Public Health Interest Research Articles

Accumulated metagenomic studies reveal recent migration, whole genome evolution, and undiscovered diversity of orthomyxoviruses.

The number of known virus species has increased dramatically through metagenomic studies, which search genetic material sampled from a host for non-host genes. Here, we focus on an important viral family that includes influenza viruses, the Orthomyxoviridae, with over 100 recently discovered viruses infecting hosts from humans to fish. We find that one virus called Wǔhàn mosquito virus 6, discovered in mosquitoes in China, has spread across the globe very recently. Surface proteins used to enter cells show signs of rapid evolution in Wǔhàn mosquito virus 6 and its relatives which suggests an ability to infect vertebrate animals. We compute the rate at which new orthomyxovirus species discovered add evolutionary history to the tree of life, predict that many viruses remain to be discovered, and discuss what appropriately designed future studies can teach us about how diseases cross between continents and species.

Negative log-binomial model with optimal robust variance to estimate the prevalence ratio, in cross-sectional population studies

BackgroundCross-sectional studies are useful for the estimation of prevalence of a particular event with concerns in specific populations, as in the case of diseases or other public health interests. Most of these studies have been carried out with binary binomial logistic regression model which estimates OR values that could be overestimated due to the adjustment of the model. Thus, the selection of the best multivariate model for cross-sectional studies is a priority to control the overestimation of the associations.MethodsWe compared the precision of the estimates of the prevalence ratio (PR) of the negative Log-binomial model (NLB) with Mantel–Haenszel (MH) and the regression models Cox, Log-Poisson, Log-binomial, and the OR of the binary logistic regression in population-based cross-sectional studies. The prevalence from a previous cross-sectional study carried out in Colombia about the association of mental health disorders with the consumption of psychoactive substances (e.g., cocaine, marijuana, cigarette, alcohol and risk of consumption of psychoactive substances) were used. The precision of the point estimates of the PR was evaluated for the NLB model with robust variance estimates, controlled with confounding variables, and confidence interval of 95%.ResultsThe NLB model adjusted with robust variance showed accuracy in the measurements of crude PRs, standard errors of estimate and its corresponding confidence intervals (95%CI) as well as a high precision of the PR estimate and standard errors of estimate after the adjustment of the model by grouped age compared with the MH PR estimate.Obtained PRs and 95%CI entre NLB y MH were: cocaine consumption (2.931,IC95%: 0.723–11.889 vs. 2.913, IC95%: 0.786–12.845), marijuana consumption (3.444, IC95%: 1.856–6.391 vs. 3.407, IC95%: 1.848, 6.281), cigarette smoking (2.175,IC95%: 1.493, 3.167 vs. 2.209, IC95%: 1.518–3.214), alcohol consumption (1.243,IC95%: 1.158–1.334 vs. 1.241, IC95%: 1.157–1.332), and risk of consumption of psychoactive substances (1.086, IC95%: 1.047–1.127 vs. 1.086, IC95%: 1.047, 1.126). The NLB model adjusted with robust variance showed mayor precision when increasing the prevalence, then the other models with robust variance with respect to MH.ConclusionsThe NLB model with robust variance was shown as a powerful strategy for the estimation of PRs for cross-sectional population-based studies, as high precision levels were identified for point estimators, standard errors of estimate and its corresponding confidence intervals, after the adjustment of confounding variables. In addition, it does not represent convergence issues for high prevalence cases (as it occur with the Log-binomial model) and could be considered in cases of overdispersion and with greater precision and goodness of fit than the other models with robust variance, as it was shown with the data set of the cross-sectional study used in here.

Do young people perceive their smartphone addiction as problematic? A study in Danish university college students

As smartphone addiction has been linked to poor mental health and lower levels of physical activity, it is of public health interest to explore the behavior behind problematic smartphone use and develop interventions to reduce smartphone use. This study aimed to investigate the risk of smartphone addiction and examine perceived problematic smartphone behavior among university college students.This online survey conducted amongst 1251 Danish University College students studied smartphone addiction in conjunction with physical- and mental health dimensions. The risk of smartphone addiction was estimated using the Smartphone Addiction Scale—Short Version (SAS-SV). The main results are presented as odds ratios from multivariate logistic regressions.One in four (23%) were at high risk of smartphone addiction. Of this high-risk group, 74% identified their smartphone behavior as problematic, with 91% having considered reducing their smartphone use.Students with a high risk of smartphone addiction perceiving their behavior as problematic were more likely to report low mental health and well-being.In conclusion, students at high risk of smartphone addiction acknowledge their problematic behavior and have actively considered behavior modifications. This knowledge can enable teachers, parents, and social and health workers to understand that a majority of heavy smartphone users are open to reducing their smartphone usage, albeit with the appropriate support.

