Parishes Of Grenada Research Articles

Using focus groups to plan culturally acceptable primary cervical cancer screening in Grenada, West Indies.

To document Grenadian women's knowledge about cervical cancer and human papillomavirus (HPV) infection, as well as their attitudes towards primary cervical cancer screening methods. In this qualitative study, we used focus groups in Grenada to gather information concerning women's knowledge about, attitudes towards and perceptions of screening for cervical cancer and general knowledge about HPV. Ten focus groups comprising 73 participants representing 5 of the 6 parishes in Grenada were conducted with women aged 19-59. Participants were asked about pelvic exams, Pap smears, HPV, reasons for seeking or avoiding cervical cancer screening and how different modalities of testing might affect their decision-making. Responses were then coded and organized into common themes. While many respondents had heard of HPV, far fewer knew about its causative role in cervical cancer, how to prevent HPV infection or testing for the high-risk HPV types that cause almost all cases of cervical cancer. Many participants were aware that cervical cancer screening was beneficial, but numerous barriers to obtaining that screening were noted, including concerns about privacy and stigma, potential discomfort, and the cost and inconvenience involved. Our findings have implications for future cervical cancer screening efforts in Grenada. Central to these efforts should be a focus on educating Grenadians about the role of HPV infection in cervical cancer and the importance of early detection through screening. In addition, addressing issues of stigma and privacy are key to eliminating cervical cancer in Grenada.

Prevalence of Salmonella spp. in red-footed tortoises (Chelonoidis carbonaria) from Grenada, West Indies

Background and Aim: There is currently no published information on the prevalence of Salmonella spp. in pet red-footed tortoises in Grenada. Monitoring is essential to understand the dynamics of the epidemiology of Salmonella. This study aimed to estimate the prevalence of Salmonella spp. from pet red-footed tortoises from Grenada and to test for antimicrobial drug resistance of the isolates. Materials and Methods: Established bacterial culture, serotyping, and antimicrobial susceptibility methods were used. Fecal samples were obtained from 114 tortoises from five parishes of Grenada, and cultured for Salmonella using enrichment and selective culture techniques. The serotyping of isolated Salmonella was performed at the Office International des Epizooties Salmonella Reference Laboratory, Guelph, Ontario, Canada. The isolates were tested for antimicrobial susceptibility in the Microbiology Laboratory of the School of Veterinary Medicine, St. George's University, Grenada. Results: Fifteen tortoises (13.2%) out of 114 were positive for Salmonella spp. Five serovars were identified: Salmonella Javiana (6.3%), Salmonella Rubislaw (6.3%), Salmonella Saintpaul (18.75%), Salmonella Glostrup (6.3%), and S. I: Rough.O;e,h:1,2 (62.5%). All isolates were sensitive to the 12 antimicrobial drugs. Conclusion: Three serovars (S. Javiana, S. Saintpaul, and S. Rubislaw) are known pathogens causing disease in humans. Since tortoises included in the study were pets, the tortoises may be a possible source of transmission of Salmonella to their owners. The tortoise owners should be educated on the importance of hygienic raising of their pets. This is the first report of isolation of Salmonella spp. from pet red-footed tortoises in Grenada.

Internal parasitic burdens in brown rats (Rattus norvegicus) from Grenada, West Indies

This study identified the endoparasites in Brown rat (Rattus norvegicus) during May to July 2017 in Grenada, West Indies. A total of 162 rats, 76 females and 86 males were trapped from St. George and St. David parishes in Grenada. The collected fecal samples were examined for parasitic eggs and/or oocysts using simple fecal flotation technique. Adult parasites found in the intestinal tract were examined for identification. The overall prevalence of intestinal parasites among rats was 79 %.Ten helminth species were recovered, several of which were reported for the first time in rodents in Grenada. The internal parasites consist of seven nematodes (Angiostrongylus spp., Nippostrongylus braziliensis, Heterakis spumosa, Strongyloides ratti, Aspiculuris tetraptera, Syphacia spp. and Protospirura spp.), one cestode (Hymenolepsis diminuta), one acanthocephalan (Moniliformis moniliformis) and one protozoa species (Eimeria spp.). The most prevalent zoonotic species were Angiostrongylus spp. (35.2%), Hymenolepsis diminuta (7.4%) and Moniliformis moniliformis (3.1%). Several nonzoonotic endoparasites; which included Nippostrongylus braziliensis (50.6%), Heterakis spumosa (15.4%), Strongyloides ratti (43.2%), Aspiculuris tetraptera (2.5%), Syphacia spp. (1.9%), Protospirura spp. (1.2%) and Eimeria spp. (4.7%) were also identified. The most prevalent parasites were Nippostrongylus brasiliensis (50.6%), Strongyloides ratti (43.2%) and Angiostrongylus spp. (35.2%). Co-infections occurred with up to six species per rat showing different combinations of parasitic infections.

