Risk of Potentially Rabid Animal Exposure among Foreign Travelers in Southeast Asia

Background

Each year millions of travelers visit Southeast Asia where rabies is still prevalent. This study aimed to assess the risk of rabies exposure, i.e., by being bitten or licked by an animal, among travelers in Southeast Asia. The secondary objective was to assess their attitudes and practices related to rabies.

Methodology/Principal Findings

Foreign travelers departing to the destination outside Southeast Asia were invited to fill out the study questionnaire in the departure hall of Bangkok International Airport. They were asked about their demographic profile, travel characteristics, pre-travel health preparations, their possible exposure and their practices related to rabies during this trip. From June 2010 to February 2011, 7,681 completed questionnaires were collected. Sixty-two percent of the travelers were male, and the median age was 32 years. 34.0% of the participants were from Western/Central Europe, while 32.1% were from East Asia. Up to 59.3% had sought health information before this trip. Travel clinics were the source of information for 23.6% of travelers. Overall, only 11.6% of the participants had completed their rabies pre-exposure prophylaxis, and 15.3% had received only 1–2 shots, while 73.1% had not been vaccinated at all. In this study, the risk of being bitten was 1.11 per 100 travelers per month and the risk of being licked was 3.12 per 100 travelers per month. Among those who were bitten, only 37.1% went to the hospital to get post exposure treatment. Travelers with East Asian nationalities and longer duration of stay were significantly related to higher risk of animal exposure. Reason for travel was not related to the risk of animal exposure.

Conclusions

Travelers were at risk of being exposed to potentially rabid animals while traveling in Southeast Asia. Many were inadequately informed and unprepared for this life-threatening risk. Rabies prevention advice should be included in every pre-travel visit.     

Travelers' malaria among foreigners at the Hospital for Tropical Diseases, Bangkok, Thailand - a 6-year review (2000-2005)

We retrospectively examined the charts of travelers admitted to the Hospital for Tropical Diseases, Bangkok, Thailand, with malaria during the years 2000-2005. Twenty-one cases of malaria were identified, of which 12 (57%) were Plasmodium vivax infections and 9 (43%) were P. falciparum infections. There was one mixed case with vivax and falciparum infection. Only 1 P. falciparum case had complications. All cases were successfully treated with standard antimalarial drugs. Only 3 of the 21 cases were thought to be acquired in Thailand, the rest were regarded to be imported.     

Influence of substratum hydrophobicity on salivary pellicles: organization or composition?

Different physico-chemical properties (eg adsorption kinetics, thickness, viscoelasticity, and mechanical stability) of adsorbed salivary pellicles depend on different factors, including the properties (eg charge, roughness, wettability, and surface chemistry) of the substratum. Whether these differences in the physico-chemical properties are a result of differences in the composition or in the organization of the pellicles is not known. In this work, the influence of substratum wettability on the composition of the pellicle was studied. For this purpose, pellicles eluted from substrata of different but well-characterized wettabilities were examined by means of sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE). The results showed that substratum hydrophobicity did not have a major impact on pellicle composition. In all substrata, the major pellicle components were found to be cystatins, amylases and large glycoproteins, presumably mucins. In turn, interpretation of previously reported data based on the present results suggests that variations in substratum wettability mostly affect the organization of the pellicle components.     

Humans influence shrimp movement: a conservation behavior case study with “Shrimp Watching” ecotourism

An increase in ecotourism adversely impacts many animals and contributes to biodiversity loss. To mitigate these impacts, we illustrate the application of a conservation behavior framework toward the development of a sustainable ecotourism management plan. In Ubon Ratchathani, Thailand, thousands of tourists annually come to see a unique mass migration of shrimps on land (referred to as “shrimp parading”). Preliminary work suggests that this tourism has negatively impacted the shrimps. To reduce tourism-related impacts we studied: 1) the decisions shrimps make when parading and 2) how shrimps respond to different light intensities and colors. We created an artificial stream and tested the conditions that influence parading by experimentally varying the presence of light and systematically manipulating water velocity (10, 60, and 100 cm/s). Additionally, we conducted an in situ experiment to study how shrimps respond to tourists’ lights under three intensities (50,400, and 9,000 lux) and five colors (white, blue, green, orange, and red). We found most shrimps prefer to leave the river when it is dark and there is low water flow. Shrimps responded the least to red (λmax = 630 nm) and orange (λmax = 625 nm) light at 50 lux. These findings were used to develop a management plan by creating three different tourist zones, which maximize tourist needs and minimize the anthropogenic impacts on the shrimps. This work could be used as an example of the application of conservation behavior framework in developing management plan for sustainable ecotourism for other invertebrate taxa.     

Heterochrony and the evolution of the longjaw mudsucker (Gobiidae,Teleostei)

Although longjaw mudsucker (Gillichthys mirabilis, Gobiidae) has been studied extensively for its ability to occupy low-oxygen environments, few studies have addressed the evolution of its exceptionally elongated jaws that extend posteriorly beyond the gill opening in large adults. In this study, the ontogeny of the maxillae of G. mirabilis, Gillichthys seta, and the out-group species Eucyclogobius newberryi was studied within the heterochrony framework using digitized landmarks and caliper measurements. The results show that the maxilla of both species of Gillichthys evolved via acceleration (increased growth rate) and that of G. mirabilis via hypermorphosis (continued growth to a larger body size); two forms of peramorphosis. This is in contrast to earlier studies that concluded that G. seta is paedomorphic. We were unable to confirm an earlier hypothesis of sexual dimorphism in the jaw length of G. mirabilis. The evolution of the elongated jaws and associated large buccopharyngeal membrane in G. mirabilis is hypothesized to increase the surface area for gas exchange during aerial respiration and may also serve to amplify the aggressive gaping display as observed in other fishes.     

Heterochrony in fringeheads (Neoclinus) and amplification of an extraordinary aggressive display in the Sarcastic Fringehead (Teleostei: Blenniiformes)

The Sarcastic Fringehead (Neoclinus blanchardi, Teleostei) exhibits an extreme version of a common aggressive display, the “gaping display,” in which an open mouth is presented toward an opponent. Males of this species have extremely long jaws that extend posteriorly well past the posterior margin of the head and are flared laterally during the gaping display. In this study, we explored morphological traits related to this extraordinary display in this and related species of blennies. Morphological modifications include enlargement of the buccopalatal membrane, elongation of the maxilla via an uncalcified posterior extension, and evolution of a novel hinge between the anterior maxilla and lacrimal bones permitting lateral movement of the upper jaw. Geometric morphometry using the truss network system, thin‐plate spline, and PCA of three closely related species of Neoclinus indicate that the elongate maxilla of N. blanchardi most likely evolved via acceleration (faster growth compared to outgroups) and hypermorphosis (continued growth to a larger body size), both forms of peramorphic heterochrony. Coloration and fluorescence of the buccopalatal membrane may also serve to amplify the extraordinary gaping display of the Sarcastic Fringehead.