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Background Global polio eradication efforts rely in part on molecular methods of detecting polioviruses, both wild and vaccine strains, from human and environmental samples. Previous assays used for detection of Sabin oral polio vaccine (OPV) in fecal samples have been labor and time intensive and vary in their sensitivity and specificity. Methods We developed a high-throughput, multiplex reverse-transcription quantitative polymerase chain reaction assay able to detect all 3 OPV strains in fecal samples. The assay used a KingFisher Duo Prime system for viral RNA isolation and extraction. Positive samples were retested and Sanger sequenced for verification of Sabin serotype identity. Results The 95% lower limit of detection was determined to be 3 copies per reaction for Sabin 1 and 3 and 4 copies per reaction for Sabin 2, with no cross-reactivity between the 3 serotypes and their primers. A total of 554 samples (3.6%) were positive, with 304 positive samples (54.9%) containing >1 serotype. Of the positive samples, 476 (85.9%) contained enough RNA to be sequenced, and of these all sequences were Sabin serotypes. The previous assay we used could process 48 samples in a 10-hour period, whereas the new assay processed >100 samples in 6 hours. Conclusions The new high-throughput, multiplex reverse-transcription quantitative polymerase chain reaction assay allowed for sensitive and specific detection of OPV serotypes while greatly decreasing sample handling and processing time. We were able to sequence 72.4% of the 210 positive samples in the cycle threshold range of 35–37.

Background We aimed to elucidate household and community-level shedding and transmission of trivalent oral polio vaccine (tOPV) in communities with inactivated polio vaccine (IPV) routine immunization after tOPV is administered during a national health week (NHW). Methods We conducted a 3-arm, randomized trial with data collected at baseline through 10 weeks post-NHW in households with at least 1 child

In 2014 the Mexican government implemented taxes to reduce the consumption of sugar-sweetened beverages and nonessential energy-dense foods. In this manuscript, we analyze the scientific evidence linking the consumption of these products to chronic diseases, and summarize the studies that have evaluated the observed and expected impact of food taxes in Mexico. The implementation of taxes to unhealthy foods has reduced purchases of sugar-sweetened beverages in 7.6% and nonessential energy-dense foods in 7.4%. A reduction in consumption could decrease obesity prevalence by 2.5%; prevent 20 000 cardiovascular disease events; 189 000 diabetes cases; and 20 000 cardiovascular deaths. Additionally, this impact could save nearly 1 173 million dollars from healthcare costs. Taxes to unhealthy foods should be strengthened up and remain as an integral part of the national strategy to reduce obesity and chronic diseases in Mexico.En 2014, el gobierno mexicano implementó una política fiscal para disminuir el consumo de bebidas azucaradas y alimentos no básicos con alta densidad energética. Este documento resume y analiza los estudios que han evaluado el impacto observado y esperado de los impuestos a alimentos y bebidas no saludables en México. La implementación de impuestos ha logrado disminuir las compras de bebidas azucaradas en 7.6% y alimentos no básicos con alta densidad energética en 7.4%. La reducción de consumo de bebidas azucaradas podría reducir la obesidad en 2.5%, prevenir 20 000 casos de enfermedad cardiovascular y 189 000 casos de diabetes al año 2022, así como prevenir 2 000 muertes. Además, se espera que estos impuestos ayuden a reducir en 1 173 millones de dólares los costos de atención a la salud. Los impuestos a alimentos no saludables deben fortalecerse y permanecer como parte integral de la estrategia nacional dirigida a reducir la obesidad y las enfermedades crónicas en México.

Under the assumption that local participation can contribute toward conservation, various policies have sought to increase the participation of local communities in conservation, but not always with success. Despite this failure, the drivers that explain local participation remain unclear and few studies have attempted to understand the motivations behind involvement (or lack of it) in different conservation initiatives and adopting the perspective of the local stakeholder. In this study, we analyze the motives behind the participation (or lack thereof) of local populations in three conservation schemes: Protected Areas, Areas Voluntary Devoted to Conservation, and areas under Payment for Environmental Services. The study, conducted in 6 communities of southeastern Mexico, comprises an ethnographic stage and the application of a survey exploring the motives for participation. Our results show similarities among the motives for participation in these three initiatives, predominantly the obligation to comply with acquired commitments and a desire to "care for the land". Results also show that 77 % of the people interviewed did not participate in any conservation initiatives, often due to the lack of mechanisms by which to participate. We conclude by questioning the feasibility of achieving local participation in conservation as currently proposed and for the aims that are outlined.

Chlamydia pecorum, an obligate intracellular bacterium, is associated with reproductive and systemic diseases in sheep, goats, pigs, cattle, and koalas. The main conditions include polyarthritis, conjunctivitis, enteritis, pneumonia, encephalomyelitis, orchitis, placentitis, and abortion. Even though there are several studies showing that C. pecorum infections are widely spread in the world, in Mexico there are no reports. During 2016, as part of a sheep restocking program in Mexico, sheep were imported from New Zealand. Briefly after their arrival in the herds in the State of Mexico, these sheep presented abortions during the last third of gestation. A total of 62 sheep vaginal swabs that had presented abortion from different municipalities of the State of Mexico were collected. Bacterial isolation was performed using L929 mouse fibroblasts, and molecular identification was achieved by 23S rRNA (Chlamydiaceae family) and ompA gene (species-specific) real-time polymerase chain reaction (PCR). In addition, the 16S rRNA subunit and ompA gene were amplified and sequenced. Seven of 62 samples were positive for C. pecorum by bacterial isolation, 23S rRNA, and ompA gene real-time PCR. The 16S rRNA subunit and ompA gene amplicons were purified and the nucleotide sequence was determined in both directions. The consensus sequences homology search was performed using BLASTn analysis and showed a 100% of homology with the C. pecorum 16S rRNA subunit and 99% with the C. pecorum ompA gene. The population structure analyses using ompA gene demonstrated 15 genetic populations or clusters of 198 sequences from GenBank and our sequences were in a particular genetic structure corresponding to genotype “O.” Herein, we describe the presence of C. pecorum in sheep imported from New Zealand into Mexico. Genetic analysis of the ompA gene showed that the isolates belong to genotype O and are related to strains isolated from sheep, cattle, and koalas. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s42770-022-00682-9.

The incidence of human papillomavirus (HPV)-associated cancers, especially those from the head and neck region, has increased. The relatively early age of presentation of HPV-positive head and neck cancer (HNC) indicates that viral infection might be acquired early in life. Persistent HPV infection has been recognized as the main risk factor for cancer development, but most studies have focused on evaluating HPV persistence in the genital region. Thus, in this work, we aimed to evaluate the prevalence of HPV in oral cavity and oropharynx in a young population, as well as the possible persistence of the infection after 12 months. Our results indicate that almost half (46.8%) of the analyzed population harbors an HPV infection either in the oral cavity or in the oropharynx. Furthermore, after 1 year of initial identification, half of them eliminated the infection, and only one person (5.26%) exhibited persistence. Interestingly, 50% of the individuals who successfully eliminated the infection acquired a new viral type, indicating that even when the primary infection is effectively eliminated by the immune system, there is a dynamic circulation of HR-HPV types that produce reinfection. This dynamic HPV infection among young individuals could influence the future establishment of cancer in some proportion of the cases. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s42770-021-00602-3.

