Improving cardiovascular health in primary care in Saint Lucia through the HEARTS Initiative
CONCLUSIONS: The HEARTS initiative unearthed basic infrastructural challenges in blood pressure control. The essential elements for success were (1) buy in at all levels of the health sector; (2) addressing policy and operational changes; (3) accurate documentation and required analysis; (4) standardization of equipment and procedures and (5) regular monitoring and evaluation. Capacity building underpinned all changes.PMID:36071919 | PMC:PMC9440734 | DOI:10.26633/RPSP.2022.128 (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 8, 2022 Category: International Medicine & Public Health Authors: Shana Cyr Philbert Patrice Lawrence-Williams Yitades Gebre Marvin Lionel Hutchinson Sharon Belmar-George Source Type: research

Cancer Survivors in Saint Lucia Deeply Value Social Support: Considerations for Cancer Control in Under-Resourced Communities
Int J Environ Res Public Health. 2022 May 27;19(11):6531. doi: 10.3390/ijerph19116531.ABSTRACTUnderstanding the views of cancer survivors on their experience is important for informing community-based interventions. We studied, for the first time, the views of cancer survivors residing in Saint Lucia on their overall care experience. We used interview data from a cohort of adult cancer survivors from Saint Lucia between 2019 and 2020. We performed a thematic analysis to derive themes from codes. Forty-four survivors provided responses to at least one of the three questions. The majority of survivors were black, female and ...
Source: Cancer Control - June 10, 2022 Category: Cancer & Oncology Authors: Aviane Auguste Shania Cox JoAnn S Oliver Dorothy Phillip Owen Gabriel James St Catherine Carlene Radix Dani èle Luce Christine Barul Source Type: research

IJERPH, Vol. 19, Pages 6531: Cancer Survivors in Saint Lucia Deeply Value Social Support: Considerations for Cancer Control in Under-Resourced Communities
Christine Barul Understanding the views of cancer survivors on their experience is important for informing community-based interventions. We studied, for the first time, the views of cancer survivors residing in Saint Lucia on their overall care experience. We used interview data from a cohort of adult cancer survivors from Saint Lucia between 2019 and 2020. We performed a thematic analysis to derive themes from codes. Forty-four survivors provided responses to at least one of the three questions. The majority of survivors were black, female and diagnosed with breast cancer. Survivors were interviewed on average five ...
Source: International Journal of Environmental Research and Public Health - May 27, 2022 Category: Environmental Health Authors: Aviane Auguste Shania Cox JoAnn S. Oliver Dorothy Phillip Owen Gabriel James Catherine Carlene Radix Dani èle Luce Christine Barul Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 4770: Difficulties in Accessing Cancer Care in a Small Island State: A Community-Based Pilot Study of Cancer Survivors in Saint Lucia
In conclusion, cancer survivors in Saint Lucia are faced with complex circumstances, including access-to-care and health consequences. This study can guide future research, and possibly guide practice improvements in the near term. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - April 29, 2021 Category: Environmental Health Authors: Aviane Auguste Glenn Jones Dorothy Phillip James St. St. Catherine Elizabeth Dos Dos Santos Owen Gabriel Carlene Radix Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 2255: Trauma Education and Stigma Reduction in Global Settings: An Evaluation of the Impact of a One-Day Trauma Psychoeducation Workshop with Community Stakeholders in the Caribbean Nation of Saint Lucia
This study addresses this disparity between high trauma exposure and sparse trauma-related resources by studying how a one-day training workshop impacted self-rated knowledge about trauma and stigma towards trauma survivors. The training was provided by a licensed clinical psychologist in partnership with a local women’s rights group. Participants (n = 41) included school counselors, nurses, psychiatric providers, health educators, and advocates on the island. Participants completed pre- and post-workshop measures examining the variables of interest. The one-day workshop provided training on trauma types, pos...
Source: International Journal of Environmental Research and Public Health - March 26, 2020 Category: Environmental Health Authors: Anu Asnaani Su-Anne R. Charlery White Ifrah Majeed Tammi-Marie Phillip Tags: Article Source Type: research

Survey of Schistosomiasis in Saint Lucia: Evidence for Interruption of Transmission.
Abstract Saint Lucia at one time had levels of schistosomiasis prevalence and morbidity as high as many countries in Africa. However, as a result of control efforts and economic development, including more widespread access to sanitation and safe water, schistosomiasis on the island has practically disappeared. To evaluate the current status of schistosomiasis in Saint Lucia, we conducted a nationally representative school-based survey of 8-11-year-old children for prevalence of Schistosoma mansoni infections using circulating antigen and specific antibody detection methods. We also conducted a questionnai...
Source: The American Journal of Tropical Medicine and Hygiene - February 9, 2020 Category: Tropical Medicine Authors: Gaspard J, Usey MM, Fredericks-James M, Sanchez MJ, Atkins L, Campbell CH, Corstjens PLAM, van Dam GJ, Colley DG, Secor WE Tags: Am J Trop Med Hyg Source Type: research

A Death from Consuming 'Alcohol'
BY ​MICHELE STYBEL; LAURIE-ANN ANTOINE; JENNIFER TUONG; AHMED RAZIUDDIN, MDA 54-year-old man with a past medical history of COPD presented to the ED with shortness of breath that had started an hour earlier. He was alert and oriented, but also agitated, combative, and unable to provide an adequate history.He said he was a heavy smoker and drinker and that he had been smoking and consuming alcohol when the symptoms started. He also reported past Cannabis use.He was in acute respiratory distress with BiPAP in place, restless, and diaphoretic. Respiration was labored with bilateral expiratory wheezing but no signi...
Source: The Case Files - September 10, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Phylogenomics clarifies biogeographic and evolutionary history, and conservation status of West Indian tremblers and thrashers (Aves: Mimidae)
Publication date: Available online 15 April 2019Source: Molecular Phylogenetics and EvolutionAuthor(s): Jeffrey M. DaCosta, Matthew J. Miller, Jennifer L. Mortensen, J. Michael Reed, Robert L. Curry, Michael D. SorensonAbstractThe West Indian avifauna has provided fundamental insights into island biogeography, taxon cycles, and the evolution of avian behavior. Our interpretations, however, should rely on robust hypotheses of evolutionary relationships and consistent conclusions about taxonomic status in groups with many endemic island populations. Here we present a phylogenetic study of the West Indian thrashers, tremblers...
Source: Molecular Phylogenetics and Evolution - April 16, 2019 Category: Molecular Biology Source Type: research

