Institute (Swiss TPH) tackled this question in an interdisciplinary research project using the example of Africa. Major national and regional differences The analysis shows that households often lack the most basic [...] even within a single country, the situation can vary considerably from region to region. In South Africa, for instance, infrastructure is more limited in the north-eastern regions. Moreover, not all places [...] implemented over the past two years. Study might apply to Asia and...
study Physical inactivity could result from noise exposure. Long-Term Transportation Noise Annoyance Leads to Physical Inactivity Swiss TPH experts showed for the first time that long-term transportation noise [...] that of air pollution. Most costs are due to reduced rent and purchasing prices of apartments and houses in noise-affected regions. This reflects annoyance and reduced quality of life from chronic noise
Sciences (MSc ETH), Epidemiology (PhD) and Clinical Tropical Medicine (DTM&H), Prof. Dr. Mirko Winkler leads the Urban Public Health Unit at Swiss TPH. His research, capacity strengthening and consultancy work [...] infrastructure development, health systems planning and protracted conflict contexts. For example, in Africa, he has researched how the development of large infrastructure projects, such as mining and renewable
in clinics and schools with limited water supply Globally, three-quarters of people in sub-Saharan Africa and 25% worldwide lack basic hygiene services, defined as access to a handwashing station with soap [...] overburdened sanitation systems, and inadequate water supply mean that hygiene needs are often unmet, leading to increased disease transmission. Yet, despite the heightened risk of infection, there is a dearth
Cost-effectiveness analysis of typhoid conjugate vaccines in an outbreak setting: a modeling study (Publications)
Several prolonged typhoid fever epidemics have been reported since 2010 throughout eastern and southern Africa, including Malawi, caused by multidrug-resistant Salmonella Typhi. The World Health Organization [...] already occurred. CONCLUSIONS: Countries for which the spread of antimicrobial resistance is likely to lead to outbreaks of typhoid fever should consider TCV introduction. Reactive vaccination can be a cos
Effects of climatic factors on diarrheal diseases among children below 5 years of age at national and subnational levels in Nepal: an ecological study (Publications)
INTRODUCTION: The incidence of diarrhea, a leading cause of morbidity and mortality in low-income countries such as Nepal, is temperature-sensitive, suggesting it could be associated with climate change [...] precipitation, the incidence of water and food-borne diseases are increasing, particularly in sub-Saharan Africa and South Asia. This national-level ecological study was undertaken to provide evidence linking weather
Primary cultivation: factors affecting contamination and <em>Mycobacterium ulcerans</em> growth after long turnover time of clinical specimens (Publications)
ulcerans remains an essential tool. Since for most of the remote Buruli ulcer endemic regions of Africa cultivation laboratories are not easily accessible, samples from lesions often have to be stored [...] medium yielded the best results. We further found that, ten extra days between sampling and inoculation lead to a relative decrease in the isolation rate of M. ulcerans by nearly 20%. Finally, collection and
Can action research strengthen district health management and improve health workforce performance? A research protocol (Publications)
INTRODUCTION: The single biggest barrier for countries in sub-Saharan Africa (SSA) to scale up the necessary health services for addressing the three health-related Millennium Development Goals and achieving [...] With the support of the country research teams, the district health management teams (DHMTs) will lead on planning, implementation, observation, reflection and redefinition of the activities in the study
Estimating the burden of scrub typhus: a systematic review (Publications)
typhus since the year 2000. FINDINGS: In prospective fever studies from Asia, scrub typhus is a leading cause of treatable non-malarial febrile illness. Sero-epidemiological data also suggest that Orientia [...] wider distribution of scrub typhus beyond Asia is likely, based on reports from South America and Africa. Unfortunately, the quality and quantity of the available data on scrub typhus epidemiology is currently
Potential impact of climatic factors on malaria in Rwanda between 2012 and 2021: a time-series analysis (Publications)
remains an important public health problem, particularly in sub-Saharan Africa. In Rwanda, where malaria ranks among the leading causes of mortality and morbidity, disease transmission is influenced by
