'James | Zulu |  Zambia  FETP | jamesexnobert@yahoo.com\nMartha | Malasa | Zambia  FETP | martha.malasa@yahoo.com\n', 'A measles outbreak investigation in Kasempa district, North Western Zambia, October, 2022', 'Zambia continues to experience measles outbreaks regardless of efforts made towards its control. On 4th October 2022, Kasempa district reported four cases of acute non-vesicular rash and conjunctivitis from three members of the same family and one child of a different family within the same area.  We investigated the cases in order to confirm the existence of an outbreak, determine risk factors and establish control measures', 'The investigation was conducted in Kasempa from the 24th to the 28th of October 2022. A structured questionnaire which included demographic information, religious and cultural beliefs, knowledge on immunization and exposure status, was administered to respondents. A case was defined as anyone who presented with acute non-vesicular rash and conjunctivitis from 1st to the28th October 2022. Laboratory analysis was done on 21 serum samples.', 'A total of 55 cases with mean age 17(1 to 40 years) were investigated. Affected children less than 15 years of age were 48 (88%).Twenty-one samples were collected and three tested positive for measles IgM (14.2% positivity rate). Twelve out of 55 (22%) were fully vaccinated against measles. Forty-four (80%) of the respondents believed in prayer &amp;amp; herbs as means of prevention and treatment on knowledge levels.', 'Anti-vaccination religious beliefs resulting in low immunization coverage remain a major contributing factor in vaccine hesitancy among the affected communities. There is need to increase  community sensitization and measles mass vaccination campaign targeting children aged 6 months to 15 years.', 'Measles, vaccine hesitancy, immunization, anti-vaccination, outbreak', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-25 10:13:00', NULL, NULL, 132),
(520, 'Gildo Okure', 'Resident Advisor', 'gokure@afenet.net', 'mr', 'Abraham', 'Duot', 'male', 'south-sudan', 'abrahamajok99@gmail.com', '1Public Health Emergency Operations Center, Ministry of Health, South Sudan', 'alumni', '', '6/10/2022', 'frontline', 'vaccine-preventable-diseases', 'J.S. Squire2, G. Okure2, M.K. Kiir1, J. Lasu1, G. Legge3, J.P. Rumunu1\n1Public Health Emergency Operations Center, Ministry of Health, South Sudan\n2African Field Epidemiology Network (AFENET), Field Epidemiology Training Programme, South Sudan\n3Expanded Program on Immunization, Ministry of Health, South Sudan\n*Corresponding author: Gildo Okure; gokure@afenet.net ; +211-927-148232 \n', 'Epidemiological characteristics of a nationwide measles outbreak in a complex humanitarian setting, South Sudan, 2022', 'Measles is a highly contagious viral disease and one of the major causes of childhood morbidity and mortality in humanitarian emergencies. South Sudan is experiencing a protracted humanitarian crisis leaving communities vulnerable to multiple outbreaks due to the disruption of health services. Measles vaccination coverage rate in the country remained low at 69% in 2021. Starting in January 2022, the country experienced an increase in measles cases, with outbreaks declared on 23rd February 2022 in Torit and Maban counties in Eastern Equatoria and Upper Nile States respectively, and on the 10th December 2022 countrywide. We described the epidemiological characteristics of the outbreak.', 'We conducted a descriptive analysis of the measles outbreak data from January- December 2022. We computed frequencies, proportions, attack rate (AR) and case-fatality-rate (CFR) and plotted an epi-curve to describe the trends and epidemiological characteristics of the outbreak.  ', 'A total of 3,573 suspected measles cases and 38 (1.1%) deaths were reported between January and December 2022. Cases peaked in November and December and covered all the 10 states and 3 administrative areas. Of the reported cases, 2,453 (68%) were epi-linked, 369 (10.3%) laboratory confirmed, 85 (2.4%) clinically compatible, and 519 (14.5%) discarded. Majority of the cases were reported from Central Equatoria State 946 (26.5%). The highest attack rate was 57.6 per 100,000 population in Unity state. Children under five years were most affected with a cumulative attack rate of 89.6 cases per 100,000 population. Only 173 (4.8%) of the confirmed, epi-linked, and clinically compatible cases were vaccinated. ', 'The low coverage of measles vaccination among reported cases is the likely cause of the large outbreak of measles in South Sudan. Efforts to improve nationwide vaccination coverage and the measles surveillance system in the context of complex emergencies are needed to prevent future outbreaks.  ', 'Measles, outbreak investigation, response, epidemiological characteristics, humanitarian emergency, South Sudan ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-26 10:13:00', NULL, NULL, 172),
(521, 'KPAHINA Auguste Odilon', 'CAFETP', 'odilonauguste@gmail.com', 'dr', 'Auguste Odilon', 'KPAHINA Auguste Odilon', 'male', 'central-african-rep', 'odilonauguste@gmail.com', 'Résident CAFETP stagiaire à la Direction de la surveillance épidémiologique et de gestion d\'urgence en santé publique', 'resident', '', '', 'advanced', 'vector-borne-and-neglected-tropical-diseases-ntds', 'Ernest KALTHAN/Ministère de la Santé et de la Population/kalthanernest@yahoo.fr\nLarsen Didier GOYANDO/Hopital de District sanitaire de Grimari/didiergoyango@gmail.com\nFélicité Moussa YAGATA/Direction de la surveillace épidémiologique et de gestion d\'urgence en santé publique/fe-yagata@yahoo.fr\nMiguel Bervin GBANDI/District sanitaire de Grimari/miguelbervin@gmail.com', 'Investigation d’une flambée de lésions cutanéomuqueuses suspectes de Leishmaniose dans la sous-préfecture de Grimari en RCA, janvier 2023', 'En octobre 2022; 62 cas suspects de leishmaniose cutanée ont été notifiés par le district sanitaire de Grimari.Une investigation a été menée pour déterminer l’ampleur de l’épidémie, identifier les facteurs de risque associés, prendre des mesures de contrôle et de prévention. ', 'Une étude cas-témoins a été réalisée du 18 au 24 janvier 2023. Les cas suspects étaient, toute personne ayant séjournée dans la sous-préfecture de Grimari du 1er Juin 2022 au 24 janvier 2023, présentant des lésions cutanées nodulaires, crouteuses, ulcèro-crouteuse non prurigineuses sur les parties découvertes du corps. Les témoins étaient toute personne de même ménage ou ménage voisin d’un cas, sans lésions cutanées. Les caractéristiques sociodémographiques et les facteurs des risques ont été étudiés. Proportions, âge moyen et écart-type, taux d’attaque (TA) et Odds Ratio ont été calculés avec Epi info 7.4.', 'Au total, 176 cas suspects étaient recensés. Le TA était de 1,05/1000 habitants et l’âge moyen de 12 (+/-8) ans. La tranche d’âge de 10-14 ans a regroupé 93 (52,8%) cas. Les élèves 141 (80%) cas étaient les plus représentés. La commune de Grimari centre avec un taux d’attaque de 2,6/1000 habitants était la plus touchée. La forme ulcéreuse était retrouvée chez 147 (83,5%) cas, la forme ulcèro-crouteuse chez 15 (8,5%) et noduleuses chez 14(8%). La notion de voyage (OR : 11,6 ; IC 95 : 2,2-61) et l’absence d\'un système de gestion de déchet (OR : 3 ; IC 95 1,02-9,2) étaient les facteurs de risque. Des prélèvements sanguins et frottis étaient réalisés, les tests sont en cours.  ', 'Malgré l’absence de confirmation du Labo, nous retenons la probabilité d’une épidémie de Leishmaniose cutanée de grande ampleur liés aux voyages et mauvaise gestion de déchets. Identifier le réservoir de la maladie va permettre de contrôler celle-ci.', 'Epidémie, leishmaniose, Grimari, Investigation, lésions cutanéomuqueuses, RCA', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-27 10:13:00', NULL, NULL, 41),
(522, 'Samuel Rwunganira', 'Field Coordinator', 'srwunganira@afenet.net', 'mr', 'Christophe ', 'Nkundabaza', 'male', 'rwanda', 'nkundabazac@gmail.com', 'BUSHENGE Provincial Hospital', 'resident', '', '', 'advanced', 'maternal-reproductive-and-child-health', 'J. Mukamurigo | University of Rwanda School of Public Health | jmukama@nursph.org \nG.Rukundo | Rwanda Biomedical Center | gilrukundo@gmail.com \nJ.D. Sinayobye | AFENET Rwanda | jsinayobye@afenet.net \nJ. Ntaganira | University of Rwanda School of Public Health | jntaganira@nursph.org \n', 'Neonatal mortality and associated factors at the Western Province Hospital in Rwanda; A facility based cross-sectional study, 2019-2021.', 'Neonatal mortality remains a public health challenge globally and in Rwanda, despite significant progress made towards the United Nations Sustainable Development Goals target. Rwandan rural areas have higher mortality rates compared to urban areas. There’s a paucity of information about hospital specific neonatal mortality and associated factors in Rwanda. This study aimed to assess the prevalence and factors associated with neonatal mortality at rural Bushenge Provincial Hospital.', 'This is a hospital based cross-sectional study. Neonatal and maternal records from January 2019 to December 2021 were reviewed using a structured data extraction form created in Epi Info 7.0. Records with missing data on cause of admission or outcome, and those with duplication, were excluded. Bivariate and multivariable logistic regression analyses were computed with corresponding 95% confidence intervals (95% CI) to assess associations between neonatal mortality and factors. ', 'A total of 1,483 medical records of new-born were reviewed. The prevalence of neonatal mortality was 8.9% (n=132/1483). Neonatal mortality was significantly associated with extreme low birth weight (adjusted odds ratio [AOR]: 14.4, 95% CI 6.6 – 31.8), length of hospital stay (AOR: 12.7, 95% CI 6.7 – 24.5), malformation (AOR:11.7, 95% CI 4.8 – 28.7), Apgar score ≤ 6 (AOR: 8.1, 95% C.I 3.6 – 18.4), prematurity (AOR: 6.1, 95% CI 3.4 – 11.1), very low birth weight (AOR: 5.6, 95% CI 2.6 – 12.3), asphyxia (AOR: 5.3, 95% C.I 2.6 – 11.0), neonatal infection  (AOR:  3.8, 95% CI 1.9 – 7.6), infants aged ≤ 7 days (AOR: 3.5, 95% C.I 1.6 – 8.0),and caesarean section (AOR:1.6,95% C.I 1.0 – 2.8).', 'This study revealed that Bushenge Provincial Hospital had lower prevalence than other rural hospitals in Rwanda (13.3%). Most factors associated with neonatal mortality are avoidable; hence preventive measures such as enhancing the utilization of antenatal care services, early identification and referral of high-risk pregnancy and neonates could reduce the neonatal deaths.', 'Prevalence, factors, neonate, mortality.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-28 10:13:00', NULL, NULL, 54),
(524, 'Dabwitso J Banda', 'Coordinator Advanced FETP', 'bandadb3@gmail.com', 'mr', 'Daliso', 'Ngulube', 'female', 'zambia', 'dariosteckly@gmail.com', 'Lumezi District Health Office', 'alumni', '', '31/12/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Moses Lungu |  Eatern Provincial Health Office | mosesvlungu@gmail.com \nJames | Zulu | Zambia  FETP |  jamesexnobert@yahoo.com\nJordan | Banda |  Eatern Provincial Health Office| jordbanda@gmail.com \nOscar |Nzila | Eatern Provincial Health Office| nzilaoscar@gmail.com\n Jairos | Mulambya | Eatern Provincial Health Office|  jmulambya@gmail.com\nAmos| Hamukale | Zambia  FETP | hamukalea@yahoo.com  \n', 'Measles case investigation in Lumezi district in Eastern Zambia, January 2023.', 'Measles is an acute disease that can lead to death and is still being experienced in most rural communities globally. On the 9th of January 2023, one case of measles - a female child aged two years - was confirmed with measles at Lumezi Mission Hospital in Eastern Zambia. We conducted a case investigation in order to find more cases, identify potential risk factors and prevent further spread of the infection.', 'A cases investigation was conducted from the 10th to the 15th of January 2023. To identify additional cases, we reviewed outpatient registers and abstracted patient details. Contacts were screened and blood samples were collected from symptomatic children. A suspected case was defined as any resident of Lumezi presenting with fever and a generalized maculopapular rash, or in a patient whom a health care worker suspected measles. A confirmed case was a suspected case with laboratory confirmation of a positive IgM antibody. Cases were also linked epidemiologically. To identify the risk factors, we collected data on vaccination status and travel history by using measles case investigation form.', 'Eighteen cases, one confirmed and 17 epidemiologically linked were identified. The median age was four (IQR 2-7), 67% (12/18) were male with the confirmed case coming from Boma village. Three cases were seen first at the hospital in December 2022 and misdiagnosed while the rest were detected in January 2023 through screening in the community and epidemiologic linkage by rapid response team. Fifteen blood samples were collected and six (33%) presented with rash, 11 (66%) were vaccinated and three (18%) of the cases had history of travel from Boma village to Kajipaike. ', 'The investigation suggested an active infection spreading in the community. We enhanced active surveillance and community sensitization. Targeted measles supplemental immunization activities were implemented.', ' Measles, surveillance, vaccination, Zambia', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-29 10:13:00', NULL, NULL, 125),
(526, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'ms', 'Cynthia ', 'Musumba', 'female', 'kenya', 'musumbacynthia@gmail.com', 'Kenya FELTP', 'resident', '', '', 'advanced', 'vector-borne-and-neglected-tropical-diseases-ntds', 'John A. Otieno, Siaya County Department of Health and Sanitation\nMaryanne Gachari, Kenya FELTP, gacharimaryanne@gmail.com\nMaria Nunga, Kenya FELTP, mnunga@feltp.or.ke', 'Assessment of Malaria Case Management in Community Units in Endemic Area, Alego Usonga Sub County, Kenya.', 'Prompt and effective treatment is a cornerstone for malaria control in Kenya. At least 10,700 malaria-related deaths reported annually in Kenya are attributed to delays in diagnosis and treatment. Community malaria case management (CCM) by Community Health Volunteers (CHVs) is among the strategies employed by National Malaria Control Program to help reduce malaria mortality in Kenya. Despite the introduction of the program in Siaya in 2012 the County still has a prevalence of 29% which is considerably higher than the National prevalence (8%). CCM has not been evaluated in the county hence, this study sought to assess whether CHVs manage malaria cases per the National Malaria Treatment guidelines.', 'This investigation involved a retrospective review of Community Daily Activity Register records from June 1, 2020, through December 31, 2020, in Alego Usonga Sub-county, Siaya. We used a standard abstraction tool to data on appropriate diagnosis, malaria positivity, treatment per cascade, treatment in the correct weight band, medicine dispensed correctly, and correct Malaria Rapid Diagnostic Test (MRDT) documentation. Descriptive statistics were calculated and data was analyzed using Ms. Excel.', 'Of the 380 records reviewed, 248 (65%) were tested for malaria, the median age was 5 Years (IQR:14.5), 192 (51%) had temperatures indicated and 23 (12%) had fever. Those who had fever and were tested were 12 (52%). There were 215 (57%) Malaria positive cases from which 181 (84%) were treated as per the cascade. Those who were treated in the correct weight band were 130 (72%) and 154 (85%) had medicine dispensed correctly. ', 'Majority of the CHVs adhered to the CCM guideline. Although a substantial number of the patients did not have temperatures indicated, this could be due to lack of thermoguns. Adequate supply of commodities (thermoguns) and capacity building of CHVs could help in effective implementation of the CCM program.', 'Malaria, Case Management, Community Units, Community Health volunteers', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-30 10:13:00', NULL, NULL, 35),
(527, 'Djibo Issifou', 'Resident Advisor Niger', 'idjibo@afenet.net', 'dr', 'Issifou', 'Djibo', 'male', 'niger', 'idjibo@afenet.net', 'African Field Epidemiology Network (AFENET)', 'alumni', '', '10/7/2017', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Ibrahim Alkassoum, Département de Santé Publique, Faculté des Sciences de la Santé, Université Abdou Moumouni, Niamey, Niger,  ibrahim_alkassoum@yahoo.fr\nBernard Sawadogo, African Field Epidemiology Network (AFENET), bsawadogo@afenet.net\nSaïdou Mamadou, Département des Sciences Biologiques Appliquées, Faculté des Sciences de la Santé, Université Abdou Moumouni, Niamey, Niger, saidou_mamadou@yahoo.fr', 'Évaluation du système de surveillance de la Coqueluche à Niamey, Niger, 2021', 'Chaque année, au Niger, des épidémies sont déclarées malgré l’existence d’un vaccin efficace. Ce fardeau, nous avons conduit à évaluer le système de surveillance de la coqueluche au Niger. L’objectif était de décrire l’organisation, le fonctionnement et l’utilité de cette surveillance.', 'Il s’agit d’une étude transversale. Cette étude a été réalisée du 1er Septembre au 31 Décembre 2021. La population est constituée des acteurs impliqués dans la surveillance. Tous les cas notifiés entre 2004 et 2021 ont été considérés. L’étude a été menée dans la région de Niamey. Des neufs attributs du système de surveillance définis par CDC, nous avons évalué cinq (Simplicité, Sensibilité, Acceptabilité, la Qualité des données et la Représentativité). Epi-Info 7.2 a été utilisé pour l’analyse. Des fréquences, des proportions ont été calculés.', 'Au total, 107 acteurs ont été interviewés. La surveillance de la coqueluche est basée sur la Surveillance Intégré de la Maladie et Riposte avec trois niveaux de déclaration (100%). La collecte est passive (97%) et compilation est hebdomadaire (100%). Seuls (10%) des acteurs interrogés ont reconnu l’existence d’une définition de cas. Un test biologique est nécessaire pour la confirmation (100%). Les décisions sont basées sur l’analyse des données (96%). La surveillance est sensible. Ainsi, 18.884 cas ont été enregistrés entre 2004 et 2021. La moyenne annuelle des notifications était de 1049 cas. Les répondants acceptaient cette surveillance et reconnaissaient leur responsabilité (95,5%). La qualité des données était entamée par l’existence des données manquantes (28%). La qualité des données a été aussi négativement influencée l’absence de liste linéaire établie de la coqueluche dans les structures. Les formations sanitaires participent à la surveillance.', 'Cette étude confirme la résurgence de la coqueluche et révèle un système de surveillance moins performante mais accepté. Nous recommandons un renforcement de la surveillance et de la vaccination.', 'Evaluation, système de surveillance, Coqueluche, Niger', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-07-31 10:13:00', NULL, NULL, 155),
(528, 'Gildo Okure', 'Resident Advisor', 'gokure@afenet.net', 'mrs', 'Agnes', 'Nathaniel', 'female', 'south-sudan', 'agnesjokudu88@gmail.com', '1Public Health Emergency Operations Center, Ministry of Health, South Sudan', 'alumni', '', '7/7/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Co-authors: D. K. Kargbo2, W. Mwanje2, G. Okure2*, J. Lasu1, M. Lasuba3, J.P.A. Rumunu1 \n1Public Health Emergency Operations Center, Ministry of Health, South Sudan\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan\n3National Public Health Laboratory, Ministry of Health, South Sudan\n* Corresponding author: Gildo Okure; gokure@afenet.net; +211-927-148-232\n', 'Cholera outbreak among internally displaced persons in Bentiu Camp, Unity State, South Sudan, March-October 2022', 'Cholera remains a global public health threat and an indicator of inequity and lack of social development. On 14th April 2022, South Sudan National Public Health Laboratory (NPHL) isolated Vibrio cholerae from stool sample of an internally displaced person (IDP) in Bentiu Camp, Rubkona County, Unity State, following unprecedented floods. We investigated to characterize the outbreak, determine the magnitude, identify the source and implement control and prevention measures.', 'A suspected cholera case was any resident of Bentiu IDP camp with onset of three or more loose stools within 24 hours or dying from acute watery diarrhea from March 1- October 31, 2022. Confirmed case was a suspected case with Vibrio cholerae infection confirmed by culture. We tested stool samples using rapid diagnostic test (RDT) and transported positive samples for confirmation at the NPHL. We conducted active case search in the IDP camp, reviewed medical records and line-listed cases. We tested household drinking water for coliform bacteria and inspected toilet facilities. We calculated frequencies, proportions and case-fatality rate (CFR)', 'We identified 424 case-patients including one death (CFR=0.2%). The median age of the case-patients was 10 (range: &amp;lt;1-76) years. Majority 62.5% (265/424) of the case-patients were females. Of the 51 RDT-positive stool samples, 29.4% (15/51) were confirmed with Vibrio cholerae by culture. About 39% (18/46) of household drinking water tested positive for total coliforms. Only 2,642 functional latrines served 108,456 persons in the IDP Camp, below the WHO standard of one functional latrine per 20 persons. ', 'Cholera outbreak occurred among IDPs in Bentiu camp affecting mostly children and could have been due to drinking contaminated household water and inadequate toilet facilities. We implemented water sanitation and hygiene interventions, provided supportive treatment to case-patients and administered two rounds of oral cholera vaccines (OCV) to control the outbreak.', 'Outbreak, oral cholera vaccines (OCV), internally displaced people, Bentiu, South Sudan', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-01 10:13:00', NULL, NULL, 172),
(529, 'NOUDEKE   NESTOR   DENAKPO', 'Resident Advisor FETP BENIN', 'noudnest@yahoo.fr', 'mr', 'Edouard', 'Hountohotegbè', 'male', 'benin', 'noudnest@yahoo.fr', 'Ministère de la Santé', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'R. Kohoun/Ministère de la Santé /rodriguekk@gmail.com\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr\n', 'Référence des cas de paludisme grave et facteurs associés à la létalité chez les enfants de moins de 5 ans dans les hôpitaux de zone et CHD du département du Mono du 01 avril au 31 octobre 2022', 'La forme grave du paludisme constitue l’une des principales causes d’hospitalisation et de décès dans les formations sanitaires en régions tropicales. La région africaine de l’OMS continue de payer le plus lourd tribut au paludisme. : Nous nous proposons donc d’estimer l’ampleur de la référence des cas graves du paludisme et les facteurs associés à la létalité chez les enfants de moins de 5 ans dans le département du Mono du 1er avril au 31 octobre 2022. ', 'Il s\'est agi d’une étude transversale analytique. L’échantillonnage a été fait de façon aléatoire avec le logiciel Open-Epi. Les données ont été collectées avec Kobocollect par dépouillement des dossiers  médicaux dans 3 hôpitaux publics, et analysées avec le logiciel Epi Info 7.2. Des fréquences et odds ratios ont été calculés. ', 'Au total, 394 cas avaient été inclus dans l’étude dont 205 de sexe féminin soit 52,03%. La majorité des cas se retrouvait dans la tranche d’âge de 12 à 36 mois soit 55,84%. La létalité était de 4,57%. La majorité des enfants était référée soit 57,11%. Parmi ces référés, 48,44% ont pu bénéficier de la première dose de d’artésunate et l’ambulance a été utilisée pour 41,18%. Les manifestations cliniques les plus associées au décès étaient le faible taux d\'hémoglobine (≤ 5 g/dl, OR=9,39 ; IC à 95% : [3,00-27,10]), la durée hospitalisation (OR=5,49 ; IC à 95% : [1,53-35,0]).', 'La létalité hospitalière du paludisme grave est encore élevée  avec un faible taux de cas bénéficiant de traitement de pré-référence. Des facteurs pronostiques tels que le faible taux d\'hémoglobine et la durée d’hospitalisation, avaient une forte probabilité de contribuer aux décès dus au paludisme grave chez les enfants. Une sensibilisation des agents sanitaires sur ces facteurs de risque s’avère indispensable pour réduire la létalité.', 'Létalité, Paludisme grave, Référence, Etude transversale, Bénin', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2023-05-23 10:13:00', NULL, NULL, 90),
(530, 'Peter Adewuyi', 'Resident Advisor ', 'padewuyi@afenet.net', 'mr', 'Abdoulie', ' Dibba', 'male', 'gambia', 'liedibbs@yahoo.com', 'Gambia FETP', 'alumni', '', '20/08/2022', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Peter Adewuyi. | AFENET Gambia| padewuyi@afenet.net\nC. D. Umeokonkwo | AFENET | dchukwuma@afenet.net \nAbdullahi Taal | Ministry of Health, The Gambia | abdoulietaal@gmail.com \nKarim Darboe | Ministry of Health, The Gambia | akdarboe5@yahoo.com\nMustapha Bittaye | Ministry of Health, The Gambia | bittaye@gmail.com \nAmadou W. Jallow | Ministry of Health, The Gambia | amadou.jallow@gmail.com \nA. Sowe | Ministry of Health, The Gambia | sowealha@yahoo.com', 'Evaluation of Integrated Disease Surveillance and Response (IDSR) System in Lower River Region, The Gambia, 2022', 'IDSR is a comprehensive strategy for coordinating and implementing disease surveillance and outbreak response. Since 2003, the Gambia IDSR implementation has not been evaluated. The IDSR operation in Lower River Region of Gambia was evaluated to assess whether the system is meeting its objectives and attributes (usefulness, simplicity, flexibility, stability, data quality and timeliness)', 'We conducted a mixed method descriptive cross-sectional study and interviewed the stakeholders and operators of the IDSR surveillance system using a structured questionnaire adapted from updated CDC guideline on surveillance system evaluation. Timeliness and completeness were evaluated using the measles case investigation forms (CIF). Cases reported within 72 hours of notification were classified as timely. Properly filled CIFs were classified as complete. A multiple outcome variable was created by categorizing the attribute scores:  ≤ 50 (attributes not met) and &amp;gt; 50 (attributes met). Data were analyzed using Microsoft Excel. ', 'Thirty-five health workers were interviewed, with a mean age 35.1 (SD±9.3) years. Usefulness score was 60.6% as many of the health workers use IDSR as guide to detect disease/ events/ condition of public important. Simplicity score was 55.7%, flexibility 47.2%, stability 37.8%, timeliness 100.0% and completeness 94.0%', 'The IDSR surveillance system in lower River Region was useful and met its objectives in terms of timely detecting diseases or events of public health importance. It was simple, but neither flexible nor stable. Therefore, the findings should inform the Ministry on efforts to improve surveillance in LRR.', 'usefulness flexibility, simplicity, stability, data quality, attribute', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-02 10:13:00', NULL, NULL, 50),
(531, 'Dr. Gebrekrstos Negash Gebru', 'Resident Advisor', 'ggebru@afenet.net', 'mr', 'Lilian', 'Taylor', 'female', 'sierra-leone', 'admiretaylor@gmail.com', 'Ministry of Health and Sanitation, Sierra Leone', 'resident', '', '', 'frontline', 'maternal-reproductive-and-child-health', 'Joel Mansaray                                      Ministry of Health and Sanitation                                     joel.mansaray@gmail.com \nSolomon Aiah Sogbeh                         African Field Epidemiology network.                             solomonsogbeh@gmail.com, \nGevao Philip                                          Ministry of Defence, Sierra leone                                      ppgevao34@gmail.com\nBinta Bah                                                Ministry of Health and Sanitation                                    bintamubah@gmail.com,\n Mohamed Vandi                                  Ministry of Health and Sanitation                                    mohamedavandi69@gmail.com\nAdel Hussein Elduma                           African Field Epidemiology Network                               ahussein@afenet.net \nGebrekrestos Negash Gebru       African Field Epidemiology Network                                       ggebru@afenet.net \n\n', 'Causes and trends of stillbirth deliveries, Aberdeen Women\'s Centre, Freetown, Sierra Leone, 2017-2020: A case study of a health facility', 'In 2014, the World Health Assembly endorsed a target of below 12 stillbirths per 1000 total births in all countries by 2030. In Sierra Leone, the stillbirth rate is 32.6 per 1000 live births in 2020. Despite the frequent occurrence of stillbirth, there is little information available on the causes of stillbirth. We analyzed secondary data to assess stillbirth deliveries, causes, and trends at Aberdeen Women’s Centre, Freetown, Sierra Leone.\n\n', 'Descriptive secondary data analysis was conducted. Data were extracted on deliveries at the Aberdeen Women’s Centre (AWC) from January 2017 to December 2020. We reviewed delivery registers and maternal clinical charts. We collected data on the age of mothers, gravidity, gestational age, fetal sex, and possible causes of stillbirth. We cleaned and analyzed data by person, place, and time, and calculated proportions, ratios, and rates.    \n', 'Out of 10,730 deliveries, 167 (1.6%) were stillbirths (15.6 per 1000 births). The median age of mothers who delivered stillbirths was 28 years (range: 15 - 42 years). Of the 167 stillbirths, 96 (57%) were male fetuses, 142 (85%) were intrauterine, and 100 (60%) were macerated. Late stillbirths accounted for 98 (59%). Of the total stillbirths, 115 (69%) were vaginal deliveries, 153 (91%) were of cephalic presentation, and the birth defects were ten (5.9%). Causes of stillbirth were preeclampsia 27 (16.2%), placental abruption 22 (13.2%), ruptured uterus 19 (11.4%), antepartum hemorrhage 12 (7.2%), and placenta Previa 6 (3.6%). The yearly trend of the stillbirth rate was 14.7, 17.0, 18.7, and 11.9 per 1000 births from 2017 to 2020, respectively.\n', 'Stillbirth rates in AWC are lower than the national rate. Most stillbirths were caused by preventable or treatable conditions. We recommend that the good practices of this facility be replicated in other maternal health facilities in the country. Also, early detection and management of these preventable causes may reduce stillbirths.', 'Stillbirth deliveries, Aberdeen Women\'s Centre, Freetown, Sierra Leone ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-03 10:13:00', NULL, NULL, 138),
(532, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'ms', 'Catherine', 'Menganyi', 'female', 'kenya', 'menganyicate83@gmail.com', 'Kenya FELTP', 'resident', '', '', 'advanced', 'maternal-reproductive-and-child-health', 'Paul Kibati, Kenya FELTP, pgkibati@gmail.com\nClara Kerich, Department of Health, Nakuru County Government, kerichcc@gmail.com\nDancun Shikuku, Liverpool School of Tropical Medicine,  dnshikuku@yahoo.com\nJoy Mgambi: Department of Health, Nakuru County Government dr.mugambijoy@gmail.com\nScolastica Wabwire, Division of Reproductive Maternal Health MoH Kenya, \nMaurice Owiny, Kenya FELTP, mowiny@feltp.or.ke\nFredrick Odhiambo, Kenya FELTP, fodhiambo@feltp.or.ke \n', 'Evaluation of perinatal deaths in Nakuru county  2021, Kenya ', 'Globally, nearly 3.3 million stillbirths and 4 million neonatal deaths occur yearly, averaging 61 deaths per 1,000 live births in low-income countries. Kenya recorded 41 deaths per 1,000 live births in 2022 with the majority of deaths in Nakuru county. The surveillance system for perinatal mortality in Nakuru has not been evaluated before. We evaluated the system and described perinatal deaths in Nakuru county.', 'We reviewed records obtained from the maternity register, newborn unit registers and the perinatal review forms for January–December 2021 from 3 health facilities: Nakuru PGH, Molo SCH and Naivasha SCH. Perinatal death was defined as any record of death in the first seven days of life and stillbirths that occurred in health facilities. We assessed age, time and place of death occurrence, and neonatal and maternal clinical characteristics. We calculated the perinatal mortality rate (PNMR), trends, frequencies, and proportions. We used the CDC guidelines to evaluate the surveillance system. ', 'We reviewed 446 records, the median age of mothers was 26 years (Range 14–46), first-time mothers were 30.3% (135/446) and 73.5% (328/446) attended antenatal clinic. Babies born alive were 45.7% (240/446) while 44.8% (200/446) of perinatal deaths occurred between 12:00 am-11:59 am. Death from birth asphyxia was 22.6% (101/292).100% (12/12) reported simplicity of the system, Perinatal death reviews were conducted in 17% (76) records, 28% of the records were filled and 22% records were reported in time with Molo SCH reporting 0% in maintaining timeliness.', 'Birth Asphyxia was the leading cause of mortalities, low review of perinatal mortalities and timeliness in the review of the deaths result in late planning for interventions.', 'Stillbirth, Livebirth, Mothers, Maternal Mortality, Pregnancy', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-04 10:13:00', NULL, NULL, 35);
INSERT INTO `reviewer_ones` (`id`, `submitter_name`, `submitter_designation`, `submitter_email_address`, `first_author_title`, `first_author_fiirst_name`, `first_author_last_name`, `first_author_gender`, `first_author_country`, `first_author_email`, `first_author_affiliation`, `first_author_category`, `first_author_other_category`, `forst_author_alumni_completion`, `first_author_fetp_level`, `abstract_sub_theme`, `co_authors`, `abstract_title`, `abstract_backgound`, `abstract_methods`, `abstract_results`, `abstract_conclusion`, `key_words`, `reviewer_1_background_study`, `reviewer_1_method_apporpriate`, `reviewer_1_results_presentable`, `reviewer_1_results_conclusion`, `reviewer_1_ph_signicance`, `reviewer_1_overall_clarity`, `reviewer_1_total`, `reject_accept`, `presentation_type`, `reviewer_1_complete`, `reviewer_1_comments`, `created_at`, `updated_at`, `deleted_at`, `reviewer_id`) VALUES
(533, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'dr', 'ALBERT', 'PASCHAL', 'male', 'tanzania', 'paschalalbert54@yahoo.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'alumni', '', '10/12/2022', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'NICHOLAUS TARIMO, Head of Strategic information Unit National AIDS Control Program, Tanzania Ministry of Health, nichalicy@gmail.com\nPROSPER NJAU, National AIDS Control Program, Tanzania Ministry of Health, prosperpendo@gmail.com\nLOVENESS URIO, Tanzania Field Epidemiology and Laboratory Training Program, loveness13us@yahoo.com\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program, allykhussein@gmail.com\nROGATH KISHIMBA, Epidemiology section of Tanzania Ministry of Health, rogatkishimba@gmail.com\nELIAS MMBAGA, Department of Epidemiology and Biostatistics Muhimbili University of Health and Allied Science, eliajelia@yahoo.co.uk ', 'Prevalence and predictors of detectable viral-load among HIV clients on Ant-retroviral therapy in Kagera region Tanzania from September 2020 to September 2021.', 'Human immune deficiency virus (HIV) continues to be a major public health condition in developing nations. Unsuppressed and detectable HIV viral load among clients on ART increases the risk of HIV transmission. Kagera is the fourth region with the highest HIV prevalence in Tanzania 6.5% vs 4.5% national average. We determined prevalence of detectable viral load and predictors among HIV clients on Highly Active Anti-retroviral therapy (ART) for at least 6 months in Kagera Region. Tanzania.\n', 'Cross-section study involving 309 HIV clients on ART for at least 6 months in Kagera was done. Data were collected using both, a structured questionnaire and review of patient’s records from patient and care and treatment database from September 2020 to September 2021. Descriptive summaries and association between socio-demographic, treatment and clinical characteristics with detectable HIV viral load (&amp;gt;50copies/ml) was determined.\n', 'Overall prevalence of detectable viral load (&amp;gt;50 copies/ml) among HIV clients on ART was 18.9% among whom 54.2% were females;10.3% had viral load copies above 1000copies/ml and 53.1% were also females. Being young from 0-17 years [Adjusted ODDS ratio-AOR 2.1:CI (1.2-2.5)], being divorced AOR 1.4:CI (1.2-6.2)], history of treatment interruption [AOR 2.8:CI (1.3-6.2)], mobile occupation [AOR 2.6:CI (1.1-4.1)] and lack of knowledge on the meaning and impact of detectable viral-load on HIV transmission risk [AOR 1.3:CI (1.1-4.1)] were significantly risk factors for detectable viral load. HIV disclosure to spouse, and community [AOR 0.3:CI (0.09-0.9)] was a significant protective factor. \n\n', 'Conclusion: Prevalence of detectable HIV viral-load in Kagera Region was high. Females were more likely to have detectable HVL.  Advanced age at enrollment, HIV disclosure status, mobile occupation and history of treatment interruption predicted the occurrence of detectable viral-load among HIV clients on ART. Intensifying implementation of health education to HIV clients on ART. Timely identification of associated factors and monitoring antiretroviral treatment are needed.  ', 'Prevalence, predictors, viral-load, Ant-retroviral, Tanzania', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-05 10:13:00', NULL, NULL, 114),
(534, 'Peter Adewuyi', 'Resident Advisor ', 'padewuyi@afenet.net', 'mr', 'Alieu ', 'Daffeh', 'male', 'gambia', 'alieudaffeh@gmail.com', 'Gambia FETP and Ministry of Health, The Gambia', 'alumni', '', '20/08/2022', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Mary Grey-Johnson |  Medical Research Council Unit The Gambia | ladymay992@yahoo.com \nPeter Adewuyi. | AFENET. | padewuyi@afenet.net\nMomodou Kalisa | Ministry of Health The Gambia |. mskalisa1@hotmail.com ', 'Evaluation of SARS-COV2 Surveillance System, The Gambia, March 2022', 'A key concern regarding the SARS-COV2 pandemic is the pressure it exerts on health systems, the need for governments to support people affected, and the ability to enhanced surveillance.  On March 16, 2020, the first case of SARS-COV2 was confirmed in The Gambia. This study assessed and determined if the surveillance system of SARS-COV2 is meeting its objectives.', 'Using the CDC guidelines we evaluated the system for usefulness, acceptability, stability, simplicity, using self-administered structured questionnaires. Stakeholders enrolled using convenient sampling. Data was analyzed using excel and Epi info 7.5. Questions in each attribute was graded as one point each when appropriately answered. The scores of each attribute were summed obtained score divided by the total number of questions per attribute and multiplied by 100%. Each attributes scores were dichotomized with a score of 60% and above as good and scores below 60% as fair.', 'A total of 45 respondents were interviewed. Out of which 88.8% were public health officers, 3 were medical doctors (6.6%) and 2 were nurses (4.4%). About 80% were males. Over 40% spent between 4-7 years serving in the surveillance system, 95% believed the surveillance system can detect SARS-COV2., and53% are not monitoring the trend of the surveillance data. Therefore, overall usefulness of the surveillance system was poor (35%).  Simplicity, acceptability, and stability of the system were all poor at 42%, 22%, and 33% respectively.', 'Though the system detects SARS-COV 2, however all the attributes measured were poor.  We recommend to the Ministry of Health to train the health workers on the SARS-COV 2 surveillance', 'SARS-COV2, surveillance system, evaluation, attribute, public health', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-06 10:13:00', NULL, NULL, 50),
(535, 'Dr Seogo Pedwindé Hamadou', 'Mauritania FETP', 'hseogo@afenet.net', 'mr', 'Yaubanou', 'Houcein', 'male', 'mauritania', 'houceinyaubanou@gmail.com', 'Ministre Santé Mauritanie, Programme de formation en épidémiologie de terrain de Mauritanie', 'alumni', '', '15/09/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1.	Ba Hamet Abderahmane, Programme de formation en épidémiologie de terrain de Mauritanie, Ministère de la santé de Mauritanie , hametba18@gmail.com\n2.	Mohamed Mahmoud Ely Mahamoud, Ministère de la Santé, Mauritanie, drmmelymahmoud@gmail.com \n3.	Assane Hamadi, Programme de formation en épidémiologie de terrain de Mauritanie, African Field Epidemiology training Network, simpassane@yahoo.fr\n4.	Pedwindé Hamadou Seogo, Programme de formation en épidémiologie de terrain de Mauritanie, African Field Epidemiology training Network, seogoph@gmail.com\n', 'Investigation d’une Flambée de cas de Diarrhées au Centre Hospitalier Cheikh Zayed de Nouakchott nord, Juillet-Aout 2022', 'Le 20 août 2022, l’analyse des données de surveillance de la région de Nouakchott Nord de la semaine épidémiologique (S)32(08 au 14 août 2022), par les résidents FETP Frontline, a détecté une augmentation anormale des cas de diarrhée. Cette situation a nécessité une investigation afin de proposer des mesures et riposte appropriées. ', 'Nous avons mené une étude descriptive du 07 Juillet au 25 août 2022  à l’hôpital Cheikh Zayed (HCZ). Un cas de diarrhée a été défini comme toute personne avec émission d’au moins 3 selles molles par jour à l’HCZ du 07 juillet au 25 août 2022. Nous avons réalisé une recherche active. Une fiche a été élaborée pour collecter nos données. Des prélèvements de selles ont été fait pour le laboratoire. Nous avons analysé les données avec EPI info 7 et nous avons calculer des proportions, taux et médianes.', 'Au total, 684 cas de diarrhée ont été enregistrés avec un taux d’attaque de 2 cas pour 1000 habitants dans la région de Nouakchott Nord. La semaine 28 a enregistrée plus de cas 146 (21%). L’âge médian des cas était de 3 ans (1-83 ans). La tranche d’âge de moins 5 ans représentait 55.53%(380/684). 382(56%) cas présentaient des vomissements et nausées. Les cas provenaient plus du district de Toujounine avec  63,57% des cas. 465(68%) des malades avaient consommé du lait frais. Le laboratoire avait isolé des Giardias, levures, et amibes sur les prélèvements de selle. La culture n’a pas été faite.', 'L’investigation a permis de confirmer la flambée de cas de diarrhée localisée dans le district de Toujounine et touchant plus les enfants de moins de 5 ans. La consommation du lait frais serait une des hypothèses de cette flambée. Nous recommandons la pasteurisation du lait et le renforcement des mesures d’hygiènes.', 'Investigation, Flambée, Diarrhées, Centre Hospitalier Cheikh Zayed , Nouakchott, Mauritanie', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-07 10:13:00', NULL, NULL, 161),
(537, 'Samuel Rwunganira', 'Field Coordinator', 'srwunganira@afenet.net', 'mr', 'Gabriel ', 'Twagirimana', 'male', 'rwanda', 'twagabriel@yahoo.com', 'KIBUYE Referral Hospital', 'resident', '', '', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'E.Nshimiyimana| AFENET Rwanda | nshimiyimanaemmanuel78@gmail.com \nE.Remera | Rwanda Biomedical Center | ericremera@gmail.com \nE Rugigana | University of Rwanda-School of Public Health | rugigana@nursph.org ', 'Factors Associated With HIV Pre-Exposure Prophylaxis Uptake   Among Female Sex Workers In Karongi Peri –Urban Area: A Cross-Sectional Study', 'Pre-exposure prophylaxis is an effective strategy for  HIV prevention among high-risk populations recommended in HIV national guideline. However poor public awareness may jeopardize its usefulness. This study aimed to determine the factors associated with HIV Pre-exposure Prophylaxis uptake among female sex workers (FSW) in Karongi District, western Province of Rwanda March 2021 – December 2021.', 'We conducted a cross sectional analysis of data extracted from patients clinical records , with a sample size of 800 Female sex workers  enrolled in PrEP service and constituted our dataset for analysis . PrEP uptake is defined as the proportion of potentially eligible people enrolled in HIV pre-exposure prophylaxis service and accepted to be initiated oral pre-exposure prophylaxis. We collected socio –demographic, clinical features  and HIV exposure information. We summarized data in form of frequency and percentages for categorical variable then bivariate and multi-variate analysis using logistic regression to determine factors associated independently associated with the outcome. We report adjusted odds ratios (aORs), 95% confidence interval and P. Value.', 'Of the 800 enrolled, 33% FSW uptake PrEP and mean age is 27 ±5 SD. Being single in marital status (aOR 4,1,95% 1.8 – 9.1), being a farmer ( aOR 3.5,95%CI 2.1 – 6.1), having health insurance (aOR 10.5,95%CI 5.5 – 20.1), having multiple sex partners between  3 – 4 (aOR 2.3,95%CI 1.3 – 4.1), FSW awareness on PrEP (aOR 4.9,95%CI 2.5 – 9.5), condom user (aOR 5.7,95%CI 2.8 – 10.8) and being tested for  HIV  in the last 3 months (aOR 3.2,95%CI 1.9 – 5.7 ) were statistically associated with the PrEP uptake in the study population. ', 'The study showed a low proportion PrEP uptake among the FSW. Strengthening community awareness can improve the PrEP uptake among the FSW, integration of PrEP services in other departments and client centered approach to promote condom use among female sex workers.', 'PrEP,HIV,FSW, Karongi', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-08 10:13:00', NULL, NULL, 54),
(538, 'NOUDEKE   NESTOR   DENAKPO', 'Resident Advisor FETP BENIN', 'noudnest@yahoo.fr', 'mr', 'François', 'Dadidjè', 'male', 'benin', 'dadidje@yahoo.fr', 'Ministère de l\'Agriculture, de l’Elevage et de la Pêche', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'V. Allanonto/Ministère de l’Agriculture de l’Elevage et de la Pêche/victorallanonto36@gmail.com\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr\n', 'Profil épidémiologique de la fièvre  hémorragique de Lassa dans le département du Borgou de janvier 2016 à décembre 2021 au Bénin', 'La fièvre hémorragique virale de Lassa est endémique en Afrique Occidentale.  C’est une affection très contagieuse transmise par des rongeurs et dont la mortalité peut atteindre 15%. Depuis 2014, des épidémies sont enregistrées au Bénin avec le premier cas toujours issu du département du Borgou. L’objectif de cette étude était de décrire le profil épidémiologique des cas de Lassa de 2016 à 2021 dans le Borgou.', 'Nous avons mené une étude transversale descriptive. Les données de 2016 à 2021 concernaient la fièvre de Lassa dans le département du Borgou. Ces données ont été extraites de la base nationale de Surveillance Intégrée des Maladies et Riposte. Après apurement, lesdites données ont été analysées avec EPI-Info 7.2. Les fréquences relatives et absolues ont été calculées. La cartographie a été faite avec QGIS.', 'Au total, 60 cas suspects de Fièvre à virus Lassa ont été enregistrés dans le département du Borgou sur cette période. Le sexe ratio est de 1.  La tranche d’âge la plus touchée était de 15-30 ans avec une proportion de 40% (24/60). Toutes les communes du département ont été touchées sauf Sinendé. La majorité des cas provenaient de la commune de Tchaourou (63,33%) (38/60). Seuls 55% (33/60) ont été testés au laboratoire et parmi eux 66,6% (22/33) étaient confirmés. Les cas sont retrouvés entre le mois de janvier et avril de chaque année. Le taux de létalité est de 31,66%. L’incidence globale était de 39 pour 1000000 et la commune de Tchaourou connaît la plus forte incidence qui est de 145 pour 1000000 d’habitants.', 'La fièvre hémorragique de Lassa est saisonnière et sa létalité est très élevée.  Les jeunes sont les plus touchés. Le contrôle de cette maladie pourrait passer la sensibilisation de la couche juvénile. ', 'Fièvre Lassa, Incidence, Rongeur, Etude transversale, Bénin', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2023-05-10 10:13:00', NULL, NULL, 15),
(539, 'Gildo Okure', 'Resident Advisor', 'gokure@afenet.net', 'mr', 'John', 'Akol', 'male', 'south-sudan', 'johnakol30@gmail.com', '1State Ministry of Health, Warrap State, South Sudan.', 'alumni', '', '28/03/2022', 'frontline', 'one-health-and-climate-change', 'G. Okure2*, D. K. Kabba2, W. Mwanje2, J. Lasu3, T. Ujjiga1, J.P. Rumunu3\n1State Ministry of Health, Warrap State, South Sudan.\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan. 3National Ministry of Health, South Sudan\n*Corresponding author: Gildo Okure; gokure@afenet.net ; +211-927-148232 \n', 'Cutaneous human anthrax outbreak investigation in Gogrial West County, Warrap State, South Sudan, April-December 2022', 'Anthrax is a highly contagious zoonotic disease caused by Bacillus anthracis. Following an increase in the number of patients presenting with skin lesions at Kuajok Hospital between February and March 2022; on 2 April 2022 Gogrial West County (GWC) surveillance unit carried out an investigation and collected skin lesion swabs from 18 patients. On 11 April 2022, eight samples were confirmed positive for Bacillus anthracis by polymerase chain reaction (PCR) leading to declaration of human anthrax outbreak. We investigated to characterize the outbreak, determine the magnitude, and identified exposures to guide control and prevention measures.  ', 'We defined a suspected cutaneous anthrax case as onset of skin lesions (papule, vesicle, or eschar) in a person residing in GWC, Warrap State from 1st January to 31 December 2022. A confirmed case was a suspected case with PCR-positivity for Bacillus anthracis. We identified cases by reviewing medical records at Kuajok Hospital, conducted active case search in affected communities and line-listed the cases. We calculated frequencies, proportions, attack and case-fatality rates. ', 'We identified 148 case-patients (8 confirmed, 140 suspected) of whom 5 (CFR=3.4%) died. All the case-patients presented with skin lesions (itching, swelling or ulcer). Most 84 (57%) of the case-patients were females and 81(55%) were ≤10 years old. Median age of case-patients was 9 (range: 0.25-70) years. Of the nine affected payams (sub-counties), Waralel had the highest attack rate (130.9/100,000 population). Most 126 (85%) of the case-patients were from households keeping livestock and 134 (91%) reported eating meat of dead livestock from unknown cause. None of the owned livestock were vaccinated.', 'Eating meat of dead livestock could have been the possible source of cutaneous anthrax outbreak in GWC. We recommended public education about safe disposal of livestock that die suddenly and mass vaccination of livestock to prevent future outbreaks.', 'Anthrax, outbreak, Zoonotic disease, Gogrial West County, Warrap State, South Sudan', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-09 10:13:00', NULL, NULL, 172),
