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Group size and group composition of the mona monkey (Cercopithecus mona) on the Island of Grenada, West Indies.

Cercopithecus, the genus of guenons, is the largest of the African primate genera, and yet more than half of the species belonging to this group have never been the focus of a long-term field study. In this paper, I present data on group size and composition for a previously unstudied population of guenons on the Caribbean island of Grenada. The mona monkey, Cercopithecus mona, was introduced to Grenada from Africa approximately 200-300 years ago. Two types of social groups were found for Cercopithecus mona on Grenada: all-male groups consisting of two to four individuals and bisexual groups containing 5-32 individuals. All-male groups of Grenada mona monkeys contained any combination of juveniles, subadults, and/or adults. All-male groups were a common occurrence on Grenada but have never been reported for African C. mona and have been reported only in two other forest Cercopithecus species. Bisexual groups appeared to consist of one adult male, one to six adult females, subadult females, and juveniles and infants of both sexes. Even though no more than one adult male was ever seen in each bisexual group of monas on Grenada, other males were heard giving copulation calls simultaneously with resident adult male loud calls, suggesting that other males occasionally infiltrate bisexual groups.

Animals↗

Local participation, international politics, and the environment: the World Bank and the Grenada Dove.

The process of locating waste disposal sites in the Eastern Caribbean country of Grenada illustrates important lessons in the implementation of new international mandates to invite stakeholder participation in projects with environmental and social impacts. This case study analyzes the participatory methods and results of the World Bank-funded project in Grenada, including an unexpected shift in the policy agenda toward habitat protection for the elusive Grenada Dove, the national bird of Grenada. We conclude that the impact of new requirements for stakeholder inclusion by funding agencies such as the World Bank and Global Environmental Facility has been palpable, but mixed. As the catalysts of more participatory methods, funding agencies still must give more careful consideration to the methods by which their participatory requirements are implemented. In particular they must develop more effective knowledge of and relationships with a broader range of stakeholders than are routinely considered by existing methods, allow for and learn from unexpected contingencies, and be flexible as to project goals and methods.

Animals↗

Capture techniques and morphological measurements of the mona monkey (Cercopithecus mona) on the island of Grenada, West Indies.

Morphological measurements were collected from 12 wild and 12 captive mona monkeys (Cercopithecus mona) on the Caribbean island of Grenada. Mona monkeys were introduced to Grenada from Africa approximately 200 to 300 years ago during the slave trade era. Wild monkeys were captured using either 1) a baited treadle-door trap and anesthetic-filled darts fired from a blowpipe, or 2) rifle-fired anesthetic-filled darts. All wild monkeys were released back into the forest after capture and were seen with their original groups within 24 hours of release. Captive monkeys were anesthetized using blowpipe-fired darts. A Ketaset/Rompun mixture was the most effective anesthetic for wild monkeys while Ketaset alone was suitable for captive monkeys. Responses to and recovery times from both drugs varied among individuals. Data on eight linear body measurements, canine length, testicle size, and weight were collected from all monkeys. Adult monkeys were significantly sexually dimorphic across all measurements. Mean adult male weight (mean = 4.7, SD = 0.9, n = 13) was almost twice that of adult females (mean = 2.8, SD = 0.8, n = 7). No significant differences in weight or measurements were found between adult wild and captive males. Preliminary comparisons with morphometrics for African C. mona from the literature showed the upper limit of Grenada mona body length and weight to be smaller than that of African monas for both sexes. These differences may be due to genetic divergence, ecological adaptation, inter-African geographic variation, and/or small sample sizes.

Africa↗

Leptospirosis in Trinidad and Grenada, with special reference to the mongoose.