OBJETIVO: Elaborar un diagnóstico sobre la aplicación de la perspectiva de género en el campo de la investigación en salud en cuatro revistas mexicanas de los institutos nacionales de salud. MATERIAL Y MÉTODOS: Se revisaron 999 artículos publicados en cuatro revistas científicas (2000-2003), con dos niveles de análisis: a) desagregación de datos por sexo, que permite describir las diferencias entre mujeres y hombres; y b) análisis de estas diferencias desde la perspectiva de género. RESULTADOS: De los artículos revisados, 25.4% desagregó sus resultados por sexo, de los cuales el mayor porcentaje se publicó en Salud Pública de México (48.8%) y el menor en la Revista de Investigación Clínica (16.1%). Solamente 4.2% de los artículos aplicó la perspectiva de género, y los temas mayormente abordados fueron las adicciones, el comportamiento sexual y la violencia. CONCLUSIONES: Este es el primer estudio en México que evalúa la aplicación de la perspectiva de género en la investigación en salud. Al igual que en otros países, es baja la proporción de artículos que analizan las diferencias por sexo y aplican la perspectiva de género. Esto destaca la importancia de promover la investigación interdisciplinaria que ayude a comprender los orígenes biológicos y sociales, o la combinación de ambos, que determinan la salud desigual entre mujeres y hombres.OBJECTIVE: The objective of this study was to determine the application of gender perspective in public health papers in four journals published by the Mexican National Health Institutes. MATERIAL AND METHODS: A total of 999 papers published in the four journals between 2000 and 2003 was reviewed. Two levels of analysis were considered: a) data presented by sex, providing description of differences between women and men, and b) the analysis of these differences from gender perspective. RESULTS: One quarter (25.4%) of the articles described results by sex. The largest percentage was published in Salud Pública de México (48.8%) and the smallest in Revista de Investigación Clínica (16.1%). Gender perspective was used in only 4.2% of papers; of these, drug addictions, health behaviour and violence were the topics that occurred most frequently. CONCLUSIONS: This is the first study to assess the application of gender perspective in Mexican health articles. Similarly to other countries, a very small percentage of authors analyzed sex differences, and a smaller proportion applied gender perspective. Results demonstrate the importance of promoting interdisciplinary research that may promote the elucidation of health inequalities between men and women.

Tijuana, Mexico, has a concentrated HIV epidemic among overlapping key populations (KPs) including people who inject drugs (PWID), female sex workers (FSW), their male clients, and men who have sex with men (MSM). We developed a dynamic HIV transmission model among these KPs to determine the extent to which their unmet prevention and treatment needs is driving HIV transmission. Over 2020-2029 we estimated the proportion of new infections acquired in each KP, and the proportion due to their unprotected risk behaviours. We estimate that 43.7% and 55.3% of new infections are among MSM and PWID, respectively, with FSW and their clients making-up 10% of new infections. Projections suggest 93.8% of new infections over 2020-2029 will be due to unprotected sex between MSM or unsafe injecting drug use. Prioritizing interventions addressing sexual and injecting risks among MSM and PWID are critical to controlling HIV in Tijuana.Tijuana, México, tiene una epidemia de VIH concentrada en poblaciones claves (PC) superpuestas que incluyen personas que se inyectan drogas (PID), trabajadoras sexuales (MTS), sus clientes hombres, y hombres que tienen sexo con hombres (HSH). Desarrollamos un modelo dinámico de transmisión de VIH en estas PC para determinar hasta dónde sus necesidades no atendidas de prevención y tratamiento dirigen la transmisión del VIH. Para 2020–2029 estimamos la proporción de nuevas infecciones adquiridas en cada PC, y la proporción atribuida a sus comportamientos de riesgo sin protección. Estimamos que 43.7% y 55.3% de nuevas infecciones se dan en HSH y PID, respectivamente, con MTS y clientes conformando 10% de nuevas infecciones. Las proyecciones sugieren que 93.8% de nuevas infecciones en 2020–2029 se deberán a sexo sin protección en HSH o uso inseguro de drogas inyectables. Dar prioridad a intervenciones que atienden los riesgos sexual y de inyección en HSH y PID es crítico para controlar el VIH en Tijuana.

Ants (Formicidae) in Mexico have usually been undersampled despite their ecological significance and their utility as environmental service providers and bioindicators. This study estimates the species richness and the narrow endemic species number of ants across Mexico. It also documents the presence of one species newly recorded in Mexico and 19 new state-based records of 14 species from central and north Mexico. No surveys have been performed in most of the localities where we report those records, suggesting the need for a higher sampling effort across the country. We present an ant species richness estimation and a narrow endemic ant species estimation in a grid of 0.5 degrees in Mexico. Stenamma schmitii is recorded for the first time from Mexico. Additionally, new state-based records of Azteca velox, Dorymyrmex insanus, Camponotus coruscus, Camponotus striatus, Formica propatula, Lasius latipes, Neivamyrmex melanocephalus, Neivamyrmex rugulosus, Syscia augustae, Atta texana, Cephalotes scutulatus, Crematogaster crinosa and Temnothorax andrei are recorded.

Leptospirosis is a neglected zoonotic disease of unknown magnitude that has been overlooked and underreported, influenced by complex interactions established among humans, animals, and the environment; certain occupations, such as working with livestock, have an increased risk of exposure. We conducted a cross trans-sectional study in 374 serum samples obtained from workers and residents of dairy farms in the Tizayuca Basin, Hidalgo, Mexico, to determine the prevalence of anti-Leptospira antibody and the risk factors associated to this type of environment. The determination of anti-Leptospira antibodies was obtained by microscopic agglutination test. Seropositivity was defined from titles > 1:100. Seropositivity of anti-Leptospira antibodies among the population was 46.8% (176/374) (95% Cl 41.9–52.1). Thirty-nine percent (146/74) of the analyzed serum reacted to the Hardjo serovar (Sejröe serogroup). Eighty-eight percent (8/9) slaughterhouse workers tested were seropositive. Those who belonged to an ethnic group had OR 1.78 (IC 1.02–3.11, P = 0.041). Seropositivity was associated with having a secondary school level or lower, with OR 1.79 (IC 0.97–3.29, P = 0.058). Exposure to Leptospira in a dairy production farm is a risk factor for humans. Our findings can contribute to strengthening the intervention of the Public Health System to prevent this zoonosis that prevails in dairy farm environments.

We used a nationally representative survey of 2186 Mexican Catholic parents to assess two outcomes: support for adolescent access to modern contraception and whether adolescents unaccompanied by an adult should have access to contraceptive methods. A majority (85%) of Mexican Catholic parents support adolescent access to modern contraceptive methods, but there was less support (28%) for access to contraception unaccompanied. Further, our results show strong support (92%) for sex education in schools. Parents who believe that good Catholics can use contraception had higher odds of support for adolescent access and unaccompanied access to modern contraception. Mexican Catholic parents support adolescent access to modern contraception, but support for unaccompanied access to contraception is lower. This may reflect an interest in being involved, and not necessarily opposition to contraceptive use. Measures of Catholicism that focus on behaviors may better explain opinions about adolescent access to contraception.

The link between Toxoplasma gondii infection and multiple sclerosis remains controversial. In the present study, we aimed to determine the association between T. gondii seropositivity and multiple sclerosis. Using an age- and gender-matched case-control study, we studied 45 patients who had multiple sclerosis attended in two public hospitals and 225 control subjects without this disease and other neurological disorders in Durango City, Mexico. Serum samples of cases and controls were analyzed for detection of anti-Toxoplasma IgG using a commercially available enzyme-linked immunoassay. One (2.22%) of the 45 patients with multiple sclerosis, and 15 (6.67%) of the 225 control subjects without this disease were seropositive for anti-T. gondii IgG antibodies. No statistically significant difference (OR = 0.31; 95% CI: 0.04–2.47; P = 0.48) in seroprevalence of anti-T. gondii IgG antibodies between cases and controls was found. The frequency of T. gondii seropositivity did not vary among cases and controls about sex or age groups. Results of this study do not support an association between seropositivity to T. gondii and multiple sclerosis. However, additional research with larger sample sizes to confirm this lack of association should be conducted.

A growing concern exists over water contamination by veterinary pharmaceuticals from small pig farms in Yucatan, Mexico, where the anaerobic digesters installed as the wastewater treatment system are not operated properly. Therefore, considerable interest exists to develop analytical methods to detect these compounds and characterize their fate in the environment. In this study, the detection of three antibiotics (enrofloxacin, oxytetracycline and sulfamethoxazole) and a β-agonist (ractopamine) was carried out using fluorescence spectrophotometry, with a semi-quantitative approach and a low environmental impact. Wastewater samples from 10 pig farms were analyzed, detecting concentrations of approximately 0.043 μg mL−1 for enrofloxacin, 1.427 μg mL−1 for oxytetracycline, and 9.748 μg mL−1 for sulfamethoxazole. The detection of these pharmaceuticals in the effluents of treated wastewater from the biodigesters of the pig farms suggests the need to optimize the system and prevent the entry of these compounds into the environment.

