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1.
Transcult Psychiatry ; : 13634615231213834, 2024 Feb 25.
Article in English | MEDLINE | ID: mdl-38404061

ABSTRACT

Residential schools are commonly used in India to provide education for Indigenous youth, which requires young people to stay for long periods at distance from their families and communities. Internationally, there is clear evidence for the deleterious effects of residential schools on the mental health and social and community outcomes of Indigenous children, however little is known about the Indian Indigenous experience. This study examined the impact of residential schooling on Indigenous children's wellbeing and that of their communities, using data from an ethnographic research project in Attapadi, Kerala, including interviews, focus group discussions and participant observation with Indigenous communities. Key outcomes from residential schooling reported by the participants include the fear of losing Indigenous identity, shame of being Indigenous, change in the attitude of young people when they returned from schools, and feelings of confusion and stress that young Indigenous participants felt trying to fit into their communities on their return. Findings suggest that these Indigenous youth felt disconnected from several factors that are known to promote resilience for Indigenous communities including a strong cultural identity, connection to the land and ancestors, thereby making them more vulnerable to poor mental health and negative impacts on their overall wellbeing. Addressing these concerns requires a detailed understanding of the specific factors influencing outcomes for Indigenous youth within the Indian residential schooling system, and designing and implementing data-informed conceptual, structural and policy change including the provision of culturally safe mental health services.

2.
Mar Pollut Bull ; 195: 115523, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37716131

ABSTRACT

Dense and green-coloured patches were encountered on the sea surface waters of the Tuticorin coast on 22nd October 2022. Microscopic investigation revealed that the discoloration is caused by plankton, green Noctiluca scintillans. In order to find out the causes that trigger the bloom of N. scintillans, plankton samples were collected for 5 days in fourteen days duration from 22nd October to 4th November. During the peak bloom period, the abundance and biovolume of N. scintillans reached 1.56 × 104 cells/L and 21.8 × 1010µm3/L, respectively. The highest concentration (73.65 mg/m3) of chlorophyll-a was recorded during blooming period that was caused by Gonyaulax polygramma and endosymbiont, Pedinomonas noctilucae in N. scintillans. Formation of G. polygramma bloom is being reported for the first time in Tuticorin, southeast coast of India, with a species abundance of 36.9 × 104 cells/L. Present study concluded that besides the optimum hydrological conditions and eutrophic nature of the system, abundant prey (G. polygramma) facilitated the N. scintillans bloom.

3.
Mar Pollut Bull ; 175: 113166, 2022 Feb.
Article in English | MEDLINE | ID: mdl-34823864

ABSTRACT

Various biotic and abiotic factors regulate carbon dioxide (CO2) absorption and emission in coastal waters. Factors controlling the regional air-sea CO2 fluxes were studied in Tuticorin Bay, a highly urbanized region along the southeast coast of India. Significant spatial heterogeneity in the distribution of inorganic carbon components in the bay was observed based on the exposure to different anthropogenic pressures. Thermal effluent discharges made the south zone of the bay a strong CO2 source by enhancing heterotrophy. Untreated sewage discharges in the middle zone mediated eutrophic conditions leading to strong autotrophy and restricting the zone as a weak source of CO2. Irrespective of the anthropogenic stressors, biological processes dominated the air-sea CO2 fluxes in the Tuticorin Bay. The results indicated that micro-level studies are needed in understanding the carbon cycle in environments with multiple anthropogenic stressors.


Subject(s)
Carbon Dioxide , Sewage , Carbon Cycle , Carbon Dioxide/analysis , India
4.
Mar Pollut Bull ; 170: 112593, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34126444

ABSTRACT

In this study, we identified the in situ bacterial groups and their community structure in coastal waters influenced by anthropogenic inputs. The use of environmental DNA (eDNA) and high throughput sequencing (HTS) were employed to derive accurate and reliable information on bacterial abundance. The V3 and V4 hypervariable regions of the 16S rRNA gene were amplified and the sequences were clustered into operational taxonomic units to analyze the site-specific variations in community composition. The percentage composition within the bacterial orders varied significantly among nearshore anthropogenic hotspots and offshore (5 km) samples. The microbial network constructed taking the bacterial abundance as nodes displayed strong positive and negative correlations within the bacterial families. Overall, the use of eDNA coupled with HTS is an incredible means for monitoring and assessing the abundance of bacterial communities and also serves as a biomonitoring tool to understand the degree of anthropogenic contamination in coastal waters.


