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1. Epidemiological Trends, Clinical Profile And Risk Factors Associated With Crimean Congo Hemorrhagic Fever In Quetta, Balochistan

by Khushal Khan Kasi | Prof. Dr. Muhammad Athar Khan | Prof. Dr. Mansur-ud-Din Ahmad.

Material type: book Book; Format: print ; Literary form: not fiction Publisher: 2012Dissertation note: Crimean congo hemorrhagic fever (CCHF) is an important disease in suburbs of Quetta in particular, and other cities of Balochistan in general. The cases of this disease are brought to the public hospital for treatment purposes. The study was carried out to understand the descriptive nature of the disease with respect to geographic, temporal and personal distribution. The second part of study comprised of cross sectional as well as case-control study for the identification of different risk factors in patients as compared to their control admitted in the same hospitals. The highest numbers of CCHF cases were from Quetta i.e. 35, 82 cases were male and 19 cases of female, small scale sheep and goat farmer has highest number of cases i.e, 59. Mean age for male patients was 30.82±15.47 years, while for female patients mean age was 29.17±16.40 years with a p-value= 0.685. Mean platelet count for male and female patients was 450n.29±35934.14 and 35388.89±18081.96 respectively with a p-value= 0.270. Mean Hemogobin level for male and female patients was 11.52±2.78 and 9.80±3.23 respectively, and with a p-value=O.023. Among the patients, 5 patients were positive for IgG and IgM antibodies, 9 patients were having A+ blood group, 44 with B+, 16 with 0+, 1 with AB+ and 29 was not reported, 21 patients died and the remaining patients discharged, and the highest number of cases were between April and September. A significant association exist between platelet count with respect to cases who suffered from CCHF (p-value= 0.000), male were 1.157 times more prone to CCHF as compared to female (OR=1.157), (p-value=0.629) and (CI=0.641-2.089), and animals at home have has more susceptibility to CCHF cases (OR=3.538), (p-value=O.OOO) and (CI=2.219-5.642). Availability: Items available for loan: UVAS Library [Call number: 1377,T] (1).

2. Epidemiology Of Major Transbuondary Diseases Of Livestock In Nomads Herds Of District Buner

by Farman Ali | Prof. Dr. Muhammad Athar Khan | Prof. Dr. Mansur-ud-Din Ahmad.