(540, 'Dabwitso J Banda', 'Coordinator Advanced FETP', 'bandadb3@gmail.com', 'mr', 'Daliso', 'Ngulube', 'male', 'zambia', 'dariosteckly@gmail.com', 'Lumezi District Health Office', 'alumni', '', '31/12/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'James | Zulu | Zambia  FETP |  jamesexnobert@yahoo.com\nJordan | Banda |  Eatern Provincial Health Office| jordbanda@gmail.com \nOscar |Nzila | Eatern Provincial Health Office| nzilaoscar@gmail.com\n Jairos | Mulambya | Eatern Provincial Health Office|  jmulambya@gmail.com\nAmos| Hamukale | Zambia  FETP | hamukalea@yahoo.com  \n', 'An Investigation of a suspected Schistosomiasis outbreak in Lumezi district Eastern Zambia, May 2022', 'Schistosomiasis (Bilharziasis) is a Neglected Tropical Disease (NTD) disease caused by some species of blood trematodes (flukes) in the genus Schistosoma. In the Eastern part of Zambia, information on schistosomiasis is rare, due to effective control measures including mass drug administration and community sensitization on the potential risk factors. Lumezi district health office received reports of children presenting with symptoms of blood in urine. We investigated the cases in order to establish the cause and identify risk factors. ', 'We conducted an outbreak investigation among residents of Kazembe village from 1st April to 31st May 2022. we collected urine samples from suspected cases for laboratory confirmation. Other cases were identified based on epidemiological linkage. We defined a suspected case as any child passing blood in urine among residents of Kazembe. We reviewed OPD registers to find additional cases. A semi structured questionnaire was administered to assess knowledge, and to collect data on risk factors. We presented frequencies and percentages', 'We identified 25 cases, 14(56%) were males. The median age was 8years (Interquartile Range: 6-10). All (n=4) of the samples sent to the laboratory tested positive for schistosomiasis.  Most children spent much time playing and swimming in water (88%) and defecated in water (40%). Majority (96%) mentioned blood in urine as symptom of schistosomiasis and about 68% mentioned dysuria as a symptom. ', 'The existence of Schistosomiasis in Kazembe was confirmed. Children were the most affected suggesting a linkage to recreational activities in the area as an exposure. Health education of patients and community sensitization on use of pit latrines and avoidance of swimming in infested rivers was done. Surveillance activities have been heightened and the district health officials has planned to conduct mass drug administration in the affected areas using praziquantel. ', 'neglected tropical disease, dysuria, schistosomiasis, Zambia', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-10 10:13:00', NULL, NULL, 125),
(541, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'dr', 'ALBERT', 'PASCHAL', 'male', 'tanzania', 'paschalalbert54@yahoo.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'alumni', '', '10/12/2022', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'PROSPER NJAU, Strategic information Unit National AIDS Control Program, Tanzania Ministry of Health, prosperpendo@gmail.com\nLOVENESS URIO, Tanzania Field Epidemiology and Laboratory Training Program, loveness13us@yahoo.com\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program, allykhussein@gmail.com\nROGATH KISHIMBA, Epidemiology section of Tanzania Ministry of Health, rogatkishimba@gmail.com\nELIAS MMBAGA, Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied science, eliajelia@yahoo.co.uk\n  ', 'Incidence and predictors of malnutrition among HIV infected adults on Highly Active Antiretroviral Therapy in Njombe region, Tanzania in 2018', 'Malnutrition affects more than 19% of HIV clients on ART. This is contrary to what is expected to HIV clients on Highly Active Ant-retroviral therapy with good adherence. This study sought to estimate the incidence of malnutrition and associated predictors among HIV clients on HIV care and treatment services in Njombe Region, Tanzania \n\n', 'A retrospective cohort study was conducted involving 554 HIV clients on ART at Njombe Region enrolled in 2018. Participants were followed for 24 months. Client baseline information on Care and treatment (CTC) visit records were collected from Care and Treatment database version 2 (CTC-2 Database). Cumulative hazard curves were used estimated malnutrition incidences over time and adjusted cox Hazard Ratio at 95% confidence interval (CI) was used for independent predictors of malnutrition.\n\n', 'We included 554 HIV clients on ART, the overall incidence rate of malnutrition at 95%confidence was 42.7 CI (38.3-47.6) per 100 person years of observation. The incidence rate of under-nutrition was 12.5 CI (10.2-15.3), overweight 24.1 CI (20.9-27.9) and that of obesity was 46 (8.3%) per 100 person-years of follow-up. Under-nutrition was significantly associated with :Positive TB screening at enrollment [Adjusted hazard ratio-AHR 4.83 CI (2.6-8.9)], age &amp;gt;60 years [AHR 1.7 CI (1.2-4.7)], being widowed/widower [AHR 1.83 CI (1.6-3.3)], WHO clinical stage 4 at enrollment [AHR 1.59 CI (1.2-3.14)], CD4&amp;lt;200 [AHR 1.84 CI (1.1-3.1)] and prior exposure to ART [AHR 1.32 CI (1.11-1.84)].Overweight and obesity were significantly associated with WHO clinical stage 1 [AHR 3.1 CI (3-3.3.8)] and age between 35-45 [AHR 1.2 CI (1.02-2.19)]. \n\n\n', 'The rate of malnutrition (under and over-nutrition) among people living with HIV in Njombe Region were high. Intensifying the implementation nutrition supplementation and counseling with based on social and clinical characteristics of the patients are needed.  ', 'Malnutrition; incidence Ant-retroviral Therapy, Njombe', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-11 10:13:00', NULL, NULL, 114),
(543, 'Roberta Horth', 'Central Asia FETP', 'hxw5@cdc.gov', 'ms', 'Rajabali', 'Sharifov', 'male', 'tajikistan', 'sharifovraj@gmail.com', 'Disinfection Center of Dushanbe City, Tajikistan; Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan;  Asfendiyarov Kazakh National Medical University;, Almaty, Kazakhstan ', 'resident', '', '', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'Author: Sharifov R.N.1,2,3, Nabirova D.A. 2,4, Tilloeva Z.Kh.3, Horth R2,4, Zikriyarova S.M.2, Yusufi S.J.5\nAffiliations: (1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan; (2) Asfendiyarov Kazakh National Medical University; (3) Disinfection Center of Dushanbe City, Tajikistan; (4) U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan (5) Ministry of Health and Social Protection of the Population, Dushanbe, Tajikistan\n', 'Presentation and provider delay in TB treatment before and during the COVID-19 pandemic, Dushanbe, Tajikistan, 2022', 'Delays in TB treatment prolong the period of infectivity and are associated with drug resistance. Tajikistan has a high and increasing burden of multidrug-resistant tuberculosis (incidence of 28/100,000 in 2021). Many new cases present with severe disease, indicating delayed care. The COVID-19 pandemic further threatened to undo progress.', 'We conducted a retrospective cohort study of people &amp;gt;15 years old newly diagnosed with pulmonary TB in Dushanbe in 2019-2021. We conducted face-to-face interviews using structured questionnaires and abstracted data from medical records. We defined presentation-delay as &amp;gt;14 days between TB symptom onset and initial visit, and provider-delay as &amp;gt;3 days from initial visit to treatment initiation. We ran Χ2 and Mann-Whitney U-tests to compare delays before and during the COVID-19 pandemic.', 'From 2019-2021, 472 people were newly diagnosed with pulmonary TB. Of these, 390 (82%) had delayed treatment, 233 (49%) were men, 288 (61%) had lung tissue decay, 50 (11%) had diabetes mellitus, and 18 (4%) had HIV. Additionally, 196 (42%) had been diagnosed in 2019 before COVID-19. The proportion with presentation-delay was similar before and during the COVID-19 pandemic (83% vs. 82%, respectively, p=0.8). However, the proportion with provider-delay was significantly higher before than during the pandemic (44% vs. 34%, p=0.02). There was no statistical difference in median days of presentation-delay before (60 days; interquartile range [IQR]: 15–541) and after (60 days; IQR: 15–360, p=0.6) the pandemic, nor in median days of provider-delay before (7 days; IQR: 4–336) and after (7  days; IQR: 4–225, p=0.6) the pandemic.', 'Contrary to expected, presentation-delay for TB diagnosis did not differ before and during the COVID-19 pandemic, but provider-delay was lower.  Increased vigilance of respiratory diseases and differential diagnosis for SARS-CoV-2 may have resulted in timelier TB diagnosis. However, patient- and provider-focused interventions to further reduce delays are still needed. ', 'Patient delay; health system delay; tuberculosis; COVID-19; Tajikistan', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-12 10:13:00', NULL, NULL, 114),
(544, 'NOUDEKE   NESTOR   DENAKPO', 'Resident Advisor FETP BENIN', 'noudnest@yahoo.fr', 'mr', 'Richard', 'Sèfounon', 'male', 'benin', 'sefounonrd@gmail.com', 'Ministère de la Santé', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'L. Dèdèwanou/Ministère de la Santé /lydmonloto@yahoo.fr\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr\n', 'Profil épidémiologique de la paralysie flasque aiguë dans le département des Collines, Bénin, 1er janvier 2016 au 04 juillet 2022', 'La poliomyélite est une maladie très contagieuse causée par des entérovirus humains. Des cas persistants continuent d’être détectés malgré l’initiative mondiale d’éradication de la maladie et le Bénin n’est pas du reste. Le département des Collines a enregistré de cas de poliovirus dérivé de souche vaccinale en 2019 et 2021. L’objectif de cette étude était de déterminer le profil épidémiologique de la paralysie flasque aiguë (PFA) dans le département des Collines du 1er janvier 2016 au 4 juillet 2022.', 'Une étude transversale descriptive a été réalisée sur les cas de PFA enregistrés dans la base de surveillance épidémiologique. Les données extraites de cette base et apurée ont été analysées avec Epi Info. Les fréquences relative et absolue ont été calculées. La cartographie a été faite avec QGIS.', 'On notait 01 décès sur les 104 cas soit une létalité de 0,96%. Les cas provenaient des 06 communes. Ils étaient plus retrouvés dans le milieu rural, 80,76% [IC 95% : 72,16-87,19]. La tranche d’âge de 1 à 4 ans était la plus touchée, 71 cas soit 68,26%  [IC 95% : 58,81-76,43] et le sexe ratio H/F était de 1,26. L’incidence la plus élevée a été observée en 2019 soit 2,67 cas pour 100 000 enfants [IC 95% : 4,72-151,5]. La confirmation biologique a été́ faite pour 90 cas soit 86,53% [IC 95% : 78,67-91,81] dont 02 (2,22%) positifs [IC 95% : 0,61-7,74]. La majorité des cas soit 76,92% [IC 95% : 67,96-83,97] étaient vaccinés. ', 'Les cas de PFA persistent toujours dans tout le département des Collines. Le renforcement des stratégies de vaccination des enfants de 1 à 4 ans pourrait aider à diminuer l’incidence des PFA dans le département des Collines. ', 'Paralysie flasque aiguë, Vaccination, Incidence, Bénin.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-13 10:13:00', NULL, NULL, 197),
(545, 'Gildo Okure', 'Resident Advisor', 'gokure@afenet.net', 'ms', 'Manuela', 'Alphonse', 'female', 'south-sudan', 'manuelaalphonse2212@gmail.com', '1National Public Health Laboratory, Ministry of Health, South Sudan', 'alumni', '', '16/03/2023', 'frontline', 'public-health-laboratory-systems-and-infection-prevention-control', 'D. K. Kargbo2, G. Okure2*, W. Mwanje2, J. Lasu3, G.A. Abe1, J.P.A. Rumunu3 \n1National Public Health Laboratory, Ministry of Health, South Sudan\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan\n3Public Health Emergency Operations Center, Ministry of Health, South Sudan\n* Corresponding author: Gildo Okure; gokure@afenet.net;  +211 927 148232\n', 'Effect of corona virus disease 2019 pandemic on turnaround time for laboratory testing of measles samples, South Sudan, 2020-2021', 'In South Sudan, laboratory performance on measles samples testing during corona virus disease 2019 (COVID-19) pandemic is not well understood. We assessed turnaround time (TAT) before (2018-2019) and during (2020-2021) COVID-19 pandemic to evaluate performance on measles samples testing.', 'We analyzed data for 1,515 measles samples tested at the national public health laboratory (NPHL) during 2018-2021. We calculated the median and interquartile range (IQR) of TAT intervals. We compared calculated TATs with the recommended integrated disease surveillance and response (IDSR) TAT from sample collection to sample reception at NPHL (surveillance TAT) of 3 days, TAT from sample reception to result dispatch (laboratory TAT) of 7 days, and TAT from sample collection to result dispatch (sample TAT) of 10 days.', 'Twenty-one percent (242/1140) of the samples arrived at the NPHL within 3 days of collection before the COVID-19 pandemic compared 9% (34/375) during COVID-19. Sixty-four percent (733/1140) of the laboratory results were released within 7 days of sample receipt at the NPHL before COVID-19 compared to 35% (131/375) during COVID-19. Thirty-two percent (368/1140) of results were released within 10 days of the sample collection before the COVID-19 pandemic compared 12% (44/375) during COVID-19. Denominators varied due to missing data. The median surveillance TAT before and during COVID-19 were: 7 (IQR, 4-11) and 13 (IQR, 6-21) days, respectively. The median laboratory TAT before and during COVID-19 were: 5 (IQR, 3-8) and 11 (IQR, 3-33) days, respectively. The median sample TAT before and during COVID-19 were: 14 (IQR, 9-19) and 29 (IQR, 17-62) days, respectively. ', 'The turnaround times for measles samples testing were higher during COVID-19 pandemic and not within the recommended IDSR standards probably due to more focus on the COVID-19 testing and response. We recommend detailed investigation of the delays and sub-national testing hubs to minimize delays.', 'Effect, COVID-19, laboratory, turnaround-time, Measles, South Sudan', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-14 10:13:00', NULL, NULL, 172),
(546, 'Yassa D. Ndjakani', 'FETP -COI', 'yndjakani@gmail.com', 'dr', 'Liantsoa Mickaël ', 'RANAIVOMIALY', 'male', 'madagascar', 'ranaivomialy@gmail.com', 'Ministere De la Sante de Madagascar', 'alumni', '', '11/2/2023', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Dr Harena Rasamoelina     harena.rasamoelina@coi--ioc.org\nDr Yassa Ndjakani               yndjakani@gmail.com\n Dr Nestor Ndakala              drnestndakala@gmail.com   \n', 'INVESTIGATION DE CAS DE PESTE DANS LE DISTRICT DE MANANDRIANA, 2023', 'La peste est une zoonose endémique à Madagascar. C’est une maladie à déclaration obligatoire dont un cas égale épidémie. Elle reste encore un fléau de la santé publique à Manandriana. Une alerte sur un cas suspect de peste bubonique le 04/01/2023 nous a obligé d’effectuer une investigation. Nos objectifs sont de confirmer l’épidémie, rechercher activement d’autres cas et contacts, décrire les cas selon temps-lieu-personne, identifier les facteurs de risque de la maladie afin d’assurer la riposte.', 'Il s’agit d’une étude descriptive dans la commune de résidence du cas notifié. Avant la recherche active d’autres cas et contacts, nous avons vérifié le cas notifié dans le registre de formation sanitaire déclarant, à l’aide de définitions de cas préétablies. Nous avons administré un questionnaire standard avec variables sociodémographiques, cliniques, prise en charge et facteurs de risque liés à la maladie pour chaque cas. Nous avons calculé les taux d’attaque par fokontany et le sexe ratio. Nous avons réalisé un prélèvement bubonique pour confirmation. ', 'Du 4 au 8/01/2023, quatre cas confirmés de peste bubonique ont été recensés dans deux fokontany du district Manandriana situant à plus de 800m d’altitude. Le taux d’attaque (12 pour 1000habitants) du fokontany de Vohimanombo est plus élevé que l’autre. L’âge &amp;gt;15 ans sont plus représentés (75%) et sexe ratio H/F 1/3. Les cas ont tous présenté de fièvre&amp;gt;38°C, bubon caractéristique et céphalée. Chaque cas a été pris en charge par les formations sanitaires. Murinesunauté a déclaré des mortalités murines. Les ripostes ont suivi les directives nationales. ', 'Nos résultats sont conformes à la littérature. Les facteurs de risque identifiés sont l’exposition des gens travaillant dans les champs aux rongeurs malades, la vulnérabilité des femmes travaillant dure et les conditions géographiques et environnementales favorables aux proliférations des rats réservoirs de la maladie. Nous avons recommandé la lutte contre la prolifération des réservoirs et vecteurs de la maladies (Dératisation/désinsectisation) et l’éducation de la population sur l’assainissement autour et dans leurs ménages. ', 'Peste, zoonose, risque', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-15 10:13:00', NULL, NULL, 174),
(547, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'ms', 'Qabale', 'Duba', 'female', 'kenya', 'dubaqabale@gmail.com', 'Kenya FELTP', 'alumni', '', '30/10/2020', 'advanced', 'maternal-reproductive-and-child-health', 'Paul Nyongesa, Moi University, Kenya, drpaulnyongesa@yahoo.com\nElvis Oyugi, National Malaria Program, MoH Kenya, eloyugi@gmail.com', 'Factors associated with utilization of skilled birth attendance among women of reproductive age in North-Horr sub-County, Marsabit County, Kenya', 'In low-medium-income countries, maternal mortality continues to be major public health problem. Maternal mortality rates (MMR) in Kenya declined from 362/100,000 live births in 2014 to 353/100,000 live births in 2021. One of Kenya\'s three counties with the lowest use of skilled delivery services is Marsabit County, which despite the nation\'s decline has a high MMR of 1,127/100,000 live births. In the North Horr sub-county in 2018, just 26% of expectant women had skilled births. We estimated coverage for skilled delivery and identified factors associated with the utilization of skilled birth attendant services in North Horr.', 'We conducted community-based and health-facility-based cross-sectional study targeting women of reproductive age, women leaders, and healthcare workers in skilled delivery services in November – December 2021. We interviewed respondents using structured questionnaires. We collected socio-demographic and clinical information and summarized information using descriptive statistics. Logistic regression analysis was used to identify factors associated with the utilization of skilled birth attendance services. We summarized qualitative data into thematic areas. ', 'We interviewed 294 respondents and the mean age was 28.5±5.9 years.  Delivery under skilled birth personnel was found in 124 (42.2%). Determinants for utilization of skilled birth attendance services were Religion (adjusted Odds Ratio (aOR)= 3.70; 95% C.I 2.0 – 6.8); distance to the nearest health facility (aOR= 4.8; 95% C.I 1.99 – 12.02; p&amp;lt;0.001); Monthly income (aOR= 2.8; 95% C.I 1.28-6.27; p&amp;lt;0.01); and accompanied by the husband to the clinic (aOR= 9.4; 95% C.I 1.69-53.0). Respondents understood the significance of using skilled delivery services, although parity, birth order, insecurity, bad roads, and past experiences affected where the women went to give birth.', 'The proportion of skilled birth attendance remained low. Long distance, monthly income, were factors independently associated with the utilization of skilled delivery services.  We recommend public health talks on the importance of skilled birth attendance. ', 'Utilization, skilled birth attendance, reproductive age, Kenya', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-16 10:13:00', NULL, NULL, 35),
(548, 'Dabwitso J Banda', 'Coordinator Advanced FETP', 'bandadb3@gmail.com', 'ms', 'mwaba', 'mweba', 'female', 'zambia', 'mwewamwaba@ymail.com', 'Kafue District Health Office', 'alumni', '', '31/12/2021', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'James | Zulu | Zambia  FETP |  jamesexnobert@yahoo.com\nPeter | Chipimo |Zambia National Public Health Institute| peterjchipimo@gmail.com\n', 'An Assessment of Water, Sanitation and Hygiene Service Availability in Health Facilities of Kafue DISTRICT.', 'Water, sanitation, medical waste disposal, hand hygiene, and environmental cleaning services are all included in WASH in healthcare facilities. For the delivery of high-quality healthcare, WASH services must be available at medical facilities. Effective WASH programs at healthcare facilities, especially in maternity and primary care settings, have the potential to reduce healthcare-acquired infections, encourage trust in and use of healthcare services, increase productivity, and raise staff morale. The purpose of the study was to evaluate the provision of water, sanitation, and hygiene services in Kafue district health facilities.', 'The study included all 29 medical facilities dispersed in Kafue District. All 29 research participants were included in the descriptive cross-sectional investigation, which used a quantitative methodology. The study used probability sampling and a closed-structure questionnaire, and all data were analyzed using STATA V.12 where descriptive statistics conducted.', 'The study\'s findings indicated 83.8% (24/29) were Government Owned and 55.2% (16/29) accessed water from utility company which implied that facilities have Basic level of water supply. On sanitation, (29) HF had toilets with 48.3 (14/29) owning water closets and 37.9% (11/29) having pit latrines. This means that health facilities have safely managed and basic sanitation. Regarding hand hygiene, the study found that only 62.1% had hand washing facilities. On environmental cleanliness and waste management, 55.2% had limited methods of waste disposal as only 31% (9/29 had their waste collected and disposed at the dumpsite.  ', 'The findings indicate that provision of water, sanitation, hand hygiene, environmental cleanliness, and health care waste management services within HCFs is largely hindered by structural and performance limitations. In spite of these limitations, it is evident that environmental cleanliness and treatment of waste can be attained with better oversight and dedicated personnel. ', 'Water, Sanitation and Hygiene, Health Facilities, Availability, Infection and prevention, Hand Washing', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-17 10:13:00', NULL, NULL, 125),
(549, 'Jean Claude NIYOYITA ', 'Rwanda FETP Frontline Field Coordinator ', 'jniyoyita@afenet.net', 'mr', ' Albert', 'Busumbingabo', 'male', 'rwanda', 'busumbigabo@gmail.com', 'University Teaching Hospital of Butare ', 'alumni', '', '29/07/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', ' Innocent I Itangishaka I University Teaching Hospital of Butare l itangishaka58@gmail.com I\nHerve  I Sheja Maniragaba I University Teaching Hospital of Butare I irebesheja@gmail.com I\nTheogene I Ndahayo  I University Teaching Hospital of Butare  I ndatheos2015@gmail.com I\nJean Claude I NIYOYITA l African Field Epidemiology Network I jniyoyita@afenet.net l \nEmmanuel I Nshimiyimana I African Field Epidemiology Network I enshimiyimana@afenet.net l ', 'Food Poisoning Outbreak Investigation At Ecole Agricole Et Veterinairi ( EAV ) Kabutare High School, Huye District, June 2022', 'Food poisoning refers to an event when two or more people epidemiologically linked get the same illness after consumption of the same contaminated food or drinks. On 16th June,2022 an increased number of students from EAV Kabutare high school in Huye district presented at University Teaching Hospital of Butare(CHUB). An investigation to establish the existence of an outbreak, to identify the source and causative agent and set up appropriate control and preventive measures.', 'This was an outbreak investigation conducted using descriptive analysis design. We reviewed medical records to collect epidemiological information. Samples from suspected food were sent and analysed at LADAMET while stool samples were taken and analysed at CHUB laboratory. A case was defined as any student from EAV Kabutare who presented with at least one of the following symptoms: vomiting, diarrhoea, nausea abdominal pain, headache and muscle pain between the 15th and 17th of June,22.', ' A total of 70 students from senior six performing laboratory practice eaten the meat-based food called Jambo on 16th June 2022 whereby 43(61.4% Attack rate) with the average age of 20 years old got sick and presented at CHUB. Among them 39(91%) were female. Common symptoms were headache 29(74%), abdominal pain 23(60%), vomiting 10(27%), and diarrhoea 1(4%). The onset of symptoms started one hour after ingestion and all cases occurred within two hours. The sample taken from Jambo revealed the presence of Silver Nitrate while 10(14%) stool samples taken were negative.\n', 'A food poisoning outbreak occurred in EAV Kabutare high school in June 2022  due to  the consumption of silver nitrate mixed with Jambo and has affected only some students from senior six who were in laboratory practices. Proper labelling of all ingredients, vigilance  and avoidance of eating in the laboratory  was recommended.', 'Food poisoning, Outbreak , investigation, Jambo, Silver Nitrate, Student', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-18 10:13:00', NULL, NULL, 54),
(550, 'Roberta Horth', 'Central Asia FETP', 'hxw5@cdc.gov', 'mr', 'Shokhruh', 'Usmanov', 'male', 'uzbekistan', 'shohrux1718@gmail.com', '(1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan,  (2) Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan,  (3) Services for Sanitary and Epidemiological Well-being, Tashkent, Uzbekistan, ', 'resident', '', '', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'Roberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov\nAlfiya|Denebayeva|Almaty City Center for Prevention and Control of AIDS, HIV Center, Kazakhstan|denebaeva@gmail.com\nSevak|Alaverdyan| American University of Armenia, Manoogian Simone College of Business and Economics, Yerevan, Armenia|s.alaverdyan@iset.ge\nBotir|Kurbanov|Services for Sanitary and Epidemiological Well-being, Tashkent, Uzbekistan|botirjon.kurbanov@ssv.uz\nFeruza|Nasirova|Andizhan State Medical Institute, Andizhan, Uzbekistan|feruzahon69@mail.ru\nIkromjon|Otajonov|Andizhan State Medical Institute, Andizhan, Uzbekistan|shohrux1718@gmail.com\n', 'Retrospective cohort study of factors associated with non-initiation of antiretroviral therapy among adults newly diagnosed with HIV in Andijan, Uzbekistan, 2018-2021', 'Immediate uptake of antiretroviral therapy (ART) by people newly diagnosed with HIV reduces morbidity and viral transmission. Since 2018, in Uzbekistan people newly diagnosed with HIV are immediately offered ARVs, but just over half of people living with HIV are estimated to be on ART. To reach global targets, we assessed factors associated with ART non-initiation.  ', 'We conducted a retrospective cohort study using secondary data from Andijan Region Republican AIDS Center.  Our study included all people 18 years of age and older newly diagnosed with HIV between January 1, 2018, and June 31, 2021. We analyzed sociodemographic and behavioral factors associated with non-initiation of ART, defined as not having initiated ART by December 31, 2021. Using multivariable analysis, we calculated risk ratios (RR) and 95% confidence intervals (CI).', 'From 2018 to 2021 in Andijan Province, 1,098 people were newly diagnosed with HIV, of which 113 (10.3%) did not initiate ART. Participants were mostly 30-49 years old (49%), male (56%), married (46%), and with secondary education (74%). Also, 39% and 31% had HIV clinical stage I and II, respectively. Risk for non-initiation was higher among people with secondary education (RR=8.6; CI=1.2–60.9]) compared to higher education, with multiple partners (RR=2.7; CI=1.5-5.0]), with disease stage I (RR=3.3; CI=2.0–5.2]) and stage II (RR=4.4; CI=2.8–7.0]). People with sexual partners living with HIV had higher risk of non-initiation (RR=1.8; CI=1.2–2.9]) than people with partners that did not have HIV. Being single was associated with reduced risk of non-initiation (RR=0.1; CI=0.03–0.3]).', 'People with multiple partners and with partners living with HIV should be prioritized for ART initiation support. Increased risk of non-initiation among people in non-symptomatic or mild disease stages earlier disease stages points to the need for interventions to increase awareness of test-and-start among providers.  ', 'HIV; Uzbekistan; antiretroviral therapy;  art initiation; linkage; retrospective cohort', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-19 10:13:00', NULL, NULL, 241);
INSERT INTO `reviewer_ones` (`id`, `submitter_name`, `submitter_designation`, `submitter_email_address`, `first_author_title`, `first_author_fiirst_name`, `first_author_last_name`, `first_author_gender`, `first_author_country`, `first_author_email`, `first_author_affiliation`, `first_author_category`, `first_author_other_category`, `forst_author_alumni_completion`, `first_author_fetp_level`, `abstract_sub_theme`, `co_authors`, `abstract_title`, `abstract_backgound`, `abstract_methods`, `abstract_results`, `abstract_conclusion`, `key_words`, `reviewer_1_background_study`, `reviewer_1_method_apporpriate`, `reviewer_1_results_presentable`, `reviewer_1_results_conclusion`, `reviewer_1_ph_signicance`, `reviewer_1_overall_clarity`, `reviewer_1_total`, `reject_accept`, `presentation_type`, `reviewer_1_complete`, `reviewer_1_comments`, `created_at`, `updated_at`, `deleted_at`, `reviewer_id`) VALUES
(551, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'ms', 'Edna', 'Salat', 'female', 'kenya', 'ednatonui38@gmail.com', 'Kenya FELTP', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Maria Nunga, Kenya FELTP, mnunga@feltp.or.ke\nAhmed Abade. Kenya FELTP. aabade@feltp.or.ke\nDavid Kareko. Division of Disease Surveillance and Response, MoH Kenya. davekareko2@gmail.com\nHilary Limo. Public Health Emergency Operation Center, MoH Kenya, kimelilimo@gmail.com\nEmmanuel Okunga, Division of Disease Surveillance and Response, MoH Kenya. okungae2012@gmail.com', 'Evaluation of Rotavirus Surveillance System at Kilifi County Hospital-Kenya, 2017-2021. ', 'Diarrhea is the second leading cause of death among children under five years of age worldwide. Rotaviruses are non-enveloped double-stranded RNA (dsRNA) in the family Reoviridae. Kenya adopted the WHO Generic protocol for hospital-based surveillance to estimate the burden of Rotavirus gastroenteritis in children under 5 years of age. Kilifi county referral hospital is one of the sentinel sites. We sought to evaluate the rotavirus surveillance system in Kilifi County Referral Hospital and describe characteristics of cases by the socio-demographic, clinical presentations, and surveillance system attributes. ', 'We conducted a records review using a case definition of a suspected case, as any child less than five years admitted to Kilifi county hospital from January 2017 – December 2021 for treatment for diarrhea while a confirmed case was a suspected case with an enzyme-linked immunoassay detection of Rota-virus in the stool. We collected sociodemographic and clinical information. We used standard CDC MMWR guidelines for the evaluation of public health surveillance. We developed a questionnaire and conducted a face-to-face interview to evaluate the system attributes, and summarized data using descriptive statistics.', 'We reviewed 1,184 records and 690 (58.7%) were male. Cases aged below 12 months were 647 (54.7%). Cases presenting with altered levels of consciousness were 598 (51%), vomiting 725 (61.3%), and 143(12%) had severe dehydration. The system attributes were graded as being simple, sensitive, timely, and acceptable. The data quality was poor; among the 104 variables, 45(43.3%) had entries. Among the variable with entries, the specimen received in the laboratory and Elisa test results had the highest number of missing data at 472(40%) and 488(41.2%) respectively. ', 'The system is able to identify rotavirus cases; however, the quality of data is poor. We recommend weekly data quality audits, support supervision, increased resource allocation, staff training, and frequent feedback to stakeholders.', 'Rotavirus, Diarrhea, Surveillance system, Evaluation, Vaccination, Kenya', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-20 10:13:00', NULL, NULL, 35),
(552, 'Roberta Horth', 'Central Asia FETP', 'hxw5@cdc.gov', 'dr', 'Malika', 'Gabdullina', 'female', 'kazakhstan', 'gabdullina.malika@gmail.com', '1. Field Epidemiology Training Program (FETP) in the region of Central Asia, Almaty, Kazakhstan  2. Kazakh National Medical University named after Asfendiyarov, Almaty, Kazakhstan, ', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Saya|Gazezova|Central Asia FETP|\nGulzhan|Ayapova|Central Asia FETP|ayapova.26@gmail.com\nAizhan|Yesmagambetova|Ministry of Health of Kazakhstan|yesmagambetovaa@dsm.gov.kz\nManar|Smagul|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Ministry of Health of Kazakhstan|manar.smagul@gmail.com\nLena|Kasabekova|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Ministry of Health of Kazakhstan|kasabekova74@gmail.com\nRoberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov\n', 'Outbreak of Crimean-Congo hemorrhagic fever in Kyzylorda region, Kazakhstan, March-July 2022', 'Crimean-Congo hemorrhagic fever (CCHF) is a viral tick-borne disease with high mortality rate. It is endemic in Kazakhstan. The Kyzylorda region reported higher-than-expected cases from March to July 2022 (15 compared to 10 in previous year). We conducted an investigation to identify additional cases, determine risk factors, and assess CCHF knowledge and practices.', 'We conducted a case-control study in July 2022. We defined cases as PCR-confirmed or hospitalized with CCHF signs and controls were close contacts including neighbors and household members selected at (1:2 ratio). We reviewed medical records from April to July. We conducted face-to-face interviews using structured questionnaires of study population. We collected tick samples for PCR-testing from domestic animals. We used logistic regression to assess factors associated with being a case; variables with p-value &amp;lt;0.01 are shown.', 'We identified 38 cases and 71 controls. Cases were mostly male (74%) with mean age 45 years old (range 17-81); 27% died. Top symptoms were weakness (100%), headache (97%) and fever (84%). Risk factors for CCHF were being male (odds ratio and 95% confidence interval: 5.5, CI: 2.3-13.1), animal husbandry (3.1, CI: 1.3-7.2), crop production (4.0, CI: 1.5-10.5), tick contact (262.5, CI: 31.4-2192.2), tick bite (70.0, CI:8.8-556.9), contact with tick blood (18.7, CI: 2.2-155.9), ticks on the body or clothing (77.8, CI: 9.8-618.9) and high tick concentration settings (15.1, CI: 4.6-49.7). Among respondents (n=101): 55% had not heard of CCHF, 14% removed ticks ungloved and 4% sought medical care after contact with ticks. Of 163 ticks tested, one was PCR-positive.', 'Exposure to activities that are high risk for exposure to ticks increased odds of CCHF. Improved awareness of prevention of exposure to ticks CCHF, associated risk factors, and importance of seeking early treatment is needed. This can be achieved by increasing population awareness and educating providers.', 'Crimean-Congo hemorrhagic fever, CCHF, Kazakhstan, outbreak, ticks', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-21 10:13:00', NULL, NULL, 21),
(553, 'Gildo Okure', 'Resident Advisor', 'gokure@afenet.net', 'mr', 'Thomas', 'Guot', 'male', 'south-sudan', 'duganthomas296@gmail.com', '1State Ministry of Health, Northern Bahr-El-Ghazal State, South Sudan.', 'alumni', '', '28/03/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'G. Okure2*, W. Mwanje2, D. K. Kabba2, J. Lasu3, J.P. Rumunu3\n1State Ministry of Health, Northern Bahr-El-Ghazal State, South Sudan.\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan\n3National Ministry of Health, South Sudan\n*Corresponding author: Gildo Okure; gokure@afenet.net ; +211-927-148232 \n', 'Investigation of an upsurge of bacterial meningitis cases in Northern Bahr-El-Ghazal State, South Sudan, January-July 2022', 'South Sudan being in the meningitis belt has experienced meningococcal meningitis outbreaks in 2006, 2007, 2009 and 2013. On 3rd January 2022, Northern Bahr-El-Ghazal (NBEG) State Ministry of Health was notified of an upsurge in suspected meningitis cases in Aweil State Hospital. We investigated to confirm meningitis outbreak, characterize the outbreak, and identify risk factors to inform control and prevention measures.  ', 'A suspected meningitis case was any resident of NBEG state with onset of fever (&amp;gt;38°C) and neck stiffness or other meningeal signs from 1st January 2022. Confirmed case was a suspected case laboratory confirmed by identifying bacterial pathogen in cerebral spinal fluid (CSF) using polymerase chain reaction (PCR) test. We interviewed case-patients to collect demographics, clinical and exposure information, and collected CSF specimens. We conducted active case search in communities and health facilities, reviewed medical records, and line-listed cases. We computed frequencies, proportions, attack rate (AR) and case-fatality rate (CFR)  ', 'During January-July 2022, a total of 333 case-patients were identified of which 170 (51%) were males, and 178 (53%) aged &amp;lt;5 years.  Out of 76 (23%) CSF specimens collected, 6(9%) were PCR-positive for three pathogens: Neisseria meningitides (2), Streptococcus (2) pneumoniae, and Haemophilus influenzae type b (2). Four of the five counties in NBEG surpassed alert threshold of 3 cases/100,000 people per week, but none reached the epidemic threshold (10/100,000).  Aweil West County had the highest AR (48/100,000 people) compared to overall state AR of 25/100,000 people. Of the 333 case-patients, 31 died (CFR=9%). The CFR was highest in Aweil East County 13% (13/100) and amongst children &amp;lt;1 year 48.4% (15/31).  ', 'None of the counties in NBEG reached epidemic threshold probably due to low CSF collection and testing rate. We recommended training clinicians on meningitis case management and collection of CSF specimens for laboratory confirmation. ', 'Upsurge, Bacterial Meningitis, counties, Northern-Bahr-el-Ghazal', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-22 10:13:00', NULL, NULL, 102),
(554, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'ms', 'HARRIETH', 'MANISHA', 'female', 'tanzania', 'harriethmanisha69@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'alumni', '', '10/12/2022', 'advanced', 'non-communicable-diseases-ncds-injuries-and-mental-health', 'CANDIDA MOSHIRO, Department of Epidemiology and Biostatistics, School of Public Health, Muhimbili University of Health and Allied Sciences, cmoshiro@gmail.com\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program, allykhussein@gmail.com\nJAFFAR SHABBAR, UCL Institute for Global Health,  s.jaffar@ucl.ac.uk\nJOHNSON MISHIU, National Institute for Medical Research, mshiujohnson@gmail.com\nFREDRICK AMANI, National Institute for Medical Research, frdrckaman@gmail.com\nSAYOKI MFINANGA, National Institute for Medical Research, gsmfinanga@yahoo.com\n', 'Health Insurance financing and patient retention in care at diabetics and hypertension clinics in Dar es Salaam and Pwani regions, Tanzania.', 'Hypertension and diabetes are chronic conditions that cause major morbidity and mortality worldwide. Health insurance financing is associated with improved health outcomes, including retention for patients in chronic care. In Tanzania, little is published about health financing in chronic care. We aimed to establish the effect of health insurance on retention and the determinants for retention among patients attending diabetes and hypertension clinics.  \n', 'We conducted a cohort design study to participants enrolled in the INTE-AFRICA trial from 15 health facilities in Dar es Salam and Pwani regions between May 2020 to April 2021. Eligible participants were adults attending diabetes and hypertension clinics. Retention was defined as participants with at least two medical visit dates at least 90 days apart in 12 months.  The final sample size had a power of 100% to detect a difference of 10% to 30% retention between the two arms with a 95% confidence interval. Data were extracted from the INTE-Africa electronic database. Proportions were compared using χ2 tests. Prevalence and rate ratios were obtained using Generalised Linear Models.\n\n\n\n\n\n\n\n\n\n', 'A total of 1716 participants were followed for 1612.3 person-years to observe a total of 1351 incident retention. A quarter (26.0%) of the participants owned health insurance with females owning 65.9%. Middle-aged adults (45-64 years) contributed 58.8% of ownership, while youth (&amp;lt;25 years) had no Health insurance. High retention rates were observed (incidence rate: 83.80/100 person-years; 95% CI (79.40-88.40). There was no observed difference in retention among those insured and those uninsured (adjusted rate ratio: 1.00; 95% CI, 0.94-1.06). Age, medical diagnosis, morbidity status, health facility integration, level of health facility, and marital status were significant determinants of retention in care.\n', 'The study found no effect of health insurance on retention in care. However, further research is needed to better understand patients\' management in chronic care.\n\n\n\n\n\n\n\n  \n', 'Universal Health Coverage, Non-communicable Diseases, Diabetes, and Hypertension.  ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-23 10:13:00', NULL, NULL, 114),
(555, 'NOUDEKE   NESTOR   DENAKPO', 'Resident Advisor FETP BENIN', 'noudnest@yahoo.fr', 'mr', 'François', 'Dadidjè', 'male', 'benin', 'dadidje@yahoo.fr', 'Ministère de l\'Agriculture, de l’Elevage et de la Pêche', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'V. Allanonto/Ministère de l’Agriculture de l’Elevage et de la Pêche/victorallanonto36@gmail.com\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr\n', 'Evaluation du système de surveillance de la fièvre hémorragique à virus Lassa dans le département du Borgou, Bénin, 1er janvier  au 31 décembre 2021', 'La surveillance épidémiologique est le processus de recueil, collation et analyse systématiques de données et leur prompte diffusion aux personnes qui en ont besoin pour une action pertinente. La fièvre hémorragique virale Lassa (FHVL) est endémique au Bénin. Elle est sous surveillance et  intégrée à celle des maladies à potentiel épidémique. Le système de surveillance doit être régulièrement évalué pour réorienter les interventions. Le système de surveillance de la fièvre Lassa n’a jamais été évalué dans le Borgou d’où le but de notre étude.', 'Il s’est agi d’une étude transversale descriptive sur la période du 1er janvier  au 31 décembre 2021. Les directives du guide d’évaluation des systèmes de surveillance du Centre de Contrôle et de Prévention des Maladies (CDC Atlanta) ont été utilisées pour évaluer les attributs. Des interviews ont été réalisées auprès de 22 acteurs impliqués dans la surveillance. Les données collectées ont été analysées dans Epi-Info7.2 avec un seuil minimal de 80% pour chaque attribut. Des fréquences relative et absolue ont été calculées. ', 'L’organisation du système de surveillance de FHVL est de type pyramidal. Sur la période d’étude, 04 cas ont été détectés et investigués. La définition de cas est disponible et jugée simple pour 94,74% des acteurs. Cependant 84,21% seulement ont trouvé le formulaire de notification simple à remplir. Acceptabilité : la promptitude est de 94,74% et la complétude de 100%. Tous participent à la surveillance et les cas notifiés ont été investigués. Les données collectées permettaient de décrire les cas en termes de temps, lieu et personnes ; il est donc représentatif.  ', 'Le système de surveillance de la FHVL est utile, simple, représentatif et accepté de tous. Toutefois, il conviendrait de renforcer les agents par des formations continues sur le remplissage du formulaire de notification.', 'Fièvre Lassa , Epidémie, Etude transversale, Bénin', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2023-05-11 10:13:00', NULL, NULL, 15),
(556, 'Roberta Horth', 'Central Asia FETP', 'hxw5@cdc.gov', 'mr', 'Timur', 'Dautov', 'male', 'kyrgyzstan', 'tdautov83@gmail.com', '(1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan, (2) Department of Disease Prevention and State Sanitary and Epidemiological Supervision, Kyrgyzstan Ministry of Health, (3) Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan, ', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Nasyat|Kemelbekova|Department of Disease Prevention and State Sanitary and Epidemiological Supervision, Kyrgyzstan Ministry of Health|n_kemelbekova@bk.ru\nMarina|Malysheva|Department of Disease Prevention and State Sanitary and Epidemiological Supervision, Kyrgyzstan Ministry of Health|marina.malysheva17@mail.ru\nDinagul|Otorbaeva|Department of Disease Prevention and State Sanitary and Epidemiological Supervision, Kyrgyzstan Ministry of Health|d_otorbaeva@mail.ru\nRoberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov', 'Foodborne outbreak at a wedding event – Batken, Kyrgyzstan, June 2022', 'On August 2nd, 2022, local health departments were informed that 110 people had sought care for gastrointestinal illness after attending the same wedding event in Batken, Kyrgyzstan on July 30th. Graduates of the Field Epidemiology Training Program conducted an investigation to identify the source and associated risk factors to stop transmission.', 'Using a retrospective cohort study design, we interviewed everyone who had been at the wedding. A case was anyone who became acutely ill, sought medical care during that time with symptoms consistent of food poisoning, and was linked to the event. We searched public health surveillance records for additional cases who sought healthcare for suspected foodborne disease, a reportable illness, from July 30th to August 2nd. Food and environmental samples were tested. We used logistic regression to determine associations with case status.', 'Of 250 attendees, 201 were reached and gave consent; 110 were cases and 91 non-cases. Among cases, 8% were 61 years old, and 80% were female. Top symptoms were fatigue (96%), abdominal pain (95%), diarrhea (95%), and fever (84%). Most cases developed symptoms within 24 hours of the event. Among cases, 75% (105/110) had eaten any chicken containing food vs 25% (55/91) non-cases (attack rate: 66%). Odds ratio for chicken containing foods was 7.8 for egg salad (95% confidence interval [CI]=4.1-14.4, p&amp;lt;0.01), 5.1 for grilled chicken (CI=2.8-9.4, p&amp;lt;0.01) and 3.9 for chicken salad (CI=2.2-7.1, p&amp;lt;0.01). Patients’ stool were not tested. Proteus vulgaris, Klebsiella spp., and Escherichia coli were detected in chicken samples. E. coli was detected in 3/32 environmental samples. ', 'Chicken contaminated with multiple pathogens likely contributed to the outbreak. Symptoms and onset are more consistent with Klebsiella spp than E. coli, but Klebsiella spp. foodborne outbreaks are rare. Recommendations were made to improve food safety. Patient laboratory diagnostics should be performed regularly.', 'Kyrgyzstan, Disease Outbreaks, Foodborne outbreak, Diarrhea, Escherichia coli, Klebsiella spp', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-24 10:13:00', NULL, NULL, 21),
(557, 'Phuti', 'Sekwadi', 'pgsekwadi@gmail.com', 'mr', 'Phuti', 'Sekwadi', 'male', 'south-africa', 'pgsekwadi@gmail.com', 'Center for Enteric Diseases, National Institute for Communicable', 'alumni', '', '31/12/2017', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Anthony Smith, National Institute for Communicable Diseases, anthonys@nicd.ac.za\nMimmy Ngomane, National Institute for Communicable Diseases, mimmyn@nicd.ac.za\nMahlaku Sebiloane, South African Field Epidemiology Training Program, hlakssebiloane@gmail.com\nLeigh Johnston, South African Field Epidemiology Training Program, LeighJ@nicd.ac.za\nLinda Erasmus, National Institute for Communicable Diseases, lindae@nicd.ac.za\nJuno Thomas, National Institute for Communicable Diseases, junot@nicd.ac.za', 'A prolonged outbreak of enteric fever associated with illegal miners in the City of Matlosana, South Africa, November 2020 – September 2022', 'In South Africa, the annual incidence of enteric fever caused by Salmonella enterica serovar Typhi averaged 0.1 per 100 000 between 2003 and 2018. During 2021 an increase in the number of genetically related enteric fever cases was observed in the North West Province. An outbreak investigation was conducted to determine the magnitude and source of the outbreak.', 'We performed a cross-sectional descriptive study. Laboratory-confirmed enteric fever cases identified nationally between 2020 and 2022 were interviewed telephonically or face-to-face using a standardized case investigation form. Whole-genome sequencing was performed on isolates and investigated using multiple bioinformatics tools. Drinking water samples were collected from the North West Province, tested and analysed. Descriptive analysis was performed using Microsoft Excel. ', 'A cluster of 54 genetically highly related Salmonella Typhi isolates were identified from five different provinces in South Africa. Most (61%; 33/54) cases were in North West Province. Case investigation forms were completed for 57% (31/54) of cases. Males comprised 69% (37/54) of cases. Of these, 73% (27/37) were within age group 15-49 years (median: 31 years). Of the 27 males within age group 15-49 years, 56% (15/27) were illegal gold miners working in the City of Matlosana. All illegal miners reported illness onset while working underground. Isolates associated with the cluster showed ≤5 allelic differences. Five tap water samples tested, showed no evidence of faecal contamination.', 'This outbreak primarily affected illegal gold miners, most probably due to consumption of contaminated groundwater whilst working underground. The prolonged outbreak was likely perpetuated by a persistent source of transmission to illegal miners due to the presence of chronic carriers and acutely ill miners underground and further transmission among the contacts of the miners on the surface. This investigation highlights the value of whole-genome sequencing to detect clusters and support epidemiological investigation of enteric fever outbreaks.', 'Enteric fever, whole-genome sequencing, typhoid carrier, prolonged-outbreak', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-25 10:13:00', NULL, NULL, 102),
