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[PMID]:28542162
[Au] Autor:Forde C; Stierman B; Ramon-Pardo P; Dos Santos T; Singh N
[Ad] Endereço:Queen Elizabeth Hospital, Bridgetown, Barbados.
[Ti] Título:Carbapenem-resistant Klebsiella pneumoniae in Barbados: Driving change in practice at the national level.
[So] Source:PLoS One;12(5):e0176779, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Carbapenem-resistant Klebsiella pneumoniae (CRKP) is of growing concern globally. The risk for transmission of antimicrobial resistant organisms across several continents to the Caribbean is a real one given its tourism industry. After a cluster of cases of CRKP were detected, several studies detailed in this report were initiated to better characterize the problem. METHODS: A hospital-wide point prevalence study and active surveillance were performed at Queen Elizabeth Hospital (QEH) in Barbados in 2013 to assess the prevalence of CRKP infection/colonization. Following this, a 1-year longitudinal study measured the prevalence of CRKP isolates in the hospital and across all healthcare facilities in the country. RESULTS: In 2013, eleven viable isolates of CRKP from cluster of cases were sent for molecular epidemiology studies. When sequenced, they were found to be the ST-258 clone. Identification of a cluster of cases of CRKP ST-258/512 clones indicated person-to-person transmission. In September 2013, the hospital-wide point prevalence study revealed 18% of patients (53/299) at the hospital were either colonized or infected with CRKP. The infection to colonization ratio was 1:7. Patients who were infected/colonized vs. non-colonized were older (64.7 vs. 48.7 years, p<0.0001), were hospitalized longer (42.5 days vs. 27 days, p = 0.0042), were more likely to have an invasive device (66% vs. 32%, p<0.0001), especially urinary catheters (55% vs. 24%, p<0.0001), and were more likely to have used antimicrobials within the prior 14 days (91% vs. 46%, p<0.0001). Specific antimicrobials, including fluoroquinolones and piperacillin-tazobactam, were significantly associated with infection/colonization. In 2014, the 12-month period prevalence of CRKP in Barbados was 49.6 per 100,000 population and of blood stream infections was 3.2 per 100,000 population. CONCLUSIONS: This point prevalence study identified patients at-risk of acquisition of CRKP and allowed QEH to implement interventions aimed at decreasing the prevalence of CRKP. Organization of a National and regional Infection Prevention and Control Committee in 2014 aimed to strengthen antimicrobial resistance surveillance programs across the English-speaking Caribbean were established.
[Mh] Termos MeSH primário: Antibacterianos/uso terapêutico
Carbapenêmicos/uso terapêutico
Infecções por Klebsiella/tratamento farmacológico
Infecções por Klebsiella/epidemiologia
Klebsiella pneumoniae/efeitos dos fármacos
Klebsiella pneumoniae/isolamento & purificação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Barbados/epidemiologia
Região do Caribe/epidemiologia
Estudos de Casos e Controles
Criança
Pré-Escolar
Estudos Transversais
Feminino
Seres Humanos
Lactente
Recém-Nascido
Infecções por Klebsiella/microbiologia
Estudos Longitudinais
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Carbapenems)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0176779


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[PMID]:27516419
[Au] Autor:Kumar A; Best C; Benskin G
[Ad] Endereço:Faculty of Medical Science, The University of the West Indies, Cave Hill, Barbados alokkumar.uwichill@gmail.com alok.kumar@cavehill.uwi.edu.
[Ti] Título:Epidemiology, Clinical and Laboratory Features and Course of Chikungunya among a Cohort of Children during the First Caribbean Epidemic.
[So] Source:J Trop Pediatr;63(1):43-49, 2017 Feb.
[Is] ISSN:1465-3664
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study describes the epidemiology, the clinical features and the course of confirmed chikungunya among a cohort of children. It is a prospective audit of chikungunya cases among children registered for routine medical care at a primary care center. Children presenting with suspected chikungunya were confirmed using real-time reverse transcription polymerase chain reaction. There were 203 suspected cases of chikungunya; of these, 115 samples were tested and 69 (59.0%) were confirmed. The attack rate of chikungunya was 10.2% and 3.5% for the suspected and confirmed cases, respectively. Only six (8.7%) of the children with confirmed chikungunya required hospitalization. Joint pain was a clinical feature in 68 of 69 (98.6%) and skin rash was seen in 32 (46.4%) confirmed cases. The duration of illness was <2 weeks in 89.9% and less than a week in 62.3% of cases. In conclusion, most children had mild clinical manifestations and recovered fully within 2 weeks.
[Mh] Termos MeSH primário: Febre de Chikungunya/diagnóstico
Febre de Chikungunya/epidemiologia
Epidemias
[Mh] Termos MeSH secundário: Adolescente
Barbados/epidemiologia
Criança
Pré-Escolar
Progressão da Doença
Feminino
Seguimentos
Seres Humanos
Incidência
Lactente
Recém-Nascido
Masculino
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160813
[St] Status:MEDLINE
[do] DOI:10.1093/tropej/fmw051


