Objective:To assess the level of community capacity for dengue prevention and control and to study household environments and larval indices in southern Thailand.Methods:A crosssectional survey was designed for the st...Objective:To assess the level of community capacity for dengue prevention and control and to study household environments and larval indices in southern Thailand.Methods:A crosssectional survey was designed for the study,enrolling two communities with higher dengue incidence rate than the standard over the past five years.Data gathering was conducted by the dengue leader group(DLG),including 15 leaders and 15 non-leaders trained by the research team.The dengue community capacity assessment tool(DCCAT) for leaders(115 items.14 domains) and non-leaders(83 items,11 domains).Participants were selected by the DLG based on their communities’ dengue risk.In the low-dengue incidence(LDI) community,32 leaders and 177 non-leaders were selected;while in the high-dengue incidence(HDI) community,31 leaders and 199 non-leaders were chosen.Results:The leaders from the LDI and the HDI communities demonstrated high levels of dengue community-capacity(360.47±58.82,416.22±57.72). Non-leaders in the LDI community demonstrated a moderate level of dengue community capacity competence(205.90±60.76),while the non-leaders in the HDI community had a high level (254.78±50.34).Conclusions:These initial levels of dengue community capacity serves as a baseline for diagnosing each community.For a community that needed to improve its capacity, the DCCAT is essential tool to conduct a pre-post intervention assessment or a serial assessment. A participatory approach is taken to enable local communities to carry out anti-dengue efforts on their own,rather than have intervention by an outsider.展开更多
Dengue has been a critical problem for an Islamic School, Nakhon Si Thammarat province, Southern Thailand. Objectives: 1) to build student capacity;and 2) to evaluate the results of student capacity building. Method: ...Dengue has been a critical problem for an Islamic School, Nakhon Si Thammarat province, Southern Thailand. Objectives: 1) to build student capacity;and 2) to evaluate the results of student capacity building. Method: Participatory Action Research: PAR was applied in three phases: 1) the school-based preparation phase;2) the process of building student capacity phase, and 3) evaluation of the results of the student capacity building. Independent T-Test statistical method was used to analyze student capacity both before and after the intervention. Larval Indices were determined through ratio analysis. Results: Prior to the intervention, there was no clear strategy for combating dengue. In this study, three groups were formed to build student capacity: a leader group, a non-leader group, and a support group. The leader group (48 student leaders), critical to the study, was set as a dengue club named “Eliminate Ades Aegypti, the culprit of dengue” which focused on eight sets of activities: “Dengue or Death”, “Seniors educating juniors”, “Reward for good answers”, “Dengue monitoring team”, “Youth to expel mosquetoes”, “Mosquito or busy”, “Garbage elimination of Pondok”, and “Essential doctors”. The level of student capacity for the prevention and control of dengue of a sampling of 308 student representatives of the Pondok (Islamic school) showed an increase after intervention ( (SD);56.78 (17.06);65.33(15.36) and different statistic significant (P < 0.001). The Larval indices ratio levels had decreased from the original levels (BI = 244, HI = 45, and CI = 26) after intervention (BI = 137, HI = 39, and CI = 19). Dengue morbidity and mortality rates were not found during the study. Discussion: Although there had been an increase in student capacity, a decrease in the larval indices ratio, and the absence of a dengue epidemiology index, the high risk of a dengue epidemic might still be found in the school because the ratio of larval indices were higher than the standard index. Then, the committed participation of students, school, and communities around the school vicinity is needed in building student capacity of dengue prevention and control.展开更多
This article introduced the vision building concept about human influenza pandemic prevention and control.Different visions were built by creating different shapes of building blocks which also represented different o...This article introduced the vision building concept about human influenza pandemic prevention and control.Different visions were built by creating different shapes of building blocks which also represented different organizations and physical facilities,respectively.The around-view reflection is required to be developed in the process of building so as to search for the ideal pattern.The correlation of all sectors and systems are established to combine different kinds of things,from one family to another,from communities,towns,counties,cities,rural areas, provinces to the state to handle trivial problems.These training objectives have been successfully accomplished,which has not only enriched the knowledge about prevention and control of influenza pandemic between different departments but also clarified the roles and responsibility. It lays the firm foundation for next cooperation between different departments,and make a bridge for the objective and choice of channel over human influenza pandemic prevention and control.展开更多