(558, 'Jean Claude NIYOYITA ', 'Rwanda FETP Frontline Field Coordinator ', 'jniyoyita@afenet.net', 'dr', ' Bonaventure', 'TWIZERE', 'male', 'rwanda', 'btwizere@gmail.com', 'Nyarugenge District Hospital', 'alumni', '', '21/12/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Delphine I Nishimwe I Nyarugenge District Hospital I  ndelphine54@gmail.com I\n Aloys I Nshimiyimana I Nyarugenge District Hospital I aloysnshimiyimana7@gmail.com I\nJulienne  I Mukamazimpaka I Nyarugenge District Hospital I juliennemukamazimpaka11@gmail.com I\n Jean de Dieu I Serugendo I Nyarugenge District Hospital I sejado@gmail.com I ', 'Assessment of weekly surveillance reporting timeliness in public and private health facilities in Nyarugenge district Hospital _Rwanda,2022', 'Successful surveillance reporting could support timely notification and response to potential outbreaks However, reporting timeliness is still a problem in health facilities under Nyarugenge Hospital catchment area. Frontline trainees assessed timely reports within the electronic Integrated Disease surveillance and response (eIDSR) with the aim of identifying gaps in timeliness and propose the interventions.', 'This is a cross-sectional analysis-based study conducted in Nyarugenge district hospital catchment area located in City of Kigali-Rwanda. Nyarugenge Hospital supervises 52 and 7 private and public health facilities respectively. We selected week 31 to week 36/2022, analysed timeliness for public and private health facilities and proposed interventions to overcome identified weaknesses.   Proposed interventions included site visit, physical meetings, refresher training and use of phone call. Week 37 to 42/2022 were also selected and timeliness was calculated to assess the impact of proposed interventions.', 'Among 42 and 312 reports expected from public and private health facilities from week 31 to 36/2022 respectively, with 41(97.6%) and 15(4.8%) reports timely delivered by public and private health facilities respectively. After interventions, the timeliness increased to 42(100%) and 30(9.7%) in public and private health facilities respectively. ', 'The analysis showed that private health facilities are not timely reporting contrary to public health facilities. Gap in timely reporting could jeopardize the public health surveillance objective thus. Refresher training to private health facilities’ staff was conducted and the meeting with health facility owners to comply with reporting.', 'Timeliness, surveillance, health facility, timely  reports, eIDSR', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-26 10:13:00', NULL, NULL, 54),
(559, 'R', 'Central Asia FETP', 'hxw5@cdc.gov', 'mr', 'Emomali ', 'Qurbonov ', 'male', 'tajikistan', 'emomali-kurbonov@mail.ru', '1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan, (2) HIV Prevention and Control Center, Sughd Region, Tajikistan', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Jamila|Silemonshoeva|State Center for Sanitary and Epidemiological Surveillance of Sughd Region, Tajikistan|jamilasilemonshoeva@gmail.com\nRoberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov\nZulfiya|Tilloeva|Disinfection Center of Dushanbe City, Tajikistan|ztilloeva@gmail.com', 'Delayed recognition of botulism in a family after consumption of home-canned eggplant, Tajikistan, 2022', 'On November 13, 2022 eight members of a family were hospitalized in Sughd Region, Tajikistan, with signs and symptoms of botulism. Foodborne botulism is a rare paralytic illness with mortality rate of 5-10% caused by eating foods containing botulinum neurotoxin.', 'Using structured questionnaires, we conducted face-to-face interviews with 4 family members and 2 healthcare workers. We abstracted data from medical records for all 8 patients.  We collected food product samples and gastric lavage from 2 patients for bacteriological testing to detect Clostridium botulinum and toxins. ', 'On November 12 at 17:45 an ambulance was called to an 11-person household due to 8 people being sick (75% had double vision, 75% difficulty swallowing, and 50% ptosis). Nobody was hospitalized; case-patients were told to remain home to recover. On November 13, 2022 at 07:00 an ambulance was called again after symptoms worsened (100% had blurred vision, 86% respiratory failure, and 75% ptosis). All 8 patients were immediately hospitalized and given botulinum antitoxin (type A, B and E) and gastric lavage. Case-patients were adults (range: 18-58 years old); 63% were women. All had eaten homemade canned foods including canned eggplant on November 11th. The eggplant was not available for testing. Three other family members had not eaten eggplant and were not sick. No botulism was detected in other home-canned foods tested. Toxins were not found in gastric lavage. Average time from food consumption to symptom onset was 19 hours (range: 10-26 hours). Time from symptom onset to treatment was 33 hours. Mortality rate was 25%, and 75% of case-patients required mechanical ventilation. ', 'Botulism from eggplant is common in Tajikistan. Mortality rate was high and earlier recognition may have reduced morbidity and mortality. Better diagnostic, increased awareness of botulism causes and symptoms among emergency care providers is needed. ', 'Botulism diagnosis; Food preservation; Disease Outbreaks; Tajikistan; ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-27 10:13:00', NULL, NULL, 114),
(560, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'ms', 'Edna', 'Salat', 'female', 'kenya', 'ednatonui38@gmail.com', 'Kenya FELTP', 'resident', '', '', 'advanced', 'vaccine-preventable-diseases', 'P. Kenya. National Polio Committee Member\nJosephine Ihahi. National Polio Committee Member\nR. Kamemwa. National Polio Committee Member\nGladys Mutethya. Division of Disease Surveillance and Response, Ministry of Health\nOuma Anzala. National Polio Committee Member\n\n', 'Integrated Disease Surveillance and Vaccine Preventable Diseases Supportive Supervision October 2022', 'Kenya was certified polio-free in 2020. However, Kenya is still considered at risk of polio due to Subnational surveillance and immunization gaps, insecurity, and population movements. The Ministry of Health, through partners support, organized support supervision for seven counties; Homabay, Migori, Kajiado, Machakos, Kisumu, Meru, and Kirinyaga which had low reporting rates and seemed silent in detecting Vaccine Preventable Diseases. The activity was actualized through the technical support of National Polio Executive Committee members.', 'A predesigned assessment tool was used to guide in supportive supervision and also elicit salient issues on disease surveillance at County, Sub County, and facility levels, by conducting focus group discussions and key informant interviews with the surveillance focal persons and other health providers at the facility level. Preliminary analyses were done that informed feedback at all levels. ', 'The seven counties had dedicated surveillance teams. Only 2(29%) of the counties visited had surveillance work plans. Three (43%) of the counties had IDSR guidelines. All the counties had no budgetary allocation for surveillance activities. Ten (22%) of the facilities visited had IDSR IEC materials. There was a knowledge gap in surveillance in around 50% of the facilities visited. It was noted no IDSR training has been conducted for the last 5 years. 88% of the facilities visited had no surveillance focal person.  Other gaps identified were poor understanding of case definition, inadequate reporting tools, absence of line lists for suspected AFP/Measles cases, no mapping of traditional healers, bone setters, and TBAs, and irregular ACS', 'There is a need to Strengthen reporting, notification, and investigation of all suspected VPDs and monitor the completeness and timeliness of reporting sites. Sensitize Counties/sub-counties/facilities on surveillance, training CHVs and traditional healers on CBS, availing surveillance guidelines, IEC material, and reporting tools, and providing adequate financial resources for surveillance activities by the Counties \n', 'Surveillance, Vaccine Preventable Diseases, Polio, Kenya ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-28 10:13:00', NULL, NULL, 92),
(561, 'Olasoji Fasogbon', 'Data Manager', 'ofasogbon@afenet.net', 'mr', 'Olasoji', 'Fasogbon', 'male', 'nigeria', 'ofasogbon@afenet.net', 'National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria', 'other', 'AFENET Nigeria Staff', '', 'NA', 'public-health-systems-strengthening-initiatives', 'Ramatu. U/Obansa/National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria/uramatu@afenet.net\nOluwasegun.J/Adegoke/Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA/ngo4@cdc.gov\nAmanda/Beal/Bull City Learning, Durham, North Carolina, USA/amanda@bcltraining.com\nAlice/Bumgarner/Bull City Learning, Durham, North Carolina, USA/alice@bcltraining.com\nJoy/Brewster/Bull City Learning, Durham, North Carolina, USA/joy@bcltraining.com\nAsekun/Adeyelu/Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA/fpg8@cdc.gov\nHadley/Ikwe/Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA/qbb6@cdc.gov\nBinta. A/Ismail/National Emergency Routine Immunization Coordination Centre (NERICC-NPHCDA), National Primary Health Care Development Agency, Abuja, Nigeria/bintaismail@yahoo.com\nBelinda/Uba/National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria/buba@afenet.net\nPatrick/Nguku/National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria/pnguku@afenet.net\nNdadilnasiya. E/Waziri/National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria/ewaziri@afenet.net', 'Implementation Experience of a Self-paced Digital Learning Platform towards improving Routine Immunization Data Quality among Healthcare Workers in Kano and Nasarawa States in Nigeria', 'The COVID-19 pandemic provided opportunities to use digital platforms for trainings due to in-person training restrictions. Here we describe the implementation experience of a self-paced, mobile training app developed by Immunization Academy (IA) to improve competency and performance among HCWs in Nigeria through on-demand learning, assessments, assignments, and enhanced supportive supervision', 'National and sub-national stakeholders were engaged to define priority skills for training and develop lessons. Implementation was conducted across health facilities offering routine immunization in Nasarawa local government area, Kano state and Keffi local government area, Nasarawa state from February to May 2022. Onboarding training of the IA Learn app and pre- and post-pilot assessment were conducted for HCWs to assess gaps in data quality at health facility and competency of healthcare workers on topical areas. The curriculum included video-based lessons, quizzes, and practice exercises to address knowledge and skill gaps in data collection, reporting, and use. Managers monitored progress using a custom dashboard to prioritize health facilities for supportive supervisory visits and on-the job mentoring.', 'In Keffi LGA, there was a 29% increase in number of HCWs who rated themselves with excellent skills in filling the child health card for routine immunization coverage at endline when compared with baseline, and in Nasarawa LGA there was a 39% increase in number of HCWs who rated themselves with excellent skills in defaulter tracking. ', 'The IA Learn app improved health worker skill and knowledge retention over time on data recording, reporting and use, reduced disruption to work, and helped overcome challenges associated with traditional, in-person training methods such as infrequent and irregular training, and removal of staff from sites for in-person training, especially amid a global pandemic. Lessons learned could guide implementation of digital training tools in additional states in Nigeria and other country settings facing similar challenges.', 'Remote Learning, Self-paced, Capacity Building, Routine Immunization, Data Quality, Nigeria, Digital', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-29 10:13:00', NULL, NULL, 171),
(562, 'Roberta Horth', 'Central Asia FETP', 'hxw5@cdc.gov', 'dr', 'Saya', 'Gazezova', 'female', 'kazakhstan', 'sayagazezova@gmail.com', '(1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan, (2) Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Almaty, Kazakhstan, (3) Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Balaussa|Zhuman|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Almaty, Kazakhstan|Juman.balausa@mail.ru\nLena|Kassabekova|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Almaty, Kazakhstan|kasabekova74@gmail.com\nManar|Smagul|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Almaty, Kazakhstan|manar.smagul@gmail.com\nAizhan|Yesmagambetova|Ministry of Health of Kazakhstan|yesmagambetovaa@dsm.gov.kz\nRoberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov', 'Salmonella enteriditis outbreak at a café - Turkestan Region, Kazakhstan, October 2022', 'From October 7 to 10, 2022, 98 patients were hospitalized with diarrhea in Turkestan region, Kazakhstan. All patients reported having eaten food ordered from the same café. We investigated to risk factors and stop any ongoing transmission.', 'We conducted a case-control study using face-to-face interviews using structured questionnaires. To identify additional cases, we reviewed all food transactions from October 4-7. A case was anyone having consumed food from the café during that period with symptoms of diarrhea, vomiting, and fever (&amp;gt;38°C). Controls also consumed food in same period without symptoms. Patient stool and café food samples were tested for coliform bacteria, Salmonella enteriditis, Staphylococcus aureus. We conducted log-binomial logistic regression using R to estimate association between food and disease.', 'We identified 276 people who had consumed café food, and 142 (51%) had become ill. Primary symptoms were diarrhea (100%), abdominal pain (99%), headache (92%), fever (85%), nausea (77%) and vomiting (74%). Median age (25, IQR: 1- 76). Symptom onset ranged from 6 hours to 4 days after consumption; 69% were hospitalized. Attack rate was 51% for people who had consumed chicken wings and thighs (99% of cases vs 38% of controls). People who consumed chicken had 324 increased adjusted odds of illness (95% confidence interval: 68-3123, p&amp;lt;0.01). Salmonella enteriditis was isolated from stool samples of 22 patients and in chicken remnants. We identified several gaps in hygiene and sanitation practices related to food storage and preparation at the café.', 'Symptoms and incubation period are consistent with the identified pathogen, Salmonella enteriditis.  The high attack rate for chicken wings and thighs point to it being the likely source of infection. No other common restaurants or food items were identified. All remaining chicken was discarded.  Recommendations were made to improve compliance with hygiene and sanitation requirements at the restaurant. ', 'Foodborne outbreak; Case-control studies; Kazakhstan; Food safety; Salmonella; Sanitation', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-30 10:13:00', NULL, NULL, 21),
(563, 'NOUDEKE   NESTOR   DENAKPO', 'Resident Advisor FETP BENIN', 'noudnest@yahoo.fr', 'mr', 'Sanni', 'Salifou-Issaka', 'male', 'benin', 'salifou.sanni@gmail.com', 'Ministère de la Santé', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'M. Houémènou/Ministère de la Santé /modestehouemenou@yahoo.fr\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr\n', 'Référence des cas de paludisme grave et facteurs associés à la létalité chez les enfants de moins de 5 ans dans les hôpitaux publics du département de la Donga du 1er avril au 31 octobre 2022', 'Le paludisme est un problème de santé publique dans le monde. Malgré les multiples interventions de lutte contre le paludisme, il demeure la première cause de décès au Benin chez les enfants de moins de cinq ans. L’objectif de cette étude était d’évaluer l’impact de la référence sur l’issue des cas graves de paludisme chez les enfants de moins de 5 ans dans le département de la Donga du 1er avril au 31 octobre 2022.', 'Il s’agissait d’une étude transversale analytique. La taille de l’échantillon a été calculé et l’échantillonnage était aléatoire simple à l’aide du logiciel Open Epi. Les données collectées sur kobocollect, ont été analysées avec Epi info7.2. Les fréquences et les odds ratios ont été calculés. ', 'L’étude a concerné 387 enfants. La tranche d’âge de 12 à 36 mois était la plus concernée (64%) avec un sexe ratio H/F de 1,15. La forme anémique était la plus fréquente (61,5%). Les signes de danger ou de gravité chez les enfants hospitalisés pour paludisme grave dans notre étude étaient dominés par l’anémie (60,72%) et les vomissements incoercibles (43,15%). Les cas de paludisme grave référés représentaient 13,7% des cas hospitalisés, et la moto (66,3%) était le principal moyen de transport utilisé. L’artésunate a été utilisé en soins de pré référence dans 15% des cas. La létalité était de 18,3% et était associée aux troubles de la conscience (OR=2,52 ; IC à 95% : [1,35-4,69]), l’incapacité de se nourrir (OR=2,11 ; IC à 95% : [1,22-3,65]), à la difficulté respiratoire (OR=2,13 ; IC à 95% : [1,17-3,89]).', 'La létalité liée au paludisme grave reste élevée avec des facteurs y intervenant. La prise en compte des facteurs associés à la létalité pourrait entrainer une amélioration de la prise en charge pour réduire cette létalité.', 'Paludisme grave, Référence, Etude transversale, Bénin', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2023-05-01 10:13:00', NULL, NULL, 15),
(564, 'Weldegerima G. Hagos', 'Public Health Emergency Managment Expert  ', 'welegerima21@gmail.com', 'mr', 'Weldegerima', 'Hagos', 'male', 'ethiopia', 'welegerima21@gmail.com', 'Tigray Regional Health Bureau ', 'alumni', '', '10/3/2017', 'advanced', 'one-health-and-climate-change', 'Yemane / Tesfau / Federal Ministry of Education / yemaneberhane12@gmail.com ', 'A Ten Years Rabies data Exposure and Death Surveillance data analysis in Tigray Region, Ethiopia, 2023', 'Rabies is acute viral encephalitis affecting mainly carnivores and insectivorous but can affect any mammal. Case fatality rate is 100% once clinical signs appear. Rabies has a worldwide distribution in continental regions of Asia and Africa. Globally, rabies is responsible for more than 61000 human deaths annually. An estimation of human mortality rabies in Asia and Africa annually exceeds 35172 and 21476 respectively. Ethiopia approximately 2900 people were estimated to die of rabies annually, Tigary region approximately 98 people were estimated to die annually. The aim of this study is to analyze trends, describe, and evaluate the ten years rabies data in Tigray, Ethiopia.', 'We conducted descriptive epidemiological study from 15-30 February, 2023 of rabies exposure and death in humans by reviewing the health management information system report from Tigray Regional Health Bureau and vaccination coverage of dog population from 2013 to 2022. We used case definition; suspected cases are those bitten by the dogs displaying clinical signs consistent with rabies and confirmed cases were deaths from rabies at time of the exposure.', 'A total 21031 dog bites and 375 deaths report of rabies and 18222 post exposure treatments for humans in Tigray region were used. A suspected rabies patients had shown an increasing trend from 2013 to 2015 and 2018 to 2019. Overall mortality rate was 19/1000 in Tigray. Majority of suspected patients (45%) were age &amp;lt;15 years old. An estimated by Agriculture Bureau of Tigray Region about 12000 owned and 2500 stray dogs are available in the region, but yearly dog vaccination remains low (50%). ', 'Rabies is a public health problem in Tigray region. It is highly recommended to vaccinate individually owned dogs and concerned sectors should eliminate stray dogs. Surveillance system should strengthen for estimating the real magnitude, launch preventive and control measures. ', 'Rabies, Data analysis, Tigray, Ethiopia', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-08-31 10:13:00', NULL, NULL, 75),
(565, 'Djibril BARRY', 'Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina', 'djibril.barry@bfeltp.com', 'dr', 'Clarisse', 'Balima*', 'female', 'burkina', 'kyauriane@gamil.com', 'Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'A. Combary : adjicomb@yahoo.fr\nD. Barry : djibril.barry@bfeltp.com \nB W. Bicaba :  bicaba_brico@yahoo.fr\nPK. Yanogo :   yanogo.pauline@yahoo.fr\nH. Yoda : yodmano@yahoo.fr\nN. Meda : nicolas.meda@ujkz.bf\n', 'Titre : Analyse des données de surveillance de la tuberculose avant et avec l’enregistrement des données sur Endos, Burkina Faso, 2011-2020.', 'Introduction : la tuberculose demeure un problème de santé publique dans le monde et particulièrement au Burkina Faso', 'Méthodes : une étude transversale descriptive a été menée. Nous avons collecté les fichiers sur Excel les données agrégées issues des bases de rapports trimestriels de 2011-2015 et extraire les fichiers Excel des données sur Endos-BF de 2016-2020. L’analyse a été faite avec le logiciel Excel, les proportions et les fréquences ont été estimées. ', 'Résultats : au total 347 012 cas présumés de TB ont été testés à la microcopie dont 34 916 patients confirmés positifs, soit un taux de confirmation de 10,09%. On a enregistré 57 869 cas de tuberculose toute forme confondue (TTF) dont 61,18% de cas TPM+. Le taux de notification les plus élevé a été observé en 2017 soit 30,46% pour 100 000 habitants. Les tranches d’âge de 25 à 34 ans étaient plus touchées soit 25,9% et de 24,04% respectivement chez les nouveaux cas de tuberculose à frottis positifs de 2011 à 2015 et les nouveaux cas et rechutes de tuberculose de 2016 à 2020.Le sexe ratio H / F était de 2,21 de 2011 à 2015 pour les nouveaux cas de tuberculose à frottis positif de même que chez les nouveaux cas et rechutes de tuberculose de 2016 à 2020. L’année 2015 a eu un taux global de dépistage du VIH le plus élevé avec 97%. C’est en 2018 que le pays a notifié plus de cas de TB-MR avec 108 cas dont 2 cas de TB /UR. ', 'Conclusion : Les mesures de lutte contre la tuberculose doivent s’intensifier vers les patients bacillifères qui sont les plus nombreux et les plus contagieux.  ', 'Mots Clés : Analyse, tuberculose ,Burkina Faso, 2023.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-01 10:13:00', NULL, NULL, 66);
INSERT INTO `reviewer_ones` (`id`, `submitter_name`, `submitter_designation`, `submitter_email_address`, `first_author_title`, `first_author_fiirst_name`, `first_author_last_name`, `first_author_gender`, `first_author_country`, `first_author_email`, `first_author_affiliation`, `first_author_category`, `first_author_other_category`, `forst_author_alumni_completion`, `first_author_fetp_level`, `abstract_sub_theme`, `co_authors`, `abstract_title`, `abstract_backgound`, `abstract_methods`, `abstract_results`, `abstract_conclusion`, `key_words`, `reviewer_1_background_study`, `reviewer_1_method_apporpriate`, `reviewer_1_results_presentable`, `reviewer_1_results_conclusion`, `reviewer_1_ph_signicance`, `reviewer_1_overall_clarity`, `reviewer_1_total`, `reject_accept`, `presentation_type`, `reviewer_1_complete`, `reviewer_1_comments`, `created_at`, `updated_at`, `deleted_at`, `reviewer_id`) VALUES
(566, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mr', 'PETER', 'TOROKAA', 'male', 'tanzania', 'petertorokaa@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'LOVENESS URIO, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), loveness13us@yahoo.com\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), allykhussein@gmail.com\nSEPHORD NTIBABARA, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), sesantiro@gmail.com\nFARAJA NG\'IDA, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), faraja.ngida@gmail.com\nDAVID OSIMA, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), osimadavid@yahoo.com\nAMBWENE MWAKALOBO, Ministry of Health-National AIDS Control Program, Dodoma, Tanzania, ambwenetz@gmail.com\nGODFREY ERIYO, Ministry of Health-National AIDS Control Program, Dodoma, Tanzania, e.godfrey19@yahoo.com\nAGRICOLA JOACHIM, Muhimbili University of Health and Allied Sciences, School of Public Health and Social Sciences (SPHSS), Tanzania, agricolaj@yahoo.com\n\n\n', 'Evaluation of HIV Viral Load Surveillance System, national perspective in Tanzania from January to December 2022.', 'Of the estimated 38.0 million HIV-positive people worldwide in 2020, while 310,000 young people under the age of 18 contracted HIV for the first time. HIV viral load monitoring is the gold standard for identifying treatment failure; transport. We aimed to assess the usefulness and system attributes of the HIV viral load surveillance system in Tanzania and determine whether it meets its objectives. \n', 'From January to December 2022 we collected a retrospective data from the Open Laboratory Data Repository for HIV viral load, the CTC2 database and the laboratory data information system. We used Updated Guidelines for Evaluating Public Health Surveillance Systems from CDC for evaluating system attributes. \n', 'The HIV viral load surveillance system is implemented by 90.6% (4314/4764) facilities in the country. The overall data completeness was 97.4%. The sensitivity of the system was 84.4% with a PVP of 52% with data accuracy of 97%.  Eight data clerks from the laboratory and CTC were interviewed 100% (8/8) said the system was simple. The system was representable where 90.6% of facilities were involved in the surveillance in the country, data clerks reported 100% of the system was simple and was flexible to adopt new surveillance systems like covid-19 vaccination system and EID system. The system was sensitive at 84.4%, Turnaround time was at a median of 13 days.\n', 'The system\'s overall performance in achieving its goals was acceptable and satisfactory with an average performance of 90%.  The system sample management should be reviewed to incorporate the sample receiving as a mandatory entry in order to record the accurate sample receiving date as well as the integration of the CTC2 database with OpenLDR in order to reduce results transcription errors, timely maintenance of system server in order to reduce several breakdowns.\n', 'Evaluation, Viral-Load,  Surveillance, Tanzania', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-02 10:13:00', NULL, NULL, 114),
(567, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'mr', 'Stephen', 'Okumu', 'male', 'kenya', 'stevenokumu@gmail.com', 'Kenya FELTP', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Isaac Ngere | Washington State University, Kenya | isaac.ngere@wsu.edu\nFredrick Odhiambo | Kenya FELTP | fodhiambo@feltp.or.ke', 'An Assessment of Food Premises Compliance to the Food Drugs and Chemical Substances Act in Kasipul, Homabay County 2022', 'The food drugs and chemical substances ACT Cap 254 laws of Kenya provides standards that regulate the operations of food premises in Kenya with the aim of ensuring food safety. Public health officers (PHOs) are tasked with the role of ensuring the enforcement of this law. Despite the existence and enforcement of public health law, foodborne illnesses remain high in Kasipul Sub-County. We evaluated the quality of inspections done on food premises.', 'We conducted cross sectional study involving data review, key informant interviews and premises assessment. Purposive sampling was used to select 10 PHOs who were interviewed using a structured questionnaire to evaluate their ability to inspect food premises. Food premises data on inspection, licensing, prosecutions and food handlers’ medical examination results from January 2018 through December 2021were abstracted from the DHIS2 for review. Data were cleaned and analyzed using frequencies and proportions for qualitative variables and measures of central tendency and dispersion for quantitative variables.', 'A total of 161 premises with 211 handlers were assessed. About 54% of the premises were licensed, 81% of food handlers underwent medical examination, 88% of food premises had toilets and 83% had handwashing stations with soap. On improvement notices, 66 were served, of which 54% complied, 83% of the non-compliant were prosecuted and 83% convicted. Ten Public Health officers were interviewed and were able to mention 69% of the compliances required to license food premises. An assessment of food safety knowledge was done to clients in the food premises; 86% of clients knew they should only eat in licensed premises while 67% had seen the premises licenses.', 'Some premises operated unlicensed with food handlers working without medical examination. Food handlers should be trained on food safety and all food premises should be licensed and non-compliant ones prosecuted.', 'Public Health Law, food safety, Food handlers, Inspections, Kenya', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-03 10:13:00', NULL, NULL, 92),
(568, 'Samuel Rwunganira', 'Field Coordinator', 'srwunganira@afenet.net', 'mr', 'Gabriel ', 'Twagirimana', 'male', 'rwanda', 'twagabriel@gmail.com', 'Kibuye Referral Hospital', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'G.Bizimungu | Kigeme District Hospital | sanogaspard@gmail.com \nC.Nkundabaza | Bushene Provincil Hospital | nkundabazac@gmail.com \nA.Manishimwe | Gisenyi District Hospital| manisalex@gmail.com \nH.Mutuyimana| | Masaka District Hospital | amulouise@yahoo.fr \nF.Nizeyimana | Rwanda Biomedical Centre | feliciennizeye@gmail.com \nN.Benemariya | University of Rwanda-School of Public Health| nbenemariya1@gmail.com ', 'Measles outbreak investigation at Masaka District  Hospital, Kicukiro District, September 2022', ' Measles is a contagious respiratory infection caused by a virus that affects humans.  It spread through respiratory droplets and direct contact with infected nasal, throat secretions. In September 2022, Masaka DH reported cases of children with symptoms like fever, rash, cough, running nose and eye problems. On October 3rd the Ministry of Health initiated an outbreak investigation to confirm the outbreak, measure its magnitude  and establish control measures.', 'We used  a cross-sectional design. We collected data using a questionnaire and generated a line list  from medical records review for children admitted to the pediatric department . Patients with skin rashes and fever  were prioritized, interviews were  conducted  with parents/caregivers of confirmed cases and contacts to obtain demographic and clinical information . Masaka DH collected samples which were transferred to the National reference laboratory for confirmation using IgM testing.  ', 'Based on our investigation of 34 children, we found that 5 of them were confirmed as having measles IgM positive, which led to an attack late of 14.7 % among those exposed .The mean age in months  of all the children was 31.9,with 56% being female .The majority of the children(23) were from the  Kicukiro District .All  cases were not eligible for measles vaccination while one eligible for the first  dose didn’t receive it due to hospitalization. No cases found in the community and all confirmed cases were hospitalized , with suspect case believed to be index case in this outbreak.', 'The intra – hospital measles outbreak in Masaka DH highlights the importance of active surveillance. Early detection and notification of epidemic prone diseases must be reinforced to control outbreaks like this one reported. The child suspected of having measles on 16/09/2022 should be vaccinated to prevent further spread. ', ' Masaka DH, Measles, Investigation', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-04 10:13:00', NULL, NULL, 171),
(569, 'Peter Adewuyi', 'Resident Advisor ', 'padewuyi@afenet.net', 'mr', 'Ebrima', 'Jallow', 'male', 'gambia', 'ekjallow1@gmail.com', 'Gambia FETP and Ministry of Health, The Gambia', 'alumni', '', '19/08/2022', 'advanced', 'vaccine-preventable-diseases', 'Lamin Manneh | Ministry of Health | lyassin2006@yahoo.co.uk \nPeter Adewuyi. | AFENET. | padewuyi@afenet.net\nAmadou W. Jallow | Ministry of Health, The Gambia | amadou.jallow@gmail.com', 'Epidemiology of Acute Flaccid Paralysis in The Gambia: A Secondary Data Analysis, 2017-2021', 'Effective surveillance of Acute Flaccid Paralysis is essential for Polio eradication. The Gambia over the years has maintained high polio vaccination coverage (&amp;gt;80%) to meet the global polio eradication goal. This study determined the AFP trend and compare WHO-specific AFP indicators from 2017 to 2021.', 'We conducted a secondary data analysis of AFP surveillance in Gambia from 2017 to 2021. Data was obtained from the Expanded Program on Immunization and Epidemiology and Disease Control weekly surveillance dataset. We abstracted data on age, sex, OPV doses received, Non-polio AFP rate, stool adequacy rate, stool condition and NPENT rate. We performed univariate analysis using Epi Info and expressed results into frequencies. ', 'Overall, 165 AFP cases were reported from 58 health facilities Fifty-three percent (89) were &amp;lt;5 years with mean age 5.4(±3.9) years, 62.4% (103) were males. None of the cases were confirmed as poliomyelitis. More than 87% (144) had more than 3 doses of Oral Polio Vaccine, 24.9% (41) were seen in 2018 and Western One Health Region reported 23% (38) of the AFP cases. Non-AFP rate was found to meet the target throughout the period under review. However, there was a decrease from 4.4 to 2.3 per 100,000 &amp;lt;15 population in 2020 and increased to 3.1 in 2021. Similarly, Stool adequacy rate was below the target of 80% from 94% in 2017 to 78% in 2020, but sharply increased to 91% in 2021. Likewise, NPENT rate was observed to sharply decrease from 22% in 2017 to 4% in 2020 and increase to 34% in 2021. ', 'In comparison to WHO-specific key indicators, the AFP surveillance has met specific indicators. However, in 2020, the stool adequacy rate and NPENT rate were both below target. We recommend continuous supervision and monitoring to assist surveillance officers improve AFP surveillance key indicators.', 'Acute Flaccid Paralysis, AFP indicators, The Gambia, stool condition', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-05 10:13:00', NULL, NULL, 50),
(570, 'Emelda Ramutshila', 'Scientific Writing Coordinator - South Africa FETP', 'Emeldar@nicd.ac.za', 'mrs', 'Andronica', 'Shonhiwa', 'female', 'south-africa', 'moipone@nicd.ac.za', 'Division of Public Health Surveillance and Response, Outbreak Response Unit, National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa', 'alumni', '', '31/12/2013', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Genevie Ntshoe | Division of Public Health Surveillance and Response, Outbreak Response Unit, National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | genevien@nicd.ac.za \nVillyen Motaze | Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), University of Stellenbosch, Stellenbosch, South Africa, | villyenmotaze@gmail.com \nJoy Ebonwu  |National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | jodimegwu@yahoo.com\nMazvita Muchengeti | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | MazvitaM@nicd.ac.za\nLactatia Motsuku | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | lactatia@gmail.com\nLiliwe Shuping | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | LiliweS@nicd.ac.za\nWenlong Chen | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | WenlongC@nicd.ac.za\nJackie Kleynhans | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | JackieL@nicd.ac.za \nGillian Hunt |  National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | GillianH@nicd.ac.za\nVictor Olago | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | VictorO@nicd.ac.za\nLiesl De Boni | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | liesl.deboni@gmail.com\nLehlohonolo Chandu | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | LehlohonoloC@nicd.ac.za \nPinky Manana | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | PinkyM@nicd.ac.za\nHusna Ismail |1National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | husnai@nicd.ac.za\nLazarus Kuonza | 1National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | LazarusK@nicd.ac.za\nNevashan Govender | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | nevashang@nicd.ac.za\nVeerle Msimang | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | veerlem@nicd.ac.za \nTendasayi Kufa | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | TendesayiKC@nicd.ac.za\nMabore Morifi | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | maborem@nicd.ac.za\nNicole Wolter | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | nicolew@nicd.ac.za\nTrevor Bell | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | TrevorB@nicd.ac.za\nNatalie Mayet | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | nataliem@nicd.ac.za\n', 'Data Management during the COVID-19 Pandemic in South Africa, 5 March – 26 July 2020: Key Lessons Learnt', 'The COVID-19 pandemic spread rapidly in South Africa since 5 March 2020. Reliable, accurate and timely data (laboratory, epidemiological and clinical) were needed for data-driven, evidence-based informed decision-making to guide response, planning, containment, and mitigation. We describe data management systems during the COVID-19 pandemic in South Africa, focusing on data sources, analysis, dissemination, lessons learnt and recommendations made/implemented.', 'A descriptive study describing data management systems during the COVID-19 pandemic in South Africa. SARS-CoV-2 testing was performed using rRT-PCR by a network of public and private laboratories. A centralised SARS-CoV-2 national laboratory-based surveillance system was established for reporting daily and weekly statistics. Initially, a manual Excel-based data management system was used, with migration in August 2020 to a semi-automated web-based system, developed from the existing Notifiable Medical Conditions Surveillance System (NMCSS) platform. The NMCSS received data daily through the existing public laboratory information system (LAB-TRAKCARE), Surveillance Data Warehouse and private laboratories. ', 'The NMCSS is easily accessible, allowing real-time dashboard monitoring and reporting. Manual data cleaning (de-duplication, missing data) and analysis were previously labour-intensive and time-consuming. The semi-automated system provided initial de-duplication and geocoding, with final manual verification. By 01 August 2020, 2 726 599 tests, 511 484 laboratory-confirmed cases and 8 366 deaths (CFR: 1.6%) were recorded. By 18 March 2023, 21 565 159 tests and 4 070 434 cases were recorded.\n\n', 'Developing national data management systems during the pandemic proved challenging due to limited human resource capacity. The rapidly developed semi-automated web-based data management system addressed limitations and challenges experienced during the exponential increase in data volumes and played a crucial role in providing reliable, timeous daily COVID-19 statistics. The integration of private and public laboratory-based surveillance was a useful source of evidence. Hospital-based and mortality surveillance remained separate. However, integration of these surveillance systems is underway. ', 'COVID-19, Pandemic, Surveillance system, laboratory-based surveillance, hospital-based surveillance', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-06 10:13:00', NULL, NULL, 102),
(571, 'Yassa D. Ndjakani', 'FETP COI', 'yndjakani@gmail.com', 'dr', 'Nestor Razafindratsimabozaka', 'Razafindratsimabozaka', 'male', 'madagascar', 'nestorimadien@yahoo.fr', 'FETP COI', 'alumni', '', '11/2/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '\n  Harena Rasamoelina                           FETP-COI                      harena.rasamoelina@coi-ioc.org\n  Yassa  D Ndjakani                               FETP-COI                       yndjakani@gmail.com\n Nestor Ndakala                                    FETP  -COI                     drnestndakala@gmail.com  ', 'INVEST INVESTIGATION DES CAS SUSPECT DE PESTE BUBONIQUE A AMBOHIMANARIVO AMBOHIMITOMBO I, MADAGASCAR, JANVIER-FEVRIER 2023', 'La peste est une maladie infectieuse des rongeurs due au bacille Yersinia pestis, transmis à l’homme par des puces infectées. Madagascar est le pays qui notifie le plus de cas, notre district est le deuxième à notifier le plus de cas confirmé en 2022. Suite à la notification de deux cas suspects de peste bubonique venant du CSB2 Ambohimitombo I le 04/02/23, une descente a été effectuée pour y mener une investigation dont les objectifs étaient de confirmer l’existence de l’épidémie de peste bubonique, d’identifier les sources de l’épidémie et de limiter la propagation de la maladie.', ' Nous avons consulté les registres de consultations et les fiches de notification. Nous avons utilisé la définition de cas du guide SIMR pour trouver les cas, une fiche d’investigation standard a été utilisée sur sept personnes au hameau d’Ambohimanarivo, des prélèvements ont été effectués pour confirmation biologique et les facteurs de risques ont été recherchés. Des mesures de riposte selon le protocole national ont été mené, les contacts ont été surveillés pendant dix jours. ', 'Nous avons pu identifier sept cas, avec un taux d’attaque de 0.4% dont un décès qui serait le cas index. La courbe épidémique suggère une source intermittente. Tous les cas, de forme bubonique, sont apparus dans le hameau d’Ambohimanarivo. Le sexe ratio est 0.3, la tranche d’âge la plus touchée est celle de 10-14ans. Après le test de confirmation, le taux de positivité est de 43% (3/7). Les facteurs de risque étaient l’existence de même cas dans le hameau, veillée mortuaire, existence de rat mort, la culture sur brûlis et l’insalubrité. Les mesures prises sont traitement des cas, chimioprophylaxie des contacts, désinsectisation, sensibilisation et condamnation du caveau. L’évolution après traitement était favorable, aucun nouveau cas n’est apparu pendant la surveillance.', 'Une épidemie de peste bubonique a été confirmés avec un taux d’attaque de 0.4%. La contamination pourrait se faire localement. Il est indispensable de renforcer la lutte antivectorielle, l’hygiène et d’encourager les exploitations agricoles plus respectueuse de la nature.', 'Peste bubonique, investigation, épidémie, source, facteurs de risque', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-07 10:13:00', NULL, NULL, 174),
(572, 'Hira Mahmood  ', 'not applicable  ', 'hira.mahmood@shifa.com.pk', 'dr', 'Muhammad Asad  ', 'Saleem  ', 'male', 'pakistan', 'dr.raja.asad@shifa.com.pk', 'Shifa International hospitals ', 'resident', 'Consultant Cardiologist ', '', 'NA', 'non-communicable-diseases-ncds-injuries-and-mental-health', 'Dr. Hira Mahmood, Shifa International Hospitals, hira.mahmood@shifa.com.pk\nDr. Afrose Liaquat, Shifa College of Medicine, afrose.scm@stmu.edu.pk', 'MI and COVID-19 Pandemic: An Experience of a Tertiary Care Private Hospital in a Developing Country.', 'The COVID-19 pandemic has significantly afflicted the health care systems and has overshadowed other potential medical emergencies, including acute myocardial infarction (AMI). It has been reported that there has been a global reduction in the incidence rates of AMIs since the start of this pandemic. Significant delays in first medical contact and door-to-balloon time have re-emerged in the COVID era worldwide. \nOn 15th Feb 2020 first case of COVID-19 was reported in Pakistan. We conducted this study to see the trends of MI in a tertiary care hospital in Pakistan during this duration. Our investigation would allow early examination into how public health crises like COVID-19 could collaterally affect other potential emergencies. \n', 'We conducted a retrospective observational study on AMI patients admitted consecutively in Tertiary care hospitals from 15th march to 14th august 2020. The same data was also collected for equivalent months for 2018 and 2019. We took the mean of the number of admissions in 2018 and 2019, labeled it as the pre-COVID period, and categorized the equivalent period of 2020 as Post COVID period.', 'Post-COVID, a mean reduction of 35%, 37%, and 26% in the total AMI, NSTEMI, and STEMI admissions was observed with a significant decrease in the total AMI and NSTEMI admissions (0.01) but no significant reduction (p=0.1) in STEMI. There was a significant delay in door-to-balloon time post-COVID period (p=0.02). No significant differences were found in the age, gender, demographics, and mortality of AMI patients who presented pre and post-COVID.', 'We found that the number of patients with STEMI was consistent during COVID, but the number of NSTEMI patients was significantly reduced. We also observed delays in the door-to-balloon time during the early pandemic period, which could be attributed to the pre-procedure COVID workup of the patients. COVID-19 public health warnings must have inadvertently contributed to the fear of contracting COVID-19 in the hospital. Thus, this is a primary speculated reason for the decrease in AMI admissions during this period. The other reason that could explain this decrease is an increase in the use of pharmacological reperfusions. This decreasing trend in the incidence of AMI was similar to that observed worldwide.   ', 'Acute Myocardial Infarction (AMI)\nCOVID-19\nretrospective observational study', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2023-05-09 10:13:00', NULL, NULL, 27),
(573, 'LUIS MANUEL TEIXEIRA BANDEIRA', 'ANGOLA-FELTP', 'dr.luisbandeira2012@yahoo.com', 'dr', 'LUIS', 'BANDEIRA', 'male', 'angola', 'dr.luisbandeira2012@yahoo.com', 'Ministry of Health', 'alumni', '', '26/06/2019', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'ANDRÉ | MULELENO | PROVINCIAL HEALTH OFFICE OF LUNDA-NORTE | gentileza100@hotmail.com', 'PUBLIC HEALTH ACTIONS AGAINST THE MEASLES OUTBREAK IN FUCAUMA, 2020.', 'On May 29, 2 suspected cases of measles were reported in the Fucauma neighborhood by the epidemiological surveillance team of region. we moved to the site, carrying out an active search in the community and a passive search in the health unit, with the aim of responding to the event.', 'Any child with signs and symptoms similar to the definition of a suspected measles case was considered a suspected case. Children aged 10 to 24 months (120 children) were randomly chosen to assess the vaccination coverage rate. For data collection, we used forms from the Integrated Disease Surveillance and Response Manual. A database was created in Microsoft Excel where the collected data were digitized and analyzed', 'Of the 120 children, only 10% were immunized with the 1st dose, 4% between 10 and 16 months and 6% children between 17 and 24 months, only 2% completed the 2nd dose of the measles vaccine. The Uarifa sector had the highest number of cases with 66.6% (28 cases). 52.4% (22) of the cases were male, regarding age group, children between 1-14 years old with 71.4% (30) of the cases, 23.8% (10) in individuals ≤1 year old and 4.8% (2) of cases in ˃14 years. The most frequent signs and symptoms were fever, cough, conjunctivitis and maculopapular rashes. The blockade vaccination immunized 30.8% of the children', 'The attention given to activities against COVID-19, reduced the number of users seeking the services of the PAV, and favoring the onset of vaccine-preventable diseases, including measles, in this context there is an urgent need for a vaccination campaign at the level of the Municipality of Cambulo, Educate and mobilize the community about the disease. Provide up-to-date technical guidance to health professionals and focal points to allow rapid identification, reporting, isolation and treatment of reported cases.', 'Measles, public health actions, Fucauma', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-08 10:13:00', NULL, NULL, 7),
(574, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mr', 'HAMAD', 'NNIMBO', 'male', 'tanzania', 'nnimbo3@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'alumni', '', '10/12/2022', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'Doreen Kamori, Department of Microbiology and Immunology, Muhimbili University of Health and Allied Sciences, Tanzania, doreenkamori@gmail.com,\nNsiande Lema, Tanzania Field Epidemiology and Laboratory Training Program, nsiandelema@yahoo.com\nAbdallah Mohamed, Department of Laboratory Services, Kitete Regional Referral Hospital, Tabora, Tanzania, aharuna31@yahoo.com\n\n\n\n', 'Prevalence of malaria infection and factors associated among HIV-infected adult patients attending HIV care and treatment clinic at Kitete region referral hospital in Tabora region, Tanzania from March to May 2022', 'HIV and malaria are serious public health concern, particularly in Tanzania. HIV-infected individuals are more likely to get malaria and its complications. However, data on the interaction of the two diseases in Tanzania is limited. This cross-sectional study aimed to determine the prevalence of malaria infection and associated factors among HIV-infected adults attending HIV care and treatment clinic at Kitete regional referral hospital in Tabora region, Tanzania.\n\n', 'The cross-sectional study was carried out between March and May 2022 at Kitete regional referral hospital in Tanzania. 246 HIV-infected adults were selected by systematic random sampling. Malaria was diagnosed using both Malaria Rapid Diagnostic Test (mRDT) and Malaria Microscopy. Social demographic data was collected using a structured questionnaire, while clinical history and laboratory parameters were extracted from patients\' files. Data were analyzed using STATA version 15.1, and a p-Value &amp;lt;0.05 was considered statistically significant. The study included consenting HIV+ adults, and excluded pregnant women and recent antimalarial users.\n\n', 'A total of 242 participants were recruited, with a male-to-female ratio of 1:2, and a median age of 49.5(IQR: 40 - 58) years. The prevalence of malaria infection was 10.7% (95% CI: 7.2-14.2) by microscopy and 12.4% (95% CI: 8.5-17.2) by mRDT. Independent factors associated with malaria infection were living in rural areas (aOR=2.81, 95% CI=1.06-7.45, p=0.038), poor adherence to Anti-Retroviral Therapy (aOR=3.66, 95% CI=1.04-12.7, p=0.043), HIV viral load of ≥1000 copies/mL (aOR=3.2, 95% CI=1.00-10.5, p=0.02, CD4 count ≤350 cells/µL (aOR=2.8, 95% CI=1.10-7.30, p=0.03). While using mosquito nets (aOR=0.27, 95% CI=0.08-0.90, p=0.033) and receiving health education (aOR=0.26, 95% CI=0.09-0.71, p=0.009) were protective factors.\n\n\n', 'Malaria prevalence is high in HIV patients at Kitete hospital with low CD4 count, high HIV viral load, and rural residence. Malaria diagnosis, prevention education, and mosquito nets should be included in routine HIV services.', 'Prevalence, malaria, HIV-infected adult, CTC, Tanzania ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-09 10:13:00', NULL, NULL, 112),