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[PMID]:27865650
[Au] Autor:Martelly TN; Rose AM; Subramanian S; Edwards P; Tangka FK; Saraiya M
[Ad] Endereço:Chronic Disease Research Centre, The University of the West Indies, 'Avalon', Jemmott's Lane, St. Michael, Barbados. Electronic address: fbt9@cdc.gov.
[Ti] Título:Economic assessment of integrated cancer and cardiovascular registries: The Barbados experience.
[So] Source:Cancer Epidemiol;45 Suppl 1:S37-S42, 2016 Dec.
[Is] ISSN:1877-783X
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This report describes the resources required to support the integrated approach of the Barbados National Registry for Chronic Non-communicable Diseases (BNR) to non-communicable disease (NCD) case registration, and to identify differences in cost for collecting and maintaining information on cancer and cardiovascular disease (CVD) case registration. METHODS: We used the modified Centers for Disease Control and Prevention's International Registry Costing Tool to collect data from the CVD and cancer registries. We used cancer and CVD cost data for the annual period April 2014 through March 2015 to estimate the total cost and cost per case. We used prospectively collected average annual CVD cases, and for cancer cases we assumed 2 or 3 years are needed for retrospective data collection. RESULTS: The Ministry of Health provided 56% of the resources for the registries. Labor accounted for over 70% of both registries' budgets, while management and administration, along with data collection and analysis, incurred the highest costs per case. Total variable cost activities related to data collection and analysis were higher for the CVD component (US$131,297) than the cancer component (US$58,917). The CVD cost per case (US$489) was in between the cancer 2-year (US$382) and the cancer 3-year (US$573) cost-per-case estimates. CONCLUSION: These findings indicate that there are substantial fixed costs related to management and administration of NCD registries. All registries need management and administration support. When registries are combined, management and administration costs can be shared. We project that registries that can share fixed-cost infrastructure are likely to incur a lower total cost per case.
[Mh] Termos MeSH primário: Doenças Cardiovasculares/epidemiologia
Custos e Análise de Custo
Neoplasias/epidemiologia
Sistema de Registros
[Mh] Termos MeSH secundário: Barbados/epidemiologia
Coleta de Dados
Recursos em Saúde
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161121
[St] Status:MEDLINE


