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PubMed1988

Refraction and its components in Melanesian schoolchildren in Vanuatu.

Refraction and its components were measured on 788 Melanesian children and 39 children of other races, aged 6 through 19 years, in the South Pacific island nation of Vanuatu. Of the 788 Melanesian children, 766 (97.2%) were found to have uncorrected visual acuity of 6/6 or better, and 763 (96.8%) were found to have a spherical equivalent refraction between -0.25 and +1.00 D. Only 23 (2.9%) Melanesian children were found to have myopia greater than 0.25 D, only 2 (0.3%) were found to have hyperopia greater than 1.00 D, and only 2 (0.3%) were found to have refractive astigmatism greater than 1.00 D. Mean corneal refracting power was greater for girls than for boys, at all ages, but did not appear to change in any regular manner with age. Mean axial length and mean vitreous length were greater for boys than for girls, at all ages, each increasing approximately 1.0 mm from age 6 and 7 years to age 18 and 19 years. Although the low prevalence of ametropia may be considered to be due mainly to genetic factors, the possibility of environmental factors cannot be excluded.

Adolescent↗
PubMed1994

Molecular evolution and epidemiology of dengue-3 viruses.

The nucleic acid sequences of the pre-membrane/membrane and envelope protein genes of 23 geographically and temporally distinct dengue (DEN)-3 viruses were determined. This was accomplished by reverse transcriptase-PCR amplification of the structural genes followed by automated DNA sequence analysis. Comparison of nucleic acid sequences revealed that similarity among the viruses was greater than 90%. The similarity among deduced amino acids was between 95% and 100%, and in many cases identical amino acid substitutions occurred among viruses from similar geographical regions. Alignment of nucleic acid sequences followed by parsimony analysis allowed the generation of phylogenetic trees, demonstrating that geographically independent evolution of DEN-3 viruses had occurred. The DEN-3 viruses were separated into four genetically distinct subtypes. Subtype I consists of viruses from Indonesia, Malaysia, the Philippines and the South Pacific islands; subtype II consists of viruses from Thailand; subtype III consists of viruses from Sri Lanka, India, Africa and Samoa; subtype IV consists of viruses from Puerto Rico and the 1965 Tahiti virus. Phylogenetic analysis has also contributed to our understanding of the molecular epidemiology and worldwide distribution of DEN-3 viruses.

Amino Acid Sequence↗
PubMed2005

Filarial susceptibility and effects of Wolbachia in Aedes pseudoscutellaris mosquitoes.

The mosquito Aedes pseudoscutellaris (Theobald), a member of the Aedes (Stegomyia) scutellaris complex (Diptera: Culicidae), is an important vector of subperiodic Wuchereria bancrofti (Cobbold) (Spirurida: Onchocercidae), causing human lymphatic filariasis, on South Pacific islands. Maternal inheritance of filarial susceptibility in the complex has previously been asserted, and larval tetracycline treatment reduced susceptibility; the maternally inherited Wolbachia in these mosquitoes were suggested to be responsible. To investigate the relationship of these two factors, we eliminated Wolbachia from a strain of Ae. pseudoscutellaris by tetracycline treatment, and tested filarial susceptibility of the adult female mosquitoes using Brugia pahangi (Edeson & Buckley). Filarial susceptibility was not significantly different in Wolbachia-free and infected lines of Ae. pseudoscutellaris, suggesting that the Wolbachia in these mosquitoes do not influence vector competence. Crosses between Wolbachia-infected males and uninfected females of Ae. pseudoscutellaris showed cytoplasmic incompatibility (CI), i.e. no eggs hatched, unaffected by larval crowding or restricted nutrient availability, whereas these factors are known to affect CI in Drosophila simulans. Reciprocal crosses between Ae. pseudoscutellaris and Ae. katherinensis Woodhill produced no progeny, even when both parents were Wolbachia-free, suggesting that nuclear factors are responsible for this interspecific sterility.

Aedes↗
PubMed1996

Profiles of destructive periodontal disease in different populations.

In this study we evaluated the traditional view that the severity of periodontal disease varies between populations in that African and Asian populations are more severely affected than other populations. Our data on periodontal destruction in two random samples of a Kenyan and a Chinese adult population were recalculated to conform with the methods of examination and data presentation utilized in each of 6 other studies of attachment loss levels in different populations. The adult Kenyan and the adult Chinese group, who had very poor oral hygiene conditions and massive gingival inflammation, had attachment loss levels which were quite similar to those in a Japanese population (31), in a Norwegian population (27) and in a New Mexico group of adults (30). Attachment losses were similar in a population of young US adults (26) aged between 35 and 60 years relative to the corresponding Kenyan and Chinese groups while young US citizens had higher and elderly US citizens had lower mean attachment levels than either Kenyans and Chinese. Higher attachment loss levels beyond the age of 27 years were reported for a population of Sri Lankan Tamil tea workers (27) and across all ages in two South Pacific island populations (29). Overall, the analysis indicates that the periodontal attachment loss profiles may differ between populations, but that these differences do not conform with the traditional generalization that African and Asian populations suffer more severe periodontal breakdown than other populations.

