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PubMed1984

Bacteriological quality of crops irrigated with wastewater in the Xochimilco plots, Mexico City, Mexico.

Xochimilco county plots (Mexico City), one of the most fertile agricultural areas in the Valley of Mexico, produce a large portion of the fresh vegetables consumed in the city. These plots are generally irrigated with domestic wastewater, and for this reason, it was deemed important to examine and evaluate the bacteriological quality of the water, soil, and vegetables from these plots that are harvested and marketed. The soils were also examined for the classical parameters such as nitrates, ammonia, etc., and organic matter and texture. The crops selected for this study were radishes, spinach, lettuce, parsley, and celery because they are usually consumed raw. The highest bacterial counts were encountered in leafy vegetables, i.e., spinach (8,700 for total coliform and 2,400 for fecal coliform) and lettuce (37,000 for total coliform and 3,600 for fecal coliform). Statistically significant differences in bacterial counts between rinsed and unrinsed edible portions of the crops were observed even in rinsed vegetables, and high densities of fecal coliform were detected, indicating that their consumption represents a potential health hazard. The total coliform values found in irrigation water ranged from 4 X 10(4) to 29 X 10(4), and for fecal coliform the values ranged from 5 X 10(2) to 30 X 10(2).

Agriculture↗
PubMed1996

Mexico's other wars: epidemics, disease, and public health in Guanajuato, Mexico, 1810-1867.

"Mexico's Other Wars" refers to the fight against disease, particularly epidemic disease, during the period when Mexico gained its independence and was involved in the very conflictive process of nation-building, from 1810-1867. Controlling and eradicating disease was an integral part of that process. In this period, fighting disease assumed the crucial political purpose of making all people healthier as one means of building an economically productive civil society. To attain this goal, early nineteenth-century local policy makers organized an increasingly secular and integrated public health system governed by municipal and state officials who legislated local public health regulations. While disease was not eradicated, the incidence and severity of epidemics decreased and likely contributed, as one of many factors, to population increase. This process was evident in the city and state of Guanajuato, the focus of this paper, for Guanajuato's population almost doubled in this period despite war and intermittent armed conflict.

Communicable Disease Control↗
PubMedDate not supplied

[A proposed open formulary for a managed care program in Mexico. The Therapeutic and Pharmacological Committee of Mexico].

OBJECTIVE: To integrate an open formulary with drug use recommendations in which a physician could find a wide range of therapeutic options for his private practice. MATERIAL AND METHODS: An interdisciplinary medical committee with a high scientific level, reviewed each one of all the drugs available to be sell in Mexico, as part of a Pharmacy Benefit Management & Manage Care program implemented in our country. Each drug was classified according to its active ingredient under one of the following categories: 1) essentials, 2) excluded, and 3) not essentials-not excluded. The decision in each case was based on pure scientific grounds and using an Evidence-Based Medicine analysis. RESULTS: The proposed formulary contains a total of 1106 active ingredients-either unique or in combination-, from which 429 (38.8%) were classified as essentials. About one-out-of-ten drugs (8.7%) currently in use within the private medical practice in Mexico, some of them highly prescribed, were regarded by the committee as excluded due to concerns about their efficacy and/or safety. CONCLUSIONS: On this report a detailed description of the process followed to conform the committee, its objectives an its performing criteria is presented, as well as the bases under which the final list of drugs of the formulary were set.

Formularies as Topic↗
PubMedDate not supplied

Microbiological determinations of some vegetables from the Xochimilco zone in Mexico City, Mexico.