The quality of human life has been greatly improved with the rapid development of the market economy.However,at the same time,people are paying more attention to the problems caused by environmental pollution.As a res...The quality of human life has been greatly improved with the rapid development of the market economy.However,at the same time,people are paying more attention to the problems caused by environmental pollution.As a result,there is an increase in environmental awareness.At the present stage,people are concerned about the negative impact that building construction has on the environment.Building construction enterprises must have preventive measures and deal with environmental pollution during construction.This is to minimize pollution caused by construction and to satisfy the implementation of green civilization construction.This is important as it can enhance the development of socialist spiritual civilization and thus promote the expansion of enterprises in the long run.The author explores and analyzes the main types of environmental pollution generated in building construction.Besides,the author provides effective measures for the prevention and control of environmental pollution caused by building construction to reduce its adverse impact on the environment.展开更多
Background:The geographic distribution and burden of dengue is increasing globally.This study aims to evaluate dengue outbreaks and to substantiate the need for strengthened surveillance,reporting and control in Eritr...Background:The geographic distribution and burden of dengue is increasing globally.This study aims to evaluate dengue outbreaks and to substantiate the need for strengthened surveillance,reporting and control in Eritrea.Methods:Data from two cross-sectional dengue epidemic investigations in 2005 and 2010 were analyzed.Samples were tested for dengue virus-specific IgM and IgG antibodies using capture enzyme-linked immunosorbent assays.Dengue vectors’breeding attributes were characterized and epidemic risk indices determined.National routine surveillance weekly reports from 2005 to the second quarter of 2015 were analyzed for spatiotemporal trends.Results:Dengue outbreaks increased in Eritrea from 2005 to 2015 with clinical presentation varying markedly among patients.The house and container indices for Aedes aegypti were 40 and 39.6%respectively,with containers having A.aeqypti varying significantly(P<0.04).Serum from 33.3%(n=15)and 88%(n=26)of clinical dengue cases in Aroget sub-Zoba(district)of Gash Barka Zoba(region)contained anti-DENV IgM antibody in 2005 and 2006,respectively.The national surveillance data from 2005 to 2015 indicate an overall spatiotemporal increase of dengue fever.Conclusions:The increase in dengue outbreaks has been confirmed in Eritrea and necessitates strengthening of surveillance and health worker and laboratory capacity,as well as targeted vector control interventions.展开更多
Background:Chinese Center for Disease Control and Prevention(China CDC)introduced the Structured Operational Research Training Initiative(SORT IT)into China to build a special capacity and equip public health professi...Background:Chinese Center for Disease Control and Prevention(China CDC)introduced the Structured Operational Research Training Initiative(SORT IT)into China to build a special capacity and equip public health professionals with an effective tool to support developing countries in strengthening their operational research.The paper aims to investigate and analyze the implementation,outcomes and challenges of the first cycle of SORT IT in China.展开更多
Environmental pollution caused by rapid economic development like that seen in China over the past twenty years poses various threats to human health. People have started to place much more of an emphasis on environme...Environmental pollution caused by rapid economic development like that seen in China over the past twenty years poses various threats to human health. People have started to place much more of an emphasis on environmental security, working to find a balance between sustainability and economic growth. In recent years, air pollution has emerged as a highly discussed topic of social and environmental relevance in China, due in part to persistent smog that affects everyday life and causes serious harm to human health. Although air pollution is normally associated with human activity, is can be caused by natural processes such as eruptions and forest fires, but is always characterized by the release of certain substances into the atmosphere which, when present in certain concentrations or for given durations, can harm human health, daily life, productivity, and other aspects. In humans, it mainly affects the respiratory system, notably the lungs, as well as the immune system. A series of studies both in China and overseas have shown, in certain cases, even low concentrations of air pollution can pose a great threat to human health. In this study, we conducted an analysis of air quality policies, focusing on the 2018 revision of the People’s Republic of China’s Law on the Prevention and Control of Air Pollution(LPCAP). We utilized the content analysis method and Strauss and Corbin’s grounded theory to construct a policy framework, demarcate analysis units, code and classify policy texts, determine descriptive statistics, and analyze dimensional interactions. We used two dimensions(basic policy instruments classified as demand-, supply-, and environment-side;and air carrying capacity) to quantify and analyze the LPCAP, which enabled us to analyze the deficiencies and conflicts within policy instruments. The results show a higher utilization frequency of environment-side policy instruments, particularly regulation management and strategic measures. This reflects efforts by the government to create a favorable environment for improving air quality. Additionally, supply-side policy instruments are used far less frequently than environment-side policy instruments. Air quality legal policies and pollution control measures mainly consist of environment-side policy instruments;ecological thinking and air quality policies that are based mainly on supply-side and environment-side policy instruments;and social coordination policies that mainly use environment-side policy instruments. Based on the results of this study, we recommend an increase in the number of supply-and demand-side policy instruments, particularly the latter which includes promoting ecological thinking amongst citizens, to optimize and improve air pollution prevention and control policies.展开更多
