Max Francois Millien

Université Quisqueya · Vice-rectorat a la recherche etr a l'innovation

Rabies was first identified in dogs and humans by a French veterinarian, Jean Lompagieu Lapole, in 1788 in the colony of Saint-Domingue, which later became Haiti. Rabies has continued to persist in the country despite some intermittent successes in combating this disease over the past 20 years. We are trying to understand why rabies, which has offi...

The Caribbean region faces a wide diversity of ticks and tick-borne diseases (TBDs) in animals and humans. But to date, these have been the subject of few studies, resulting in a relative lack of knowledge of their epidemiology, pathogenicity, and the best prevention and control methods. Ticks are hematophagous mites, which feed on the blood of mam...

Background: Robust dog vaccination coverage is the primary way to eliminate canine rabies. Haiti conducts annual canine mass vaccination campaigns, but still has the most human deaths in the Latin American and Caribbean region. We conducted an evaluation of dog vaccination methods in Haiti to determine if more intensive, data-driven vaccination met...

Parasitic intestinal diseases are widespread in the world with a higher prevalence in developing countries. They are generally a serious public health problem in tropical countries. In October 2020, a cross-sectional study was undertaken to determine the prevalence of intestinal parasites in patients visiting Fermathe Hospital in Haiti. Data were c...

Parasitic intestinal diseases are widespread in the world with a higher prevalence in developing countries. They are generally a serious public health problem in tropical countries. In October 2020, a cross-sectional study was undertaken to determine the prevalence of intestinal parasites in patients visiting Fermathe Hospital in Haiti. Data were c...

Les maladies parasitaires intestinales sont largement répandues dans le monde avec une prévalence plus élevée dans les pays en développement. Elles constituent généralement un grave problème de santé publique dans les pays tropicaux. En Octobre 2020, une étude transversale a été entreprise pour contribuer à l'étude diagnostique des parasites intest...

Climate change is one of the main challenges facing many countries, particularly developing countries, because of its negative impact on their various ecosystems and their socio-economic development, which very often leads them down a slow descent into poverty. This is because climate change can manifest itself in different forms such as climate va...

Covid-19 has triggered an unprecedented crisis that not only concerns health, it is also an economic, social, political and possibly humanitarian crisis. In March 2020, the WHO declared the disease to be pandemic and recommended the application of barrier measures. The research question here is to establish the level of social perception of fruit a...

La Covid-19 génère une crise sans précèdent qui n'est pas uniquement sanitaire, mais également économique, sociale, politique et potentiellement humanitaire. En mars 2020, l'OMS déclare l'état pandémique de la maladie et maintient l'application des mesures barrières. La question de recherche est d'établir le niveau de perception sociale des marchan...

Dupuy [1] noted “what is terrible about the disaster is that not only was it believed that it couldn’t happen, even though there was every reason to know that it would, but once it had occurred it appeared to belong to the normal order of things […] We have acquired the means to destroy the planet and ourselves, but we haven’t changed the way we th...

La catastrophe, note Dupuy [1], “a ceci de terrible que non seulement on ne croit pas qu’elle va se produire alors même qu’on a toutes les raisons de savoir qu’elle va se produire, mais qu’une fois qu’elle s’est produite elle apparaît comme relevant de l’ordre normal des choses […] Nous avons acquis les moyens de détruire la planète et nous-mêmes,...

Dog-rabies elimination programs have typically relied upon parenteral vaccination at central-point locations; however, dog-ownership practices, accessibility to hard-to-reach sub-populations, resource limitations, and logistics may impact a country’s ability to reach the 70% coverage goal recommended by the World Organization for Animal Health (OIE...

Produce a monthly report gathering the performance of each of the university researchers who has an RG score, Publish monthly researcher productivity report on RG, Raise awareness among university researchers who do not have yet an account to become aware of the advantages of RG by registering on this platform, Sensitize researchers to put their re...

Produce a monthly report gathering the performance of each of the university researchers who has an RG score, Publish monthly researcher productivity report on RG, Raise awareness among university researchers who do not have yet an account to become aware of the advantages of RG by registering on this platform, Sensitize researchers to put their re...

Toute université digne de ce nom a une triple mission : enseigner, faire de la recherche, rendre des services à la société. Elle a aujourd’hui un devoir supplémentaire : communiquer. L’Université Quisqueya en Haïti (UniQ) a toujours fait ce choix, sous forme de colloques, de séminaires et d’ateliers destinés à vulgariser des connaissances scientifi...

Toute université digne de ce nom a une triple mission : enseigner, faire de la recherche, rendre des services à la société. Elle a aujourd’hui un devoir supplémentaire : communiquer. L’Université Quisqueya en Haïti (UniQ) a toujours fait ce choix, sous forme de colloques, de séminaires et d’ateliers destinés à vulgariser des connaissances scientifi...

Rabies is a fatal viral disease typically transmitted through the bite of rabid animal. Domestic dogs cause over 99% of human rabies deaths. Over half of the world’s population lives in a country where the canine rabies virus variant is endemic and dog bites are common. An estimated 29 million people worldwide receive post-bite vaccination after be...

Produce a monthly report gathering the performance of each of the university researchers who has an RG score, Publish monthly researcher productivity report on RG, Raise awareness among university researchers who do not have yet an account to become aware of the advantages of RG by registering on this platform, Sensitize researchers to put their re...

