RESUMO
The sustained worldwide use of the two available types of polio vaccines has significantly reduced the incidence of this disease. Our main objective is to report a 11-year monitoring period for acute flaccid paralysis secondary to poliovirus in Guinea. It was a retrospective descriptive study for all cases of acute flaccid paralysis (AFP) in which poliovirus was isolated by stool examination. During 11 years, 768 cases of AFP, including 8 cases of acute anterior poliomyelitis were collected at a frequency of 1%. The average age was 3.5 years with extremes of 1 year and 6 years, the most represented age group was 0-4 years with 7 cases. Six mothers were housewives doing gold panning as a revenue generating activity. The vaccine virus (serotype 2) was the most isolated with 6 cases.
L'utilisation soutenue à l'échelle mondiale des deux types de vaccins antipoliomyélitiques disponibles a considérablement diminué l'incidence de cette affection. Il s'agit ici d'une étude rétrospective de type descriptive, portant sur tous les cas de paralysie flasque aiguë (PFA) due aux poliovirus en Guinée chez lesquels le poliovirus a été isolé des selles, faisant l'état des lieux de 11 années de surveillance de la PFA. En 11 ans, 768 cas de PFA, dont huit cas de poliomyélite antérieure aiguë ont été enregistrés, soit une fréquence de 1 %. L'âge moyen était de 3,5 ans [16 ans]. La tranche d'âge de 04 ans était la plus représentée avec 7 cas. La majeure partie (6 cas) des mères des enfants étaient des agricultrices exerçant l'orpaillage. Les souches majoritairement isolées étaient dérivées du vaccin VDPV2.
Assuntos
Viroses do Sistema Nervoso Central/epidemiologia , Viroses do Sistema Nervoso Central/virologia , Mielite/epidemiologia , Mielite/virologia , Doenças Neuromusculares/epidemiologia , Doenças Neuromusculares/virologia , Poliomielite/complicações , Vigilância da População , Criança , Pré-Escolar , Feminino , Guiné/epidemiologia , Humanos , Lactente , Masculino , Estudos Retrospectivos , Fatores de TempoRESUMO
Better understanding and predicting interception of wet deposited pollutants by vegetation remains a key issue in risk assessment studies of atmospheric pollution. We develop different alternative models, following either empirical or semi-mechanistic descriptions, on the basis of an exhaustive dataset consisting of 440 observations obtained in controlled experiments, from 1970 to 2014, for a wide variety of herbaceous plants, radioactive substances and rainfall conditions. The predictive performances of the models and the uncertainty/variability of the parameters are evaluated under Hierarchical Bayesian modelling framework. It is demonstrated that the variability of the interception fraction is satisfactorily explained and quite accurately modelled by a process-based alternative in which absorption of ionic substances onto the foliage surfaces is determined by their electrical valence. Under this assumption, the 95% credible interval of the predicted interception fraction encompasses 81% of the observations, including situations where either plant biomass or rainfall intensity are unknown. This novel approach is a serious candidate to challenge existing empirical relationships in radiological or chemical risk assessment tools.
