Dr. Thomas Gidlewski - Update on Feral Swine Diseases and SurveillanceJohn Blue
Update on Feral Swine Diseases and Surveillance - Dr. Thomas Gidlewski, Program Manager, Surveillance/Biological Labs, Wildlife Services, USDA APHIS National Wildlife Disease Program, from the 2018 NIAA Annual Conference, Livestock Traceability: Opportunities for Animal Agriculture, plus the Traceability and the Real World Interactive Workshop, April 10 - 12, Denver, CO, USA.
More presentations at https://www.youtube.com/channel/UCeUDeS810OcOfuEYwj1oHKQ
We offer both offset and state of the art digital printing. Digital printing allows a customer to easily target a specific market while reducing the costs associated with the completion of a product.
Dr. Thomas Gidlewski - Update on Feral Swine Diseases and SurveillanceJohn Blue
Update on Feral Swine Diseases and Surveillance - Dr. Thomas Gidlewski, Program Manager, Surveillance/Biological Labs, Wildlife Services, USDA APHIS National Wildlife Disease Program, from the 2018 NIAA Annual Conference, Livestock Traceability: Opportunities for Animal Agriculture, plus the Traceability and the Real World Interactive Workshop, April 10 - 12, Denver, CO, USA.
More presentations at https://www.youtube.com/channel/UCeUDeS810OcOfuEYwj1oHKQ
We offer both offset and state of the art digital printing. Digital printing allows a customer to easily target a specific market while reducing the costs associated with the completion of a product.
1. Research Histories of news big data analytics
- distribution of news semantic network
- multilevel semantic network analysis of news
- news big data analysis system <newssource> and <bigkinds>
- webzine <news>
http://story.visualdive.co.kr/2016/04/newspaper26y/ (in Korean)
- 14 articles and 3 books
2. Research Plans
- expert systems using multi-modal data
- opinion dynamics, Bayesian statistics, machine learning
Çözüm Kartları, bir kalite sorunu durumunda, herkesin standart şekilde tepki vermesi için oluşturulmuş bir “problemi anlama” kılavuzu ve görsel yardımıdır.
Is it time to consider Outsource Marketing?Gloss Digital
Have you ever considered outsource marketing and what is exactly is it! Look at outsourced marketing as a full-service marketing department that exists outside your company. If you can't find the time to do everything you should be doing and are looking for ways to streamline your business functions, by outsourcing your marketing you can focus on what you’re good at and your primary job. Outsource Marketing can be an attractive option for many small business, maybe it’s something you should consider for your business?
Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015
Speakers: Robin Pfohman, Vulnerable Populations Action Program Manager, Public Health-
Seattle & King County
Susan Vaughn, Regional Chief of Operations, Catholic Community Services of
Western Washington
Kim Sather, Division Manager, Shelter and Day Services, Compass Housing
Alliance
In early fall 2009, the Public Health- Seattle & King County‟s Preparedness Section partnered
with Healthcare for the Homeless Network to bring together homeless advocates to help inform
the homeless of both the H1N1 response and the Green River planning effort. The potential of
such a planning effort soon became clear and the group agreed to continue to meet after the
threat of H1N1 subsided. This stakeholder group established the following goals and activities:
Goals 1. Advise emergency planners regarding the needs of homeless people in emergency
response plans. 2. Advocate on behalf of homeless people during preparedness planning and in
event of an emergency. Activities 1. Establish two-way communication systems between
community providers and Public Health. 2. Meet twice annually with meetings scheduled to
bookend flu season, or as needed. 3. Mobilize quickly to respond in an emergency.
1. Research Histories of news big data analytics
- distribution of news semantic network
- multilevel semantic network analysis of news
- news big data analysis system <newssource> and <bigkinds>
- webzine <news>
http://story.visualdive.co.kr/2016/04/newspaper26y/ (in Korean)
- 14 articles and 3 books
2. Research Plans
- expert systems using multi-modal data
- opinion dynamics, Bayesian statistics, machine learning
Çözüm Kartları, bir kalite sorunu durumunda, herkesin standart şekilde tepki vermesi için oluşturulmuş bir “problemi anlama” kılavuzu ve görsel yardımıdır.