Adolescent↗
PubMed1995

Ciguatera Poisoning.

Ciguatera poisoning is a worldwide problem associated with ingestion of certain toxin-containing fish. The disease was named after a turban-shelled snail known as "cigua" in the Spanish Antilles, which was mistakenly thought to be the cause of this disease.1 More than 200 species of fish have been implicated, the most common of which include grouper, red snapper, barracuda, amberjack, and less commonly mackerel, surgeonfish, and sea bass. Toxin-containing fish may be found in tropical areas extending approximately 35 degrees latitude on either side of the equator, but the increase in air travel and the relative ease of shipping fish long distances have meant that both travelers and people living outside those areas may be affected.2 In major endemic areas, including the Caribbean and the South Pacific islands, the incidence of ciguatera poisoning ranges from 50-500 cases annually per 10,000 population, making it one of the more common illnesses in those areas. I report two cases of ciguatera poisoning in a husband and wife following barracuda ingestion and briefly review the clinical manifestations, diagnosis, and treatment of this disease.

Journal Article↗
PubMed1988

Myopia in Melanesian school children in Vanuatu.

Visual acuity, refraction, and the components of refraction were measured in 788 Melanesian children in the South Pacific island nation of Vanuatu. Of the 788 children, 97.2% were found to have uncorrected visual acuity of 6/6, 96.8% were found to have a spherical equivalent refraction between -0.25 and +1.00 D, 2.9% were found to have myopia of 0.50 or more, 0.25% were found to have hyperopia of 1.25 D or more, and 0.25% were found to have refractive astigmatism of 1.25 D or more. The low prevalence of ametropia may be considered to be due mainly to genetic factors; however, the possibility of environmental factors cannot be ruled out.

Child↗
PubMed1979

Clinical observations on 3,009 cases of ciguatera (fish poisoning) in the South Pacific.

Clinical observations on ciguatera were collected between 1964 and 1977 on 3,009 patients from several South Pacific island groups. Patients generally presented with neurologic symptoms such as parasthesia, vertigo, and ataxia, in addition to gastrointestinal symptoms such as diarrhea, abdominal pain, nausea, and vomiting. Patients with this illness usually became symptomatic less than 24 hours after ingestion of the fish and most patients (76.8%) developed symptoms in less than 12 hours. Significant differences in certain symptoms were noted between Melanesian and Polynesian ethnic groups, suggesting a susceptibility difference, or a difference in the nature of the toxin found in different areas of the Pacific. Being poisoned multiple times appeared to result in a clinically more severe illness than disease observed in patients experiencing ciguatera for the first time.

Adolescent↗
PubMed1980

Immediate and delayed hypersensitivity skin test responses to the Dirofilaria immitis filarial skin test (Sawada) antigen in Wuchereria bancrofti filariasis.

In order to assess the immunodiagnostic utility of FST skin test antigen purified from Dirofilaria immitis, skin test responses were analyzed in 177 inhabitants of a South Pacific island hyperendemic for Wuchereria bancrofti filariasis. Although the distribution of immediate hypersensitivity skin test responses was similar to those found in other filarial endemic populations, individual immediate skin test reactions lacked the sensitivity and specificity to identify those with microfilaremia or those with any clinical or parasitologic evidence of filarial disease. Delayed hypersensitivity type skin test reactions were elicited by the antigen in 60% of people but again these delayed cutaneous reactions did not correlate with the presence or absence of stigmata of filariasis. These findings document the limitation of this antigen preparation in the immunodiagnosis of filariasis in residents of an endemic area.

Adolescent↗
PubMed1985

Comparative susceptibility of mosquito species and strains to oral and parenteral infection with dengue and Japanese encephalitis viruses.

