Portal de Periódicos da CAPES

Ebola Virus Antibodies in Fruit Bats, Ghana, West Africa

2012; Centers for Disease Control and Prevention; Volume: 18; Issue: 7 Linguagem: Inglês

10.3201/eid1807.111654

1080-6059

David T. S. Hayman, Meng Yu, Gary Crameri, Lin‐Fa Wang, Richard Suu‐Ire, James L. N. Wood, Andrew A. Cunningham,

Hepatitis B Virus Studies

forms was available for 77 patients.PCR results were available for 57 patients and confi rmed the diagnosis for 39.Patient ages ranged from 2 to 72 years; 40 (52%) patients were 5 cm.The lesions were located on the lower arm for 41 (53%) patients, upper arm for 28 (36%) patients, chest and/or back for 7 (9%) patients, and perineal region for 1 (1%) patient.Depending on the type of lesion, the length of hospitalization ranged from 1 to 352 days (median 31 days).The longest hospitalization was almost 1 year; the patient was a child who had severe lesions and lived in conditions in which adequate wound care and follow-up after hospital discharge were unlikely.In Gabon, the available data on Buruli ulcer come mainly from surgical wards in areas where prevalence is high.A national survey of hospital registration data in 2005 detected 3 cases in Ngounie Province in southern Gabon and 5 cases in Woleu-Ntem Province in northern Gabon.All cases are thought to have been acquired locally, thus establishing the existence of 2 previously unknown foci (U.Ateba Ngoa et al., unpub.data).Buruli ulcer has a strong economic effect on the community and health facilities.For example, in 2010, management of the disease at the Albert Schweitzer Hospital cost an estimated 554-1,660 euros per person, not including drug costs (7).In 2009, African countries where Buruli ulcer is endemic, including Gabon, signed the Cotonou Declaration (8).According to this declaration, these countries have committed themselves to fi ght Buruli ulcer by several measures, including assessing the magnitude of the disease and conducting surveillance.U.A.N. and A.