Material type: book Book; Format: print ; Nature of contents: biography; Literary form: Publisher: 2011Dissertation note: The research project was carried out in the livestock of nomads in District Bunere to study the epidemiology of major trans-boundary livestock diseases including foot and mouth diseases 9FMD) in buffaloes and cattle and Peste des Petite Ruminants (PPR) and Contagious Caprine Pleuropneumonia (CCPP) in sheep and goats. A questionnaire was designed for collecting data regarding morbidity, mortality & case fatality rate in different seasons in the animals of nomads migrate from Afghanistan to Pakistan. Serosurveillance was also conducted by collecting 600 blood samples from the apparently healthy sheep and goats, cattle and buffaloes in the summer season. A total number of 100 nomads were interviewed by systematic random sampling method and sera were collected to test the antibodies against FMDV and PPRV. The serum samples in labeled eppendorph tubes were stored in deep freezer till the sent to lab in ice container. These samples were transported to National Veterinary Laboratory Islamabad, where cattle and buffalo's sera were examined by using 3ABC-ELISA & sheep and goat's sera were analyzed by C-ELISA to detect antibody ofPPRV, respectively. Similarly 60 nasal swabs of sheep and goats collected and examined in Veterinary Research Institute Lahore, by culturing method. The data were collected and analyzed statistically by using SPSS (16.00). Means, Chi square values, P-Vlues and percentages were calculated. The overall prevalence of CCPP was 18.3% while individually 3.3% in sheep and 15 % in goats. The prevalence in goat (15%) was higher than that of sheep (3.3%) with insignificant difference and no significant association between CCPP disease and species of sheep/goat of nomads. Similarly age wise prevalence of CCPP in young (sheep and goats) was 10% which was higher than that of adult (8.3%) with significant association between CCPP disease and age of sheep and goat. Similarly gender wise prevalence was 6.66% in male and 11.6% in female (sheep and goats) with no significant association between CCPP disease results and gender of sheep and goats. The peculiar signs of CCPP were recorded retrospectively, including pneumonic coughing, mucopurulent nasal discharges, fever and abortion in sheep and goats in autumn season in Pakistan and in winter season in Afghanistan respectively. The 10.5% mortality rate, 82% morbidity rate and 12.8% case fatality rate of CCPP in autumn season were recorded in sheep respectively. While 92% morbidity, 12.5% mortality and 13.5% case fatality rate were recorded in goats in autumn, respectively. The mortality, morbidity and case fatality rate were 6.5%, 66%, and 9.8% in sheep in winter season. Similarly mortality, morbidity and case fatality rate in goats due to CCPP in winter season were8%, 89.5% and 8.97%, respectively. The prevalence in both the species were higher in autumn season than that of winter season and zero prevalence were recorded in rest of the seasonsretrospectively. The night stay with crowding of livestock near streams and springs, night fog, morning dew, cold seasons and common travelling and grazing premises were recorded as risk factors for CCPP. The serosurveillance for FMD was conducted and overall seroprevalence of FMD was 32% and individually 12% in buffaloes and 20% in cattle respectively with no significant association and both the species were equally susceptible to FMDV. Gender wise seroprevalence in male and female cattle and buffaloes were 12% and 34 % respectively with no significant association between FMDV antibodies and gender of the animals. Age wise seroprevalence of FMD in adult cattle and buffaloes was higher (24%) than that of young (8%) cattle and buffaloes with a significant association between the age of cattle, and buffaloes and FMDV antibodies. The survey results indicated that all the cattle and buffaloes were in mixed herds and the peculiar signs including stomatitis, lameness, abortion, fever and dysphonia were recorded retrospectively. The mortality rate was 0% in cattle herds of all ages and in both the genders while the morbidity rate was 52.5%. The death rate of l.1%, 75.5% attack rate and 1.41% case fatality rate in buffaloes were recorded retrospectively in the humid rainy season of late summer in Shangla, Besham & Chitral districts. The serosurveillance for PPR in sheep and goats was conducted by using competitive ELISA, dand 42% overall seroprevalence while individually 27% in goats and 14.8% in sheep were recorded with a significant association. Gender wise seroprevalence of 38.8% in females and .3.2% in males of sheep and goats with significant difference and with a significant association to PPRVantibodies were recorded. The age wise seroprevalence of37.8% and 4.2% in adult and in young of both the species with a significant association to PPRV antibodies were recorded. No clinieal signs of PPR were observed by nomads because the infection was subclinical and survived previously because they had not practiced vaccines for last many years. Zero % morbidity and mortality rates were therefore recorded retrospectively in sheep and goat flocks. The four routes at the border areas of Khyber Pakhton Khwa were recorded for the seasonal and cyclieal entrance of livestock of nomads, which act as abridge for diseases transmission between Afghanistan & Pakistan. The outbreaks of CCPP occurred in winter season in Afghanistan and in autumn season in Pakistan (Gilgith, Chitral, Kohistan, Besham, Shanglapar and Buner). Also the FMD outbreaks occurred in Buner and Shangla in late summer while the PPR was subclinical and animals survived. Cross borders as well as district wise trade and movement restrictions are of utmost importance for control the diseases. Similarly serosurveillance of the disease in the local and as well as in nomad's livestock's population necessean appropriate scheduled vaccination. Availability: Items available for loan: UVAS Library [Call number: 1408,T] (1).

3. Assessment Of Knowledge And Practice Of Food Handlers About Food Safety In University Hostel Kitchen Employees

by Qurra-Tul- Ain | Prof. Dr. Mansur-ud-Din Ahmad | Prof. Dr. Muhammad Athar Khan.