In Trinidad, six Leptospira isolates were made from 957 febrile patients between 1968 amd 1972. In addition, CF antibodies were detected in 6-6% of febrile patients and human survey sera collected during this period. In 1972 alone, 10-4% (38/363) of sera examined had CF titres consistent with positive exposure to the disease. Grenada does not report leptospirosis, but the disease is common in mongooses in both Trinidad and Grenada. Serogroups Icterohaemorrhagiae, Pomona and Canicola are present in Grenada with 35-2% of mongooses examined being seropositive. Five Canicola strains of Leptospira were isolated from mongooses in Trinidad and serological studies showed that this was the most common serogroup from mongooses on the island. A total of 31 strains recorded from at least seven different serogroups and eight named serotypes have been isolated from humans, rats and mongooses in Trinidad. Human leptospirosis is probably more common in the Caribbean than the medical records indicate.

Animals↗

Serological studies on leptospirosis in livestock and chickens from Grenada and Trinidad.

Sera from 1,206 livestock animals and chickens on Grenada and Trinidad were tested for leptospiral antibodies by the microscopic agglutination test. 376 of the sera were positive (25% of those tested on Grenada and 44% on Trinidad). The positive sera were obtained from 25% of 324 cattle, 35% of 130 pigs, 35% of 146 sheep, 25% of 44 goats and 11% of 175 chickens on Grenada; and 92% of 26 cattle, 53% of 122 pigs, 76% of 87 horses and donkeys and 11% of 144 chickens on Trinidad. Eight sera from ducks and geese on Trinidad were tested and found to be negative. The serogroups most commonly found to react with the sera of the Grenadian animals were Autumnalis, Icterohaemorrhagiae, Hebdomadis and the related serogroups Sejroe and Mini, and Pyrogenes; in the Trinidadian animals they were Icterohaemorrhagiae, Autumnalis, Hebdomadis and its related serogroups, and Panama. Strains of serogroup Pomona do not appear to have become established as livestock pathogens on the islands.

Agglutination Tests↗

Educational and career aspirations of secondary school students in Grenada following the American intervention.

This paper reports a study of educational and occupational aspirations of secondary school students in Grenada following the 1983 American intervention. Questionnaire data were obtained from 729 students attending 7 of the island's 18 secondary schools. A status attainment model containing parental and family characteristics was tested. It was discovered that Grenadian students have exceptionally and unrealistically high aspirations. Although the opportunity structure in Grenada is very limited compared to that in the United States, the island's students have higher levels of aspirations. The status attainment model was not very useful in explaining either educational or occupational aspirations, as the levels of explained variance were less than 5%. The implications of high aspirations and low opportunities for the future of Grenada are discussed.

Achievement↗

Adolescent pregnancy in Grenada.

A retrospective review of adolescent deliveries (maternal age range: 12-19 years) at the maternity unit of the main General Hospital, Grenada, was undertaken for the years 1987 and 1988 using the delivery room register and hospital medical records. These mothers were compared with women who delivered during the same period but were aged between 20 and 30 years. Of the 3203 deliveries which occurred during the study period, 613 (20%) involved adolescents, giving a prevalence rate of one in five pregnancies. chi 2 and Fisher's exact test analyses revealed that pregnancies occurring in younger adolescents (age less than 16 years, n = 58) carried an increased risk of preterm labour, operative delivery, prematurity, small-for gestational age infants, asphyxia and perinatal mortality when compared with the 'optimum reproductive age group'. Older adolescents (16-19 years, n = 555) had a higher risk of pregnancy induced hypertension but otherwise compared well with the optimal reproductive age group. Adolescent pregnancy is very prevalent in Grenada and the reproductive outcome for young adolescents < 16 years of age is relatively poor.

Adolescent↗

Neonatal neurological morbidity in relation to obstetrical and social conditions in Grenada (Caribbean).

Neonatal morbidity, in particular neurological morbidity is a more relevant measure of the effectiveness of obstetrical care than perinatal mortality. Neurological morbidity was assessed in a birth cohort in Grenada, and appeared to be lower than in a reference group examined in Groningen, the Netherlands, in 1975-1978. Perinatal mortality, however, was higher. The results support the thesis that some children may have died who, if they would have survived, would have been neurologically abnormal. It is concluded that whereas a decrease in perinatal deaths is an essential goal in Grenada, a concomitant increase in morbidity should be carefully avoided.

