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PubMed1995

The potential for malaria control with the biological larvicide Bacillus thuringiensis israelensis (Bti) in Peru and Ecuador.

A study on the efficacy of Bti spraying in mosquito breeding places was undertaken in the Pacific coast of Peru and Ecuador and in the Amazon area of Peru. It was shown that Bti is a powerful larvicide for Anopheles larvae, although it sinks quickly, whereas Anopheles larvae feed at the water surface. The duration of its effect was less than 7 days with the exception of the Amazon area of Peru, where it was approximately 10 days. In two study areas, Bti was sprayed weekly over periods of 10 and 7 weeks, respectively, and the adult mosquito densities were monitored. The Anopheles adult density (bites per person per hour on human baits) was reduced by an average of 70% in one area and by up to 50% in the other. This means that Bti spraying can potentially be an important component of a modified malaria control strategy.

Animals↗

PubMed1984

Onchocerciasis in Ecuador. III. Clinical manifestations of the disease in the province of Esmeraldas.

Considerable variation in the frequency of the clinical manifestations of onchocerciasis was seen in the individual endemic foci of the disease in province of Esmeraldas, Ecuador. In hypoendemic areas, 84.6% of all microfilaria-positive inhabitants were found to be free of any clinical manifestations of the disease, whereas in the hyperendemic area clinical manifestations were present in 57.9% of those infected. Ocular keratitis, macular papular rash of the skin and subcutaneous onchocercal nodules of varying frequency were the major clinical variants. Long-standing onchodermatitis and hypertrophy of the skin were rarely seen. Clinical evidence of prolonged ocular and skin invasion by microfilariae was seen only in the hyperendemic area. Of the 26.1% of the microfilaria-positive inhabitants who had onchocercal nodules, 91.7% lived in the hyperendemic area. 41.1% of all nodules occurred in the region of the iliac crest. Clinical conditions associated with high microfilarial density, i.e., elephantiasis of the legs and scrotum, lymphadenopathy, hanging groin, hydrocele and inguinal hernia were seen only in the hyperendemic area. The clinical features were similar to those seen in Africa, but the low incidence of the clinical presentation and severity of the disease suggested a recent infestation of the province.

Ecuador↗

PubMed1984

Onchocerciasis in Ecuador, IV. Comparative studies of the disease relating to the Chachi and black populations in the province of Esmeraldas.

The frequency, intensity and clinical features of onchocerciasis in the two ethnic groups (Blacks and Chachilla--an indigenous tribe) in the endemic foci of the disease in Esmeraldas province (Ecuador) were evaluated. The incidence of infection and intensity of the disease seen in both groups were directly related to the frequency of man-vector contact and not to racial factors. Both groups showed the same rate of positivity in both the hyperendemic and hypoendemic areas. Males of both groups had a consistently higher positivity rate than did females. The Chachilla were found to have a higher mean microfilarial density than Blacks in both types of endemic areas. Certain clinical features of the disease analogous to those seen in the African form were present only in Blacks. No lymphatic involvement or hypertrophic scarring was seen in the Chachilla, suggesting that in the Blacks there may be a generaically related predisposition to lymphatic complications of microfilarial infections.

Adolescent↗

PubMedDate not supplied

Onchocerciasis in Ecuador: infection in children in the Santiago Basin focus, province of Esmeraldas.

The prevalence of onchocerciasis infection in children aged 1-12 in the Santiago Basin focus, province of Esmeraldas, Ecuador, was determined to see if active transmission of the disease had occurred in the past 6 years. An infection rate of 45.0% was found. Compared to that found in 1980 (14.5%), the infection rate had increased by 210.1%. The increase was greater on the Rio Santiago (340.5%) than on the Rio Cayapas (195.5%). An increase of 286% was seen in the skin microfilarial density in the 1-4 year age group, with a 56.8% increase in the 5-12 year age group. The prevalence of infection in children aged 0-4 years (those born since the first enquiry in 1980) was 64.3%, with an average skin microfilarial density of 12.2 microfilariae (mf)/mg and with 20% presenting nodules, of which 92.1% occurred in the head region. Of the 34 children examined aged less than one year, 25 (73.5%) were positive for microfilariae with an average microfilarial skin density of 9.6 mf/mg. These data suggest that there is active transmission of the disease in the Santiago Basin onchocercal foci.

Age Factors↗

PubMed1983

Traditional medicine in Ecuador: the structure of the non-formal health systems.

