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At least 253 records · Page 14Linked to original sources
PubMed2005

Are ducks contributing to the endemicity of highly pathogenic H5N1 influenza virus in Asia?

Wild waterfowl are the natural reservoir of all influenza A viruses, and these viruses are usually nonpathogenic in these birds. However, since late 2002, H5N1 outbreaks in Asia have resulted in mortality among waterfowl in recreational parks, domestic flocks, and wild migratory birds. The evolutionary stasis between influenza virus and its natural host may have been disrupted, prompting us to ask whether waterfowl are resistant to H5N1 influenza virus disease and whether they can still act as a reservoir for these viruses. To better understand the biology of H5N1 viruses in ducks and attempt to answer this question, we inoculated juvenile mallards with 23 different H5N1 influenza viruses isolated in Asia between 2003 and 2004. All virus isolates replicated efficiently in inoculated ducks, and 22 were transmitted to susceptible contacts. Viruses replicated to higher levels in the trachea than in the cloaca of both inoculated and contact birds, suggesting that the digestive tract is not the main site of H5N1 influenza virus replication in ducks and that the fecal-oral route may no longer be the main transmission path. The virus isolates' pathogenicities varied from completely nonpathogenic to highly lethal and were positively correlated with tracheal virus titers. Nevertheless, the eight virus isolates that were nonpathogenic in ducks replicated and transmitted efficiently to naïve contacts, suggesting that highly pathogenic H5N1 viruses causing minimal signs of disease in ducks can propagate silently and efficiently among domestic and wild ducks in Asia and that they represent a serious threat to human and veterinary public health.

Animals↗
PubMed1980

Strongyloidiasis in Allied ex-prisoners of war in south-east Asia.

One hundred and sixty ex-servicemen who had been prisoners of war in south-east Asia during 1942-5 were investigated for infection with Strongyloides stercoralis. Larvae were found in 44 (27.5%) of the men, who had therefore been infected for 34-37 years. Direct microscopy of the faeces was the most successful diagnostic method, giving a positive result in 37 cases (84%); multiple examinations were often necessary. Faecal culture was positive in 30 cases (68%), but examination of duodenal fluid obtained with the string test gave a positive result in only 17 (39%). The mean blood eosinophil count and mean serum IgE concentration were higher in the infected men, though normal values were often found in individual cases. Clinical manifestations of isolated strongyloides infection were analysed by comparing the infected men with control groups of ex-prisoners in south-east Asia without proved strongyloidiasis and ex-prisoners in Europe. Twenty-nine infected men (66%) complained of non-specific urticaria, and 13 (30%) had pathognomonic larva currens. Gastrointestinal symptoms significantly more common in the infected group were diarrhoea, indigestion, lower abdominal pain, pruritus ani, and weight loss (p <0.05-p <0.0005).The study group was thought to be reasonably representative of Allied ex-servicemen imprisoned in south-east Asia during the second world war. Probably there are many thousands of infected persons in several countries. The worm has an unusual ability to multiply, and larvae may spread throughout the body in immunosuppressed subjects.

Aged↗
PubMed2026

Strengthening supply chains for pathogen genomic surveillance in Asia.

INTRODUCTION: While pathogen genomics using next-generation sequencing (NGS) has been recommended by the WHO as an essential tool for national communicable disease surveillance programmes, procurement and supply chain management (PSM) systems for this new technology are still evolving. To assess the status of PSM systems for pathogen genomics, we examined perspectives from end-users and manufacturers across South and Southeast Asia. METHODS: Between 2022 and 2023, a cross-sectional survey was conducted among institutional partners supporting pathogen genomics among primarily low- and middle-income countries in South and Southeast Asia. This was complemented by qualitative interviews with the major regional NGS manufacturers. A PSM framework was employed to assess sales, procurement, production, distribution and post-sales support. Analyses are expressed as proportions and means or medians for continuous variables. RESULTS: A total of 42 partners across 13 countries, 3 genomics manufacturers and 22 laboratory personnel contributed data to this assessment. PSM challenges were reported by all countries and for all sequencing platforms. High costs of equipment and consumables were identified by 85% of respondents. Long equipment purchasing lead times and reagent re-supply times were reported by 69% and 77% of countries, respectively, with reagent resupply times averaging 8 weeks (IQR 6.2-9.0). Additional barriers included customs clearance, variability of import procedures, taxes and duties. Manufacturers reported a range of strategies to respond to PSM bottlenecks, including establishing regional hubs, distributor networks and financing schemes. CONCLUSION: Coordinated national and regional efforts are required to improve PSM systems for pathogen genomic sequencing to enhance timely early disease detection and response capacity in South and Southeast Asia.

