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Histomoniasis in wild turkeys in Mississippi.

Blackhead (histomoniasis, enterohepatitis) was diagnosed as the cause of death for three wild turkeys (Meleagris gallopavo silvestris) found in widely separated areas in Mississippi. The turkeys came from areas with high turkey population densities and supplemental feeding programs. Finding three sick and/or dead wild turkeys in a year's period suggests that the disease is more prevalent than generally believed. Recommendations for management programs are presented.

Animals↗

Prevalence of Cuterebra emasculator in squirrels in Mississippi.

Between 1977 and 1979, 1,997 gray squirrels (Scriurus carolinensis) and 290 fox squirrels (S. niger) were examined for Cuterebra emasculator myiasis. Approximately 19% of the gray and 5% of the fox squirrels were infested with 1.9 and 2.5 larvae per host, respectively. Myiasis was seen between 14 August and 29 October. Peak infestations occurred in the second week of September. Adult and subadult squirrels had higher infestations than juveniles. Multiple infestations occurred in 51% of the hosts. Larval development sites were most prevalent in the axillary and back regions. The parasite was most prevalent in bottomland or flatland topography and hardwood habitat in east-central Mississippi. Fecundity of four virgin female flies averaged 771 eggs.

Animals↗

Outbreak of avian cholera on the wintering grounds of the Mississippi Valley Canada goose flock.

Avian cholera is reported for the first time in Canada geese, Branta canadensis, of the Mississippi Valley population. The disease was detected in weekly surveillance transects and was responsible for the loss of about 850 geese during the winter of 1978-1979 at localized areas in southern Illinois. Necropsies performed on 480 geese that died at Union County Conservation Area and on 133 birds at Horseshoe Lake Conservation Area during January and February 1979 revealed that the majority of losses (64%) were caused by avian cholera. Lead poisoning was responsible for the death of 14% of the geese analyzed and the remaining 22%, most of which were decomposed, were undiagnosed. Lethal lead levels and Pasteurella multocida occurred concomitantly in a few instances.

Animals↗

Rickettsia-like organisms in ticks and antibodies to spotted fever-group rickettsiae in mammals from northern Mississippi.

Studies were conducted from April through August during 1974 and 1975 on 30 randomly selected trapping sites in Wall Doxey State Park, Holly Springs National Forest, and 1.6 km south of the park in Marshall County, Mississippi to provide information on the occurrence of ticks involved in the maintenance and transmission of spotted fever-group rickettsiae in nature. Of 365 animals (14 species) collected, 186 (51%) were parasitized by 4,169 ticks. Species of ticks collected included: Dermacentor variabilis; Amblyomma americanum; Rhipicephalus sanguineus; Haemaphysalis leporispalustris; and Ixodes texanus. Of 2,105 ticks examined, 116 (5.5%) were positive for rickettsia-like organisms.

Agglutination Tests↗

Absence of avian pox in wild turkeys in central Mississippi.

Eastern wild turkeys (Meleagris gallopavo silvestris) (n = 1,023), obtained during winter, spring, and summer from 1983 to 1988 on Tallahala Wildlife Management Area (TWMA) (Jasper County, Mississippi, USA) were examined for avian pox lesions. Domestic turkey poults (n = 152) maintained on the area for 1 to 2 wk periods from 1987 to 1989 also were examined. Neither wild nor domestic birds showed gross evidence of pox virus infection. This study indicated that avian pox was not endemic in wild turkeys at TWMA.

Animals↗

Reporting of adverse drug and biologic reactions in Mississippi hospitals.

There can be no doubt of the therapeutic need for adverse drug reaction (ADR) monitoring in hospitals. In addition, JCAHO requirements mandate the maintenance of concurrent ADR monitoring programs. In order to obtain data pertaining to ADR reporting in hospitals in Mississippi, a survey of statewide hospital-pharmacy directors was conducted. Respondents indicated the average number of ADRs reported to the pharmacy departments was 19.2 ADRs per year. An average of 2.2 ADRs were forwarded to the FDA yearly. Respondents who had recently (since 1984) undergone JCAHO inspection agreed to a greater extent than others that it was the P & T Committee's responsibility to monitor ADRs. The results indicate a need for other health professionals in hospitals to monitor and report ADRs. In addition, submission of ADRs to the FDA must occur to a greater extent than presently is occurring.

