Syndromic approach to arboviral diagnostics for global travelers as a basis for infectious disease surveillance

Background Arboviruses have overlapping geographical distributions and can cause symptoms that coincide with more common infections. Therefore, arbovirus infections are often neglected by travel diagnostics. Here, we assessed the potential of syndrome-based approaches for diagnosis and surveillance of neglected arboviral diseases in returning travelers. Method To map the patients high at risk of missed clinical arboviral infections we compared the quantity of all arboviral diagnostic requests by physicians in the Netherlands, from 2009 through 2013, with a literature-based assessment of the travelers’ likely exposure to an arbovirus. Results 2153 patients, with travel and clinical history were evaluated. The diagnostic assay for dengue virus (DENV) was the most commonly requested (86%). Of travelers returning from Southeast Asia with symptoms compatible with chikungunya virus (CHIKV), only 55% were tested. For travelers in Europe, arbovirus diagnostics were rarely requested. Over all, diagnostics for most arboviruses were requested only on severe clinical presentation. Conclusion Travel destination and syndrome were used inconsistently for triage of diagnostics, likely resulting in vast under-diagnosis of arboviral infections of public health significance. This study shows the need for more awareness among physicians and standardization of syndromic diagnostic algorithms

Phylogeography and evolutionary history of dengue virus type 3

In this study, we revisited the phylogeography of the three of major DENV-3 genotypes and estimated its rate of evolution, based on the analysis of the envelope (E) gene of 200 strains isolated from 31 different countries around the world over a time period of 50 years (1956-2006). Our phylogenetic analysis revealed a geographical subdivision of DENV-3 population in several country-specific clades. Migration patterns of the main DENV-3 genotypes showed that genotype I was mainly circumspect to the maritime portion of Southeast-Asia and South Pacific, genotype 11 stayed within continental areas in South-East Asia, while genotype III spread across Asia, East Africa and into the Americas. No evidence for rampant co-circulation of distinct genotypes in a single locality was found, suggesting that some factors, other than geographic proximity, may limit the continual dispersion and reintroduction of new DENV-3 variants. Estimates of the evolutionary rate revealed no significant differences among major DENV-3 genotypes. The mean evolutionary rate of DENV-3 in areas with long-term endemic transmissions (i.e., Indonesia and Thailand) was similar to that observed in the Americas, which have been experiencing a more recent dengue spread. We estimated the origin of DENV-3 virus around 1890, and the emergence of current diversity of main DENV-3 genotypes between the middle 1960s and the middle 1970s, coinciding with human population growth, urbanization, and massive human movement, and with the description of the first cases of DENV-3 hemorrhagic fever in Asia. (C) 2008 Elsevier B.V. All rights reserved.

Extensive microsatellite diversity in the human malaria parasite Plasmodium vivax

The population structure of Plasmodium vivax remains elusive. The markers of choice for large-scale population genetic studies of eukaryotes, short tandem repeats known as microsatellites, have been recently reported to be less polymorphic in R vivax. Here we investigate the microsatellite diversity and geographic structure in P vivax, at both local and global levels, using 14 new markers consisting of tri- or tetranucleotide repeats. The local-level analysis, which involved 50 field isolates from Sri Lanka, revealed unexpectedly high diversity (average virtual heterozygosity [H-E], 0.807) and significant multilocus linkage disequilibrium in this region of low malaria endemicity. Multiple-clone infections occurred in 60% of isolates sampled in 2005. The global-level analysis of field isolates or monkey-adapted strains identified 150 unique haplotypes among 164 parasites from four continents. Individual P. vivax isolates could not be unambiguously assigned to geographic populations. For example, we found relatively low divergence among parasites from Central America, Africa, Southeast Asia and Oceania, but substantial differentiation between parasites from the same continent (South Asia and Southeast Asia) or even from the same country (Brazil). Parasite relapses, which may extend the duration of P. vivax carriage in humans, are suggested to facilitate the spread of strains across continents, breaking down any pre-existing geographic structure. (C) 2008 Elsevier B.V. All rights reserved.