Δ9-Tetrahydrocannabinol Effects on Respiration and Heart Rate Across Route of Administration in Female and Male Mice.

The physiological impact of cannabinoid receptor agonists is of great public health interest due to their increased use in recreational and therapeutic contexts. However, the body of literature on cannabinoid receptor agonists includes multiple confounding variables that complicate comparisons across studies, including route of administration, timeline across which phenotypes are observed, agonist dose, and sex of the study cohort. In this study, we characterized the impact of sex and route of administration on Δ9-tetrahydrocannabinol (THC)-induced changes in cardiopulmonary phenotypes in mice. Using noninvasive plethysmography and telemetry, we monitored heart rate and respiration in the same cohort of animals across aerosol, oral gavage, subcutaneous, and intraperitoneal administrations of THC (0-30mg/kg THC for oral gavage, subcutaneous, and intraperitoneal, and 0-300mg/ml THC for aerosol). All routes of THC administration altered respiratory minute volume and heart rate, with the direction of effects typically being consistent across dependent measures. THC primarily decreased respiration and heart rate, but females given oral gavage THC showed increased heart rate. Intraperitoneal and subcutaneous THC produced the longest-lasting effects, including THC-induced alterations in physiological parameters for up to 10h, whereas effects of aerosolized THC were short lived. The fastest onset of effects of THC occurred for aerosolized and intraperitoneal THC. Altogether, the work herein establishes the impact of dosing route on THC-induced heart rate and respiratory alteration in male and female mice. This study highlights important differences in the timeline of cardiopulmonary response to THC following the most common preclinical routes of administration.

Entomological Reference Collection: 85 years of contributions to public health.

The Department of Hygiene of the Faculty of Medicine of São Paulo (FMUSP), organized with the support of the Rockefeller Foundation, became the Institute of Hygiene, with the inaugural class taught by Samuel Darling in 1918. The history of Public Health Entomology is mixed with that of the Institute itself, which became the Faculty of Hygiene and Public Health in 1945. Still in the 1930s, Paulo César de Azevedo Antunes and John Lane organized Public Health Entomology within the Medical Parasitology area of the then Institute of Hygiene. During this period, the entomology laboratory came to be recognized for its research in the systematics of hematophagous insects, as well as in the ecology, biology and behavior of vectors. The Entomological Reference Collection (CER) originated naturally from the research of Paulo César Antunes and John Lane and is a national and international heritage covering primary and secondary types of insect species that are of interest to public health. Over the years, it has been consolidated with the efforts of Augusto Ayroza Galvão, Renato Corrêa, José Coutinho, Nelson Cerqueira, Ernesto Rabello, Oswaldo Forattini and others. In its over eighty years of activities, CER has enabled the training of several scientists able to act in programs of surveillance and control of endemic diseases associated with insect vectors throughout Latin America, in addition to training taxonomists focused on insects of interest in Public Health. Researchers from other Brazilian institutes and abroad joined the entomology laboratory because of its importance and the research developed in it. The growing scientific production made it possible for entomological studies developed at the Faculty of Public Health (FSP) to gain international visibility, contributing to the development of disease prevention and epidemic control actions in the country.

Rethinking precautionary allergen labelling – Threshold doses, risk assessment approaches and analytical implications

AbstractFood allergies became a major public health and food safety interest in the past decades as their prevalence is increasing, and their only available treatment is a strict elimination diet that necessitates appropriate food labelling regulations. While such regulations are available worldwide, most of them are not taking into account inadvertent allergen cross-contamination and they usually do not define threshold doses that could support the industry in their endeavour to provide reliable food labels for allergic consumers. This resulted in the proliferation of the “may contain” type precautionary allergen labelling (PAL), which is voluntary and is intended to warn consumers for potential unintended contamination with an otherwise undeclared allergen. As this kind of labelling is hardly ever based on actual risk assessment, it puts both the industry and the consumer into a difficult position. A promising tool towards the solution of this problem could be allergen threshold doses based on clinical data, which are becoming increasingly available. This review intends to present this process, the new ways of improved risk assessment it opens, and its implications for food analysis.

