Journal Article > LetterFull Text
Clin Infect Dis. 2017 October 30; Volume 65 (Issue 10); 1769-1770.; DOI:10.1093/cid/cix625
Rossi G, de Smet M, Khim N, Kindermans JM, Menard D
Clin Infect Dis. 2017 October 30; Volume 65 (Issue 10); 1769-1770.; DOI:10.1093/cid/cix625
Conference Material > Video
Rossi G
MSF Paediatric Days 2022. 2022 November 29; DOI:10.57740/mgyf-jv27
English
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Journal Article > ResearchFull Text
Clin Infect Dis. 2017 September 4; Volume 66 (Issue 2); DOI:10.1093/cid/cix781
Rossi G, Van der Bergh R, Nguon C, Debackere M, Vernaeve L, et al.
Clin Infect Dis. 2017 September 4; Volume 66 (Issue 2); DOI:10.1093/cid/cix781
Reactive case detection around falciparum malaria cases in Cambodia presents a low output. We improved it by including individuals occupationally coexposed with index case patients and using polymerase chain reaction-based diagnosis. The positivity rate increased from 0.16% to 3.9%.
Journal Article > CommentaryFull Text
Lancet. 2011 May 21; Volume 377 (Issue 9779); DOI:10.1016/S0140-6736(11)60730-7
Rossi G, Zachariah R, Draguez B, Van Herp M
Lancet. 2011 May 21; Volume 377 (Issue 9779); DOI:10.1016/S0140-6736(11)60730-7
Conference Material > Slide Presentation
Rossi G, Lindell Detweiler C, Taniim T, Ariful S, Hassan R, et al.
MSF Paediatric Days 2022. 2022 December 1; DOI:10.57740/at5c-t855
Journal Article > ResearchFull Text
Eur J Emerg Med. 2017 October 1; Volume 24 (Issue 5); 382-388.; DOI:10.1097/MEJ.0000000000000387
van Berlaer G, Staes T, Danschutter D, Ackermans R, Zannini S, et al.
Eur J Emerg Med. 2017 October 1; Volume 24 (Issue 5); 382-388.; DOI:10.1097/MEJ.0000000000000387
OBJECTIVES
Disaster medicine research generally lacks control groups. This study aims to describe categories of diagnoses encountered by the Belgian First Aid and Support Team after the 2010 Haiti earthquake and extract earthquake-related changes from comparison with comparable baseline data. The hypothesis is that besides earthquake-related trauma, medical problems emerge soon, questioning an appropriate composition of Foreign Medical Teams and Interagency Emergency Health Kits.
METHODS
Using a descriptive cohort study design, diagnoses of patients presenting to the Belgian field hospital were prospectively registered during 4 weeks after the earthquake and compared with those recorded similarly by Médecins Sans Frontières in the same area and time span in previous and later years.
RESULTS
Of 7000 triaged postearthquake patients, 3500 were admitted, of whom 2795 were included and analysed. In the fortnight after the earthquake, 90% suffered from injury. In the following fortnight, medical diseases emerged, particularly respiratory (23%) and digestive (14%). More than 53% developed infections within 3 weeks after the event. Médecins Sans Frontières registered 6407 patients in 2009; 6033 in 2011; and 7300 in 2012. A comparison indicates that postearthquake patients suffered significantly less from violence, but more from wounds, respiratory, digestive and ophthalmological diseases.
CONCLUSION
This is the first comparison of postearthquake diagnoses with baseline data. Within 2 weeks after the acute phase of an earthquake, respiratory, digestive and ophthalmological problems will emerge to the prejudice of trauma. This fact should be anticipated when composing Foreign Medical Teams and Interagency Emergency Health Kits to be sent to the disaster site.
Disaster medicine research generally lacks control groups. This study aims to describe categories of diagnoses encountered by the Belgian First Aid and Support Team after the 2010 Haiti earthquake and extract earthquake-related changes from comparison with comparable baseline data. The hypothesis is that besides earthquake-related trauma, medical problems emerge soon, questioning an appropriate composition of Foreign Medical Teams and Interagency Emergency Health Kits.
METHODS
Using a descriptive cohort study design, diagnoses of patients presenting to the Belgian field hospital were prospectively registered during 4 weeks after the earthquake and compared with those recorded similarly by Médecins Sans Frontières in the same area and time span in previous and later years.
RESULTS
Of 7000 triaged postearthquake patients, 3500 were admitted, of whom 2795 were included and analysed. In the fortnight after the earthquake, 90% suffered from injury. In the following fortnight, medical diseases emerged, particularly respiratory (23%) and digestive (14%). More than 53% developed infections within 3 weeks after the event. Médecins Sans Frontières registered 6407 patients in 2009; 6033 in 2011; and 7300 in 2012. A comparison indicates that postearthquake patients suffered significantly less from violence, but more from wounds, respiratory, digestive and ophthalmological diseases.
CONCLUSION
This is the first comparison of postearthquake diagnoses with baseline data. Within 2 weeks after the acute phase of an earthquake, respiratory, digestive and ophthalmological problems will emerge to the prejudice of trauma. This fact should be anticipated when composing Foreign Medical Teams and Interagency Emergency Health Kits to be sent to the disaster site.
Conference Material > Abstract
Rossi G, Lindell Detweiler C, Taniim T, Ariful S, Hassan R, et al.