Humans↗
PubMed1993

Quaternary environments and the evolution of primates in East Asia, with notes on two new specimens of fossil Cercopithecidae from China.

Primate faunas in East Asia since the mid-Tertiary have undergone a series of major changes in response to a complex sequence of environmental changes. As a consequence of the Himalayan orogeny and the rapid, episodic uplift of the Tibetan plateau, the climate of East Asia during the late Tertiary became monsoonal and thus more strongly seasonal. This led to the expansion of seasonal tropical forests and, in some areas, grasslands. During the Pleistocene, the climatic consequences of continued rapid uplift of the Tibetan plateau and other land masses (e.g. the Qinling mountains) were combined with those of glaciations, resulting in dramatic climatic oscillations between warm-humid and cold-dry phases. The contraction of tropical environments that began in the late Tertiary reached its peak at the last glacial maximum (LGM) and was responsible for the decline in the distribution and diversity of hominoids in East Asia. Cercopithecids, which were only minor elements of the late Tertiary primate faunas, colonized tropical, subtropical and temperate environments in the Pleistocene and were able to reradiate into those environments after the LGM. The abilities of monkeys to populate a wide range of terrestrial environments (eurytopy) contrast with those of apes, which are restricted to tropical forest environments (stenotopy).

Animals↗
PubMedDate not supplied

Banning asbestos in Asia: campaigns and strategies by the Asian Network for the Rights of Occupational Accident Victims (ANROAV).

China, India, Indonesia, and Thailand are among the largest consumers of asbestos. Because markets in the West are dwindling, asbestos is heavily promoted in Asia. In spite of widespread usage, asbestos-related diseases are surprisingly few and reported cases of mesothelioma are rare in Asia except in Japan, Korea, and Singapore. The problem lies in diagnosis. Most of the asbestos-related diseases are not diagnosed in Asia and thus do not appear in government statistics. This deadly substance is killing workers. Unless drastic action is taken to stop its use, Asian workers as well as the general population will pay a heavy price.

Asbestos↗
PubMed2002

A review of the status of foot and mouth disease in South-East Asia and approaches to control and eradication.

The author presents reports of foot and mouth disease (FMD) submitted between 1996 and 2001 to the Office International des Epizooties (OIE: World organisation for animal health) Sub-Commission for FMD in South-East Asia. Of the ten countries in South-East Asia, FMD is endemic in seven (Cambodia, Laos, Malaysia, Myanmar, the Philippines, Thailand and Vietnam) and three are free of the disease (Brunei, Indonesia and Singapore). Part of the Philippines is also recognised internationally as being free of FMD. From 1996 to 2001, serotype O viruses caused outbreaks in all seven of the endemically infected countries. On the mainland, three different type O lineages have been recorded, namely: the South-East Asian (SEA) topotype, the pig-adapted or Cathay topotype and the pan-Asian topotype. Prior to 1999, one group of SEA topotype viruses occurred in the eastern part of the region and another group in the western part. However, in 1999, the pan-Asian lineage was introduced to the region and has become widespread. The Cathay topotype was reported from Vietnam in 1997 and is the only FMD virus currently endemic in the Philippines. Type Asia 1 has never been reported from the Philippines but was reported from all countries on the mainland except Vietnam between 1996 and 2001. Type A virus has not been reported from east of the Mekong River in the past six years and seems to be mainly confined to Thailand with occasional spillover into Malaysia. The distribution and movement of FMD viruses in the region is a reflection of the trade-driven movement of livestock. There is great disparity across the region in the strength and resources of the animal health services and this has a direct impact on FMD control. Regulatory environments are not well developed and enforcement of regulations can be ineffectual. The management of animal movement is quite variable across the region and much market-driven transboundary movement of livestock is unregulated. Formal quarantine approaches are generally not supported by traders or are not available. Vaccination is not used widely as a control tool because of the expense. However, it is applied by the Veterinary Services in Malaysia to control incursions of the disease and there is a mass vaccination programme for large ruminants in Thailand where the Government produces and distributes vaccine. Vaccination is also used by the commercial pig sector, particularly in the Philippines and Thailand.