Is it time to consider Outsource Marketing?Gloss Digital
Have you ever considered outsource marketing and what is exactly is it! Look at outsourced marketing as a full-service marketing department that exists outside your company. If you can't find the time to do everything you should be doing and are looking for ways to streamline your business functions, by outsourcing your marketing you can focus on what you’re good at and your primary job. Outsource Marketing can be an attractive option for many small business, maybe it’s something you should consider for your business?
Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015
Speakers: Robin Pfohman, Vulnerable Populations Action Program Manager, Public Health-
Seattle & King County
Susan Vaughn, Regional Chief of Operations, Catholic Community Services of
Western Washington
Kim Sather, Division Manager, Shelter and Day Services, Compass Housing
Alliance
In early fall 2009, the Public Health- Seattle & King County‟s Preparedness Section partnered
with Healthcare for the Homeless Network to bring together homeless advocates to help inform
the homeless of both the H1N1 response and the Green River planning effort. The potential of
such a planning effort soon became clear and the group agreed to continue to meet after the
threat of H1N1 subsided. This stakeholder group established the following goals and activities:
Goals 1. Advise emergency planners regarding the needs of homeless people in emergency
response plans. 2. Advocate on behalf of homeless people during preparedness planning and in
event of an emergency. Activities 1. Establish two-way communication systems between
community providers and Public Health. 2. Meet twice annually with meetings scheduled to
bookend flu season, or as needed. 3. Mobilize quickly to respond in an emergency.
09 CeoMeeting- Session 4- Medicines for MalariaMLSCF
Session 4: Health & Wellness
Title: The Changing Face Of Healthcare:
Where Are The Opportunities?
Special Speaker: Dr Chris Hentschel, Medicines for Malaria Venture
AHRQ's Health Care Innovations Exchange held a Web Seminar on Linking Clinical Care and Communities for Improved Prevention on September 1, 2011. For more information, visit https://innovations.ahrq.gov/events/2011/09/linking-clinical-care-and-communities-improved-prevention.
SMBE Satellite Meeting on Pathogen Evolution and TransmissionJennifer Gardy
My slides from the SMBE meeting held February 2016 in Shiga Kogen, Japan - a quick overview of some lessons learned about evolution in a TB outbreak investigation.
Get Rid of Your Traditional Acute Pain Service and Broaden Your Vision!Edward R. Mariano, MD
Our biggest challenge (and also opportunity) is to demonstrate our value as anesthesiologists and pain medicine specialists in the evolving healthcare landscape. Going forward, physician anesthesiologists need to take on leadership roles in coordinating patient care, including by not limited to pain medicine, by collaborating with primary care, surgery, nursing, physical therapy, pharmacy, social work, and other hospital-based services.
Get Rid of Your Traditional Acute Pain Service and Broaden Your Vision!
NHRC2007 TB
1. 11
COMMUNITY CONTRIBUTIONSCOMMUNITY CONTRIBUTIONS
IN TB CONTROL.IN TB CONTROL.
BY CHUNGU M. CHAMA.BY CHUNGU M. CHAMA.
MIH- THESIS –RESEARCH INMIH- THESIS –RESEARCH IN
CHINGOLA DISTRICT - ZAMBIA.CHINGOLA DISTRICT - ZAMBIA.
2. 22
BACKGROUND PROBLEMBACKGROUND PROBLEM
STATEMENTSTATEMENT
BURDEN OF TUBERCULOSIS IS HIGH WITH THEBURDEN OF TUBERCULOSIS IS HIGH WITH THE
PROPORTION OF NEW, REGISTERED TB CASESPROPORTION OF NEW, REGISTERED TB CASES
PER 100,000 POPULATION ARE;PER 100,000 POPULATION ARE;
ZAMBIA 580/100,000 (’CDC,JICA-2004)ZAMBIA 580/100,000 (’CDC,JICA-2004)
COPPERBELT PROVINCE; 312/100,000 (HMISCOPPERBELT PROVINCE; 312/100,000 (HMIS
2005).2005).
