Vector-borne diseases in pregnancy

O’Kelly, Brendan; Lambert, John S.

doi:10.1177/2049936120941725

Cited by 11 publications

(15 citation statements)

References 173 publications

(233 reference statements)

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“…Pregnant people are at risk of vector-borne infections due to suppressed immunity, and such infections have the potential of impacting fetal outcomes 78 . Well-known adverse events in pregnancy from vector-borne diseases such as malaria and Zika include preeclampsia, HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome, preterm birth, low fetal birth weight, mother-to-child transmission, and fetal congenital malformations 78–80 . Cases of coccidioidomycosis, a fungal disease that pregnant people may be more susceptible to, have been reported to have increased in California in response to increased land aridity 81,82 .…”

Section: Vector Ecology and Pregnancymentioning

confidence: 99%

See 1 more Smart Citation

Climate Change and Pregnancy: Risks, Mitigation, Adaptation, and Resilience

Fan¹,

Zlatnik

2023

Obstetrical &Amp; Gynecological Survey

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Importance: Climate change is affecting the earth, resulting in more extreme temperatures and weather, rising sea levels, more frequent natural disasters, and displacement of populations of plants and animals, including people and insects. These changes affect food and housing security, vector-borne illnesses, and access to clean air and water, all of which influence human health.Evidence and Results: There are a number of adverse health outcomes linked to heat, air pollution from wildfires, stress from natural disasters, and other elements of climate change. Pregnant people are especially vulnerable to the health harms resulting from climate change, namely, preterm birth, small for gestational age, hypertensive disorders of pregnancy, and other adverse reproductive health and birth outcomes. Strategies to minimize these harms include mitigation and adaptation.Conclusions and Relevance: Physicians are in a unique position to protect the health of pregnant persons and children by advocating for policy changes that address climate change and providing clinical recommendations for patients to protect themselves from the health impacts of climate hazards.Target Audience: Obstetricians and gynecologists, family physicians.Learning objectives: After participating in this activity, physicians should be better able to describe the adverse health effects and pregnancy outcomes associated with elements of climate change; and identify strategies for patients to minimize the health harms from climate change, including mitigation, adaptations, and building resilience. INTRODUCTION: WHY IS CLIMATE CHANGEA PROBLEM FOR HEALTH? Climate change is affecting the earth. We are now seeing more extreme weather and temperatures, rising sea levels, more frequent natural disasters (including wildfires, hurricanes, droughts, and flooding), and displacement of people, animals, insects, and plants around the world. [1][2][3][4] We are seeing a record number of climate-related disasters, with more than 22,000 disasters in the past 50 years, accounting for 45% of disaster-related deaths and 74% of economic losses. 5 Of the natural disasters, droughts, storms, floods, and extreme weather have led to the highest human losses. Climate change also affects food and housing security, vector-borne illness, and access to clean air and water, all of which influence human health. 6 High heat alone is linked to several adverse health outcomes, including stroke, exhaustion, faints, cramps, and, in severe heat, multiorgan dysfunction. 7 M.G.Z. is supported by funding from NIEHS P30-ES030284. This review article was supported in part by the American Academy of Pediatrics and funded in part by a cooperative agreement with the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry (CDC/ATSDR). The US Environmental Protection Agency (EPA) supports the PEHSUs by providing partial funding to CDC/ATSDR through an interagency agreement. The findings and conclusions presented have not been formally disseminated by CDC/ ATSDR or ...