MSF Paediatric Days 2022. 2022 November 26; DOI:10.57740/tp0b-te97
BACKGROUND AND AIMS
The detection and management of (nutritionally) at-risk mothers and infants under 6 months (MAMI) has been identified by WHO as a priority. In 2015 the MAMI tool was published. As the tool is new with updated versions being developed/piloted, there is still uncertainty on the ideal MUAC cut-off for enrolling these infants. In addition, it is unknown which risk factors during their enrolment period in MAMI, contribute to the development of wasting beyond the age of 6 months.
METHODS
With the aim of identifying the predictors associated with wasting by the age of 1 year, Medair conducted a prospective cohort study among infants enrolled in MAMI in Cox’s Bazar refugee camp, Bangladesh. MAMI enrolment criteria included weight-for-age z-score (WAZ) <-2 (discharge WAZ >2), breastfeeding and maternal problems (latter excluded from analysis). Acute malnutrition in children over 6 months was diagnosed as MUAC <12.5 cm.
RESULTS
497 infants were enrolled between January 2020 and April 2021. 246 infants presented with WAZ <−2 (‘WAZ’ group); 251 were enrolled for breastfeeding problems (‘OTHERS’ group). In multivariate analysis, ‘WAZ’ group was strongly associated with the risk of wasting by the age of 1 year, when compared to ‘OTHERS’ group (OR 2.59 (95% CI [1.39-4.80], p=0.007)). Sub-analysis of ‘WAZ’ group identified predictors protecting from wasting occurrence: protective younger age (<2 months) at MAMI enrollment (OR 0.98 (95% CI [0.97–0.99], p=0.011)); protective male sex (OR 0.41 (0.19–0.89, p<0.024); protective higher MUAC (≥12.3 cm) at discharge (OR 0.30 (0.17–0.50, p<0.001). [Download abstract PDF for a table with fuller results.]
CONCLUSIONS
‘WAZ’ infants have a higher risk of wasting by the age of 1 year compared to ‘OTHERS’. To mitigate this risk, ‘WAZ’ infants should be screened/enrolled in MAMI as early as possible. When they reach the age of 6 months, ‘WAZ’ infants should be considered for receiving Small-Quantity Lipid Nutrient Supplementation.
The detection and management of (nutritionally) at-risk mothers and infants under 6 months (MAMI) has been identified by WHO as a priority. In 2015 the MAMI tool was published. As the tool is new with updated versions being developed/piloted, there is still uncertainty on the ideal MUAC cut-off for enrolling these infants. In addition, it is unknown which risk factors during their enrolment period in MAMI, contribute to the development of wasting beyond the age of 6 months.
METHODS
With the aim of identifying the predictors associated with wasting by the age of 1 year, Medair conducted a prospective cohort study among infants enrolled in MAMI in Cox’s Bazar refugee camp, Bangladesh. MAMI enrolment criteria included weight-for-age z-score (WAZ) <-2 (discharge WAZ >2), breastfeeding and maternal problems (latter excluded from analysis). Acute malnutrition in children over 6 months was diagnosed as MUAC <12.5 cm.
RESULTS
497 infants were enrolled between January 2020 and April 2021. 246 infants presented with WAZ <−2 (‘WAZ’ group); 251 were enrolled for breastfeeding problems (‘OTHERS’ group). In multivariate analysis, ‘WAZ’ group was strongly associated with the risk of wasting by the age of 1 year, when compared to ‘OTHERS’ group (OR 2.59 (95% CI [1.39-4.80], p=0.007)). Sub-analysis of ‘WAZ’ group identified predictors protecting from wasting occurrence: protective younger age (<2 months) at MAMI enrollment (OR 0.98 (95% CI [0.97–0.99], p=0.011)); protective male sex (OR 0.41 (0.19–0.89, p<0.024); protective higher MUAC (≥12.3 cm) at discharge (OR 0.30 (0.17–0.50, p<0.001). [Download abstract PDF for a table with fuller results.]
CONCLUSIONS
‘WAZ’ infants have a higher risk of wasting by the age of 1 year compared to ‘OTHERS’. To mitigate this risk, ‘WAZ’ infants should be screened/enrolled in MAMI as early as possible. When they reach the age of 6 months, ‘WAZ’ infants should be considered for receiving Small-Quantity Lipid Nutrient Supplementation.
Journal Article > ResearchFull Text
Clin Infect Dis. 2018 January 18; Volume 66 (Issue 10); DOI:10.1093/cid/cix1064
Rossi G, Vernaeve L, Van der Bergh R, Nguon C, Debackere M, et al.
Clin Infect Dis. 2018 January 18; Volume 66 (Issue 10); DOI:10.1093/cid/cix1064
In the frame of elimination strategies of Plasmodium falciparum (Pf), active case detection has been recommended as complementary approach to the existing passive case detection programs. We trialed a polymerase chain reaction (PCR)-based active detection strategy targeting asymptomatic individuals, named proactive case detection (PACD), with the aim of assessing its feasibility, the extra yield of Pf infections, and the at-risk population for Pf carriage status.
Journal Article > CommentaryFull Text
Lancet Infect Dis. 2017 December 1; Volume 17 (Issue 12); DOI:10.1016/S1473-3099(17)30635-7
Rossi G, de Smet M, Khim N, Kindermans JM, Menard D
Lancet Infect Dis. 2017 December 1; Volume 17 (Issue 12); DOI:10.1016/S1473-3099(17)30635-7
Journal Article > LetterSubscription Only
N Engl J Med. 2018 January 4; Volume 378 (Issue 1); e2(3).; DOI:10.1056/NEJMc1714503
Rossi G
N Engl J Med. 2018 January 4; Volume 378 (Issue 1); e2(3).; DOI:10.1056/NEJMc1714503