Detection of serum antibodies against Leptospira spp. in brown rats (Rattus norvegicus) from Grenada, West Indies.

Background and Aim:Leptospirosis is an emerging disease of animals and humans. Among rodents brown rats (Rattus norvegicus) are an important reservoir of bacteria Leptospira. There is a paucity of information on reservoirs of Leptospira in Grenada. This study was conducted to estimate the prevalence of antibodies against Leptospira spp. in brown rats in a densely human populated area of Grenada.Materials and Methods:Blood samples from 169 brown rats were collected and sera screened for antibodies against Leptospira spp. using enzyme-linked immunosorbent assay.Results:Among a total of 169 brown rats trapped in two parishes in Grenada, 77/169 (45.5%) were positive for Leptospira spp. antibodies. A significant difference in seropositive population of brown rats between two collection sites was observed. No differences were found between sex and age of seropositive rats.Conclusion:Due to the close contact of brown rats with humans in Grenada, rats should be considered a high-risk factor in transmission of Leptospira to humans. Appropriate preventive measures should be instituted to prevent the transmission of Leptospira infection to humans.

Knowledge and Perspectives of Residents in Grenada Regarding Climate Change and the Impacts on the Coastal Environment

Objective: The authors conducted this study to assess the knowledge, attitudes, and practices of residents in two parishes in Grenada with regard to climate change and coastal and marine ecosystems. Method: A cross-sectional study was conducted with a survey administered to 220 residents in two parishes, St. John and St. Mark, which lie along the west coast in Grenada. Results: At least 50% of the respondents correctly identified factors that can contribute to climate change although the majority, 52.6%, also stated they were “somewhat informed” about impacts of climate change and mitigation measures. Overall, about 90% of respondents did not participate in programmes to raise awareness about climate change or coastal ecosystem management in the past five years. Residents who completed their education lower than college, residents above 45 years and residents in St. Mark were found to have significantly lower levels of knowledge and awareness about climate change and coastal ecosystem. Together, almost 50% of respondents reported they were somewhat concerned, not concerned at all or not sure if they should be concerned about climate change. In each case, more than 50% of the respondents also felt communities were prevented from taking action due to lack of knowledge, cooperation, and resources. There was moderate to high support for designating Marine Protected Areas in St. John and St. Mark. Conclusion: Residents in St. John and St. Mark need to increase their knowledge and awareness of the relationship between climate change, coastal and marine ecosystem, and community development and sustainability. Increasing knowledge about climate change is also expected to have a positive effect on the residents’ participation in the Coastal Protection for Climate Change Adaptation in Small Island States project.

Serological evidence of widespread exposure of Grenada fruit bats to chikungunya virus.

SummaryAntibody detection against selected potentially zoonotic vector‐borne alphaviruses and flaviviruses was conducted on sera from bats from all six parishes in Grenada, West Indies. Sera were tested for (i) antibodies to flaviviruses West Nile virus, St. Louis encephalitis virus, Ilhéus virus, Bussuquara virus (BSQV), Rio Bravo virus and all four serotypes of dengue virus (DENV) by plaque reduction neutralization test (PRNT); (ii) antibodies to alphaviruses western equine encephalitis virus, Venezuelan equine encephalitis virus and eastern equine encephalitis virus by epitope‐blocking enzyme‐linked immunosorbent assay (ELISA); and (iii) antibodies to the alphavirus chikungunya (CHIKV) by PRNT. Two species of fruit bats were sampled, Artibeus jamaicensis and Artibeus lituratus, all roosting in or within 1,000 m of human settlements. Fifteen (36%) of the 42 bats tested for neutralizing antibodies to CHIKV were positive. The CHIKV‐seropositive bats lived in localities spanning five of the six parishes. All 43 bats tested for epitope‐blocking ELISA antibody to the other alphaviruses were negative, except one positive for Venezuelan equine encephalitis virus. All 50 bats tested for neutralizing antibody to flaviviruses were negative, except one that had a BSQV PRNT 80 titre of 20. The CHIKV serology results indicate that bats living close to and within human settlements were exposed to CHIKV in multiple locations. Importantly, bats for this study were trapped a year after the introduction and peak of the human CHIKV epidemic in Grenada. Thus, our data indicate that bats were exposed to CHIKV possibly during a time of marked decline in human cases.

