Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: The Am...
Source: The American Journal of Tropical Medicine and Hygiene - August 2, 2021 Category: Tropical Medicine Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: Am J Trop Med Hyg)
Source: Am J Trop Med Hyg - August 2, 2021 Category: Infectious Diseases Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: The Am...
Source: The American Journal of Tropical Medicine and Hygiene - August 2, 2021 Category: Tropical Medicine Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: Am J Trop Med Hyg)
Source: Am J Trop Med Hyg - August 2, 2021 Category: Infectious Diseases Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: The Am...
Source: The American Journal of Tropical Medicine and Hygiene - August 2, 2021 Category: Tropical Medicine Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: Am J Trop Med Hyg)
Source: Am J Trop Med Hyg - August 2, 2021 Category: Infectious Diseases Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: The Am...
Source: The American Journal of Tropical Medicine and Hygiene - August 2, 2021 Category: Tropical Medicine Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: Am J Trop Med Hyg)
Source: Am J Trop Med Hyg - August 2, 2021 Category: Infectious Diseases Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: The Am...
Source: The American Journal of Tropical Medicine and Hygiene - August 2, 2021 Category: Tropical Medicine Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: Am J Trop Med Hyg)
Source: Am J Trop Med Hyg - August 2, 2021 Category: Infectious Diseases Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Clinical Features of Acute Chikungunya Virus Infection in Children and Adults during an Outbreak in the Maldives
We describe the genotype and polymorphism of Maldives chikungunya virus using phylogenetic analysis. All isolates were consistent with the East Central South African genotype of the Indian Ocean lineage, with a specific E1-K211E mutation. In addition, we explored the clinical and laboratory manifestations of acute chikungunya in children and adults, of which severe infection was found in some children, whereas arthritis primarily occurred in adults. Arthritides in adults occurred irrespective of underlying comorbidities and were associated with the degree of viremia.PMID:34339379 | DOI:10.4269/ajtmh.21-0189 (Source: The Am...
Source: The American Journal of Tropical Medicine and Hygiene - August 2, 2021 Category: Tropical Medicine Authors: Hisham Ahmed Imad Juthamas Phadungsombat Emi E Nakayama Keita Suzuki Ahmed Mifthah Ibrahim Aminath Afaa Aminath Azeema Aminath Nazfa Aminath Yazfa Anoosha Ahmed Athifa Saeed Azna Waheed Fathimath Shareef Mohamed Moinul Islam Shausha Mohamed Anees Sana Sal Source Type: research

Optimising existing speech-language therapy resources in an underserved community: A study of the Maldives
CONCLUSION: While this study discovered limitations, the existing resources that were identified can be better directed to reach more children who require services in the Maldives. The following potential alternative service delivery approaches were derived from the results: focusing on prevention, using public health approaches to train families and teachers, creating awareness, building capacity within the community, and adopting cost-effective approaches to provide services.PMID:34325224 | DOI:10.1016/j.jcomdis.2021.106136 (Source: Journal of Communication Disorders)
Source: Journal of Communication Disorders - July 29, 2021 Category: Speech-Language Pathology Authors: Mariyam Z Zahir Anna Miles Linda Hand Elizabeth C Ward Source Type: research

Optimising existing speech-language therapy resources in an underserved community: A study of the Maldives
CONCLUSION: While this study discovered limitations, the existing resources that were identified can be better directed to reach more children who require services in the Maldives. The following potential alternative service delivery approaches were derived from the results: focusing on prevention, using public health approaches to train families and teachers, creating awareness, building capacity within the community, and adopting cost-effective approaches to provide services.PMID:34325224 | DOI:10.1016/j.jcomdis.2021.106136 (Source: Journal of Communication Disorders)
Source: Journal of Communication Disorders - July 29, 2021 Category: Speech-Language Pathology Authors: Mariyam Z Zahir Anna Miles Linda Hand Elizabeth C Ward Source Type: research

IJERPH, Vol. 18, Pages 6962: Disability among Older People: Analysis of Data from Disability Surveys in Six Low- and Middle-Income Countries
Naber Hannah Kuper This analysis of surveys from six low- and middle-income countries (LMICs) aimed to (i) estimate the prevalence of disability among older adults and (ii) compare experiences and participation in key life areas among older people with and without disabilities which may show vulnerability during the COVID-19 pandemic. Data were analysed from district-level or national surveys in Cameroon, Guatemala, Haiti, India, Nepal and the Maldives, which across the six databases totalled 3499 participants aged 60 years and above including 691 people with disabilities. Disability was common among adults 60+, ran...
Source: International Journal of Environmental Research and Public Health - June 29, 2021 Category: Environmental Health Authors: Josephine E. Prynn Sarah Polack Islay Mactaggart Lena Morgon Banks Shaffa Hameed Carlos Dionicio Shailes Neupane GVS Murthy Joseph Oye Jonathan Naber Hannah Kuper Tags: Article Source Type: research

Molecular Epidemiology, Evolution and Reemergence of Chikungunya Virus in South Asia
In this study, different works published during 1950s to 2020 concerning CHIKV evolution, epidemiology, vectors, phylogeny, and clinical outcomes were analyzed. Outbreaks of CHIKV have been reported from Bangladesh, Bhutan, India, Pakistan, Sri Lanka, Nepal, and Maldives in South Asia during 2007–2020. Three lineages- Asian, East/Central/South African (ECSA), and Indian Ocean Lineage (IOL) are circulating in South Asia. Lineage, ECSA and IOL became predominant over Asian lineage in South Asian countries during 2011–2020 epidemics. Further, the mutant E1-A226V is circulating in abundance with Aedes albopictus in India, ...
Source: Frontiers in Microbiology - June 7, 2021 Category: Microbiology Source Type: research