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[PMID]:27716210
[Au] Autor:Howitt C; Brage S; Hambleton IR; Westgate K; Samuels TA; Rose AM; Unwin N
[Ad] Endereço:Chronic Disease Research Centre, Caribbean Institute for Health Research, The University of the West Indies, Jemmott's Lane, Bridgetown, West Indies, Barbados. christina.howitt@cavehill.uwi.edu.
[Ti] Título:A cross-sectional study of physical activity and sedentary behaviours in a Caribbean population: combining objective and questionnaire data to guide future interventions.
[So] Source:BMC Public Health;16(1):1036, 2016 Oct 01.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Current understanding of population physical activity (PA) levels and sedentary behaviour in developing countries is limited, and based primarily on self-report. We described PA levels using objective and self-report methods in a developing country population. METHODS: PA was assessed in a cross-sectional, representative sample of the population of Barbados (25-54 years), using a validated questionnaire (RPAQ) and individually calibrated combined heart rate and movement sensing monitors. The RPAQ collects information on recalled activity in 4 domains: home, work, transport, and leisure. Physical inactivity was defined according to World Health Organization (WHO) guidelines; sedentary lifestyle was defined as being sedentary for 8 h or more daily; PA overestimation was defined as perceiving activity to be sufficient, when classified as 'inactive' by objective measurement. RESULTS: According to objective estimates, 90.5 % (95 % CI: 83.3,94.7) of women and 58.9 % (48.4,68.7) of men did not accumulate sufficient activity to meet WHO minimum recommendations. Overall, 50.7 % (43.3,58.1) of the population was sedentary for 8 h or more each day, and 60.1 % (52.8,66.9) overestimated their activity levels. The prevalence of inactivity was underestimated by self-report in both genders by 28 percentage points (95 % CI: 18,38), but the accuracy of reporting differed by age group, education level, occupational grade, and overweight/obesity status. Low PA was greater in more socially privileged groups: higher educational level and higher occupational grade were both associated with less objectively measured PA and more sedentary time. Variation in domain-specific self-reported physical activity energy expenditure (PAEE) by educational attainment was observed: higher education level was associated with more leisure activity and less occupational activity. Occupational PA was the main driver of PAEE for women and men according to self-report, contributing 57 % (95 % CI: 52,61). The most popular leisure activities for both genders were walking and gardening. CONCLUSIONS: The use of both objective and self-report methods to assess PA and sedentary behaviour provides important complementary information to guide public health programmes. Our results emphasize the urgent need to increase PA and reduce sedentary time in this developing country population. Women and those with higher social economic position are particularly at risk from low levels of physical activity.
[Mh] Termos MeSH primário: Países em Desenvolvimento
Metabolismo Energético
Exercício
Estilo de Vida Sedentário
[Mh] Termos MeSH secundário: Adulto
Barbados
Região do Caribe
Estudos Transversais
Feminino
Frequência Cardíaca
Seres Humanos
Atividades de Lazer
Masculino
Meia-Idade
Obesidade/epidemiologia
Sobrepeso
Prevalência
Autorrelato
Fatores Socioeconômicos
Inquéritos e Questionários
Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161008
[St] Status:MEDLINE


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[PMID]:27533282
[Au] Autor:Audet JN; Ducatez S; Lefebvre L
[Ad] Endereço:Department of Biology, McGill University, Montréal, Québec, Canada.
[Ti] Título:Bajan Birds Pull Strings: Two Wild Antillean Species Enter the Select Club of String-Pullers.
[So] Source:PLoS One;11(8):e0156112, 2016.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:String-pulling is one of the most popular tests in animal cognition because of its apparent complexity, and of its potential to be applied to very different taxa. In birds, the basic procedure involves a food reward, suspended from a perch by a string, which can be reached by a series of coordinated pulling actions with the beak and holding actions of the pulled lengths of string with the foot. The taxonomic distribution of species that pass the test includes several corvids, parrots and parids, but in other families, data are much spottier and the number of individuals per species that succeed is often low. To date, the association between string-pulling ability and other cognitive traits was never tested. It is generally assumed that string-pulling is a complex form of problem-solving, suggesting that performance on string-pulling and other problem-solving tasks should be correlated. Here, we show that individuals of two innovative species from Barbados, the bullfinch Loxigilla barbadensis and the Carib grackle Quiscalus lugubris fortirostris, pass the string-pulling test. Eighteen of the 42 bullfinches tested succeeded, allowing us to correlate performance on this test to that on several other behavioral measurements. Surprisingly, string-pulling in bullfinches was unrelated to shyness, neophobia, problem-solving, discrimination and reversal learning performance. Only two of 31 grackles tested succeeded, precluding correlational analyses with other measures but still, the two successful birds largely differed in their other behavioral traits.
[Mh] Termos MeSH primário: Comportamento Animal/fisiologia
Cognição
Passeriformes/fisiologia
Resolução de Problemas
[Mh] Termos MeSH secundário: Animais
Barbados
Recompensa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160818
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0156112


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[PMID]:27402151
[Au] Autor:Smith CC; Ford M
[Ti] Título:Oscar Wendell Jordan.
[So] Source:BMJ;354:i3823, 2016 Jul 11.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicina Geral/história
[Mh] Termos MeSH secundário: Barbados
Diabetes Mellitus/história
Diabetes Mellitus/terapia
História do Século XX
Escócia
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Jordan OW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160713
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.i3823


