Archive for 3月 2010
Age-standardised disability-adjusted life year rates – Refractive errors
世界保健機関(WHO)による世界疾病負担 Global Burden of Disease (GBD)
http://www.who.int/healthinfo/global_burden_disease/en/
Death and DALY estimates for 2004 by cause for WHO Member States:
http://www.who.int/entity/healthinfo/global_burden_disease/gbddeathdalycountryestimates2004.xls
GBD code W101(Refractive errors 屈折異常)
Age-standardised disability-adjusted life year rates(年齢調整した障害調整[補正]生存年数 DALY 率)を Wikimedia上で世界(カラー)マップ表示(住民 10万人当たり)
日本 Japan [83] はニュージーランドと同じで、他の多くの国々よりも低い。
http://commons.wikimedia.org/wiki/File:Refractive_errors_world_map_-_DALY_-_WHO2004.svg
DALY = 損失生命年数 years of lost life （YLL）+ 障害[=疾病(傷害と病気)]による損失年数 years lost to disability（YLD）
全原因によるDALYマップ表示
http://en.wikipedia.org/wiki/Disability-adjusted_life_year
Administrative divisions – wikipedia
世界各国の地方行政区画
行政区画 言語[en]
行政区画 言語[ja]
アジア
インドネシアの州
ベトナムの地方と省
インド28州など
カンボジア20州など
アフリカ
南アフリカ共和国の州
南北アメリカ
パナマの県
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Q fever – recordings – international conference held in Breda
ProMED-mail Archive Number 20100227.0656
Published Date 27-FEB-2010
Subject PRO/AH/EDR> Q fever – Netherlands (17): international response
During 25-26 Feb 2010, an international conference, entitled “One Health in relation to Q fever, in humans and animals”, was held in Breda, south Netherlands. …
ProMED-mail Archive Number 20100303.0703
Published Date 03-MAR-2010
Subject PRO/AH> Q fever – Netherlands (18): update & review
official abstracts, proceedingsではありませんが、ProMED-mail 20100303.0703で記録(要約)を読むことができます。
Date: Wed, 3 Feb 2010
1. Christianne Bruschke (Ministry-CVO) – Actual veterinary situation and developments in the Netherlands
2. Yvonne van Duynhoven (RIVM) – The story of human Q-fever in the Netherlands
3. Francisco Reviriego Gordejo (DGSANCO) – Q-fever: the EU public and animal health legislative context
3. Pia Makela (EFSA) – Current reporting and monitoring of Q-fever in animals in EU
4. Denis Coulombier (ECDC) – Implications for public health in the EU
5. Jeannette van de Ven (ZLTO) – The meaning and consequences of Q-fever for farmers in general and especially the situation of goat farming
6. Annie Rodolakis (France) – Q-fever in France – An elaborate description of the Q-fever situation in France where most human cases were due to infection in sheep herds.
7. Stephen Graves (Australia) – Epidemiology and the role of human vaccination
8. Martin Ganter (Germany) – Q-fever in Germany
9. Paula Menzies (Canada) – Q-fever & Coxiellosis in Canada
Christine Bijl’s recorded minutes の文章中 Ontario州の対応等は
ProMED-mail Archive Number 20100306.0742 で訂正されました。
2nd day: 26 Feb 2010
Chairman: Frits Pluimers (former Ministry CVO)
10. Benaouda Kadra (CEVA) – Q-fever: Vaccine production and control
11. Hendrik-Jan Roest (CVI) – Diagnosis, genotyping, virulence and culture of _C. burnetii_ in the Netherlands
12. Richard Thiery (AFSSA) – Results of EFSA’s grant on improving harmonised Q-fever monitoring in the EU
13. Dimitrios Frangoulidis (Germany) – _Coxiella burnetii_ – stability in the environment and molecular typing
14. Piet Vellema (Animal Health Service Deventer) – Research in relation to the approach of Q-fever
—
Communicated by:
Christine Bijl
European Livestock Association (ELA) Secretary
Kootwijkerbroek, The Netherlands
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Abortive Human Rabies – first reported case
狂犬病ウイルスの不稔感染 [頓挫性狂犬病] が推定されるヒト狂犬病の1症例
MMWR Weekly
Presumptive Abortive Human Rabies — Texas, 2009
February 26, 2010 / 59(07);185-190
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5907a1.htm?s_cid=mm5907a1_e
症例: 17歳女性。2009年2月25日、地域病院の救急外来受診(ED)。
コウモリへの暴露歴あり (暴露前・後の狂犬病ワクチン接種なし)
The patient recalled that approximately 2 months before her headaches began she had entered a cave while on a camping trip in Texas and came into contact with flying bats. Although several bats hit her body, she did not notice any bites or scratches. The patient also reported owning pet ferrets and a dog; all were in good health and under routine veterinary care. … The patient reportedly had never received rabies prophylaxis.
What is already known on this topic?
Only six human rabies survivors have been well documented after clinical onset, and none of the survivors had abortive rabies (i.e., recovery without intensive care).
狂犬病発症後に文書で十分に立証されたヒト狂犬病生存者はわずか 6人であり、生存者の誰も abortive rabies [不稔感染の狂犬病 頓挫性狂犬病] (すなわち, 集中治療を受けずに回復)ではなかった。
What is added by this report?
This is the first reported case in which certain clinical and serologic findings indicate abortive human rabies and in which, despite an extensive medical investigation, no alternate etiology for the illness was determined.
信頼できる臨床および血清所見がヒト狂犬病不稔感染を示し、詳しい医学研究にもかかわらず、他の病因の可能性が決定されなかった初めての報告例である。
What are the implications for public health practice?
Clinicians treating possible human rabies, indicated by acute, progressive infectious encephalitis, a compatible exposure history, and serologic evidence of a specific lyssavirus response, should contact their state health department for engagement with CDC; public education should continue to stress the importance of avoiding exposure to bats and seeking prompt medical attention after exposure to any potentially rabid animals.
急性で進行性の感染性脳炎、矛盾しない感染暴露歴、lyssavirusに対する特異的反応の血清学的エビデンスによって示されるヒト狂犬病の感染可能性のある患者治療を行う臨床医は、米国CDCとの取り決めにより州保健局に連絡すべきである; 一般への啓蒙・教育はコウモリへの暴露を避け、狂犬病の可能性のある動物に暴露した後に迅速な治療を求めることの重要性を強調しつづけるべきである。
MedQA_jp 
