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At least 19 recordsLinked to original sources
PubMed1997

Prevalence of antibody to Trypanosoma cruzi in three populations in Belize.

Cross-sectional studies were conducted to determine the prevalence of antibody to Trypanosoma cruzi, the agent of Chagas' disease among three populations in Belize. Specimens were tested using a second-generation enzyme-linked immunoassay (EIA). Confirmatory testing with three single-antigen EIAs and a radioimmunoprecipitation assay (RIPA) were performed. Five (0.5%) of 962 blood donors at the Belize City Hospital were reactive including four (6%) of 65 donors from countries known to be endemic for Chagas' disease and one (0.1%) of 861 from Belize (P < 0.001). Among 467 healthy members of the Belize Defense Force, none were reactive. The third group included workers and families primarily from other Central American countries living on a banana plantation in a rural area of the country. Twenty-seven (6.1%) of 442 sera were reactive. The prevalence was 5.3% of 75 < 15 years of age, 4.2% of 236 15-34 years of age, and 9.7% of 124 > or = 35 years of age (P = 0.11, by chi-square for trend). The prevalence was similar in males (6.7% of 280) and females (5.8% of 154). The prevalence of those born in Belize (4 of 56, 7.1%) was similar with that of those born in El Salvador (9 of 110, 8.2%), Guatemala (6 of 117, 5.1%), and Honduras (8 of 129, 6.2%). Of the four persons with reactive sera who were born in Belize, the immigrant mother of one was also reactive, suggesting possible congenital transmission. Among 31 sera repeatedly reactive by EIA to T. cruzi that were further studied, 22 (71%) were reactive by at least two of three single-antigen confirmatory EIAs and 29 (94%) by RIPA. Additional studies should focus on the epidemiology of T. cruzi and ways to reduce risk of transfusion-related infections in Belize.

Adolescent↗
PubMed1993

The prevalence of hepatitis A, B and C infection among different ethnic groups in Belize.

Little is known about the prevalence of infection with hepatitis viruses in Belize, Central America. We conducted a serologic survey among members of the Belize Defence Force (BDF), which is composed of the five major ethnic groups in Belize, to estimate prevalence rates of hepatitis A, B, and C among military-aged men and women in Belize. Of approximately 600 men and women in the BDF, 492 (82%) completed a questionnaire and blood collection. Antibody to hepatitis A was found in 94%, with similar rates by age, sex, rank, and ethnicity. Antibody to hepatitis B core antigen (anti-HBc) was found in 31%. Rates of anti-HBc varied significantly among the ethnic groups with the lowest rates in Mestizo (5%) and Mayan Indians (9%), and significantly higher rates among Creoles (30%) and Garifuna (56%). Rates increased with increasing age from 28% in those 18-24 years old to 35% in those > or = 35 years old (P = 0.07, by chi-square test for trend). Hepatitis B surface antigen was found in 21 (4%) overall. Antibody to hepatitis C was found in two (0.4%). In this young healthy population, exposure to hepatitis A before the age of 18 is almost universal, while exposure to hepatitis B is related to age and ethnic origin.

Adult↗
PubMed1994

Growth status of school-age Mayan children in Belize, Central America.

This paper reports the growth status of a sample of Mopan Maya school children living in a rural village in Belize. These children exhibit a growth pattern typical of chronic undernutrition, in that a high percentage are stunted (66%), but virtually none are wasted by WHO criteria. The Belize Maya children are compared to four other Amerindian groups and found to be shorter and lighter than a semi-urban group from Guatemala, but taller and heavier than three rural groups from Guatemala and Mexico. The Belize children exhibit the largest arm circumferences among all five groups. This pattern of growth is discussed in light of current ideas concerning the contribution of genetics vs. environment to childhood growth and population well-being.

Adolescent↗
PubMed1978

Histoplasmosis in Belize, Central America.

After two small outbreaks of histoplasmosis in Belize, an epidemiologic survey was carried out. Forty percent of 141 persons in two groups tested demonstrated a positive histoplasmin reaction. In one study group there was a significant association between visiting caves and histoplasmin positivity. Histoplasma capsulatum was not isolated in 20 soil specimens collected from outbreak-associated caves, but was isolated from 1 of 26 bats collected from the same caves. The presence of histoplasmosis in Belize, C.A. is documented, and this disease should be considered in differential diagnosis in patients, both residents and visitors in Belize, with compatible clinical presentations.