Animals↗
PubMedDate not supplied

Drug abuse in travelers to southeast Asia: an on-site study.

BACKGROUND: Drug abuse constitutes a major sociomedical problem throughout the world. A unique subgroup with a higher potential of drug abuse are young travelers to Southeast Asia. Less than a handful of studies have focused on this population, and even fewer have been carried out on site. Our aim was to characterize the phenomenon of drug abuse among Israelis and other nationals, and to define risk factors that would predict which travelers are prone to abusing drugs. METHODS: Data was collected through questionnaires that were distributed in Southeast Asia to 430 travelers. Medical students administered the questionnaires across India, Thailand, Nepal, Vietnam, and Laos during 2002 and 2003. RESULTS: Questionnaires from 231 Israelis and 199 other nationals (mostly from the United Kingdom, Sweden, Australia, and Germany) were analyzed. These travelers had a mean age of 25.3 years. We found that 54.3% of the travelers abused drugs during the trip. Israelis (66.2%) abused drugs more frequently than did non-Israelis (40.7%, p < .001). Males abused drugs significantly more than females did, as did secular more than religious people; however, those with an academic degree abused drugs less than others. For 23.5% of the Israelis, the trip was their first encounter with drugs. Of the entire cohort, 72% abused cannabis products, and most of them (49.6%) did it on daily basis. The use of "hard" drugs (eg, lysergic acid diethylamide) was more common among non-Israelis than among the Israelis (37% and 20%, respectively; p < .006). Much higher rates of drug abuse (70.1%) were found in India than in other Southeast Asian countries. Logistic regression identified that prior use of drugs, Israeli nationality, travel to India, cigarette smoking, and traveling alone were significant predictors of drug abuse. CONCLUSIONS: There is a disturbingly high rate of drug abuse in travelers to certain Southeast Asian countries, both among Israeli and other nationals. For many youngsters, this is their first encounter with drugs, and many plan to continue abusing drugs upon their repatriation. Travelers to Southeast Asia should be a major target group for primary, preventive, antidrug campaigns worldwide.

Adult↗
PubMedDate not supplied

Peritoneal dialysis in Asia: an external perspective.

There are almost 30,000 patients maintained on peritoneal dialysis (PD) in Asia, representing about 8% of all Asian dialysis patients. The largest numbers of PD patients are in Japan and China, but the highest PD penetration is in Hong Kong, Korea, and Singapore. Notable features of PD in Asia include the varying rates of use across the different countries. The reasons for this are reviewed here, with particular emphasis on the significance of whether dialysis providers are predominantly private or public. The excellent rates of both patient and technique survival in the richer Asian countries are also examined and interpreted in the context of recent data showing that Asian patients living in North America have generally superior survival on dialysis and better compliance with PD than their Caucasian counterparts. It is concluded that the healthier baseline health status in South East Asian patients, in particular, contributes to their impressive outcomes. The approach to both clearance and ultrafiltration is less aggressive in Asian countries than in the West. Studies looking at the relationship between clearance and clinical outcome in Asia are reviewed and it is concluded that the benefits of higher clearances have been harder to show than in North America because of the relatively better outcomes of the patients. The concern about sclerosing encapsulating peritonitis in Japan particularly is emphasized. The Hong Kong model of dialysis delivery with its high use of PD and the arguments for and against it are also reviewed.

Asia↗
PubMed1961

Ticks (Ixodoidea) on birds migrating from Africa to Europe and Asia.

