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The risk of viral hepatitis A, B, C, and E among North American missionaries.

The seroprevalence and incidence of hepatitis A, B, C, and E virus infection were determined among North American missionaries (n = 328) serving in various geographic locations between 1967 and 1984. The mean age of subjects at entry into the study was 39.7 years (range 5-73 years); 65% were female; 89% had lived outside the United States before the study began. Seventy-eight percent of subjects served in sub-Saharan Africa during the study. At initial evaluation, 50.9% of the subjects had antibodies to hepatitis A virus (total anti-HAV), 8.5% to hepatitis B virus core antigen (total anti-HBc), 0.6% to hepatitis C virus (total anti-HCV by second-generation immunoblot assay), and 0% to hepatitis E virus (IgG anti-HEV). After an average period of service of 7.3 years (2,396 person-years total), 5.8% of the missionaries seroconverted to anti-HAV, 5.5% to anti-HBc, 0.6% to anti-HCV, and 0% to anti-HEV. This study indicates a relatively low risk of hepatitis C and E virus infection among missionaries while confirming the previously reported high risk of hepatitis A and B virus infection. Hepatitis A and B vaccination is recommended for long-term travelers to developing countries.

Adolescent↗

Risk of Helicobacter pylori infection among long-term residents in developing countries.

The seroprevalence and incidence of Helicobacter pylori infection were determined among 312 North American missionaries who were serving in developing countries between 1967 and 1984. The majority (81%) resided in sub-Saharan Africa. When initially evaluated, the missionaries had a mean age of 40 years, 65% were female, and all were of white race/ethnicity. An ELISA showed that the initial prevalence of IgG antibody to H. pylori was 17%. After a mean of 7.4 years of service (1917 person-years of exposure), 37 (14%) of 259 initially seronegative subjects seroconverted to anti-H. pylori, giving an annual incidence of 1.9%. These data indicate a relatively higher risk of H. pylori infection among missionaries compared with an annual incidence of seroconversion of 0.3-1.0% in industrialized nations. Long-term residents in developing countries should be evaluated for H. pylori infection when gastrointestinal symptoms develop.

Adult↗

[Biwasaki Leprosarium--a century of dedication].

Biwasaki Leprosarium, or Biwasaki Tairo Hospital, was established by Father Jean Marie Corre, a French Priest, in 1898. He was born in Brittany France, 1850. After being ordained to the priesthood, he came to Nagasaki, Kyushu, in 1876. He was just twenty six years old. He was greatly moved at the sight of the Hansenites and other sick people around the Honmyoji Temple in Kumamoto, Kyushu, which is one of the well-known temples in Japan. They were making a bare living by the charitable contributions of the pilgrims who visited the Temple, in those days. Fr. Corre moved from Nagasaki to Kumamoto. First, he built a church in Tetori, Kumamoto, and rented a house near the Honmyoji and began to look after the needs of the Hansenites. In 1896, he bought a large lot at Biwasaki in the Shimasaki area, Kumamoto, where is not far from Honmyoji. He remodeled some houses into the so-called sanatorium and started to accommodate those suffering from Hansen's disease. At the outset, he had the cooperation of nuns and church workers to look after the patients' needs. Furthermore, Fr. Corre appealed to Rome for the help and/or support in 1898 in order to expand this kind of project, and five nuns were dispatched in the following year from the Franciscan Missionaries of Mary in Rome. And since then the sisters have devoted themselves assiduously and faithfully to help the Hansenites as far as possible and they are still doing this. However, in 1963, a fire broke out from one of toilets and made a clear sweep of the whole building.(ABSTRACT TRUNCATED AT 250 WORDS)

Christianity↗

Re-entry syndrome.

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Cross-Cultural Comparison↗

[Memisa and home care for AIDS patients in Zambia].

Health care in Zambia has since long been receiving support from non-governmental organizations (NGOs) like Memisa. Church organizations bear responsibility for a considerable part of the national health services. During the last 15 years, growing attention has been given to improvement of basic services in the villages and to recruitment and organization of groups in the community active in the field of health care. The combat against AIDS is a major focus. Many NGOs give health education on HIV and AIDS, are coaching HIV-positive individuals and are trying to organize support for AIDS patients and their relatives and relief for women and children after the death of husband or father. The community home care projects established in the urban areas of Copperbelt province in Zambia provide a decent terminal phase for AIDS patients and assist the surviving families in maintaining a certain socioeconomic level of existence.

Acquired Immunodeficiency Syndrome↗

Lessons from Lambaréné. Part I.

The following two-part article is Dr. Mattison's reflections on his experiences with Albert Schweitzer at Hôpital du Dr. Albert Schweitzer, Lambaréné, Gabon, Africa, from December of 1961 through April of 1963. Gabon, once a part of French Equatorial Africa, is located on the west coast of Africa. Dr. Mattison has chronicled and provided unique insight into Dr. Schweitzer's career and beliefs through both written text and photography. The photographs accompanying this article were taken by Joel and Jean Mattison, and are here borrowed from the archives at Princeton Theological Seminary. These and other photographs were recently complied in "Visiting Hours at Lambaréné: Photographic Reminiscences of Albert Schweitzer, 1961-1963" for an exhibition for the International Albert Schweitzer Colloquium in August of 1990 at the United Nations, in commemoration of the silver anniversary of Schweitzer's death.

Christianity↗