This paper summarizes the main findings of a four village study, carried out during 1979 and 1980 in the highlands and lowlands of northwest Ecuador concerning Western and traditional medicine practices and their relationship with the health status of the people. The methodology used was based on a census and cross-sectional survey on morbidity, mortality and healthy-seeking behaviour; on structured an open-ended interviews with healers, traditional midwives and local medical personnel; and on case studies and follow-ups of individual cases of illness, as defined by the population. Morbidity and mortality data show that the health situation is similar or worse in those villages with local medical services than in those with remote access to hospital facilities. The reported consultation and follow-up of actual cases revealed the existence of complex social networks for disease interpretation and management which combine Western and traditional medicine practices, religious and lay family healing procedures.

Adolescent↗

PubMed1986

Managing medical supply logistics among health workers in Ecuador.

Operations research techniques are being used to solve business and government problems throughout the world. This paper discusses the use of an analytical technique--the location set covering algorithm--to determine placement of medical supply centers in Ecuador. By establishing the optimum location of supply centers it is possible to effectively utilize scarce health care resources in a developing country and to help community level health workers be better prepared to deliver primary health care services.

Community Health Services↗

PubMed1989

Sadness, depression and social reciprocity in highland Ecuador.

Pena or llaqui in the Quechua area of Ecuador refers to a state of sadness and depression experienced following a variety of life events. This paper tries to explain why there is an elaborate discourse on such feelings in this culture. It is argued that the Quechuas stress the ideal of social reciprocity in human encounters and are accordingly sensitive to disturbances in social relationships. We observe that they pay a great deal of attention to the victim of pena and that they try to improve relationships with the social network and the family. The indigenous theory on pena also points to the importance of bodily elements closely associated to the psychological conditions. We conclude that knowledge of status relationships are important to understand the emotions experienced when loss occurs.

Body Image↗

PubMed1993

Highland-lowland contrasts in the impact of Old World diseases in early colonial Ecuador.

Old World epidemics played a major role in the demographic collapse of native peoples after 1492. In estimating aboriginal populations it is often assumed that once introduced Old World diseases spread unhindered and their impact was uniform. This paper indicates that there were often marked regional differences in impact of Old World diseases which were related not only to environmental conditions, but also to the size and character of native societies. Drawing on research on the demographic history of early colonial Ecuador, it demonstrates that there were marked regional differences in levels of depopulation, particularly between the highlands and lowlands. It argues that the presence of tropical fevers provides an inadequate explanation for the higher levels of depopulation in the lowlands and goes on to suggest that regional differences in the impact of Old World diseases were influenced by the size of Indian populations, their settlement patterns, forms of subsistence, social organization and ideology. These affected not only disease mortality, but also the ability of native groups to recover.

Altitude↗

PubMed1983

The ethnomedicine of the Waorani of Amazonian Ecuador.

The Waorani Indians of eastern Ecuador are one of the least acculturated tribes in South America and hence provide a unique opportunity for studying the role of medicinal plants in an isolated Amazonian people. Biomedical studies conducted by a team from Stanford and Duke Universities have revealed a surprising dearth of endemic disease among recently contacted Waorani. An intensive ethnobotanical study in the spring of 1980 found a perspicacious knowledge of ethno-ecology among all adult Waorani, but discovered relatively few medicinal plants. Partial results of this survey and a discussion of Waorani disease concepts are presented. The implications in terms of the origin of plant medicines among indigenous peoples are discussed. Are the Waorani unique because of their isolation or do they represent a pattern of medicinal plant use closer to the aboriginal situation before the impact of Western disease? The conclusions challenge the orthodox view of the native and the origins of his prodigious knowledge of medicinal botany.

Ecuador↗

PubMed1983

A new medicinal plant from Amazonian Ecuador.

Dalbergaria tessmanii, a shrub of the Gesneriaceae locally abundant in the tropical forests of Ecuador, is variously ethnomedicinally employed. For example, none of several Shuar (Jívaro) herbal healers know or use it, but the one Shuar Shaman consulted extols its importance in reducing vaginal bleeding. Although Mestizo native consultants from the provincial capital of Morona-Santiago report its use in alleviating heart problems, those from Pastaza Province employ it to reduce menstrual flow. The Lowland Quechua apparently use it for this purpose as well. This plant has apparently not yet been chemically examined. Its reported use in several different cultural context suggest that it should be phytochemically investigated.

Ecuador↗

PubMedDate not supplied

Detection of aldehyde dehydrogenase deficiency in Chachi Indians, Ecuador.