Data Collection↗

We went to Mississippi.

This is a combined version of two very similar articles: "Holmes County Clinic, an experiment in rural health care" by Helene Richardson and Patricia Weatherly, Health Rights, Vol. 2, No. 2 (Spring 1966), pp. 10, 11, 19-23; "We Went to Mississippi" by M. Phyllis Cunningham,, Helen Richardson Sanders and Patricia Weatherly, American Journal of Nursing, Vol. 67, No. 4 (April 1967), pp. 801-4. Only minor editorial changes have been made.

Black or African American↗

Sometimes doctors need help too--the Mississippi Recovering Physicians Program.

Fully 10 to 15% of medical doctors will develop chemical dependency during their lifetimes. This results in addiction to alcohol or other mood altering drugs. The Mississippi Recovering Physicians Program provides a confidential, non-punitive alternative to disciplinary sanctions for impaired physicians who voluntarily seek or are motivated to accept intervention, treatment, counseling, and rehabilitation for their impairement. With proper treatment, the prognosis is excellent.

Confidentiality↗

The epidemiology of stroke in Mississippi and the United States.

Given current trends, Mississippi will not come close to meeting the National Health Promotion and Disease Prevention Objectives for the Year 2000 for reducing stroke mortality (Table). Without major population-based public health initiatives, stroke will remain a leading cause of morbidity, disability, and mortality and a major source of health care costs in the state for the foreseeable future.

Cerebrovascular Disorders↗

Impact of a formal trauma program on a small rural hospital in Mississippi.

BACKGROUND: Since Mississippi is largely rural, most of the initial care given to trauma patients is at small community hospitals. This study examined the impact of the institution of a formal trauma program on trauma care at such a hospital. METHODS: All trauma cases at a single institution during 1998 were retrospectively analyzed. Cases were stratified into two groups, which depended on whether trauma care was given before or after institution of the trauma program. Various parameters were evaluated and compared. RESULTS: The disposition of trauma cases changed after institution of a formal protocol: both transfers to trauma centers and hospital admissions decreased, while the number of cases cleared in the emergency department (ED) increased. The percentage of cases inappropriately managed also decreased. CONCLUSIONS: Institution of a formal trauma program increased the efficiency of resource utilization and improved the level of care received by trauma patients.

Emergency Medicine↗

Nutritional status of black preschool children in Mississippi. Influence of income, mother's education, and food programs.

The nutritional status of 247 black preschoolers in two counties of Mississippi was studied by relating caloric and nutrient intakes and anthropometric measurements to homemaker's education, family income, and participation in Food Stamp and donated food programs..23AUTHOR Low intakes of calories, iron, calcium, vitamin A, and ascorbic acid were found in many of the children, regardless of the variable considered. These findings--in comparison with similar studies--imply that, as time passes, low education and income are having less impact on child nutrition. This ameliorating effect may be due to programs designed to educate parents and extend purchasing power of food dollars. Thus, it seems advisable to continue these programs.?23AUTHOR

Black or African American↗

Nutritional status of black preschool children in Mississippi. Assessment by food frequency scale.

