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At least 19 recordsLinked to original sources

PubMed2003

M protein gene type distribution among group A streptococcal clinical isolates recovered in Mexico City, Mexico, from 1991 to 2000, and Durango, Mexico, from 1998 to 1999: overlap with type distribution within the United States.

To examine the type distribution of pathogenic group A streptococcal (GAS) strains in Mexico, we determined the emm types of 423 GAS isolates collected from ill patients residing in Mexico (Durango or Mexico City). These included 282 throat isolates and 107 isolates from normally sterile sites. Of the other isolates, 38 were recovered from other miscellaneous infections. A total of 31 different emm types were found, revealing a broad overlap between commonly occurring emm types in Mexico and the United States. The information obtained in this study is consistent with the possibility that multivalent, M type-specific vaccines prepared for GAS strain distribution within the United States could theoretically protect against the majority of GAS strains causing disease in the two cities surveyed in Mexico.

Alleles↗

PubMed2000

Cross-national comparison of injury mortality: Los Angeles County, California and Mexico City, Mexico.

BACKGROUND: Cross-national comparisons of injury mortality can suggest possible causal explanations for injuries across different countries and cultures. This study identifies differences in injury mortality between Los Angeles (LA) County, California and Mexico City DF, Mexico. METHODS: Using LA County and Mexico City death certificate data for 1994 and 1995, injury deaths were classified according to the International Classification of Diseases Ninth Revision-Clinical Modification external cause of injury codes. Crude, gender-, and age-adjusted annual fatality rates were calculated and comparisons were made between the two regions. RESULTS: Overall and age-adjusted injury death rates were higher for Mexico City than for LA County. Injury death rates were found to be higher for young adults in LA County and for elderly residents of Mexico City. Death rates for motor vehicle crashes, falls, and undetermined causes were higher in Mexico City, and relatively high rates of poisoning, homicide, and suicide were found for LA County. Motor vehicle crash and fall death rates in Mexico City increased beginning at about age 55, while homicide death rates were dramatically higher among young adults in LA County. The largest proportion of motor vehicle crash deaths was to motor vehicle occupants in LA County and to pedestrians in Mexico City. CONCLUSIONS: These findings illustrate the importance of primary injury prevention in countries having underdeveloped trauma care systems and should aid in setting priorities for future work. The high frequency of pedestrian fatalities in Mexico City may be related to migration of rural populations, differing vehicle characteristics and traffic patterns, and lack of safety knowledge. Mexico City's higher rate of fall-related deaths may be due to concurrent morbidity from chronic conditions, high-risk environments, and delay in seeking medical treatment.

Accidents, Traffic↗

PubMedDate not supplied

Eimerians in harvest mice, Reithrodontomys spp., from Mexico, California and New Mexico, and phenotypic plasticity in oocysts of Eimeria arizonensis.

Between May 1979 and August 1991, 48.7% (57/117) of the harvest mice (Reithrodontomys spp.) examined from 10 localities in Mexico, California and New Mexico had coccidian oocysts in their feces. A total of 46.7% (49/105) of the Reithrodontomys megalotis examined were positive for coccidian oocysts; this included samples from five states in Mexico (47.1%, 8/17), three counties in California (66.7%, 4/6) and two counties in New Mexico (45.1%, 37/82); 66.7% (8/12) of the Reithrodontomys montanus from one county in New Mexico also were infected. Only two coccidian species, Eimeria arizonensis and Eimeria langebarteli, were found in these hosts. Oocysts of E. langebarteli were found only in R. megalotis: in all three infected mice from Madera County, California, in the only mouse from San Bernardino County, California, and in 63% (5/8) of the infected mice from four states in Mexico. Oocysts of E. arizonensis were found in R. megalotis in Mexico, California, and New Mexico and in R. montanus from New Mexico. Sporulated oocysts of E. langebarteli differed slightly from those in previously published reports by having wider oocysts and larger sporocysts. Sporulated oocysts of E. arizonensis were variable in size, with those recovered from R. montanus significantly larger in length and width and sporocyst width than those from R. megalotis. The structure of the oocyst residuum was polymorphic, both within and between host species, and within the same mouse; it could appear as one large globule, two globules, several to many smaller globules, or as a compact mass of many small granules. Oocysts with a variable residuum were larger than those with one globule in all oocyst/sporocyst dimensions.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

PubMed1999

Illegal sales of cigarettes to minors--Ciudad Juárez, Mexico; El Paso, Texas; and Las Cruces, New Mexico, 1999.