Hyalomma marginatum marginatum of Europe and Asia and H. marginatum rufipes of Africa, both reservoirs and vectors of organisms pathogenic to humans and animals, have not infrequently been found as incidental specimens or established populations far from their normal endemic geographical boundaries. Owing to ticks' unique ability to transmit or harbour for long periods a variety of pathogens of man and animals, their potential epidemiological role is suspected wherever they occur. Evidence that birds, in themselves hosts of several viruses causing human disease, actually transport the African H. marginatum rufipes northwards was obtained in Egypt by capture of infested migrants during spring passage from East Africa to Europe and Asia. Between 1956 and 1960, 340 birds representing 22 forms (species and subspecies) were found infested by 1025 immature ticks, all but seven of which were or appear to be H. marginatum rufipes. The period of attachment of immature stages of rufipes to their host is sufficient to suggest that many of these ticks are carried some distance into Europe and Asia.

Africa↗
PubMed2003

The burden of disease from neonatal mortality: a review of South Asia and Sub-Saharan Africa.

OBJECTIVE: To assess the burden of neonatal mortality in two developing regions. DESIGN: Review of secondary data collated through literature review. SETTING: Community and facility based studies and national health surveys. POPULATION: Neonatal (<28 days) population of South Asia and Sub-Saharan Africa. METHODS: Data on neonatal mortality were gathered from peer-reviewed literature, reports of the Demographic and Health Surveys and websites of country-based organisations. The base year for this study is 1995. For each country, a weighted mean neonatal mortality rate was calculated and the total number of neonatal deaths estimated. Country data were summarised over each region to estimate annual regional neonatal deaths and rates. The burden of disease from neonatal mortality was determined using a summary measure of health--healthy life years. MAIN OUTCOME MEASURES: Numbers of deaths and healthy life years (HeaLYs). RESULTS: Neonatal mortality rate for South Asia ranged from 41.9 to 56.9 per 1000 live births for 1995. Sri Lanka was an exception with a neonatal mortality rate between 16.3 and 18.6 per 1000 live births. The estimated regional neonatal mortality rate for South Asia was 46.27 per 1000 live births for 1995. There was a significant lack of data from Sub-Saharan Africa, resulting in highly variable neonatal mortality rates, ranging from 13 per 1000 live births in Kenya to 108 per 1000 live births in Senegal. The mean regional neonatal mortality for Sub-Saharan Africa for 1995 was estimated at 38.8 per 1000 live births. CONCLUSION: The burden of neonatal mortality in only these two regions of the developing world represents more than 2 million annual deaths. A call for greater investments in neonatal research and health programs is a logical extension to this review of evidence.

Adult↗
PubMed2003

Pain and palliative care for people living with HIV/AIDS in Asia.

Millions of people living with HIV/AIDS (PLHA) in Asia need access to palliative care as part of a comprehensive response to their support needs. There are many causes of pain in HIV/AIDS, and its prevalence is as high if not higher than in cancer, but it is frequently undertreated. Access to adequate pain relief and palliative care is impeded by the barriers which face PLHA in Asia. These include few care and support services, lack of recognition and acknowledgement of pain in HIV/AIDS by health care professionals, widespread stigma and discrimination especially towards vulnerable groups such as injecting drug users, government regulatory mechanisms which make access to opioids even more difficult for the care services which have developed and a lack of understanding of or advocacy for pain relief and palliative care in the literature on HIV/AIDS care and support. During the growth of palliative care in Asia, there is opportunity for advocates of palliative care and care for PLHA to collaborate to influence national policy.

Analgesics, Opioid↗
PubMed2002

APBioNet: the Asia-Pacific regional consortium for bioinformatics.

Bioinformatics and computational biology, along with the related fields of genomics, proteomics, functional genomics and systems biology are new wave scientific disciplines that harness composite computational power across networks to advance biological knowledge at the most basic level and to direct traditional laboratory-based research efforts in the biomedical sciences. 'Fostering the growth of bioinformatics and allied disciplines in the Asia-Pacific region' is the motto of the first regional bioinformatics society, the Asia-Pacific Bioinformatics Network (APBioNet). APBioNet addresses the issues of hardware, software, databases and networks pertaining to bioinformatics, with the additional layer of pertinent education, training and research. Recent milestones achieved include hosting an international bioinformatics symposium in Asia and setting up large-scale regional grid-computing projects.

