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The Anopheles punctulatus group of mosquitoes in the Solomon Islands and Vanuatu surveyed by allozyme electrophoresis.

Four species within the Anopheles punctulatus group of mosquitoes (Diptera: Culicidae) were identified by allozyme analysis of samples collected from thirty-three localities in Guadalcanal, Makira, Malaita, Temotu and Western Provinces in the Solomon Islands and six localities on Efate, Espiritu Santo, Maewo and Malekula Islands in Vanuatu. Three of these species are members of the An.farauti complex. A key is given to identify five species of the An.punctulatus group known to occur in the Solomon Islands using their isoenzyme characteristics. An.farauti No. 1 was widespread in coastal areas of the Solomon Islands and was the only species detected in Vanuatu, including Efate Island (where Faureville is the type locality of An.farauti Laveran sensu stricto). An.farauti No. 2 and An.punctulatus were common in the Solomon Islands in more inland areas. An.farauti No. 7, reported here for the first time, was found as larvae in freshwater at six localities on north Guadalcanal. Three other members of the An.punctulatus group which have been reported previously from the Solomon Islands: An.koliensis, An.renellensis and an electrophoretic variant of An.farauti sensu lato, were not found in our samples. Previously recognized vectors of malaria and bancroftian filariasis in the Solomon Islands are An.farauti No. 1 (i.e. An.farauti s.s.), An.koliensis and An.punctulatus s.s. Adult females of An.farauti No. 2 and An.farauti No. 7 were not attracted to human bait in areas where their larvae occurred, indicating that these two species are not anthropophilic and therefore unlikely to transmit human pathogens.

Animals↗

A novel mutation in ferroportin1 is associated with haemochromatosis in a Solomon Islands patient.

BACKGROUND: A severe form of iron overload with the clinicopathological features of haemochromatosis inherited in an autosomal dominant manner has been described in the Solomon Islands. The genetic basis of the disorder has not been identified. The disorder has similarities to type 4 haemochromatosis, which is caused by mutations in ferroportin1. AIMS: The aims of this study were to identify the genetic basis of iron overload in a patient from the Solomon Islands. PATIENT AND METHODS: Genomic DNA was isolated from peripheral blood leucocytes of a Solomon Islands man with severe iron overload. The entire coding region and splice sites of the ferroportin1 gene was sequenced. RESULTS AND CONCLUSIONS: A novel missense mutation (431A>C; N144T) was identified in exon 5 of the ferroportin1 gene. A novel restriction endonuclease based assay which identifies both the N144T and N144H mutations was developed which will simplify the diagnosis and screening of patients for iron overload in the Solomon Islands and other populations. This is the first identified mutation associated with haemochromatosis in the Solomon Islands population.

Cation Transport Proteins↗

Lipid and apolipoprotein levels in six Solomon Island societies differ from those in a U.S. white population.

Levels of plasma cholesterol, triglycerides, and apolipoproteins (apo) AI, AII, and E in 560 males and 744 females from six Solomon Island societies were compared with levels in age- and sex-matched participants in the Rochester Family Heart Study (RFHS). The overall average cholesterol, triglyceride, apo AI, and apo AII levels for all the Solomon Island societies were significantly lower than levels for the RFHS (P less than 0.001). The mean level of apo E for these societies was significantly higher than levels in RFHS in spite of the fact that the levels of triglycerides were significantly lower. Normally, apo E is a major constituent of triglyceride-rich very-low-density lipoprotein (VLDL). For both sexes, none of the Solomon Island societies showed a significant correlation of plasma cholesterol levels with apo E. In the RFHS, this correlation was 0.50 in males and 0.43 in females. Mean apo E levels are estimated to be 4.15-6.0% of the high-density lipoprotein (HDL) protein in the different Solomon Island societies. This study establishes a distinctive Solomon Island lipid profile characterized by the high apo E levels, which appear to be associated primarily with the HDL particle, whereas, in normal Western populations, it is associated primarily with VLDL, and only small quantities are associated with HDL.

Adult↗

Family planning: personal and political perspectives from Choiseul Province, Solomon Islands.

Rapid population growth has put family planning on personal and political agendas in the Solomon Islands. With the release of a population policy in 1988, national leaders sanctioned the concept of family planning as a key strategy in reducing the rate of population growth. On a personal level, Solomon Islanders share their government's concern about population problems. There is a shortage of arable land, health services are stretched, and there are limited places in school for children. A study in Choiseul Province, a rural area in Solomon Islands, suggests that people want smaller families but have limited means to control their fertility. Meagre resources and infrastructure, compounded by geography, climate, culture and religion, constrain the development of family planning services.