Vegetables intake is widely recommended because of its high content of vitamins, minerals and fiber. However, the irrigation of these vegetables, using wastewaters that have received inadequate treatment often carries unseen microbial pollution that becomes a high risk potential for humans. In the present research, two of the most consumed fresh vegetables cultivated in Mexico City were analyzed, lettuce (Lactuca sativa) and Mexican coriander (Eryngium foetidum). These vegetables are commonly consumed raw. The vegetable choice and the disinfection's method were carried out by the application of two tests to two hundred people in an aleatory form. Similarly, vegetable sampling was carried out by means of a random sampling from the cultivated areas in a chosen "chinampa" (from Náhuatl or Aztec, chinamitl, bulrush or cattail stalks lattice for hydroponics cultivation). Vegetable samples were transferred, in dark plastic bags and in cool boxes at 4 +/- 1.5 degrees C, to the laboratory. Microbiological analysis for Salmonella typhi, mesophilic microorganisms, and fecal coliforms were done according to the "NOM-093SSA1-1994" (Mexico). Results obtained demonstrated that samples treated with the most preferred disinfectant, a colloidal silver based one, had a partial elimination of pathogenic microorganisms found in both vegetables lettuce (Lactuca sativa) and coriander (Eryngium foetidum) samples (mesophyllic microorganisms from 200,000 to 96,500 UFC/g and from 175,000 to 125,000 UFC/g and fecal coliforms from 75 to 0.43 NMP/g and from 150 to 2.10 NMP/g, respectively). Salmonella typhi for all samples gave a positive result. Therefore, it was recommended to the cultivators of the Xochimilco (Náhuatl or Aztec name that means "place where flowers bloom") zone, either stop using contaminated water for irrigation or to use more efficient methods in order to eliminate pathogenic microorganisms, such as diluted chlorine solutions made with commercial cotton clothing bleachers.

Agriculture↗
PubMed1995

Ascarophis mexicana n. sp. (Nematoda: Cystidicolidae) from two species of Epinephelus (Pisces) from the Gulf of Mexico in southeastern Mexico.

A new cystidicolid nematode, Ascarophis mexicana n. sp., is described from the stomach of 2 species of the genus Epinephelus, E. morio and E. adscensionis (Pisces: Serranidae), from the Gulf of Mexico, southeastern Mexico (states of Yucatan and Veracruz). It is distinguished mainly by small body measurements (body length of male and female 3.39-4.18 mm and 5.94-6.23 mm, respectively), a conspicuously long left spicule (1.58-2.05 mm), length ratio of spicules (1:10-12), and by eggs provided with 2 filaments on 1 pole. Ascarophis mexicana is the second Ascarophis species known to parasitize fishes of the genus Epinephelus (groupers).

Animals↗
PubMedDate not supplied

[Asthma in a population of children and its relation to airborne environmental pollutants in Mexico City. A cohort study. Mexico, 1991. Experimental design].

We developed a panel study to evaluate the association between intermittent exposure to ozone and acute attack of asthma. The population study consists in 136 asthmatic children residents in the southwest and northeast of Mexico City. They were attended in the allergic services of the two main Pediatric Hospital of Mexico City. In this paper we present the methodological issues following in the study and the results of the descriptive analysis of the relation between ozone exposure and acute attack of asthma.

Adolescent↗
PubMed1988

Prevalence and severity of coronary atherosclerosis in males living in Mexico City: the Mexico City project.

The current prevalence of coronary atherosclerosis was investigated in 174 necropsic studies performed on males who died violently between 1984 and 1986 in Mexico City. In young adults, coronary atherosclerosis was found in 35% of the cases, 5% of whom had significant obstruction in one coronary vessel. In subjects aged 50-69 years, coronary atherosclerosis occurred in 69% of the cases and obstructive disease in 24%. Current figures suggest an increase in the severity of coronary atherosclerosis in this population which may be linked with nutritional changes. This makes further investigations, as well as the design of a program for ischemic heart disease prevention in Mexico City imperative.

Adult↗
PubMed1985

Community-oriented medical education: comparison of tracks in Mexico and New Mexico.

