Leishmaniasis and 'Desert Storm'

Insect repellents and associated personal protection for a reduction in human disease

Personal protection measures against biting arthropods include topical insect repellents, area repellents, insecticide-treated bednets and treated clothing. The literature on the effectiveness of personal protection products against arthropods is mainly limited to studies of prevention of bites, rather than prevention of disease. Tungiasis was successfully controlled by application of topical repellents and scrub typhus was reduced through the use of treated clothing. Successful reduction of leishmaniasis was achieved through the use of topical repellents, treated bednets and treated clothing in individual studies. Malaria has been reduced by the use of insecticide-treated bednets (ITN), certain campaigns involving topical repellents, and the combination of treated bednets and topical repellents. Although area repellents such as mosquito coils are used extensively, their ability to protect humans from vector-transmitted pathogens has not been proven. Taken together, the literature indicates that personal protection measures must be used correctly to be effective. A study that showed successful control of malaria by combining treated bednets and topical repellents suggests that combinations of personal protection measures are likely to be more effective than single methods. Implementation of successful programmes based on personal protection will require a level of cooperation commonly associated with other basic societal functions, such as education and food safety.

Association between dust weather and number of admissions for patients with respiratory diseases in spring in Lanzhou

Controlling the confounding factors on respiratory hospitalizations such as long-term trend, meteorological factor, atmospheric pollution, and calendar effect, the research is designed to study the effect of sand-dust weather on respiratory diseases from 2001 to 2005 in Lanzhou City on the basis of the semi-parametric generalized additive model (GAM). The results indicate that there is an association between sand-dust weather and the increase in respiratory hospitalizations, and with lagging effect. There are gender and age differences in the effect of sand-dust weather on health, on male severer than on female (RR value being 1.148 for male, while 1.144 for female without statistical significance), and much greater on the aged ≥ 65 years than on < 65 years (RR value being 1.266 for ≥ 65 yr, and 1.119 for < 65 yr).