Material type: book Book; Format: print Publisher: 2011Dissertation note: Cigarette butts are found at crime scenes as potential evidence. Saliva is present on the cigarette butts that can be detected and DNA can be isolated from nucleated cells present in saliva for quantification and typing. In past, research has declared that cigarette butts are useful source for saliva detection, DNA extraction and profile generation. Difference of saliva accumulation on cigarette butt paper and filter was compared in the present study. On smoked cigarette butts, gender based comparison of saliva detection and DNA quantification was performed. Agarose gel assay was used for amylase enzyme detection. All samples showed positive results for saliva detection. Cigarette butt filter and filter paper were processed separately and analyzed. Results showed more saliva detected at cigarette butt paper. Then gender based comparison on cigarette butt samples smoked by males and females was done for salivary amylase. By using student t-test, no significant difference was found on basis of gender. For extraction of DNA, phenol chloroform extraction method was used. Quantifiler® Human DNA Quantification kit was used through RT-PCR for quantification of DNA isolated from cigarette butt papers. SDS software analyzed the data and gave results of quantified DNA in ng/µL. Gender based comparison in DNA quantity was done by using statistical method. SPSS software was used for statistical analysis. Pearson correlation value was calculated between detected saliva and quantified DNA of samples. Weak positive results of correlation were obtained between saliva and DNA. Availability: Items available for loan: UVAS Library [Call number: 1424,T] (1).

4. Clinico-Epidemiological Study Of Toxocariasis In Pet Cats In Lahore

by Shakera Sadiq Gill | Prof. Dr. Mansur-ud-Din Ahmad | Prof. Dr. Muhammad Athar Khan.

Material type: book Book; Format: print ; Literary form: drama Publisher: 2012Dissertation note: The study was conducted at the pet clinic UVAS to check the prevalence of Toxocara Cati in pet cats and awareness of the pet owners about the zoonosis. Prevalence of Toxocara was checked by conventional laboratory techniques. A survey was conducted to check the awareness of zoonotic diseases among the pet owners using a questionnaire. A total of 40% were found to be infected with Toxocara cati. Overall high prevalence was recorded in cats less than one year of age which was significant. There was also significant difference of prevalence among cats in which deworming was not done as compared to the dewormed cats. Prevalence was also high in cats in which the fecal consistency was not normal. There was no significant difference in prevalence of Toxocara between male and female cats. There was also no significant difference of prevalence among the different breeds of cats. The results of the survey revealed that out of the total of 100 pet owners only 39% had idea of pet zoonosis, while the majority of the owners had awareness about rabies. Only 18 % of the owners were informed by the veterinarians. The total of 98% suggested that the vet should inform the owners about pet zoonosis. Among the total 56% replied that they will leave their pet if a zoonotic problem was diagnosed the remaining were not willing to leave their pets even if a zoonotic problem diagnosed. Most cases of human toxocariasis and zoonotic hookworm infections are preventable by simple measure such as careful personal hygiene, eliminating intestinal parasites from pets through regular deworming and not allowing the children to play in potentially contaminated environments. Despite the fact that some of the pet owners dispose of their pet feaces however,, owners should be educated on proper disposal methods of pet feaces. Disposal methods like using pet feaces as garden manure, can predispose children playing in the lawn to infective eggs and larvae. Availability: Items available for loan: UVAS Library [Call number: 1428,T] (1).

5. Sero And Viro Surveillance Of Influenza Virus Sero Types Circulating In Equine Species

by Muhammad Sajid | Prof. Dr. Mansur-ud-Din Ahmad | Prof. Dr. Muhammad Athar Khan.

Material type: book Book; Format: print ; Literary form: drama Publisher: 2011Dissertation note: Abstract Availability: Items available for loan: UVAS Library [Call number: 1526,T] (1).

6. Seroprevalence Of Brucella Canis In Dogs In Disteict Lahore0

by Muhammad Adnan aslam | Prof. Dr. Mansur ud din ahmad | Prof. Dr. Muhammad Athar khan.