Thirty-four strains of Asian and Pacific mosquitoes belonging to 22 species of 7 genera were compared for oral and/or parenteral susceptibility to infection with 1 or more strains of each of the 4 dengue serotypes. Surprisingly, several species of common man-biting Aedes were much more susceptible to oral infection with each of the 4 dengue serotypes than was Aedes aegypti. These species included Aedes albopictus and members of the scutellaris group of the subgenus Stegomyia found on South Pacific islands. Mosquito strains and species relatively susceptible to 1 dengue serotype usually were relatively susceptible to the others also. Almost all species of Aedes tested were uniformly susceptible to parenteral infection with the dengue viruses but, with the exception of a species of Tripteroides, species of all other genera were comparatively resistant to that mode of infection. Dengue viruses usually replicated to about the same extent in orally-infected mosquitoes as they did in parenterally-infected specimens of the same species. Seventeen species of mosquitoes of 7 genera also were tested for parenteral susceptibility to infection with Japanese encephalitis virus. With the possible exception of 2 species of Anopheles, the virus replicated to about the same degree in all species tested and achieved levels considerably higher than did any of the dengue viruses in the same mosquito strain and species held under the same conditions.

Aedes↗
PubMed1987

Migration and mortality: the experience of birthplace groups in Australia.

"Wide diversity exists in the mortality experience of different birthplace groups in Australia, and this also occurs with respect to their cause of death profiles. Most migrant groups experience lower mortality in Australia than in their country of origin, and most experience lower mortality than the Australian-born population. In the latter case the main [groups] are the Scots, Irish, Poles, South Pacific Islanders, Scandinavian men and North American women. Exceptionally high levels of survival occur among Greeks and Italians in Australia. The lower risk of mortality from heart disease is a principal reason for the deficit between observed and expected deaths of most migrant groups in Australia." The analysis is based on deaths of those aged 15-74 by birthplace, as recorded by the Australian Bureau of Statistics in the years 1980, 1981, and 1982.

Australia↗
PubMed1991

Diagnostic values of ELISA-IgG4 as compared to ELISA-IgG and indirect immunofluorescence, for the routine diagnosis of bancroftian filariasis in the South Pacific. Application on capillary blood collected on filter paper.

For the serodiagnosis of lymphatic filariasis, serological assays restricted to the detection of specific IgG4 antibodies enhanced the specificity. In French Polynesia, Wuchereria bancrofti is the sole human filaria and other pathogenic parasites are infrequent. In order to define a simple and cheap serological test, we have compared the diagnostic value of indirect immunofluorescence test (IFI-WBp), ELISA-IgG and ELISA-IgG4 assays. The specificity, sensitivity, R.O.C. curves of each test have been analyzed. No significant difference was found between those 3 tests, except that the reproducibility and the predictive value were lower using IFI-WBp than using the two ELISAs. Significant correlation was found between IgG and IgG4 anti-Brugia malayi antibody titers (r = 0.512, p less than 10(-5)). For large scale seropidemiological studies, ELISA-IgG can be performed with finger prick blood absorbed on filter paper, but not ELISA-IgG4. In conclusion, ELISA-IgG a less expensive and less time consuming method than ELISA-IgG4, can be used for the routine serodiagnosis as well as for seroepidemiological studies on bancroftian filariasis in the South Pacific islands.

Animals↗
PubMed1991

A 3-year community-based periodontal disease prevention programme for adults in a developing nation.

A field trail of a community programme for improving periodontal health of adults was carried out in a geographically remote, unsophisticated rural population in the South Pacific islands of Tonga. The 3-year project (1986-89) involved three village communities, each with a population of approximately 1200. Village N received supplies of toothbrushes and toothpaste without charge, health education (videos, talks, posters) and periodic dental scaling (ultrasonic). Village K received the same as N except that dental scaling was not provided. Village E received none of the services provided to the villages N and K. Baseline and final examinations of 20-44-year olds showed that unsupervised self-care promoted at the community level, when supplemented with periodic removal of subgingival calculus, significantly improved periodontal health. Improvement was age dependent.

Adult↗
PubMedDate not supplied

[The human immunodeficiency virus (HIV) and the acquired immunodeficiency syndrome (AIDS) in New Caledonia].

The authors report on 15 HIV seropositive cases detected within 2 years in New Caledonia (150,000 inhabitants). Testing HIV antibodies was systematic among blood donors (9,917 persons) and was carried out in defined samples (1,475 persons): population at risk, rural area, and tests required by clinicians. All seropositive individuals belong to "high risk group". One certain AIDS case, group IV C (as defined by CDC Atlanta), another probable one (early death) and several opportunistic infections: herpes zoster, oral and candidosis, were observed. Biological exploration is quite good (Pasteur Institute in Noumea). However, therapy is problematic in this South Pacific Island, and management of seropositive patients is difficult.

AIDS Serodiagnosis↗
PubMed1983

Evaluating pedigree data. I. The estimation of pedigree error in the presence of marker mistyping.

