Andrew Kiyu

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BACKGROUND A major outbreak of human enterovirus 71-associated hand, foot and mouth disease in Sarawak in 1997 marked the beginning of a series of outbreaks in the Asia Pacific region. Some of these outbreaks had unusually high numbers of fatalities and this generated much fear and anxiety in the region. METHODS We established a sentinel surveillance(More)
To improve population health, one must put emphasis on reducing health inequities and enhancing health protection and disease prevention, and early diagnosis and treatment of diseases by tackling the determinants of health at the downstream, midstream, and upstream levels. There is strong theoretical and empirical evidence for the association between strong(More)
All known field isolates of enterovirus 71 (EV71) can be divided into three distinct genogroups (A, B, C) and 10 subgenogroups (A, B1-5, C1-4) based on VP1 gene sequences. We examined VP1 gene sequences of 10, 12 and 11 EV71 strains isolated in peninsular Malaysia during the outbreaks of hand, foot and mouth disease in 1997, 2000 and 2005 respectively. Four(More)
Disclaimer This work was undertaken as work for the Rockefeller Foundation Global Urban Summit, 2007. The views presented herein are those of the authors and do not necessarily reflect the decisions, policies or views of the World Health Organization. Abstract Rapid and unplanned urbanization in Asia has profound implications for population health. With(More)
This work was made possible through funding provided by the World Health Organization (WHO) and the institutions where the writers were employed and undertaken as work for the Knowledge Network on Urban Settings (KNUS), established as part of the WHO Commission on the Social Determinants of Health. The views presented in this work/publication/report are(More)
Sarawak, Malaysia has a large population of ethnic minorities who live in longhouses in remote rural areas where poverty, non-communicable diseases, accidents and injuries, environmental hazards and communicable diseases all contribute to a lower quality of life than is possible to achieve in these regions. To address these issues and improve the quality of(More)
A cross-sectional survey of 976 households in 41 villages covered by the Rural Health Improvement Scheme in Sarawak was carried out to determine the state of functioning and utilization of rural water supplies. The survey was carried out by inspection and interview. About one-third of the systems were functioning well, one-third imperfectly, and the(More)
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