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Cohort profile: congenital Zika virus infection and child neurodevelopmental outcomes in the ZEN cohort study in Colombia
Maritza Gonzalez, Van T. Tong, Helena Rodriguez, Diana Valencia, Jacqueline Acosta, Margaret A. Honein, Martha L. Ospina, The ZEN Study Team
Epidemiol Health. 2020;42:e2020060.   Published online August 31, 2020
DOI: https://doi.org/10.4178/epih.e2020060
  • 11,256 View
  • 221 Download
  • 5 Web of Science
  • 5 Crossref
AbstractAbstract PDF
Abstract
<i>Zika en Embarazadas y Niños</i> (ZEN) is a prospective cohort study designed to identify risk factors and modifiers for Zika virus (ZIKV) infection in pregnant women, partners, and infants, as well as to assess the risk for adverse maternal, fetal, infant, and childhood outcomes of ZIKV and other congenital infections. ZIKV infection during pregnancy may be associated with longterm sequelae. In the ZEN cohort, 1,519 pregnant women and 287 partners were enrolled from 3 departments within Colombia between February 2017 and January 2018, as well as 1,108 infants born to the pregnant women who were followed to 6 months. The data include baseline questionnaires at enrollment; repeated symptoms and study follow-up questionnaires; the results of lab tests to detect ZIKV and other congenital infections; medical record abstractions; infant physical, eye, and hearing exams; and developmental screening tests. Follow-up of 850 mother-child dyads occurred at 9 months, 12 months, and 18 months with developmental screenings, physical exams, and parent questionnaires. The data will be pooled with those from other prospective cohort studies for an individual participant data meta-analysis of ZIKV infection during pregnancy to characterize pregnancy outcomes and sequelae in children.
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  • Neurodevelopmental assessment of normocephalic children born to Zika virus exposed and unexposed pregnant people
    Jackeline Alger, María Luisa Cafferata, Raquel López, Lisa D. Wiggins, Allison Callejas, Mario Castillo, Jenny Fúnes, Fátima Rico, Diana Valencia, Douglas Varela, Zulma Alvarez, Mabel Berrueta, Harry Bock, Carolina Bustillo, Alejandra Calderón, Alvaro Cig
    Pediatric Research.2024; 95(2): 566.     CrossRef
  • Zika virus prevention behaviors and knowledge among male partners of pregnant people and lack of condom use as a prevention behavior from the Zika en Embarazadas y Niños (ZEN) prospective cohort study, Colombia
    Christina L. Sancken, Ayzsa Tannis, Sandra A. Amouzou, Veronica Burkel, Jeffrey M. Carlson, Suzanne Newton, Suzanne M. Gilboa, Maritza Gonzalez, Diana Valencia, Van T. Tong, Martha Ospina
    BMC Research Notes.2024;[Epub]     CrossRef
  • Zika virus knowledge, attitudes and prevention behaviors among pregnant women in the ZEN cohort study, Colombia, 2017–2018
    Veronica K Burkel, Suzanne M Newton, Jacqueline Acosta, Diana Valencia, Monica Benavides, Van T Tong, Marcela Daza, Christina Sancken, Maritza Gonzalez, Kara Polen, Helena Rodriguez, Milena Borbón, Carol Y Rao, Suzanne M Gilboa, Margaret A Honein, Marta L
    Transactions of The Royal Society of Tropical Medicine and Hygiene.2023; 117(7): 496.     CrossRef
  • Epidemiology of cytomegalovirus Infection among mothers and infants in Colombia
    Angelica Rico, Sheila C. Dollard, Diana Valencia, Sheryll Corchuelo, Van T. Tong, Katherine Laiton‐Donato, Minal M. Amin, Monica Benavides, Phili Wong, Suzanne Newton, Marcela Daza, Jordan Cates, Maritza Gonzalez, Laura D. Zambrano, Marcela M. Mercado, El
    Journal of Medical Virology.2021; 93(11): 6393.     CrossRef
  • Causes of Phenotypic Variability and Disabilities after Prenatal Viral Infections
    Youssef A. Kousa, Reafa A. Hossain
    Tropical Medicine and Infectious Disease.2021; 6(2): 95.     CrossRef
Original Articles
Ecological context of infant mortality in high-focus states of India
Laishram Ladusingh, Ashish Kumar Gupta, Awdhesh Yadav
Epidemiol Health. 2016;38:e2016006.   Published online March 5, 2016
DOI: https://doi.org/10.4178/epih.e2016006
  • 18,664 View
  • 199 Download
  • 8 Web of Science
  • 8 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
This goal of this study was to shed light on the ecological context as a potential determinant of the infant mortality rate in nine high-focus states in India.