(575, 'Ipyana F. Mwandelile', 'Resident Advisor', 'fipyana@afenet.net', 'ms', 'Roswitha ', 'Ndjengwa ', 'female', 'namibia', 'nroswitha@yahoo.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'alumni', '', '', 'advanced', 'maternal-reproductive-and-child-health', '1. Dr. Penehafo Angula, pangula@unam.na \n2. Dr. Hendrik Camphor, drhcamphor@gmail.com', 'Risk Factors associated with delivering Low Birth Weight Infants at Oshakati Intermediate Hospital, Oshana region, Namibia – September to November 2020', 'Low Birth Weight (LBW) is a preventable public health concern. The World Health Organization estimates that about 30 million LBW babies are born annually. By 2015, the global prevalence of LBW is estimated at 15% - 20% with Sub Saharan Africa standing at 13%. The 2013 Namibia Demographic Health Survey recorded a 13% LBW prevalence, with Oshana region leading by 16%. LBW is coupled with serious health problems e.g., impaired mental development and increased risk of morbidity and mortality. We investigated maternal and sociodemographic factors associated with LBW new-borns in Intermediate Hospital Oshakati, to develop recommendations aimed at reducing LBW.', 'We conducted an unmatched 1:2 case-control study between September and November 2020. Cases were mothers who delivered singleton full term babies weighing less than 2500g. Controls were mothers who delivered singleton full term babies weighing 2500g or more. An interviewer administered structured questionnaire was used for data collection. We reviewed maternal records for clinical information. We used multivariable logistic regression to identify risk factors of LBW and reported odd ratios with 95% Confidence Intervals (CI). ', 'A total of 103 cases and 206 controls were interviewed.  The mean age of mothers was 27.13 ±7.23 years and the mean birth weight of babies was 2875.13±570.88g. Independent risk factors for delivering LBW new-borns were gestation age &amp;lt;38 weeks (aOR 4.1, 95%-CI 1.86-9.35); history of LBW or prematurity (aOR 2.4, 95%-CI 1.12-5.43) as well as rural residence (aOR 2.5, 95%-CI 1.44 – 4.57). ', 'LBW is more associated with some socio demographic and obstetric factors than socio-economic and nutritional factors. Expecting mothers with known risk factors (e.g., history of prematurity or LBW) need close monitoring during Ante Natal Care (ANC). Maternal health services in rural areas needs strengthening in terms of skilled personnel, equipment, and awareness creation at community level.', 'Low Birth Weight, cases, controls, risk factors', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-10 10:13:00', NULL, NULL, 223),
(576, 'Yassa D. Ndjakani', 'FETP -COI', 'yndjakani@gmail.com', 'mr', ' Nilesh ', 'GOPAUL ', 'male', 'mauritius', 'nileshgopaul@outlook.com', 'FETP COI', 'alumni', '', '10/2/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'HARENA    Rasamoelina        FETP-COI    harena.rasamoelina@coi-ioc.org\nYASSA NDJAKANI                  FETP-COI       yndjakani@gmail.com\nNdakala Nestor                        FETP-COI    drnestndakala@gmail.com ', 'RETROSPECTIVE ANALYSIS OF THE INCIDENCE OF LEPTOSPIROSIS IN THE FIVE REGIONAL HOSPITALS IN MAURITIUS, 2017 – 2022. ', 'Leptospirosis is an endemic disease which directly associates with the environment and animal reservoir. Seasonal rainfall in tropical regions, floods, contaminated waters and rodent population may trigger an outbreak or high incidence. Mauritius, being a tropical island, records on average 40 positive cases of leptospirosis per year. The aim of this field work is to analyze retrospectively the incidence of leptospirosis in Mauritius by determining its distribution by gender, age, season and region. Hence, establishing an effective surveillance system with a one-health approach for prevention and control of leptospirosis.', 'Data was collected from 2017- 2022 from the leptospirosis database of Virus Isolation in Virology department at the Central Health Laboratory in Mauritius.  Variables were filtered based on time, place and person for data analysis. Positive leptospirosis cases were our sample population (n=221). Data analysis included incidence of leptospirosis, positivity rate and percentages to determine its distribution in five regional hospitals in Mauritius.', 'Positive cases of leptospirosis were found to be prominent in males (76%) than females (34%). The affected age group were patients between 30 – 79yrs with highest incidence in patient 50 – 59yrs (2.72/10000 inhabitants). The highest number of positive cases of leptospirosis was recorded in Jawaharlall Nehru hospital (South region, n=57) with increased incidence of leptospirosis in January April, May and July which is indicative to an outbreak during these months. In 2021, the number of positive cases were highest (n=51) and lowest in 2018 (n=25) . In 2020, the incidence rate shows a drop in the number of positive cases which is suggestive to a problem in this year (Covid-19).', 'High number of cases in January, April and May hypothesizes that leptospirosis is seasonal due to heavy rainfall and cyclones. The Rodent population should be monitored in the South region and the population aged 30-59yrs should be targeted for awareness and control. ', 'leptospirosis, Mauritius, seasonal, control', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-11 10:13:00', NULL, NULL, 210),
(577, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'mr', 'Stephen', 'Okumu', 'male', 'kenya', 'stevenokumu@gmail.com', 'Kenya FELTP', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Josephine Githaiga | Kenya FELTP | jgithaiga@feltp.or.ke\nMaurice Owiny | Kenya FELTP | mowiny@feltp.or.ke\nAhemed Abade | Kenya FELTP | aabade@feltp.or.ke \nFrancis Muoka | Kenya FELTP | nyaikafrank@gmail.com\nOsborne Olago | Kenya FELTP | oljolago@gmail.com\nJacob Odipo | Kenya FELTP | jackodipo4@gmail.com\n', 'Assessment of Preparedness for Ebola Virus Disease outbreak at Points of Entry and Isolation Sites in western Kenya Counties, 2022.', 'On 20th September 2022, Uganda health authorities declared an outbreak of Ebola Virus Disease (EVD) in central Uganda. As of October 31, 2022, there were 130 confirmed cases of EVD and 43 deaths, including six healthcare worker and case fatality rate of 33%. Kenya borders Uganda, hence a risk of EVD transmission due to a lot of cross-border trading. We assessed the preparedness of points of entry (PoE) and isolation sites in Kisumu, Homabay, and Migori counties in Kenya.', 'A standard EVD preparedness assessment checklist was administered, and site visits and inspections were conducted to assess the capacity of points of entry to detect and respond to EVD cases by examining infrastructure, staff, equipment, and procedures to identify strengths, weaknesses, and gaps. Key informant interviews were conducted with staff and stakeholders at points of entry to gather information on their knowledge, attitudes, and practices related to EVD preparedness. Data on previous outbreaks were analyzed to inform preparedness planning and response strategies at points of entry.', 'We assessed five POEs; airport, seaport in Kisumu, the port in Homabay, and two ground crossings in Migori. Three (3) isolation centers were also assessed in county referral hospitals. All POEs were understaffed, and there were no Rapid Response Teams (RRTs) in place in all counties. Screening was ongoing in all the POEs, and all had Personal Protective Equipment (PPE). All the staff at the POEs were aware of where to refer a suspected case, but no EVD specific staff training had taken place in all counties.', 'There was need to strengthen the preparedness and response capacity of points of entry and isolation sites to prevent introduction and spread of EVD. The findings of this study are relevant to policymakers, public health practitioners, and other stakeholders involved in the prevention and control of infectious diseases. ', 'Ebola Virus Disease, Outbreak, Preparedness, Assessment, Kenya', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-12 10:13:00', NULL, NULL, 92),
(578, 'Djibril BARRY', 'Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina', 'djibril.barry@bfeltp.com', 'dr', ' Abdoulaye', 'Goubakoye*', 'male', 'niger', 'goubakoyea@yahoo.com', 'Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'I. Gandou: iaboubakargandou@yahoo.fr\nD. Barry : djibril.barry@bfeltp.com\nPK. Yanogo :   yanogo.pauline@yahoo.fr \nH. Yoda : yodmano@yahoo.fr \nYM .Mahamadou : hamadoumoustapha1980@gmail.com\nN. Meda : nicolas.meda@ujkz.bf\n', 'Titre : Investigation d’une épidémie de rougeole dans la région de Tillaberi, Niger du 30 janvier au 12 mai 2022.', 'Introduction : la rougeole est une maladie infectieuse virale hautement contagieuse causée par un morbilivirus occasionnant un nombre important de décès chez les jeunes enfants, alors qu’il existe un vaccin sûr et efficace. Le Niger enregistre chaque année des cas de rougeole en raison de la faible couverture vaccinale. La région de Tillabéri a notifié plusieurs cas de rougeole dans  la 5ème semaine épidémiologique . Nous avons conduit une investigation dont l’objectif était de rechercher des cas supplémentaires et mettre en place des mesures de prévention et de contrôle.  ', 'Méthodes :  nous avons mené une étude transversale descriptive du 05 au 12 Mai 2022. La population d’étude était constituée de l’ensemble de la population des districts touchés par l’épidémie de rougeole dans la région de Tillabéri. Les données ont eté collectées à l’aide des fiches de notification de cas, les listes linéaires. Nous avons analysé les données avec Epi-info 7.2.2.6 et Excel 2016, calculé des proportions et moyennes.', 'Résultats : au total 291 cas suspects ont été notifiés dont 26 cas positifs (8,93%) et 0 décès du 30 janvier 2022 au 12 mai 2022. Les sujets de plus de 5 ans représentaient 211 cas soit 72,50%. Le sexe ratio (H/F) était de 1,38.  La quasi-totalité des cas confirmés (25 cas sur 26 soit 96,15%) étaient non vaccinés ou de statut vaccinal inconnu. Les mois de Mars et Avril ont enregistrés respectivement les incidences les plus élevées dans les districts de Say (20 pour 100 000hbts) et Téra (28 pour 100 000hbts).', 'Conclusion : la majorité des cas étaient des enfants de plus de 5 ans non vaccinés ou de statut vaccinal inconnu. Nous recommandons un renforcement du programme élargi de vaccination de routine et l’organisation d’une campagne de masse contre la rougeole dans la région de Tillaberi.\n\n', 'Mots clés : Investigation, rougeole, Tillaberi, Niger, 2022', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-13 10:13:00', NULL, NULL, 155),
(579, 'Uzoma Ogbonna', 'Resident Advisor', 'uogbonna@afenet.net', 'ms', 'Dziidzo', 'Leshiba', 'female', 'botswana', 'ldziidzo79@gmail.com', 'Serowe District Health Management Team ', 'alumni', '', '8/3/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Onkgopotse | Oduetse | Serowe District Health Management Team | onkyonk@gmail.com |\n\nNesredin | Oumer | Botswana Field Epidemiology Training Program | njami@afenet.net |\n\nUzoma | Ogbonna | Botswana Field Epidemiology Training Program | uogbonna@afenet.net |', 'Assessment of timeliness and completeness of reporting, Serowe, Botswana, January 2023', 'Introduction: Public health surveillance provides data for action, supporting informed decision-making. Botswana adopted the Integrated Disease Surveillance and Response System (IDSR) in 2002. Data on reportable diseases are required to be submitted from health facilities (HF) to the district, which collates these and submits a weekly surveillance summary report (WSSR) to the national level. However, we do not know the timeliness and completeness of these WSSR, in addition to diseases commonly reported. Therefore, we summarized the WSSR to describe the notifiable diseases, assess monitoring indicators and identify reasons for poor performance.', 'Methods: WSSR from 30 district HF were reviewed for a period of 52 weeks (week 1 – 52, 2022). We assessed timeliness and completeness of reporting for the HF. Timeliness was defined as submission of weekly report before 12 noon on Mondays. Cumulatively, timeliness was classified as good (≥80%), fair (50%–&amp;lt;80%) or poor (&amp;lt;50%). Completeness was defined as whether surveillance reports arrived at the district level, regardless of whether on time or late. Cumulatively, completeness was classified as good if it met the national average of 80%. Data on notifiable diseases were reviewed. We conducted a telephone survey for poorly performing HF.', 'Results: In 2022, the district median timeliness was 68% (range: 0 – 87%). Cumulatively, 8(27%) facilities were categorized as good, 15(50%) fair, and 7(23%) facilities poor. The district median completeness was 100% (range: 93 – 100%). Cumulatively, 29(97%) HF scored at least 80% completeness. Influenza like illnesses and diarrhea were the commonly reported illnesses. No surveillance focal officer, competing priorities, and public holidays were identified as reasons for late or no reporting. Furthermore, private facilities did not prioritize reporting.', 'Conclusion: Timeliness of reporting is suboptimal. We sensitized staff on reporting requirements, advocated for the designation of surveillance focal officers in health facilities and sensitized staff on reporting requirements. ', 'Timeliness, completeness, monitoring indicators, Serowe, Botswana', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-14 10:13:00', NULL, NULL, 10),
(580, 'NOUDEKE   NESTOR   DENAKPO', 'Resident Advisor FETP BENIN', 'noudnest@yahoo.fr', 'mr', 'Augusta A.G.', 'Adanvè', 'female', 'benin', 'adanva00@gmail.com', 'Ministère de la Santé', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'B. Aniwanou/Ministère de la Santé /bernardaniwanou@yahoo.fr\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr\n', 'Référence des cas de paludisme grave et facteurs associés à la létalité chez les enfants de 0 à 59 mois dans les hôpitaux publics de l’Ouémé au Bénin en 2022', 'Le paludisme est une affection parasitaire fébrile évoluant sous deux formes cliniques. Il demeure un problème de santé publique en Afrique. La forme grave est plus fréquente chez les enfants. Les causes de décès liées aux formes graves sont multifactorielles. Cette étude visait à évaluer la référence et les facteurs associés à la létalité des cas graves chez les enfants de moins de 5 ans. ', 'L’étude est de type transversal analytique avec une population d’étude constituée des enfants âgés de 0-59 mois admis dans les hôpitaux publics de l’Ouémé du 1er avril au 31 octobre 2022. L’échantillonnage a été aléatoire simple à l’aide du logiciel Open Epi et les données collectées par dépouillement des dossiers ont été analysées avec Epi Info7.2. Nous avons calculé des fréquences et odds ratios bruts.', 'Au total, 384 dossiers médicaux de paludisme grave ont été étudiés. La tranche d’âge la plus touchée est de 12-36 mois soit 57,8% ; 62,5% provenaient du milieu rural et 53,13% étaient de sexe masculin. Les signes de gravité les plus fréquents sont : l’anémie (91,9%), les vomissements incoercibles (79,2%) et les convulsions (78,9%). Sur les 384 cas, 30 sont décédés soit une létalité de 7,81%. Parmi nos cas, 74,5% ont été référés vers les hôpitaux, et 88,8% des référés ont bénéficié d’au moins un traitement de pré-référence ; seulement 3,2% ont été référés par l’ambulance. Les facteurs associés à la létalité étaient : l’incapacité de se nourrir (OR=4,1 ; IC à 95% [1,22-13,83]) et les difficultés respiratoires (OR =5,9 ; IC à 95% : [2,24-16,01]). ', 'La mortalité liée au paludisme grave reste encore élevée. Elle est liée à certains facteurs dont la prise en compte dans la prise en charge des cas est nécessaire pour une baisse de la létalité.', 'Paludisme grave, Référence, Etude transversale, Bénin', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2023-05-02 10:13:00', NULL, NULL, 15);
INSERT INTO `reviewer_ones` (`id`, `submitter_name`, `submitter_designation`, `submitter_email_address`, `first_author_title`, `first_author_fiirst_name`, `first_author_last_name`, `first_author_gender`, `first_author_country`, `first_author_email`, `first_author_affiliation`, `first_author_category`, `first_author_other_category`, `forst_author_alumni_completion`, `first_author_fetp_level`, `abstract_sub_theme`, `co_authors`, `abstract_title`, `abstract_backgound`, `abstract_methods`, `abstract_results`, `abstract_conclusion`, `key_words`, `reviewer_1_background_study`, `reviewer_1_method_apporpriate`, `reviewer_1_results_presentable`, `reviewer_1_results_conclusion`, `reviewer_1_ph_signicance`, `reviewer_1_overall_clarity`, `reviewer_1_total`, `reject_accept`, `presentation_type`, `reviewer_1_complete`, `reviewer_1_comments`, `created_at`, `updated_at`, `deleted_at`, `reviewer_id`) VALUES
(581, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mr', 'OMARY', 'NASSORO', 'male', 'tanzania', 'omarykipuli@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'alumni', '', '10/12/2022', 'advanced', 'non-communicable-diseases-ncds-injuries-and-mental-health', 'ROSEMPEMBENI, Muhimbili University of Health and Allied Sciences-Dar es salaam Tanzania, rcmpembeni@gmail.com\nAMIR JUYA, African Field Epidemiology Network-FETP Malawi, amirjuya@gmail.com\n', 'Uptake and associated factors of Cervical Cancer Screening services among Women attending Reproductive and Child Health Clinic in Dodoma Municipal Council, Tanzania from March to April 2022', 'Cervical cancer mortality can be avoided if proper preventive measures which include Human Papilloma Virus (HPV) vaccination, timely cervical cancer screening (CCS), and treatment of precancerous lesions are taken by women. Despite the increasing availability of cervical cancer screening services in Tanzania, only about 11% of eligible women were reported to have been screened. We determined uptake and associated factors of cervical cancer screening among women attending Reproductive and Child Health (RCH) clinics in Dodoma Municipal Council from March to April 2022. \n', 'A cross-sectional study using both quantitative and qualitative methods was conducted among women of reproductive age in RCH clinics and 7 RCH in-charges. MS Excel and STATA were used for data management and analysis. Bivariate analysis using the Chi-square test was used to assess relationship between the uptake of CCS and independent variables. Multivariable poisson regression was used to determine independent factors associated with the uptake of CCS. Thematic analysis was used to analyse Qualitative data.\n', 'A total of 463 women were enrolled and the prevalence of cervical cancer screening was 25%; 95%CI=21%-29%. Women with secondary education (aPR=0.6; 95%CI, 0.44-0.89), unemployed women (aPR=0.4; 95%CI, 0.23-0.76) and women who were not aware of cervical cancer screening (aPR=0.4; 95%CI, 0.13-1.00) were less likely to screen for cervical cancer compared to their counterparts. Inadequate number of Health Care Workers (HCWs) for provision of CCS, Women’s lack of readiness for screening and misconception on CCS procedures were frequently mentioned to deter CCS uptake.\n', 'Uptake of CCS among attendees of RCH clinic is below the National target of 60% of all eligible women. Education level, occupation and awareness of cervical cancer symptoms were associated with CCS uptake. RCH staff should provide education on cervical cancer screening, address misconceptions about screening procedures and Government should ensure adequate number of HCWs to provide screening services.\n', 'Uptake, Cervical Cancer,  Screening, RCH, Tanzania ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-15 10:13:00', NULL, NULL, 112),
(582, 'Peter Adewuyi', 'Resident Advisor ', 'padewuyi@afenet.net', 'mr', 'Abdoulie ', 'Sonko', 'male', 'gambia', 'soncolley88@gmail.com', 'Gambia FETP and Ministry of Health, The Gambia', 'alumni', '', '19/08/2022', 'intermediate', 'maternal-reproductive-and-child-health', 'Mary Grey-Johnson |  Medical Research Council Unit The Gambia | ladymay992@yahoo.com \nMaimuna Badjie | Ministry of Health | maimunabadjie@gmail.com\n Lamin Saidyfaye | Ministry of Health | laminsaidyfaye1@gmail.com\nPeter Adewuyi. | AFENET. | padewuyi@afenet.net', 'Maternal Mortality Surveillance System Evaluation, The Gambia, 2022', 'The global estimate of maternal deaths in 2017 was 295,000 with Sub-Saharan Africa accounting for approximately 66%. Surveillance is key in monitoring maternal deaths especially in Africa. We therefore evaluated the Maternal Mortality Surveillance System in The Gambia to determine its usefulness, flexibility, stability, completeness of reporting, timeliness and representativeness.', 'Using the CDC updated guideline for surveillance system evaluation, a structured questionnaire and checklist were used to collect data from registers, patient folders and interviews. We recruited 25 stakeholders involved in the maternal mortality surveillance system at different regions and levels of health care delivery in The Gambia. Observations, record review were also conducted. Epi info version 7 was used to analyze the data. Maternal Death Surveillance System attributes indicators evaluated were graded as “1” when appropriately answered and scores “0” for findings that do not support attribute. Sum of scores for each attribute was divided by total number of questions and multiplied by 100%. Scores were graded as excellent (90-100%), good (70-89%), fair (50-69%) and poor &amp;lt;50%. ', 'Of the 25 surveillance officers interviewed, 88% (22/25) were males, median age was 37 (26-47) years, and 52% (13/25) were between age group 31-40 years. The maternal mortality surveillance system was useful (82%), fairly flexible (60%), fairly timely (51%), fairly representative (55%), fairly stable (68%) but data quality and completeness were poor (37%).', 'The maternal death surveillance system of The Gambia was found to be useful, stable, flexible and timely. It is however not representative and data quality was poor.  We recommend that health workers investigate maternal deaths timely and completely fill the registers and patient folders correctly so informed decisions can be made in a timely manner.', 'Maternal Mortality, Evaluation, attributes, , surveillance System', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-16 10:13:00', NULL, NULL, 50),
(583, 'Yassa D. Ndjakani', 'FETP-COI', 'yndjakani@gmail.com', 'dr', 'Arlette ', 'Saint Pierre Drack', 'female', 'mauritius', 'saintpierredrack@gmail.com', 'FETP COI', 'alumni', '', '11/2/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Harena Rasamoelina        FETP-COI       harena.rasamoelina@coi-ioc.org\nYassa D.Ndjakani              FETP-COI       yndjakani@gmail.com\nNestor    Ndakala              FETP-COI       drnestndakala@gmail.com ', 'SURVEILLANCE  OF CANCER IN RODRIGUES ISLAND, 2022', 'Rodrigues island has a population of 44,220 inhabitants (Health Statistics 2021). Neoplasms are the second cause (16.5%) of deaths in 2021. In fact, there were forty-seven deaths due to neoplasms in 2021. The aims and objectives were to collect the baseline data and determine the prevalence and the main sites of cancers.', 'A retrospective study conducted. Data  reviewed and  collected from Health Records of Queen Elizabeth Hospital, Statistics unit and radiology department for all confirmed cancer cases for the year 2022 during the month of December , through a designed Epi info questionnaire. Data analysed using Epi info and Excel.', 'A total of 109 cancer cases among residents of  Rodrigues registered for the year 2022 , with a  prevalence of 246 per 100,000 population. Women (n=79, 72.5%) most affected compared to men (n=30, 27.5%). The mean age of the cases was 59.1 years (Men 65.4 years &amp;amp; women: 56.7 years). Most cancers, 50.5%   occur at the age of ≥60 years. While 63.3% of all cancers occur during their productive years (15 to 64 years) , with (82.6% women&amp;amp; 17.4% men). Breast cancer was most prevalent sites of cancer in women  (56%) and cervical cancers (19%) . Among men, prostate cancer was most prevalent with (40%) and colon-rectum (23%).', 'The study showed that ,    more women are affected by cancers in their productive years compared to men. The health promotion campaigns such as breast screening and pap smear screening should be targeted .\n\n\n', 'Cancer, Surveillance ,', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-17 10:13:00', NULL, NULL, 210),
(584, 'Amna Khairy AbdulKareem Khairy', 'Technical Coordinator', 'Akhairy@Emphnet.Net', 'dr', 'Amna', 'Khairy', 'female', 'sudan', 'Amnakh22@hotmail.com', 'FETP Technical Coordinator', 'alumni', '', '8/4/2022', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Babkier	Ali	WHO Sudan	babkerali@yahoo.com\nMuntasir	Osman	Sudan FETP	muntasiro@yahoo.com\n', 'Measles Outbreak investigation  among Gold Miners, River Nile State, Sudan, May-November 2021', 'Sudan is one of the leading countries in traditional gold mining. Conditions surrounding gold mining such as the influx of large numbers of susceptible and poor environmental conditions, facilitate measles transmission and hinder measles elimination efforts nationally, regionally, and globally. This abstract describes a measles outbreak investigation among gold miners in Sudan, from May to November 2021.', 'The suspected measles case was defined as any person with fever and maculopapular rash at any age. Serum samples suspected of measles cases were tested for measles Immunoglobulin M (IgM) . The outbreak confirmation was based on the presence of three or more confirmed measles cases in the same geographic area within one incubation period. Contact tracing and measles vaccination Coverage Survey were done.  EPI Info version 7 was used for data entry, cleaning descriptive analysis, and geographic mapping.', 'The outbreak started on the 18th  epidemiological week, and lasted for 35 weeks. The total number of cases was 233; with an Attack rate of 10 per 1000 miners,  and 2% case fatality rate.  The majority of cases were above 15 years of age and not vaccinated for measles (90%). The area has the largest grinding services for mining in the country, causing large population movement from other mining areas, and contributing to the outbreak’s rapid spread to the northern part of the country, cross-boarding Egypt. The index case was coming from the western part of the country, where another measles outbreak was ongoing.  An outbreak response vaccination campaign and orientation sessions for healthcare workers to strengthen case management and surveillance sensitivity were implemented.', 'Low measles vaccination coverage and population movement were the main reason for this high morbidity and mortality outbreak. Mandatory measles vaccination policy at mining entry points,  with a “miner’s measles vaccination card” should be implemented.\n\n', 'Measles Outbreak, Measles Elimination, Gold Miners, Sudan', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-18 10:13:00', NULL, NULL, 112),
(585, 'Dr. Gebrekrstos Negash Gebru', 'Resident Advisor', 'ggebru@afenet.net', 'mr', 'Samuel ', 'Bailor', 'male', 'sierra-leone', 'samuelbailor1975@gmail.com', 'National Tuberculosis Leprosy Program, Ministry of Health and Sanitation, Sierra Leone', 'resident', '', '', 'intermediate', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'Anna Jammeh                                          African Field Epidemiology Network                          ajammeh@afenet.net, \nAmara Alhaji Sheriff                                  African Field Epidemiology Network                       amaraalhaji1970@gmail.com \nAdel Hussein Elduma                                 African Field Epidemiology Network                      ahussein@afenet.net, \nSolomon Aiah Sogbeh                                African Field Epidemiology Network                      solomonsogbeh@gmail.com \nUmaru Sesay                                                Ministry of Health and Sanitation                           sesayumaru4@gmail.com\nGebrekrestos Negash Gebru                     African Field Epidemiology Network                      ggebru@afenet.net', 'Evaluation of Multi-Drug Resistance Tuberculosis Surveillance System: Sierra Leone, January 2021 – December 2022', 'Multi-drug resistant Tuberculosis (MDR-TB) is a complex infectious disease and is a threat to global health. Globally it is estimated that about 630,000 tuberculosis patients have multi-drug tuberculosis and require treatment. Sierra Leone is among the world’s 30 most affected countries accounting for 87% of the global infection rate. The Tuberculosis surveillance system is part of the general framework of Integrated Disease Surveillance and Response and we, therefore, evaluate the system to determine its performance, assess key attributes and make appropriate recommendations to improve the system. \n', 'The study was a mixed (qualitative and quantitative) cross-sectional study carried out in 4 purposely selected sentinel sites using GeneXpert to test multi-Drug Resistant Tuberculosis. The updated guidelines for evaluating surveillance systems were used to assess the system attributes and system operations. We interviewed 7 clinicians, and 2 national and 16 district stakeholders.MDR-TB notification and laboratory registers were reviewed, and content analysis was performed on completeness, timeliness, and data quality.\n', 'The system was found to be simple and flexible (97.5% and 94.5%) respectively but had a low case detection rate of 24% (299/1255). The average time taken to confirm a suspected case was 48-72hrs and registration for treatment was done the same day after confirmation. The standard case definition was easy to use and 76% showed a willingness to continue with the system. 95% of the reported data were completely and correctly filled but timeliness was 92.5%. Quarterly supervisions are conducted at the national level. The program is 100% donor dependent and private facilities are not involved in multi-drug-resistant tuberculosis surveillance activities.\n\n', 'The multi-drug resistant Tuberculosis surveillance system is useful and partly meets its objectives, however, it is not meeting the yearly case target, and being donor dependent poses threats to the stability of the system. \nWord count:293/300\n', 'Multidrug, Resistant, Tuberculosis, Sierra Leone\n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-19 10:13:00', NULL, NULL, 138),
(586, 'Peter Adewuyi', 'Resident Advisor ', 'padewuyi@afenet.net', 'mr', 'Ebrima ', 'Barrow', 'male', 'gambia', 'ebrimabarrows@yahoo.com', 'Gambia FETP and Ministry of Health, The Gambia', 'alumni', '', '', 'frontline', 'public-health-laboratory-systems-and-infection-prevention-control', 'Abou Kebbeh | National Public Health laboratory | kebbehabou@yahoo.com\nHaddy Bah | Edward Francis small teaching hospital | haddybah@hotmail.com \nAbdoulie Bandjan | Edward Francis small teaching hospital |  bandjan1@gmail.com\nBaba K Fofana | Edward Francis small teaching hospital | babakuntaf1@gmail.com\nSainey BF Ceesay | National public health lab | bfcsay@gmail.com\nKalifa Sanneh Darboe | kanafing general hospital | kfsanneh4@gmail.com\nPeter Adewuyi. | AFENET. | padewuyi@afenet.net', 'Occurrence of Extended Spectrum Beta-Lactamase-Producing Enterobacteriaceae Isolated from Clinical Samples at Edward Francis Small Teaching Hospital, 2022: A Hospital Based Study.', 'Extended spectrum beta-lactamases (ESBL) producer bacteria are increasing in both hospital and community settings posing a major public health problem worldwide. In The Gambia, published data on the occurrence of ESBL producing bacteria in local setting is limited. We determined the occurrence of ESBL-producing organism from clinical bacterial isolates at the main tertiary hospital, ESFTH. ', 'During December 2021 to August 2022, 173 banked clinical isolates were analysed using standard bacteriological methods at the microbiology laboratory, EFSTH.  Isolates identification were conducted using biochemical tests. Antibiotic susceptibility was conducted using disk diffusion method according to Clinical and Laboratory Standard Institute (CLSI) guidelines. Phenotypic ESBL-producing bacteria were confirmed using double-disk synergy methods. Data on demographic characteristics, ward and sample type was collected from laboratory register. Data was analysed descriptively using Epi info 7.5.', 'A total of 173 single clinical isolates with median age 27(1-76) years were analysed. ESBL-PE frequency was 35 (28.46%) among the 123 Enterobacteriaceae isolates identified. Majority of the ESBL isolates were from gynae ward, 14(40%) followed by surgical ward, 11(31.43%).  E. coli was dominant 21(60%) followed by Klebsiella pneumonia 10(28.57%). High resistance rate was observed against Cephalosporins [(Ceftazidime 34(97.14%), Cefotaxime 29(93.55%), Ceftriaxone 33(94.29%)], Cotrimoxazole 33(94.29%) and Gentamycin 32(91.43%). Low resistance rate of ESBL-producers against Nitrofurantoin 8(36.36%) was observed. However, all the ESBL isolates were sensitive to Imipenem antibiotic. Multi-drug resistant isolates were more prevalent among the ESBLs producers 33(94.29%) than non-producers 2 (5.71%) (p = &amp;lt; 0.0001) ', 'Our study shows ESBL producing Enterobacteriaceae from the banked clinical isolates in which E. coli and Klebsiella pneumonia are the predominant organisms. ESBL producing organisms shows a high resistance rate to cephalosporins. We recommend for the hospital management to institute effective infection prevention and control measures within gynae and surgical wards to prevent spread of ESBL-producers and nosocomial infections. ', 'ESBL, antibiotic, resistant, Enterobacteriaceae, The Gambia ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-20 10:13:00', NULL, NULL, 60),
(587, 'Bode Ireti Shobayo', 'National Public Health Institute of Liberia', 'bodeishobayo@gmail.com', 'mr', 'Bode Ireti', 'Shobayo', 'male', 'liberia', 'bodeishobayo@gmail.com', 'National Public Health Institute of Liberia', 'other', '', '', 'NA', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Bode | Shobayo | National Public Health Institute of Liberia | bodeishobayo@gmail.com\nChukwuma | Umeokonkwo | African Field Epidemiology Network, Kampala, Uganda | dchukwuma@afenet.net \nRalph | Jetoh | National Public Health Institute of Liberia | ralphica2000@gmail.com \nNicholas | Blidi | Expanded Program on Immunization, Ministry of Health, Liberia | chachesko@gmail.com \nJulius | Gilayeneh | National Public Health Institute of Liberia | dr.gilayeneh@gmail.com \nGodwin | Akpan | African Field Epidemiology Network - AFENET Liberia | gakpan@afenet.net \nMaame | Amo-Addae | African Field Epidemiology Network - AFENET Liberia | mamoaddae@afenet.net \nJane | Macauley | National Public Health Institute of Liberia | jane.macauley@nphil.gov.lr \nRachel | Idowu |  U. S. Centers for Disease Control and Prevention (CDC) | rbi0@cdc.gov \n', 'Knowledge regarding measles vaccination among caregivers in Montserrado County, Liberia, 2022 ', 'Introduction: Liberia has not met their annual national target for measles vaccination and reports recurrent measles outbreaks. Knowledge of caregivers concerning measles infection and vaccination contributes to their practice towards measles infection and vaccination uptake.  We assessed caregivers\' knowledge regarding measles and its vaccination to inform outbreak response efforts.\n\n\n', 'Methods: We conducted a cross-sectional study among 552 caregivers of children under five years selected using a multi-stage sampling technique in September 2022. We explored caregivers’ knowledge about measles disease and measles vaccines, using a pre-tested questionnaire. A combination of ten questions was used to assess knowledge. Caregivers who scored at least six out of ten possible scores were categorized as having good knowledge. Data were cleaned and analyzed using R version 4.2.0, and the relationship between the caregivers’ level of knowledge and the sociodemographic characteristics were explored using chi-square and logistic regression. ', 'Results: The median age of the caregivers was 30 (IQR:2437) years.  Most [373 (71.5%)] caregivers were mothers, only 68 (13.0%) had attained tertiary education and 124 (23.8%) were employed. A total of 500 (95.8%) were aware of the measles disease, and 485 (92.9%) had heard of the measles vaccine. The three most common sources of information on measles disease and on vaccination were friends, health workers, and radio. Some of the caregivers 137 (26.2%) have poor knowledge of the measles disease and its vaccination. Age 4554 years [aOR (adjusted odds ratio): 8.1; 95%CI: 2.730.7, p&amp;lt;0.001), attaining tertiary education (aOR: 3.7; 95%CI: 1.69.6, p=0.004) and being employed (aOR: 2.0; 95%CI: 1.23.9, p=0.017) predicted good knowledge of measles disease and its vaccination. ', 'Conclusion: The study reveals some knowledge gaps among caregivers in urban settings in Liberia. The relevant agencies and partners should work on improving caregivers\' knowledge of measles and its vaccination. \n', 'knowledge, attitude, practice, measles vaccination ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-21 10:13:00', NULL, NULL, 38),
(588, 'Yassa D. Ndjakani', 'FETP COI', 'yndjakani@gmail.com', 'dr', '  Ramakilahy Fenosoa Randriantsizafy', 'Ndjakani', 'female', 'madagascar', 'fitia.fenosoa@yahoo.fr', 'FETP COI', 'resident', '', '11/2/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Harena Rasamoelina        FETP-COI       harena.rasamoelina@coi-ioc.org\nYassa D.Ndjakani              FETP-COI       yndjakani@gmail.com\nNestor    Ndakala              FETP-COI       drnestndakala@gmail.com\n', ' EFFICACITE DE L\'UTILISATION DES BOITES DE KARTMAN DANS LA LUTTE CONTRE LA PESTE HUMAINE A TSIROANOMANDIDY, MADAGASCAR, EN 2022', 'La peste humaine demeure un problème majeur de la santé publique à Madagascar. Le bacille pesteux est responsable d’une infection sérieuse d’évolution rapide entrainant une forte létalité. Elle se présente sous forme bubonique ou pulmonaire. Afin de diminuer la morbidité et la létalité dues à la peste dans le district, nous avons décrit l’évolution de données de la peste humaine selon temps, lieu et personne de 2011 à 2022 et les résultats des interventions effectuées.', 'Etude descriptive rétrospective de l’ensemble des données de surveillance du district de Tsiroanomandidy une zone endémique pesteuse. Une révision rétrospective des données de de la surveillance du district en comparant les cas notifiés et les résultats bactériologiques du laboratoire de 2011 à 2022 , était effectuée. Les boîtes de kartman ont été utilisée dans toutes les communes du district pour tuer les puces genre xenopsylla kéopis suivi de capture de rats à partir de 2016 a été l’utilisation ', 'Chaque année la saison de haute transmission est entre le mois d’août et le mois de mai. Le fokontany Miandrarivo I a été le plus touché avec taux une d’attaque de 9,6 cas pour 1 000 habitants. Notons l’évolution de quelques indicateurs avant et après l’utilisation des boites de Kartaman en 2016, la médiane a été de 71 [46-153] cas contre 20 [2-39] cas, la peste a été confirmée dans 72% (302/417) contre 76% (81/107), les types de peste : peste bubonique 93% (387/417) contre 89% (95/107), peste pulmonaire 2% (9/417) contre 10% (11/107) et non précisé 5% (21 /417) contre 1% (1/107) et la létalité a été de 24% (73/302) contre 28% (23/81), le sexe ratio homme femme a été de 1,6 contre 2. Le tranche d’âge le plus touché a été de 10 à 14 ans (107/417) tandis qu’après 2016 15 à 19 ans (23/107).', 'La lutte contre les vecteurs et les réservoirs a été renforcée à partir de l’année 2016 par l’utilisation des boîtes de kartman entrainant une diminution nette de la notification de cas de peste humaine dans le district.', 'Peste – Vecteurs – Lutte – Rongeurs ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-22 10:13:00', NULL, NULL, 174),
(589, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mr', 'Eustadius Kamugisha ', 'Felician ', 'male', 'tanzania', 'eustadius.felician@yahoo.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'alumni', '', '10/12/2022', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'Mtebe Majigo,  University of Health and Allied Sciences, Dar es salaam - Tanzania, mmajigo@gmail.com\nLoveness Urio, Tanzania Field Epidemiology and Laboratory Training Program, Dar es Salaam - Tanzania, loveness13us@yahoo.com \nSaid Aboud, National Institute for Medical Research, aboudsaid@yahoo.com\n\n', 'Etiology, antimicrobial susceptibility patterns and factors associated with bacteriuria among HIV-infected women attending prevention of mother to child transmission clinic at Bukoba Municipality, Tanzania, 2022', 'Bacteriuria is the presence of significant bacteria in the absence of signs and symptoms of urinary tract infection (UTI). The presence of bacteria in urine for both pregnant and lactating HIV-infected women can cause serious complications for women and fetuses for pregnant women. We determined the etiology, antimicrobial susceptibility testing patterns and factors associated with bacteriuria in HIV-infected women attending Prevention of Mother to Child Transmission (PMTCT) clinic at Bukoba Municipality.\n', 'A cross-sectional study was conducted from January to April 2022 among HIV-infected women attending PMTCT clinic at Bukoba Municipality. Clean-catch midstream urine specimens were cultured on MacConkey and blood agars. Bacteria isolated were identified by colonial characteristics, Gram stain and biochemical identification tests. After initial screening, double-disc synergy method confirmed the phenotypic detection of ESBL production and MRSA was confirmed using cefoxitin disc (30μg). Socio-demographic, clinical, and laboratory information data were collected using a structured questionnaire. STATA version 15.0 was used for analysis. Test for association was performed using modified Poisson regressions. \n', 'Of the 290 study participants, 66(22.8%) had significant bacteriuria. Breastfeeding women were 152(52.4%) and 138(47.6%) were pregnant women. The predominant bacteria isolated were E. coli 21(31.8%) while 17(34.0%) of gram-negative bacteria were Extended Spectrum Beta Lactamases (ESBLs) and 1(25.0%) was Methicillin-resistant Staphylococcus aureus (MRSA). Escherichia coli showed high resistance rate against trimethoprim-sulfamethoxazole 21(100%), amoxicillin/clavulanic acid 20(95.0%). Staphylococcus aureus 4(100%) were resistance to both penicillin and trimethoprim-sulfamethoxazole. The proportion of multi-drug resistance (MDR) was 45(68.2%). Rwamishenye health Centre (APR: 2.12, 95%CL: 1.04-4.34, p=0.027), Kashai dispensary (APR: 2.63, 95%CL: 1.31-5.26, p=0.006) and single marital status (APR=1.85, 95%CI:1.03-3.34) were the factors significantly associated with bacteriuria.\n', 'Prevalence of bacteriuria was high in Bukoba.  Most isolated bacteria being resistance to most of the tested drugs suggest the use of antimicrobial agents to be supported by culture and Antimicrobial Susceptibility Testing (AST) results. \n', 'Aetiology, antimicrobial-susceptibility, bacteriuria, HIV-infected women, Tanzania, ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-23 10:13:00', NULL, NULL, 112),
(590, 'Peter Adewuyi', 'Resident Advisor ', 'padewuyi@afenet.net', 'mr', 'Modou K O', ' Njie', 'male', 'georgia', 'mnjie1299@gmail.com', 'Gambia FETP and Ministry of Health, The Gambia', 'alumni', '', '19/08/2022', 'advanced', 'non-communicable-diseases-ncds-injuries-and-mental-health', 'Abou Kebbeh | National Public Health Laboratory, The Gambia | kebbehabou@yahoo.com\nModou Lamin Fofana. | Ministry of Health |. mlfofana02@gmail.com\nPeter Adewuyi. | AFENET. | padewuyi@afenet.net\nChukwuma David Umeokonkwo | AFENET | dchukwuma@afenet.net\nAmadou W. Jallow | Ministry of Health, The Gambia | amadou.jallow@gmail.com\nMustapha Bittaye | Ministry of Health, The Gambia | bittaye@gmail.com \n', 'Incidence of Snakebite, North Bank West Region, The Gambia, 2017 – 2021', 'Snakebites affect about 5.4 million people worldwide resulting in over 137,880 deaths per year. In Sub-Saharan Africa, the incidence of snakebite cases is generally underestimated despite the adverse effect of snakebite when it occurs. We therefore conducted this study to describe the incidence of snakebites in the North Bank West Region of the Gambia.', 'We reviewed snakebite surveillance data from 2017 to 2021 recorded in health facilities registers in North Bank West Region, The Gambia. Variables extracted were age, sex, date reported, health facility name, district of residence, and case outcome. We summarized the data by person, place, and time and results were presented using frequencies and proportions in tables, charts, graphs and maps.', 'A total of 197 cases were reported with median age of 20 (IQR:13 -30) years, and males were 69.0% (136/197). Thirty-five percent (69/197) of snakebite victims were in the age group 10-19 years. The 5-year incidence rate was 31 snakebite cases per 100,000 population with a case fatality ratio of 4.1%. Jokadou District recorded the highest number of incidences (14 cases per 10,000) in 2017. Seventy-two percent, (143/197) of the snakebite cases occurred during the rainy season (June-October). The year 2020 recorded the highest incidence of snakebite in the region, 59 snakebite cases per 100,000 population.', 'The high incidence of snakebite cases in this study requires that the Ministry of Health, to strengthen health education activities on snakebite prevention and early health seeking behavior. Regional Health Directorate should work with health facilities to regularly organize health education activities for the communities, especially prior to the start of the rainy season.', 'Snakebites, Incidence, Surveillance Data, Gambia, Regional', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-24 10:13:00', NULL, NULL, 67),
(593, 'Ipyana F. Mwandelile', 'Resident Advisor', 'fipyana@afenet.net', 'mr', 'Gebhard ', 'Ndyaleka', 'male', 'namibia', 'gndyaleka@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'alumni', '', '', 'frontline', 'vector-borne-and-neglected-tropical-diseases-ntds', 'Padelia N. Ngenokesho, Ministry of Health and Social Services, padelia.ngenokesho@mhss.gov.na', 'Schistosomiasis outbreak among leaners at Omindamba Combined school, Outapi district, Omusati region, Namibia, August 2022 ', 'Schistosomiasis is neglected tropical diseases caused by parasite flatworms (blood flukes) of the genus Schistosoma. It is water borne disease that affects the human urogenital system. On 15 August 2022, 4 cases of suspected Schistosomiasis were reported from Omindamba Combined School in Outapi district. The investigation was done to establish the existence of an outbreak and find contributing factors. ', 'A qualitative study was conducted to establish the existence of an outbreak and find the possible causes of the infection.  The case definition was done by differentiating the confirmed and suspected cases. Confirmed case referred to learner with blood positive urine dip strip and laboratory urine confirmed with ova of schistosoma haematobium and the suspected case referred to any learner presenting with visible blood in urine, with or without dysuria and abdominal pain from the 15 to 22 of August 2022.  A purposeful sampling method was used to identify suspected cases and Microsoft excel was used for line list as well as data analysis.', 'Totals of 93 urine samples of learners were collected. A total of 77 (83%) samples were tested with urine dipstick of which 41(53%) indicated the present of blood, while 16 (17%) sample were sent for laboratory confirmation and 13 (81%) samples were found to have ova of S. haematobium. Most (72%) cases were male. The affected age group ranged from 6 -20 years, with a median age of 13 years.  About 40 (74%) learners indicated using Etaka pond water as a source of drinking water with P-value = 0.02 while 16 (30%) have indicated that they swim in Etaka Pond with P-value=0.03.', 'The schistosomiasis outbreak was caused by schistosoma haematobium. Drinking and swimming in the Etaka pond were the contributing factor. The learners were treated using praziquantel and health education was given. We therefore recommend the Ministry of Agriculture, Water and Land Reform to supply portable water.', 'Adolescent, Schistosomia haematobium, Praziquantel, Drinking Water, Dysuria, Waterborne Diseases', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-25 10:13:00', NULL, NULL, 231),
