Percorrer por autor "Fonseca, Ana Glória"
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- The Burden of Imported Malaria in Portugal 2003 to 2012Publication . Fonseca, Ana Glória; Dias, Sara S.; Baptista, Joao Luis; Torgal, JorgeIncreasing international travel and expatriation to sub-Saharan countries where malaria is endemic has raised public health concerns about the burden of imported malaria cases in Portugal. From 2009 to 2012, there was a 60% increase in malaria hospitalizations, contradicting the declining trend observed since 2003. Older age was associated with longer length of stay in hospital and higher lethality.
- Portuguese expatriates’ health in Angola and Mozambique—a cross-sectional study: increasing awareness and need for more surveillancePublication . Fonseca, Ana Glória; Dias, Sara S.; Baptista, João Luis; Torgal, JorgeBackground: Increasing numbers of expatriates are working in sub-Saharan Africa. There is little published data on the complex population and this survey aimed at understanding expatriate morbidity by accessing self-reported health problems and malaria preventive practices. Methods: A cross-sectional web-based survey was conducted targeting Portuguese expatriates in Angola and Mozambique. Logistic regression analysis explored factors associated with self-reported health problems and psy chological symptoms in the previous 3 months. Results: A total sample of 352 adult Portuguese urban civil occupational expatriates was obtained. Median length of expatriation was 3 years. Considering a 3-month timeframe, one in five expatriates reported new health problems and need of medical assistance, 5% were hospitalized and 64% reported general psychological symptoms. Less than 2% of subjects were on malaria chemoprophylaxis. Having chronic health conditions doubled the reporting of new health problems. Increasing length of expatriation was associated with decreasing reporting of general psychologi cal symptoms. Directors and executive managers and expatriates living alone tended to report more general psy chological symptoms. Conclusion: Expatriate communities deserve enhanced surveillance for the health issues that affect them. This will improve evidence-based preparation and intervention by public and travel health practitioners.
- Surveillance of imported hospital requiring malaria in Portugal: can it be improved?: Table 1Publication . Fonseca, Ana Glória; Dias, Sara; Baptista, João Luís; Torgal, JorgeAlthough eradicated in Portugal, malaria keeps taking its toll on travellers and migrants from endemic countries. Completeness of hospital requiring malaria notification in Portugal 2000–11 was estimated, using two-source capture–recapture method. Data sources were: national surveillance database of notifiable diseases and the national database of the Diagnosis-Related Groups resulting from National Health Service (NHS) hospital episodes. The completeness of notification was 21,2% for all malaria cases and 26,5% for malaria deaths, indicating significant underreporting and urging for complementary data source in surveillance, for disease burden estimates and retrospective monitoring, namely hospital episodes statistics.