Bartonella henselae in small Indian mongooses (Herpestes auropunctatus) from Grenada, West Indies

Many mammals are established hosts for the vector borne bacterial genus, Bartonella. Small Indian mongooses (Herpestes auropunctatus) have only been reported as a possible host for Bartonella henselae in southern Japan. Confirming Bartonella presence in mongooses from other regions in the world may support their role as potential reservoirs of this human pathogen. Specifically, documenting Bartonella in Caribbean mongooses would identify a potential source of zoonotic risk with mongoose-human contact in the New World. Using serological and molecular techniques, we investigated B. henselae DNA and specific antibody prevalence in 171 mongooses from all six parishes in Grenada, West Indies. Almost a third (32.3%, 54/167) of the tested mongooses were B. henselae seropositive and extracted DNA from 18/51 (35.3%) blood pellets were PCR positive for the citrate synthase (gltA) and/or the β subunit of RNA polymerase (rpoB) genes. All sequences were identical to B. henselae genotype I, as previously reported from Japan. This study confirms the role of small Indian mongooses as a natural reservoir of B. henselae in the New World.

Prevalence of Canine Heartworm Disease in Stray Dogs of Grenada, West Indies

Dirofilariasis (heartworm disease) has been reported in Grenadian dogs. The aim of this cross-sectional study was to determine the prevalence of Dirofilaria immitis in stray dogs (n = 523) from the six Parishes of Grenada. Necropsy records were reviewed; information on the distribution and lesions of Dirofilaria immitis was recorded. A total of 144 from 523 dogs (27.5%; 95% CI: 23.9% to 31.5%) were positive for Dirofilaria immitis on necropsy. This study shows that heartworm disease is prevalent in stray dogs in all the Parishes of mainland Grenada. This is a progressive, life-threatening disease and thus, there is a need to screen and prevent it within the stray dog population of Grenada.

Natural exposure of bats in Grenada to rabies virus

ABSTRACT Introduction: Grenada is a rabies endemic country, where terrestrial rabies is maintained in the small Indian mongoose (Herpestes auropunctatus). The role of bats in the epidemiology of rabies in Grenada is unknown. A 1974 report described one rabies virus positive Jamaican fruit bat (Artibeus jamaicensis), and a high seroprevalence in this species. In the current study, the natural exposure to rabies virus in Grenadian bats was re-evaluated. It is postulated that bats serve as a natural rabies reservoir, probably circulating a bat-specific rabies virus variant. Material and methods: Bats were trapped in 2015 in all six parishes of Grenada using mist- and hand nets. For the detection of rabies virus in brain tissue, the direct fluorescent antibody test (dFAT) and the reverse transcription polymerase chain reaction (RT-PCR) were used. Serum neutralizing antibodies were determined using the fluorescent antibody virus neutralization test (FAVN). Results and discussion: Brain tissue and sera from 111 insectivorous and frugivorous bats belonging to four species were tested (52 Artibeus jamaicensis, two Artibeus lituratus, 33 Glossophaga longirostris, 24 Molossus molossus). Rabies virus antigen and genomic RNA were not detected in brain tissues. Rabies virus neutralizing antibodies were detected in the sera of eight A. jamaicensis in four of the six parishes. Bats in Grenada continue to show natural exposure to rabies virus. As rabies virus was not isolated in this study, serology alone is not sufficient to determine the strain of rabies virus circulating in A. jamaicensis bats in Grenada. Conclusion: Artibeus jamaicensis appears to play a role as a reservoir bat species, which is of public health concern in Grenada. Dispersion of bats to neighboring islands is possible and serological bat surveys should be initiated in these neighboring states, especially in those areas that are free of rabies in terrestrial mammals.

