Retaining adolescents (aged 10–19 years), living with HIV (ALHIV) on antiretroviral therapy (ART) is challenging. In Myanmar, 1269 ALHIV were under an Integrated HIV Care (IHC) Programme by June 2017 and their attrition (death and lost to follow-up) rates were not assessed before. We undertook a cohort study using routinely collected data of ALHIV enrolled into HIV care from July 2005 to June 2017 and assessed their attrition rates in June 2018 by time-to-event analysis. Of 1269 enrolled, 197(16%) and of 1054 initiated ART, 224 (21%) had an attrition defining event. The pre-ART and ART attrition rates were 21.8 (95% CI 19.0–25.1) and 6.4 (95% CI 5.6–7.3) per 100 person-years follow-up, respectively. The factors ‘at enrolment’ that were associated with higher hazards of attrition were: (1) WHO stage 3 or 4; (2) haemoglobin <10 gm/dl; (3) no documented CD4 cell counts, hepatitis B and C test results; and (4) injection drug use. Baseline hazards were high during the initial 1–2 years and after 5–6 years. The pre-ART and ART attrition rates in ALHIV were lower than those in Africa but higher than the children under IHC. This warrants designing and implementing additional care tailored to the needs of ALHIV under IHC.

Hospital-based surveillance was conducted at two widely separated regions in Myanmar during the 2015 dengue epidemic. Acute phase serum samples were collected from 332 clinically diagnosed dengue patients during the peak season of dengue cases. Viremia levels were measured by quantitative real-time PCR and plaque assays using FcγRIIA-expressing and non-FcγRIIA-expressing BHK cells to specifically determine the infectious virus particles. By serology and molecular techniques, 280/332 (84·3%) were confirmed as dengue patients. All four serotypes of dengue virus (DENV) were isolated from among 104 laboratory-confirmed patients including two cases infected with two DENV serotypes. High percentage of primary infection was noted among the severe dengue patients. Patients with primary infection or DENV IgM negative demonstrated significantly higher viral loads but there was no significant difference among the severity groups. Viremia levels among dengue patients were notably high for a long period which was assumed to support the spread of the virus by the mosquito vector during epidemic. Phylogenetic analyses of the envelope gene of the epidemic strains revealed close similarity with the strains previously isolated in Myanmar and neighboring countries. DENV-1 dominated the epidemic in 2015 and the serotype (except DENV-3) and genotype distributions were similar in both study sites.

Following a recent assessment of the distribution and habitat use of Gurney’s Pitta in Myanmar (Burma), further extensive surveys were undertaken in 2010, 2011 and 2012. These have extended the species’ known altitudinal limit to between 250 m and 300 m asl and its latitudinal limit to above 12.5°N, around 80 km north of the northernmost historical record, although the species was recorded far less frequently at higher altitudes and latitudes. Birds were recorded in a range of forested habitats, from intact primary forest to secondary and bamboo forest, with no significant difference between major forest types in the likelihood of occurrence. Niche envelope modelling (MaxEnt) suggested a total range size in Myanmar of 3,379 km2, and did not identify any potentially suitable areas in adjacent parts of Thailand. The species’ preference for warmer, wetter areas on flat ground, conditions ideal for growing oil palm and rubber, suggest that its distribution is likely to contract in the near future. The entire range of Gurney’s Pitta in Myanmar falls within the part of the country most suitable for commercial oil palm production, although the projected yields within its range are low to moderate. Field surveys found evidence of rapid recent deforestation and high levels of hunting and trapping in many parts of the region. The species’ range in Myanmar does not overlap with any protected areas. The protection of southern Myanmar’s biodiversity will require substantial investment by foreign conservation interests, sympathetic land-use planning and the strengthening of environment legislation. Protection of extensive tracts of lowland forest within the range of Gurney’s Pitta, particularly the proposed Lenya National Park and the adjacent Ngawun and Htaung Pru Reserve Forests, is urgently needed. Conserving these areas will also protect populations of other globally threatened bird and mammal species.

This is a story that will appeal to all scholars involved with the interpretation of rock art. Figures depicted on rock surfaces in jungle terrain patrolled by soldier ants were thought in the nineteenth century to record an otherwise unknown early episode of invasion and resistance – and were widely published as such. A recent survey by a Myanmar-Australian team has made more correct records of the earlier forms and now offers fresh interpretations: the carvings are due to fifteenth-nineteenth century artisans working at quarries producing objects for the town of Mrauk-U, and they evoke local creatures and architectural echoes of the town and temples on which they worked.