Food frequency data were studied in relation to the nutritional status of 372 black preschool children in three Mississippi counties. The following data were utilized: quantitative dietary intakes for four or seven days, from which intakes of eight nutrients and energy were calculated and frequency of consumption of all individual foods was obtained; and anthropometric (height) and biochemical (hemoglobin) meausres. Six Guttman scales of food consumption frequencies were constructed: in four scales, all foods consumed in four or seven days were assigned to one of nine food groups which formed scale steps; two scales represented foods from single food groups--breads and milk and milk products. The wide range of individual consumption frequencies required special handling of the data, using a method devised by TenHouten in his work on scale gradient analysis. Kendall's tau correlation coefficients were calculated for relationships between all scales and commonly used indicators of nutritional status, including calculated intakes of eight nutrients and energy, height percentiles, and hemoglobin values. Two total food consumption scales based on seven-day dietary intakes were valid indicators of nutritional status, i.e., the scales were significantly correlated with all three indicators of nutritional status. The milk scale was significantly correlated woth two total food consumption scales, height percentiles, and nine calculated intakes; this finding suggests that a milk scale warrants further investigation. This research focused on relationships between the food scales and nutritional status indicators as an initial step in a study of overall family development. According to the family development model, the food scales and scales dealing with other areas of home and family life are all measuring the capacity of the family to process information. The food scale alone, which has meaning for both the nutritionist and the sociologist, has implications for nutrition education in determining what to teach, selecting teachers, and evaluating change in food practices.

Black or African American↗

Hydroxyproline index: an indicator of nutritional status. Study of Mississippi children.

The hydroxyproline index was used to evaluate nutritional status of four- to five year-old black children in two Mississippi counties. Positive partial regression coefficinets were highly significant for weight in both counties and significant for height in one. These data seem to confirm results of other workers that changes in the index may reflect change in body weight rather than in hydroxyproline; creatinine ratio. Eighty per cent of the children had high serum gamma globulin levels suggesting infection, which has been shown to cause a high degree of variability in hydroxyproline excretion. Results indicate that hydroxyproline index may not be a valid indicator of nutritional status for this popualtion group.

Anthropometry↗

Methicillin-resistant Staphylococcus aureus skin or soft tissue infections in a state prison--Mississippi, 2000.

On October 25, 2000, the Mississippi State Department of Health (MSDH) notified CDC that, since November 1999, 31 inmates had acquired methicillin-resistant Staphylococcus aureus (MRSA) skin or soft tissue infections at a state prison. During November 1998-October 1999, no MRSA infections had been reported at the prison, which houses approximately 1,200 female and 1,800 male inmates. This report summarizes the case investigation and the nasal culture prevalence survey conducted by MSDH and CDC during November 2000. Findings indicate that MRSA infections were transmitted person-to-person within the prison, and that the number of asymptomatic carriers was unexpectedly high for a nonhealth-care setting. Correctional facilities can reduce the increasing prevalence of MRSA disease by identifying and appropriately treating infected persons and by instituting prevention measures.

Adult↗

Familial clustering of end-stage renal disease in Mississippi.

BACKGROUND: Familial clustering of ESRD has been noted in the families of 20-40% of African-Americans (AA) with ESRD but has been observed much less often in Caucasians (Cau). Because our impression indicated a higher frequency in Caucasians than reported in several recent studies we conducted a 2-year prospective evaluation of patients referred for renal transplantation to assess the frequency of familial clustering of ESRD in both Caucasians and African-Americans. METHODS: Detailed family histories were obtained in 350 ESRD patients referred for renal transplantation, 335 of whom could provide appropriate information regarding first- and second-degree family members (252AA and 83 Cau) who were maintained on out-patient dialysis at least one month or had received a renal transplant. RESULTS: Patient race and sex paralleled that of the current Mississippi ESRD population but mean age was 17 years younger in the transplant candidates (39.9 vs. 57.2 yrs). If polycystic kidney disease (PKD) is included in the analysis, 31.7% of AA and 30.1% of Cau had at least one other family member with ESRD. If PKD is eliminated then 30.9% of AA and 25% of Cau had at least one other family member with ESRD. In both races the frequency of a positive family history was greatest in index cases with chronic glomerulonephritis, and of those with renal biopsies (n = 59), patients with focal segmental glomerulosclerosis (FSGS) and systemic lupus erythematosus (SLE) had the strongest family histories of ESRD (40% and 36%, respectively). Cau and AA with FSGS had comparable familial clustering of ESRD (41% vs, 38%) but SLE was confined to AA. CONCLUSIONS: In younger individuals with ESRD, familial clustering of end stage renal disease occurs with almost equal frequency in Caucasians and in African Americans. Screening of family members of index cases in both races might define a high-risk group of patients in whom prophylactic measures might be directed to thwart the progression [table: see text] of renal failure.