Current Status of <i>M. hyopneumoniae</i> in Pigs in Grenada, West Indies

Mycoplasma hyopneumoniae, cause of enzootic pneumonia is known for serious economic losses in pigs. The disease is prevalent all over the world. There is no published report on Mycoplasma hyopneumoniae incidence in Grenadian pigs. The aim of this study was to estimate seroprevalence of antibodies for Mycoplasma hyopneumoniae in non vaccinated pigs in Grenada. Sera were collected randomly from 459 pigs of all ages from all six parishes of Grenada. Sera were tested for antibodies to Mycoplasma hyopneumoniae using an indirect Enzyme Linked Immunosorbant Assay (ELISA) kit. Antibodies to Mycoplasma hyopneumoniae were found in 8.71% (95% CI: 0.0644 to 0.1167) pigs. The greatest percent of positives (62.5%) (95% CI: 0.4699 to 0.7582) were in youngest group 22.5% (95% CI: 0.1211 to 0.3771) in >2 year. Positive females were overrepresented compared to males by 3:1. This is the first report on the sero-prevalence of Mycoplasma hyopneumoniae in pigs from Grenada, West Indies.

Seroprevalence of Bovine Parainfluenza Virus Type 3 (bPI-3V) in Ruminants from Grenada

Respiratory viral infections are known for serious economic losses in ruminants. Bovine parain-fluenza 3 virus (bPI-3V) a member of Respirovirus genus in association with other respiratory viruses causes respiratory disease complex in ruminants. The aim of this study was to estimate the seroprevalence of bPI-3V in non vaccinated cattle, sheep and goats from Grenada. Sera were collected randomly from 60 sheep, 60 goats and 60 cattle from all six parishes of Grenada. Sera were tested for antibodies to bPI-3V using an indirect Enzyme Linked Immunosorbant Assay (ELISA) kit. Antibodies to bPI-3V were detected in 13.4% (Confidence Level (CL): 95%; Confidence Interval (CI): 4.76% to 22.02%) in cattle; 16.7% (CL: 95%; CI: 7.26% to 26.14%) in sheep and 11.7% (CL: 95%; CI: 3.57% to 19.83%) in goats. There was statistically no significant difference in prevalence (p > 0.05) of antibodies to bPI-3V in cattle, sheep and goats in Grenada. This is the first report on seroprevalence of bPI-3V in ruminants in Grenada, West Indies.

Serological Detection of Caseous Lymphadenitis in Sheep and Goats Using a Commercial ELISA in Grenada, West Indies

Caseous lymphadenitis (CLA) in small ruminants has been diagnosed by culture, several times in the state of Grenada. In order to understand the prevalence of CLA, serum samples from 541 sheep and 338 goats from Grenada and Carriacou islands were tested for antibodies against the phospholipase antigen of Corynebacterium pseudotuberculosis , the causative agent of caseous lymphadenitis (CLA) using a commercial ELISA kit: “ELITEST CLA”. The percentage of positive samples among sheep was 7.9, and for goats it was 31.3%, with a significant difference between these two species of animals. Of the six parishes of Grenada, and one parish of Carriacou, significantly more positive samples originated from St. George parish. There were no significant differences between age groups. The results of this study show that CLA is endemic and widely distributed throughout the islands of Grenada and Carriacou.

Meta-Analysis of the Prevalence of Dirofilaria Immitis in Dogs from Grenada, West Indies

A comparison of several individual studies was made in order to determine the statistical significance for the prevalence of Dirofilaria immitis in dogs (n=1245) in Grenada, using necropsy and different ELISA test kits. The overall prevalence was estimated to be 17% in a study of live dogs, 12% in a study of necropsied dogs, and 14% when combining the studies using meta-analysis. There was no evidence of infection in dogs less than 6 months of age and no statistical difference (P>0.50) between male and female dogs. The prevalence reported is the cause for concern particularly since Dirofilaria immitis in dogs were found in all parishes in Grenada, favorable climatic conditions exist for vector-borne transmission, there is only sporadic use of preventatives, and there is an almost complete lack of public knowledge of the zoonotic potential of this filarial parasite in Grenada.