Subject(s)
DNA, Environmental , Bacteria/genetics , Catalytic Domain , DNA, Bacterial , High-Throughput Nucleotide Sequencing , Humans , RNA, Ribosomal, 16S , Seawater
5.
Mar Pollut Bull ; 151: 110817, 2020 Feb.
Article in English | MEDLINE | ID: mdl-32056611

ABSTRACT

The influence of upwelling on the phytoplankton community was examined during the upwelling-relaxation period in the southeastern Arabian Sea. Elevated upwelling intensity during the summer monsoon season of 2016 resulted in the re-suspension of harmful dinoflagellates into the surface water. Further, the surplus of phosphorus (P) inputs into the coastal waters from estuarine runoff during the upwelling-relaxation period induced blooming of Gonyaulax polygramma (4.9 × 106 cells L-1). Results from canonical correspondence analysis revealed that elevated upwelling intensity, P and salinity during the year 2016 likely triggered the bloom of G. polygramma in the study region. HABs like G. polygramma threaten fish stocks such as sardines which have a vital role in the ecosystem. Studies on phytoplankton communities and nutrient dynamics in upwelling systems would be useful in predicting the incidence/toxic effects of harmful algal blooms as these regions have a high potential for fisheries.


Subject(s)
Dinoflagellida , Ecosystem , Environmental Monitoring , Harmful Algal Bloom , Animals , Phytoplankton , Seasons
6.
Mar Pollut Bull ; 129(1): 207-211, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29680539

ABSTRACT

Owing to the environmental sensitivity of ciliate species, the monitoring and assessment of these communities can indicate the health of the aquatic environment. Sampling for loricate ciliates was carried out during different seasons at three different locations in the estuarine and coastal waters of Kochi, Southwest coast of India. The loricate ciliate community comprising of 27 species belonging to 10 genera revealed significant differences among the three sampling locations. The maximum numerical abundance and less species diversity of loricate ciliates were recorded at the estuarine locations whereas the minimum abundance and more species diversity were encountered in the coastal waters. Multivariate statistical analyses revealed that Tintinnopsis beroidea and Tintinnopsis uruguayensis were correlated positively with nutrients in the estuarine environment, which receives large amount of anthropogenic inputs. Thus, we propose that these two loricate ciliates may be considered as a potential bioindicator of eutrophication status in marine ecosystems.


Subject(s)
Ciliophora/classification , Ciliophora/growth & development , Environmental Monitoring/methods , Ecosystem , Eutrophication , India , Population Dynamics , Seasons , Water Quality
7.
Environ Geochem Health ; 40(4): 1377-1383, 2018 Aug.
Article in English | MEDLINE | ID: mdl-29305741

ABSTRACT

This study examined microplastic particles present in the benthic invertebrates Sternaspis scutata, Magelona cinta (deposit feeders) and Tellina sp. (suspension feeder) from the surface sediments of off-Kochi, southwest coast of India. The microplastic particles and thread-like fibres detected in these organisms were identified to be polystyrene by using DXR Raman microscope. Examination of the microplastic particle in Sternaspis scutata by epifluorescent microscopy showed fragmentation marks on the surface suggesting that the microplastic particle was degraded/weathered in nature. The study provides preliminary evidence of the presence of microplastics in benthic fauna from the coastal waters of India. However, further studies are required to understand the sources, distribution, fate and toxicity of the different types of microplastics in benthic invertebrates in order to identify any potential threats to higher trophic level organisms.


Subject(s)
Invertebrates , Plastics , Water Pollution , Animals , Ecosystem , Environmental Monitoring/methods , India , Oceans and Seas
8.
Chemosphere ; 78(10): 1213-9, 2010 Mar.
Article in English | MEDLINE | ID: mdl-20096439