There has been a noticeable shift in discussions about cervical cancer, moving from prevention to elimination. Interventions such as FASTER, human papillomavirus (HPV) vaccination and HPV screening are innovative intervention strategies which can be utilized to begin a path to elimination. To explore the feasibility of the FASTER strategy, an evaluation was carried out in eight primary health-care centers within the Tlalpan Health-Jurisdiction of Mexico City between March 2017 and August 2018. A mixed methods approach was used to evaluate three components: infrastructure, patient acceptability, and health-care professionals’ perceptions. This included checklists of requirements for the infrastructure rollout of FASTER and interviews with women and health-care professionals. Nearly all (93%) of the 3,474 women aged 25–45 years accepted HPV vaccination as part of a combined vaccination and screening program. The main reason for acceptance was prevention, while having doubts about the vaccine’s benefits was the main reason for refusal. Most of the 24 health-care professionals had a positive opinion toward HPV vaccination and identified the need to increase dissemination, inform the population clearly and concisely and currently extend the age range for vaccination. The evaluation of eight primary health-care centers showed they had the necessary infrastructure for the development of a joint HPV prevention strategy, but many centers required improvements to become more efficient. Together these findings suggest that although HPV vaccine acceptance was high, there is the need to increase education and awareness among potential vaccine recipients and health-care professionals to implement the FASTER strategy.

Increases in wastewater discharges and the generation of municipal solid wastes have resulted in deleterious effects on the environment, causing eutrophication and pollution of water bodies. It is therefore necessary to investigate sustainable bioremediation alternatives. Wastewater treatment using consortia of microalgae-bacteria is an attractive alternative because it allows the removal and recycling of nutrients, with the additional advantage of biomass production and its subsequent conversion into valuable by-products. The present study aims to integrate wastewater and landfill leachate treatment with the production of microalgal biomass, considering not only its valorization in terms of lipid and carbohydrate content but also the effect of nutrient limitation on biomass formation. The effect of treating a mixture of raw wastewater with different leachate ratios (0%, 7%, 10% and 15%) was investigated using a microalgae-bacteria consortium. Two microalgae (Desmodesmus spp. and Scenedesmus obliquus) were used. Nutrient removal, biomass concentration, carbohydrate, lipid and Fatty Acid Methyl Ester (FAMEs) content and morphological changes were evaluated. Removals of 82% of NH4+ and 43% of orthophosphate from a wastewater-leachate mixture (containing 167 mg/L NH4+ and 23 mg/L PO43-) were achieved. The highest final yield was obtained using Desmodesmus spp. (1.95 ± 0.3 g/L). The microalgae were observed to accumulate high lipid (20%) and carbohydrate (41%) contents under nutrient limiting conditions. The concentration of Polyunsaturated Fatty Acids (PUFAs) also increased. Morphological changes including the disintegration of coenobia were observed. By using a mixture of wastewater-leachate it is possible to remove nutrients, since microalgae tolerate high ammonia concentrations, and simultaneously increase the algal biomass concentration containing precursors to allow biofuel production.

We determined the association between having a history of surgery and the seroreactivity to T. gondii. An age- and gender-matched case-control study of 391 subjects with a history of surgery and 391 subjects without this history was performed. Sera of subjects were analyzed for detection of anti-T. gondii immunoglobulin G (IgG) and M (IgM) antibodies using enzyme-linked immunoassays. Anti-T. gondii IgG antibodies were found in 25 (6.4%) of the 391 cases and in 21 (5.4%) of the 391 controls (odds ratio [OR] = 1.29; 95% confidence interval [CI]: 0.66– 2.18; P = 0.54). The frequency of cases with high IgG antibody levels (10/25: 40.0%) was equal to that found in controls (8/21: 38.1%) (OR = 1.08; 95% CI: 0.32–3.56; P = 0.89). Of the 25 anti-T. gondii IgG antibody seropositive cases, 5 (16.0%) were also positive for anti-T. gondii IgM antibodies. Meanwhile, of the 21 anti-T. gondii IgG antibody seropositive controls, 4 (19.0%) were also positive for anti-T. gondii IgM antibodies (OR = 0.81; 95% CI: 0.17–3.72; P = 0.80). Logistic regression showed that only the variable “hysterectomy” was associated with T. gondii seropositivity (OR = 4.6; 95% CI: 1.6–13.4; P = 0.005). Results suggest that having a history of surgery is not an important risk factor for infection with T. gondii. However, the link between T. gondii infection and hysterectomy should be further investigated

Here we present an occurrence dataset that contributes to the knowledge of tropical fish distribution in coastal habitats from the Terminos Lagoon Flora and Fauna Protection Area, one of the largest lagoon ecosystems in the Gulf of Mexico. Fish are high biomass keystone species in the Terminos Lagoon which provide socio-economic and ecosystem services. An initiative in 1980 was carried out to systematically sample the fish community of Terminos Lagoon for an annual cycle; the effectiveness of its results led to replicate in the lagoon the same sampling design for three more campaigns in 1998, 2010 and 2016. Constituted as a Flora and Fauna Protection Area in 1994, the Terminos Lagoon has received many efforts to inventory its biodiversity, particularly on the fish community since the 70s; however, these studies did not have consistent survey protocols, nor the longevity of the present study, which was over four decades. A total of 141 fish species, belonging to 90 genera, 49 families, 20 orders and two classes are presented in this study. Information on fish species occurrence data is provided corresponding to the Terminos Lagoon coastal ecosystem, southern Gulf of Mexico, assembled from four time periods at 1980, 1998, 2010 and 2016. The records form part of a consistently homogeneous database compilation, mostly derived from the research programme's sampled material on tropical fishery resources of the “Instituto de Ecologia, Pesquerias y Oceanografia del Golfo de Mexico (EPOMEX)”. The current dataset represents the first and most comprehensive online open-access source of information concerning the fish community occurring along and wide of the Terminos Lagoon ecosystem, with 1,249 data records and a total count of 48,717 organisms. Data are available through the Ocean Biodiversity Information System (OBIS).

We watch two children playing the game ‘‘Rock, Paper, Scissors.’’ This game begins as one of random chance, but it rapidly evolves into a mesmerizing interaction of strategy, wit, and memory. The hand is transformed into a weapon, an attack, a defense. Now cutting, now wrapping, now blunting. Fingers become blades; fists become rock; palms become paper. In this issue’s cover art, one part of a triptych by the renowned Mexican artist Abel Vazquez, a most curious fish brings new meaning to that childhood game. This pajaro is a mythical beast, a transformed animal, a bizarre chimera. A bird with human qualities. A bird with a bowler hat. A bird with the tail of a fish. This striking watercolor is a contemporary take on the alebrije figurines first created by the celebrated Mexican artist Pedro Linares in 1936. It was in this year, so the story goes, that Pedro Linares became ill and, while lying feverish in bed, he dreamt of a surreal forest where animals transformed into chimeric forms, each shouting the word ‘‘alebrijes!’’ When Linares awoke, he picked up the nearest material—paper— and molded figures of these chimeric forms, painting them in garish colors remembered through the distortion of severe illness. Linares’ bestiary is now created by his sons and grandsons and a host of ‘‘cartoneros’’ across Mexico. Beautiful winged fish with legs; dragons grasping at decorated skeletons; bejeweled, deformed toad-headed agamids. Like the mythical Chimera of the 9th century B.C. manuscripts by Homer (Iliad, VI and XVI) and Hesiod (The Theogony, ll. 306–332), these beasts are a thing of fascination, curiosity, and fear for humans. While many, like our cover’s image, are harmless, others represent a magnified ability to destroy and kill. A threat to our very existence. A subliminal stab to our psyche. And so, we return to Mexico, to a more dramatic version of ‘‘Rock, Paper, Scissors’’ played out very recently. This time, it’s a game of genetic reassortment—random acts of chemical bonding. But, as in the children’s game, much more than chance guides the outcome. Given the right conditions—high densities of livestock, international trade and travel, and a diversity of migrating birds—we find ourselves in a similar mesmerizing battle, one that pitches our wits against the evolution of our own chimeric H1N1 creation. What can we learn from Greek mythology that might have bearing on the defeat on this modern, man-made chimera? In mythical times, the Greek gods sent a hero, Bellerophon, to destroy the Chimera. He did this by tipping his spear with lead, melting this in the beast’s fiery breath, and skewering the animal and sealing its guts (Iliad, XVI). A gory tale, perhaps, but also a measure of our own fate? With H1N1 influenza now global, and a simmering caseload in Australia ready to burst forth on the Northern Hemisphere’s winter flu season, we are in unknown territory as we scramble for a vaccine. We analyze our chimera’s weapons, its fiery breath, and we design our spears accordingly. But our shifting foe is not the known entity that the ancient Chimera was. Driven by our own actions, it is able to respond to our every move and transform again— evolving resistance, changing virulence. And so, returning to our Mexican artist Abel Vazquez, we watch as he puts down his brush, and silently we wait. This artist is still painting. This triptych is not complete. EcoHealth 6, 159–160, 2009 DOI: 10.1007/s10393-009-0245-x

