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Perceptions and Barriers Regarding Rabies in Cats in the Americas: An Approach From the One Health Perspective.

INTRODUCTION: Rabies in cats is an emerging and underrecognised zoonotic threat across the Americas and is becoming increasingly important as the degree of dog-mediated transmission decreases. Cats increasingly serve as incidental hosts and potential transmission bridges between wildlife reservoirs and humans; however, most national programs still exclude them from systematic surveillance and vaccination. This study explored regional perceptions, knowledge gaps and operational barriers related to rabies among cats from a One Health perspective. METHODS: A bilingual online survey was distribut…

Rickettsiae of the spotted fever group in dogs of the Americas: A systematic review and meta-analysis.

Sentinel animals are defined as sensitive indicators of environmental hazards that provide an early warning system for public health interve … immunological response after infection. Data from epidemiological studies conducted on dogs in the Americas are dispersed and have not been integrated. In this paper, we present a systematic review and meta-analysis that aimed to present a pooled seroprevalence of Rickettsia sp. in dogs and summarize other relevant data. Literature was reviewed in three d …

Unrecognized Catalyst to Development: The Neglected Role of Alcohol Policy in the Americas' Sustainable Development Goal Progress.

OBJECTIVE: In 2015, 193 nations adopted the United Nations' (UN) Sustainable Development Goals (SDGs). Alcohol was included as a specific focus in target 3.5 (substance abuse), highlighting its relevance in the global development agenda. It is also recognized as a cross-cutting issue and a barrier to achieving several SDGs. We aimed to examine in this research how countries in the Americas reported on alcohol use, alcohol-related harms, and alcohol policy measures in their efforts to meet the SDGs. METHOD: We conducted a content analysis of Voluntary National Reviews (VNRs) presented at the U…

Clinical Cases of Coccidioidomycosis in the Americas in the Period 1950-2021: Epidemiology Data, Diagnosis, and Treatment.

Coccidioidomycosis, caused by Coccidioides immitis and C. posadasii, causes significant morbidity and mortality, both in immunocompetent and immunocompromised people, mainly in endemic areas. The present work analyzed its epidemiology, diagnostic methods, and treatment by reviewing clinical cases published from 1950 to 2021. Fifty-nine articles were included, corresponding to 275 clinical cases. The results showed a higher incidence of coccidioidomycosis in the male gender than the female gender. The most affected age group was 31-40 years, and the most reported clinical presentation was disse

Seroprevalence of hepatitis E virus infection in the Americas: Estimates from a systematic review and meta-analysis.

BACKGROUND: Hepatitis E virus (HEV) infection is responsible for inflammatory liver disease and can cause severe health problems. Because th … ross the region. CONCLUSION: HEV seroprevalence estimates demonstrated high variability within the Americas. There are population groups with higher seroprevalence and reported risk factors for HEV infection that need to be prioritized for further research. Due to human transmission and zoonotic infections in the region, preventive strategies should inclu …

The second coming of urban yellow fever in the Americas: looking the past to see the future.

Yellow fever (YF) epizootics in South America during the 21st century have an unprecedented recorded magnitude and geographical dispersion. The YF spread progressively involved areas considered previously free of risk reaching the edge of cities with large unvaccinated populations, and urban outbreaks were frequently forecasted. We critically reviewed the initial stages and enhancing contexts of YF urban epidemics since the 17th century in the Americas, and the modeling attempts of YF epidemic risk by of Aedes-Human transmission, to find common factors that increase the probability of these ev…

Robotic-assisted and laparoscopic hernia repair: real-world evidence from the Americas Hernia Society Quality Collaborative (AHSQC).

BACKGROUND: Ventral hernia repair (VHR) is a commonly performed procedure and is especially prevalent in patients who have undergone previous open abdominal surgery: up to 28% of patients who have undergone laparotomy will develop a ventral hernia. There is increasing interest in robotic-assisted VHR (RVHR) as a minimally invasive approach to VHR not requiring myofascial release and in RVHR outcomes relative to outcomes associated with laparoscopic VHR (LVHR). We hypothesized real-world evidence from the Americas Hernia Society Quality Collaborative (AHSQC) database will indicate comparable cl…

The Fight against HIV-Associated Disseminated Histoplasmosis in the Americas: Unfolding the Different Stories of Four Centers.

Disseminated histoplasmosis is a major opportunistic infection of HIV-infected patients, killing thousands in Latin America each year. Yet, it remains a neglected disease that is often confused with tuberculosis, for lack of simple, affordable, and rapid diagnostic tools. There is great heterogeneity in the level of histoplasmosis awareness. The purpose of this report was to describe how the historical "awakening" to the threat of histoplasmosis came to be in four different centers that have actively described this disease: In Brazil, the Sao José hospital in Fortaleza; in Colombia, the Corpor

Applying the principles of isotope analysis in plant and animal ecology to forensic science in the Americas.

The heart of forensic science is application of the scientific method and analytical approaches to answer questions central to solving a cri … sotope analysis in forensic settings from an ecological perspective, concentrating on work from the Americas completed within the last three decades. Our primary focus is on combining plant and animal physiological models with isotope analyses for source inference. Examples of the forensic application of isotopes-including stable isotopes, radiogenic isoto …

Alternative transmission routes in the malaria elimination era: an overview of transfusion-transmitted malaria in the Americas.

