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Special Article

Emergence of Zika Virus Epidemic and the National Response in Jamaica

Issue: 
DOI: 
10.7727/wimj.2016.488
Pages: 
243–9
Synopsis: 
The Zika virus epidemic in Jamaica is evolving and includes cases of Guillain-Barré Syndrome and reports in pregnant women. Zika may become endemic in Jamaica, similar to dengue and chikungunya. Safe and effective dengue, chikungunya fever and ZIKV vaccines are needed to mitigate the devastating effects of these three diseases.

ABSTRACT

Background: Jamaica, along with the Americas, experienced major epidemics of arboviral diseases transmitted by the Aedes aegypti mosquito in recent years. These include dengue fever in 2012, chikungunya fever in 2014 and Zika virus infection (ZIKV) in 2016. We present the emergence of the ZIKV epidemic in Jamaica and outline the national response.

Accepted: 
28 Sep, 2016
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e-Published: 26 Sep, 2016

Unravelling the Paediatric and Perinatal Zika Virus Epidemic through Population-based Research

Issue: 
DOI: 
10.7727/wimj.2016.454
Pages: 
239–42
Synopsis: 
Zika virus causes Guillain-Barre Syndrome and microcephaly. Clinical and laboratory diagnosis is complicated. Population-based research can elucidate ZIKV epidemiology, vertical transmission, fetal risks of maternal ZIKV infection and natural history of congenital and non-congenital ZIKV infection provided by the activities in “ZIKAction” research consortium, recently funded by the European Commission.

ABSTRACT

Accepted: 
23 Aug, 2016
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e-Published: 19 Sep, 2016

Ageing of Jamaica’s Population – What Are the Implications for Healthcare?

Issue: 
DOI: 
10.7727/wimj.2014.003
Pages: 
3–8
Synopsis: 
This paper discusses Jamaica’s current census (2011) and the changes in the over 60-year old population since the 2001 census and the implications for healthcare. Emphasis is placed on chronic disease reduction and improved quality of life for older persons.
ABSTRACT
 
Accepted: 
25 Jan, 2014
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e-Published: 08 Apr, 2014

HTLV-1 Associated Myelopathy/Tropical Spastic Paraparesis: How Far have We Come?

Issue: 
Pages: 
505–12
Synopsis: 
The chain of events leading to HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP) would appear to be as follows: inefficient CTL response to HTLV-1, high proviral load and high level of tax expression, high frequency of tax activated CD4+ T cells, frequent migration of CD4+ T cells to the central nervous system, release of IFN-γ, TNF and metalloproteinases by antigen-stimulated T cells, and tissue damage.
INTRODUCTION
 
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e-Published: 05 Feb, 2014

The 16th International AIDS Conference, Toronto, 2006: Working to Increase the Response to the Growing Global Epidemic

INTRODUCTION

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e-Published: 01 Jul, 2013

Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

SPECIAL EDITORIAL: The 16th International AIDS Conference, Toronto, 2006: Working to Increase the Response to the Growing Global Epidemic

Issue: 
Pages: 
1–4

INTRODUCTION

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e-Published: 01 Jul, 2013

Issues in Bioethics: Ethics and Professional Responsibilities

The evolution of ethics in medicine has provided the concept of the learned physician who is trained in the scientific method (studying nature and philosophy), and who is wise, modest and humane. The physician’s manner, deportment and character should be above reproach, and devotion to the productive art of medicine should supersede any desire for financial gain.

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e-Published: 20 Aug, 2012

Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

Off-Pump Coronary Artery Bypass Surgery Anaesthetic Implications and The Trinidad Experience

Issue: 
Pages: 
298–304
Synopsis: 
This review article discusses the anaesthetic implications of "Off-pump coronary, artery bypass grafting surgery" in Trinidad.

ABSTRACT

Objectives: To review the evolution of off-pump coronary artery bypass surgery with particular reference to the anaesthetic and perioperative implications.

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e-Published: 17 Jun, 2013

An Intense Influenza Pandemic – Possible Subtype of H5N1 Its Implications for Jamaica

Issue: 
Pages: 
76–81
Synopsis: 
The study seeks to quantify the possible economic impact in terms of loss in work hours, death and hospitalization rates and cost to the economy if there were to be an outbreak of some strain of the H5N1 virus which is considered to be highly pathogenic and extremely lethal.

ABSTRACT

Using two different attack rates, 20% and 30%, the paper attempts to project several possible outcomes for the Jamaican economy in the event of a severe pandemic. In addition to forecasting the possible loss in man hours for the economy, the study uses the Monte Carlo modelling technique to provide estimates of the death and hospitalization rates among the 0–19, 20–64 and 65+-year age cohorts while extra-polating the demand for healthcare providers.

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e-Published: 01 Oct, 2013

Issues in Bioethics: Ethics in Health Policy and Guidelines in Healthcare

Issue: 
Pages: 
113–19
Synopsis: 
Policies, guidelines, and decisions in health and healthcare should be fair and perceived as being equitable. Ethical considerations should be paramount when establishing health policies, particularly in priority setting, such as issues surrounding the welfare of children, reproductive health, HIV/AIDS, end-of-life care and rationing scarce life-saving resources.

ABSTRACT

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e-Published: 10 Jun, 2013

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