A 3-month outbreak of invasive group A Streptococcus disease at an eldercare facility, in which 5 persons died, was biphasic. Although targeted chemoprophylaxis contained the initial outbreak, a ...second phase of the outbreak occurred after infection control processes ended. To retrospectively investigate the genomic epidemiology of the biphasic outbreak, we used whole-genome sequencing and multiple bioinformatics approaches. Analysis of isolates from the outbreak and isolates prospectively collected during the outbreak response indicated a single S. pyogenes emm81 clone among residents and staff members. Outbreak isolates differed from nonoutbreak emm81 isolates by harboring an integrative conjugative genomic element that contained the macrolide resistance determinant erm(TR). This study shows how retrospective high-resolution genomic investigations identified rapid spread of a closed-facilty clonal outbreak that was controlled, but not readily cleared, by infection control management procedures.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, ODKLJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Considers the financial sustainability of Canterbury's patient-centred, integrated health system in the post-disaster context of the last five years. Argues the need for a post-disaster health ...funding strategy that takes into account the challenge of following population movements after a large natural disaster, higher costs resulting from the disruption and the effect on the population, and the need for stability and certainty. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence.
Describes a contained measles outbreak in Canterbury in early 2019 and reflects on lessons learnt from the system-wide response. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, ...licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence.
Reports and discusses the results of a study that evaluated the performance of the 2013 Canterbury under 18 seasonal influenza vaccination programme. Source: National Library of New Zealand Te Puna ...Matauranga o Aotearoa, licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence.
The city of Christchurch and the wider Canterbury region recently experienced two major destructive earthquakes, the first in September 2010 and the second in February 2011, both followed by ...thousands of aftershocks. Christchurch has an untreated artesian water supply and the earthquakes resulted in major disruption to its wells, reservoirs and water distribution networks. The major wastewater treatment plant was also badly damaged, as were sewerage networks with extensive raw sewage discharges into rivers and the ocean. Ground liquefaction was extensive and created additional hazards with contaminated silt being almost ubiquitous. Despite these hazards and the extent and duration of the disruption to vital public health infrastructure, no outbreaks of gastro-intestinal or respiratory infection occurred in the aftermath of the earthquakes.
This presentation will discuss the microbiological hazards encountered in the immediate post-disaster period and the initial public health response measures taken to reduce disease risk including water testing and chlorination. It will also describe the enhanced surveillance measures instituted to monitor gastrointestinal and respiratory disease and some of the recent research findings about liquefaction. Finally, the presentation will review progress on post-disaster recovery with respect to water and waste services.
If the virus spreads further throughout our communities, and authorities ask people to limit social contact and self-isolate, cooperation with these necessary measures will play a crucial role in ...minimising COVID-19's spread and protecting the most vulnerable among us. Teams of infectious disease, public health and primary care experts are advising the Government on the best way to deal with this threat.
Discusses a strategic policy-level health impact assessment (HIA) on the Greater Christchurch Urban Development Strategy (UDS). Describes why a UDS in needed and informs that this is one of the first ...HIAs in NZ that assesses the link between urban design, health determinants and health outcomes at a high level of strategic planning. Considers six key health determinants: air and water quality, housing, transport and social connectedness, along with a second work stream focused on developing an engagement process with local Māori around the UDS. Informs of the values of the HIA trial to participants and makes recommendations for local government. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence.
The first health impact assessment (HIA) performed on a high level local government policy in New Zealand was undertaken on the Greater Christchurch Urban Development Strategy in 2005. This report ...describes its development and implementation and the results from the process evaluation including some recommendations made in the assessment. We concluded that HIA is a useful tool for local government policy analysts and we recommend it.
...the principal explanations for these disparities are well documented in terms of household crowding and other socioeconomic factors.6,7 It is now widely accepted that genetic differences cannot ...explain ethnic inequalities in health,8 and assertions to that effect are misguided and potentially harmful.9 Another major shortcoming of the study is the use of 'Polynesian' as an ethnic group (including New Zealand Maori). Other initiatives, such as the collaborative project being undertaken by Capital & Coast DHB, Hutt Valley DHB and Regional Public Health, illustrate how a more comprehensive approach can be taken to address the issue of serious skin infections in children.
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