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[PMID]:27371658
[Au] Autor:Abed M; Morris E; Sobers-Grannum N
[Ad] Endereço:The Faculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, PO Box 64, Bridgetown BB11000, Barbados melissa_abed802@hotmail.com.
[Ti] Título:Workplace violence against medical staff in healthcare facilities in Barbados.
[So] Source:Occup Med (Lond);66(7):580-3, 2016 Oct.
[Is] ISSN:1471-8405
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Anecdotal evidence suggests increasing workplace violence against healthcare workers in the Caribbean, but the prevalence is largely undocumented. AIMS: To determine the prevalence of workplace violence reported by medical staff at primary care clinics in Barbados. METHODS: A study utilizing a modified version of the standard World Health Organization Workplace Violence Questionnaire, designed to assess the incidence, types and features of workplace violence. All nursing and physician staff on duty at the island's eight primary care clinics during the study period were invited to participate. RESULTS: Of the 102 respondents (72% response rate), 63% of nursing and physician staff at the polyclinics in Barbados reported at least one episode of violence in the past year. The majority reported being exposed to verbal abuse (60%) and 19% reported being exposed to bullying. Seven percent of the staff reported incidents of sexual harassment, 3% physical violence and another 3% reported racial harassment. Patients emerged as the main perpetrators of violence (64%). Logistic regression showed statistically significant associations between gender and workplace violence. Females and nurses were more predisposed to experience violent incidents than males and physicians. CONCLUSIONS: Over a half of medical staff surveyed reported experiencing some type of violence in the past year, female gender being a significant predictor of abuse. Adequate documentation and implementing clear policies and violence prevention programmes in health institutions are crucial steps towards addressing this issue.
[Mh] Termos MeSH primário: Instalações de Saúde/recursos humanos
Pessoal de Saúde/estatística & dados numéricos
Prevalência
Violência no Trabalho/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Barbados
Bullying/estatística & dados numéricos
Estudos Transversais
Feminino
Instalações de Saúde/estatística & dados numéricos
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
Local de Trabalho/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160703
[St] Status:MEDLINE
[do] DOI:10.1093/occmed/kqw073


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[PMID]:27313200
[Au] Autor:Reusken C; Pas S; GeurtsvanKessel C; Mögling R; van Kampen J; Langerak T; Koopmans M; van der Eijk A; van Gorp E
[Ad] Endereço:Department of Viroscience and WHO collaborating Centre for arbovirus and viral hemorrhagic fever reference and research, Erasmus MC, Rotterdam, the Netherlands.
[Ti] Título:Longitudinal follow-up of Zika virus RNA in semen of a traveller returning from Barbados to the Netherlands with Zika virus disease, March 2016.
[So] Source:Euro Surveill;21(23), 2016 Jun 09.
[Is] ISSN:1560-7917
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:We report the longitudinal follow-up of Zika virus (ZIKV) RNA in semen of a traveller who developed ZIKV disease after return to the Netherlands from Barbados, March 2016. Persistence of ZIKV RNA in blood, urine, saliva and semen was followed until the loads reached undetectable levels. RNA levels were higher in semen than in other sample types and declined to undetectable level at day 62 post onset of symptoms.
[Mh] Termos MeSH primário: RNA/análise
Análise do Sêmen/métodos
Sêmen/química
Viagem
Infecção pelo Zika virus/virologia
Zika virus/isolamento & purificação
[Mh] Termos MeSH secundário: Barbados
Progressão da Doença
Seguimentos
Seres Humanos
Estudos Longitudinais
Masculino
Meia-Idade
Países Baixos
Carga Viral
Zika virus/genética
Infecção pelo Zika virus/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
63231-63-0 (RNA)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160618
[St] Status:MEDLINE
[do] DOI:10.2807/1560-7917.ES.2016.21.23.30251