Evaluation of the Removal and Effects of Cylindrospermopsin on Ripened Slow Sand Filters.

The occurrence of toxic blooms of cyanobacteria has been a matter of public health interest due to the cyanotoxins produced by these microorganisms. Cylindrospermopsin (CYN) is a cyanotoxin of particular concern due to its toxic effects on humans. This study investigated the removal and effects of CYN in ripened slow sand filters (SSFs) treating water from Paranoá Lake, Brasilia, Brazil. Four pilot-scale SSFs were ripened and operated for 74 days. Two contamination peaks with CYN were applied along the filtration run. The improvement of any of the evaluated water quality parameters was not affected by the presence of CYN in the raw water. The SSFs efficiently removed CYN, presenting concentrations lower than 0.8 µg/L in the filtered water. The microbiota of the SSFs were dominated by protozoa of the genus Euglypha and amoebas of the genera Arcella, Centropyxis, and Amoeba, together with some groups of rotifers. These microorganisms played a crucial role in removing total coliforms and E. coli. In addition, CYN was not identified as a determining factor in the microbiota composition.

Bioaccumulation of aluminum in dry tea leaves and health risks associated with its consumption by an urban populace in Port Harcourt Metropolis, Rivers State, Nigeria

The concentration of aluminum in two brands of dry tea leaves and health risk assessment associated with its consumption was determined using standard methods. The dry tea leaves was Purchased from livinchu supermarket along Adageorge road in the heart of Port Harcourt metropolis, Rivers State, Nigeria, and brought to the laboratory of School of Pharmaceutical Technology, Department of Pharmacy Technician. The leaves were removed from their pouches and transferred into sample bottles, followed by acid digestion and an aspiration of an aliquot of the digested solution into an Agilent 42100 MP-AES machine to determine the residual aluminum content of the various teas, which was subsequently used to estimate the health risk associated with its consumption. Results showed that all the teas studied contained aluminum at varied concentrations with green tea containing moringa and strong black tea for men having values above 1000mg/kg while the rest had values less than 1000mg/kg. The result has clearly shown that green tea with moringa and black strong tea for men are hyperaccumulators of aluminum from soils than others, which can used for hytoremediation of aluminum contaminated soil. It also suggests that consumption of dry tea leaves is a major source of dietary exposed to aluminum in humans. Health risks assessment indicators depicted that all ADIs and HQs were less than unity (ADD < 1 and HRI or HQ < 1), and implies that there is no possibility of contracting non-cancerous disease that would have caused undue health issues of public health interest via consumption.

Antibiotic resistance and virulence genes profiling of Vibrio cholerae and Vibrio mimicus isolates from some seafood collected at the aquatic environment and wet markets in Eastern Cape Province, South Africa.

The current study determines the density of Vibrio spp. and isolates V. cholerae and Vibrio mimicus from fish-anatomical-sites, prawn, crab and mussel samples recovered from fish markets, freshwater and brackish water. Virulence and antibiotic resistance profiling of isolates were carried out using standard molecular and microbiology techniques. Vibrio spp. was detected in more than 90% of samples [134/144] and its density was significantly more in fish than in other samples. Vibrio. cholerae and V. mimicus were isolated in at least one sample of each sample type with higher isolation frequency in fish samples. All the V. cholerae isolates belong to non-O1/non-O139 serogroup. One or more V. cholerae isolates exhibited intermediate or resistance against each of the eighteen panels of antibiotics used but 100% of the V. mimicus were susceptible to amikacin, gentamycin and chloramphenicol. Vibrio cholerae exhibited relatively high resistance against polymyxin, ampicillin and amoxicillin/clavulanate while V. mimicus isolates exhibited relatively high resistance against nitrofurantoin, ampicillin and polymixin. The multiple-antibiotic-resistance-index [MARI] for isolates ranges between 0 and 0.67 and 48% of the isolates have MARI that is >0.2 while 55% of the isolates exhibit MultiDrug Resistance Phenotypes. The percentage detection of acc, ant, drf18, sul1, mcr-1, blasvh, blaoxa, blatem, blaoxa48, gyrA, gyrB and parC resistance-associated genes were 2%, 9%, 14%, 7%, 2%, 25%, 7%, 2%, 2%, 32%, 25% and 27% respectively while that for virulence-associated genes in increasing other was ace [2%], tcp [11%], vpi [16%], ompU [34%], toxR [43%], rtxC [70%], rtxA [73%] and hyla [77%]. The study confirmed the potential of environmental non-O1/non-O139 V. cholerae and V. mimicus to cause cholera-like infection and other vibriosis which could be difficult to manage with commonly recommended antibiotics. Thus, regular monitoring of the environment to create necessary awareness for this kind of pathogens is important in the interest of public health.