Adolescent↗

Comparison of treatment schedules for Plasmodium vivax infections in the Solomon Islands.

A total of 26 patients infected with Solomon Islands strains of Plasmodium vivax was treated with one of three regimens of cloroquine-primaquine, in an attempt to determine the relapse patterns and the response to treatment of the local strains of parasite. The results suggest that the standard course of chloroquine-primaquine provides a radical cure for the strains of Plasmodium vivax from the Solomon Islands, provided that strict supervision of drug administration is enforced.

Adolescent↗

Number of epidermal melanocytes, hair follicles, and sweat ducts in skin of Solomon Islanders.

The number of epidermal appendages and melanocytes in forearm skin of three groups of Solomon Islanders has been determined. There were no significant differences in the number of hair follicles or sweat ducts among Solomon Islander groups, nor between them and a Caucasian group used for comparison. The Nasioi and Kwaio, however, do have a significantly higher melanocyte population than Caucasian groups. This difference may in part be due to the exposure of the Solomon Islander skin used in this study to chronic solar radiation.

Epidermal Cells↗

Cancer in Solomon Islands 1970-82.

An analysis of the pathology reports of cancer at the Central Hospital, Honiara, Solomon Islands from 1970 to 1982 revealed that skin cancer, lymphohaemopoietic malignancy, cancer of the digestive organs and oral cancer were the most common cancers in males, and that cancer of the genito-urinary organs, skin cancer, breast cancer and lymphohaemopoietic malignancy were the most common cancers in females. Leukaemia and lymphoma were the most common cancers diagnosed in children. Although this is a selected series, there are definite similarities with cancer data reported from Papua New Guinea, and significant differences from patterns of cancer reported from Australia. Cancer of the mouth and liver appear to be more common in Solomon Islanders, and cancer of the large bowel and lung less common compared with Australians. These differences probably relate to the effect of different environmental agents. The present prospects for prevention and control of cancer in Solomon Islands is discussed.

Adult↗

The community in the classroom: designing a distance education community health course for nurses in Solomon Islands.

In 1994 in order to improve educational opportunities for nurses in the Solomon Islands and to try the distance learning model as an educational method, the Distance Education Programme of the Ministry of Health implemented five post basic nursing certificate courses for health workers. This paper focuses on issues and experiences in the development of the Community Health course which in some ways as the most difficult of the courses to prepare. As in many Pacific Island countries, the geographic context of Solomon Islands creates isolated working situations for rural health practitioners, with difficult and limited communications. Each module in the course consists of a study guide with glossary and in-text questions, hand-outs, and an assignment. Videos are available to accompany several units and practical teaching aides are also given. Audiotapes for teaching sessions are currently being developed. The benefits of the distance education model offered in this course are discussed in detail and attention is drawn to some of the difficulties encountered. Overall, the outcome of the trial of this method has been highly successful.

Education, Distance↗

Tuberculin and histoplasmin sensitivity in six solomon islands populations.

Skin testing with antigens from Histoplasma capsulatum, Mycobacterium tuberculosis (PPD-S), and atypical mycobacteria (PPD-B, PPD-G, PPD-Y, and PPD-platy) was carried out among six population groups in the Solomon Islands between 1968 and 1972. There was no positive reaction to histoplasmin among any of the groups, suggesting that histoplasmosis is not endemic in the Solomon Islands. There were significant numbers of tuberculin reactors among each group. Largest mean reactions to PPD-S were present among the Lau and Ulawa, in whom reactions to PPD-S were larger than those to any other antigen tested. Thus significant infection with M. tuberculosis appears to occur in these populations. This was corroborated by radiologic survey. Among the Lau, large reactions to PPD-G and PPD-Y were also elicited, raising the possibility of multiple infection. Among the Aita, Baegu, Nagovisi, and Ontong Java, PPD-G elicited the largest reactions. PPD-G produced the second largest reactions among the Lau and Ulawa. PPD-S elicited the largest or second largest reaction among 4 of the 6 groups. A notable exception was the Aita, in whom PPD-S elicited the smallest mean reaction. The Aita also had the lowest prevalence of radiologic findings consistent with tuberculosis. These observations suggest that M. tuberculosis has been introduced into the Solomon Islands from outside sources, a hypothesis which may explain the variability in prevalence of tuberculosis-like disease demonstrated by chest film among the six groups. Genetic differences may also play a role in this variability. The study also demonstrated a high prevalence of "baseline" sensitivity to the atypical mycobacteria among the Solomon Islanders. This sensitivity may confer some immunity to infection with M; tuberculosis, but this protection is far from complete.

