We propose this antibiotic as a new option for the treatment of some special cases of actinomycetoma with bone or visceral involvement or resistance to the drugs commonly used in this disease.

Moderate strength/good concordance; incorporating a grouping tool in the EMR helps as a reminder for taking more proactive/integrated decisions based on social and health needs of people with chronic diseases.

Background A national strategy against hepatitis C virus (HCV) was implemented in Spain in 2015 with the aim of reducing associated morbidity and mortality. In order to improve our understanding of the epidemiology of HCV, we analysed the prevalence of HCV antibodies and active infection overall and by age and sex in the general population aged 20–80 years. We also aimed to report the undiagnosed fraction. Methods A national population-based seroprevalence survey was conducted in 2017–2018. A representative sample from the general population was selected using two-stage sampling. The prevalence of total HCV antibodies and of HCV RNA was calculated using inverse probability weighting based on bootstrapping. Results Overall, we approached 17 496 persons; 9103 agreed to participate and met the eligibility criteria and 7675 were aged 20–80. We obtained a prevalence of HCV antibodies of 0.85% [95% confidence interval (CI): 0.64–1.08%] and of active infection of 0.22% (95% CI: 0.12–0.32%). The prevalence of active HCV infection was highest in men aged 50–59 (0.86%; 95% CI: 0.28–1.57%) and in men aged 60–69 years (0.72%; 95% CI: 0.27–1.28%). Prevalence was below 0.20% in the remaining age groups. The undiagnosed fraction for active HCV infection was 29.4%. Conclusion This study shows that prevalence of HCV in the general population in Spain is low and reflects the impact of scaling up treatment with direct acting antivirals, together with other prevention strategies, from 2015 onwards. The data reported can guide subsequent public health actions.

There has been a significant decrease in the incidence of cases and of hospital admissions by varicella in all age groups after the recommendation to vaccinate at 15months of age, which is compatible with the effectiveness of a dose and its ability to produce immunity group. The withdrawal of this recommendation between 2014 and 2015 has led to an increase in the incidence.

Small-scale fishers belong to the most vulnerable communities in developing countries. In the Philippines, small-scale fishers are among those with the highest poverty incidence. In Davao Region, the livelihoods of small-scale fishers can be seriously affected by constraints in fish catch, impacts of climate change, as well as the implementation of closed season ordinance. With this background, this study explores the potential of tourism on Samal Island as a source of supplemental income for fisherfolks. Specifically, this study aims to identify the factors that affect the willingness of fisherfolks to engage in tourism-related activities. Descriptive analysis and logit regression were utilized to analyze the data gathered from 100 fisherfolks. Results show that the majority of the respondents are willing to participate in tourism-related activities. Married fisherfolks and those with higher household incomes are more likely to participate in tourism-related activities. These results present opportunities for the tourism industry to employ workers from the fisheries sector. Results also reveal that participation in tourism-related activities is seen by fisherfolks as a potential source of supplemental income rather than a source of alternative income. Fisherfolks who are not willing to participate in tourism activities lack experience and interest in tourism, being used to fishing as the only source of livelihood, or have other sources of income. The local government unit is recommended to assess the training needs of fisherfolks and capacitate them to engage in tourism- related activities. This research provides significant findings from the perspective of the fisherfolks. Future studies can consider assessing community participation in general, which includes women, household members, and other community members. It is also recommended to conduct a study from the perspective of business owners in the tourism industry.