Sample records for african countries regional

  1. Evaluation of invalid vaccine doses in 31 countries of the WHO African Region. (United States)

    Akmatov, Manas K; Kimani-Murage, Elizabeth; Pessler, Frank; Guzman, Carlos A; Krause, Gérard; Kreienbrock, Lothar; Mikolajczyk, Rafael T


    We examined (a) the fraction of and extent to which vaccinations were administered earlier than recommended (age-invalid) or with too short intervals between vaccine doses (interval-invalid) in countries of the World Health Organisation (WHO) African Region and (b) individual- and community-level factors associated with invalid vaccinations using multilevel techniques. Data from the Demographic and Health Surveys conducted in the last 10 years in 31 countries were used. Information about childhood vaccinations was based on vaccination records (n=134,442). Invalid vaccinations (diphtheria, tetanus, pertussis [DTP1, DTP3] and measles-containing vaccine (MCV)) were defined using the WHO criteria. The median percentages of invalid DTP1, DTP3 and MCV vaccinations across all countries were 12.1% (interquartile range, 9.4-15.2%), 5.7% (5.0-7.6%), and 15.5% (10.0-18.1%), respectively. Of the invalid DTP1 vaccinations, 7.4% and 5.5% were administered at child's age of less than one and two weeks, respectively. In 12 countries, the proportion of invalid DTP3 vaccinations administered with an interval of less than two weeks before the preceding dose varied between 30% and 50%. In 13 countries, the proportion of MCV doses administered at child's age of less than six months varied between 20% and 45%. Community-level variables explained part of the variation in invalid vaccinations. Invalid vaccinations are common in African countries. Timing of childhood vaccinations should be improved to ensure an optimal protection against vaccine-preventable infections and to avoid unnecessary wastage in these economically deprived countries.

  2. Metabolic syndrome according to different definitions in a rapidly developing country of the African region

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    Paccaud Fred


    Full Text Available Abstract Aims We examined, in a country of the African region, i the prevalence of the metabolic syndrome (MetS according to three definitions (ATP, WHO and IDF; ii the distribution of the MetS criteria; iii the level of agreement between these three definitions and iv we also examined these issues upon exclusion of people with diabetes. Methods We conducted an examination survey on a sample representative of the general population aged 25–64 years in the Seychelles (Indian Ocean, African region, attended by 1255 participants (participation rate of 80.3%. Results The prevalence of MetS increased markedly with age. According to the ATP, WHO and IDF definitions, the prevalence of MetS was, respectively, 24.0%, 25.0%, 25.1% in men and 32.2%, 24.6%, 35.4% in women. Approximately 80% of participants with diabetes also had MetS and the prevalence of MetS was approximately 7% lower upon exclusion of diabetic individuals. High blood pressure and adiposity were the criteria found most frequently among MetS holders irrespective of the MetS definitions. Among people with MetS based on any of the three definitions, 78% met both ATP and IDF criteria, 67% both WHO and IDF criteria, 54% both WHO and ATP criteria and only 37% met all three definitions. Conclusion We identified a high prevalence of MetS in this population in epidemiological transition. The prevalence of MetS decreased by approximately 32% upon exclusion of persons with diabetes. Because of limited agreement between the MetS definitions, the fairly similar proportions of MetS based on any of the three MetS definitions classified, to a substantial extent, different subjects as having MetS.

  3. E-health: Determinants, opportunities, challenges and the way forward for countries in the WHO African Region

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    Gatwiri Doris


    Full Text Available Abstract Background The implementation of the 58th World Health Assembly resolution on e-health will pose a major challenge for the Member States of the World Health Organization (WHO African Region due to lack of information and communications technology (ICT and mass Internet connectivity, compounded by a paucity of ICT-related knowledge and skills. The key objectives of this article are to: (i explore the key determinants of personal computers (PCs, telephone mainline and cellular and Internet penetration/connectivity in the African Region; and (ii to propose actions needed to create an enabling environment for e-health services growth and utilization in the Region. Methods The effects of school enrolment, per capita income and governance variables on the number of PCs, telephone mainlines, cellular phone subscribers and Internet users were estimated using a double-log regression model and cross-sectional data on various Member States in the African Region. The analysis was based on 45 of the 46 countries that comprise the Region. The data were obtained from the United Nations Development Programme (UNDP, the World Bank and the International Telecommunications Union (ITU sources. Results There were a number of main findings: (i the adult literacy and total number of Internet users had a statistically significant (at 5% level in a t-distribution test positive effect on the number of PCs in a country; (ii the combined school enrolment rate and per capita income had a statistically significant direct effect on the number of telephone mainlines and cellular telephone subscribers; (iii the regulatory quality had statistically significant negative effect on the number of telephone mainlines; (iv similarly, the combined school enrolment ratio and the number of telephone mainlines had a statistically significant positive relationship with Internet usage; and (v there were major inequalities in ICT connectivity between upper-middle, lower-middle and

  4. Effects of global financial crisis on funding for health development in nineteen countries of the WHO African Region

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    Mwikisa Chris N


    Full Text Available Abstract Background There is ample evidence in Asia and Latin America showing that past economic crises resulted in cuts in expenditures on health, lower utilization of health services, and deterioration of child and maternal nutrition and health outcomes. Evidence on the impact of past economic crises on health sector in Africa is lacking. The objectives of this article are to present the findings of a quick survey conducted among countries of the WHO African Region to monitor the effects of global financial crisis on funding for health development; and to discuss the way forward. Methods This is a descriptive study. A questionnaire was prepared and sent by email to all the 46 Member States in the WHO African Region through the WHO Country Office for facilitation and follow up. The questionnaires were completed by directors of policy and planning in ministries of health. The data were entered and analyzed in Excel spreadsheet. The main limitations of this study were that authors did not ask whether other relevant sectors were consulted in the process of completing the survey questionnaire; and that the overall response rate was low. Results The main findings were as follows: the response rate was 41.3% (19/46 countries; 36.8% (7/19 indicated they had been notified by the Ministry of Finance that the budget for health would be cut; 15.8% (3/19 had been notified by partners of their intention to cut health funding; 61.1% (11/18 indicated that the prices of medicines had increased recently; 83.3% (15/18 indicated that the prices of basic food stuffs had increased recently; 38.8% (7/18 indicated that their local currency had been devalued against the US dollar; 47.1% (8/17 affirmed that the levels of unemployment had increased since the onset of global financial crisis; and 64.7% (11/17 indicated that the ministry of health had taken some measures already, either in reaction to the global financing crisis, or in anticipation. Conclusion A rapid

  5. Institution Building for African Regionalism


    Khadiagala, Gilbert M.


    Since the 1960s, African states have embraced regional integration as a vital mechanism for political cooperation and for pooling resources to overcome problems of small and fragmented economies. In building meaningful institutions for regionalism, however, Africans have faced the challenges of reconciling the diversities of culture, geography, and politics. As a result, African regional institutions are characterized by multiple and competing mandates and weak institutionalization. This stud...

  6. A study on the enhancement of nuclear cooperation with African countries including utilization of radioisotope

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Maeng Ho; Oh, K. B; Lee, H. M. and others


    In this study, potential countries for nuclear cooperation in African region and possible cooperation areas were investigated between Korea and African countries including radioisotopes and more fields were also analysed in depth in order to suggest the recommendations for future cooperation to be considered as follows; First, current status and perspectives of demand and supply of energy and electricity in the African countries, use and development of nuclear energy and international nuclear cooperation were analyzed. Second, current status of nuclear cooperation between Korea and African countries were investigated as well as analysis of future cooperation potential and countries having potential for nuclear cooperation and possible cooperative activities were suggested considering potential of nuclear market in mid- and long term base and step by step. Third, desirable strategies and directions for the establishment and promotion of nuclear cooperation relations between Korea and African developing countries were suggested in order to develope cooperative relations in efficient and effective manners with African developing countries.

  7. ACLED Country Report: Central African Republic (United States)


    Rights Watch, 2014). This has led to reprisal attacks on the part of the Séléka, and targeting by both groups now frequent- ly focuses on the religion ... religion . The distribution of Figure 8: Conflict Events Involving the Anti-Balaka, Central African Republic, August 2013 - September 2014. The...of the country where Islam is the majority religion . Most of its members are Muslim, including leader Michel Djotodia, who served as president from

  8. Japan’s foreign aid sanctions policy toward African countries


    Furuoka, Fumitaka


    This paper examines Japan’s aid sanctions policy toward African countries since new guidelines for Japanese ODA were introduced. There were three cases of positive reinforcement in Africa, i.e. in Madagascar, Zambia) and Guinea. Also, the Japanese government implemented nine negative reinforcements in the region, i.e. in Kenya, Zaire, Malawi, Sudan, Sierra Leone, Zambia, Togo, Nigeria and Gambia. Although Japan applied positive reinforcement and provided additional foreign aid to assist the p...

  9. Intracranial aneurysms in an African country

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    Ogeng'o Julius


    Full Text Available Background : Characteristics of intracranial aneurysms display ethnic variations. Data on this disease from the African continent is scarce and often conflicting. Aim : To describe site, age and gender distribution of intracranial aneurysms among Kenyans. Study Design and Setting : Retrospective study at Kenyatta National Hospital, Kenya. Materials and Methods: All records of black African patients with a diagnosis of intracranial aneurysms seen at Kenyatta National Hospital, the largest referral hospital in the Eastern and Central African region, over the period from January 1998 to December 2007 were examined for site, age and gender distribution. The data gathered were coded, analyzed with SPSS 11.50. Results : Fifty-six cases of intracranial aneurysms were analyzed. The posterior communicating artery was the most affected (35.7%, followed by the anterior communicating artery (26.8%, while the posterior cerebral artery was the least affected (2%. Multiple aneurysms were present in 2%. The mean age at presentation was 50.9 years (range 21-80 years and the gender distribution was equal. Conclusions : Intracranial aneurysms among Kenyans occur most commonly on the posterior communicating artery, in young individuals, and without gender bias. The distribution differs from that described in the literature and this requires search for risk factors.

  10. South African court rejects country's new constitution. (United States)


    Fundamental principles designed to ensure that South Africa's new constitution upholds a wide range of individual rights and freedoms and establishes a responsive government with a balanced separation of powers, including recognition of the role of traditional tribal leadership, were adopted into the current interim constitution shortly before the 1994 free elections which brought Nelson Mandela and the African National Congress to power. In a judgement issued on September 6, 1996, South Africa's Constitutional Court rejected the country's new draft constitution, arguing that it failed to meet the standards of nine of the 34 principles established at the Kempton Park negotiations. The Constitutional Assembly is comprised of a joint meeting of the National Assembly and Senate. One of the court's major objections to the constitution concerned the proposed structure of rule, which was seen to give inadequate power to South Africa's nine provinces as compared with the national government. However, the bill of rights was almost entirely upheld. The bill would create a favorable environment for legalized abortion and guarantee a universal right of access to health care, including reproductive health services

  11. Abortion laws in African Commonwealth countries. (United States)

    Cook, R J; Dickens, B M


    This paper provides an overview of the range of current (1981) abortion laws in the African Commonwealth countries, traces the origins of the laws to their colonial predecessors, and discusses legal reform that would positively provide for legal termination of pregnancy. The authors claim that the range of these laws demonstrates an evolution that leads from customary/common law (Lesotho and Swaziland) to basic law (Botswana, The Gambia, Malawi, Mauritius, Nigeria's Northern States and Seychelles) to developed law (Ghana, Kenya, Nigeria's Southern States, Sierra Leone, and Uganda), and, finally, to advanced law (Zambia and Zimbabwe). The authors call for treating abortion as an issue of health and welfare as opposed to one of crime and punishment. Since most of the basic law de jure is treated and administered as developed law de facto, the authors suggest decriminalizing abortion and propose ways in which to reform the law: clarifying existing law; liberalizing existing law to allow abortion based upon certain indications; limiting/removing women's criminal liability for seeking an abortion; allowing hindsight contraception; protecting providers treating women in good faith; publishing recommended fees for services to protect poor women; protecting providers who treat women with incomplete abortion; and punishing providers who fail to provide care to women in need, with the exception of those seeking protection under a conscience clause. The authors also suggest clarifying the means by which health services involving pregnancy termination may be delivered, including: clarification of the qualifications of practitioners who may treat women; specification of the facilities that may treat women, perhaps broken down by gestational duration of the pregnancy; specifying gestational limits during which the procedure can be performed; clarifying approval procedures and consents; and allowing for conscientious objections to performing the procedure.

  12. Health Care Expenditure and GDP in African Countries: Evidence from Semiparametric Estimation with Panel Data

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    Zhike Lv


    Full Text Available A large body of literature studies on the relationship between health care expenditure (HCE and GDP have been analyzed using data intensively from developed countries, but little is known for other regions. This paper considers a semiparametric panel data analysis for the study of the relationship between per capita HCE and per capita GDP for 42 African countries over the period 1995–2009. We found that infant mortality rate per 1,000 live births has a negative effect on per capita HCE, while the proportion of the population aged 65 is statistically insignificant in African countries. Furthermore, we found that the income elasticity is not constant but varies with income level, and health care is a necessity rather than a luxury for African countries.

  13. Visit to Three East African Countries

    Institute of Scientific and Technical Information of China (English)


    <正>In early December 2008, CPAFFC President Chen Haosu led a delegation to visit Rwanda, a "country of thousands of hills", Burundi, a "countryof drum dance"and Tanzania with ever changing scenery. In a friendly and

  14. Energy consumption and economic growth revisited in African countries

    Energy Technology Data Exchange (ETDEWEB)

    Eggoh, Jude C.; Bangake, Chrysost; Rault, Christophe [Orleans Univ. (France). LEO


    The aim of this paper is to provide new empirical evidence on the relationship between energy consumption and economic growth for 21 African countries over the period from 1970 to 2006, using recently developed panel cointegration and causality tests. The countries are divided into two groups: net energy importers and net energy exporters. It is found that there exists a long-run equilibrium relationship between energy consumption, real GDP, prices, labor and capital for each group of countries as well as for the whole set of countries. This result is robust to possible cross-country dependence and still holds when allowing for multiple endogenous structural breaks, which can differ among countries. Furthermore, we find that decreasing energy consumption decreases growth and vice versa, and that increasing energy consumption increases growth, and vice versa, and that this applies for both energy exporters and importers. Finally, there is a marked difference in the cointegration relationship when country groups are considered. (orig.)

  15. Energy consumption and economic growth revisited in African countries

    Energy Technology Data Exchange (ETDEWEB)

    Eggoh, Jude C., E-mail: [Laboratoire d' Economie d' Orleans (LEO), Universite d' Orleans, Rue de Blois, BP: 6739, 45067 Orleans Cedex 2 (France); Bangake, Chrysost [Laboratoire d' Economie d' Orleans (LEO), Universite d' Orleans, Rue de Blois, BP: 6739, 45067 Orleans Cedex 2 (France); Universite d' Artois and Laboratoire EQUIPPE, Lille 1, FSES, 59655 Villeneuve d' Ascq Cedex (France); Rault, Christophe [Laboratoire d' Economie d' Orleans (LEO), Universite d' Orleans, Rue de Blois, BP: 6739, 45067 Orleans Cedex 2 (France); Toulouse Business School (France)


    The aim of this paper is to provide new empirical evidence on the relationship between energy consumption and economic growth for 21 African countries over the period from 1970 to 2006, using recently developed panel cointegration and causality tests. The countries are divided into two groups: net energy importers and net energy exporters. It is found that there exists a long-run equilibrium relationship between energy consumption, real GDP, prices, labor and capital for each group of countries as well as for the whole set of countries. This result is robust to possible cross-country dependence and still holds when allowing for multiple endogenous structural breaks, which can differ among countries. Furthermore, we find that decreasing energy consumption decreases growth and vice versa, and that increasing energy consumption increases growth, and vice versa, and that this applies for both energy exporters and importers. Finally, there is a marked difference in the cointegration relationship when country groups are considered. - Highlights: > We assess the energy consumption and economic growth nexus in 21 African countries. > There exists a long-run relationship between energy consumption and economic growth. > This result is robust to cross-country dependence and for structural breaks. > Our findings finally support the feedback hypothesis of bidirectional causality.

  16. Opportunities for Distance Education in the Commonwealth African Countries. (United States)

    INTELECON Research & Consultancy Ltd., Vancouver (British Columbia).

    The geo-demographic, economic, and infrastructural makeup of 12 African countries (Botswana. Gambia, Kenya, Lesotho, Malawi, Nigeria, Sierra Leone, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe) were compared to determine the potential benefits to them of a Commonwealth of Learning (COL) distance education initiative. Data were collected on…

  17. Optimal public investment, growth, and consumption : Evidence from African countries

    NARCIS (Netherlands)

    Fosu, A.K.; Getachew, Y.Y.; Ziesemer, T.H.W.


    This paper develops a model positing a nonlinear relationship between public investment and growth. The model is then applied to a panel of African countries, using nonlinear estimating procedures. The growth-maximizing level of public investment is estimated at about 10% of GDP, based on System GMM

  18. Ideal Body Size as a Mediator for the Gender-Specific Association between Socioeconomic Status and Body Mass Index: Evidence from an Upper-Middle-Income Country in the African Region (United States)

    Yepes, Maryam; Maurer, Jürgen; Stringhini, Silvia; Viswanathan, Barathi; Gedeon, Jude; Bovet, Pascal


    Background: While obesity continues to rise globally, the associations between body size, gender, and socioeconomic status (SES) seem to vary in different populations, and little is known on the contribution of perceived ideal body size in the social disparity of obesity in African countries. Purpose: We examined the gender and socioeconomic…

  19. African Countries and WTO´s Dispute Settlement Mechanism

    DEFF Research Database (Denmark)


    The WTO Dispute Settlement Mechanism was designed, inter alia, to secure the 'rule of law' within international trade and provide all members with opportunities to exercise their rights under multilateral trade agreements. But, after ten years, no sub-Saharan African country has yet used the option...... to initiate a dispute. This article examines what prevents the WTO Africa Group from using the system and critically reviews the solutions they have proposed to remedy this. It concludes by discussing how this reflects broader problems concerning African participation in WTO, and puts forward some alternative...

  20. Measures for diffusion of solar PV in selected African countries

    DEFF Research Database (Denmark)

    Nygaard, Ivan; Hansen, Ulrich Elmer; Mackenzie, Gordon A.;


    This paper investigates how African governments are considering supporting and promoting the diffusion of solar PV. This issue is explored by examining so-called ‘technology action plans (TAPs)’, which were main outputs of the Technology Needs Assessment project implemented in 10 African countries...... that governments’ strategies to promoting solar PV are moving from isolated projects towards frameworks for market development and that there are high expectations to upgrading in the PV value chain through local assembly of panels and local production of other system elements. Commonly identified measures include...... support to: local production; financing schemes; tax exemptions; establishment and reinforcement of standards; technical training; and research and development....

  1. Pediatric stroke in an African country

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    Ogeng′o Julius


    Full Text Available Background : The pattern of pediatric stroke displays ethnic and geographical variations. There are few reports from black Sub-Saharan Africa, although relevant data are important in prevention, clinical diagnosis, treatment and prognostication. Aim : To describe subtypes, risk factors, localization, age and gender distribution of pediatric stroke in the black Kenyan population. Study Design and Setting : Retrospective cross-sectional study in a single regional referral and teaching hospital. Statistical Analysis : Data were analyzed by SPSS version 13.0 for Windows and presented in tables and bar and pie charts. Materials and Methods : The study was performed at the Kenyatta National Hospital, a level-6 regional referral health facility with an annual pediatric in-patient turnover of about 40,000 patients. Files of patients aged 1 month to 18 years over a period of 5 years were analyzed for stroke subtypes, localization, risk factors, age and sex distribution. Only those files with complete information were included. Results : Thirty-two of the 712 stroke patients (4.5% were pediatric. The male:female ratio was 1.7:1. Ischemic stroke comprised 56.3% (n = 18. Mean age was 7.7 years (range, 1.5-18 years. The most common sites were cortical (51%, lacunar (41% and brain stem (8%. The most common risk factors were connective tissue disorders (28.1%, heart disease (25%, human immunodeficiency virus (9.4% and infection (9.4%. Conclusion : Pediatric stroke is not uncommon in the Kenyan population. The risk factor profile comprising connective tissue disorders and infection differs from that reported in other populations, inviting large community-based studies.

  2. China Offers Import Tax Exemption to Some African Countries

    Institute of Scientific and Technical Information of China (English)


    <正>According to information from China’s Ministry of Commerce, China will offer some import tax exemption from January 1st this year to 25 African countries for a total of 190 commodities in the Customs taxable list. These commodities include 14 items of metals commodities such as ferro-silicon, steel structures and fabricated steel products, screw nails and their accessories, blister copper, unwrought copper cathode, fabricated copper, copper scrap and other copper products, unwrought nickel alloys, unwrought aluminium, aluminium scrap, intermediate cobalt products and fabricated cobalt products. These African countries include Benin, Burundi, Cape Verde, Central Africa, Congo, Ethiopia, Guinea, Liberia, Mozambique, Niger, Rwanda, Sierra Leone, Sudan, Tanzania, Togo, Uganda, Zambia etc. More details on these will be provided by the Customs.

  3. Trade policy and regionalism in the Central African Republic


    Walkenhorst, Peter


    This paper reviews the trade policy situation in the Central African Republic (CAR) and identifies a number of key issues and challenges for the country. The focus of the study is thereby on how trade taxes and quantitative restrictions affect the goods sector. The analysis falls into three parts. First, the state of domestic trade policy is described, with particular emphasis on the structure and economic effects of border policies. Then, CAR’s regional integration efforts are examined, ...

  4. Revisiting sub-Saharan African countries' drug problems: health, social, economic costs, and drug control policy. (United States)

    Affinnih, Yahya H


    -drug laws or legislation, or of establishing a drug control agency. They are also cooperating regionally to coordinate drug control measures and working with the Organization of African Unity (OAU). In addition, almost all the sub-Saharan African countries are signatories to all United Nations drug conventions. Since the drug problem in Africa has international origins, it will take concerted international cooperation and coordinated effort to combat the "social cancer" of drugs.

  5. Monitoring diseases across borders: African regional integrative information systems. (United States)

    Simbini, Tungamirirai; Foster, Rosemary; Nesara, Paul; Hullin Lucay Cossio, Carola


    In African countries, communicable diseases remain the chief cause of a heavy disease burden. Regional economic, political and social integration bring new challenges in the management of these diseases, many of which are treatable. Information Communication Technology (ICT) applied through electronic health systems has the potential to strengthen healthcare service delivery and disease surveillance within these countries. This paper discusses the importance of well-defined e-Health strategies within countries and, in addition, proposes that countries within regions collaborate in planning for health information exchange across borders. It is suggested that particular attention be paid to technical and data standards enabling interoperability, and also to issues of security, patient privacy and governance.

  6. HIV stigma and nurse job satisfaction in five African countries. (United States)

    Chirwa, Maureen L; Greeff, Minrie; Kohi, Thecla W; Naidoo, Joanne R; Makoae, Lucy N; Dlamini, Priscilla S; Kaszubski, Christopher; Cuca, Yvette P; Uys, Leana R; Holzemer, William L


    This study explored the demographic and social factors, including perceived HIV stigma, that influence job satisfaction in nurses from 5 African countries. A cross-sectional survey was conducted of nurses (n = 1,384) caring for patients living with HIV infection in Lesotho, Malawi, South Africa, Swaziland, and Tanzania. Total job satisfaction in this sample was lower than 2 comparable studies in South Africa and the United Kingdom. The Personal Satisfaction subscale was the highest in this sample, as in the other 2. Job satisfaction scores differed significantly among the 5 countries, and these differences were consistent across all subscales. A hierarchical regression showed that mental and physical health, marital status, education level, urban/rural setting, and perceived HIV stigma had significant influence on job satisfaction. Perceived HIV stigma was the strongest predictor of job dissatisfaction. These results provide new areas for intervention strategies that might enhance the work environment for nurses in these countries.

  7. Addressing mitigation options within the South African country study

    Energy Technology Data Exchange (ETDEWEB)

    Roos, Gina [Eskom (South Africa)


    The South African Country Study Programme is being executed under the auspices of the South African Department of Environmental Affairs and Tourism (DEAandT). The full study comprises the following four components, each headed by a technical coordinator: the 1990 greenhouse gas emissions inventory; a study of South Africa`s vulnerability to climate change and possible adaptation strategies; potential mitigation actions and; policy development. Ideally, these components should be executed in sequence. However, in view of South Africa`s commitments in terms of the Framework Convention on Climate Change (FCCC) and the need to draw up a national communication, it was decided to execute the components simultaneously, with an emphasis on coordination between the components. (EG)

  8. Sero-epidemiology and risk factors for Toxoplasma gondii among pregnant women in Arab and African countries. (United States)

    Alsammani, Mohamed Alkhatim


    The epidemiology of toxoplasmosis in pregnancy is a major issue for public health. Primary infection in pregnant women can lead to serious sequelae. This review examined current sero-epidemiology and risks factor data for Toxoplasma gondii in pregnant women in Arab and African countries. A systematic electronic search of published literature was conducted. Data were extracted from relevant studies. Seropositivity is high in both regions. African countries have higher seropositivity than Arab countries due to differences in risk factors. Data on T. gondii infection in pregnancy are scant in many countries, especially where there is lack of political stability. Identified risk factors included eating raw meat, proximity with cats, undercooked food, and increasing maternal age. Toxoplasmosis in pregnancy in Arab and African countries is an underestimated health problem. Further research is needed. This report is a foundation for strategies and policies for intervention needed to combat the consequences of congenital toxoplasmosis.

  9. Human African trypanosomiasis in non-endemic countries. (United States)

    Sudarshi, Darshan; Brown, Mike


    Human African trypanosomiasis (HAT) or sleeping sickness is a parasitic disease, acquired by the bite of an infected tsetse fly. In non-endemic countries HAT is rare, and therefore the diagnosis may be delayed leading to potentially fatal consequences. In this article the clinical presentation, diagnosis and treatment of the two forms of HAT are outlined. Rhodesiense HAT is an acute illness that presents in tourists who have recently visited game parks in Eastern or Southern Africa, whereas Gambiense HAT has a more chronic clinical course, in individuals from West or Central Africa.

  10. Language policy and science: Could some African countries learn from some Asian countries? (United States)

    Brock-Utne, Birgit


    This article deals with the fact that most children in Africa are taught in a language neither they nor their teachers master, resulting in poor education outcomes. While there are also donor interests and donor competition involved in retaining ex-colonial languages, as well as an African elite that may profit from this system, one of the main reasons why teaching in ex-colonial languages persists lies in the fact that a large proportion of the general public still believes that the best way to learn a foreign language is to have it as a language of instruction. By contrast, research studies conducted in Africa, as well as examples from Asian countries such as Sri Lanka and Malaysia, have shown that children actually learn mathematics and science much better in local and familiar languages. Though the recent World Bank Education Strategy policy paper is entitled Learning for All, it does not specify which language learning should take place in. A claim one often hears in countries of so-called Anglophone Africa is that English is the language of science and technology, and that teaching these subjects through English (instead of teaching English as a subject in its own right as a foreign language) is best. The monolingual island of Zanzibar is in fact about to reintroduce English as the language of instruction in maths and science from grade 5 onwards in primary school. The author of this paper suggests that when it comes to language policy, some African and some Asian countries could learn from each other.

  11. Regionalism and African agency: negotiating an Economic Partnership Agreement between the European Union and SADC- Minus


    Murray-Evans, Peg


    This article investigates the regional dynamics of African agency in the case of negotiations for an Economic Partnership Agreement (EPA) between the EU and a group of Southern African countries, known as SADC-Minus. I argue that these negotiations were shaped by a pattern of differentiated responses to the choice set on offer under the EPAs by SADC-Minus policymakers and by a series of strategic interactions and power plays between them. I offer two contributions to an emerging literature on...

  12. Wastage in the health workforce: some perspectives from African countries

    Directory of Open Access Journals (Sweden)

    Dovlo Delanyo


    Full Text Available Abstract Background Sub-Saharan Africa faces a human resources crisis in the health sector. Over the past two decades its population has increased substantially, with a significant rise in the disease burden due to HIV/AIDS and recurrent communicable diseases and an increased incidence of noncommunicable diseases. This increased demand for health services is met with a rather low supply of health workers, but this notwithstanding, sub-Saharan African countries also experience significant wastage of their human resources stock. Methods This paper is a desk review to illustrate suggestions that the way human resources for health (HRH are trained and deployed in Africa does not enhance productivity and that countries are unable to realize the full potential expected from the working life of their health workers. The paper suggests data types for use in measuring various forms of "wastage". Results "Direct" wastage – or avoidable increases in loss of staff through factors such as emigration and death – is on the rise, perhaps as a result of the HIV/AIDS epidemic. "Indirect" wastage – which is the result of losses in output and productivity from health professionals' misapplied skills, absenteeism, poor support and lack of supervision – is also common. HIV/AIDS represents a special cause of wastage in Africa. Deaths of health workers, fear of infection, burnout, absenteeism, heavy workloads and stress affect productivity. Conclusion The paper reviews strategies that have been proposed and/or implemented. It suggests areas needing further attention, including: developing and using indicators for monitoring and managing wastage; enhancing motivation and morale of health workers; protecting and valuing the health worker with enhanced occupational safety and welfare systems; and establishing the moral leadership to effectively tackle HIV/AIDS and the brain drain.

  13. East African Regional Outlook for 2011

    Institute of Scientific and Technical Information of China (English)

    Alphonce; Shiundu


    IT’S difficult to talk about Southern Sudan in 2011 without bringing up the historic referendum that will determine whether the south of Africa’s largest country will secede from the rest of the country. "The referendum in Southern Sudan is the most important event in the calendar of Africa after the(2010) World Cup(held in South Africa),because it has the consequence of introducing a new member state in Africa,and also has the consequence of returning this region back to war."

  14. Diplomatic Envoys of Four African Countries Visit Xinjiang

    Institute of Scientific and Technical Information of China (English)


    <正>In Xinjiang,the weather is fine and different kinds of melons and fruits have ripened by June,when Ambassador Cesar Freire De Morais of Cape Verde,Ambassador Paul Chong Leung of Mauritius,Ambassador Sedozan Apithy of Benin,along with Aliou Sall,Economic Counselor of the Senegalese Embassy in China,visited the region under CPAFFC auspices to give briefings on the political,economic and trade situation,as well as the advantages,investment policies and opportunities of their respective countries.


    NARCIS (Netherlands)



    Most studies treat capital flight as an exclusively Latin American problem. This paper estimates capital flight for six African countries and shows that the emphasis on Latin American capital flight is not correct. It appears that the burden of capital flight is also important for many African count

  16. Examining the Regional Aspect of Foreign Direct Investment to Developing Countries

    DEFF Research Database (Denmark)

    Sunesen, Eva Rytter

    This paper applies a general-to-specific analysis to detect regularities in the driving forces of foreign direct investment (FDI) that can explain why some regions are more attractive to foreign investors than others. The results suggest that regional differences in FDI inflows to African, Asian...... at improving the investment climate for foreign investors. This also means that there is no African bias. Among a large number of return and risk variables applied in the empirical literature, growth and inflation turn out to be the only robust and significant FDI determinants across regions although the size...... and Latin American countries can be fully explained by structural characteristics rather than fixed regional effects. The implication of this finding is that countries that are lagging behind other developing countries in attracting foreign capital have the opportunity to implement policies aimed...

  17. A review of the infection-associated cancers in North African countries. (United States)

    Hussein, Wafaa Mohamed; Anwar, Wagida A; Attaleb, Mohammed; Mazini, Loubna; Försti, Asta; Trimbitas, Roxana-Delia; Khyatti, Meriem


    Cancer is typically classified as a leading non-communicable disease; however, infectious agents, such as Helicobacter pylori (H. pylori), hepatitis B virus (HBV), hepatitis C virus (HCV) and human papilloma virus (HPV), contribute significantly to the pathogenesis of various cancers. Less developed countries, including countries of the North African (NA) region, endure the highest burden of infection-related cancers. The five most common infection-associated cancers in NA in order of incidence are bladder cancer, cervical cancer, liver cancer, stomach cancer, and nasopharyngeal carcinoma. This review aims to outline the epidemiologic pattern of infection-associated cancers in five NA countries (namely: Morocco, Algeria, Tunisia, Libya and Egypt) highlighting the similarities and differences across the region. The present study employed an initial literature review of peer-reviewed articles selected from PubMed, ScienceDirect and World Health Organization (WHO) databases based on key word searches without restriction on publication dates. Original research articles and reports written in French, as well as data from institutional reports and regional meeting abstracts were also included in this extensive review. Egypt, Libya, Tunisia, Algeria and Morocco were selected to be the focus of this review.

  18. Mainstreaming biodiversity and wildlife management into climate change policy frameworks in selected east and southern African countries

    Directory of Open Access Journals (Sweden)

    Olga L. Kupika


    Full Text Available The Rio+20 outcomes document, the Future We Want, enshrines green economy as one of the platforms to attain sustainable development and calls for measures that seek to address climate change and biodiversity management. This paper audits climate change policies from selected east and southern African countries to determine the extent to which climate change legislation mainstreams biodiversity and wildlife management. A scan of international, continental, regional and national climate change policies was conducted to assess whether they include biodiversity and/or wildlife management issues. The key finding is that many climate change policy–related documents, particularly the National Adaptation Programme of Actions (NAPAs, address threats to biodiversity and wildlife resources. However, international policies like the United Nations Framework Convention on Climate Change and Kyoto Protocol do not address the matter under deliberation. Regional climate change policies such as the East African Community, Common Market for Eastern and Southern Africa and African Union address biodiversity and/or wildlife issues whilst the Southern African Development Community region does not have a stand-alone policy for climate change. Progressive countries like Rwanda, Uganda, Tanzania and Zambia have recently put in place detailed NAPAs which are mainstream responsive strategies intended to address climate change adaptation in the wildlife sector.Keywords: mainstreaming, biodiversity, wildlife, climate change policy, east and southern Africa

  19. Determinants of suboptimal complementary feeding practices among children aged 6-23 months in four anglophone West African countries. (United States)

    Issaka, Abukari I; Agho, Kingsley E; Page, Andrew N; Burns, Penelope L; Stevens, Garry J; Dibley, Michael J


    Suboptimal complementary feeding practices have a detrimental impact on a child's growth, health and development in the first two years of life. They lead to child malnutrition, which contributes to the high prevalence of stunting (38%) and underweight (28%) reported for children feeding practices in four anglophone West African countries (Ghana, Liberia, Nigeria and Sierra Leone) using the most recent Demographic and Health Surveys. The study covered 12 623 children aged 6-23 months from four anglophone West African countries (Ghana: 822 children: Liberia: 1458 children, Nigeria: 8786 children and Sierra Leone: 1557 children). Four complementary feeding indicators were examined against a set of individual-, household- and community-level factors, using multiple regression analysis. Multivariate analyses found that lack of post-natal contacts with health workers, maternal illiteracy and geographical region were common determinants of delayed introduction of solid, semi-solid or soft foods across all four countries. Predictors for minimum dietary diversity, minimum meal frequency and minimum acceptable diet included children aged 6-11 months, administrative/geographical region, poorer household income and limited access to media. The authors recommend that the four anglophone West African countries studied should prioritise efforts to improve complementary feeding practices in order to reduce child morbidity and mortality. Interventional studies on complementary feeding should target those from poor and illiterate households.