Adolescent↗

The risk approach in diarrheal disease intervention in Grenada.

In a previous paper (Soc. Sci. Med. 23, 995-1002, 1986), we described the development of a method for identifying households at high risk of childhood diarrhea based on a logit analysis of data collected as part of a diarrhea disease control project in Grenada. In this paper, we report the results of a follow-up study designed to replicate the first using data on diarrhea incidence and risk factors collected in a different set of rural communities in Grenada. The findings of the first study were not replicated. There was no significant association between the risk factors and diarrhea in the follow-up study in contrast to the very strong associations found in the first study. As a consequence, it was not possible to construct a logit model from the second data set. The possible reasons for the contrasting sets of results and their implications for the application of the risk approach are discussed with reference to a two by two true-false table.

Diarrhea↗

Community mental health care in Grenada.

In Grenada, community mental health (CMH) care as an essential element of comprehensive primary health care goes beyond the boundaries of the psychiatric hospital and interfaces with the communities it serves. The boundaries between these two services however remain flexible and there often exists an interdependent relationship, with each acknowledging and utilizing the specific services provided by the other. This collaboration has been greatly facilitated by the fact that one administrative body is in charge of the entire mental health system throughout Grenada.

Allied Health Personnel↗

Pathogenic leptospira isolates from the Caribbean Islands of Trinidad, Grenada and St. Vincent.

All known isolates of Leptospira interrogans obtained in Trinidad, Grenada and St. Vincent up to the end of 1979 are listed. There were 80 from Trinidad, 20 from Grenada and 2 from St. Vincent, representing at least 20 serotypes from 11 or more serogroups. Six of the serotypes were first reported from Trinidad. The leptospires were isolated from man, domestic animals and wildlife species.

Animals↗

Apparent changes in the abundance and distribution of Anopheles species on Grenada island.

Results of a recent survey of the 3 species of Anopheles mosquitoes, Anopheles (Nyssorhynchus) aquasalis, Anopheles (Nyssorhynchus) argyritarsis, and Anopheles (Anopheles) pseudopunctipennis, on the island of Grenada are contrasted with the only other published survey of these species on Grenada, which was published in 1938. Results suggest that a significant change in the abundance and distribution of each species has occurred over this period. Physical characteristics of the aquatic habitats for each species are described and compared.

Animals↗

Leptospirosis in patients from Grenada, West Indies.

Evidence of leptospirosis in humans from Grenada, W.I., is reported here for the first time. Of 139 hospital patients with pyrexia of undetermined origin, 94 were jaundiced, and 16 (17%) of these were positive for hepatitis B antigen (HBsAg) and not examined further. 20 of the remaining 123 (16%) febrile patients were positive for leptospiral antibodies; 11 of them were current or recent cases. 25 of 182 (14%) afebrile out-patients showed evidence of previous exposure to leptospiral organisms. The most frequently encountered serogroups in the 45 seropositive in- and out-patients were Icterohaemorrhagiae (38%), Panama (24%) and Canicola (11%).

Adolescent↗

Rabies serum neutralizing antibody in mongooses from Grenada.

During a four-year study on Grenada, 4,754 mongooses were examined, of which 100 (2.1%) were rabid. Of 1,675 mongooses tested for rabies serum neutralizing (SN) antibody, 498 (30%) were positive. During these four years (1971-74) the antibody prevalence rate increased from 20.8% to 43.2%, whereas the number of rabid mongooses decreased from 3.5% to 0.6%. Naturally acquired antibody was monitored in 20 captive mongooses for up to 35 months, and it was still circulating in 18 when monitoring ceased. The highest titre recorded was 1:1,400, and the rate of fall was greatest in mongooses with high initial titres. High titres of naturally acquired antibody suggest recent rabies activity. 14 mongooses vaccinated parenterally with 1.0 ml of attenuated ERA vaccine showed substantial increases in antibody titres; most had titres greater than 1:1,000 one month later and maintained a high titre for several months. The highest recorded was 1:34,800. The virus titres of brain material from rabid mongooses ranged from 10(1.8) to 10(4.3) and, in some cases, were only slightly lower than those of salivary gland tissue (range, 10(1) to 10(5.6).

