Showing posts with label Infection. Show all posts
Showing posts with label Infection. Show all posts

Monday, December 19, 2011

Rare strain of AIDS virus moves beyond Cameroon: doctors

What now?
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Posted: 25 November 2011


A very rare strain of AIDS virus previously found only among a few people in Cameroon has most probably spread outside the West African country. (AFP/Annie Hautefeuille)
PARIS: A very rare strain of AIDS virus previously found only among a few people in Cameroon has most probably spread outside the West African country, according to a case reported by The Lancet on Friday.

The first identified infection with the so-called "group N" strain of the human immunodeficiency virus (HIV) was found in 1998 in a Cameroonian woman who had progressed to AIDS.

Since then, more than 12,000 HIV-infected patients living in Cameroon have been tested for group-N infection, but only 12 cases, including two couples, have ever been found.

The new case, reported by French doctors, involves a 57-year-old man who was admitted to the Saint Louis Hospital Paris in January suffering from fever, rash, swollen lymph glands and genital ulceration.

The patient had high levels of a virus in the HIV-1 family, but tests to pinpoint the particular strain proved inconclusive. On February 9, the patient developed facial paralysis.

The French team then carried out further tests on blood samples, which were found to react in an antibody essay of the N strain.

Tracing his sexual history, the researchers believe the infection was "probably" acquired from intercourse with a partner in Togo, from which he had just returned.

"This case of HIV-1 group-N primary infection indicates that this rare group is now circulating outside Cameroon, which emphasises the need for rigorous HIV epidemiological monitoring," says the doctors, led by Professor Francois Simon.

The finding is important because the patient suffered not only severe symptoms but also a fast-track decline in his immune system, as shown in the number of his CD4 white blood cells.

He was given a powerful five-drug combination of antiretrovirals, to which he responded, but needs close monitoring in the future, the letter said.

Group N may have leapt to humans from chimpanzees, possibly through the handling of bushmeat infected with the simian equivalent of HIV, scientists say.

It is one of four sub-types of virus gathered in the HIV-1 family, the others being M, which is by far the most prevalent, O and P. The P strain, like O and N very rare, may have jumped to humans from gorillas, according to a study published in 2009.

There is also a minority viral family called HIV-2, which also may have passed to humans from animal primates.

-AFP/vl



Taken from ChannelNewsAsia.com; source article is below:
Rare strain of AIDS virus moves beyond Cameroon: doctors


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Friday, March 26, 2010

EYES: WINDOWS TO ONE'S HEALTH

Human eye cross-sectional view. Courtesy NIH N...Image via Wikipedia
The Eye Care Revolution: Prevent and Reverse Common Vision ProblemsA news article taken form TODAYOnline.com, Tuesday, 23-Mar-2010

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SINGAPORE - The eye says a lot about the body. For example, damaged blood vessels in the retina can warn of damage in the brain, heart or kidneys.

In a few months, four polyclinics will use a retina imaging service - taking a picture of patients' eyes - to screen for conditions like diabetic retinopathy, glaucoma and heart diseases.

The three are in Outram, Bukit Merah and Clementi, while the fourth will be made known later.

Cholesterol and diabetes levels have traditionally been key indicators of cardiovascular diseases. But these methods fail to detect half the patients who are at high-risk.

This is set to change, however, with the pilot project which will focus on glaucoma.

Glaucoma is one of the more important diseases to be picked up, as 90 per cent of the people who have it are not aware of it, said Professor Wong Tien Yin, director of the Singapore Eye Research Institute.

The imaging technology has shown that it is able to pick up glaucoma between 80 and 90 per cent of the time, he said. In future, there will also be more "accurate information" so that doctors can decide whether surgery should be done.

The information will also be useful for patients who can decide what they should do.

An initial 3,000 patients will be selected for the retina imaging service when they go for their normal health screening.

Their eye images will be sent to the new Singapore Advanced Imaging Laboratory for Ocular Research (Sailor) for analysis.

The preliminary screening will catch those who are at high-risk, but have not yet been detected, said Prof Wong, who is also Sailor's co-director.

The retinal image at the polyclinics will cost between $6 and $15 compared to "hundreds" at a specialist. The advantage of the service is that it is low cost, uses readily-available technology and can serve as a "first round" of detection for those who might need further tests or specialist care, said Prof Wong.

There are also plans to tie up with healthcare clusters and to take this model abroad although a cost-effective study has to be done before the programme is expanded.

More than 3 per cent of the population aged 40 and above are diagnosed with glaucoma, a group of disorders which have in common an increase in the pressure inside the eye. Too high a pressure damages the optic nerve, and blindness can occur in severe cases.

While no estimates are available for Singapore, Prof Wong said such early detection and prevention is estimated to save some US$600 million ($839 million) for the United States annually.

Sailor, which cost more than $5 million to set up, was launched yesterday at the second Asia-Pacific Ocular Imaging Symposium yesterday.