  20. Effective coverage and systems effectiveness for malaria case management in sub-Saharan African countries.

    Directory of Open Access Journals (Sweden)

    Katya Galactionova

    Full Text Available Scale-up of malaria preventive and control interventions over the last decade resulted in substantial declines in mortality and morbidity from the disease in sub-Saharan Africa and many other parts of the world. Sustaining these gains will depend on the health system performance. Treatment provides individual benefits by curing infection and preventing progression to severe disease as well as community-level benefits by reducing the infectious reservoir and averting emergence and spread of drug resistance. However many patients with malaria do not access care, providers do not comply with treatment guidelines, and hence, patients do not necessarily receive the correct regimen. Even when the correct regimen is administered some patients will not adhere and others will be treated with counterfeit or substandard medication leading to treatment failures and spread of drug resistance. We apply systems effectiveness concepts that explicitly consider implications of health system factors such as treatment seeking, provider compliance, adherence, and quality of medication to estimate treatment outcomes for malaria case management. We compile data for these indicators to derive estimates of effective coverage for 43 high-burden Sub-Saharan African countries. Parameters are populated from the Demographic and Health Surveys and other published sources. We assess the relative importance of these factors on the level of effective coverage and consider variation in these health systems indicators across countries. Our findings suggest that effective coverage for malaria case management ranges from 8% to 72% in the region. Different factors account for health system inefficiencies in different countries. Significant losses in effectiveness of treatment are estimated in all countries. The patterns of inter-country variation suggest that these are system failures that are amenable to change. Identifying the reasons for the poor health system performance and

  1. Climate change impacts on North African countries and on some Tunisian economic sectors

    Directory of Open Access Journals (Sweden)

    Leila Radhouane


    Full Text Available Global temperature is increasing and that the main cause is the accumulation of carbon dioxide and other greenhouse gases in the atmosphere as a result of human activities. The economic costs alone will be very large: as extreme weather events such as droughts and floods become more destructive and frequent; communities, cities, and island nations are damaged or inundated as sea level rises; and agricultural output is disrupted. Impacts on ecosystems and biodiversity are also likely to be devastating. But what about Climate change impacts on water resources and agriculture in North African regions and especially on Tunisia country? North Africa is vulnerable to climate change impacts. Scenarios predict an average rise in annual temperatures, higher than the average expected for the planet. Heat waves would then be more numerous, longer and more intense. North Africa would be particularly affected by droughts that would be more frequent, more intense and longer-lasting. The projections also announce a drop of 4 to 27% in annual rainfall. The water deficit will be worsened by increased evaporation and coastal aquifers will become more salty. The sea level could rise by 23-47 cm. by the end of the 21st century. Many Mediterranean regions would then run a major risk of being submerged and eroded. In North Africa, rising temperatures associated with climate change are expected to decrease the land areas suitable for agriculture, shorten the length of growing seasons and reduce crop yields. In these countries, we estimate that a 1°C rise in temperature in a given year reduces economic growth in that year by about 1.1 points. The decrease in annual precipitation that is predicted for Northern Africa in the 21st century will exacerbate these effects, particularly in semiarid and arid regions that rely on irrigation for crop growth. These effects of climate change are more dramatic for Tunisia country especially for water resources and arable cropland

  2. Current situation, genetic relationship and control measures of infectious bronchitis virus variants circulating in African regions

    Directory of Open Access Journals (Sweden)

    Khadija Khataby


    Three S1 gene hypervariable regions were studied and compared to the reference genotypes/serotypes that found emerging in African regions. This comparison was based on phylogenetic trees, nucleotide and amino-acid sequence analysis. It clearly appears that IBV variants reported in Africa, display a low genetic relationship between them and with the majority of the reference strains emerging in neighboring countries, except the case of variants from Libya and Egypt that show a high relatedness. Also the Massachusetts serotypes were the most prevalent co-circulating with both serotypes, Italy02 type in Morocco and Qx-like genotype in South part of the African continent. In order to control the IBV variants in African regions, an efficient vaccination strategy program should be implemented.

  3. Diplomatic Envoys of Four African Countries Visit Hunan

    Institute of Scientific and Technical Information of China (English)


    <正>With Spring warmth awakening the flowers, ambassadors of Madagascar, Mali, Cameroon and Burundi went to Changsha, Hunan Province, for the 8th Lecture Tour of African Diplomatic Envoys. More than 100 people from the Commerce Bureau, the Development and Reform Commission and the Academy of Social Sciences of Hunan Province, Hunan Normal University as well as SOEs and private enterprises took part in the activity.

  4. Targeted interventions required against genital ulcers in African countries worst affected by HIV infection. (United States)

    O'Farrell, N


    It remains unclear why there is such marked variation in the severity of the human immunodeficiency virus (HIV) epidemic between African countries. The prevalence of HIV infection has reached high levels in many parts of southern Africa but in most countries of West Africa the levels are much lower. Although there is good evidence that sexually transmitted infections (STIs) and genital ulcers in particular facilitate heterosexual transmission of HIV, there is little comparative STI data from the African countries worst affected by HIV infection. A MEDLINE search covering the period 1966 to August 2000 using the keywords "sexually transmitted diseases", "genital ulcers" and "Africa" was performed to identify factors that might be relevant to the spread of HIV infection in countries with the highest prevalences of the virus. In the countries worst affected by HIV infection, the proportions of men and women with STI who had genital ulcers lay in the ranges 45-68% and 13-68%, respectively. The proportions were much lower in countries of West Africa than in those of southern Africa. The African countries worst affected by HIV infection should adopt a more specialized approach to STI control than hitherto and specifically target the high incidence of genital ulceration. Locally, technical STI committees should draw up country-specific guidelines taking into account the prevalence of the various causes of genital ulceration. In these countries, national AIDS control programmes and donor agencies should develop a specific focus for decreasing the incidence of genital ulcer disease.

  5. How efficient are African electricity companies? Evidence from the Southern African countries

    Energy Technology Data Exchange (ETDEWEB)

    Estache, Antonio [The World Bank, Washington, DC (United States); ECARES, Universite Libre de Bruxelles (Belgium); Tovar, Beatriz [Departamento de Analisis Economico Aplicado, Campus Universitario de Tafira, 35017, Modulo D, Despacho 2.20, Universidad de Las Palmas Gran Canaria (Spain); Trujillo, Lourdes [Departamento de Analisis Economico Aplicado, Universidad de Las Palmas Gran Canaria (Spain); Center for Competition and Regulation Policy, City University, London (United Kingdom)


    This paper is a first attempt at documenting efficiency levels in Africa's electricity firms, their evolution and the sources of this evolution. The analysis is based on a sample of 12 operators providing services in the 12 country members of the Southern Africa Power Pool. We focus on the changes in total factor productivity (TFP) of the largest operators in each country between 1998 and 2005. We then rely on a data envelopment analysis (DEA) decomposition to identify the sources of the changes in TFP. The results suggest fairly comparable levels of efficiency in the region and performance levels and evolution quite independent of the degree of vertical integration, the presence of a private actor or the main sources of energy supply. The analysis suggest that although the companies have not made significant improvements during the period of analysis in using their capital and human assets, they have done much better in adopting better technologies and better commercial practices. No clear correlation could be associated with the adoption of reforms during the last decade and data limitations impede a more refined assessment of the impact of reforms on efficiency at this stage. (author)

  6. Early Identification and Prevention of the Spread of Ebola in High-Risk African Countries. (United States)

    Breakwell, Lucy; Gerber, A Russell; Greiner, Ashley L; Hastings, Deborah L; Mirkovic, Kelsey; Paczkowski, Magdalena M; Sidibe, Sekou; Banaski, James; Walker, Chastity L; Brooks, Jennifer C; Caceres, Victor M; Arthur, Ray R; Angulo, Frederick J


    In the late summer of 2014, it became apparent that improved preparedness was needed for Ebola virus disease (Ebola) in at-risk countries surrounding the three highly affected West African countries (Guinea, Sierra Leone, and Liberia). The World Health Organization (WHO) identified 14 nearby African countries as high priority to receive technical assistance for Ebola preparedness; two additional African countries were identified at high risk for Ebola introduction because of travel and trade connections. To enhance the capacity of these countries to rapidly detect and contain Ebola, CDC established the High-Risk Countries Team (HRCT) to work with ministries of health, CDC country offices, WHO, and other international organizations. From August 2014 until the team was deactivated in May 2015, a total of 128 team members supported 15 countries in Ebola response and preparedness. In four instances during 2014, Ebola was introduced from a heavily affected country to a previously unaffected country, and CDC rapidly deployed personnel to help contain Ebola. The first introduction, in Nigeria, resulted in 20 cases and was contained within three generations of transmission; the second and third introductions, in Senegal and Mali, respectively, resulted in no further transmission; the fourth, also in Mali, resulted in seven cases and was contained within two generations of transmission. Preparedness activities included training, developing guidelines, assessing Ebola preparedness, facilitating Emergency Operations Center establishment in seven countries, and developing a standardized protocol for contact tracing. CDC's Field Epidemiology Training Program Branch also partnered with the HRCT to provide surveillance training to 188 field epidemiologists in Côte d'Ivoire, Guinea-Bissau, Mali, and Senegal to support Ebola preparedness. Imported cases of Ebola were successfully contained, and all 15 priority countries now have a stronger capacity to rapidly detect and contain

  7. Oil and gas, strategic regional cooperation between Persian Gulf countries

    Energy Technology Data Exchange (ETDEWEB)

    Zalloi, Mir Mahdi


    Almost two-thirds of proven oil and a third of world natural gas resources are in the Persian Gulf countries. Unfortunately strategic region of Persian Gulf in the past three decades faced with many security challenges due to wars and political conflicts. For security in this region, there are several methods such as military treaties between regional countries or Military presence of foreign countries, but historical evidence has shown, none of them could not guarantee the stable security in this region. The regional cooperation between countries can be replaced to mentioned methods. IPI Gas pipeline is an objective sample for this regional cooperation.

  8. Children's exposure to community and war violence and mental health in four African countries. (United States)

    Foster, Holly; Brooks-Gunn, Jeanne


    In this article we review the mental health consequences of children's exposure to community and war violence (ETV) in four African countries: South Africa, Sierra Leone, Gambia and Rwanda. A focus on Africa is particularly pressing because of children's high levels of community and war ETV in countries therein. Regions of Africa present important macro-contexts for understanding children's various types of violence exposure amidst war and economic disadvantage. Findings of the review across 20 quantitative studies from 2004 to 2015 indicate consistent associations between exposure to war and community violence and children's symptoms of Post-traumatic Stress disorder (PTSD), depression, and aggression. School climate and family support mitigate these ETV influences upon children: however, more research is needed on the buffering effects of such resources. The effects of war violence are mediated by perceived discrimination in communities post-conflict. We integrate findings across studies to synthesize knowledge on children's ETV in Africa around a model of its correlates, mediators, and moderators in relation to mental health. Emerging research points to avenues for prevention and future inquiry.

  9. Language Policy and Science: Could Some African Countries Learn from Some Asian Countries? (United States)

    Brock-Utne, Birgit


    This article deals with the fact that most children in Africa are taught in a language neither they nor their teachers master, resulting in poor education outcomes. While there are also donor interests and donor competition involved in retaining ex-colonial languages, as well as an African elite that may profit from this system, one of the main…

  10. Lassa fever in West African sub-region: an overview. (United States)

    Ogbu, O; Ajuluchukwu, E; Uneke, C J


    Lassa fever is an acute viral zoonotic illness caused by Lassa virus, an arenavirus known to be responsible for a severe haemorrhagic fever characterised by fever, muscle aches, sore throat, nausea, vomiting and, chest and abdominal pain. The virus exhibits persistent, asymptomatic infection with profuse urinary virus excretion in the ubiquitous rodent vector, Mastomys natalensis. Lassa fever is endemic in West Africa and has been reported from Sierra Leone, Guinea, Liberia, and Nigeria. Some studies indicate that 300,000 to 500,000 cases of Lassa fever and 5000 deaths occur yearly across West Africa. Studies reported in English, that investigated Lassa fever with reference to West Africa were identified using the Medline Entrez-PubMed search and were used for this review. The scarcity of resources available for health care delivery system and the political instability that characterise the West African countries would continue to impede efforts for the control of Lassa fever in the sub-region. There is need for adequate training of health care workers regarding diagnostics, intensive care of patients under isolation, contact tracing, adequate precautionary measures in handling infectious laboratory specimens, control of the vector as well as care and disposal of infectious waste.

  11. Lassa fever in West African sub-region: an overview

    Directory of Open Access Journals (Sweden)

    O. Ogbu


    Full Text Available Lassa fever is an acute viral zoonotic illness caused by Lassa virus, an arenavirus known to beresponsible for a severe haemorrhagic fever characterised by fever, muscle aches, sore throat, nausea,vomiting and, chest and abdominal pain. The virus exhibits persistent, asymptomatic infection withprofuse urinary virus excretion in the ubiquitous rodent vector, Mastomys natalensis. Lassa fever isendemic in West Africa and has been reported from Sierra Leone, Guinea, Liberia, and Nigeria. Somestudies indicate that 300,000 to 500,000 cases of Lassa fever and 5000 deaths occur yearly across WestAfrica. Studies reported in English, that investigated Lassa fever with reference to West Africa wereidentified using the Medline Entrez-PubMed search and were used for this review. The scarcity ofresources available for health care delivery system and the political instability that characterise theWest African countries would continue to impede efforts for the control of Lassa fever in the sub-region.There is need for adequate training of health care workers regarding diagnostics, intensive care ofpatients under isolation, contact tracing, adequate precautionary measures in handling infectiouslaboratory specimens, control of the vector as well as care and disposal of infectious waste.

  12. The Features of Development in the Pacific Countries of the African, Caribbean and Pacific Group (United States)

    Cuenca Garcia, Eduardo; Rodriguez Martin, Jose Antonio; Navarro Pabsdorf, Margarita


    In this article we present a new proposal for the measurement of development, applied to the Pacific Countries of the African, Caribbean and Pacific Group (ACP), conditional on their insularity, and with privileged relations with the European Union. Our index has been constructed attending to the criteria defined in the Goals of the Millennium…

  13. Is Africa’s current growth reducing inequality? Evidence from some selected african countries

    Directory of Open Access Journals (Sweden)

    Alege P.O.


    Full Text Available Is Africa’s current growth reducing inequality? What are the implications of growth on output performances in Africa? Does the effect of Africa’s growth on sectorial output have any implication for inequality in Africa? The study investigates the effect of shocks on a set of macroeconomic variables on inequality (measured by life expectancy and the implication of this on sectors that are perceived to provide economic empowerment in form of employment for people living in the African countries in our sample. Studies already find that growth in many African countries has not been accompanied with significant improvement in employment. Therefore inequality is subject to a counter cyclical trend in production levels when export destination countries experience a recession. The study also provides insight on the effect of growth on sectorial output for three major sectors in the African economy with the intent of analyzing the impact of growth on sectorial development. The method used in this study is Panel Vector Autoregressive (PVAR estimation and the obvious advantage of this method lies in the fact that it allows us to capture both static and dynamic interdependencies and to treat the links across units in an unrestricted fashion. Data is obtained from World Bank (WDI Statistics for the period 1985 to 2012 (28 years for 10 African Countries. Our main findings confirm strong negative relationship between GDP growth and life expectancy and also for GDP and the services and manufacturing sector considering the full sample.

  14. Incidence of pregnancy following antiretroviral therapy initiation and associated factors in eight West African countries (United States)

    Burgos-Soto, Juan; Balestre, Eric; Minga, Albert; Ajayi, Samuel; Sawadogo, Adrien; Zannou, Marcel D.; Leroy, Valériane; Ekouevi, Didier K.; Dabis, François; Becquet, Renaud


    Introduction This study aimed at estimating the incidence of pregnancy after antiretroviral therapy (ART) initiation in eight West African countries over a 10-year period. Methods A retrospective analysis was conducted within the international database of the IeDEA West Africa Collaboration. All HIV-infected women aged <50 years and starting ART for their own health between 1998 and 2011 were eligible. Pregnancy after ART initiation was the main outcome and was based on clinical reporting. Poisson regression analysis accounting for country heterogeneity was computed to estimate first pregnancy incidence post-ART and to identify its associated factors. Pregnancy incidence rate ratios were adjusted on country, baseline CD4 count and clinical stage, haemoglobin, age, first ART regimen and calendar year. Results Overall 29,425 HIV-infected women aged 33 years in median [Inter Quartile Range: 28–38] contributed for 84,870 women-years of follow-up to this analysis. The crude incidence of first pregnancy (2,304 events) was 2.9 per 100 women-years [95% confidence interval [CI]: 2.7–3.0], the highest rate being reported among women aged 25–29 years: 4.7 per 100 women-years; 95% CI: 4.3–5.1. The overall Kaplan-Meier probability of pregnancy occurrence by the fourth year on ART was 10.9% (95% CI: 10.4–11.4) and as high as 28.4% (95% CI: 26.3–30.6) among women aged 20–29 years at ART initiation. Conclusion The rate of pregnancy occurrence after ART initiation among HIV-infected women living in the West Africa region was high. Family planning services tailored to procreation needs should be provided to all HIV-infected women initiating ART and health consequences carefully monitored in this part of the world. PMID:25216079

  15. Socioeconomic Differences in Dietary Patterns in an East African Country: Evidence from the Republic of Seychelles (United States)

    Mayén, Ana-Lucia; Bovet, Pascal; Marti-Soler, Helena; Viswanathan, Bharathi; Gedeon, Jude; Paccaud, Fred; Marques-Vidal, Pedro; Stringhini, Silvia


    Background In high income countries, low socioeconomic status (SES) is related to unhealthier dietary patterns, while evidence on the social patterning of diet in low and middle income countries is scarce. Objective In this study, we assess dietary patterns in the general population of a middle income country in the African region, the Republic of Seychelles, and examine their distribution according to educational level and income. Methods Data was drawn from two independent national surveys conducted in the Seychelles among adults aged 25–64 years in 2004 (n = 1236) and 2013 (n = 1240). Dietary patterns were assessed by principal component analysis (PCA). Educational level and income were used as SES indicators. Data from both surveys were combined as no interaction was found between SES and year. Results Three dietary patterns were identified: “snacks and drinks”, “fruit and vegetables” and “fish and rice”. No significant associations were found between SES and the “snacks and drinks” pattern. Low vs. high SES individuals had lower adherence to the “fruit and vegetables” pattern [prevalence ratio (95% CI) 0.71 (0.60–0.83)] but a higher adherence to the traditional “fish and rice” pattern [1.58 (1.32–1.88)]. Income modified the association between education and the “fish and rice” pattern (p = 0.02), whereby low income individuals had a higher adherence to this pattern in both educational groups. Conclusion Low SES individuals have a lower consumption of fruit and vegetables, but a higher consumption of traditional foods like fish and rice. The Seychelles may be at a degenerative diseases stage of the nutrition transition. PMID:27214139

  16. Web Portal Analysis of Asian Region Countries

    Directory of Open Access Journals (Sweden)

    Subhash Chander


    Full Text Available The number of online services provided by Government and private sectors is increasing these days. On the same pattern various countries have their own portals to provide basic services to the citizens and other people of the world. Analysis of portals in Asia is the main theme of the paper. There are various indicators or attributes necessary for the implementation of e-services .Some of the indicators may be frequency of use of services, number of users, visitors, site hits, searchable option, accessibility, language option, performance, functionality, broken links, traffic analysis, and feedback. Out of these metrics taken into consideration here are Traffic analysis, feedback, accessibility, security and language option. The countries taken into consideration are India, China and Pakistan. Web portals of these countries will be analyzed in detail.

  17. Celiac disease in Middle Eastern and North African countries:A new burden?

    Institute of Scientific and Technical Information of China (English)

    Kassem; Barada; Abbas; Bitar; Mohamad; Abdul-Razak; Mokadem; Jana; Ghazi; Hashash; Peter; Green


    Celiac disease(CD) is now recognized as a common disorder among Middle Eastern(ME) and North African(NA) populations.The aim of this review is to assess the available data regarding CD in the ME and NA and to compare this information with that of Western countries.A literature review was performed using the electronic databases PubMed and Medline(1950-2008) as search engines,and "celiac disease" was used as a Mesh term.The search was limited to ME and NA countries.The prevalence of CD in ME and NA countries...

  18. Adjustment and long-run economic performance in 18 African countries

    DEFF Research Database (Denmark)

    Gebregziabher, Fiseha


    This paper investigates the link between IMF-World Bank stabilisation-cum-structural adjustment programs and long-run economic performance in 18 African countries on a country-specific basis for the period 1960-2009. We employ a structural break approach to study the impact on long-run growth...... trajectories of the introduction of adjustment programs. The analysis reveals that only few countries have shown positive and sustained results. The traditional (first-generation) Fund-Bank adjustment package is linked with sustained increase in Gross Domestic Product, export and investment growth rates only...

  19. Remittances, Economic Freedom, and Economic Growth in North African Countries

    Directory of Open Access Journals (Sweden)

    Nahed Zghidi


    Full Text Available This contribution investigates the causal interactions between foreign direct investment (FDI, economic freedom and economic growth in a panel of 4 countries of North Africa (Tunisia, Morocco, Algeria and Egypt from 1980 to 2012. Using System Generalized Method of Moment (GMM panel data analysis, we find strong evidence of a positive link between remittances and economic growth. We also find evidence that economic freedom appear to be working as a complement to remittances and, moreover, that the effect of remittances is more pronounced in the presence of the economic freedom variable. Thus, to the extent that remittances have become a major source of external development finance, policies promoting greater freedom of economic activities gain significantly from the presence of remittances.

  20. Strategic Implications of Emerging Threats to West African Countries (United States)


    8217’ (zone of influence) where the umbilical cordon was not really 7 cut15. The presence of thousands of technical assistants and the signature of all...companies tend to avoid the region. In addition the attacks on offshore oil facilities have a destabilizing consequence on global oil prices. Finally

  1. Factors Associated with PMTCT Cascade Completion in Four African Countries

    Directory of Open Access Journals (Sweden)

    Jodie Dionne-Odom


    Full Text Available Background. Many countries are working to reduce or eliminate mother-to-child transmission (MTCT of HIV. Prevention efforts have been conceptualized as steps in a cascade but cascade completion rates during and after pregnancy are low. Methods. A cross-sectional survey was performed across 26 communities in Cameroon, Cote d’Ivoire, South Africa, and Zambia. Women who reported a pregnancy within two years were enrolled. Participant responses were used to construct the PMTCT cascade with all of the following steps required for completion: at least one antenatal visit, HIV testing performed, HIV testing result received, initiation of maternal prophylaxis, and initiation of infant prophylaxis. Factors associated with cascade completion were identified using multivariable logistic regression modeling. Results. Of 976 HIV-infected women, only 355 (36.4% completed the PMTCT cascade. Although most women (69.2% did not know their partner’s HIV status; awareness of partner HIV status was associated with cascade completion (aOR 1.4, 95% CI 1.01–2.0. Completion was also associated with receiving an HIV diagnosis prior to pregnancy compared with HIV diagnosis during or after pregnancy (aOR 14.1, 95% CI 5.2–38.6. Conclusions. Pregnant women with HIV infection in Africa who were aware of their partner’s HIV status and who were diagnosed with HIV before pregnancy were more likely to complete the PMTCT cascade.

  2. 2002 Sino-African SHP Training Workshop

    Institute of Scientific and Technical Information of China (English)


    The 2002 Sino-African SHP Training Workshop was held from 10 May to 18 June 2002 at Hangzhou Regional Center for Small Hydro Power(HRC). Attended altogether 9 participants from 5 African countries, i.e. Burundi, Nigeria, South African, Tanzania and Tunisia. This is the second training workshop on SHP that HRC conducted for African countries.

  3. Zār Spirit Possession in Iran and African Countries: Group Distress, Culture-Bound Syndrome or Cultural Concept of Distress?

    Directory of Open Access Journals (Sweden)

    Fahimeh Mianji


    Full Text Available Zār is the term used to describe a form of spirit possession common in northern African, eastern African, and some Middle-Eastern societies. Although these regions share some cultural similarities arising from their history of slavery, in these places, zār varies in prevalence, clinical characteristics, and social context. Based on a selective review of the literature, this paper looks at the place of zār spirit possession in both DSM-IV and DSM-V; it also examines how zār is manifested in Iran and in African countries including Sudan, Ethiopia, and Egypt; and it aims to provide practical information to mental health clinicians so that they can better understand how this cultural concept is practiced by Iranians and Middle Eastern and African immigrants living near the Persian Gulf coast.

  4. Forensic data and microvariant sequence characterization of 27 Y-STR loci analyzed in four Eastern African countries. (United States)

    Iacovacci, Giuseppe; D'Atanasio, Eugenia; Marini, Ornella; Coppa, Alfredo; Sellitto, Daniele; Trombetta, Beniamino; Berti, Andrea; Cruciani, Fulvio


    By using the recently introduced 6-dye Yfiler(®) Plus multiplex, we analyzed 462 males belonging to 20 ethnic groups from four eastern African countries (Eritrea, Ethiopia, Djibouti and Kenya). Through a Y-STR sequence analysis, combined with 62 SNP-based haplogroup information, we were able to classify observed microvariant alleles at four Y-STR loci as either monophyletic (DYF387S1 and DYS458) or recurrent (DYS449 and DYS627). We found evidence of non-allelic gene conversion among paralogous STRs of the two-copy locus DYF387S1. Twenty-two diallelic and triallelic patterns observed at 13 different loci were found to be significantly over-represented (p<10(-6)) among profiles obtained from cell lines compared to those from blood and saliva. Most of the diallelic/triallelic patterns from cell lines involved recurrent mutations at rapidly mutating loci (RM Y-STRs) included in the multiplex (p<10(-2)). At haplotype level, intra-population diversity indices were found to be among the lowest so far reported for the Yfiler(®) Plus, while statistically significant differences among countries and ethnic groups were detected when considering haplotype frequencies alone (FST) or by using molecular distances among haplotypes (ΦST). The strong population subdivision observed is probably the consequence of the patrilineal social organization of most eastern African ethnic groups, and suggests caution in the use of country-based haplotype frequency distributions for forensic inferences in this region.

  5. Drivers of Environmental Institutional Dynamics in Decentralized African Countries (United States)

    Hassenforder, Emeline; Barreteau, Olivier; Daniell, Katherine Anne; Pittock, Jamie; Ferrand, Nils


    This paper builds on the assumption that an effective approach to support the sustainability of natural resource management initiatives is institutional "bricolage." We argue that participatory planning processes can foster institutional bricolage by encouraging stakeholders to make their own arrangements based on the hybridization of old and new institutions. This papers aims at identifying how participatory process facilitators can encourage institutional bricolage. Specifically the paper investigates the specific contextual and procedural drivers of institutional dynamics in two case studies: the Rwenzori region in Uganda and the Fogera woreda in Ethiopia. In both cases, participatory planning processes were implemented. This research has three innovative aspects. First, it establishes a clear distinction between six terms which are useful for identifying, describing, and analyzing institutional dynamics: formal and informal; institutions and organizations; and emergence and change. Secondly, it compares the contrasting institutional dynamics in the two case studies. Thirdly, process-tracing is used to identify contextual and procedural drivers to institutional dynamics. We assume that procedural drivers can be used as "levers" by facilitators to trigger institutional bricolage. We found that facilitators need to pay particular attention to the institutional context in which the participatory planning process takes place, and especially at existing institutional gaps or failures. We identified three clusters of procedural levers: the selection and engagement of participants; the legitimacy, knowledge, and ideas of facilitators; and the design of the process, including the scale at which it is developed, the participatory tools used and the management of the diversity of frames.

  6. Role of mobile phone technology in health education in Asian and African countries: a systematic review. (United States)

    Sahu, Madhusmita; Grover, Ashoo; Joshi, Ashish


    The objective of this systematic review was to explore the role of mobile phone technologies in delivering health education programs in Asian and African countries. The search engine used was Pubmed during 2008-2011. Randomised controlled trials or controlled studies that improved health outcomes through delivery of health educational interventions using cell phone or text messaging were included in the review. Results showed studies from six Asian and African countries including Philippines, China, Kenya, South Korea, Taiwan and India. Mobile phone technology has shown to improve health outcomes for chronic disease conditions such as diabetes, heart disease and hypertension. Additional conditions include obesity and cardiopulmonary resuscitation guidance. Other studies have shown improvement in self management of breast cancer and post-hospitalisation HIV and pharmaceutical care. Overall results of the present review showed that mobile phone technologies can be a possible solution to improve healthcare outcome.

  7. Choice of exchange rate regimes for African countries: Fixed or Flexible Exchange rate regimes?


    Simwaka, Kisu


    The choice of an appropriate exchange rate regime has been a subject of ongoing debate in international economics. The majority of African countries are small open economies and thus where the choice of the exchange rate regime is an important policy issue. Aside from factors such as interest rates and inflation, the exchange rate is one of the most important determinants of a country’s relative level of economic health. For this reason, exchange rates are among the most watched analyzed and ...

  8. The Role of Credit Access in Improving Cocoa Production in West African Countries


    Nyemeck, J.B.; Gockowski, James; Nkamleu, Guy Blaise


    This study uses survey data to examine the role of access to credit on cocoa production, in West African cocoa production countries under conditions of agricultural policy liberalization. The study specifies and estimates econometric models to simulate the counterfactual of what cocoa production would be in the absence of credit facilities. The survey results show that about 54% of cocoa farmers have access to credit in Nigeria, and respectively 37% in Cameroon, while in Ghana and Côte d’Ivoi...

  9. Teacher Gender, Student Gender, and Primary School Achievement: Evidence from Ten Francophone African Countries


    Lee, Jieun; Rhee, Dong-eun; Rudolf, Robert


    Using an exceptionally rich dataset comprising over 1,800 primary schools and nearly 40,000 students from ten francophone Sub-Saharan African countries, this study analyzes the relationship between teacher gender, student gender, and student achievement in mathematics and reading. Findings indicate that being taught by a female teacher increases academic achievements and that both performance and subject appreciation rise when taught by a same-gender teacher. Traditional academic gender stere...

  10. African Female Physicians and Nurses in the Global Care Chain: Qualitative Explorations from Five Destination Countries (United States)

    Wojczewski, Silvia; Pentz, Stephen; Blacklock, Claire; Hoffmann, Kathryn; Peersman, Wim; Nkomazana, Oathokwa; Kutalek, Ruth


    Migration of health professionals is an important policy issue for both source and destination countries around the world. The majority of migrant care workers in industrialized countries today are women. However, the dimension of mobility of highly skilled females from countries of the global south has been almost entirely neglected for many years. This paper explores the experiences of high-skilled female African migrant health-workers (MHW) utilising the framework of Global Care Chain (GCC) research. In the frame of the EU-project HURAPRIM (Human Resources for Primary Health Care in Africa), the research team conducted 88 semi-structured interviews with female and male African MHWs in five countries (Botswana, South Africa, Belgium, Austria, UK) from July 2011 until April 2012. For this paper we analysed the 34 interviews with female physicians and nurses using the qualitative framework analysis approach and the software atlas.ti. In terms of the effect of the migration on their career, almost all of the respondents experienced short-term, long-term or permanent inability to work as health-care professionals; few however also reported a positive career development post-migration. Discrimination based on a foreign nationality, race or gender was reported by many of our respondents, physicians and nurses alike, whether they worked in an African or a European country. Our study shows that in addition to the phenomenon of deskilling often reported in GCC research, many female MHW are unable to work according to their qualifications due to the fact that their diplomas are not recognized in the country of destination. Policy strategies are needed regarding integration of migrants in the labour market and working against discrimination based on race and gender. PMID:26068218

  11. African Female Physicians and Nurses in the Global Care Chain: Qualitative Explorations from Five Destination Countries.

    Directory of Open Access Journals (Sweden)

    Silvia Wojczewski

    Full Text Available Migration of health professionals is an important policy issue for both source and destination countries around the world. The majority of migrant care workers in industrialized countries today are women. However, the dimension of mobility of highly skilled females from countries of the global south has been almost entirely neglected for many years. This paper explores the experiences of high-skilled female African migrant health-workers (MHW utilising the framework of Global Care Chain (GCC research. In the frame of the EU-project HURAPRIM (Human Resources for Primary Health Care in Africa, the research team conducted 88 semi-structured interviews with female and male African MHWs in five countries (Botswana, South Africa, Belgium, Austria, UK from July 2011 until April 2012. For this paper we analysed the 34 interviews with female physicians and nurses using the qualitative framework analysis approach and the software atlas.ti. In terms of the effect of the migration on their career, almost all of the respondents experienced short-term, long-term or permanent inability to work as health-care professionals; few however also reported a positive career development post-migration. Discrimination based on a foreign nationality, race or gender was reported by many of our respondents, physicians and nurses alike, whether they worked in an African or a European country. Our study shows that in addition to the phenomenon of deskilling often reported in GCC research, many female MHW are unable to work according to their qualifications due to the fact that their diplomas are not recognized in the country of destination. Policy strategies are needed regarding integration of migrants in the labour market and working against discrimination based on race and gender.

  12. On the mathematical analysis of Ebola hemorrhagic fever: deathly infection disease in West African countries. (United States)

    Atangana, Abdon; Goufo, Emile Franc Doungmo


    For a given West African country, we constructed a model describing the spread of the deathly disease called Ebola hemorrhagic fever. The model was first constructed using the classical derivative and then converted to the generalized version using the beta-derivative. We studied in detail the endemic equilibrium points and provided the Eigen values associated using the Jacobian method. We furthered our investigation by solving the model numerically using an iteration method. The simulations were done in terms of time and beta. The study showed that, for small portion of infected individuals, the whole country could die out in a very short period of time in case there is not good prevention.

  13. The African Standby Force and Regional Security Integration

    DEFF Research Database (Denmark)

    Mandrup, Thomas


    the challenges facing the region? The regional enmities between the states seem to be widespread, deep-rooted and of a nearly chronic nature. In June 2015 the African Union and its member-states announced that they expected the five regionally based standby brigades to be fully operational by December 2015....... The readiness is to be tested at a continental field exercise, Amani Africa 11 to take place in South Africa October 2015. (Defence Web, 2015) The article will start by mapping out the security dynamics and architecture in East Africa, including its membership circles and priorities. The article...

  14. Domestic Preparedness for Trade in Services Liberalization: Are East African Countries prepared for Further Trade Liberalization?

    Directory of Open Access Journals (Sweden)

    BAGUMHE, Elias Peter


    Full Text Available Services are the fastest growing sectors in the global economy. Over the past decades East African countries have witnessed even faster growing rates of the share of trade services in their GDPs. The total services export of EAC countries increased from USD 1868 mills in 1995 to USD 5681 mills in 2008 (WDI 2010 which is approximately three times increase compared to 1995. Along with this growth, liberalization of services trade is becoming a critical economic agenda of these economies. EAC countries have also made unilateral liberalizations in a number of services sectors since the mid 1980’s. On top of that EAC countries have also made commitment to liberalize service trade at the multilateral level. Furthermore a significant commitment of their services sectors has been made under the East African Integration Process beginning from first July 2010. This paper argues that although the importance of services as a share of overall GDP, increase with growth on FDI and employment. Its growth can be driven by number of factors, such as final demand factors and basic structural changes in production, linked to development. Weak domestic preparedness before opening up is likely to be associated with unsatisfactory and undesirable outcomes of services trade liberalization. This paper tries to expound issues that are essential on domestic preparedness for service trade liberalization and analyses the associated concerns. The purpose of this paper is not to provide answers but to shed some light on how services Trade liberalization is currently operationalized in the East African countries, in particular, that is, to open up the “black box”, and indicate the operational design elements around which variance is the highest.

  15. Chemical characterisation of african dust transported to Canary Region (United States)

    Gelado, M. D.; López, P.; Prieto, S.; Collado, C.; Hernández, J. J.


    African dust pulses have important effects on the climate conditions and the marine biogeochemistry in the Canary Region. Aerosol samples have been collected at three stations on Gran Canaria Island (Taliarte at sea level, Tafira 269 m a.s.l. and Pico de la Gorra 1930 m a.s.l.) during 2000-2008. Elemental characterisation of the collected mineral aerosol and back trajectories of the air masses are used to distinguish regional African sources of dust. Dust aerosol samples from North Sahara (Morocco, North Algeria and Tunisia), West and Central Sahara (20°-30°N, 18°W-50°E) and Sahel (0°-20°N, 18°W-50°E) have shown different Ca/Ti, Al/Ti and Fe/Al ratios. Ti appears as a better tracer element of specific source of dust than Fe, probably due to a less mineral alteration during the atmospheric transport.

  16. Regional view of a Trans-African Drainage System


    Mohamed Abdelkareem; Farouk El-Baz


    Despite the arid to hyperarid climate of the Great Sahara of North Africa, pluvial climates dominated the region. Radar data shed some light on the postulated Trans-African Drainage System and its relationship to active and inactive tributaries of the Nile basin. Interpretations of recent elevation data confirm a source of the river water from the Red Sea highlands did not connect the Atlantic Ocean across Tushka basin, highlands of Uwinate and Darfur, and Chad basin, but northward to the anc...

  17. Impact of disaster-related mortality on gross domestic product in the WHO African Region

    Directory of Open Access Journals (Sweden)

    Aldis William


    Full Text Available Abstract Background Disaster-related mortality is a growing public health concern in the African Region. These deaths are hypothesized to have a significantly negative effect on per capita gross domestic product (GDP. The objective of this study was to estimate the loss in GDP attributable to natural and technological disaster-related mortality in the WHO African Region. Methods The impact of disaster-related mortality on GDP was estimated using double-log econometric model and cross-sectional data on various Member States in the WHO African Region. The analysis was based on 45 of the 46 countries in the Region. The data was obtained from various UNDP and World Bank publications. Results The coefficients for capital (K, educational enrolment (EN, life expectancy (LE and exports (X had a positive sign; while imports (M and disaster mortality (DS were found to impact negatively on GDP. The above-mentioned explanatory variables were found to have a statistically significant effect on GDP at 5% level in a t-distribution test. Disaster mortality of a single person was found to reduce GDP by US$0.01828. Conclusions We have demonstrated that disaster-related mortality has a significant negative effect on GDP. Thus, as policy-makers strive to increase GDP through capital investment, export promotion and increased educational enrolment, they should always keep in mind that investments made in the strengthening of national capacity to mitigate the effects of national disasters expeditiously and effectively will yield significant economic returns.

