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[PMID]: 28922418 [Au] Autor: Lau CL; Sheridan S; Ryan S; Roineau M; Andreosso A; Fuimaono S; Tufa J; Graves PM [Ad] Endereço: Department of Global Health, Research School of Population Health, The Australian National University, Canberra, Australia. [Ti] Título: Detecting and confirming residual hotspots of lymphatic filariasis transmission in American Samoa 8 years after stopping mass drug administration. [So] Source: PLoS Negl Trop Dis;11(9):e0005914, 2017 Sep. [Is] ISSN: 1935-2735 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The Global Programme to Eliminate Lymphatic Filariasis (LF) aims to eliminate the disease as a public health problem by 2020 by conducting mass drug administration (MDA) and controlling morbidity. Once elimination targets have been reached, surveillance is critical for ensuring that programmatic gains are sustained, and challenges include timely identification of residual areas of transmission. WHO guidelines encourage cost-efficient surveillance, such as integration with other population-based surveys. In American Samoa, where LF is caused by Wuchereria bancrofti, and Aedes polynesiensis is the main vector, the LF elimination program has made significant progress. Seven rounds of MDA (albendazole and diethycarbamazine) were completed from 2000 to 2006, and Transmission Assessment Surveys were passed in 2010/2011 and 2015. However, a seroprevalence study using an adult serum bank collected in 2010 detected two potential residual foci of transmission, with Og4C3 antigen (Ag) prevalence of 30.8% and 15.6%. We conducted a follow up study in 2014 to verify if transmission was truly occurring by comparing seroprevalence between residents of suspected hotspots and residents of other villages. In adults from non-hotspot villages (N = 602), seroprevalence of Ag (ICT or Og4C3), Bm14 antibody (Ab) and Wb123 Ab were 1.2% (95% CI 0.6-2.6%), 9.6% (95% CI 7.5%-12.3%), and 10.5% (95% CI 7.6-14.3%), respectively. Comparatively, adult residents of Fagali'i (N = 38) had significantly higher seroprevalence of Ag (26.9%, 95% CI 17.3-39.4%), Bm14 Ab (43.4%, 95% CI 32.4-55.0%), and Wb123 Ab 55.2% (95% CI 39.6-69.8%). Adult residents of Ili'ili/Vaitogi/Futiga (N = 113) also had higher prevalence of Ag and Ab, but differences were not statistically significant. The presence of transmission was demonstrated by 1.1% Ag prevalence (95% CI 0.2% to 3.1%) in 283 children aged 7-13 years who lived in one of the suspected hotspots; and microfilaraemia in four individuals, all of whom lived in the suspected hotspots, including a 9 year old child. Our results provide field evidence that integrating LF surveillance with other surveys is effective and feasible for identifying potential hotspots, and conducting surveillance at worksites provides an efficient method of sampling large populations of adults. [Mh] Termos MeSH primário: Filariose Linfática/epidemiologia Filariose Linfática/transmissão Filaricidas/administração & dosagem Wuchereria bancrofti/imunologia [Mh] Termos MeSH secundário: Adolescente Adulto Aedes/imunologia Albendazol/administração & dosagem Albendazol/uso terapêutico Samoa Americana/epidemiologia Animais Anticorpos Anti-Helmínticos/sangue Antígenos de Helmintos/sangue Criança Pré-Escolar Dietilcarbamazina/administração & dosagem Dietilcarbamazina/uso terapêutico Erradicação de Doenças Esquema de Medicação Filariose Linfática/imunologia Filariose Linfática/parasitologia Feminino Filaricidas/uso terapêutico Seguimentos Seres Humanos Masculino Meia-Idade Prevalência Estudos Soroepidemiológicos Wuchereria bancrofti/isolamento & purificação Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Antibodies, Helminth); 0 (Antigens, Helminth); 0 (Filaricides); F4216019LN (Albendazole); V867Q8X3ZD (Diethylcarbamazine) [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171023 [Lr] Data última revisão: 171023 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170919 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pntd.0005914