(594, 'Gildo Okure', 'Resident Advisor', 'gokure@afenet.net', 'mr', 'William', 'Obuyang', 'male', 'south-sudan', 'williamjenaro@ymail.com', '1 State Ministry of Health, Eastern Equatoria State, South Sudan', 'alumni', '', '28/03/2022', 'frontline', 'vector-borne-and-neglected-tropical-diseases-ntds', 'D. K. Kargbo2, G. Okure2*, W. Mwanje2, J. Lasu3, S.Y. Makoy3, S. Ijang3, J. Niquette4, L. Joseph4, J.P.A. Rumunu3\n1 State Ministry of Health, Eastern Equatoria State, South Sudan\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan\n3Public Health Emergency Operations Center, Ministry of Health, South Sudan\n4The Carter Center - South Sudan\n* Corresponding author: Gildo Okure; gokure@afenet.net; +211-927-148232\n', 'A confirmed human dracunculiasis case in Lafon County, Eastern Equatoria State, South Sudan, August 2022', 'Dracunculiasis (Guinea worm), a parasitic disease caused by Dracunculus medinensis, is targeted for eradication, globally. In South Sudan, the last reported confirmed case was in 2007. On August 5, 2022, Lafon County surveillance unit received an alert of a suspected dracunculiasis case at Lafon Primary Health Care Centre (PHCC). We investigated to confirm the diagnosis, identify exposures and implement prevention and control measures.', 'We defined a suspected Guinea worm case as any person presenting a skin lesion with itching or blister with emergence of a worm. We filled case investigation form, interviewed the case-patient and extracted part of the worm on the 7th August 2022 at the Lafon PHCC and shipped the sample to United States Centers for Disease Prevention and Control (U.S CDC) for laboratory confirmation. We conducted active search for additional cases, assessed water sources and conducted risk communication in the community.', 'We identified one case-patient. An 18-year old male farmer/hunter/fisherman admitted at Lafon PHCC on August 3, 2022 with symptoms of fever, intense localized itching and burning skin lesion on the right posterior knee joint. The case-patient repeatedly drank water from stagnant surface water sources for more than a year before onset of symptoms on July 13, 2022. He reported an emergence of part of the worm at home on July 27, 2022 before visiting Lafon PHCC on August 3, 2022. We observed several community drinking water sources to be contaminated with water fleas. The worm sample measuring 8-10cm was confirmed positive for Dracunculus medinensis (CDC accession number PDB 22-92) by U.S CDC. ', 'We confirmed a case of human dracunculiasis in Lafon County, South Sudan, 15 years since the last case in 2007.  We intensified active surveillance, conducted health education in the community, distributed water filters, and treated water sources with temephos (abate). ', 'Investigation, Dracunculiasis, Lafon County, South Sudan,', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-26 10:13:00', NULL, NULL, 102),
(595, 'JEAN D\'AMOUR SINAYOBYE', 'Science Epidemiologist', 'jsinayobye@afenet.net', 'dr', 'Vanessa ', 'Mupenzi ', 'female', 'rwanda', 'umubyeyivanessa13@gmail.com', 'Rwanda Biomedical Center', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Dr. Vedaste Ndahindwa, University of Rwanda, ndahindwa@nursph.org \nSemakula Muhammed, Rwanda Biomedical Center, semakulam@gmail.com\nDr. Jean d\'Amour Sinayobye, AFENET Rwanda, jsinayobye@afenet.net\nProf. Joseph Ntaganira, University of Rwanda, jntaganira@nursph.org', 'Risk factors associated with COVID-19 mortality among patients admitted in Nyarugenge Treatment Centre from June to October 2021', 'Rwanda reported its first SARS-CoV-2 confirmed case on March 14th 2020, and the first death was recorded in May 2020, with the period between June and October 2021 registering a spike nationally. To date, the overall recorded case fatality ratio is 0.01 (ref), and there is limited data discussing data describing factors associated with SARS-CoV-2 mortality at a sub-national level. The objectives of this were to identify, assess and discuss risk factors associated with SARS-CoV-2 mortality among patients admitted to Nyarugenge Treatment Centre.  ', 'A cross-sectional study was conducted among SARS-CoV-2 patients admitted to the Nyarugenge treatment center from June to October 2021. An analysis of death reports was conducted, and a bivariate and multivariate logistic regression was computed to determine the factors most frequently recorded as the cause of death in patients with SARS-CoV-2 infection. Odds ratio (OR), 95% confidence interval (CI), and p-value &amp;lt;0.001 were reported ', 'This study included a total of 1155 patients. Of them, 279(24.6%) patients had died. In multivariate logistic regression analysis the variables included were age (stratified), gender, residence and comorbidity. , age group of 21-40 years (AOR=2.3, 95% CI:1.2-4.5), 41-59 years (AOR=2, 95%CI:1.0-3.8), and those aged 60 years and above (AOR=2.2, 95%CI:1.1-4.3), living in western province (AOR=2.2, 95%CI: 1.0-4.6), Diabetes (AOR=0.3, 95%CI: 0.2-0.5), pregnancy (AOR=0.3, 95%CI: 0.2-0.5), were determined as independent factors significantly associated with COVID-19 mortality . ', 'In conclusion, our study findings showed a relationship between COVID-19 cases and deaths with comorbidities, residence, elderly age (as a proxy for age) and vaccination status. Timely identification of the key evidence-based factors that might mitigate COVID-19 infections and deaths in Rwanda is pertinent for better management of the current and future pandemics. This may include investing in healthcare universal coverage, capacity building and infrastructure, disease surveillance, public health laboratories, and all other aspects that relate to health as elucidated in the WHO International Health Regulations. Specifically, to Covid-19 mortality and associated risk factors, special care should be attributed to elderlies as this study revealed that the risk of death is increased in this group of people. The risk may also be increased in people living with comorbidities, as they are immune suppressed;  \n\n', 'Covid-19, risk factors, Nyarugenge treatment center, mortality ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-27 10:13:00', NULL, NULL, 171),
(596, 'Olivia Nakwafila', 'Namibia', 'ONAKWAFILA@UNAM.NA', 'ms', 'Olivia', 'Nakwafila', 'female', 'namibia', 'ONAKWAFILA@UNAM.NA', '1 Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, South Africa;  School of Nursing and Public Health, Department of Public Health, University of Namibia, Oshakati Campus, Namibia', 'alumni', '', '30/12/2016', 'advanced', 'non-communicable-diseases-ncds-injuries-and-mental-health', '\nProf Benn Sartorius, Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, South Africa; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.\nbenn.sartorius@ndm.ox.ac.uk\nProf Tivani Phosa Mashamba Thompson, Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, South Africa\nFaculty of Health Science, University of Pretoria, Pretoria, South Africa, Email: tivani.mashamba-thompson@up.ac.za\n\n  Mr Anthony, Department of Biostatistics, Godiagodi@ug.edu.gh\n\n', 'Analysis of hypertension Spatial-temporal patterns in Namibia, 2011-2019', 'The United Nations Population Fund projections indicate that hypertensive individuals living in Sub-Saharan African regions by 2025 were estimated at 125.5 million (an estimated increase of 68%) from 2008 to 2025. Namibia lacks enough evidence on population data, including age-sex incidences. We aimed to describe hypertension spatial-temporal patterns from 2011-2019.', 'Secondary data review was conducted. Participants included Inpatient diagnosed primary hypertensive patients 18 years and above across 14 regions of Namibia. The data source was District Health Information System 2 from which hypertension data from 2011 -2019 was extracted. Descriptive statistics, crude and age and sex standardized incidence rates (per 10,000 persons) within the primary clusters were calculated using   Stata version 15 and WinBUGS version 1.4.3. Models were fitted using Bayesian inference via Markov Chain Monte Carlo simulation methods with flat priors from overall incidence to estimate the incidence rates expressed as means.', 'The study population comprised 29,401 patients whose mean age was (Mean ± SD) 57.9 ± 18.3%). Khomas region recorded the highest number of hospitalized patients with hypertension, 5,337 (18.1%), Omaheke recorded the least, 546 (1.9%). The highest crude incidence recorded was in 2011(63.7/10,000 persons) in Kunene region, and the lowest (4.6/10,000 persons) was in 2019 in Oshana and Zambezi regions, respectively. The highest change in crude incidence rate for 2011 vs. 2019 was in Kunene region (43.3/10,000 persons) and the lowest in Oshikoto region (1.6/10,000 persons). Though the trend decreased, age-sex standardized hypertension incidence rates by region and year (2011vs vs. 2019) were higher than crude incidences.', 'Hypertension crude and age-sex standardized incidence rate per 10 000 persons decreased geographically and over time from 2011-2019. Future research should focus on hypertension analytical studies on exposure factors and studies focused on resistant hypertension at a country level.', 'Spatial-temporal analysis, Hypertension, Incidence, Modelling, Namibia', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-28 10:13:00', NULL, NULL, 231),
(597, 'Djibril BARRY', 'Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina', 'djibril.barry@bfeltp.com', 'mrs', 'Mariata', ' LAM *', 'female', 'mauritania', 'biquetlammariata@gmail.com', 'Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'M. Nikiema :  nikiemou@yahoo.f\nD. Barry : djibril.barry@bfeltp.com\nPK. Yanogo :   yanogo.pauline@yahoo.fr \nH. Yoda : yodmano@yahoo.fr\nR B. Mohamed : mouhamed.ramdhane@gmail.com\nH. Benane : ahmedbenane@gmail.com\nM  M. Ely Mahmoud : drmmelymahmoud@gmail.com\nN. Meda : nicolas.meda@ujkz.bf\n', 'Titre : Investigation d’une épidémie de rougeole dans les camps de réfugiés  de la wilaya de Hodh charghi, Mauritanie ,2023', 'Introduction : les épidémies de rougeole dans les camps de réfugiés constituent un problème de santé publique en Mauritanie.  La Direction Régionale de la Santé du Hodh El Charghi a notifié une épidémie de rougeole dans la 52 eme semaine épidémiologique de 2022.\nNous avons mené une investigation afin d’évaluer l’ampleur de l’épidémie et instauré des mesures de prévention et de contrôle. \n', 'Méthodes : nous avons mené une étude transversale descriptive et recherché activement des cas selon les définitions de cas des directives techniques nationales du 20 février au 02 mars 2023.Les données ont été analysées avec Excel 2016, Epi info7. Nous avons calculé des proportions et des taux.', 'Résultats :au total 147 cas de rougeoles ont été notifiés à la date du 02/03/2023, les cas provenaient des moughataas de Bassiknou (97%) et Timbedra (3%). L’âge moyen des cas était de 19 ans ± 14. Le sexe masculin a représenté 50% des cas avec un ratio (H /F) = 1\nLes taux d’attaque pour 1000 habitants étaient de 3 cas pour la tranche d’âge de 12-59 mois et de 1,9 pour 0 -11 mois. Parmi les cas déclarés, 97% des cas de rougeole n’étaient pas vaccinés..La riposte vaccinale a permis de vacciner 400 enfants de moins de 5 ans.\n', 'Conclusion : l’’épidémie de rougeole est confirmée dans plusieurs zones avec une prédominance masculine chez les tranches d’âge de 12-59 mois. La plupart des cas n’étaient pas vaccinés. Nous recommandons la vaccination des enfants de moins de 5 ans dans la région à travers une campagne de masse et un renforcement de la vaccination de routine.', 'Mots clés : investigation, flambée, rougeole, camps réfugiés, Mauritanie ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-29 10:13:00', NULL, NULL, 161),
(598, 'Ipyana F. Mwandelile', 'Resident Advisor', 'fipyana@afenet.net', 'ms', 'Maria N. ', 'Angala', 'female', 'namibia', 'angalamarian@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'alumni', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Dianah Ewaga, Namibia Field Epidemiology and Laboratory Training Program, mewaga@gmail.com', 'Malaria outbreak investigation in Katima Mulilo District, Zambezi region, 14 – 25 March 2022', 'Malaria continues to be a major public health problem in Namibia, with approximately 1,629,289 (64%) Namibians at risk of contracting malaria. Zambezi is one of the malaria endemic regions. We conducted a cross sectional study in Zambezi region to describe the magnitude and demographic distribution of this malaria outbreak, determine factors driving transmission and inform ongoing intervention.', 'Descriptive cross-sectional study was conducted. Desk reviews were conducted and interviewer-administered questionnaire was used at the household level. Environmental assessment was done to determine the presence of potential breeding sites. The GPS coordinates of each house/ case visited were captured using cellphone.  Data were entered in Microsoft excel and exported to Epi-info 7 for analysis. \n', 'A total of 38 (70%) participants were interviewed of which males comprised 57.9% (22), median age was 19 (ranges 1-64 years). Nearly half of the respondents 42% (16) were from the urban area, while 76% (29) were Namibians. Over half 61% (23) of the respondents slept in structures that were not sprayed during the last malaria spraying campaign and the majority 84% (32) did not have a treated mosquito net. The environmental assessment revealed the presence of gardening or vegetation around or nearby all 38 (100%), houses visited. More than half 68% (26) of the respondents said they had not been visited by a health extension worker in the six (6) months prior to this investigation.\n', 'The district need to improve on prevention measures like the spraying of all houses and distribution of treated mosquito nets. Lastly, district should intensify health education programs on environmental hygiene such as clearing vegetation around the houses.\n\n', 'Cross-Sectional Studies, Namibia, Malaria, Disease Outbreaks', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-09-30 10:13:00', NULL, NULL, 231);
INSERT INTO `reviewer_ones` (`id`, `submitter_name`, `submitter_designation`, `submitter_email_address`, `first_author_title`, `first_author_fiirst_name`, `first_author_last_name`, `first_author_gender`, `first_author_country`, `first_author_email`, `first_author_affiliation`, `first_author_category`, `first_author_other_category`, `forst_author_alumni_completion`, `first_author_fetp_level`, `abstract_sub_theme`, `co_authors`, `abstract_title`, `abstract_backgound`, `abstract_methods`, `abstract_results`, `abstract_conclusion`, `key_words`, `reviewer_1_background_study`, `reviewer_1_method_apporpriate`, `reviewer_1_results_presentable`, `reviewer_1_results_conclusion`, `reviewer_1_ph_signicance`, `reviewer_1_overall_clarity`, `reviewer_1_total`, `reject_accept`, `presentation_type`, `reviewer_1_complete`, `reviewer_1_comments`, `created_at`, `updated_at`, `deleted_at`, `reviewer_id`) VALUES
(599, ' Ipyana F. Mwandelile  ', 'Resident Advisor ', 'fipyana@afenet.net', 'ms', 'Maria N.', 'Angala', 'female', 'namibia', 'angalamarian@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'alumni', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1. Dianah M. Ewaga, Namibia Field Epidemiology and Laboratory Training Program, mewaga.15@gmail.com\n2. Ipyana F. Mwandelile, Namibia Field Epidemiology and Laboratory Training Program, fipyana@afenet.net', 'Evaluation of early infant diagnosis surveillance system in Otjozondjupa region, Namibia 2017- 2021', 'The Early Infant Diagnosis (EID) programme is aimed at early HIV diagnosis in infants and subsequent initiation of Antiretroviral Therapy (ART).  Evaluation of the EID system is vital in ensuring that the purpose of the surveillance system is being met. This evaluation aimed to assess the attributes of the EID surveillance system in Otjozondjupa region, Namibia, 2017- 2021, identify gaps and also provide appropriate recommendations.', 'We employed a mixed method approach using the Centers for Disease Control and Prevention (CDC) guidelines. Key informant interview sessions were held with stakeholders at all levels to assess the operation, functionality, and key attributes of the surveillance system. Quantitative data were analyzed using Microsoft Excel while qualitative data was thematically analyzed.', 'The evaluation revealed that the EID surveillance system is functional and operates a passive type of surveillance using the bottom-to-top approach in data transmission. The surveillance data collected for the period of 2017 to 2022 revealed HIV prevalence rates among HEIs of 2.5% (2017), 1.3% (2018), 1.4% (2019), 1.4% (2020), and 0.5% (2021). The   system was found to be useful, simple, flexible, acceptable, and sensitive by detecting 3298 HEIs tested for HIV with 45 (1,4%) HIV confirmed positive. However, it lacks stability, and representativeness is limited by the non-inclusion of private health facilities.', 'EID surveillance evaluation in the Otjozondjupa region is useful in identifying and monitoring the trends of HIV among HEIs. The procurement of enough testing reagents may enhance the stability of the system. Private health facilities should be included in the EID surveillance system to achieve better representativeness of EID surveillance data.\n\n\n', 'Evaluation, surveillance system, Early infant diagnosis, Otjozondjupa, Namibia', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-01 10:13:00', NULL, NULL, 212),
(600, 'FOLAKE OLUBUNMI AJAYI', 'NIGERIA FIELD EPIDEMIOLOGY AND LABORATORY TRAINING PROGRAM RESIDENT', 'oluwaflakky@yahoo.com', 'mrs', 'FOLAKE', 'AJAYI', 'female', 'nigeria', 'oluwaflakky@yahoo.com', 'Nigeria field Epidemiology and Laboratory Training program ', 'alumni', '', '28/03/2023', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'Aderemi  Kehinde Department of Medical Microbiology and Parasitology, College of Medicine, University College Hospital, University of Ibadan, Ibadan Nigeria. aokehinde@yahoo.com\nMagbagbeola Dairo, Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine University of Ibadan.drdairo@yahoo.com\n', 'Rifampicin Resistance and Determinants in TB Patients Attending Clinic in Abeokuta, Ogun State', 'Tuberculosis (TB) is a major public health problem in Nigeria. The emergence of multidrug-resistant TB poses a threat to global TB control and if not addressed, might erase achievements of previous efforts. The study determined the prevalence of rifampicin resistance and risk factors in TB patients attending clinic in Abeokuta, Ogun State, Nigeria. ', 'A cross-sectional study was conducted at Sacred Hospital Lantoro, State Hospital Ijaye and Federal Medical Center Abeokuta, Ogun State between December 2022 and March 2023. The study population were TB patients receiving care at the above listed facilities. A total number of 275 patients attending outpatient clinic at 3 facilities participated in the study.', 'The age range of participants was 9 to 80 years with mean age of 33.5 year. Most, 159 (57.8%) were males while 116 (42.2%) were females. Majority, 194 (71.3%) of participants were rural dwellers. Out of the total number of 59 TB positive cases, only 5 (8.5%) were rifampicin resistant, of which all were previously treated, rural dwellers, pulmonary and presumptive DR-TB patients. Of the 5 patients who had RR-TB, 4 were previously treated for TB while 2 were co-infected with HIV (25%). Previous history of anti-TB treatment was the only risk factor found to have a significant association with the acquisition of RR-TB (OR: 4.781, 95% CI: 1.965 - 33.513 p=0.023).', 'This calls for an improvement in the existing TB program towards strengthening adherence by patients accessing the facility for TB treatment. Rifampicin resistant TB is a factor to be considered in refractory cases, hence the need for continuous monitoring of drug resistance trends, to assess the efficacy of current interventions and their impact on the TB epidemic.', 'Tuberculosis, drug resistance, prevalence, patient, Ogun State', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-02 10:13:00', NULL, NULL, 171),
(601, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'dr', 'JAMES', 'HELLAR', 'male', 'tanzania', 'hellarjay@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'alumni', '', '10/12/2022', 'advanced', 'vaccine-preventable-diseases', 'Gideon Kwesigabo, Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied\nSciences, Dar es Salaam, Tanzania, gpkwesigabo@gmail.com\nNaima Mkingule, Mbeya Zonal Referral Hospital, Mbeya, Tanzania, naimamkingule@gmail.com\nReagan Mmasi, Mbeya Zonal Referral Hospital, Mbeya, Tanzania, mmassyreagan@gmail.com\nAlly Hussein, Tanzania Field Epidemiology and Laboratory Training Program, Dar es Salaam, Tanzania, allykhussein@gmail.com\nAzma Simba,  Ministry of Health, Dodoma, Tanzania, Tanzania Field Epidemiology and Laboratory Training Program, Dar es Salaam, Tanzania, azmatan66@gmail.com\nRogath Kishimba,  Ministry of Health, Dodoma, Tanzania, rogatkishimba@gmail.com\n\n\n', 'Patterns and trends of antibacterial resistance before and during the COVID 19 era (2019- 2021) at Mbeya Zonal Referral Hospital (MZRH).', 'Antimicrobial resistance (AMR) accounts for more than 700,000 deaths annually worldwide. We determined the resistance patterns and trends of antibacterial agents at Mbeya Zonal Referral Hospital before and during COVID 19 pandemic from 2019 to 2021.\n\n', 'A cross-sectional study was used to assess antibiotic susceptibility patterns, trends and associated factors of clinical bacterial isolates among 8368 samples from 1380 patients. Resistance comparisons between Pre and COVID-19 were made. Antibacterial resistance trends from all specimens and Pathogen- antibiotic combinations in 2019 were used as baseline data and cut-off points of antibacterial resistance percentages, time series analysis assessed the trend for 2020 and 2021. Modified poison analysis assessed factors associated with AMR.\n\n', 'Resistance rates among E. coli and other Gram-negative bacilli were 24.33% and 22.09% among all resistant strains isolated. The risk of resistance among isolated bacteria from 2019 to 2021 was significantly high among species of Acinetobacter, Citrobacter, Enterobacter, E. coli, Neisseria gonorrhoeae and Methicillin Resistant Staphylococcus aureus (PR 1.29,1.29,1.24,1.89,1.38 and 1.23, as compared to proteus species (P&amp;lt;0.05). Antimicrobial resistance prevalence to selected pathogen-antibiotic combinations was significantly high during the COVID-19 pandemic with a rise of 14.5% in 2021, (P&amp;lt;0.05) as compared to 2019. High resistance rates were observed in Cephalosporin’s, Macrolides, Penicillin’s and sulfonamides showing resistance rates of 70.6%,62.2%,83.0% and 78.6% respectively. Age group of 21-59 was at higher risk of developing antimicrobial resistance (36.74%) compared to other age groups (P&amp;lt;0.05).\n\n', 'Increase of antimicrobial resistance by 14.5% suggests the increase in misuse of antibiotics. Resistance to penicillin’s, cephalosporin’s, macrolides and sulphonamides against frequently isolated bacterial isolates alarms for misuse of commonly prescribed antibiotics according to Tanzania standard treatment guidelines. Significant risk for the middle to old age group towards developing AMR for commonly used antibiotics calls for collective initiatives to strengthen regulations that limit uncontrolled antibiotics dispensing in the community.\n', 'Antimicrobial resistance, COVID-19, Tanzania ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-03 10:13:00', NULL, NULL, 112),
(602, 'JEAN D\'AMOUR SINAYOBYE', 'Science Epidemiologist', 'jsinayobye@afenet.net', 'mr', 'Leonce ', 'MAJYAMBERE', 'male', 'rwanda', 'majyaleon@gmail.com', ' University of Rwanda', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Kizito NSHIMIYIMANA, University of Rwanda\nJean Paul NIYOMUGABO, University of Rwanda\nGabriel TWAGIRIMANA, University of Rwanda\nAlbert NDAGIJIMANA, University of Rwanda, andagijimana@nursph.org \n', 'FOOD POISONING POST OUTBREAK EVALUATION IN NYAMAGABE AND GICUMBI DISTRICTS, FROM 5-16 SEPTEMBER 2022 ', 'The production of African traditional beers remains one of the major economic activities. However, the production of these beverages can be a source of uncomforting, including poisoning or intoxication, once not well done. Foodborne diseases are caused by contamination of food and occur at any stage of the food production, delivery, and consumption chain. Rwanda Biomedical Centre was informed of an outbreak of a gastrointestinal illness among participants of social events at NYAMAGABE and GICUMBI Districts.', 'Descriptive method was used. A line list of patients who developed the symptoms and consulted these health facilities above mentioned was constructed. Those symptoms are diarrhea, nausea, vomiting, abdominal pain, fever, headache, dizziness or asthenia. Every patient that presented at least three of these symptoms was selected. Using a questionnaire, demographic, clinical, laboratory and environmental assessment characteristics were recorded on each patient and analyzed using Excel software. ', 'In both Nyamagabe and Gicumbi districts, the food poisoning outbreak responses occurred promptly by multidisciplinary approach where local leaders, security organs worked jointly with CHWs to help health care providers to reach the exposed and treated people. The processing of Ikigage and Ubushera drinks in Nyamagabe and Gicumbi districts is almost the same but there is some difference especially in umusemburo preparation; In Nyamagabe district, they put umubirizi in Umusemburo but in Gicumbi district, they do not. Other steps are the same, but some terminologies used are different.Among 50 people attended the event of baptism ceremony, 23 of them met the criteria of this outbreak conducted in Nyamagabe district. The attack rate was at 46% (23/50). Among the people affected and whose consumed sorghum beer, (87%) were female and (23%) were male. The Nyamagabe and Gicumbi district accounted for 112 cases among 350 attendees (46%) and 89 cases (30%), respectively. ', 'The investigation found that the declared outbreak of food poisoning happened in Kigeme DH and Gicumbi DH catchment areas. The outbreak response evaluation revealed that there was favorable treatment outcome among all people exposed to the risk factors, and sustainably measures taken were substantial prevent and control the next outbreak. The principal determinants were relied to the single source of consumption of drinks or beer made in sorghum (Umusururu / Ubushera) during the religious ceremony. ', 'Outbreak, Foodborne disease, Nyamagabe, Gicumbi, Investigation, Sorghum beer (Ubushera/Ikigage). ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-04 10:13:00', NULL, NULL, 171),
(603, 'Khuliso Ravhuhali', 'FETP Intermediate Coordinator', 'khulisor@nicd.ac.za', 'ms', 'Gugulethu', 'Mashabane', 'female', 'south-africa', 'EuginiaM@mpuhealth.gov.za', 'Mpumalanga Department of Health, Mbombela', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Nchucheko Makhubele, South African Field Epidemiology Training Programme, NchuchekoM@nicd.ac.za\nThembekile Zwane, South African Field Epidemiology Training Programme, ThembekileZ@nicd.ac.za\nKhuliso Ravhuhali, South African Field Epidemiology Training Programme, KhulisoR@nicd.ac.za\n', 'Adverse Event Following Immunization in children ≤5years in Govan Mbeki Sub-District, Mpumalanga Province, August 2022', 'Childhood immunization is estimated to prevent over 2.5 million childhood deaths each year. In South Africa, it is recommended that all hospitalization, deaths, and other severe unusual medical incidents occurring within a month of immunization must be reported. Two deaths of children after receiving immunization were reported on 14 August 2022 to the provincial surveillance officer. We report on Adverse Event Following Immunisation (AEFI) with rotavirus vaccine. ', 'We reviewed tick registers, Road to Health Booklet and completed a case investigation form (CIF). A case of AEFI was defined as any child who died within 24 hours of receiving a childhood vaccine. Vaccine refrigerators in both facilities were assessed for cold chain compliance. An autopsy for one corpse was conducted by the sub-district surgeon on 14 July 2022.', 'On 11 July 2022, 59 children received rotavirus vaccine from clinic A and clinic B. Two children aged 6 weeks old from clinic A and 3 months old from clinic B in Govan Mbeki Sub-District died within 24 hours after receiving rotavirus vaccine. The administered vaccines had the same batch number wherein clinic B requested vaccines from clinic A as they were out of stock. Refrigerated vaccines were properly stored, and continuous temperature monitoring devices were used in both facilities, however, nothing was recorded in the temperature chart for July and August in both facilities. Both children had no comorbidities. Postmortem results for one child are still pending, the other child was buried before an autopsy could be conducted. ', 'There was a delay in reporting the AEFIs to the next level for investigation. Daily temperature monitoring in health facilities was not consistently done and this may directly affect vaccine potency. We recommend continued training and support among healthcare professionals on EPI and cold chain guidelines.', 'Vaccine, Adverse Event Following Immunisation, Mpumalanga Province', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-05 10:13:00', NULL, NULL, 102),
(604, 'Khuliso Ravhuhali', 'Intermediate Coordinator', 'khulisor@nicd.ac.za', 'ms', 'Alicia', 'Kruger', 'female', 'south-africa', 'AliciaK@mpuhealth.gov.za', 'Standerton Hospital, Mpumalanga Department of Health, South Africa', 'resident', '', '', 'intermediate', 'maternal-reproductive-and-child-health', 'Naume Tebeila, Provincial Epidemiology Team, Division of Public Health and Surveillance and Response, National Institute of Communicable Diseases, naumet@nicd.ac.za\nKhuliso Ravhuhali, South African Field Epidemiology Training Programme, KhulisoR@nicd.ac.za', 'Investigation of Increased Congenital Syphilis Cases, Standerton Hospital, Mpumalanga Province, June - December 2022', 'Congenital syphilis (CS) remains a leading cause of neonatal morbidity and mortality. CS is a category 2 Notifiable Medical Condition (NMC)- which means all healthcare workers are required to notify cases within 7 days of diagnosis. In June 2022, an increase in congenital syphilis (CS) cases was noted at Standerton Hospital compared to the previous six cases in 2021. We investigated to determine the possible cause of the increase and to implement control and preventative measures.', 'A retrospective descriptive study was conducted from June to December 2022.  Neonates were identified from results obtained from the Notifiable Medical Conditions Surveillance System (NMCSS) database, as well as from admission records of the neonatal service. Neonatal and maternal records were reviewed. A confirmed case was defined as; any neonate (under the age of 28 days) with a positive rapid plasma reagin (RPR) test performed at Standerton Hospital between 1 June 2022 and 31 December 2022. Descriptive statistics were used to analyze the data.', 'Twenty neonates were diagnosed with CS with 1 death, mean gestational age was 37.5 weeks and the mean birth weight was 2.77kg. Twelve neonates were males. Three of the 20 neonates had clinical features of congenital syphilis. Of the 20 neonates with CS, only 12 (60%) of the mothers had attended clinics for antenatal care. Between November 2021 to June 2022, Standerton hospital and surrounding clinics experienced a severe shortage in Benzathine penicillin supply, resulting in a lack of treatment among some pregnant women. ', 'Poor attendance of antenatal care and shortage of Benzathine penicillin may have contributed to the observed increase in congenital syphilis cases. Pregnant women who were not screened during pregnancy should be tested at delivery. This allows prompt identification and treatment of infected newborns.', 'Congenital syphilis, Mpumalanga Province, Penicillin ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-06 10:13:00', NULL, NULL, 102),
(605, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'dr', 'GEORGE WILLIAM', 'MREMA', 'male', 'tanzania', 'drgeorgemrema@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'Gideon. Kwesigabo, Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, gpkwesigabo@gmail.com\nAlly Hussein, Tanzania Field Epidemiology and Laboratory Training Program, Dar es Salaam, Tanzania, allykhussein@gmail.com\nWerema Magoge,  Ministry of Health, Dodoma, Tanzania, magogesolomon@gmail.com\n\n', 'Survival and predictors of mortality among multidrug resistant Tuberculosis patients after decentralization of services in Tanzania from 2017-2019', 'Every year, about 20% of multidrug resistance tuberculosis (MDR-TB) patients worldwide who begin therapy die during the course of their treatment.  To combat the challenges World Health Organization (WHO) recommends decentralization of services which has shown encouraging success. To abide by WHO recommendations, Tanzania decentralized MDR TB services in 2016 through improvement in diagnostic capacities in all the regions as well as the adoption of new guidelines. Therefore, this study aimed at determining the survival probability and predictors of mortality among MDR-TB patients following decentralization of services in Tanzania from 2017 to 2019.\n', 'This was a retrospective cohort study involving all MDR-TB patients enrolled in second-line treatment in all 26 regions in Tanzania from 2017 to 2019. The overall mortality rate among MDR-TB patients was calculated using the incidence rate while the survival probability was computed using the Kaplan-Meier estimator. Additionally, independent factors of MDR TB mortality were determined using multivariable Cox proportional hazards model. \n', 'The study followed 985 patients for 13397 person-months and found a crude mortality rate of 11.7 per 1000 person-months. Specific mortality rates were 17.21, 7.81, and 6.18 per 1000 person-months at 6, 12, and 24 months, respectively. Malnourished patients (adjusted hazard ratio [aHR] 1.85; 95% confidence interval [CI], 1.34-2.56) and MDR-TB/HIV co-infected patients (aHR 2.95; 95% CI, 2.08-4.18) had a higher risk of mortality during follow-up.\n', 'Conclusion: MDR-TB patients have the highest mortality rate during the first six months of treatment. Malnutrition and co-infection with HIV were identified as significant predictors of mortality. To reduce mortality, it is important to closely monitor patients during the first six months of treatment, particularly those who are malnourished or co-infected with HIV, and provide them with appropriate and timely care. \n', 'survival, mortality, multidrug-resistant tuberculosis, HIV ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-07 10:13:00', NULL, NULL, 77),
(606, ' Ipyana F. Mwandelile  ', 'Resident Advisor ', 'fipyana@afenet.net', 'mr', 'Joseph M.', 'Tomas', 'male', 'namibia', 'joseph.senior45@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1. L. Shakuyungwa, Ministry of Health and Social Services\n2. F. Kuushomwa, Ministry of Health and Social Services\n3.Ipyana F. Mwandelile, Namibia Field Epidemiology and Laboratory Training Program, fipyana@afenet.net \n', 'Cross-border neonatal tetanus case at Engela district hospital, Ohangwena region, Namibia, February 2023: A case report.', 'Tetanus is a vaccine preventable disease caused by Clostridium tetani bacterium. In 2019, 54% of Angolan women of reproductive age received at least two doses of tetanus toxoid-containing vaccine. Neonatal tetanus remain a public health concern, in regions with low immunization coverage and restricted access to clean delivery. Without medical care intervention case-fatality rate from the diseases can be as high as 100%. In this case report, we describe the epidemiological and clinical presentation of a neonatal tetanus case treated at Engela district hospital to identify the source of infection and inform preventive in the region.\n', ' We reviewed patient medical records and interviewed the mother of the neonate using the tetanus case investigation form to gather information on the case history, delivery and antenatal care of mother.  \n', 'On the 06th February 2023, a 26-days old male child from Ohanyanga village in Angola was brought to Engela district hospital (Namibia) by the mother with complaints of body stiffness, seizure, and poor feeding that started at 24 days. The infant was unresponsive to tactile stimuli. Neonatal tetanus was diagnosed clinically and the infant was hospitalized. Among the medications prescribed include flagyl, diazepam, and Phenobarbitone. The infant was discharged after 18-days. The infant was delivered at home, by an untrained community midwife. The umbilical cord was cut with a new razor blade and treated with the charcoal powder. The delivery occurred in a traditional structure with a mud slab floor, with the mother laying on a blanket placed on the floor.  The child\'s mother is an 18-year-old Angolan who has no prior prenatal care visits or tetanus immunization history.\n\n', 'The results of this case suggest the use of unsterile cutting blade, charcoal powder on the umbilical cord and unsterile delivery area could be the source of infection.\n', ' Immunization, neonatal tetanus, prevention, neonate', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-08 10:13:00', NULL, NULL, 212),
(608, 'MAVUNGU NGOMA PATRICK', 'Resident Advisor FETP RCA', 'pngoma@afenet.net', 'mr', 'Oscar ', 'SENZONGO NDIMAKAMOKO', 'male', 'central-african-rep', 'oscarsenzongo@yahoo.fr', 'Gestion des données au Laboratoire National de Biologie Clinique et de Santé Publique.', 'alumni', '', '30/11/2022', 'frontline', 'public-health-laboratory-systems-and-infection-prevention-control', 'Cloter. Rafai : Laboratoire national de biologie clinique et de santé publique. \nDieu Beni RAWAGO : Laboratoire national de biologie clinique et de santé publique.  rdieubeni@yahoo.com\nR. MBAILAO:  Direction générale de l’épidémiologie et de lutte contre la maladie, Ministère de la santé et de la population. mbailao22raph@gmail.com\nP. MAVUNGU : Réseau africain d’épidémiologie de terrain. pngoma@afenet.net \n\n', 'AUDIT DE LA QUALITE DES DONNEES DE LA SURVEILLANCE DE LABORATOIRE NATIONAL DE BIOLOGIE CLINIQUE ET DE SANTE PUBLIQUE, REPUBLIQUE CENTRAFRICAINE, SEPTEMBRE 2022', 'les résultats de Laboratoire sont essentiels dans l’orientation et prise des décisions en santé publique. Pour s’assurer de la qualité des données qui garantit aussi la fiabilité des résultats, un Audit de qualité a été réalisé au Laboratoire National de Biologie Clinique et de Santé Publique (LNBCSP) en septembre 2022.', 'Une étude descriptive était faite sur base des réponses recueillies d’un questionnaire standard de CDC administré aux majors et chefs d’unités de Biochimie, Sérologie, Urgences et gardes, Parasitologie, Hématologie et Anatomo-pathologie sur les notions de collecte, notifications et analyse des données, interprétation des résultats, contrôle de qualité et biosécurité au laboratoire. Les proportions des réponses recueillies étaient calculées en Excel 2015. Les résultats étaient analysés sous forme des forces, faiblesses, opportunités et menaces.', 'Sur les six unités, Collecte des données :  aucune (0%) ne dispose du circuit de rendu des résultats ; Sérologie, Anapath et Urgences soit (50%) ne disposent pas de liste affiché des examens à réaliser ; toutes (100%) disposent des registres, des SOP des analyses mais Biochimie et Parasitologie (33%) ne disposent de leur mode opératoire. Seule (17%) les Urgences ne dispose pas des fiches de paillasse. Notification : 5/5 majors (100%) transmettent les fiches de paillasse à temps et font la notification zéros. Analyses et interprétations des données : aucune (0%) ne les fait. Contrôle qualité : dans toutes les unités (100%), absence de mise à jour des SOP et absence de protocole de transport des échantillons. Existence le manuel qualité. Opportunités : personnel qualifié dans toutes les unités (100%). Menaces : retard d’approvisionnement en réactifs dans toutes les unités (100%).', 'la qualité des données de surveillance est acceptable. Néanmoins, actualiser les SOP, afficher et appliquer leurs modes opératoires améliorerait cette qualité des données.', 'Audit ; qualité ; données, SOP ; Laboratoire ; LNBCSP ; RCA', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-09 10:13:00', NULL, NULL, 41),
(609, 'Khuliso Ravhuhali', 'Intermediate Coordinator', 'khulisor@nicd.ac.za', 'ms', 'Sphiwokuhle ', 'Mkhonza', 'female', 'south-africa', 'okuhle.mkhonza@gmail.com', 'Gert Sibande District, Mpumalanga Department of Health', 'resident', '', '', 'intermediate', 'maternal-reproductive-and-child-health', 'Hluphi Mpangane, Mpumalanga Department of Health, Mbomela, HluphiM@mpuhealth.gov.za\nKhuliso Ravhuhali, South African Field Epidemiology Training Program, KhulisoR@nicd.ac.za\n\n', 'Evaluation of Maternal Death Surveillance System in a District Hospital, Mpumalanga Province, South Africa, January 2018-November 2022', 'Maternal death is a woman’s death while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy. The maternal mortality rate (MMR) in South Africa is 88.0 per 100 000 live births, and in Mpumalanga province is 67.1 deaths per 100 000 live births. We conducted the study to evaluate the Maternal Death Surveillance and Response (MDSR) system.', 'We conducted a descriptive cross-sectional study using a structured questionnaire to involve public healthcare workers (HCWs). Using the updated CDC guidelines for evaluating public health surveillance systems we assessed usefulness, knowledge, data quality, acceptability, and simplicity. We reviewed maternal death notification forms (MDNF) to assess data quality and timeliness. Data were analyzed using proportions and percentages.', 'A total of 11 healthcare workers (HCWs) were interviewed. Fifty-seven percent were midwives and 43% were medical doctors. Out of 11 HCWs, 91% correctly defined a maternal death. Eighty-six percent agreed that the surveillance system is useful, and 42% had difficulty completing the death notification form. Only 2 HCWs indicated ever receiving training on MDSR. Of the 4 reviewed maternal death notification forms (MDNF), only 1 was fully completed. All 4 MDNFs were timely sent to the district. ', 'The MDSR of the district hospital was useful, not simple, and not acceptable, it is reported within the timeline. Forms were not fully completed. Training of healthcare workers involved in MDSR is recommended. Implementation of data supervision and validation activities might improve the completeness of the system.', 'Maternal deaths, Mpumalanga Province, Surveillance', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-10 10:13:00', NULL, NULL, 98),
(610, ' Ipyana F. Mwandelile  ', 'Resident Advisor ', 'fipyana@afenet.net', 'ms', 'Ndahambelela K. ', 'Sheetekela ', 'female', 'namibia', 'kyliesa@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program ', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1. Jacqueline Kananguizi, Namibia Field Epidemiology and Laboratory Training Program, kananguizij@yahoo.com\n2. Emmy-Else Ndevaetela, Namibia Field Epidemiology and Laboratory Training Program, emmy-else.ndevaetela@mhss.gov.na', 'Investigation of a surge of COVID-19 cases among leaners of Otjikojo Primary School in Opuwo District, Kunene Region – Namibia, January - February 2023', 'COVID-19 pandemic remains a public health concern globally. Namibia is currently in the period of low transmission, characterised by considerable declined in daily reported cases. Of 26 February 2023, Namibia recorded 171182 total confirmed cases with zero cases in most districts. January 2023, Opuwo district reported an increase cases among learners at Otjikojo Primary school, followed a confirmed teacher at school. We assessed the adherence of preventive protocols, determine the magnitude of COVID-19 infection and initiate control measures.    \n', 'A cross sectional descriptive study was conducted. Suspected case definition was any person at Otjikojo School with clinical symptoms of COVID-19 and confirmed case, any case with laboratory confirmation of SARS-CoV-2 infection. Interviewed participants for demographic and clinical data (signs and symptoms). Nasopharyngeal swabs were collected for COVID-19 PCR test. We inspected the school to establish preventative measures. Data was recorded and descriptive analysed with Microsoft Excel.\n', 'Otjikojo has 325 learners, 9 teachers and 2 institutional workers. Out of188 people identified, 48(26%) were contacts and 140 (74%) suspected cases Of 188 tested, 69 (37%) were positive and 66 (96%) were leaners. Majority 45 (65%) of cases were female. The median age was 11 years (range 6 - 56) and 49 (71%) were among 10-19 years. Cases increased rapidly between epidemiological weeks 4 and 6 of 2023. Overcrowded (40+ learners) in classrooms and dormitories, shortage of water, insufficient quarantine and isolation facilities were observed. \n', ' We confirmed a rapid increase of COVID-19 cases among learners in Opuwo district. Cases were epidemiological linked to index case at school. Factors such as overcrowding, water shortage, and insufficient quarantine/ isolation facilities contributed to prompt spread of the disease. We moved classes outdoors and repurpose classrooms as temporary isolation and quarantine facilities. Adequate water provision and adherence to COVID-19 precaution measures were recommended.\n', 'COVID-19, school outbreak, Opuwo district, Namibia', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-11 10:13:00', NULL, NULL, 212),
(611, 'Khuliso Ravhuhali', 'Intermediate Coordinator', 'khulisor@nicd.ac.za', 'mr', 'Sifiso', 'Sithole', 'male', 'south-africa', 'sitholesl@outlook.com', 'Nkangala District, Mpumalanga Department of Health', 'resident', '', '', 'intermediate', 'vaccine-preventable-diseases', 'Mandla Zwane, Mpumalanga Department of Health, Mbombela, MandlaZw@mpuhealth.gov.za\nKhuliso Ravhuhali, South African Field Epidemiology Training Programme, KhulisoR@nicd.ac.za', 'Prevalence Of Hepatitis B Virus in Mpumalanga Province, South Africa, January 2020-September 2022', 'Hepatitis B Virus (HBV) is a vaccine-preventable condition with an increased risk of death from complications such as cirrhosis and liver cancer. The World Health Organization estimated 296 million people with HBV, an incidence of 1.5 million yearly. In 2019, 820 000 related deaths from liver cancer were reported globally. This study was conducted to assess the quality of HBV surveillance data and to estimate the prevalence of HBV in Mpumalanga Province.', 'Passive laboratory-based surveillance data from the Notifiable Medical Conditions Surveillance System (NMCSSS) was used to describe the epidemiology of HBV surveillance data. All laboratory-confirmed HBV cases notified between January 2020‒September 2022 were included. Province prevalence was calculated using the 2021 mid-year population estimate per 100 000 populations. We summarized the findings using measures of central location (median age with range). Proportions and rates of missing information were calculated and expressed in percentages. ', 'A total of 279 HBV cases were notified between January 2020-September 2022. The proportion of missing data was 285 (92.5%) for travel history, 230 (82.4%), for vaccination status, 230 (82.4%) for patient vital status, 245 (87.8%) for the onset of symptoms date, 230 (82.4%) for admission status and 36 (12.9%) for age variable. The HBV province prevalence was 6 cases/100 000 populations. More cases, 135 (48.4%) were from Gert Sibande district followed by Nkangala, 81 (30.1%), and lastly Ehlanzeni with 60 (21.5%) cases. The median age was 35 years (range 0-86 years). ', 'The majority of variables under analysis had a high proportion of missing data. We recommend monthly trainings for healthcare facility and laboratory staff on the completion of notification forms and data entry into the web-based system to improve data quality.', 'Hepatitis B, Mpumalanga Province, Prevalence', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-12 10:13:00', NULL, NULL, 98),
(612, 'Delia A. B. Bandoh', 'Scientific Writer', 'dbandoh@afenet.net', 'mr', 'William Kwame ', 'Witts', 'male', 'ghana', 'wwitts18@sph.uhas.edu.gh', 'Department of Epidemiology and Biostatistics, F.N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe', 'alumni', '', '30/03/2022', 'frontline', 'non-communicable-diseases-ncds-injuries-and-mental-health', 'Hubert Amu| Department of Population and Behavioural Sciences, F.N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe | hamu@uhas.edu.gh\nDonne Ameme | Ghana Field Epidemiology and Laboratory Training Programme | dameme@afenet.net', 'Psychosocial aspects of treatment adherence among chronic Non-Communicable Disease patients in the Ho Teaching Hospital', 'In Ghana, 43% of all mortalities are as a result of Chronic Non-Communicable Diseases (CNCDs). Poor adherence to treatment has been shown to influence CNDC morbidity and mortality rates. However, there is a dearth of literature on the psychosocial aspects of treatment adherence in some Ghanaian settings. This study assessed the psychosocial aspects of CNCDs and their impact on treatment adherence in the Ho Municipality.', 'A descriptive cross-sectional study was conducted among 432 adults living with cancer, diabetes, stroke, hypertension and Chronic Kidney Disease attending various chronic disease clinics in the Ho Teaching Hospital. A structured questionnaire, adapted from the DASS 21, MSPSS, EQ-5D-5L and MARS protocols, was used to collect data on psychological distress, perceived social support (PSS), health-related quality of life (HRQoL) and treatment (medication, lifestyle/behavioural treatment (diet, sleep, exercise, rest), and review attendance) adherence levels from respondents. Descriptive and inferential statistics were done, with odds ratios generated at 95% CI.', 'In all, 62.0% (268/432), 84.6% (365) and 98.83% (427/432) of the respondents were adherent to medications, lifestyle/behavioural treatments and review attendance respectively. High HRQoL (aOR=2.07, 95% CI: 1.15 – 3.73) and low PSS (aOR= 2.29 (1.33 – 3.95) were associated with increased odds of adherence to lifestyle/behavourial treatments. Only High HRQoL was found to be crudely associated with medications cOR= 1.49 (1.01 – 2.21), though this result could not be included in a multiregression model. No predictor variable was found to be associated with review attendance.', 'More than half of all respondents were adherent to all treatment types. High HRQoL and Low PSS were associated with increased adherence to lifestyle/behavorial treatments. The findings were disseminated to the staff and administration of the facility to aid in education of patients and their families on the improvement of social support and quality of life.', 'Chronic Non-Communicable Diseases, adherence, treatment, medication, review attendance, lifestyle.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-13 10:13:00', NULL, NULL, 31),