It is a collaboration between A*Star's Institute for Infocomm Research and the Singapore Eye Research Institute, and is the third centre for eye research in the Fusionopolis-Biopolis science hub.
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Tuesday, May 26, 2009

Addressing concerns on infections in children

Immunity Advisory
All parents want the best for their children and constantly worry about their well being. Children who fall sick often miss out on learning opportunities and playtime which affects their overall growth and development. In this week’s column, A/Prof Daniel Goh helps parents to clarify uncertainties regarding infections in children.

Q1: Are there any vaccinations that my child should take? Are there any side effects to vaccinations?Evelyn Lee

A: Apart from the routine vaccines in our national immunization programme, there are several other vaccines that you should consider for your child. These include the rotavirus vaccine (given orally, only for babies less than 6 months of age), chicken pox vaccine (above 1 year old), influenza vaccine (which should be taken once a year), hepatitis A vaccine and the pneumococcal conjugate vaccine. Do speak with your family doctor who will be able to guide you in your child’s immunization needs.

Side effects of vaccines are usually mild and self-limiting and include pain, redness and fever. Allergy to vaccines is very rare. If your child has egg allergy, she should not receive influenza or yellow fever vaccines as these contain traces of egg. The measles vaccination is safe even in a child with egg allergy. If you notice that your child develops rashes, eye swelling or breathing problems after receiving a vaccine, you should bring your child immediately to your doctor for further assessment and management.

Q2: What are auto-immune diseases and what are the symptoms?Belinda Ang

A: Auto-immune diseases occur when the body’s immune system reacts erratically against itself and forms antibodies to attack healthy cells, tissues and organs. Some examples of auto-immune diseases include Lupus, Dermatomyositis and Type 1 Diabetes Mellitus. The symptoms of auto-immune diseases vary according to the type of disease. Some of the symptoms can be subtle and include persistent fever, weight loss, general tiredness and malaise, persistent or recurrent skin rashes, joint pain and swelling. Do consult your doctor should your child have such symptoms.

Q3: The doctor usually prescribes a course of antibiotics for a child to clear an infection. How does it actually work against the virus?Gloria Phua

A: Infections can be caused by bacteriae, viruses and other pathogens. Antibiotics are used to treat specific bacterial infections such as some ear and sinus infections, and some types of pneumonia. However, antibiotics have no effect on viruses at all and should not be used in viral infections such as the common cold and the  u. When prescribed, it is also important for you to take your antibiotics properly and to complete the course as instructed by your doctor. Overuse/misuse of antibiotics can lead to other complications. It can also cause the development of resistant strains of bacteriae that are even more difficult to treat.

A/Prof Daniel Goh is the head of both Department of Paediatrics and Division of Paediatric Pulmonary and Sleep at the University Children’s Medical Institute, NUH. A/Prof Goh also pioneered the “I CAN!” programme (a comprehensive programme for the management of asthma and allergies in children at NUH). He is the President of the Singapore Paediatric Society and the Vice-President of the College of Paediatrics and Child Health, Singapore as well as the Vice-President and President-elect of the Asean Paediatric Federation.

DID YOU KNOW?
Childcare centres and playgrounds are ideal breeding grounds for germs that cause infections. Therefore, maintaining a high level of personal hygiene such as thorough handwashing, proper disposal of used tissue paper and staying at home when your child is unwell will help reduce the spread of infection.

The advice offered by the featured expert in this series should not be misinterpreted to be a recommendation of any product. This series provides the opinions of specialists and readers should consult their own doctors if they should have further enquiries.


From TODAY – Tuesday, 26-May-2009

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Ever wished there was something so effective and pleasant to take?

Friday, May 22, 2009

You can never outrun the flu virus


Prevention is the best medicine.
Get protected now!

The flu virus can strike anytime.

The good news is you can now strike back.

The flu is more common than you think
Influenza, commonly known as the 'flu', is a viral infection of the respiratory tract. Potentially severe, it is cause by several strains of the influenza virus and is easily transmitted through water droplets in the air. Once it infects a person, the virus replicates itself very quickly, making you feel sick in no time.

Flu seasons peak during the winter months in temperate countries. However, tropical countries such as Singapore do not have as well0-defined flu seasons. Although deadly strains of flu like the 'bird flu' or SARS follow a certain cycle of potential major outbreaks, flu in general is present all year round.

The flu is more contagious than you think
When an infected person sneezes, each sneeze travels at speeds of up to 100 km/h. A sneeze can produce about 20,000 tiny water droplets which can remain in the air for as long as 24 hours. Surrounding people unsuspectingly breathe that in and this is how the flu spreads so quickly.

The flu can cause severe symptoms
Although the severity may vary between individuals, generally the common symptoms are:
Those most in danger
These symptoms are often more severe in the elderly or those with chronic illness, sometimes leading to secondary bacterial infections like pneumonia. The flu may also worsen heart, lung and other chronic diseases (e.g., asthma, chronic obstructive pulmonary disease, myocardial infarction and diabetes). Severe complications of flu infection may even lead to death in patients with impaired immunity. Deaths caused by the flu in Singapore over the past decade were 14.8 out of every 100,000 persons.