BACKGROUND: Transfusion-transmitted (TT) malaria is an alternative infection route that has gained little attention from authorities, despite representing a life-threatening condition. There has been no systematic review of this health problem in American countries. The aim of this study was to describe the clinical and epidemiological characteristics of TT malaria in the Americas and identify factors associated with lethality based on the studies published in the literature. METHODS: Potentially relevant papers in all languages were retrieved from MEDLINE and LILACS. Additional articles were…

Путь к искоренению полиомиелита на протяжении 40 лет в рамках Расширенной программы иммунизации на Американском континенте.

В этой статье обобщаются важные уроки, извлеченные из ликвидации полиомиелита в регионе Северной и Южной Америки, включая первоначальные и последние проблемы и передовую практику, а также конкретные факторы, связанные с достижением этой амбициозной цели. Используя документы, интервью и страновые обследования, авторы описывают и анализируют стратегии и уроки, извлеченные за 40 лет осуществления Расширенной программы иммунизации (1977-2017 годы). В частности, были охвачены следующие важные вехи и хксолленге: вспышка полиомиелита (ВПВ), произведенная на основе вакцин, в Доминиканской Республике;

Совпадение в аннотации оригинала
This article synthesizes the important lessons learned from polio eradication in the Region of the Americas, including initial and more recent challenges and best practices, as well as particular factors surrounding attainment of this ambitious goal. Using documents, interviews, and country surveys, the authors describe and analyze the strategies and lessons…

Regarding Tick-Borne Relapsing Fever in the Americas; Some Historical Aspects of a Forgotten Disease in Colombia.

In the first decades of the 20th century, scientific papers were published suggesting the presence of Tick-Borne Relapsing Fever in Colombia. As a contribution, we present some historical aspects referring to this topic.

Charting the Course to Universal Health in the Americas: Cristian Morales PhD, PAHO/WHO Representative in Cuba.

After leaving Chile during the Pinochet era, Dr Morales studied economics, health administration and international health at the University … n, DC. In that role, he plunged into the often thorny debates about just how far governments of the Americas were willing to go towards achieving universal health-universal coverage plus universal access. The result was a historic resolution passed in late 2014 by PAHO's Directing Council (CD53.R14 Strategy for Universal Access to Health and Universal Heal …

Prioritization of capacities for the elimination of dog-mediated human rabies in the Americas: building the framework.

The region of the Americas pledged to eliminate dog-transmitted human rabies by 2015. After 30 years of sustained efforts, regional elimination appears possible as dog-mediated human rabies cases are at an all-time low, and a number of countries and territories have already eliminated the disease. In this setting, there is an opportunity to generate a framework to support countries strategies in the achievement and maintenance of rabies-free status (RFS). To this end, we describe the development of a multi-criteria decision analysis (MCDA) model to help the evaluation of rabies programmes and …

Molecular diagnostics in paediatric oncology in Latin America: findings from the Latin America Regional Advisory Committee (RAC LATAM) regional assessment.

Molecular diagnostics are an essential component of paediatric oncology care, providing critical information for disease classification, risk stratification and the selection of targeted therapies, ultimately improving patient outcomes. This study presents the results of the 2024 Latin America Regional Advisory Committee and Paediatric Oncology Latin American Society regional survey, which assessed the availability, accessibility, quality and key challenges associated with molecular diagnostics for paediatric malignancies across Latin America. While molecular testing is available in several co

A scoping review of the available literature on the epidemiologic profile of migrants in-transit through South America, Central America, and Mexico from 2013-2025.

BACKGROUND: Migration through Latin America has increased, resulting in new routes and greater diversity among migrants. Timely, accurate data on the epidemiologic profiles of migrants in-transit could inform public health surveillance and interventions. OBJECTIVE: Provide an overview of the type of data collected on the epidemiologic profiles of migrants in-transit through South America, Central America, and Mexico. METHODS: We conducted a scoping review from peer-reviewed and grey literature reporting quantitative health data on selected infectious and non-infectious diseases, vaccination

Multi-laboratory proficiency assessment for molecular and serological diagnosis of classical and African swine fever in the Americas.

African swine fever (ASF) and classical swine fever (CSF) are economically significant transboundary viral diseases of pigs and are reportab … reign Animal Disease (NCFAD) organized its first PT exercise for ASF and CSF in 2024, targeting the Americas. A total of 16 international laboratories from 11 countries participated in the PT exercise, which focused on front-line molecular and serological diagnostic assays that are essential for laboratory detection of ASF and CSF. The 15-sample molecular …

Population Heterogeneity of Diabetes in Indigenous Peoples of the Americas: A Systematic Scoping Review of the Existing Literature.

Background: In the Americas, the number of people living with diabetes is expected to rise from 92 million in 2024 to 120 million by 2050. Indigenous populations may experience distinct biological, environmental, and sociocultural risk factors; however, they are often treated as a homogeneous group in epidemiological research, and consolidated evidence on diabetes prevalence across diverse Indigenous populations remains limited. This scoping review examines the prevalence of diabetes among Indigenous populations in the Americas. Methods: Following PRISMA-ScR guidelines, we conducted a systemat…