Journal articles: 'Public health Thailand, Northeastern'

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Cohen, Erik. "Roadside Memorials in Northeastern Thailand." OMEGA - Journal of Death and Dying 66, no. 4 (June 2013): 343–63. http://dx.doi.org/10.2190/om.66.4.e.

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In Thailand spirit houses are often established at places of fatal accidents, but these are generally anonymous. Personalized roadside memorials for accident victims are rare. This article analyses three roadside memorials, located on main roads in northeastern Thailand, in a comparative framework. Like in the contemporary West, such memorials commemorate a suddenly and violently killed person, but manifest a dynamics very different from that of Western roadside memorials: rather than private and temporary, these are permanent shrines, in which the spirit of the deceased is worshipped and supplicated by members of the public. The spirits and their shrines tend to become incorporated into the popular Thai magico-religious complex. While the literature offers a binary distinction between formal public monuments and informal, private and temporary (roadside) memorials, it is suggested that the informal, but public and permanent memorial shrines in Thailand exemplify a third type of edifices to commemorate the deceased in road accidents.

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Chaleekrua, Sarintip, Kanya Janpol, and Pattra Wattanapan. "Swallowing Problems among Community-Dwelling Elderly in Northeastern Thailand." Journal of Primary Care & Community Health 12 (January 2021): 215013272110195. http://dx.doi.org/10.1177/21501327211019596.

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Introduction/objectives Aging brings deterioration in many organs involving in swallowing, such as, oropharyngeal muscle weakness, decreased salivation, multiple teeth loss, decreased oral sensation, and delayed swallowing response. There are no official statistics and systematic records of swallowing problems in Thailand’s healthy elder populations. Therefore, this study aimed to determine the prevalence of swallowing problems among a Thai healthy elder population. Methods A survey of 874 elders was conducted at Community Hospitals in region 7 of the Thai National Health Security Office from September to November 2019. All participants were interviewed using a questionnaire focused on, screening for swallowing problems using a 10-item Eating Assessment Tool (EAT-10) and questions about participants’ physical and oral health behaviors. Results Sixty-six percent of the participants were women and 34% were males, with mean age 69.70 ± 6.79 years. Of these, 11.4% had swallowing problems. The most common swallowing problems were food sticking in the throat, effort on swallowing and choking. Age and having an underlying disease were found to be statistically significantly associated with dysphagia, whereas gender was not associated with dysphagia. Conclusions The prevalence of swallowing problems among Thai healthy community-dwelling elders was assessed as about 11%. Early identification and early intervention for swallowing problem is necessary for promoting health and quality of life of our growing elderly population.

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Leethongdissakul, Songkramchai, Wilawun Chada, Supa Pengpid, and Sangud Chualinfa. "An exploratory factor analysis of core competencies of public health professionals at primary care service level in Northeastern Thailand." SAGE Open Medicine 8 (January 2020): 205031212094053. http://dx.doi.org/10.1177/2050312120940531.

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Background: Public health professionals play a significant role in primary care services in Thailand. Although efforts are being taken to establish professional standards it has neither been outlined nor been officially announced. There is a lack of understanding of what is a suitable set of core competencies for a public health professional. Objectives: This study aimed to explore the core competencies of public health professionals at the primary care service level in Thailand. Methods: A quantitative survey using a questionnaire was conducted in 862 public health professionals in the northeast of Thailand. Exploratory factor analysis was applied to develop a tool to test the competencies of public health professionals. Results: The results revealed core competencies in the following five main proficiencies: (1) public health administration and laws; (2) disease prevention and control; (3) social and environmental determinant of health and health research; (4) health promotion and community; and (5) basic medical care, screening, and diagnosis. In addition, the five core competencies included 50 items suitable for this sample. These factors accounted for 71.90% of the variance. Conclusion: In conclusion, this study’s finding provides significant recommendations to policymakers to improve and initiate a new policy or a standard guideline for public health education and human resource for health production and management in Thailand.

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Forgeron, Paula A., Darunee Jongudomkarn, Joan Evans, G. Allen Finley, Somboon Thienthong, Pulsuk Siripul, Srivieng Pairojkul, Wimonrat Sriraj, and Kesanee Boonyawatanangkool. "Children's Pain Assessment in Northeastern Thailand: Perspectives of Health Professionals." Qualitative Health Research 19, no. 1 (November 7, 2008): 71–81. http://dx.doi.org/10.1177/1049732308327242.

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Wongsaroj, Thitima, Choosak Nithikathkul, Wichit Rojkitikul, Worayut Nakai, Louis Royal, and Pongroma Rammasut. "Brief communication (Original). National survey of helminthiasis in Thailand." Asian Biomedicine 8, no. 6 (December 1, 2014): 779–83. http://dx.doi.org/10.5372/1905-7415.0806.357.

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Abstract Background: Helminth infections continue to pose serious health problems in Thailand. The infections of greatest concern are opisthorchiasis and hookworm. Objectives: We evaluated the prevalence of these infections. The Thai Ministry of Health established a national health plan in 1995 to coordinate health plans for the provincial public health sectors. Methods: A national survey based on probability sampling, interviews, and stool examinations was conducted in 2009 to gather prevalence information of the helminth infections. Results: We found an overall prevalence of helminthiasis among 15,555 Thai people of 18.1%. The highest prevalence was found in the northeastern regions of Thailand. By comparison with previous surveys conducted over the past 5 decades, the prevalence rates have decreased. However, pockets of high infection remain, particularly in the north and northeast of Thailand. Conclusions: Targeted intervention by means of educational programs and public health intervention, and continuing surveillance are indicated.

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Viroj, Jaruwan, Julien Claude, Claire Lajaunie, Julien Cappelle, Anamika Kritiyakan, Pornsit Thuainan, Worachead Chewnarupai, and Serge Morand. "Agro-Environmental Determinants of Leptospirosis: A Retrospective Spatiotemporal Analysis (2004–2014) in Mahasarakham Province (Thailand)." Tropical Medicine and Infectious Disease 6, no. 3 (June 28, 2021): 115. http://dx.doi.org/10.3390/tropicalmed6030115.

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Leptospirosis has been recognized as a major public health concern in Thailand following dramatic outbreaks. We analyzed human leptospirosis incidence between 2004 and 2014 in Mahasarakham province, Northeastern Thailand, in order to identify the agronomical and environmental factors likely to explain incidence at the level of 133 sub-districts and 1982 villages of the province. We performed general additive modeling (GAM) in order to take the spatial-temporal epidemiological dynamics into account. The results of GAM analyses showed that the average slope, population size, pig density, cow density and flood cover were significantly associated with leptospirosis occurrence in a district. Our results stress the importance of livestock favoring leptospirosis transmission to humans and suggest that prevention and control of leptospirosis need strong intersectoral collaboration between the public health, the livestock department and local communities. More specifically, such collaboration should integrate leptospirosis surveillance in both public and animal health for a better control of diseases in livestock while promoting public health prevention as encouraged by the One Health approach.

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Intharaphan, Chanaboon, Dusadee Ayuwat, and Wongsa Laohasiriwong. "Social Capital for Healthy Public Policy Formulation by the Community in Northeastern Thailand." International Journal of Interdisciplinary Social and Community Studies 12, no. 1 (2017): 29–41. http://dx.doi.org/10.18848/2324-7576/cgp/v12i01/29-41.

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Kumpalanon, Jutarat, Dusadeee Ayuwat, and Pattara Sanchaisuriya. "Developing Of Health Promotion Of District Hospitals In Thailand." American Journal of Health Sciences (AJHS) 3, no. 1 (December 22, 2011): 43–52. http://dx.doi.org/10.19030/ajhs.v3i1.6752.

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The aim of this research is to investigate the health promotion services provided by district hospitals in the northeast of Thailand in order to improve health promotion guideline for district hospitals. The qualitative research was conducted from January 2009 to March 2010. Informants were the managers, the staff members responsible for developing and providing services of health promotion from 19 small, medium and large-sized district hospitals in the Northeastern region of Thailand. The in-depth interview was employed to gather the information analyzed by using content analysis. It was found that the new health promotion trends in district hospitals in the northeast were as follows. The organizational structures for promoting health were obviously defined while active services inside and outside the hospitals were clearly developed which bring health promotion practices to serviced users. Public policy for health was offered in the form of quality control, information management and active services while environmental management emphasized on creating comfort and learning environments for the hospital staff members and serviced users. Collaborations between professional organizations and multi-level networks had been established by district hospitals resulting in services with more accessibility and strengthening local communities. In addition, personal skill development and public health education yielded change to the health behaviors of hospital staff members, serviced users and people in local communities. For health service reorientation, there was emphasis on development of the quality of local community services in forms of professional standard development and assessment of health behavior outcome. The forms of health promotion provided by district hospitals in the northeast that were found were public policy for health promotion, active services, environmental management for health, community strengthening in form of collaboration networks, personal skill development and public health education for changing behavior, and change of health services. In order to improve health promotion, health promotion policies must be clearly defined and collaboration between stakeholders both inside and outside hospitals must be supported.