基金the Thai Health Promotion Foundation for permission to conduct this study and a grant to finance it
文摘Objective:To assess the level of community capacity for dengue prevention and control and to study household environments and larval indices in southern Thailand.Methods:A crosssectional survey was designed for the study,enrolling two communities with higher dengue incidence rate than the standard over the past five years.Data gathering was conducted by the dengue leader group(DLG),including 15 leaders and 15 non-leaders trained by the research team.The dengue community capacity assessment tool(DCCAT) for leaders(115 items.14 domains) and non-leaders(83 items,11 domains).Participants were selected by the DLG based on their communities’ dengue risk.In the low-dengue incidence(LDI) community,32 leaders and 177 non-leaders were selected;while in the high-dengue incidence(HDI) community,31 leaders and 199 non-leaders were chosen.Results:The leaders from the LDI and the HDI communities demonstrated high levels of dengue community-capacity(360.47±58.82,416.22±57.72). Non-leaders in the LDI community demonstrated a moderate level of dengue community capacity competence(205.90±60.76),while the non-leaders in the HDI community had a high level (254.78±50.34).Conclusions:These initial levels of dengue community capacity serves as a baseline for diagnosing each community.For a community that needed to improve its capacity, the DCCAT is essential tool to conduct a pre-post intervention assessment or a serial assessment. A participatory approach is taken to enable local communities to carry out anti-dengue efforts on their own,rather than have intervention by an outsider.
文摘Dengue has been a critical problem for an Islamic School, Nakhon Si Thammarat province, Southern Thailand. Objectives: 1) to build student capacity;and 2) to evaluate the results of student capacity building. Method: Participatory Action Research: PAR was applied in three phases: 1) the school-based preparation phase;2) the process of building student capacity phase, and 3) evaluation of the results of the student capacity building. Independent T-Test statistical method was used to analyze student capacity both before and after the intervention. Larval Indices were determined through ratio analysis. Results: Prior to the intervention, there was no clear strategy for combating dengue. In this study, three groups were formed to build student capacity: a leader group, a non-leader group, and a support group. The leader group (48 student leaders), critical to the study, was set as a dengue club named “Eliminate Ades Aegypti, the culprit of dengue” which focused on eight sets of activities: “Dengue or Death”, “Seniors educating juniors”, “Reward for good answers”, “Dengue monitoring team”, “Youth to expel mosquetoes”, “Mosquito or busy”, “Garbage elimination of Pondok”, and “Essential doctors”. The level of student capacity for the prevention and control of dengue of a sampling of 308 student representatives of the Pondok (Islamic school) showed an increase after intervention ( (SD);56.78 (17.06);65.33(15.36) and different statistic significant (P < 0.001). The Larval indices ratio levels had decreased from the original levels (BI = 244, HI = 45, and CI = 26) after intervention (BI = 137, HI = 39, and CI = 19). Dengue morbidity and mortality rates were not found during the study. Discussion: Although there had been an increase in student capacity, a decrease in the larval indices ratio, and the absence of a dengue epidemiology index, the high risk of a dengue epidemic might still be found in the school because the ratio of larval indices were higher than the standard index. Then, the committed participation of students, school, and communities around the school vicinity is needed in building student capacity of dengue prevention and control.
基金supported by a grant form by the World Bank(FIo-016) for China capacity building for highly pathogenic avian influenza prevention and human pandemic influenza preparedness projectgranted by Australia, European Union,and other donor countries
文摘This article introduced the vision building concept about human influenza pandemic prevention and control.Different visions were built by creating different shapes of building blocks which also represented different organizations and physical facilities,respectively.The around-view reflection is required to be developed in the process of building so as to search for the ideal pattern.The correlation of all sectors and systems are established to combine different kinds of things,from one family to another,from communities,towns,counties,cities,rural areas, provinces to the state to handle trivial problems.These training objectives have been successfully accomplished,which has not only enriched the knowledge about prevention and control of influenza pandemic between different departments but also clarified the roles and responsibility. It lays the firm foundation for next cooperation between different departments,and make a bridge for the objective and choice of channel over human influenza pandemic prevention and control.
