Abstract:
:A single case of multidrug-resistant tuberculosis (MDR-TB) can overwhelm the technical and financial capacity of small TB programs. In May 2008, the island state of Chuuk requested assistance for their first cases of MDR-TB. Second-line drugs and isolation rooms were unavailable, lab capacity was limited, and clinicians lacked experience. Delayed response caused prolonged transmission among household contacts. Several agencies responded with technical assistance and resources. Subsequent evaluations identified 16 additional MDR-TB cases and 124 infected contacts. Within six months, the local TB program gained remarkable capacity to manage MDR-TB cases and contacts, and greatly improve care for all TB patients. The Chuuk outbreak demonstrates the importance of establishing MDR-TB readiness in smaller jurisdictions and maintaining an essential TB control infrastructure.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Brostrom R,Fred D,Heetderks A,Desai M,Song R,Haddad M,Wada R,Bamrah Sdoi
10.2105/AJPH.2009.177170subject
Has Abstractpub_date
2011-01-01 00:00:00pages
14-8issue
1eissn
0090-0036issn
1541-0048pii
101/1/14journal_volume
101pub_type
杂志文章abstract:OBJECTIVES:We sought to examine the extent to which children in the child welfare system receive mental health care consistent with national standards. METHODS:We used data from 4 waves (3 years of follow-up) of the National Survey of Child and Adolescent Well-Being, the nation's first longitudinal study of children i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.151472
更新日期:2010-04-01 00:00:00
abstract::Few data are available on human immunodeficiency virus (HIV) infection and risk behaviors among lesbians and bisexual women. A total of 498 lesbians and bisexual women was sampled from public venues in San Francisco and Berkeley, Calif, during 1993. The overall HIV seroprevalence was 1.2%. Ten percent of participants ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.11.1549
更新日期:1995-11-01 00:00:00
abstract::Today, our understanding of and approach to the exogenous causes of cancer are dominated by epidemiological practices that came into widespread use after World War II. This paper examines the forces, considerations, and controversies that shaped postwar risk factor epidemiology in the United States. It is argued that,...
journal_title:American journal of public health
pub_type: 传,历史文章,杂志文章
doi:10.2105/ajph.87.11.1824
更新日期:1997-11-01 00:00:00
abstract::Members of the Reorganized Church of Jesus Christ of Latter-Day Saints (RLDS) are dissuaded from the use of tobacco, alcohol, and hot drinks. A well-balanced diet is also stressed. This study compares the 1972-78 mortality experience of the Missouri RLDS with three other population groups. The findings show Missouri R...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.12.1350
更新日期:1981-12-01 00:00:00
abstract:OBJECTIVES:We examined the prevalence of depressive, anxiety, and substance use disorders among Latinos residing in the United States. METHODS:We used data from the National Latino and Asian American Study, which included a nationally representative sample of Latinos. We calculated weighted prevalence rates of lifetim...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087205
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:We examined HIV-infected parents' conversations about HIV prevention with their uninfected children, including what facilitated or hindered communication. METHODS:Parents with HIV/AIDS (n = 90) who had children aged 10 to 18 years were recruited for a mixed method study from 2009 to 2010. Interviews assesse...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301111
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to determine the prevalence of recovery from alcohol problems with and without treatment, including whether such recoveries involved abstinence or moderate drinking. METHODS:Data from two surveys of randomly selected adults in the general population were analyzed. Random-digit ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.7.966
更新日期:1996-07-01 00:00:00
abstract::Three hundred seventy-two (63%) of 590 enrollees in nine smoking cessation workshops held over a five-year period responded to a follow-up survey. Outcome data were collected retrospectively for six-month intervals from workshop to follow-up. Forty nine per cent of all enrollees graduated, and 56% of the respondents q...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.7.725
更新日期:1980-07-01 00:00:00
abstract::Four cohorts of urban women who delivered a child before reaching age 18 were followed for periods ranging from 6 to 12 years to determine use of abortion and sterilization. The two more recent cohorts had been served by comprehensive service programs. About 40 per cent of each of teh groups used abortion or steriliza...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.7.621
更新日期:1977-07-01 00:00:00
abstract::This paper presents data from an experimental project which distributed oral contraceptives, foam, and condoms to households in three rural areas of Haiti between January 1978 and March 1980. The contraceptive distribution had little apparent impact on traditional, prolonged breastfeeding patterns, and the percentage ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.8.835
更新日期:1982-08-01 00:00:00
abstract::Whether the traditional definition of small for gestational age (SGA) is an appropriate marker of risk for populations that have relatively lower birthweight is unclear. We determined proportions of White and Asian Indian SGA infants and those admitted to the special care nursery. Compared with White infants, Asian In...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165001
更新日期:2010-05-01 00:00:00
abstract::Curriculum development in masters of public health programs that effectively meets the complex challenges of the 21st century is an important part of public health education and requires purposeful thinking. Current approaches to training the public health work-force do not adequately prepare professionals to be cultu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062950
更新日期:2006-07-01 00:00:00
abstract::The purpose of this study was to investigate the extent of consumer demand for patient-oriented pharmacy services. Data, collected via a self-administered questionnaire distributed to 300 households, were analyzed using Kruskal's program for additive conjoint analysis. The results indicate substantial consumer demand ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.6.609
更新日期:1984-06-01 00:00:00
abstract::Mortality rates were examined among 3,324 Black and White daily opioid drug users for a four-year period following treatment in community-based agencies located across the United States. A total of 179 of these addicts died during this follow-up period, yielding a death rate of 15.2 per 1,000 person-years at risk. Whe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.7.703