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Soravit, T. Siriwattana, Jantakat Yaowaret, and Kranka Sanan. "Data extracting to knowledge management for flood prevention in Nakhonratchasima province, Northeastern Thailand." Injury Prevention 18, Suppl 1 (October 2012): A152.3—A152. http://dx.doi.org/10.1136/injuryprev-2012-040590l.3.

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Kotepui, Manas, and Kwuntida Uthaisar Kotepui. "Impact of Weekly Climatic Variables on Weekly Malaria Incidence throughout Thailand: A Country-Based Six-Year Retrospective Study." Journal of Environmental and Public Health 2018 (December 4, 2018): 1–8. http://dx.doi.org/10.1155/2018/8397815.

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Purpose. This study aimed to evaluate climatic data, including mean temperature, relative humidity, and rainfall, and their association with malaria incidence throughout Thailand from 2012 to 2017. The correlation of climatic parameters including temperature, relative humidity, and rainfall in each province and the weekly malaria incidence was analyzed using Spearman’s rank correlation. The results showed that the mean temperature correlated with malaria incidence (p value < 0.05) in 44 provinces in Thailand. These correlations were frequently found in the western and southern parts of Thailand. Relative humidity correlated with malaria incidence (p value < 0.05) in 35 provinces. These correlations were frequently found in the northern and northeastern parts of Thailand. Rainfall correlated with malaria incidence (p value < 0.05) in 38 provinces. These correlations were frequently found in the northern parts and some western parts of Thailand. The impacts of the mean temperature, relative humidity, and rainfall were observed frequently in specific provinces, including Chiang Mai, Chiang Rai, Trat, Kanchanaburi, Ubonratchathani, and Si Sa Ket. This is the first study to report areas where climatic data are associated with malaria incidence throughout Thailand from 2012 to 2017. These results can map out the climatic change process over time and across the country, which is the foundation for effective early warning systems for malaria, public health awareness campaigns, and the adoption of proper adaption measures that will help in malaria detection, diagnosis, and treatment.

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Parnmen, Sittiporn, Nattakarn Nooron, Sujitra Sikaphan, Onanong Pringsulaka, and Achariya Rangsiruji. "Potential toxicity of wild Ipomoea ingested by schoolchildren in remote Northeastern Thailand." Journal of Associated Medical Sciences 56, no. 1 (January 2, 2023): 54–62. http://dx.doi.org/10.12982/jams.2023.008.

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Background: Natural plant toxins can cause food poisoning upon intentional or unintentional consumption of wild plants. Some toxic wild plants can be mistaken for edible species because of their morphological resemblance. This study examined a poisoning case report of schoolchildren who consumed a steamed tuberous root of wild Ipomoea, misidentified as I. mauritiana, and experienced gastrointestinal toxicity. Objectives: This study aimed to identify the tuberous root of wild Ipomoea using the internal transcribed spacer (ITS) region as a DNA barcode and characterize compounds obtained using gas chromatography-mass spectrometry (GC-MS). Materials and methods: DNA was extracted from fresh and cooked samples of the storage root. PCR amplification and DNA sequencing of the entire ITS region were performed. FastTree and maximum likelihood analyses were used to obtain phylogenetic trees of the Ipomoea species. Root extracts were prepared for GC-MS analysis, and potentially harmful phytochemicals responsible for poisonous plant exposure were predicted based on a well-established plant toxin database. Results: ITS phylogeny showed a close relationship between wild toxic Ipomoea and edible I. mauritiana. The chemometric profile obtained from GC-MS analysis of the root extracts revealed the presence of 31 phytochemicals. Among them, two putatively toxic compounds identified were β-amyrin and coumarin. Conclusion: Misidentification of the wild poisonous plant reported herein resulted in toxic plant ingestion. Although most poisonous plant exposures are not life threatening, measures should be taken to ensure the safety of the general public.

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Nitatpattana, Narong, Timothy Henrich, Somnuek Palabodeewat, Waraluk Tangkanakul, Duangporn Poonsuksombat, Gilles Chauvancy, Philippe Barbazan, Sutee Yoksan, and Jean-Paul Gonzalez. "Hantaan virus antibody prevalence in rodent populations of several provinces of northeastern Thailand." Tropical Medicine and International Health 7, no. 10 (October 2002): 840–45. http://dx.doi.org/10.1046/j.1365-3156.2002.00830.x.

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Seith, Rita, Aubrey L. Arain, Kowit Nambunmee, Sara D. Adar, and Richard L. Neitzel. "Self-Reported Health and Metal Body Burden in an Electronic Waste Recycling Community in Northeastern Thailand." Journal of Occupational and Environmental Medicine 61, no. 11 (November 2019): 905–9. http://dx.doi.org/10.1097/jom.0000000000001697.

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Klongnoi, Boworn, Vanvisa Sresumatchai, Siribang-on Piboonniyom Khovidhunkit, Pornpoj Fuangtharnthip, Rachatawan Leelarungsun, and Binit Shrestha. "Pilot Model for Community Based Oral Cancer Screening Program: Outcome from 4 Northeastern Provinces in Thailand." International Journal of Environmental Research and Public Health 18, no. 17 (September 6, 2021): 9390. http://dx.doi.org/10.3390/ijerph18179390.

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Management of advanced-stage oral cancer adds a great burden to individuals and health care systems. Community-based oral cancer screening can be beneficial in early detection and treatment. In this study, a novel oral cancer screening program was conducted utilizing an existing network of health care personnel, facilities, and digital database management for efficient coverage of a large population. The screening program considered 392,396 individuals aged ≥40 from four northeastern provinces in Thailand. Three levels of screening were performed: S1 by village healthcare volunteers to identify risk groups, S2 by dental auxiliaries to visually identify abnormal oral lesions, and S3 by dentists for final diagnosis and management. A total of 349,318 individuals were interviewed for S1, and 192,688 were identified as a risk group. For S2, 88,201 individuals appeared, and 2969 were further referred. Out of 1779 individuals who appeared for S3, oral potentially malignant disorders (OPMDs) were identified in 544, non-OPMDs in 1047, doubtful lesions in 52, and no results in 136 individuals. Final treatment was carried out in 704 individuals that included biopsies of 504 lesions, exhibiting 25 cancerous lesions and 298 OPMDs. This study is so far one of the largest oral cancer screening programs conducted in Thailand and showed effective implementation of community-based oral cancer screening.

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Rahman, Md Siddikur, Tipaya Ekalaksananan, Sumaira Zafar, Petchaboon Poolphol, Oleg Shipin, Ubydul Haque, Richard Paul, Joacim Rocklöv, Chamsai Pientong, and Hans J. Overgaard. "Ecological, Social and Other Environmental Determinants of Dengue Vector Abundance in Urban and Rural Areas of Northeastern Thailand." International Journal of Environmental Research and Public Health 18, no. 11 (June 2, 2021): 5971. http://dx.doi.org/10.3390/ijerph18115971.

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Aedes aegypti is the main vector of dengue globally. The variables that influence the abundance of dengue vectors are numerous and complex. This has generated a need to focus on areas at risk of disease transmission, the spatial-temporal distribution of vectors, and the factors that modulate vector abundance. To help guide and improve vector-control efforts, this study identified the ecological, social, and other environmental risk factors that affect the abundance of adult female and immature Ae. aegypti in households in urban and rural areas of northeastern Thailand. A one-year entomological study was conducted in four villages of northeastern Thailand between January and December, 2019. Socio-demographic; self-reported prior dengue infections; housing conditions; durable asset ownership; water management; characteristics of water containers; knowledge, attitudes, and practices (KAP) regarding climate change and dengue; and climate data were collected. Household crowding index (HCI), premise condition index (PCI), socio-economic status (SES), and entomological indices (HI, CI, BI, and PI) were calculated. Negative binomial generalized linear models (GLMs) were fitted to identify the risk factors associated with the abundance of adult females and immature Ae. aegypti. Urban sites had higher entomological indices and numbers of adult Ae. aegypti mosquitoes than rural sites. Overall, participants’ KAP about climate change and dengue were low in both settings. The fitted GLM showed that a higher abundance of adult female Ae. aegypti was significantly (p < 0.05) associated with many factors, such as a low education level of household respondents, crowded households, poor premise conditions, surrounding house density, bathrooms located indoors, unscreened windows, high numbers of wet containers, a lack of adult control, prior dengue infections, poor climate change adaptation, dengue, and vector-related practices. Many of the above were also significantly associated with a high abundance of immature mosquito stages. The GLM model also showed that maximum and mean temperature with four-and one-to-two weeks of lag were significant predictors (p < 0.05) of the abundance of adult and immature mosquitoes, respectively, in northeastern Thailand. The low KAP regarding climate change and dengue highlights the engagement needs for vector-borne disease prevention in this region. The identified risk factors are important for the critical first step toward developing routine Aedes surveillance and reliable early warning systems for effective dengue and other mosquito-borne disease prevention and control strategies at the household and community levels in this region and similar settings elsewhere.