Antimicrobial Susceptibility Profiles of Escherichia coli Recovered from Feces of Young Healthy Domestic Pigs in Grenada, West Indies

Aim: To determine the antimicrobial susceptibility profiles of E. coli isolates of porcine origin in Grenada, West Indies. Study Design: During the period of May to July, 2014, rectal swab samples were collected from pigs of six weeks to 12 week of age, from randomly selected small scale pig farms from the six parishes of Grenada and analyzed in the bacteriology lab in the Pathobiology Department, School of Veterinary Medicine, St. George’s University, Grenada. Methodology: A total of 180 rectal swab samples were examined for the presence of E. coli by culture. All the isolates were tested against 12 antibiotics using the standard Kirby-Bauer disc diffusion method. Results: All the 180 tested pigs were culture positive for E. coli . Antimicrobial susceptibility tests against 12 drugs showed susceptibility of all the E. coli isolates to amoxicillin-clavulanic acid, cefotaxime, ceftazidime, ciprofloxacin, imipenem, and gentamicin. Rate of resistance to tetracycline

Prevalence and Antibiotic Susceptibility of Gram-negative Aerobic Bacteria Cultured from the Intestine and Hepatopancreas of Blue Land Crab (Cardisoma guanhumi) in Grenada, West Indies

Aim: To evaluate the prevalence of aerobic bacteria associated with the intestine and hepatopancreas of blue land crab and the susceptibility of the bacteria to a panel of antimicrobials that included some drugs used for the treatment of bacterial infections in the human and veterinary clinics in Grenada. Study Design: The tested crabs were collected during a three month period from November 2011 to February 2012 from six parishes of Grenada and analyzed in the bacteriology lab in the

Seroprevalence of <i>Neospora caninum</i> in Sheep and Goats from Grenada, West Indies

Neospora caninum (N. caninum), an intracellular protozoan parasite, causes abortion and neonatal mortality in many herbivores including sheep and goats. The aim of this study was to estimate the Seroprevalence of N. caninum in sheep and goats in Grenada, West Indies. Sera were collected from 138 sheep and 138 goats from all six parishes of Grenada and Carriacou, a small island within Grenada. Animals were identified by gender. Sera were tested for antibodies for N. caninum using an indirect Enzyme Linked Immunosorbant Assay (ELISA) multispecies Kit from Pourquire Laboratorie (IDvet, France). Antibodies to N. caninum were detected in 18 of 138 sheep (13%, 95% confidence interval (CI): 7.39% to 18.61%) and 8 of 138 goats (5.8%, 95% CI: 1.9% to 9.7%). Although seropositivity was high in female sheep and in male goats, there was no statistical difference in seropositivity of males and females in both species of animals (p > 0.05, χ2). The results of this study revealed that sheep and goats in Grenada were exposed to N. caninum and dogs might be considered as a source of infection. There was a need to educate the farmers, possessing small ruminants, about the transmission cycle of N. caninum and methods of prevention, to minimize the exposure of their flocks. This is the first report on seroprevalence of N. caninum in Grenada, West Indies.

Seroprevalence of Newcastle Disease, Chicken Infectious Anemia and Avian Influenza in Indigenous Chickens in Grenada, West Indies

This study was conducted to determine the seroprevalence of antibodies against Newcastle disease virus (NDV), Chicken infectious anemia virus (CIAV) and Avian influenza virus (AIV) in indigenous chickens in Grenada, West Indies. Indigenous chickens are kept for eggs and meat for either domestic consumption or local sale. These birds are usually kept in the backyard of the house with little or no shelter. The mean size of the flock per household was 14 birds (range 5–40 birds). Blood was collected from 368 birds from all the six parishes of Grenada and serum samples were tested for antibodies against NDV, CIAV and AIV using commercial enzyme-linked immunosorbent assay (ELISA) kits. The seroprevalence of antibodies against NDV, AIV and CIA was 66.3% (95% CI; 61.5% to 71.1%), 59.5% (95% CI; 54.4% to 64.5%) and 10.3% (95% CI; 7.2% to 13.4%), respectively. Since indigenous chickens in Grenada are not vaccinated against poultry pathogens, these results indicate exposure of chickens to NDV, AIV and CIAV Indigenous chickens are thus among the risk factors acting as vectors of pathogens that can threaten commercial poultry and other avian species in Grenada

Prevalence of Toxoplasma gondii antibodies in stray and owned dogs of Grenada, West Indies

