- Migration, Health and Trauma
- Global Maternal and Child Health
- Health and Conflict Studies
- HIV/AIDS oral health manifestations
- Child Nutrition and Water Access
- Vibrio bacteria research studies
- Viral Infections and Outbreaks Research
- Oral Health Pathology and Treatment
- Neonatal and Maternal Infections
- Hepatitis Viruses Studies and Epidemiology
- Viral gastroenteritis research and epidemiology
- Antibiotic Use and Resistance
- COVID-19 epidemiological studies
- Oral and gingival health research
- Mosquito-borne diseases and control
- Maternal and Neonatal Healthcare
- Data-Driven Disease Surveillance
- Healthcare Systems and Reforms
- Malaria Research and Control
- Influenza Virus Research Studies
- Vaccine Coverage and Hesitancy
- Hepatitis B Virus Studies
- Viral Infections and Vectors
- Resilience and Mental Health
- Antibiotic Resistance in Bacteria
University of KwaZulu-Natal
2023-2024
Médecins Sans Frontières
2014-2023
Radboud University Nijmegen
2018-2022
Radboud University Medical Center
2018-2022
University Medical Center
2019-2022
Radboud Institute for Molecular Life Sciences
2020-2022
Médecins Sans Frontières
2020
European Centre for Disease Prevention and Control
2006-2018
Engineering Associates (United States)
2018
Public Health Department
2017
In September 2010, two cases of autochthonous dengue fever were diagnosed in metropolitan France for the first time. The occurring Nice, southeast France, where Aedes albopictus is established, are evidence virus circulation this area. This local transmission calls further enhanced surveillance, active case finding and vector control measures to reduce spread risk an epidemic.
Between May and September 2011, twenty cases of Plasmodium vivax infection were reported in Greek citizens without travel history. The vast majority those confined to a delimited agricultural area Evrotas, Lakonia. Conditions favouring locally acquired transmission malaria, including the presence competent vectors migrants from endemic countries exist Greece, underscoring need for development an integrated preparedness response plan malaria prevention.
This paper reports on several simultaneous outbreaks of norovirus infection linked to the consumption raw oysters. Since January 2010, 334 cases in 65 clusters were reported from five European countries: United Kingdom, Norway, France, Sweden and Denmark. The article describes available epidemiological microbiological evidence these outbreaks.
Tackling the high non-communicable disease (NCD) burden among Syrian refugees poses a challenge to humanitarian actors and host countries. Current response priorities are identification integration of key interventions for NCD care into programs as well sustainable financing. To provide evidence effective intervention planning, we conducted cross-sectional survey non-camp in northern Jordan investigate determinants NCDs prevalence multi-morbidities assess access care. We used two-stage...
Following the partition of India in 1947, Kashmir Valley has been subject to continual political insecurity and ongoing conflict, region remains highly militarised. We conducted a representative cross-sectional population-based survey adults estimate prevalence predictors anxiety, depression post-traumatic stress disorder (PTSD) 10 districts Valley.
<b>Objective</b> To determine the effectiveness in reducing malaria of combining an insect repellent with insecticide treated bed nets compared alone area where vector mosquitoes feed early evening. <b>Design</b> A double blind, placebo controlled cluster-randomised clinical study. <b>Setting</b> Rural villages and peri-urban districts Bolivian Amazon. <b>Participants</b> 4008 individuals 860 households. <b>Interventions</b> All slept under nets; one group also used a plant based each...
In January 2012, the European Centre for Disease Prevention and Control (ECDC) conducted an email based survey of Union Economic Area countries to describe existing surveillance activities Mycoplasma pneumoniae infections, recent findings existence clinical guidelines treatment M. infection. Of 20 that participated in survey, seven reported increases infections observed during autumn winter 2011.
Few data are available to evaluate the impact of Syrian war on civilian population; describe this child health, article uses from Médecins Sans Frontières-Operational Centre Amsterdam's activities in Tal-Abyad and Kobane cities, northern Syria (2013-2016). Data were obtained routine medical datasets narrative reports, for out-patient clinics, immunisation, nutritional monitoring assessments, in-patient care, analysed quantitatively qualitatively. Infections largest contributor morbidity. The...
The African continent has the greatest burden of surgical disability-adjusted life years, yet least is known about operative care here. This analysis describes patients admitted to 7 hospitals supported by Médécins Sans Frontières (MSF) over 3 years in conflict-affected countries-Eastern Democratic Republic Congo, Central Republic, and South Sudan.A standardized data collection tool was used for routine inpatient between 2011 2013 at MSF facilities. Surgical records 14,482 were analyzed...
In September 2016, three acutely jaundiced (AJS) pregnant women were admitted to Am Timan Hospital, eastern Chad. We described the outbreak and conducted a case test-negative study identify risk factors for this genotype of HEV in an acute setting.Active finding using community based surveillance network identified suspected AJS cases. Pregnant or visibly ill cases presenting at hospital tested with Assure® IgM rapid diagnostic tests (RDTs) some Polymerase Chain Reaction (PCR) Amsterdam;...