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Poochada, Worawan, Sunisa Chaiklieng, and Sari Andajani. "Musculoskeletal Disorders among Agricultural Workers of Various Cultivation Activities in Upper Northeastern Thailand." Safety 8, no. 3 (September 1, 2022): 61. http://dx.doi.org/10.3390/safety8030061.

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Musculoskeletal disorders (MSDs) are the most significant work-related health conditions that are experienced by agricultural workers. This cross-sectional study has investigated MSDs among agriculturalists in upper northeastern Thailand. We assessed the types of MSDs, their severity, and their frequency. There were 889 cultivating agriculturalists from four provinces who participated in this study. The majority of the participants reported experiencing mild levels of MSDs (60.48%). Predominantly, the farmers who were working on cassava, vegetable, and sugarcane plantations reported experiencing the most severe MSDs in the knees/calves (22.40%). The rice plantation workers reported the largest number of MSDs complaints. The workers on rubber plantations and in sugarcane fields were more likely to feel knee/calf pain (OR = 1.59, 95% CI = 1.05–2.39) and lower limb pain (OR = 1.97, 95% CI = 1.35–2.89) than those who were working on rice and tobacco plantations. The individuals who were working on cassava, fruit, vegetable, and corn plantations were also more likely to report knee/calf pain (OR = 1.48, 95% CI = 1.01–2.17) and lower limb pain (OR = 1.97, 95% CI = 1.37–2.84) than those who were working on rice and tobacco plantations. The MSDs that were found among those working on agricultural activities affected many parts of their bodies. The ergonomic risk needs to be assessed in order to inform plantation workers of the implications in order to improve their health and well-being and to reduce the risks of MSDs.

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Sritart, Hiranya, Somchat Taertulakarn, and Hiroyuki Miyazaki. "Disparities in Childhood Obesity Prevalence and Spatial Clustering Related to Socioeconomic Factors in Isaan, Thailand." International Journal of Environmental Research and Public Health 20, no. 1 (December 29, 2022): 626. http://dx.doi.org/10.3390/ijerph20010626.

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Globally, rapid economic growth has contributed to an overall increase in the incidence of childhood obesity. Although the prevalence of obesity has been well recognized, the disparities related to a region’s socioeconomic environment in terms of the incidence of obesity are still less understood. Therefore, the purpose of this study was to examine the spatial pattern of childhood obesity and identify the potential associations between childhood obesity and socioeconomic environment in the northeastern region of Thailand, Isaan. Using nationally collected obesity data from children aged 0–5 years in 2019, we employed a geographic information system (GIS) to perform obesity cluster analysis at the smaller regional level, investigating a total of 322 districts in study area. Global and local statistical approaches were applied to calculate spatial associations between the socioeconomic status of neighborhoods and childhood obesity. The study revealed that 12.42% of the total area showed significant clusters at the district level, with high values observed in the western and northeastern areas. The results of the spatial statistical model revealed that childhood obesity was significantly positively associated with areas exhibiting high levels of socioeconomic environment factors. Identifying the associated factors and highlighting geographic regions with significant spatial clusters is a powerful approach towards understanding the role of location and expanding the knowledge on the factors contributing to childhood obesity. Our findings, as a first step, offer valuable references that could support policy-makers and local authorities in enhancing policy development with the aim of reducing childhood obesity and improving public health.

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Kaewkerd, Onuma, Supavadee Thiengtham, Anantasak Panput, Chinnakorn Dankasai, Pipatpong Kempanya, and Charoenchai Muenhor. "Health and agrochemical use experiences of agricultural workers with high serum cholinesterase levels in Northeastern Thailand." Journal of Public Health and Development 20, no. 3 (September 9, 2022): 283–95. http://dx.doi.org/10.55131/jphd/2022/200322.

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In developing countries, agrochemicals are frequently used, resulting in direct and indirect chemical exposure as well as a variety of health concerns. Although agrochemical safety education is essential to promoting protective behavior among agricultural workers, there is a gap in the body of evidence concerning experience with agrochemical use and practice, which is critical for developing and improving educational interventions, so they are more effective and acceptable to the workers' culture and lifestyle. This phenomenology study included twenty agricultural workers with high serum cholinesterase levels in two Thai rural communities. Data from semi-structured interviews were transcribed verbatim and analyzed by using Colaizzi's 7-step data analysis, which is mentioned in the data analysis part. Five themes and three subthemes emerged in relation to agrochemical use and health: (i) long-term chemical exposure; (ii) no need to be concerned about health after chemical exposure; (iii) insufficient chemical protection knowledge and practices; (iv) difficulties in adhering to the agrochemical exposure prevention regimen; and (v) government policy and the growth of the organic products market are important components of chemical use reduction. Based on the findings, the workers lacked awareness regarding protective behaviors, because they did not notice any abnormal changes in their health. We, therefore, recommend that they undergo annual checkups for monitoring their SChE levels, which should be provided by the local government. In addition, agrochemical use is influenced by socioeconomic and political factors. Thus, a health education program for agricultural workers should involve a multidimensional and community-engaged training program that would promote the safe handling of chemicals through contextually appropriate interventions.

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Arjyotha, Pullawach, Vorapoj Promasatayaprot, and Terdsak Promaruk. "COMPETENCY PREDICTION EQUATION FOR THE PERFORMANCE OF ACADEMIC HEALTH PERSONNEL IN SUB-DISTRICT HEALTH PROMOTING HOSPITALS IN THE NORTHEASTERN REGION OF THAILAND." Journal of Southwest Jiaotong University 56, no. 6 (December 24, 2021): 1–11. http://dx.doi.org/10.35741/issn.0258-2724.56.6.1.

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This cross-sectional analytical study aimed to investigate the competency prediction equation for the performance of academic health personnel in sub-district health-promoting hospitals in the northeastern region of Thailand. There were 712 participants in the study. A questionnaire was used for data collection, and stepwise multiple regression analysis was used to analyze the data with a set statistical significance level of 0.05. The results from the study revealed that the competency prediction equation for the performance of academic health personnel offered the rough value by 23.80%, R2= 0.238, AdjR2 = 0.227) from 10 variables (from the total of 20 variables). The values with the highest statistical significance were arranged in order as follow: there are 4 variables with p-value < 0.001, i.e., age, the number of training related to tasks in responsibility within the past one year, the highest education level (Bachelor's degree), and gender (female) and another 6 variables consisting of a length of time working in sub-district health promoting hospitals, p-value = 0.001; the number of job training within the past one year, p-value = 0.013; the training related to tasks in responsibility within the past one year, p-value = 0.008; public health administration, p-value = 0.038; public health academic affairs, p-value = 0.028; epidemiology service, disease prevention, and control, and health risk, p-value = 0.019. The findings of this research would be applied as the guidelines to prepare a plan to develop the competency of academic health personnel in Sub-district health-promoting hospitals to promote operational expertise.

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Jirojwong, Sansnee, Piyakorn Chutangkorn, and Chintana Leelakraiwan. "Temporary Overseas Migration of Rural Thai Men: Perception of Changes in Health and Social Interactions after Returning to Their Communities." Asia Pacific Journal of Public Health 12, no. 1 (January 2000): 4–11. http://dx.doi.org/10.1177/101053950001200102.

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A cross-sectional study was conducted to assess the perceived health effects of temporary overseas migration on rural Thai men and to evaluate the effects of financial gain on their social interactions with others. Houses in five villages in Khonkaen, northeastern Thailand were systematically visited and one returned overseas migrant per household was interviewed. One hundred and sixty one men participated in the study. Half of the respondents (50%) were manual workers. While overseas, 32% reported adverse effects of migration on their psychological health. Only 19% reported one or more physically ill while overseas. Their contribution to their communities increased. Inability to improve their financial status from overseas work is likely to have negative effects on the migrants' interaction with friends rather than their wives, families or relatives. The effects of migration on health are unlikely to persist after migrants return to their home communities. Overseas migration provides indirect health benefits through improvement of community facilities. Asia Pac J Public Health 2000;12(1): 4-11

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Natphopsuk, Sitakan, Wannapa Settheetham-Ishida, Supat Sinawat, Chamsai Pientong, Pissamai Yuenyao, and Takafumi Ishida. "Risk Factors for Cervical Cancer in Northeastern Thailand: Detailed Analyses of Sexual and Smoking Behavior." Asian Pacific Journal of Cancer Prevention 13, no. 11 (November 30, 2012): 5489–95. http://dx.doi.org/10.7314/apjcp.2012.13.11.5489.

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Heawchaiyaphum, Chukkris, Tipaya Ekalaksananan, Natcha Patarapadungkit, Patravoot Vatanasapt, and Chamsai Pientong. "Association of Human Papillomavirus and Epstein-Barr Virus Infection with Tonsil Cancer in Northeastern Thailand." Asian Pacific Journal of Cancer Prevention 23, no. 3 (March 1, 2022): 781–87. http://dx.doi.org/10.31557/apjcp.2022.23.3.781.