Aim: This serological survey was undertaken to estimate the prevalence of Toxoplasma gondii in two populations of dogs (stray and owned dogs) in Grenada. Dogs get infected with oocysts voided from cats, definitive hosts of T. gondii. In dogs, T. gondii causes subclinical to clinical disease. Earlier studies conducted in Grenada on a small population of owned dogs showed evidence of exposure to T. gondii. Materials and Methods: Antibodies to T. gondii were determined in serum samples from 625 dogs (368 stray and 257 owned dogs) from around all six parishes in Grenada, West Indies, using an indirect enzyme linked immunosorbent assay. Results: Antibodies to T. gondii were found in 123 (33.4%; 95% confidence interval (CI): 28.58-38.22%) of stray dogs and in 64 (25%; 95% CI: 19.71-30.29%) of the owned dogs. Seropositivity was higher in stray dogs than in pet dogs (p=0.026). Whereas, there was no sex predisposition to seropositivity in owned dogs (p=1.0), female stray dogs showed a higher prevalence than male stray dogs (p=0.04). Conclusion: These results support previous findings that T. gondii is prevalent in Grenada. In this study, overall seropositivity for T. gondii in dogs in Grenada is lower than noted in 2008, but is still higher in stray dogs than in owned dogs.

Prevalence, Serovars and Antimicrobial Susceptibility ofSalmonellaspp. from Wild and Domestic Green Iguanas (Iguana iguana) inGrenada, West Indies

Cloacal swabs from 62 green iguanas (Iguana iguana), including 47 wild and 15 domestic ones from five parishes of Grenada, were sampled during a 4-month period of January to April 2013 and examined by enrichment and selective culture for the presence of Salmonella spp. Fifty-five per cent of the animals were positive, and eight serovars of Salmonella were isolated. The most common serovar was Rubislaw (58.8%), a serovar found recently in many cane toads in Grenada, followed by Oranienburg (14.7%), a serovar that has been causing serious human disease outbreaks in Japan. Serovar IV:48:g,z51 :- (formerly, S.Marina) highly invasive and known for serious infections in children in the United States, constituted 11.8% of the isolates, all of them being from domestic green iguanas. Salmonella Newport, a serovar recently found in a blue land crab in Grenada, comprised 11.8% of the isolates from the green iguanas. The remaining four less frequent serovars included S.Javiana and S.Glostrup. Antimicrobial susceptibility tests conducted by a disc diffusion method against amoxicillin-clavulanic acid, ampicillin, cefotaxime, ceftazidime, ciprofloxacin, enrofloxacin, gentamicin, nalidixic acid, streptomycin, tetracycline and trimethoprim-sulfamethoxazole showed that drug resistance is minimal, with intermediate susceptibility, mainly to streptomycin, tetracycline and cefotaxime. This is the first report of isolation and antimicrobial susceptibilities of various Salmonella serovars from wild and domestic green iguanas in Grenada, West Indies.

Beta-haemolytic streptococci in school children 5-15 years of age with an emphasis on rheumatic fever, in the tri-island state of Grenada

The objective of this study is to determine the prevalence of beta-haemolytic streptococci in the pharynx and antibodies to beta-haemolytic streptococci in school children 5-15 years of age in the tri-island state of Grenada Blood samples and throat swabs were obtained from 1388 school children, aged 5-15 years old attending randomly selected schools in each parish of the tri-island state of Grenada. Serum samples were subjected to antistreptolysin o testing (ASOT) while throat swabs were cultured on sheep blood agar plates. The prevalence of positive throat swab was 15.4% (95% CI = 13.4%, 17.2%). The rate was highest in St Patrick (21.8%) and lowest in Carriacou (5.7%). The prevalence of antibodies was 38.6% (95% CI = 37.6%, 42.8%). It was highest in St Patrick (54.4%) and lowest in Petit Martinique (26.8%). In St Patrick, males were significantly more likely than females to have a positive ASOT (p = 0.0084). In St George's, males were significantly more likely than females to have a positive throat culture (p = 0.0172). Thirty-four per cent of the positive cultures were type A, 10% were type C and 56% type G. The data illustrate that there is a high prevalence of beta-haemolytic streptococci in school children in certain parishes in Grenada. Public health measures should address prevention and control of beta3-haemolytic streptococcal infection in order to prevent the possible sequelae of this disease.