In 1996, the United States-Mexico Binational Commission (US-MBC) Health Working Group identified prevention of tobacco use, particularly among adolescents, as a priority and subsequently recommended joint efforts toward reducing illegal sales of cigarettes to minors. A 1997 survey of 561 commercial cigarette outlets in Mexico City found that 79% of retailers sold cigarettes to minors. To assess the illegal sale of cigarettes to minors in other regions of Mexico and on both sides of the U.S.-Mexico border, during January-February 1999 the General Directorate of Epidemiology in Mexico, the Chihuahua State Department of Health Services (CDH), the Ciudad Juarez Department of Health (CJDH), the Texas Department of Health (TDH), and the New Mexico Department of Health (NMDH) surveyed cigarette outlets in Ciudad Juarez, Mexico; El Paso, Texas; and Las Cruces, New Mexico. This report summarizes the results of these surveys, which indicate that almost all retailers in the surveyed outlets in Ciudad Juarez sold cigarettes to minors and that sales rates to minors were substantially lower in El Paso and Las Cruces.

Adolescent↗

PubMed2000

A survey of the expectations of New Mexico emergency physicians regarding the services of the New Mexico Poison and Drug Information Center.

OBJECTIVE: Physicians have been surveyed concerning their satisfaction with poison center services but have never been questioned regarding their expectations. This study was conducted to clarify the expectations of emergency physicians in New Mexico regarding the service of their regional poison center, the New Mexico Poison and Drug Information Center. DESIGN: Five New Mexico emergency department physicians were interviewed about their expectations when calling the New Mexico Poison and Drug Information Center. Their responses were combined with unique, additional expectations identified by the New Mexico Poison and Drug Information Center staff in order to develop a 62-item physician expectation mail survey instrument. Respondents were asked to rank the importance of each service expectation on a 5-point Likert scale (1 = not important, 5 = extremely important). RESULTS: A usable return rate of 60% was achieved (104 surveys). Fifty-eight (94%) expectations had a mean importance rating of > or = 3 (important). Ninety-four percent of the expectations included on the survey were being provided by the New Mexico Poison and Drug Information Center. CONCLUSION: Currently, there is a good fit between New Mexico emergency physician expectations and New Mexico Poison and Drug Information Center services provided. The instrument identified several areas where service was expected but not provided (Internet access to poison center, provision of industrial/occupational toxicology services, provision of tele-medicine capability) and where service was provided but not expected (drug dosing information). Surveying can be a valuable tool for clarifying expectations for poison center services.

Attitude of Health Personnel↗

PubMed1997

Illegal sales of cigarettes to minors--Mexico City, Mexico, 1997.

Because of the increasing prevalence of tobacco use among youth in the United States and Mexico, in 1996 the United States-Mexico Binational Commission (US-MBC) Health Working Group identified prevention of tobacco use, with an emphasis on adolescents, as one of its four priority health concerns. From 1970 to 1990, annual death rates for the leading causes of smoking-related deaths in Mexico nearly tripled and, in 1992, an estimated 10,253 persons in Mexico died as a result of smoking-related diseases, 9% of all deaths that year. In addition, from 1988 to 1993, the prevalence of current smoking among minors aged 12-17 years increased from 6.6% to 9.6%, respectively (in Mexico City, the 1993 prevalence was 12.8%), and in 1993, 72% of adult smokers in Mexico reported becoming regular smokers before age 18 years. Although since 1984 the General Health Law of Mexico has prohibited the sale of tobacco products to minors aged < 18 years, compliance with this law has not been assessed. As part of the Mexican national program to reduce the prevalence of cigarette smoking among children and adolescents and in support of the goals of the US-MBC, during 1997 the General Directorate of Epidemiology (GDE) in the Secretariat of Health (SOH) conducted a survey of tobacco outlets in Mexico City to assess the percentage of retailers willing to sell cigarettes to minors. This report summarizes the results of the survey, which indicate that virtually no surveyed retailers asked minors attempting to purchase cigarettes about their age and that most retailers sold cigarettes to minors.

Adolescent↗

PubMed2001

Elevated incidence of type 2 diabetes in San Antonio, Texas, compared with that of Mexico City, Mexico.