Adolescent↗
PubMed1995

Prevalence of hepatitis B virus among health care workers in Belize, Central America.

A seroprevalence survey of hepatitis B virus (HBV) markers was conducted among health care workers in Belize to help determine the epidemiology of hepatitis B and to determine if screening before immunization might lower vaccine costs. Of the 330 workers tested, 94 (29%) were positive for antibody to HBV core antigen (anti-HBc) and three (1%) had HBV surface antigen. The presence of anti-HBc increased significantly with age from 12% in those 18-24 years old to 52% in those > or = 50 years old. The rate was 17% of 48 men compared with 30% of 282 women (P = 0.05). Rates increased with years of medical service and were higher among nurses (69 of 228; 30%) and nonprofessional staff (15 of 44; 34%) than among physicians (0 of 20). The presence of anti-HBc also differed significantly among ethnic groups: Mestizo, 4%; Creole, 33% and Garifuna, 57%. Rates differed by district ranging from 3% in a northern district (mostly Mestizo) to 67% in a southern district (mostly Garifuna). Parental exposure to hepatitis B through needle stick injuries and blood transfusions was not associated with anti-HBc. Multiple logistic regression analysis confirmed ethnicity, district of residence, and age as the best predictors of anti-HBc in health care workers. Cost analysis suggests that because of regional differences in exposure, testing of health care workers for anti-HBc in the Belize and Stann Creek districts in southern Belize before hepatitis B immunization would result in vaccine program cost savings.

Adolescent↗
PubMed1981

Patterns of growth and malnutrition among preschoolers in Belize.

An anthropometric survey of 750 preschoolers was conducted 1979 in Belize to assess nutritional status in two districts, one coastal and the other inland. Mothers were interviewed concerning reproductive history, child's health and dietary history, and associated factors. Analysis included the recognition of low arm circumference, weight-for-age, stature-for-age, and weight-for-stature. Survey results indicate that about 25% of the children, birth to 5 years old, show evidence of stunting, while 2.5% show evidence of wasting. Comparisons of rates of malnutrition by ethnic group reveal the Maya and Garifuna (Black Carib) children are significantly more commonly malnourished than others. Applying a discriminant function to groups of children designated as "poor" and "better-than-average" growth classes reveals several factors which may be contributory to the etiology of preschool malnutrition in Belize. the frequency of diarrhea and age at introduction to sold foods, are significantly related to growth retardation among preschoolers. Analysis of 24-hour-diet recalls corroborates the patterning of malnutrition among the ethnic groups.

Age Factors↗
PubMed1984

The isolation and isoenzyme characterization of Leishmania braziliensis subsp. from patients with cutaneous leishmaniasis acquired in Belize.

Leishmanial organisms were cultivated from cutaneous lesions of British military personnel returning from Belize. Isoenzyme profiles of the freshly isolated organisms and 'marker' strains of New World Leishmania spp. were compared using 10 enzymes (ALAT, ASAT, ME, GPI, MPI, PGM, SOD, 6-PGDH, G-6-PDH and MDH), by starch gel electrophoresis. 19 of the 22 new isolates from Belize were isoenzymically indistinguishable from Leishmania braziliensis braziliensis (10 out of 10 enzymes) and clearly differentiated from L. b. guyanensis and L. b. panamensis (different in 6 out of 10 enzymes) and from L. mexicana mexicana and L. m. amazonensis (9 out of 10 enzymes). Two isolates closely resembled L. m. mexicana and one could not be positively identified. This is the first report of autochthonous human leishmaniasis caused by L. braziliensis group organisms as far north as latitude 16 degrees N.

Belize↗
PubMed1988

Prevalence of leptospirosis in Belize.

In a search for leptospirosis in Belize, at least one current case was diagnosed among 11 febrile hospital patients examined in a 2-week period in mid-1984. Sera from 440 survey subjects in 6 schools, 4 urban communities and 9 rural communities were examined for leptospiral antibodies by the microscopic agglutination test. 20 of 174 (11.5%) school pupils, 19 of 88 (22%) urban community subjects and 66/178 (37%) rural community subjects were positive at titres greater than or equal to 1:50, and 7.5%, 17% and 26%, respectively, were positive at greater than or equal to 1:100. Among all groups of survey subjects, serological reactions to antigens in the Australis serogroup predominated. Up to 81% of 155 sera from cattle in various areas of Belize were positive at titres greater than or equal to 1:100. Serological reactions to serogroup Sejroe predominated (43%), followed by Pyrogenes (16%) and Australis (15%). 20 of 71 (28%) pig sera were positive at greater than or equal to 1:100, predominantly to serovars in the Australis serogroup (51%). Of 162 sheep or goat sera examined, 65 (40%) were positive at greater than or equal to 1:100, mainly to serogroup Autumnalis (25%), followed by Australis (15%).