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[PMID]: 28609936 [Au] Autor: Fernandez JCC; Kelly M; Bell LJ [Ad] Endereço: Programa de Pós-Graduação em Oceanografia, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, Maracan, 524, sala 4018/bloco E, CEP 20550-013, Rio de Janeiro/RJ, Brazil. Museu Nacional, Departamento de Invertebrados, Universidade Federal do Rio de Janeiro, Quinta da Boa Vista, s/n, CEP 2090-040, Rio de Janeiro/RJ, Brazil. juliocesarbio@yahoo.com.br. [Ti] Título: Cinachyrella anatriaenilla sp. nov., a new tetillid sponge with microacanthoxeas from American Samoa in the South Pacific. [So] Source: Zootaxa;4258(1):81-90, 2017 Apr 26. [Is] ISSN: 1175-5334 [Cp] País de publicação: New Zealand [La] Idioma: eng [Ab] Resumo: Several sponges from American Samoa, collected by the Coral Reef Research Foundation, Republic of Palau, were tentatively identified by one of us as Acanthotetilla cf seychellensis (Thomas 1973), due to the possession of relatively small acanthose oxeas, compared to those of other species of the genus Acanthotetilla Burton 1959. These sponges were later compared to Cinachyrella australiensis (Carter 1886), taking into account the lack of conspicuous spination on the acanthose oxeas and general features of spiculation and skeletal organisation. The specimens were later considered to represent a new species of the genus Cinachyrella Wilson 1925, after a careful comparison was made between the American Samoan specimens and C. australiensis which also contains small acanthose oxeas. Several recent molecular phylogenetic studies have confirmed the generic assignment of one of the American Samoan specimens as belonging to Cinachyrella. Cinachyrella anatriaenilla sp. nov., described herein, is the fifth of 40 Cinachyrella spp. that contain lightly spined microacanthoxeas. [Mh] Termos MeSH primário: Recifes de Corais [Mh] Termos MeSH secundário: Samoa Americana Animais Palau Filogenia Poríferos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170809 [Lr] Data última revisão: 170809 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170615 [St] Status: MEDLINE [do] DOI: 10.11646/zootaxa.4258.1.6

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[PMID]: 28357803 [Au] Autor: Kirs M; Moravcik P; Gyawali P; Hamilton K; Kisand V; Gurr I; Shuler C; Ahmed W [Ad] Endereço: Water Resources Research Center, University of Hawaii, 2540 Dole Street, Holmes Hall 283, Honolulu, HI, 96822, USA. kirs@hawaii.edu. [Ti] Título: Rainwater harvesting in American Samoa: current practices and indicative health risks. [So] Source: Environ Sci Pollut Res Int;24(13):12384-12392, 2017 May. [Is] ISSN: 1614-7499 [Cp] País de publicação: Germany [La] Idioma: eng [Ab] Resumo: Roof-harvested rainwater (RHRW) is an important alternative source of water that many island communities can use for drinking and other domestic purposes when groundwater and/or surface water sources are contaminated, limited, or simply not available. The aim of this pilot-scale study was to investigate current RHRW practices in American Samoa (AS) and to evaluate and compare the quality of water from common potable water sources including RHRW stored in tanks, untreated stream water, untreated municipal well water, and treated municipal tap water samples. Samples were analyzed using culture-based methods, quantitative polymerase chain reaction (qPCR), and 16S amplicon sequencing-based methods. Based on indicator bacteria (total coliform and Escherichia coli) concentrations, the quality of RHRW was slightly lower than well and chlorinated tap water but exceeded that of untreated stream water. Although no Giardia or Leptospira spp. were detected in any of the RHRW samples, 86% of the samples were positive for Cryptosporidium spp. All stream water samples tested positive for Cryptosporidium spp. Opportunistic pathogens (Pseudomonas aeruginosa and Mycobacterium intracellulare) were also detected in the RHRW samples (71 and 21% positive samples, respectively). Several potentially pathogenic genera of bacteria were also detected in RHRW by amplicon sequencing. Each RHRW system was characterized by distinct microbial communities, 77% of operational taxonomic units (OTUs) were detected only in a single tank, and no OTU was shared by all the tanks. Risk of water-borne illness increased in the following order: chlorinated tap water/well water < RHRW < stream water. Frequent detection of opportunistic pathogens indicates that RHRW should be treated before use. Stakeholder education on RHRW system design options as well as on importance of regular cleaning and proper management techniques could improve the quality of the RHRW in AS. [Mh] Termos MeSH primário: Água Potável/microbiologia Chuvas [Mh] Termos MeSH secundário: Samoa Americana Bactérias/classificação Seres Humanos Microbiologia da Água [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Drinking Water) [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 171104 [Lr] Data última revisão: 171104 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170331 [St] Status: MEDLINE [do] DOI: 10.1007/s11356-017-8858-z