文摘The quality of human life has been greatly improved with the rapid development of the market economy.However,at the same time,people are paying more attention to the problems caused by environmental pollution.As a result,there is an increase in environmental awareness.At the present stage,people are concerned about the negative impact that building construction has on the environment.Building construction enterprises must have preventive measures and deal with environmental pollution during construction.This is to minimize pollution caused by construction and to satisfy the implementation of green civilization construction.This is important as it can enhance the development of socialist spiritual civilization and thus promote the expansion of enterprises in the long run.The author explores and analyzes the main types of environmental pollution generated in building construction.Besides,the author provides effective measures for the prevention and control of environmental pollution caused by building construction to reduce its adverse impact on the environment.
基金supported in part by the Emerging Pathogens Institute at the University of Florida and the College of Liberal Arts and Sciences,as part of the University of Florida Pre-eminence Initiativesupported by The SMART Scholarship Program,which is funded by the ASD/R&E(Assistant Secretary of Defense for Research and Education),Defense–Wide/PE0601120D8Z National Defense Education Program(NDEP)/BA-1,Basic Research.Grant Number N00244-09-1-0081.
文摘Background:The geographic distribution and burden of dengue is increasing globally.This study aims to evaluate dengue outbreaks and to substantiate the need for strengthened surveillance,reporting and control in Eritrea.Methods:Data from two cross-sectional dengue epidemic investigations in 2005 and 2010 were analyzed.Samples were tested for dengue virus-specific IgM and IgG antibodies using capture enzyme-linked immunosorbent assays.Dengue vectors’breeding attributes were characterized and epidemic risk indices determined.National routine surveillance weekly reports from 2005 to the second quarter of 2015 were analyzed for spatiotemporal trends.Results:Dengue outbreaks increased in Eritrea from 2005 to 2015 with clinical presentation varying markedly among patients.The house and container indices for Aedes aegypti were 40 and 39.6%respectively,with containers having A.aeqypti varying significantly(P<0.04).Serum from 33.3%(n=15)and 88%(n=26)of clinical dengue cases in Aroget sub-Zoba(district)of Gash Barka Zoba(region)contained anti-DENV IgM antibody in 2005 and 2006,respectively.The national surveillance data from 2005 to 2015 indicate an overall spatiotemporal increase of dengue fever.Conclusions:The increase in dengue outbreaks has been confirmed in Eritrea and necessitates strengthening of surveillance and health worker and laboratory capacity,as well as targeted vector control interventions.
文摘Background:Chinese Center for Disease Control and Prevention(China CDC)introduced the Structured Operational Research Training Initiative(SORT IT)into China to build a special capacity and equip public health professionals with an effective tool to support developing countries in strengthening their operational research.The paper aims to investigate and analyze the implementation,outcomes and challenges of the first cycle of SORT IT in China.
基金The National Social Science Foundation Major Project of China(18AFX023).
文摘Environmental pollution caused by rapid economic development like that seen in China over the past twenty years poses various threats to human health. People have started to place much more of an emphasis on environmental security, working to find a balance between sustainability and economic growth. In recent years, air pollution has emerged as a highly discussed topic of social and environmental relevance in China, due in part to persistent smog that affects everyday life and causes serious harm to human health. Although air pollution is normally associated with human activity, is can be caused by natural processes such as eruptions and forest fires, but is always characterized by the release of certain substances into the atmosphere which, when present in certain concentrations or for given durations, can harm human health, daily life, productivity, and other aspects. In humans, it mainly affects the respiratory system, notably the lungs, as well as the immune system. A series of studies both in China and overseas have shown, in certain cases, even low concentrations of air pollution can pose a great threat to human health. In this study, we conducted an analysis of air quality policies, focusing on the 2018 revision of the People’s Republic of China’s Law on the Prevention and Control of Air Pollution(LPCAP). We utilized the content analysis method and Strauss and Corbin’s grounded theory to construct a policy framework, demarcate analysis units, code and classify policy texts, determine descriptive statistics, and analyze dimensional interactions. We used two dimensions(basic policy instruments classified as demand-, supply-, and environment-side;and air carrying capacity) to quantify and analyze the LPCAP, which enabled us to analyze the deficiencies and conflicts within policy instruments. The results show a higher utilization frequency of environment-side policy instruments, particularly regulation management and strategic measures. This reflects efforts by the government to create a favorable environment for improving air quality. Additionally, supply-side policy instruments are used far less frequently than environment-side policy instruments. Air quality legal policies and pollution control measures mainly consist of environment-side policy instruments;ecological thinking and air quality policies that are based mainly on supply-side and environment-side policy instruments;and social coordination policies that mainly use environment-side policy instruments. Based on the results of this study, we recommend an increase in the number of supply-and demand-side policy instruments, particularly the latter which includes promoting ecological thinking amongst citizens, to optimize and improve air pollution prevention and control policies.