METHODS
Data from the Annual Health Survey (2010-2011), the Census of India (2011), and the District Level Household and Facility Survey 3 (2007-08) were used in this study. In multiple regression analysis explanatory variable such as underdevelopment is measured by the non-working population, and income inequality, quantified as the proportion of households in the bottom wealth quintile. While, the trickle-down effect of education is measured by female literacy, and investment in health, as reflected by neonatal care facilities in primary health centres.
RESULTS
A high spatial autocorrelation of district infant mortality rates was observed, and ecological factors were found to have a significant impact on district infant mortality rates. The result also revealed that non-working population and income inequality were found to have a negative effect on the district infant mortality rate. Additionally, female literacy and new-born care facilities were found to have an inverse association with the infant mortality rate.
CONCLUSIONS
Interventions at the community level can reduce district infant mortality rates.
Summary

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  • Does club convergence matter in health outcomes? Evidence from Indian states
    Ajit Nag, Andrej Privara, Beata Gavurova, Jalandhar Pradhan
    BMC Public Health.2023;[Epub]     CrossRef
  • Major Determinants of Infant Mortality: District-level Evidence from Annual Health Survey States of India
    Subhanil Banerjee, Souren Koner, Arshleen Kaur, Charvi Sharma
    Journal of Health Management.2023;[Epub]     CrossRef
  • Does socio-economic inequality in infant mortality still exists in India? An analysis based on National Family Health Survey 2005–06 and 2015–16
    Pradeep Kumar, Ratna Patel, Shekhar Chauhan, Shobhit Srivastava, Ankur Khare, Kamlesh Kumar Patel
    Clinical Epidemiology and Global Health.2021; 9: 116.     CrossRef
  • Sociodemographic correlates of infant mortality in India: A review of national family health survey data
    Ratan Gupta, ManasPratim Roy
    CHRISMED Journal of Health and Research.2020; 7(1): 12.     CrossRef
  • Factors explaining regional variation in under-five mortality in India: An evidence from NFHS-4
    Jayanta Kumar Bora
    Health & Place.2020; 64: 102363.     CrossRef
  • Spatial heterogeneity of the associations of economic and health care factors with infant mortality in China using geographically weighted regression and spatial clustering
    Shaobin Wang, Jun Wu
    Social Science & Medicine.2020; 263: 113287.     CrossRef
  • A spatial analysis of childhood stunting and its contextual correlates in India
    Rupam Bharti, Preeti Dhillon, Pralip Kumar Narzary
    Clinical Epidemiology and Global Health.2019; 7(3): 488.     CrossRef
  • The persistent influence of caste on under-five mortality: Factors that explain the caste-based gap in high focus Indian states
    Jayanta Kumar Bora, Rajesh Raushan, Wolfgang Lutz, William Joe
    PLOS ONE.2019; 14(8): e0211086.     CrossRef
Modeling and forecasting of the under-five mortality rate in Kermanshah province in Iran: a time series analysis
Mehran Rostami, Abdollah Jalilian, Behrooz Hamzeh, Zahra Laghaei
Epidemiol Health. 2015;37:e2015003.   Published online January 22, 2015
DOI: https://doi.org/10.4178/epih/e2015003
  • 17,519 View
  • 213 Download
  • 3 Web of Science
  • 4 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
The target of the Fourth Millennium Development Goal (MDG-4) is to reduce the rate of under-five mortality by two-thirds between 1990 and 2015. Despite substantial progress towards achieving the target of the MDG-4 in Iran at the national level, differences at the sub-national levels should be taken into consideration.
METHODS
The under-five mortality data available from the Deputy of Public Health, Kermanshah University of Medical Sciences, was used in order to perform a time series analysis of the monthly under-five mortality rate (U5MR) from 2005 to 2012 in Kermanshah province in the west of Iran. After primary analysis, a seasonal auto-regressive integrated moving average model was chosen as the best fitting model based on model selection criteria.
RESULTS
The model was assessed and proved to be adequate in describing variations in the data. However, the unexpected presence of a stochastic increasing trend and a seasonal component with a periodicity of six months in the fitted model are very likely to be consequences of poor quality of data collection and reporting systems.
CONCLUSIONS
The present work is the first attempt at time series modeling of the U5MR in Iran, and reveals that improvement of under-five mortality data collection in health facilities and their corresponding systems is a major challenge to fully achieving the MGD-4 in Iran. Studies similar to the present work can enhance the understanding of the invisible patterns in U5MR, monitor progress towards the MGD-4, and predict the impact of future variations on the U5MR.
