List 3 strategies that Maldives used to achieve their goal of eliminating LF.
1) vector control, eliminating mosquito breathing sites
2) 12-week treatment plan (rather than previous 12 day regimen)
3) blood sampling to track cases
Adult schistosomes live _______________________.
in blood vessels
An immune response to schistosome eggs cause most of the morbidity associated with schistosomiasis; adult worms don’t cause much damage.
true
Schistosomiasis can be contracted by ______________________.
having skin contact with water contaminated with human waste
How do schistosome eggs enter the environment?
In urine or feces, and they hatch when they reach a freshwater body, such as a river, lake, or stream
The following play a role in the transmission of schistosomiasis: (choose all that apply).
freshwater snails
non-human primates
Schistosomiasis can affect infants and children as well as people in every other life stage.
true
In an endemic location, swimming in water that’s contaminated with human waste is a risk factor for schistosomiasis.
true
MDA is a major control strategy for both schistosomiasis and LF.
true
Improved access to water and sanitation infrastructure are important prerequisites to help reduce the burden of schistosomiasis.
true
Lymphatic filariasis (LF) cases occur in multiple countries, including those in Asia, Africa, and South America.
true
The following play a role in the transmission of LF: (choose all that apply).
mosquitos
Highly visible symptoms of LF mainly occur due to: (choose the single best response)
a large number of infective mosquito bites over the course of many years
Even without external LF symptoms, there may still be damage to lymphatic vessels and kidneys, and also changes to the immune system, even in children.
true
In the obstructive phase of LF, elephantoid organs develop and the disease is often highly visible.
true
LF may be accompanied by feelings of shame, fear, and embarrassment and may result in social exclusion.
true
The GPELF called for elimination of LF by the year 2020, but that target was not met. The new proposed target is __________.
2030
For LF, the drugs that would be used for MDA vary based on other parasites that are endemic in a particular location.
true
The GPELF calls for: (choose the single best response)
Both MDA to reduce the transmission of LF and clinical care for people who have disease symptoms
Morbidity associated with LF can include hydrocele and swelling of the legs and breasts.
true
_________________ is the main parasite associated with female genital schistosomiasis.
S. haemtobium
Schistosomiasis is now known to be associated with increased risk of transmitting and contracting HIV.
true
Scientists currently think there is a high likelihood that schistosomiasis may contribute to an increased risk of some cancers, such as bladder cancer, colorectal cancer, and liver cancer.
true
FGS can affect the following parts of a person’s anatomy (choose all that apply):
Fallopian tubes
Cervix
Ovaries
Uterus
Vulva
At a population scale, FGS is somewhat difficult to detect because of limitations of equipment, personal, and the lack of an accepted and standardized definition.
true
A __________________ causes trachoma.
bacterium
he microbe that causes trachoma is called ________________________
chlamydia trachomatis
Briefly describe the SAFE strategy.
S - surgery to correct the position of the eyelashes (trachomatous trichiasis)
A- antibiotics to clear the infection
F- facial cleanliness, face washing to remove eye and nose mucus that will attract flies
E- environmental improvement, particularly by improving access to water and sanitation (toilet facilities, cutting down on fly breeding)
A large proportion of cardiac deaths among young adults in Latin America are due to Chagas’ disease.
true
There is a vaccine currently in use for Chagas’ disease.
false
Chagas’ disease is mainly transmitted by a____________________.
triatomine
When Chagas’ disease is transmitted, the vector injects saliva that carries the parasite.
false
Sleeping under insecticide-treated bednets at night can help protect against malaria, but bednets don’t help address Chagas’ disease.
false
Most people infected with Trypanosoma cruzi will eventually die from the disease.
false
For Chagas’ disease, experts believe that vector control is one key aspect of the strategy to address Chagas’ disease in Latin America.
true
One effective strategy to prevent transmission of Chagas’ disease is through screening blood and organs that are being donated.
true
It’s possible to diagnose and treat people for Chagas’ disease during pregnancy.
true
Since vertical/congenital transmission is impossible for the organism that causes Chagas’ disease, screening babies is unnecessary.
false
Trachoma is endemic in countries in Africa, Central America, South America, Asia, and the Middle East, and it's also present in Australia.
true
With trachoma, the eyelashes may touch the eyeball and scratch it if scar tissue develops on the interior of the eyelid
true
Due to biological differences, women are about 4 times as likely as men to be blinded by trachoma.
false
What is the leading cause of blindness worldwide from an infectious agent?
trachoma
Two drugs (Benznidazole and Nifurtimox) to treat Chagas’ disease have been used for decades because both are safe and effective, but it would be ideal to develop new drugs in case of drug resistance in the future.
false
For advanced Chagas' disease, there is currently a recommendation to not offer treatment.
true
The word “malnutrition” includes the following:
undernutrition
overweight
obesity
micronutrient deficiencies
The following are commonly measured using standardized growth charts:
stunting
wasting
underweight
overweight
obesity
The “first 1000 days” refers to the time between when a child is born until shortly before their 3rd birthday.
false
The new (2021) Lancet series of papers referred to in this unit on “Maternal and Child Malnutrition” categorized nutrition interventions as follows: (choose all that apply
being from the healthcare sector or from outside of the healthcare sector
being "direct" or "indirect"
“Stunting” refers to: (choose the single best response)
low height for age
“Wasting” refers to: (choose the single best response)
low weight for height
Stunting tends to occur most at the following time: (choose the single best answer)
in the first 3 months after birth
Wasting at birth and wasting in the first 3 months of life are relatively prevalent in LMICs.
true
Between 2000 and 2015, stunting has _________________ in LMICs. (choose the single best response)
improved slightly
Stunting is generally more prevalent in LICs than in MICs
true
Zinc supplements should be given when a child has diarrhea.
true
Evidence strongly shows that adequate birth spacing can help improve the nutrition status of children.
true
Low iron intake and low intake of Vitamin B-12 can both causes forms of anemia.
true
Foods that contain high amounts of essential micronutrients such as iron, Vitamin B-12, Vitamin A, and iodine are often expensive, perishable (they spoil easily and quickly), and require refrigeration.
true
Iodized salt has been an enormously beneficial program, as well as being very cost-effective.
true
Stunting can prevent people from achieving their full mental and physical potential.
true
Geographically, ______________ is the global region most heavily impacted by stunting and wasting, as of approximately 2015.
South Asia
In comparison with other low-income countries, India has a much higher prevalence of wasting.
true
As of 2021, only high-income countries are expected to fully meet the 10 nutrition targets set by the 2012 World Health Assembly.
false
There is currently strong evidence to suggest that promotion of breastfeeding is a positive way to improve child nutrition.
true
One general trend we’ve seen with global data on malnutrition is that we don’t yet have enough information about the nutrition of school-aged children (kids over 5 years) and adolescents.
true
We have good evidence to recommend the following strategies to improve maternal and/or child nutrition
Therapeutic zinc supplementation for diarrhea
Small-quantity lipid-based nutrient supplements for kids
Ready-to-use supplementary food for acute malnutrition
Family planning and birth spacing
ITNs
Large-scale food fortification
Iron-deficiency anemia can be caused by the following:
Loss/removal of more RBCs than are replaced by the body
Inability to absorb dietary iron
Food sources don’t have enough iron
Pregnancy and menstruation, which come with increased demand for iron
Breastfeeding, which comes with increased demand for iron