Immunogenicity and Safety of Modified Vaccinia Ankara (MVA) Vaccine-A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Prevention of mpox has become an important public health interest. We aimed to evaluate the safety and immunogenicity of the Modified Vaccinia Ankara (MVA) vaccine. We conducted a systematic review and meta-analysis of randomized-controlled trials (RCTs) comparing MVA versus no intervention, placebo, or another vaccine. Outcomes included safety and immunogenicity outcomes. We also performed a systematic review of RCTs evaluating various MVA regimens. Fifteen publications were included in the quantitative meta-analysis. All but one (ACAM2000) compared MVA with placebo. We found that cardiovascular adverse events following two MVA doses were significantly more common compared to placebo (relative risk [RR] 4.07, 95% confidence interval [CI] 1.10-15.10), though serious adverse events (SAEs) were not significantly different. Following a single MVA dose, no difference was demonstrated in any adverse event outcomes. Seroconversion rates were significantly higher compared with placebo after a single or two doses. None of the RCTs evaluated clinical effectiveness in preventing mpox. This meta-analysis provides reassuring results concerning the immunogenicity and safety of MVA. Further studies are needed to confirm the immunogenicity of a single dose and its clinical effectiveness. A single vaccine dose may be considered according to vaccine availability, with preference for two doses.

Salmonella detection with LAMP and qPCR and identification of serovars of interest by multiplex qPCR in poultry carcasses.

Salmonella is present in the poultry production chain and is a major challenge in terms of food safety and animal health. The early Salmonella detection is one of the main tools to control and prevent the transmission of this pathogen. Microbiological isolation and serotyping to identify and differentiate Salmonella serovars are laborious processes, time-consuming, and expensive. Therefore, molecular diagnostic methods can be rapid and efficient alternatives to the detection of this pathogen. Thus, the aim herein was to standardize and evaluate the use of loop-mediated isothermal amplification (LAMP) in comparison with real-time PCR (qPCR) for detection of Salmonella associated with a multiplex qPCR for simultaneous identification and differentiation of S. Enteritidis, S. Typhimurium, S. Pullorum, and S. Gallinarum. The LAMP, qPCR, and multiplex qPCR assays were comparable in specificity. The three techniques were evaluated for specificity for 16 different serovars of Salmonella and for 37 strains of the serovars of interest. The limit of detection and the efficiency of the LAMP, qPCR, and multiplex qPCR reactions were determined. The techniques were applied to 33 samples of chicken carcasses and compared to the results of conventional microbiology for validation. As results, LAMP was specific in the detection of different Salmonella serovars but presented lower limit of detection ranging from 101 to 104 CFU/reaction. In comparison, qPCR could detect less cells (100 to 102 CFU/reaction), reaching equal specificity and better repeatability in the assays. The qPCR multiplexing for identification of the different serovars also showed good specificity, with the detection threshold between entre 101 and 102 CFU/reaction. The results obtained in the analyses on poultry carcasses suggested a correspondence between the results obtained in molecular methods and in conventional microbiology. Thus, the proposed assays are promising for the diagnosis of Salmonella in poultry carcasses, already proved to be faster and more efficient than conventional diagnostics techniques, being of great interest for poultry production, animal, and public health.