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[PMID]: 28333910 [Au] Autor: Hancock WT; Soeters HM; Hills SL; Link-Gelles R; Evans ME; Daley WR; Piercefield E; Anesi MS; Mataia MA; Uso AM; Sili B; Tufa AJ; Solaita J; Irvin-Barnwell E; Meaney-Delman D; Wilken J; Weidle P; Toews KE; Walker W; Talboy PM; Gallo WK; Krishna N; Laws RL; Reynolds MR; Koneru A; Gould CV [Ti] Título: Establishing a Timeline to Discontinue Routine Testing of Asymptomatic Pregnant Women for Zika Virus Infection - American Samoa, 2016-2017. [So] Source: MMWR Morb Mortal Wkly Rep;66(11):299-301, 2017 Mar 24. [Is] ISSN: 1545-861X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The first patients with laboratory-confirmed cases of Zika virus disease in American Samoa had symptom onset in January 2016 (1). In response, the American Samoa Department of Health (ASDoH) implemented mosquito control measures (1), strategies to protect pregnant women (1), syndromic surveillance based on electronic health record (EHR) reports (1), Zika virus testing of persons with one or more signs or symptoms of Zika virus disease (fever, rash, arthralgia, or conjunctivitis) (1-3), and routine testing of all asymptomatic pregnant women in accordance with CDC guidance (2,3) All collected blood and urine specimens were shipped to the Hawaii Department of Health Laboratory for Zika virus testing and to CDC for confirmatory testing. Early in the response, collection and testing of specimens from pregnant women was prioritized over the collection from symptomatic nonpregnant patients because of limited testing and shipping capacity. The weekly numbers of suspected Zika virus disease cases declined from an average of six per week in January-February 2016 to one per week in May 2016. By August, the EHR-based syndromic surveillance (1) indicated a return to pre-outbreak levels. The last Zika virus disease case detected by real-time, reverse transcription-polymerase chain reaction (rRT-PCR) occurred in a patient who had symptom onset on June 19, 2016. In August 2016, ASDoH requested CDC support in assessing whether local transmission had been reduced or interrupted and in proposing a timeline for discontinuation of routine testing of asymptomatic pregnant women. An end date (October 15, 2016) was determined for active mosquito-borne transmission of Zika virus and a timeline was developed for discontinuation of routine screening of asymptomatic pregnant women in American Samoa (conception after December 10, 2016, with permissive testing for asymptomatic women who conceive through April 15, 2017). [Mh] Termos MeSH primário: Doenças Assintomáticas Testes Diagnósticos de Rotina Surtos de Doenças/prevenção & controle Vigilância da População/métodos Guias de Prática Clínica como Assunto Complicações Infecciosas na Gravidez/prevenção & controle Infecção pelo Zika virus/prevenção & controle [Mh] Termos MeSH secundário: Samoa Americana/epidemiologia Centers for Disease Control and Prevention (U.S.) Feminino Seres Humanos Gravidez Complicações Infecciosas na Gravidez/epidemiologia Fatores de Tempo Estados Unidos Zika virus/isolamento & purificação Infecção pelo Zika virus/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1703 [Cu] Atualização por classe: 170328 [Lr] Data última revisão: 170328 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170324 [St] Status: MEDLINE [do] DOI: 10.15585/mmwr.mm6611a5

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[PMID]: 28063697 [Au] Autor: Polidoro BA; Comeros-Raynal MT; Cahill T; Clement C [Ad] Endereço: School of Mathematics and Natural Sciences, Arizona State University, 4701 W. Thunderbird, Rd, Glendale, AZ, USA. Electronic address: beth.polidoro@asu.edu. [Ti] Título: Land-based sources of marine pollution: Pesticides, PAHs and phthalates in coastal stream water, and heavy metals in coastal stream sediments in American Samoa. [So] Source: Mar Pollut Bull;116(1-2):501-507, 2017 Mar 15. [Is] ISSN: 1879-3363 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: The island nations and territories of the South Pacific are facing a number of pressing environmental concerns, including solid waste management and coastal pollution. Here we provide baseline information on the presence and concentration of heavy metals and selected organic contaminants (pesticides, PAHs, phthalates) in 7 coastal streams and in surface waters adjacent to the Futiga landfill in American Samoa. All sampled stream sediments contained high concentrations of lead, and some of mercury. Several coastal stream waters showed relatively high concentrations of diethyl phthalate and of organophosphate pesticides, above chronic toxicity values for fish and other aquatic organisms. Parathion, which has been banned by the US Environmental Protection Agency since 2006, was detected in several stream sites. Increased monitoring and initiatives to limit non-point source land-based pollution will greatly