CHINGOLA DISTRICT REGISTEREDCHINGOLA DISTRICT REGISTERED
166/100,000 NEW CASES (HMIS 2005)166/100,000 NEW CASES (HMIS 2005)
13% OF ADULT HOSPITAL DEATHS IN ZAMBIA13% OF ADULT HOSPITAL DEATHS IN ZAMBIA
ARE DUE TO TB.ARE DUE TO TB.
4. 44
TB AND HIV IN ZAMBIATB AND HIV IN ZAMBIA
70% TB CASES ARE HIV POSITIVE IN70% TB CASES ARE HIV POSITIVE IN
ZAMBIA (HIV/AIDS MANAGEMENTZAMBIA (HIV/AIDS MANAGEMENT
GUIDELINES 2004)GUIDELINES 2004)
50% HIV CASES MANEFEST SYMPTOMS50% HIV CASES MANEFEST SYMPTOMS
OF TB (NATIONAL AIDS COUNCILOF TB (NATIONAL AIDS COUNCIL
GUIDELINES 2004)GUIDELINES 2004)
THEREFORE A DRIVE TO INTEGRATE TBTHEREFORE A DRIVE TO INTEGRATE TB
AND HIV PROGRAMMESAND HIV PROGRAMMES
5. 55
TB SUPPORTERS IN ZAMBIATB SUPPORTERS IN ZAMBIA
COMMUNITY HEALTH WORKERSCOMMUNITY HEALTH WORKERS
INTRODUCED IN 1996 DUE TO HUMANINTRODUCED IN 1996 DUE TO HUMAN
RESOURCE CRISISRESOURCE CRISIS
SPECIFIC TB SUPPORTERS INTRODUCEDSPECIFIC TB SUPPORTERS INTRODUCED
INTO CHINGOLA DISTRICT IN 2002INTO CHINGOLA DISTRICT IN 2002
TASKS OF TB SUPPORTERS INCLUDE: CASETASKS OF TB SUPPORTERS INCLUDE: CASE
DETECTION, DEFAULTER TRACING, HEALTHDETECTION, DEFAULTER TRACING, HEALTH
EDUCATION, RECORDING OF CASES,EDUCATION, RECORDING OF CASES,
COLLECTING SPUTUM AND SUPERVISINGCOLLECTING SPUTUM AND SUPERVISING
ORAL MEDICATIONORAL MEDICATION
6. 66
FAMILY TREATMENTFAMILY TREATMENT
SUPPORTERSSUPPORTERS
A RECENT MOVE FROM COMMUNITYA RECENT MOVE FROM COMMUNITY
VOLUNTEERS FOR SUPPORT TO TBVOLUNTEERS FOR SUPPORT TO TB
PATIENTS TO FAMILY HEALTHPATIENTS TO FAMILY HEALTH
PROVIDERS (GUARDIANS).PROVIDERS (GUARDIANS).
MALAWI, KENYA, TANZANIA, SOUTHMALAWI, KENYA, TANZANIA, SOUTH
AFRICA AND INDIA (WANDALO E. et alAFRICA AND INDIA (WANDALO E. et al
2005.)2005.)
LIMITED INFORMATION ON COMMUNITYLIMITED INFORMATION ON COMMUNITY
CONTRIBUTIONS IN ZAMBIA AVAILABLECONTRIBUTIONS IN ZAMBIA AVAILABLE
7. 77
RATIONALE FOR THE STUDY.RATIONALE FOR THE STUDY.