Birds and people: from conflict to coexistence

Negative interactions between humans and animals are becoming increasingly frequent, as wild habitats shrink and human presence and activities expand throughout the world. Conflicts between people over conservation are one of the outcomes of this increased interaction, with severe consequences for both wildlife and people. Globally, conflicts can arise across diverse ecosystems, species and circumstances. Even if most attention in wildlife‐related conflicts has been on mammals, birds are also often at the centre of such conflicts, but conflict research is still not explicitly present in ornithological literature. Examples of such conflicts include those related to birds and agriculture, forestry, hunting, fishing and public health interests. Conflicts are often more complex than initial assessments might suggest, involving ecological, economic, cultural, social and political elements. Reflecting the complexity of these issues and their increasing relevance to bird conservation, a British Ornithologists' Union conference was organized in November 2021 that aimed to highlight examples of conflicts that exist between people over birds and their conservation. Building on this conference, we provide here a review of key themes relating to the understanding of conflicts, including the importance of conflict perceptions, the collaboration between multiple disciplines and the different types of knowledge needed to better understand conflicts. We then consider the management of bird conservation conflicts, including the key issues of dealing with uncertainty, the role of technical solutions and the importance of collaboration and building trust, illustrating each theme with real‐world examples. Finally, we outline potential future conflicts around bird conservation and how best to address them proactively.

Assistive technology usage, unmet needs and barriers to access: a sub-population-based study in India.

Assistive technology (AT) is essential to minimize functional limitations. The current study aimed to estimate the prevalence of needs, met and unmet needs for AT, and barriers to accessing AT among a subnational population in India. This cross-sectional study was conducted in eight districts, representing four zones of India, using the WHO Rapid Assistive Technology Assessment (rATA) tool. The tool was administered by trained staff using read aloud technique. Multi-stage cluster random sampling was used, as well as the probability proportional to size, to select smaller administrative units from the larger ones. In total, 8486 participants were surveyed out of 8964 individuals enumerated with a response rate of 94.6%. The sample prevalence of at least one difficulty was 31.8% (2700), with 6.3% (532) having severe or total difficulties. The sample prevalence for AT need was 27.8% (2357) with an estimated population prevalence of 24.5% (95% CI: 23.5-25.4). Similarly, the sample prevalence of unmet needs was 9.7% (823) with an estimated population unmet needs of 8.0% (95% CI: 7.43-8.60). The unmet needs among persons with severe or total difficulties was 52.3% (278/532), and was higher among females, rural residents, and older persons. Spectacles were the most used products, followed by canes/sticks, tripods, and quadripods. Nearly two-thirds of AT users purchased assistive products at their own expense, particularly from the private sector. The inability to afford AT (36.9%) was the most common barrier. The results show that the need for AT was substantial in the study population, the highest being for seeing difficulties. The unmet needs are higher in females, older population, rural residents, and persons having serious difficulties. While the majority of users have to make out-of-pocket payments to obtain AT, inability to afford and limited availability were the common barriers among those with unmet needs. This research is non-commercial, and was conducted in the interest of public health. The authors have not declared any specific grant for this research.

Association between frequency of breakfast consumption and cardiometabolic risk in Peruvian university teachers, 2019-2020.

Although the relationship between health status and dietary intake has been extensively studied in the general population, there is a lack of research that has specifically examined the association between frequency of breakfast consumption and cardiometabolic risk in university teachers. To determine the association between the frequency of breakfast consumption and cardiometabolic risk in university teachers. A cross-sectional study was conducted in 176 teachers from a private university located in the eastern region of Lima, Peru (Mage: 37.0 years; SD: 0.8, range: 24-59 years). The study was conducted during the period from December 2019 to February 2020. Information was collected on anthropometric and biochemical parameters and frequency of breakfast consumption. Multinomial logistic regression models were used to explore the association between frequency of breakfast with sociodemographic, anthropometric, and biochemical variables. The highest prevalence of excess body weight (44.4%) was observed in those who consumed breakfast 0 to 2 days/week, but without statistical differences. Those who reported Low-density lipoprotein cholesterol (LDL-C) < 160 mg/dL were 77% less likely to fall into the 3-5 day/week breakfast frequency category than those who reported a regular frequency of breakfast (6 to 7 days/week) (Adjusted OR = 0.23, 95% CI 0.08 to 0.73; p < 0.05). In addition, teachers who reported a breakfast frequency of 3 to 5 days/week were 83% more likely to have a glucose concentration < 110 mg/dL compared to those who consumed breakfast of 6 to 7 days/week (Adjusted OR = 0.17, 95% CI 0.04 to 0.75; p < 0.05). Skipping breakfast for an extended period of time can have detrimental effects on cardiometabolic health. Promoting the benefits of breakfast could be a health message of great public health interest.