Most of the existing prediction models for COVID-19 lack validation, are inadequately reported or are at high risk of bias, a reason which has led to discourage their use. Few existing models have the potential to be extensively used by healthcare providers in low-resource settings since many require laboratory and imaging predictors. Therefore, we sought to develop and validate a multivariable prediction model of death in Mexican patients with COVID-19, by using demographic and patient history predictors. We conducted a national retrospective cohort study in two different sets of patients from the Mexican COVID-19 Epidemiologic Surveillance Study. Patients with a positive reverse transcription-polymerase chain reaction for SARS-CoV-2 and complete unduplicated data were eligible. In total, 83 779 patients were included to develop the scoring system through a multivariable Cox regression model; 100 000, to validate the model. Eight predictors (age, sex, diabetes, chronic obstructive pulmonary disease, immunosuppression, hypertension, obesity and chronic kidney disease) were included in the scoring system called PH-Covid19 (range of values: −2 to 25 points). The predictive model has a discrimination of death of 0.8 (95% confidence interval (CI) 0.796–0.804). The PH-Covid19 scoring system was developed and validated in Mexican patients to aid clinicians to stratify patients with COVID-19 at risk of fatal outcomes, allowing for better and efficient use of resources.

Sanitary landfill leachates usually have characteristics that depend on the region where they are generated and according to the age of the landfill, which is why a unique treatment for their sanitation has not been found. However, the adsorption preceded by the Fenton process has been proven to be highly efficient at removing contaminants. In this study, the adsorptive capacity of two types of activated carbon, granular and powdered, was analyzed to determine which was more efficient in the adsorption stage in the Fenton-adsorption process. Likewise, its behavior was analyzed using three isotherm models (Langmuir, Freundlich and Temkin), testing the raw leachate and the Fenton-treated one with both carbons. The adsorption that is carried out on the carbons is better adjusted to the Freundlich and Temkin models. It concludes that multilayers, through the physical adsorption, carry out the adsorption of pollutants on the surface of the carbons. The results show that, statistically, granular activated carbon is more efficient at removing chemical oxygen demand (COD), and powdered activated carbon removes color better. Finally, an adsorption column was designed for the Fenton-adsorption process that was able to remove 21.68 kgCOD/kg carbon. Removal efficiencies for color and COD were &gt, 99%.

Varicella-zoster virus causes varicella (chicken-pox), mainly in young children. Most cases are mild but serious complications can occur, resulting in significant morbidity and mortality. The objective of this study was to estimate the cost burden of varicella hospitalizations in two pediatric reference hospitals in Mexico. This retrospective observational study collected data on patients aged

BackgroundLittle is known about the joint mental health effects of air pollution and tobacco smoking in low- and middle-income countries.AimsTo investigate the effects of exposure to ambient fine particulate matter pollution (PM2.5) and smoking and their combined (interactive) effects on depression.MethodMultilevel logistic regression analysis of baseline data of a prospective cohort study (n=41785). The 3-year average concentrations of PM2.5 were estimated using US National Aeronautics and Space Administration satellite data, and depression was diagnosed using a standardised questionnaire. Three-level logistic regression models were applied to examine the associations with depression.ResultsThe odds ratio (OR) for depression was 1.09 (95% CI 1.01–1.17) per 10 μg/m3 increase in ambient PM2.5, and the association remained after adjusting for potential confounding factors (adjusted OR = 1.10, 95% CI 1.02–1.19). Tobacco smoking (smoking status, frequency, duration and amount) was also significantly associated with depression. There appeared to be a synergistic interaction between ambient PM2.5 and smoking on depression in the additive model, but the interaction was not statistically significant in the multiplicative model.ConclusionsOur study suggests that exposure to ambient PM2.5 may increase the risk of depression, and smoking may enhance this effect.

Author(s): Alcantara-Hernandez, RJ; Tas, N; Carlos-Pinedo, S; Duran-Moreno, A; Falcon, LI | Abstract: Anaerobic digestion of organic residues offers economic benefits via biogas production, still methane (CH4 ) yield relies on the development of a robust microbial consortia for adequate substrate degradation, among other factors. In this study, we monitor biogas production and changes in the microbial community composition in two semi-continuous stirred tank reactors during the setting process under mesophilic conditions (35°C) using a 16S rDNA high-throughput sequencing method. Reactors were initially inoculated with anaerobic granular sludge from a brewery wastewater treatment plant, and gradually fed organic urban residues (4·0 kg VS m-3 day-1 ) . The inocula and biomass samples showed changes related to adaptations of the community to urban organic wastes including a higher relative proportion of Clostridiales, with Ruminococcus spp. and Syntrophomonas spp. as recurrent species. Candidatus Cloacamonas spp. (Spirochaetes) also increased from ~2·2% in the inoculum to g10% in the reactor biomass. The new community consolidated the cellulose degradation and the propionate and amino acids fermentation processes. Acetoclastic methanogens were more abundant in the reactor, where Methanosaeta spp. was found as a key player. This study demonstrates a successful use of brewery treatment plant granular sludge to obtain a robust consortium for methane production from urban organic solid waste in Mexico.Significance and impact of the studyThis study describes the selection of relevant bacteria and archaea in anaerobic digesters inoculated with anaerobic granular sludge from a brewery wastewater treatment plant. Generally, these sludge granules are used to inoculate reactors digesting organic urban wastes. Though, it is still not clearly understood how micro-organisms respond to substrate variations during the reactor start-up process. After feeding two reactors with organic urban residues, it was found that a broader potential for cellulose degradation was developed including Bacteroidetes, Firmicutes and Spirochaetes. These results clarify the bacterial processes behind new reactors establishment for treating organic wastes in urban areas.

Background: Many low- to middle-income countries have completed or are in the process of transitioning from high or intermediate to low endemicity for hepatitis A virus (HAV). Because the risk of severe hepatitis A disease increases with age at infection, decreased incidence that leaves older children and adults susceptible to HAV infection may actually increase the population-level burden of disease from HAV. Mathematical models can be helpful for projecting future epidemiological profiles for HAV. Methods: An age-specific deterministic, dynamic compartmental transmission model with stratification by setting (rural versus urban) was calibrated with country-specific data on demography, urbanization, and seroprevalence of anti-HAV antibodies. HAV transmission was modeled as a function of setting-specific access to safe water. The model was then used to project various HAV-related epidemiological outcomes in Brazil and in Mexico from 1950 to 2050. Results: The projected epidemiological outcomes were qualitatively similar in the 2 countries. The age at the midpoint of population immunity (AMPI) increased considerably and the mean age of symptomatic HAV cases shifted from childhood to early adulthood. The projected overall incidence rate of HAV infections decreased by about two thirds as safe water access improved. However, the incidence rate of symptomatic HAV infections remained roughly the same over the projection period. The incidence rates of HAV infections (all and symptomatic alone) were projected to become similar in rural and urban settings in the next decades. Conclusion: This model featuring population age structure, urbanization and access to safe water as key contributors to the epidemiological transition for HAV was previously validated with data from Thailand and fits equally well with data from Latin American countries. Assuming no introduction of a vaccination program over the projection period, both Brazil and Mexico were projected to experience a continued decrease in HAV incidence rates without any substantial decrease in the incidence rates of symptomatic HAV infections.