Pedigrees used in the analysis of genetic or medical data are usually ascertained from sources subject to a variety of errors including misidentification of individuals, faults in historical documents or record linkage, nonpaternity, and unidentified adoption. Genetic markers can be used to verify putative family and pedigree data through the search for inconsistencies, or genetic exclusions, between putative parents and offspring. The probability of observing an exclusion given the occurrence of an error depends upon the gene frequencies at the loci under study and the forms of error. In addition, inconsistencies can arise from laboratory errors in marker determination. Together, these problems make the proper statistical analysis of such data desirable. Here we give a model that specifies the combined effects of various kinds of pedigree error along with genetic marker error. This model allows the maximum-likelihood estimation of the rates of various forms of pedigree error and laboratory error from genetic marker data collected on putative families. The method is illustrated by applying it to data obtained from a South Pacific island population, Tokelau. From the observed distribution of genetic marker inconsistencies between the parents and offspring of putative families, derived from the extensive genealogy of this population, we are able to estimate that the error of a paternal link is 4%, the error of a maternal link is zero, and the overall system typing error is 1%.

Alleles↗
PubMed1994

[Leprosy in New Caledonia from 1983 to 1992. Histopathological and epidemiological data].

New Caledonia is a South Pacific Island inhabited by more than 170,000 people: most of them are melanesians or europeans. Multidrug therapy for Hansen disease has been employed since 1983; so we made an epidemiologic and histopathologic study of the new cases diagnosed for 10 years, from 1983 to 1992. Local (clinical, histological, microbiological and immunological) means of diagnosis are described. In New Caledonia, the endemic level is lower than in the small neighbouring Pacific islands but there is still a native reservoir of Mycobacterium leprae with 40% multibacillary types. Nearly half of the new cases are less than 25 years old. They are often male melanesians. The diagnosis of indeterminate forms is debated when there is no acid-fast bacillus. Border-line forms are rare. Tuberculoid leprosy poses many differential diagnosis problems. Despite available multidrug therapy, one cannot yet consider that the incidence is decreasing significantly.

Adult↗
PubMed1998

[Eosinophilic meningitis due to Angiostrongylus cantonensis].

Angiostrongylus cantonensis is the most common etiological agent of eosinophilic meningitis. Adults are harbored in the pulmonary arteries of rats. Larvae develop within various natural (mollusks) and paratenic (snails...) hosts. After ingestion, larvae reach the human central nervous system where they cannot complete their life cycle. This zoonosis is usually seen in Southeast Asia and South Pacific islands. Nevertheless, a few imported cases have been reported in Western countries, possible because of the incubation delay. Mild meningeal irritation signs, paresthesia, cranial nerve abnormalities (i.e: II, III, VI, VII) are the most usual by encountered signs. Severe cases with brain involvement have been reported. In endemic areas, typical clinical signs associated with C.S.F. eosinophilic pleocytosis allow the diagnosis but Elisa test may be useful. Prognosis is always excellent even if headache and malaise may last a few weeks. No antihelminthic agent is efficient against Angiostrongylus cantonensis. Prophylaxia by public health counselling program is fruitful.

Angiostrongylus cantonensis↗
PubMed1996

[International trade in living penaeid shrimp between countries in the Pacific and the Atlantic areas and in Europe].

The tremendous development of penaeid shrimp culture across the world over the past twenty years has led to international trade in eggs, larvae and spawners of the best shrimp species for aquaculture. Trade has involved, in particular, the following species: -Penaeus japonicus from Japan to Europe, the Pacific Islands and South America -P. monodon from South-East Asia to almost all tropical countries -P. vannamei and P. stylirostris from countries along the Pacific coast of South and central America to the United States of America, the islands of the South Pacific, countries along the Atlantic coast of the Americas and certain countries in Africa. In the 1980s, research conducted by American and French teams enabled the breeding of stocks of spawners in captivity. This resulted in the establishment of lines of captive broodstock outside natural areas of distribution, and the development of new breeding farms in previously unproductive regions. Trade related to movements of these species is facilitated by the absence of legislation in most countries; even when such legislation does exist, it is not always applied. These practices have led to the rapid development of world shrimp production, but have also contributed to the dissemination of pathogens. In recent years, the occurrence of serious epizootics - occasioning heavy losses world-wide - has led to a more cautious approach involving trade of post-larvae obtained from captive broodstock in which thorough control measures have been implemented for known diseases. Trade in wild shrimp will probably be abandoned progressively, to avoid the risk of introducing new pathogens. The main challenges for research in the near future are the development of diagnostic tools, to enable continuous control of captive broodstock, and the selection of strains which are resistant to the principal pathogens affecting these species.

Animals↗