Jose-Luis Barnay

1 Unexpected outbreaks of arbovirus infections: lessons learned from the Pacific and tropical America. reviewed the epidemiological and clinical characteristics of these diseases and discussed their growing burden and the subsequent challenges for public health. The authors highlighted the unpredictability of disease emergence and weaknesses associated with the preparedness and response to such outbreaks, especially in diagnosis and research.

HTLV-I associated tropical spastic paraparesis (TSP) and HTLV-I associated myelopathy (HAM) is an endemic disease in Caribbean Island. Bladder-sphincter dysfunctions are almost present. The objectives of the study are to describe clinic and urodynamic characteristics of voiding disorders in Martiniquan population, evaluate if there is a relationship between motor and urinary handicap, and evaluate prognosis factors of urologic complications.