The present study reports the occurrence of the genus Belonolaimus in the state of Sinaloa, Mexico, associated with native plants (i.e., Ziziphus amole and Stenocereus alamosensis) in a natural coastal ecosystem. Both morphological and molecular approaches were employed to characterize the Sinaloa population. Notwithstanding of some morphological and morphometric variation between Belonolaimus from Sinaloa and other valid species, the characterization indicates that this population might belong to the Belonolaimus longicaudatus species complex. Molecular analyses based on the 28S gene and ITS1-5.8S-ITS2 regions of the ribosomal RNA (rRNA) identified four major clades within Belonolaimus; however, none of the species including B. longicaudatus, B. gracilis, and B. euthychilus were supported as monophyletic; yet monophyly is argued to be a basic requirement of species status. Sequence divergence among different Belonolaimus populations and species varied according to the rRNA dataset (i.e., ITS1-5.8S-ITS2 . 28S . 18S) used, thus showing the importance of using genes with different rates of evolution to estimate species relationships. The fact that Belonolaimus has not been found in other cultivated (including on suitable hosts) areas in Sinaloa and that this population is relatively distant from the common B. longicaudatus groups (i.e., clades A and B) suggests that its appearance was not due to a recent introduction associated with the local agriculture.

At first sight, Mexico appears to be a textbook example of a state affected by off-shore finance. Offshore financial services allow corporations and the wealthy to plan taxes, avoid regulations or to launder money. The literature holds that large, developing, open economies, with geographical proximity to offshore centers and problems of crime and corruption are particularly affected by offshoring. By this logic, we should expect Mexico to show a significant demand for offshore financial services. Yet, new empirical evidence derived from interviews and banking statistics suggests otherwise. Mexican firms and individuals make only limited use of offshore finance. The article explains why. Building on a Weberian notion of the state, the article shows that the historically exclusive nature of Mexico’s state concentrates political and economic power such that the onshore economy offers similar rents for economic elites as offshoring. Moreover, in instances where economic actors use offshore services it is driven by banking, not taxation. These findings have two theoretical implications. First, they confirm that institutions matter, though differently than hitherto thought. Second, we must look beyond taxation to include banking into our analyses.

Funding support for this study is from Singapore Ministry of Education Academic Research Fund Tier 2 (MOE2015‐T2‐1‐008); Hong Kong Research Grants Council through its General Research Fund (Project 17606815); Wellcome Trust UK (GR079946/B/06/Z and GR079946/Z/06/Z). Global circuits of migration regularly separate parents from children. How families navigate this separation has changed markedly. The sharp decline in the cost of international communication makes possible new forms of transnational parenting. In many contexts, migrants are now actively engaged parents, involved in decisions, knowledgeable of children's schooling, employment, and activities, and in some cases, even conversant face‐to‐face with children via videoconferencing. These practices, however, are not universal. We use data from surveys in 3 countries to document the frequency and variability of intensive, engaged transnational parenting in the diverse global regions of Asia, Africa, and the Americas. We then ask whether the organisation of children's lives—specifically, time allocated to school homework, leisure, and household chores—varies by the degree to which migrant parents stay connected to sending homes. The gender of the migrant parent, stay‐behind caregiver, and the gender of the child emerge as explanatory factors for engaged parenting and children's time use. However, and unexpectedly, in the Philippines, migrant mothers are less likely to practice engaged parenting. In sending households, girls in two of the three countries spend more time doing household chores than boys, but parental migration does not mitigate this difference. Although we find some evidence of more traditional gender practices, we also find exceptions that suggest potentially fruitful avenues for future research. Publisher PDF

Hepatitis A vaccination stimulates memory cells to produce an anamnestic response. In this study, we used a mathematical model to examine how long-term immune memory might convey additional protection against clinical/icteric infections. Dynamic and decision models were used to estimate the expected number of cases, and the costs and quality-adjusted life-years (QALYs), respectively. Several scenarios were explored by assuming: (1) varying duration of vaccine-induced immune memory, (2) and/or varying levels of vaccine-induced immune memory protection (IMP), (3) and/or varying levels of infectiousness in vaccinated individuals with IMP. The base case analysis assumed a time horizon of 25 y (2012 – 2036), with additional analyses over 50 and 75 y. The analyses were conducted in the Mexican public health system perspective. In the base case that assumed no vaccine-induced IMP, the 2-dose hepatitis A vaccination strategy was cost-effective compared with the 1-dose strategy over the 3 time horizons. However, it was not cost-effective if we assumed additional IMP durations of at least 10 y in the 25-y horizon. In the 50- and 75-y horizons, the 2-dose strategy was always cost-effective, except when 100% reduction in the probability of icteric Infections, 75% reduction in infectiousness, and mean durations of IMP of at least 50 y were assumed. This analysis indicates that routine vaccination of toddlers against hepatitis A virus would be cost-effective in Mexico using a single-dose vaccination strategy. However, the cost-effectiveness of a second dose depends on the assumptions of additional protection by IMP and the time horizon over which the analysis is performed.

Background Use of flavour capsule varieties (FCVs) of cigarettes has rapidly increased in many countries. Adolescents are attracted to flavours; yet, surprisingly, no quantitative study has explored adolescents9 perceptions of these products. Objective To characterise the appeal of FCVs for young adolescents in Mexico. Methods In 2015, surveys were conducted with a representative sample of Mexican middle school students (n=10 124; ages 11–16 years; mean 12.4 years). Students viewed and rated packs for FCVs and non-FCVs from major brands (Marlboro, Camel, Pall Mall), with brand names removed. For each pack, students were asked to write the brand name (ie, brand recall), to evaluate pack attractiveness, and to indicate the pack they were most interested in trying (including a ‘none’ option). Logistic generalised estimating equation (GEE) models regressed brand recall, pack attractiveness and interest in trying on brand and FCV (yes vs no), controlling for sociodemographics and smoking risk factors. Results Marlboro regular, Camel regular, Camel light and Pall Mall FCVs were most often recalled (25%, 17%, 9%, 8%). Packs for Pall Mall FCVs and Camel FCVs were most often rated as very attractive (13%, 9%, respectively) and of interest for trial (22%, 13%) along with Marlboro regular (14%). In GEE models, FCVs were independently associated with greater attractiveness (adjusted OR (AOR)=1.83, 95% CI 1.72 to 1.94) and interest in trying (AOR=1.74, 95% CI 1.54 to 1.96). Perceived pack attractiveness was also independently associated with greater interest in trying (AOR=5.63, 95% CI 4.74 to 6.68). Conclusions FCVs appear to be generating even greater appeal among young adolescents than established non-FCVs in dominant brand families.

Measles virus (MeV) represents one of the main causes of death among young children, particularly in developing countries. Upon infection, MeV controls both interferon induction (IFN) and the interferon signaling pathway which results in a severe host immunosuppression that can persists for up to 6 mo after infection. Despite the global biology of MeV infection is well studied, the role of the plasmacytoid dendritic cells (pDCs) during the host innate immune response after measles vaccination remains largely uncharacterized. Here we investigated the role of pDCs, the major producers of interferon in response to viral infections, in the development of adaptive immune response against MeV vaccine. We report that there is a strong correlation between pDCs population and the humoral immune response to Edmonston Zagreb (EZ) measles vaccination in 9-month-old mexican infants. Five infants were further evaluated after vaccination, showing a clear increase in pDCs at baseline, one week and 3 months after immunization. Three months postvaccination they showed increase in memory T-cells and pDCs populations, high induction of adaptive immunity and also observed a correlation between pDCs number and the humoral immune response. These findings suggest that the development and magnitude of the adaptive immune response following measles immunization is directly dependent on the number of pDCs of the innate immune response.