improve the state of freshwater and coastal resources, as well as reduce risks to human health in American Samoa. [Mh] Termos MeSH primário: Monitoramento Ambiental Sedimentos Geológicos/análise Rios Poluentes Químicos da Água/análise [Mh] Termos MeSH secundário: Samoa Americana Metais Pesados/análise Praguicidas/análise Ácidos Ftálicos/análise Hidrocarbonetos Aromáticos Policíclicos/análise [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Metals, Heavy); 0 (Pesticides); 0 (Phthalic Acids); 0 (Polycyclic Aromatic Hydrocarbons); 0 (Water Pollutants, Chemical); 6O7F7IX66E (phthalic acid) [Em] Mês de entrada: 1705 [Cu] Atualização por classe: 170522 [Lr] Data última revisão: 170522 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170109 [St] Status: MEDLINE

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[PMID]: 28055219 [Au] Autor: Naman CB; Rattan R; Nikoulina SE; Lee J; Miller BW; Moss NA; Armstrong L; Boudreau PD; Debonsi HM; Valeriote FA; Dorrestein PC; Gerwick WH [Ti] Título: Integrating Molecular Networking and Biological Assays To Target the Isolation of a Cytotoxic Cyclic Octapeptide, Samoamide A, from an American Samoan Marine Cyanobacterium. [So] Source: J Nat Prod;80(3):625-633, 2017 Mar 24. [Is] ISSN: 1520-6025 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Integrating LC-MS/MS molecular networking and bioassay-guided fractionation enabled the targeted isolation of a new and bioactive cyclic octapeptide, samoamide A (1), from a sample of cf. Symploca sp. collected in American Samoa. The structure of 1 was established by detailed 1D and 2D NMR experiments, HRESIMS data, and chemical degradation/chromatographic (e.g., Marfey's analysis) studies. Pure compound 1 was shown to have in vitro cytotoxic activity against several human cancer cell lines in both traditional cell culture and zone inhibition bioassays. Although there was no particular selectivity between the cell lines tested for samoamide A, the most potent activity was observed against H460 human non-small-cell lung cancer cells (IC = 1.1 µM). Molecular modeling studies suggested that one possible mechanism of action for 1 is the inhibition of the enzyme dipeptidyl peptidase (CD26, DPP4) at a reported allosteric binding site, which could lead to many downstream pharmacological effects. However, this interaction was moderate when tested in vitro at up to 10 µM and only resulted in about 16% peptidase inhibition. Combining bioassay screening with the cheminformatics strategy of LC-MS/MS molecular networking as a discovery tool expedited the targeted isolation of a natural product possessing both a novel chemical structure and a desired biological activity. [Mh] Termos MeSH primário: Cianobactérias/química Peptídeos Cíclicos/isolamento & purificação Peptídeos Cíclicos/farmacologia [Mh] Termos MeSH secundário: Samoa Americana Carcinoma Pulmonar de Células não Pequenas Ensaios de Seleção de Medicamentos Antitumorais Seres Humanos Neoplasias Pulmonares Biologia Marinha Modelos Moleculares Estrutura Molecular Peptídeos Cíclicos/química [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Peptides, Cyclic); 0 (samoamide A) [Em] Mês de entrada: 1707 [Cu] Atualização por classe: 170721 [Lr] Data última revisão: 170721 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170106 [St] Status: MEDLINE [do] DOI: 10.1021/acs.jnatprod.6b00907

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[PMID]: 27238575 [Au] Autor: Binder SB; Baker CK [Ad] Endereço: President, BrokoppBinder Research & Consulting, United States. [Ti] Título: Culture, local capacity, and outside aid: a community perspective on disaster response after the 2009 tsunami in American Samoa. [So] Source: Disasters;41(2):282-305, 2017 Apr. [Is] ISSN: 1467-7717 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Research on diverse cultural contexts has indicated that aid organisations often fail to leverage local, culturally-grounded resources and capacities in disaster-affected communities. Case-study methodology was employed to explore the relationship between local and external disaster response efforts in American Samoa following the earthquake and tsunami on 29 September 2009 in the southern Pacific Ocean, with a specific focus on the role of culture in defining that relationship. Interview and focus group data from 37 participants, along with observational data, suggested that the local response to the event was swift and grounded in Samoan cultural systems and norms. External aid was viewed as helpful in some respects, although, on the whole, it was seen as a disruption to village hierarchies, social networks, and local response efforts. The study discusses the implications for the role of outside aid in diverse cultural contexts, and makes suggestions for improving the ecological fit of post-disaster interventions. [Mh] Termos MeSH primário: Redes Comunitárias Características Culturais Desastres Cooperação Internacional Socorro em Desastres/organização & administração Tsunamis [Mh] Termos MeSH secundário: Samoa Americana Feminino Grupos Focais Seres Humanos Masculino Pesquisa Qualitativa [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1707 [Cu] Atualização por classe: 170726 [Lr] Data última revisão: 170726 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 160531 [St] Status: MEDLINE [do] DOI: 10.1111/disa.12203