Animals↗
PubMed1993

Prostitution and the military: planning AIDS intervention in Belize.

First world militaries based in 'third world' countries offer an appropriate context for developing AIDS intervention models that are keyed to large-scale population movements and regional differences in HIV infection. In this work, the ethnographic concept of 'social interface' replaces the epidemiological concept of 'risk group' to allow for a more dynamic analysis of the particular forms of interactions between groups that may be linked to the sexual transmission of HIV. The social interface between military and sex workers in Belize displays two distinct forms of organization: (1) 'recognized prostitution' in health-regulated brothels, and (2) 'quasi-prostitution' in non-health regulated public sites such as bars and hotels. These two forms are also distinguished by the ethnicity, national origin, and professional identity of sex workers. Based on survey-form participant-observation in Belize and cross-cultural data on condom use, the social identity of sex workers emerges as a factor crucial to understanding how public health information is incorporated by heterosexuals who put themselves at risk for HIV in different social contexts. The scope of analysis shifts between the personal and transnational; discussion of the possibilities for inter-governmental negotiations regarding AIDS policy issues is included.

Acquired Immunodeficiency Syndrome↗
PubMed1980

Maya medicinal plants of San Jose Succotz, Belize.

The traditional use of plants for medicine was studied in the Maya village of San José Succotz, Belize. Sixty-four species were collected and 106 remedies are described. The ethnobotany of Succotz is discussed in relation to traditional concepts of medicine, ritual and magic in treatment of illnesses, and biochemically active constituents of the plants. Use of plants in Belize and the Yucatan is compared.

Belize↗
PubMed1996

Characterization of Anopheles darlingi (Diptera: Culicidae) larval habitats in Belize, Central America.

Surveys for larvae of Anopheles darlingi Root were conducted in April, May, and August 1994 in riverine habitats of central Belize (Cayo and Belize districts). An. darlingi was present during both the dry and wet seasons. Larvae were encountered most frequently in patches of floating debris along river margins. The floating mats were often formed by bamboo hanging over the banks and dense submersed bamboo roots. Larvae were found less frequently in lake margins, small lagoons, and ground pools with submersed roots and patches of floating leaves or vegetation. In addition to their association with floating debris, larvae of An. darlingi were associated positively with shade and submersed plants in riverine environments. Samples from river habitats showed the larvae of Anopheles albimanus Wiedemann to be strongly associated with sun-exposed sites containing green or blue-green algae. Unlike An. darlingi, An. albimanus was an ubiquitous mosquito, the immatures of which occurred in a wide variety of riverine and nonriverine aquatic habitats. Based on published reports and our experience, the association of An. darlingi with river systems was verified, and its distribution in Central America and Mexico was mapped.

Animals↗
PubMed1997

Mitochondrial DNA polymorphisms in Carib people of Belize.

Analysis of mitochondrial DNA (mtDNA) control region polymorphisms in 28 Carib people of Belize, former British Honduras, revealed high levels of genetic admixture with West African populations. A previously characterized length mutation consisting of a deletion of nine base pairs in an intergenic mtDNA region was observed in two of the individuals. Phylogenetic analysis of mtDNA control region sequences associated with the mutation suggested that it arose independently in different geographical locations. Whereas in one individual the deletion reflects the Amerindian ancestry of the Caribs, in the second case it seems to be of African origin, as it occurred in conjunction with an mtDNA type found in sub-Saharan Africa. Our results agree with historical accounts on the origins of the Caribs of Belize.

Africa South of the Sahara↗
PubMed1997

Army helicopter casualty evacuations in Belize in 1995 and 1996.

Since the withdrawal of Royal Air Force Puma helicopters from Belize in 1994, the role of casualty evacuation (CASEVAC) of British military personnel, Belizean citizens and foreign nationals throughout the country, has passed to 25 Flight Army Air Corps, currently equipped with Gazelle helicopters. Details of casualty evacuations during 1995 and 1996 have been collated and analysed in order to provide information on casualty types, and the locations from which casualties have been evacuated, during this 2 year period. The data so obtained might be used to ensure the future provision of an appropriately equipped CASEVAC helicopter, or to highlight common causes of significant morbidity in British troops deployed to Belize.