ABSTRACT

In order to elucidate the spatial distribution of brominated flame retardants (BFRs) in the Japanese coastal environment, hexabromocyclododecanes (HBCDs), polybrominated diphenyl ethers (PBDEs) and organochlorines (OCs: PCBs, DDTs, CHLs, HCHs, HCB) were determined in bivalves (oysters and mussels) collected from Japanese coastal waters. HBCDs and PBDEs were detected in all samples analyzed. Concentration ranges of HBCDs were 12-5200 ng g(-1) lipid wt., followed by PCBs (20-3100 ng g(-1))>PBDEs (3.1-86 ng g(-1) lipid wt.). The highest concentration of HBCDs was found in the Osaka region. This result indicates that HBCDs are ubiquitous and predominant compounds in bivalves from the Japanese coastal waters. Since no species differences between oysters and mussels were observed for the bioaccumulation properties of HBCDs and PBDEs, oysters could be utilized for BFR contamination monitoring worldwide as an alternative to mussels. Global comparisons between oysters and mussels showed that HBCD concentrations in Japan are among the highest levels reported from Asia and Europe. Estimated dietary exposures of HBCDs and PBDEs through seafood were 0.45-34 ng kg body weight(-1)d(-1), and 0.054-6.8 ng kg body weight(-1)d(-1), respectively. These exposure levels were more than 1000 times lower than the lowest observable effects or no observable adverse effects levels for HBCDs and PBDEs, respectively.


Subject(s)
Bivalvia/metabolism , Halogenated Diphenyl Ethers/metabolism , Hydrocarbons, Brominated/metabolism , Hydrocarbons, Chlorinated/metabolism , Water Pollutants, Chemical/metabolism , Animals , Environmental Monitoring , Flame Retardants/metabolism , Geography , Japan , Pacific Ocean , Seawater/chemistry
9.
Arch Environ Contam Toxicol ; 49(3): 415-20, 2005 Oct.
Article in English | MEDLINE | ID: mdl-16170447

ABSTRACT

The Irrawaddy dolphin (Orcaella brevirostris) is at risk of extinction throughout its range as a result of incidental catches, habitat degradation, and pollution. Populations of Irrawaddy dolphins are constrained by the species' narrow habitat requirement-lagoons, estuaries, rivers, and lakes-and are therefore particularly vulnerable to the effects of human activities. In this study, for the first time, concentrations of organochlorine (OC) pesticides, polychlorinated biphenyls (PCBs), and polybrominated diphenyl ethers (PBDEs) were determined in tissues of Irrawaddy dolphins collected from Chilika Lake, India, to understand the status of contamination. Dichlorodiphenyltrichloroethane and its metabolites (DDTs) were the predominant contaminants found in Irrawaddy dolphins; the highest concentration found was 10,000 ng/g lipid weight in blubber. Hexachlorocyclohexanes (HCHs) were the second most prevalent contaminants in dolphin tissues. Concentrations of PCBs, chlordanes, hexachlorobenzene, tris(4-chlorophenyl)methane, and tris(4-chlorophenyl)methanol were in the ranges of few ng/g to few hundreds of ng/g on a lipid-weight basis. In general, concentrations of OC pesticides and PCBs in Irrawaddy dolphins were lower than the concentrations reported for coastal and riverine dolphins collected in Asia. PBDEs were detected in the blubber of Irrawaddy dolphins at concentrations ranging from 0.98 to 18 ng/g lipid weight. BDE congener 47 accounted for 60% to 75% of the total PBDE concentrations. Although these results establish the baseline levels of persistent organic pollutants in Irrawaddy dolphins, efforts should be made to decrease the sources of contamination by DDTs and HCHs in Chilika Lake.


Subject(s)
Dolphins/metabolism , Hydrocarbons, Chlorinated/analysis , Phenyl Ethers/analysis , Polybrominated Biphenyls/analysis , Water Pollutants, Chemical/analysis , Adipose Tissue/chemistry , Animals , Environmental Monitoring , Female , Hydrocarbons, Chlorinated/metabolism , India , Kidney/chemistry , Liver/chemistry , Male , Muscles/chemistry , Phenyl Ethers/metabolism , Polybrominated Biphenyls/metabolism , Water Pollutants, Chemical/metabolism
10.
J Chromatogr B Biomed Sci Appl ; 749(1): 1-15, 2000 Nov 10.
Article in English | MEDLINE | ID: mdl-11129068

ABSTRACT

A method for determining concentration levels of Co 102862 in mouse, rat, monkey and dog plasma was validated in the range of 5 to 2000 ng/ml using 200 microl plasma sample volume. This validation report describes the linearity, specificity, sensitivity, reproducibility, accuracy, recovery and stability of the analytical method. The inter-day RSD ranged from 3.5 to 10.1%, intra-day RSD from 0.6 to 5.7% and intra-day accuracy (mean absolute percent difference) ranged from 2.2 to 14.9% for rat, monkey and dog plasma. A mini-validation (5-2000 ng/ml) of Co 102862 was performed in mouse plasma using the same methods. Additionally, the assay range at the low end was successfully extended to 0.5 ng/ml for monkey plasma. The method was used for the routine analysis of Co 102862 in mouse, rat, monkey and dog plasma and summary of the pharmacokinetic data are presented.


