Volume 14 Supplement 2 September 2009 TM&IH European Journal Tropical Medicine & International Health The Abstracts of the 6th European Congress on Tropical Medicine and International Health and 1st Mediterranean Conference on Migration and Travel Health 6–10 September 2009 Verona, Italy Information on this journal can be accessed at http://www.blackwellpublishing.com/tmi Typeset by SPS Limited, Chennai, India and printed in the UK by the Charlesworth Group tmi_14_s2_disclaimer.qxd 8/14/2009 9:09 AM Page 1 Disclaimer This abstract book has been produced using author-supplied copy. Editing has been restricted to corrections of spelling and style where appropriate. No responsibility is assumed for any claims, instructions, methods or drug dosages contained in the abstracts; it is recommended that these are verified independently. Tropical Medicine and International Health volume 14 suppl. 2 prelim iii september 2009 Foreword Dear participants to the 6th ECTMIH, dear readers of ‘neutral’ about these. Whatever our specific professional Tropical Medicine and International Health, it is with field is, we chose to deal with diseases whose burden is great pleasure that we briefly present you this abstract borne by the world’s poorest. This is mirrored by the book summarising most of the contributions to the health problems of migrants to our wealthy countries, congress. As for the 5th ECTMIH (Amsterdam 2007), this which is the main topic of the Mediterranean Conference book is published as a special issue of the journal Tropical on Migration and Travel Health, associated for the first Medicine and International Health, bearing witness to the time with the ECTMIH. close partnership between the Federation of the European While we are writing these notes, two media main Societies of Tropical Medicine and International Health headlines are specifically related to the congress themes: (FESTMIH) and the journal. one is the pressure put by President Obama towards the Going through its contents gives us the precise feeling Health Reform in the US in order to ensure near-universal that a truly European perspective of Tropical Medicine and health coverage there; the other is the daily news bulletin International Health is a reality, made visible here, and about the ‘new influenza’, approaching 1000 deaths meaning a unique blend of good science in the broadest worldwide since the pandemic started 3 months ago. A sense: fundamental research, clinical and epidemiological comparable death toll will have been claimed in a few studies, public health, true South–North research partner- hours, today, by just a few of the diseases this congress ship (with many highly valuable contributions from deals with. We have a long way to go. Yet, we are ‘Southern’ researchers and professionals). walking… With the fundamental collaboration of the congress Caminante, no hay camino, se hace camino al andar…1 committees we tried to design a programme in which all (Antonio Machado). these main components would be well balanced, and the Thank you all for your contributions to the success of congress main focus on equity, human rights and access to Verona 2009, and do mark your next appointment in your care would be recognisable. But the core of the programme agenda already: the 7th FESTMIH Congress, Barcelona is the result of your contributions, and it is only after 2011 with its motto: ‘Global Change, Migration and surfing through these numerous abstracts that we can Health’. confidently say that our goal has largely been reached. Most of us health professionals and scientists dealing Zeno Bisoffi with Tropical Medicine and International Health believe President of the FESTMIH and Chairman, that health, or more practically speaking, access to 6th ECTMIH – Verona 2009 health care of a reasonable quality standard, is a basic human right. We work on research, or on health care, or Manuel Corachan on public health, or on related fields, but we are not Chairman, 7th ECTMIH – Barcelona 2011 1‘Traveller, there is no road; you make your path as you walk’. TABLE OF CONTENTS INVITED SPEAKER ABSTRACTS PAGE Sunday, September 6, 2009 History of malaria eradication in Italy and the Mediterranean 1 Monday, September 7, 2009 Clinical session 2 Building a common framework on human rights, equity and access to care 2 Pathophysiology and severe malaria – from basic knowledge to new therapeutic approaches 3 Removing barriers to access to quality care: successes and failures 3 Haemorrhagic fevers: new insights and preparedness to detect and control local outbreaks (Joint session FESTMIH – ESCMID) 4 Availability and affordability of ACTs 4 Global initiatives for the health-related Millennium Development Goals – needs for improved implementation (Norwegian Forum for Global Health