Several ChimeriVax-Dengue (CYD)-based vaccination strategies were investigated as potential alternatives to vaccination with tetravalent CYD vaccine (CYD-TDV) in this phase IIa trial conducted in 2008–9 in 150 healthy adults. Participants were randomized and vaccinated on D0 and D105 (± 15 days). One group received bivalent CYD vaccine against serotypes 1 and 3 (CYD-1;3) on day 0 and CYD-2;4 on day 105 (±15 days). Two groups received an injection at each timepoint of a tetravalent blend of CYD-1;3;4 and a VERO cell derived, live attenuated vaccine against serotype 2 (VDV-2), or the reference CYD-TDV. A fourth group received Japanese encephalitis (JE) vaccine on days -14, -7 and 0, followed by CYD-TDV on day 105. Viraemia was infrequent in all groups. CYD-4 viraemia was most frequent after tetravalent vaccination, while CYD-3 viraemia was most frequent after the first bivalent vaccination. Immunogenicity as assessed by 50% plaque reduction neutralisation test on D28 was comparable after the first injection of either tetravalent vaccine, and increased after the second injection, particularly with the blended CYD-1;3;4/ VDV-2 vaccine. In the bivalent vaccine group, immune response against serotype 3 was highest and the second injection elicited a low immune response against CYD 2 and 4. Immune responses after the first injection of CYD-TDV in the JE-primed group were in general higher than after the first injection in the other groups. All tested regimens were well tolerated without marked differences between groups. Bivalent vaccination showed no advantage in terms of immunogenicity. Clinical trial registration number: NCT00740155

The state of Hidalgo (Mexico) is an important region from the point of view of biodiversity. However, there exists a significant gap in accessible knowledge about species diversity and distribution, especially regarding to freshwater ecosystems. This dataset comprises the sampling records of two projects developed in Hidalgo between 2007 and 2009 about the freshwater fish communities of Tecocomulco lake and rivers belonging to the Metztitlán Canyon Biosphere Reserve. It contains the taxonomic identity (species level) and basic biometric data (total length and weight) as well as date of collection and coordinates of more than 9000 specimens. This dataset is the primary result of the first and unrepeated exhaustive freshwater fish’s survey of Metztitlán Canyon Biosphere Reserve and Tecocomulco lake. It incorporates seven more species to the regional fish fauna, and new exclusive biometric data of ten species. This dataset can be used by studies dealing with, among other interests, North American freshwater fish diversity (species richness, distribution patterns) and biometric analyses, useful for the management and conservation of these areas. The complete dataset is also provided in Darwin Core Archive format.

The goal of this research is to find a more effective treatment for tequila vinasses (TVs) with potential industrial application in order to comply with the Mexican environmental regulations. TVs are characterized by their high content of solids, high values of biochemical oxygen demand (BODs), chemical oxygen demand (COD), low pH and intense colour; thus, disposal of untreated TVs severely impacts the environment. Physicochemical and biological treatments, and a combination of both, were probed on the remediation of TVs. The use of alginate for the physicochemical treatment of TVs reduced BOD5 and COD values by 70.6% and 14.2%, respectively. Twenty white-rot fungi (WRF) strains were tested in TV-based solid media. Pleurotus ostreatus 7992 and Trametes trogii 8154 were selected due to their ability to grow on TV-based solid media. Ligninolytic enzymes' production was observed in liquid cultures of both fungi. Using the selected WRF for TVs' bioremediation, both COD and BOD5 were reduced by 88.7% and 89.7%, respectively. Applying sequential physicochemical and biological treatments, BOD5 and COD were reduced by 91.6% and 93.1%, respectively. Results showed that alginate and selected WRF have potential for the industrial treatment of TVs.

Objective To evaluate and compare the intake of lipids and (A, E, and C) vitamins in patients with and without possible neurodegenerative diseases. Methods Twenty adults with possible Alzheimer's disease or Parkinson's disease and 41 control subjects (50–89 years old) from a rural region were studied. Dietary intake was evaluated with the analysis of macronutrients and micronutrients conducted by a food frequency questionnaire and 24 hours dietary record. Analyses were adjusted for age, sex, body mass index, and energy intake. Through interrogation and use of medical record form of health secretary we obtained information about the sociodemographic characteristics. Multivariate analysis of variance to allow for covariated adjustment was used. Results Patients had a lower energy intake, vitamin C (P = 0.016), fruits (P

The Fogarty International Center (FIC) initiative, “International Tobacco and Health Research Capacity Building Program” represents an important step in US government funding for global tobacco control. Low‐ and middle‐income countries of the world face a rising threat to public health from the rapidly escalating epidemic of tobacco use. Many are now parties to the Framework Convention on Tobacco Control (FCTC) and capacity development to meet FCTC provisions. One initial grant provided through the FIC was to the Institute for Global Tobacco Control (IGTC) at the Johns Hopkins Bloomberg School of Public Health (JHSPH) to support capacity building and research programmes in China, Brazil, and Mexico. The initiative's capacity building effort focused on: (1) building the evidence base for tobacco control, (2) expanding the infrastructure of each country to deliver tobacco control, and (3) developing the next generation of leaders as well as encouraging networking throughout the country and with neighbouring countries. This paper describes the approach taken and the research foci, as well some of the main outcomes and some identified challenges posed by the effort. Individual research papers are in progress to provide more in‐depth reporting of study results.

The leaves of the agave plant are left in the field after harvesting the heads for tequila production. Different types of agave leaves were isolated, classified, and their content in the total plant determined. The usable fractions were collected and their properties determined. Of the total wet weight of the agave plant, 54% corresponds to the agave head, 32% corresponds to materials which could be usable for sugar and fiber production which leaves 14% of the wet plant without apparent utility. The fractions with higher total reducing sugars (TRS) content were the fresh fraction of partially dry leaves stuck to the head and the leaf bases with a TRS content of 16.1% and 13.1%, respectively. The highest TRS concentration (16–28%) is in the agave head which is used for tequila production. The leaves are 90–120 cm long and 8–12 cm wide and contain fiber bundles that are 23–52 cm long and 0.6–13 mm wide. The ultimate fiber length is approximately 1.6 mm with an average width of 25 μm. There are several types of leaf fibers that can be utilized depending on what part of the plant they come from and what product is desired. Agave leaf fibers were pulped using a soda pulping process and the pulp was hand formed into test sheets. Test sheets made from pulped agave leaf fibers had a breaking length comparable to paper made from both pine and eucalyptus fibers, but the tear index and burst index were lower than the other two papers.

Inorganic urban solid waste (IUSW) is a serious problem in developing countries, and IUSW in the street that does not have adequate final disposal is responsible for serious environmental effects. The aim of this work was to determine the dynamics of the generation of IUSW in the streets of two neighborhoods of different socioeconomic strata in Mexico City during 5 weeks in 2006. The amount of IUSW was recorded every day from 9:00 to 12:00 h, separated, classified, and registered. It was found that plastic (50%) and paper (44.5%) wastes were found most frequently, whereas, textiles (0.4%) and glass (0.5%) wastes were present less frequently in all samples. The IUSWs without commercial brands were more abundant. Branded plastic wrappers of PepsiCo and Bimbo, as well as polyethylene terephthalate (PET) containers of Coca Cola, registered the highest values, while Gatorade, Barrilitos, and Peñafiel registered the lowest. The neighborhood with a higher income and more vegetation on sidewalks or in jardinières, which are used to hide solid waste, had more IUSW than the neighborhood with lower income, where IUSW was thrown out directly into the street. The knowledge of the real generation and composition of IUSW will contribute to the prevention of its negative environmental and social impacts, as well as guarantee the efficiency of its sustainable management.