Subject(s)
Analgesics/blood , Anticonvulsants/blood , Chromatography, High Pressure Liquid/methods , Mass Spectrometry/methods , Semicarbazones/blood , Analgesics/pharmacokinetics , Animals , Anticonvulsants/pharmacokinetics , Dogs , Haplorhini , Male , Mice , Rats , Rats, Sprague-Dawley , Reference Standards , Reproducibility of Results , Semicarbazones/pharmacokinetics , Sensitivity and Specificity
11.
Drug Metab Dispos ; 28(10): 1153-61, 2000 Oct.
Article in English | MEDLINE | ID: mdl-10997933

ABSTRACT

The pharmacokinetics, mass balance, tissue distribution, and metabolism of Co 102862 was investigated in rats after a single oral dose. [(14)C]Co 102862 showed multiexponential pharmacokinetics in rat plasma with an extensive distribution phase. After p.o. administration (approximately 10 mg/kg), the half-lives were long for total radioactivity compared with unchanged Co 102862. Profiles of rat urine and bile suggest that Co 102862 is extensively metabolized in vivo. [(14)C]Co 102862 was extensively distributed into all tissues, with the fatty tissues and secretory glands tissues containing the highest radioactivity. Elimination of radioactivity from the tissues had an estimated half-life of 14 days. A total of 91% of the administered radioactivity was recovered in both intact and bile-duct cannulated rats over 120 and 48 h, respectively, with the majority ( approximately 74%) of the radioactivity being excreted in the urine. Approximately 10% of the total radioactivity remained in the tissues on day 5 and decreased with time to approximately 3% on day 28. Bile-duct cannulated experiments show the enterohepatic circulation is an important route of elimination and reabsorption. Six metabolites were identified in the urine and bile of which the carboxylic acid was the major metabolite. The carboxylic acid was the only metabolite found in plasma and was probably responsible for the radioactivity in the tissues.


Subject(s)
Anticonvulsants/pharmacokinetics , Semicarbazones/pharmacokinetics , Administration, Oral , Animals , Anticonvulsants/metabolism , Anticonvulsants/urine , Bile/chemistry , Bile Ducts/metabolism , Bile Ducts/surgery , Carbon Radioisotopes , Chromatography, High Pressure Liquid , Male , Mass Spectrometry , Rats , Rats, Sprague-Dawley , Semicarbazones/blood , Semicarbazones/metabolism , Tissue Distribution
12.
Indian J Med Res ; 111: 81-9, 2000 Mar.
Article in English | MEDLINE | ID: mdl-10937383

ABSTRACT

Economic analysis of the revised strategy to control lymphatic filariasis with mass annual single dose diethylcarbamazine (DEC) at 6 mg/kg body weight launched in one of the districts of Tamil Nadu in 1996 was carried out. This exploratory study, proposed for five years in 13 districts under 7 states on a pilot scale through the Department of Public Health is an additional input of the existing National Filaria Control Programme in India. A retrospective costing exercise was undertaken systematically from the provider's perspective following the completion of the first round of drug distribution. The major activities and cost components were identified and itemized cost menu was prepared to estimate the direct (financial) and indirect (opportunity) cost related to the implementation of the Programme. The total financial cost of this Programme to cover 22.7 lakh population in the district was Rs. 22.05 lakhs. The opportunity cost of labour and capital investment was calculated to be Rs. 7.98 lakhs. The total per capita cost was Rs. 1.32, with Rs. 0.97 and Rs. 0.35 as financial and opportunity cost respectively. Based on these estimates, the implementation cost of the Programme at Primary Health Centre (PHC) level was calculated and projected for five years. The additional financial cost for the existing health care system is estimated to be Rs. 27,800 per PHC every year. DEC tablets (50 mg) was the major cost component and sensitivity analysis showed that the cost of the Programme could be minimized by 20 per cent by switching over to 100 mg tablets. The analysis indicates that this Programme is a low-cost option and the results are discussed in view of its operational feasibility and epidemiological impact.


