This week marked a transition towards the end of my internship. I have continued my usual duties with COCOVID and COPA. I have also been putting more effort into the analytical portion of my internship working on a literature review and thinking critically about the difference between a passive and sentinel surveillance system. In a way, I include cohort studies such as COPA as an interesting variable in the mix of case identification. It could be said that the cohort studies, while spall, yield the clearest picture of arboviral infection in Ponce. Since so many cases are presented as asymptomatic, a large portion of passive and Sentinal surveillance do not pick up such infections. My humble exploring of Puerto Rico has also shed light on the ongoing fight against mosquito breeding. Post-hurricane Maria, many buildings are still abandoned which leaves plenty of time and room for mosquitos to grow. Trash disposal is an issue on the island, and I have seen firsthand large areas where used tires are dumped, the perfect breeding ground for mosquitos. The amount of wild dogs and cats also makes me wonder from a veterinary perspective the rates of animal to human transmission of various diseases. |