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[PMID]:27184921
[Au] Autor:Peter CJ; Fischer LK; Kundakovic M; Garg P; Jakovcevski M; Dincer A; Amaral AC; Ginns EI; Galdzicka M; Bryce CP; Ratner C; Waber DP; Mokler D; Medford G; Champagne FA; Rosene DL; McGaughy JA; Sharp AJ; Galler JR; Akbarian S
[Ad] Endereço:Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York.
[Ti] Título:DNA Methylation Signatures of Early Childhood Malnutrition Associated With Impairments in Attention and Cognition.
[So] Source:Biol Psychiatry;80(10):765-774, 2016 Nov 15.
[Is] ISSN:1873-2402
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Early childhood malnutrition affects 113 million children worldwide, impacting health and increasing vulnerability for cognitive and behavioral disorders later in life. Molecular signatures after childhood malnutrition, including the potential for intergenerational transmission, remain unexplored. METHODS: We surveyed blood DNA methylomes (~483,000 individual CpG sites) in 168 subjects across two generations, including 50 generation 1 individuals hospitalized during the first year of life for moderate to severe protein-energy malnutrition, then followed up to 48 years in the Barbados Nutrition Study. Attention deficits and cognitive performance were evaluated with the Connors Adult Attention Rating Scale and Wechsler Abbreviated Scale of Intelligence. Expression of nutrition-sensitive genes was explored by quantitative reverse transcriptase polymerase chain reaction in rat prefrontal cortex. RESULTS: We identified 134 nutrition-sensitive, differentially methylated genomic regions, with most (87%) specific for generation 1. Multiple neuropsychiatric risk genes, including COMT, IFNG, MIR200B, SYNGAP1, and VIPR2 showed associations of specific methyl-CpGs with attention and IQ. IFNG expression was decreased in prefrontal cortex of rats showing attention deficits after developmental malnutrition. CONCLUSIONS: Early childhood malnutrition entails long-lasting epigenetic signatures associated with liability for attention and cognition, and limited potential for intergenerational transmission.
[Mh] Termos MeSH primário: Transtorno do Deficit de Atenção com Hiperatividade/etiologia
Comportamento Animal
Disfunção Cognitiva/etiologia
Metilação de DNA
Epigênese Genética
Córtex Pré-Frontal/metabolismo
Desnutrição Proteico-Calórica/complicações
[Mh] Termos MeSH secundário: Adolescente
Adulto
Animais
Transtorno do Deficit de Atenção com Hiperatividade/genética
Barbados
Disfunção Cognitiva/genética
Metilação de DNA/genética
Modelos Animais de Doenças
Epigênese Genética/genética
Seguimentos
Seres Humanos
Lactente
Meia-Idade
Inquéritos Nutricionais
Desnutrição Proteico-Calórica/genética
Ratos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171115
[Lr] Data última revisão:
171115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160518
[St] Status:MEDLINE


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[PMID]:27067392
[Au] Autor:Marshall CA; Morris E; Unwin N
[Ad] Endereço:University of the West Indies, Cave Hill Campus, St Michael, Barbados.
[Ti] Título:An epidemiological study of rates of illness in passengers and crew at a busy Caribbean cruise port.
[So] Source:BMC Public Health;16:314, 2016 Apr 12.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The Caribbean has one of the largest cruise ship industries in the world, with close to 20 million visitors per year. The potential for communicable disease outbreaks on vessels and the transmission by ship between countries is high. Barbados has one of the busiest ports in the Caribbean. Our aim was to describe and analyse the epidemiology of illnesses experienced by passengers and crew arriving at the Bridgetown Port, Barbados between 2009 and 2013. METHODS: Data on the illnesses recorded were extracted from the passenger and crew arrival registers and passenger and crew illness logs for all ships and maritime vessels arriving at Barbados' Ports and passing through its territorial waters between January 2009 and December 2013. Data were entered into an Epi Info database and most of the analysis undertaken using Epi Info Version 7. Rates per 100,000 visits were calculated, and confidence intervals on these were derived using the software Openepi. RESULTS: There were 1031 cases of illness from over 3 million passenger visits and 1 million crew visits during this period. The overall event rate for communicable illnesses was 15.7 (95 % CI 14.4-17.1) per 100,000 passengers, and for crew was 24.0 (21.6-26.6) per 100, 000 crew. Gastroenteritis was the predominant illness experienced by passengers and crew followed by influenza. The event rate for gastroenteritis among passengers was 13.7 (12.5-15.0) per 100,000 and 14.4 (12.6, 16.5) for crew. The event rate for non-communicable illnesses was 3.4 per 100,000 passengers with myocardial infarction being the main diagnosis. The event rate for non-communicable illnesses among crew was 2.1 per 100,000, the leading cause being injuries. CONCLUSIONS: The predominant illnesses reported were gastroenteritis and influenza similar to previous published reports from around the world. This study is the first of its type in the Caribbean and the data provide a baseline for future surveillance and for comparison with other countries and regions.
[Mh] Termos MeSH primário: Surtos de Doenças/estatística & dados numéricos
Gastroenterite/epidemiologia
Influenza Humana/epidemiologia
Navios
Viagem
[Mh] Termos MeSH secundário: Adulto
Idoso
Barbados/epidemiologia
Estudos Epidemiológicos
Feminino
Seres Humanos
Masculino
Meia-Idade
Infarto do Miocárdio/epidemiologia
Ferimentos e Lesões/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160413
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-016-2991-3



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