Tropical Medicine & International Health

Authorship debate

The editors of TMIH clarify their position: we see scientific authorship as an incentive, but not just to encourage ‘granting permission’; we see it as motivating a spirit of inquiry and the active promotion of, and participation in research, to inform decision making in the field of tropical medicine and international heath. 1162–1163


The freshwater snail Biomphalariaglabrata is the principal intermediate host for Schistosomamansoni in Brazil. Within individual Brazilian villages, distributions of snail genetic diversity indicate temporal stability and very restricted gene flow, corroborating the expectation that parasite gene flow at the level of individual villages is likely driven by vertebrate host movement. 1164–1173

Schistosomahaematobium prevalence is significantly correlated with HIV prevalence in sub-Saharan Africa. Controlling S. haematobium may be an effective means of reducing HIV transmission in many African communities. 1174–1179

Chagas disease

Myosin and troponin T antibody production is correlated with left ventricular ejection fraction in chagasic patients and could be associated with different clinical forms of chronic Chagas disease. 1180–1192

Maternal healthcare

Studies in Bangladesh and Indonesia show that improving access to adequate obstetric care and encouraging women to seek appropriate and timely care are essential to achieve MDG-5. 1193–1201

Disadvantaged migrant women in Delhi, India, particularly recent migrants, are at risk of not receiving adequate maternal healthcare. Since migration is a continuing phenomenon, measures to mitigate disadvantage due to migration need to be taken in the healthcare system. 1202–1210

In Kinshasa, DRC, scaling-up interventions to improve reproductive health services should include broad-based health systems strengthening and promote equitable access to quality ANC, delivery, and postnatal services. 1211–1221


Diagnosis of smear-negative pulmonary tuberculosis remains a challenge, particularly in resource-constrained settings. A new diagnostic algorithm combines affordable laboratory tools and a reliable clinical prediction rule. 1222–1230

Vital registration

Records of births and deaths kept by the Health Management Information System in Malawi are not of sufficient quality to meet the urgent need for monitoring child mortality in real time. 1231–1239


A review of World Health Survey data on 72 524 adults from 20 African countries suggests that higher perceived national corruption is associated with an increase in poor health prevalence: in both men and women, in all socioeconomic groups,and across the lifespan. 1240–1247


Listeriosis cases were reported in many regions of China over the past 47 years, with a high case fatality rate, particularly in neonates. China should consider mandatory notification of listeriosis cases. 1248–1256


Between 1990 and 2007, HIV incidence declined in men in rural Uganda. Although a high proportion of new HIV infections were attributable to HSV-2, there was no long-term association between HIV incidence and HSV-2. 1257–1266

The respiratory tract of HIV-positive children receiving highly active antiretroviral therapy is commonly colonised by S. aureus and S. pneumoniae, while other species normally found in the respiratory tract, such as Moraxella catarrhalis,are far less common. 1267–1268


Rollout of mRDTs in Tanzania improved coverage of malaria tests, but significant challenges remain in ensuring that all febrile patients are tested and that patients testing positive receive appropriate treatment. 1269–1282

Child health

Blood lead levels in sub-Saharan children still exceed 10 μg/dl. Important efforts should be directed towards the reinforcement of prevention programs in sub-Saharan Africa. 1283–1291