1.1. LIMITED INFORMATION AVAILABLE ONLIMITED INFORMATION AVAILABLE ON
COMMUNITY CONTRIBUTIONS IN ZAMBIACOMMUNITY CONTRIBUTIONS IN ZAMBIA
2.2. CONTRIBITUIONS TO TB SUPPORT CAN BECONTRIBITUIONS TO TB SUPPORT CAN BE
TAPPED FOR SUPPORTING HIV CLIENTS.TAPPED FOR SUPPORTING HIV CLIENTS.
3.3. EFFICACY OF TB SUPPORTERS/CHW HASEFFICACY OF TB SUPPORTERS/CHW HAS
NOT BEEN EVALUATED.NOT BEEN EVALUATED.
8. 88
OBJECTIVEOBJECTIVE
TO DETERMINE COMMUNITYTO DETERMINE COMMUNITY
CONTRIBUTIONS IN THE MANAGEMENT,CONTRIBUTIONS IN THE MANAGEMENT,
CARE AND CONTROL OFCARE AND CONTROL OF
TUBERCULOSIS IN CHINGOLA DISTRICTTUBERCULOSIS IN CHINGOLA DISTRICT
IN TERMS OF (MONEY, FOOD, TIME,IN TERMS OF (MONEY, FOOD, TIME,
TRANSPORT AND MATERIALS).TRANSPORT AND MATERIALS).
9. 99
SPECIFIC OBJECTIVESSPECIFIC OBJECTIVES
TO IDENTIFY THE EXACT COMMUNITYTO IDENTIFY THE EXACT COMMUNITY
CONTRIBUTIONS TOWARDS DOTS.CONTRIBUTIONS TOWARDS DOTS.
TO DESCRIBE THE POSITIVE ANDTO DESCRIBE THE POSITIVE AND
NEGATIVE COMMUNITYNEGATIVE COMMUNITY
CONTRIBUTIONS IN TB MANAGEMENT.CONTRIBUTIONS IN TB MANAGEMENT.
10. 1010
METHODOLOGYMETHODOLOGY
DATA COLLECTIONDATA COLLECTION
A DESCRIPTIVE STUDY(CROSS-SECTIONAL) WASA DESCRIPTIVE STUDY(CROSS-SECTIONAL) WAS
CARRIED OUT IN CHINGOLA DISTRICT.CARRIED OUT IN CHINGOLA DISTRICT.
CONVENIENCE SAMPLING TECHNIQUE WAS USED INCONVENIENCE SAMPLING TECHNIQUE WAS USED IN
FOUR TB DIAGNOSTIC CENTRES.FOUR TB DIAGNOSTIC CENTRES.
A SAMPLE OF128 PARTICIPANTS INVOLVED.A SAMPLE OF128 PARTICIPANTS INVOLVED.
QUALITATIVE- SEMI-STRUCTURED INTERVIEWSQUALITATIVE- SEMI-STRUCTURED INTERVIEWS
(N=128 ), FOCUS GROUP DISCUSSION(N=128 ), FOCUS GROUP DISCUSSION
STRUCTURED QUESTIONNAIRE INTERVIEWSSTRUCTURED QUESTIONNAIRE INTERVIEWS
ANALYSISANALYSIS
VARIABLES MEASURED: MONEY, FOOD, TIME,VARIABLES MEASURED: MONEY, FOOD, TIME,
TRANSPORT,MATERIALSTRANSPORT,MATERIALS
EPI INFO USED FOR QUANTITIAVE ANALYSISEPI INFO USED FOR QUANTITIAVE ANALYSIS
13. 1313
TB PATIENTS BY EDUCATIONTB PATIENTS BY EDUCATION
AND EMPLOYMENTAND EMPLOYMENT
0
5
10
15
20
25
30
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14. 1414
RESULTSRESULTS
THE MAJORITY (94%) TB PATIENTS RECEIVEDTHE MAJORITY (94%) TB PATIENTS RECEIVED
SUPPORTSUPPORT
MOST OF THE SUPPORT WAS PROVIDED BY THEMOST OF THE SUPPORT WAS PROVIDED BY THE
FAMILY MEMBERSFAMILY MEMBERS
THERE WAS NO SIGNIFICANT DIFFERENCES INTHERE WAS NO SIGNIFICANT DIFFERENCES IN
CONTRIBUTION OF MONEY BY AGE, EDUCATIONCONTRIBUTION OF MONEY BY AGE, EDUCATION
LEVEL, SEX OR EMPLOYMENTLEVEL, SEX OR EMPLOYMENT
HOWEVER, CONTRIBUTION OF FOOD BY SEX ANDHOWEVER, CONTRIBUTION OF FOOD BY SEX AND
EDUCATION SHOWED SIGNFICANT DIFFERENCESEDUCATION SHOWED SIGNFICANT DIFFERENCES
AMOUNT OF TIME SPENT FOR DIFFERENT AGEAMOUNT OF TIME SPENT FOR DIFFERENT AGE
GROUPS WAS ALSO SIGNIFICANTGROUPS WAS ALSO SIGNIFICANT
15. 1515
SUPPORT RECEIVED BY TBSUPPORT RECEIVED BY TB
PATIENTS FROM OTHERPATIENTS FROM OTHER
PERSONS.PERSONS.
