A report from the Communicable Diseases Network Australia, 1 April to 30 June 2005.
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The incidence of enteric communicable diseases in 77 kibbutzim (agricultural communal settlements) practicing wastewater spray irrigation with partially treated nondisinfected oxidation pond effluent is compared with that in 130 kibbutzim practicing no form of wastewater irrigation. The incidence of shigellosis, salmonellosis, typhoid fever, and infectious hepatitis is two to four times higher in communities practicing wastewater irrigation. No significant differences are found for the incidence of streptococcal infections, tuberculosis, and laboratory-confirmed cases of influenza. Nor are differences found for enteric disease rates during the winter nonirrigation season. Strong wastewater treatment measures, including effective bacterial and viral inactivation through disinfection, are recommended for all cases of sewage irrigation or land disposal near residential areas in light of the potential public health risks involved.
Given the increase of the burden of non-communicable diseases (NCD) and the possibility to avoid it, it is urgent to implement or strengthen NCD preventive programs in Latin America. However, many myths hinder the implementation of NCD programs. Myths on NCD include: a) NCD are degenerative and incurable; b) they are diseases of the elderly; c) they are diseases of the rich. Like wise there are myths about NCD preventive programs are: a) difficult to implement, b) expensive, and c) ineffective. We present data that demonstrate how these myths are untrue and discuss the challenges to find a balanced health policy that emphasizes the importance of NCD without overlooking other diseases.
The problems associated with the Wakefield salmonella and the Stafford Legionnaires' disease outbreaks and the recommendations of the Acheson Committee formed in response led to the creation of the position of Consultant in Communicable Disease Control (CCDC) within the District Health Authorities. The reality of the position as implemented differs from that envisaged by the Acheson Committee and has resulted in ambiguities about the role of the CsCDC, the source of their support, and the range of their responsibilities. This paper, by an American invited to review the position, outlines the history of the position, the current status of CsCDC, and the barriers to effective performance of the position. It ends with a series of recommendations for improving disease control within England by solidifying the position, establishing its role in disease control within the National Health Service and recommending an educational/training pathway to attract and prepare physicians for the position.
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In December 2004 a major disaster occurred in the Indian Ocean killing over 150,000 people (USAID, 2005). This article will look at interventions required to control communicable diseases in an emergency. It is an introduction to emergency public health interventions for UK nurses who are responding to an international disaster.