Subject(s)
Diethylcarbamazine/economics , Diethylcarbamazine/supply & distribution , Drug Costs , Elephantiasis, Filarial/prevention & control , Filaricides/economics , Filaricides/supply & distribution , Adolescent , Adult , Child , Child, Preschool , Cost Savings , Diethylcarbamazine/administration & dosage , Female , Filaricides/administration & dosage , Guidelines as Topic , Humans , Infant , Male
13.
Trop Med Int Health ; 5(1): 64-71, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10672207

ABSTRACT

Lymphatic filariasis caused by Wuchereria bancrofti is a major public health problem in 73 tropical and subtropical countries including India. Delimitation of endemic areas is essential to plan control operations. The current method of night blood survey (NBS) for delimitation is cumbersome, time-consuming and expensive. Therefore, there is a need to develop assessment procedures which can rapidly delimit endemic areas. For this purpose we evaluated three procedures: direct interviewing of key informants using structured questionnaires, an indirect method of a self-administered questionnaires to key informants and physical examination by health workers for the presence of chronic filarial disease. Thirty rural communities in a filariasis-endemic region in Cuddalore district in Tamil Nadu State in southern India constituted the study population. The determination of filariasis endemicity in the village communities assessed by the above procedures was compared in terms of rapidity, specificity, sensitivity and cost with the microfilaria rate and disease rate obtained by night blood sample survey and clinical examination by physicians. Prevalence score, control preference score and weighted mean number of cases with filarial disease per village were calculated using the key informant questionnaire techniques. While the prevalence and control preference score showed low sensitivity and moderate specificity, weighted mean number of cases showed high sensitivity and moderate specificity in identifying endemic villages. The prevalence of disease as determined by the physical examination of a sample population by health workers was highly sensitive in identifying communities endemic for filariasis. The degree of association between the disease rates estimated by physician and trained health workers was significant (r = 0.56; P < 0.05). These observations suggest that the weighted mean number of cases per village obtained through key informant techniques may be considered at a primary level to crudely identify endemic areas, followed by physical examination by health workers for filariasis, since it is relatively cheap and rapid.


Subject(s)
Elephantiasis, Filarial/epidemiology , Endemic Diseases , Rural Population , Adolescent , Adult , Aged , Cost-Benefit Analysis , Elephantiasis, Filarial/diagnosis , Elephantiasis, Filarial/prevention & control , Epidemiologic Methods , Humans , Interviews as Topic , Middle Aged , Physical Examination , Prevalence , Sensitivity and Specificity , Surveys and Questionnaires
14.
Trop Med Int Health ; 5(12): 842-7, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11169272

ABSTRACT

This paper reports on DEC distribution and compliance with treatment in a large-scale annual single-dose mass treatment programme to eliminate lymphatic filariasis in the south Indian state of Tamil Nadu. 76.9% of households (82.5% in rural areas and 58.0% in urban areas) were aware of drug distribution for control of filariasis. DEC was given to 70% (= distribution rate) (range 0-92%) of the population and 53.5% (range 12-89%) complied with treatment. The distribution rate was more than 75% in 74% of the villages and compliance was in the range of 51-75% in 76% of the villages. About 5% of the treated population reported side-effects. Distribution and compliance were higher in rural than urban areas and similar between males and females. Qualitative data showed that some socio-economic factors, logistic and drug-related problems and people's poor knowledge and perceived benefits of treatment played a role in a proportion of the population not receiving or taking the drug. The Tamil Nadu programme showed that large-scale repeated annual DEC mass treatment is feasible and that existing health services are capable of delivering the drug to all communities. While even poor to moderate compliance rates can reduce the vector transmission of infection to some extent, improved drug distribution and compliance with treatment are necessary to consolidate the gains of earlier rounds of treatment and achieve the goal of filariasis elimination within a reasonable time frame.