Identifying Areas at Greatest Risk for Recent Zika Virus Importation — New York City, 2016
In this study, we used logistic regression15 to predict weekly nowcasts16 throughout the summer of 2016 of census tracts at greatest risk of recent ZIKV importation. Nowcast results were used to inform geographically targeted activities, including performing public education, enrolling additional healthcare facilities in a sentinel surveillance system for detecting local ZIKV transmission, interpreting syndromic surveillance signals suggesting possible ZIKV-like illness, and, when reviewed in conjunction with mosquito surveillance data, informing control of Aedes spp. mosquitoes and placement of traps for continued surveil...
Source: PLOS Currents Outbreaks - July 25, 2018 Category: Epidemiology Authors: skgreene Source Type: research

Snakebites in French Guiana: Conclusions of an international symposium.
Conclusions of an international symposium. Toxicon. 2018 Apr 02;: Authors: Kallel H, Hommel D, Mehdaoui H, Megarbane B, Resiere D Abstract A workshop on epidemiology and management of snakebites in French Guiana was performed at Cayenne, French Guiana from September 15 to September 16, 2017, under the auspices of the French Regional Health Agency (ARS) and the Pan American Health Organization (PAHO). The activity was attended by experts from France (Angers, Martinique, French Guiana, Guadeloupe, and Paris), Costa Rica, Brazil, Saint Lucia, and Surinam. The epidemiology, clinical m...
Source: Toxicon - April 2, 2018 Category: Toxicology Authors: Kallel H, Hommel D, Mehdaoui H, Megarbane B, Resiere D Tags: Toxicon Source Type: research

Knowledge of and attitudes toward heel prick screening for sickle cell disease in Saint Lucia.
Conclusions: The HCWs' knowledge of the HP screening method was high. The mothers trust HCWs, and the mothers would accept the HP procedure irrespective of their knowledge of the test and any discomfort associated with this screening method. PMID: 28614479 [PubMed - in process] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - June 16, 2017 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Embedding research to improve program implementation in Latin America and the Caribbean.
Authors: Tran N, Langlois EV, Reveiz L, Varallyay I, Elias V, Mancuso A, Becerra-Posada F, Ghaffar A Abstract In the last 10 years, implementation research has come to play a critical role in improving the implementation of already-proven health interventions by promoting the systematic uptake of research findings and other evidence-based strategies into routine practice. The Alliance for Health Policy and Systems Research and the Pan American Health Organization implemented a program of embedded implementation research to support health programs in Latin America and the Caribbean (LAC) in 2014-2015. A tot...
Source: Pan American Journal of Public Health - June 16, 2017 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

How do stakeholder interactions influence national food security policy in the Caribbean? The case of Saint Lucia
Publication date: April 2017 Source:Food Policy, Volume 68 Author(s): Arlette S. Saint Ville, Gordon M. Hickey, Leroy E. Phillip Increasingly, multi-stakeholder processes have been recognized as being necessary to the development of public policies seeking to promote systemic innovation in response to complex and multidimensional challenges, such as household food security, rural development, and environmental change. Saint Lucia, a small island developing state located in the Caribbean, has been grappling with a wide range of agriculture, food and nutrition security challenges with varying degrees of policy success. ...
Source: Food Policy - January 20, 2017 Category: Food Science Source Type: research

Genetic Characterization of Northwestern Colombian Chikungunya Virus Strains from the 2014-2015 Epidemic.
We examined 32 human sera from suspected cases, including diverse age groups and both genders, and sequenced the CHIKV envelope glycoprotein genes, known determinants of vector host range. As expected for Asian lineage CHIKV strains, these isolates lacked known Aedes albopictus-adaptive mutations. All the Colombian strains were closely related to those from the Virgin Islands, Saint Lucia, Mexico, Puerto Rico, and Brazil, consistent with a single, point-source introduction from the southeast Asia/Pacific region. Two substitutions in the E2 and E1 envelope glycoprotein genes were found in the Colombian strains, especially E...
Source: The American Journal of Tropical Medicine and Hygiene - July 17, 2016 Category: Tropical Medicine Authors: Rodas JD, Kautz T, Camacho E, Paternina L, Guzmán H, Díaz FJ, Blanco P, Tesh R, Weaver SC Tags: Am J Trop Med Hyg Source Type: research

Schistosomiasis Prevalence and Intensity of Infection in Latin America and the Caribbean Countries, 1942-2014: A Systematic Review in the Context of a Regional Elimination Goal
Conclusions There is a need for updating the schistosomiasis status in the historically endemic countries and territories in LAC to address the required public health interventions for control and elimination programs or to verify the elimination of transmission of Schistosoma mansoni. Improved reporting and standardization of the monitoring and evaluation methodologies used are recommended, while using available WHO guidelines. Meeting a regional elimination goal will require additional and improved epidemiological data by age group and sex. (Source: PLoS Neglected Tropical Diseases)
Source: PLoS Neglected Tropical Diseases - March 22, 2016 Category: Tropical Medicine Authors: Ana Clara Zoni Source Type: research