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Approximately 108,000 ethnic Nepalese people were forced to move from their long-standing homes in Bhutan in the 1990s and have since been living within refugee camps in Nepal. Since 2008, approximately 30,000 Bhutanese refugees have resettled in the United States, and more are expected to follow.
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Two children were diagnosed with japanese encephalitis (JE) in the United States in July 2010. The first child, aged 11 years, had onset of fever, headache, nausea, vomiting, and neck pain 4 days after returning from a 21-day trip visiting relatives in the Philippines.
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The numbers of households with pets, both traditional such as dogs and cats, as well as exotic pets, are increasing in many countries across the world. In addition, data obtained from media sources note a trend in the percentage of these pets sleeping in, or on, the owner's bed.
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Tropical Medicine Specialists Jan Clerinx and Alfons Van Gompel from Belgium provide a practical review of current knowledge about schistosomiasis as it relates to travelers and migrants, including good images of parasite lifestyle, maps, parasite eggs, and 223 references.
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Twice in the past 2 years I've encountered pulmonary histoplasmosis in travelers returning from Central America (Mexico and Costa Rica), and both times the diagnosis proved challenging. One case, in particular, was a 60-year-old man who had traveled to Costa Rica for 1 week and then presented with fever, persistent dry cough, malaise, and complaints of memory loss.
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Herpes zoster vaccine (Zostavax) was licensed in the United States in 2006 subsequent to the publication of the Shingles Prevention Study, a large (n = 38,546) prospective trial that demonstrated a 51% reduction in zoster and a 67% reduction in postherpetic neuralgia in vaccines compared to controls.
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Leptospirosis is a zoonosis caused by multiple serovars of bacteria in the genus Leptospira that are widely distributed in the tropics, as well as some subtropical and temperate areas.
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Admissions to a public hospital in kwazulu-natal, South Africa, for treatment of MDR- and XDR-TB from 2003 to 2008 were examined for health care workers (HCWs) compared with non-HCWs.
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In this issue: Anticholinergic drugs for COPD; pioglitazone for diabetes prevention; insulin degludec in Phase 3 trials; and FDA Actions.
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On Oct. 27, 2010, the Advisory Committee on Immunization Practices (ACIP) approved updated recommendations for the use of quadrivalent (serogroup A, C, Y, and W-135) meningococcal conjugated vaccines (Menveo®, Novartis; and Menactra®, Sanofi Pasteur) for adolescents and persons with high risk for meningococcal disease.