Citizenship, identity and belonging in contemporary Australia

In response to recent events, Australian scholars examine the prospects of conflict and cooperation between the Muslim world and the West and the future of Muslim communities in Australia. The essays fall into three thematic sections: the broad international context, with reference to the repercussions of the war in Iraq and the initiatives launched by Muslims, namely the Organization of Islamic Conference, and the current discourse among radical Islamic groups about prospects of "conflict" between the Muslim world and the West; the implications of growing Islamic agitation and the heightened sense of insecurity for Muslim states in South and Southeast Asia; the challenges faced by Muslim communities in Australia and implications for interethnic relations and asylum-seekers.

Ostracoda from Lee Point on Shoal Bay, Northern Australia: part 3, podocopina (cytheracea)

The littoral environments present in Shoal Bay, Northern Territory (Australia) show a high diversity of ostracods cytheráceos (51 genera and 97 species). Probably this diversity is due to three factors: (1) marine environments warm and well oxygenated leading to a high level of biological productivity, (2) shallow marine environments favorable for the accumulation of material conchífero post mortem, and (3) a location central in the way of dispersal on the continental shelf between the regions of the Pacific and Southeast Asia. A particular feature of this fauna Cytherscea is that some genres, such as Alocopocythere, can be traced back to the Cretaceous when it first appeared in the shallow waters of the Tethys. In this overlay component of the ancient ostracods are the dominant fauna in partnerships of the modern Indo / Pacific, such as gender Keiji. While the Cytheracea ostracods are the dominant groups, especially the Cypridacea marine Bairdiacea and Plstycopina, are well represented and are quite different (fide Whatley et al., 1995, 1996). We describe here a new genre, Paraxestoleberis, and 15 new species: Dentibyíhere multituberosa, Dampiercythere papillolineata, Neocyíheromorpha papilloporosa, Loxoconcha catasíeros, Semicyrherura gamma, Callistocyíhere cookei, Loxocorniculum koolpionyahensis, Keúia interim, K. profundosculpia, K. parademissa, Quasibradleya leepoiníensis, Actinocyíhereis gippsi, Henryhowella sinespinosa, Poníicocyíhereis spatulospinosa and Paraxestoleberis posteroacuminata. Due to the limited material obtained, 16 species are kept in open nomenclature: Bythoceratina sp. Corallicyíhere sp. Venericythere sp. Tanella sp. Loxocorniculum sp. 1 L. sp. 2, Gambiella sp. Javanella sp. Paradoxostoma sp. Neomonoceratina sp., Bradley (sl) sp. Echinocytbereis (sl) sp. Plaíycyíhereis? sp. Alocopocyíhere sp. Xestoleberis sp. and Paraxestoleberis sp. The remaining 66 species have been described previously in other areas.

Shadow boxing: Indonesian writers and the Ramayana in the new order

This article is a study of the ideas, visions, and styles of a number of Indonesia's writers in the New Order-in particular, the final years of the New Order-who chose to rework and reinterpret the Ramayana epic of the Javanese wayang kulit shadow puppet theatre. The deliberate choice by these writers to use Indonesian as their medium of linguistic communication has proven to be a decision in favor of distancing themselves from their mother-tongue, Javanese, and of targeting a larger "national" audience, thus signaling their concern for non-Javanese Indonesians. By the same token, the Indonesian language of wayang literary representations was often heavily Javanese in its flavor and style, and the indigenized wayang characters and plots appropriated were also, naturally, very much regional in origin.