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[PMID]: 27802280 [Au] Autor: Lau CL; Won KY; Lammie PJ; Graves PM [Ad] Endereço: Department of Global Health, Research School of Population Health, Australian National University, Canberra, Australia. [Ti] Título: Lymphatic Filariasis Elimination in American Samoa: Evaluation of Molecular Xenomonitoring as a Surveillance Tool in the Endgame. [So] Source: PLoS Negl Trop Dis;10(11):e0005108, 2016 Nov. [Is] ISSN: 1935-2735 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The Global Programme to Eliminate Lymphatic Filariasis has made significant progress toward interrupting transmission of lymphatic filariasis (LF) through mass drug administration (MDA). Operational challenges in defining endpoints of elimination programs include the need to determine appropriate post-MDA surveillance strategies. As humans are the only reservoirs of LF parasites, one such strategy is molecular xenomonitoring (MX), the detection of filarial DNA in mosquitoes using molecular methods (PCR), to provide an indirect indicator of infected persons nearby. MX could potentially be used to evaluate program success, provide support for decisions to stop MDA, and conduct post-MDA surveillance. American Samoa has successfully completed MDA and passed WHO recommended Transmission Assessment Surveys in 2011 and 2015, but recent studies using spatial analysis of antigen (Ag) and antibody (Ab) prevalence in adults (aged ≥18 years) and entomological surveys showed evidence of possible ongoing transmission. This study evaluated MX as a surveillance tool in American Samoa by linking village-level results of published human and mosquito studies. Of 32 villages, seropositive persons for Og4C3 Ag were identified in 11 (34.4%), for Wb123 Ab in 18 (56.3%) and for Bm14 Ab in 27 (84.4%) of villages. Village-level seroprevalence ranged from 0-33%, 0-67% and 0-100% for Og4C3 Ag, Wb123 Ab and Bm14 Ab respectively. PCR-positive Aedes polynesiensis mosquitoes were found in 15 (47%) villages, and their presence was significantly associated with seropositive persons for Og4C3 Ag (67% vs 6%, p<0.001) and Wb123 Ab (87% vs 29%, p = 0.001), but not Bm14 Ab. In villages with persons seropositive for Og4C3 Ag and Wb123 Ab, PCR-positive Ae. polynesiensis were found in 90.9% and 72.2% respectively. In villages without seropositive persons for Og4C3 Ag or Wb123 Ab, PCR-positive Ae. polynesiensis were also absent in 94.1% and 70.6% of villages respectively. Our study provides promising evidence to support the potential usefulness of MX in post-MDA surveillance in an Aedes transmission area in the Pacific Islands setting. [Mh] Termos MeSH primário: Filariose Linfática/prevenção & controle Wuchereria bancrofti/genética [Mh] Termos MeSH secundário: Adulto Aedes/parasitologia Idoso Samoa Americana/epidemiologia Animais Erradicação de Doenças Filariose Linfática/tratamento farmacológico Filariose Linfática/epidemiologia Filariose Linfática/parasitologia Monitoramento Epidemiológico Feminino Filaricidas/uso terapêutico Seres Humanos Masculino Meia-Idade População Rural Estudos Soroepidemiológicos Wuchereria bancrofti/efeitos dos fármacos Wuchereria bancrofti/isolamento & purificação Wuchereria bancrofti/fisiologia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Filaricides) [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170626 [Lr] Data última revisão: 170626 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161102 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pntd.0005108