  18. Indian Country Leaking Underground Storage Tanks, Region 9, 2016 (United States)

    U.S. Environmental Protection Agency — This GIS dataset contains point features that represent Leaking Underground Storage Tanks in US EPA Region 9 Indian Country. This dataset contains facility name and...

  19. Regional probabilistic fertility forecasting by modeling between-country correlations

    Directory of Open Access Journals (Sweden)

    Bailey Fosdick


    Full Text Available Background: The United Nations (UN Population Division constructs probabilistic projections for the total fertility rate (TFR using the Bayesian hierarchical model of Alkema et al. (2011, which produces predictive distributions of the TFR for individual countries. The UN is interested in publishing probabilistic projections for aggregates of countries, such as regions and trading blocs. This requires joint probabilistic projections of future countryspecific TFRs, taking account of the correlations between them. Objective: We propose an extension of the Bayesian hierarchical model that allows for probabilistic projection of aggregate TFR for any set of countries. Methods: We model the correlation between country forecast errors as a linear function of time invariant covariates, namely whether the countries are contiguous, whether they had a common colonizer after 1945, and whether they are in the same UN region. The resulting correlation model is incorporated into the Bayesian hierarchical model's error distribution. Results: We produce predictive distributions of TFR for 1990-2010 for each of the UN's primary regions. We find that the proportions of the observed values that fall within the prediction intervals from our method are closer to their nominal levels than those produced by the current model. Conclusions: Our results suggest that a substantial proportion of the correlation between forecast errors for TFR in different countries is due to the countries' geographic proximity to one another, and that if this correlation is accounted for, the quality of probabilistic projections of TFR for regions and other aggregates is improved.

  20. Case studies on the use of biotechnologies and on biosafety provisions in four African countries. (United States)

    Black, Robert; Fava, Fabio; Mattei, Niccolo; Robert, Vincent; Seal, Susan; Verdier, Valerie


    production and the economy of this depressed areas. However, the problems bound to environmental protection must not be forgotten; priority should be given to monitor the risks of introduction of foreign species. Red biotechnologies potentially bring a vast domain of powerful tools and processes to achieve better human health, most notably improved diagnostics by molecular techniques, better targeting of pathogens and a better knowledge of their sensitivities to drugs to permit better treatment. Biosafety regulatory frameworks had been initiated in several countries, starting with primary biosafety law. However, disparate attitudes to the purpose of biosafety regulation (e.g., fostering informed decision-making versus 'giving the green-light for a flood of GMOs') currently prevent a needed consensus for sub-regional harmonisation. To date, most R&D funding has come from North America with some commercial interests from Asia, but African biotechnology workers expressed strong desire for (re-)engagement with interested parties from the European Union. Although in some of the visited countries there are very well qualified personnel in molecular biology and biosafety/regulation, the main message received is that human resources and capacity building in-house are still needed. This could be achieved through home-based courses and capacity-building including funds for post-degree research to motivate and retain trained staff.

  1. Past and Ongoing Tsetse and Animal Trypanosomiasis Control Operations in Five African Countries: A Systematic Review (United States)

    Holt, Hannah R.; Selby, Richard; Guitian, Javier


    Background Control operations targeting Animal African Trypanosomiasis and its primary vector, the tsetse, were covering approximately 128,000 km2 of Africa in 2001, which is a mere 1.3% of the tsetse infested area. Although extensive trypanosomiasis and tsetse (T&T) control operations have been running since the beginning of the 20th century, Animal African Trypanosomiasis is still a major constraint of livestock production in sub-Saharan Africa. Methodology/Principal Findings We performed a systematic review of the existing literature describing T&T control programmes conducted in a selection of five African countries, namely Burkina Faso, Cameroon, Ethiopia, Uganda and Zambia, between 1980 and 2015. Sixty-eight documents were eventually selected from those identified by the database search. This was supplemented with information gathered through semi-structured interviews conducted with twelve key informants recruited in the study countries and selected based on their experience and knowledge of T&T control. The combined information from these two sources was used to describe the inputs, processes and outcomes from 23 major T&T control programmes implemented in the study countries. Although there were some data gaps, involvement of the target communities and sustainability of the control activities were identified as the two main issues faced by these programmes. Further, there was a lack of evaluation of these control programmes, as well as a lack of a standardised methodology to conduct such evaluations. Conclusions/Significance Past experiences demonstrated that coordinated and sustained control activities require careful planning, and evidence of successes, failures and setbacks from past control programmes represent a mine of information. As there is a lack of evaluation of these programmes, these data have not been fully exploited for the design, analyses and justification of future control programmes. PMID:28027299

  2. The Long-Run Impact of Foreign Aid in 36 African Countries

    DEFF Research Database (Denmark)

    Juselius, Katarina; Møller, Niels Framroze; Tarp, Finn


    We comprehensively analyse the long-run effect of foreign aid (ODA) on key macroeconomic variables in 36 sub-Saharan African countries from the mid-1960s to 2007, using a well-specified cointegrated VAR model as statistical benchmark. Results provide broad support for a positive long-run impact...... of ODA flows on the macroeconomy. In contrast, we find little evidence supporting the thesis that aid has been harmful. From a methodological point of view we highlight the importance of transparency in reporting results, especially when the hypothesis being tested differs from theoretical expectations...

  3. African high-level regional meeting on energy and sustainable development. Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    Wamukonya, N. (ed.) [UNEP Collaborating Centre on Energy and Environment (Denmark)


    The United Nations Environment Programme (UNEP) jointly with the Government of Kenya and the UN Department for Economic and Social Affairs (DESA) organised the 'African High-Level Regional Meeting on Energy and Sustainable Development' in Januar 2001 at UNEP headquarters in Nairobi, Kenya. The purpose was to support the preparations for CSD 9 and enable African countries to discuss key issues related to energy for sustainable development in their regional context. This report presents the technical statements and papers prepared for the technical workshop. As the reader will quickly notice, the papers reflect the views of the range of experts who participated. Speakers and participants came from ministries or agencies dealing with energy issues, rural development and finance institutions, utilities, private enterprises, NGOs, and research institutions. The papers follow the thermes identified for the CSD 9 session but provide an Africa-specific perspective. In the region, increased access to energy is clearly still a major development issue and has strong links to another key theme - rural energy. A number of papers address these issues from the woodfuel or biomass side, as the majority of the rural population in African countries relies on this energy source and will continue to do so for the foreseeable future. At the same time, improved access to commercial energy forms, particularly through rural electrification programmes, received much attention and several papers present new approaches and experience gained in this area. On the commercial energy supply side the major challenge facing most African countries is the need to reform institutional structures, especially in the power sector. These reforms are generally part of larger economic reform packages promoted by the World Bank, International Monetary Fund, and other financial institutions. In the energy sector the reform process offers an opportunity to introduce more efficiency and competition

  4. Sizable variations in circulatory disease mortality by region and country of birth in six European countries

    DEFF Research Database (Denmark)

    Rafnsson, Snorri B; Bhopal, Raj S; Agyemang, Charles;


    . RESULTS: South Asians in Denmark, England and Wales and France experienced excess circulatory disease mortality (MRRs 1.37-1.91). Similar results were seen for Eastern Europeans in these countries as well as in Sweden (MRRs 1.05-1.51), for those of Middle Eastern origin in Denmark (MRR = 1.49) and France......BACKGROUND: Circulatory disease mortality inequalities by country of birth (COB) have been demonstrated for some EU countries but pan-European analyses are lacking. We examine inequalities in circulatory mortality by geographical region/COB for six EU countries. METHODS: We obtained national death...... sizes. The pattern for IHD mortality was similar to that for circulatory disease mortality. Two- to three-fold excess cerebrovascular disease mortality was found for several foreign-born groups compared with the local-born populations in some countries. CONCLUSIONS: Circulatory disease mortality varies...

  5. Investments in blood safety improve the availability of blood to underserved areas in a sub-saharan african country

    NARCIS (Netherlands)

    Pitman, J.P.; Wilkinson, R.L.; Basavaraju, S.V.; Von Finckenstein, B.G.; Sibinga, C.T.H.; Marfin, A.; Postma, M.J.; Mataranyika, M.N.; Tobias, J.L.


    Background: Since 2004, several African countries, including Namibia, have received assistance from the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). Aims: Gains have been documented in the safety and number of collected units in these countries, but the distribution of blood has not bee

  6. Threshold cointegration and causality relationship between energy use and growth in seven African countries

    Energy Technology Data Exchange (ETDEWEB)

    Esso, Loesse Jacques [CES, Universite Paris 1-Pantheon-Sorbonne (France); Ecole Nationale Superieure de Statistique et d' Economie Appliquee (ENSEA), Cellule d' Analyse de Politiques Economiques du CIRES (CAPEC) (Ivory Coast)


    The paper investigates the long-run and the causality relationship between energy consumption and economic growth for seven Sub-Saharan African countries during the period 1970-2007. Using the Gregory and Hansen testing approach to threshold cointegration, we find that energy consumption is cointegrated with economic growth in Cameroon, Cote d'Ivoire, Ghana, Nigeria and South Africa. Moreover, this test suggests that economic growth has a significant positive long-run impact on energy consumption in these countries before 1988 and this effect becomes negative after 1988 in Ghana and South Africa. Furthermore, causality tests suggest bidirectional causality between energy consumption and real GDP in Cote d'Ivoire and unidirectional causality running from real GDP to energy usage in the case of Congo and Ghana. (author)

  7. Forum: challenges in STD/AIDS prevention in Portuguese-speaking African countries: contributions from social research and from a gender approach. Introduction. (United States)

    Monteiro, Simone


    This forum on the challenges of preventing STD/AIDS in Portuguese-speaking African countries contains three articles and a postscript. The first paper reviews academic production on the topic from the fields of the social sciences and of health, with special attention on how local cultural and socioeconomic factors impact the dynamics of the epidemic. Based on an ethnographic study of a region in southern Mozambique, the second paper analyzes the notion of 'tradition' within the context of Mozambique and how it affects perceptions of the local population's vulnerability to STD/AIDS. The third and final article discusses common ground and differences between government and civil society in gender approaches by community HIV/AIDS projects in Mozambique. Their observations suggest that important mistakes have been made in STD/AIDS prevention discourse and initiatives in African countries because the unique features of local development models and cultural systems have not been taken into account.

  8. African and classical swine fever situation in Ivory-Coast and neighboring countries, 2008-2013. (United States)

    Kouakou, K V; Michaud, V; Biego, H G; Gnabro, H P G; Kouakou, A V; Mossoun, A M; Awuni, J A; Minoungou, G L; Aplogan, G L; Awoumé, F K; Albina, E; Lancelot, R; Couacy-Hymann, E


    This study was conducted from 2008 to 2013 to determine the animal health status of Ivory Coast and neighboring countries (Burkina Faso, Ghana, Togo and Benin) for African swine fever (ASF) and classical swine fever (CSF), and to assess the risk factors for ASF introduction in Ivory Coast. Ivory Coast had probably been free from ASF from 1998 to 2014 when it was re-introduced in this country. However, the ASF virus was found in all neighboring countries. In contrast, no evidence of CSF infection was found so far in Ivory Coast and neighboring countries. To assess the risk of ASF reintroduction in Ivory Coast, we surveyed 59 modern pig farms, and 169 pig owners in 19 villages and in two towns. For the village livestock, the major risk factor was the high frequency of pig exchanges with Burkinabe villages. In the commercial sector, many inadequate management practices were observed with respect to ASF. Their identification should enable farmers and other stakeholders to implement a training and prevention program to reduce the introduction risk of ASF in their farms.

  9. Polio eradication in the African Region on course despite public health emergencies. (United States)

    Okeibunor, Joseph C; Ota, Martin C; Akanmori, Bartholomew D; Gumede, Nicksy; Shaba, Keith; Kouadio, Koffi I; Poy, Alain; Mihigo, Richard; Salla, Mbaye; Moeti, Matshidiso R


    The World Health Organization, African Region is heading toward eradication of the three types of wild polio virus, from the Region. Cases of wild poliovirus (WPV) types 2 and 3 (WPV2 and WPV3) were last reported in 1998 and 2012, respectively, and WPV1 reported in Nigeria since July 2014 has been the last in the entire Region. This scenario in Nigeria, the only endemic country, marks a remarkable progress. This significant progress is as a result of commitment of key partners in providing the much needed resources, better implementation of strategies, accountability, and innovative approaches. This is taking place in the face of public emergencies and challenges, which overburden health systems of countries and threaten sustainability of health programmes. Outbreak of Ebola and other diseases, insecurity, civil strife and political instability led to displacement of populations and severely affected health service delivery. The goal of eradication is now within reach more than ever before and countries of the region should not relent in their efforts on polio eradication. WHO and partners will redouble their efforts and introduce better approaches to sustain the current momentum and to complete the job. The carefully planned withdrawal of oral polio vaccine type II (OPV2) with an earlier introduction of one dose of inactivated poliovirus vaccine (IPV), in routine immunization, will boost immunity of populations and stop cVDPVs. Environmental surveillance for polio viruses will supplement surveillance for AFP and improve sensitivity of detection of polio viruses.

  10. What is the role of Financial Development and Energy Consumption on Economic Growth? New Evidence from North African Countries

    Directory of Open Access Journals (Sweden)

    Doaa Mohamed Salman


    Full Text Available This paper aims to test the validity of the causality between financial development and economic growth on energy consumption in three of North African countries. The study employs error coreection model and Granger causaility test to analyza a dataset for three North African countries covering a period from 1980 to 2010. The applied model is based on demand function for energy to assess the existing of causal relationship of energy with financial development, and economic growth, in Algeria, Egypt, and Tunisia.  Empirical results provide a positive significant relating financial development and energy consumption in Algeria, and Tunisia. On the other hand, Egypt’s results show a negative significant relationship relating energy consumption and financial development. The paper is valuable to policy makers in North African countries in their pursuit for achieving economic growth as it clarifies the urge for the financial development reforms to stimulate investment and growth. 

  11. Hope in Africa?: social representations of world history and the future in six African countries. (United States)

    Cabecinhas, Rosa; Liu, James H; Licata, Laurent; Klein, Olivier; Mendes, Júlio; Feijó, João; Niyubahwe, Aline


    Data on social representations of world history have been collected everywhere in the world except sub-Saharan Africa. Two studies using open-ended data involving university students from six African countries fill this gap. In Study 1, nominations from Cape Verde and Mozambique for the most important events in world history in the past 1000 years were dominated by war and politics, recency effects, and Western-centrism tempered by African sociocentrism on colonization and independence. The first three findings replicated previous research conducted in other parts of the world, but the last pattern contrasted sharply with European data. Study 2 employed a novel method asking participants how they would begin the narration of world history, and then to describe a major transition to the present. Participants most frequently wrote about the evolution of humanity out of Africa, followed by war and then colonization as a beginning, and then replicated previous findings with war, colonization, and technology as major transitions to the present. Finally, when asked about how they foresaw the future, many participants expressed hope for peace and cooperation, especially those facing more risk of collective violence (Burundi and Congo). A colonial/liberation narrative was more predominant in the data from former Portuguese colonies (Angola, Cape Verde, and Guinea-Bissau) than from former Belgian colonies (Burundi and Congo).

  12. Learning-by-Exporting Versus Self-Selection: New Evidence for 19 Sub-Saharan African Countries

    NARCIS (Netherlands)

    Foster-McGregor, N.; Isaksson, A.; Kaulich, F.


    We examine learning-by-exporting effects of manufacturing and services firms in 19 sub-Saharan African countries. Comparing several outlier-robust estimators, our results provide evidence for positive effects in the manufacturing sector when using the MM estimator, but not in the services sector.

  13. HIV and AIDS stigma violates human rights in five African countries. (United States)

    Kohi, Thecla W; Makoae, Lucy; Chirwa, Maureen; Holzemer, William L; Phetlhu, Deliwe René; Uys, Leana; Naidoo, Joanne; Dlamini, Priscilla S; Greeff, Minrie


    The situation and human rights of people living with HIV and AIDS were explored through focus groups in five African countries (Lesotho, Malawi, South Africa, Swaziland and Tanzania). A descriptive qualitative research design was used. The 251 informants were people living with HIV and AIDS, and nurse managers and nurse clinicians from urban and rural settings. NVivo software was used to identify specific incidents related to human rights, which were compared with the Universal Declaration of Human Rights. The findings revealed that the human rights of people living with HIV and AIDS were violated in a variety of ways, including denial of access to adequate or no health care/services, and denial of home care, termination or refusal of employment, and denial of the right to earn an income, produce food or obtain loans. The informants living with HIV and AIDS were also abused verbally and physically. Country governments and health professionals need to address these issues to ensure the human rights of all people.

  14. Progress in Harmonizing Tiered HIV Laboratory Systems: Challenges and Opportunities in 8 African Countries. (United States)

    Williams, Jason; Umaru, Farouk; Edgil, Dianna; Kuritsky, Joel


    In 2014, the Joint United Nations Programme on HIV/AIDS released its 90-90-90 targets, which make laboratory diagnostics a cornerstone for measuring efforts toward the epidemic control of HIV. A data-driven laboratory harmonization and standardization approach is one way to create efficiencies and ensure optimal laboratory procurements. Following the 2008 "Maputo Declaration on Strengthening of Laboratory Systems"-a call for government leadership in harmonizing tiered laboratory networks and standardizing testing services-several national ministries of health requested that the United States Government and in-country partners help implement the recommendations by facilitating laboratory harmonization and standardization workshops, with a primary focus on improving HIV laboratory service delivery. Between 2007 and 2015, harmonization and standardization workshops were held in 8 African countries. This article reviews progress in the harmonization of laboratory systems in these 8 countries. We examined agreed-upon instrument lists established at the workshops and compared them against instrument data from laboratory quantification exercises over time. We used this measure as an indicator of adherence to national procurement policies. We found high levels of diversity across laboratories' diagnostic instruments, equipment, and services. This diversity contributes to different levels of compliance with expected service delivery standards. We believe the following challenges to be the most important to address: (1) lack of adherence to procurement policies, (2) absence or limited influence of a coordinating body to fully implement harmonization proposals, and (3) misalignment of laboratory policies with minimum packages of care and with national HIV care and treatment guidelines. Overall, the effort to implement the recommendations from the Maputo Declaration has had mixed success and is a work in progress. Program managers should continue efforts to advance the

  15. Standardised pre-competitive screening of athletes in some European and African countries: the SMILE study. (United States)

    Assanelli, Deodato; Deodato, Assanelli; Ermolao, Andrea; Andrea, Ermolao; Carre, François; François, Carré; Deligiannis, Asterios; Asterios, Deligiannis; Mellwig, Klaus; Mellwig, Klaus; Klaus, Mellwig; Tahmi, Mohamed; Mohamed, Tahmi; Cesana, Bruno Mario; Mario, Cesana Bruno; Levaggi, Rosella; Rosella, Levaggi; Aliverti, Paola; Paola, Aliverti; Sharma, Sanjay; Sanjay, Sharma


    Most of the available data on the cardiovascular screening of athletes come from Italy, with fewer records being available outside of Italy and for non-Caucasian populations. The goals of the SMILE project (Sport Medicine Intervention to save Lives through ECG) are to evaluate the usefulness of 12-lead ECGs for the detection of cardiac diseases in athletes from three European countries and one African country and to estimate how many second-level examinations are needed subsequent to the initial screening in order to classify athletes with abnormal characteristics. A digital network consisting of Sport Centres and second and third opinion centres was set up in Greece, Germany, France and Algeria. Standard digital data input was carried out through the application of 12-lead ECGs, Bethesda questionnaires and physical examinations. Two hundred ninety-three of the 6,634 consecutive athletes required further evaluation, mostly (88.4 %) as a consequence of abnormal ECGs. After careful evaluation, 237 were determined to be healthy or apparently healthy, while 56 athletes were found to have cardiac disorders and were thus disqualified from active participation in sports. There was a large difference in the prevalence of diseases detected in Europe as compared with Algeria (0.23 and 4.01 %, respectively). Our data confirmed the noteworthy value of 12-lead resting ECGs as compared with other first-level evaluations, especially in athletes with asymptomatic cardiac diseases. Its value seems to have been even higher in Algeria than in the European countries. The establishment of a digital network of Sport Centres for second/third opinions in conjunction with the use of standard digital data input seems to be a valuable means for increasing the effectiveness of screening.

  16. Cholera Incidence and Mortality in Sub-Saharan African Sites during Multi-country Surveillance.

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    Delphine Sauvageot


    Full Text Available Cholera burden in Africa remains unknown, often because of weak national surveillance systems. We analyzed data from the African Cholera Surveillance Network ( June 2011-December 2013, we conducted enhanced surveillance in seven zones and four outbreak sites in Togo, the Democratic Republic of Congo (DRC, Guinea, Uganda, Mozambique and Cote d'Ivoire. All health facilities treating cholera cases were included. Cholera incidences were calculated using culture-confirmed cholera cases and culture-confirmed cholera cases corrected for lack of culture testing usually due to overwhelmed health systems and imperfect test sensitivity. Of 13,377 reported suspected cases, 34% occurred in Conakry, Guinea, 47% in Goma, DRC, and 19% in the remaining sites. From 0-40% of suspected cases were aged under five years and from 0.3-86% had rice water stools. Within surveillance zones, 0-37% of suspected cases had confirmed cholera compared to 27-38% during outbreaks. Annual confirmed incidence per 10,000 population was <0.5 in surveillance zones, except Goma where it was 4.6. Goma and Conakry had corrected incidences of 20.2 and 5.8 respectively, while the other zones a median of 0.3. During outbreaks, corrected incidence varied from 2.6 to 13.0. Case fatality ratios ranged from 0-10% (median, 1% by country.Across different African epidemiological contexts, substantial variation occurred in cholera incidence, age distribution, clinical presentation, culture confirmation, and testing frequency. These results can help guide preventive activities, including vaccine use.

  17. Cholera Incidence and Mortality in Sub-Saharan African Sites during Multi-country Surveillance (United States)

    Sauvageot, Delphine; Njanpop-Lafourcade, Berthe-Marie; Akilimali, Laurent; Anne, Jean-Claude; Bidjada, Pawou; Bompangue, Didier; Bwire, Godfrey; Coulibaly, Daouda; Dengo-Baloi, Liliana; Dosso, Mireille; Orach, Christopher Garimoi; Inguane, Dorteia; Kagirita, Atek; Kacou-N’Douba, Adele; Keita, Sakoba; Kere Banla, Abiba; Kouame, Yao Jean-Pierre; Landoh, Dadja Essoya; Langa, Jose Paulo; Makumbi, Issa; Miwanda, Berthe; Malimbo, Muggaga; Mutombo, Guy; Mutombo, Annie; NGuetta, Emilienne Niamke; Saliou, Mamadou; Sarr, Veronique; Senga, Raphael Kakongo; Sory, Fode; Sema, Cynthia; Tante, Ouyi Valentin; Gessner, Bradford D.; Mengel, Martin A.


    Background Cholera burden in Africa remains unknown, often because of weak national surveillance systems. We analyzed data from the African Cholera Surveillance Network ( Methods/ Principal findings During June 2011–December 2013, we conducted enhanced surveillance in seven zones and four outbreak sites in Togo, the Democratic Republic of Congo (DRC), Guinea, Uganda, Mozambique and Cote d’Ivoire. All health facilities treating cholera cases were included. Cholera incidences were calculated using culture-confirmed cholera cases and culture-confirmed cholera cases corrected for lack of culture testing usually due to overwhelmed health systems and imperfect test sensitivity. Of 13,377 reported suspected cases, 34% occurred in Conakry, Guinea, 47% in Goma, DRC, and 19% in the remaining sites. From 0–40% of suspected cases were aged under five years and from 0.3–86% had rice water stools. Within surveillance zones, 0–37% of suspected cases had confirmed cholera compared to 27–38% during outbreaks. Annual confirmed incidence per 10,000 population was <0.5 in surveillance zones, except Goma where it was 4.6. Goma and Conakry had corrected incidences of 20.2 and 5.8 respectively, while the other zones a median of 0.3. During outbreaks, corrected incidence varied from 2.6 to 13.0. Case fatality ratios ranged from 0–10% (median, 1%) by country. Conclusions/Significance Across different African epidemiological contexts, substantial variation occurred in cholera incidence, age distribution, clinical presentation, culture confirmation, and testing frequency. These results can help guide preventive activities, including vaccine use. PMID:27186885

  18. The changing epidemiology of human African trypanosomiasis among patients from nonendemic countries--1902-2012.

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    Ami Neuberger

    Full Text Available BACKGROUND: Although human African trypanosomiasis (HAT is uncommon among patients from non-endemic countries (NEC, there has been an increase in the number of cases reported in recent years. METHODS: A systematic review of the literature was performed. The number of incoming tourists to HAT endemic countries was obtained from the United Nations World Tourism Organization. All HAT cases diagnosed in patients from NEC were included. Immigrants and refugees were excluded. We compared patients during and after the colonial period, and analyzed the relationship between the number of incoming travellers and the number of HAT cases. RESULTS: Between 1902 and 2012, HAT was reported in 244 patients. Most HAT cases were reported before 1920, and after the year 2000. In the colonial era the average age of patients was lower (32.5±7.8 vs. 43.0±16.1 years, P<0.001, the proportion of females was lower (10.0% vs. 23.9%, P<0.01], most cases were diagnosed in expatriates, missionaries and soldiers (74.3%, and Gambian trypanosomiasis accounted for 86/110, (78% of cases. In the post-colonial era most patients 91/125 (72.8% were short-term tourists to game parks in Eastern and South-Eastern Africa (mainly in Tanzania; Rhodesian trypanosomiasis accounted for 94/123 (76.4% of cases. Between 1995 and 2010 there has been a constant linear increase in the number of incoming tourists to Tanzania, and HAT cases occurred in small outbreaks rather than following a similar linear pattern. CONCLUSIONS: In recent decades HAT patients from NEC are older, and more likely to be tourists who acquired the disease while visiting game-parks in Eastern and South-Eastern Africa. While Rhodesian trypanosomiasis is relatively uncommon among Africans, it now accounts for most cases reported among patients from NEC. Returning febrile travellers without an alternative diagnosis should be evaluated for HAT. Cases among travellers may serve as sentinels for Rhodesian trypanosomiasis "hot

  19. Progress toward measles preelimination--African Region, 2011-2012. (United States)

    Masresha, Balcha G; Kaiser, Reinhard; Eshetu, Messeret; Katsande, Reggis; Luce, Richard; Fall, Amadou; Dosseh, Annick R G A; Naouri, Boubker; Byabamazima, Charles R; Perry, Robert; Dabbagh, Alya J; Strebel, Peter; Kretsinger, Katrina; Goodson, James L; Nshimirimana, Deo


    In 2008, the 46 member states of the World Health Organization (WHO) African Region (AFR) adopted a measles preelimination goal to reach by the end of 2012 with the following targets: 1) >98% reduction in estimated regional measles mortality compared with 2000, 2) annual measles incidence of fewer than five reported cases per million population nationally, 3) >90% national first dose of measles-containing vaccine (MCV1) coverage and >80% MCV1 coverage in all districts, and 4) >95% MCV coverage in all districts by supplementary immunization activities (SIAs). Surveillance performance objectives were to report two or more cases of nonmeasles febrile rash illness per 100,000 population, one or more suspected measles cases investigated with blood specimens in ≥80% of districts, and 100% completeness of surveillance reporting from all districts. This report updates previous reports and describes progress toward the measles preelimination goal during 2011-2012. In 2012, 13 (28%) member states had >90% MCV1 coverage, and three (7%) reported >90% MCV1 coverage nationally and >80% coverage in all districts. During 2011-2012, four (15%) of 27 SIAs with available information met the target of >95% coverage in all districts. In 2012, 16 of 43 (37%) member states met the incidence target of fewer than five cases per million, and 19 of 43 (44%) met both surveillance performance targets. In 2011, the WHO Regional Committee for AFR established a goal to achieve measles elimination by 2020. To achieve this goal, intensified efforts to identify and close population immunity gaps and improve surveillance quality are needed, as well as committed leadership and ownership of the measles elimination activities and mobilization of adequate resources to complement funding from global partners.

  20. Challenges of transfrontier conservation areas: Natural resources nationalism, security and regionalism in the southern African development community region

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    Oswell Rusinga


    Full Text Available Transfrontier Conservation Areas (TFCAs initiatives in the Southern African Development Community (SADC region offer hope for providing a mechanism for resolving political tensions and conflicts which are not only related to environmental issues but to security concerns as well. The geopolitical implications of TFCAs in the SADC region cannot be overemphasised with regard to international relations and regional integration. The SADS region is characterised by histories of contested military balance of power and geopolitical rivalries which have a potential to degenerate into military confrontation. Although there is a strong belief in multilateral co-operation among SADC member countries, most of them often engage the international community at the bilateral level. Moreover, there is disharmony in constitutional applications of the rule of law, respect of human rights and good governance. However, TFCAs initiatives in Southern Africa have been seen as offering an opportunity to heal the wounds of pre- and post-independence wars of destabilisation through the encouragement of inter-state collaboration and co-operation by giving governments an opportunity for mutual action on issues of common interest.

  1. Regional view of a Trans-African Drainage System

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    Mohamed Abdelkareem


    Full Text Available Despite the arid to hyperarid climate of the Great Sahara of North Africa, pluvial climates dominated the region. Radar data shed some light on the postulated Trans-African Drainage System and its relationship to active and inactive tributaries of the Nile basin. Interpretations of recent elevation data confirm a source of the river water from the Red Sea highlands did not connect the Atlantic Ocean across Tushka basin, highlands of Uwinate and Darfur, and Chad basin, but northward to the ancestral Nile Delta. Elements of topography and climate were considered. They show that the former segments of the Nile closely mirror present-day tributaries of the Nile basin in drainage geometry, landscape, and climate. A rainfall data interpolation scenario revealed that this basin received concurrent runoff from both flanks such as Gabgaba-Allaqi to the east and Tushka basin to the west, similar to present-day Sobat and White Nile tributaries, respectively. Overall the western tributaries such as those of Tushka basin and Howar lead to the Nile, which was (and still is the biggest river system in Africa.

  2. Africa: the Continent is booming. [Extensive survey of drilling activities in each African country

    Energy Technology Data Exchange (ETDEWEB)


    Civil wars, political unrest, and skyrocketing exploration and production costs were unable to hamper Africa's developing oil business. Of the major producing nations, Libya, Algeria, and Nigeria recorded production declines. In the case of the North African countries, the drop was caused by high prices. Nigeria ordered sharp production curtailments last year, but Egypt's production decline may be on the verge of reversing. Algeria and Libya pruned their prices well back in an attempt to increase their share of an increasingly buyer's market. Angola delivered more oil last year than the year before despite open warfare among the factions attempting to take control of the country once Portugal relinquishes authority November 1975. The Nigerian oil industry was as yet unaffected by the July coup which unseated General Gowon after a nine-year rule. Gabon increased its output and was elected to OPEC as a result. Zaire will begin to land oil from its offshore field later this year and Cameroon is also preparing to bring oil ashore in 1977. Continental Oil Co. made two oil discoveries in Chad, one of which seems to be commercial. South Africa is continuing its search for its first production and an uncommercial gas discovery was made in the Orange River Delta of South West Africa. Drilling was off in the Congo, Cameroon, and Nigeria, but well above 1973 levels in Gabon, Angola, Tunisia, and Algeria. Egyptian operations remained steady, but in view of the concession activity in the past year or so, drilling should increase dramatically within the next year.

  3. Measuring HIV stigma for PLHAs and nurses over time in five African countries. (United States)

    Holzemer, William L; Makoae, Lucy N; Greeff, Minrie; Dlamini, Priscilla S; Kohi, Thecla W; Chirwa, Maureen L; Naidoo, Joanne R; Durrheim, Kevin; Cuca, Yvette; Uys, Yvette R


    The aim of this article is to document the levels of HIV stigma reported by persons living with HIV infections and nurses in Lesotho, Malawi, South Africa, Swaziland and Tanzania over a 1-year period. HIV stigma has been shown to negatively affect the quality of life for people living with HIV infection, their adherence to medication, and their access to care. Few studies have documented HIV stigma by association as experienced by nurses or other health care workers who care for people living with HIV infection. This study used standardised scales to measure the level of HIV stigma over time. A repeated measures cohort design was used to follow persons living with HIV infection and nurses involved in their care from five countries over a 1-year period in a three-wave longitudinal design. The average age of people living with HIV/AIDS (PLHAs) (N=948) was 36.15 years (SD=8.69), and 67.1% (N=617) were female. The average age of nurses (N=887) was 38.44 years (SD=9.63), and 88.6% (N=784) were females. Eighty-four per cent of all PLHAs reported one or more HIV-stigma events at baseline. This declined, but was still significant 1 year later, when 64.9% reported experiencing at least one HIV-stigma event. At baseline, 80.3% of the nurses reported experiencing one or more HIV-stigma events and this increased to 83.7% 1 year later. The study documented high levels of HIV stigma as reported by both PLHAs and nurses in all five of these African countries. These results have implications for stigma reduction interventions, particularly focused at health care providers who experience HIV stigma by association.

  4. Malaria control in the African Region: perceptions and viewspoints on proceedings of the Africa Leaders Malaria Alliance (ALMA

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    Sambo Luis


    ; and levering of African Union and regional economic communities to address the cross-border dimension of malaria control. It was agreed that countries needed to secure adequate domestic and external funding for sustained commitment to malaria elimination; strengthen national malaria control programmes in the context of broader health system strengthening; ensure free access to long-lasting insecticide treated nets and malaria diagnosis and treatment for vulnerable groups; strengthen human resource capacity at central, district and community levels; and establish strong logistics, information and surveillance systems. Conclusion It is critically important for countries to have a clear vision and strategy for malaria elimination; effective leadership of national malaria control programmes; draw lessons from other African countries that have succeeded to dramatically reduce the burden of malaria; and sustain funding and ongoing interventions.

  5. Inequalities in maternal health care utilization in sub-Saharan African countries: a multiyear and multi-country analysis.

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    Nazmul Alam

    Full Text Available To assess social inequalities in the use of antenatal care (ANC, facility based delivery (FBD, and modern contraception (MC in two contrasting groups of countries in sub-Saharan Africa divided based on their progress towards maternal mortality reduction. Six countries were included in this study. Three countries (Ethiopia, Madagascar, and Uganda had 4.5% average annual reduction rate while another three (Cameroon, Zambia, and Zimbabwe had >550 MMR in 2010 with only <1.5% average annual reduction rate. All of these countries had at least three rounds of Demographic and Health Surveys (DHS before 2012. We measured rate ratios and differences, as well as relative and absolute concentration indices in order to examine within-country geographical and wealth-based inequalities in the utilization of ANC, FBD, and MC. In the countries which have made sufficient progress (i.e. Ethiopia, Madagascar, and Uganda, ANC use increased by 8.7, 9.3 and 5.7 percent, respectively, while the utilization of FBD increased by 4.7, 0.7 and 20.2 percent, respectively, over the last decade. By contrast, utilization of these services either plateaued or decreased in countries which did not make progress towards reducing maternal mortality, with the exception of Cameroon. Utilization of MC increased in all six countries but remained very low, with a high of 40.5% in Zimbabwe and low of 16.1% in Cameroon as of 2011. In general, relative measures of inequalities were found to have declined overtime in countries making progress towards reducing maternal mortality. In countries with insufficient progress towards maternal mortality reduction, these indicators remained stagnant or increased. Absolute measures for geographical and wealth-based inequalities remained high invariably in all six countries. The increasing trend in the utilization of maternal care services was found to concur with a steady decline in maternal mortality. Relative inequality declined overtime in countries

  6. Evaluation of a health setting-based stigma intervention in five African countries. (United States)

    Uys, Leana; Chirwa, Maureen; Kohi, Thecla; Greeff, Minrie; Naidoo, Joanne; Makoae, Lucia; Dlamini, Priscilla; Durrheim, Kevin; Cuca, Yvette; Holzemer, William L


    The study aim is to explore the results of an HIV stigma intervention in five African health care settings. A case study approach was used. The intervention consisted of bringing together a team of approximately 10 nurses and 10 people living with HIV or AIDS (PLHA) in each setting and facilitating a process in which they planned and implemented a stigma reduction intervention, involving both information giving and empowerment. Nurses (n = 134) completed a demographic questionnaire, the HIV/AIDS Stigma Instrument-Nurses (HASI-N), a self-efficacy scale, and a self-esteem scale, both before and after the intervention, and the team completed a similar set of instruments before and after the intervention, with the PLHA completing the HIV/AIDS Stigma Instrument for PLHA (HASI-P). The intervention as implemented in all five countries was inclusive, action-oriented, and well received. It led to understanding and mutual support between nurses and PLHA and created some momentum in all the settings for continued activity. PLHA involved in the intervention teams reported less stigma and increased self-esteem. Nurses in the intervention teams and those in the settings reported no reduction in stigma or increases in self- esteem and self-efficacy, but their HIV testing behavior increased significantly. This pilot study indicates that the stigma experience of PLHA can be decreased, but that the stigma experiences of nurses are less easy to change. Further evaluation research with control groups and larger samples and measuring change over longer periods of time is indicated.

