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Collaborative Efforts and Strategies for Cholera Outbreak Control in Garissa County, Kenya: Implementation of Water Quality Monitoring Interventions

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Journal of Water Resource and Protection 2024年第2期16卷 123-139页

作者： Michael Habtu Mark Nanyingi Ali A. Hassan Abdiwahid M. Noor Joel Mutyandia Muli Alan Mwika Julius Wekesa Ahmed Fidhow Diba Dulacha Landry Kabego Ishata Nannie Conteh Andre Arsene Bita Fouda Sonia Chene Aden H. Ibrahim Ahmed Nadhir Omar Martins C. Livinus Abdourahmane Diallo world health organization Nairobi Kenya Department of health Garissa County Government Garissa Kenya Water Resources Authority Garissa Kenya world health organization Regional Office for Africa Brazzaville Congo Regional Agency for health Dijon France

A multi-faceted Case Area Targeted Intervention (CATI) approach emphasizing the integration of Water, Sanitation and Hygiene (WASH) interventions and Oral Cholera Vaccine (OCV) campaign was employed to respond to the outbreak of cholera in Garissa County. Drinking water sources in areas heavily impacted by cholera were systematically mapped and tested for microbiological quality. The quality assessment was carried out in April 2023 during an ongoing cholera outbreak in the county. A total of 109 samples were collected and tested for thermotolerant coliforms and other in situ parameters. The finding revealed that more than 87% of the samples did not meet the world health organization (WHO) standard for thermotolerant coliforms;and 30% had turbidity values above the recommended threshold values. None of the 109 samples had any traceable residual chlorine. Following these findings, the county government implemented the targeted interventions which resulted in a positive impact in the fight against cholera. The WHO supported key interventions which included capacity building in water quality monitoring and prepositioning of critical WASH commodities to the cholera affected areas.

关键词： Cholera Drinking Water Household Water Treatment Kenya

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Navigating interdisciplinary research:Historical progression and contemporary challenges

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Journal of Data and Information Science 2024年第3期9卷 14-28页

作者： Xiaoqiang Li Fen Cai Jintao Bao Yuqing Jian Zehui Sun Xin Xie The office of Science and Technology Development Peking UniversityBeijing 100871China National Center for health Professions Education Development Peking UniversityBeijing 100871China Graduate School of Education Peking UniversityBeijing 100871China The office of Scientific Research Peking UniversityBeijing 100871China

Interdisciplinary research plays a crucial role in addressing complex problems by integrating knowledge from multiple *** integration fosters innovative solutions and enhances understanding across various *** study explores the historical and sociological development of interdisciplinary research and maps its evolution through three distinct phases:pre-disciplinary,disciplinary,and *** identifies key internal dynamics,such as disciplinary diversification,reorganization,and innovation,as primary drivers of this ***,this study highlights how external factors,particularly the urgency of world War II and the subsequent political and economic changes,have accelerated its *** rise of interdisciplinary research has significantly reshaped traditional educational paradigms,promoting its integration across different educational ***,the inherent contradictions within interdisciplinary research present cognitive,emotional,and institutional challenges for ***,finding a balance between the breadth and depth of knowledge remains a critical challenge in interdisciplinary education.

关键词： Interdisciplinary research Historical sociology Development phases Interdisciplinary challenges

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Pathogens of first-episode pulmonary infection in 141 children with chronic granulomatous disease

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Chinese Medical Journal 2024年第4期137卷 502-504页

作者： Hui Liu Shunying Zhao Haiming Yang Jinrong Liu Hui Xu Xiaolei Tang Yuelin Shen Xiaoyan Zhang Xiaohui Wen Yuhong Zhao Ping Chu Huimin Li Department of Second Respiratory Medicine National Clinical Research Center for Respiratory DiseasesBeijing Children’s HospitalCapital Medical UniversityNational Center for Children’s HealthBeijing 100045China office of Scientific Research Beijing Children’s HospitalCapital Medical UniversityNational Center for Children’s HealthBeijing 100045China

To the Editor:Chronic granulomatous disease(CGD)is an inherited primary immunodeficiency disease characterized by recurrent life-threatening bacterial or fungal infection and tissue granuloma formation.^([1])Pulmonary infection is the most frequent manifestation,affecting nearly 80%of patients,[2]and remains the major cause of morbidity and mortality in patients with *** of the pathogenic microorganisms responsible for first-episode pulmonary infection provide information on the spectrum of infection in patients with CGD,help guide the empirical choice of antibiotics or antifungal therapy,and contribute to the early identification and management of *** is the commonest causative agent of pulmonary infection,but the distribution of other pathogens varies among countries.^([2–5])Few studies have investigated the etiology of pulmonary infection in CGD in a large cohort in China.