Summary

Citations

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  • Predicting the detection of leprosy in a hyperendemic area of Brazil: Using time series analysis
    Vera Gregório, Dinilson Pedroza, Celivane Barbosa, Gilberto Bezerra, Ulisses Montarroyos, Cristine Bonfim, Zulma Medeiros
    Indian Journal of Dermatology, Venereology and Leprology.2021; 87: 651.     CrossRef
  • Forecasting Malaysia Under-5 Mortality Using State Space Model
    N F Abd Nasir, A N Muzaffar, S N E Rahmat, W Z Wan Husin, N S Zainal Abidin
    Journal of Physics: Conference Series.2020; 1496: 012001.     CrossRef
  • Multivariate Long Memory Cohort Mortality Models
    Hongxuan Yan, Gareth Peters, Jennifer Chan
    SSRN Electronic Journal .2018;[Epub]     CrossRef
  • Forecast analysis of any opportunistic infection among HIV positive individuals on antiretroviral therapy in Uganda
    John Rubaihayo, Nazarius M. Tumwesigye, Joseph Konde-Lule, Fredrick Makumbi
    BMC Public Health.2016;[Epub]     CrossRef
Hepatitis A Vaccination Rates and Related Factors in a 2005 Population-based Study in Nonsan, Korea
Eun Young Kim, Baeg Ju Na, Moo Sik Lee, Keon Yeop Kim, Moran Ki
Epidemiol Health. 2009;31:e2009003.   Published online October 12, 2009
DOI: https://doi.org/10.4178/epih/e2009003
  • 15,850 View
  • 105 Download
  • 6 Crossref
AbstractAbstract PDF
Abstract
<sec><title>OBJECTIVES</title><p>The incidence of clinical hepatitis A has increased in young Korean adults since the mid-1990s. Although hepatitis A vaccinations have been administered in private clinics over the past 10 yr, no data exist on the vaccination rate and relating factors.</p></sec><sec><title>METHODS</title><p>In 2005, a population-based survey of 12-35-month-old children was carried out in Nonsan, Korea. An interview survey was completed for 71.3% of the children. All data came from a vaccination card or confirmation from a provider.</p></sec><sec><title>RESULTS</title><p>The hepatitis A vaccination rate was 42.3% for ≥1 dose and 24.7% for 2-dose. The results of the multivariate regression analysis for the hepatitis A vaccination showed that the second (OR=1.6) and third and successive children (OR=3.3) were less often immunized than the first child. Low economic status (OR=1.6), rural area (OR=1.5) and employed mother (OR=1.5) were also correlated with a lower vaccination rate. The hepatitis A vaccination rate was significantly lower in children who had no other vaccinations: measlesmumps-rubella (OR=2.8 for ≥1 dose and 7.3 for 2-dose), varicella (OR=20.2 and 22.0, respectively) and <italic>Haemophilus influenza</italic> type b (OR=14.3 and 13.3, respectively).</p></sec><sec><title>CONCLUSION</title><p>To prevent outbreaks of clinical hepatitis A by enough herd immunity, a vaccination should be included in the National Immunization Program and a vaccination policy developed and implemented that can overcome the barriers to immunization such as late birth order and a mother's employment.</p></sec>
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Citations

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  • Very low prevalence of anti-HAV in Japan: high potential for future outbreak
    Chikako Yamamoto, Ko Ko, Shintaro Nagashima, Takayuki Harakawa, Toshiko Fujii, Masayuki Ohisa, Keiko Katayama, Kazuaki Takahashi, Hiroaki Okamoto, Junko Tanaka
    Scientific Reports.2019;[Epub]     CrossRef
  • Changing sero-epidemiology of hepatitis A in Asia Pacific countries: A systematic review
    Marissa Gripenberg, Naveena Aloysia D’Cor, Maïna L’Azou, Grenville Marsh, Sophie Druelles, Joshua Nealon
    International Journal of Infectious Diseases.2018; 68: 13.     CrossRef
  • Hepatitis A Virus Vaccination Status and Related Factors among College Students
    Jae Seong Baek, Mi Ah Han, Jong Park, Na-Ra Yun
    Korean Journal of Health Promotion.2014; 14(3): 103.     CrossRef
  • Vaccination rates and related factors among health care workers in South Korea, 2009
    Hee Jung Yoon, Jiseun Lim, BoYoul Choi, Jungsoo Kim, Jeonguk Kim, Changhwi Kim, Joon Soo Park, Sang-Bum Hong, Jooyoun Seo, Geun-Ryang Bae, Moran Ki
    American Journal of Infection Control.2013; 41(8): 753.     CrossRef
  • Factors Related to Completed Status and Seropositivity of Hepatitis A Immunization Among Children Aged 1–3 Years and 6–8 Years in South Korea
    Jee-Young Hong, Mo Ran Ki, Hye-Jung Hwang, Delacroix Sinny, Young-Joon Park, Geun-Ryang Bae, Moo-Sik Lee
    Osong Public Health and Research Perspectives.2013; 4(2): 93.     CrossRef
  • Evaluation on the Accuracy of Vaccination Card for National Immunization Program in a 2005 Population-Based Survey in Nonsan, Korea
    Moo-Sik Lee, Jee-Hee Kim, Kwang-Hwan Kim, Jee-Young Hong, Jin-Yong Lee, Keon-Yeop Kim
    Journal of agricultural medicine and community health.2011; 36(2): 113.     CrossRef
A Trial for Association between Oxidative Stress in Midterm Pregnancy and Postnatal Growth during the First Year of Life.