OBJECTIVE: To compare the incidence of type 2 diabetes between low-income Mexican-Americans residing in San Antonio, Texas, and low-income residents in Mexico City, Mexico. RESEARCH DESIGN AND METHODS: Using data from the San Antonio Heart Study and the Mexico City Diabetes Study, we compared the incidence of type 2 diabetes in 35- to 64-year-old low-income Mexican-American residents of San Antonio with similarly aged low-income residents of Mexico City. Because of the different follow-up times in the two studies, Poisson regression was used to compare the rates of diabetes. Potential risk factors for diabetes were also analyzed to determine whether they explained or contributed to a difference in incidence. RESULTS: The age- and sex-adjusted incidence of type 2 diabetes was significantly higher in San Antonio (RR 2.01) compared with Mexico City. This difference was seen primarily in the oldest age group (55-64 years of age) and remained statistically significant after adjusting for a number of diabetes risk factors, including demographic, anthropometric, and metabolic variables. Follow-up rates were similar in both cities. CONCLUSIONS: We conclude that there was a higher incidence of type 2 diabetes in San Antonio than in Mexico City, and that difference occurred primarily in individuals in the oldest age group. The potential mediating factors we examined did not account for this difference. Other factors, such as exercise and diet, which were not available for analysis in this study, in addition to a cohort effect, may have contributed to the difference in incidence of type 2 diabetes in the two cities. In addition, there was no evidence of a higher case fatality among diabetic individuals from Mexico City compared with San Antonio.

Adult↗

PubMedDate not supplied

[Frequency of Toxocara cati eggs in domestic cats in Mexico City and the State of Mexico].

Toxocariosis is a zoonosis which has been widely studied in dogs. However, not much is known about this parasitosis in cats. The aim of the present work was to determine the frequency of Toxocara cati in domestic cats in Mexico City and the State of Mexico. Feces of 660 domestic cats were studied by the Faust concentration-floating test; 401 samples were from cats living in Mexico City of which 308 lived in houses and 93 in apartments; 231 were from urban areas of the State of Mexico and 28 from a rural area of the same state. The total frequency of T. cati eggs obtained from domestic cats in Mexico City was 42.9%; in cats living in apartments it was 18.3% and in cats living in houses it was 50.3%. In domestic cats from the State of Mexico, T. cati frequency was 36.4% in the urban and 21.4% in the rural areas. We consider that toxocariosis frequency observed at the two studied sites is high and that the need to prevent dissemination of the infectious forms of T. cati is urgent, as is the necessity of informing the population of the risk of living with T. cati parasited animals and of the anatomopathological alterations caused by T. cati in man.

Animals↗

PubMed1990

Medications obtained in Mexico by patients in southern New Mexico.

Many health care providers practicing near the border between the United States and Mexico have serious concerns about their patients' using medications obtained in Mexico. Despite these concerns, the extent of this problem is not known. A survey administered in a publicly funded rural clinic and an urban private practice in southern New Mexico assessed this problem. The survey revealed that 87% of the rural clinic patients and 6% of the urban private practice patients had purchased medications in Mexico within the past two months. Further, 91% of the clinic patients and 56% of the private practice patients stated that they had, at some time, used medications from Mexico. Although many of these medications are fairly innocuous, their easy accessibility and lack of regulation can lead to serious health hazards.

Adult↗

PubMed2001

High prevalence of antibodies to herpes simplex virus type 2 among middle-aged women in Mexico City, Mexico: a population-based study.

BACKGROUND: Herpes simplex virus type 2 (HSV-2) is among the most prevalent sexually transmitted diseases worldwide. In Mexico there is a lack of population-based HSV-2 surveys. GOALS: To determine population-based HSV-2 seroprevalence and risk factors among women in Mexico City. STUDY DESIGN: A random sample of 730 women was identified among the residents of Mexico City. Women ages 25 to 85 years were selected from 3,694 households. Western blot serology testing was conducted on serum samples to determine HSV-2 type-specific serostatus. A structured questionnaire was administered, and multivariate analyses were performed to identify risk factors for HSV-2 seropositivity, which were stratified into two age categories: younger than 50 years of age and 50 years of age or older. RESULTS: The HSV-2 seroprevalence among female participants was 29.8%, with a significant trend of increasing HSV-2 prevalence for each higher level of age (P < 0.001). Female participants had a median age of 46 years and were predominantly monogamous (82.6%). The overall population-based seroprevalence estimated in Mexico City among women was 35.8%. The independent risk factors for HSV-2 seropositivity included a history of two or more sexual partners (odds ratio [OR], 2.2; 95% CI, 1.4-3.4), two or more sexual partners before first pregnancy (OR, 2.3; 95% CI, 1.4-3.7), cohabitation with partner (OR, 2.5; 95% CI, 1.3-4.7), and current vaginal douching (OR, 1.7; 95% CI, 1.2-2.6). CONCLUSIONS: Population-based HSV-2 seroprevalence is endemically high among middle-age women in Mexico City, and clearly is correlated with higher-risk sexual behavior. This elevated HSV-2 seroprevalence may reflect unrecognized HSV-2 transmission throughout life.