关键词： granuloma infection mortality

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Geoengineering: proactive measures to tackle climate change

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National Science Review 2024年第4期 299-304页

作者：朱禾 the editorial office of NSR in beijing

As of 20 August, 2023, extensive parts of northern China including the capital city of beijing had experienced arguably the hottest summer in recent years, recording consecutive days of high temperatures at or near 40°C. Against this backdrop, National Science Review (NSR) organized a web forum on a climate-related topic that needs more exposure to Chinese public and researchers alike:geoengineering.

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The COVID-19 Vaccines Evaluation Program:Implementation,Management,and Experiences,2021-2023

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China CDC weekly 2024年第26期6卷 642-648页

作者： Tingting Yan Hui Zheng Mingshuang Li Chao Ma Xuanyi Wang Xiaoqi Wang Zhenjun Li Yuansheng Chen Wenshang Hu Lance Rodewald Zhijie An Zundong Yin Zijian Feng National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases(NITFID).National Immunization Program Chinese Center for Disease Control and PreventionBeijingChina Institutes of Biomedical Sciences Fudan UniversityShanghaiChina office of International Cooperation Chinese Center for Disease Control and PreventionBeijingChina office of Science and Technology Chinese Center for Disease Control and PreventionBeijingChina office of Finance Chinese Center for Disease Control and PreventionBeijingChina Chinese Preventive Medicine Association BeijingChina

In 2021,China’s domestically produced coronavirus disease 2019(COVID-19)vaccines received approval from regulatory bodies and were administered *** to a low number of infections within China during that period,it became imperative to evaluate the vaccines’real-world effectiveness through international *** facilitate this,China CDC launched the COVID-19 Vaccines Evaluation Program(COVEP).This program formed research collaboration agreements with health institutes across five world health organization regions,addressing key questions about vaccine performance through ten cooperative *** findings from COVEP projects reinforced confidence,both domestically and globally,in the effectiveness of the vaccines produced in ***,the outcomes observed internationally were frequently mirrored by later studies conducted within *** thus pioneered a novel approach for fostering cross-national research collaborations,addressing significant public health issues and exemplifying a framework for international *** approach is in line with the strategic objectives and other development efforts of China CDC’s national disease control and prevention initiatives.

关键词： approval COV prevention

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Importance of sample size determination for randomized controlled clinical trials for coronavirus disease 2019 antiviral therapies

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Pediatric Investigation 2024年第1期8卷 7-11页

作者： Getu Zhaori Editorial office of Pediatric Investigation Beijing Children’s HospitalCapital Medical UniversityNational Center for Children’s HealthBeijingChina

This commentary focuses on factors related to sample size determination in randomized controlled clinical trials(RCTs)for antiviral therapies against coronavirus disease 2019(COVID-19)published during the pandemic of *** articles involved in the following discussions include a total of 55 original articles on RCTs for antiviral treatments of patients with COVID-19,including the 36 articles mentioned in our previous commentary1 and 19 original articles added recently based on a search at PubMed and some from other *** terms of sample size determination,33 of 55(60.0%)RCTs determined their sample size via calculation;in seven(12.7%)of the 55 RCTs the sample size was not determined via calculation;15 articles did not mention how the sample size was *** the 55 RCT articles,21(38.2%)were regarded by the authors or others as having small or too small sample sizes to be able to support the study hypothesis or obtain the expected evidence.

关键词： randomized clinical size

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Water, Sanitation and Hygiene in Lower-Level health Care Facilities of Dar es Salaam Region in Tanzania: Status towards Achieving the Sustainable Development Goals and Way Forward

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Advances in Infectious Diseases 2024年第1期14卷 279-295页

作者： Mariam Mahamudu Hussein Mohamed Michael Habtu Dennis Rweyemamu Anyitike Mwakitalima Amour Seleman Erick Mgina Khalid Massa Grace Saguti Andre Arsene Bita Fouda Zabulon Yoti Ministry of health Dodoma Tanzania Department of Environmental and Occupational health Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania Regional office for Africa World Health Organization Brazzaville Republic of the Congo National Institute for Medical Research Dar es Salaam Tanzania

Background: Improving Water, Sanitation and Hygiene in health care settings is a critical prerequisite for achieving national health goals and Sustainable Development Goals (SDGs). The world health organization (WHO) has set a target for each United Nations member state to reach by 2030. Each member state is required to reach by 2022, 2025 and 2030 at least 60%, 80% and 100%, respectively of basic level of service of the five elements which are water, sanitation, hygiene, waste management and environmental cleaning. Methods: This study aimed to evaluate and document the current state of basic water, sanitation, and hygiene services in all lower-level health care facilities in the Dar es Salaam region of Tanzania as of July 2022. A cross-sectional study was conducted in 99 public dispensaries in the Dar es Salaam region’s five councils: Ubungo, Kigamboni, Kinondoni and Temeke Municipalities, and Ilala City. The interviewee form and observational checklists were both digitalized using the Kobo tool software. The respondents were health care facility in-charges or nurse in-charges. Data were downloaded, validated, and imported to Stata version 15 for analysis. Results: The basic WASH level per JMP is far below the target in 2022. Each member state by 2022 is required to reach at least 60% of the basic level of service of each element. We found a low coverage of basic WASH in the 99 dispensaries included in this study. The basic WASH coverage was met in only 10 (10.1%) of the dispensaries, while the remaining 89 (89.9%) dispensaries fall on limited WASH services. Conclusion: This study revealed lower coverage of basic WASH services in dispensaries. An urgent need is required to improve the status of WASH in all the dispensaries and facilitate the provision of quality health care services, patient safety and reduce health care associated infections.