Asia↗
PubMed2004

Overview of surface ozone variability in East Asia-North Pacific region during IGAC/APARE (1994--1996).

Surface ozone (O3) was measured at Oki Island (Japan), Cheju Island (South Korea), Lanyu Island (Taiwan Province, China), Cape D'Aguilar (Hong Kong SAR) and Lin'an, Longfenshan, Waliguan (China mainland) during January 1994--December 1996 as a component of IGAC/APARE (International Global Atmospheric Chemistry/East Asia-North Pacific Regional Experiment). This paper gave a joint discussion on the observational results at these stations over the study region. Investigations showed that the average of surface O3 mixing ratios at the seven sites are 47.9+/-15.8, 48.1+/-17.9, 30.2+/-16.4, 31.6+/-17.5, 36.3+/-17.5, 34.8+/-11.5 and 48.2+/-9.5 ppbv, respectively. Significant diurnal variations of surface O3 have been observed at Oki, Cheju, D'Aguilar, Lin'an and Longfenshan. Their annual averaged diurnal differences range from 8 to 23 ppbv and differ in each season. Surface O3 at Lanyu and Waliguan do not show strong diurnal variability. Seasonal cycles of surface O3 showed difference at the temperate and the subtropical remote sites. Oki has a summer minimum-spring maximum, while Lanyu has a summer minimum-autumn maximum. The suburban sites at D'Aguilar and Lin'an report high-level O3 in autumn and low level O3 in summer. Surface O3 remains-high in autumn and low in winter at the rural site Longfenshan. For the global background station Waliguan, surface O3 exhibits a broad spring-summer maximum and autumn-winter minimum. The backward air trajectories to these sites have shown different pathways of long-range transport of air pollution from East Asia Continent to North Pacific Ocean. Surface O3 was found to be strongly and positively correlated with CO at Oki and Lanyu, especially in spring and autumn, reflecting the substantial photochemical buildup of O3 on a regional scale. It is believed that the regional sources of pollution in East Asia have enhanced the average surface O3 concentrations in the background atmosphere of North Pacific.

Air Movements↗
PubMed2005

Population-based studies of nutrition and health in Asia Pacific elderly.

The systematic observation of food habits and health amongst the elderly, both cross-sectionally and longitudinally, in the Asia Pacific region is increasing as reflected in the recent collective report of a number of intake and health variables in Taiwanese communities. Most studies are of Chinese and Japanese-speaking populations, with some from elsewhere in Northeast Asia (notably Korea) and Southeast Asia (notably the Philippines, Indonesia, Malaysia and Singapore). These, and other international studies, demonstrate that older people can eat in various ways and yet achieve longevity and minimum morbidity, provided they remain physically and mentally active and eat a variety of relatively intact foods, including fish and pulses (lentils, legumes, beans). Such studies are the foundation of a new generation of food and health policy for the aged, with reference to EBN (evidence-based nutrition) and reflected in FBDGs (food-based dietary guidelines) which acknowledge cultural difference and support sustainable food systems.

Aged↗
PubMed2005

Impacts of population growth and economic development on the nitrogen cycle in Asia.

Asia is the major consumer of fertilizer nitrogen and energy in the world, and consequently shares a considerable proportion of the world creation of reactive nitrogen (Nr). However, if estimated on per capita basis, Asia is characterized by a lower arable land area, fertilizer nitrogen consumption, energy consumption, and gross domestic product, as well as lower daily protein intake. To meet the increasing needs for food and energy for the growing population combined with the improvement of living standards, Nr will inevitably increase. The present study estimates the creation of Nr and the emissions of various N compounds into environment in Asia currently and in 2030. In comparison with the world averages, the lower fertilizer nitrogen and energy use efficiencies, and the lower use of animal wastes for agriculture imply that there is potential for moderating the increase in Nr and its impacts on the environment. Strategies for moderating the increase are discussed.