Adolescent↗

A survey to gather sexually transmitted disease epidemiological and management data in the Solomon Islands.

A survey of 15 clinics and hospitals in the Solomon Islands (a South Pacific nation with a 45% rate of penicillin-resistant gonorrhoea) was undertaken to audit the quality of sexually transmitted diseases data collection, adherence to public health fundamentals and knowledge of the national gonorrhoea management guidelines. With the exception of one town clinic, data collection was limited, syphilis serological testing was low (28%) and correct knowledge of the national gonorrhoea treatment guidelines was also limited to 4/8 clinics (50%). Contact tracing was definitely undertaken in 2/8 (25%) of clinics. A high male/female notification ratio (3.6:1) for gonorrhoea was detected. Solomon Island clinics may be typical of other South Pacific Island communities in their inadequate attention to public health fundamentals. Every effort should be made to identify these shortcomings and provide feedback to clinic health workers to improve this service, particularly in the context of the more recent arrival of the HIV epidemic in the region.

Contact Tracing↗

Interfamilial and intrafamilial genomic diversity and molecular phylogeny of human T-cell lymphotropic virus type I from Papua New Guinea and the Solomon Islands.

To determine the interstrain genomic diversity and molecular phylogeny of the recently identified variants of human T-cell lymphotropic virus type I (HTLV-I) in Melanesia, we enzymatically amplified, then directly sequenced representative regions of the gag, pol, and env genes of HTLV-I strains from 10 members of four families, including one family from Papua New Guinea and three families from the Solomon Islands. When aligned and compared to a Japanese strain of HTLV-I (ATK), the Melanesian HTLV-I strains differed by 7.6 to 8.7% in the gag, 7.1 to 9.3% in the pol, and 7.3 to 8.2% in the env gene regions. Based on 931 nucleotides, the overall sequence divergence of the 10 Melanesian HTLV-I strains from HTLV-I ATK was 7.3 to 8.1% (68 to 75 base substitutions). The intrafamilial genetic heterogeneity among these virus strains was nil to 0.2%, while the interfamilial sequence variation between HTLV-I strains from the Solomon Islands and those from Papua New Guinea was 3.4 to 4.2%, and the genetic heterogeneity among virus strains from the three Solomon Islands families was 0.2 to 0.9%. Using the maximum parsimony and neighbor-joining methods, phylogenetic analysis indicated that the HTLV-I strains from Papua New Guinea and the Solomon Islands formed a monophyletic group and that the Melanesian and cosmopolitan strains of HTLV-I have evolved along two major geographically dependent lineages.

Base Sequence↗

Rainforest composition and histories of human disturbance in Solomon Islands.

On the basis of a Solomon Islands case study, we report that tropical rainforests hitherto perceived as untouched, pristine, virgin, etc., are actually sites of former settlement, extensive forest clearance, and irrigated/swidden agriculture. An unusually wide range of sources--rainforest ecology, forest classification and mapping, ethnobotany, land-use history, oral traditions, ethnographic and archaeological observations--supports our conclusions. These observations have bearings for contemporary perspectives on scenarios for rainforest regeneration after logging. They also force a revision of certain assumptions concerning Melanesian prehistory and historical demography, and indicate that interdisciplinary links between botany, archaeology and social anthropology are needed to achieve a better appreciation of rainforest dynamics.

Anthropology, Cultural↗

Markedly high seroprevalence of hepatitis B virus infection in comparison to hepatitis C virus and human T lymphotropic virus type-1 infections in selected Solomon Islands populations.