Aerospace Medicine↗
PubMed1996

Predictions of malaria vector distribution in Belize based on multispectral satellite data.

Use of multispectral satellite data to predict arthropod-borne disease trouble spots is dependent on clear understandings of environmental factors that determine the presence of disease vectors. A blind test of remote sensing-based predictions for the spatial distribution of a malaria vector, Anopheles pseudopunctipennis, was conducted as a follow-up to two years of studies on vector-environmental relationships in Belize. Four of eight sites that were predicted to be high probability locations for presence of An. pseudopunctipennis were positive and all low probability sites (0 of 12) were negative. The absence of An. pseudopunctipennis at four high probability locations probably reflects the low densities that seem to characterize field populations of this species, i.e., the population densities were below the threshold of our sampling effort. Another important malaria vector, An. darlingi, was also present at all high probability sites and absent at all low probability sites. Anopheles darlingi, like An. pseudopunctipennis, is a riverine species. Prior to these collections at ecologically defined locations, this species was last detected in Belize in 1946.

Animals↗
PubMed1993

Preliminary observations on the changing roles of malaria vectors in southern Belize.

A survey for larval and adult Anopheles mosquitoes was conducted in Toledo District of southern Belize during August-September 1992. We surveyed for larvae in 145 habitats and conducted paired indoor-outdoor collections of adult mosquitoes landing on humans at 6 houses. In 1940-41, Kumm and Ram reported Anopheles darlingi females to be the most common Anopheles mosquitoes inside houses and reported no specimens of Anopheles vestitipennis in southern Belize. In our 1992 survey we found no An. darlingi mosquitoes either as adults or larvae. More An. vestitipennis females were captured indoors than outdoors, whereas most Anopheles albimanus and Anopheles apicimacula females were captured outdoors. All 3 species were represented occasionally in 145 collections of larvae from diverse habitats. Anopheles vestitipennis now appears to be a potentially important vector of malaria during the wet season in Toledo District.

Animals↗
PubMed1998

Feeding ecology of the black howler monkey (Alouatta pigra) in northern Belize.

We studied the feeding ecology of the black howler monkey (Alouatta pigra) from March 1994 to April 1995 in the Community Baboon Sanctuary in northern Belize, Central America. Activity and diet composition were recorded using continuous focal animal sampling. Diet composition was compared with the relative abundance of plant parts eaten by the howlers within the study site. The study animals spent an average of 24.4% of their time feeding, 61.9% resting, and approximately 9.8% traveling. In contrast to previously published reports on A. pigra, we found the diet composition to be similar to that of other Alouatta species (conforming to the folivore/frugivore profile), with 41% of feeding time spent eating fruit, 45% foliage, and 11% flowers. This contrast may indicate a wide degree of dietary flexibility that allows A. pigra to inhabit a variety of habitat types. We suggest that a high level of resource abundance throughout the year makes the Community Baboon Sanctuary excellent habitat for Alouatta pigra.

Alouatta↗
PubMed1978

Skin colorimetry in Belize. I. Conversion formulae.

Comparisons between skin colorimetry reports have been hampered by the common use of two different types of portable reflectometers, which sample reflectances at different wavelengths. In an attempt to provide direct comparability between the two machines, multiple linear regression equations were derived from reflectance spectrophotometry readings on 308 Black Caribs and 175 Creoles in Belize, Central America, using both machines. Cross validation tests show the coefficients presented are applicable to independent data sets and generally applicable to other heavily pigmented populations. Comparisons with previously published conversion formulae, which were from very small samples using simple linear regression, show a definite improvement in predictive accuracy when using multiple regression equations based on a large sample.

Belize↗
PubMed1982

Skin colorimetry in Belize. II. Inter- and intra-population variation.

Skin colorimetry readings taken in Belize, Central America (formerly British Honduras) with the two most commonly used portable reflectometers reveal significant differences in mean reflectance between Garifuna (Black Caribs) and Creoles, and between Garifuna in two settlements. These differences are related to variation in African, Indian, and European admixture, as estimated from serological markers. Sex differences are not evident in univariate comparisons, but females are significantly lighter than males in multivariate analyses of variance. Polynomial age trends exist in some groups for certain variables, but account for a very small amount of the variation in skin color within these groups.

Adolescent↗