Legitimacy and space in the use of technologies for environmental and social governance: The cases of human trafficking and COVID-19 contact tracing

This article develops the concept of legitimacy to analyze the capacity of technologies such as phone apps to mobilize collective commitments to shared environmental and social outcomes by constituting new governance spaces. This concept of governance spaces highlights the variable configurations of technologies and their interactions with humans, and helps avoid the tendency to see technologies as passive relays that transmit power originating elsewhere, or, in contrast, to overstate the almost magical autonomous capacities of technology. The concept of legitimacy is valuable for evaluating the degree to which technologies are effective and deserving of support. The article draws on Mark Suchman’s distinction between pragmatic, moral and cognitive legitimacy, which correspond in turn to interests, ethical values, and facts. In contrast to more conventional state-centered conceptions of legitimacy, these aspects of legitimacy can be applied to governance spaces constituted by technologies. The article then examines and compares the cases of technologies for countering human trafficking and COVID-19 digital contact tracing apps. In both cases all three aspects of legitimacy are present, important, and interconnected. An examination of a recent report issued by the Organization for Security and Cooperation in Europe and the Tech Against Trafficking coalition on 305 anti-trafficking tools shows the role of ethics and facts in their legitimacy, but also the degree to which the tools are skewed towards interests other than those at risk of being trafficked. Acceptance and evaluations of digital contract tracing apps are similarly shaped by the interactions between interests, ethical values, and facts, including evidence about their effectiveness. The legitimacy of COVID-19 digital contact tracing apps involves a wider presence of a public interest in health while the risks associated with power inequalities are greater with anti-trafficking technologies, highlighting the importance of variability in the legitimacy of governance spaces constituted by technologies.

Exploring the spatial spillover effects of climate change on the supply of medical and health services: Evidence from China

Medical and health services are a basic public service enjoyed by citizens, which can provide certain health guarantees for citizens who are deeply affected by climate change. The provision of medical and health services by the government and the public health sector under the impact of climate change is of great significance for meeting the public's demand for medical and health services and safeguarding the public's health interests. Based on the theory of public goods and the theory of public interests, this article empirically explores the impact of climate change on the supply of medical and health services based on the data from 30 provinces in China from 2010 to 2019. Further, this article analyzes the moderating effects of public health level and fiscal input in medical and health care on the relationship between climate change and supply of medical and health services. In addition, this article further uses a spatial Durbin model to explore their spatial spillover effects. The study shows that climate change has a positive impact on the supply of medical and health services; public health level positively moderates the relationship between climate change and the supply of medical and health services, while fiscal input in medical and health care negatively moderates the relationship between climate change and the supply of medical and health services; climate change has a significant negative spatial spillover effect on the supply of medical and health services. The conclusions can provide feasible schemes for the government and public sector to prevent and manage the climate change crisis and improve the efficiency and benefit of the supply of medical and health services.

School-level self-reported versus objective measurements of body mass index in public high school students

Population-level surveillance of student weight status (particularly monitoring students with a body mass index (BMI) ≥95th percentile) remains of public health interest. However, there is mounting concern about objectively measuring student BMI in schools. Using data from the nation's largest school district, we determined how closely students' self-reported BMI approximates objectively-measured BMI, aggregated at the school level, to inform decision-making related to school BMI measurement practices. Using non-matched data from n = 82,543 students with objective height/weight data and n = 7676 with self-reported height/weight from 84 New York City high schools (88% non-white and 75% free or reduced-price meal-eligible enrollment), we compared school-level mean differences in height, weight, BMI, and proportion of students by weight status, between objective and self-reported measures. At the school-level, the self-reported measurement significantly underestimated weight (−1.38 kg; 95% CI: −1.999, −0.758) and BMI (−0.38 kg/m2; 95% CI: −0.574, −0.183) compared to the objective measurement. Based on the objective measurement, 12.1% of students were classified as having obesity and 6.3% as having severe obesity (per CDC definition); the self-report data yielded 2.5 (95% CI: −1.964, −0.174) and 1.4 (95% CI: −2.176, −0.595) percentage point underestimates in students with obesity and severe obesity, respectively. This translates to 13% of students with obesity and 21% of students with severe obesity being misclassified if using self-reported BMI. School-level high school students' self-reported data underestimate the prevalence of students with obesity and severe obesity and is particularly poor at identifying highest-risk students based on BMI percentile.