Material type: book Book; Format: print ; Literary form: not fiction Publisher: 2014Dissertation note: Abstract Availability: Items available for loan: UVAS Library [Call number: 1994,T] (1).

7. Retrospective Study Of Fatal Dengue Hemorrhagic Fever In Lahore City

by Shumaila Abdusattar (2012-VA-523) | Prof. Dr. Mansur-ud-din Ahmad | Prof. Dr. Muhammad Athar Khan | Dr. Jawaria Ali Khan.

Material type: book Book; Literary form: not fiction Publisher: 2014Dissertation note: Dengue fever is one of the most common mosquito-borne viral diseases of human beings. It has become a major reason for public health concern internationally over the recent years because of disease morbidity and mortality. Globally around 2.5 billion people are living in areas where dengue viruses can be transmitted. Spread of mosquito vectors & viruses in geographical distribution are two main reasons of rise in incidence and prevalence of dengue fever & appearance of dengue hemorrhagic cases. Urban areas of the tropics have been identified to be highly endemic. According to estimates made by WHO around 50–100 million infections of dengue are prevalent every year globally. (Deen et al. 2006) In Pakistan first dengue outbreak was reported in Karachi in 1994 as environmental conditions are conducive to Aedes mosquito breeding. Economic and security related migration introduced virus to Lahore as well. According to Punjab Health Department 590339 suspected cases were reported in Lahore & 21685 confirmed by serology. It has been observed that 5-10% of these cases develop DHF.(Mahmood et al. 2013) Dengue is mainly transmitted by mosquito vector i.e. Aedesaegypti and can also be transmitted by A.albopictus to a lesser extent. Virus that causes dengue has four different types that are closely related to each other.Infected female mosquitoes transmit this virus to human beings through bite.An infected mosquito can transmit this virus to humans for the rest of its life. Symptoms of dengue range from very mild fever to very high fever including intense headache, retro-orbital pain, muscular and joint pain, and rashes. There is no vaccine or any specific medicine to treat dengue. Patients having dengue fever are advised to take rest and drink ample fluids. They are advised to use paracetamol in order to reduce high grade fever or visit the physician if fever persists. Recovery from infection by one provides lifelong immunity against that serotype but confers only partial and transient protection against subsequent infection by the other three. There have been enough proofs showing that subsequent infection increases the risk of severity of disease which can result in DHF (WHO). Leaking of plasma, fluid accumulation, respiratory distress, and intense bleeding and organ impairment makes severe dengue a fatal complication. Warning signs includes decrease in temperature (below 38°C/ 100°F), severe abdominal pain, rapid breathing, bleeding gums, malaise, and restlessness,continuous vomiting and hematemesis. These can occur three to seven days after first symptom recognition. In order to prevent complications and minimize the risk of death adequate and timely health care is required in next 1-2 critical days.(Halstead 1980) In 1950s when dengue epidemics occurred in the Philippines and Thailand then Dengue hemorrhagic fever was first identified. Till 1970 nine countries had encountered epidemic DHF and this number has increased more than four times and keeps on rising. Today rising number of DHF cases are causing increased dengue outbreaks in the Americas, and in Asia, where all four dengue viruses are endemic. DHF has turn out to be a prominent reason of hospitalization and demise among kids in several states.In Asia, widespread DHF has enhanced geologically from Southeast Asian regions to west China. Various regional states of the South and Central Pacific have encountered significant or slight DHF outbreaks.In previous twenty years deterrence and management has come to be more immediate with the escalating geographical spreadof dengue and dengue hemorrhagic fever and higher ailment occurrence (Gubler 2002). In the absence of bleeding or organ manifestation, DHF is medically challenging to diagnose, and the numerous etiologic agents can barely be distinguished by clinical tests. The specified diagnosis of DHF depends mainly on laboratory testing.(Drosten et al., 2002) Availability: Items available for loan: UVAS Library [Call number: 2211,T] (1).