Animals↗

Reported versus recorded health service utilization in Grenada, West Indies.

Calls for household surveys to provide information on service utilization in less developed countries raise questions regarding the accuracy and reliability of reporting. This paper compares reported to recorded health service utilization for diarrhoea and any other morbidity over a 2-week and 3-month period for information obtained from a household survey in Grenada, West Indies. A sensitivity analysis is used to derive minimum and maximum estimates of the accuracy of reported utilization. Over-reporting utilization was found to be between 33 and 62% for diarrhoea and 49 and 81% for any other morbidity. Under-reporting of all utilization was estimated to be between 47 and 65%. These results cast doubt on the utility of household surveys as a reliable source of information regarding service utilization.

Child↗

The ecology of health services utilization in Grenada, West Indies.

Few empirical investigations into the nature of health services utilization fully acknowledge that the home environment may act as a socio-geographic focus of both disease transmission and of learned health behavior. This paper examines the role of the home environment, as well as of personal characteristics and accessibility, in the utilization of health services in Grenada, West Indies. Bivariate and logit analyses of household survey data are employed to identify markers of high user individuals and households. Aspects of each domain of the home environment (physical and behavioral environment, demographics, and residential mobility) emerge as contributors to the utilization phenomenon in the study communities. Both etiological and socio-economic linkages are postulated to underlie the observed relationships. The implications of this work for health planning in developing countries is discussed.

Age Factors↗

The effectiveness of the advanced trauma life support system in a mass casualty situation by non-trauma-experienced physicians: Grenada 1983.

Mass casualty is a sporadic event precipitated by natural or man made causes which can be defined as the need for medical care exceeding the ability to provide it. Many literature reports of mass casualty evolutions depict scenes of chaos and confusion, leading to a need for a standardized approach to assessment, triage, and initial resuscitation. Even with the advent of trained emergency medicine specialists to direct these activities, such a framework would seem highly desirable for other participating primary care specialists. Additionally, a uniform system might be particularly useful in the mass casualty situation where international rescue teams converge on one disaster site. Advanced Trauma Life Support (ATLS) is a standardized approach easily adaptable to triage and resuscitation of multiple patients. Its use and effectiveness in mass casualty, however, has not had prior mention in the literature. This paper presents the first reported adaptation of ATLS principles to mass casualty during the invasion of Grenada. The bulk of 76 patients brought to the Primary Casualty Receiving and Treatment Center (PCRTC) were triaged, stabilized, and resuscitated by three PGY-1 trained, non-trauma-experienced physicians. During the primary survey, 8 major life threatening problems were identified and immediately corrected without loss of life. The ATLS system seemed to provide a comfortable framework for these partially trained physicians. Arguments for its adaptation and use as an international system approach are discussed.

Education, Medical, Graduate↗

Recent developments in the Grenada mental health program.

The activities of a multidisciplinary team of mental health professionals during their initial year of work to upgrade the mental health system in the English-speaking Caribbean nation of Grenada are described. Improvement of services at the islands only psychiatric hospital received top priority. The team helped Grenadian staff to sharpen basic techniques of active treatment, which included assessment of psychiatric symptoms, development of treatment plans, and intervention with patients. Maintenance of medical records was improved, procedures for medication and seclusion were standardized, weekly ward rounds were routinized, and regular staff meetings were urged. Among the obstacles faced by the team in implementing these changes were staffs delayed acceptance of collaborative interdisciplinary team-work, as well as shortages of money and personnel.

Community Mental Health Services↗