ABSTRACT
A measles outbreak has been occurring in a healthcare setting in Porto, Portugal, since early March 2018, posing public health challenges for a central hospital and the community. Up to 22 April, 96 cases were confirmed, 67 in vaccinated healthcare workers, mostly between 18-39 years old. Following identification of the first cases, control measures were rapidly implemented. Concomitantly, other measles cases were notified in the Northern Region of the country. No common epidemiological link was identified.
Subject(s)
Communicable Disease Control/methods , Communicable Diseases, Imported , Disease Outbreaks/prevention & control , Measles Vaccine/administration & dosage , Measles virus/genetics , Measles virus/isolation & purification , Measles/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Communicable Diseases, Imported/epidemiology , Communicable Diseases, Imported/prevention & control , Disease Notification , Female , Health Personnel/statistics & numerical data , Humans , Infant , Infant, Newborn , Male , Mandatory Reporting , Measles/prevention & control , Measles/virology , Measles virus/immunology , Middle Aged , Occupational Exposure , Portugal/epidemiology , Public Health , Tertiary Care Centers , Vaccination/statistics & numerical dataABSTRACT
School lunch can contribute to aggravate food quality, by excess or deficiency, or it can contribute to compensate and alleviate them. This school meal should be an answer to combating the epidemic of obesity, and to feed some grace children. The objective was to study the nutritional composition of catering in canteens of public schools, from Northern municipalities in the District of Porto: Vila do Conde, Póvoa de Varzim, Santo Tirso and Trofa. Meals were subjected to laboratory analysis. Thirty two meals, four per each school were analysed, reference values for the analysis of the nutritional composition of meals were dietary reference intakes (USA) and eating well at school (UK). The average energy meal content was 447 kcal and the median 440 kcal (22% of daily calories). The average values of nutrients, per meal, were: lipids 9, 8 g, carbohydrate 65,7 g and proteins 24,0 g. In average the contribution for the meal energy was: 20% fat, 59% carbohydrate and 21% protein. In more than 75% of meals the contribution of lipid content was below the lower bound of the reference range. The average content of sodium chloride per meal was 3.4 g, and the confidence interval 95% to average 3.0 to 3.8 g, well above the recommended maximum value of 1.5 grams. The average content fiber per meal was 10.8 g higher than the minimum considered appropriate. In conclusion, the value low caloric meals was mainly due to the low fat content, and content salt of any of the components of the meal was very high.
Subject(s)
Energy Intake , Food , Sodium Chloride, Dietary/administration & dosage , Child , Humans , Nutritive Value , Restaurants , SchoolsABSTRACT
Schistosomiasis was diagnosed in two Portuguese soldiers who had been deployed to Portuguese colonies in Africa. The first veteran was diagnosed as having schistosomiasis 34 years after returning from Angola, and the second veteran was found with Schistosoma haematobium infection 40 years after returning from Mozambique. The patient with Schistosoma mansoni had an active infection, because eggs were recovered with living miracidia. The second patient had developed urothelial cancer, but eggs recovered were calcified.
