Dengue Treatment-Seeking Behavior: A Qualitative Study With Costa Rican Residents.

Treatment-seeking behavior (TSB) in relation to dengue infection is a critical aspect of public health, and understanding the factors that influence it is crucial for effective disease management. This research delves into key determinants of dengue TSB by examining the perceptions and behaviors of individuals in Costa Rica, in relation to the Health Belief Model (HBM). This study utilized naturalistic inquiry and incorporated a qualitative research design involving nine students organized into four teams, with at least one student on each team with high Spanish fluency. In total, we initiated 102 semi-structured field interviews with Costa Rican residents in four communities. The interviews were recorded, transcribed verbatim, and coded in several cycles using MAXQDA 2022©. Thematic analysis was used to identify patterns and themes using an inductive approach. We found that several HBM themes influenced dengue TSB among participants. Self-treatment was the most common initial step in managing dengue. Perceived inaccessibility of health care services and perceived ineffective treatment options discouraged medical care-seeking. Ultimately, the prevalence of self-treatment practices suggests a need for interventions that emphasize the importance of timely professional medical attention, while addressing real barriers and perceptions of existing health care services as inaccessible and ineffective. These findings provide a key perspective on dengue TSB, guiding future public health strategies aimed at optimizing health-seeking behaviors and mitigating the negative impacts of dengue on population health.

The development and use of a spatially explicit model for river otters to evaluate environmental hazards: a case study on the Department of Energy's Savannah River Site.

The Department of Energy's (DOE) Savannah River Site (SRS) faces a legacy of radionuclide and metal contamination from industrial processes that occurred throughout the site. Northern river otters (Lontra canadensis) are appropriate receptors for studying the effects of long-term, low-level contamination because they are long-lived, higher trophic level organisms susceptible to accumulating high levels of pollutants. The purpose of this study was to use latrine surveys to examine patterns of wetland latrine usage; explicitly model northern river otter resource selection on the landscape level; and utilize the model results within an ecological risk assessment (ERA) framework to assess potential effects of metals and radiocesium (137Cs) on the population for the SRS as a case study. River drainages and associated wetlands were surveyed for latrine sites and scats were collected and analyzed for 137Cs activity to validate model results. The spatially explicit resource model predicted otter drainage reach use and was used in an ERA to develop exposure models for nine heavy metals as well as 137Cs on the SRS population of river otters. The evaluation predicted that the only contaminant occurring at high enough levels to cause population effects was mercury and that the observed concentrations were probably not high enough to cause significant impairment. However, multiple metals were above action level thresholds. The field validation process showed an unexpected preference for one man-made treatment wetland that was heavily contaminated, showing that the ERA process is complex and must be approached using multiple scales.

The abolition of war as a goal of environmental policy.

Since the 1950s, select military and political leaders have had the capacity to kill all or nearly all human life on Earth. The number of people entrusted with this power grows each year through proliferation and the rise of new political leaders. If humans continue to maintain and develop nuclear weapons, it is highly probable that a nuclear exchange will occur again at some point in the future. This nuclear exchange may or may not annihilate the human species, but it will cause catastrophic effects on the biosphere. The international community has attempted to resolve this existential problem via treaties that control and potentially eliminate nuclear weapons, however, these treaties target only nuclear weapons, leaving the use of war as a normalized means for settling conflict. As long as war exists as a probable future, nations will be under pressure to develop more powerful weapons. Thus, we argue that the elimination of nuclear weapons alone is not a stable, long-term strategy. A far more secure strategy would be the elimination of war as a means of settling international disputes. Therefore, those concerned about environmental sustainability or the survival of the biosphere should work to abolish war.

Searching Before It Is Too Late: A Survey of Blood Parasites in Ctenosaura melanosterna, a Critically Endangered Reptile of Honduras.

For species at risk of extinction, any parasites they have would be expected to face a similar fate. In such cases, time is running out for efforts to identify and study their parasitic fauna before they are gone. We surveyed the hemoparasite fauna of 50 black-chested, spiny-tailed iguanas (Ctenosaura melanosterna), a critically-endangered species, on an island off the coast of Honduras. Blood samples from captured animals were tested for hemoparasites by thin blood smear and molecular analyses. Based on microscopy, two parasites were identified, a Plasmodium sp. in 14% of iguanas and a Hepatozoon sp. in 32%. For both parasites, parasitemia levels were <0.1%. Prevalence and parasitemias of Hepatozoon declined with increasing host size, a pattern differing from most prior studies of saurian reptiles. From a subset of iguanas with microscopy-confirmed Plasmodium infections, sequence analysis of 454 bp of the cytochrome b gene indicated that the Plasmodium species was distinct from known Plasmodium and was most closely related to P. chiricahuae (96.5% similarity) followed by P. mexicanum (95.8% similarity). Efforts to amplify the Hepatozoon parasite using PCR were not successful. Additional surveys and studies of this host-parasite system would be valuable, both to science and to the management of this endangered animal.