  7. Tracking cashew economically important diseases in the West African region using metagenomics

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    Filipa eMonteiro


    Full Text Available During the last decades, agricultural land-uses in West Africa were marked by dramatic shifts in the coverage of individual crops. Nowadays, cashew (Anacardium occidentale L. is one of the most export-oriented horticulture crops, notably in Guinea-Bissau. Relying heavily on agriculture to increase their income, developing countries have been following a strong trend of moving on from traditional farming systems towards commercial production. Emerging infectious diseases, driven either by adaptation to local conditions or inadvertent importation of plant pathogens, are able to cause tremendous cashew production losses, with economic and social impact of which, in developing countries is often underestimated. Presently, plant genomics with metagenomics as an emergent tool, presents an enormous potential to better characterize diseases by providing extensive knowledge on plant pathogens at a large scale. In this perspective, we address metagenomics as a promising genomic tool to identify cashew fungal associated diseases as well as to discriminate the causal pathogens, aiming at obtaining tools to help design effective strategies for disease control and thus promote the sustainable production of cashew in West African region.

  8. Transversal analysis of public policies on user fees exemptions in six West African countries

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    Ridde Valéry


    Full Text Available Abstract Background While more and more West African countries are implementing public user fees exemption policies, there is still little knowledge available on this topic. The long time required for scientific production, combined with the needs of decision-makers, led to the creation in 2010 of a project to support implementers in aggregating knowledge on their experiences. This article presents a transversal analysis of user fees exemption policies implemented in Benin, Burkina Faso, Mali, Niger, Togo and Senegal. Methods This was a multiple case study with several embedded levels of analysis. The cases were public user fees exemption policies selected by the participants because of their instructive value. The data used in the countries were taken from documentary analysis, interviews and questionnaires. The transversal analysis was based on a framework for studying five implementation components and five actors’ attitudes usually encountered in these policies. Results The analysis of the implementation components revealed: a majority of State financing; maintenance of centrally organized financing; a multiplicity of reimbursement methods; reimbursement delays and/or stock shortages; almost no implementation guides; a lack of support measures; communication plans that were rarely carried out, funded or renewed; health workers who were given general information but not details; poorly informed populations; almost no evaluation systems; ineffective and poorly funded coordination systems; low levels of community involvement; and incomplete referral-evacuation systems. With regard to actors’ attitudes, the analysis revealed: objectives that were appreciated by everyone; dissatisfaction with the implementation; specific tensions between healthcare providers and patients; overall satisfaction among patients, but still some problems; the perception that while the financial barrier has been removed, other barriers persist; occasionally a

  9. Measuring the inward FDI potential of South African regions

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    W. Krugell


    Full Text Available Purpose: The purpose of this paper is to construct an index that captures the factors expected to affect a local economy's attractiveness to foreign investors. Problem statement: Following South Africa's reintegration into the world economy in 1994, foreign direct investment has been seen as a potential driver of growth and development. Concerns about the low investment rate in South Africa raise the possibility of augmenting domestic with foreign investment expenditure. The potential of technology spillovers and skills transfer from foreign direct investment have also been emphasised. As a result, Trade and Investment South Africa is involved in identifying, packaging and promoting investment opportunities. However, investments tend to be place-specific and this has lead to the decentralisation of foreign direct investment promotion. Currently the nine provincial development agencies are competing to attract investors and the larger local governments are also getting involved in the fray. This paper argues that some places have better potential to attract foreign investment than others. A first step to use scarce investment promotion resources more efficiently would be to measure the inward FDI potential of South African regions. Approach: This paper uses principal components analysis to construct an index that captures the factors expected to affect a local economy's attractiveness to foreign investors. This approach draws on UNCTAD's Inward FDI Potential Index and applies it to 354 magisterial districts in South Africa for the periods 1996, 2001 and 2006. The index creates a summary measure of FDI potential.Findings: The results show that different places present differential potential in urbanization and localization economies and market size. The high-potential locations are typically found in or around the major agglomerations, but there are a few smaller places on the periphery that offer FDI potential. Contribution: The index should aid

  10. Market, Country and World Effects on Regional Equity Market Integration

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    Chee Wooi Hooy


    Full Text Available This study explores the fundamental driving forces of regional equity market integration in a trading bloc. The determinant factors are categorized into market attribute, economic fundamentals and world information. Our sample consists of 26 equity markets of ive regional trading blocs, namely AFTA, CER, EFTA, EU and NAFTA over the period of January 1999 to  August  2005.  We  measure  market  integration  based  on  pricing  errors  as  proposed  by Korajczyk (1996 and Levine and Zervos (1998. Using panel regressions, our results show that  equity  integration  in  these  trading  blocs  is  driven  internally,  where  only  individual-market  volatility  and  economic  fundamentals  play  a  signiicant  role  in  the  process.  Intra-bloc  trade  is  found  to  enhance  regional  equity  market  integration,  supporting  the  notion that  regional  convergence  extends  beyond  the  trade  sector  that  is  promoted  in  the  trade agreements.  We  also  document  regime  shifting  effects  during  stock  market  crises,  where most  of  these  markets  became  strongly  integrated  after  a  regional  crisis,  but  integration was signiicantly weakened during a crisis that affected the world markets. Also, the level of equity market integration differs across trading blocs, where the blocs with a smaller number of country members are relatively more integrated. ";} // -->activate javascript

  11. Regional trade and the nutrition transition: opportunities to strengthen NCD prevention policy in the Southern African Development Community

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    Anne Marie Thow


    Full Text Available Background: Addressing diet-related non-communicable diseases (NCDs will require a multisectoral policy approach that includes the food supply and trade, but implementing effective policies has proved challenging. The Southern African Development Community (SADC has experienced significant trade and economic liberalization over the past decade; at the same time, the nutrition transition has progressed rapidly in the region. This analysis considers the relationship between regional trade liberalization and changes in the food environment associated with poor diets and NCDs, with the aim of identifying feasible and proactive policy responses to support healthy diets. Design: Changes in trade and investment policy for the SADC were documented and compared with time-series graphs of import data for soft drinks and snack foods to assess changes in imports and source country in relation to trade and investment liberalization. Our analysis focuses on regional trade flows. Results: Diets and the burden of disease in the SADC have changed since the 1990s in parallel with trade and investment liberalization. Imports of soft drinks increased by 76% into SADC countries between 1995 and 2010, and processed snack foods by 83%. South Africa acts as a regional trade and investment hub; it is the major source of imports and investment related to these products into other SADC countries. At the same time, imports of processed foods and soft drinks from outside the region – largely from Asia and the Middle East – are increasing at a dramatic rate with soft drink imports growing by almost 1,200% and processed snack foods by 750%. Conclusions: There is significant intra-regional trade in products associated with the nutrition transition; however, growing extra-regional trade means that countries face new pressures in implementing strong policies to prevent the increasing burden of diet-related NCDs. Implementation of a regional nutrition policy framework could

  12. The negative impacts of human activities in the eastern African region: an international waters perspective. (United States)

    Payet, Rolph; Obura, David


    The complex interactions between human activities and the environment at the interface of land and water is analyzed with a focus on the Somali Current (East Africa), and Indian Ocean Island States, subregions of the Global International Waters Assessment (GIWA). These 2 subregions contain some of the world's richest ecosystems, including the high biodiversity forests of Madagascar and the diverse coastal habitats of the eastern African coast. These ecosystems support local communities and national and regional economies. Current and future degradation of these systems, from water basins to continental shelves, affects the livelihoods and sustainability of the countries in the region, and long-term efforts to reduce poverty. The assessments determined that pollution and climate change are the primary environmental and social concerns in the Islands of the Indian Ocean, while freshwater shortage and unsustainable exploitation of fisheries and other living resources are the primary environmental and social concerns in East Africa. The GIWA approach, through assessing root causes of environmental concerns, enables the development of policy approaches for mitigating environmental degradation. This paper explores policy frameworks for mitigating the impacts, and reducing the drivers, of 3 environmental concerns--freshwater shortage; solid waste pollution; and climate change--addressing social and institutional causes and effects, and linking the subregions to broad international frameworks. The common theme in all 3 case studies is the need to develop integrated ecosystem and international waters policies, and mechanisms to manage conflicting interests and to limit threats to natural processes.

  13. A Comparative Analysis of Institutional Capacities for Implementing Disability Policies in East African Countries: Functions of National Councils for Disability

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    Akiko Yokoyama


    Full Text Available During the “African Decade of Persons with Disabilities (2000-2009”, East African countries witnessed significant achievements, especially in the development of law, collection of statistics and in funding. However, many persons with disability are still marginalised from opportunities in education, healthcare and employment.Purpose: With the pre-supposition that the lack of institutional capacities for implementing disability policies is the one major stumbling-block which hinders widespread delivery of social services to persons with disabilities in low-income countries, this study makes a comparative analysis of institutional capacities in the disability sectors of Uganda, Kenya and Tanzania.Method: The research methods adopted were a literature survey and a field survey. The framework for analysis consists of: 1 capacities and functions of disability units in central governments, 2 relationships between central and local governments in the disability sector, and 3 relationships between governments and organisations of persons with disability (DPOs. Special attention is paid to the status, roles and functions of national councils for disability (NCDs, the independent statutory bodies recently established in each of the three countries, with clear authority and duties for the implementation of disability policies. The NCDs enable multi-sectoral stakeholders to be involved in the implementation of disability policies; therefore, positive relationships between the governments and DPOs are essential for the smooth functioning of the NCDs.Results: While the result of the field survey in Tanzania reveals several effective approaches for the smooth operation of the NCD, further study is needed to verify whether these approaches would be applicable to other East African countries such as Kenya and Uganda.doi 10.5463/DCID.v23i2.106

  14. Population structure of clinical Pseudomonas aeruginosa from West and Central African countries.

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    Pascal Cholley

    Full Text Available Pseudomonas aeruginosa (PA has a non-clonal, epidemic population with a few widely distributed and frequently encountered sequence types (STs called 'high-risk clusters'. Clinical P. aeruginosa (clinPA has been studied in all inhabited continents excepted in Africa, where a very few isolates have been analyzed. Here, we characterized a collection of clinPA isolates from four countries of West and Central Africa.184 non-redundant isolates of clinPA from hospitals of Senegal, Ivory Coast, Nigeria, and Central African Republic were genotyped by MLST. We assessed their resistance level to antibiotics by agar diffusion and identified the extended-spectrum β-lactamases (ESBLs and metallo-β-lactamases (MBLs by sequencing. The population structure of the species was determined by a nucleotide-based analysis of the entire PA MLST database and further localized on the phylogenetic tree (i the sequence types (STs of the present collection, (ii the STs by continents, (iii ESBL- and MBL-producing STs from the MLST database.We found 80 distinct STs, of which 24 had no relationship with any known STs. 'High-risk' international clonal complexes (CC155, CC244, CC235 were frequently found in West and Central Africa. The five VIM-2-producing isolates belonged to CC233 and CC244. GES-1 and GES-9 enzymes were produced by one CC235 and one ST1469 isolate, respectively. We showed the spread of 'high-risk' international clonal complexes, often described as multidrug-resistant on other continents, with a fully susceptible phenotype. The MBL- and ESBL-producing STs were scattered throughout the phylogenetic tree and our data suggest a poor association between a continent and a specific phylogroup.ESBL- and MBL-encoding genes are borne by both successful international clonal complexes and distinct local STs in clinPA of West and Central Africa. Furthermore, our data suggest that the spread of a ST could be either due to its antibiotic resistance or to features

  15. HIV-related discrimination among grade six students in nine Southern African countries.

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    Brendan Maughan-Brown

    Full Text Available BACKGROUND: HIV-related stigmatisation and discrimination by young children towards their peers have important consequences at the individual level and for our response to the epidemic, yet research on this area is limited. METHODS: We used nationally representative data to examine discrimination of HIV-positive children by grade six students (n = 39,664 across nine countries in Southern Africa: Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Zambia and Zimbabwe. Descriptive statistics are used to compare discrimination by country, gender, geographic location and socioeconomic status. Multivariate logistic regression is employed to assess potential determinants of discrimination. RESULTS: The levels and determinants of discrimination varied significantly between the nine countries. While one in ten students in Botswana, Malawi, South Africa and Swaziland would "avoid or shun" an HIV positive friend, the proportions in Lesotho, Mozambique, Zambia and Zimbabwe were twice as high (approximately 20%. A large proportion of students believed that HIV positive children should not be allowed to continue to attend school, particularly in Zambia (33%, Lesotho (37% and Zimbabwe (42%. The corresponding figures for Malawi and Swaziland were significantly lower at 13% and 12% respectively. Small differences were found by gender. Children from rural areas and poorer schools were much more likely to discriminate than those from urban areas and wealthier schools. Importantly, we identified factors consistently associated with discrimination across the region: students with greater exposure to HIV information, better general HIV knowledge and fewer misconceptions about transmission of HIV via casual contact were less likely to report discrimination. CONCLUSIONS: Our study points toward the need for early interventions (grade six or before to reduce stigma and discrimination among children, especially in schools situated in rural areas

  16. A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.

    Directory of Open Access Journals (Sweden)

    Rachel Brathwaite

    Full Text Available To systematically review current smoking prevalence among adults in sub-Saharan Africa from 2007 to May 2014 and to describe the context of tobacco control strategies in these countries.Five databases, Medline, Embase, Africa-wide Information, Cinahl Plus, and Global Health were searched using a systematic search strategy. There were no language restrictions.26 included studies measured current smoking prevalence in nationally representative adult populations in sub-Saharan African countries.Study details were independently extracted using a standard datasheet. Data on tobacco control policies, taxation and trends in prices were obtained from the Implementation Database of the WHO FCTC website.Studies represented 13 countries. Current smoking prevalence varied widely ranging from 1.8% in Zambia to 25.8% in Sierra Leone. The prevalence of smoking was consistently lower in women compared to men with the widest gender difference observed in Malawi (men 25.9%, women 2.9%. Rwanda had the highest prevalence of women smokers (12.6% and Ghana had the lowest (0.2%. Rural, urban patterns were inconsistent. Most countries have implemented demand-reduction measures including bans on advertising, and taxation rates but to different extents.Smoking prevalence varied widely across sub-Saharan Africa, even between similar country regions, but was always higher in men. High smoking rates were observed among countries in the eastern and southern regions of Africa, mainly among men in Ethiopia, Malawi, Rwanda, and Zambia and women in Rwanda and rural Zambia. Effective action to reduce smoking across sub-Saharan Africa, particularly targeting population groups at increased risk remains a pressing public health priority.

  17. Congratulations on the 50th Anniversary of the Beginning of Diplomatic Relations between China and African Countries

    Institute of Scientific and Technical Information of China (English)


    This year marks the 50th anniversary of the beginning of diplomatic relations between China and African countries. Over the past half a century, with the joint efforts by the leaders and peoples of China and Africa, the friendship between China and Africa has been increasingly consolidated and the relations between the two sides have grown to a new high. In November this year, the Beijing Summit and the Third Ministerial Meeting of the China-Africa Cooperation Forum will be held in Beijing to discuss the further strengthening of the relations and cooperation between China and Africa. To commemorate these historic events, the current issue of this Journal is bringing out four articles with regard to Sino-African relations and the situation in Africa to share with our readers.

  18. The World Health Organization African region laboratory accreditation process: improving the quality of laboratory systems in the African region. (United States)

    Gershy-Damet, Guy-Michel; Rotz, Philip; Cross, David; Belabbes, El Hadj; Cham, Fatim; Ndihokubwayo, Jean-Bosco; Fine, Glen; Zeh, Clement; Njukeng, Patrick A; Mboup, Souleymane; Sesse, Daniel E; Messele, Tsehaynesh; Birx, Deborah L; Nkengasong, John N


    Few developing countries have established laboratory quality standards that are affordable and easy to implement and monitor. To address this challenge, the World Health Organization Regional Office for Africa (WHO AFRO) established a stepwise approach, using a 0- to 5-star scale, to the recognition of evolving fulfillment of the ISO 15189 standard rather than pass-fail grading. Laboratories that fail to achieve an assessment score of at least 55% will not be awarded a star ranking. Laboratories that achieve 95% or more will receive a 5-star rating. This stepwise approach acknowledges to laboratories where they stand, supports them with a series of evaluations to use to demonstrate improvement, and recognizes and rewards their progress. WHO AFRO's accreditation process is not intended to replace established ISO 15189 accreditation schemes, but rather to provide an interim pathway to the realization of international laboratory standards. Laboratories that demonstrate outstanding performance in the WHO-AFRO process will be strongly encouraged to enroll in an established ISO 15189 accreditation scheme. We believe that the WHO-AFRO approach for laboratory accreditation is affordable, sustainable, effective, and scalable.

  19. Laboratory capacity building for the International Health Regulations (IHR[2005] in resource-poor countries: the experience of the African Field Epidemiology Network (AFENET

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    Mukanga David


    Full Text Available Abstract Laboratory is one of the core capacities that countries must develop for the implementation of the International Health Regulations (IHR[2005] since laboratory services play a major role in all the key processes of detection, assessment, response, notification, and monitoring of events. While developed countries easily adapt their well-organized routine laboratory services, resource-limited countries need considerable capacity building as many gaps still exist. In this paper, we discuss some of the efforts made by the African Field Epidemiology Network (AFENET in supporting laboratory capacity development in the Africa region. The efforts range from promoting graduate level training programs to building advanced technical, managerial and leadership skills to in-service short course training for peripheral laboratory staff. A number of specific projects focus on external quality assurance, basic laboratory information systems, strengthening laboratory management towards accreditation, equipment calibration, harmonization of training materials, networking and provision of pre-packaged laboratory kits to support outbreak investigation. Available evidence indicates a positive effect of these efforts on laboratory capacity in the region. However, many opportunities exist, especially to support the roll-out of these projects as well as attending to some additional critical areas such as biosafety and biosecuity. We conclude that AFENET’s approach of strengthening national and sub-national systems provide a model that could be adopted in resource-limited settings such as sub-Saharan Africa.

  20. Examining the Regional Aspect of Foreign Direct Investment to Developing Countries

    DEFF Research Database (Denmark)

    Sunesen, Eva Rytter

    at improving the investment climate for foreign investors. This also means that there is no African bias. Among a large number of return and risk variables applied in the empirical literature, growth and inflation turn out to be the only robust and significant FDI determinants across regions although the size......This paper applies a general-to-specific analysis to detect regularities in the driving forces of foreign direct investment (FDI) that can explain why some regions are more attractive to foreign investors than others. The results suggest that regional differences in FDI inflows to African, Asian...

  1. Exploring child prostitution in a major city in the West African region. (United States)

    Hounmenou, Charles


    The study explored the characteristics of child prostitution in a major city in the West African region. A convenience sample of children in prostitution, specifically girls below age 18 (n=243), were recruited on 83 prostitution sites identified in Ouagadougou, the capital city of Burkina Faso. A survey instrument, consisting of 71 closed-ended question items, was used to explore various variables including profile of children in prostitution, factors of vulnerability to prostitution; prostitution practices, compensations and related issues in child prostitution. The findings show that most children in prostitution in the city were from Burkina Faso (63%) and Nigeria (30%), two countries that do not share borders. Most native respondents practiced prostitution for survival and to support their families. In contrast, all the respondents from Nigeria practiced prostitution as victims of international sex trafficking. An important finding was that 77% of the children in prostitution surveyed were educated. Among the respondents, there were similarities in the major life events that contributed to their situation of prostitution. These life events include early separation with parents, sexual abuse, foster care, and forced marriage. Implications for policy, practice and research are discussed.

  2. African Scientific Network: A model to enhance scientific research in developing countries (United States)

    Kebede, Abebe


    Africa has over 350 higher education institutions with a variety of experiences and priorities. The primary objectives of these institutions are to produce white-collar workers, teachers, and the work force for mining, textiles, and agricultural industries. The state of higher education and scientific research in Africa have been discussed in several conferences. The proposals that are generated by these conferences advocate structural changes in higher education, North-South institutional linkages, mobilization of the African Diaspora and funding. We propose a model African Scientific Network that would facilitate and enhance international scientific partnerships between African scientists and their counterparts elsewhere. A recent article by James Lamout (Financial Times, August 2, 2001) indicates that emigration from South Africa alone costs $8.9 billion in lost human resources. The article also stated that every year 23,000 graduates leave Africa for opportunities overseas, mainly in Europe, leaving only 20,000 scientists and engineers serving over 600 million people. The International Organization for Migration states that the brain drain of highly skilled professionals from Africa is making economic growth and poverty alleviation impossible across the continent. In our model we will focus on a possible networking mechanism where the African Diaspora will play a major role in addressing the financial and human resources needs of higher education in Africa

  3. Imported malaria among African immigrants: is there still a relationship between developed countries and their ex-colonies?

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    Muñoz José


    Full Text Available Abstract Background The objective of this study was to compare cases of imported malaria originating from the Spanish ex-colony of Equatorial Guinea (EG with those originating from the rest of Africa (RA. Methods All the African cases detected in Barcelona between 1989 and 2007 were investigated in a retrospective analysis. Clinical-epidemiological variables such as sex, age, visiting friends and relatives (VFR, species, hospital admission and chemo-prophylaxis were compared. Data were analysed by logistic regression, calculating the Odds Ratio (OR and 95% Confidence Intervals (95% CI. Results Of the 489 African patients, 279 (57,1% had been born in EG and 210 (42,9% in the rest of Africa. The cumulative incidence of imported malaria among those from EG was 179.6 per thousand inhabitants, while in those from the RA it was 33.7 per thousand (p visiting friends and relatives (VFR category, and more individuals younger than 15 years or older than 37 years, and more women. They also visited a traveller's health centre more often, had fewer hospital admissions and were less likely to reside in the inner city. Conclusion Cases of imported malaria originating in Africa, are more likely to come from the Spanish ex-colony of EG, and VFR are more likely to be affected. It is recommended that developed countries promote prevention programmes, such as CP advice directed at African immigrants, and develop programmes of cooperation against malaria in their ex-colonies.

  4. Increase in African dust flux at the onset of commercial agriculture in the Sahel region. (United States)

    Mulitza, Stefan; Heslop, David; Pittauerova, Daniela; Fischer, Helmut W; Meyer, Inka; Stuut, Jan-Berend; Zabel, Matthias; Mollenhauer, Gesine; Collins, James A; Kuhnert, Henning; Schulz, Michael


    The Sahara Desert is the largest source of mineral dust in the world. Emissions of African dust increased sharply in the early 1970s (ref. 2), a change that has been attributed mainly to drought in the Sahara/Sahel region caused by changes in the global distribution of sea surface temperature. The human contribution to land degradation and dust mobilization in this region remains poorly understood, owing to the paucity of data that would allow the identification of long-term trends in desertification. Direct measurements of airborne African dust concentrations only became available in the mid-1960s from a station on Barbados and subsequently from satellite imagery since the late 1970s: they do not cover the onset of commercial agriculture in the Sahel region approximately 170 years ago. Here we construct a 3,200-year record of dust deposition off northwest Africa by investigating the chemistry and grain-size distribution of terrigenous sediments deposited at a marine site located directly under the West African dust plume. With the help of our dust record and a proxy record for West African precipitation we find that, on the century scale, dust deposition is related to precipitation in tropical West Africa until the seventeenth century. At the beginning of the nineteenth century, a sharp increase in dust deposition parallels the advent of commercial agriculture in the Sahel region. Our findings suggest that human-induced dust emissions from the Sahel region have contributed to the atmospheric dust load for about 200 years.

  5. Manganese Countries

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    Maria Sousa Galito


    Full Text Available Cheickna Bounajim Cissé wrote an article in Mars 2013 in the Journal Les Afriques N. º 237, suggesting a new acronym, MANGANESE, for the nine African countries: Morocco, Angola, Namibia, Ghana, Algeria, Nigeria, Egypt, South Africa and Ethiopia. According to Cissé, this group of African nations will be the fastest growing states in the region over the next few years. The purpose of this article is to test the pertinence of the acronym, discuss the credibility and reliability of the future prospects of these countries by comparing selected socioeconomic and sociopolitical indicators based on the latest global rankings and trends. Likewise, the potential of Cissé's claim will be assessed, especially in relationship to drug trafficking and terrorism that may put their recent sustainability in danger now and in the future.

  6. Economic Partnership Agreements and Regional Integration among ACP Countries

    NARCIS (Netherlands)

    Faber, G.


    New initiatives are needed to increase the effectiveness of the trade policy instruments the EU uses in its policy of development cooperation with the ACP countries. Merely giving non-reciprocal preferences has not worked very well. The main reason for this failure is that non-reciprocal preferences

  7. Sociality in Diverse Societies: A Regional Analysis Across European Countries

    NARCIS (Netherlands)

    F. Koster (Ferry)


    textabstractFor a long time, researchers investigate the impact of diversity on society. To measure diversity, either archival data at the national level of census data at the neighborhood level, within a single country are used. Both approaches are limited. The first approach does not allow to inve

  8. Regional Cooperation Towards Trans-country Natural Gas Market

    DEFF Research Database (Denmark)

    Shukla, P.R.; Dhar, Subash


    India began gas imports since 2004 through liquified natural gas (LNG) route. Imports through trans-country gas pipelines could help in bringing gas directly into the densely populated Northern part of India, which are far from domestic gas resources as well as coastal LNG terminals. The purpose...

  9. Socioeconomic development as a determinant of the levels of organochlorine pesticides and PCBs in the inhabitants of Western and Central African countries

    Energy Technology Data Exchange (ETDEWEB)

    Luzardo, Octavio P., E-mail: [Toxicology Unit, Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain); Boada, Luis D. [Toxicology Unit, Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain); Carranza, Cristina [Infectious Diseases and Tropical Medicine Unit, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria (Spain); Medical Sciences and Surgery Department, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain); Ruiz-Suárez, Norberto; Henríquez-Hernández, Luis Alberto; Valerón, Pilar F.; Zumbado, Manuel; Camacho, María [Toxicology Unit, Department of Clinical Sciences, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain); Arellano, José Luis Pérez [Infectious Diseases and Tropical Medicine Unit, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria (Spain); Medical Sciences and Surgery Department, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria (Spain)


    Several studies of environmental samples indicate that the levels of many persistent organic pollutants (POPs) are increasing in Africa, but few studies have been conducted in humans. Simultaneously, many African countries are experiencing a rapid economic growth and implementing information and communication technologies (ICT). These changes have generated high amounts of electronic waste (e-waste) that have not been adequately managed. We tested the hypothesis that the current levels of two main classes of POPs in Western and Central African countries are affected by the degree of socioeconomic development. We measured the levels of 36 POPs in the serum of recent immigrants (N = 575) who came from 19 Sub-Saharan countries to the Canary Islands (Spain). We performed statistical analyses on their anthropometric and socioeconomic data. High median levels of POPs were found in the overall sample, with differences among the countries. Organochlorine pesticide (OCP) and polychlorinated biphenyl (PCB) levels increased with age. People from low-income countries had significantly higher OCP levels and much lower PCB levels than those from high-income countries. We found a significant association between the implementation of ICT and PCB contamination. Immigrants from the countries with a high volume of imports of second-hand electronic equipment had higher PCB levels. The economic development of Africa and the e-waste generation have directly affected the levels of POPs. The POP legacies of these African populations most likely are due to the inappropriate management of the POPs' residues. - Highlights: • Higher levels of organochlorine pesticides in Africans from low-income countries • Higher levels of PCBs in Africans from high-income countries • Levels of PCBs are significantly higher in people from West Africa. • Significant association between implementation of ICT and PCB contamination • High volume of second-hand electronic equipment is associated

  10. Validation of the TEC2F2 model over the African equatorial region (United States)

    Ssessanga, Nicholas


    In this paper a statistical method, TEC2F2, of estimating critical F2 layer frequency (foF2) from Global Positioning System (GPS) Vertical Total Electron content (VTEC) is extended from Africa's mid-latitudes to the equatorial region, and the results validated. The equatorial region is one of the most dynamic yet under-represented over Africa in ionospheric studies. The TEC2F2 method was first considered for the South African region (mid-latitudes). This region is covered by a network of ionosondes that provided a validation platform for the TEC2F2 method before being applied to other parts of Africa. The results show that over the African equatorial region, the TEC2F2 method is a potential candidate in more accurately estimating the foF2 parameter than the most recent version of the International Reference Ionosphere (IRI-2012) model.

  11. Reconsidering the origins of the Southern African regionalism thirty years later: towards a constructivist approach to the origins of SADC

    Directory of Open Access Journals (Sweden)

    José Abel Moma


    Full Text Available The creation of SADCC has generated a debate over the real origins of the southern African model of regionalism. This paper develops the idea that the origins of SADC are both internal and external. Thus, southern African regionalism is understood as a constructivist articulation of internal and external inputs, which determined the creation of SADCC and its transformation into SADC.

  12. Reconsidering the origins of the Southern African regionalism thirty years later: towards a constructivist approach to the origins of SADC


    José Abel Moma


    The creation of SADCC has generated a debate over the real origins of the southern African model of regionalism. This paper develops the idea that the origins of SADC are both internal and external. Thus, southern African regionalism is understood as a constructivist articulation of internal and external inputs, which determined the creation of SADCC and its transformation into SADC.

  13. Ocean Pollution as a Result of Onshore Offshore Petroleum Activities in the African Gulf of Guinea Region (United States)

    Abubakar, B.


    increasing cases of pollution of farmlands, rivers, wells and the environment in general. Apart from all these, what is even becoming more worrisome is that none of all these oil firms operating in the region is able to account on how it disposes its industrial toxic waste generated as a result of its industrial activities within the region. Finally Geological strata are adversely destroyed by seismographic activities, Sea creatures are destroyed by oil pollution and Means of livelihood of revering dwellers are often threatened by pollution. RECOMMENDATIONS After identifying how the pollution in the Gulf of Guinea region is increasing in relation to the increasing petroleum activities, I have come up with the following suggestions/recommendations. 1. AFRICAN UNION RESOLUTION The Organization of the Petroleum Exporting Countries (OPEC) in conjunction with the International Atomic Energy Agency (IAEA) should use their capacity to be able to influence the African Union (AU) to pass a resolution banning the illegal dumping of radioactive waste, Gas flaring and Costal bunkering in this part of the world. 2. RESEARCH AND INVESTIGATION The Organization of the Petroleum Exporting Countries, in conjunction with the United Nations Environmental Agency, the International Atomic Energy Agency and with the corporation of the African Union should send team of researchers to come and investigate this trend on petroleum pollution in the Gulf of Guinea region and proffer possible solutions in checking the menace.

  14. East African Community (EAC) as Regionalism : The Exclusion and Inclusion of Globalization


    Butanaziba, Yunus Lubega


    The objective of this paper is to examine and recommend possible prescriptions against problems that regionalism has since occasioned for the last 110 years, and the ones we might face in the short and long term future. It brings forward the East African Community (EAC) as a regional grouping under the ‘exclusive’ and ‘inclusive’ damages of controls by western dominant states, particularly Britain and the United States of America (USA). The problem is that official reasoning and incompetence ...

  15. Benefiting Africans

    Institute of Scientific and Technical Information of China (English)


    Along with thriving Sino-African economic and trade ties,Chinese companies have attached greater importance to their social responsibility to Africans.More than 2,000 sweaters woven by Chinese mothers were sent to orphans and disabled children in Kenya and four other African countries in September. This activity was launched by Hengyuanxiang,aleading Chinese wool manufacturer.

  16. Benefiting Africans

    Institute of Scientific and Technical Information of China (English)



    Along with thriving Sino-African economic and trade ties,Chinese companies have attached greater importance to their social responsibility to Africans.More than 2,000 sweaters woven by Chinese mothers were sent to orphans and disabled children in Kenya and four other African countries in September.This activity was launched by Hengyuanxiang,a leading Chinese wool manufacturer.

  17. Business owners' action planning and its relationship to business success in three African countries. (United States)

    Frese, Michael; Krauss, Stefanie I; Keith, Nina; Escher, Susanne; Grabarkiewicz, Rafal; Luneng, Siv Tonje; Heers, Constanze; Unger, Jens; Friedrich, Christian


    A model of business success was developed with motivational resources (locus of control, self-efficacy, achievement motivation, and self-reported personal initiative) and cognitive resources (cognitive ability and human capital) as independent variables, business owners' elaborate and proactive planning as a mediator, and business size and growth as dependent variables. Three studies with a total of 408 African micro and small-scale business owners were conducted in South Africa, Zimbabwe, and Namibia. Structural equation analyses partially supported the hypotheses on the importance of psychological planning by the business owners. Elaborate and proactive planning was substantially related to business size and to an external evaluation of business success and was a (partial) mediator for the relationship between cognitive resources and business success. The model carries important implications for selection, training, and coaching of business owners.

  18. Human resources for health through conflict and recovery: lessons from African countries. (United States)

    Pavignani, Enrico


    A protracted conflict affects human resources for health (HRH) in multiple ways. In most cases, the inflicted damage constitutes the main obstacle to health sector recovery. Interventions aimed at healing derelict human resources are however fraught with difficulties of a political, technical, financial and administrative order. The experience accumulated in past recovery processes has made some important players aware of the cost incurred by neglecting human resource development. Several transitions from conflict to peace have been documented, even if largely in unpublished reports. This paper presents condensed descriptions of some African HRH-related recovery processes, which provide useful lessons. The technical work demanded to resuscitate a derelict health workforce is fairly well understood. In most situations, the highest hurdles lie outside of the health domain, and are of a political and administrative nature. Success stories are rare. But useful lessons are taught by failure as well as by success.

  19. An overview of cardiovascular risk factor burden in sub-Saharan African countries: a socio-cultural perspective

    Directory of Open Access Journals (Sweden)

    Degboe Arnold N


    Full Text Available Abstract Background Sub-Saharan African (SSA countries are currently experiencing one of the most rapid epidemiological transitions characterized by increasing urbanization and changing lifestyle factors. This has resulted in an increase in the incidence of non-communicable diseases, especially cardiovascular disease (CVD. This double burden of communicable and chronic non-communicable diseases has long-term public health impact as it undermines healthcare systems. Purpose The purpose of this paper is to explore the socio-cultural context of CVD risk prevention and treatment in sub-Saharan Africa. We discuss risk factors specific to the SSA context, including poverty, urbanization, developing healthcare systems, traditional healing, lifestyle and socio-cultural factors. Methodology We conducted a search on African Journals On-Line, Medline, PubMed, and PsycINFO databases using combinations of the key country/geographic terms, disease and risk factor specific terms such as "diabetes and Congo" and "hypertension and Nigeria". Research articles on clinical trials were excluded from this overview. Contrarily, articles that reported prevalence and incidence data on CVD risk and/or articles that report on CVD risk-related beliefs and behaviors were included. Both qualitative and quantitative articles were included. Results The epidemic of CVD in SSA is driven by multiple factors working collectively. Lifestyle factors such as diet, exercise and smoking contribute to the increasing rates of CVD in SSA. Some lifestyle factors are considered gendered in that some are salient for women and others for men. For instance, obesity is a predominant risk factor for women compared to men, but smoking still remains mostly a risk factor for men. Additionally, structural and system level issues such as lack of infrastructure for healthcare, urbanization, poverty and lack of government programs also drive this epidemic and hampers proper prevention, surveillance and

  20. Establishing sustainable GHG inventory systems in African countries for Agriculture and Land Use, Land-use Change and Forestry (LULUCF) (United States)

    Wirth, T. C.; Troxler, T.


    As signatories to the United Nations Framework Convention on Climate Change (UNFCCC), developing countries are required to produce greenhouse gas (GHG) inventories every two years. For many developing countries, including many of those in Africa, this is a significant challenge as it requires establishing a robust and sustainable GHG inventory system. In order to help support these efforts, the U.S. Environmental Protection Agency (EPA) has worked in collaboration with the UNFCCC to assist African countries in establishing sustainable GHG inventory systems and generating high-quality inventories on a regular basis. The sectors we have focused on for these GHG inventory capacity building efforts in Africa are Agriculture and Land Use, Land-use Change and Forestry (LULUCF) as these tend to represent a significant portion of their GHG emissions profile and the data requirements and methodologies are often more complex than for other sectors. To support these efforts, the U.S. EPA has provided technical assistance in understanding the methods in the IPCC Guidelines, assembling activity data and emission factors, including developing land-use maps for representing a country's land base, and implementing the calculations. EPA has also supported development of various tools such as a Template Workbook that helps the country build the institutional arrangement and strong documentation that are necessary for generating GHG inventories on a regular basis, as well as performing other procedures as identified by IPCC Good Practice Guidance such as quality assurance/quality control, key category analysis and archiving. Another tool used in these projects and helps country's implement the methods from the IPCC Guidelines for the Agriculture and LULUCF sectors is the Agriculture and Land Use (ALU) tool. This tool helps countries assemble the activity data and emission factors, including supporting the import of GIS maps, and applying the equations from the IPPC Guidelines to

  1. Cattle, identity and genocide in the African Great Lakes region

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    Andrew Reid


    Full Text Available Archaeological research into the origins of the cattle-keeping people of southwestern Uganda has overturned long-held beliefs about the separate origins of the pastoral and agricultural populations of the region. Study of indigenous political development and nineteenth-century colonialism shows that the present-day ethnic identities, which fuelled the genocide in Rwanda in 1994, are recent constructions.

