“…These premises have also appeared in recent books published on the theme in Canada 34,35 , whose focus has influenced the research produced in Latin America 21,22,23,24,25 . Thus, it is no coincidence that the five selected articles have their research results published in the special issue of Cadernos de Saúde Pública/Reports in Public Health entitled An Ecological Approach to Human Health: Emerging and Communicable Diseases, which resulted from an event organized and financed by the Canadian International Development Research Centre (IDRC) at the Brazilian National School of Public Health in November 1999.…”
Section: Ecosystem Approaches and Public Health In Latin Americamentioning
confidence: 83%
“…Only one of the nine studies was published by a Brazilian researcher 3 . The others are distributed geographically as follows: four by Latin America researchers, namely from Peru 21 , Colombia 22,23 , Paraguay 24 , and Argentina 25 ; two by Canadian researchers 26,27 ; one by a Swedish researcher 28 ; and one involving cooperation between researchers from Kenya, Sweden, and Italy 29 .…”
Section: Ecosystems and Ecosystem Approaches In Latin American Publicmentioning
confidence: 99%
“…Of the five articles selected for a more detailed analysis, the study by Sosa-Estani et al 25 on hantavirus pulmonary syndrome in Argentina was the only one with combined information on different spatial scales and diverse environmental/ecological variables for the problem at issue. The authors worked with a set of information that is relatively common to studies in the health field (serology; death records for infected individuals; identification of viral genotypes and phenotypes; identification of the rodent species involved).…”
Section: Combination Of Diverse Informationmentioning
confidence: 99%
“…Of the five articles analyzed, those by Rojas 23 and Sosa-Estani et al 25 focus on the diagnosis of environmental problems, without proposing institutional changes or even formulating public policies to prevent or control the problem.…”
Section: Formulation Of Institutional and Policy Changesmentioning
confidence: 99%
“…The article by Sosa-Estani et al 25 did not involve any direct participation by the public or local community in the research. In three other articles, local community participation took place during the development of targeted local prevention strategies focused on education.…”
Section: Public Participation In Managementmentioning
“…These premises have also appeared in recent books published on the theme in Canada 34,35 , whose focus has influenced the research produced in Latin America 21,22,23,24,25 . Thus, it is no coincidence that the five selected articles have their research results published in the special issue of Cadernos de Saúde Pública/Reports in Public Health entitled An Ecological Approach to Human Health: Emerging and Communicable Diseases, which resulted from an event organized and financed by the Canadian International Development Research Centre (IDRC) at the Brazilian National School of Public Health in November 1999.…”
Section: Ecosystem Approaches and Public Health In Latin Americamentioning
confidence: 83%
“…Only one of the nine studies was published by a Brazilian researcher 3 . The others are distributed geographically as follows: four by Latin America researchers, namely from Peru 21 , Colombia 22,23 , Paraguay 24 , and Argentina 25 ; two by Canadian researchers 26,27 ; one by a Swedish researcher 28 ; and one involving cooperation between researchers from Kenya, Sweden, and Italy 29 .…”
Section: Ecosystems and Ecosystem Approaches In Latin American Publicmentioning
confidence: 99%
“…Of the five articles selected for a more detailed analysis, the study by Sosa-Estani et al 25 on hantavirus pulmonary syndrome in Argentina was the only one with combined information on different spatial scales and diverse environmental/ecological variables for the problem at issue. The authors worked with a set of information that is relatively common to studies in the health field (serology; death records for infected individuals; identification of viral genotypes and phenotypes; identification of the rodent species involved).…”
Section: Combination Of Diverse Informationmentioning
confidence: 99%
“…Of the five articles analyzed, those by Rojas 23 and Sosa-Estani et al 25 focus on the diagnosis of environmental problems, without proposing institutional changes or even formulating public policies to prevent or control the problem.…”
Section: Formulation Of Institutional and Policy Changesmentioning
confidence: 99%
“…The article by Sosa-Estani et al 25 did not involve any direct participation by the public or local community in the research. In three other articles, local community participation took place during the development of targeted local prevention strategies focused on education.…”
Section: Public Participation In Managementmentioning
Hantavirus pulmonary syndrome (HPS) was described for the first time in Brazil in 1993 and has occurred endemically throughout the country. This study analysed clinical and laboratory aspects as well as death-related factors for HPS cases in Brazil from 1993 to 2006. The investigation comprised a descriptive and exploratory study of the history of cases as well as an analytical retrospective cohort survey to identify prognostic factors for death due to HPS. A total of 855 Brazilian HPS cases were assessed. The majority of cases occurred during spring (33.5%) and winter (27.6%), mainly among young male adults working in rural areas. The global case fatality rate was 39.3%. The mean interval between the onset of symptoms and hospitalisation was 4 days and that between hospitalisation and death was 1 day. In the multiple regression analysis, adult respiratory distress syndrome and mechanical respiratory support were associated with risk of death; when these two variables were excluded from the model, dyspnoea and haemoconcentration were associated with a higher risk of death.
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