Subject(s)
Diethylcarbamazine/therapeutic use , Elephantiasis, Filarial/prevention & control , Filaricides/therapeutic use , Patient Compliance , Preventive Health Services/organization & administration , Wuchereria bancrofti , Animals , Elephantiasis, Filarial/epidemiology , Female , Humans , India/epidemiology , Male
15.
Trop Med Int Health ; 4(1): 19-25, 1999 Jan.
Article in English | MEDLINE | ID: mdl-10203169

ABSTRACT

This year-round case-control study investigated treatment costs and work time loss to people affected by chronic lymphatic filariasis in two rural communities in south India. About three-quarters of the patients sought treatment for filariasis at least once and 52% of them paid for treatment, incurring a mean annual expenditure of Rs. 72 (US $2.1; range Rs. 0-1360 (US $39.0)). Doctor's fees and medicines constituted 57% and 23% of treatment costs. The proportion of people seeking treatment was smaller and treatment costs constituted a higher proportion of household income in lower income groups. Most patients did not leave work, but spent only 4.36+/-3.41 h per day on economic activity compared to 5.25+/-3.52 h worked by controls; the mean difference of 0.89+/-4.20 h per day was highly significant (P<0.01). This loss of work time is perpetual, as chronic disease manifestations are mostly irreversible. An estimated 8% of potential male labour input is lost due to the disease. Regression analyses revealed that lymphatic filariasis has a significant effect on work time allotted to economic activity (P<0.05) but not on absenteeism from work (P>0.05). Female patients spent 0.31+/-1.42 h less on domestic activity compared to their matched controls (P<0.05). The results clearly show that the chronic form of lymphatic filariasis inflicts a considerable economic burden on affected individuals.


Subject(s)
Absenteeism , Elephantiasis, Filarial/economics , Health Care Costs/statistics & numerical data , Health Expenditures/statistics & numerical data , Rural Health Services/economics , Wuchereria bancrofti , Adolescent , Adult , Animals , Case-Control Studies , Chronic Disease , Elephantiasis, Filarial/therapy , Female , Humans , Income/statistics & numerical data , India , Male , Patient Acceptance of Health Care/statistics & numerical data , Regression Analysis , Surveys and Questionnaires , Time Factors
16.
Trop Med Int Health ; 3(2): 108-15, 1998 Feb.
Article in English | MEDLINE | ID: mdl-9537272

ABSTRACT

This study examined the direct and indirect costs due to acute form of lymphatic filariasis caused by Wuchereria bancrofti to the households in rural communities in Tamil Nadu state in south India. For nearly one-third of the acute adenolymphangitis (ADL) episodes the affected did not seek treatment and for 27% of the episodes they consulted health personnel, underwent treatment and paid for it. On average, the ADL patients spent Rupees (Rs.) 2.35 (US $ 0.07) per episode on treatment, but expenditure was as high as Rs. 32.11 (US $ 0.92) among those who paid. Doctor's fees and medicines constituted 83% of the total treatment costs. Patients with multiple and longer duration episodes and with better living conditions spent relatively more on treatment. The proportion of patients who spent money on treatment was smaller in poorer households, but their treatment costs formed a relatively higher proportion of their income than those of middle and high-income households. The ADL episodes curtailed economic and domestic activities. In 87% of the episodes, the affected were not able to attend any economic activity compared to 37% of the episodes in the case of controls. Patients spent only 0.68 +/- 1.91 hours on economic activity compared to 4.40 +/- 3.74 hours by the control individuals during the ADL episodes. The sign rank test showed that the mean difference of 3.73 +/- 3.81 and 2.14 +/- 1.83 hours in the time spent on economic and domestic activity respectively between cases and controls was highly significant (P < 0.01). Regression analysis demonstrated that the difference in the time spent on activities is only due to ADL and no socio-economic variable had any effect on it. The cost of treatment and loss in economic activities combined with high incidence in the study communities indicate the extent of the economic burden imposed by the hitherto neglected acute form of lymphatic filariasis and the necessity to control it.


Subject(s)
Cost of Illness , Direct Service Costs , Elephantiasis, Filarial/economics , Patient Acceptance of Health Care/statistics & numerical data , Rural Health , Wuchereria bancrofti , Acute Disease , Adult , Age Distribution , Animals , Case-Control Studies , Female , Humans , India , Male , Middle Aged , Regression Analysis , Sex Distribution , Socioeconomic Factors , Time Factors
17.
Trop Med Int Health ; 2(9): 832-8, 1997 Sep.
Article in English | MEDLINE | ID: mdl-9315041

ABSTRACT

The functional impairment caused by lymphatic filariasis was assessed through qualitative and quantitative methods in rural areas of Tamil Nadu, South India. About 66% of the patients said that their occupational activities were hampered by the disease. They either work fewer hours or alter their activity. Some had completely given up their job. Domestic chores of most of the female patients were also impeded. Most of those affected try to avoid travel. The disability was worse in patients with acute disease. In view of the results of our and other similar studies, the disability-adjusted life years lost due to lymphatic filariasis must be revised and the public health importance of the disease reassessed. Considerable functional impairment coupled with recent information on economic burden and productivity loss caused by lymphatic filariasis necessitates paying more attention to the control of the disease.