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Neitzel, Richard L., Stephanie K. Sayler, Aubrey L. Arain, and Kowit Nambunmee. "Metal Levels, Genetic Instability, and Renal Markers in Electronic Waste Workers in Thailand." International Journal of Occupational and Environmental Medicine 11, no. 2 (March 31, 2020): 72–84. http://dx.doi.org/10.34172/ijoem.2020.1826.

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Background: Informal electronic waste (e-waste) recycling is an increasingly important industry worldwide. However, few studies have studied the health risks in this group of workers. Objective: To assess the associations between occupational exposures to metals and genetic instability and renal markers among e-waste recycling workers. Methods: We recruited informal e-waste recycling workers from a community in northeastern Thailand. Participants completed a questionnaire, several health measurements, and provided urine and blood samples, which we then analyzed for a number of metals including lead (Pb), cadmium (Cd), and manganese (Mn). Samples were analyzed for a marker of RNA and DNA damage (ie, oxidative stress), 8-hydroxy-2'-deoxyguanosine (8-OHdG). Glomerular filtration rate (GFR) and fractional excretion of calcium (FECa%) were measured as markers of renal function. Correlations and regression models were used to assess associations between these various factors. Results: We found significantly higher levels of Cd and Pb in blood of men compared with those in women. Men who worked >48 hours/week had significantly higher levels of 8-OHdG compared with men who worked ≤48 hours/week. Smoking was significantly associated with higher blood Pb and Cd concentrations among men. Conclusion: Our results suggest gender differences in both blood concentrations of metals associated with e-waste recycling and smoking and highlight potentially elevated oxidative stress associated with longer work hours. Health promotion efforts are needed among informal e-waste recyclers to reduce possible risks of renal damage and cancer

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Thinkhamrop, Kavin, Narong Khuntikeo, Wongsa Laohasiriwong, Pornpimon Chupanit, Matthew Kelly, and Apiporn T. Suwannatrai. "Association of comorbidity between Opisthorchis viverrini infection and diabetes mellitus in the development of cholangiocarcinoma among a high-risk population, northeastern Thailand." PLOS Neglected Tropical Diseases 15, no. 9 (September 20, 2021): e0009741. http://dx.doi.org/10.1371/journal.pntd.0009741.

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Background Cholangiocarcinoma (CCA) is a category of lethal hepatobiliary malignancies. Previous studies have found that Opisthorchis viverrini infection and diabetes mellitus (DM) are closely correlated with CCA. However, few studies have discussed the association of CCA with a combination of both O. viverrini infection and DM. This study aimed to assess the correlation of CCA with various combinations of O. viverrini infection and DM among a high-risk population in northeastern Thailand. Methodology This study included participants from 20 provinces in northeastern Thailand who had been screened for CCA in the Cholangiocarcinoma Screening and Care Program (CASCAP) between 2013 and 2019. Histories of O. viverrini infection and DM diagnosis were obtained using a health questionnaire. CCA screening used ultrasonography with a definitive diagnosis based on histopathology. Multilevel mixed-effects logistic regression was performed to quantify the association, which is presented as adjusted odds ratios (aOR) and their 95% confidence intervals (CI). Principal findings Overall, 263,776 participants were included, of whom 32.4% were infected with O. viverrini, 8.2% were diagnosed with DM, and 2.9% had a history of both O. viverrini infection and DM. The overall rate of CCA was 0.36%. Of those infected with O. viverrini, 0.47% had CCA; among those with DM, 0.59% had CCA and among those infected with O. viverrini and had DM, 0.73% had CCA. Compared with participants who were not infected with O. viverrini and were non-DM, the aOR for those infected with O. viverrini and with DM was 2.36 (95% CI: 1.74–3.21; p-value <0.001). Conclusions The combination of O. viverrini infection and DM was highly associated with CCA, and these two conditions had a combined effect on this association that was greater than that of either alone. These findings suggest that CCA screening should have a strong focus on people with a combination of O. viverrini infection and DM.

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Yangyuen, Suneerat, Suwimon Songklang, Udomsak Mahaweerawat, and Chatchada Mahaweerawat. "The Perceived Neighborhood Crime and Hazardous Alcohol Use Among Youth in University of the Northeastern Thailand Context." Journal of Research in Health Sciences 20, no. 4 (November 14, 2020): e00493-e00493. http://dx.doi.org/10.34172/jrhs.2020.33.

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Background: The residents’ perceptions of the crime and lack of safety with their neighborhood environment, associated with stress that confers risk for drinking .While many studies have focused on adult drinking, less is known about how subjective neighborhood crime influences drinking during adolescent. We aimed to determine the association of perceived neighborhood crime and youth alcohol use. Study design: A cross-sectional study. Methods: This study was conducted on 1087 university youths from 30 neighborhood clusters in Northeastern Thailand from May 2019 to Mar 2020 .The data were collected by self-administered questionnaire .A multilevel logistic regression model was applied to examine the effect of perceived neighborhood crime on hazardous alcohol use. Results :Most of youths were female, approximately 60.7 %reported hazardous alcohol use, and the average perceived neighborhood crime score was 65.1 (standard deviation, 2.1) .The perceived neighborhood crime was associated with hazardous alcohol use; a 1-unit increase in the scores for perceived neighborhood crime corresponded to a 20 %increase in hazardous alcohol use. The role of perceived neighborhood crime on alcohol use varied among males, but not females. Conclusion :The perceived neighborhood crime plays a role in the increase likelihood of hazardous alcohol use .The consideration of neighborhood crime context is important to design the alcohol preventive and intervention strategies.

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Sugimoto, N., M. Ichikawa, B. Siriliang, S. Nakahara, M. Jimba, and S. Wakai. "Herbal medicine use and quality of life among people living with HIV/AIDS in northeastern Thailand." AIDS Care 17, no. 2 (February 2005): 252–62. http://dx.doi.org/10.1080/09540120512331325716.

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Brownell, Narisa, Sakone Sunantaraporn, Kobpat Phadungsaksawasdi, Nirin Seatamanoch, Switt Kongdachalert, Atchara Phumee, and Padet Siriyasatien. "Presence of the knockdown resistance (kdr) mutations in the head lice (Pediculus humanus capitis) collected from primary school children of Thailand." PLOS Neglected Tropical Diseases 14, no. 12 (December 16, 2020): e0008955. http://dx.doi.org/10.1371/journal.pntd.0008955.

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Human head lice are blood-sucking insects causing an infestation in humans called pediculosis capitis. The infestation is more prevalent in the school-aged population. Scalp itching, a common presenting symptom, results in scratching and sleep disturbance. The condition can lead to social stigmatization which can lead to loss of self-esteem. Currently, the mainstay of treatment for pediculosis is chemical insecticides such as permethrin. The extended use of permethrin worldwide leads to growing pediculicide resistance. The aim of this study is to demonstrate the presence of the knockdown resistance (kdr) mutation in head lice populations from six different localities of Thailand. A total of 260 head lice samples in this study were collected from 15 provinces in the 6 regions of Thailand. Polymerase chain reaction (PCR) was used to amplify the α subunit of voltage-sensitive sodium channel (VSSC) gene, kdr mutation (C→T substitution). Restriction fragment length polymorphism (RFLP) patterns and sequencing were used to identify the kdr T917I mutation and demonstrated three genotypic forms including homozygous susceptible (SS), heterozygous genotype (RS), and homozygous resistant (RR). Of 260 samples from this study, 156 (60.00%) were SS, 58 (22.31%) were RS, and 46 (17.69%) were RR. The overall frequency of the kdr T917I mutation was 0.31. Genotypes frequencies determination using the exact test of Hardy-Weinberg equilibrium found that northern, central, northeastern, southern, and western region of Thailand differed from expectation. The five aforementioned localities had positive inbreeding coefficient value (Fis > 0) which indicated an excess of homozygotes. The nucleotide and amino acid sequences of RS and RR showed T917I and L920F point mutations. In conclusion, this is the first study detecting permethrin resistance among human head lice from Thailand. PCR-RFLP is an easy technique to demonstrate the kdr mutation in head louse. The data obtained from this study would increase awareness of increasing of the kdr mutation in head louse in Thailand.

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Koottatep, Thammarat, Achara Taweesan, Thongchai Kanabkaew, and Chongrak Polprasert. "Factors Affecting the Prevalence of Fecal Pathogen Infections: Approaches for Health Risk Protection." Environment and Natural Resources Journal 19, no. 3 (March 26, 2021): 239–45. http://dx.doi.org/10.32526/ennrj/19/2020243.