(613, 'JEAN D AMOUR SINAYOBYE', 'Science Epidemiologist ', 'jsinayobye@afenet.net', 'ms', ' Isabelle ', 'B. Teta', 'female', 'rwanda', 'tetaisabelle@gmail.com', 'Rwanda Biomedical Center', 'resident', '', '', 'advanced', 'non-communicable-diseases-ncds-injuries-and-mental-health', 'R. Samuel, AFENET Rwanda, srwunganira@afenet.net \nN. Joseph,  University of Rwanda,  jntaganira@nursph.org\nN.Vedaste, University of Rwanda, ndahindwa@nursph.org\n', 'Prevalence and predictors of hypertension among screened population in Rwanda:    A cross-sectional study, 2021 to 2022', 'Hypertension is one of the five leading causes of mortality in the world and a major risk factor associated with more than 40% of deaths related to cardiovascular and renal diseases. In Rwanda, hypertension affects 15% of the population. This study therefore aimed to determine the prevalence of hypertension and to identify its risk factors in a screened population countrywide compared with the general population.  ', 'We conducted a cross-sectional study among population screened for hypertension and registered in the national NCD database from April 2021 to April 2022, in all number public health facilities. We defined hypertension as having the systolic blood pressure readings as  ≥140 mmHg and/or the diastolic blood pressure readings on ≥90 mmHg. We used bivariate and multivariate logistic regression to determine factors independently associated with high blood pressure. We report odds ratio (OR), 95% confidence interval (CI), and p-value &amp;lt;0.05. ', 'Of the 7467 participants screened 59.2% were females and 40.8% were males. The mean age of the study participants was 46 ± 14.3 years old. The prevalence of hypertension was 23.2%.  The multivariate logistic regression analysis revealed that age group of 45-64 years (AOR=1.7 95% CI:1.4-1.9) and 65 years and above (AOR=2.4, 95% CI: 2.0-3.0); residences such as living in Kigali City (AOR=2.0, 95% CI:1.6-2.7), living in the Northern Province (AOR=1.9, 95% CI:1.3-2.8), living in the Southern Province (AOR=1.4, 95% CI:1.0-1.9), living in the Western Province (AOR=3.7, 95% CI:2.9-4.6); being in the 2nd  economic status  (AOR=1.4, 95% CI:1.1-1.8), being diabetic (AOR=3.6, 95% CI:2.4-5.5), overweight (AOR=1.3, 95% CI:1.1-1.6), and obesity (AOR=1.5, 95% CI:1.1-2.0) were identified as independent factors significantly associated with hypertension. ', 'We found that the proportion of hypertension among Non-Communicable Disease screened population was higher than the national estimates. Older age and high BMI are predictors of hypertension in the screened population. Community-based interventions aiming to enhance promotion of hypertension prevention activities are highly recommended. ', 'Hypertension, Risk factor, Rwanda, Non-Communicable disease', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-14 10:13:00', NULL, NULL, 177),
(615, 'Khuliso Ravhuhali', 'Intermediate Coordinator', 'KhulisoR@nicd.ac.za', 'ms', 'Sonto', 'Ndlovu', 'female', 'south-africa', 'jeanethndlovu77@gmail.com', 'Bushbuckridge Sub-district, Mpumalanga Department of Health', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Masingita Makamu, South African Field Epidemiology Training Programme, MasingitaM@nicd.ac.za\nKhuliso Ravhuhali, 2South African Field Epidemiology Training Programme , KhulisoR@nicd.ac.za', 'Investigation of Measles Outbreak in Bushbuckridge Sub-District, Mpumalanga, March 2023', 'Measles is a highly infectious vaccine-preventable disease. In South Africa measles is a notifiable medical condition within 24 hours of diagnosis. On 8 November 2022, the communicable diseases coordinator was notified of a suspected case of measles. We investigated to establish the existence, magnitude, source of the outbreak and implement prevention and control measures.', 'We reviewed medical records, conducted active case finding in the community, and generated an outbreak line-list. A suspected case was an illness with fever, maculopapular rash, and cough, coryza, or conjunctivitis or one where a clinician suspected measles, in any person living or visiting Bushbuckridge sub-district from November 2022 to date. A confirmed case was measles immunoglobulin M (IgM) antibody positive, not induced by vaccination; epidemiologically linked to a laboratory-confirmed case without specimen; or clinically compatible without epi-linkage or adequate specimen collected. Blood samples were collected for laboratory confirmation. We calculated descriptive statistics.', 'Forty-two cases and 1 death (case fatality=2.3%) were identified. Twenty-five (60%) were females. Age ranged from 4 months to 18 years (Median=6). The age groups 0-4 years and 5-9 years were the mostly affected at 33% and 43% respectively. The index case was a 7-year-old boy whose father had travelled to Limpopo province where the outbreak started. Vaccination status was not known in 35 (83%) of cases as they did not have Road to Health Cards.', 'An outbreak of measles occurred in the Bushbuckridge Sub-District affecting primarily those &amp;lt;5 years of age. A measles vaccination campaign, targeting all children aged 6 months to &amp;lt;15 years, was conducted in all affected and surrounding unaffected villages. The outbreak is still ongoing.', 'Measles, Outbreak, Vaccination, Mpumalanga Province', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-15 10:13:00', NULL, NULL, 98),
(616, 'Evouna Armel', 'Coordinator of the Advanced Training Level (Cameroon Field Epidemiology Training Program)', 'evounarmel@gmail.com', 'dr', 'Haman Djabo', 'ABDOUL WAHHAB', 'male', 'cameroon', 'abdoulwahhab@gmail.com', 'Cameroon Field Epidemiology Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Evaristus NCHAM, Cameroon Field Epidemiology Training program, nevaristus@ymail.com\n\nDONGOA GAVLI, Cameroon Field Epidemiology Training program,  MoH Cameroon, gavlifr@yahoo.fr\n\nPatricia Laure MENDJIME, Cameroon Field Epidemiology Training program, MoH Cameroon, mfanylor@yahoo.com\n\nArmel Evouna, Cameroon Field Epidemiology Training program,  MoH Cameroon, evounarmel@gmail.com\n\n', 'Cholera outbreak resulting from lack of handwashing in Pitoa-Cameroon, July 2022', 'In October 2021, a cholera epidemic was declared in three regions of Cameroon. On February 18 2022, Vibrio cholerae was isolated from a stool sample in Pitoa Health District (PHD), Nord Region. By 5 June 50% (5/10) of the health areas (HAs) in PHD were affected. Considering the high risk of a cholera outbreak, we investigated to describe the outbreak and identify cholera risk factors.', 'We carried out a 1:2 matched case-control study in PHD from 5 to 12 June 2022. A questionnaire was administered to cases identified in health facility registers and in the community and controls selected. Case definition included acute watery diarrhoea and having epidemiological link with a confirmed case in the PHD from 1 February to 5 June 2022, or with positive stool sample for Vibrio cholerae. A control was any person without signs of the disease in the same house or neighbour of case. We calculated adjusted odds ratios (ORa) using Epi Info 7 to identify risk factors. ', 'We identified 51 cases and 4 deaths (CFR: 7.84%). The sex ratio (F/M) was 1.4 and 45% (23/51) of cases were children less than 5 years. The median age was 7 years (5 months - 80 years). The cases came from five HAs, among which Boula Ibi (23/51 = 45%) and Holma (11/51 = 21.6%) were the most affected. Failure to wash hands with soap ORa (95% CI) = 2.903 (1.096-7.687) was identified as a risk factor for cholera.', 'The cholera epidemic affected half of HAs in the PHD, with majority of cases coming from one HA. Females and children ≤ 5 years were the most affected. Poor hand hygiene was a risk factor. Strengthening of WASH could limit the spread of cholera in the PHD.', 'Case-control survey, Outbreak, Cholera, Cameroon.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-16 10:13:00', NULL, NULL, 17),
(617, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mr', 'Mohamed ', 'Bahari', 'male', 'tanzania', 'mudybahari@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'alumni', '', '10/12/2022', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', ' Loveness Urio,  Tanzania Field Epidemiology and Laboratory Training Program, loveness13us@yahoo.com\nEligius Lyamuya, Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, eligius_lyamuya@yahoo.com\n\n\n', 'FACTORS ASSOCIATED WITH HIV INFECTION IN CHILDREN BORN TO HIV POSITIVE MOTHERS; A CASE - CONTROL STUDY IN RUVUMA, TANZANIA, 2022', 'Tanzania had an estimated 1.4 million HIV-positive people, over 6,000 new cases were children under 15 years. More than 90% of infections occurred vertically, and without proper treatment, these children die after two years. HIV prevalence in Ruvuma is estimated to be more than 4%  and 8.6% of child-bearing women  who visited antenatal care (ANC) did not know their serostatus. We determined factors associated with HIV infection among children born to HIV-positive mothers in 2022. \n', 'Unmatched case-control study was conducted in Ruvuma from March to June 2022.  Study participants were identified using multistage sampling, and socio-demographic data and associated risk factors were collected using a structured questionnaire. Dried Blood Spot and/or whole blood samples were collected to detect HIV infection using real-time Polymerase Chain Reaction or Antibody testing. Data were analyzed using STATA version 15.1.\n\n', 'A total of 200 children and 200 mothers were recruited; 136(68%) of the mothers were married; 130(65%) had primary education; and 92(62%) lived within 2-4 kilometers from the health facility. Female children contributed 106 (53%). Mothers who were peasants/did mining work [Adjusted Odd Ratio (AOR)=2.60, 95%CI: 1.10–6.15] and those who had an HIV viral load ≥50 cp/ml [AOR=3.18, 95%CI: 1.27–7.97] were found significantly more likely to transmit HIV to their children. Similarly, mothers who had unknown serostatus [AOR=3.00, 95%CI: 1.28–7.06] and those who practiced mixed feeding [AOR=4.90, 95%CI: 1.39–7.39] were found significantly more likely to transmit HIV to their children.\n', 'Factors associated with HIV infection among exposed children halted the Global Millennium Development Goal targets. To eliminate mother-to-child HIV transmission, it is necessary to know the mother\'s HIV serostatus before pregnancy, provide prevention of mother-to-child HIV transmission (PMTCT) services in hard-to-reach areas, strengthen ANC attendance, and enrollment of HIV-positive pregnant women in PMTCT and ART is needed.\n', 'Antiretroviral Therapy, Children, HIV, PMTCT, Tanzania.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-17 10:13:00', NULL, NULL, 77);
INSERT INTO `reviewer_ones` (`id`, `submitter_name`, `submitter_designation`, `submitter_email_address`, `first_author_title`, `first_author_fiirst_name`, `first_author_last_name`, `first_author_gender`, `first_author_country`, `first_author_email`, `first_author_affiliation`, `first_author_category`, `first_author_other_category`, `forst_author_alumni_completion`, `first_author_fetp_level`, `abstract_sub_theme`, `co_authors`, `abstract_title`, `abstract_backgound`, `abstract_methods`, `abstract_results`, `abstract_conclusion`, `key_words`, `reviewer_1_background_study`, `reviewer_1_method_apporpriate`, `reviewer_1_results_presentable`, `reviewer_1_results_conclusion`, `reviewer_1_ph_signicance`, `reviewer_1_overall_clarity`, `reviewer_1_total`, `reject_accept`, `presentation_type`, `reviewer_1_complete`, `reviewer_1_comments`, `created_at`, `updated_at`, `deleted_at`, `reviewer_id`) VALUES
(618, 'Djibril BARRY', 'Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina', 'djibril.barry@bfeltp.com', 'dr', 'Franck', 'Obulbiga', 'male', 'burkina', 'obulbigafranck@yahoo.fr', 'Centre des Opérations de Réponses aux Urgences Sanitaires, Burkina Faso ', 'alumni', '', '16/03/2022', 'advanced', 'vector-borne-and-neglected-tropical-diseases-ntds', 'H. Yoda* : yodmano@yahoo.fr\nPK. Yanogo :   yanogo.pauline@yahoo.fr\nD. Barry : djibril.barry@bfeltp.com\nN. Meda : nicolas.meda@ujkz.bf\n\n', 'Titre : Evaluation de l’application des directives nationales de diagnostic et de traitement du paludisme chez les agents de santé en consultation ambulatoire dans le district sanitaire de Bogodogo, Burkina Faso, 2022.', 'Introduction : Avec une morbidité et une mortalité croissante, le paludisme demeure un problème majeur de santé publique au Burkina Faso. L’application effective des directives nationales de diagnostic et de traitement constitue un indicateur majeur qui garantit la réussite de la prise en charge. Le but de cette étude est de contribuer à l’amélioration des indicateurs dans la lutte contre cette maladie. ', 'Méthodes : Nous avons conduit une étude transversale analytique incluant les patients vus en consultation pour fièvre ou ayant bénéficié d\'un TDR. Les données ont été collectées par d’entretien auprès des acteurs de la chaine de prise en charge. Nous avons réalisé une régression logistique pour identifier les facteurs associés à l’application des directives nationale de diagnostic et de traitement du paludisme.', 'Résultats : Au total, quinze (15) centres de santé ont été inclus dans notre étude. Le diagnostic et le traitement du paludisme simple étaient conformes aux directives respectivement dans 73,90 % et 74,58 % des cas. L’âge des agents de santé (OR ajusté : 0,48 ; p = 0,024) et la disponibilité des directives nationale du paludisme (OR ajusté : 4,78 ; p = 0,05) étaient associés à la conformité de la démarche diagnostique. L’âge des patients (OR ajusté : 3,75 ; p = 0.011) et la disponibilité des médicaments antipaludiques (OR ajusté : 5,21 ; p = 0.051) étaient associés à la conformité du traitement.', 'Conclusion : La disponibilité des directives et des antipaludiques, l’affichage des outils d’aide au diagnostic, la formation des agents permettraient d’améliorer l’application des directives nationale de prise en charge', 'Mots clés : Directives, Paludisme, Bogodogo, Burkina Faso,2022.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-18 10:13:00', NULL, NULL, 105),
(619, 'Obafemi Babalola', 'Resident Advisor', 'jbabalola@afenet.net', 'mr', 'Thato Seotsa1', 'Seotsa', 'male', 'lesotho', 'seotsathato@gmail.com', 'Lesotho FETP', 'alumni', '', '16/12/2022', 'frontline', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'Mahlape Tiiti, Ministry of Health, Lesotho, mahlapetiiti@gmail.com', 'Descriptive Analysis of Severe Immunodeficiency (CD4 count &amp;lt;200 cells/mm3) in Persons living with HIV/AIDS, Lesotho , October 2021 – September 2022 ', 'Lesotho has a high HIV prevalence of 22.7% among adults aged 15 years and older. Despite the introduction of a test and treatment strategy in 2016, severe immunodeficiency (CD4 count &amp;lt;200 cells/mm³) remains a challenge which predisposes people living with HIV to opportunistic infections, morbidity and mortality. The World Health Organization estimates that about 30–40% of people living with HIV starting ART in low- and middle-income settings have a CD4 cell count of fewer than 200 cells/mm3. We assessed the characteristics of people with severe immunodeficiency in Lesotho for programmatic interventions.', 'We conducted a descriptive study using a secondary data analysis of CD4 counts from 17 laboratories in Lesotho, from October 2021 to September 2022. Data were extracted for analysis from the Laboratory Information System (LIS) into Microsoft Excel 2016. Descriptive analysis i.e., frequencies and proportions were used to summarize categorical variables and the median and range for continuous variables. ', 'Of the total 48,473 people tested for CD4 count, 4,995 (10.0%) had severe immunodeficiency. The median age of persons with severe immunodeficiency was 39 years (Range: 5– 103 years), and 53% (n=2647) were males. National Reference Laboratory (25%) and Motebang Hospital Laboratory (14%) reported the highest proportion of clients with severe immunodeficiency. Cryptococcal antigen test, a screening test for cryptococcal disease recommended for people with advanced HIV was done for 1723 (34.5%) people with CD4 counts &amp;lt;200 cells/mm³.', ' Severe immunodeficiency of 10%, even though it was lower than a WHO estimate of 30-40%, indicates a need to strengthen early detection of HIV and treatment adherence. Interventions, aimed at reducing morbidity and mortality associated with advanced HIV disease should prioritise people of middle age groups, both males and females equally. \n\n', 'HIV+, CD4 count, severe immunodeficiency, Lesotho\n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-19 10:13:00', NULL, NULL, 18),
(620, 'Dayo Akanbi', 'FELTP resident', 'dayodfa@gmail.com', 'dr', 'Dayo', 'Akanbi', 'male', 'nigeria', 'dayodfa@gmail.com', '1.	Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria', 'resident', '', '', 'advanced', 'vector-borne-and-neglected-tropical-diseases-ntds', '1.Bio Abaye;	Epidemiology Unit, Bayelsa State Ministry of Health, Yenagoa, State Secretariat, Yenagoa, Bayelsa state, Nigeria; email: beluabaye@yahoo.co.uk\n2. Francisco Averhoff; Abbott Diagnostics, Abbott Park, IL, USA; email: francisco.averhoff@abbott.com\n3. Muazzam Nasrullah; New Vaccines &amp;amp; Infectious Diseases, Merck, NW, Pennsylvania, USA, email: s.muazzam.nasrullah@merck.com\n4. Lawal Kabiru;  Department of Veterinary Public Health and Preventive Medicine, Ahmadu Bello University, Zaria, Nigeria, email: kaboskylawal@yahoo.com\n5. Lara Pereira; The Task Force for Global Health, Tephinet Secretariat, Decatur, GA, 30030, USA; email: lpereira@taskforce.org', 'Pilot Serological and Molecular Survey for Dengue and other Arboviruses Infection in Acute Febrile Patients in Yenagoa Bayelsa State, Nigeria.', 'Dengue Fever (DF) is caused by a flavivirus called dengue virus (DENV). DF is mainly transmitted through the bite of infected Aedes mosquitoes. Globally recognized as the most important mosquito-transmitted arboviral disease. DF is epidemic-prone and requires immediate reporting, however, no existing DF surveillance or prevalence study had hitherto been conducted in Bayelsa state, Nigeria, despite the vector presence. The aim of this study was to carry out a pilot serological and molecular survey of DF among febrile patients in four referral hospitals in Yenagoa, Bayelsa ', 'Using multi-stage sampling, a cross-sectional study of 454 consenting febrile participants with body temperature ≥37.5°C was done in four referral health facilities. Data tool was administered and venous blood was collected for malarial microscopy, lateral-flow immuno-assay and multiplex real-time serotyping/flavivirus PCR assays. Data was analyzed for frequencies, proportions and odds ratios.', 'Mean age of participants was 29.34±18.97 years and 283 (62.1%) were females. Seroprevalence of dengue was 31.7%, while malaria was 41.4%, and the co-infection rate of malaria and DF was 14.1%. Prevalence ratio of Malaria to DF was 1.34. Participants ≥30 years old were almost three times more likely to have DF than those ≤30 years old (OR: 2.78, 95% CI:1.82 – 4.24). The Multiplex PCR serotyping assay confirmed the presence of serotypes 1(4.3%), 2 (8.7%), and 3 (87%). Multiplex PCR flavivirus assay revealed a single positive result for Chikungunya virus, with negative results for Zika or West-Nile virus.', 'Study shows high seroprevalence of DF. Co-infection of malaria and DF and co-circulation of multiple DENV serotypes have public health implications such as increased disease severity and transmission, complicated diagnosis and treatment, poses challenge to vaccine development and vector control. An established surveillance will provide valuable data to assess burden and guide public health interventions', 'Dengue fever, Seroprevalence, Co-infection, Flavivirus, Malaria', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-20 10:13:00', NULL, NULL, 177),
(621, 'JEAN D\'AMOUR SINAYOBYE', 'Science Epidemiologist', 'jsinayobye@afenet.net', 'ms', 'Isabelle ', 'B. Teta', 'female', 'rwanda', 'tetaisabelle@gmail.com', 'Rwanda Biomedical Center', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'N. Christophe, University of Rwanda, College of Medicine and Health Sciences, School of Public Health\nB. Gaspard, University of Rwanda, College of Medicine and Health Sciences, School of Public Health\nM. Léonce, University of Rwanda, College of Medicine and Health Sciences, School of Public Health\nU. Sandrine, Ministry of Health, Rwanda Biomedical Centre\nR. Edward, Ministry of Health, Rwanda Biomedical Centre ', 'Outbreak investigation of Salmonella typhi, Simbi sector, Southern province, Rwanda:    A descriptive study, November 2021 ', 'On November 23rd, 2021, Rwanda Biomedical Centre (RBC) was alerted through media of an unknown illness that was causing an increase in patient presentations to Simbi Health Center (HC) the Southern Province, Rwanda; the HC recorded 96 patients in 7 days, usually family entities. Patients presented with high grade fever, headache, general body weakness, abdominal pain, diarrhea and vomiting. A team composed of four Field Epidemiology Training Program (FETP) residents and two RBC staff were deployed to investigate a possible outbreak, identify the source of the infection, and initiate appropriate control measures. ', 'In this descriptive analysis, any patients from Simbi sector who consulted Simbi HC from October 1st, 2021, to November 26th, 2021 and presented with at least three symptoms including fever, abdominal pain, diarrhea, vomiting, nausea, headache, or body weakness were documented in the line list. Using patient interviews and clinical records, demographic, clinical, laboratory and environmental assessment characteristics were recorded for each patient in Epi Info. Blood and stool samples of newly presenting patients who met the inclusion criteria were collected and sent to the National Reference Laboratory for culture and antibiotic sensitivity test (AST). ', 'A total of 129 suspected cases were recorded with mean age of 25.1 years (age range 1 to 88 years). The affected age group was 5 years and less (40%). Female represented 53% of the cases, students in the primary level represented 43%. Based on patient interviews, the earliest onset of reported symptoms was September 30th, 2021. The peak in incidence was 9 suspect cases on October 22nd, 2021. The most common symptoms reported were fever (91%), headache (73%), abdominal pain (66%) and body weakness (67%). Among 13 blood specimens collected for culture, two of them yielded Salmonella Typhi. In the environmental assessment, 54% don’t use public tap water while 67% use spring water. Only 20% treat water before drinking. Household with latrines were 118 (91%); only 34% among latrines had a good hygiene. Interviewers revealed a water collection tank was washed with the rise of cases; one day before the investigation. This was the possible source of the infection. ', 'Based on clinical presentations and laboratory results of samples taken for culture, we concluded that the outbreak investigated was caused by salmonella typhi, bacteria which cause typhoid fever. Possible exposure in this study was contamination of water collection tank used. Recommendations were made to the community regarding the proper chlorination and filtration of water collection tank, encouraging the good hygiene of latrines in households, treating water before drinking, and sensitization for sanitation and hygiene for children aged 5 years and less.  ', 'Outbreak, Typhoid fever, Huye, Investigation, Salmonella typhi. ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-21 10:13:00', NULL, NULL, 177),
(622, 'Dr Seogo Pedwindé Hamadou', 'Djibouti FETP', 'hseogo@afenet.net', 'mr', 'Farah', 'Abdallah Ali ', 'male', 'djibouti', 'hyusef@gmail.com', 'Djibouti Field Epidemiology Training Program &amp;amp;Ministry of Health of Djibouti', 'alumni', '', '6/7/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1.	Djama Moussa Wais, Ministry of Health, djamamw@gmail.com\n2.	Abdourhaman Djama Guedi, Institut National de Santé Publique, Djibouti Field Epidemiology Training Program, abdirahosdjama@gmail.com\n3.	Abdi Houssein Egueh, Djibouti Field Epidemiology Training Program,African Field Epidemiology Network of Djibouti abdihoussein13@hotmail.fr\n4.	Pedwindé Hamadou Seogo, Djibouti Field Epidemiology Training Program, African Field Epidemiology Network of Djibouti, seogoph@gmail.com\n5.	Prosper Ilunga Kelebwe, Djibouti Field Epidemiology Training Program, African Field Epidemiology Network of Djibouti, prosperkelebwe@yahoo.fr\n6.	Sahra Moussa Bouh, Djibouti Field Epidemiology Training Program, Ministry of health, saharamousa62@yahoo.com\n7.	Ahmed Robleh Abdilleh, Ministry of health, ahmedrobleh@hotmail.com\n8.	Tatek Anbessie Bogale, African Field Epidemiology Network, btatek@afenet.net\n9.	Herbert Kazoora Brian, African Field Epidemiology Network, hkazoora@afenet.net\n10.	Houssein Youssouf Darar, Djibouti Field Epidemiology Training Program, Ministry of health, hyusef@gmail.com \n', 'Investigation d’une flambée de Rougeole à Sankal, Région de Dikhil, Djibouti, Mars 2023', 'Le 07 mars 2023, le Poste de Santé(PS) de Sankal a notifié 05 cas suspects de rougeole au district de Dikhil. Ce PS est situé à la frontière avec l’Ethiopie. La localité est habitée par des autochtones, nomades, migrants et déplacés. L’objectif de notre investigation était de confirmer cette flambée, déterminer son ampleur et mettre en place des mesures de prévention et de contrôle. ', 'Nous avons mené une étude descriptive du 23 février au 22 mars  2023 à Sankal. Un cas suspect était défini comme toute personne présentant une fièvre et éruptions généralisées associées à la toux ou rhinite ou conjonctivite notifié pendant la période d’étude.  Un cas confirmé était un cas suspect confirmé par un test d’ELISA ou ayant un lien épidémiologique avec un cas confirmé. Une recherche active a été menée au PS et dans la communauté à travers une revue documentaire et un entretien. Un questionnaire a été utilisée pour collecter nos données. Ces données ont été analysées avec Excel. Des médianes, des proportions, des taux et des ratios ont été calculés. La couverture vaccinale a été évaluée.', 'Au total 19 cas suspects de rougeole ont été notifiées dont 47,4%(9/19) ont été confirmés rougeole IgM positif. Cinq (55,6%) était de sexe féminin avec sexe-ratio(M/F) de 0,8.  L\'âge médian était de 3ans (2-18ans). Les enfants de moins de 5 ans représentaient 78%(7/9) de rougeoleux. Aucun enfant n’était vacciné. Aucun nouveau cas n\'a été retrouvé dans la communauté. Le taux d\'attaque était de 14,62 (9/6223) pour 10000 habitants. La couverture vaccinale antirougeoleux (VAR) du PS était de 29,7% en 2022.', 'L\'investigation a permis de confirmer une flambée de rougeole et une faible couverture vaccinale en VAR.  Nous recommandons une sensibilisation auprès des parents sur la vaccination et une campagne de vaccination réactive avec ciblage des groupes spécifiques.', 'Flambée, Investigation, Rougeole, Poste de santé Sankal, Djibouti', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-22 10:13:00', NULL, NULL, 34),
(623, ' Ipyana F. Mwandelile ', ' Resident Advisor ', 'fipyana@afenet.net', 'ms', 'Ligola S. M. ', 'Akwenye', 'female', 'namibia', 'ligolaizywellow@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'alumni', '', '', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1. N.K Sheetekela, Namibia Field Epidemiology and Laboratory Training Program, kyliesa@gmail.com\n2. M. Densi, Ministry of Health and Social Services, Namibia\n3. J. Kananguizi, NamibiaNamibia Field Epidemiology and Laboratory Training Program, kananguizij@yahoo.com\n4. H. Katangolo, NamibiaNamibia Field Epidemiology and Laboratory Training Program\n5. L. Immanuel, Ministry of Health and Social Services', 'Case Investigation of Schistosomiasis among school children at Otjimuhaka Primary School, in Kunene region, Namibia, February 2023', 'Schistosomiasis, an acute and chronic parasitic disease caused by blood-flukes of the genus Schistosoma. About 206.4 million people are affected worldwide, 90% are from Africa. Otjimuhaka in Opuwo district is endemic for Schistosomiasis. The last outbreak was reported in 2018. On February 07, 2023 Otjimuhaka clinic reported suspected Schistosomiasis case. A 10-year-old male learner from Otjimuhaka primary school, who was later confirmed positive for Schistosoma haematobium. We investigated to identify source of infection and determine the extent of the disease. \n', 'We conducted a cross sectional study at school. We reviewed Out-patient register at Otjimuhaka clinic. We screened learners using urine reagent strips. We collected urine and blood samples randomly from learners with hematuria, for laboratory investigations. Learners with hematuria were treated with Praziquantel tablets. A case was any learner at Otjimuhaka Primary School with hematuria, by urine reagent strip. We interviewed staff and community members. \n', 'The school accommodates 220 learners. A total of 199 people available at school were screened, (98%) were learners and (2%) adults. Eighty-nine (44.7%) learners had hematuria, with a prevalence of 44.7%. Most (87%) leaners with hematuria were day learners. Fifty-six (63%) leaners had large cacells/µl, 21 (24%) moderate and 11(12%) small in urine. Among lab results, S Haematobium was observed from 25 (55.5%). Majority (55%) were males, among age group 5 to 9years (47.2%). Learners reported similar symptoms; dysuria, abdominal pain, hematuria and headache. Most cases reported; swimming, bathing, fishing and collecting water from the river frequently. The school sources water from the river and practices open defecation.\n', 'We concluded the river and poor sanitation as the source of infection. Body exposure to river water may have highly contributed. Engaging line ministries for provision of save portable water and sanitation, community awareness through community leaders and healthcare workers may reduce schistosomiasis.  \n', 'Schistosomiasis, Hematuria, Praziquantel, Sanitation\n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-23 10:13:00', NULL, NULL, 212),
(624, 'JEAN D\'AMOUR SINAYOBYE', 'Science Epidemiologist', 'jsinayobye@afenet.net', 'mr', 'Kizito ', 'Nshimiyimana', 'male', 'rwanda', 'kizibus13@gmail.com', 'Rwanda Biomedical Center', 'resident', '', '', 'advanced', 'hiv-aids-tuberculosis-and-other-opportunistic-infections', 'Albert Ndagijimana, University of Rwanda, andagijimana@nursph.org ', 'Factors associated with mortality among TB/HIV co-infected patients with drug susceptibility in Rwanda: A cross-sectional study ', 'Co-infection of Tuberculosis-Human Immune Virus (TB-HIV) remains the leading cause of death in Africa including Rwanda due to their synergic effect of each other. Very few studies have determined the predictors of mortality among TB-HIV co-infected people. This study aimed to investigate factors associated with mortality among TB-HIV co-infected patients in Rwanda. ', 'A retrospective cross-sectional study was conducted among 1954 TB-HIV co-infected patients from all health facilities in Rwanda. They were registered in the national individual case-based surveillance system (e-TB) from July 2019 to June 2021. Data were extracted from e-TB and analyzed using Stata Version 16.0. Bivariate and multivariable logistic regressions were performed to determine factors associated with mortality. ', 'The study showed that 14.8% of TB-HIV co-infected patients died during the study period. Of these, 85% of deaths occurred in the two first months of TB treatment. Predictors of mortality were no nutritional support (aOR=1.97, 95% CI: 1.3–2.99), body mass index &amp;lt;18.5 (aOR=1.83, 95% CI: 1.36–2.48), being TB clinically diagnosed (aOR=1.52, 95% CI: 1.03–2.23), not started ART (aOR=14.51, 95% CI: 9.13–23.06), not being followed by Community Health Worker (aOR: 3.73, 95% CI: 2.4–5.81), the patients treated in Referral Hospitals (aOR= 2.0, 95% CI: 1.35–2.97) and those treated in District Hospitals (aOR=2.61, 95% CI: 1.67– 4.08).', 'Despite the availability of ART in Rwanda, there was high mortality among TB-HIV co-infected patients and there is a need for immediate intervention such as nutritional support, Antiretroviral, and follow-up by Community Health Workers for mitigation of the burden. ', 'Humans, Coinfection, HIV Infections, Cross-Sectional Studies, Rwanda ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-24 10:13:00', NULL, NULL, 177),
(625, 'Maureen Katusiime ', 'Epidemiologist ', 'mkatusiime@musph.ac.ug', 'ms', 'Maureen', 'Katusiime ', 'female', 'uganda', 'mkatusiime@musph.ac.ug', 'Makerere University School of Public Health', 'alumni', '', '29/01/2021', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Samuel Karungi, Mulago National Referral Hospital, Kampala, Uganda, skalungi@gmail.com \nAlice Namale, Makerere University School of Public Health, anamale@musph.ac.ug \nAllan Muruta, Ministry of Health, Kampala, Uganda, allanmuruta@yahoo.com \nDavid Musoke, Makerere University School of Public Health, dmusoke@musph.ac.ug\nAnatoli Mawanda, Mulago National Referral Hospital, Kampala, Uganda\nBernard Lubwama, Ministry of Health, Kampala, Uganda, benardlubwama@gmail.com \nMartha Nalweyiso, Ministry of Health, Kampala, Uganda, nalweyisomartha@gmail.com \nFaith Nakiyimba, Masaka District Local Government, faithnakiyinmba@gmail.com\nRhoda Wanyenze, Makerere University School of Public Health, rwanyenze@musph.ac.ug\nHenry Kyobe Bosa, Ministry of Health, Kampala, Uganda, hskyobe@gmail.com', 'Establishing a Mortality Surveillance System to Boost an End to End Process of Case Identification during Sudan Virus Disease Outbreak in Masaka City, Uganda, November 10th to 25th  2022.', 'On November 1st 2022, Masaka City registered a case of Sudan Virus Disease (SUVD), six weeks into outbreak response in Uganda. We established a mortality surveillance system to identify all deaths irrespective of cause to identify silent transmission and not missing any case. We document experiences in implementing mortality surveillance in an outbreak and epidemiological characteristics of deaths in Masaka. ', 'We established networks for death reporting at health facility and community level. \nWe oriented Village Health Teams, parish coordinators, funeral homes, police and security organs, village chairpersons, media stations. Reviewed facility records and activated an alert desk. Upon receiving a death alert, we dispatched teams (laboratory, surveillance officers and morticians) to verify and collect samples from carderviors (arterial blood and/or buccal swab) for SUVD testing. Populated a death-line list by socio demographics, place of death, date of death, source of alert, test result. We conducted a descriptive analysis of death data. \n', 'Of 105 deaths identified, 86% had samples collected and all tested  negative for SUVD (0% test positivity). Males 62 (59%) were more affected than females. Children &amp;lt;18 years were less affected (20%) than adults ≥ 18 years (80%). Masaka registered highest deaths (59%, 17.8 per100,000) followed by Kalungu (8.6%, 4.6 per 100,000) and Bukomansibi districts (4.8%, 3.2 per 100,000). Major source of death alerts was community (39, 63%) followed by health facility (16, 27%) and police (4, 6%). Age-group 50+ (68 per 100,000) were most affected followed by 30-39 yrs (13 per 100,000). Most (96%) deaths were due to natural causes. However, determining actual cause remains a challenge with community deaths.', 'Having zero positivity suggests no detected secondary transmission in Masaka. Processes in establishing mortality surveillance system have been documented. Strengthening mortality surveillance contributes to real-time detection of deaths and informs quick response during outbreaks.\n\n', 'Global Health Security, Ebola outbreak, Mortality surveillance, Uganda    ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-25 10:13:00', NULL, NULL, 88),
(626, 'Bwire Emmanuel', 'Monitoring and evaluation', 'bwiremmanuel6@gmail.com', 'mr', 'Emmanuel', 'Bwire', 'male', 'uganda', 'bwiremmanuel6@gmail.com', 'Kyambogo University', 'alumni', '', '15/01/2015', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Bwire Emmanuel\nKyambogo University\nbwiremmanuel6@gmail.com', 'Monitoring and evaluation', ' am Bwire Emmanuel applying for a job for a position of Graduate economist in your organization and am aged 29years having a bachelor’s degree in economics and statistic from Kyambogo University as attached documents.  As per the skills got from my current job made me to qualify for the job as per my referees. The job am doing now is helping me to increase on my skills especially managing multiple data and it has helped in getting more skills like data management, data analysis and report writing.it has helped in decision making that can help the company\n', 'Computer skills \nDecision making\nCommunication skills', 'Feedback ', 'I will be grateful when my application is put into consideration', ' am Bwire Emmanuel applying for a job for a position of Graduate economist in your organization and am aged 29years having a bachelor’s degree in economics and statistic from Kyambogo University as attached documents.  As per the skills got from my current job made me to qualify for the job as per my referees. The job am doing now is helping me to increase on my skills especially managing multiple data and it has helped in getting more skills like data management, data analysis and report writing.it has helped in decision making that can help the company\n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-26 10:13:00', NULL, NULL, 88),
(627, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'dr', 'HILLARY', 'SEBUKOTO', 'male', 'tanzania', 'hsebukoto@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-systems-strengthening-initiatives', 'Pai Chambongo, Tanzania National Malaria Control Program (NMCP), paieliah@yahoo.com\nMunisi Khalfan, Tanzania National Malaria Control Program (NMCP), khalifamunisi39@gmail.com\nSijenunu Aaron, Tanzania National Malaria Control Program (NMCP), sijenunu@gmail.com\nLoveness Urio,Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), loveness13us@yahoo.com\nBilly Ngasala, Muhimbili university of Health and Allied Sciences (MUHAS), bngasala70@yahoo.co.uk\n', 'Factors associated with Malaria in regions implementing Case Based Surveillance in Tanzania from August 2021 to May 2022. ', 'Malaria burden has consistently been reported to be very low (&amp;lt; 1%) in some regions in Tanzania including Kilimanjaro, Arusha, and Manyara. Malaria case based surveillance was introduced in these regions as an interventional measure to attain disease elimination in these regions by the year 2030. We determined the factors associated with Malaria in the regions implementing Case Based Surveillance in Tanzania from August 2021 to May 2022\n\n', 'A cross sectional study was done to the health facilities in regions implementing case-based surveillance from August 2021 to May 2022. Data for all the three regions were extracted from National Malaria Control Program (NMCP) database. Stata version 15 was used for data cleaning and analysis. \n', 'About 642 household/contact members were identified and tested for Malaria. Majority were peasants (35.4%). The median age was 20 years (IQR = 10-31). Female contributed (51%) where majority of the contacts came from Arusha region (73%). Of the tested contacts, 24(4%) tested mRDT positive. Introduced cases were majority of the tested contact cases (58%). Children under five years accounted for least of mRDT positive cases. Contact members who had no history of fever 3 days prior to testing had 96% lower odds of testing mRDT positive than those who had fever (AOR=0.04; 95%CI; 0.01–0.15, p&amp;lt;0.001) whereas, individuals who had no history of contact with a known malaria case had over 99% lower odds of testing positive for malaria than those who had history of contact (AOR=0.01; 95% CI; 0.004–0.04, p&amp;lt;0.001). \n\n', 'Despite observed lower local malaria cases in regions under case based surveillance, continued elimination efforts are needed to ensure no indigenous case is recorded. Continued community engagement and health promotions on early hospital visit for testing for any febrile condition will enhance early case detection and subsequently prevent disease spread among household members.', 'Malaria, Case Based Surveillance, Tanzania ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-27 10:13:00', NULL, NULL, 77),
(628, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'mr', 'Julius', 'Otwabe', 'male', 'kenya', 'shem4000@gmail.com', 'Kenya FELTP', 'alumni', '', '29/10/2021', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Richard Onkware | Public Health Emergency Operation Center, Kisii County | ronkware@yahoo.com \nErasto Omwega | Public Health Emergency Operation Center, Kisii County | omwegae@gmail.com\nPeter Nzioki | Public Health Emergency Operation Center, Kisii County | nzioki91@gmail.com \nMaurice Owiny |Kenya FELTP | mowiny@feltp.or.ke', 'Investigation of an outbreak of an “unknown” disease in Monsesema Village, Kisii County, January 2023.', 'On December 1, 2022, Kisii County health department received report on incidence of an unknown disease in Monsesema Village with cases presenting with fever, diarrhea, abdominal pains and vomiting.  A team from the County Emergency Operation Center investigated the outbreak to determine the source of the disease and implement control measures. ', 'We conducted active case searches using case definition of any person residing within the Monsesema with history of diarrhea, abdominal pain, fever, headache and general body weakness from 27th November 2022. Verbal autopsy was done for the dead. We collected data on demographics, signs and symptoms, date of onset, treatment, and current status of the cases using a questionnaire. Water samples were taken for microbiological analysis. Data were analyzed descriptively.  ', 'We identified 38 cases; 19(50%) of them were female, mean age was 24 years. The age-group 6–15 and 26–35 years had reported most cases at 11(29%) and 8(21%) respectively.  The outbreak started around 1st December, 2022 and peaked on 20th December, 2022 with a  decline afterwards. Signs and symptoms included headache 29(76%), fever and chills 25(66%), diarrhea 17(45%). On case status, 20(53%) had recovered, 11(29%) were weak and 2(CFR:5%) had died. Of the 35 (92%) who sought medical care, 29 (78%) had no defined diagnosis, 3 (8%) had malaria, and 2 (5%) had amoebiasis. All cases had no history of travel or consuming communal meals. All the cases confirmed drinking untreated water from communal springs. Water microbiological assay showed three implicated springs were contaminated with E coli (count of 6, 48 and 52 CFU/100ml) and Coliforms (count of 180, 24 and 920 CFU/100ml).  ', 'The outbreak was likely waterborne. We recommended water treatment and hygiene practices, especially in communal water sources. We conducted health education campaigns to promote safe water practices, such as boiling or chlorinating water.', 'Outbreak, cases, E. coli. Coliforms, diarrhea, abdominal pains and vomiting.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-28 10:13:00', NULL, NULL, 92),
(629, ' Ipyana F. Mwandelile  ', 'Resident Advisor ', 'fipyana@afenet.net', 'ms', 'Itumeleng D.', 'Boois', 'female', 'namibia', 'Itumeleng.Boois@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1. Christopher Kaangundue, \n2. Naftal .S. Simeon, Namibia Field Epidemiology and Laboratory Training Program, simeonnaftalshilongo9@gmail.com\n3. Dianah M. Ewaga, Namibia Field Epidemiology and Laboratory Training Program, mewaga.15@gmail.com\n4. Ipyana. F. Mwandelile, Namibia Field Epidemiology and Laboratory Training Program, fipyana@afenet.net', 'Adverse Effects Following Immunization of the Coronavirus Disease 2019 Vaccinations in Khomas Region, March 2021 to July 2022', 'Khomas region recorded 55244 COVID-19 cases (32.6%) and 910 (22.4%) deaths. The rapid increase in COVID-19 cases prompted the development of COVID-19 vaccines. The introduction of COVID-19 vaccines resulted in adverse effects following immunization (AEFIs). AEFIs are an indication that the vaccines are working. If not addressed adequately, AEFIs can erode trust in vaccines, affecting immunization coverage and disease incidence. A standardized case investigation form was used to report AEFIs. The objective of this secondary data analysis was to identify the age groups, sex, and severity of AEFIs in Khomas region between March 2021 and July 2022.\n', 'The AEFI data was extracted from DHIS2 and the AEFI line list and merged onto the Microsoft excel for data cleaning and verification. Due to incomplete data, some cases were excluded. After data cleaning, 43 of the initial 63 cases were analysed. Microsoft excel and SPSS version 28 were used to compute the frequencies, mean, and standard deviation. The AEFI case definition was any person who developed an unfavourable medical occurrence after receiving a COVID-19 vaccine but does not necessarily have a causal connection to the vaccine use in Khomas region between March 2021 and July 2022.\n', 'Of the 43 (68.3%) cases analysed, 24 (55.8%) were females and 19 (44.2%) were males. The age range was 17 to 74 years. The mean age was 36 years with a standard deviation of 14.4. With 7 (16.3%) each, the age groups 20-25 years and 36-40 years were the most affected.  Dizziness was the most reported AEFI with 16 (13.8%). Recoveries from AEFIs were 21 (48.8%). Fatal AEFIs were 1 (2.3%).\n\n', 'AFEIs appear to affect more women than men. Although the majority of people recovered from AEFIs; AEFIs must be adequately addressed if herd immunity is to be achieved.\n', 'COVID-19, Vaccines, Immunization, Vaccination Coverage', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-29 10:13:00', NULL, NULL, 212),
(631, 'MAVUNGU NGOMA PATRICK', 'Resident Advisor FETP RCA', 'pngoma@afenet.net', 'mr', 'EVALUATION INTERNE DU LABORATOIRE NATIONAL DE BIOLOGIE CLINIQUE ET DE SANTE PUBLIQUE, BANGUI, FEVRIER 2023                                                                                                                                                     ', 'SENZONGO NDIMAKAMOKO', 'male', 'central-african-rep', 'oscarsenzongo@yahoo.fr', 'Gestion des données au Laboratoire National de Biologie Clinique et de Santé Publique.', 'alumni', '', '30/11/2022', 'frontline', 'public-health-laboratory-systems-and-infection-prevention-control', 'C. RAFAI, Laboratoire National de Biologie Clinique et de Santé Publique ;\nMathurin KOLOKATE, Laboratoire National de Biologie Clinique et de Santé Publique ;\nErnest LANGO-YAYA, Laboratoire National de Biologie Clinique et de Santé Publique ;\nMax NAMZEKA, Laboratoire National de Biologie Clinique et de Santé Publique ;\nDénis MOULO, Laboratoire National de Biologie Clinique et de Santé Publique ;\nJulien Alain YANDIA, Laboratoire National de Biologie Clinique et de Santé Publique ; \nPatrick MAVUNGU, AFENET, pngoma@afenet.net  \nRaphaèl MBAILAO, Direction Générale de l\'épidémiologie et de lutte contre la maladie, mbailao22raph@gmail.com\n\n\n', 'EVALUATION INTERNE DU LABORATOIRE NATIONAL DE BIOLOGIE CLINIQUE ET DE SANTE PUBLIQUE, BANGUI, FEVRIER 2023                                                                                   ', 'Le Laboratoire National de Biologie Clinique et de Santé Publique (LNBCSP) est la structure de référence nationale en matière de biologie clinique. Il participe à la surveillance de la résistance aux antipaludiques (chimiorésistance) et à la recherche biomédicale dans le domaine des hépatites virales, du paludisme, Covid-19, séro-surveillance du HIV et du cancer. Pour jouer pleinement son rôle, une évaluation interne s’impose afin de mesurer sa capacité en matière de respect de bonnes pratiques du laboratoire selon les normes standards internationales. ', 'Il s’agit d’une enquête transversale réalisée au LNBCSP en févier 2023. La population de notre enquête est constituée des responsables des unités. Le guide d’évaluation de SLIPTA (Stepwise Laboratory Improvement Process Towards Accrditation) et le guide d’évaluation de l’OMS sur les normes et l’observation ont été utilisés pour recueillir les informations. ', 'La tenue de réunion du personnel, la disponibilité des ressources humaines qualifiées, la disponibilité du manuel de qualité et des procédures opérationnelles et registre de non-conformité. Aucune unité ne disposait des procédures à jour ainsi que des procédures de nettoyage des paillasses, de lavage des mains et les procédures techniques. Les fiches de température, les fiches de vie et de maintenance des matériels ne sont pas renseigner ; un mauvais archivage, rangement de réactifs dans la chaine de froid, tri des déchets, registres de non-conformité insuffisants. Sur 10 unités une seule soit 10%, respectaient les normes en matière des tris des déchets. 20% avaient un bon archivage. Inexistence des fiches de poste et des compétences du personnel. 90 % du personnel est formé sur la biosécurité et en bio-informatique.', 'L’évaluation interne a révélé des progrès dans les domaines de qualités au laboratoire. Mais le problème de mises des procédures et de manuel qualité constituent les points faibles à améliorer', 'Evaluation interne, Laboratoire National de Biologie clinique et de Santé Publique, Bangui', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-30 10:13:00', NULL, NULL, 41),
(632, 'Djibril BARRY', 'Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina', 'djibril.barry@bfeltp.com', 'prof', 'Pauline K', 'Yanogo*', 'female', 'burkina', 'yanogo.pauline@yahoo.fr', 'Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina', 'other', 'Coordonnateur BFELTP', '', 'advanced', 'public-health-systems-strengthening-initiatives', 'H. Yoda : yodmano@yahoo.fr\nD. Barry : djibril.barry@bfeltp.com\nN. Meda : nicolas.meda@ujkz.bf\n\n', 'Titre : Etats des lieux du Programme de Formation en Epidémiologie et Laboratoire de Terrain du Burkina et Perspectives, Afrique de l’Ouest, 2010-2022.', 'Introduction : L’émergence et la réémergence des épidémies durant les dernières décennies ont confirmé l\'impérieuse nécessité de renforcement les systèmes nationaux de surveillance des maladies afin de prévenir et de lutter effacement contre les urgences de santé publique. C’est dans cette optique que le FELTP du Burkina a vu le jour. Le but de cette étude est d’une part de partager l’expérience type du BFELTP et d’autre part de capitaliser les acquis engrangés par le programme après une décennie d’activités', 'Méthodes : Nous avons conduit une étude transversale descriptive sur la période du 1er Janvier 2010 au 31 décembre 2022. Les données ont été collectées par entretien auprès des alumni, des membres de l’équipe de coordination et par revue documentaire. L’analyse descriptive a porté sur le devenir des cadres inscrits au programme et les réalisations assorties de taux et de proportions.', 'Résultats :  Au total 188 cadres répartis sur 8 cohortes sont inscrits de 2010 à 2022. Le sex ratio hommes/femmes était de 2,5. Les agents de la santé animale et ceux de la santé environnementale ont représenté respectivement 14% (n=27) et 9% (n=16). Sur les 10 pays participants, le Mali a comptabilisé le plus grand nombre de gradué avec 19 alumni soit 14%. Les alumni restés dans leurs ministères de tutelle et ceux ayant rejoint les Organisations Non Ornementales ont représenté respectivement 88% et 12%. Les alumni ont produits 139 rapports d’investigation, 134 rapports d’analyse de bases de données, 133 rapports d’évaluation de système de surveillance ,174 abstracts et 36 publications. ', 'Conclusion : Le BFELTP a renforcé les capacités de 10 pays de l’Afrique de l’ouest en matière de surveillance épidémiologie. Pour pérenniser la formation qui constitue un des priorités actuelles du programme, une appropriation par les pays s’avère nécessaire.', 'Mots clés:  BFELTP, bilan, Burkina Faso, 2022', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-10-31 10:13:00', NULL, NULL, 105),
