全球变化知识资源中心

Knowledge Resources Center for Global Change


Email:
Passwd
验证:
	换一张
Have you forgotten your password? Stay signed in Log In

globalchange > 过去全球变化的重建

DOI:	10.1371/journal.pone.0083387
论文题名:	Increased Incidence of Tuberculosis in Zimbabwe, in Association with Food Insecurity, and Economic Collapse: An Ecological Analysis
作者:	Stephen J. Burke; Elliot Lass; Paul Thistle; Lovemore Katumbe; Arif Jetha; Dan Schwarz; Shelly Bolotin; R. D. Barker; Andrew Simor; Michael Silverman
刊名:	PLOS ONE
ISSN:	1932-6203
出版年:	2014
发表日期:	2014-2-5
卷:	9, 期:2
语种:	英语
英文关键词:	Tuberculosis ; HIV ; Zimbabwe ; HIV epidemiology ; Tuberculosis diagnosis and management ; Outpatients ; Seasons ; Economic analysis
英文摘要:	Background Zimbabwe underwent a socioeconomic crisis and resultant increase in food insecurity in 2008–9. The impact of the crisis on Tuberculosis (TB) incidence is unknown. Methods Prospective databases from two mission hospitals, which were geographically widely separated, and remained open during the crisis, were reviewed. Results At the Howard Hospital (HH) in northern Zimbabwe, TB incidence increased 35% in 2008 from baseline rates in 2003–2007 (p<0.01) and remained at that level in 2009. Murambinda Hospital (MH) in Eastern Zimbabwe also demonstrated a 29% rise in TB incidence from 2007 to 2008 (p<0.01) and remained at that level in 2009. Data collected post-crisis at HH showed a decrease of 33% in TB incidence between 2009 to 2010 (p<0.001) and 2010/2011 TB incidence remained below that of the crisis years of 2008/2009 (p<0.01). Antenatal clinic HIV seroprevalence at HH decreased between 2001(23%) to 2011(11%) (p<0.001). Seasonality of TB incidence was analyzed at both MH and HH. There was a higher TB incidence in the dry season when food is least available (September-November) compared to post harvest (April-June) (p<0.001). Conclusion This study suggests that an epidemic of TB mirrored socioeconomic collapse and recovery in Zimbabwe. The seasonal data suggests that food security may have been associated with TB incidence both annually and during the crisis in this high HIV prevalence country.
URL:	http://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0083387&type=printable
Citation statistics:
资源类型:	期刊论文
标识符:	http://119.78.100.158/handle/2HF3EXSE/19167
Appears in Collections:	过去全球变化的重建影响、适应和脆弱性科学计划与规划气候变化与战略全球变化的国际研究计划气候减缓与适应气候变化事实与影响

Files in This Item:	Download All

File Name/ File Size	Content Type	Version	Access	License
journal.pone.0083387.PDF（321KB）	期刊论文	作者接受稿	开放获取	CC BY-NC-SA	View Download

作者单位:

University of Ottawa, Ottawa, Canada;University of Toronto, Toronto, Canada;University of Toronto, Toronto, Canada;Karanda Hospital, Mount Darwin, Zimbabwe;The University of Zimbabwe, Harare, Zimbabwe;The Howard Hospital, Glendale, Zimbabwe;University of Toronto, Toronto, Canada;The Dalla Lana School of Public Health, Toronto, Canada;Brigham and Women's Hospital and Children's Hospital of Boston, Boston, Massachusetts, United States of America;The Dalla Lana School of Public Health, Toronto, Canada;Murambinda Mission Hospital, Murambinda, Zimbabwe;Kings College Hospital, NHS Foundation Trust, London, United Kingdom;University of Toronto, Toronto, Canada;University of Toronto, Toronto, Canada;The Dalla Lana School of Public Health, Toronto, Canada;Lakeridge Health Corp, Oshawa, Canada

Recommended Citation:

Stephen J. Burke,Elliot Lass,Paul Thistle,et al. Increased Incidence of Tuberculosis in Zimbabwe, in Association with Food Insecurity, and Economic Collapse: An Ecological Analysis[J]. PLOS ONE,2014-01-01,9(2)

Service
	Recommend this item
	Sava as my favorate item
	Show this item's statistics
	Export Endnote File
Google Scholar
	Similar articles in Google Scholar
	[Stephen J. Burke]'s Articles
	[Elliot Lass]'s Articles
	[Paul Thistle]'s Articles
百度学术
	Similar articles in Baidu Scholar
	[Stephen J. Burke]'s Articles
	[Elliot Lass]'s Articles
	[Paul Thistle]'s Articles
CSDL cross search
	Similar articles in CSDL Cross Search
	[Stephen J. Burke]‘s Articles
	[Elliot Lass]‘s Articles
	[Paul Thistle]‘s Articles
Related Copyright Policies
Null
收藏/分享