West Nile fever (WNF) is endemic in Israel. In 1999, country-wide adult mosquito surveys were initiated and intensified after the 2000 country-wide outbreak of WNF in humans. In 8 consecutive yr, groups of male and female specimens of different species and from different locations were tested for infection with West Nile virus (WNV). Three species made up >87% of the total catch: Culex pipiens L. (52%), with an infection rate (IR) of 0.5; Cx. perexiguus Theobald (20%), with an IR of 2.7; and Aedes caspius Pallas (15%), with an IR of 0.6. The geographical and temporal distribution of WNV-infected mosquitoes was similar but was not parallel to the seasonal abundance of the populations. The seasonal occurrence of human cases is in correlation with the finding of WNV-positive mosquito specimens reaching a peak 1 mo later than the mosquito peak. The relative importance of the mosquito species in the epidemiology of WNF is discussed. Cx. perexiguus is considered the major vector of WNF in Israel.
West Nile fever (WNF) is endemic in Israel. In 1999, country-wide adult mosquito surveys were initiated and intensified after the 2000 country-wide outbreak of WNF in humans. In 8 consecutive yr, groups of male and female specimens of different species and from different locations were tested for infection with West Nile virus (WNV). Three species made up >87% of the total catch: Culex pipiens L. (52%), with an infection rate (IR) of 0.5; Cx. perexiguus Theobald (20%), with an IR of 2.7; and Aedes caspius Pallas (15%), with an IR of 0.6. The geographical and temporal distribution of WNV-infected mosquitoes was similar but was not parallel to the seasonal abundance of the populations. The seasonal occurrence of human cases is in correlation with the finding of WNV-positive mosquito specimens reaching a peak 1 mo later than the mosquito peak. The relative importance of the mosquito species in the epidemiology of WNF is discussed. Cx. perexiguus is considered the major vector of WNF in Israel.
This study examined the prevalence, willingness to report, and treatment preferences for suicidal ideation among state prison inmates. The Beck Scale for Suicide Ideation (BSS) and a novel questionnaire were completed by 67 inmate-patients. The BSS score was in the high range for 15% of general population (GP) and 40% of Intermediate Care Program (ICP) patients, with 19% of ICP inmates reporting a "moderate to strong" desire to commit suicide. A majority (64% GP, 86% ICP) had prior suicide attempt(s). Forty-two percent of GP and 31% of ICP inmate-patients were unlikely to tell mental health staff about suicidal thoughts. Family contact and talking with mental health staff were preferred interventions. ICP inmates preferred staff visits and observation in their own cells, but GP inmates did not. Only a small minority (14% GP, 21% ICP) favored transfer to a crisis observation cell, but the least desired option was talking to a corrections officer. While many inmate-patients reported experiencing suicidal thoughts, they preferred not to inform staff. Almost 80% did not favor the current primary intervention: the observation cell. Alternative or supplementary options should be considered.
Objective-Speed at the time of a bicycle crash is an important determinant of the amount of energy transmitted. Controlling for speed is thus important in the evaluation of outcomes and effectiveness of intervention strategies. This study was conducted to evaluate the accuracy of self reported speed in a population of recreational cyclists. Methods-Children's and adults' bicycle speeds were measured with a radar gun as they rode along a closed road at weekend recreational events. Cyclists were then stopped and asked to estimate their speed. Measured speed, cyclist's estimate oftheir speed, age, and sex were documented. Parents were also asked to estimate their child's speed. Results-One hundred and fifty two cyclists from 4 to 80 years of age participated. Seventy per cent were children 13 years of age or younger. The mean (SD) speed of this group was 8.9 (2.5) mph. Cyclists age 14 and older were traveling at a mean speed of9.7 (2.87) mph. Estimated speeds were significantly higher than measured speeds for this older group, but there was no significant difference between mean measured and estimated speeds for the younger riders. There was also no significant difference between measured and estimated speed for males and females. Parents estimated their child's speed quite accurately. Conclusions-Self reported speeds for children were in close agreement with measured speeds and, thus, are sufficiently accurate to be a useful measure of crash severity in evaluating heimet effectiveness. (Injury Prevention 1997; 3: 43-45)
Objectives are to examine North Carolina (NC) resident psychiatrists knowledge of commitment statutes and their willingness to involuntarily admit hypothetical patients who do not meet statutory criteria. It is hypothesized that the need for transportation may be a salient factor. In one vignette the patient had schizophrenia and the other alcohol dependence. The respondents were asked to make a decision about commitment and to rate how 9 specified factors affected their decision. Sixty-one residents responded. Thirty percent answered incorrectly about statutory provisions for 'mental illness' and 'dangerousness', 10% answered incorrectly that grave disability does not meet the dangerousness criterion, and 41% answered incorrectly about the NC statutory language of the 'least restrictive alternative' principle. While neither hypothetical patient met the commitment standard, 74% of respondents would involuntarily admit the patient with psychotic illness and 87% would involuntarily admit the patient with alcohol dependence. Training in commitment standards with clinical vignettes should be conducted with residents to protect patient rights.
Aedes japonicus japonicus was collected via gravid trapping in Wisconsin in the summers of 2004 and 2005 at Fort McCoy, Monroe County. Subsequently, in the summer of 2007, Ae. japonicus was captured in a human landing catch in Dane County, Madison, WI. Additional collections were made at this site in the spring of 2008. Invasion is in progress, but significant population increases have not yet been confirmed.
Female ICR mice, 6–8 weeks old, were exposed to 6 (group A) or 25 (group B) metacercarial cysts/host of Echinostoma caproni to determine the effects of these cyst dosages on infectivity, growth, distribution and fecundity of worms in the small intestines. All 30 mice exposed (15 in group A and 15 in group B) were infected and there was no significant difference in the percentage of worm recovery between group A and B at 2, 4 and 8 weeks postinfection (PI). Growth was rapid in both groups with worm body areas increasing from about 3mm2 at 2 weeks PI to about 7 mm2 at 8 weeks PI. More worms from group B were in the anterior sections of the small intestines at 2 and 4 weeks PI than those from group A. However, at 8 weeks PI more worms from Group A were in the anterior sections of the small intestines than those from group B. There were marked differences in our findings on infectivity, growth and distribution of E. caproni in ICR mice using 6 and 25 cyst inocula compared to a previous study using the same echinostome and cyst inocula in NMRI mice, presumably related to the mouse strain. Fecundity studies were somewhat comparable in both studies showing an approximate three to four times increase in the average number of eggs/gram of faeces in mice receiving 25 versus 6 cyst inocula.
Fifteen female ICR mice, 6–8 weeks old, were each exposed to 25 metacercarial cysts of Echinostoma caproni. To determine the effects of withholding food on survival, size and distribution of E. caproni in ICR mice, two groups of five each were maintained without food for 1 day (group A) or 2 days (group B) prior to necropsy. Group C consisted of five mice maintained with food for the duration of the experiment. All mice were necropsied at 12 days postinfection. There was no significant difference in worm survival, body area or distribution between group A and C or group B and C mice. The results of this experiment show that short-duration removal of food has no effect on worm survival, size or distribution of E. caproni adults in the small intestine of the ICR mouse.
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