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Results for “Sri Lanka”

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At least 19 recordsLinked to original sources

PubMed2025

Lanka virus, a Mus booduga-borne orthohantavirus infection-associated febrile illness in Sri Lanka.

BACKGROUND: In Sri Lanka, a high seroprevalence of antibodies against hantaviruses was reported in communities affected by chronic kidney disease of unknown etiology (CKDu). Recently, two rodent-borne hantaviruses, Lanka virus and Anjozorobe virus, were identified in these areas. However, it is unclear which virus is the source of infection in humans, and its pathogenicity is unknown. METHODOLOGY/PRINCIPAL FINDINGS: A total of 181 sera from febrile patients from two CKDu-endemic regions, Girandurukotte and Polonnaruwa, were examined and Lanka virus genome was detected in two IgM-positive febrile patients. Of 76 serum samples from patients with fever of unknown etiology collected during 2016 examined to identify hantavirus genomes, antibodies, and serotypes, 10 were IgG-positive with five of them having IgM also. They were all without clinical features of hemorrhagic fever with renal syndrome, but three patients required treatment in the intensive care unit. A serotyping strategy was established based on the antigenic difference of the glycoprotein Gn of Lanka and Anjozorobe viruses. Using this method, febrile patients were found to be infected with the Lanka virus and none of the patient sera showed Anjozorobe virus infection pattern. Additionally, a total of 373 previously diagnosed seropositive serum samples from CKDu patients and healthy residents were serotyped to categorize 87% of seropositives as Lanka virus infection. CONCLUSIONS/SIGNIFICANCE: Lanka virus carried by little Indian field mouse (Mus booduga) is transmitted to humans, likely causing febrile illness occasionally while leading to severe disease in some of the febrile patients.

Humans↗

PubMed1979

Geochemical provinces and the incidence of dental diseases in Sri Lanka.

A survey carried out on the incidence of dental diseases and the distribution of fluoride in drinking water wells in Sri Lanka shows that 3 areas in particular had abundant fluoride (greater than 2ppm). Dental fluorosis was common in areas with high fluoride content while those areas with very little or no fluoride, such as the central region of Sri Lanka, had a high incidence of dental caries. The intensity of rain fall played a major role in the leaching of fluoride ions from soils and it is perhaps this factor which is responsible for the occurrence of a low fluoride zone in the central part of Sri Lanka. The presence of areas containing high fluoride and hence dental fluorosis coincided with geochemical provinces. In these areas, mineral deposits such as apatite and serpentine and also hot spring regions with exhalations of fluorine are found.

Dental Caries↗

PubMed1979

Vitamin A status of children in Sri Lanka.

A representative country-wide rural nutrition status survey determined the extent and distribution of vitamin A deficiency in Sri Lanka in children 6 through 71 months of age. Trained paramedical personnel recorded the presence or absence of selected ophthalmological signs and symptoms associated with vitamin A deficiency in 13,450 children. The results of the country-wide clinical survey indicate that a vitamin A deficiency problem of public health importance may exist in two of 15 health areas. Serum vitamin A levels were determined on 346 survey children from two of 15 health areas and compared with clinical findings for these areas. The lowest mean serum vitamin A, 26.3 microgram/100 ml, occurred in children with clinical eye findings. A high prevalence of clinical eye findings, 34%, and the low mean serum vitamin A value, 28.2 microgram/100 ml, were found in the group of chronically undernourished children--children who are less than 90% of their expected height for age. The survey results enabled planned redirection of the distribution of vitamin A capsules to preschool children in Sri Lanka to areas shown to have the highest prevalences of ophthalmological signs and symptoms and/or the highest prevalence of chronic undernutrition.

Child Nutritional Physiological Phenomena↗

PubMed1978

The political economy of controlling transnationals: the pharmaceutical industry in Sri Lanka, 1972-1976.

This paper describes the experience of Sri Lanka in reforming the structure of production, importation, and distribution of pharmaceuticals in the period 1972-1976. It highlights the actions and reactions of transnational pharmaceutical corporations to these reforms, and traces the achievements and problems of the State Pharmaceuticals Corporation which was set up to implement the reforms. The roles of political leadership in regulating the power of drug transnationals, and of the medical profession in resisting reform, seem to be of crucial significance. Developing countries wishing to lower the present high cost of drug delivery must proceed with great care and immense caution, since complex problems of quality control, bioequivalence, medical acceptance, and consumer reeducation are involved.

Drug Industry↗

PubMed1979

Is outcome for schizophrenia better in nonindustrial societies? The case of Sri Lanka.

We now have evidence that the prognosis for schizophrenia is much better in nonindustrial than in industrial societies. This paper reports on a 5-year follow-up of schizophrenic patients living in the peasant society of Sri Lanka and shows that social adjustment and clinical state of a sample of first admission schizophrenic patients examined at the end of 5 years are remarkably good. Further, the 5-year outcome for these patients is consistent with WHO's samples followed in Nigeria and India, for example, and consistently different from outcome for schizophrenic patients followed in industrial societies such as Denmark, U.S.A., U.K., and U.S.S.R. Further, we have shown for the Sri Lanka schizophrenics that good outcome cannot be explained by artifacts of sampling or diagnostic methods, by type of treatment, or by the family's willingness to tolerate deviance. Instead, to explain cultural differences in prognosis, we propose a theoretical alternative to the medical model of disease, social labeling theory, that attributes good prognosis to cultural factors such as the traditional system of beliefs, structure of the treatment system, and family norms. In modern industrial societies, expectations and beliefs about mental illness and the operation of the treatment system serve largely to alienate schizophrenic patients from their normal roles and thus to prolong illness. In contrast, beliefs and practices in nonindustrial societies encourage short term illness and quick return to normality. Cultural differences in prognosis, then, may be the result of culturally based self-fulfilling prophecies.