(633, 'Cynthia Semá Baltazar', 'Mozambique FETP Program Director', 'cynthia.baltazar@ins.gov.mz', 'mr', 'Gerson', 'Alfai', 'male', 'mozambique', 'gt.afai88@gmail.com', 'Mozambique FETP', 'alumni', '', '7/8/2021', 'advanced', 'vector-borne-and-neglected-tropical-diseases-ntds', 'Erika Rosseto | MassGenics, Assigned for Centers for Disease Control and Prevention, Mozambique | osc6@cdc.govosc6@cdc.gov\nCynthia Semá Baltazar | National Institute of Health, Mozambique | cynthia.baltazar@ins.gov.mz\nBaltazar candrinho| National Malaria Control Program, Ministry of Health, Mozambique | candrinhobaltazar@gmail.com\nAbuchama Saifodine| United States President’s Malaria Initiative, USAID, Maputo, Mozambique |asaifodine@usaid.gov', 'Malaria Knowledge Among Women of Reproductive Age – Tete Province, Mozambique, 2019-2020', 'The Mozambique estimated malaria prevalence in children 6-59 months old is twice as high in rural areas (46.0%) as in urban areas (18.0%). However, 46.0% of women aged 15-49 years had complete knowledge about malaria in 2018. This study identified the factors associated with malaria knowledge among women of reproductive age in a high malaria burden district.', 'A cross-sectional study was conducted in Tete Province, 2019. Data about women aged 15-49 was collected in community households, selected randomly. We used a multivariate logistic regression to estimate adjusted odds ratios (aOR), at 95% confidence interval (CI), to determine malaria complete knowledge associated factors. Malaria knowledge was defined as when a woman responds correctly to five malaria questions about symptoms, transmission, prevention and treatment. We used STATA 6.1 for data analysis. ', 'Overall, 1,899 women (mean age 27, SD ± 8.4)) were included in this analysis. There was complete malaria knowledge among 49% of the respondents. Seventy-one percent mentioned fever as one of malaria symptoms, 92% mentioned mosquito bite as the cause of malaria, 94% identified that mosquito nets prevent malaria, 92% agreed that malaria has cure, and 76% were able to name at least one antimalarial medicine. In the multivariate analysis, the following characteristics were associated with significantly higher odds of having complete malaria knowledge: having a secondary school or above education level (aOR=2.5;95%CI=1.3-4.6), being from the middle socioeconomic status group (aOR=1.5;95%CI=1.1-2.1), being from older age group of 35-39 (aOR=1.9;95%CI=1.1-3.1), having 1-2 children (aOR=1.8;95%CI=1.2-2.6), and having interviews completed in Portuguese (aOR=2.3;95%CI=1.3-4.1) or Cinyungwe aOR=2.1;95% CI=1.5-2.8).', 'Women in this study had good malaria knowledge, but gaps in complete knowledge remained. In order to broaden knowledge, educational messages about malaria prevention should be more effectively targeted to reach younger, less-educated women and in non-dominant languages. ', 'Keywords: Malaria, Health Knowledge, Risk Factors, Mozambique', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-01 10:13:00', NULL, NULL, 212),
(634, 'JEAN D\'AMOUR SINAYOBYE', 'Science Epidemiologist', 'jsinayobye@afenet.net', 'mr', 'J.P', 'Hategekimana', 'male', 'rwanda', 'hjpahulo@gmail.com', 'University of Rwanda', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Umubyeyi M,University of Rwanda\nNkundabaza C, Bushenge Provincial Hospital\nRugigana E, University of Rwanda\nNzabahimana I, Ministry of Health ', 'Assessing the response to a food poisoning outbreak in Gatsibo District, Rwanda February 2021  ', 'Food poisoning outbreaks result from the consumption of contaminated food or drink and involve one or more persons presenting with similar gastroenteritis symptoms. In the Kiramuruzi Sector of Gatsibo District, persons consumed non-alcoholic sorghum wine and presented at Gakenke Health Center with symptoms of vomiting, diarrhoea, nausea, and abdominal pain. ', 'A cross-sectional study was conducted in August 2021, and consisted of reviewing medical records and interviewing health care providers at Gakenke Health Center and Kiziguro District Hospital, active cases finding, interviewing the cases from the affected community of Kiramuruzi Sector, and conducting the environmental assessment done at the place where the family makes the wine. Data were analyzed using Epi Info 7. ', 'Among the 47 persons who drank non-alcoholic sorghum wine, 45 (95.7%) became ill. Most of the cases were from Akabingo village (74.4%, 35 cases) and presented with headache 41 cases (91.1%) and abdominal pain,34 cases (75%). Incubation period was between 6-12 hours.  Cases were managed by antibiotics, anti-pyretic and fluids, 42 (93.3%) were managed at Health Center and discharged , whereas three cases were referred to the hospital for further management, and 14 cases (29.7%) were self-treated by using traditional herbs after being discharged. There were no identified deaths. An environmental assessment was done and did not conclusively identify the source of infection.  ', ' There was an illness with a high attack rate, however, there were no deaths reported though epidemiologic data indicate that non-alcoholic sorghum wine was the likely source of the outbreak.. The confirmation of causative agents was limited by a lack of timely response intervention, Community members should be educated on food and beverage safety. Kiziguro and its health facilities should avail a Rapid Response Team and ensure full functionality for proper management of samples and follow-up of referred samples. ', 'Outbreak, food intoxication, gastroenteritis ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-02 10:13:00', NULL, NULL, 177);
INSERT INTO `reviewer_ones` (`id`, `submitter_name`, `submitter_designation`, `submitter_email_address`, `first_author_title`, `first_author_fiirst_name`, `first_author_last_name`, `first_author_gender`, `first_author_country`, `first_author_email`, `first_author_affiliation`, `first_author_category`, `first_author_other_category`, `forst_author_alumni_completion`, `first_author_fetp_level`, `abstract_sub_theme`, `co_authors`, `abstract_title`, `abstract_backgound`, `abstract_methods`, `abstract_results`, `abstract_conclusion`, `key_words`, `reviewer_1_background_study`, `reviewer_1_method_apporpriate`, `reviewer_1_results_presentable`, `reviewer_1_results_conclusion`, `reviewer_1_ph_signicance`, `reviewer_1_overall_clarity`, `reviewer_1_total`, `reject_accept`, `presentation_type`, `reviewer_1_complete`, `reviewer_1_comments`, `created_at`, `updated_at`, `deleted_at`, `reviewer_id`) VALUES
(635, 'Dr. Gebrekrstos Negash Gebru', 'Resident Advisor', 'ggebru@afenet.net', 'mr', 'Samuel ', 'Turay', 'male', 'sierra-leone', 'samuelsamaht@gmail.com', 'Ministry of Health and Sanitation, Sierra Leone', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Kadijatu Nabie Kamara                             Sierra Leone Ministry of Health and Sanitation                        kamarakadijatunabie@gmail.com\n Solomon Aiah. Sogbeh                           African Field Epidemiology Network                                            solomonsogbeh@gmail.com \nUmar. Sesay                                              African Field Epidemiology Network                                           sesayumaru4@gmail.com\nAmara Alhaji Sheriff                                African Field Epidemiology Network                                           amaraalhaji1970@gmail.com \nAnna H. Jammeh                                    African Field Epidemiology Network                                              ajammeh@afenet.net \nAdel Hussein  Edulma                            African Field Epidemiology Network                                               ahussein@afenet.net  \nGebrekrstos Negash Gebru                    African Field Epidemiology Network                                              ggebru@afenet.net  ', 'Epidemiological analysis of Lassa fever in Sierra Leone: A Secondary Data Analysis, 2018 to 2022', 'Lassa fever is a zoonotic hemorrhagic disease that is endemic in many parts of West Africa, with frequent outbreaks in Sierra Leone. From 2019  to date, several cases and outbreaks of Lass fever have been reported from several districts where no case was detected before. However, there has been limited information on the burden, epidemiological patterns, and risk population groups for Lassa fever infection. This study aimed to describe the burden, distribution, and epidemiological trends of Lassa fever in Sierra Leone. \n\n', 'A descriptive cross-sectional study was employed to analyze national Lassa fever data in Sierra Leone, 2018-2022. We extracted data from the District Health Information System software to compute descriptive analysis on key variables including age, sex, and districts, among others; analyzed frequencies, proportions, and rates.\n\n', 'A total of 1,127 suspected and 63 confirmed cases of Lassa fever with 40 deaths (CFR-63%) were reported. Of the confirmed cases, the median age was 26 years (range: 1 to 90 years); females accounted for 57% (36), and most of the cases, 40% (25/63), were between 1-9 years. “The average number of confirmed cases reported per year was 13, with the lowest, 8 cases reported in 2020 and the highest, 16 reported in 2021. The average incidence rate was 2 per 100,000 population. Kenema district accounted for 81% (51/63), followed by Tonkolili and Bo Districts with 10% (6/63) and 5% (3/63) respectively. The peak of infection was in 2021 with 25% (16/63) cases. \n\n', 'The trend of Lassa fever cases was almost constant for the period under study. Kenema District accounted for most Lassa fever cases. Persons aged &amp;lt;10 years was the most affected age group. We recommend the Ministry of Health and Sanitation design intervention for Lassa fever prevention and treatment with a focus on children below 10 years.  \n\n', 'Lassa fever, hemorrhagic, Sierra Leone, Kenema\n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-03 10:13:00', NULL, NULL, 138),
(636, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mrs', 'FATMA MOHAMED', 'JUMA', 'female', 'tanzania', 'fatmamohd22eh@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'DINA GASARASI,  Muhimbili University of Health and Allied Sciences (MUHAS), dinahvaisy120@yahoo.com\nGODFREY MCHAU, Tanzania Food and Nutrition Centre (TFNC), gmchau80@gmail.com\nMOHAMED HAJI ALI, Zanzibar Malaria Elimination Program  (ZAMEP), alkitwasi@gmail.com\n.\n', 'Zanzibar Malaria Case Based (Coconut) Surveillance System Evaluation,  July 2022 – January 2023', 'Zanzibar has reached remarkable progress toward malaria elimination by reducing malaria prevalence from 40% in 2003 to ˂1% in 2022. The successful reduction resulted in the establishment of Malaria Case Notification (Coconut surveillance) from health facilities and Active Case Detections for immediate malaria interventions to prevent further local transmissions. Since the introduction of Coconut surveillance system, the system has not been evaluated therefore malaria surveillance system was evaluated to assess its key attribute’s performance and the way it operates in line with its specified objectives.\n', 'The surveillance system evaluation was evaluated using “CDC updated guideline for evaluating public health surveillance system, 2001”. Respondents were purposevely selected; we interviewed the surveillance personnel from four purposively selected health facilities based on the number of cases reported and key informants about system’s description and operating procedures. Furthermore, the document review was conducted to assess surveillance system usefulness and attributes from July 2022 to January 2023 and analyzed using Microsoft Excel. \n', 'All 59 (100%) cases from government and private health facilities were reported, 22% were local and 78% were imported cases. The case definition was easy to understand, all staff were trained and the system was simple. The system was integrated with DHIS2, only one facility had complete reports and data match in all data collection tools while three facilities had 59.2% incomplete reports and 94.9% data mismatch in all data collection tools. About 60.8% cases were not notified within 24 hours and 56.9% cases were not followed up within 48 hours. The system has fully functional server, storage and backup of data is done in a short time.\n', 'The system meets its objectives and is useful, simple, representative, flexible and acceptable; however timeliness and data quality was under performance. We recommend prioritizing timeliness and data quality for effective malaria elimination.\n\n', 'Malaria, Surveillance system, Coconut, Zanzibar.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-04 10:13:00', NULL, NULL, 77),
(637, ' Ipyana F. Mwandelile ', ' Resident Advisor ', 'fipyana@afenet.net', 'ms', 'Annety K. ', 'Likando', 'female', 'namibia', 'annetylikando@yahoo.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'alumni', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'N/A', 'Epidemiology of COVID-19 death cases reported in Rundu Intermediate hospital, Kavango East region, Namibia, June 2020-February 2023.', 'COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The global pandemic started in December 2019. As of February 2023, there were over 6.8 million deaths globally, although Africa reported the least cases among the global regions, Namibia was among the top 18 countries with the most Covid-19 cases by September 2020. Namibia reported the first 2 cases of Covid-19 on the 13th of March 2020, with the first death reported 116 days later. The death cases escalated to 4049 by 25 March 2023, Kavango East region accounted for 232 (6%) of the cases, out of which 56% were reported by Rundu intermediate hospital, the only referral hospital in the region. The study was conducted to describe the cases by person, place and time, and analyze the risk factors.\n\n', 'We conducted a retrospective analysis of all Covid-19 death cases reported in Rundu intermediate hospital (N=130), between June 2020 to 25 February 2023. Data from the inpatient hospital files was summarized into frequencies and percentages.\n', 'A total of 130 Covid-19 death cases were reported, most cases (59%) were males. The ages ranged between 21 to 111 years, the age group of 70 and above reporting most cases (54%). Almost all (92%) cases were reported in 2021, a significant number of cases (45%) died at home, 85% of them resided in town. A total of 48% had co-morbidities, whilst 38% had unknown co-morbidity statuses. Only 1% was known to have been vaccinated.\n', 'Covid-19 deaths in Rundu intermediate hospital mostly affected the elderly due to compromised immunity. Most cases were reported in 2021 during the Delta variant wave. Those who resided in town were 7.3% more likely to die at home. There is still a need to continue educating the public on early health-seeking behavior.\n', 'Epidemiology, Covid-19, Death, Co-morbidity\n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-05 10:13:00', NULL, NULL, 223),
(639, 'Delia Bandoh', 'Scientific Writer (Ghana FELTP)', 'dbandoh@afenet.net', 'dr', 'Grace Adjoa ', 'Ocansey', 'female', 'ghana', 'graceadjoas@gmail.com', 'Ghana Field Epidemiology and Laboratory Training Programme', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Goffery Konnyebal | Ghana Field Epidemiology and Laboratory Training Programme | kogodf@yahoo.com \nSeth Afagbedzi | safagbedzi@gmail.com | Ghana Field Epidemiology and Laboratory Training Programme | safagbedzi@gmail.com \nE.P. Biamah-Danquah | Ghana Health Service| biamsogh@yahoo.co.uk\nL.F. Manjang | Ghana Field Epidemiology and Laboratory Training Programme| manjangsambouwally@gmail.com \nCharles Lwanga Noora | nooralwanga@gmail.com | Ghana Field Epidemiology and Laboratory Training Programme\nErnest Kenu | Ghana Field Epidemiology and Laboratory Training Programme | Ernest_kenu@yahoo.com', 'HIV/AIDS Surveillance Data Analysis, Kpone-Katamanso Municipality, Greater Accra, Ghana, 2022', 'The UNAIDS has set a target of ending HIV/AIDS as a public health threat by 2025. In 2021 alone, about 84 million people were infected with the disease globally. HIV/AIDS prevalence in Ghana was 2.0% in 2021, with regional variations. It is therefore crucial to analyse HIV/AIDS surveillance data to help gather credible information for decision making. This study analysed the HIV/AIDS Surveillance data to assess its quality and determine the distribution of cases.', 'We analyzed the 2017 to 2021 HIV/AIDS surveillance data of 31 health facilities within the Kpone-Katamanso municipality. The data was extracted from District Health Management Information System II, HIV test and counselling registers and monthly return forms. We determined completeness of surveillance data, case distributions by sex, sub-districts and years, C2 thresholds, and presented our findings in tables and charts. ', 'Of 26,544 people tested for HIV/AIDS in the municipality, 7.3% (1947/26544) were positive. Females accounted for 66.6% (1297/1947) of test-positives. The highest proportion of cases were reported in 2020, 32.5% (633/1947). Kpone sub-district recorded highest proportion of cases, 38.2% (743/1947) and Appolonia recorded the least, 2.3% (44/1947). Kpone, General Family Health and 1MRS were facilities with highest data completeness of 90% and Katamanso health centre had the least of 45%.  In November 2020, the number of reported cases were higher (227) than the threshold (72.8).', 'Of 26,544 people tested for HIV/AIDS in the municipality, 7.3% (1947/26544) were positive. Females accounted for 66.6% (1297/1947) of test-positives. The highest proportion of cases were reported in 2020, 32.5% (633/1947). Kpone sub-district recorded highest proportion of cases, 38.2% (743/1947) and Appolonia recorded the least, 2.3% (44/1947). Kpone, General Family Health and 1MRS were facilities with highest data completeness of 90% and Katamanso health centre had the least of 45%.  In November 2020, the number of reported cases were higher (227) than the threshold (72.8).', 'HIV/AIDS, Surveillance, Data Analysis, Kpone-Katamanso Municipality, Ghana', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-06 10:13:00', NULL, NULL, 31),
(640, ' Ipyana F. Mwandelile  ', 'Resident Advisor ', 'fipyana@afenet.net', 'mr', 'Albertus ', 'Naobeb', 'male', 'namibia', 'kandabertus@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'alumni', '', '', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'N/A', 'Analysis of diarrhea with blood surveillance data in Omaheke region, Namibia, 2020-2022 ', 'Shigella infection is an intestinal infection caused by a family of bacteria known as Shigellosis. The main sign of shigella infection is diarrhea, which often is bloody. Shigella remains the primary cause of diarrhea worldwide and case fatality rate of about 20% amongst young children and elderly with severe dehydration. We conducted a secondary data analysis to provide an overview of the system, describe the epidemiologic distribution of cases and provide recommendations. \n', 'A retrospective study was conducted. Secondary data extracted from screening registers, review of weekly Integrated Disease Surveillance (IDSR) and Digital Health Information Systems2 (DHIS2) for the period of January 2020 to December 2022. All records were reviewed for diarrheal cases and manual line list established; data was exported into Microsoft excel for analyses. The study was conducted at all facilities in Omaheke region targeting all patients diagnose with diarrheal with blood. Ethical clearance obtained from the Omaheke Regional Health Directorate to conduct the investigation. \n', 'Preliminary findings produced 2804 OPD data entries results. Age under 5 (52%), age 5 – 17 years (15%) and age 18+( 33%). With year 2020 having 50% (2021- 22%,2022-28%) of the overall cases during the period under review. Cases amongst females were more (65%) compared to males. All cases had no laboratory test done to confirm isolation of Shigella dysenteriae type 1(SD1) in the stools yet all cases where diagnose and recorded as diarrheal with blood (DHIS2).\n ', 'Diagnosis of dysentery clinically is misgiven commonly in the pediatrics leading to widespread use of antibiotics and lack of differential diagnosis. Differential diagnoses are difficult to rule out in the absence of (SD1) laboratory confirmation. There is a laboratory confirmation of Shigella to inform treatment regimens and ensure adherence to antibiotics use guidelines.\n', 'Child, Dysentery, Shigella dysenteriae, Anti-Bacterial Agents, Diagnosis, Differential\n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-07 10:13:00', NULL, NULL, 223),
(641, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mr', 'GODBLESS', 'MFURU', 'male', 'tanzania', 'mfurugodbless725@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Khadija Malima, Muhimbili University of Health and Allied Sciences, School of Public Health and Social Sciences (SPHSS), khadija.malima@muhas.ac.tz\nGeorge Cosmas, World Health Organization, Tanzania, kaukig@who.int\n\n', 'Evaluation of cervical cancer population-based surveillance system - January to December 2022 Dodoma, Tanzania.', 'Cancer is one of the major life-threatening Non-Communicable Diseases globally. Cervical cancer is the fourth most frequent cancer in women with an estimated 604,000 new cases in 2020. In Tanzania cervical cancer is the leading cause of death resulting from cancer, with an incidence of 625 cases per 1000000 women per year. Cervical cancer surveillance is an essential component in cancer control and prevention. However, the performance of this system in Tanzania is not known. We conducted an evaluation to assess usefulness and performance of cervical cancer surveillance system in order to identify areas for improvement.\n', 'We evaluated Dodoma population based cervical cancer surveillance system from January to December 2022 using the U.S CDC guidelines for evaluating public health surveillance systems. Eight attributes were evaluated. Specific indicators were developed and described using quantitative or qualitative methods. Scores for each indicator were categorized 80% as weak, moderate, and good performance respectively. Documents review and interviews were conducted to collect relevant data on system performance. Data were analyzed by Epi info 7.\n', 'The system captured a total of 123 cases of cervical cancer. Of these, 76 (62%) cases were reported from the Makey pathology laboratory. Furthermore, 109 (89%) cases were identified as squamous cell carcinomas, and 25 (20%) of the cases were observed in individuals under 45 years of age. The system performed well in terms of simplicity, timeliness, acceptability, and usefulness. However, its performance was only moderate in terms of representativeness, data quality, and stability.&quot;\n', 'The overall system performance was satisfactory, with good to moderate performance. The data have been useful in guiding resource allocation and forming strategic guidelines for the prevention of cervical cancer. However, there is a lack of information on the risk factors for cervical cancer, which could be useful in planning preventive interventions.\n', 'Cervical cancer, Non-Communicable Diseases, Surveillance evaluation \n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-08 10:13:00', NULL, NULL, 77),
(642, 'Dr Seogo Pedwindé Hamadou', 'Mauritania FETP', 'hseogo@afenet.net', 'dr', 'Abdi', 'Sidi', 'male', 'mauritania', 'abdisidi85@gmail.com', 'Délégation Régionale de l’Elevage de Nouakchott; Mauritanie, Programme de formation en épidémiologie de terrain de Mauritanie', 'alumni', '', '3/3/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1.	Navaa Abd El Wehab, Office National de Recherches et de Développement de l’Elevage et de Pastoralisme (ONARDEP), Programme de formation en épidémiologie de terrain de Mauritanie wehab.nava@gmail.com \n2.	Sidi Mohamed Hama, Office National de Recherches et de Développement de l’Elevage et de Pastoralisme (ONARDEP) , sidimedmicro@yahoo.fr\n3.	Moctar Mohamed ABBAD, Service de surveillance Epidémiologique /Ministère de la santé, moctarabade3@gmail.com\n4.	Abdellahi Ghassim, Mohamed Hama, Office National de Recherches et de Développement de l’Elevage et de Pastoralisme (ONARDEP) , abdellahielghassem@gmail.com\n5.	Yahya Barry, Office National de Recherches et de Développement de l’Elevage et de Pastoralisme (ONARDEP), barryyahya07@gmail.com,\n6.	Ahmed Bezeid EL Mamy BEYATT, REDISSE, Institut Supérieur d’Enseignement Technologique de Rosso, bezeid07@yahoo.fr\n7.	Ba Hamet Abderahmane, Programme de formation en épidémiologie de terrain de Mauritanie, Ministère de la santé de Mauritanie , hametba18@gmail.com\n8.	Assane Hamadi, Programme de formation en épidémiologie de terrain de Mauritanie, African Field Epidemiology training Network, simpassane@yahoo.fr\n9.	Pedwindé Hamadou Seogo, Programme de formation en épidémiologie de terrain de Mauritanie, African Field Epidemiology training Network, seogoph@gmail.com\n', 'Profil Epidémiologique des animaux mordeurs, mis en observation pour suspicion de Rage , Régions de Nouakchott, 2022', 'La rage est une anthropozoonose due aux Lyssavirus, transmise à l’homme par un animal porteur du virus rabique. Elle est sous surveillance en Mauritanie. Notre objectif était d’étudier le profil épidémiologique des animaux mis en observation pour suspicion de rage à la clinique vétérinaire de Nouakchott en 2022.', 'Il s’agit d’une étude descriptive de la base des données des animaux mis en observation, pour suspicion de rage à la clinique vétérinaire de Nouakchott, entre le 1er janvier au 31 décembre 2022. Était considéré comme cas suspect tout animal mammifère, présentant des changements comportementaux soudains et/ou une paralysie progressive entraînant la mort pendant la période d’étude et cas confirmé tout animal suspect dont le laboratoire a confirmé la rage. Les données ont été collectées avec une fiche saisie et analysée avec Epi-Info.', 'Au total 119 animaux ont été mis en observation, dont 95 (80%) avaient des informations exploitables. Parmi ces 95, quatre prélèvements (3%) ont été envoyés au laboratoire , dont un cas était positif de rage. La moyenne par mois était de 10 cas ± 3. Les mois de février :12 cas (12,63%), mai :11 cas (11,58%), mars et avril avec 9 cas (9,47%) chacun ont enregistrés plus de cas. A Nouakchott, les animaux mordeurs provenaient plus des départements de Toujounine avec 25 cas (26,32 %), Dar Naim avec 20 cas (21,05 %) et Riyad avec 13 cas (13,68 %). Ils étaient des chiens avec 91 cas (96%), ânes et singes, chacun avec 2 cas (2%).', 'Le chien est le principal animal de suspicion de la rage dont la majorité provenait des départements périphériques et populaires de Nouakchott. Nous recommandons une étude de caractérisation des souches circulants dans le cadre de la stratégie de prophylaxie de la rage en Mauritanie. ', 'Rage, Chien, Surveillance, Nouakchott, ONARDEP,  Mauritanie.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-09 10:13:00', NULL, NULL, 157),
(643, 'Cynthia Semá Baltazar', 'Mozambique FETP', 'cynthia.baltazar@ins.gov.mz', 'mr', 'Fiel', 'Correia', 'male', 'mozambique', 'fiel.correia@gmail.com', 'Mozambique FETP', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Francisco Guilengue | Department of Disease Prevention and Control, Public Health Directorate, Ministry of Health, Mozambique | guilenguemz@gmail.com\nMarilia Massangaie | WHO, Mozambique | marilia.massangaie@gmail.com\nJahit Sacarlal | Faculty of Medicine, Eduardo Mondlane University, Mozambique  | \nErika Rossetto | Massgenics, assigned to the CDC, Mozambique  |  osc6@cdc.gov|\nCynthia Semá Baltazar | National Institute of Health, Mozambique | cynthia.baltazar@ins.gov.mz', 'Evaluation of the leprosy surveillance system in Mozambique,  2011-2020.', 'Leprosy is a chronic disease caused by Mycobacterium leprae transmitted through the airways by prolonged exposure with an infected person without treatment. Every year more than 200,000 new cases are reported worldwide, mainly in Africa, Southeast Asia and Latin America. In Mozambique, leprosy is an endemic and re-emerging disease and is one of the most prevalent neglected tropical diseases in several provinces, particularly Zambézia, Nampula and Cabo Delgado. In this study, we evaluated the leprosy surveillance system in Mozambique for the period 2011 to 2020. ', 'The surveillance system evaluation approach was based on CDC guideline, 2011 through the analysis of qualitative attributes (simplicity, flexibility and acceptability), quantitative attributes (representativeness and stability) and utility. A descriptive study was conducted based on retrospective data from 2011 to 2020 available in the Mozambique Ministry of Health database. Microsoft Excel 2016 was used for data analysis. ', 'From 2011 to 2020, 13,952 cases were reported; The majority of cases were reported in Nampula,  43% (5965/13952), Zambézia 22% (3061/13952) and Cabo Delgado 18% (2446/13952). There was an occurrence of 14% (1953/13952) of cases had Deformity Grade 2 and 12.5% (1744) were children under 15 years of age. The prevalence rate was greater than 1 case per 10,000 inhabitants. The system was considered simple, acceptable, representative and useful. However, it showed poor stability and not flexibility in adapting to new instruments introduced by the Ministry of Health in 2016. ', 'There was an increase of Mycobacterium leprae cases in the period under analysis, and the system had poor stability and was not flexible. Community awareness actions and studies of factors associated with the increase of cases are important for controlling the disease and prevent its spread, aiming for elimination by 2030.    ', 'Keywords: Mycobacterium leprae; Leprosy; Chronic Disease; Mozambique.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-10 10:13:00', NULL, NULL, 189),
(644, 'Minyahil Tadesse Boltena', 'PhD Fellow', 'minyahil.tadesse@ahri.gov.et', 'mr', 'Minyahil Tadesse', 'Boltena', 'male', 'ethiopia', 'minyahil.tadesse@ahri.gov.et', '1. Armauer Hansen Research Institute, Ministry of Health, Ethiopia. 2. Ethiopian Evidence Based Health Care Center, Institute of Health, Jimma University, Ethiopia.', 'resident', '', '', 'advanced', 'maternal-reproductive-and-child-health', 'Ziad| El-Khatib| Department of Global Public Health, Karolinska Institute |Sweden| ziad.el-khatib@ki.se|\nFongang Che| Landis| The University of Bamenda| Cameroon| fongang.che@uniba.cm|\nKassim |Kamara| Directorate of Health Security and Emergencies, Ministry of Health and Sanitation |Sierra Leone| kassim10915@gmail.com|', 'Person-centered care during childbirth among mothers who gave birth at health facilities in sub-Saharan Africa: systematic review and meta-analysis', 'Person-centered care is a key component of strategies to improve responsive and respectful delivery of maternity care during childbirth. Ensuring personalized women’s preferences, needs, and values to guide evidence-based clinical decisions during childbirth increases client satisfaction and institutional delivery. This systematic review and meta-analysis determined the pooled magnitude of person-centered care during childbirth at health facilities in sub-Saharan Africa. ', 'Literature was retrieved from CINAHL, EMBASE, Google Scholar, PubMed, Scopus, and Web of Science databases. The Joanna Briggs Institute’s critical appraisal tool for prevalence studies were used. A pooled statistical meta-analysis was conducted using STATA Version 17.0. The heterogeneity and publication bias were assessed using the I2 statistics and Egger’s test. The random effect model was used to estimate the summary prevalence and the corresponding 95% confidence interval (CI) of person-centered care during childbirth. The review protocol has been registered in PROSPERO number CRD42022348756. The PRISMA flow chart was used to show the number of articles identified, included, and excluded with justifications described.', 'Twelve studies with a total of 11, 108 study participants were included. The pooled results showed 42.4% of person-centered care during childbirth. Among the study participants, 67% reported providers never introduced themselves. Only 41% of women reported that providers never asked permission before performing medical procedures and they did not received explanations on medications they were given. ', 'Person-centered care during childbirth at health facilities in sub-Saharan Africa was low. This calls countries in sub-Saharan Africa for action remove the barriers and promote facilitators to person-centered maternity care. Health systems must design and innovate scalable strategies to improve caregivers core competence in respectful and dignified care, evidence-based communication and autonomy, and supportive care items.', 'Person-centered care, Maternity care, Respectful care, Health facilities, Sub-Saharan Africa, Systematic review, Meta-analysis', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-11 10:13:00', NULL, NULL, 75),
(645, 'Khuliso Ravhuhali', 'Intermediate Coordinator', 'KhulisoR@nicd.ac.za', 'mr', 'Sizwe', 'Khumalo', 'male', 'south-africa', '14sipho@gmail.com', 'Gert Sibande District, Mpumalanga Department of Health, South Africa', 'resident', '', '', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Mandla Zwane, Mpumalanga Department of Health, Mbombela, MandlaZw@mpuhealth.gov.za\nHluphi Mpangane, Mpumalanga Department of Health, Mbombela, HluphiM@mpuhealth.gov.za\nMaria Mahlalela, Mpumalanga Department of Health, Mbombela, MariaMahl@mpuhealth.gov.za\nGugulethu Mashabane, Mpumalanga Department of Health, Mbombela, EuginiaM@mpuhealth.gov.za\nNaume Tebeila, Division of Public Health Surveillance and Response, National Institute for Communicable Disease, Johannesburg, naumet@nicd.ac.za\nLethukuthula Zondi, South African Field Epidemiology Training Programme, LethukuthulaZ@nicd.ac.za\nKhuliso Ravhuhali, South African Field Epidemiology Training Programme, Khulisor@nicd.ac.za\n', 'Investigation of Measles Outbreak - Chief Albert Luthuli (CAL) sub-district, Mpumalanga Province,  March 2023 ', 'Measles primarily affects children ≤ 5 years and it can spread rapidly amongst un-vaccinated individuals. On 22nd November 2022 we investigated suspected cases reported in Chief Albert Luthuli sub-district. We investigated to confirm the existence of an outbreak, source and implement control and preventative measures.', 'We conducted a descriptive cross-sectional study. We reviewed health facility registers and conducted contact tracing in the community and schools. Face-to-face interviews were conducted to obtain vaccination and travel history as well as possible linkage to a confirmed case. A confirmed case was any person with a laboratory-confirmed measles IgM in the sub-district, from the 8th of November 2022 to date. We collected 73 serum samples for IgM antibody detection by enzyme-linked immunosorbent assay (ELISA). Calculated descriptive statistics and attack rates.', 'Thirty-two cases were identified with no deaths. 14 (44%) were epidemiological-linked to a confirmed index case. Twenty-one (66%) cases were females. The median age was 8 (interquartile range, IQR: 4 - 12). Dundonald area had 13 (41%) cases. The index case was a 13 years old female living with no travel history. The attack rate of measles was 17.72 per 100 000 persons in the sub-district. The vaccination status was unknown or undocumented for 27 (84%) cases.  ', 'We confirmed a measles outbreak in the sub-district from November 2022 to date. This outbreak could be due to a large number of unvaccinated children. Outbreak response immunization was conducted among contacts. We recommend mass catch-up measles campaigns among children ≤15 years in the sub-district. The outbreak is still ongoing.', 'Measles, Outbreak, Mpumalanga Province', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-12 10:13:00', NULL, NULL, 98),
(646, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'ms', 'Stella', 'Mamuti', 'female', 'kenya', 'stellammochi@gmail.com', 'Kitale County Hospital, Trans Nzoia County', 'alumni', '', '30/10/2020', 'advanced', 'public-health-systems-strengthening-initiatives', 'Kelvin Wanyonyi | Kitale County Hospital, Trans Nzoia County\nNancy Koech | Kitale County Hospital, Trans Nzoia County\nFaith Muthoni | Kitale County Hospital, Trans Nzoia County', 'Active and Passive surveillance of Surgical Site Infections at Kitale County Hospital.', 'World Health Organization estimates show that, 11% of all patients who undergo surgery end up with an infection of the surgical site. In Africa, it is estimated that 20% of mothers who deliver via Caesarean Section (C/S) get a Surgical Site Infection (SSI). We intended to review the two surveillance systems for post-C/S SSI being piloted at Kitale County hospital and share the lessons learned.', 'We conducted a retrospective review of two surveillance systems data from October to December 2022. We abstracted the data for active surveillance from the Kenya Health Information System (KHIS) tracker. The data on passive surveillance and the total number of C/S done were abstracted from the KHIS aggregate. We used a standardized data abstraction tool to collect data on the total C/S done in the facility, enrolled, followed-up post discharge, and the SSI recorded per month. We used proportions to summarize the enrollment, follow-up, and SSI rates. ', 'The total C/S recorded in KHIS were 104 in October, 78 in November, and 127 in December. The enrollment rate was 75% (78/104) in October, 97% (76/78) in November, 80% (101/127) in December for Active Surveillance and 116% (121/104) in October, 106% (83/78) in November, and 102% (130/127) in December for Passive surveillance. Clients follow-up  rates for active surveillance were; 33% in October, 57% in November and 66% in December  of the enrolled were reached. The overall SSIs rate was 4% (3/78) in October, 5% (4/76) in November, and 1% in December for Active, 0% in October, 4%(3/83) in November, and 2% (2/130) in December for Passive surveillance.', 'The two systems have strengths and limitations in the determination of the SSI rate. There is a need to find a way of maximizing the strengths of each system to have a common system that is reliable.', 'Active Surveillance, Passive Surveillance, Surgical Site Infections', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-13 10:13:00', NULL, NULL, 92),
(647, 'Minyahil Tadesse Boltena', 'PhD Fellow', 'minyahil.tadesse@ahri.gov.et', 'mr', 'Minyahil Tadesse', 'Boltena', 'male', 'ethiopia', 'minyahil.tadesse@ahri.gov.et', '1. Armauer Hansen Research Institute, Ministry of Health, Ethiopia. 2. Ethiopian Evidence Based Health Care Center, Institute of Health, Jimma University, Ethiopia.', 'resident', '', '', 'advanced', 'maternal-reproductive-and-child-health', 'Salim Juma |Mpimbi| \nMonitoring Evaluation and Research Expert/Technical Advisor, ASK Aria Consulting, Dar es Salaam 16114, Tanzania| salimmpimbi9693@gmail.com|\nSamwel Marco |Tukay| \nIfakara Health Institute (IHI), Dar es Salaam P.O. Box 78373, Tanzania| tukays@nm-aist.ac.tz|\n', 'Individual and social level factors influencing repeated pregnancy among unmarried adolescent mothers in Katavi Region—Tanzania: A qualitative study', 'Adolescents’ pregnancy rates are still high in Tanzania, despite the efforts made by the national campaign. Within two years after the first pregnancy, adolescent mothers are more at risk of repeat conception. Repeated pregnancies are associated with increased maternal and perinatal outcomes. Katavi is a leading region in the country, with 45% adolescent pregnancy. Studies are scarce on factors influencing repeated pregnancy among unmarried adolescent mothers in the region. Therefore, this study explored the individual and social level factors influencing repeated pregnancy among unmarried adolescent mothers in the Katavi Region.', 'An exploratory qualitative study, using key informant interviews (KIIs) was adopted for 16 participants. The study participants were unmarried adolescent mothers, aged 15–19 years, who were purposively sampled. Thematic analysis was used to analyze qualitative data. QSR Nvivo version 14 was used to analyze these data.', 'The study established the individual factors influencing repeated pregnancy, which were inadequate sexuality knowledge, individually perceived barriers to contraceptive use, and the guarantee for marriage. Furthermore, the social factors identified were the power of decision-making, peer pressure, and the parent–child relationship.', 'Inadequate education on sexuality is observed as a crucial factor influencing repeated pregnancy. Parents as primary educators should be encouraged to talk with their children, especially adolescent girls about sexual education.', 'Adolescents; Individual; Repeated pregnancy; Social; Tanzania; Unmarried; Katavi', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-14 10:13:00', NULL, NULL, 75),
(649, 'MAVUNGU NGOMA PATRICK', 'Resident Advisor FETP RCA', 'pngoma@afenet.net', 'mr', 'Ghislain Alain Tiburce ', 'GREWA', 'male', 'central-african-rep', 'grewaghislain@yahoo.fr', 'Technicien en salubrité de l’environnement à la Direction de la surveillance épidémiologique et gestion d’urgence en santé publique, Ministère de la santé et de la Population RCA. ', 'alumni', '', '30/11/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Y.N. Wango : Participants, première cohorte de FETP Frontline, RCA, yglchimangau@gmail.com  \nJ.M Kpenze : Point Focal Surveillance district sanitaire de Mbaïki\nC. Zombe : Point Focal PEV, district sanitaire de Mbaïki\nP. Bunakima3 : Médecin Epidémiologiste à l’OMS, RCA\nR. Detol : Entomologiste Médical, Institut Pasteur de Bangui, RCA\nC. Sangbakembi : Entomologiste Médical, Institut Pasteur de Bangui, RCA\nE. Kalthan : Ministère santé et de la population, Mentor. kalthanernest@yahoo.fr\nP. Seboulo; Ministère santé et de la population, Mentor. cparfaitseboulo@yahoo.fr\nP. Mavungu : AFENETConseiller Résident, première cohorte de FETP Frontline, RCA, pngoma@afenet.net\n', 'INVESTIGATION AUTOUR D’UN CAS CONFIRME DE FIEVRE JAUNE DANS LE DISTRICT SANITAIRE DE MBAIKI, PREFECTURE DE LA LOBAYE, REPUBLIQUE CENTRAFRICAINE, DECEMBRE 2022', 'Depuis 2021, 12 pays Afro de l’OMS étaient classés à risque très élevé de fièvre jaune, dont la RCA. D’octobre 2021 à Juin 2022, la RCA a notifié 23 cas de fièvre jaune avec 17% de létalité. Le 24/11/2022, dans la localité de Bossongo à Mbaiki, un nouveau cas a été confirmé par séroneutralisation. Décrire la situation entomo-épidémiologique autour du cas, permet d’évaluer l’ampleur de l’épidémie et rompre la chaine de transmission.', 'Une étude descriptive transversale a été réalisée. Les données étaient collectées dans la population de Mbaiki lors d’une recherche active, sur base des définitions des cas de fièvre jaune de l’OMS et enquête entomologique. Les proportions, médian [étendue], taux d’attaque, létalité et signes ont été calculées pour les variables sociodémographiques et cliniques à l’aide d’Epi Info 7.2 et Excel 2016.', 'Quatre nouveaux cas suspects étaient notifiés, 2 (50%) de sexe masculin, d’âge médian de 55 [5 – 78] ans et 3 (75%) cultivateurs. Tous présentaient (100%) fièvre, ictère, fatigue et céphalée et 3 (75%) avaient courbature et coliques. Trois (75%) provenaient de la localité de Mbata et 1 (25%) de Berengo. Trois (75%) étaient non vaccinés contre la fièvre jaune. L’enquête rapide de couverture vaccinale antiamaril a montré 7% à Bossongo, 10% à Bérengo et 12% à Mbata. La létalité était nulle (0%) et taux d’attaque était de 7 cas de fièvre jaune pour 100 000 habitants à Bossongo. Les tests de Laboratoire des échantillons étaient tous négatifs. La prospection larvaire réalisée dans deux sites a identifié 756 moustiques essentiellement du genre Culex, Mansonia et Anophèles. ', 'Le risque de fièvre jaune reste élevé à Bossongo malgré la faible population du vecteur Aedes et l’absence d’autres cas confirmés. Améliorer la couverture vaccinale va permettre de contrôler l’épidémie', 'Fièvre jaune, Aedes, Investigation, Mbaiki, RCA. ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-15 10:13:00', NULL, NULL, 41),
(650, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mr', 'DONATH', 'MKENDA', 'male', 'tanzania', 'donathvalerian@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', ' Loveness Urio, Tanzania Field Epidemiology and Laboratory Training Program, loveness13us@yahoo.com\nHillary Sebukoto, Tanzania Field Epidemiology and Laboratory Training Program, hsebukoto@gmail.com\nDavid Mahwera, Tanzania Field Epidemiology and Laboratory Training Program, davymahwera.dm@gmail.com\nAndrew Chanai, Tanzania Field Epidemiology and Laboratory Training Program, chanai2016@gmail.com\nAzma Simba, Tanzania Field Epidemiology and Laboratory Training Program, Epidemiology department Ministry of Health Tanzania, azmatan66@gmail.com\n\n', 'Epidemiological Investigation of Leptospirosis Outbreak in Ruangwa, Lindi Tanzania, July 2022', 'Leptospirosis is a zoonotic re-emerging disease caused by the leptospira species. Globally the incidence of leptospirosis is estimated to be 1.03 million cases and 58900 death per year. In Tanzania, the incidence of leptospirosis is estimated to be 75-102 cases per 100,000 persons. On July 5, 2022, an outbreak of an unknown disease characterized by headache, epistaxis, bloody cough, vomiting, fever, and bleeding was reported in Ruangwa Lindi, Tanzania where we had to investigate and identify the etiology of the outbreak of the unknown disease.\n\n', 'A Descriptive epidemiological study was performed. Cases were identified using the case definition stated as any person from Ruangwa or Kilwa Districts, presenting with fever and bleeding (nasal, from the ear epistaxis, blood in vomitus, sputum, stool or urine) with or without difficulty in breathing, Headache, abdominal pain, diarrhea, and vomiting as well as laboratory confirmed leptospirosis cases or death from 5th July 2022. Blood samples were collected and tested using RNA transcript sequencing using oxford nanopore technology. Analysis of quantitative data was done by using Epi info software version 7. \n', 'Leptospira borgpetersenii was identified as the cause of the outbreak. A total of 20 suspected cases of leptospirosis were identified where 15 cases were laboratory confirmed to have Leptospira borgpetersenii. Out of the confirmed cases, 14 recovered while one case died making a Case fatality rate (CFR) of 6.7%. Three-quarters of the cases were male. The source of infection was linked to contaminated soil and water and consuming meat from wild animals and milk from cattle. \n\n\n', 'The cause of the outbreak among peasants at Naungo, Ruangwa was confirmed as Leptospira borgpetersenii. This outbreak alerts public health officials and the community of its epidemic potential. The initiation of leptospirosis surveillance in the Tanzania IDSR system is highly recommended. ', 'Outbreak, Investigation,  Leptospirosis, Tanzania', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-16 10:13:00', NULL, NULL, 77),
(651, ' Ipyana F. Mwandelile  ', 'Resident Advisor ', 'fipyana@afenet.net', 'ms', 'Ndeshihafela ', 'Sakaria ', 'female', 'namibia', 'ndeshihafela36@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program ', 'resident', '', '', 'advanced', 'maternal-reproductive-and-child-health', '1. Emmy-Else Ndevaetela, Namibia Field Epidemiology and Laboratory Training Programme, emmy-else.ndevaetela@mhss.gov.na', 'A Review of Teenage Pregnancy in Erongo Region, Namibia 2013 – 2018: A Descriptive Study', 'Pregnancy in adolescence is a major public health problem worldwide, especially in low and middle income countries where 95 % of these deliveries occurs. In Sub-Saharan African countries, one in five adolescent females gives births each year, so almost all females are likely to have had a child by age 20. This study aimed to determine the epidemiological description and the trend in analysis of teenage pregnancy from 2013 to 2018 in Erongo region.\n\n', 'We conducted a descriptive study of teenagers who were pregnant under 15 and 15 to 19 years in Erongo region from 2013 to 2018. Secondary data were filtered and extracted from the District Health Information System at the regional health offices. Descriptive variables were used to describe the teenage pregnancies and their age distributions accordingly. Ethical clearance was granted by the Ministry of Health and Social Services Erongo Regional Health Directorate prior to data collection.\n', 'There was a total of 24, 490, teenage pregnancy from 2013 to 2018 recorded. Swakopmund district recorded more teenage pregnancies under 15 and 15 to 19 years with 9796 (40%)  than any other districts in the region during the period. There was a slight decrease in proportional morbidity with a 0.9 per 100 in 2013 and with a 0.7 per 100 in 2018. The trend in analysis of teenage pregnancy from 2013 to 2018 was statistically significant with a p-value of 0.0001. \n', 'This study highlighted the trends in teenage pregnancy over the six years period. The fluctuations in teenage pregnancy could be attributed to the growing population in the region. We recommend community campaigns directed towards teenagers, parents and guardians to strengthen awareness on pregnancy and the knowledge on how to reduce teenage pregnancy in the region.\n', 'Erongo, teenage, proportional, pregnancy', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-17 10:13:00', NULL, NULL, 189),