To determine the prevalences of hepatitis B virus (HBV), hepatitis C virus (HCV), and human T lymphotropic virus type-1 (HTLV-1) infections in residents of the Solomon Islands, we surveyed 1,610 serum samples from 1,113 outpatients and 497 healthy volunteer blood donors at the Central Hospital in Honiara, the Solomon Islands. The prevalence of hepatitis B surface antigen (HBsAg) by radioimmunoassay (RIA) (n = 315, 19.6%) was significantly different from that of antibody to HCV (anti-HCV) by a second-generation enzyme immunoassay (EIA) (n = 4, 0.2%) and antibody to HTLV-1 (anti-HTLV-1) by an ELISA with Western blot analysis to verify the positivity (n = 49, 3.0%) (P < 0.0001, respectively). There were no significant differences in the prevalences of these markers between outpatients and blood donors. Hepatitis B e antigen (HBeAg) was detected by RIA in 130 (41.3%) of 315 HBsAg-positive samples. The distribution of HBsAg subtypes by EIA was 190 adr (60.3%), 111 ayw (35.2%), and 14 (0.4%) other subtypes. The HBeAg prevalence decreased with age in all groups for each subtype. There were no significant differences in the prevalence of HBeAg among HBsAg subtypes. We conclude that HBV infection is highly endemic in selected Solomon Islands populations, and that the high prevalence of HBeAg may be associated with the spread of HBV infection there.

Adolescent↗

The Solomon Islands Project: an introduction.

The twin themes of the Solomon Islands Biomedical Project remain 1) the remarkable genetic heterogeneity of the groups in the Solomons; and 2) the differential responses to these groups to rapid modernization/acculturation over the past two decades of this long term study. This introduction summarizes the historical and ethnic relationships of the survey groups, their established genetic distances and their rankings with regard to acculturation at the times of their first survey, and changes occurring up to 1985-86. Relevant features of diet, life style, and epidemiology are described.

Acculturation↗

Antibodies against Toxoplasma gondii in the Pacific bottlenose dolphin (Tursiops aduncus) from the Solomon Islands.

Serum samples from 58 Pacific bottlenose dolphins (Tursiops aduncus) from the Solomon Islands were tested for the IgG antibody to Toxoplasma gondii by the latex agglutination test (LAT), enzyme-linked immunosorbent assay (ELISA), and immunoblotting. The ELISA cut-off value was taken as OD > or = 0.276, and the final dilution ratio, recognized as positive, was represented by the end titer. In 25 of 58 samples, no antibody activity was detected by LAT and ELISA. In 8 of 58 samples, anti-T. gondii IgG antibodies were detected by both LAT and ELISA, with titers of greater than 1 : 64 and 1 : 160, respectively. By immunoblotting, the 8 serum samples producing higher titers showed specific antibody IgG binding to several antigens on the T. gondii lane, but not on the Neospora caninum lane. No specific bands were noted on the lanes for either parasite in the 25 serum samples for which no antibody activity was detected. The specific binding of IgG antibodies to T. gondii antigens observed for serum samples producing higher titers suggests that Pacific bottlenose dolphins from the Solomon islands are exposed to T. gondii.

Animals↗

Solomon Islander skin pigmentation: ultrastructural differences related to genetic variation in Melanesia.

Genetic differences between Solomon Islander populations are distinguishable on the basis of melanosome packaging in epidermal keratinocytes. By electron microscopic study of skin pigmentation in various Melanesian populations, we have found distinct inter-island differences in the mode of melanosome packaging. Melanosomes are found as singlets in the skin of Bougainville Islanders but are found aggregated in melanosome complexes in Malaita Islanders and Ontong Javanese. This variation in melanosome packaging represents an important biologic difference found between Solomon Islanders and may reflect the genetic diversity existing in the original Melanesian founding population or the genetic diversity existing in the original Melanesian founding population or populations.

Genetic Variation↗

Yaws in the Solomon Islands.

Yaws is a chronic, relapsing, non-venereally transmitted disease caused by Treponema pertenue. As a result of the WHO mass treatment campaign of the late 1950s, the prevalence in the Solomon Islands fell dramatically. Here the disease was thought to have been eradicated until an outbreak occurred in 1981. In 1984 a mass treatment survey following modified WHO guidelines was carried out. Subsequent to this campaign, yaws recurred and in 1987 a further treatment survey was required. Two observations were made as a result of our recent experience in controlling yaws in the Solomon Islands. (1) The disease appears to be attenuated. (2) WHO control policy may now be an inappropriate method for dealing with yaws in the Solomon Islands and should be replaced by a method which is integrated into the existing primary health care (PHC) structure.

Adolescent↗

A review of the Malaria Eradication Programme in the Solomon Islands 1975-1976.

The review outlines the developments in the Solomon Islands Malaria Eradication Programme (MEP) during the period 1975 - 1976. In most of the islands of the Solomons group MEP continues to be successful, but overall progress is hindered by persistent foci in areas of high malaria endemicity in north Guadalcanal. Some changes in the operational methodology are described, together with a report on supplementary measures carried out in the 'problem area' of north Guadalcanal.

Financing, Government↗