8. Relationship Of Parent’s Level Of Education And Socio-Demographic Variables With Child’s Immunization Status: A Cross-Sectional Study In The Rural Areas Of District Layyah

by Abida Zahoor (2012-VA-573) | Prof. Dr. Mansur-ud-Din Ahmad | Prof. Dr. Muhammad Athar Khan | Prof. Dr. Masood Rabbani.

Material type: book Book; Literary form: not fiction Publisher: 2015Dissertation note: Immunization is a very important element of public health. It is the process whereby a person is made immune or resistant to an infectious disease, generally by the administration of a vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infections. It prevents against various communicable diseases such as Tuberculosis, Tetanus, Pertussis, Diphtheria, Poliomyelitis, Hepatitis B and Measles. A cross-sectional study was conducted on 200 parents having at-least one child under five years of age. Data was collected from the rural areas of district Layyah. The purpose of the study was to investigate the relationship between parent’s level of education and child’s immunization status on one hand and the effect of sociodemographic variables on child’s immunization status on the other hand. In this study, it was concluded that there was a significant association between parent’s level of education and the socioeconomic variables with child’s immunization status. Low rate of parent’s literacy, especially health literacy, poor socioeconomic status, large population size, parent’s refusal, difficulty in accessing immunization services and lack of health facilities were identified as the main barriers to immunization completion. As parent’s level of education is considered to be the corner stone in the progress of modern nation so education is a very important element as educated parents play a significant role in achieving the health of their children. It was concluded that there was a significant association between literacy status of parents, income status of parents and the immunization status of children. The immunization status of children in the rural areas can be improved by higher household income, literacy, better Summary 41 health knowledge, exposure to media, maternal empowerment and mother’s participation in decision-making process. The policy makers should stress on the education of the people especially female education. Health awareness campaigns should be carried out so that parents can gain the benefits of vaccination. 6.1 Hypothesis Ho: there is no significant relationship between parent’s level of education and child’s immunization status. H1: Parent’s level of education has significant relationship on child’s immunization status 6.2 Methodology A cross-sectional study of six months duration from July 2016 to December 2016 was conducted in the rural areas of district Layyah in which parents of children under 5 years of age were interviewed about the immunization status of their children. Convenient sampling technique was used to collect the data. Data was collected from 200 parents living in the rural areas of district Layyah. The collected data was analyzed by using SPSS version 16.0. 6.3 Statistical Design The dependent variable “child’s vaccination” and independent variables “parent’s educational level, household income, parent’s occupation and family composition” were analyzed by using SPSS version 16 and Microsoft Excel. Data entry and analysis was done on SPSS-16. Chi-square test was used for statistical testing. A p-value of <0.05 was considered significant. Frequencies and percentages of categorical variables were calculated. Cross Summary 42 tabulations were done among dependent and independent variables. Chi-square test was applied on different sociodemographic factors and child’s immunization status to define the significant associations. 6.4 Study Outcomes It is concluded that there is a significant association between literacy status of parents, income status of parents and the immunization status of children. The major benefit of this study is that, the research findings can be used to assess the relationship of parent’s education with child’s immunization status and to find out those factors which are the main hindrance in child’s vaccination coverage. It will also provide new dimensions for further research related to child immunization and the health managers will find new facts and figures that will help them to make national decisions with the certainty of success. Availability: Items available for loan: UVAS Library [Call number: 2654-T] (1).

9. Epidemiology Of Influenza Virus H5n1 In Islamabad Capital Territory

by Zahida Fatima (2005-VA-246) | Prof. Dr. Muhammad Athar Khan | Dr. Khalid Naeem | Prof. Dr. Mansur Ud Din Ahmad | Prof. Dr. Khushi Muhammad.