Adult↗

PubMed2026

Occurrence of antibiotic-resistant E. coli and antibiotic resistance genes from culturable bacteria in drinking water sources along the Upper Mahaweli River, Sri Lanka.

Antibiotic-resistant Escherichia coli (AR-E. coli) and antibiotic resistance genes (ARGs) in aquatic environments pose a serious threat to public health. However, their presence in river water in South Asian countries is not well established. The present study investigated AR-E. coli and ARGs from culturable bacteria in drinking water sources from 14 drinking water treatment plants situated along the Upper Mahaweli River, a tropical central hill-country river system in Sri Lanka. A total of 167 E. coli isolates were tested against ten antibiotics using the Kirby-Bauer method, and genomic DNA from culturable bacteria in 45 water samples were screened for 11 ARGs using PCR. Overall, 60.48% E. coli isolates exhibited resistance to at least one antibiotic and multidrug resistance was detected in 27.54%. Highest resistance was for amoxicillin (47.31%), tetracycline (26.95%), and co-trimoxazole (24.55%) and four antibiotics showed seasonal variation. ARGs, dominated by blaTEM (80.0%), tetA (66.67%), and tetM and qnrS (62.22%) were detected in 42.42% PCR assays (n = 210). Multiple antibiotic resistance index varied from 0.00 to 0.80, with 44.91% exceeding the 0.2 threshold value, and the antibiotic resistance index varied from 0.00 to 0.32, with eight above the threshold (≥ 0.2). Hierarchical cluster analysis grouped majority of drinking water sources into the intermediate category while few were categorized under low (Kotagala and Thalawakelle-Galkanda) and high (Haragama, Paradeka, and Nawalapitiya), reflecting the variability of anthropogenic interference. Results highlight the risk associated with AR-E. coli and ARGs from culturable bacteria in one of Sri Lanka's key drinking water sources. Proactive interventions ensuring long-term safety of drinking water sources are urgently needed to safeguard public health.

Sri Lanka↗

PubMed1978

Psoriasis in Sri-Lanka--a computer analysis of 1366 cases.

A clinical and epidemiological study of psoriasis in Sri-Lanka is presented. The prevalence in the population is estimated to be over 0.4%. The clinic incidence was 8.7%; of these 53.2% were male, and 46.8% female and 8.3% reported a family history of the disease. The mean age at onset was 25.2 years. The frequency distribution for the age at onset was bimodal with peaks at the second and fifth decades. The age at onset was significantly low in females, in patients with a family history of the disease, in those affected by weather changes and in patients whose disease was precipitated by sore throats. The existence of natural subpopulations of patients is suggested. Clinical types and complications of the disease were not essentially different from those observed in the West.

Adolescent↗

PubMed1977

Measuring the effectiveness of contraceptive marketing programs: Preethi in Sri Lanka.

The Preethi marketing program resulted in sales of more than 11 million condoms during its first 33 months, multiplying Sri Lanka's annual per capita condom use by a factor of five. Estimates for 1974 show 144,000 new acceptors (8% of married women of reproductive age), totaling 50,000 couple-years of protection. It is also estimated that more than half of the nation's 1.8 million couples of childbearing age were educated about the function of a condom. Unit costs were low for this new, nationwide program: about US $2.00 for each new acceptor; 6.00 dollars for each couple-year of protection; and 0.09 dollars for each couple educated. The program's success suggests that a social marketing approach can advance family planning at a relatively low cost.

Advertising↗

PubMed1979

Prevalence of antibody to hepatitis A virus in Sri Lanka.

Antibody to hepatitis A virus was studied by immune adherence hemagglutination using 287 serum specimens collected in 1975 by random sampling from healthy individuals living in Colomobo, Sri Lanka. The overall prevalence of antibody to the virus was 76.9% and the prevalence between males and females was approximately the same. The age-specific prevalence of the antibody indicated that hepatitis A in the area is mainly an infection during the early childhood.

Adolescent↗

PubMed1979

Religious beliefs and psychiatric disorder in Sri Lanka.

After a brief description of the popular beliefs on the causation of illness held in Sir Lanka, eight illustrative case histories are presented. Although the incidence of religious-supernatural contents of mental disorders has been decreasing in the West it is by no means rare. It does, however, occur mostly in psychotic illness, whereas in Sri Lanka it occurs with great frequency in both psychotic and neurotic conditions. The indigenous exorcistic methods of treatment will be more effective in some cases than in others and a careful diagnosis will provide indications as to the choice of treatment.

Adolescent↗

PubMed1978

Naturally acquired measles immunity in Nepal and Sri Lanka.

Serological surveys of naturally acquired measles antibodies in children 6--72 months of age were done in Nepal and Sri Lanka. The prevalences of naturally acquired measles immunity are compared by age groups with serological studies done in other countries. Suggestions are made regarding age ranges for measles vaccination programs.

Humans↗

PubMed1978