Objective. To assess the association between quality of care and health-related quality of life among type 2 diabetes patients. Design. A cross-sectional study assessing the association between quality of care and quality of life using multiple linear regression analysis. Setting. Family medicine clinics (FMC) (n= 39) of the Mexican Institute of Social Security (IMSS) in Mexico City. Participants. Type 2 diabetes patients (n= 312), older than 19 years. Main Outcome Measure(s). Health-related quality of life was measured using the MOS Short-Form-12 (SF-12); quality of healthcare was measured as the percentage of recommended care received under each of four domains: early detection of diabetes complications, non-pharmacological treatment, pharmacological treatment and health outcomes. Results. The average quality of life score was 41.4 points on the physical component and 47.9 points on the mental component. Assessment of the quality of care revealed deficiencies. The average percentages of recommended care received were 21.9 for health outcomes and 56.6 for early detection of diabetes complications and pharmacological treatment; for every 10 percent additional points on the pharmacological treatment component, quality of life improved by 0.4 points on the physical component (coefficient 0.04, 95% confidence intervals 0.01–0.07). Conclusions. There was a positive association between the quality of pharmacological care and the physical component of quality of life. The quality of healthcare for type 2 diabetes patients in FMC of the IMSS in Mexico City is not optimal.

Background: worldwide, the frequency of tuberculosis among older people almost triples that observed among young adults. Objective: to describe clinical and epidemiological consequences of pulmonary tuberculosis among older people. Methods: we screened persons with a cough lasting more than 2 weeks in Southern Mexico from March 1995 to February 2007. We collected clinical and mycobacteriological information (isolation, identification, drug-susceptibility testing and IS6110-based genotyping and spoligotyping) from individuals with bacteriologically confirmed pulmonary tuberculosis. Patients were treated in accordance with official norms and followed to ascertain treatment outcomes, retreatment, and vital status. Results: eight hundred ninety-three tuberculosis patients were older than 15 years of age; of these, 147 (16.5%) were 65 years of age or older. Individuals ≥65 years had significantly higher rates of recently transmitted and reactivated tuberculosis. Older age was associated with treatment failure (OR = 5.37; 95% CI: 1.06–27.23; P = 0.042), and death due to tuberculosis (HR = 3.52; 95% CI: 1.78–6.96; P

To assess the validity of a questionnaire developed for parents of preschool children to know their physical activity (PA) status, we compared the questionnaire results with the measures of accelerometer for children’s activities. Thirty-five preschoolers who wore the accelerometer for at least 10 hours daily on 3 weekdays and one weekend day were included in the analyses. Time spent in activities of varied intensity was calculated by applying 15-second ActiGraph count cutoffs (ACC). Parents’ perceptions of their children’s PA were associated with the percentage of vigorous and moderate physical activity recorded with ACC at r=0.62 (p=0.0001). An association was shown between the percentage of a child’s time spent in vigorous physical activity, as reported by parents, with that measured by ACC at r=0.53 (p=0.001). Results of this study suggest that the designed questionnaire might be a useful tool for assessing children’s activity while, additionally, it warrants further investigation on larger samples of children DOI: http://dx.doi.org/10.3329/jhpn.v30i4.13327 J HEALTH POPUL NUTR 2012 Dec;30(4):439-446

Objective To assess the impact of a 2007 cigarette tax increase from 110% to 140% of the price to the retailer on cigarette price and consumption among Mexican smokers, including efforts to offset price increases. Methods Data were analysed from the 2006 and 2007 administrations of the International Tobacco Control (ITC) Policy Evaluation Survey in Mexico, which is a population-based cohort of adult smokers. Self-reported price of last cigarette purchase, place of last purchase, preferred brand, daily consumption and quit behaviour were assessed at baseline and follow-up. Results Self-reported cigarette prices increased by 12.7% after the tax increase, with prices for international brands increasing more than for national brands (13.5% vs 8.7%, respectively). Although the tax increases were not fully passed onto consumers particularly on national brands, no evidence was found for smokers changing behaviour to offset price increases. Consistent declines in consumption across groups defined by sociodemographic and smoking-related psychosocial variables suggest a relatively uniform impact of the tax increase across subpopulations. However, decreased consumption appeared limited to people who smoked relatively more cigarettes a day (>5 cigarettes/day). Average daily consumption among lighter smokers did not significantly decline. A total of 13% (n=98) of the sample reported being quit for a month or more at follow-up. In multivariate models, lighter smokers were more likely than heavier smokers to be quit. Conclusions Results suggest that the 2007 tax increase was passed on to consumers, whose consumption generally declined. Since no other tobacco control policies or programmes were implemented during the period analysed, the tax increase appears likely to have decreased consumption.

Pollutants from pig farms in Mexico have caused problems in many surface water reservoirs. Growing concern has driven the search for low-cost wastewater treatment solutions. The objective of this research was to evaluate the potential of an in-series constructed wetland to remove nutrients from wastewater from a pig farm. The wetland system had a horizontal flow that consisted of three cells, the first a surface water wetland, the second a sedimentation cell, and the third a subsurface flow wetland. The vegetation used was Thypa sp. and Scirpus sp. A mix of soil with red volcanic rock (10–30 mm diameter) and yellow sand (2–8 mm diameter) was used as a substrate for the vegetation. The experiments were carried out in duplicate. Water samples were collected at the inflow and outflow of the cells. Two hydraulic retention times (HRT) (5 and 10 days) and three treatments were evaluated: 400, 800, and 1200 mg·L−1 of chemical oxygen demand (COD) concentration. Data was collected in situ for temperature, pH, dissolved oxygen (DO), electrical conductivity (EC), and total dissolved solids (TDS). COD, total Kjeldahl nitrogen (TKN), ammonia nitrogen (NH3–N), and total phosphorous (TP) were analyzed in the laboratory. The results showed that the in-series constructed wetland is a feasible system for nutrient pollutant removal, with COD removal efficiency of 76% and 80% mg·L−1 for a 5- and 10-day HRT, respectively. The removal efficiency for TKN, NH3–N, and TP reached about 70% with a 5-day HRT, while a removal of 85% was obtained with a 10-day HRT. The wetland reached the maximum removal efficiency with a 10-day HRT and an inflow load of 400 mg·L−1 of organic matter. The results indicate that HRT positively affects removal efficiency of COD and TDS. On the other hand, the HRT was not the determining factor for TP removal. Treatment one, with an initial COD concentration of 400 mg·L−1, had the highest removal of the assessed pollutants, allowing for the use of water for irrigation according to Mexican regulatory standards (NOM-001). The water quality resulting from treatments two and three (T2 = 800 mg·L−1 of COD and T3 = 1200 mg·L−1 of COD) did not comply with minimal requirements for irrigation water.

Wastewater produced in the contaminated soil washing was treated by means of coagulation-flocculation (CF) process. The wastewater contained petroleum hydrocarbons, a surfactant, i.e., sodium dodecyl sulfate (SDS) as well as salts, brownish organic matter and other constituents that were lixiviated from the soil during the washing process. The main goal of this work was to develop a process for treating the wastewaters generated when washing hydrocarbon-contaminated soils in such a way that it could be recycled to the washing process, and also be disposed at the end of the process properly. A second objective was to study the relationship among the coagulant and flocculant doses and the pH at which the CF process is developed, for systems where methylene blue active substances (MBAS) as well as oil and greases were present. The results for the selection of the right coagulant and flocculant type and dose, the optimum pH value for the CF process and the interactions among the three parameters are detailed along this work. The best coagulant and flocculant were FeCl(3) and Tecnifloc 998 at doses of 4,000 and 1 mg/L, correspondingly at pH of 5. These conditions gave color, turbidity, chemical oxygen demand (COD) and conductivity removals of 99.8, 99.6, 97.1 and 35%, respectively. It was concluded that it is feasible to treat the wastewaters generated in the contaminated soil washing process through CF process, and therefore, wastewaters could be recycled to the washing process or disposed to drainage.

Replacement of crop landraces by modern varieties is thought to cause diversity loss. We studied genetic erosion in maize within a model system; modernized smallholder agriculture in southern Mexico. The local seed supply was described through interviews and in situ seed collection. In spite of the dominance of commercial seed, the informal seed system was found to persist. True landraces were rare and most informal seed was derived from modern varieties (creolized). Seed lots were characterized for agronomical traits and molecular markers. We avoided the problem of non-consistent nomenclature by taking individual seed lots as the basis for diversity inference. We defined diversity as the weighted average distance between seed lots. Diversity was calculated for subsets of the seed supply to assess the impact of replacing traditional landraces with any of these subsets. Results were different for molecular markers, ear- and vegetative/flowering traits. Nonetheless, creolized varieties showed low diversity for all traits. These varieties were distinct from traditional landraces and little differentiated from their ancestral stocks. Although adoption of creolized maize into the informal seed system has lowered diversity as compared to traditional landraces, genetic erosion was moderated by the distinct features offered by modern varieties.