  2. Palliative care and support for persons with HIV/AIDS in 7 African countries: implementation experience and future priorities. (United States)

    Alexander, Carla S; Memiah, Peter; Henley, Yvonne B; Kaiza-Kangalawe, Angela; Shumbusho, Anna Joyce; Obiefune, Michael; Enejoh, Victor; Stanis-Ezeobi, Winifred; Eze, Charity; Odion, Ehekhaye; Akpenna, Donald; Effiong, Amana; Miriti, Kenneth; Aduda, Samson; Oko, John; Melaku, Gebremedhin D; Baribwira, Cyprien; Umutesi, Hassina; Shimabale, Mope; Mugisa, Emmanuel; Amoroso, Anthony


    To combat morbidity and mortality from the worldwide epidemic of the human immunodeficiency virus (HIV), the United States Congress implemented a President's Emergency Plan for AIDS Relief (PEPFAR) in 30 resource-limited countries to integrate combination antiretroviral therapy (ART) for both prevention and cure. Over 35% of eligible persons have been successfully treated. Initial legislation cited palliative care as an essential aspect of this plan but overall health strengthening became critical to sustainability of programming and funding priorities shifted to assure staffing for care delivery sites; laboratory and pharmaceutical infrastructure; data collection and reporting; and financial management as individual countries are being encouraged to assume control of in-country funding. Given infrastructure requisites, individual care delivery beyond ART management alone has received minimal funding yet care remains necessary for durable viral suppression and overall quality of life for individuals. Technical assistance staff of one implementing partner representing seven African countries met to clarify domains of palliative care compared with the substituted term "care and support" to understand potential gaps in on-going HIV care. They prioritized care needs as: 1) mental health (depression and other mood disorders); 2) communication skills (age-appropriate disclosure of HIV status); 3) support of care-providers (stress management for sustainability of a skilled HIV workforce); 4) Tied Priorities: symptom management in opportunistic infections; end-of-life care; spiritual history-taking; and 5) Tied Priorities: attention to grief-related needs of patients, their families and staff; and management of HIV co-morbidities. This process can inform health policy as funding transitions to new priorities.

  3. PEPFAR Funding and Reduction in HIV Infection Rates in 12 Focus Sub-Saharan African Countries: A Quantitative Analysis

    Directory of Open Access Journals (Sweden)

    Roger J. Chin, MA, MPA


    Full Text Available Background: HIV and AIDS continue to have a calamitous effect on individuals living on the continent of Africa. U.S. President George W. Bush implemented the President’s Emergency Plan for AIDS Relief (PEPFAR with the objective of committing approximately $15 billion from 2004 through 2008 to assist with the reduction of the HIV pandemic worldwide. The majority of the PEPFAR policy and funding focused on 12 countries in sub-Saharan Africa: Botswana, Cote d’Ivoire, Ethiopia, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, and Zambia. The policy question this research paper seeks to analyze is whether the PEPFAR funding (as a % of Gross Domestic Product (GDP allocated to the 12 countries in Africa had any effect on the decrease of HIV infection rates of males and females between the ages of 15 and 49. Methods: A fixed-effects panel regression analysis was conducted to determine if this association exists. This study examined the 12 African countries that received PEPFAR funding over the years 2002 to 2010; even though PEPFAR was only active from 2004 through 2008, this research included two years prior and two years after this timeframe in order to better estimate the effect of PEPFAR funding on HIV reduction. Results: The results illustrate that on average, ceteris paribus, for every 1 percentage point increase in PEPFAR funding per GDP a country received, the country’s HIV infection rate decreased by 0.355 percentage points. Conclusions and Global Health Implications: While the empirical findings in this study suggested that the correlation between PEPFAR funding and HIV reduction is statistically significant, the practical significance is perhaps less obvious. Arguably, the reduction rate should be higher given the extent of funding targeted to this project. The conclusion of this research provides suggestions on future research and the policy implications of PEPFAR.

  4. The influence of African air pollution on regional and global tropospheric ozone

    Directory of Open Access Journals (Sweden)

    A. M. Aghedo


    Full Text Available We investigate the influence of African biomass burning, biogenic, lightning and anthropogenic emissions on the tropospheric ozone over Africa and globally using a coupled global chemistry climate model. Our model studies indicate that surface ozone concentration may rise by up to 50 ppbv in the burning region during the biomass burning seasons. Biogenic emissions yield between 5–30 ppbv increase in the near surface ozone concentration over tropical Africa. The impact of lightning on surface ozone is negligible, while anthropogenic emissions yield a maximum of 7 ppbv increase in the annual-mean surface ozone concentration over Nigeria, South Africa and Egypt. Our results show that biogenic emissions are the most important African emission source affecting total tropospheric ozone. The influence of each of the African emissions on the global tropospheric ozone burden (TOB of 384 Tg yields about 9.5 Tg, 19.6 Tg, 9.0 Tg and 4.7 Tg for biomass burning, biogenic, lightning and anthropogenic emissions emitted in Africa respectively. The impact of each of these emission categories on African TOB of 33 Tg is 2.5 Tg, 4.1 Tg, 1.75 Tg and 0.89 Tg respectively, which together represents about 28% of the total TOB calculated over Africa. Our model calculations also suggest that more than 70% of the tropospheric ozone produced by each of the African emissions is found outside the continent, thus exerting a noticeable influence on a large part of the tropical troposphere. Apart from the Atlantic and Indian Ocean, Latin America experiences the largest impact of African emissions, followed by Oceania, the Middle East, Southeast and south-central Asia, northern North America (i.e. the United States and Canada, Europe and north-central Asia, for all the emission categories.

  5. Institutional perceptions, adaptive capacity and climate change response in a post-conflict country: a case study from Central African Republic

    NARCIS (Netherlands)

    Brown, H.C.P.; Smit, B.; Somorin, O.A.; Sonwa, D.J.; Ngana, F.


    The Central African Republic (CAR) faces increased vulnerability to climate change because it is a low-income country with low adaptive capacity; a situation that is exacerbated by recent civil conflict. This research analysed the perceptions of decision-makers within, and the response of diverse na

  6. The African Standby Force and Regional Security Integration on the Horn of Africa

    DEFF Research Database (Denmark)

    Mandrup, Thomas


    . Will it therefore ever be able to transform itself into an effective security management regime, with the ability to handle the challenges facing the region? The regional enmities between the states seem to be widespread, deep-rooted and nearly chronic in nature. In June 2015 the African Union and its member states...... announced that they expected the five regionally based standby brigades to be fully operational by December 2015. Their readiness was tested in the continental field exercise, Amani Africa II, that took place in South Africa in October-November 2015 (Defence Web, 2015) The exercise successfully tested both...

  7. Population policy summaries of countries of the ESCAP region. (United States)


    The government of Bangladesh recognizes population as the principal socioeconomic problem of the country. It therefore recently launched a multisectoral population control program involving eight ministries in a move to expand its narrow, clinic-based birth control program to a multi-dimensional family welfare program. The government of China also places the highest priority upon curbing population growth, with family planning programs in place to postpone marriage, encourage spaces of 3-5 years between births, and promote the one-child family. The government is directly involved in organizing the nationwide family planning campaign through various mass media and the party leadership. The government of India's interest in and commitment to lowering population fertility and growth rates have been apparent in all development plans since 1951. Its Seventh Five-Year Plan for the period 1986-90 aims to establish a two-child family norm and replacement fertility by 2000. The plan also has the goal of 31 million sterilizations, 21.3 million IUD insertions, and 62.5 million conventional contraceptive users by 1990. Indonesia's population policy is designed to reduce the rate of population growth, redistribute the population away from the urban center, adjust economic factors, and increase family prosperity. The Republic of Korea's Fifth Five-Year Plan for 1982-86 gives greater emphasis to social development than did previous plans. The government understands that rates of population growth and fertility are too high, and is working to integrate population and development policies and programs into all relevant sectors. The government of Malaysia is paying attention to contraceptive and reproductive health research to ensure that the methods are efficient, safe, and socially acceptable, while the government of Nepal has adopted a population control program as an integral component of its development strategies. Reducing the rate of population growth was an objective of

  8. Investigation of TEC variations over the magnetic equatorial and equatorial anomaly regions of the African sector (United States)

    Oryema, B.; Jurua, E.; D'ujanga, F. M.; Ssebiyonga, N.


    This paper presents the annual, seasonal and diurnal variations in ionospheric TEC along the African equatorial region. The study also investigated the effects of a geomagnetic storm on ionospheric TEC values. Dual-frequency GPS derived TEC data obtained from four stations within the African equatorial region for the high solar activity year 2012 were used in this study. Annual variations showed TEC having two peaks in the equinoctial months, while minima values were observed in the summer and winter solstices. The diurnal pattern showed a pre-dawn minimum, a steady increase from about sunrise to an afternoon maximum and then a gradual fall after sunset to attain a minimum just before sunrise. Nighttime enhancements of TEC were observed mostly in the equinoctial months. There was comparably higher percentage TEC variability during nighttime than daytime and highest during equinoxes, moderate in winter and least during summer solstice. TEC was observed to exhibit a good correlation with geomagnetic storm indices.

  9. Countries, Within-Country Regions, and Multiple-Country Regions in International Management: A Functional, Institutional, and Critical Event (FICE) Perspective

    DEFF Research Database (Denmark)

    Søndergaard, Mikael; Peterson, Mark F.


    We introduce the focused issue by offering a functional, institutional and critical event or FICE perspective on the relationship between cultural boundaries and the boundaries of modern nation states (termed countries here). Our perspective draws from three kinds of theory that suggest how...

  10. Equity in HIV testing: evidence from a cross-sectional study in ten Southern African countries

    Directory of Open Access Journals (Sweden)

    Mitchell Steven


    Full Text Available Abstract Background HIV testing with counseling is an integral component of most national HIV and AIDS prevention strategies in southern Africa. Equity in testing implies that people at higher risk for HIV such as women; those who do not use condoms consistently; those with multiple partners; those who have suffered gender based violence; and those who are unable to implement prevention choices (the choice-disabled are tested and can have access to treatment. Methods We conducted a household survey of 24,069 people in nationally stratified random samples of communities in Botswana, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Tanzania, Zambia, and Zimbabwe. We asked about testing for HIV in the last 12 months, intention to test, and about HIV risk behaviour, socioeconomic indicators, access to information, and attitudes related to stigma. Results Across the ten countries, seven out of every ten people said they planned to have an HIV test but the actual proportion tested in the last 12 months varied from 24% in Mozambique to 64% in Botswana. Generally, people at higher risk of HIV were not more likely to have been tested in the last year than those at lower risk, although women were more likely than men to have been tested in six of the ten countries. In Swaziland, those who experienced partner violence were more likely to test, but in Botswana those who were choice-disabled for condom use were less likely to be tested. The two most consistent factors associated with HIV testing across the countries were having heard about HIV/AIDS from a clinic or health centre, and having talked to someone about HIV and AIDS. Conclusions HIV testing programmes need to encourage people at higher risk of HIV to get tested, particularly those who do not interact regularly with the health system. Service providers need to recognise that some people are not able to implement HIV preventive actions and may not feel empowered to get themselves

  11. Perceived Barriers for Accessing Health Services among Individuals with Disability in Four African Countries (United States)

    Eide, Arne H.; Mannan, Hasheem; Khogali, Mustafa; van Rooy, Gert; Swartz, Leslie; Munthali, Alister; Hem, Karl-Gerhard; MacLachlan, Malcolm; Dyrstad, Karin


    There is an increasing awareness among researchers and others that marginalized and vulnerable groups face problems in accessing health care. Access problems in particular in low-income countries may jeopardize the targets set by the United Nations through the Millennium Development Goals. Thus, identifying barriers for individuals with disability in accessing health services is a research priority. The current study aimed at identifying the magnitude of specific barriers, and to estimate the impact of disability on barriers for accessing health care in general. A population based household survey was carried out in Sudan, Namibia, Malawi, and South Africa, including a total of 9307 individuals. The sampling strategy was a two-stage cluster sampling within selected geographical areas in each country. A listing procedure to identify households with disabled members using the Washington Group six screening question was followed by administering household questionnaires in households with and without disabled members, and questionnaires for individuals with and without disability. The study shows that lack of transport, availability of services, inadequate drugs or equipment, and costs, are the four major barriers for access. The study also showed substantial variation in perceived barriers, reflecting largely socio-economic differences between the participating countries. Urbanity, socio-economic status, and severity of activity limitations are important predictors for barriers, while there is no gender difference. It is suggested that education reduces barriers to health services only to the extent that it reduces poverty. Persons with disability face additional and particular barriers to health services. Addressing these barriers requires an approach to health that stresses equity over equality. PMID:25993307

  12. Perceived Barriers for Accessing Health Services among Individuals with Disability in Four African Countries. (United States)

    Eide, Arne H; Mannan, Hasheem; Khogali, Mustafa; van Rooy, Gert; Swartz, Leslie; Munthali, Alister; Hem, Karl-Gerhard; MacLachlan, Malcolm; Dyrstad, Karin


    There is an increasing awareness among researchers and others that marginalized and vulnerable groups face problems in accessing health care. Access problems in particular in low-income countries may jeopardize the targets set by the United Nations through the Millennium Development Goals. Thus, identifying barriers for individuals with disability in accessing health services is a research priority. The current study aimed at identifying the magnitude of specific barriers, and to estimate the impact of disability on barriers for accessing health care in general. A population based household survey was carried out in Sudan, Namibia, Malawi, and South Africa, including a total of 9307 individuals. The sampling strategy was a two-stage cluster sampling within selected geographical areas in each country. A listing procedure to identify households with disabled members using the Washington Group six screening question was followed by administering household questionnaires in households with and without disabled members, and questionnaires for individuals with and without disability. The study shows that lack of transport, availability of services, inadequate drugs or equipment, and costs, are the four major barriers for access. The study also showed substantial variation in perceived barriers, reflecting largely socio-economic differences between the participating countries. Urbanity, socio-economic status, and severity of activity limitations are important predictors for barriers, while there is no gender difference. It is suggested that education reduces barriers to health services only to the extent that it reduces poverty. Persons with disability face additional and particular barriers to health services. Addressing these barriers requires an approach to health that stresses equity over equality.

  13. Perceived Barriers for Accessing Health Services among Individuals with Disability in Four African Countries.

    Directory of Open Access Journals (Sweden)

    Arne H Eide

    Full Text Available There is an increasing awareness among researchers and others that marginalized and vulnerable groups face problems in accessing health care. Access problems in particular in low-income countries may jeopardize the targets set by the United Nations through the Millennium Development Goals. Thus, identifying barriers for individuals with disability in accessing health services is a research priority. The current study aimed at identifying the magnitude of specific barriers, and to estimate the impact of disability on barriers for accessing health care in general. A population based household survey was carried out in Sudan, Namibia, Malawi, and South Africa, including a total of 9307 individuals. The sampling strategy was a two-stage cluster sampling within selected geographical areas in each country. A listing procedure to identify households with disabled members using the Washington Group six screening question was followed by administering household questionnaires in households with and without disabled members, and questionnaires for individuals with and without disability. The study shows that lack of transport, availability of services, inadequate drugs or equipment, and costs, are the four major barriers for access. The study also showed substantial variation in perceived barriers, reflecting largely socio-economic differences between the participating countries. Urbanity, socio-economic status, and severity of activity limitations are important predictors for barriers, while there is no gender difference. It is suggested that education reduces barriers to health services only to the extent that it reduces poverty. Persons with disability face additional and particular barriers to health services. Addressing these barriers requires an approach to health that stresses equity over equality.

  14. Tobacco use and its determinants in HIV-infected patients on antiretroviral therapy in West African countries (United States)

    Jaquet, Antoine; Ekouevi, Didier-Koumavi; Aboubakrine, Maiga; Bashi, Jules; Messou, Eugène; Maiga, Moussa; Traore, Hamar-Alassane; Zannou, Marcel; Guehi, Calixte; Ba-Gomis, Franck-Olivier; Minga, Albert; Allou, Gérard; Eholie, Serge-Paul; Dabis, Francois; Bissagnene, Emmanuel; Sasco, Annie-Jeanne


    INTRODUCTION Tobacco smoking is common in HIV-infected patients from industrialized countries. In West Africa, few data exist concerning tobacco consumption. METHODS A cross-sectional survey was conducted within the International epidemiological Database to Evaluate AIDS (IeDEA) network in West Africa. Health workers administered to patients receiving antiretroviral treatment a questionnaire assessing tobacco and cannabis consumption. Regular smokers were defined as present smokers who smoked >1 cigarette per day for ≥1 year. RESULTS Overall, 2920 patients were enrolled in three countries. The prevalence of ever smokers and present smokers were 46.2% (95% CI 42.8–49.5) and 15.6% (95% CI 13.2–18.0) in men and 3.7% (95% CI 2.9–4.5) and 0.6% (95% CI 0.3–0.9) in women, respectively. Regular smoking was associated being from Côte d’Ivoire or Mali compared to Benin (OR 4.6; 95% CI 2.9–7.3 and 7.7; 95% CI 4.4–13.6), a severely impaired immunological status at HAART initiation (OR 1.5; 95% CI 1.1–2.2) and a history of tuberculosis (OR 1.8; 95% CI 1.1–3.0). CONCLUSION Marked differences of smoking prevalence exist between these West African countries. This survey approach also provides evidences concerning the association between cigarette smoking and tuberculosis in HIV-infected patients, a major public health issue in this part of the world. PMID:19861019

  15. Alcohol consumption and breast cancer risk among women in three sub-Saharan African countries.

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    Frank Qian

    Full Text Available BACKGROUND: Alcohol drinking is linked to the development of breast cancer. However, there is little knowledge about the impact of alcohol consumption on breast cancer risk among African women. METHODS: We conducted a case-control study among 2,138 women with invasive breast cancer and 2,589 controls in Nigeria, Cameroon, and Uganda from 1998 to 2013. A structured questionnaire was used to collect information on alcohol consumption, defined as consuming alcoholic beverages at least once a week for six months or more. Logistic regression was used to estimate adjusted odds ratio (aOR and 95% confidence interval (CI. RESULTS: Among healthy controls, the overall alcohol consumption prevalence was 10.4%, and the prevalence in Nigeria, Cameroon, and Uganda were 5.0%, 34.6%, and 50.0%, respectively. Cases were more likely to have consumed alcohol (aOR = 1.62, 95% CI: 1.33-1.97. Both past (aOR = 1.54; 95% CI: 1.19-2.00 and current drinking (aOR = 1.71; 95% CI: 1.30-2.23 were associated with breast cancer risk. A dose-response relationship was observed for duration of alcohol drinking (P-trend <0.001, with 10-year increase of drinking associated with a 54% increased risk (95% CI: 1.29-1.84. CONCLUSION: We found a positive relationship between alcohol consumption and breast cancer risk, suggesting that this modifiable risk factor should be addressed in breast cancer prevention programs in Africa.

  16. Inspiration of Direct Grain Production Subsidy System in Typical Countries and Regions

    Institute of Scientific and Technical Information of China (English)

    Shunqiang; SUN; Lu; CHEN; Ya; LI


    Through comparison of direct grain production subsidy system in typical countries and regions,such as the United States,EU,Japan and South Korea,this paper evaluated the performance of direct grain production subsidy system. On the basis of comparison and analysis,it summed up experience of the direct grain production subsidy system in typical countries and regions. Finally,it came up with countermeasures and recommendations for improving the direct grain production subsidy system in China.

  17. Fundamental Flaws in the Architecture of the European Central Bank: The Possible End of the Euro Zone and its Effects to East African Community (EAC Countries

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    Nothando Moyo


    Full Text Available European countries embarked on a European integration programme that saw the formation of the Euro, which has emerged as a major currency (Blair, 1999 that was introduced in 1998. With the Euro, came the establishment of the European Central Bank. Thus this study seeks to investigate the flaws in the formation of the European Central Bank that surfaced during the major economic crisis in Europe. The crisis revealing the gaps in the formation and structure of the European central bank have created major challenges for the Economic and Monetary Union (EMU. Through an extant review of literature the study will examine the East African Community Countries, investigating the ties they have to the euro zone to analyse how the crisis has affected them. Furthermore, the study will analyse what would happen to the growth patterns of the East African Countries and the various prospects they may have should the Eurozone come to an end.

  18. Financial Development, Trade Openness and Economic Growth in North African Countries

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    Nahed Zghidi


    Full Text Available This contribution investigates the causal interactions between financial development, trade openness and economic growth in a panel of 3 countries of North Africa (Tunisia, Morocco, and Egypt over the period 1980-2012. Using system Generalized Method of Moment (GMM panel data analysis, we find strong evidence of a positive link between trade openness and economic growth. We also find evidence that trade openness appear to be working as a complement to financial development and, moreover, that the effect of trade openness is more pronounced in the presence of the financial development variable. The policy implications of this study appeared clear. Improvement efforts need to be driven by local-level reforms to ensure the development of domestic financial system in order to take advantage of trade liberalization.

  19. Remittances, Financial Development and Economic Growth: The Case of North African Countries

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    Zouheir Abida


    Full Text Available The present paper examines the causal linkage between remittances, financial development, and economic growth in a panel of 4 countries of North Africa (Tunisia, Morocco, Algeria and Egypt over the period 1980-2011. Using system Generalized Method of Moment (GMM panel data analysis, we find strong evidence of a positive relationship between remittances and economic growth. We also find evidence that remittances appear to be working as a complement to financial development and, moreover, that the effect of remittances is more pronounced in the presence of the financial development variable. The policy implications of this study appeared clear. Improvement efforts need to be driven by local-level reforms to ensure the development of domestic financial system in order to take advantage of remittances.

  20. Regional health governance: A suggested agenda for Southern African health diplomacy. (United States)

    Penfold, Erica Dale; Fourie, Pieter


    Regional organisations can effectively promote regional health diplomacy and governance through engagement with regional social policy. Regional bodies make decisions about health challenges in the region, for example, the Union of South American Nations (UNASUR) and the World Health Organisation South East Asia Regional Office (WHO-SEARO). The Southern African Development Community (SADC) has a limited health presence as a regional organisation and diplomatic partner in health governance. This article identifies how SADC facilitates and coordinates health policy, arguing that SADC has the potential to promote regional health diplomacy and governance through engagement with regional social policy. The article identifies the role of global health diplomacy and niche diplomacy in health governance. The role of SADC as a regional organisation and the way it functions is then explained, focusing on how SADC engages with health issues in the region. Recommendations are made as to how SADC can play a more decisive role as a regional organisation to implement South-South management of the regional social policy, health governance and health diplomacy agenda.

  1. Problems of Foreign Economic Relations Development of Ural Regions with BRICS Countries

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    Mikhail Ivanovich Maslennikov


    Full Text Available In the article, the basic vocabulary of BRICS countries, its regional tendencies of business development, and its share taken in the foreign-economic activity are analyzed. Contribution of different foreign trade fields of regions into economic development is revealed. Indicators of development levels of external economic links are reviewed. Alternative options of the foreign trade development, expenses and benefits from its reorientation, and the reason of low indicators of development of foreign trade activity of the Ural regions with BRICS countries are evaluated, and measures for their improvement and development are offered. The mechanism and tools of stimulation of foreign economic relations development of regions with BRICS countries are investigated. The internal and external motives and incentives of expansion of these relations are examined. The factors influencing the regional markets development and revealing multidirectional tendencies in activities of business, government, society for development of foreign economic relations of the Ural regions with BRICS countries, and first of all with Brazil, India, China and the Republic of South Africa are investigated. The export-import features of the foreign trade operations with these countries, and also possible ways and the directions of expansion of the prognostics of foreign economic relations in the conditions of toughening and restriction of similar operations and financial sources from the developed countries, first of all the USA and EU countries are represented. Author examines the reasons and scenario, problems and difficulties for the country and the Ural regions in refocusing of international economic relation from Western Europe to the South-East Asia countries. Real opportunities of participation of regions of the country in the import substitution and development of own resource and production base are analyzed. The research is focused on analysis of international economic


    Directory of Open Access Journals (Sweden)

    Glen Segell


    Full Text Available The first decade of the new millennium saw the European Union deploy ninesecurity missions to the African continent, quoting the European Security andDefence Policy. Unlike the numerous United Nations security missions thatEuropean states had previously contributed to, these were part of a grand strategydesigned to link the African Union and the European Union in a process of transregionalismdefined as a unique organisational infrastructure (joint secretariat forresearch, policy planning, preparation and coordination of meetings andimplementation of decisions. The rationale being that security and its associatedpeace and stability are the basis for sustainable development in other areas. Thisarticle follows the development of the trans-regionalism detailing the securitymissions.

  3. The key challenge of corporate governance of firms: Empirical evidence from Sub-Saharan African anglophone (SSAA) countries


    Afolabi, Adeoye Amuda


    This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University. Motivation:In the Sub-Saharan Africa countries there are several factors contributing to the collapse of firms. Most firms have failed due to poor corporate governance practices. The recent collapse of some firms in the financial and non-financial sectors in the Sub-region shows that there are challenges hindering effective corporate governance of firms in the Subregion. Consequently, this...

  4. Validation of a French adaptation of the Harvard Trauma Questionnaire among torture survivors from sub-Saharan African countries

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    Capucine de Fouchier


    Full Text Available Background: To date no validated instrument in the French language exists to screen for posttraumatic stress disorder (PTSD in survivors of torture and organized violence. Objective: The aim of this study is to adapt and validate the Harvard Trauma Questionnaire (HTQ to this population. Method: The adapted version was administered to 52 French-speaking torture survivors, originally from sub-Saharan African countries, receiving psychological treatment in specialized treatment centers. A structured clinical interview for DSM was also conducted in order to assess if they met criteria for PTSD. Results: Cronbach's alpha coefficient for the HTQ Part 4 was adequate (0.95. Criterion validity was evaluated using receiver operating characteristic curve analysis that generated good classification accuracy for PTSD (0.83. At the original cut-off score of 2.5, the HTQ demonstrated high sensitivity and specificity (0.87 and 0.73, respectively. Conclusion: Results support the reliability and validity of the French version of the HTQ.

  5. Testing the relationships between energy consumption, CO2 emissions, and economic growth in 24 African countries: a panel ARDL approach. (United States)

    Asongu, Simplice; El Montasser, Ghassen; Toumi, Hassen


    This study complements existing literature by examining the nexus between energy consumption (EC), CO2 emissions (CE), and economic growth (GDP; gross domestic product) in 24 African countries using a panel autoregressive distributed lag (ARDL) approach. The following findings are established. First, there is a long-run relationship between EC, CE, and GDP. Second, a long-term effect from CE to GDP and EC is apparent, with reciprocal paths. Third, the error correction mechanisms are consistently stable. However, in cases of disequilibrium, only EC can be significantly adjusted to its long-run relationship. Fourth, there is a long-run causality running from GDP and CE to EC. Fifth, we find causality running from either CE or both CE and EC to GDP, and inverse causal paths are observable. Causality from EC to GDP is not strong, which supports the conservative hypothesis. Sixth, the causal direction from EC to GDP remains unobservable in the short term. By contrast, the opposite path is observable. There are also no short-run causalities from GDP, or EC, or EC, and GDP to EC. Policy implications are discussed.

  6. Correlates of male circumcision in Eastern and Southern African countries: establishing a baseline prior to VMMC Scale-up.

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    Khai Hoan Tram

    Full Text Available BACKGROUND: Despite the importance of male circumcision (MC prevalence to HIV prevention efforts in Eastern and Southern Africa, there has been no systematic analysis on the correlates of male circumcision. This analysis identifies correlates of MC in 12 countries in the region with available data. METHODS: Data from the male questionnaire of DHS surveys collected between 2006-2011 in Ethiopia, Kenya, Lesotho, Malawi, Mozambique, Namibia, Rwanda, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe were analyzed. The dependent variable was self-reported male circumcision status. Independent variables included age, education, wealth quintile, place of residence, ethnicity, religion and region. Bivariate and multivariate analyses were conducted separately for each country. RESULTS: MC prevalence ranged from 8.2 percent in Swaziland to 92.2 percent in Ethiopia. Bivariate analyses showed a consistent positive association between age (being older and male circumcision. Education, wealth quintile, and place of residence were either not significantly related or differed in the direction of the relationship by country. Multivariate logistic regression showed three variables consistently associated with MC status: age (being older, religion (being Muslim and ethnicity. DISCUSSION: These data were collected prior to the scale-up of voluntary medical male circumcision (VMMC programs in 11 of the 12 countries. As the VMMC scale-up intensifies in countries across Eastern and Southern Africa, the correlates of VMMC are likely to change, with (younger age and education emerging as key correlates of VMMC performed in medical settings. The centuries-long tradition among Muslims to circumcise should continue to favor MC among this group. Non-circumcising ethnicities may become more open to MC if promoted as a health practice for decreasing HIV risk.

  7. Ethnobotanical knowledge on botanical repellents employed in the African region against mosquito vectors - A review. (United States)

    Pavela, Roman; Benelli, Giovanni


    Mosquitoes (Diptera: Culicidae) represent a huge threat for millions of humans and animals worldwide, since they act as vectors for important parasites and pathogens, including malaria, filariasis and important arboviruses, such as dengue, West Nile and Zika virus. No vaccines or other specific treatments are available against the arboviruses transmitted by mosquitoes, and avoidance of mosquito bites remains the best strategy. African regions are usually hit most whose inhabitants are poor, and the use of repellent plants is the only efficient protection against vectors they have. Ethnobotanical knowledge of such plants and their use is usually passed on orally from one generation to another. However, it is also important to preserve this information in a written form, as well. Ethnobotanical research projects carried out in the regions of today's Ethiopia, South Africa, Nigeria, Kenya, and Tanzania indicate that the native inhabitants of the African study regions traditionally use 64 plant species, belonging to 30 families. Aromatic plants (i.e., Citrus spp., Eucalyptus spp., Lantana camara, Ocimum spp. and Lippia javanica) the most commonly used in all the study regions. Native people know three major methods of using repellent plants: (i) production of repellent smoke from burning plants, (ii) hanging plants inside the house or sprinkling leaves on the floor, (iii) the use of plant oils, juices from crushed fresh parts of the plants, or various prepared extracts applied on uncovered body parts. Overall, this review covers studies conducted only in a limited part of the African continent, highlighting the importance to undertake further research efforts to preserve the unique knowledge and traditions of the native tribes.

  8. World City/Regional City: Latinos and African-Americans in Chicago and St. Louis. JSRI Working Paper No. 46. (United States)

    Villanueva, Margaret; Erdman, Brian; Howlett, Larry

    This paper traces the effects of economic restructuring through comparative socioeconomic profiles of African American and Latinos in the Midwest, with a focus on Chicago and Kansas City. Globalization has been associated with deindustrialization, relocation of jobs to developing countries with cheaper labor, and expansion of the service sector. A…

  9. Skilled Birth Attendants: who is who? A descriptive study of definitions and roles from nine Sub Saharan African countries.

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    Adetoro Adegoke

    Full Text Available BACKGROUND: Availability of a Skilled Birth Attendant (SBA during childbirth is a key indicator for MDG5 and a strategy for reducing maternal and neonatal mortality in Africa. There is limited information on how SBAs and their functions are defined. The aim of this study was to map the cadres of health providers considered SBAs in Sub Saharan Africa (SSA; to describe which signal functions of Essential Obstetric Care (EmOC they perform and assess whether they are legislated to perform these functions. METHODS AND FINDINGS: Key personnel in the Ministries of Health, teaching institutions, referral, regional and district hospitals completed structured questionnaires in nine SSA countries in 2009-2011. A total of 21 different cadres of health care providers (HCP were reported to be SBA. Type and number of EmOC signal functions reported to be provided, varied substantially between cadres and countries. Parenteral antibiotics, uterotonic drugs and anticonvulsants were provided by most SBAs. Removal of retained products of conception and assisted vaginal delivery were the least provided signal functions. Except for the cadres of obstetricians, medical doctors and registered nurse-midwives, there was lack of clarity regarding signal functions reported to be performed and whether they were legislated to perform these. This was particularly for manual removal of placenta, removal of retained products and assisted vaginal delivery. In some countries, cadres not considered SBA performed deliveries and provided EmOC signal functions. In other settings, cadres reported to be SBA were able to but not legislated to perform key EmOC signal functions. CONCLUSIONS: Comparison of cadres of HCPs reported to be SBA across countries is difficult because of lack of standardization in names, training, and functions performed. There is a need for countries to develop clear guidelines defining who is a SBA and which EmOC signal functions each cadre of HCP is expected to

  10. Regional Modelling of the Southern African Geomagnetic Field using Harmonic Splines

    CERN Document Server

    Geese, Anne; Lesur, Vincent; Mandea, Mioara


    Over the southern African region the geomagnetic field is weak and changes rapidly. For this area series of geomagnetic field measurements exist since the 1950s. We take advantage of the existing repeat station surveys and observatory annual means, and clean these data sets by eliminating jumps and minimising external field contributions in the original time series. This unique data set allows us to obtain a detailed view of the geomagnetic field behaviour in space and time by computing a regional model. For this, we use a system of representation similar to harmonic splines. Initially, the technique is systematically tested on synthetic data. After systematically testing the method on synthetic data, we derive a model for 1961 to 2001 that gives a detailed view of the fast changes of the geomagnetic field in this region.

  11. Does a wife's education influence spousal agreement on approval of family planning?: Random-effects Modeling using data from two West African Countries. (United States)

    Hossain, Mian; Ahmed, Saifuddin; Rogers, Laurencia


    Spousal approval of family planning is critical for contraceptive use. Both contraceptive use rates and women's education are low in many West-African countries and this study examines the role of wives' education in spousal agreement on approval of family planning in two sub-Saharan West African countries. We used couples' data from Demographic Health Surveys in Senegal and in Niger, conducted in 2005 and 2006, respectively. Multiple logistic regression results using multilevel modeling show that the odds of spousal agreement on approval of family planning were slightly over three times [OR: 3.16; 95% CI: 1.32 to 7.57] in Senegal and were about three times [OR: 3.07; 95% CI: 1.64 to 5.76] in Niger higher for women with more than primary education. Findings suggest that improvement in women's education could lead to spousal agreement on approval of family planning, which may lead to use of family planning in sub-Saharan African countries.

  12. Under the Sun or in the Shade? Jua Kali in African Countries. National Policy Definition in Technical and Vocational Education: Beyond the Formal Sector. A Subregional Seminar for Eastern and Southern African Countries (Nairobi, Kenya, September 15-19, 1997). International project on Technical and Vocational Education (UNEVOC). (United States)

    United Nations Educational, Scientific, and Cultural Organization, Berlin (Germany).

    This document is a comprehensive report a subregional seminar for eastern and southern African countries on the Jua Kali movement. (Jua Kali, "hot sun" in Swahili, refers to the informal or nonformal sector of the economy.) Section 1 explains the role of the International Project on Technical and Vocational Education (UNEVOC) in the…

  13. Trends of ionospheric irregularities over African low latitude region during quiet geomagnetic conditions (United States)

    Mungufeni, Patrick; Habarulema, John Bosco; Jurua, Edward


    The occurrence patterns of ionospheric irregularities during quiet geomagnetic conditions over the African low latitude region were analysed. GNSS-derived Total Electron Content of the ionosphere data during the period 2001-2012 were used. The data were obtained from Libreville, Gabon (0.35°N, 9.68°E, geographic, 8.05°S, magnetic), Mbarara, Uganda (0.60°S, 30.74°E, geographic, 10.22°S, magnetic), and Malindi, Kenya (2.99°S, 40.19°E, geographic, 12.42°S, magnetic). The rate of change of total electron content index greater than 0.5 TECU/Min were considered as severe ionospheric irregularities. For most of the time, the strength of ionospheric irregularities in March equinox were greater than those during September equinox over East Africa and an opposite observation was made over West Africa. These asymmetries might be due to the direction of the meridional winds during equinoxes over the different stations. Severity of ionospheric irregularity reduced from west towards the east. This might have been related to the decreasing geomagnetic field strength from east towards the west. This is the first study that reveals the equinoctial asymmetry is different in the West and East African sectors. Moreover, the importance of this study lies in the fact that it has used extensive data to examine the isolated and un-explained earlier observations of equinoctial asymmetry and longitudinal variation of ionospheric irregularities over the African low latitude region.