Subject(s)
Elephantiasis, Filarial/epidemiology , Elephantiasis, Filarial/physiopathology , Travel , Work Capacity Evaluation , Adult , Elephantiasis, Filarial/economics , Female , Humans , India/epidemiology , Lymphadenitis/physiopathology , Lymphedema/physiopathology , Male , Rural Population , Severity of Illness Index , Surveys and Questionnaires , Testicular Hydrocele/physiopathology
18.
J Pharm Sci ; 86(8): 915-20, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9269869

ABSTRACT

A method was developed to quantitate the glucuronide conjugates (phase II metabolites, log P = 0.6-1.8) of the phase I hydroxylated metabolites (log P = 2.6-2.7) of beta-arteether (2) (log P = approximately 4.0) in rat plasma and urine. The biological fluids were extracted with a C-18 solid-phase cartridge, then subjected to analysis by thermospray high-performance liquid chromatography/mass spectroscopy with a C-18 reversed-phase analytical column in the selected ion monitoring mode. The detection limits for these glucuronide conjugates in plasma and urine ranged from 25 to 60 ng/mL, and the detection limits were appropriate for the biological activity of these glucuronide conjugates in plasma. Following intravenous administration of arteether (11.6 mg/kg), the formation of these glucuronide conjugates in rat urine was undetected (below detection limit) over 24 h. However, in rat plasma, formation of 9alpha-hydroxyarteether glucuronide (13; 255 ng/mL, IC50 = 6560 ng/mL, log P = 0.93) was noted at 15 min post-injection. Although several of the glucuronide metabolites of arteether retained sufficient in vitro antimalarial activity to be potentially useful antimalarial agents if administered as prodrugs, the levels of the glucuronides formed from arteether were too low to contribute to the antimalarial activity observed for the parent compound.


Subject(s)
Antimalarials/pharmacokinetics , Artemisinins , Chromatography, High Pressure Liquid/methods , Mass Spectrometry/methods , Sesquiterpenes/pharmacokinetics , Animals , Antimalarials/blood , Antimalarials/urine , Glucuronates/blood , Glucuronates/pharmacokinetics , Glucuronates/urine , Male , Rats , Rats, Wistar , Sesquiterpenes/blood , Sesquiterpenes/urine
19.
Trans R Soc Trop Med Hyg ; 90(6): 639-43, 1996.
Article in English | MEDLINE | ID: mdl-9015500

ABSTRACT

This year-long study investigated the epidemiology of acute filarial episodes due to Wuchereria bancrofti in 2 rural villages in south India. The annual incidence of 96.5 episodes/1000 population was significantly higher in males (108.5) than females (84.1) an strongly age dependent. First occurrence of acute disease was observed in 0.86% of the population, and the average duration of each episode was 3.6 +/- 2.0 d. Although more than half (63.5%) of the affected individuals suffered only 1 episode, a few experienced as many as 8 over the one-year period. Individuals with chronic disease were more prone to acute attacks, with 82.9% of the total episodes occurring in this group. No seasonal pattern was observed in the frequency of episodes. Probit analysis showed that the number of episodes per affected person was dependent on sex and chronic condition. Swelling of lymph nodes in the inguinal region and fever were the most common symptoms of acute disease. The high incidence and resulting debility observed in this study suggest that acute episodes are a significant health problem associated with lymphatic filariasis. There is clearly a need for more studies on this acute form of filarial disease to aid the understanding of the aetiology and epidemiology of acute episodes, in planning appropriate control interventions, and in evaluating the resulting health burden.


Subject(s)
Elephantiasis, Filarial/epidemiology , Wuchereria bancrofti , Acute Disease , Adolescent , Adult , Age Distribution , Aged , Aged, 80 and over , Animals , Child , Child, Preschool , Chronic Disease , Elephantiasis, Filarial/pathology , Female , Fever/epidemiology , Humans , Incidence , India/epidemiology , Infant , Male , Middle Aged , Seasons , Sex Distribution
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