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Section: Vector Ecology and Pregnancymentioning

confidence: 99%

“…81,82 Many treatment options that are used for vector-borne diseases, such as doxycycline and chloramphenicol, are avoided in pregnancy because of adverse effects that could affect the fetus, further compounding this population's sensitivity toward infectious diseases. 78…”

Section: Vector Ecology and Pregnancymentioning

confidence: 99%

Climate Change and Pregnancy: Risks, Mitigation, Adaptation, and Resilience

Fan¹,

Zlatnik

2023

Obstetrical &Amp; Gynecological Survey

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“…Changes in temperature, rainfall, and humidity influence the transmission of vector-borne diseases [37] and climate change is likely to expand the range and transmission seasons for a range of diseases important for maternal and neonatal health [38]. The distribution, intensity of transmission, and seasonality of malaria have already been affected by higher temperatures and increased vector activity [39].…”

Section: Climate-sensitive Infectionsmentioning

confidence: 99%

“…Mosquito-borne arboviruses are likely to expand their distribution due to climate change. Neonatal dengue is reported in the literature with contradictory findings on clinical characteristics and diagnosis [38]. Zika virus infection during pregnancy can cause infants to be born with microcephaly and other congenital malformations.…”

Section: Climate-sensitive Infectionsmentioning

confidence: 99%

How Climate Change May Threaten Progress in Neonatal Health in the African Region

Nakstad¹,

Filippi²,

Lusambili³

et al. 2022

Neonatology

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Climate change is likely to have wide-ranging impacts on maternal and neonatal health in Africa. Populations in low-resource settings already experience adverse impacts from weather extremes, a high burden of disease from environmental exposures, and limited access to high-quality clinical care. Climate change is already increasing local temperatures. Neonates are at high risk of heat stress and dehydration due to their unique metabolism, physiology, growth, and developmental characteristics. Infants in low-income settings may have little protection against extreme heat due to housing design and limited access to affordable space cooling. Climate change may increase risks to neonatal health from weather disasters, decreasing food security, and facilitating infectious disease transmission. Effective interventions to reduce risks from the heat include health education on heat risks for mothers, caregivers, and clinicians; nature-based solutions to reduce urban heat islands; space cooling in health facilities; and equitable improvements in housing quality and food systems. Reductions in greenhouse gas emissions are essential to reduce the long-term impacts of climate change that will further undermine global health strategies to reduce neonatal mortality.

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“…This may lead to better maternal and foetal outcomes as demonstrated in the literature of various developed countries1. 5,[16][17][18][19] Management of medical cases.…”

Section: Reported Frequency Ofmentioning

confidence: 99%

Medical disorders in pregnancy a tertiary care hospital experience.

Khattak

Tariq

Khattak

et al. 2022

TPMJ

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Objective: To determine the exact magnitude of the problem in our setup which will help to develop consensus guidelines with the contribution from various specialists especially obstetric medical specialist. Study Design: Prospective Observational study. Setting: It was conducted on 2448 patients who were ill due to various medical conditions during pregnancy and admitted to PNS Shifa and CMH Kharian. Period: 1st Jun 2019 till 31st May 2021. Material & Methods: Data was collected from the patients in the wards and delivery room and analysed using SPSSV28. Descriptive statistics were applied and means, and frequencies were calculated for different variables. Results: The total number of antenatal admissions was 8775, in which 2488 (28%) were patients. The mean age of our study population was 28 S.D (+ 4.78) years while the mean parity was 4 (S.D + 1.407). Hypertensive disorders were the most common medical disorder followed by haematological and liver disorders. Endocrine disorders were found in 372 (15%) of the study population. A total of 864 (38%) patients in the total study population had haematological abnormalities. Among these, anaemia was the most common haematological abnormality. Regarding respiratory disorders COVID-19 336(14%) was the most common respiratory medical disorder during pregnancy. Conclusions: All medical conditions in pregnancy are common and require a multidisciplinary approach which should be managed by a team involving Obstetric medical specialist.

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Vector-borne diseases in pregnancy

Cited by 11 publications

References 173 publications

Climate Change and Pregnancy: Risks, Mitigation, Adaptation, and Resilience

Climate Change and Pregnancy: Risks, Mitigation, Adaptation, and Resilience

How Climate Change May Threaten Progress in Neonatal Health in the African Region

Medical disorders in pregnancy a tertiary care hospital experience.

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