Social licence to cull: Examining scepticism toward lethal wildlife removal in cities

AbstractThe public may sometimes resist orders to cull wildlife, even when these pose a biosecurity threat. Managers and researchers desire to know why this is so.Research overwhelmingly focuses on the role of the species in conditioning resistance but our approach also shows the circumstances, settings, people responsible and methods used that undermine the legitimacy of the cull.We bring these together and use a social licence to operate (SLO) framework to demonstrate how support for wildlife culling in the context of biosecurity may be revoked. In the absence of SLO, resistance to wildlife culling can range from personal unease at seeing a cherished species or a neighbourhood fox being culled, to openly confronting the municipal hunter.By interviewing (n = 32) and following (n = 4) municipal hunter in Swedish cities who cull wildlife individuals or populations deemed to pose a threat to public health, safety or other societal interests, we uncover parameters by which culling wildlife are deemed to be problematic: who performs the culling, when the culling is done, how it is done and where it is done. This leads us to the concept of necroaesthetics: taboo ways of taking animal lives. In a unique perspective, we apprehend two forms of resistance: one that hunters attribute to the public and that of hunters' own unease at performing certain culling interventions. While the public and municipal hunters disagree, they also have similar criteria for opposing culls.We conclude by considering the future of theSLOof culling wildlife for biosecurity, including the subjective nature of its Revocation. This goes toward identifying parameters that make culls likely to produce controversy, hence granting some predictive value for managers in their planning.Read the freePlain Language Summaryfor this article on the Journal blog.

Engaging with the Private Sector for Noncommunicable Disease Prevention and Control: Is it Possible to Create "Shared Value?"

Noncommunicable diseases (NCDs) are the leading cause of premature mortality worldwide. Corporate interests are sometimes well-aligned with public health, but profiteering from the consumption of products that are known to be the major contributors to the noncommunicable disease burden undermines public health. This paper describes the key industry actors shaping the NCD landscape; highlights the unhealthy commodities' impact on health and the growing burden of NCDs; and outlines challenges and opportunities to reduce exposure to those risk factors. Corporations deploy a wide array of strategies to maximize profits at the expense of health, including sophisticated marketing techniques, interference in the policy-making process, opposition and distortion of research and evidence, and whitewashing of health-harming activities through corporate social responsibility initiatives. There can be no shared value for industries that sell goods that harm health irrespective of consumption patterns (such as tobacco and likely alcohol), so government actions such as regulation and legislation are the only viable policy instruments. Where shared value is possible (for example, with the food industry), industry engagement can potentially realign corporate interests with the public health interest for mutual benefit. Deliberate, careful, and nuanced approaches to engagement are required.

Characterization of the mosquito community in diurnal activity in an urban ecological reserve

Knowing the composition of mosquito community, their temporal dynamics and relationship with abiotic factors in urban areas is of interest in public health because many species are vectors of pathogens. This is the first survey of diurnal adult mosquitoes in an urban reserve in Buenos Aires City (Argentina). Fortnightly daytime samples were carried out during a year affected by a drought due to La Niña effect, to describe the adult mosquito community and analyze its association with environmental variables. Ten species belonging to the genera Culex L., Aedes Meigen, Psorophora Robineau-Desvoidy and Mansonia Blanchard were captured, some of which are vectors of pathogens (e.g. Aedes albifasciatus (Macquart) and the complex Culex pipiens L.). Diversity did not vary significantly among seasons, and the composition was moderately similar (ANOVA: p = 0.11; Dice-Sorensen: 0.50-0.77). However, classification of species as core, common or rare in the community varied. A canonical correspondence analysis allowed us to identify a group of five species associated with summer and high temperatures. The other species were not grouped, and were associated with rainfall, relative humidity or another season. These associations help to understand the presence and abundance of those species during a prolonged drought.