The activity of mitochondrial aldehyde dehydrogenase (ALDH2) was tested by isoelectric focusing of hair root extracts from 50 Chachi Indians (Ecuador). Quality of extracts and the intactness of cytoplasmic and mitochondrial enzymes were ascertained by assaying of phosphoglucomutase (PGM) and malate dehydrogenase (MDH) in the same extracts. Three of the 39 successfully assayed Chachi Indian samples showed virtual absence of the ALDH2 band on the isoelectropherogram, and the control enzymes were stained normally in these subjects. These data confirm the existence of a mitochondrial ALDH deficiency among South American Indians. The molecular origin of the ALDH2 deficiency in this population is unknown.

Adolescent↗

PubMed1992

Help-seeking strategies for epilepsy by previously untreated patients in northern Ecuador.

Two hundred and fifteen patients with epilepsy and 125 controls were given questions designed to elicit their help-seeking strategies for the condition. This was part of a large-scale medical intervention study in a rural area of a developing country (the provinces of El Carchi and Imbaburra, northern Ecuador). Local medical personnel were also surveyed. One hundred and forty-four patients and 98 controls were questioned again 12 months after they had been enrolled in the intervention programme to see if their attitudes and practices had changed. Over the study period, belief in medical remedies, particularly those offered by the study, rose significantly among both controls and patients. Control readiness to consult local healers for help and belief in their effectiveness also rose, whereas patient belief in healer help, already significantly less at baseline because of previous negative experiences, had declined still further. Though no patients treated were on antiepileptic treatment at baseline, 71% claimed to have sought the help of allopathic practitioners at some point in the past, 35% 'many times'. Of these only 21% had ever been given antiepileptic drugs; some consultations were not at local health facilities. Thirty-two per cent of patients also claimed to have consulted traditional healers. The high number of patients claiming to visit doctors was not entirely confirmed in the medical evidence. Even this source, however, suggested more consulted doctors than expected from the observation that only 10% were on any kind of treatment at the start of the study (none on antiepileptic drugs).(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

PubMed1993

Antiepileptic drug treatment in a community health care setting in northern Ecuador: a prospective 12-month assessment.

The results of a prospective assessment of antiepileptic drug treatment carried out over a 12-month period, in the context of existing community health care in a rural area of a developing country (a highland region of northern Ecuador), are reported. A house to house survey defined all patients in the area with a history of epileptic seizures, and 192 patients with active epilepsy were recruited into the programme. These patients were randomised to treatment with carbamazepine or phenobarbital, and 139 completed the assessment. Treatment was carried out by health visitors and rural doctors, monitored by a team of neurologists, and standard treatment regimens were used. Treatment was effective in controlling seizures, 53% of the patients were rendered entirely seizure free in the second 6 months of therapy, and a further 14% had a 50% or more reduction in seizures. These results were similar to those reported in hospital based studies in developed countries. No significant differences were found between the efficacy and safety of phenobarbital or carbamazepine. Antiepileptic drug levels were monitored during the study, and ranges similar to those found in developed countries were recorded. Compliance was good. In view of the successful treatment in this community control programme, we would recommend that community programmes for the control of epilepsy in rural settings should be given a higher priority in the planning of health care provision than is commonly the case. Finally, the programme afforded the opportunity to study the efficacy of treatment in patients with chronic long-standing epilepsy, who had not been previously treated, and the results of this treatment were good.

Adolescent↗

PubMed2005

DNA typing from skeletal remains following an explosion in a military fort--first experience in Ecuador (South-America).

We present individual body identification efforts, to identify skeletal remains and relatives of missing persons of an explosion took place inside one of the munitions recesses of the Armoured Brigade of the Galapagos Armoured Cavalry, in the city of Riobamba, Ecuador, on Wednesday, November 20, 2002. Nineteen samples of bone remains and two tissue samples (a blood stain on a piece of fabric) from the zero zone were analysed. DNA extraction was made by Isoamilic Phenol-Chloroform-Alcohol, and proteinase K. We increased PCR cycles to identify DNA from bones to 35 cycles in some cases. An ABI 310 sequencer was used. Determination of the fragment size and the allelic designation of the different loci was carried out by comparison with the allelic ladders of the PowerPlex 16 kit and Gene Scan Analysis Software programme. Five possible family groups were established and were compared with the profiles found. Classical Bayesian methods were used to calculate the Likelihood Ratio and it was possible to identify five different genetic profiles in our country. This paper is important because is a novel experience for our forensic services, because this was the first time DNA had been used as an identification method in disasters, and it was validated by Ecuadorian justice like a very effective method.