How to tell if you've got the flu
If you've got a fever (usually 39°C – 41°C) and 2-3 other symptoms mentioned above (most commonly muscle aches and cough), you've probably got the flu.

The difference between Flu and the Common Cold
SymptomsFluCommon Cold
Onset of symptomsSuddenGradual
FeverHigh (39°C – 41°C)None or mild (less than 38°C)
HeadachesPresentUsually absent
Muscle achesSevereUsually mild
Fatigue and tirednessSevereUsually mild
Sore throatSometimesCommon
CoughPresentUsually absent
Chest discomfortCommon, sometimes severeMild to moderate
SneezingOccasionalCommon
Duration7 – 10 days3 – 4 days

 

You can prevent the flu
Vaccination is one of the options to prevent flu. Vaccination of the elderly can result in lower incidence of complications and hospitalizations. Death rates due to severe complications in high risk individuals have been shown to be reduced by as much as 68%.

The importance of routine vaccination
The flu virus mutates and changes continuously. Throughout the year, 110 national flu surveillance centres and 4 World Health Organization (WHO) collaboration centres in 82 countries worldwide watch the trends in circulating strains of influenza. The WHO will regularly identify the strains that most resemble those in circulation. Shortly after the WHO releases this report, vaccine manufacturers will start making new vaccines to offer protection against these strains of influenza. This is why routine vaccination is important for optimal and continuous protection against new flu strains.

Who should be vaccinated
Anyone who wishes to reduce the risk of getting the flu can be vaccinated. It becomes even more important to do so if the following applies to you or a family member:
  • All persons, including school-aged children, who want to reduce the risk of becoming ill with influenza
  • All persons aged 50 years and above
  • All children aged 6 months to 4 years
  • Persons with chronic diseases such as asthma, cardiovascular diseases and diabetes
  • Close contact with high risk groups
  • Have low immunity
  • Traveling to high risk areas
  • Resident of a nursing home or chronic care facility
  • A healthcare worker
When it comes to the flu, prevention is the best medicine. If you feel you or anyone in your family would benefit from a flu vaccination, please speak to your doctor today.

Prevention is the best medicine.
A health message brought to you by:
  • INFECTION CONTROL ASSOCIATION (Singapore)
Supported by:
  • GlaxoSmithKline
  • The Protectors


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You can take preventive measures

Saturday, May 16, 2009

Addressing concerns on your child’s immunity

Red blood cells on an agar plate are used to d...
Red blood cells on an agar plate are used to diagnose infection. The plate on the left shows a positive staphylococcus infection. The plate on the right shows a positive streptococcus infection and with the halo effect shows specifically a beta-hemolytic group A. (Photo credit: Wikipedia)
We caught up with noted paediatrician, Dr Daniel God (NUH), to help moms gain further insight into strengthening their child’s immune system.


Q: My 3 year old loves playing outdoors. However, he’s prone to colds and flu so I often restrict his playing to prevent him from falling sick. Could his immune system be weak?Elaine Phua
 
A: Colds and flu are due to viruses that commonly cause infections in young children, particularly those attending childcare or playschool. Playing outdoors is not the cause of him falling sick. In fact, keeping your child active and ensuring he gets lots of exercise and sunshine helps to keep him healthy and strong. After play, make sure he drinks lots of water to replenish lost fluids and gets sufficient rest.


Q: I’ve heard from other moms that prebiotics play an important role in supporting my child’s gut health. What exactly do prebiotics do for my child?Karen Ang
 
A: To maintain a healthy environment in your child’s gut, your child needs good bacteria in his intestines. Good bacteria need nourishment in the form of prebiotics, which help to stimulate the growth of good bacteria in your child’s gut. Prebiotics also play a protective role in the gut by promoting a thicker mucous lining, which acts as a barrier against the build-up of bad bacteria.

Ensure your child gets his share of prebiotics by feeding him foods such as bananas, honey and whole grains.


Q: How do I know whether my child’s immune system is strong enough? What can I do daily to strengthen his immune system so he can be stronger and healthier?Debra Ong
 
A: You can boost your child’s immunity in several ways: Ensure that he gets a well-balanced, nutritious diet, so that he gets all the nutrients he needs. Also, keep your child active and lean as it has been clinically proven that overweight children are more likely to suffer from infections compared to lean babies.

Getting adequate rest and sleep are also vital to allow the body to recuperate and meet the needs of the day. Good personal hygiene is also important to reduce unnecessary exposure to infection. Finally, be sure to check with your doctor if your child has received all the necessary vaccinations against diseases and infections.


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Did you know?
Did you know that your baby’s immune system is not fully matured at birth? That is why babies are more susceptible to infections and sicknesses.
 
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From TODAY, Health – Wednesday, 13-May-2009

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Will kids LIKE it?