Material type: book Book; Literary form: not fiction Publisher: 2016Dissertation note: The poultry sector in Pakistan is the second largest industry that contributes to the national gross domestic products (GDP) and remains a major source of nutrition (protein and energy) for human population in Pakistan. Highly Pathogenic Avian Influenza (HPAI) outbreaks due to H5N1 virus in poultry have been recorded in over 62 countries, indicating the contagious nature of the disease and its potential to infect various avian species. These HPAI outbreaks in poultry have lead to killing/culling of around 120 million birds in various countries. During 2009, the Avian Influenza continues to occur in poultry in China, Hong Kong, India, Egypt, Nepal, Bangladesh and Canada . In Pakistan, an HPAI outbreak due to H7N3 virus was first observed in 1994-95 and those due to H9N2 virus in broiler and layer chickens were recorded between late 1990’s and early 2000. During the period between 2006 and 2008, poultry heavily suffered due to multiple outbreaks caused by H5N1 virus. The country experienced several and severe HPAI subtype H5N1 outbreaks during 2006-2008 in commercial poultry farms mostly, causing mass economic losses. In Pakistan all the four poultry production system exists being identified by FAO. The present study was conducted in peri-urban areas of ICT Islamabad, capital of Pakistan. The objectives of the present study were to investigate the outbreaks due to HPAIV H5N1 in 2006-2007 in ICT and identify the pattern and trends of these outbreaks. For this purpose descriptive epidemiological study was conducted and data was collected on a predesigned questionnaire regarding farm demography, culling, morbidity and mortality. The result statistical analysis showed a significantly (P< 0.05) higher morbidity, mortality, case fatality and culling rate in layers farms than breeders and broilers respectively. Layers and breeders of old ages were mostly affected with having higher mortality and culling in comparison to younger age layer and breeder commercial farms. The mean morbidity and mortality rates ranged 57–95% and 5-43% correspondingly. After the HPAIV H5N1 first reported outbreak in Pakistan in 2006 culling strategy was adopted after devastating outbreaks regularly reported from throughout the country. The reasons behind these emerging epidemics were unknown and several hypotheses were given birth after these outbreaks. Knowledge regarding potential risk factors responsible for HPAIV H5N1 epidemics in commercial poultry farms in Pakistan was lacking. Therefore we conducted a longitudinal cross sectional survey (1:1 matched case control study) to identify potential risk factors at farm level responsible for 2006-2007 HPAIV H5N1 infection in poultry in ICT. Information on farm characteristics, biosecurity practices and farm management were collected. Logistic regression model on data was used to unveil the potentially associated risk factors with cases (farms confirmed HPAI H5N1 Positive). Several candidate variables were studied and investigated for association. The results multivariable logistic regression showed that farm location such as in urban area (P<0.05: OR=18.50), wild birds entry (P<0.05: OR= 12.66) and farms situated in highly dense poultry populated area (P<0.05:OR=4.50) were found significantly associated with outbreaks of HPAIV H5N1 infection in commercial poultry farms during 2006-2007 epidemics in the study area. Live bird markets (LBMs) are essential for poultry marketing in developing countries like Pakistan. One year active disease surveillance for influenza viruses in avian species in LBMs in ICT area was conducted in 2011. LBMs in Pakistan are typically urban that brings together many avian species produced by different suppliers. Which make LBMs in Pakistan a potential source of HPAIV viruses as well as other emerging poultry pathogens i.e. new castle disease virus,infectious bronchitis etc. The results of the present surveillance data showed that seroconversion against H5N1 and H9N2 is present in LBMs bird species which were isolated from different samples like serum, cloacal, nasal samples and organ samples.This indicates the continuous threat of AIV viruses circulating in the live bird markets set up of Pakistan. Findings of these studies will help to tailor control and prevention measure against devastating outbreaks in future regarding the local circumstances of commercial poultry farms as well as in LBMs. These studies also succeeded to unveil the true reasons behind these devastating outbreaks and their higher impact on poultry industry. Such type of surveillance programs will be useful in future to investigate several emerging diseases and outbreaks in Pakistan and other developing countries. Availability: Items available for loan: UVAS Library [Call number: 2700-T] (1).

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