Hyesook Park, Young Ju Kim, Hwa Young Lee, Eun Ae Park, Nam Soo Chang, Eun Hee Ha, Bo Hyun Park, Bo Eun Lee, Ju Hee Hong
Korean J Epidemiol. 2004;26(1):17-26.
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Abstract
OBJECTIVES
We aims to construct Infant Growth Cohort for evaluating whether oxidative stress in midterm pregnancy has an adverse effect on postnatal growth.
METHODS
AND MATERIALS: From September 2001 to April 2004, we constructed an Ewha Infant Growth Cohort connected with the Ewha Pregnant Women Cohort. We excluded mother-and-child pairs in which the mother had experienced hypertension or diabetes during pregnancy and had multiple births for this study, which gave us 233 mother-and-child pairs for analysis. We measured maternal serum homocysteine and urinary 8-hydroxyguanosine (8-OHdG) and malondialdehyde (MDA) at 24~28 weeks of pregnancy, and infant weights at birth and at 6 and 12 months postnatally. We applied repeated measures ANOVA with PROC MIXED to assess the significance of differences.
RESULTS
We followed 64 and 85 infants at 6 and 12 months respectively. The mean body weights were 3146.4 g at birth, 8229.7 g at 6 months, and 1006.47 g at 12 months. The mean birth weight of infants was lower in mothers with higher homocysteine levels (third and fourth quartiles), but body weights from the first- and fourth-quartile groups of maternal homocysteine levels were lower than the others even though it was not statistically significant. Body weights at birth and at 6 months in third- and fourth-quartile groups of 8-OHdG levels were lower than the others. The body weights in the fourth quartile MDA group were significantly lower than the others at all time points.
CONCLUSIONS
Maternal oxidative stress in midterm pregnancy may cause postnatal growth retardation. But, there were high rate of follow up loss and various measurement errors. Therefore, we need to have efforts for compete follow up and valid and reliable measurements.
Summary
Measles Outbreak among Institutional Infants after Hospital Infection.
Hyung Cheol Park, Eun Young Park, Sun Hee Cho, Young Jun Choi, Hyun Kyun Ki, Young Hwa Jung, Kyung Rye Moon, So Yeon Ryu, Ki Soon Kim
Korean J Epidemiol. 2001;23(1):50-58.
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AbstractAbstract PDF
Abstract
PURPOSE
S: This study was to investigate the source of infection, mode of transmission and incidence of a measles outbreak among infants living in a Gwangju welfare institution in July 2000.
METHODS
The information about 63 children was collected through the nurses interview and blood sampling and laryngopharyngeal swab were conducted to the children. In addition, an epidemiologic survey was performed to confirm the infection dissemination route.
RESULTS
Before the outbreak, two children living at the institution were admitted to a university hospital for other health problems. These children shared a room with a 5 year old diagnosed with meningitis who was later diagnosed as having measles after rashes appeared. The two children developed measles after returning to their institution and the infection spread to other children in the institution. Among 63 children observed, 14 children(22.2%) developed measles, secondary attack rate of measles due to index cases was 19.7%. And 78.6% of the patients were between 4 and 8 months old. The room where the index case lived showed an attack rate of 81.8%, which is a much higher rate compared to other rooms. The attack rate among boys(26.0%) was higher than that of girls(12.5%), but it was not statistically significant.
CONCLUSIONS
This outbreak was considered to be a nosocomial infection, where the index cases were admitted to a hospital, infected and the infection spread to children. Further studies are necessary to find out the maternal antibody levels of infants of post-vaccinated mothers and the optimal age for measles vaccination.
Summary

Epidemiol Health : Epidemiology and Health