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Septic tank sludge or fecal sludge (FS) is often discharged on public areas without any treatment, causing environmental and adverse public health effects. Millennium Development Goal 7c (MDG 7c) targets improved access to water and sanitation because 85% of the world’s total FS is often discharged on public areas. Like other countries, Thailand faces fecal slugde management (FSM) problems leading to significant fecal pathogen infections, especially in the north and northeastern regions. This study assessed the effects of unsafely-managed FS on human health risks in two cities, Natan City and Tham Lod City in Thailand, that have relatively high liver fluke and diarrhea infections, and identified the factors relating to FSM practices that affect the prevalence of liver fluke and diarrhea infections due to FS. Specific measures were proposed in delivering integrated FSM solutions and health risk protection toward the Sustainable Development Goal No. 6 (SDG6) targets of safely managed sanitation and hygiene services. Based on data collected from these cities from February to May 2019, factors relating to FSM practices that affect the prevalence of liver fluke and diarrhea infections were identified and analysed using multiple regression analysis. Based on the findings, specific measures in delivering integrated FSM solutions and health risk protection toward the Sustainable Development Goals 6 (SDG 6) are proposed. Because no FS treatment facilities operate in Natan City and Tham Lod City, almost 100% of FS is discharged directly into open drains, resulting in diarrhea and liver fluke infections among local people. The findings identified the factors relating to FSM practices that affect the prevalence of liver fluke and diarrhea infections and proposed specific measures in delivering integrated FSM solutions and health risk protection, such as promoting education programmes, avoiding direct FS discharges into open drains and nearby streams, and providing innovative FSM technologies to eradicate fecal pathogen infections.

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Kotchabhakdi, N. J., P. Winichagoon, S. Smitasiri, S. Dhanamitta, and A. Valyasevi. "The Integration of Psychosocial Components in Nutrition Education in Northeastern Thai Villages." Asia Pacific Journal of Public Health 1, no. 2 (April 1987): 16–25. http://dx.doi.org/10.1177/101053958700100205.

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The impact of a series of interactive video nutrition education programmes was studied in northeastern villages in Thailand. One of the five modules (VTR-4) was particularly child development oriented, aimed at creating maternal awareness of the child as an individual with early perceptual ability, importance of mother-child interaction, play and supplementary feeding. Village mothers with children under two years old were interviewed individually prior to the introduction of the media and at two, ten and 14 months later when the VTR-4 had been shown three, four and seven times, respectively in each village. A supplementary food product was produced and made commercially available at a low cost. Four hundred and seventy-eight men, 930 women and 3, 225 school children watched the VTR-4. Nutritional status of the children, maternal knowledge and attitude towards child rearing were assessed as well as some aspects of practice observed during home visits. There was a significant improvement in maternal awareness of infants' perceptual abilities, knowledge and attitude toward breast feeding, childplay and play materials and supplementary feeding, especially a more positive approach to tongue thrusting. Random observation during home visits revealed some changes in accordance with the media, i.e., mother-child interaction, existing play materials and the type of cradle used. Significant difference was also noted in the percentage of mothers intending to give their next baby colostrum compared to the control group at post tests 2 and 3. Although the prevalence of malnutrition among those under two years old in these villages has not decreased significantly during the study period, it was clear that the integration of psychosocial components into nutrition education had a considerable impact on maternal knowledge, attitudes and some aspects of child-rearing practice.

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Sumarnrote, Anchana, Vincent Corbel, Hans J. Overgaard, Olivier Celhay, Nattapol Marasri, Benedicte Fustec, Kanutcharee Thanispong, and Theeraphap Chareonviriyaphap. "Plasmodium Infections in Anopheles Mosquitoes in Ubon Ratchathani Province, Northeastern Thailand During a Malaria Outbreak." Journal of the American Mosquito Control Association 34, no. 1 (March 1, 2018): 11–17. http://dx.doi.org/10.2987/17-6715.1.

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ABSTRACT An unprecedented malaria outbreak occurred in Ubon Ratchathani Province, northeastern Thailand, in 2014. The province showed the highest number of malaria cases of all Thai provinces. Five entomological surveys were conducted at 8 sentinel sites from September 2013 to September 2015 to address the role of different Anopheles species in malaria transmission. Mosquito collections were conducted using human landing catches and cow bait. A total of 10,369 Anopheles mosquitoes were collected and 2,240 were morphologically identified as potential malaria vectors, including An. dirus (n = 78), An. minimus (n = 18), An. sawadwongporni (n = 4), An. barbirostris s.l. (n = 819), An. philippinensis (n = 612), An. nivipes (n = 676), An. annularis (n = 42), An. aconitus (n = 7), and An. rampae (n = 142). Real-time polymerase chain reaction was used to screen for the presence of Plasmodium spp. in salivary glands. The proportion of primary vectors of surveyed villages was very low (<1%), and no Plasmodium-infected specimens were detected among in the 2,240 Anopheles mosquitoes tested. The absence of positive Plasmodium samples during malaria outbreaks suggests that malaria transmission most likely occurred outside the villages, particularly in the deep-forested hilly areas that provided suitable habitats for competent malaria vectors. These results emphasize the need to develop vector control related to village community activities to reduce malaria transmission along Thailand border areas.

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Budnard, Jariya, and Sutha Khaodhiar. "Estimating the Generation of Discarded Mobile Phones and Highlighting Areas for Recycling Precious Metals from Printed Circuit Boards in Thailand." Sustainability 14, no. 24 (December 19, 2022): 17025. http://dx.doi.org/10.3390/su142417025.

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Over the last decade, Thailand imported approximately 21 million units of new mobile phones every year, equivalent to 262 million. While technology changes, consumers want the newest model to serve their lifestyle. These discarded mobile phones will be a challenging issue for waste management systems because of the metals in mobile phones, especially in printed circuit boards (PCBs). Sufficient and sustainable management is needed to maximize the benefits of recycling metals and minimize potential risks to public health. This study aims to estimate the possible range of DMP generation in Thailand (2012–2021) with the Approximation 2, Simple Delay, and Time Step methods using the government published data and a literature review. The results show that the discarded mobile phones ranged from approximately 1700 to 2500 tons/year, equivalent to 0.027 to 0.038 kg/year/capita over the last ten years. In 2021, more than half of the total mobile phone waste generated in the northeastern and central areas of Thailand was around 468.73 and 325.14 tons/year, respectively. Additionally, 1.28 tons of precious metals (Ag, Au), 5.33 tons of rare earth elements, and 7.26 tons of toxic metals (As, Cd, Cr, Pb) can be found in the PCB waste of DMPs.

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Ponprisan, Phattarapon, Wongsa Loahasiriwong, Thitima Nutrawong, and Nopparat Senahad. "STIGMATIZATION AND QUALITY OF LIFE OF MALE-TO-FEMALE- TRANSGENDER UNIVERSITY STUDENTS IN THE NORTHEAST OF THAILAND." Journal of Southwest Jiaotong University 56, no. 5 (October 30, 2021): 476–84. http://dx.doi.org/10.35741/issn.0258-2724.56.5.43.

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Transgender students are vulnerable to mental and physical health problems, impacting their quality of life (QOL). This research aims to study the stigma influence on the QOL of male-to-female transgender university students in Northeastern Thailand. This cross-sectional study was conducted among 765 male-to-female transgender students selected from 17 universities of the Northeast of Thailand using a multistage random sampling to respond to a self-administered structured questionnaire. The generalized linear mixed model (GLMM) was performed to identify factors associated with quality of life when controlling the effects of covariates, presenting adjusted OR and 95% confidence intervals. Among 765 male-to-female transgender students, more than half of them had good QOL (52.81%; 95%CI = 49.25-56.33). The generalized linear mixed model (GLMM) observed that factors associated with good QOL including moderate-low stigmatization (adj.OR=6.39; 95%CI = 2.72-15.02), good health behaviors (adj.OR=1.88; 95%1.47-2.86), no stress problem (adj.OR=1.81; 95%CI = 1.30-2.51), good self-acceptance (adj.OR=1.67; 95%CI = 1.37-2.03) and good social environment (adj.OR=1.41; 95%CI = 1.13-1.76). These findings could provide data to support evidence for family, community, societal and relevant sectors under the Ministry of Public Health and Ministry of Education and local administration organizations to promote the quality of life in transgender people effectively.

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Wangsan, Kampanat, Naesinee Chaiear, Kittisak Sawanyawisuth, and Paanumas Krisorn. "P.2.33 The association between pattern of shift work and sleep quality amongst nurses in university hospital in northeastern region of thailand." Occupational and Environmental Medicine 76, Suppl 1 (April 2019): A95.3—A96. http://dx.doi.org/10.1136/oem-2019-epi.261.

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IntroductionShift work associated with many health problems, work performance and injury. Disturbance of sleep quality is the main mechanism of shift work effects. Nurses are at risk of many occupational hazards and also shift work. The information about shiftwork and the association of sleep quality amongst nurses of Thailand is still limit.ObjectiveTo study the association of shift work and quality of sleep and which pattern has highest risk of poor quality of sleep amongst nurses in university hospital in Northeastern region of Thailand.Material and methodOne thousand and one hundred nurses were met inclusion and exclusion criteria with 75.5%(n=831) participation rate. The data was collected via questionnaire including personal information, shift schedule, depression screening questionnaire, obstructive sleep apnea screening questionnaire and sleep quality questionnaire (PSQI). Cross-sectional analytical study was conducted.ResultAll patterns of shift work amongst sample were irregular shift work. There were statistically significant association between shift work and poor quality of sleep . Predominant backward shift pattern has higher association of poor quality of shiftwork than predominant forward shift pattern.ConclusionEven shift work associate with poor quality of sleep but good strategy of shift work scheduling help to decrease risk of poor quality of sleep.