Adult↗

Assessing cardiovascular risk in children: the Jackson, Mississippi CRRIC Study.

According to the NHANES III study, obesity, a cardiovascular risk factor, is now an epidemic in the United States. An estimated 97 million adults and one in five children between 6 and 17 are overweight. The purpose of this pilot study was to determine the prevalence of cardiovascular risk factors among a group of 3rd, 4th, and 5th graders at two randomly chosen elementary schools in Jackson, Mississippi. The sample consisted of 246 ethnic minority children. Results revealed that 16% of the boys had systolic blood pressures at or above the 90th percentile for sex and age and 13% had abnormally high diastolic blood pressures. For girls, 8% exhibited systolic blood pressures and 21% had diastolic blood pressures at or above the 90th percentile. Body mass index (BMI) levels revealed that 39% of the boys and 49% of the girls had BMIs at or above the 85th percentile for age and sex.

Adolescent↗

Medicine in Mississippi.

Adequate health care represents an issue that has always troubled rural America. From the earliest days of this country, affordable and quality health care has often been harder to find for those who those to live on the farm or in a small town or any place off the beaten path than it has for residents in urban areas. The State of Mississippi has undertaken an intensive program to widen access to health care--and, especially, to preventive health measures--by utilizing fully all available financial resources, including private foundations, by encouraging increased cooperation from our physicians and hospitals in caring for patients insured by Medicaid, and by involving the community in emphasizing the use of health care practitioners in delivering inexpensive but effective support to our rural population.

Delivery of Health Care↗

Survey of ticks collected in Mississippi for Rickettsia, Ehrlichia, and Borrelia species.

From November 1999 through October 2000, we tested ticks collected from vegetation as well as from deer, dogs, and humans for spotted fever group (SFG) rickettsiae, Ehrlichia chaffeensis, and Borrelia spp. spirochetes. A total of 149 adult ticks representing four species was collected from 11 collection sites from southwestern to northern Mississippi. Amblyomma americanum was most commonly collected (n=68), followed by Ixodes scapularis (n=53). The bird tick, Ixodes brunneus (usually rare), was the third most commonly collected tick (n=17). Eleven Dermacentor variabilis were also collected. Ticks were cut longitudinally to make smears on three microscope slides. The remaining body parts were frozen at -65 degrees C for additional testing. Tick smears were stained by direct immunofluorescence assays (DFA) for Rickettsia spp. and Borrelia spp., while indirect immunofluorescence assays (IFA) were used for Ehrlichia spp. The corresponding tick for each positive smear was evaluated using PCR analysis. None of the 149 ticks tested was DFA positive for Borrelia spp. However, smears of 30 (20%) and 32 (22%) ticks reacted with anti-E. chaffeensis sera and anti-R. rickettsii conjugate (known to react with several members of the spotted fever group), respectively. None of the ticks staining with the IFA for Ehrlichia was positive for E. chaffeensis using PCR. However, 23 (72%) of 32 FA-positive ticks for SFG rickettsiae yielded amplicons of the appropriate size when tested using a PCR assay for SFG rickettsiae, corresponding to an overall infection rate with SFG rickettsiae among the collected ticks of 15%. Smears of 12 (71%) of 17 I. brunneus revealed abundant bacilliform bacteria. PCR amplification of DNA from a single I. brunneus containing these bacteria was performed using universal primers for the 16S rRNA gene as well as Borrelia-specific primers. The predominant sequence obtained using the universal primers did not match any sequence in GenBank, but it showed 91% identity with an endosymbiont of Acanthoamoeba. Other sequences represented in the top 50 Basic Local Alignment Search (BLAST) scores were primarily from soil bacteria, although some similarity to several Anaplasma species and Ehrlichia risticii was indicated. The significance of this finding remains undetermined.

Animals↗