54%
14%
6%
6%
10%
3%
7% Family
Friends/peers
Neighbours
Church
CHW
Others
None
17. 1717
LIMITATIONSLIMITATIONS
TIME AND FINANCIAL CONSTRAINTS.TIME AND FINANCIAL CONSTRAINTS.
PARTICIPANTS WERE NOT FOUND IN THEIRPARTICIPANTS WERE NOT FOUND IN THEIR
HOMES AS THEY WERE REPORTING ATHOMES AS THEY WERE REPORTING AT
HEALTH CENTRES FOR THEIR MEDICATIONS.HEALTH CENTRES FOR THEIR MEDICATIONS.
IN THE RURAL AREAS PARTICIPANTS WEREIN THE RURAL AREAS PARTICIPANTS WERE
LIVING VERY FAR FROM THE CLINIC.LIVING VERY FAR FROM THE CLINIC.
EXTENDED FAMILY V. NUCLEAR.EXTENDED FAMILY V. NUCLEAR.
HIV STATUS WAS NOT REQUESTEDHIV STATUS WAS NOT REQUESTED
18. 1818
CONCLUSIONCONCLUSION
MOST TB PATIENTS NEED SUPPORTMOST TB PATIENTS NEED SUPPORT
THE MAIN CONTRIBUTIONS OF THETHE MAIN CONTRIBUTIONS OF THE
COMMUNITY TO TB PATIENTS WERE MONEYCOMMUNITY TO TB PATIENTS WERE MONEY
(36%), FOOD (34 %)AND TIME (17%).(36%), FOOD (34 %)AND TIME (17%).
MINIMUM SUPPORT BY CHW (11%)MINIMUM SUPPORT BY CHW (11%)
FAMILIES CONTRIBUTING SIGNIFICANTLYFAMILIES CONTRIBUTING SIGNIFICANTLY
19. 1919
CONCLUSIONCONCLUSION
THE MAJORITY OF TB PATIENTS( 94%)THE MAJORITY OF TB PATIENTS( 94%)
RECEIVED COMMUNITY SUPPORT IN ONE OFRECEIVED COMMUNITY SUPPORT IN ONE OF
THE FIVE AREAS.THE FIVE AREAS.
SUPPORT WAS GIVEN MOSTLY BY FAMILYSUPPORT WAS GIVEN MOSTLY BY FAMILY
RATHER THAN BY CHW.RATHER THAN BY CHW.
20. 2020
RECOMMENDATIONSRECOMMENDATIONS
GOVERNMENT TO INCREASE INCOME IT WILL TRICKLE TOGOVERNMENT TO INCREASE INCOME IT WILL TRICKLE TO
OTHER FAMILY MEMBERS AS WELL AS FOOD SECURITY TOOTHER FAMILY MEMBERS AS WELL AS FOOD SECURITY TO
REDUCE THE TB BURDEN AND IMPROVE SELF RELIANCE OF TBREDUCE THE TB BURDEN AND IMPROVE SELF RELIANCE OF TB
PATIENTS.PATIENTS.