Animals↗
PubMedDate not supplied

Malaria: overview of the global situation and problems in Asia.

The overall world malaria situation has remained static in recent years, but the disease continues to be a major public health problem in endemic countries. Of a total world population of 4,818 million in 1985, about 2,316 million (48%) live in areas where antimalarial measures are carried out. About 405 million people inhabit areas where no specific measures are undertaken to control malaria transmission, and the prevalence of malaria remains virtually unchanged. In Asia west of India, 186 out of 222 million people live in originally malarious areas. Fifteen million people live in areas which have been freed from the disease, and 35 million in areas with limited risk. About 4 million people are not protected by specific antimalarial measures. In Middle South Asia, with a total population of about 884 million, 850 million (96%) are exposed to malaria risk of varying degrees. With the exception of a small area in Nepal, all originally malarious areas are included under malaria control operations. Of a total population of 1,670 million in the East Asia and Oceania region, 1,324 million live in originally malarious areas. Malaria has been eradicated from areas where 244 million live, and the risk is considered to be limited in areas with a population of 531 million. In view of the goal of health for all by the year 2000, malaria control programs must be an important part of the overall health program in malarious countries. These programs would require participation of many different disciplines, including some not specifically related to health care. This must be done with an understanding of malaria epidemiology and the local ecological situation, and tailored to economic reality in the malarious region being considered.

Asia↗
PubMedDate not supplied

Drug abuse in Asia.

The article focuses on countries and areas of South-East Asia, which are seriously affected by drug abuse and the problems associated with it. Opium has traditionally been used for treating illnesses and alleviating physical and mental stress, as well as for recreational and social purposes. The prohibition of the sale and use of opium in Burma, Hong Kong, Malaysia, Singapore and Thailand forced many habitual opium users to switch to heroin. Over the past two decades there has been an increasing trend towards drug use, often involving experimentation with more than one substance, among youth in and out of school. For example, a survey of students at teachers' colleges in northern Thailand showed that at some time in their lives 30-40 per cent of the male respondents and 3-6 per cent of the female respondents had used cannabis, and that 18-20 per cent of the males and 12-27 per cent of the females had sniffed volatile solvents. The same survey showed that 5-10 per cent of both the males and females had used stimulants and nearly 2 per cent had used heroin. During the 1970s the abuse of heroin and other opiates emerged as a serious problem of epidemic nature, predominantly affecting young people in many countries of South-East Asia. While opiates, including heroin, have been abused by inhaling and by smoking, there has recently been an increasing trend towards injecting heroin of high purity (80-90 per cent pure heroin). Heroin addiction spread first to the populations of capital cities and then to other cities and towns and even to the hill tribes, as studies in Thailand have revealed. Most recent studies have shown that heroin abuse has spread further in Asia, both socially and geographically, involving such countries as India and Sri Lanka, which had no previous experience with the problem. Studies have also shown that the abuse of manufactured psychotropic substances has been increasing and that heroin addicts resort to these substances when heroin is difficult to find. The article also briefly reviews the history of opium use in China and the history of drug abuse in Japan, particularly with regard to the problem of methamphetamine abuse, which has appeared in two epidemic-like waves. The first followed the end of the Second World War and disappeared at the end of the 1950s; the second reappeared in 1975 and since then has gradually been increasing in size.

Adolescent↗
PubMed1984

Asian immigrant tuberculosis--the effect of visiting Asia.

The intervals between arrival or rearrival in the UK and notification of tuberculosis have been studied in four groups of Asian immigrants according to contact with known cases of tuberculosis in the UK and recent visits to Asia. It appears that about one-fifth of the Asian immigrants who developed tuberculosis in West Ham in a 5-year period did so as a result of a recent visit to Asia. About one-third appeared to have acquired their infection before leaving Asia and developed the disease soon after arrival in the UK. Nearly one-half apparently acquired their disease from known or unknown contacts in the UK.

Adult↗