Abstract Background The negative psychological impact of living in a setting protracted conflict has been well studied, however there is recognized need to understand the role that non-conflict related factors have on mediating exposure trauma and signs distress. Methods We used data from 2015 Kashmir Mental Health Survey conducted mediation analysis assess extent which daily stressors mediated effect traumatic experiences poor mental health outcomes. Outcomes interest were probable...
Background Noma, a rapidly progressing infection of the oral cavity, mainly affects children. The true burden is unknown. This study reports estimated noma prevalence in children northwest Nigeria. Methods Oral screening was performed on all ≤15 year olds, with caretaker consent, selected households during this cross-sectional survey. Noma stages were classified using WHO criteria and caretakers answered survey questions. stratified by age group (0–5 6–15 years). Factors associated logistic...
Abstract Background Low birthweight (LBW) infants are at higher risk of mortality and morbidity (growth, chronic disease neurological problems) during their life. Due to the high incidence (pre-) eclampsia in Haiti, LBW common. We assessed anthropometric growth (weight length) neurodevelopmental delay normal (NBW) born an obstetric emergency hospital Port au Prince, between 2014 2017. Methods Infants were followed discharge 3, 6, 12, 15, 18, 21 24 months corrected gestational age. At each...
As an adjunct to cholera prevention measures, WHO advises the use of oral vaccine through mass vaccination campaigns in high-risk areas and for vulnerable population groups. We assessed feasibility acceptability a campaign using 1) predominantly fixed 2) mobile door-to-door strategy. Vaccination included administration two doses (given 2 weeks apart) individuals older than 1 year age, four refugee camps: Jamam, Doro, Batil Gendrassa, host Maban County, South Sudan, from December 2012...
After an urgent inquiry into a suspected international outbreak of Salmonella Goldcoast infection was launched by Hungary in October 2009 nationwide multidisciplinary investigation carried out Italy. The aims were to verify whether the higher than expected number cases S. that had occurred Italy previous months linked and determine their origin. Between June March 2010, 79 confirmed identified. Of these, 17 part three different point-source outbreaks probably associated with consumption...
The present study aimed to culturally adapt, translate, and validate the Hopkins Symptom Checklist-25 (HSCL-25) Harvard Trauma Questionnaire-Posttraumatic Stress Symptoms Checklist (HTQ-16) prior use in a cross-sectional mental health population survey Kashmir Valley. Cultural adaptation translation of HSCL-25 HTQ-16 employed multiple forms transcultural validity check. were compared against "gold standard" structured psychiatric interview, Mini International Neuropsychiatric Interview...
Background Noma (cancrum oris), a neglected tropical disease, rapidly disintegrates the hard and soft tissue of face leads to severe disfiguration high mortality. The disease is poorly understood. We aimed estimate risk factors for diagnosed noma better guide existing prevention treatment strategies using case-control study design. Methods Cases were patients admitted between May 2015 June 2016, who under 15 years age at reported onset disease. Controls individuals matched cases by village,...
Research integrity and research fairness have gained considerable momentum in the past decade direct implications for global health epidemiology. principles should be equally nurtured to produce high-quality impactful research-but bridging two can lead practical ethical dilemmas. In order provide guidance researchers epidemiologist, we set out develop good epidemiological practice guidelines specifically epidemiology, targeted at stakeholders involved commissioning, conduct, appraisal...
Abstract Background Antimicrobial resistance is of great global public health concern. In order to address the paucity antibiotic consumption data and antimicrobial surveillance systems in hospitals humanitarian settings, we estimated six with aim developing recommendations for improvements stewardship programs. Methods Six supported by Médecins sans Frontières were included study: Boost-Afghanistan, Kutupalong-Bangladesh, Baraka Mweso-Democratic Republic Congo, Kule-Ethiopia, Bentiu-South...
Rapid and wide dispersal of passengers after flights makes investigation flight-related outbreaks challenging. An outbreak Salmonella Heidelberg was identified in a group Irish travellers returning from Tanzania. Additional international cases sharing the same flight were identified. Our aim to determine source potential vehicles infection. Case-finding utilized information exchange using experts' communication networks national surveillance systems. Demographic, clinical food history...
Noma, a neglected disease mostly affecting children, with 90% mortality rate if untreated, is an orofacial gangrene that disintegrates the tissues of face in <1 wk. Noma can become inactive early stage antibiotic treatment. Traditional healers, known as mai maganin gargajiya Hausa, play important role health system and provide care to noma patients.We conducted 12 in-depth interviews caretakers who were looking after patients admitted at Children's Hospital 15 traditional healers their home...
Abstract Background Progress toward the global target for 95% virological suppression among those on antiretroviral treatment (ART) is still suboptimal. We describe viral load (VL) cascade, incidence of failure and associated risk factors people living with HIV receiving first-line ART in an cohort Myanmar treated by Médecins Sans Frontières collaboration Ministry Health Sports Myanmar. Methods conducted a retrospective study, including adult patients at least one test result having received...