Freshwater finfish biodiversity and conservation: an Asian perspective

Aspects on biodiversity and conservation of the ichthyofauna in the Asian region, in comparison to that of Africa, Europe and North America have been relatively less documented. This paper attempts to evaluate the above aspects in the East, and South and Southeast Asia based on available information in the literature. The familial diversity in inland waters in Asia (121 families) is considerably higher than in African and Latin American. Also, the finfish faunal diversity of 21 major river basins in East, and South and Southeast Asian indicate that species diversity is not necessarily related to familial diversity. The fish fauna in the region considered presently is highly diverse with an estimated cumulative total of 7447 species. Amongst the freshwater fishes the dominant groups are cyprinids (Cyprinidae, about 1000 species), loaches (about 400 species) of the families Balitoridae and Cobitiidae, gobids (Gobiidae, 300 species), catfishes (Bagridae, about 100 species), and the Osphronemidae (85 species). In the region, 462 freshwater finfish species are reckoned to be threatened, accounting for 17.5% of the all finfish species in this status in the world. In the region there are 66 species that are critically endangered and/or endangered, of which 32 are cyprinids, 14 of which are endemic to Lake Lanao, Mindano Island, Philippines. The diversity of freshwater fish species in the region was significantly related to the land area of the different countries in the following manner:

ln (species ratio) = ln 0.384 (land area in km2) + 0.651( R² = 0.628; p < 0.001).

In addition, the fish species diversity in the major river basins of the region was also found to be positively related to the basin area:

ln (Species richness index) = - 0.789 ln (Area) + 9.368( R² = 0.748; p < 0.001).

Based on above relationship, the predicted fish species richness did not necessarily correlate to river basin size, and rivers with small basins were shown to have high indices. The paper also attempts to evaluate the reasons affecting fish species diversity in the region and suggests mitigating measures.

Using domestic law in the fight against obesity : an introductory guide for the Pacific

Contents: Acknowledgements -- What is the purpose of this introductory guide? -- Why use domestic laws in the fight against obesity? -- What must be considered when using domestic laws in the fight against obesity? -- The Agreement on Agriculture -- The SPS Agreement -- The TBT Agreement -- Which approach is best used in the fight against obesity? -- Pricing controls -- Restrictions on supply -- Labelling requirement -- How might a regulatory approach be justified? -- Where to from here? -- Conclusion -- References

Will Wallace’s Line save Australia from avian influenza?

Australia is separated from the Asian faunal realm by Wallace's Line, across which there is relatively little avian migration. Although this does diminish the risk of high pathogenicity avian influenza of Asian origin arriving with migratory birds, the barrier is not complete. Migratory shorebirds, as well as a few landbirds, move through the region on annual migrations to and from Southeast Asia and destinations further north, although the frequency of infection of avian influenza in these groups is low. Nonetheless,high pathogenicity H5N1 has recently been recorded on the island of New Guinea in West Papua in domestic poultry. This event increases interest in the movements of birds between Wallacea in eastern Indonesia, New Guinea, and Australia, particularly by waterbirds. There are frequent but irregular movements of ducks, geese, and other waterbirds across Torres Strait between New Guinea and Australia, including movements to regions in which H5N1 has occurred in the recent past. Although the likelihood of avian influenza entering Australia via an avian vector is presumed to be low, the nature and extent of bird movements in this region is poorly known. There have been five recorded outbreaks of high pathogenicityavian influenza in Australian poultry flocks, all of the H7 subtype. To date, Australia is the only inhabited continent not to have recorded high pathogenicity avian influenza since 1997, and H5N1 has never been recorded. The ability to map risk from high pathogenicity avian influenza to Australia is hampered by the lack of quantitative data on the extent of bird movements between Australia and its northern neighbors.Recently developed techniques offer the promise to fill this knowledge gap.

Rethinking the region

This thesis explores the shift in focus of Australian regional defence and foreign policy away from Malaysia and towards Indonesia between 1965 and 1971. It finds that this shift was caused more by the consequences of Britain's military withdrawal from Malaysia and Singapore than by Suharto's accession to power.

Intra-ASEAN FDI : trend, determinants and analytical issues

One of the significant economic developments in the Asia Pacific region during the 1980's has been the phenomenal increase in intra-ASEAN foreign direct investment (FDI) flows. There are two types of intra-ASEAN FDI flows : out-sourcing and the opportunity to gain access to the host country's modern infrastructural and information network.