关键词： Dispensaries Low Level health Care Facilities Service Levels Basic WASH Dar es Salaam

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Cigarette Use and Secondhand Smoke Exposure Among Secondary School Students—China,2023

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China CDC weekly 2024年第22期6卷 509-515页

作者： Xinying Zeng Shiwei Liu Lin Xiao Tobacco Control office Chinese Center for Disease Control and PreventionBeijingChina

What is already known about this topic?In 2021,the prevalence of experimental and current cigarette use among secondary school students in China stood at 16.7%and 4.7%,***,39.9%of these students were exposed to secondhand smoke at *** is added by this report?In comparison to 2021,the prevalence of current cigarette use remained unchanged at 4.2%in 2023,whereas experimental use declined to 13.7%.Notably,rates were significantly higher among vocational senior high school(VSHS)students relative to their peers in senior high school(SHS)and junior high school(JHS).Furthermore,exposure to secondhand smoke in schools decreased to 35.4%in 2023 from previously recorded levels,with more pronounced reductions observed in JHS and SHS populations and no notable change among VSHS *** are the implications for public health practice?Targeted tobacco control policies are imperative for secondary school students,including the establishment of smoke-free school ***,it is crucial to pay close attention to the needs of VSHS students.

关键词： smoke unchanged senior

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The Trend of Smoking-Related Cognition and Its Association with Smoking Behaviors Among Junior High School Students—China,2013–2021

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China CDC weekly 2024年第22期6卷 503-508页

作者： Wenzhao Liu Xinying Zeng Qi Su Lin Xiao Shiwei Liu Tobacco Control office Chinese Center for Disease Control and PreventionBeijingChina

What is already known about this topic?In 2013,31.61%of students perceived quitting smoking as difficult,61.73%considered smoking less attractive,and 73.89%believed that secondhand smoke is definitely harmful to *** is added by this report?The percentage of students who perceived quitting smoking as difficult increased from 31.61%in 2013 to 38.83%in 2021,while the percentage of students who found smoking less attractive rose from 61.73%to 69.40%.Conversely,there was a decrease in the percentage of students who perceived secondhand smoke as harmful,from 73.89%to 68.46%.An increased awareness of the hazards of secondhand smoke was associated with a reduction in smoking *** are the implications for public health practice?It is imperative to enhance health education efforts that aim to raise awareness of the hazards of secondhand smoke.

关键词： smoke attractive Junior

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Superior effectiveness and acceptability of saliva samples for the detection of SARS-CoV-2 in China

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Biosafety and health 2024年第2期6卷 88-91页

作者： Hui Yao Ying Shen Zhichao Liang Xiaoyu Xue Chenxi Zhao Xiang Xu Yuxin Cai Yonghong Liu Wei Zhang Yang Pan Xiaoli Wang beijing office of Global health Beijing Center for Disease Prevention and ControlBeijing 100013China Institute for Infectious Disease and Endemic Disease Control Beijing Center for Disease Prevention and ControlBeijing 100013China National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases Beijing Ditan HospitalCapital Medical UniversityBeijing 100015China Center for Drug Evaluation National Medical Products AdministrationBeijing 100176China School of Public health Capital Medical UniversityBeijing 100069China

In response to problems of poor sampling quality,low sensitivity,and high demand for medical personnel regarding the current severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)oropharyngeal(OP)swab sampling used in China,we aimed to evaluate the diagnostic performance and acceptability of saliva-based nucleic acid amplification tests(NAATs)in *** results showed that,using nasopharyngeal(NP)swab results as the gold standard,the overall sensitivities for saliva specimens and OP swabs were 93.3%and 85.0%,the specificities were 92.6%and 93.8%,*** results of an acceptability survey showed that the scores for saliva,OP,and NP samples were 9.46±1.69,8.11±2.42,and 4.58±3.82 out of 10,respectively,with significant differences among the three groups(P<0.05).With higher sensitivity,comparable specificity,and strong public preference,saliva-based NAATs represent a convenient and effective method for detecting SARS-CoV-2 in future epidemics.

关键词： SARS-CoV-2 Saliva sample Sensitivity Acceptability

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