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Sangwalee, Wararat, Jun Norkaew, Sengchoy Inthachak, Penchom Janwan, Rutchanee Rodpai, Oranuch Sanpool, Lakkhana Sadaow, et al. "Prevalence of intestinal parasitic infections and genetic differentiation of Strongyloides stercoralis among migrant workers from Myanmar, Lao PDR and Cambodia in northeastern Thailand." PLOS ONE 17, no. 12 (December 30, 2022): e0279754. http://dx.doi.org/10.1371/journal.pone.0279754.

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Intestinal parasitic infections (IPIs) remain a public-health problem worldwide, including in countries of the Lower Mekong subregion. Increases in human migration from neighboring countries might cause reemerging parasitic infections, leading to spread of parasites in the landscape. Here, we conducted a cross-sectional study to identify the prevalence of IPIs in migrant workers from Myanmar, Lao PDR, and Cambodia who were dwelling in Nakhon Ratchasima Province, northeastern Thailand. The identification of Strongyloides species and genetic differentiation of worms from migrant workers with different countries of origin was also assessed. Fresh stool samples were collected from 338 migrant workers and examined for evidence of IPIs using agar plate culture (APC) and the formalin-ethyl acetate concentration technique (FECT). Among those nine samples positive for nematodes by APC, the Strongyloides or hookworm species present was confirmed using the polymerase chain reaction (PCR) followed by DNA sequencing. This revealed eight cases of Strongyloides stercoralis infection and one of Necator americanus. Fifty-one out of 338 individuals (15.09%) were positive for IPIs using FECT and APC. Eggs of Opisthorchis-like flukes were the most common parasite (11.83% of samples), followed by S. stercoralis (2.37%), Entamoeba coli (1.50%), hookworm (0.89%), Taenia sp. (0.60%) and Hymenolepis nana (0.30%). The genetic differentiation of S. stercoralis recovered from migrant workers with different countries of origin was analyzed. Specimens of S. stercoralis isolated from workers from Lao PDR, Cambodia and Myanmar were genetically similar to those sequenced from Thailand. However, there were population-genetic differences between S. stercoralis from these Southeast Asian countries and other regions of the world. This study demonstrated that IPIs were prevalent in migrant workers in the northeastern region of Thailand. Our findings provided molecular confirmation of the presence of S. stercoralis and explored the genetic differentiation of S. stercoralis from those infected migrant workers. An effective anti-parasitic drug should be provided for migrant workers and its administration enforced.

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Fustec, Benedicte, Thipruethai Phanitchat, Sirinart Aromseree, Chamsai Pientong, Kesorn Thaewnongiew, Tipaya Ekalaksananan, Dominique Cerqueira, et al. "Serological biomarker for assessing human exposure to Aedes mosquito bites during a randomized vector control intervention trial in northeastern Thailand." PLOS Neglected Tropical Diseases 15, no. 5 (May 27, 2021): e0009440. http://dx.doi.org/10.1371/journal.pntd.0009440.

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Background Aedes mosquitoes are vectors for several major arboviruses of public health concern including dengue viruses. The relationships between Aedes infestation and disease transmission are complex wherein the epidemiological dynamics can be difficult to discern because of a lack of robust and sensitive indicators for predicting transmission risk. This study investigates the use of anti-Aedes saliva antibodies as a serological biomarker for Aedes mosquito bites to assess small scale variations in adult Aedes density and dengue virus (DENV) transmission risk in northeastern Thailand. Individual characteristics, behaviors/occupation and socio-demographics, climatic and epidemiological risk factors associated with human-mosquito exposure are also addressed. Methods The study was conducted within a randomized clustered control trial in Roi Et and Khon Kaen provinces over a consecutive 19 months period. Thirty-six (36) clusters were selected, each of ten houses. Serological and entomological surveys were conducted in all houses every four months and monthly in three sentinel households per cluster between September 2017 and April 2019 for blood spot collections and recording concurrent immature and adult Aedes indices. Additionally, the human exposure to Aedes mosquito bites (i.e., Mosquito Exposure Index or MEI) was estimated by ELISA measuring levels of human antibody response to the specific Nterm-34 kDa salivary antigen. The relationships between the MEI, vector infestation indices (adult and immature stages) and vector DENV infection were evaluated using a two-level (house and individual levels) mixed model analysis with one-month lag autoregressive correlation. Results There was a strong positive relationship between the MEI and adult Aedes (indoor and outdoor) density. Individuals from households with a medium mosquito density (mean difference: 0.091, p<0.001) and households with a high mosquito density (mean difference: 0.131, p<0.001) had higher MEI’s compared to individuals from households without Aedes. On a similar trend, individuals from households with a low, medium or high indoor Aedes densities (mean difference: 0.021, p<0.007, 0.053, p<0.0001 and 0.037, p<0.0001 for low, medium and high levels of infestation, respectively) had higher MEI than individuals from houses without indoor Aedes. The MEI was driven by individual characteristics, such as gender, age and occupation/behaviors, and varied according to climatic, seasonal factors and vector control intervention (p<0.05). Nevertheless, the study did not demonstrate a clear correlation between MEI and the presence of DENV-infected Aedes. Conclusion This study represents an important step toward the validation of the specific IgG response to the Aedes salivary peptide Nterm-34kDa as a proxy measure for Aedes infestation levels and human-mosquito exposure risk in a dengue endemic setting. The use of the IgG response to the Nterm-34 kDa peptide as a viable diagnostic tool for estimating dengue transmission requires further investigations and validation in other geographical and transmission settings.

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Fustec, Benedicte, Thipruethai Phanitchat, Mohammad Injamul Hoq, Sirinart Aromseree, Chamsai Pientong, Kesorn Thaewnongiew, Tipaya Ekalaksananan, et al. "Complex relationships between Aedes vectors, socio-economics and dengue transmission—Lessons learned from a case-control study in northeastern Thailand." PLOS Neglected Tropical Diseases 14, no. 10 (October 1, 2020): e0008703. http://dx.doi.org/10.1371/journal.pntd.0008703.

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Khontum, Attapol, and Kornkaew Chanthapasa. "Perceptions of Communities Regarding Look-Twin Sound-Twin Drugs: A Case Study of a Sub-District in the Northeastern Region of Thailand." Risk Management and Healthcare Policy Volume 14 (June 2021): 2345–55. http://dx.doi.org/10.2147/rmhp.s303899.

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Rahman, Md Siddikur, Chamsai Pientong, Sumaira Zafar, Tipaya Ekalaksananan, Richard E. Paul, Ubydul Haque, Joacim Rocklöv, and Hans J. Overgaard. "Mapping the spatial distribution of the dengue vector Aedes aegypti and predicting its abundance in northeastern Thailand using machine-learning approach." One Health 13 (December 2021): 100358. http://dx.doi.org/10.1016/j.onehlt.2021.100358.

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Wichaiyo, Woragon, Wirat Parnsila, Wisit Chaveepojnkamjorn, and Banchob Sripa. "Predictive risk factors towards liver fluke infection among the people in Kamalasai District, Kalasin Province, Thailand." SAGE Open Medicine 7 (January 2019): 205031211984020. http://dx.doi.org/10.1177/2050312119840201.

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Background: Liver fluke disease caused by Opisthorchis viverrini remains a major public health problem with its crucial risk factors caused by some individual habits or false beliefs among the people in northeastern Thailand concerning the consumption of raw fish meat dishes. Objectives: This study explores the predictive risk factors for the infection of liver fluke disease. Methods: The sample consisted of 400 people aged 30 years and above in Thanya sub-district, Kamalasai district, Kalasin province. A cross-sectional analytic study, using the χ2 test, odds ratio and 95% confidence interval, was used to find the influence of each variable, along with the use of multiple logistic regression (p = 0.05). A questionnaire form was used as the research instrument. Results: Factors found in the results are as follows: households with a cat were 7.00 times more at risk than households without a cat; eating raw fish dishes prepared by themselves increases the risk of infection by 2.58 times; eating raw fish dishes prepared by family members increases the risk by 4.74 times; and raw fish dishes bought from a community market increases the risk by 2.33 times. Conclusion: A campaign should be launched to educate people not to eat raw or undercooked fish dishes, but to fully cook fish dishes before eating, as the food is still delicious, but also safe, healthy, and free from liver fluke infection.

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Worakhajit, Prangtip, Pornpoj Fuangtharnthip, Siribang-on Piboonniyom Khovidhunkit, Pim Chiewwit, and Boworn Klongnoi. "The Relationship of Tobacco, Alcohol, and Betel Quid with the Formation of Oral Potentially Malignant Disorders: A Community-Based Study from Northeastern Thailand." International Journal of Environmental Research and Public Health 18, no. 16 (August 19, 2021): 8738. http://dx.doi.org/10.3390/ijerph18168738.