Most major innovations in medical education have occurred in a small number of new schools. Attempts to create change in traditional schools are far more complex. Relevant models for such change are few and there is an urgent need for institutions pioneering such changes to learn from each other's experiences. Two conventional medical schools described in this paper have attempted to create community-oriented institutional change by establishing experimental undergraduate curricular tracks. One is in a developing country, Mexico, the other in a technically developed country, the United States. These new tracks in medical education evolved independently of one another, yet they have many similarities and have experienced common problems. A formal exchange between the two schools has led to new insights in medical education and improvements to both programmes. Exchange agreements like the one reported here would be valuable for other medical schools in both developing and technically developed countries.

Community Medicine↗
PubMed1989

The epidemiology of HIV transmission among paid plasma donors, Mexico City, Mexico.

Screening of blood product donations for antibody to HIV began in Mexico in May 1986. From June to October 1986, the HIV cumulative seroprevalence increased from 6.3 to 9.2% in a commercial plasma collection center. Of the 281 people who donated the antibody-positive units, 62 (22.1%) had documented seroconversion during these 5 months. An epidemiologic study of 54 seropositive and 58 seronegative donors was carried out. The HIV serologic status did not change in any of these donors after repeat testing. Only 13.0% of the seropositives and 15.5% of the seronegatives had any of the known risk factors for AIDS. There was a direct relationship between frequency of plasma donation and the risk of being seropositive. A survey of employees disclosed the frequent re-use of disposable blood collection equipment. We conclude that HIV transmission had probably occurred in this plasma collection center.

Adult↗
PubMedDate not supplied

Risk factors and prevalence of hepatitis virus B and C serum markers among nurses at a tertiary-care hospital in Mexico City, Mexico: a descriptive study.

BACKGROUND & AIM: Alcohol consumption and viral infection with hepatitis B virus (HBV) and hepatitis C virus (HCV) are the first causes of chronic hepatopathy in Mexico. Medical personnel are at high risk of developing HBV and HCV infection because both viruses are transmitted parenteraly. The aim of this study was to determine the prevalence of HCV and HBV infection as well as risk factors in nurses working at Medica Sur Clinic and Foundation. METHODS: The complete nurse staff personal from our hospital was included; a questionnaire of risk factors for HCV and HBV infection was assessed. HBV and HCV infection (anti-HCV anti-HBc, and HBsAg) was determined to all of them. In anti-HCV positive persons HCV genotype and viral load was assessed. RESULTS: Three hundred seventy six nurses where studied, Anti-HBc was positive in 1.6% of all participants, none were positive for HBsAg. 0.8% of all studied population was positive for anti- HCV. Major risk factors for HBV infection where tattooing and having more than 4 sexual partners previously, and for HCV infection transfusions before 1992 and age. Only one person was anti-HCV positive with a viral charge of 5 X 106 copies, genotype 2b. CONCLUSIONS: HCV seropositivity in people with high risk was lower than general population. None was positive for HBV infection.

Adult↗
PubMed1995

Relationships between physical activity, insulin levels and lipids in non-diabetic low income residents of Mexico City: the Mexico City Diabetes Study.

The epidemiologic data supporting an association between physical activity and lipoprotein profile is controversial. We hypothesized that physical activity is positively associated with triglyceride levels and negatively associated with high density lipoprotein (HDL) cholesterol levels, and that these associations are mediated by insulin activity. We tested these hypotheses in 819 male and 1159 female healthy non-diabetic Mexicans, aged 35-64 years, residing in Mexico City. Physical activity was assessed using a modified Stanford 7-day Physical Activity Recall. Serum glucose and insulin were evaluated in the fasting state and 2 h following a glucose challenge. Crude analysis indicated that physical activity was not associated with HDL cholesterol in males, but was associated with HDL cholesterol in females (r = 0.06; p = 0.025). Physical activity was not associated with triglyceride concentration in males or females. Multivariate results showed that the positive association between HDL cholesterol and physical activity in women remained after controlling for age, estrogen status, body mass index, and smoking. Furthermore, there was a significant interaction between physical activity, HDL cholesterol and an index of insulin sensitivity. Women with higher levels of insulin sensitivity had higher levels of HDL cholesterol. However, among women at lower levels of insulin sensitivity, those with greater physical activity were significantly more likely to have higher HDL cholesterol values.