During the 20th century parenteral vaccination of dogs at central-point locations was the foundation of successful canine rabies elimination programs in numerous countries. However, countries that remain enzootic for canine rabies have lower infrastructural development compared to countries that have achieved elimination, which may make traditional...

Since 2006, we have been watching with interest the construction and development of Brazil's science and innovation capabilities. The various measures and public policy tools developed by the National Council for Scientific and Technological Development of Brazil, and the financial support made available by Brazilian governments, have not only led...

Background: Approximately 59,000 people die from rabies worldwide annually. Haiti is one of the last remaining countries in the Western Hemisphere with endemic canine rabies. Canine-mediated rabies deaths are preventable with post-exposure prophylaxis (PEP): wound treatment, immunoglobulin, and vaccination. In countries where PEP is available, var...

Annual vaccination campaigns in Haiti consistently fail to reach the recommended 70% coverage needed for elimination of canine rabies, leading to the highest burden of human rabies in the Latin American and Caribbean region. Vaccination teams in Haiti are tasked with working in both highdensity informal urban settlements and isolated hamlets in the...

In Haiti, an investigation occurred after the death of a 4-year-old girl with suspected rabies. With tips provided by community members, the investigation led to the identification of 2 probable rabies-related deaths and 16 persons bitten by rabid dogs, 75% of which chose postexposure prophylaxis. Community engagement can bolster rabies control.

Haiti, a Caribbean country of 10.5 million people, is estimated to have the highest burden of caninemediated human rabies deaths in the Western Hemisphere, and one of the highest rates of human rabies deaths in the world. Haiti is also the poorest country in the Western Hemisphere and has numerous economic and health priorities that compete for rab...

Background Haiti has an integrated bite case management (IBCM) programme to counsel animal-bite victims on the risk of rabies and appropriate treatment, as well as the Haiti Animal Rabies Surveillance Program (HARSP) to examine the animals. We assessed the usefulness of the IBCM programme to promote best practices for rabies prophylaxis after expos...

In spite of scientific progress, the world is still facing major biological threats. Not only are there epidemics caused by wildlife pathogens under natural conditions, there are also those caused accidently when researchers handle highly hazardous organisms stored in research laboratories, and those caused when countries use these organisms as bio...

Background: In canine rabies endemic countries the World Health Organization recommends post-exposure prophylaxis (PEP) be initiated immediately after exposure to an animal suspected to have rabies. Limited capacity in low and middle income countries to assess biting animals for rabies may result in the over prescription of rabies biologics. Few g...

Haiti has the highest burden of rabies in the Western hemisphere, with 130 estimated annual deaths. We present the cost‐effectiveness evaluation of an integrated bite case management program combining community bite investigations and passive animal rabies surveillance, using a governmental perspective. The Haiti Animal Rabies Surveillance Program...

An estimated 59 000 persons die annually of infection with the rabies virus worldwide, and dog bites are responsible for 95% of these deaths. Haiti has the highest rate of animal and human rabies in the Western Hemisphere. This study describes the status of animal welfare, animal vaccination, human bite treatment, and canine morbidity and mortality...

[This corrects the article DOI: 10.1371/journal.pntd.0004245.].

The Republic of Haiti is one of only several countries in the Western Hemisphere in which canine rabies is still endemic. Estimation methods have predicted that 130 human deaths occur per year, yet existing surveillance mechanisms have detected few of these rabies cases. Likewise, canine rabies surveillance capacity has had only limited capacity, d...

The American region has pledged to eliminate dog-mediated human rabies by 2015. As part of these efforts, we describe the findings of a desk and field mission review of Haiti's rabies situation by the end of 2013. While government officials recognize the importance of dog-mediated rabies control, and the national rabies plan adequately contemplates...

Objective: To confirm the prevalence of teschovirus encephalomyelitis in multiple regions in Haiti and to identify other viral agents present in the swine population. Materials and methods: A field investigation was conducted on 35 swine premises located in 10 regions. Sera from 109 pigs, including 23 sick and 86 apparently healthy pigs, blood samp...

Objective: To confirm the prevalence of teschovirus encephalomyelitis in multiple regions in Haiti and to identify other viral agents present in the swine population.

In February and March 2009, approximately 1,500 backyard pigs of variable age became sick, and approximately 700 of them died or were euthanized in the Lower Artibonite Valley and the Lower Plateau of the Republic of Haiti. The main clinical sign was posterior ataxia followed by paresis and/or paralysis on the second or third day of illness. No gro...

The Caribbean region is considered to be at risk for avian influenza (AI) because of predominance of the backyard poultry system, important commercial poultry production, migratory birds and disparities in the surveillance systems. The Caribbean animal health network (CaribVET) has developed tools to implement AI surveillance in the region: (i) a r...

The Caribbean region is considered to be at risk for avian influenza (AI) due to a large backyard poultry system, an important commercial poultry production system, the presence of migratory birds, and disparities in the surveillance systems. The Caribbean Animal Health Network (CaribVET) has developed tools to implement AI surveillance in the regi...

The Caribbean Animal Health Network (CaribVET) is a collaboration of veterinary services, diagnostic laboratories, research institutes, universities, and regional/international organizations to improve animal health in the Caribbean. New tools were used by the network to develop regional animal health activities: (1) A steering committee, a coordin...