Adolescent↗

PubMed1996

The New Mexico Mammography Project. Screening mammography performance in Albuquerque, New Mexico, 1991 to 1993.

BACKGROUND: This project was designed to collect and link population-based mammography and breast carcinoma data to assess the performance of community mammography screening. METHODS: Computerized data were collected from all radiology practices in Albuquerque, New Mexico. The data were linked by computer match to breast carcinomas in a statewide cancer registry. Analysis is based on 126,466 screening mammogram studies performed on 87,443 female residents of New Mexico between the ages of 35 and 84 by 5 radiology groups. Sensitivity, specificity, positive predictive value, and call back rates were calculated as indicators of the discriminative performance of mammography. Carcinoma size and stage distribution were analyzed as outcome measurements. RESULTS: The computer match linked 634 breast carcinomas to the 126,466 screening mammogram series. The community-wide sensitivity was 79.9%, and specificity was 90.5%. The predictive value of an abnormal screen was 4.3%, and that of a biopsy recommendation result was 16.9%. The call back rate was 11.4%. The median invasive breast carcinoma size was 15 mm, 20.3% of carcinomas were in situ, 18.3% were lymph node positive, and 68.1% were Stage 0 or Stage 1. CONCLUSIONS: Mass screening mammography as practiced in Albuquerque, New Mexico, is able to detect breast carcinomas at early, treatable stages. The stage distribution of carcinomas is similar to that seen in successful clinical trials. However, measures of mammography performance show lower sensitivity, more additional studies, and more biopsy recommendations in this community setting than have been reported by expert mammographers.

Adult↗

PubMed1977

Age of menarche in Oaxaca, Mexico, schoolgirls, with comparative data for other areas of Mexico.

Status quo menarcheal information was collected for a mixed urban colonia and rural sample of 315 girls in the Valley of Oaxaca, Mexico. Comparative status quo data for girls from four major urban centres in Mexico, and for a rural sample were also analysed. Median age at menarche (estimated by probit analysis) for Oaxaca girls was 14.27 +/- 0.20 years, about 0.5 year later than that for the rural sample from Tampico-Altamira, Tamaulipas (13.79 +/- 0.20 years), and approximately 1.5 years later than that for girls from the four urban centres in Mexico (12.55 +/- 0.10, 12.61 +/- 0.08, 12.75 +/- 0.10, 12.76 +/- 0.07 years). The timing of menarche in Oaxaca girls is similar to that for rural Mayans in Guatemala. Ages at menarche for urban Mexican girls are somewhat lower than those for girls of North-west European ancestry and of North American girls of European ancestry.

Adolescent↗

PubMed1989

Formaldehyde levels in air and wet precipitation at Mexico City, Mexico.

Formaldehyde concentrations in ambient air and in rain water were measured at the University of Mexico, Mexico City. Air samples were taken twice a day, from 9:00 to 13:00 h and from 13:00 to 16:00 h local time from July to December 1985. Rain water was collected on daily bases from July to October, i.e. during the rainy season. The ambient air mean value was 24.4 x 10(-3) ppmv for morning hours, while the afternoon mean value was 18.5 x 10(-3) ppmv. The formaldehyde concentration in wet precipitation ranged from 0.10 to 0.80 mg liter(-1) (3.3 to 26.6 micromoles liter(-1)) 0.41 mg liter(-1) (13.7 microoles liter(-1)). A comparison of the results of this study with some measurements made at remote maritime sites, rural and urban areas, indicated that the formaldehyde levels in the atmosphere and rain water of Mexico City are among the highest reported in the literature, including the data reported by Grosjean (1982) for Los Angeles, California, during severe photochemical pollution conditions.

Journal Article↗

PubMed2004

Fluoride content in bottled waters, juices and carbonated soft drinks in Mexico City, Mexico.

OBJECTIVE: The objective of this study was to analyse 283 samples of soft drinks available in the metropolitan market of Mexico City, Mexico: 105 juices, 101 nectars, 57 carbonated drinks and 20 bottled waters. MATERIALS AND METHODS: Samples of the beverages were analysed using an Orion 720A potentiometer and an Orion 9609BN F ion-specific electrode. RESULTS: Fluoride concentration in the above-mentioned products ranged from 0.07 to 1.42 p.p.m. It was found that fluoride concentrations varied according to the brand, flavour and presentation of the product. The highest mean concentration of fluoride was found in the juices and cola drinks (0.67 +/- 0.38 and 0.49 +/- 0.41 p.p.m., respectively). The mean fluoride concentration for carbonated drinks was 0.43 +/- 0.36 p.p.m. Bottled waters had a fluoride concentration of 0.21 +/- 0.08 p.p.m. CONCLUSIONS: The findings suggest that fluoride ingested through bottled drinks represents an important part of the total fluoride ingested by the population. In view of the wide variation of fluoride concentration in the tested products, it is necessary to implement regulatory guidelines for controlling its concentration in order to prevent dental fluorosis.