  14. Update on the Risk of Introduction of African Swine Fever by Wild Boar into Disease-Free European Union Countries. (United States)

    Bosch, J; Rodríguez, A; Iglesias, I; Muñoz, M J; Jurado, C; Sánchez-Vizcaíno, J M; de la Torre, A


    Despite efforts to prevent the appearance and spread of African swine fever (ASF) in the European Union, several Member States are now affected (Lithuania, Poland, Latvia and Estonia). Disease appearance in 2014 was associated with multiple entrances linked to wild boar movement from endemic areas (EFSA Journal, 8, 2015, 1556), but the risk of new introductions remains high (Gallardo et al., Porcine Health Management, 1, and 21) as ASF continues to be active in endemic countries (Russian Federation, Belarus and Ukraine). Since 2014, the number of ASF notifications has increased substantially, particularly in wild boar (WB), in parallel with slow but constant geographical advance of the disease. This situation suggests a real risk of further disease spread into other Member States, posing a great threat to pig production in the EU. Following the principles of the risk-based veterinary surveillance, this article applies a methodology developed by De la Torre et al. (Transboundary and Emerging Diseases, 62, and 272) to assess the relative risk of new introductions of ASF by natural movements of WB according to the current epidemiological situation. This update incorporates the most recent available data and an improved version of the most important risk estimator: an optimized cartographic tool of WB distribution to analyse wild boar suitable habitat. The highest relative risk values were estimated for Slovakia (5) and Romania (5), followed by Finland (4), Czech Republic (3) and Germany (3). Relative risk for Romania and Finland is associated mainly with disease entrance from endemic areas such as the Russian Federation and Ukraine, where the disease is currently spreading; relative risk for Germany and Czech Republic is associated mainly with the potential progress of the disease through the EU, and relative risk for Slovakia is associated with both pathways. WB habitat is the most important risk estimator, whereas WB density is the least significant, suggesting

  15. Self-reported drunkenness among adolescents in four sub-Saharan African countries: associations with adverse childhood experiences

    Directory of Open Access Journals (Sweden)

    Crichton Joanna


    adverse events experienced and the proportion reporting drunkenness. Conclusions We find an association between experience of adverse childhood events and drunkenness among adolescents in four sub-Saharan African countries. The complex impacts of adverse childhood experiences on young people's development and behavior may have an important bearing on the effectiveness of interventions geared at reducing alcohol dependence among the youth.

  16. Best practices in developing a national palliative care policy in resource limited settings: lessons from five African countries. (United States)

    Luyirika, Emmanuel Bk; Namisango, Eve; Garanganga, Eunice; Monjane, Lidia; Ginindza, Ntombi; Madonsela, Gugulethu; Kiyange, Fatia


    Given the high unmet need for palliative care in Africa and other resource limited settings, it is important that countries embrace the public health approach to increasing access through its integration within existing healthcare systems. To give this approach a strong foundation that would ensure sustainability, the World Health Organisation urges member states to ensure that policy environments are suitable for this intervention. The development, strengthening, and implementation of national palliative care policies is a priority. Given the lack of a critical mass of palliative care professionals in the region and deficiency in documenting and sharing best practices as part of information critical for regional development, policy development becomes a complex process. This article shares experiences with regard to best practices when advocating the national palliative care policies. It also tells about policy development process, the important considerations, and cites examples of policy content outlines in Africa.


    Directory of Open Access Journals (Sweden)

    Makhanko G. V.


    Full Text Available The article considers the issues of economic security of the country and argues that the priorities of economic security of the state vary depending on the historical period of development of the state, and under the influence of changes in the world. In modern terms they are monetary, energy and food security. The article is devoted to the issue of food security as an integral and essential part of national security, because the share of imports in total food variously estimated at from 30 to 50 %. Ensuring food security contributes to sustainable social climate in society. Russia, having all the main types of resources - land, water, energy, raw materials and labour, is not yet able to make full use of their populations wholesome food through own production. Needs completed large-scale imports even for those that it can produce sufficient not only for domestic consumption but also for export to the world market. Food security regions and the country serves as a basic indicator of human activity, and security is a priority of the state agrarian policy of the state.. The article proves that food security as an important element of national security involves ensuring the normal operation of such a complex biological system, as a people, mostly at the expense of domestic food production with the accounting standards recommended by the Institute of nutrition of the Academy of medical Sciences. The article is exploratory in nature, reflected in the fact that it dealt with issues of food security of the region and the country. The article is devoted to solving actual tasks associated with the role of agriculture in the Kuban in ensuring food security in the region and the country. In article on the basis of the analysis of the economic potential of Krasnodar region, in particular the agro-industrial complex of the region as the largest Russian producer and supplier of agricultural products and raw materials, justifies the role of agrarian and

  18. National, Regional and International Learning Assessments: Trends among Developing Countries, 1960-2009 (United States)

    Kamens, David H.; Benavot, Aaron


    This paper examines annual changes in the participation of developing countries in three kinds of learning assessment activity over the past three decades. It specifically highlights, and provides initial explanations for, the worldwide spread of national and regional assessments since the mid-1990s. The paper argues that national learning…

  19. Southern Slippage: Growing School Segregation in the Most Desegregated Region of the Country (United States)

    Siegel-Hawley, Genevieve; Frankenberg, Erica


    The South remains the most desegregated region in the country for black students, but along every measure of segregation and at each level of geography, gains made during the desegregation era are slipping away at a steady pace. This report shows that the segregation of Southern black students has been progressively increasing since judicial…

  20. Shrinking regions in a shrinking country: The geography of population decline in Lithuania 2001-2011

    NARCIS (Netherlands)

    Ubareviciene, R.; Van Ham, M.; Burneika, D.


    Shrinking populations have been gaining increasing attention, especially in post-socialist East and Central European countries. While most studies focus on specific cities and regions, much less is known about the spatial dimension of population decline on the national level, and the local factors d

  1. The West African Monsoon simulated by global and regional climate models (United States)

    Nikulin, Grigory; Jones, Colin; Kjellström, Erik; Gbobaniyi, Emiola


    We present results from two ensembles of global and regional climate simulations with a focus on the West African Monsoon (WAM). The first ensemble includes eight coupled atmosphere ocean general circulation models (AOGCMs) from the CMIP5 project, namely: CanESM2, CNRM-CM5, HadGEM2-ES, NorESM1-M, EC-EARTH, MIROC5, GFDL-ESM2M and MPI-ESM-LR. The second ensemble consists of corresponding downscaling of all 8 AOGCMs by a regional climate model - RCA4 produced at the Rossby Centre (SMHI) in the Africa-CORDEX activities. Spatial resolution varies from about 1° to 3° in the AOGCM ensemble while all regional simulations are at the same 0.44° resolution. To see what added value higher resolution can provide ability of the eight AOGCMs and the downscaled RCA4(AOGCMs) to simulate the key characteristics of the WAM rainy season are evaluated and then inter-compared between the global and regional ensembles. The main focus in our analysis is on the WAM rainy season onset, cessation, length, total precipitation, its mean intensity and intraseasonal variability. Future climate projections under the RCP45 and RCP85 scenarios are analyzed and again inter-compared for both ensembles in order to assess uncertainties in the future projections of the WAM rainy season from the global and regional ensembles.

  2. Multiple origins and regional dispersal of resistant dhps in African Plasmodium falciparum malaria.

    Directory of Open Access Journals (Sweden)

    Richard J Pearce


    Full Text Available BACKGROUND: Although the molecular basis of resistance to a number of common antimalarial drugs is well known, a geographic description of the emergence and dispersal of resistance mutations across Africa has not been attempted. To that end we have characterised the evolutionary origins of antifolate resistance mutations in the dihydropteroate synthase (dhps gene and mapped their contemporary distribution. METHODS AND FINDINGS: We used microsatellite polymorphism flanking the dhps gene to determine which resistance alleles shared common ancestry and found five major lineages each of which had a unique geographical distribution. The extent to which allelic lineages were shared among 20 African Plasmodium falciparum populations revealed five major geographical groupings. Resistance lineages were common to all sites within these regions. The most marked differentiation was between east and west African P. falciparum, in which resistance alleles were not only of different ancestry but also carried different resistance mutations. CONCLUSIONS: Resistant dhps has emerged independently in multiple sites in Africa during the past 10-20 years. Our data show the molecular basis of resistance differs between east and west Africa, which is likely to translate into differing antifolate sensitivity. We have also demonstrated that the dispersal patterns of resistance lineages give unique insights into recent parasite migration patterns.

  3. North African petroleum geology: regional structure and stratigraphic overview of a hydrocarbon-rich cratonic area

    Energy Technology Data Exchange (ETDEWEB)

    O' Connor, T.E.; Kanes, W.H.


    North Africa, including Sinai, contains some of the most important hydrocarbon-producing basins in the world. The North African Symposium is devoted to examining the exploration potential of the North African margin in light of the most recent and promising exploration discoveries. The geologic variety of the region is extraordinary and can challenge any exploration philosophy. Of primary interest are the Sirte basin of Libya, which has produced several billion barrels of oil, and the Gulf of Suez, a narrow, evaporite-capped trough with five fields that will produce more than 5 billion bbl. Both are extensional basins with minimal lateral movement and with good source rocks in direct proximity to reservoirs. Structural models of these basins give firm leads for future exploration. More difficult to evaluate are the Tethyan realm basins of the northern Sinai, and the Western Desert of Egypt, the Cyrenaican Platform of Libya, and the Tunisia-Sicily shelf area, where there are only limited subsurface data. These basins are extensional in origin also, but have been influenced by lateral tectonics. Favorable reservoirs exist, but source rocks have been a problem locally. Structural models with strong stratigraphic response offer several favorable play concepts. The Paleozoic Ghadames basin in Libya, Tunisia, and Algeria has the least complex structural history, and production appears to be limited to small structures. A series of stratigraphic models indicates additional areas with exploration potential. The Paleozoic megabasin of Morocco, with its downfaulted Triassic grabens, remains an untested but attractive area.

  4. Regional fat distribution changes with aging in Caucasian, African-American and Asian women

    Institute of Scientific and Technical Information of China (English)

    Sun Ai-jun; Dympna Gallagher; Richard N. Pierson Jr


    Background: A central pattern of fat distribution in postmenopausal women is regarded as a contributor to the increased risk of developing cardiovascular disease.Both ethnicity and occurrence of menopause appear to influence regional fat distribution.However the influence of ethnicity has been under-investigated.Objective: The objective of this study was to test the hypothesis that centralized fat distribution is influenced by ethnic origin.Furthermore, we hypothesize that the menopause-related changes in central adiposity in Caucasian,African-American and Asian women occur at different rates.Method: Total and regional body fat ratios were measured by whole body dual energy X-ray absorptiometry (DXA) in a cross-sectional study using a general linear regression model.After adjustment for age, weight, height,and total body fat, the android and gynoid fat compartments, and the ratio of trunk/leg fat, were analyzed.Results: Four hundred and forty-four women (227 Caucasian (Ca), 128 African-American (AA) and 89 Asian (As)) aged 18-94 y were recruited.Race was significantly (P<0.0001) related to the dependent variables: android and gynoid fat, and ratio of trunk/leg adiposity, in all subjects, adjusted by age, weight, height and total body fat.The interaction of race * menopause was also found to be significant (P=0.028).In each group, regional and total body fat levels, and especially android adiposity, were higher in postmenopausal than in premenopausal women.Interestingly, the postmenopausal difference in android fat in Ca was found significant (P<0.05), whereas such differences had no impact in AA and As subjects (NS).Conclusions: The differences in fat mass and its distribution were racially dependent.The impact of menopause was only significant in Ca group.

  5. Equality in Maternal and Newborn Health: Modelling Geographic Disparities in Utilisation of Care in Five East African Countries (United States)

    Ruktanonchai, Nick W.; Nove, Andrea; Lopes, Sofia; Pezzulo, Carla; Bosco, Claudio; Alegana, Victor A.; Burgert, Clara R.; Ayiko, Rogers; Charles, Andrew SEK; Lambert, Nkurunziza; Msechu, Esther; Kathini, Esther; Matthews, Zoë; Tatem, Andrew J.


    Background Geographic accessibility to health facilities represents a fundamental barrier to utilisation of maternal and newborn health (MNH) services, driving historically hidden spatial pockets of localized inequalities. Here, we examine utilisation of MNH care as an emergent property of accessibility, highlighting high-resolution spatial heterogeneity and sub-national inequalities in receiving care before, during, and after delivery throughout five East African countries. Methods We calculated a geographic inaccessibility score to the nearest health facility at 300 x 300 m using a dataset of 9,314 facilities throughout Burundi, Kenya, Rwanda, Tanzania and Uganda. Using Demographic and Health Surveys data, we utilised hierarchical mixed effects logistic regression to examine the odds of: 1) skilled birth attendance, 2) receiving 4+ antenatal care visits at time of delivery, and 3) receiving a postnatal health check-up within 48 hours of delivery. We applied model results onto the accessibility surface to visualise the probabilities of obtaining MNH care at both high-resolution and sub-national levels after adjusting for live births in 2015. Results Across all outcomes, decreasing wealth and education levels were associated with lower odds of obtaining MNH care. Increasing geographic inaccessibility scores were associated with the strongest effect in lowering odds of obtaining care observed across outcomes, with the widest disparities observed among skilled birth attendance. Specifically, for each increase in the inaccessibility score to the nearest health facility, the odds of having skilled birth attendance at delivery was reduced by over 75% (0.24; CI: 0.19–0.3), while the odds of receiving antenatal care decreased by nearly 25% (0.74; CI: 0.61–0.89) and 40% for obtaining postnatal care (0.58; CI: 0.45–0.75). Conclusions Overall, these results suggest decreasing accessibility to the nearest health facility significantly deterred utilisation of all

  6. A Global Maritime Emissions Trading System. Design and Impacts on the Shipping Sector, Countries and Regions

    Energy Technology Data Exchange (ETDEWEB)

    Faber, J.; Markowska, A.; Eyring, V.; Cionni, I.; Selstad, E. Shipping / Emissions trading / Economy / Costs / Effects / Developing countries Publication number:


    This report designs a global cap-and-trade scheme for maritime transport and assesses its impacts on the shipping sector, regions and groups of countries. It shows that it is feasible to implement a cap-and-trade scheme for greenhouse gas emissions in the maritime transport sector. Such a scheme ensures that the environmental target is met, while allowing the sector to grow and ensuring that the target is met in the most cost-effective way. An emissions trading scheme would result in an increase in the costs of shipping of less than 10%, depending on the price of allowances. The increase in import values is likely to be less than 1% for most commodity groups, and the impact on consumer prices even lower. Using new data on emissions of ships sailing to regions and country groups, this report demonstrates that the additional costs of imports for most regions and country groups are estimated to be less than 0.2% of GDP, with a few exceptions. This report demonstrates that it is possible to compensate developing countries for the increased costs of imports by using approximately two thirds of the revenues of the auction. The remainder of the revenues can be used for other aims, such as R and D into fuel-efficiency of ships.

  7. Lifelong Learning and Employability in the Danube Region Countries: Influences and Correlations

    Directory of Open Access Journals (Sweden)

    Constanţa-Nicoleta Bodea


    Full Text Available A continuous challenge for education and lifelong learning is to assist individuals in acquiring skills and knowledge for successful work life, especially after the financial crisis which influenced negatively the employment growth in all European Union countries. The paper focuses on finding correlations between employability and lifelong learning in the Danube Region countries of the European Union and more explicitly in the ex-communist ones of this region. As research instruments, two online questionnaires were built based on a thorough literature review and a set of structured interviews and filled in by 390 IT students and 55 IT professors. The surveys’ results revealed a clear positive correlation between the level of education and the opinion about the importance of obtaining a job as a result of the educational endeavors. A special attention in the survey was given to social networks, which were acknowledged as modern facilitators of lifelong learning activities. The conclusions of the current study are particularly important in the Romanian context, as the employment rate of recent graduates is in a decreasing trend, but also for all the Danube Region ex-communist countries, which have to boost their employment rates as well, to assure their economical growth. Identification of factors stimulating employment of young people according with their education contributes at the sustainable economic growth of these countries, at the growth of graduates insertion in the labor market and at the diminution of labor migration.

  8. Africanized honey bees (Apis mellifera) have low infestation levels of the mite Varroa destructor in different ecological regions in Mexico. (United States)

    Medina-Flores, C A; Guzmán-Novoa, E; Hamiduzzaman, M M; Aréchiga-Flores, C F; López-Carlos, M A


    Honey bee (Apis mellifera) colonies of African and European descent were compared for levels of Varroa destructor infestation in 3 different ecological regions in Mexico. The 300 colonies that were studied were located in subtropical, temperate sub-humid, and temperate dry climates. The morphotype and mitotype of adult bees as well as their rates of infestation by varroa mites were determined. Additionally, the number of combs with brood and covered with bees was recorded for each colony. The highest frequency of colonies that were classified as African-derived was found in the subtropical environment, whereas the lowest occurred in the temperate dry region. Overall, the colonies of African genotype had significantly lower mite infestation rates (3.5±0.34%) than the colonies of European genotype (4.7±0.49%) regardless of the region sampled. Significant effects of genotype and region on Varroa infestation rates were evident, and there were no differences in bee population or capped brood between genotypes. Mite infestation levels were significantly lower in the colonies of the temperate dry region than in the colonies of the other 2 regions. These results are discussed within the context of results from studies that were previously conducted in Brazil. This is the first study that demonstrates the effects of Africanization and ecological environment on V. destructor infestation rates in honey bee colonies in North America.



    Peerapeng, Suk-Rutai; Chaitip, Prasert; Chaiboonsri, Chukiat; Kovacs, Sandor; Balogh, Peter


    This study examines the impact of economic globalization on the human trafficking inflows into the Greater Mekong Sub-region (GMS) countries. The paper empirically tests for a cross-section of six countries, including Cambodia, the Yunnan Province of the People’s Republic of China (PRC), Lao People’s Democratic Republic (Lao PRD), Myanmar, Thailand, and Vietnam. Employing the Pooled OLS estimator, as the theory predicts, the economic globalization increases trafficking inflow into the GMS...

  10. The Economic Partnership Agreements (EPAs) and the Southern African Customs Union (SACU) Region- The Case for South Africa


    Sukati, Mphumuzi A


    EPAs between the EU and ACP countries can be viewed as being anti mercantilist and there has been a lot of speculations about their outcome. The aim of the study is to determine the effects of the Economic Partnership Agreements (EPAs) between the European Union (EU) and the Southern African Customs Union (SACU) members using Global Trade Analysis Project (GTAP) version 7. Two scenarios are analysed: first when the other SACU member states sign the EPAs with the EU excluding South Africa and ...

  11. Cooking and season as risk factors for acute lower respiratory infections in African children: a cross-sectional multi-country analysis.

    Directory of Open Access Journals (Sweden)

    Hannes Buchner

    Full Text Available Acute lower respiratory infections (ALRI are a leading cause of death among African children under five. A significant proportion of these are attributable to household air pollution from solid fuel use.We assessed the relationship between cooking practices and ALRI in pooled datasets of Demographic and Health Surveys conducted between 2000 and 2011 in countries of sub-Saharan Africa. The impacts of main cooking fuel, cooking location and stove ventilation were examined in 18 (n = 56,437, 9 (n = 23,139 and 6 countries (n = 14,561 respectively. We used a causal diagram and multivariable logistic mixed models to assess the influence of covariates at individual, regional and national levels.Main cooking fuel had a statistically significant impact on ALRI risk (p<0.0001, with season acting as an effect modifier (p = 0.034. During the rainy season, relative to clean fuels, the odds of suffering from ALRI were raised for kerosene (OR 1.64; CI: 0.99, 2.71, coal and charcoal (OR 1.54; CI: 1.21, 1.97, wood (OR 1.20; CI: 0.95, 1.51 and lower-grade biomass fuels (OR 1.49; CI: 0.93, 2.35. In contrast, during the dry season the corresponding odds were reduced for kerosene (OR 1.23; CI: 0.77, 1.95, coal and charcoal (OR 1.35; CI: 1.06, 1.72 and lower-grade biomass fuels (OR 1.07; CI: 0.69, 1.66 but increased for wood (OR 1.32; CI: 1.04, 1.66. Cooking location also emerged as a season-dependent statistically significant (p = 0.0070 determinant of ALRI, in particular cooking indoors without a separate kitchen during the rainy season (OR 1.80; CI: 1.30, 2.50. Due to infrequent use in Africa we could, however, not demonstrate an effect of stove ventilation.We found differential and season-dependent risks for different types of solid fuels and kerosene as well as cooking location on child ALRI. Future household air pollution studies should consider potential effect modification of cooking fuel by season.

  12. An Analysis of China’s Trade Balances with Other Countries and Regions

    Institute of Scientific and Technical Information of China (English)



    This article utilizes a large amount of statistical data to analyze the global distribution of foreign trade in China since 1990,as well as the factors involved and the changes in trends.The research results indicate that China has gained a favourable balance against developed countries and a disadvantageous balance against developing countries;China enjoys a trade surplus with North American and European countries while suffering deficits with those in the Asia.pacific region,as well as with resource-abundant Australia,Africa and South America. With regard to trends,the structure of China’s foreign trade will not undergo fundamental changes in the short term,but in the long run will be transformed in line with restructuring of the growth pattern.

  13. On Deng Xiaoping ’ s Diplomatic Thoughts towards African Countries%论邓小平对非洲国家的外交政策思想

    Institute of Scientific and Technical Information of China (English)



    The relationship between China and African countries has been essential ingredient of the Chi -nese foreign relationship .After the reform and opening-up, China has maintained friendship and continuity of policies with and towards African countries , meanwhile there have been some shifts in Chinese foreign policy towards Africa compared with that of the 1950 s to 1970 s.Deng Xiaoping made great contributions to the ad-justment of Chinese foreign policy towards Africa .His main thoughts include the following:China will always stand on the side of the third world , and will never seek hegemony;China will go on to aid Africa;China will undermine the ideology of the relationship of the CCP and the foreign parties; China will seek equality and mu-tual benefit in economy , exchange development experience , and struggle against hegemonism .Practically, the relationship between China and African countries in 1980 s formed a connecting link between the proceeding and the following and continued to forge ahead , which not only emphasized Africa ’ s importance in the world politics in the period of Mao Zedong , but also enhanced the meaning of economical diplomacy , and strength-ened the economical foundation of the economical cooperation between China and African countries .Due to the significance African countries play in the world and China ’ s foreign relations , there is historic and realistic significance in the research on Deng Xiaoping ’ s thoughts towards and impact on African countries .%中国与非洲国家的关系是中国对外关系的重要组成部分。与50-70年代中国对非洲国家外交政策的特点相比,改革开放以后的中国对非洲国家的外交政策在保持友好合作和政策连续性的同时,出现了一些变化。邓小平在中非外交政策调整中作出了重大贡献,主要思想有:中国永远站在第三世界一边,中国永远不称霸;继续援助非洲国家;淡化国家关系和党际关系的

  14. Regional modelling of future African climate north of 15S including greenhouse warming and land degradation

    Energy Technology Data Exchange (ETDEWEB)

    Paeth, H. [Geographical Institute, University of Wuerzburg, Am Hubland, 97074 Wuerzburg (Germany); Thamm, H.P. [Geographical Institute, University of Bonn, Bonn (Germany)


    Previous studies have highlighted the crucial role of land degradation in tropical African climate. This effect urgently has to be taken into account when predicting future African climate under enhanced greenhouse conditions. Here, we present time slice experiments of African climate until 2025, using a high-resolution regional climate model. A supposable scenario of future land use changes, involving vegetation loss and soil degradation, is prescribed simultaneously with increasing greenhouse-gas concentrations in order to detect, where the different forcings counterbalance or reinforce each other. This proceeding allows us to define the regions of highest vulnerability with respect to future freshwater availability and food security in tropical and subtropical Africa and may provide a decision basis for political measures. The model simulates a considerable reduction in precipitation amount until 2025 over most of tropical Africa, amounting to partly more than 500 mm (20-40% of the annual sum), particularly in the Congo Basin and the Sahel Zone. The change is strongest in boreal summer and basically reflects the pattern of maximum vegetation cover during the seasonal cycle. The related change in the surface energy fluxes induces a substantial near-surface warming by up to 7C. According to the modified temperature gradients over tropical Africa, the summer monsoon circulation intensifies and transports more humid air masses into the southern part of West Africa. This humidifying effect is overcompensated by a remarkable decrease in surface evaporation, leading to the overall drying tendency over most of Africa. Extreme daily rainfall events become stronger in autumn but less intense in spring. Summer and autumn appear to be characterized by more severe heat waves over Subsaharan West Africa. In addition, the Tropical Easterly Jet is weakening, leading to enhanced drought conditions in the Sahel Zone. All these results suggest that the local impact of land

  15. The Country Council Work on Extracurricular Enlightenment of Adults in the Volga-Ural Region

    Directory of Open Access Journals (Sweden)

    Timur A. Magsumov


    Full Text Available The article reveals the activity of the Volga and Ural country councils to create a system of extracurricular enlightenment of adults in the later period of the existence of the Russian empire. The article is based on the statistical and mass sources, including office records from regional archives. The authors, resorting to a comparative multiaspect approach to the study of the country councils’ forms and methods of work to organize extracurricular establishments and popular educational events, make an overview of tendencies and directions, progress and problems in their development. The belated formation of the extracurricular adult education system the authors explain by the country councils; focus on primary education. The study revealed the dominant poison of country councils in the sphere of extracurricular enlightenment, a financial and pedagogical availability of this education form for great masses of population of this education form, combining general knowledge and professional skills. The social and cultural activity of country councils in the late XIXth – early XXth c.c. was profound and diverse as far as enlightenment is concerned, and helped achieve top results within a short period of time.

  16. 9 CFR 94.8 - Pork and pork products from regions where African swine fever exists or is reasonably believed to... (United States)



  17. Differences in outpatient antibiotic use between a Spanish region and a Nordic country

    DEFF Research Database (Denmark)

    Malo-Fumanal, Sara; Rabanaque-Hernández, María José; Feja-Solana, Cristina


    Antibiotic use and misuse are linked to pathogen resistance and, as such, both constitute a public health issue with local, national, and global dimensions. Early studies have shown striking variations in the use of these drugs between Nordic and Mediterranean countries. The aim of the present st...... study was to describe and compare antibiotic prescribing in Primary Care in Denmark and Aragón (a North-eastern Spanish region)....

  18. Migration as Diplomacy: Labor Migrants, Refugees, and Arab Regional Politics in the Oil-Rich Countries


    Thiollet, Hélène


    This article explores the political dynamics of labor migration in the Middle East. It seeks to explain the politics of Arab population movements by looking at historical trends in regional integration and contends that migration to the oil-rich countries, including refugee flows, has been the key factor driving Arab integration in the absence of effective institutions and economic integration processes. To account for the influence of this largely forgotten factor, the article...

  19. AILA Africa Research Network Launch 2007: Research into the Use of the African Languages for Academic Purposes (United States)

    Wildsmith-Cromarty, Rosemary


    The aim of the one-day symposium was to bring together scholars in applied linguistics with an interest in the African languages for the launch of the new AILA Africa regional network. Contributions were in the form of invited research papers from several African countries. This report focuses on the South African contribution, which highlighted…

  20. Transcending the Majority Rights and Minority Protection Dichotomy through Multicultural Reflective Citizenship in the African Great Lakes Region (United States)

    Ndura, Elavie


    In this paper, the author examines how colonial racist policies and western-bound post-colonial educational practices have contributed to the recurring ethnic conflicts in the Great Lakes region of Africa. After defining democracy and reflective citizenship within the African context, she discusses how teachers' roles should be redefined and…

  1. Sustaining the future of HIV counselling to reach 90-90-90: a regional country analysis

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    Marielle Bemelmans


    Full Text Available Introduction: Counselling services are recommended by the World Health Organization and have been partially adopted by national HIV guidelines. In settings with a high HIV burden, patient education and counselling is often performed by lay workers, mainly supported with international funding. There are few examples where ministries of health have been able to absorb lay counsellors into their health systems or otherwise sustain their work. We document the role of lay cadres involved in HIV testing and counselling and adherence support and discuss approaches to sustainability. Methods: We focused on a purposive sample of eight sub-Saharan African countries where Médecins Sans Frontières supports HIV programmes: Guinea, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Zambia and Zimbabwe. We reviewed both published and grey literature, including national policies and donor proposals, and interviewed key informants, including relevant government staff, donors and non-governmental organizations. Results and discussion: Lay counsellors play a critical role in scaling up HIV services and addressing gaps in the HIV testing and treatment cascade by providing HIV testing and counselling and adherence support at both the facility and community levels. Countries have taken various steps in recognizing lay counsellors, including harmonizing training, job descriptions and support structures. However, formal integration of this cadre into national health systems is limited, as lay counsellors are usually not included in national strategies or budgeting. Conclusions: The current trend of reduced donor support for lay counsellors, combined with lack of national prioritization, threatens the sustainability of this cadre and thereby quality HIV service delivery.

  2. Translating research into policy: lessons learned from eclampsia treatment and malaria control in three southern African countries

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    Matinhure Sheillah


    Full Text Available Abstract Background Little is known about the process of knowledge translation in low- and middle-income countries. We studied policymaking processes in Mozambique, South Africa and Zimbabwe to understand the factors affecting the use of research evidence in national policy development, with a particular focus on the findings from randomized control trials (RCTs. We examined two cases: the use of magnesium sulphate (MgSO4 in the treatment of eclampsia in pregnancy (a clinical case; and the use of insecticide treated bed nets and indoor residual household spraying for malaria vector control (a public health case. Methods We used a qualitative case-study methodology to explore the policy making process. We carried out key informants interviews with a range of research and policy stakeholders in each country, reviewed documents and developed timelines of key events. Using an iterative approach, we undertook a thematic analysis of the data. Findings Prior experience of particular interventions, local champions, stakeholders and international networks, and the involvement of researchers in policy development were important in knowledge translation for both case studies. Key differences across the two case studies included the nature of the evidence, with clear evidence of efficacy for MgSO4 and ongoing debate regarding the efficacy of bed nets compared with spraying; local researcher involvement in international evidence production, which was stronger for MgSO4 than for malaria vector control; and a long-standing culture of evidence-based health care within obstetrics. Other differences were the importance of bureaucratic processes for clinical regulatory approval of MgSO4, and regional networks and political interests for malaria control. In contrast to treatment policies for eclampsia, a diverse group of stakeholders with varied interests, differing in their use and interpretation of evidence, was involved in malaria policy decisions in the three


    Directory of Open Access Journals (Sweden)

    Dan LUPU


    Full Text Available In the current decentralization reforms and severe budget constraints faced by Eastern European countries, we consider as imperative to analyze the effectiveness of structural funds management at regional level. Therefore, the purpose of this study was to estimate the technical efficiency of attracting structural funds by the regions in Poland, Bulgaria and Romania, determining the factors that influence efficiency and its implications for local development. The calculations were based on the mathematical model Data Envelopment Analysis, the main source of data being EUROSTAT. The estimates confirm the strong need for systemic reforms in the organization and operation of the development regions: modification of current transfer system, strengthen financial autonomy and solve the problem of excessive fragmentation of administrative-territorial structure, all having a negative impact on the efficiency of absorption of European funds developing regions of analyzed states.

  4. Successes and challenges of north–south partnerships – key lessons from the African/Asian Regional Capacity Development projects

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    Rosanna Färnman


    Full Text Available Introduction: Increasing efforts are being made globally on capacity building. North–south research partnerships have contributed significantly to enhancing the research capacity in low- and middle-income countries (LMICs over the past few decades; however, a lack of skilled researchers to inform health policy development persists, particularly in LMICs. The EU FP7 funded African/Asian Regional Capacity Development (ARCADE projects were multi-partner consortia aimed to develop a new generation of highly trained researchers from universities across the globe, focusing on global health-related subjects: health systems and services research and research on social determinants of health. This article aims to outline the successes, challenges and lessons learned from the life course of the projects, focusing on the key outputs and experiences of developing and implementing these two projects together with sub-Saharan African, Asian and European institution partners. Design: Sixteen participants from 12 partner institutions were interviewed. The data were analysed using thematic content analysis, which resulted in four themes and three sub-categories. These data were complemented by a review of project reports. Results: The results indicated that the ARCADE projects have been successful in developing and delivering courses, and have reached over 920 postgraduate students. Some partners thought the north–south and south–south partnerships that evolved during the project were the main achievement. However, others found there to be a ‘north–south divide’ in certain aspects. Challenges included technical constraints and quality assurance. Additionally, adapting new teaching and learning methods into current university systems was challenging, combined with not being able to award students with credits for their degrees. Conclusion: The ARCADE projects were introduced as an innovative and ambitious project idea, although not designed

  5. Staphylococcus aureus complex from animals and humans in three remote African regions. (United States)

    Schaumburg, Frieder; Pauly, Maude; Anoh, Etile; Mossoun, Arsene; Wiersma, Lidewij; Schubert, Grit; Flammen, Arnaud; Alabi, Abraham S; Muyembe-Tamfum, Jean-Jacques; Grobusch, Martin P; Karhemere, Stomy; Akoua-Koffi, Chantal; Couacy-Hymann, Emmanuel; Kremsner, Peter G; Mellmann, Alexander; Becker, Karsten; Leendertz, Fabian H; Peters, Georg


    Staphylococcus schweitzeri has been recently considered to be a highly divergent Staphylococcus aureus clade and usually colonises nonhuman primates and bats in sub-Saharan Africa. Its transmissibility to humans remains unclear. We therefore investigated the transmission of S. aureus and S. schweitzeri among humans, domestic animals, and wildlife in three remote African regions. A cross-sectional study on nasal and pharyngeal colonisation in humans (n = 1288) and animals (n = 698) was performed in Côte d'Ivoire, Gabon, and Democratic Republic of Congo (DR Congo). Isolates were subjected to spa typing and multilocus sequence typing. Antimicrobial susceptibility and selected virulence factors were tested. S. schweitzeri was found in monkeys from all study sites but no transmission to humans was evident, despite frequent contact of humans with wildlife. In contrast, human-associated S. aureus sequence types (ST1, ST6, ST15) were detected in domestic animals and nonhuman primates, pointing toward a human-to-monkey transmission in the wild. The proportion of methicillin-resistant S. aureus (MRSA) among all S. aureus was 0% (Gabon), 1.7% (DR Congo), and 5.3% (Côte d'Ivoire). The majority of MRSA isolates belonged to the African clone ST88. In conclusion, we did not find any evidence for a transmission of S. schweitzeri from animals to humans. However, such a transmission might remain possible due to the close phylogenetic relation of humans and nonhuman primates. The ST88-MRSA clone was widespread in Côte d'Ivoire but not in Gabon and DR Congo.

  6. Food Labeling Regulations in South Asian Association for Regional Cooperation (SAARC Countries: Benefits, Challenges and Implications

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    Sayed Mohammad Naim Khalid


    Full Text Available Food labels describe the content of a food and are intended to guide the consumer in food selection. The nutrition information provided must be in consistency with legal requirements and dietary recommendations. Selection of the specific nutrients or food components to be listed should further take into account label space, the analytical feasibility of measuring the particular nutritional component within the food matrix, and the relative costs of such analyses. Information provided on labels should be truthful and not mislead consumers. At the same time, labeling regulations should provide incentives to manufacturers to develop products that promote public health and assist consumers in following dietary recommendations. In some countries some segments of the population benefit from information about the composition of foods. In such cases, countries should consider the need to provide for appropriate labeling and its presentation relative to existing regulations. Different approaches and legal requirements have been established. These create difficulties in developing and harmonizing labels, which have broad international applications. For these reasons, the Codex Guidelines on food labeling play an important role to provide guidance to member countries when they want to develop or update their national regulations and to encourage harmonization of national with international standards. These Guidelines are based on the principle that no food should be described or presented in a manner that is false, misleading or deceptive. Exchange of information at the regional and sub-regional level is important, as each country can learn from the experience of others and regional co-ordination and co-operation can be developed.

  7. Translating the potential of hydrological forecasts into improved decision making in African regions (United States)

    Sheffield, J.; He, X.; Wanders, N.; Wood, E. F.; Ali, A.; Olang, L.; Estes, L. D.; Caylor, K. K.; Evans, T. P.


