A5065535722- Dermatological diseases and infestations
- Cultural Competency in Health Care
- Parasitic Diseases Research and Treatment
- Insects and Parasite Interactions
- Streptococcal Infections and Treatments
- Bacterial Identification and Susceptibility Testing
- Otolaryngology and Infectious Diseases
- Herpesvirus Infections and Treatments
- Syphilis Diagnosis and Treatment
- Garlic and Onion Studies
- Fungal Infections and Studies
- Nephrotoxicity and Medicinal Plants
- Leprosy Research and Treatment
- Dermatology and Skin Diseases
- Medicinal Plant Extracts Effects
- Parasites and Host Interactions
- Antimicrobial Resistance in Staphylococcus
- Climate Change and Health Impacts
- Patient Satisfaction in Healthcare
Ministry Of Health
2013-2024
Fiji National University
2020-2021
Ministry of Health
2015
Southwest University of Visual Arts
2014
Scabies is an underrecognized cause of illness in many developing countries. It associated with impetigo, which can lead to serious systemic complications. We conducted a trial mass drug administration for scabies control Fiji.
Scabies and associated impetigo are under-recognized causes of morbidity in many developing countries. To strengthen the evidence base for scabies control we undertook a trial mass treatment scabies. We report on occurrence predictors participants at baseline. Participants were recruited six island communities examined presence impetigo. In addition to descriptive analyses, logistic regression models fit assess association between demographic variables outcome interest. The study enrolled...
Abstract Background Scabies has been estimated to affect approximately 300 million people worldwide each year. rates are high and pose a significant public health problem in F iji. Community‐based comparison treatment trials have not undertaken. We scabies prevalence compared the efficacy tolerability of mass drug administration ( MDA ) benzyl benzoate lotion BB or oral ivermectin IVM two villages Methods A prospective trial was undertaken ijian villages, comparing three daily applications...
Scabies is an important predisposing factor of impetigo which can lead to serious bacterial complications. Ivermectin-based mass drug administration substantially reduce scabies and prevalence in endemic settings, but the impact on complications not known.We conducted a before-after trial Northern Division Fiji (population: 131,914) for control. Prospective surveillance was from 2018 2020. Mass took place 2019, involving two doses oral ivermectin or topical permethrin, delivered alongside...
Lymphatic filariasis has remained endemic in Fiji despite repeated mass drug administration using the well-established and safe combination of diethylcarbamazine albendazole (DA) since 2002. In certain settings addition ivermectin to this (IDA) remains a strategy is more efficacious. However, safety yet be described scabies soil-transmitted helminth like Fiji. Villages Rotuma Gau islands were randomised either DA or IDA. Residents received weight-based treatment unblinded with standard...
Bancroftian filariasis remains endemic in Fiji despite >10 years of mass drug administration (MDA) using diethylcarbamazine and albendazole (DA). The addition ivermectin to this combination (IDA) has improved efficacy microfilarial clearance at 12 months individually randomized trials nocturnal transmission settings, but impact a setting diurnally subperiodic filarial not been evaluated.This cluster study compared the individual community IDA vs DA as MDA for lymphatic 35 villages on 2...
Kava dermopathy is a common cutaneous effect of regular or heavy use Kava, psychoactive beverage consumed widely throughout the Pacific. In Fiji in 2012, over 1000 study participants underwent full skin examination, and kava was finding. The clinical manifestations share similarities with spectrum autosomal recessive congenital ichthyoses, predominantly lamellar ichthyosis. pathogenesis may be associated functional defect one more cytochrome P450 enzymes implicated epidermal integrity, thus...
Scabies is an important predisposing factor for impetigo but its role in more serious skin and soft tissue infections (SSTIs) not well understood. Information limited on incidence of SSTIs the presence endemic scabies. We conducted a prospective study hospital admissions Northern Division Fiji (population: 131,914). Prospective surveillance with impetigo, abscess, cellulitis, wound infection, pyomyositis, necrotizing fasciitis, infected scabies, crusted scabies was at Division's referral...
Background Scabies is a neglected tropical disease hyperendemic to many low- and middle-income countries. can be successfully controlled using mass drug administration (MDA) 2 doses of ivermectin-based treatment. If effective, strategy 1-dose MDA would have substantial advantages for implementing scabies at large scale. Methods findings We did cluster randomised, noninferiority, open-label, 3-group unblinded study comparing the effectiveness control strategies on community prevalence 12...
In 2019, the Murdoch Children’s Research Institute in partnership with Fiji Ministry of Health and Medical Services carried out an integrated mass drug administration (MDA) for treatment scabies lymphatic filariasis Northern Division (population estimate 131,914). We conducted a retrospective micro-costing exercise focused on cost control order to inform budgeting policy decision making endemic setting. collected detailed information financial economic costs incurred by both parties during...
Scabies, impetigo, and other skin soft tissue infections (SSTIs) are highly prevalent in many tropical, low-middle income settings, but information regarding their burden of disease is scarce. We conducted surveillance presentations scabies SSTIs, including abscesses, cellulitis, severe SSTI, to primary health facilities Fiji. established a monthly reporting system over the course 50 weeks (July 2018-June 2019) for SSTIs at all 42 public Northern Division Fiji (population, ≈131,914). For...
BackgroundInvasive Staphylococcus aureus (iSA) and group A Streptococcus (iGAS) impose significant health burdens globally. Both bacteria commonly cause skin soft tissue infections (SSTIs), which can result in invasive disease. Understanding of the incidence iSA iGAS remains limited settings with a high SSTI burden.MethodsProspective surveillance for admissions or was conducted at referral hospital Fiji's Northern Division over 48 weeks between July 2018 June 2019.ResultsThere were 55 15...
Scabies and related bacterial skin soft tissue infections (SSTIs) are highly prevalent in many tropical, low- middle-income settings. These conditions contribute to higher healthcare costs burdens on systems. The Big Skin Health Intervention Fiji Trial ("Big SHIFT") carried out surveillance for scabies SSTIs from July 2018 June 2019 the Northern Division of Fiji, an area with high prevalence scabies, prior a division-wide ivermectin-based mass drug administration (MDA) campaign. Using data...