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This study’s objective was to describe the relationship between the main risk factors for oral cancer, including tobacco (in the form of cigarettes, smokeless tobacco (SLT), secondhand smoking (SS)), alcohol, and betel quid (BQ), and the occurrence of oral potentially malignant disorders (OPMDs). A community-based case-control study was conducted with a population of 1448 adults aged 40 years or above in northeastern Thailand. Patients aged 60 years or above (OR 1.79, p < 0.001) and female patients (OR 2.17, p < 0.001) had a significant chance of having OPMDs. Our multivariate analysis showed that the most potent risk factor for OPMDs occurrence was betel quid (BQ) (adjusted OR 4.65, p < 0.001), followed by alcohol (OR 3.40, p < 0.001). Even former users were at risk of developing OPMDs. The synergistic effect between these main risk factors was significantly shown in the group exposed to SLT, SS, BQ, and alcohol. The most potent synergistic effect was found in the group exposed to SLT, BQ and alcohol with the OR = 20.96.

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Pumipuntu, Natapol. "Staphylococcus argenteus: An emerging subclinical bovine mastitis pathogen in Thailand." December-2019 12, no. 12 (December 2019): 1940–44. http://dx.doi.org/10.14202/vetworld.2019.1940-1944.

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Background and Aim: Staphylococcus argenteus is an emerging species of the Staphylococcus aureus complex. It has usually been misidentified as S. aureus by conventional methods and its characteristics. S. argenteus is potentially emerging in both humans and animals with an increasing global distribution. This study aimed to differentiate and identify S. argenteus from S. aureus collected and isolated from milk samples of subclinical bovine mastitis cases in Maha Sarakham Province, Northeastern Thailand. Materials and Methods: Forty-two isolates of S. aureus were studied from 132 individual milk samples collected from subclinical bovine mastitis cases of 15 dairy farms in three districts of Maha Sarakham, Thailand. The identification was confirmed by conventional and immune-agglutination methods. Fifteen representative isolates which were suspected as being S. argenteus were analyzed by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). Results: The result from MALDI-TOF MS confirmed that seven from 15 isolates were S. argenteus and eight isolates were S. aureus. Conclusion: This study indicated that MALDI-TOF MS used as an identification and classification method could accurately differentiate the novel species, S. argenteus, from the S. aureus complex which is usually misdiagnosed. In addition, the identification of S. argenteus seems to be very limited in technical difficulty despite the fact that it may be the important causative pathogen in bovine mastitis as well as a pathogenic bacterium in food and milk. Therefore, it is essential for both bovine medicine and veterinary public health to emphasize and recognize this bacterial pathogen as an emerging disease of staphylococcal bacteria that there is a need for further study of S. argenteus infections.

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Tongtawee, Taweesak, Soraya Kaewpitoon, Natthawut Kaewpitoon, Chavaboon Dechsukhum, Wilairat Leeanansaksiri, Ryan A. Loyd, Likit Matrakool, and Sukij Panpimanmas. "Helicobacter Pylori Associated Gastritis Increases Risk of Colorectal Polyps: a Hospital Based-Cross-Sectional Study in Nakhon Ratchasima Province, Northeastern Thailand." Asian Pacific Journal of Cancer Prevention 17, no. 1 (February 5, 2016): 341–45. http://dx.doi.org/10.7314/apjcp.2016.17.1.341.

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Phadungsaksawasdi, Kobpat, Sakone Sunantaraporn, Nirin Seatamanoch, Switt Kongdachalert, Atchara Phumee, Kanyarat Kraivichian, Vorthon Sawaswong, Sunchai Payungporn, Narisa Brownell, and Padet Siriyasatien. "Molecular analysis of mitochrondrial cytb of Pediculus humanus capitis in Thailand revealed potential historical connection with South Asia." PLOS ONE 16, no. 9 (September 7, 2021): e0257024. http://dx.doi.org/10.1371/journal.pone.0257024.

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Background Pediculus humanus capitis or head louse is an obligate ectoparasite and its infestation remains a major public health issue worldwide. Molecular analysis divides head lice into six clades and intra-clade genetic differences have been identified. Several hypotheses have been formulated to elucidate the discrepancies of the variety of head lice among different regions of the world. It is currently concluded that head lice distribution might be associated with human migration history. This study aims to investigate genetic data of human head lice in Thailand. We believe that the analysis could help establish the correlation between local and global head lice populations. Method We investigated mitochondrial cytochrome b (cytb) gene of the collected 214 head lice to evaluate genetic diversity from 15 provinces among 6 regions of Thailand. The head lice genes were added to the global pool for the phylogenetic tree, Bayesian tree, Skyline plot, and median joining network construction. The biodiversity, neutrality tests, and population genetic differentiation among the 6 Thailand geographic regions were analyzed by DNAsp version 6. Results The phylogenetic tree analysis of 214 collected head lice are of clade A and clade C accounting for roughly 65% and 35% respectively. The Bayesian tree revealed a correlation of clade diversification and ancient human dispersal timeline. In Thailand, clade A is widespread in the country. Clade C is confined to only the Central, Southern, and Northeastern regions. We identified 50 novel haplotypes. Statistical analysis showed congruent results between genetic differentiation and population migration especially with South Asia. Conclusions Pediculosis remains problematic among children in the rural areas in Thailand. Cytb gene analysis of human head lice illustrated clade distribution and intra-clade diversity of different areas. Our study reported novel haplotypes of head lice in Thailand. Moreover, the statistic calculation provided a better understanding of their relationship with human, as an obligate human parasite and might help provide a better insight into the history of human population migration. Determination of the correlation between phylogenetic data and pediculicide resistance gene as well as residing bacteria are of interest for future studies.

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Koottatep, Thammarat, Achara Taweesan, Thongchai Kanabkaew, and Chongrak Polprasert. "Inconvenient truth: unsafely managed fecal sludge after achieving MDG for decades in Thailand." Journal of Water, Sanitation and Hygiene for Development 11, no. 6 (October 7, 2021): 1062–70. http://dx.doi.org/10.2166/washdev.2021.118.

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Abstract In most low- and middle-income countries, due to financial constraints and improper management practices, the expansion of conventional centralized systems to enhance wastewater management services is not practical. Despite the fact that the majority of the world population has met the Millennium Development Goals 7c (MDG7c) targets, more than 2.5 billion are still using unimproved sanitation facilities and affecting the safety of drinking water and public health. Because of this problem, a novel approach on ‘Non-Sewered Sanitation’ with decentralized treatment systems is being recognized as a promising alternative to accomplish the Sustainable Development Goal No. 6 (SDG6) targets on ‘Safe Water and Sanitation’ and bringing health benefits to the people. This study aimed to investigate the current status of access to improved sanitation facilities in relation to the MDG7c and SDG6 in Thailand and comparing with other countries, including the effects of unsafely managed fecal sludge (FS) on the prevalence of diarrhea and liver fluke infections. The prevailing constraints and weaknesses were identified, and effective sanitation management measures to accomplish SDG6 targets were recommended. Based on data collected from 20 cities located in the north and northeastern regions of Thailand during the period of 2015–2020, the sanitation facilities data on conventional centralized systems and FS management facilities that affect the prevalence of diarrhea and liver infections were analyzed and interpreted using statistical and response surface methodology techniques. The findings showed that most of the surveyed cities have achieved the MDG7c targets, but 70% of the FS generated from on-site sanitation systems are still unsafely managed, caused by limited expansion of sewage systems for wastewater collection and conveyance (with inadequate operation and maintenance) as well as the financial constraints, especially in areas outside of urban neighborhoods. The effective sanitation management practices to accomplish the SDG6 targets were proposed such as increasing the capacity of sanitation facilities to be 55,000 m3/day/30,000 households, designing appropriate FS collection program and treatment technology, and providing more awareness programs for safe sanitation management and health risk protection.

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Boonjaraspinyo, Sirintip, Thidarut Boonmars, Nuttapon Ekobol, Atchara Artchayasawat, Pranee Sriraj, Ratchadawan Aukkanimart, Benjamabhorn Pumhirunroj, et al. "Prevalence and Associated Risk Factors of Intestinal Parasitic Infections: A Population-Based Study in Phra Lap Sub-District, Mueang Khon Kaen District, Khon Kaen Province, Northeastern Thailand." Tropical Medicine and Infectious Disease 8, no. 1 (December 27, 2022): 22. http://dx.doi.org/10.3390/tropicalmed8010022.