Analysis of Variance↗

PubMed1984

Bacteriological quality of crops irrigated with wastewater in the Xochimilco plots, Mexico City, Mexico.

Xochimilco county plots (Mexico City), one of the most fertile agricultural areas in the Valley of Mexico, produce a large portion of the fresh vegetables consumed in the city. These plots are generally irrigated with domestic wastewater, and for this reason, it was deemed important to examine and evaluate the bacteriological quality of the water, soil, and vegetables from these plots that are harvested and marketed. The soils were also examined for the classical parameters such as nitrates, ammonia, etc., and organic matter and texture. The crops selected for this study were radishes, spinach, lettuce, parsley, and celery because they are usually consumed raw. The highest bacterial counts were encountered in leafy vegetables, i.e., spinach (8,700 for total coliform and 2,400 for fecal coliform) and lettuce (37,000 for total coliform and 3,600 for fecal coliform). Statistically significant differences in bacterial counts between rinsed and unrinsed edible portions of the crops were observed even in rinsed vegetables, and high densities of fecal coliform were detected, indicating that their consumption represents a potential health hazard. The total coliform values found in irrigation water ranged from 4 X 10(4) to 29 X 10(4), and for fecal coliform the values ranged from 5 X 10(2) to 30 X 10(2).

Agriculture↗

PubMed1996

Mexico's other wars: epidemics, disease, and public health in Guanajuato, Mexico, 1810-1867.

"Mexico's Other Wars" refers to the fight against disease, particularly epidemic disease, during the period when Mexico gained its independence and was involved in the very conflictive process of nation-building, from 1810-1867. Controlling and eradicating disease was an integral part of that process. In this period, fighting disease assumed the crucial political purpose of making all people healthier as one means of building an economically productive civil society. To attain this goal, early nineteenth-century local policy makers organized an increasingly secular and integrated public health system governed by municipal and state officials who legislated local public health regulations. While disease was not eradicated, the incidence and severity of epidemics decreased and likely contributed, as one of many factors, to population increase. This process was evident in the city and state of Guanajuato, the focus of this paper, for Guanajuato's population almost doubled in this period despite war and intermittent armed conflict.

Communicable Disease Control↗

PubMedDate not supplied

[A proposed open formulary for a managed care program in Mexico. The Therapeutic and Pharmacological Committee of Mexico].

OBJECTIVE: To integrate an open formulary with drug use recommendations in which a physician could find a wide range of therapeutic options for his private practice. MATERIAL AND METHODS: An interdisciplinary medical committee with a high scientific level, reviewed each one of all the drugs available to be sell in Mexico, as part of a Pharmacy Benefit Management & Manage Care program implemented in our country. Each drug was classified according to its active ingredient under one of the following categories: 1) essentials, 2) excluded, and 3) not essentials-not excluded. The decision in each case was based on pure scientific grounds and using an Evidence-Based Medicine analysis. RESULTS: The proposed formulary contains a total of 1106 active ingredients-either unique or in combination-, from which 429 (38.8%) were classified as essentials. About one-out-of-ten drugs (8.7%) currently in use within the private medical practice in Mexico, some of them highly prescribed, were regarded by the committee as excluded due to concerns about their efficacy and/or safety. CONCLUSIONS: On this report a detailed description of the process followed to conform the committee, its objectives an its performing criteria is presented, as well as the bases under which the final list of drugs of the formulary were set.

Formularies as Topic↗

PubMed1995

Ascarophis mexicana n. sp. (Nematoda: Cystidicolidae) from two species of Epinephelus (Pisces) from the Gulf of Mexico in southeastern Mexico.

A new cystidicolid nematode, Ascarophis mexicana n. sp., is described from the stomach of 2 species of the genus Epinephelus, E. morio and E. adscensionis (Pisces: Serranidae), from the Gulf of Mexico, southeastern Mexico (states of Yucatan and Veracruz). It is distinguished mainly by small body measurements (body length of male and female 3.39-4.18 mm and 5.94-6.23 mm, respectively), a conspicuously long left spicule (1.58-2.05 mm), length ratio of spicules (1:10-12), and by eggs provided with 2 filaments on 1 pole. Ascarophis mexicana is the second Ascarophis species known to parasitize fishes of the genus Epinephelus (groupers).

Animals↗