    Hydrological forecasts at local scale and seasonal time scales have the potential to inform decision-making by individuals and institutions to improve management of water resources and enhance food security. Much progress has been made in recent years in understanding climate variability and its predictability over African regions. However, there remain many challenges in translating large-scale evaluations and forecasts into locally relevant information. This is hampered by lack of on the ground data of hydrological and agricultural states, and the generally low skill of climate forecasts at time scales beyond one or two weeks. Additionally, the uptake of forecasts is not prevalent because of lack of capacity, and institutional and cultural barriers to using new and uncertain information. New technologies for monitoring and forecasting relevant hydrological variables, and novel approaches to understanding how this information may be used within decision making processes, have the potential to make substantial progress in addressing these challenges. We present a quasi-operational drought and flood monitoring and forecasting system and its use in understanding the potential of hydrological forecasts for improved decision-making. The system monitors in near real-time the terrestrial water cycle for the African continent based on remote sensing data and land surface hydrological modeling. The monitoring forms initial conditions for hydrological forecasts at short time scale, aimed at flood forecasting, and seasonal scale aimed at drought and crop yield forecasts. The flood forecasts are driven by precipitation and temperature forecasts from the Global Forecast System (GFS). The drought forecasts are driven by climate forecasts from the North American Multi-Model Ensemble (NMME). The seasonal forecast skill is modest and seasonally/regionally dependent with part of the skill coming from persistence in initial land surface conditions. We discuss the use of the system

  8. Sexual dysfunction in climacteric women of African descent from the Colombian Caribbean region = Disfunción sexual en mujeres climatéricas afrodescendientes del Caribe Colombiano

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    Monterrosa Castro, Alvaro De Jesus


    Full Text Available Introduction: After the United States and Brazil, Colombia is the third American country with the greatest population of African descent. Objective: To estimate the prevalence of sexual dysfunction (SD in climacteric women of African descent. Methods: Cross sectional study carried out with the Female Sexual Function Index (FSFI, in healthy women, whose mother and father were of black race, living in municipalities from the Colombian Caribbean region, who volunteered to anonymously participate in the study, and were recruited in their communities. Higher scores correlated with better sexuality. Results: 461 women were studied; 305 (66.2% with sexual activity; 70.8% were premenopausal and 29.2%, postmenopausal. Average scores of the domains were: Sexual desire (4.1 ± 1.1, sexual arousal (4.4 ± 1.0, lubrication (4.9 ± 1.0, orgasm (4.7 ± 1.0, satisfaction (5.3 ± 1.0 and pain (4.3 ± 1.5. Average total score was 27.7 ± 4.7. Prevalence of SD was 38.4%. Smoking (OR: 3.3 [IC95%: 1.0-10.6; p = 0.041] and arterial hypertension (OR: 2.2 [IC95%:1.1-4.4; p = 0.026] increased the risk of SD, while schooling higher than ten years (OR: 0.4 [IC95%: 0.2-0.8; p = 0.003] decreased it. Prevalence of SD increased with the change in the menopausal status (p <0,001. All domains deteriorated, except pain, with the transition to the postmenopausal status (p <0.001. Conclusion: In females of African descent from the Colombian Caribbean region, one third of the premenopausal and half of the postmenopausal have SD.

  9. Estimating the burden of Japanese encephalitis virus and other encephalitides in countries of the mekong region.

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    Arnaud Tarantola

    Full Text Available Diverse aetiologies of viral and bacterial encephalitis are widely recognized as significant yet neglected public health issues in the Mekong region. A robust analysis of the corresponding health burden is lacking. We retrieved 75 articles on encephalitis in the region published in English or in French from 1965 through 2011. Review of available data demonstrated that they are sparse and often derived from hospital-based studies with significant recruitment bias. Almost half (35 of 75 of articles were on Japanese encephalitis virus (JEV alone or associated with dengue. In the Western Pacific region the WHO reported 30,000-50,000 annual JEV cases (15,000 deaths between 1966 and 1996 and 4,633 cases (200 deaths in 2008, a decline likely related to the introduction of JEV vaccination in China, Vietnam, or Thailand since the 1980s. Data on dengue, scrub typhus and rabies encephalitis, among other aetiologies, are also reviewed and discussed. Countries of the Mekong region are undergoing profound demographic, economic and ecological change. As the epidemiological aspects of Japanese encephalitis (JE are transformed by vaccination in some countries, highly integrated expert collaborative research and objective data are needed to identify and prioritize the human health, animal health and economic burden due to JE and other pathogens associated with encephalitides.

  10. African Regional Symposium on Telematics for Development. Report and Recommendations = Colloque regional africain la telematique au service du developpement. Rapport et recommandations (Addis Ababa, Ethiopia, April 3-7, 1995). (United States)

    International Telecommunication Union, Geneva (Switzerland).

    The African Regional Symposium on Telematics for Development was organized in view of the special educational and communication needs of Africa in a time of accelerating change and development of information technologies. The symposium brought together more than 150 African specialists, and over 40 participants from other regions and development…

  11. A KIR B centromeric region present in Africans but not Europeans protects pregnant women from pre-eclampsia. (United States)

    Nakimuli, Annettee; Chazara, Olympe; Hiby, Susan E; Farrell, Lydia; Tukwasibwe, Stephen; Jayaraman, Jyothi; Traherne, James A; Trowsdale, John; Colucci, Francesco; Lougee, Emma; Vaughan, Robert W; Elliott, Alison M; Byamugisha, Josaphat; Kaleebu, Pontiano; Mirembe, Florence; Nemat-Gorgani, Neda; Parham, Peter; Norman, Paul J; Moffett, Ashley


    In sub-Saharan Africans, maternal mortality is unacceptably high, with >400 deaths per 100,000 births compared with pre-eclampsia, a syndrome arising from defective placentation. Controlling placentation are maternal natural killer (NK) cells that use killer-cell immunoglobulin-like receptor (KIR) to recognize the fetal HLA-C molecules on invading trophoblast. We analyzed genetic polymorphisms of maternal KIR and fetal HLA-C in 484 normal and 254 pre-eclamptic pregnancies at Mulago Hospital, Kampala, Uganda. The combination of maternal KIR AA genotypes and fetal HLA-C alleles encoding the C2 epitope associates with pre-eclampsia [P = 0.0318, odds ratio (OR) = 1.49]. The KIR genes associated with protection are located in centromeric KIR B regions that are unique to sub-Saharan African populations and contain the KIR2DS5 and KIR2DL1 genes (P = 0.0095, OR = 0.59). By contrast, telomeric KIR B genes protect Europeans against pre-eclampsia. Thus, different KIR B regions protect sub-Saharan Africans and Europeans from pre-eclampsia, whereas in both populations, the KIR AA genotype is a risk factor for the syndrome. These results emphasize the importance of undertaking genetic studies of pregnancy disorders in African populations with the potential to provide biological insights not available from studies restricted to European populations.

  12. Use of the World Health Organization’s Medical Eligibility Criteria for Contraceptive Use Guidance in sub-Saharan African Countries: A Cross-Sectional Study (United States)

    Chen, Melissa J; Gaffield, Mary E; Kiarie, James


    ABSTRACT Given recent updates to the postpartum contraception recommendations in the fifth edition of the Medical Eligibility Criteria for Contraceptive Use (MEC), published by the World Health Organization (WHO), the purpose of this qualitative study was to assess the extent to which national family planning policies in sub-Saharan African countries are in agreement with the WHO MEC, particularly with regard to postpartum contraceptive use. WHO headquarters sent questionnaires to country-level focal points to complete with their Ministry of Health counterparts. Between February and May 2016, 23 of 32 (72%) surveys were completed. All respondents reported that their countries had used the MEC document in the past, with most reporting that they had used the guidance as a reference (n = 20, 87%), for training purposes (n = 19, 83%), to change clinical practices (n = 17, 74%), and to develop national policies (n = 16, 70%). While many respondents (16, 70%) indicated their countries already include immediate postpartum intrauterine device insertion among breastfeeding women in their family planning policies, few reported currently allowing use of progestogen-only pills (n = 8, 35%) or implants (n = 8, 35%) during the immediate postpartum period (i.e., less than 48 hours after delivery) for breastfeeding women. A higher percentage of respondents indicated their countries allowed breastfeeding women the option of progestogen-only pills (n = 16, 70%) and implants (n = 13, 57%) between 48 hours and 6 weeks postpartum. Findings from this baseline assessment suggest that many countries may benefit from training and policy formulation support to adapt both new WHO MEC updates as well as existing recommendations from previous MEC revisions into national family planning guidelines. PMID:27688720

  13. The role of conflict minerals, artisanal mining, and informal trading networks in African intrastate and regional conflicts (United States)

    Chirico, Peter G.; Malpeli, Katherine C.


    The relationship between natural resources and armed conflict gained public and political attention in the 1990s, when it became evident that the mining and trading of diamonds were connected with brutal rebellions in several African nations. Easily extracted resources such as alluvial diamonds and gold have been and continue to be exploited by rebel groups to fund their activities. Artisanal and small-scale miners operating under a quasi-legal status often mine these mineral deposits. While many African countries have legalized artisanal mining and established flow chains through which production is intended to travel, informal trading networks frequently emerge in which miners seek to evade taxes and fees by selling to unauthorized buyers. These networks have the potential to become international in scope, with actors operating in multiple countries. The lack of government control over the artisanal mining sector and the prominence of informal trade networks can have severe social, political, and economic consequences. In the past, mineral extraction fuelled violent civil wars in Sierra Leone, Liberia, and Angola, and it continues to do so today in several other countries. The significant influence of the informal network that surrounds artisanal mining is therefore an important security concern that can extend across borders and have far-reaching impacts.

  14. Aspects of size and geography of an African cyberspace

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    Williams Nwagwu


    Full Text Available In this study, data on web links collected from 15 African countries, three with the highest Internet penetration in each of North, West, Central, East, and South regions were used to study the number and origins of links to Africa. The sample has a ratio of one Internet user per 12 persons. Altogether, all African countries generated a total of 124,047,702 Web pages and 30,546,967 inlinks to the pages, an average of about 0.25 links per page. But the sample constituted which 28% of all the countries in the region generated 98,629,700 pages and 21,272,500 inlinks, an average of about 0.21 inlinks per page. South Africa ranked highest in web pages and web links per population and also received the highest number of inlinks from other African countries and the G8. However, Kenya linked other African countries more than the others did. Population size does not relate to number of web pages, self-inlinks, and inlinks or penetration, but relates positively with number of Internet users. Among others, a major step in boosting use of Internet resources in Africa will be in developing policies that will encourage African countries to use information developed by other African countries.

  15. Quality and safety of beef produced in Central African Sub-region

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    Bawe M. Nfor


    Full Text Available Aim of this research is to provide a general situation of cattle slaughtered in Cameroon, as a representative example for the Central African Sub-region. The quality and safety of beef from the abattoir of Yaoundé, the largest in Cameroon, were considered. From January 2009 to March 2012, the pre-slaughter conditions and characteristics of 1953 cattle carcasses were recorded, as well as the pH of m. longissimus thoracis 24 h after slaughter. From these carcasses, 60 were selected to represent the bulls slaughtered. The quality parameters and composition of m. longissimus thoracis were carried out. The origin of most of the cattle was the Guinea High Savannah (74.6%, and transhumance was the common production system (75.5%. Gudali (45.6%, White Fulani (33.3% and Red Mbororo (20.3% breeds were predominant. Carcass weight was affected by rearing system and cattle category, and it markedly varied during year. Considering meat quality, the fat content was low (1.2% and similar between breeds, moreover Gudali showed the toughest meat. Of the cows slaughtered, 27% were pregnant and the most common abnormal conditions encountered were ectoparasites, fatigue, lameness, fungal-like skin lesions, enlarged lymph nodes, respiratory distress, nodular lesions. More than 20% of the carcasses had some organs condemned, mainly for liver flukes (5.17%, and 1.0% of them were completely condemned due to tuberculosis, that also affected 3.28% of lungs. These data could aid authorities draw up programmes with the aim to strengthen cattle production, improve beef supply, control and prevent the observed diseases, and promote the regional trade.

  16. The changing landscape of mangroves in Bangladesh compared to four other countries in tropical regions

    Institute of Scientific and Technical Information of China (English)

    S. M. Mijan Uddin; A.T.M. Rafiqul Hoque; Saiful Arif Abdullah


    Loss of mangroves and consequent habitat fragmentation is a major concern throughout the world’s tropical countries. Conversion of mangrove habitat due to aquaculture, agriculture, urbanization and industrialization, ecotourism, overlapping bureaucracy and conflicting policies is occurring at a striking rate. This paper reviews the trends of mangrove area changes in Bangladesh and compares them with four other countries in tropical regions that have significant mangrove areas. The rate of mangrove loss from the 1980 to 2005 was calculated using the compound interest rate formula for its explicit biological implication. In Bangladesh, the area of mangroves was found to have increased due to its higher accretion rate. In India the rate of mangrove loss had fallen. The rate of mangrove loss in Malaysia in the 1990s (-0.008 ha·a-1) was higher than the 1980s (-0.004 ha·a-1). In Indonesia, the rate decreased, from the 1980s (-0.018 ha·a-1) to the 1990s (-0.010 ha·a-1). Finally in Myanmar the rate of mangrove loss gradually accelerated. Aquaculture was found to be the common cause of mangrove conversion in the regions. Loss of mangroves is now a prominent global issue, associated with the loss of biodiversity, deterioration of habitat integrity, climatic changes, the amount of carbon sequestration, and resulting sea-level rise. Therefore, a systematic evaluation of these environmental impacts is prerequisite to realize sustainable mangrove management.

  17. Regionálna integrácia v Afrike-vybrané aspekty


    Bednárová, Ľudmila


    Disintegration of colonial system during the period of 1960s enabled the emergence of a group of developing countries, that broke out from political addiction and started independent operation. In the region of African countries the decolonisation was rounded out in the 1960 when the first african regional integrations were established. The aim of this bachelor thesis is to analyze the development of African regionalism (its chosen aspects), as well as other coherent agreements of cooperation...

  18. Amniotic band syndrome (ABS): can something be done during pregnancy in African poor countries? Three cases and review of the literature. (United States)

    Mian, D B; Nguessan, K L P; Aissi, G; Boni, S


    Amniotic band syndrome (ABS) is a fetal congenital malformation, affecting mainly the limbs, but also the craniofacial area and internal organs. Two mains pathogenic mechanisms are proposed in its genesis. Firstly the early amnion rupture (exogenous theory) leading to fibrous bands, which wrap up the fetal body; secondly, the endogenous theory privileges vascular origin, mesoblastic strings not being a causal agent. The authors believe that the second theory explain the occurrence of ABS. The outcome of the disease during pregnancy depends on the gravity of the malformations. Interruption of the pregnancy is usually proposed when diagnosis of severe craniofacial and visceral abnormalities is confirmed. Whereas minor limb defects can be repaired with postnatal surgery. In case of an isolated amniotic band with a constricted limb, in utero lysis of the band can be considered to avoid a natural amputation. In an African country, such treatment is not possible as far as the antenatal diagnosis.

  19. Analysis of a grid ionospheric vertical delay and its bounding errors over West African sub-Saharan region (United States)

    Abe, O. E.; Otero Villamide, X.; Paparini, C.; Radicella, S. M.; Nava, B.


    Investigating the effects of the Equatorial Ionization Anomaly (EIA) ionosphere and space weather on Global Navigation Satellite Systems (GNSS) is very crucial, and a key to successful implementation of a GNSS augmentation system (SBAS) over the equatorial and low-latitude regions. A possible ionospheric vertical delay (GIVD, Grid Ionospheric Vertical Delay) broadcast at a Ionospheric Grid Point (IGP) and its confidence bounds errors (GIVE, Grid Ionospheric Vertical Error) are analyzed and compared with the ionospheric vertical delay estimated at a nearby user location over the West African Sub-Saharan region. Since African sub-Saharan ionosphere falls within the EIA region, which is always characterized by a disturbance in form of irregularities after sunset, and the disturbance is even more during the geomagnetically quiet conditions unlike middle latitudes, the need to have a reliable ionospheric threat model to cater for the nighttime ionospheric plasma irregularities for the future SBAS user is essential. The study was done during the most quiet and disturbed geomagnetic conditions on October 2013. A specific low latitude EGNOS-like algorithm, based on single thin layer model, was engaged to simulate SBAS message in the study. Our preliminary results indicate that, the estimated GIVE detects and protects a potential SBAS user against sampled ionospheric plasma irregularities over the region with a steep increment in GIVE to non-monitored after local sunset to post midnight. This corresponds to the onset of the usual ionospheric plasma irregularities in the region. The results further confirm that the effects of the geomagnetic storms on the ionosphere are not consistent in affecting GNSS applications over the region. Finally, this paper suggests further work to be investigated in order to improve the threat integrity model activity, and thereby enhance the availability of the future SBAS over African sub-Saharan region.

  20. Impact of burned areas on the northern African seasonal climate from the perspective of regional modeling (United States)

    De Sales, Fernando; Xue, Yongkang; Okin, Gregory S.


    This study investigates the impact of burned areas on the surface energy balance and monthly precipitation in northern Africa as simulated by a state-of-the-art regional model. Mean burned area fraction derived from MODIS date of burning product was implemented in a set of 1-year long WRF-NMM/SSiB2 model simulations. Vegetation cover fraction and LAI were degraded daily based on mean burned area fraction and on the survival rate for each vegetation land cover type. Additionally, ground darkening associated with wildfire-induced ash and charcoal deposition was imposed through lower ground albedo for a period after burning. In general, wildfire-induced vegetation and ground condition deterioration increased mean surface albedo by exposing the brighter bare ground, which in turn caused a decrease in monthly surface net radiation. On average, the wildfire-season albedo increase was approximately 6.3 % over the Sahel. The associated decrease in surface available energy caused a drop in surface sensible heat flux to the atmosphere during the dry months of winter and early spring, which gradually transitioned to a more substantial decrease in surface evapotranspiration in April and May that lessened throughout the rainy season. Overall, post-fire land condition deterioration resulted in a decrease in precipitation over sub-Saharan Africa, associated with the weakening of the West African monsoon progression through the region. A decrease in atmospheric moisture flux convergence was observed in the burned area simulations, which played a dominant role in reducing precipitation in the area, especially in the months preceding the monsoon onset. The areas with the largest precipitation impact were those covered by savannas and rainforests, where annual precipitation decreased by 3.8 and 3.3 %, respectively. The resulting precipitation decrease and vegetation deterioration caused a drop in gross primary productivity in the region, which was strongest in late winter and early

  1. The significance of context for curriculum development in engineering education: a case study across three African countries (United States)

    Case, Jennifer M.; Fraser, Duncan M.; Kumar, Anil; Itika, Ambrose


    Curriculum reform is a key topic in the engineering education literature, but much of this discussion proceeds with little engagement with the impact of the local context in which the programme resides. This article thus seeks to understand the influence of local contextual dynamics on curriculum reform in engineering education. The empirical study is a comparative analysis of the context for curriculum reform in three different chemical engineering departments on the African continent, located in Kenya, Tanzania and South Africa. All three departments are currently engaged in processes of curriculum reform, but the analysis shows how the different contexts in which these efforts are taking place exert strong shaping effects on the processes and outcomes for that reform.

  2. Modelling of ionospheric irregularities during geomagnetic storms over African low latitude region (United States)

    Mungufeni, Patrick


    In this study, empirical models of occurrence of ionospheric irregularities over low latitude African region during geomagnetic storms have been developed. The geomagnetic storms considered consisted of Dst ≤ -50 nT. GNSS-derived ionospheric Total Electron Content (TEC) data over Libreville, Gabon (NKLG) (0.35° N, 9.68° E, geographic, 8.05° S, magnetic) and Malindi, Kenya (MAL2) (2.99° S, 40.19° E, geographic, 12.42° S, magnetic) during 2000 - 2014 were used. Ionospheric irregularities at scale- lengths of a few kilometers and ˜400 m were represented with the rate of change of TEC index (ROTI). The inputs for the models are the local time, solar flux index, Auroral Electrojet index, day of the year, and the Dst index, while the output is the median ROTI during these given conditions. To develop the models, the ROTI index values were binned based on the input parameters and cubic B splines were then fitted to the binned data. Developed models using data over NKLG and MAL2 were validated with independent data over stations within 510 km and 680 km radius, respectively. The models captured the enhancements and inhibitions of the occurrence of the ionospheric irregularities during the storm period. The models even emulated these patterns in the various seasons, during medium and high solar activity conditions. The correlation coefficients for the validations were statistically significant and ranged from 0.58 - 0.73, while the percentage of the variance in the observed data explained by the modelled data ranged from 34 - 53.

  3. 19 CFR 10.178a - Special duty-free treatment for sub-Saharan African countries. (United States)


    ... article for which duty-free treatment is claimed; (d) Origin and related rules. The provisions of §§ 10... processing operations reflected in or applied to the article meet the country of origin rules set forth in... Crude Petroleum...

  4. Female Genital Mutilation: A Literature Review of the Current Status of Legislation and Policies in 27 African Countries and Yemen. (United States)

    Muthumbi, Jane; Svanemyr, Joar; Scolaro, Elisa; Temmerman, Marleen; Say, Lale


    This article discusses the results of a literature review that has assessed the impact of Female Genital Mutilation (FGM) legislation in 28 countries (27 in Africa and Yemen) where FGM is concentrated. Evidence on the impact of FGM legislation was available on prevalence of FGM; changes in societal attitudes and perceptions of FGM; knowledge and awareness of FGM legislation and consequences, and the impact on medicalization. While the majority of countries have adopted legal frameworks prohibiting FGM, these measures have been ineffective in preventing and/or in accelerating the abandonment of the practice. Anti-FGM laws have had an impact on prevalence in only two countries where strict enforcement of legal measures has been complemented by robust monitoring, coupled with robust advocacy efforts in communities. Owing to poor enforcement and lax penalties, legal measures have had a limited impact on medicalization. Similarly, legal frameworks have had a limited impact on societal attitudes and perceptions of FGM, with evidence suggesting rigid enforcement of FGM laws has in some instances been counterproductive. Although evidence suggests legislation has not influenced the decline in FGM in the majority of countries, legal frameworks are nevertheless key components of a comprehensive response to the elimination and abandonment of the practice, and need to be complemented by measures that address the underlying socio-cultural norms that are the root of this practice.

  5. [The Baltic countries as the birthplace of embryology. Contingencies of a transnational region of science]. (United States)

    Riha, Ortrun; Schmuck, Thomas


    Modern embryology is grounded on the research of Pander (theory of germ-layers), von Baer (human egg) and Rathke (branchial arches in mammals). All these scientists lived and worked in the Baltic region. They held professorships at the universities of Koenigsberg and Dorpat and at the Imperial Academy of St. Petersburg, thus moving between the Kingdom of Prussia and the Russian Czardom. Since the Baltic countries are not commonly considered to be predestined as a birthplace of embryology, special attention is turned to the coincidences that, there of all places, made those people focus on that special field of research. Considering the peripheral position of the Baltic, the paper examines personal relations, national identities, cultural exchange, and local working conditions, including room for development as well as formidable obstacles.

  6. Factors Associated with Early Introduction of Formula and/or Solid, Semi-Solid or Soft Foods in Seven Francophone West African Countries

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    Abukari I. Issaka


    Full Text Available The aim of this study was to identify factors associated with early introduction of formula and/or solid, semi-solid or soft foods to infants aged three to five months in seven Francophone West African countries. The sources of data for the analyses were the most recent Demographic and Health Survey datasets of the seven countries, namely Benin (BDHS, 2012, Burkina Faso (BFDHS, 2010, Cote d’Ivoire (CIDHS, 2011–2012, Guinea (GDHS, 2012, Mali (MDHS, 2012–2013, Niger (NDHS, 2012 and Senegal (SDHS, 2010. The study used multiple logistic regression methods to analyse the factors associated with early introduction of complementary feeding using individual-, household- and community-level determinants. The sample was composed of 4158 infants aged between three and five months with: 671 from Benin, 811 from Burkina Faso, 362 from Cote d’Ivoire, 398 from Guinea, 519 from Mali, 767 from Niger and 630 from Senegal. Multiple analyses indicated that in three of the seven countries (Benin, Guinea and Senegal, infants who suffered illnesses, such as diarrhoea and acute respiratory infection, were significantly more likely to be introduced to formula and/or solid, semi-solid or soft foods between the age of three and five months. Other significant factors included infants who: were born in second to fourth position (Benin, whose mothers did not attend any antenatal clinics (Burkina Faso and Niger, were male (Cote d’Ivoire and Senegal, lived in an urban areas (Senegal, or were delivered by traditional birth attendants (Guinea, Niger and Senegal. Programmes to discourage early introduction of formula and/or solid, semi-solid or soft foods in these countries should target the most vulnerable segments of the population in order to improve exclusive breastfeeding practices and reduce infant mortality.

  7. Antiretroviral therapy enrollment characteristics and outcomes among HIV-infected adolescents and young adults compared with older adults--seven African countries, 2004-2013. (United States)

    Auld, Andrew F; Agolory, Simon G; Shiraishi, Ray W; Wabwire-Mangen, Fred; Kwesigabo, Gideon; Mulenga, Modest; Hachizovu, Sebastian; Asadu, Emeka; Tuho, Moise Zanga; Ettiegne-Traore, Virginie; Mbofana, Francisco; Okello, Velephi; Azih, Charles; Denison, Julie A; Tsui, Sharon; Koole, Olivier; Kamiru, Harrison; Nuwagaba-Biribonwoha, Harriet; Alfredo, Charity; Jobarteh, Kebba; Odafe, Solomon; Onotu, Dennis; Ekra, Kunomboa A; Kouakou, Joseph S; Ehrenkranz, Peter; Bicego, George; Torpey, Kwasi; Mukadi, Ya Diul; van Praag, Eric; Menten, Joris; Mastro, Timothy; Dukes Hamilton, Carol; Swaminathan, Mahesh; Dokubo, E Kainne; Baughman, Andrew L; Spira, Thomas; Colebunders, Robert; Bangsberg, David; Marlink, Richard; Zee, Aaron; Kaplan, Jonathan; Ellerbrock, Tedd V


    Although scale-up of antiretroviral therapy (ART) since 2005 has contributed to declines of about 30% in the global annual number of human immunodeficiency (HIV)-related deaths and declines in global HIV incidence, estimated annual HIV-related deaths among adolescents have increased by about 50% and estimated adolescent HIV incidence has been relatively stable. In 2012, an estimated 2,500 (40%) of all 6,300 daily new HIV infections occurred among persons aged 15-24 years. Difficulty enrolling adolescents and young adults in ART and high rates of loss to follow-up (LTFU) after ART initiation might be contributing to mortality and HIV incidence in this age group, but data are limited. To evaluate age-related ART retention challenges, data from retrospective cohort studies conducted in seven African countries among 16,421 patients, aged ≥15 years at enrollment, who initiated ART during 2004-2012 were analyzed. ART enrollment and outcome data were compared among three groups defined by age at enrollment: adolescents and young adults (aged 15-24 years), middle-aged adults (aged 25-49 years), and older adults (aged ≥50 years). Enrollees aged 15-24 years were predominantly female (81%-92%), commonly pregnant (3%-32% of females), unmarried (54%-73%), and, in four countries with employment data, unemployed (53%-86%). In comparison, older adults were more likely to be male (padolescents and young adults had higher LTFU rates in all seven countries, reaching statistical significance in three countries in crude and multivariable analyses. Evidence-based interventions to reduce LTFU for adolescent and young adult ART enrollees could help reduce mortality and HIV incidence in this age group.

  8. Determinants of Intra-Industry Trade between Zimbabwe and its Trading Partners in the Southern African Development Community Region (1990-2006

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    Tafirenyika Sunde


    Full Text Available Problem statement: The main objective of this study was to establish the determinants of intra industry trade between Zimbabwe and its trading partners in the Southern African Development Community (SADC region. The study was mainly motivated by the need to establish the type of goods that Zimbabwe trades with its trading partners. Approach: The study also wanted to prove the hypothesis that similarity in per capita income is not the main determinant of intra-industry trade between Zimbabwe its SADC trading partners; and also that intra industry trade does not necessarily take place among countries with similar economic structures and level of development. The study used the Modified Standard Gravity Equation which has Intra-Industry Trade Index as its dependant variable. The model was regressed using Ordinary Least Squares in excel. Results: The results of the study show that per capita income, trade intensity, distance, exchange rate and gross domestic product explain Intra-Industry Trade (IIT between Zimbabwe and its SADC trading partners. The study also established that most countries in SADC trade in more or less the same goods and this can be explained by the type of development that these countries were subjected to during the colonial era which resulted in the establishment of similar economic structures and per capita incomes that were more or less the same. As result, these countries produce and trade similar products. Both hypotheses above were proved wrong. Conclusion: We therefore concluded that Zimbabwe needs to get into more bilateral trade agreements with its trading partners in order to enhance trade between itself and its trading partners. We also concluded that Zimbabwe has to give incentives to its producers and also mend its relationship with the Breton Woods Institutions (International Monetary Fund and the World Bank if it wants to reach its full trade potential.

  9. Measuring human rights violations in a conflict-affected country: results from a nationwide cluster survey in Central African Republic

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    Roberts Les


    Full Text Available Abstract Background Measuring human rights violations is particularly challenging during or after armed conflict. A recent nationwide survey in the Central African Republic produced estimates of rates of grave violations against children and adults affected by armed conflict, using an approach known as the "Neighborhood Method". Methods In June and July, 2009, a random household survey was conducted based on population estimates from the 2003 national census. Clusters were assigned systematically proportional to population size. Respondents in randomly selected households were interviewed regarding incidents of killing, intentional injury, recruitment into armed groups, abduction, sexual abuse and rape between January 1, 2008 and the date of interview, occurring in their homes' and those of their three closest neighbors. Results Sixty of the selected 69 clusters were surveyed. In total, 599 women were interviewed about events in 2,370 households representing 13,669 persons. Estimates of annual rates of each violation occurring per 1000 people in each of two strata are provided for children between the ages of five and 17, adults 18 years of age and older and the entire population five years and older, along with a combined and weighted national rate. The national rates for children age five to 17 were estimated to be 0.98/1000/year (95% CI: 0.18 - 1.78 for recruitment, 2.56/1000/year (95% CI: 1.50 - 3.62 for abduction, 1.13/1000/year (95% CI: 0.33 - 1.93 for intentional injury, 10.72/1000 girls/year (95% CI: 7.40 - 14.04 for rape, and 4.80/1000 girls/year (95% CI: 2.61 - 6.00 for sexual abuse. No reports of any violation against a person under the age of five were recorded and there were no reports of rape or sexual abuse of males. No children were reported to have been killed during the recall period. Rape and abduction were the most frequently reported events. Conclusions The population-based figures greatly augment existing information on

  10. Key Issues and Policy Considerations in Promoting Lifelong Learning in Selected African Countries: Ethiopia, Kenya, Namibia, Rwanda and Tanzania. UIL Publication Series on Lifelong Learning Policies and Strategies. No. 1 (United States)

    Walters, Shirley; Yang, Jim; Roslander, Peter


    This cross-national study focuses on key issues and policy considerations in promoting lifelong learning in Ethiopia, Kenya, Namibia, Rwanda, and Tanzania (the five African countries that took part in a pilot workshop on "Developing Capacity for Establishing Lifelong Learning Systems in UNESCO Member States: at the UNESCO Institute for…

  11. A regional approach for modeling cliff retreat rate: The Makhteshim Country, Israel (United States)

    Finzi, Yaron; Harlev, Noam


    Cliff retreat rate significantly affect the evolution of landforms and cliff stability. Cliff retreat studies also provide intriguing clues regarding past geomorphic conditions and environmental changes. We hereby present a model to calculate cliff retreat rate based on spatial data of cliff structure and morphology. The model is applied to numerous cliffs in the arid Makhteshim Country, Israel, and results are calibrated using published rates of two local cliffs. The calculated retreat rates confirm previous assertions that the crater cliffs are receding very slowly, but reveal that the rates vary significantly along the cliffs (1-18 cm ky- 1). Results also provide first estimates of retreat rates of other major cliffs in the region including fast retreat rates at the Sede Zin cliff (300-600 cm ky- 1). The proposed model provides a robust analysis to account for local cliff-talus morphology and yields rate estimates representative of current conditions rather than a long-term (geologic) average rate. Results presented constitute important new insights into regional geomorphic processes and on the stability of specific cliff sections within the study area.

  12. Differences in economic development in rural regions of advanced countries: an overview and critical analysis of theories

    NARCIS (Netherlands)

    Terluin, I.J.


    This article provides an overview and critical analysis of theories on economic development in rural regions in advanced countries. For this purpose, we have consulted literature in regional economics and the multidisciplinary field of rural studies. In order to analyse to which extent these theorie

  13. Early Holocenic and Historic mtDNA African Signatures in the Iberian Peninsula: The Andalusian Region as a Paradigm.

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    Candela L Hernández

    Full Text Available Determining the timing, identity and direction of migrations in the Mediterranean Basin, the role of "migratory routes" in and among regions of Africa, Europe and Asia, and the effects of sex-specific behaviors of population movements have important implications for our understanding of the present human genetic diversity. A crucial component of the Mediterranean world is its westernmost region. Clear features of transcontinental ancient contacts between North African and Iberian populations surrounding the maritime region of Gibraltar Strait have been identified from archeological data. The attempt to discern origin and dates of migration between close geographically related regions has been a challenge in the field of uniparental-based population genetics. Mitochondrial DNA (mtDNA studies have been focused on surveying the H1, H3 and V lineages when trying to ascertain north-south migrations, and U6 and L in the opposite direction, assuming that those lineages are good proxies for the ancestry of each side of the Mediterranean. To this end, in the present work we have screened entire mtDNA sequences belonging to U6, M1 and L haplogroups in Andalusians--from Huelva and Granada provinces--and Moroccan Berbers. We present here pioneer data and interpretations on the role of NW Africa and the Iberian Peninsula regarding the time of origin, number of founders and expansion directions of these specific markers. The estimated entrance of the North African U6 lineages into Iberia at 10 ky correlates well with other L African clades, indicating that U6 and some L lineages moved together from Africa to Iberia in the Early Holocene. Still, founder analysis highlights that the high sharing of lineages between North Africa and Iberia results from a complex process continued through time, impairing simplistic interpretations. In particular, our work supports the existence of an ancient, frequently denied, bridge connecting the Maghreb and Andalusia.

  14. Comparison of all-cause and malaria-specific mortality from two West African countries with different malaria transmission patterns

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    Kouyaté Bocar


    Full Text Available Abstract Background Malaria is a leading cause of death in children below five years of age in sub-Saharan Africa. All-cause and malaria-specific mortality rates for children under-five years old in a mesoendemic malaria area (The Gambia were compared with those from a hyper/holoendemic area (Burkina Faso. Methods Information on observed person-years (PY, deaths and cause of death was extracted from online search, using key words: "Africa, The Gambia, Burkina Faso, malaria, Plasmodium falciparum, mortality, child survival, morbidity". Missing person-years were estimated and all-cause and malaria-specific mortality were calculated as rates per 1,000 PY. Studies were classified as longitudinal/clinical studies or surveys/censuses. Linear regression was used to investigate mortality trends. Results Overall, 39 and 18 longitudinal/clinical studies plus 10 and 15 surveys and censuses were identified for The Gambia and Burkina Faso respectively (1960–2004. Model-based estimates for under-five all-cause mortality rates show a decline from 1960 to 2000 in both countries (Burkina Faso: from 71.8 to 39.0, but more markedly in The Gambia (from 104.5 to 28.4. The weighted-average malaria-specific mortality rate per 1000 person-years for Burkina Faso (15.4, 95% CI: 13.0–18.3 was higher than that in The Gambia (9.5, 95% CI: 9.1–10.1. Malaria mortality rates did not decline over time in either country. Conclusion Child mortality in both countries declined significantly in the period 1960 to 2004, possibly due to socio-economic development, improved health services and specific intervention projects. However, there was little decline in malaria mortality suggesting that there had been no major impact of malaria control programmes during this period. The difference in malaria mortality rates across countries points to significant differences in national disease control policies and/or disease transmission patterns.

