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Equitable SARS-CoV-2 surveillance in low-resource communities lacking centralized sewers is critical as wastewater-based epidemiology (WBE) progresses. However, large-scale studies on SARS-CoV-2 detection in wastewater from low-and middle-income countries is limited because of economic and technical reasons. In this study, wastewater samples were collected twice a month from 186 urban and rural subdistricts in nine provinces of Thailand mostly having decentralized and non-sewered sanitation infrastructure and analyzed for SARS-CoV-2 RNA variants using allele-specific RT-qPCR. Wastewater SARS-CoV-2 RNA concentration was used to estimate the real-time incidence and time-varying effective reproduction number (R). Results showed an increase in SARS-CoV-2 RNA concentrations in wastewater from urban and rural areas 14-20 days earlier than infected individuals were officially reported. It also showed that community/food markets were "hot spots" for infected people. This approach offers an opportunity for early detection of transmission surges, allowing preparedness and potentially mitigating significant outbreaks at both spatial and temporal scales.
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http://dx.doi.org/10.1016/j.isci.2023.107019 | DOI Listing |
PLoS One
September 2025
The George Institute for Global Health, Imperial College London, London, United Kingdom.
Background: Tobacco use remains a major public health challenge in sub-Saharan Africa, with significant gendered dimensions. Place of residence is an important determinant, as rural and urban contexts shape exposure, access, and consumption patterns. This study investigates rural-urban disparities in tobacco use among women in sub-Saharan Africa, with a focus on quantifying the relative contributions of socioeconomic factors.
View Article and Find Full Text PDFCancer Causes Control
September 2025
Department of Nursing Research, The Ohio State University Comprehensive Cancer Center Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, 460 W 10th Ave, Columbus, OH, 43210, USA.
Purpose: Understanding how place of residence affects cancer-related health risks is paramount to addressing health disparities in sexual and gender minority (SGM) cancer survivors. This study examined the associations between urbanicity and other social drivers of health on current tobacco and alcohol use in SGM cancer survivors.
Methods: The OUT: National Cancer Survey Study was a cross-sectional, online survey created by the National LGBT Cancer Network (NLCN) from September 2020 to March 2021, targeting U.
J Community Psychol
September 2025
Department of Psychology, Western University, London, Ontario, Canada.
The purpose of this study was to examine how loneliness relates to community size, participation and attitudes. We conducted two studies using three large-scale Canadian datasets (total N = 20,071). Community size was determined by census postal code areas, and loneliness, community participation and attitudes were evaluated by self-report ratings.
View Article and Find Full Text PDFJ Multidiscip Healthc
September 2025
School of Nursing and Health, Henan University, Kaifeng, Henan, 475004, People's Republic of China.
Objective: To explore the transitional care experiences of patients with heart failure (HF) in China, identifying the challenges they face and their needs during the transition from hospital to home.
Methods: A qualitative approach was employed, recruiting 18 participants from a tertiary hospital cardiology department between June and October 2023. Data were collected through semi-structured interviews and analysed using thematic analysis.
J Viral Hepat
October 2025
Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York City, New York, USA.
Chronic hepatitis B (CHB) is a major cause of liver-related morbidity and mortality in the United States. Patients with CHB require long-term antiviral treatment and consistent follow-up, but often face numerous barriers to accessing care and medications. In this study, we used the Medicare Part D database and the Rural-Urban Continuum code to explore specialty and geographic characteristics of healthcare providers that manage Medicare patients with CHB.
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