Adult↗
PubMed1994

The level of metabolic control in low income Mexico City Diabetics. The Mexico City Diabetes Study.

The importance of good metabolic control in the treatment of diabetes mellitus (DM) is unquestionable. Measurements of the level of control (LC) are available such as glycohemoglobin (GH) and fructosamine (FA). The aims of this study are: to estimate LC in a population based case series of type II DM patients, to assess the effect of clinical, metabolic and sociodemographic variables usually associated with the LC and to estimate the clinical impact of the LC on vascular complications of DM. A low income area of Mexico City was enumerated. All males and non-pregnant females between 35-64 years of age were considered eligible. Home interview was obtained in 2813 and a medical exam including an oral glucose tolerance test was performed in 2282 (65.1%). Three hundred and four subjects met the criteria (WHO) for DM. Three years later, 213 (70.1%) were located for GH and FA measurements. Cases were divided according to the level of GH: Group I, good LC (GH < or = 8.6%, n = 66); and group II poor LC (GH > or = 8.7%, n = 147). A significant difference was observed in the mean value of FA between groups (Group I 255 +/- 52.3 mumol/dl. Group II 306.4 +/- 51.1; p < 0.001). In comparison with subjects with good LC, patients with poor LC had higher values of duration of DM (p < 0.01), waist/hip ratio (p < 0.04), fasting glucose (p < 0.001) and lower values of fasting insulin (p < 0.07), LDL cholesterol (p < 0.006) and VLDL cholesterol (p < 0.09).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMedDate not supplied

[Prevalence of Haemophilus influenzae carrier state in children in Ciudad Nezahualcóyotl, State of Mexico, Mexico].

OBJECTIVE: To determine the prevalence of H. influenzae (Hi) carrier state among children, in Ciudad Nezahualcóyotl, State of Mexico. MATERIAL AND METHODS: A cross-sectional comparative random study was designed. Study subjects were 639 children under 15 years of age, stratified by age and sex. Nasopharyngeal cultures were used to identify Hi and to typify encapsulated strains. Sample size was computed with the software package Epi-Info, using a p value of 0.5%, 95% confidence intervals and a 5% error; statistical analysis was performed using frequencies, means and proportions. Differences were tested by comparison of two proportions from independent populations. RESULTS: Hi was isolated from 136 of 639 pharyngeal cultures (21%). Hi types found were Hi b (n = 6, 4%), Hi a, c, and f (n = 5, 4%), and non-typifiable (NT) Hi (n = 125, 92%). CONCLUSIONS: The prevalence of pharyngeal colonization by Hi found among children under 15 years of age, in Ciudad Nezahualcóyotl, is similar to that reported in the literature. The inverse relation of pharyngeal carriers with age can be accounted for by the progressive development of specific and non-specific immunity against encapsulated and non-encapsulated strains.

Adolescent↗
PubMed1996

Multiple sclerosis in Mexico: hospital cases at the National Institute of Neurology and Neurosurgery, Mexico City.

The frequency and clinical features of multiple sclerosis (MS) at the National Institute of Neurology and Neurosurgery in Mexico City for the period spanning 1984-1993 is presented. Hospital records of patients with clinically diagnosed MS were selected, the frequency and cumulative frequency of this diagnosis were determined and demographic information and clinical features were recorded. It was found that 70% of the patients were women, 25% were professionals, and 95% were of mixed race. The clinical features of our patients and their neuroimages were consistent with those of MS patients in other populations. Importantly, we found that the frequency of MS has almost doubled over the last 10 years. The reason for this phenomenon is discussed as resulting from better health screening, the availability of nuclear magnetic resonance imaging, and the cultural, demographic and dietary changes that have occurred due to the rapid urbanization of our country.

Adolescent↗