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[PMID]: 27764076 [Au] Autor: Healy JM; Burgess MC; Chen TH; Hancock WT; Toews KE; Anesi MS; Tulafono RT; Mataia MA; Sili B; Solaita J; Whelen AC; Sciulli R; Gose RB; Uluiviti V; Hennessey M; Utu F; Nua MT; Fischer M [Ti] Título: Notes from the Field: Outbreak of Zika Virus Disease - American Samoa, 2016. [So] Source: MMWR Morb Mortal Wkly Rep;65(41):1146-1147, 2016 Oct 21. [Is] ISSN: 1545-861X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: During December 2015-January 2016, the American Samoa Department of Health (ASDoH) detected through surveillance an increase in the number of cases of acute febrile rash illness. Concurrently, a case of laboratory-confirmed Zika virus infection, a mosquito-borne flavivirus infection documented to cause microcephaly and other severe brain defects in some infants born to women infected during pregnancy (1,2) was reported in a traveler returning to New Zealand from American Samoa. In the absence of local laboratory capacity to test for Zika virus, ASDoH initiated arboviral disease control measures, including public education and vector source reduction campaigns. On February 1, CDC staff members were deployed to American Samoa to assist ASDoH with testing and surveillance efforts. [Mh] Termos MeSH primário: Surtos de Doenças Vigilância da População Infecção pelo Zika virus/epidemiologia [Mh] Termos MeSH secundário: Samoa Americana/epidemiologia Feminino Seres Humanos Masculino Gravidez Complicações Infecciosas na Gravidez/diagnóstico Complicações Infecciosas na Gravidez/epidemiologia Zika virus/isolamento & purificação Infecção pelo Zika virus/diagnóstico [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1701 [Cu] Atualização por classe: 170118 [Lr] Data última revisão: 170118 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161021 [St] Status: MEDLINE [do] DOI: 10.15585/mmwr.mm6541a4

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[PMID]: 27565048 [Au] Autor: Okoroh EM; Kroelinger CD; Smith AM; Goodman DA; Barfield WD [Ad] Endereço: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: eokoroh@cdc.gov. [Ti] Título: US and territory telemedicine policies: identifying gaps in perinatal care. [So] Source: Am J Obstet Gynecol;215(6):772.e1-772.e6, 2016 Dec. [Is] ISSN: 1097-6868 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Perinatal regionalization is a system of maternal and neonatal risk-appropriate health care delivery in which resources are ideally allocated for mothers and newborns during pregnancy, labor and delivery, and postpartum, in order to deliver appropriate care. Typically, perinatal risk-appropriate care is provided in-person, but with the advancement of technologies, the opportunity to provide care remotely has emerged. Telemedicine provides distance-based care to patients by consultation, diagnosis, and treatment in rural or remote US jurisdictions (states and territories). OBJECTIVE: We sought to summarize the telemedicine policies of states and territories and assess if maternal and neonatal risk-appropriate care is specified. STUDY DESIGN: We conducted a 2014 systematic World Wide Web-based review of publicly available rules, statutes, regulations, laws, planning documents, and program descriptions among US jurisdictions (N = 59) on telemedicine care. Policies including language on the topics of consultation, diagnosis, or treatment, and those specific to maternal and neonatal risk-appropriate care were categorized for analysis. RESULTS: Overall, 36 jurisdictions (32 states; 3 territories; and District of Columbia) (61%) had telemedicine policies with language referencing consultation, diagnosis, or treatment; 29 (49%) referenced consultation, 30 (51%) referenced diagnosis, and 35 (59%) referenced treatment. In all, 26 jurisdictions (22 states; 3 territories; and District of Columbia) (44%), referenced all topics. Only 3 jurisdictions (3 states; 0 territories) (5%), had policy language specifically addressing perinatal care. CONCLUSION: The majority of states have published telemedicine policies, but few specify policy language for perinatal risk-appropriate care. By ensuring that language specific to the perinatal population is included in telemedicine policies, access to maternal and neonatal care can be increased in rural, remote, and resource-challenged jurisdictions. [Mh] Termos MeSH primário: Política de Saúde Terapia Intensiva Neonatal/legislação & jurisprudência Obstetrícia/legislação & jurisprudência Assistência Perinatal/legislação & jurisprudência Telemedicina/legislação & jurisprudência [Mh] Termos MeSH secundário: Samoa Americana Serviços Centralizados no Hospital Gerenciamento Clínico Feminino Seres Humanos Recém-Nascido Micronésia Gravidez Porto Rico Encaminhamento e Consulta Medição de Risco Estados Unidos Ilhas Virgens Americanas [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1705 [Cu] Atualização por classe: 170531 [Lr] Data última revisão: 170531 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 160828 [St] Status: MEDLINE

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1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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