Research) 5 Human African trypanosomiasis 7 EU-CONTRAST optimizing schistosomiasis control in sub-Saharan Africa (Royal Society of Tropical Medicine and Hygiene) 8 Antimalarial treatments: registration and beyond 8 The north-south differences in medical publishing: time for an action? Round table organised by the Editorial team, Tropical Medicine and International Health 8 Child health on the international agenda 9 Tuesday, September 8, 2009 Meet the Professor 9 HIV and TB epidemiology and control 10 South–north trends in arboviral disease control 10 Global health initiatives and health systems 11 Integrated management of HIV and TB: HIV miscellaneous 11 German–sub-Saharan African collaborative research (German Society of Tropical Medicine and International Health) 12 The systemic quality improvement (SQI) approach and the International SQI network (GTZ – German Development Agency) 12 Movements of people in the Mediterranean area 14 Threats to access to essential medicines: economic crisis and counterfeit drugs 15 Round table 16 Selected pre-travel topics 16 Access to reproductive health services 16 Wednesday, September 9, 2009 Clinical session 17 Migrant health between tropical and travel medicine 17 Do sector wide approach (SWAP) mechanisms promote access to health care? (Be-cause Health and GRAP-SWAP, Belgium) 17 Leishmaniasis in Europe, trends and challenges (Socie´te´ de Pathologie Exotique, France) 19 Gender-based violence and unsafe abortion: public health issues 20 Confronting avian flu and the new global threats 21 Malaria vaccines 21 Chagas disease (1909–2009): from Latin America to Europe and the Mediterranean 21 tmis_2388.indd 1 8/20/2009 6:08:49 PM Neglected diseases control, equity and human rights 21 Space technology contribution to infection surveillance and to the health-related MDG goals (United Nations Office for Outer Space Affairs) 22 Malaria epidemiology and control 25 Sexul and reproductive health consequences of sexual violence in immigrants 25 Dengue: novel diagnostic makers and vaccine development 26 Home/near-home treatment: is this the way forward? 26 Debate 26 Human mobility and sex 27 Neglected zoonotic diseases 27 Community-based interventions: an opportunity for integration? 27 Malaria diagnosis: rapid diagnostic tests (RDT) and traditional microscopy 28 Thursday, September 10, 2009 Meet the Professor 28 Plasmodium vivax and others including Plasmodium knowlesi 29 Challenges in HIV and TB diagnosis 29 Open questions in control of helminthiases 29 ORAL ABSTRACTS Monday, September 7, 2009 Pathophysiogolgy and severe malaria - from basic knowledge to new therapeutic approaches 30 Removing barriers to access to quality care: successes and failures 31 HIV treatment and prevention 33 Buruli ulcer, other tropical diseases 36 Tuberculosis 40 Human African trypanosomiasis 42 Antimalarial treatments: registration and beyond 44 Ethical issues in clinical research 46 Tuesday, September 8, 2009 South-north trends in arboviral disease control 49 Integrated management of HIV and TB: HIV msicellaneous 50 Chronic degenerative diseases 53 Soil-transmitted helminthiasis and schistosomiasis: improving access to preventive treatment 54 Malaria in pregnancy and in children 56 Laboratory and tropical diseases 58 Threats to access to essential medicines: economic crisis and counterfeit drugs 59 Leishmaniasis and innovative disease management 60 Expanding access to ACTs 62 Access to care and to prevention in migrants 65 Research needs in migrants’ health 67 Gender disparities in TB and HIV: evidences and strategies 68 Diseases targeted for elimination. 1: leprosy 69 Miscellaneous on migrant health 70 Diseases targeted to elimination. 2: fi lariasis, taeniasis 71 Access to reproductive health services 72 Chagas disease 74 Wednesday, September 9, 2009 Gender-based violence and unsafe abortion: public health issues 77 Confronting avian fl u and the new global threats 78 Dealing with the returning traveler 78 tmis_2388.indd 2 8/20/2009 6:08:49 PM Malaria epidemiology and control 80 Women, children and migration 83 Dengue: novel diagnostic makers and vaccine development 83 Human mobility and sex 84 Malaria vector control and ITN 85 Neglected zoonotic diseases 89 Community-based interventions: an opportunity for integration? 90 Malaria diagnosis: rapid diagnostic tests (RDT) and traditional microscopy 91 Thursday, September 10, 2009 P. vivax and others including P. knowlesi. Do they really matter? 93 Challenges in HIV and TB diagnosis 94 POSTER SESSION A 1.0 Public health, human rights and access to care 98 1.1 Equity, health and human rights 98 1.2 Access to care (fi nancial and non fi nancial issues) 101 1.4 Ethical issues in health policies 103 1.5 Public-private partnership in global health 103 1.6 Health fi nancing