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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

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

Hepatocellular Cancer

Issue: 
Pages: 
273–6
Synopsis: 
Hepatocellular cancer (HCC) occurs in the setting of chronic hepatitis B infection and cirrhosis of the liver. Most patients may already have a liver disease, hence the onset of HCC may be missed until it reaches an advanced stage. This article will review the presentation, diagnosis and treatment modalities of this disease.

INTRODUCTION


Hepatocellular cancer (HCC) is the fifth most common cancer worldwide and the third most frequent cause of death from cancer (1). The risk of HCC increases with age. There is a significant effect of gender on the risk of development of HCC. The worldwide male to female incidence ratio is 2.7:1.

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e-Published: 18 Sep, 2013

Importance of a Renal Biopsy

Issue: 
Pages: 
270–2
Synopsis: 
Renal biopsy is an important diagnostic tool and it is imperative that as much information as possible be made available to the histopathologist.

INTRODUCTION

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e-Published: 18 Sep, 2013

Speak Up! Speak Out! Building HIV and AIDS Awareness among Jamaican School Children

Tattooing and Perinatal HIV/AIDS in Jamaica

Issue: 
Pages: 
312–14

BACKGROUND

“Tattooing”, now a growing trend in Jamaica, poses an unforeseen threat for transmission of blood-borne pathogens due to unethical and unsterile practices of persons in the art.

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e-Published: 19 Jul, 2013

Family Medicine Training by Distance Education

Issue: 
Pages: 
86–9
Synopsis: 
At the University Hospital of the West Indies, training for general practitioners utilizes distance education. Trainees attend outpatient clinics while completing didactic material delivered in the print format.

ABSTRACT

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e-Published: 01 Jul, 2013

Pages

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