Abstract:In Tonga, pneumococcal conjugate vaccine is not a scheduled immunization. We identified all children in Tonga with invasive pneumococcal disease from 2010 to 2013. The average annual invasive pneumococcal disease incidence rate was 113/100,000 (<2 years), 50/100,000 (<5 years) and 25/100,000 (<15 years). The case fatality rate (<5 years) was 25%. The incidence rate and high case fatality rate indicate the need for pneumococcal conjugate vaccine.
“…This could be mainly seen in the suburban areas in the country. The findings are complying with the study conducted by Lutui (2001).…”
Section: Discussionsupporting
confidence: 88%
“…The Cronbach's alpha obtained with the present sample was 0.637. The conceptual framework was developed based on the previous research work conducted by (Lutui, 2001) and adapted accordingly to suit Sri Lankan Context. Methods used to analyse data were Cross tab and Statistical package for social sciences (SPSS) Version 20.0 was used to analyse data.…”
Solid waste piling has become a serious problem to Sri Lanka. Urbanisation, industrialisation, and improvements in quality of life lead the increase in quantity and complexity of generated waste. The main purpose of this study is to determine the perception of undergraduates on waste, waste disposal mechanisms and waste management techniques in their living area. The research data obtained from one hundred and seventy three (n=173) undergraduate respondents from private universities located in Western Province, Colombo 07. A self-administered pre-validated questionnaire was used and the questionnaire was developed according to the literature survey and adapted accordingly to suit the Sri Lankan context. The data collection method was cross sectional. SPSS16.0 was used for data analysis. Data were analysed using cross-tab and chi square test. Cronbach’s alpha with the present sample was 0.63. The results revealed that 51% of the respondents do not have any clue of where their service providers are dumping their waste and 53% had reported that they are not concerned about it. Even though the responses are as such, 80% of the respondents had stated that they are aware that environmental degradation affects their families. The results revealed (based on p-value) that there is no association between gender and student perception on waste management. Furthermore student’s concern about the environment and waste management was moderate. Research reveals that there should be a proper mechanism to improve young generation’s concern about the environment and waste management to attain a sustainable future in the long term.
“…This could be mainly seen in the suburban areas in the country. The findings are complying with the study conducted by Lutui (2001).…”
Section: Discussionsupporting
confidence: 88%
“…The Cronbach's alpha obtained with the present sample was 0.637. The conceptual framework was developed based on the previous research work conducted by (Lutui, 2001) and adapted accordingly to suit Sri Lankan Context. Methods used to analyse data were Cross tab and Statistical package for social sciences (SPSS) Version 20.0 was used to analyse data.…”
Solid waste piling has become a serious problem to Sri Lanka. Urbanisation, industrialisation, and improvements in quality of life lead the increase in quantity and complexity of generated waste. The main purpose of this study is to determine the perception of undergraduates on waste, waste disposal mechanisms and waste management techniques in their living area. The research data obtained from one hundred and seventy three (n=173) undergraduate respondents from private universities located in Western Province, Colombo 07. A self-administered pre-validated questionnaire was used and the questionnaire was developed according to the literature survey and adapted accordingly to suit the Sri Lankan context. The data collection method was cross sectional. SPSS16.0 was used for data analysis. Data were analysed using cross-tab and chi square test. Cronbach’s alpha with the present sample was 0.63. The results revealed that 51% of the respondents do not have any clue of where their service providers are dumping their waste and 53% had reported that they are not concerned about it. Even though the responses are as such, 80% of the respondents had stated that they are aware that environmental degradation affects their families. The results revealed (based on p-value) that there is no association between gender and student perception on waste management. Furthermore student’s concern about the environment and waste management was moderate. Research reveals that there should be a proper mechanism to improve young generation’s concern about the environment and waste management to attain a sustainable future in the long term.
“…Invasive pneumococcal disease was defined as isolation of S. pneumoniae in a sterile fluid such as blood, cerebrospinal (CSF), pleural or joint fluids 18,26,27 .…”
Introducción: Streptococcus pneumoniae (neumococo) sigue siendo una causa importante de neumonía, sepsis y meningitis en niños en todo el mundo. En Ecuador, hay escasez de información sobre la enfermedad neumocócica invasiva. Métodos: Se trata de un estudio de cohorte retrospectivo que se llevó a cabo en el hospital público pediátrico de tercer nivel más grande de Quito, Ecuador. El estudio se realizó entre 2014 y 2018. Se analizaron las historias clínicas de los pacientes con enfermedad neumocócica invasiva (ENI). Se identificaron serotipos de S. pneumoniae, su susceptibilidad antimicrobiana, manifestaciones clínicas y mortalidad de ENI en un hospital de tercer nivel en Quito, de 2014 a 2018. Resultados: La mayoría de los pacientes con ENI tenían menos de 2 años. La neumonía fue la presentación clínica más frecuente y el serotipo 19A fue el más prevalente. Los aislados de S. pneumoniae fueron resistentes en diferentes porcentajes a clindamicina, eritromicina, trimetoprim sulfametoxazol, penicilina, levofloxacina, ceftriaxona. Los aislados meníngeos mostraron una mayor frecuencia de resistencia a los antimicrobianos. Aunque la mayoría de los pacientes habían recibido una vacuna antineumocócica conjugada contra 10 serotipos (PCV10), aún presentaron ENI. Discusión: A pesar de que la mayoría de los pacientes (88,2%) habían recibido una vacuna antineumocócica conjugada contra 10 serotipos (PCV10), aún tenían ENI. El serotipo 19A de S. pneumoniae fue la causa más común de ENI y mostró la mayor prevalencia de resistencia a los antibióticos en los niños infectados incluidos en este estudio. Conclusiones: Los tipos de ENIs más frecuentes fueron neumonía y sepsis, el serotipo más común fue 19A. Es de extrema importancia reforzar la vigilancia epidemiológica en el país para precisar la realidad de serotipos circulantes y valorar la efectividad e impacto vacunal.
“…A literature review found seven papers investigating PCV in Pacific Island nations, with 5 from Fiji [ 7 - 11 ], one from Papua New Guinea [ 12 ], and another from Tonga [ 13 ]. Three of the papers from Fiji evaluated the effect of 10-valent PCV introduction in October 2012 and found that results were overall very positive.…”
Section: Pcv and The Prevention Of Otitis Media And Hearing Loss Amon...mentioning
confidence: 99%
“…The study from Tonga aimed to evaluate hospital admissions of invasive pneumococcal disease in a nation that has no pneumococcal vaccine program [ 13 ]. The calculated incidence rates were 113/100 000 for children under 2 years, 50/100 000 for children under 5 years, and 25/100 000 for children under 15 years.…”
Section: Pcv and The Prevention Of Otitis Media And Hearing Loss Amon...mentioning
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