MOH TO CONSIDER REPLACING TB SUPPORTERS WITH FAMILYMOH TO CONSIDER REPLACING TB SUPPORTERS WITH FAMILY
SUPPORTERS USING EVIDENCE FROM NEIGHBOURINGSUPPORTERS USING EVIDENCE FROM NEIGHBOURING
COUNTRIES.COUNTRIES.
IF TB SUPORTER ARE TO BE CONTINUED NEED TOIF TB SUPORTER ARE TO BE CONTINUED NEED TO
ENCOURAGE TB SUPPORTIVE HEALTH WORKERS TOENCOURAGE TB SUPPORTIVE HEALTH WORKERS TO
PARTICIPATE FULLY THROUGH SUPERVISION, MONITORINGPARTICIPATE FULLY THROUGH SUPERVISION, MONITORING
AND INCETIVES TO .AND INCETIVES TO .
NTP TO CAPACITY BUILD DISTRICTS IN PLANNING FORNTP TO CAPACITY BUILD DISTRICTS IN PLANNING FOR
BUDGETS FOR MORE TB TREATMENT SUPPORTERS TO BEBUDGETS FOR MORE TB TREATMENT SUPPORTERS TO BE
ENROLLED.ENROLLED.
21. 2121
RECOMMENDATIONS. CONT.RECOMMENDATIONS. CONT.
FAMILY SUPPORTERS TO BE TRAINED, GIVENFAMILY SUPPORTERS TO BE TRAINED, GIVEN
INFORMATION AND INCENTIVES.INFORMATION AND INCENTIVES.
INTEGRATION OF TB WITH HIV/AIDSINTEGRATION OF TB WITH HIV/AIDS
PROGRAMME.PROGRAMME.
22. 2222
FURTHER RESEARCH NEEDED:FURTHER RESEARCH NEEDED:
RESEARCH IN OTHER DISTRICTS INRESEARCH IN OTHER DISTRICTS IN
ORDER TO KNOW THE SPECIFCORDER TO KNOW THE SPECIFC
COMMUNITY CONTRIBUTIONS.COMMUNITY CONTRIBUTIONS.
FAMILY SUPPORT FOR TB PATIENTS.FAMILY SUPPORT FOR TB PATIENTS.
23. 2323
ACKNOWLEDGEMENTSACKNOWLEDGEMENTS
SPECIAL THANKS GO TO THESPECIAL THANKS GO TO THE
FOLLOWING:FOLLOWING:
Dr S. Miti, the Permanent Secretary. MoH.Dr S. Miti, the Permanent Secretary. MoH.
Dr Victor Mukonka, Director Public HealthDr Victor Mukonka, Director Public Health
and Research. MoH.and Research. MoH.
Dr Chandwa Ngambi and Staff. PHO.Dr Chandwa Ngambi and Staff. PHO.
Copperbelt ProvinceCopperbelt Province
Dr Emmanuel Kafwembi –Director-TDRCDr Emmanuel Kafwembi –Director-TDRC
24. 2424
ACKNOWLEDGEMENTSACKNOWLEDGEMENTS
Mr D. Mwakazanga- Statistician- TDRCMr D. Mwakazanga- Statistician- TDRC
Mary Hadley- Senor Health AdvisorMary Hadley- Senor Health Advisor
Dr Chikafuna Banda- DDH –ChingolaDr Chikafuna Banda- DDH –Chingola
districtdistrict
Mrs Musonda Kangombe. TB Focal Person-Mrs Musonda Kangombe. TB Focal Person-
Chingola districtChingola district
Mr Chima- Human Resource OfficerMr Chima- Human Resource Officer
Professor Ib Bygbjerg: University ofProfessor Ib Bygbjerg: University of
Copenhagen. Denmark.Copenhagen. Denmark.