更新日期:1982-07-01 00:00:00
abstract::The relationship between corneal arcus (arcus senilis) and mortality from coronary heart disease (CHD) and cardiovascular disease (CVD) is examined in a prospective study of White men (n = 3,930) and women non-hormone users (n = 2,139), ages 30-69, followed for an average of 8.4 years as part of the Lipid Research Cli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.10.1200
更新日期:1990-10-01 00:00:00
abstract:OBJECTIVES:We examined the contribution of hospital type and quality of care to perinatal mortality rates in the city of Belo Horizonte, Brazil. METHODS:We used a cohort study of all births (40953) and perinatal deaths (826) in Belo Horizonte in1999. After adjusting for maternal education and birthweight, we compared ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.075986
更新日期:2007-05-01 00:00:00
abstract::Data were collected from 141 women under age 18 attending an abortion clinic that did not require parental notification. Most of them informed their girl friend but not their parents of the plans for abortion. Younger minors and those who perceive their parents to hold positive attitudes toward abortion were more apt ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.3.283
更新日期:1982-03-01 00:00:00
abstract:OBJECTIVES:We investigated the relationship among father's occupational group, daily smoking, and smoking determinants in a cohort of New Zealand adolescents. METHODS:The longitudinal Multidisciplinary Health and Development Study provided information on adolescents' self-reported smoking behavior and potential predic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2002.002774
更新日期:2005-04-01 00:00:00
abstract::From February through December 2012, we examined responses to health behavior questions integrated into the electronic medical record of primary care centers in the Bronx, New York in the context of New York City Community Health Survey data. We saw a higher proportion of unhealthy behaviors among patients than among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302326
更新日期:2015-03-01 00:00:00
abstract::The authors review the available empirical evidence from population-based studies of the association between perceptions of racial/ethnic discrimination and health. This research indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status. However, the ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.93.2.200
更新日期:2003-02-01 00:00:00
abstract::The Delphi Technique was used to elicit a number of essential competencies expected of the "entry-level" public health nutritionist from members of Graduate Faculties of Programs in Public Health Nutrition. Questionnaires composed of "competency statements" were constructed from these responses and sent to practitione...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.11.1099
更新日期:1979-11-01 00:00:00
abstract:OBJECTIVES:We combined social-network analysis and molecular epidemiology to investigate Staphylococcus aureus among drug users. METHODS:From 2003 through 2005, we recruited adult drug users in Brooklyn, New York. Of 501 individuals recruited, 485 participated. Participants were screened for HIV infection and S. aureu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300028
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES:This report examines the impact of an economic embargo from 1991 to 1994 on health, well-being, and human rights in Haiti. METHODS:Data from surveillance systems for nutrition, reportable diseases, and hospital diagnoses were combined with survey data and interviews with affected women, governmental represe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.10.1499
更新日期:1999-10-01 00:00:00
abstract::A hospital-based survey on shift work, sleep, and accidents was carried out among 635 Massachusetts nurses. In comparison to nurses who worked only day/evening shifts, rotators had more sleep/wake cycle disruption and nodded off more at work. Rotators had twice the odds of nodding off while driving to or from work and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.7.1011
更新日期:1992-07-01 00:00:00
abstract::Smoking behavior of consistently high and low users of medical care services were compared in two groups of older health maintenance organization (HMO) members continuously enrolled for five years and a subgroup who were continuously enrolled for 10 years. Smokers and former smokers, combined, were more likely than ne...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.5.603
更新日期:1990-05-01 00:00:00
abstract::From 1983 to 1985, the New York City Department of Health investigated five workplace outbreaks of rubella. Approximately 40 per cent of the 265 cases were detected among women of child-bearing age (15-44 years). Data are reviewed from the 1983 Financial District outbreak to illustrate the continued susceptibility of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.6.725
更新日期:1987-06-01 00:00:00
abstract::Using an ethnographic approach, the authors explored the awareness among women in southern Africa of the HIV epidemic and the methods they might use to protect themselves from the virus. The research, conducted from 1992 through 1999, focused specifically on heterosexual transmission in 5 sites that were selected to r...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.90.7.1042
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVES:We assessed the feasibility of collecting race/ethnicity data from patients using their own preferred racial/ethnic terms. METHODS:The 424 patients described their race/ethnicity using their own categories, and we compared their descriptions with their responses to the questions (1) "Do you consider yoursel...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062620
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:We examined the effectiveness of peer ethnography to gain insider views on substance use and sex among a diverse range of high-risk substance-using Black and Latino young men who have sex with men. METHODS:We recruited 9 peer ethnographers aged 21 to 24 years from youth programs for the lesbian, gay, bisexu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300988
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:To estimate birth reduction potentially in response to Zika virus-associated microcephaly among the 36 largest Brazilian cities. METHODS:We analyzed the number of live births per month on the basis of information on approximately 8.2 million births from all of Brazil's state capitals and cities that had mor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304260
更新日期:2018-04-01 00:00:00