Hospitalization burden of hand, foot and mouth disease in Anhua county of Hunan province, 2013-2016 / 中华流行病学杂志

Objective: To estimate the serotype and age-specific hospitalization burden associated with hand, foot and mouth disease (HFMD) in Anhua county of Hunan province, between October 2013 and September 2016. Methods: We collected hospitalization records of HFMD patients from 6 virological surveillance hospitals, and reimbursement records through new rural cooperative medical system from 23 township health centers to estimate the age-specific hospitalization burden of HFMD in Anhua. Combined with the results of virological surveillance, the serotype-specific hospitalization burden of HFMD in Anhua, was estimated. Results: During the three years, it was estimated that 3 541 clinical diagnosed HFMD cases, including 3 146 laboratory-confirmed HFMD cases, were hospitalized in Anhua, but only one was diaguosed as being severe. The estimated average hospitalization rate was 723/100 000(95%CI: 699/100 000-747/100 000) for clinical diagnosed HFMD and 642/100 000 (95%CI: 620/100 000-665/100 000) for laboratory-confirmed HFMD between October 2013 and September 2016. The cases caused by Cox A16 (208/100 000) and Cox A6 (202/100 000) had higher hospitalization rates compared with the cases caused by EV71 (130/100 000), Cox A10 (38/100 000) and other enterovirus (64/100 000), and the difference was statistically significant (P<0.001). HFMD-associated hospitalization rates peaked in children aged 1 year (3 845/100 000), and then decreased with age. Compared with the hospitalized HFMD caused by EV71 and Cox A16, Cox A6-associated hospitalizations mainly occurred in younger age groups (P<0.001). Conclusion: Our study revealed a substantial hospitalization burden associated with mild HFMD caused by EV71, Cox A16, Cox A6 and Cox A10, especially in young children, in Anhua.

New psychoactive substances abuse among patients with access to methadone maintenance treatment in Jiangsu province: a case-control study / 中华流行病学杂志

Objective: To explore the reasons and factors associated with new psychoactive substances abuse among patients with access to methadone maintenance treatment (MMT). Methods: A well-developed questionnaire and urine tests were used to collect information about demographic characteristics, condition of MMT and drug abuse, family and social support of MMT clients. A 1∶1 matched case-control study was conducted, and conditional logistic regression model was used to identify factors associated with new psychoactive substances abuse. Results: A total of 212 (106 pairs) clients receiving MMT were recruited, and most of them were males (78.3%, 166/212), married or cohabitant (48.6%, 103/212) and unemployed (63.2%, 134/212). The average age of the clients was (45.1±7.2) years. The main types of abused new psychoactive substances were benzodiazepine (62.3%, 66/106) and methamphetamine (39.6%, 42/106). The proportion of abusing multi new psychoactive substances was 8.5% (9/106). Results from multivariate conditional logistic regression analysis indicated that using opioid drug during the past 6 months of MMT treatment might increase the risk of abusing new psychoactive substances (OR=3.25, 95%CI: 1.35-7.79), benzodiazepine (OR=3.25, 95%CI: 1.11- 9.47) and methamphetamine (OR=13.31, 95%CI: 1.12-158.01). Moreover, MMT for more than9 years reduced the risk of abuse of new psychoactive substances (OR=0.03, 95%CI: 0.01-0.21), benzodiazepine (OR=0.02, 95%CI: 0.00-0.36) and methamphetamine (OR=0.02, 95%CI: 0.00-0.69). Conclusion: Less new psychoactive substances abuse might be associated with longer duration of MMT treatment. And inappropriate support from family and friends might increase the risk of abusing new psychoactive substances in MMT clients, especially in clients who used opioid.

Detection and differentiation of wild-type and vaccine strains of canine distemper virus by a duplex reverse transcription polymerase chain reaction

Canine distemper virus [CDV] is the cause of canine distemper [CD] which is a severe and highly contagious disease in dogs. In the present study, a duplex reverse transcription polymerase chain reaction [RT-PCR] method was developed for the detection and differentiation of wild-type and vaccine strains of CDV. Four primers were designed to detect and discriminate the two viruses by generating 638- and 781-bp cDNA products, respectively. Furthermore, the duplex RT-PCR method was used to detect 67 field samples suspected of CD from Guangdong province in China. Results showed that, 33 samples were to be wild-type-like. The duplex RT-PCR method exhibited high specificity and sensitivity which could be used to effectively detect and differentiate wild-type and vaccine CDV, indicating its use for clinical detection and epidemiological surveillance

Chemical compatibility testing of the entomopathogenic fungus Lecanicillium muscarium to control Bemisia tabaci in glasshouse environment

The potential for using the entomopathogenic fungus Lecanicillium muscarium to control the sweetpotato whitefly, Bemisia tabaci has been well established in previous studies under both laboratory and glasshouse conditions. In the current study, five chemicals were assessed for their compatibility with L. muscarium for control of B. tabaci under glasshouse conditions. On treatments following the sequential application of chemical product and fungus high mortality of second instar larvae was obtained [the known most susceptible B. tabaci life-stage to fungal infection]. Sequential treatment of Savona and Certis spraying oil with L. muscarium produced 95% and 96% larval mortality, respectively. Commercially, unacceptable poinsettia foliage damage was recorded seven days post application of Agri-50E. Other plant foliage may prove more tolerant to this product. Incorporation of these chemicals with L. muscarium into integrated control programmes for B. tabaci control in glasshouses is discussed. Further information has been added to the knowledge base for the combined use of chemicals and fungi for the control of B. tabaci

Leaf dipping as an environmental screening measure to test chemical efficacy against bemisia tabaci on poinsettia plants

The screening of potential chemicals for control of Bemisia tabaci on poinsettia [Euphorbia pulcherrima c.v. Lilo Pink] plants using a leaf dipping technique was investigated. All relevant B. tabaci lifestages [eggs, larvae and adults] were investigated. In leaf dipping tests, Certis spraying oil was the only compound to show potential to be used as a control agent against B. tabaci eggs, with 81% obtained mortality. Oberon resulted in no mortality of B. tabaci eggs in the reported experiments. Leaf dipping against second instar and adult B. tabaci proved more effective for all chemical products. Dipping techniques using Majestik, Certis spraying oil and Agri- 50 E all resulted in high second instar larval mortality [93, 87 and 85.5%, respectively]. Certis spraying oil again resulted in a high efficacy against adult B. tabaci with 100% mortality obtained. The potential of the various chemicals to be incorporated into integrated pest management strategies for the control of B. tabaci is discussed

Environmental evaluation of hot water treatments to control Liriomyza huidobrensis infesting plant material in transit

Though quarantine disinfestation treatments have been exempt from the methyl bromide phase out, it is still required to research and develop alternative treatments for fumigation of plant material in transit. This study investigated the ability of both the egg and pupal stages of the quarantine pest, South Americian leafminer, Liriomyza huidobrensis to survive submersion in water heated to temperatures between 40 and 50°C for varying periods of time. Large reductions in egg viability were recorded. However, the treatments also resulted in unacceptable levels of damage to the host plant material. Damage was uneconomically viable. Pupae were all killed exposure to water at 44°C for 20 min. Incubation of insect and plant material at either 5 or 20°C for 24 h before submersion in the hot water did not significantly alter the pests' ability to survive the treatments. The potential of hot water treatments to act as an alternative to methyl bromide fumigation for disinfecting plants in transit is discussed