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Intestinal parasitic infections are still a crucial problem among communities in Northeast Thailand. Misuse of antiparasitic drugs and unhealthy food behaviors are known. This study aimed to explore the prevalence, behavioral health factors, and motivation for self-treatment of anti-parasitic drugs in this area. A community-based cross-sectional study was conducted in Phra Lap sub-district, Mu Khon Kaen district, Khon Kaen province, Northeast Thailand, in 2016. A total of 419 participants were recruited to complete a self-administered questionnaire and stool examination. Binary logistic regression was used to assess the association between the risk factor and parasitic infection. Forty-two participants (10%; 95%CI 7.5–13.3) were positive for at least one parasite species. In this community, the most detected intestinal parasite was Opisthorchis viverrini (5.3%), followed by Strongyloides stercoralis (3.1%). A total of 67.5% of the participants had the experience of anti-parasitic drug treatment within previous 1 year, and “Often eat raw food” was the most common reason for the use of anti-parasitic drugs. On multivariate analysis, parasitic infections were significantly associated with male gender (ORadj. 2.42; 95%CI 1.00–5.85), age ≥ 60 years (ORadj. 7.55; 95%CI 1.60–35.76), and often consuming raw food of at least one type (ORadj. 2.37; 95%CI 1.03–5.44). Given these findings, correction of the dietary habit of eating raw fish/meat, which is the most important measure, and limitation of the use of anthelmintic treatment for individuals with stools positive for ova as well as emphasis on sanitary toilets will be implemented for the prevention and control of parasitic infection in endemic communities.

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Kaewkerd, Onuma, Pranom Othaganont, and Christine L. Williams. "A Mixed-Method Approach on Secure Attachment and its Effects on Caregivers of Older Adults Living at Home." Open Public Health Journal 14, no. 1 (March 22, 2021): 71–78. http://dx.doi.org/10.2174/1874944502114010071.

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Background: A secure attachment style of informal caregivers is important for the care of older adults at home. Informal caregivers who have secure attachment style to care for older adults, can effectively provide care for older adults. Objective: A sequential explanatory mixed-method design was introduced to study the factors predicting secure attachment and explain informal caregivers’ perceptions. Materials and Methods: 140 informal caregivers were selected from sub-district health-promoting hospitals from provinces in the northeastern Thailand by using the multi-stage random sampling method. The parameters included were caregivers’ personal information, satisfaction, empathy, health status, and caregivers’ attachment. Five experts in the field considered the content validity of all the measurements. The reliability of the four measurements was verified by applying Cronbach’s alpha coefficient, yielding 0.83, 0.70, 0.82 and 0.74. The researchers analyzed the data obtained from descriptive statistics and hierarchical regression analysis. A qualitative descriptive study was performed using semi-structured interviews, and data were analyzed using thematic analysis. Results: The results of quantitative data (a cross-sectional design) revealed that caregivers’ health status was considered the strongest predictor (β = .362, t = 5.208, p <.001) of secure attachment, followed by satisfaction, gender (female) and empathy. The qualitative data results revealed that four factors, i.e., caregivers’ healthy status, caregivers’ satisfaction, caregivers’ empathy, and female gender, could help the caregivers provide better care. Conclusion: Informal caregivers with good health status exhibited secure attachment. Healthcare teams and nurses should implement a program promoting good health status for informal caregivers who care for older adults at home.

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Doum, Dyna, Hans J. Overgaard, Mayfong Mayxay, Sutas Suttiprapa, Prasert Saichua, Tipaya Ekalaksananan, Panwad Tongchai, et al. "Correction: Doum, D., et al. Dengue Seroprevalence and Seroconversion in Urban and Rural Populations in Northeastern Thailand and Southern Laos. Int. J. Environ. Res. Public Health 2020, 17, 9134." International Journal of Environmental Research and Public Health 18, no. 4 (February 4, 2021): 1439. http://dx.doi.org/10.3390/ijerph18041439.

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Chutiman, Nipaporn, Pannarat Guayjarernpanishk, Butsakorn Kong-ied, Piyapatr Busababodhin, and Monchaya Chiangpradit. "Epidemic Peaks Forecasting on Re-emerging Diseases in Elderly People using the Grey Disaster Model." Emerging Science Journal 5, no. 6 (December 1, 2021): 974–82. http://dx.doi.org/10.28991/esj-2021-01325.

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Climate change causes the spread of non-vector diseases due to the influence of climate uncertainty. The elderly group, which is vulnerable, is affected by such disasters. Therefore, the objectives of this study were to forecast epidemic peaks of food poisoning, which was found as one of the re-emerging diseases in elderly people in Khon Kaen Province, Maha Sarakham Province, and Roi Et Province, which are in the Northeastern region of Thailand by using 2 types of Grey Model: GM(1,1) and Discrete Grey Model (DGM). The monthly rate of food poisoning incidence per 100,000 elderly people from January 2017 to December 2020 i.e., 48 months in total were used in the study. The study result revealed that the DGM had higher forecasting effectiveness than that of the GM(1,1) in all three provinces. The food poisoning incidences in elderly people were forecasted to re-emerge from August to September 2021 in Khon Kaen Province, from August to September 2022 in Maha Sarakham Province, and from May to June 2022 in Roi Et Province. The results of this study are useful and helpful for the government, the Ministry of Public Health and related cooperatives to effectively help services planning resource preparation and prevention measures. Doi: 10.28991/esj-2021-01325 Full Text: PDF

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Nair, G. Balakrish, Thandavarayan Ramamurthy, Sujit K. Bhattacharya, Basabjit Dutta, Yoshifumi Takeda, and David A. Sack. "Global Dissemination of Vibrio parahaemolyticus Serotype O3:K6 and Its Serovariants." Clinical Microbiology Reviews 20, no. 1 (January 2007): 39–48. http://dx.doi.org/10.1128/cmr.00025-06.

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SUMMARY Vibrio parahaemolyticus is recognized as a cause of food-borne gastroenteritis, particularly in the Far East, where raw seafood consumption is high. An unusual increase in admissions of V. parahaemolyticus cases was observed at the Infectious Diseases Hospital in Calcutta, a city in the northeastern part of India, beginning February 1996. Analysis of the strains revealed that a unique serotype, O3:K6, not previously isolated during the surveillance in Calcutta accounted for 50 to 80% of the infections in the following months. After this report, O3:K6 isolates identical to those isolated in Calcutta were reported from food-borne outbreaks and from sporadic cases in Bangladesh, Chile, France, Japan, Korea, Laos, Mozambique, Peru, Russia, Spain, Taiwan, Thailand, and the United States. Other serotypes, such as O4:K68, O1:K25, and O1:KUT (untypeable), that had molecular characteristics identical to that of the O3:K6 serotype were subsequently documented. These serotypes appeared to have diverged from the O3:K6 serotype by alteration of the O:K antigens and were defined as “serovariants” of the O3:K6 isolate. O3:K6 and its serovariants have now spread into Asia, America, Africa, and Europe. This review traces the genesis, virulence features, molecular characteristics, serotype variants, environmental occurrence, and global spread of this unique clone of V. parahaemolyticus.

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Somayaji, Ranjani, Viriya Hantrakun, Prapit Teparrukkul, Gumphol Wongsuvan, Kristina E. Rudd, Nicholas P. J. Day, T. Eoin West, and Direk Limmathurotsakul. "Comparative clinical characteristics and outcomes of patients with community acquired bacteremia caused by Escherichia coli, Burkholderia pseudomallei and Staphylococcus aureus: A prospective observational study (Ubon-sepsis)." PLOS Neglected Tropical Diseases 15, no. 9 (September 3, 2021): e0009704. http://dx.doi.org/10.1371/journal.pntd.0009704.

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Background Community acquired bacteremia (CAB) is a common cause of sepsis in low and middle-income countries (LMICs). However, knowledge about factors associated with outcomes of CAB in LMICs is limited. Methodology/Principal findings A prospective observational study (Ubon-sepsis) of adults admitted to a referral hospital with community-acquired infection in Northeastern Thailand was conducted between March 1, 2013 and February 1, 2017. In the present analysis, patients with a blood culture collected within 24 hours of admission that was positive for one of the three most common pathogens were studied. Clinical features, management, and outcomes of patients with each cause of CAB were compared. Of 3,806 patients presenting with community-acquired sepsis, 155, 131 and 37 patients had a blood culture positive for Escherichia coli, Burkholderia pseudomallei and Staphylococcus aureus, respectively. Of these 323 CAB patients, 284 (89%) were transferred from other hospitals. 28-day mortality was highest in patients with B. pseudomallei bactaeremia (66%), followed by those with S. aureus bacteraemia (43%) and E. coli (19%) bacteraemia. In the multivariable Cox proportional hazards model adjusted for age, sex, transfer from another hospital, empirical antibiotics prior to or during the transfer, and presence of organ dysfunction on admission, B. pseudomallei (aHR 3.78; 95%CI 2.31–6.21) and S. aureus (aHR 2.72; 95%CI 1.40–5.28) bacteraemias were associated with higher mortality compared to E. coli bacteraemia. Receiving empirical antibiotics recommended for CAB caused by the etiologic organism prior to or during transfer was associated with survival (aHR 0.58; 95%CI 0.38–0.88). Conclusions/Significance Mortality of patients with CAB caused by B. pseudomallei was higher than those caused by S. aureus and E. coli, even after adjusting for presence of organ dysfunction on admission and effectiveness of empirical antibiotics received. Improving algorithms or rapid diagnostic tests to guide early empirical antibiotic may be key to improving CAB outcomes in LMICs.

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Journal articles on the topic 'Public health Thailand, Northeastern'

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