(652, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'dr', 'DAVID JOHN', 'OSIMA', 'male', 'tanzania', 'osimadavid@yahoo.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Billy Ngasalla,  Muhimbili University of Health and Allied Sciences, School of Public Health and Sciences (SPHSS), Tanzania, bngasala70@yahoo.co.uk\nAlly Hussein,  Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), allykhussein@gmail.com\nSolomon Moshi, Tanzania Ministry of Health, moshitz43@gmail.com\nDanstan Nngenzi, Tanzania Ministry of Health, danstanngenzi25@gmail.com\n\n', 'Evaluation of the meningitis sentinel surveillance system: a national perspective in Tanzania from January 2020 to December 2022.', 'Meningitis remains a disease of public health importance, mainly in countries located in the meningitis belt, extending to sub-Saharan Africa. It has an attack rate of more than 1% during major outbreaks. The most recent outbreak was reported in 2017 in Liberia, Togo, and Nigeria, with an attack rate of 41.9% in Liberia. Tanzania has effectively established the recommended surveillance to enhance meningitis case reporting for immediate action. A need arises to evaluate the system establishment and its function towards reducing morbidity and mortality from meningitis cases.\n\n', 'The study reviewed system data and case investigation forms for meningitis cases reported from January 2020 to December 2022 at Bugando Medical Center- Mwanza Region. Interviews were conducted with system stakeholders, and a scale for grading the attributes was adopted, with less than 60% indicating weak performance, 60%-79% indicating moderate performance, and more than 80% indicating good performance.\n\n', 'A total of 349 cases were recorded in the system, and 15 staff were interviewed. The system\'s usefulness has shown its best ability to meet its objectives. Other organisms were found apart from N. meningitidis, S. pneumoniae, and Hemophilus influenza, showing the effectiveness of vaccination against Streptococcus pneumonia (PCV) and Hemophilus influenza (Hib Vaccine). The system had good performance in terms of system simplicity, flexibility, and representativeness. However, the system performed poorly, with less than 60% in other attributes, including system acceptability, data quality, system stability, and timeliness of report handling.\n\n', 'The Meningitis sentinel surveillance system remains useful, efficient, and effective towards attaining its objectives. Despite the system having some challenges in some attributes, it is important as a means to global Meningitis eradication by the year 2030. However, equal resource allocation at all implementation levels is needed to fully attain the system\'s goals.\n\n', 'Meningitis, Sentinel Surveillance, Vaccination, Evaluation', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-18 10:13:00', NULL, NULL, 82);
INSERT INTO `reviewer_ones` (`id`, `submitter_name`, `submitter_designation`, `submitter_email_address`, `first_author_title`, `first_author_fiirst_name`, `first_author_last_name`, `first_author_gender`, `first_author_country`, `first_author_email`, `first_author_affiliation`, `first_author_category`, `first_author_other_category`, `forst_author_alumni_completion`, `first_author_fetp_level`, `abstract_sub_theme`, `co_authors`, `abstract_title`, `abstract_backgound`, `abstract_methods`, `abstract_results`, `abstract_conclusion`, `key_words`, `reviewer_1_background_study`, `reviewer_1_method_apporpriate`, `reviewer_1_results_presentable`, `reviewer_1_results_conclusion`, `reviewer_1_ph_signicance`, `reviewer_1_overall_clarity`, `reviewer_1_total`, `reject_accept`, `presentation_type`, `reviewer_1_complete`, `reviewer_1_comments`, `created_at`, `updated_at`, `deleted_at`, `reviewer_id`) VALUES
(653, 'Minyahil Tadesse Boltena', 'PhD Fellow', 'minyahil.tadesse@ahri.gov.et', 'mr', 'Minyahil Tadesse', 'Boltena', 'male', 'ethiopia', 'minyahil.tadesse@ahri.gov.et', '1. Armauer Hansen Research Institute, Ministry of Health, Ethiopia. 2. Ethiopian Evidence Based Health Care Center, Institute of Health, Jimma University, Ethiopia.', 'resident', '', '', 'advanced', 'non-communicable-diseases-ncds-injuries-and-mental-health', 'Firaol Mesfin| Armauer Hansen Research Institute, Ministry of Health, Ethiopia| firaol.mesfin@gmail.com\nRawliegh Howe| Armauer Hansen Research Institute, Ministry of Health, Ethiopia| rawleigh.how@yahoo.com\nMulatu|Biru| Lund University| mulatu.biru@ahri.gov.et', 'Prevalence of depressive disorder among neoplasm patients in sub-Saharan Africa: a systematic review and meta-analysis', 'Multimorbidity of depression in neoplasm patients affects adherence to chemotherapy, quality of life, and treatment outcome. Describing the variations in the magnitude of depression among cancer patients helps to design evidence-based intervention based on the type and stage of neoplasm, and existence of comorbidities. This systematic review and meta-analysis aimed to determine the pooled prevalence of depression among neoplasm patients in sub-Saharan Africa.', 'Literature was retrieved from CINAHL, EMBASE, Google Scholar, PubMed, Scopus, and Web of Science databases. The Joanna Briggs Institute’s critical appraisal tool for prevalence studies were used. A pooled statistical meta-analysis was conducted using STATA Version 17.0. The heterogeneity and publication bias were assessed using the I2 statistics and Egger’s test. The random effect model was used to estimate the summary prevalence and the corresponding 95% confidence interval (CI) of depressive disorder among neoplasm patients. The review protocol has been registered in PROSPERO number CRD42022352778. The PRISMA flow chart was used to show the number of articles identified, included, and excluded with justifications described.', 'Seventeen cross-sectional studies involving a total of 18,946 cancer patients with depressive disorder were included. The pooled prevalence of depression among cancer patients were 44%. Among the neoplasm cases, 45% of patients receiving chemotherapy and 29% of cases with breast neoplasm have developed highest and lowest level of depression respectively.', 'The pooled prevalence of depressive disorder in neoplasm patients were higher in sub-Saharan Africa. The health system in sub-Saharan Africa must implement community-based intervention for the management of depressive disorder in cancer patients. Health care providers must be trained with the core competence to help survivors for the possible long-term and late effects of cancer, its treatment outcome on their physical and psychosocial well-being, deliver coordinated care and promote healthy behaviors.', 'Cancer, Comorbidity, Depression, Multimorbidity, Neoplasm, Sub-Saharan Africa', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-19 10:13:00', NULL, NULL, 81),
(654, 'Delia Bandoh', 'Scientific Writer (Ghana GFELTP)', 'dbandoh@afenet.net', 'mr', 'Selassie K', 'Kofitse', 'male', 'ghana', 'selaseken@gmail.com', 'Ghana Field Epidemiology and Laboratory Training Programme', 'alumni', '', '15/12/2022', 'intermediate', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'R.A.A. Kusi | Ghana Field Epidemiology and Laboratory Training Programme | angeasante@yahoo.com \nJ. A. Frimpong | Ghana Field Epidemiology and Laboratory Training Programme | jfrimpong@afenet.net\nS.O. Sackey | Ghana Field Epidemiology and Laboratory Training Programme | sackey492003@yahoo.co.uk \nErnest Kenu | Ghana Field Epidemiology and Laboratory Training Programme | Ernest_kenu@yahoo.com ', 'Descriptive Epidemiology of Neonatal Tetanus in Central Region of Ghana, 2022', 'Globally, estimated neonatal tetanus deaths decreased by 85%, from 170,829 in 2000 to 25,000 in 2018. Neonatal mortality among babies in Ghana also increased from 53% to 71% between 1990 and 2014. Ghana saw 291 cases and 179 fatalities, with the Central Region accounting for 6.9% of cases and 3.4% deaths. We conducted a descriptive analysis of the NNT surveillance system to inform interventions and enhance neonatal surveillance. ', 'A secondary data analysis of NNT was conducted in the Central region of Ghana using data from DHIMS2 from 2016 to 2021. Case based forms and registers to were reviewed to assess accuracy of data captured. Frequencies and proportions were used to data and results presented as chart and tables. Microsoft Excel 365 was used to analyzed the data.', 'The region recorded 20 NNT cases with 6 deaths (CFR = 30%). Majority, 30.0% (6/20) NNT cases was recorded in both 2018 and 2019 with 2021 recording 50.0% (3/6) of deaths. Vaccination coverage was low, 54.8% in 2016 and high, 60.7% in 2018. About 81.8% (18/22) health facilities displayed case definition for easy disease identification. Weekly IDSR was submitted by 95.0% (641/676) facilities in 40.9% (9/22) districts within the region. Timeliness of reporting was 94.5% (30,711/ 33,332) with 100% completeness of weekly IDSR reports. The case base forms for 2 facilities visited could not be verified in DHIMS coupled with missing facility register. ', 'The burden of NNT has increased in the region. Records management was generally poor and some of the registers could be traced. Report submission at the district level was low, thereby compromising the completeness and quality of data consolidated at the regional level. Central Regional Health Directorate should train surveillance staff on efficient record management. Neonatal health sensitization should be conducted regularly across the region. ', 'Surveillance, Neonatal Tetanus, Deaths, DHIMS2, Central Region', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-20 10:13:00', NULL, NULL, 31),
(655, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'ms', 'Hellen', 'Masila', 'female', 'kenya', 'hellen.masila@yahoo.com', 'Kenya FELTP', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Fredrick Odhiambo | Kenya FELTP | fodhiambo@feltp.or.ke \nK. Joseph | Malindi Sub-County Hospital, Kilifi, Kenya | josekima@yahoo.co.uk\n\n', 'Determination of Recency of Newly Diagnosed HIV Cases at Malindi Sub-County Hospital, Kenya, 2021-2022: A Systematic Review', 'There are 1.4 million HIV-positive persons living in Kenya. The incidence of HIV is 0.14%, accounting for approximately 36,000 new infections annually. People who have recently acquired HIV are often unaware of their positive status, hence are not on antiretroviral treatment. Finding people with undiagnosed HIV infection enhances early treatment, preventing HIV transmission and speeding up the fight against the epidemic. Despite the data being available, it is unknown how long HIV cases remain undiagnosed in Malindi. Therefore, we sought to determine HIV recent and long-term infections at Malindi Sub-County.', 'We abstracted data from the MOH 362 registry at Malindi Sub-County Hospital for the period of September 1st, 2021, through January 31st, 2023. The variables collected were age, sex, marital status, recency and viral load results. A recent HIV infection was distinguished from a long-term infection using rapid HIV antibody-based test kits, and recent cases were confirmed by viral load testing. Viral loads below 1000 copies/ml were classified as recent. ', 'Among the 169 HIV recency records abstracted, 101(60%) were females. The mean age was 38, ranging from 17 to 72 years. The majority of the cases were long-term with rapid tests, accounting for 160 (95%) of the total cases. Among the 9 recent HIV infections, 6(67%) had viral load values exceeding 1000. The age group between 36-45 contributed the highest HIV infection at 58(34%). In terms of marital status, the married couple were responsible for 85 (95%) of long-term HIV infections, with females predominating at 98 (61%).', 'This data review revealed that the majority of people were unknowingly living with HIV. Innovative measures are required to improve early HIV diagnosis in order to stop additional HIV transmission, given the high frequency among people aged 36 to 45.', 'HIV recency, long-term, virally suppressed, undiagnosed', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-21 10:13:00', NULL, NULL, 94),
(656, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mr', 'JONHAS', 'MALIJA', 'male', 'tanzania', 'masatu.jm@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Rose Mpembeni, Muhimbili University of Health and Allied Sciences (MUHAS), School of Public Health and Social Sciences, Department of Epidemiology and Biostatistics (SPHSS), Dar es salaam, Tanzania, rcmpembeni@gmail.com\nRogath Saika Kishimba, Ministry of Health (MoH), Dodoma, Tanzania; Tanzania Field Epidemiology and laboratory Training Program (TFELTP), Dar es salaam, Tanzania, and 3 Reproductive, rogatkishimba@gmail.com\nIsmail Habib, Child Health Directorate (RCH),  Ministry of Health (MoH), rutta.habib@gmail.com\n\n', 'Evaluation of Comprehensive Post Abortion services Surveillance System (cPASS) at Dodoma Tanzania from January to March 2023', 'Abortions and their complications remain a significant maternal health problem, responsible for 18% of maternal deaths worldwide. In Tanzania, abortions and their complications account for 10% of maternal deaths annually. We evaluated the performance of the Tanzania Comprehensive Abortion Care Patient-centered service delivery model (cPASS) in capturing abortion cases and their complications from January to March 2023.\n', 'A cross-sectional study design was used, with a sample of 5 health facilities conveniently and randomly selected from 3 districts (Chamwino, Kongwa, and Dodoma) located in the Dodoma region of Tanzania. Semi-structured questionnaires were used to interview 22 health providers and 5 key informants. The data from 2022 abortions were reviewed to evaluate the performance of the Tanzania cPASS in capturing abortion cases and their complications from January to March 2023.\n', 'The cPASS captured 36,203 abortion cases, with the highest number reported in the Dar es Salaam region (21%(7,673) and the lowest in the Njombe region 1%)(303) in 2022. Among the 5 health facilities, Dodoma referral hospital reported the most cases 57%(273), while Kikuyu dispensary reported the fewest 3%(13). Women aged 20 to 29 years accounted for the majority of cases 68%(335). Of the total cases, 77%(379) were below 12 weeks gestational age (GA), while 23%(113) were above 12 weeks GA.  A total 20 out of 22 (91%) participants found cPASS easy to use due to its simplicity, flexibility, acceptability, stability, and timeliness.\n', 'The cPASS provides a good estimation of the burden, trends, and causes of abortions, as well as integrated services. It is useful, robust, and has good performance in terms of simplicity, flexibility, acceptability, stability, and timeliness. However, challenges in data quality, representativeness, and case definition, sensitivity, and positive predictive values were observed, and these need to be addressed to ensure that the system meets its objectives.\n\n', 'Abortion, maternal mortality, pregnancy, family planning', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-22 10:13:00', NULL, NULL, 82),
(658, 'MAVUNGU NGOMA PATRICK', 'Resident Advisor FETP RCA', 'pngoma@afenet.net', 'dr', 'Paulette', 'MBAY', 'female', 'central-african-rep', 'Paulembaye@yahoo.fr', 'Ministère de la santé et de la population, Direction de lutte contre les maladies transmissibles', 'alumni', '', '30/11/2022', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'N. PACKO : MoH, Participants, première cohorte de FETP Frontline, RCA, christellepacko90@gmail.com \nB. BAMBOU : MoH, Participants, première cohorte de FETP Frontline, RCA, bamboudakpetomabernard@yahoo.fr \nH.D. OUAMATCHI : MoH, Participants, première cohorte de FETP Frontline, RCA, ouamatihugue@gmail.com\nY.N. WANGO: MoH, Participants, première cohorte de FETP Frontline, RCA, yglchimangau@gmail.com \nE. DJOUMELE : MoH, Participants, première cohorte de FETP Frontline, emiliedjoumele@gmail.com \nA. MBEMBE : MoH, Participants, première cohorte de FETP Frontline,\nD.B. RAWANGO : MoH, Mentor, rdieubeni@yahoo.com \nR. MBAILAO :MoH, Directeur de programme, première cohorte de FETP Frontline, RCA, mbailao22raph@gmail.com\nP. MAVUNGU : AFENET, Conseiller Résident, première cohorte de FETP Frontline, RCA, pngoma@afenet.net\n', 'INVESTIGATION D’UN CLUSTER DES CAS SUSPECTS DE VARIOLE DE SINGE A LA MAISON CARCERALE DE MBAIKI, DANS LA SOUS-PREFECTURE DE MBAIKI, PREFECTURE DE LA LOBAYE, REPUBLIQUE CENTRAFRICAINE, OCTOBRE 2022', 'En juillet 2022, l’OMS avait déclaré la Variole de singe, une Urgence de santé publique de portée internationale. En cette période, la République Centrafricaine (RCA), avait enregistré cinq flambées. Le 20 octobre 2022, un nouveau cas de variole de singe a été confirmé à Mbaiki dont la recherche active autour, avait permis de découvrir un cluster des cas suspects dans la maison carcérale. Une investigation approfondie a été menée pour confirmer ou infirmer ces cas afin de déterminer l’ampleur de l’épidémie et cordonner la réponse. ', 'Une étude descriptive d’incidence était réalisée. Les définitions des cas de variole de singe de l’OMS étaient utilisées. Les détenus, travailleurs et visiteurs de la prison durant la période constituait notre population d’étude. Les données sur les cas et contacts étaient directement collectées sur des fiches individuelles de notification des cas et de recherche actives. Les proportions, âge médian [étendue], taux d’attaque, létalité, ont été calculées pour les variables sociodémographiques et cliniques à l’aide du logiciel Epi Info 7.2.', '121 personnes ayant fréquentées la prison, 8 détenus étaient suspects, soit un taux d’attaque de 7%, tous (100%) masculin avec un âge médian de 28 [21 – 57] ans. Les signes les plus fréquents étaient, fièvre 8 (100%), toux 7 (88%), éruptions cutanées 5 (62%) et ganglions 2 (25%). Aucun décès (létalité 0%) et 69 contacts pré-listés. Aucun (0%) échantillon des cas suspects n’était confirmé positif à la variole de singe au Laboratoire mais tous (100%) positifs pour la varicelle. La promiscuité était le principal facteur de contamination.', 'Il s’agit d’une flambée de varicelle dans une maison carcérale pendant une épidémie de la variole de singe. Tous les cas ont été prise en charge, une communication de risque était faite et recommandons d’améliorer les conditions d’incarcération à Mbaiki.', 'Variole de singe, Monkeypox, Varicelle, Investigation, Mbaiki, RCA. ', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-23 10:13:00', NULL, NULL, 41),
(659, 'Ipyana F. Mwandelile', 'Resident Advisor', 'fipyana@afenet.net', 'ms', 'Monika ', 'Amunyela', 'female', 'namibia', 'monicaamunyela@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'alumni', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1. Severen Shali Nghoshi, University of Namibia, severenshali@gmail.com\n2. Dr. Emmanuel Nghikufe, Ministry of Agriculture, Water and Land Reform\n3. Dr. Emilia Kweenda,  Ministry of Health and Social Services. ', 'Outbreak of Foodborne Illness associated with Pentobarbital contaminated Horse Meat- Havana Informal Settlement, Windhoek, Namibia, April 2020.', 'On 8 April 2020, some children, cats and dogs from Havana Informal Settlement developed vomiting, nausea, unconsciousness, body weakness, diarrhea and/or unsteady gait after eating horse meat. A foodborne outbreak was suspected. We investigated to verify the existence of the outbreak, determine its magnitude, identify the source, and implement control and preventive measures.\n', 'We described the outbreak. We defined a case as a previously healthy resident or visitor in Havana Informal Settlement with acute onset of any two of the following symptoms; vomiting, nausea, headache unconsciousness, body weakness, diarrhea and unsteady gait.\nWe collected demographic data and food intake history on a standardized line list through face-to-face interviews of parents of ill children. We interviewed the meat seller, the veterinarian who dumped the horse carcass and   dump site workers. Moreover, we searched for additional cases in the affected community and the local clinic.  \n', ' Five children aged 6-10 years fulfilled the case definition amongst seven children who ate the horse meat (attack rate of 71.4%) sold to their households on 7 April 2020. Four children had all above-mentioned symptoms, one only experienced nausea and headache. All children were hospitalized for 3 days.  The horse meat was scavenged from a local vandalized dumping site.  The horse was euthanized with 140ml Pentobarbital by the veterinarian as it was suffering from acute colic.\n\n', 'The most-likely cause of the food poisoning was Pentobarbital, which ended up in the children’s dinner as a result of buying scavenged horse meat from a local dump site. We recommended veterinarians to burn all euthanized animals, the Municipality to fix the vandalized fence and the Environmental Health Practitioners to intensify community education on food safety. \n', 'Horsemeat, Dump site, Pentobarbital, Informal Settlement', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-24 10:13:00', NULL, NULL, 189),
(660, 'Patrick DELY', 'Resident Advisor', 'pdely@afenet.net', 'dr', 'Zafindraibe Lina', 'HERISOANJANAHARY', 'female', 'madagascar', 'herisoalina@yahoo.com', 'Madagascar Field Epidemiology Training Program', 'alumni', '', '3/2/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Basile RANDRIAMIHAMISOA  | Service de District de la Santé Publique, Betafo, Vakinankaratra Madagascar | basilrandriamisoa@gmail.com\n\nBerthe RAOLIARISOA  | Service de District de la Santé Publique Betafo, Vakinankaratra Madagascar | berthraoliarisoa@gmail.com\n\nPatrick DELY  | Madagascar Field Epidemiology Training Program| pdely@afenet.net\n\nBonodong Zongnukuu GURI | Madagascar Field Epidemiology Training Program| bguri@afenet.net', 'Analyse d’une Base De Données de Surveillance du Paludisme, Betafo, Madagascar, 2023', 'Le paludisme, un problème de santé publique à Madagascar avec une incidence générale de 38/1000 habitants en 2018 et de 14/1000 habitants en 2022 dans le district de Betafo. La surveillance du paludisme permet de repérer, d’étudier et d’éliminer les foyers de transmission, prévenir et soigner les infections. Cette étude vise à caractériser les tendances épidémiologiques du paludisme à Betafo en 2022.', 'Analyse descriptive de données de bases de surveillance du paludisme extraites de DHIS2, RSH, de 27 formations sanitaires (FS), de janvier à décembre 2022. Les données des FS avec le plus grand nombre de cas enregistrés, les variables démographiques, taux de positivité de paludisme simple et grave, et la tendance épidémiologique ont été considéré dans cette étude.', '4962 cas enregistrés dans 27 FS dont (98,7%, 4899/4962), cas présumés de paludisme simple et (1,3%, 63/4962) cas de paludisme grave et (58,64%, 2910/4962) du sexe masculin. Quatre FS présentaient la majorité de cas : Andrembesoa (29,5%,1464/4962), Maditsaka(22,4%,1112/4962), Ambohimanambola (13,8%,683/4962) et Alarobia-Bemaha (10,5%, 520/4962). Le taux de positivité par rapport aux tests RDT était de 42,02% pour Andrembesoa; Maditsaka 56,79%; Ambohimanambola 19,46% et Alarobia-Bemaha 24,19%. Le taux d’incidence selon l’âge était ; 111/1000 habitants à Andrembesoa et 230/1000 habitants à Maditsaka pour les 5-14 ans. A Ambohimanambola et Alarobia-Bemaha, nous avons 31/1000 habitants et 43/1000 habitants pour les ≥ 25 ans et 15-24 ans respectivement. La tendance épidémiologique montre deux pics en S7 et S13.', 'L’analyse montre que le paludisme, endémique à Betafo, présente des foyers résiduels, des taux positivité très élevés, des taux d’incidence élevés principalement dans quatre FS et particulièrement dans le groupe d’âge entre (5- 14) ans, avec deux pics. Il a été recommandé d’éliminer ou réduire les foyers, sensibiliser la population sur des mesures pratiques de prévention contre le paludisme.', 'Paludisme, Surveillance, Base de données, Analyse, Betafo, Madagascar', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-25 10:13:00', NULL, NULL, 174),
(661, 'Cynthia Semá Baltazar', 'Mozambique FETP Director', 'cynthia.baltazar@ins.gov.mz', 'mr', 'Raul', 'Namburete', 'male', 'mozambique', 'duarte.namburete@gmail.com', 'MozambIque FETP', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Kulssum Mussa | National Malaria Control Programme, Ministry of Health, Mozambique | kulssumussa@gmail.com\nBaltazar Candrinho | National Malaria Control Programme, Ministry of Health, Mozambique | candrinhobaltazar@gmail.com\nJose Langa | Faculty of Medicine, Eduardo Mondlane University |  josecarloslanga@yahoo.com.br\nErika Rosseto | MassGenics assigned to CDC Mozambique | osc6@cdc.gov\nCynthia Semá Baltazar | National  Institute of Health, Mozambique | cynthia.baltazar@ins.gov.mz', 'EVALUATION OF THE ENTOMOLOGICAL SURVEILLANCE SYSTEM OF VECTOR DENSITY, PROVINCE OF NAMPULA/MOZAMBIQUE, JULY, 2017/JUNE, 2021', 'Entomological surveillance is a tool, used by Mozambique’s National Malaria Control Program, to help with vector control. In 2017, Nampula Province implemented it in three sentinel posts. This study employed surveillance system evaluation principles to verify entomological surveillance performance and observe whether it effectively helps detect, prevent, and control, malaria vectors. ', 'The study applied the 2001 updated Guidelines for Evaluating Public Health Surveillance Systems from the Center for Disease Control and Prevention, focusing on the flexibility ability to adapt to changing information needs or operating conditions at little additional cost, data quality reflects the completeness and validity of the data recorded in the public health surveillance system, representativeness describes events over time distribution, place and person, and usefulness evaluation attributes. Secondary data from the National Malaria Control Program, collected between July 2017 and June 2021, were used. The study population consisted of 12,561 vectors. Excel 2016 was used for the construction of graphs and tables', 'During the study period, two new entomological methods for vector collection were introduced, Procopack and Trap Light CDC, in relation to the previous Flit and bait Humana, without additional costs.  The database had 11 mandatory variables and 10 had high completeness: 95.4% (477/500) in 2017, 100% (1000/1000) in 2018, 2019, 2020, and 100% (250/250) in 2021. The description of vectors over time, place and species was only made in three districts of the 23 existing ones. The system provided entomological data that helped the program to assess the risks and impact of vector control interventions on decision-making', 'The entomological surveillance system was considered flexible, non-representative, of good data quality for most of the mandatory variables, timely, and useful because it allowed for evaluation and readjustment of the strategies implemented by the program.', 'Malaria, Entomology, Public Health, Surveillance', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-26 10:13:00', NULL, NULL, 189),
(662, 'Delia Bandoh', 'Scientific Writer (Ghana GFELTP)', 'dbandoh@afenet.net', 'mr', 'Abdul Gafaru ', 'Mohammed', 'male', 'ghana', 'mohammedabdulgafaru46@gmail.com', 'Ghana Field Epidemiology and Laboratory Training Programme', 'resident', '', '16/12/2021', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Ruth Nimota Nukpezah | School of Nursing and Midwifery, University for Development Studies | nimotaruth@gmail.com\nHarriet Bonful | Department of Epidemiology and Disease Control, University of Ghana, Legon | haefua@gmail.com\nHilarius Paul Asiwome Kosi Abiwu | Northern Regional Health Directorate, Ghana Health Service | dr.paulabiwuhak@gmail.com\nCharles Lwanga Noora | Ghana Field Epidemiology and Laboratory Training Programme | nooralwanga@gmail.com \nDelia Akosua Bandoh | Ghana Field Epidemiology and Laboratory Training Programme | deliabandoh@gmail.com\nJennifer Nai-Dowetin | Ghana Field Epidemiology and Laboratory Training Programme | naidowetin@gmail.com\nErnest Kenu | Ghana Field Epidemiology and Laboratory Training Programme | Ernest_kenu@yahoo.com', 'Predictors of Institutional Delivery Service Utilization among Women in Northern Ghana', 'An increase in home delivery among expectant mothers may likely lead to high maternal and newborn morbidities and mortalities as complications related to the delivery. Despite the policy on free maternal healthcare in Ghana since 2005, more than 25% of deliveries still occur outside health facilities in Northern Ghana. This study assessed the prevalence and predictors of institutional delivery among women in Northern Ghana to inform decision making.', 'We conducted a community-based cross-sectional survey of 310 women aged 15-49 years old who had given a live birth between January 2021 and January 2022, using a simple random sampling approach. Using a semi-structured questionnaire, we collected data on mothers’ background characteristics, place of delivery for their most recent birth and reported health facility factors. Descriptive analyses and multiple logistic regression models were performed to identify factors associated with institutional delivery at a 5% significance level.', 'Of 310 women in the study, the prevalence of institutional delivery was 79%(245) in their most recent births. More than 60%(200/310) of the women were married and 53%(163/310) had no formal education. Being married (Adjusted Odds Ratio {aOR} = 2.8, 95%CI:1.48-5.32), the availability of skilled health personnel (aOR=2.9, 95%CI:1.54-5.43), reported positive attitude of health workers towards their clients (aOR=1.8, 95%CI:1.03 – 3.23), positive attitude of husbands towards health facility delivery (aOR=2.5, 95%CI:1.35 – 4.96) and positive community perception of health facility delivery (aOR=3.8, 95%CI:1.64-8.71) were associated with increased odds of institutional delivery.', 'Marital status, availability of skilled personnel, the perceived attitude of health workers, husbands’ attitude and community perception were predictors of institutional delivery. The research team organized discussions on institutional delivery services with husbands in five selected districts in the region. We recommend the Ministry of Health should develop well-defined care packages targeting single mothers, negative health worker\'s attitude and negative community perceptions.', 'Institutional delivery, Health facility delivery, home delivery, Northern Region, Post-partum, Maternal health', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-27 10:13:00', NULL, NULL, 31),
(663, 'Patrick DELY', 'Resident Advisor', 'pdely@afenet.net', 'mrs', 'Marie Justine', 'MAHEFASOA', 'female', 'madagascar', 'mahefasoamariejustine1@gmail.com', 'Madagascar Field Epidemiology Training Program', 'alumni', '', '3/2/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', ' Hobiarinony Gildas RAMAMPIANDRA | Service de District de la Santé Publique Fandriana, Amoron\'I Mania, Madagascar | ramampyhoby@gmail.com\n\nPatrick DELY  | Madagascar Field Epidemiology Training Program| pdely@afenet.net\n\nBonodong Zongnukuu GURI | Madagascar Field Epidemiology Training Program| bguri@afenet.net', 'Investigation d’un cas de Paralysie Flasque Aiguë, District Fandriana, Madagascar, 2023', 'La paralysie flasque aiguë (PFA) est un syndrome clinique rare défini comme l’apparition subite d’une faiblesse musculaire ou d’une paralysie ayant de nombreuses causes infectieuses ou non, y compris le poliovirus. Le 3 janvier 2023, un cas de PFA a été notifié au district de Fandriana. Une investigation a été menée pour documentation et recommandations.', 'Nous avons interrogé la mère sur les antécédents de l’enfant, révisé son carnet vaccinal, fiche de notification ; évaluer cliniquement l’enfant, son environnement et réaliser la recherche active d’autres cas à Fandriana, utilisant le guide de surveillance de PFA de l’OMS. Des échantillons de selles ont été envoyés au laboratoire pour détection de poliovirus. Les données recueillies ont été résumées de manière descriptive.', 'Il s’agit d’un nourrisson de 9 mois, de sexe féminin sans aucun antécédent pathologique, qui aurait débuté le 1er janvier 2023 avec une fièvre, toux, paralysie brusque des membres inférieurs, pour laquelle, elle a reçu le massage d’un tradipraticien. Des signes tels : dyspnée, déshydratation modérée, fréquence respiratoire 54/mn, tirage sous-costal, indice poids/taille &amp;lt; – 3 Z-score, périmètre brachial 95mm, un test d’appétit négatif ont été prélevés dans ses dossiers ; carte de vaccinations à jour, sauf le vaccin poliomyélite oral (VPO). Aucun autre cas de PFA n’a été détecté. Les résultats de laboratoire se sont révélés négatifs pour le poliovirus.  Le patient évolue dans des conditions hygiéniques précaires, maison mal ventilée. Cependant eau de boisson est potable et ils utilisent des latrines. ', 'Ce PFA était un cas non-poliomyélite. La malnutrition aiguë sévère et la pneumonie sévère pourraient occasionner cette paralysie. On a fait l’éducation thérapeutique de la mère, l’orienter pour la prise en charge des complications, l’importance de VPO à la naissance et l’hygiène, et recommander les autorités de renforcer la surveillance nutritionnelle et la vaccination de routine.', 'PFA, Investigation, Pneumonie, Malnutrition, Fandriana, Madagascar', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-28 10:13:00', NULL, NULL, 174),
(664, 'LOVENESS JOHN URIO', 'FIELD COORDINATOR', 'loveness13us@yahoo.com', 'mrs', 'MARIAM', 'MBWANA', 'female', 'tanzania', 'mariammbwana83@gmail.com', 'Tanzania Field Epidemiology and Laboratory Training Program', 'resident', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Frank Msafiri, Muhimbili university of Health and Allied Sciences (MUHAS), fmsafiri82@gmail.com\nNelson Edwin Malugu,  Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), shakydai02@gmail.com\nRichard Magodi, Immunization and Vaccine Disease Program (IVD), richardmagodi@yahoo.com\n\n\n', 'Rotavirus Surveillance System Evaluation in Children under five, Dar Es Salaam, Tanzania, July 2020 – July 2021. ', 'Rotavirus result in 2 million hospitalizations and 453,000 under-five deaths yearly prior to the global recommendation on the inclusion of rotavirus vaccine in national immunization programs, 95% of these deaths took place in low-income counties. The Rotavirus Surveillance System in Tanzania was launched in 2013, currently sentinel sites were nine with the aim of monitoring the impact of the vaccine on RV morbidity and mortality. We evaluated the performance of the system by assessing its attributes from 2020 to 2021.\n', 'The surveillance system was evaluated using the Morbidity and mortality Weekly report. Qualitative indicators, such as usefulness, flexibility, stability, simplicity, and acceptability, were assessed through questionnaires with stakeholders at the sentinel site. Quantitative indicators such as sensitivity, positive predictive value, data quality, and timeliness assessed by reviewing the laboratory results and case report forms. The scores for the indicators were expressed as poor (&amp;lt;60%), average (60% to 80%) according to the study conducted in Democratic Republic of Congo by Pélagie Babakazo in 2019.\n', 'From July 2020 –July 2021, 374 patients were enrolled and tested with Rotavirus from two sentinel sites in Dar Es Salaam, 22(5.8%) patients tested positive for rotavirus. Data quality for assessed indicator was (92%), Flexibility was scored 100%, stability scored (80%), simplicity and acceptability were scored (83%, 83%) respectively. The proportion of results meet TAT 50 out of 86(58%) report on time and representativeness was scored 2(40%).  The overall usefulness score of the system was 75%,  \n', 'Although the system was flexible, simple, stable, acceptable and capable of providing quality data, improvements in timeliness, representativeness, and Positive Predictive Value is needed. The Rotavirus Surveillance system in Tanzania requires an increase in the number of sites, timely feedback of results to the sites, training of health workers, broaden surveillance system by looking for additional intestinal infections.\n\n', 'Rotavirus, Surveillance System, Evaluation, Tanzania', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-29 10:13:00', NULL, NULL, 82),
(665, ' Ipyana F. Mwandelile  ', 'Resident Advisor ', 'fipyana@afenet.net', 'ms', 'Karolina M. ', 'Hamutenya', 'female', 'namibia', 'nonomwadina@gmail.com', 'Namibia Field Epidemiology and Laboratory Training Program', 'alumni', '', '', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', '1. Ipyana .F. Mwandelile, Namibia Field Epidemiology and Laboratory Training Program, fipyana@afenet.net\n2. Dianah .M. Ewaga, Namibia Field Epidemiology and Laboratory Training Program, mewaga.15@gmail.com\n3. Emmy-Else Ndevaetela, Namibia Field Epidemiology and Laboratory Training Program, emmy-else.ndevaetela@mhss.gov.na ', 'Viral Load Monitoring among Adolescents infected with HIV/AIDS in Kunene Region,   Namibia, 2016-2020', 'The success of HIV treatment programmes globally has resulted in children with perinatally acquired HIV reaching adolescence in large numbers. Globally, in 2019 an estimated 38 million people were living with HIV (including 1.8 million children). The adolescent population living with HIV comprises vertically (prenatally and postnatally) and horizontally (behaviourally) HIV-infected adolescents. Compared to HIV-infected children and adults, HIV-infected adolescents have poorer retention in care, lower rates of virology suppression and higher rates of mortality.\n\n\n', 'A retrospective cross-sectional study design was conducted in Kunene region. Data on adolescents viral load, treatments status and TB status were electronically retrieved from HIV Electronic Patient Monitoring System (ePMS) and put on an Excel spreadsheet for cleaning, coding, verification and analysis. We summarized patient characteristics including frequencies of variables and presented them in tables and graphs.\n\n', 'A total of 491 records were reviewed. More females (256; 52.1%) were infected compared to males (235; 47.9%). The median age was 14 with a range of 10 to 19 years. Two hundred and nighty five (295; 60.1%) were in early adolescence while 196 (39.9%) were in their late adolescence. A total of 66 (13.4%) adolescents died, of which 47 (71.2%) were aged 10-14 years. Two hundred and twenty four (224; 45.6%) adolescents were not monitored for viral load.\n', 'Despite the decrease in numbers of adolescents being initiated on treatment in Kunene region viral load monitoring still remains a challenge. Improved outcomes for this population require stronger engagement in care and viral load monitoring. We recommend health care providers to follow guidelines regarding the management of Adolescents living with HIV (ALHIV). \n', 'Adolescents, viral load, monitoring, HIV/AIDS\n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-11-30 10:13:00', NULL, NULL, 189),
(666, 'Cynthia Semá Baltazar', 'Mozambique FETP Director', 'cynthia.baltazar@ins.gov.mz', 'mr', 'Beatriz', 'Nhantumbo', 'female', 'mozambique', 'beatrizfnhantumbo@gmail.com', 'Mozambique FETP', 'alumni', '', '7/8/2021', 'advanced', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Dionísia Balate | FETP Mozambique | dionisiabalate@gmail.com   \nCidia Francisco | FETP Mozambique  | cidiadilza@yahoo.com.br  \nFelisberto Muteca | National Institute of Health, Mozambique | felisbertomuteca@gmail.com\nCristolde Salomão | National Institute of Health, Mozambique | cristolde.salomao@ins.gov.mz \nErika Rosseto | MassGeniss assined to CDC Mozambique | osc6@cdc.gov\nCynthia Baltazar | National Institute of Health, Mozambique | cynthia.baltazar@ins.gov.mz', 'Evaluation of the Diarrheal Disease Surveillance System, Nampula-Mozambique, 2019-2020', 'The World Health Organization estimates that annually almost 1.6 million people died from diarrheal diseases globally. In Mozambique, it is considered the fourth leading cause of mortality and the north region of the country has a seasonal occurrence of outbreaks. The study aims to evaluate the surveillance system of diarrheal diseases in Nampula Province, 2019-2020.', 'The Centers for Disease Control and Prevention guideline was used to evaluate the surveillance system for diarrheal diseases. Sources of information included the logbooks and investigation forms of six health facility in Nampula Province, from January 2019 to December 2020. The attributes\' simplicity, data quality, representativeness, stability, timeliness, and positive predictive value were evaluated. ', 'Diarrheal disease surveillance system is simple. The data collection tool has 12 variables. The information flows at four levels: health facility, district, provincial, and central via online system. The disease logbooks have 12 variables. The completeness of the fields was 89.6%. A total of 1,356 cases were reported, and 50.3% were female.  There were 14.7% cases reported in male from 1 to 4 years and 14.3% in female from 1 to 4 years. Timely results are received with an average of 3-days, however 92.6% did not have information on data collection and from those that have, 75.0% collected the sample within 24 hours. There was no system interruption in all districts. The positive predictive value for cholera suspected cases was 61.9% (13/21).  ', 'The diarrheal disease surveillance system is simple because of the use of the online system and quickly facilitates dissemination of information. However, there is a necessary to improve data quality, regarding concordance and the predictive value with sample collection in patients with suspected cholera.      ', 'Sentinel Surveillance, Diarrhea, Public Health Surveillance, Mozambique.', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-12-01 10:13:00', NULL, NULL, 189),
(667, 'Patrick DELY', 'Resident Advisor', 'pdely@afenet.net', 'dr', 'Zafitiana Mahafaly', 'HARIJAONA', 'male', 'madagascar', 'zharijaona@gmail.com', '<p>Madagascar Field Epidemiology Training Program</p>', 'alumni', NULL, '3/2/2023', 'frontline', 'public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response', 'Holifidy RAKOTOMANANA-RAZAFINTSALAMA | Ministère de la Santé Publique Madagascar | razfholy@hotmail.com\r\n\r\nBonodong Zongnukuu GURI | Madagascar Field Epidemiology Training Program| bguri@afenet.net\r\n\r\nPatrick DELY  | Madagascar Field Epidemiology Training Program| pdely@afenet.net', '<p>Investigation d’un épisode d’intoxication alimentaire collective, district Miandrivazo, région Menabe, Madagascar 2023</p>', '<p>Le 10 janvier 2023, le médecin de garde du Centre Hospitalier de Référence du district de Miandrivazo, a alerté l’arrivée de trois patients inconscients provenant d’une même famille, quelques heures après leur petit déjeuner. Une investigation a été immédiatement enclenchée pour déterminer l’ampleur de la situation, l’agent causal ou facteurs contributifs et adopter des mesures de contrôles et de préventions.</p>', '<p>Une étude descriptive a été menée. Un questionnaire préalablement élaboré a été appliqué aux personnels de garde, famille et voisins des malades. La recherche d’autres cas similaires a été effectuée dans la communauté. Un cas a été défini : Toute personne présentant un des troubles de conscience, et/ou délires, vertiges, crises convulsives, le 10 et 11 janvier 2023 dans le quartier Tsarafidy, district Miandrivazo, Madagascar</p>', '<p>Trois hommes sur cinq membres d’une même famille, âgés de 36, 13, et 6 ans, ont présenté une heure après leur petit déjeuner, (100%, 3/3) des troubles de conscience, délire, vertige, crises convulsives, (67%, 2/3) des vomissements et (33%,1/3) des mictions fréquentes et ont été hospitalisés. Tous auraient consommé du riz et de la brède morelle mêlée à une plante hautement toxique communément appelée « Anatsifotsy » pouvant être confondue facilement avec la brède morelle : le taux d’attaque est 100%. D’autres études publiées confirment l’existence des plantes similaires mortelles de la famille des solanacées, telle la morelle noire ou Solanum nigrum. Les autres membres de la famille qui n’avaient pas participé au repas suspecté n’ont présenté aucun malaise. Aucun décès a été enregistré.</p>', '<p>Les résultats de l’investigation indiquent, qu’il s’agit d’une Intoxication Alimentaire Collective (IAC), due probablement à l’ingestion de la morelle noire. Pour empêcher d’autres expositions, les autorités ont été avisés et la population sensibilisée sur le danger que représente la morelle noire, apparentant aux brèdes comestibles.</p>', '<p>Investigation, IAC, morelle noire, Miandrivazo, Madagascar</p>', '', '', '', '', '', '', 0, '', '', 'No', '', '2024-12-02 10:13:00', '2023-04-26 15:42:23', NULL, 168),
(668, 'Maurice Owiny', 'Scientific Writer', 'mowiny@feltp.or.ke', 'dr', 'Diana Rose', 'Mwaura', 'female', 'kenya', 'dianarosewangari@gmail.com', 'Kenya FELTP', 'resident', '', '', 'frontline', 'non-communicable-diseases-ncds-injuries-and-mental-health', 'Maria N. Thuita | Field Epidemiology Laboratory Training Program, Ministry of Health, Kenya | mnunga@feltp.or.ke\nNgina Kisangau | Ministry of Health, Kitui County | nginakisangau@gmail.com\nGladwell Gathecha | Ministry of Health, Department of Non-Communicable Diseases | ggkoku@gmail.com\nMaryanne Gachari | Kenya FELTP | gacharimaryanne@gmail.com', 'Factors associated with complications among Diabetes Mellitus cases in Kitui County Referral Hospital Diabetic Clinic, Kenya from June 2018 —September 2019', 'Diabetes and its complications is a major cause of mortality worldwide.   There is limited published data on diabetes in Kitui County. This study examined factors associated with diabetes complications among diabetic patients on follow-up at a comprehensive diabetes clinic in Kitui County Referral Hospital.', 'We conducted a retrospective records review from June through September 2018 of the diabetes registers from the Ministry of health to retrieve demographic and clinical information of patients attending the comprehensive diabetes clinic. Data were abstracted and exported into Epi info for analysis. We calculated proportions and frequencies for categorical variables, central tendency and dispersion measures for continuous variables. The prevalence odds ratio was used to measure the strength of association between variables and a p-value of &amp;lt;0.05 was considered statistically significant.', 'We abstracted 305 records. The mean age was 55 years (σ ±15), 222 (73%) were females, 163 (53.4%) were from Kitui Central sub-county and 187(61.3%) did not have a medical cover. Type 2 diabetes was most common with 287 (94.1%) cases and those with underlying hypertension were 168 (55.1%). Two hundred and three (66.6%) had an abnormal BMI whereas 257(84.3%) had a high-risk waist circumference. Those with uncontrolled blood sugar were 182(59.7%) and 36(11.8%) had an underlying complication. The odds of developing a complication in men was higher (OR- 2.41, CI 1.18-4.92), in those aged ≥65 (OR- 2.79 CI-1.37-5.66), in underlying hypertension (OR- 3.87, CI 1.64-9.15), in cases with diabetes for ≥ 10 years (OR 3.33, CI 1.63-6.81) and in those with no NHIF cover (OR- 2.48, CI 1.22-5.04).', 'The majority of the cases were females, had an abnormal BMI, a high-risk waist circumference and uncontrolled sugars. Being male, age ≥65, hypertension, diagnosis for ≥10 years, and lack of a medical cover increased the risk for complications. ', 'Waist Circumference, Body mass Index, Glycemic Control', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-12-03 10:13:00', NULL, NULL, 94),
(669, 'Adel Hussein Elduma', 'Sierra Leone Field Epidemiology Training Program ', 'ahussein@afenet.net', 'mr', 'Yusuf ', 'Ajack Ibrahim', 'male', 'sierra-leone', 'yibrahim@afenet.net', 'African Field Epidemiology Network, Sierra Leone', 'resident', '', '', 'NA', 'public-health-systems-strengthening-initiatives', 'Andrew Sitati Bwisa      / Sierra Leone Field Epidemiology Training Program / andrew@afenet.net\nBridget Magoba             / Sierra Leone Field Epidemiology Training Program / bmagoba@afenet.net\nAdel Hussein Elduma    /Sierra Leone Field Epidemiology Training Program / ahussein@afenet.net\nGebrekrstos Negash Gebru / Sierra Leone Field Epidemiology Training Program / ggebru@afenet.net\n\n', 'Mobile money and cashless transfer to increase efficiency while implementing COVID-19 pandemic activity in Sierra Leone, 2022', 'The mobile phone industry plays a significant role in the response to COVID-19 in Sub-Saharan Africa. Half of Sierra Leonean have mobile access and nearly six million mobile phone users in the country. There is limited information regarding the use of mobile payment in the health sector. We assessed the efficiency of the mobile payment in time-limited and multiple locations to implement COVID-19 data backlog activities against traditional payment ', 'This was an observational study conducted in Sierra Leone, in 2022.  We obtained details of healthcare workers\' payments during the first day of the activity implementation. These details included the mobile phone number, district name, and participant signature. Details were verified and shared with the bank or mobile money provider... Participants received an alert from the bank/provider through SMS and were required to confirm receipt of money through what\'s app. Traditional payment was defined as (sending an accountant physically to do the payment), while the mobile payment was defined as (sending the payment through mobile).', 'A total of 1,386 mobile payments were done during the COVID-19 pandemic. Of the total, 1385 payments were completed successfully, and only one transaction failed. Peripheral Health Unit (PHU) staff received their payment on the second day of the activity in multiple locations compared to five days in the traditional payments. The additional benefits included a secure payment mode, timely transaction records, high staff motivation, and timely activity report', 'Mobile cashless payment has significantly improved the timeliness of payment within the lowest level of healthcare delivery in Sierra Leone.  Additionally.  cashless payment motivated and built trust among healthcare workers during the COVID-19 activities. We recommend cashless payment method be integrated into the Ministry of Health and Sanitation. ', 'Mobile Payment, Cashless, COVID-19, Sierra Leone\n\n', NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, NULL, 'No', '', '2024-12-04 10:13:00', NULL, NULL, 139);
