• Vibrio cholerae O1 variant with reduced susceptibility to ciprofloxacin, Western Africa [letter]

      Quilici, Marie Laure; Massenet, Denis; Gake, Bouba; Bwalki, Barem; Olson, David M; Institut Pasteur, Paris, France; Centre Pasteur Cameroun, Garoua, Cameroon; State Epidemiologic Unit, Yola, Adamawa State, Nigeria; Doctors Without Borders/Médecins Sans Frontières, New York, New York (2010-10-22)
    • Viewpoint: filovirus haemorrhagic fever outbreaks: much ado about nothing?

      Borchert, M; Boelaert, M; Sleurs, H; Muyembe-Tamfum, J J; Pirard, P; Colebunders, R; Van der Stuyft, P; van der Groen, G; Institute of Tropical Medicine, Antwerp, Belgium. mborchert@itg.be (2000-05)
      The recent outbreak of Marburg haemorrhagic fever in the Democratic Republic of Congo has put the filovirus threat back on the international health agenda. This paper gives an overview of Marburg and Ebola outbreaks so far observed and puts them in a public health perspective. Damage on the local level has been devastating at times, but was marginal on the international level despite the considerable media attention these outbreaks received. The potential hazard of outbreaks, however, after export of filovirus from its natural environment into metropolitan areas, is argued to be considerable. Some avenues for future research and intervention are explored. Beyond the obvious need to find the reservoir and study the natural history, public health strategies for a more timely and efficient response are urgently needed.
    • Vulnerability to snakebite envenoming: a global mapping of hotspots

      Longbottom, J; Shearer, FM; Devine, M; Alcoba, G; Chappuis, F; Weiss, DJ; Ray, SE; Ray, N; Warrell, DA; Ruiz de Castañeda, R; et al. (Elsevier, 2018-07-12)
      Snakebite envenoming is a frequently overlooked cause of mortality and morbidity. Data for snake ecology and existing snakebite interventions are scarce, limiting accurate burden estimation initiatives. Low global awareness stunts new interventions, adequate health resources, and available health care. Therefore, we aimed to synthesise currently available data to identify the most vulnerable populations at risk of snakebite, and where additional data to manage this global problem are needed.
    • Wartime Colon Injuries: Primary Repair or Colostomy?

      Moreels, R; Pont, M; Ean, S; Vitharit, M; Vuthy, C; Roy, S; Boelaert, M; Médecins Sans Frontières, Brussels, Belgium. (Published by the Royal Society of Medicine, 1994-05)
      A retrospective non-randomized study, comparing primary repair with colostomy, was made on a series of 102 patients with penetrating intraperitoneal colon injuries, in a war surgery programme in Cambodia. The overall case fatality rate (CFR) was 25.5%, whereas in the primary repair group CFR was 20%, compared to 30.8% in the colostomy group. The difference was not statistically significant (P = 0.30). Adjustment for possible confounding factors in the two groups did not alter the results. Considering the numerous advantages to the patient of a primary closure in the precarious situations where war surgery is often performed, this technique merits consideration.
    • We Urge WHO to Act on Cytomegalovirus Retinitis

      Heiden, David; Saranchuk, Peter; Tun, NiNi; Audoin, Bertrand; Cohn, Jen; Durier, Nicolas; Holland, Gary; Drew, W Lawrence; Hoen, Ellen 't (2014-02)
    • 'When Ebola enters a home, a family, a community': A qualitative study of population perspectives on Ebola control measures in rural and urban areas of Sierra Leone

      Gray, N; Stringer, B; Bark, G; Heller Perache, A; Jephcott, F; Broeder, R; Kremer, R; Jimissa, AS; Samba, TT (Public Library of Science, 2018-06-08)
      During the West Africa Ebola outbreak, cultural practices have been described as hindering response efforts. The acceptance of control measures improved during the outbreak, but little is known about how and why this occurred. We conducted a qualitative study in two administrative districts of Sierra Leone to understand Ebola survivor, community, and health worker perspectives on Ebola control measures. We aimed to gain an understanding of community interactions with the Ebola response to inform future intervention strategies.
    • Women experience a better long-term immune recovery and a better survival on HAART in Lao People's Democratic Republic.

      Bastard, Mathieu; Soulinphumy, Khamphang; Phimmasone, Prasith; Saadani, Ahmed Hassani; Ciaffi, Laura; Communier, Arlette; Phimphachanh, Chansy; Ecochard, René; Etard, Jean-François; Epicentre, Paris, France. (BioMed Central, 2013-01-22)
    • Wound care in resource-poor settings

      Comte E, Vuagnat H; MSF (2013)