Bone and Bones↗

PubMed2004

Chromosome and DNA damage analysis in individuals occupationally exposed to pesticides with relation to genetic polymorphism for CYP 1A1 gene in Ecuador.

DNA damage was measured by using the alkaline comet assay and the chromosomal aberration (CA) test using peripheral blood samples from 45 pesticide sprayers from Cayambe, Ecuador. From a total of approximately 200 nuclei scored for each donor with the comet assay, a highly significant increase in DNA migration was observed when compared with a similar unexposed control population. Additionally, in the CA test, the exposed individuals were found to be significantly different when compared to the control population. Polymorphisms for the CYP 1A1 (Msp I and Ile/Val) in exposed individuals were analyzed by PCR-RFLP and allele-specific PCR techniques. No association was found between the polymorphisms and higher levels of DNA damage as assessed by the comet assay.

Chromosome Aberrations↗

PubMed2005

Relationship of pulmonary function among women and children to indoor air pollution from biomass use in rural Ecuador.

Approximately half the world uses biomass fuel for domestic energy, resulting in widespread exposure to indoor air pollution (IAP) from biomass smoke. IAP has been associated with many respiratory diseases, though it is not clear what relationship exists between biomass use and pulmonary function. Four groups containing 20 households each were selected in Santa Ana, Ecuador based on the relative amount of liquid petroleum gas and biomass fuel that they used for cooking. Pulmonary function tests were conducted on each available member of the households 7 years of age. The pulmonary functions of both children (7-15 years) and women (16 years) were then compared between cooking fuel categories using multivariate linear regression, controlling for the effects of age, gender, height, and exposure to tobacco smoke. Among the 80 households, 77 children and 91 women performed acceptable and reproducible spirometry. In multivariate analysis, children living in homes that use biomass fuel and children exposed to environmental tobacco smoke had lower forced vital capacity and lower forced expiratory volume in 1s (P<0.05). However, no significant difference in pulmonary function was observed among women in different cooking categories. Results of this study demonstrate the harmful effects of IAP from biomass smoke on the lung function of children and emphasize the need for public health efforts to decrease exposure to biomass smoke.

Adolescent↗

PubMed2006

Decrease of soil fertility and release of mercury following deforestation in the Andean Amazon, Napo River Valley, Ecuador.

Soil erosion and degradation provoked by deforestation in the Amazon is a global concern, and recent studies propose a link between deforestation, soil erosion and the leaching of naturally occurring mercury (Hg). In the Ecuadorian Amazon, elevated deforestation rates and the proximity of volcanoes could play an important role in soil fertility and soil Hg levels. The goal of this study is to evaluate the impacts of deforestation on Andisol and Inceptisol fertility and Hg levels in the Napo River Valley, Ecuador. Results show a significant decrease in surface soil organic matter (-15% to -70% of C and N) and exchangeable cations (-25% to -60%) in deforested plots. Hg concentrations at the surface (0-5 cm), higher in Andisols (225 ng/g average) than in Inceptisols (95 ng/g average), show a decrease of up to 60% following deforestation. Soil erosion exposes the mineral horizon, a layer with a higher Hg burden, to the elements thus provoking and accelerating Hg leaching. These results suggest that deforestation and the associated Hg leaching could contribute to the fish Hg contamination measured in the Napo River watershed.

Agriculture↗

PubMed2005

Spatial and temporal variation in biting rates and parasite transmission potentials of onchocerciasis vectors in Ecuador.

The influence of spatial and temporal factors on onchocerciasis transmission by Simulium exiguum s.l. and S. quadrivittatum in Ecuador was investigated to help develop sampling protocols for entomological surveillance of ivermectin programmes. Flies were collected in alternate months (November 1995-November 1996) at four sites each in the hyperendemic communities of San Miguel and El Tigre. A fixed-effects analysis of variance was used to explore the influence on vector abundance of locality, site, month and hour. Infectivity rates detected by dissection and PCR assays were compared. Simulium exiguum s.l. predominated at El Tigre (75%) whereas S. quadrivittatum prevailed at San Miguel (62%). Vector abundance was highest on river banks and outside houses. Biting and infection rates peaked from March to July. Hourly activity patterns were bimodal in S. exiguum but unimodal in S. quadrivittatum. Annual transmission potentials (ATP) for both species combined were 385 and 733 third stage larvae/person in San Miguel and El Tigre respectively, with S. exiguum accounting for 80% of the combined ATP at both localities. We recommend protocols that may maximize detection of parasite transmission. Infection rates thus obtained must be linked with vector density estimates to assess meaningfully host exposure as treatment progresses.

Animals↗