The performance of aerobic submerged packed bed reactors was studied for the treatment of domestic wastewater using different kinds of packing materials with high specific areas (760–1,200 m2/m3). The tested materials were ceramic spheres, crushed tezontle, grains of high density polyethylene (HDPE), of low density polyethylene (LDPE) and of polypropylene (PP), cubes of polyurethane (PU) and polyethylene tape (SESSIL). The bioreactors were operated in continuous regime, applying organic loads in the range of 0.8–6.0 g COD.m−2.d−1. The obtained specific COD removal rates were very similar in all the reactors when they were operated at organic loads up to 2.0 g COD.m−2.d−1, after which differences in effectiveness appeared and the best results were determined in the reactors with SESSIL, LDPE and PU. Very low TSS, O&G and turbidity were obtained in all the effluents. The NH3-N and TN removals were dependant on the dissolved oxygen (DO) concentration and the removals at DO of 5 mg/l were 84–99% and 61–74% respectively. The best removals were determined in the reactors with PU, SESSIL and LDPE. The reactor with tezontle had also a good performance when operated with loads up to 1.0 g TN.m−2.d−1. The best phosphate removals (38–49%) were obtained in the reactors with PU, tezontle, ceramic sheres and SESSIL.

Prenatal smoke exposure, maternal obesity, aberrant fetal growth, and preterm birth are all risk factors for offspring metabolic syndrome. Cord blood aryl-hydrocarbon receptor repressor (AHRR) DNA methylation is responsive to maternal smoking during pregnancy. AHRR serves not only to inhibit aryl-hydrocarbon receptor (AHR) transcription, which is involved in mediating xenobiotic metabolism, but it is also involved in cell growth and differentiation. Other than maternal smoking, other predictors of offspring AHRR DNA methylation status remain unknown; we sought to identify them among newborns. We enrolled pregnant women in the PROGRESS birth cohort in Mexico City. Using pyrosequencing, we analyzed DNA methylation of 3 CpG sites within the AHRR gene promoter from the umbilical cord blood of 531 infants. We used generalized estimating equations to account for the correlation of DNA methylation between CpG sites. Multivariable models were used to adjust for maternal age, BMI, education, parity, smoke-exposure, infant sex, gestational age, and birth weight-for-gestational age. AHRR DNA methylation was positively associated with maternal BMI (P = 0.0009) and negatively associated with the length of gestation (P < 0.0001) and birth weight-for-gestational age (P < 0.0001). AHRR DNA methylation was 2.1% higher in offspring of obese vs. normal weight mothers and 3.1% higher in preterm vs. term infants, representing a third and a half standard deviation differences in methylation, respectively. In conclusion, offspring AHRR DNA methylation was associated with maternal obesity during pregnancy as well as infant gestational age and birth weight-for-gestational age. Further work to discover the health impacts of altered AHRR DNA methylation is warranted.

The studied organic chemical wastewater had a high COD, 20-45g/L, and low TSS, less than 200 mg/L, making anaerobic bio-filtration a suitable treatment method. The organic matter consisted of alcohols, amines, ketones and aromatic compounds, such as toluene and phenol. Granulated activated carbon (GAC) and a porous stone called tezontle, widely available in Mexico, were used as a bio-film support. Once inoculated, the mesophilic reactors with granulated activated carbon (GAC-BFs) reached stability with 80% COD removal in 40 days, while the reactors with tezontle material (tezontle-BF) required 145 days. Biodegradation of more than 95% was obtained with both support media: at organic loads less than 1.7 kg m(-3) d (-1) in tezontle-BF and with loads of up to 13.3 kg m(-3) d(-1) in GAC-BFs. The bio-filters with GAC allowed COD removal efficiency of 80% at a load as high as 26.3 kg m (-3) d(-1), while the same efficiency with tezontle was obtained at loads up to 4.45 kgm (-3d) (-1). The use of GAC as support material allows greater biodegradation rates than tezontle and it makes the bio-filters more resistant to organic increases, inhibition effects and toxicity. Methanogenic activity was inhibited at loads higher than 1.7 kg m(-3) d(-1) in bio-filters with tezontle and 22.8 kg m(-3) d(-1 ) in bio-filters with GAC. At loads lower than the previously mentioned, high methane production yield was obtained, 0.32-0.35 m(3) CH4/kg COD removed. The biomass growth rates were low in the bio-filters with both kinds of material; however, a sufficiently high biomass holdup was obtained.

The exploitation of limited energy resources can generate socio-economic inequalities calling for a combination of justice with the socio-technical study of modern energy systems to advance its understanding and remediation. Within this context, this paper uses energy justice and econophysics as theoretical and methodological frameworks to discuss issues of energy poverty in Mexico. The results emerging from this research illustrate that, according to data from 2014, around 61% of Mexican households suffered from energy poverty due to issues of accessibility or affordability of modern energy services and fuels (with 11.54% of households facing both types of energy poverty). This paper provides a novel approach that combines advanced quantitative methods based on econophysics, with conceptual frameworks from social sciences like energy justice to discuss issues of energy poverty in Mexico. Furthermore, this research performs an approximation to energy consumption in Mexican households based on monetary expenditure, the heat value of fuels and unit prices during 2014. These methods contribute to the understanding and characterisation of household energy needs and energy consumption in Mexico, reducing the existing gap in the academic literature on the analysis and critical thinking of energy poverty in Global South contexts (specifically in Latin America).

To support the development of safe and feasible sludge management strategies, the accumulation rates of sludge and its characteristics were studied in four primary wastewater stabilization ponds (WSPs) in central Mexico (three facultative and one anaerobic). The accumulation rates and distribution of sludge were determined by measuring the thickness of the sludge layer at 8–40 locations throughout each pond. The average, per capita sludge accumulation rates ranged from 0.021 to 0.036 m 3 /person/yr. In the anaerobic pond the sludge distribution was uniform throughout the pond, whereas in the three facultative ponds most of the sludge accumulated directly in front of the inlet. To measure the horizontal and vertical variation in the sludge characteristics, sludge cores were collected from 3 to 7 locations in three of the ponds. Each core was divided into 4 sub-samples in which various physical, chemical, and microbiological parameters were measured. In addition, the inactivation of several pathogen indicator organisms was studied in a batch of sludge for 7 months. Based on the microbiological results, it is concluded that reasonable estimates of the inactivation of fecal coliform bacteria, fecal enterococci, F+ coliphage, somatic coliphage, and Ascaris eggs in WSP sludge in central Mexico can be made using first-order rate constants of 0.1, 0.1, 0.01, 0.001, and 0.001 d −1 , respectively. From the observed changes in the concentrations of total solids and the volatile to fixed solids ratio, empirical equations were developed to describe anaerobic degradation and compression, which are the two most important processes affecting the volume of sludge after its deposition.

The authors' aim was to isolate and identify bacteria or yeast that may be present on the surface of 20-peso banknotes from the metropolitan area of Monterrey, Mexico. They randomly studied a total of 70 20-peso banknotes for the presence of bacteria and species of Candida by conventional methods. Out of the 70 banknotes, 48 (69%) were found to be contaminated. The most prevalent species observed was Candida kruseii (19 bills, 27%) followed by Burkholderia cepacia (9 bills, 13%); 22 (31%) bills showed no growth. Of the 48 contaminated bills, four (5.7%) yielded bacteria considered pathogenic and the other 44 bills (63%) yielded bacteria considered potentially pathogenic. Eleven bills showed more than one microbial species. The results of the authors' study show that contamination occurs on paper currency in the metropolitan area of Monterrey. The authors' findings provide evidence that currency banknotes may represent a threat to human health.