  15. Early Diagnosis of HIV Infection in Infants - One Caribbean and Six Sub-Saharan African Countries, 2011-2015. (United States)

    Diallo, Karidia; Kim, Andrea A; Lecher, Shirley; Ellenberger, Dennis; Beard, R Suzanne; Dale, Helen; Hurlston, Mackenzie; Rivadeneira, Molly; Fonjungo, Peter N; Broyles, Laura N; Zhang, Guoqing; Sleeman, Katrina; Nguyen, Shon; Jadczak, Steve; Abiola, Nadine; Ewetola, Raimi; Muwonga, Jérémie; Fwamba, Franck; Mwangi, Christina; Naluguza, Mary; Kiyaga, Charles; Ssewanyana, Isaac; Varough, Deyde; Wysler, Domercant; Lowrance, David; Louis, Frantz Jean; Desinor, Olbeg; Buteau, Josiane; Kesner, Francois; Rouzier, Vanessa; Segaren, Nat; Lewis, Tessa; Sarr, Abdoulaye; Chipungu, Geoffrey; Gupta, Sundeep; Singer, Daniel; Mwenda, Reuben; Kapoteza, Hilary; Chipeta, Zawadi; Knight, Nancy; Carmona, Sergio; MacLeod, William; Sherman, Gayle; Pillay, Yogan; Ndongmo, Clement B; Mugisa, Bridget; Mwila, Annie; McAuley, James; Chipimo, Peter J; Kaonga, Wezi; Nsofwa, Dailess; Nsama, Davy; Mwamba, Fales Zulu; Moyo, Crispin; Phiri, Clement; Borget, Marie-Yolande; Ya-Kouadio, Leonard; Kouame, Abo; Adje-Toure, Christiane A; Nkengasong, John


    Pediatric human immunodeficiency virus (HIV) infection remains an important public health issue in resource-limited settings. In 2015, 1.4 million children aged HIV (including 170,000 infants born in 2015), with the vast majority living in sub-Saharan Africa (1). In 2014, 150,000 children died from HIV-related causes worldwide (2). Access to timely HIV diagnosis and treatment for HIV-infected infants reduces HIV-associated mortality, which is approximately 50% by age 2 years without treatment (3). Since 2011, the annual number of HIV-infected children has declined by 50%. Despite this gain, in 2014, only 42% of HIV-exposed infants received a diagnostic test for HIV (2), and in 2015, only 51% of children living with HIV received antiretroviral therapy (1). Access to services for early infant diagnosis of HIV (which includes access to testing for HIV-exposed infants and clinical diagnosis of HIV-infected infants) is critical for reducing HIV-associated mortality in children aged HIV testing services for early infant diagnosis was assessed. During 2011-2015, the total number of HIV diagnostic tests performed among HIV-exposed infants within 6 weeks after birth (tests for early infant diagnosis of HIV), as recommended by the World Health Organization (WHO) increased in all seven countries (Cote d'Ivoire, the Democratic Republic of the Congo, Haiti, Malawi, South Africa, Uganda, and Zambia); however, in 2015, the rate of testing for early infant diagnosis among HIV-exposed infants was HIV positivity among those tested declined in all seven countries, with three countries (Cote d'Ivoire, the Democratic Republic of the Congo, and Uganda) reporting >50% decline. The most common challenges for access to testing for early infant diagnosis included difficulties in specimen transport, long turnaround time between specimen collection and receipt of results, and limitations in supply chain management. Further reductions in HIV mortality in children can be achieved through

  16. Technical Education and Vocational Training in Central Africa. Feasibility Survey of the Regional Development of Rapid Vocational Training: Cameroon, Central African Republic, Chad, and Gabon. (United States)

    Organization for Rehabilitation through Training, Geneva (Switzerland).

    This final report is the result of a survey requested by the United States Agency for International Development (USAID) and undertaken by the Organization for Rehabilitation through Training (ORT) of four countries (Cameroon, Chad, Central African Republic, and Gabon) and a conference on vocational training sponsored by the Economic and Customs…

  17. The European Union and the Caribbean Region: Situating the Caribbean Overseas Countries and Territories

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    Paul Sutton


    Full Text Available Abstract:This paper examines one important dimension of the European Union's (EU 'regional' engagement with the Caribbean: its relations with the Overseas Countries and Territories (OCT, with a particular focus on the possibility of furthering the policy goals of greater regional integration and cooperation. It does so in three parts. The first sets out the basis for current EU policy to the OCT which has been under discussion between the EU, the OCT and the four EU member states most involved (Denmark, France, the Netherlands and the United Kingdom since 2008. It reports EU proposals for change and the responses to them by the Caribbean OCTs. The second part examines EU policy toward promoting greater regional cooperation among the Caribbean OCTs and between them and some of the other Caribbean regional organizations. Three distinct frameworks for cooperation and integration are discussed: with independent states as established in the Caribbean Community, the Caribbean Forum and the Economic Partnership Agreement; with the French departments and collectivities; and with the Caribbean OCT. In each the position of the Caribbean OCT is situated. The final part briefly discusses the creation of a 'new' framework for regional cooperation specific for the Caribbean OCT which will most closely match their interests in the Caribbean.Resumen: La Unión Europea y la Región del Caribe: Situando a los Países y Territorios de Ultramar del CaribeEste ensayo analiza una dimensión importante de la Unión Europea (UE 'regional' y su compromiso con el Caribe: de igual manera sus relaciones con los Países y Territorios de Ultramar (PTU, con un enfoque particular sobre la posibilidad de promover los objetivos de la política con una mayor integración regional y cooperación. Este proceso se desglosa en tres partes. La primera establece la base para la actual política de la UE hacia los PTU, ya que esta ha sido objeto de debate entre los mismos y los cuatro

  18. WASCAL - West African Science Service Center on Climate Change and Adapted Land Use Regional Climate Simulations and Land-Atmosphere Simulations for West Africa at DKRZ and elsewhere (United States)

    Hamann, Ilse; Arnault, Joel; Bliefernicht, Jan; Klein, Cornelia; Heinzeller, Dominikus; Kunstmann, Harald


    Changing climate and hydro-meteorological boundary conditions are among the most severe challenges to Africa in the 21st century. In particular West Africa faces an urgent need to develop effective adaptation and mitigation strategies to cope with negative impacts on humans and environment due to climate change, increased hydro-meteorological variability and land use changes. To help meet these challenges, the German Federal Ministry of Education and Research (BMBF) started an initiative with institutions in Germany and West African countries to establish together a West African Science Service Center on Climate Change and Adapted Land Use (WASCAL). This activity is accompanied by an establishment of trans-boundary observation networks, an interdisciplinary core research program and graduate research programs on climate change and related issues for strengthening the analytical capabilities of the Science Service Center. A key research activity of the WASCAL Competence Center is the provision of regional climate simulations in a fine spatio-temporal resolution for the core research sites of WASCAL for the present and the near future. The climate information is needed for subsequent local climate impact studies in agriculture, water resources and further socio-economic sectors. The simulation experiments are performed using regional climate models such as COSMO-CLM, RegCM and WRF and statistical techniques for a further refinement of the projections. The core research sites of WASCAL are located in the Sudanian Savannah belt in Northern Ghana, Southern Burkina Faso and Northern Benin. The climate in this region is semi-arid with six rainy months. Due to the strong population growth in West Africa, many areas of the Sudanian Savannah have been already converted to farmland since the majority of the people are living directly or indirectly from the income produced in agriculture. The simulation experiments of the Competence Center and the Core Research Program are

  19. Paediatric pharmacovigilance: use of pharmacovigilance data mining algorithms for signal detection in a safety dataset of a paediatric clinical study conducted in seven African countries.

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    Dan K Kajungu

    Full Text Available BACKGROUND: Pharmacovigilance programmes monitor and help ensuring the safe use of medicines which is critical to the success of public health programmes. The commonest method used for discovering previously unknown safety risks is spontaneous notifications. In this study we examine the use of data mining algorithms to identify signals from adverse events reported in a phase IIIb/IV clinical trial evaluating the efficacy and safety of several Artemisinin-based combination therapies (ACTs for treatment of uncomplicated malaria in African children. METHODS: We used paediatric safety data from a multi-site, multi-country clinical study conducted in seven African countries (Burkina Faso, Gabon, Nigeria, Rwanda, Uganda, Zambia, and Mozambique. Each site compared three out of four ACTs, namely amodiaquine-artesunate (ASAQ, dihydroartemisinin-piperaquine (DHAPQ, artemether-lumefantrine (AL or chlorproguanil/dapsone and artesunate (CD+A. We examine two pharmacovigilance signal detection methods, namely proportional reporting ratio and Bayesian Confidence Propagation Neural Network on the clinical safety dataset. RESULTS: Among the 4,116 children (6-59 months old enrolled and followed up for 28 days post treatment, a total of 6,238 adverse events were reported resulting into 346 drug-event combinations. Nine signals were generated both by proportional reporting ratio and Bayesian Confidence Propagation Neural Network. A review of the manufacturer package leaflets, an online Multi-Drug Symptom/Interaction Checker (DoubleCheckMD and further by therapeutic area experts reduced the number of signals to five. The ranking of some drug-adverse reaction pairs on the basis of their signal index differed between the two methods. CONCLUSIONS: Our two data mining methods were equally able to generate suspected signals using the pooled safety data from a phase IIIb/IV clinical trial. This analysis demonstrated the possibility of utilising clinical studies safety data

  20. Region-wide synchrony and traveling waves of dengue across eight countries in Southeast Asia. (United States)

    van Panhuis, Willem G; Choisy, Marc; Xiong, Xin; Chok, Nian Shong; Akarasewi, Pasakorn; Iamsirithaworn, Sopon; Lam, Sai K; Chong, Chee K; Lam, Fook C; Phommasak, Bounlay; Vongphrachanh, Phengta; Bouaphanh, Khamphaphongphane; Rekol, Huy; Hien, Nguyen Tran; Thai, Pham Quang; Duong, Tran Nhu; Chuang, Jen-Hsiang; Liu, Yu-Lun; Ng, Lee-Ching; Shi, Yuan; Tayag, Enrique A; Roque, Vito G; Lee Suy, Lyndon L; Jarman, Richard G; Gibbons, Robert V; Velasco, John Mark S; Yoon, In-Kyu; Burke, Donald S; Cummings, Derek A T


    Dengue is a mosquito-transmitted virus infection that causes epidemics of febrile illness and hemorrhagic fever across the tropics and subtropics worldwide. Annual epidemics are commonly observed, but there is substantial spatiotemporal heterogeneity in intensity. A better understanding of this heterogeneity in dengue transmission could lead to improved epidemic prediction and disease control. Time series decomposition methods enable the isolation and study of temporal epidemic dynamics with a specific periodicity (e.g., annual cycles related to climatic drivers and multiannual cycles caused by dynamics in population immunity). We collected and analyzed up to 18 y of monthly dengue surveillance reports on a total of 3.5 million reported dengue cases from 273 provinces in eight countries in Southeast Asia, covering ∼ 10(7) km(2). We detected strong patterns of synchronous dengue transmission across the entire region, most markedly during a period of high incidence in 1997-1998, which was followed by a period of extremely low incidence in 2001-2002. This synchrony in dengue incidence coincided with elevated temperatures throughout the region in 1997-1998 and the strongest El Niño episode of the century. Multiannual dengue cycles (2-5 y) were highly coherent with the Oceanic Niño Index, and synchrony of these cycles increased with temperature. We also detected localized traveling waves of multiannual dengue epidemic cycles in Thailand, Laos, and the Philippines that were dependent on temperature. This study reveals forcing mechanisms that drive synchronization of dengue epidemics on a continental scale across Southeast Asia.

  1. Impact of GCM boundary forcing on regional climate modeling of West African summer monsoon precipitation and circulation features (United States)

    Kebe, Ibourahima; Sylla, Mouhamadou Bamba; Omotosho, Jerome Adebayo; Nikiema, Pinghouinde Michel; Gibba, Peter; Giorgi, Filippo


    In this study, the latest version of the International Centre for Theoretical Physics Regional Climate Model (RegCM4) driven by three CMIP5 Global Climate Models (GCMs) is used at 25 km grid spacing over West Africa to investigate the impact of lateral boundary forcings on the simulation of monsoon precipitation and its relationship with regional circulation features. We find that the RegCM4 experiments along with their multimodel ensemble generally reproduce the location of the main precipitation characteristics over the region and improve upon the corresponding driving GCMs. However, the provision of different forcing boundary conditions leads to substantially different precipitation magnitudes and spatial patterns. For instance, while RegCM4 nested within GFDL-ESM-2M and HadGEM2-ES exhibits some underestimations of precipitation and an excessively narrow Intertropical Convergence Zone, the MPI-ESM-MR driven run produces precipitation spatial distribution and magnitudes more similar to observations. Such a superior performance originates from a much better simulation of the interactions between baroclinicity, temperature gradient and African Easterly Jet along with an improved connection between the Isentropic Potential Vorticity, its gradient and the African Easterly Waves dynamics. We conclude that a good performing GCM in terms of monsoon dynamical features (in this case MPI-ESM-MR) is needed to drive RCMs in order to achieve a better representation of the West Africa summer monsoon precipitation.

  2. Population structure of the African savannah elephant inferred from mitochondrial control region sequences and nuclear microsatellite loci

    DEFF Research Database (Denmark)

    Nyakaana, S; Arctander, P; Siegismund, H R


    Two hundred and thirty-six mitochondrial DNA nucleotide sequences were used in combination with polymorphism at four nuclear microsatellite loci to assess the amount and distribution of genetic variation within and between African savannah elephants. They were sampled from 11 localities in eastern...... populations and 44 alleles in the total sample were found. The gene diversity ranged from 0.51 to 0.72 in the localities studied. An analysis of molecular variance showed significant genetic differentiation between populations within regions and also between regions. The extent of subdivision between...... populations at the mtDNA control region was approximately twice as high as shown by the microsatellite loci (mtDNA F(ST) = 0.59; microsatellite R(ST) = 0.31). We discuss our results in the light of Pleistocene refugia and attribute the observed pattern to population divergence in allopatry accompanied...

  3. A South African Perspective on a Possible Benefit-Sharing Approach for Transboundary Waters in the SADC Region

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    Anthony Turton


    Full Text Available The concept of benefit-sharing is emerging in the international discourse on transboundary water resource management with greater intensity than a decade ago. While it sounds simple, the concept is complex and benefits are difficult to quantify and thus the concept remains unconvincing to potentially sceptical negotiating partners. Any discourse on water resource management is based on a core logic. This paper tries to distil some elements of a proposed benefit-sharing approach, presenting an alternative core logic, showing how these differ from what can be thought of as the traditional paradigm. This work is linked to ongoing research at the South African Council for Scientific and Industrial Research (CSIR, into benefit-sharing and processes of policy harmonisation, within the context of developing countries.

  4. Research of Causal Relations between Components of Foreign Trade and Economic Performance of the Region, Country and World

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    Frolov Sergey M.


    Full Text Available Causal relations between components of the region foreign trade turnover and indicators, which characterize the economic situation of the region, country and the world, have been studied. 3 groups of indicators, which can have an impact on the region export-import activity, were formed by the degree of the covered influence level: the level of region, country and world. All the selected indicators were tested for causality by Granger test. As a result of the study it has been found that the export of Sumy region is directly affected by the volume of industrial production, inflation rate in Ukraine and the world price for wheat. The export of services is affected by the volume of extended credits, income of the population per person, the world prices for corn and wheat. Causality has also been determined between the import of goods in Sumy region and indicators of extended credits, turnover of retail trade and wholesale trade of enterprises. As regards the import of services, the influence was recorded from the side of the official exchange rate of hryvnia to the US dollar and the price index of industrial producers. The prospect of further research in this direction is expansion of the set of indicators characterizing the economic activity of the region, country and the world. The further research can contribute to building up the export-import potential of the region.

  5. Estimating the hypothetical dual health impact and cost-effectiveness of the Woman’s Condom in selected sub-Saharan African countries

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    Mvundura M


    Full Text Available Mercy Mvundura, Neeti Nundy, Maggie Kilbourne-Brook, Patricia S Coffey Technology Solutions Global Program, PATH, Seattle, WA, USA Background: Female condoms are the only currently available woman-initiated option that offers dual protection from pregnancy and sexually transmitted infections, including HIV. The Woman’s Condom is a new female condom designed to provide dual protection and to be highly pleasurable and acceptable. Objective: We sought to estimate the potential dual health impact and cost-effectiveness of a Woman’s Condom distribution program in 13 sub-Saharan African countries with HIV prevalence rates >4% among adults aged 15–49 years. We used two separate, publicly available models for this analysis, the Impact 2 model developed by Marie Stopes International and the Population Services International disability-adjusted life years (DALY calculator program. We estimated the potential numbers of pregnancies and DALYs averted when the Woman’s Condom is used as a family planning method and the HIV infections and DALYs averted when it is used as an HIV prevention method. Results: Programming 100,000 Woman’s Condoms in each of 13 countries in sub-Saharan Africa during a 1-year period could potentially prevent 194 pregnancies and an average of 21 HIV infections in each country. When using the World Health Organization CHOosing Interventions that are Cost-Effective (WHO-CHOICE criteria as a threshold to infer the potential cost-effectiveness of the Woman’s Condom, we found that the Woman’s Condom would be considered cost-effective. Conclusion: This was a first and successful attempt to estimate the impact of dual protection of female condoms. The health impact is greater for the use of the Woman’s Condom as an HIV prevention method than for contraception. Dual use of the Woman’s Condom increases the overall health impact. The Woman’s Condom was found to be very cost-effective in all 13 countries in our sample. Keywords

  6. HIV spending as a share of total health expenditure: an analysis of regional variation in a multi-country study.

    Directory of Open Access Journals (Sweden)

    Peter Amico

    Full Text Available BACKGROUND: HIV has devastated numerous countries in sub-Saharan Africa and is a dominant health force in many other parts of the world. Its undeniable importance is reflected in the establishment of Millennium Development Goal No. 6. Unprecedented amounts of funding have been committed and disbursed over the past two decades. Many have argued that this enormous influx of funding has been detrimental to building stronger health systems in recipient countries. This paper examines the funding share for HIV measured against the total funding for health. METHODOLOGY/PRINCIPAL FINDINGS: A descriptive analysis of HIV and health expenditures in 2007 from 65 countries was conducted. Comparable data from individual countries was used by applying a consistent definition for HIV expenditures and total health expenditures from NHAs to align them with National AIDS Assessment Reports. In 2007, the total public and international expenditure in LMICs for HIV was 1.6 percent of the total spending on health, while the share in SSA was 19.4 percent. HIV prevalence was six-fold higher in SSA than the next highest region and it is the only region whose share of HIV spending exceeded the burden of HIV DALYs. CONCLUSIONS/SIGNIFICANCE: The share of HIV spending across the 65 countries was quite moderate considering that the estimated share of deaths attributable to HIV stood at 3.8 percent and DALYs at 4.4 percent. Several high spending countries are using a large share of their total health spending for HIV health, but these countries are the exception rather than representative of the average SSA country. There is wide variation between regions, but the burden of disease also varies significantly. The percentage of HIV spending is a useful indicator for better understanding health care resources and their allocation patterns.

  7. Selected French Speaking Sub-Saharan African Countries: Burundi, Cameroon (Eastern), Chad, Congo (Brazzaville), Dahomey, Gabon, Ivory Coast, Mali, Mauritania, Niger, Rwanda, Senegal, Togo, Upper Volta, Zaire. A Guide to the Academic Placement of Students from These Countries in Academic Institutions of the United States. (United States)

    Trudeau, Edouard J. C.

    The educational systems of 15 Sub-Saharan African countries are described, and guidelines concerning the academic placement of students who wish to study in U.S. institutions are provided. Tables indicate the grades covered by primary education and secondary education (academic and technical). Burundi, Rwanda, and Zaire have followed the Belgian…

  8. East African ROAD (United States)

    Tekle, Kelali


    In the developing world astronomy had been treated as the science of elites. As a result of this overwhelming perception, astronomy compared with other applied sciences has got less attention and its role in development has been insignificant. However, the IAU General Assembly decision in 2009 opened new opportunity for countries and professionals to deeply look into Astronomy and its role in development. Then, the subsequent establishment of regional offices in the developing world is helping countries to integrate astronomy with other earth and space based sciences so as to progressively promote its scientific and development importance. Gradually nations have come to know that space is the frontier of tomorrow and the urgency of preeminence on space frontier starts at primary school and ascends to tertiary education. For this to happen, member nations in east African region have placed STEM education at the center of their education system. For instance, Ethiopian has changed University enrollment strategy to be in favor of science and engineering subjects, i.e. every year seventy percent of new University entrants join science and engineering fields while thirty percent social science and humanities. Such bold actions truly promote astronomy to be conceived as gateway to science and technology. To promote the concept of astronomy for development the East African regional office has actually aligned it activities to be in line with the focus areas identified by the IAU strategy (2010 to 2020).

  9. Sexual behavior, knowledge and information sources of very young adolescents in four sub-Saharan African countries. (United States)

    Bankole, Akinrinola; Biddlecom, Ann; Guiella, Georges; Singh, Susheela; Zulu, Eliya


    Adolescents are a key target group for HIV and pregnancy prevention efforts, yet very little is known about the youngest adolescents: those under age 15. New survey data from 12-14 year olds in Burkina Faso, Ghana, Malawi and Uganda are used to describe their sexual activity, knowledge about HIV, STIs and pregnancy prevention, and sources of sexual and reproductive health information, including sex education in schools. Results show that very young adolescents are already beginning to be sexually active and many believe their close friends are sexually active. They have high levels of awareness but little in-depth knowledge about pregnancy and HIV prevention. Multiple information sources are used and preferred by very young adolescents. Given their needs for HIV, STI and pregnancy prevention information that is specific and practical and considering that the large majority are attending school in most countries in Sub-Saharan Africa, school-based sex education is a particularly promising avenue for reaching adolescents under age 15.

  10. Cross-sectional observational assessment of quality of newborn care immediately after birth in health facilities across six sub-Saharan African countries (United States)

    de Graft-Johnson, Joseph; Vesel, Linda; Rosen, Heather E; Rawlins, Barbara; Abwao, Stella; Mazia, Goldy; Bozsa, Robert; Mwebesa, Winifrede; Khadka, Neena; Kamunya, Rosemary; Getachew, Ashebir; Tibaijuka, Gaudiosa; Rakotovao, Jean Pierre; Tekleberhan, Alemnesh


    Objective To present information on the quality of newborn care services and health facility readiness to provide newborn care in 6 African countries, and to advocate for the improvement of providers' essential newborn care knowledge and skills. Design Cross-sectional observational health facility assessment. Setting Ethiopia, Kenya, Madagascar, Mozambique, Rwanda and Tanzania. Participants Health workers in 643 facilities. 1016 health workers were interviewed, and 2377 babies were observed in the facilities surveyed. Main outcome measures Indicators of quality of newborn care included (1) provision of immediate essential newborn care: thermal care, hygienic cord care, and early and exclusive initiation of breast feeding; (2) actual and simulated resuscitation of asphyxiated newborn infants; and (3) knowledge of health workers on essential newborn care, including resuscitation. Results Sterile or clean cord cutting instruments, suction devices, and tables or firm surfaces for resuscitation were commonly available. 80% of newborns were immediately dried after birth and received clean cord care in most of the studied facilities. In all countries assessed, major deficiencies exist for essential newborn care supplies and equipment, as well as for health worker knowledge and performance of key routine newborn care practices, particularly for immediate skin-to-skin contact and breastfeeding initiation. Of newborns who did not cry at birth, 89% either recovered on their own or through active steps taken by the provider through resuscitation with initial stimulation and/or ventilation. 11% of newborns died. Assessment of simulated resuscitation using a NeoNatalie anatomic model showed that less than a third of providers were able to demonstrate ventilation skills correctly. Conclusions The findings shared in this paper call attention to the critical need to improve health facility readiness to provide quality newborn care services and to ensure that service providers have

  11. Molecular Characterization of Invasive Meningococcal Isolates from Countries in the African Meningitis Belt before Introduction of a Serogroup A Conjugate Vaccine (United States)

    Caugant, Dominique A.; Kristiansen, Paul A.; Wang, Xin; Mayer, Leonard W.; Taha, Muhamed-Kheir; Ouédraogo, Rasmata; Kandolo, Denis; Bougoudogo, Flabou; Sow, Samba; Bonte, Laurence


    Background The serogroup A conjugate meningococcal vaccine, MenAfriVac, was introduced in mass vaccination campaigns in December 2010 in Burkina Faso, Mali and Niger. In the coming years, vaccination will be extended to other African countries at risk of epidemics. To document the molecular characteristics of disease-causing meningococcal strains circulating in the meningitis belt of Africa before vaccine introduction, the World Health Organization Collaborating Centers on Meningococci in Europe and United States established a common strain collection of 773 isolates from cases of invasive meningococcal disease collected between 2004 and 2010 from 13 sub-Saharan countries. Methodology All isolates were characterized by multilocus sequence typing, and 487 (62%) were also analyzed for genetic variation in the surface antigens PorA and FetA. Antibiotic susceptibility was tested for part of the collection. Principal Findings Only 19 sequence types (STs) belonging to 6 clonal complexes were revealed. ST-5 clonal complex dominated with 578 (74.8%) isolates. All ST-5 complex isolates were remarkably homogeneous in their PorA (P1.20,9) and FetA (F3-1) and characterized the serogroup A strains which have been responsible for most epidemics during this time period. Sixty-eight (8.8%) of the 773 isolates belonged to the ST-11 clonal complex which was mainly represented by serogroup W135, while an additional 38 (4.9%) W135 isolates belonged to the ST-175 complex. Forty-eight (6.2%) serogroup X isolates from West Africa belonged to the ST-181 complex, while serogroup X cases in Kenya and Uganda were caused by an unrelated clone, ST-5403. Serogroup X, ST-181, emerged in Burkina Faso before vaccine introduction. Conclusions In the seven years preceding introduction of a new serogroup A conjugate vaccine, serogroup A of the ST-5 clonal complex was identified as the predominant disease-causing strain. PMID:23029368

  12. Measuring coverage in MNCH: population HIV-free survival among children under two years of age in four African countries.

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    Jeffrey S A Stringer

    Full Text Available BACKGROUND: Population-based evaluations of programs for prevention of mother-to-child HIV transmission (PMTCT are scarce. We measured PMTCT service coverage, regimen use, and HIV-free survival among children ≤24 mo of age in Cameroon, Côte D'Ivoire, South Africa, and Zambia. METHODS AND FINDINGS: We randomly sampled households in 26 communities and offered participation if a child had been born to a woman living there during the prior 24 mo. We tested consenting mothers with rapid HIV antibody tests and tested the children of seropositive mothers with HIV DNA PCR or rapid antibody tests. Our primary outcome was 24-mo HIV-free survival, estimated with survival analysis. In an individual-level analysis, we evaluated the effectiveness of various PMTCT regimens. In a community-level analysis, we evaluated the relationship between HIV-free survival and community PMTCT coverage (the proportion of HIV-exposed infants in each community that received any PMTCT intervention during gestation or breastfeeding. We also compared our community coverage results to those of a contemporaneous study conducted in the facilities serving each sampled community. Of 7,985 surveyed children under 2 y of age, 1,014 (12.7% were HIV-exposed. Of these, 110 (10.9% were HIV-infected, 851 (83.9% were HIV-uninfected, and 53 (5.2% were dead. HIV-free survival at 24 mo of age among all HIV-exposed children was 79.7% (95% CI: 76.4, 82.6 overall, with the following country-level estimates: Cameroon (72.6%; 95% CI: 62.3, 80.5, South Africa (77.7%; 95% CI: 72.5, 82.1, Zambia (83.1%; 95% CI: 78.4, 86.8, and Côte D'Ivoire (84.4%; 95% CI: 70.0, 92.2. In adjusted analyses, the risk of death or HIV infection was non-significantly lower in children whose mothers received a more complex regimen of either two or three antiretroviral drugs compared to those receiving no prophylaxis (adjusted hazard ratio: 0.60; 95% CI: 0.34, 1.06. Risk of death was not different for children whose

  13. Assessment of the main factors impacting community members’ attitudes towards tourism and protected areas in six southern African countries

    Directory of Open Access Journals (Sweden)

    Susan Snyman


    Full Text Available In southern Africa, many early conservation efforts from the late 1800s and early 1900s either displaced local communities or restricted their access to natural resources. This naturally affected community attitudes towards protected areas and efforts were later made to rectify growing tensions. In the last few decades of the 20th century, these efforts led to conservation and ecotourism models that increasingly included communities in the decision-making and benefit-sharing process in order to garner their support. Although the results of these policies were mixed, it is clear that the future success of conservation and, consequently, ecotourism in many areas will depend on the attitudes and behaviour of communities living in or adjacent to protected areas. Managing and understanding community expectations and attitudes under varying socio-economic circumstances will lead to more efficient, equitable and sustainable community-based conservation and ecotourism models. This study was based on 1400 community interview schedules conducted in Botswana, Malawi, Namibia, South Africa, Zambia and Zimbabwe, allowing for an accurate comparison of attitudes across countries, protected areas and communities. The results highlighted important demographic and socio-economic factors to consider in terms of understanding the attitudes of those living in and around protected areas. Suggestions were put forward for managing community relationships and garnering long-term support for protected areas and ecotourism. Conservation implications: It was observed that, in general, community members living in or adjacent to conservation areas in southern Africa have an understanding and appreciation of the importance of conservation. Formal education was found to positively impact attitudes and human–wildlife conflict negatively impacted attitudes, highlighting important policy focus areas.

  14. Use of a Comprehensive HIV Care Cascade for Evaluating HIV Program Performance: Findings From 4 Sub-Saharan African Countries (United States)

    McNairy, Margaret L.; Lamb, Matthew R.; Abrams, Elaine J.; Elul, Batya; Sahabo, Ruben; Hawken, Mark P.; Mussa, Antonio; Zwede, Ayele; Justman, Jessica; El-Sadr, Wafaa M.


    Background The traditional HIV treatment cascade has been noted to have limitations. A proposed comprehensive HIV care cascade that uses cohort methodology offers additional information as it accounts for all patients. Using data from 4 countries, we compare patient outcomes using both approaches. Methods Data from 390,603 HIV-infected adults (>15 years) enrolled at 217 facilities in Kenya, Mozambique, Rwanda, and Tanzania from 2005 to 2011 were included. Outcomes of all patients at 3, 6, and 12 months after enrollment were categorized as optimal, suboptimal, or poor. Optimal outcomes included retention in care, antiretroviral therapy (ART) initiation, and documented transfer. Suboptimal outcomes included retention in care without ART initiation among eligible patients or those without eligibility data. Poor outcomes included loss to follow-up and death. Results The comprehensive HIV care cascade demonstrated that at 3, 6 and 12 months, 58%, 51%, and 49% of patients had optimal outcomes; 22%, 12%, and 7% had suboptimal outcomes, and 20%, 37% and 44% had poor outcomes. Of all patients enrolled in care, 56% were retained in care at 12 months after enrollment. In comparison, the traditional HIV treatment cascade found 89% of patients enrolled in HIV care were assessed for ART eligibility, of whom 48% were determined to be ART-eligible with 70% initiating ART, and 78% of those initiated on ART retained at 12 months. Conclusions The comprehensive HIV care cascade follows outcomes of all patients, including pre-ART patients, who enroll in HIV care over time and uses quality of care parameters for categorizing outcomes. The comprehensive HIV care cascade provides complementary information to that of the traditional HIV treatment cascade and is a valuable tool for monitoring HIV program performance. PMID:26375466

  15. Orphan/vulnerable child caregiving moderates the association between women's autonomy and their BMI in three African countries. (United States)

    Kanamori, Mariano; Carter-Pokras, Olivia; Madhavan, Sangeetha; Feldman, Robert; He, Xin; Lee, Sunmin


    Enhancement of women's autonomy is a key factor for improving women's health and nutrition. With nearly 12 million orphan and vulnerable children (OVC) in Africa due to HIV/AIDS, the study of OVC primary caregivers' nutrition is fundamental. We investigated the association between married women's autonomy and their nutritional status; explored whether this relationship was modified by OVC primary caregiving; and analyzed whether decision-making autonomy mediated the association between household wealth and body mass index (BMI). This cross-sectional study used the data from Demographic Health Surveys collected during 2006-2007 from 20- to 49-year-old women in Namibia (n = 2633), Swaziland (n = 1395), and Zambia (n = 2920). Analyses included logistic regression, Sobel, and Goodman tests. Our results indicated that women's educational attainment increased the odds for being overweight (Swaziland and Zambia) and decreased the odds for being underweight (Namibia). In Zambia, having at least primary education increased the odds for being overweight only among child primary caregivers regardless of the OVC status of the child, and having autonomy for buying everyday household items increased the odds for being overweight only among OVC primary caregivers. Decision-making autonomy mediated the association between household wealth and OVC primary caregivers' BMI in Zambia (Z = 2.13, p value = 0.03). We concluded that depending on each country's contextual characteristics, having education can decrease the odds for being an underweight woman or increase the odds for being an overweight woman. Further studies should explore why in Namibia education has an effect on women's overweight status only among women who are caring for a child.

  16. Risk factors for domestic physical violence: national cross-sectional household surveys in eight southern African countries

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    Mitchell Steve


    Full Text Available Abstract Background The baseline to assess impact of a mass education-entertainment programme offered an opportunity to identify risk factors for domestic physical violence. Methods In 2002, cross-sectional household surveys in a stratified urban/rural last-stage random sample of enumeration areas, based on latest national census in Botswana, Lesotho, Malawi, Mozambique, Namibia, Swaziland, Zambia and Zimbabwe. Working door to door, interviewers contacted all adults aged 16–60 years present on the day of the visit, without sub-sampling. 20,639 adults were interviewed. The questionnaire in 29 languages measured domestic physical violence by the question "In the last year, have you and your partner had violent arguments where your partner beat, kicked or slapped you?" There was no measure of severity or frequency of physical violence. Results 14% of men (weighted based on 1,294/8,113 and 18% of women (weighted based on 2,032/11,063 reported being a victim of partner physical violence in the last year. There was no convincing association with age, income, education, household size and remunerated occupation. Having multiple partners was strongly associated with partner physical violence. Other associations included the income gap within households, negative attitudes about sexuality (for example, men have the right to sex with their girlfriends if they buy them gifts and negative attitudes about sexual violence (for example, forcing your partner to have sex is not rape. Particularly among men, experience of partner physical violence was associated with potentially dangerous attitudes to HIV infection. Conclusion Having multiple partners was the most consistent risk factor for domestic physical violence across all countries. This could be relevant to domestic violence prevention strategies.

  17. Future water availability in North African dams simulated by high-resolution regional climate models (United States)

    Tramblay, Yves; Jarlan, Lionel; Hanich, Lahoucine; Somot, Samuel


    In North Africa, the countries of Morocco, Algeria and Tunisia are already experiencing water scarcity and a strong interannual variability of precipitation. To better manage their existing water resources, several dams and reservoirs have been built on most large river catchments. The objective of this study is to provide quantitative scenarios of future changes in water availability for the 47 major dams and reservoirs catchments located in North Africa. An ensemble of regional climate models (RCM) with a spatial resolution of 12km, driven by different general circulation models (GCM), from the EuroCORDEX experiment have been considered to analyze the projected changes on temperature, precipitation and potential evapotranspiration (PET) for two scenarios (RCP4.5 and RCP8.5) and two time horizons (2040-2065 and 2065-2090). PET is estimated from RCM outputs either with the FAO-Penman-Monteith (PM) equation, requiring air temperature, relative humidity, net radiation and wind, or with the Hargreave Samani (HS) equation, requiring only air temperature. The water balance is analyzed by comparing the climatic demand and supply of water, considering that for most of these catchments groundwater storage is negligible over long time periods. Results indicated a future temperature increase for all catchments between +1.8° and +4.2°, depending on the emission scenario and the time period considered. Precipitation is projected to decrease between -14% to -27%, mainly in winter and spring, with a strong East to West gradient. PET computed from PM or HS formulas provided very similar estimates and projections, ranging between +7% to +18%. Changes in PET are mostly driven by rising temperatures and are greatest during dry summer months than for the wet winter season. Therefore the increased PET has a lower impact than declining precipitation on future water availability, which is expected to decrease by -19% to -33% on average.

  18. Preparing for dengue vaccine introduction in ASEAN countries: recommendations from the first ADVA regional workshop. (United States)

    Thisyakorn, Usa; Capeding, Maria R; Goh, Daniel Yam Thiam; Hadinegoro, Sri Rezeki; Ismail, Zulkifli; Tantawichien, Terapong; Yoksan, Sutee; Pang, Tikki


    The independent, scientific and educational The Association of South East Asian Nations (ASEAN) Member States Dengue Vaccination Advocacy Steering Committee (ADVASC) was established in 2011 to address the practical challenges faced by ASEAN countries as they prepare for the eventual introduction of a dengue vaccine. ADVASC convened a workshop in September 2012 that drew together public health representatives and dengue experts from seven ASEAN countries in order to make practical recommendations to improve current surveillance and diagnostics for dengue to enable countries to assess consistently, and accurately communicate, the impact of a dengue vaccine. The workshop compared surveillance and diagnostic capacity in these ASEAN countries and made recommendations to streamline and harmonize key elements of these systems. In particular, attendees recommended the need for reconciliation and harmonization of the different World Health Organization guidelines, in use in ASEAN countries for case definition and surveillance of dengue.

  19. Health facility characteristics and their relationship to coverage of PMTCT of HIV services across four African countries: the PEARL study.

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    Didier K Ekouevi

    Full Text Available BACKGROUND: Health facility characteristics associated with effective prevention of mother-to-child transmission of HIV (PMTCT coverage in sub-Saharan are poorly understood. METHODOLOGY/PRINCIPAL FINDINGS: We conducted surveys in health facilities with active PMTCT services in Cameroon, Cote d'Ivoire, South Africa, and Zambia. Data was compiled via direct observation and exit interviews. We constructed composite scores to describe provision of PMTCT services across seven topical areas: antenatal quality, PMTCT quality, supplies available, patient satisfaction, patient understanding of medication, and infrastructure quality. Pearson correlations and Generalized Estimating Equations (GEE to account for clustering of facilities within countries were used to evaluate the relationship between the composite scores, total time of visit and select individual variables with PMTCT coverage among women delivering. Between July 2008 and May 2009, we collected data from 32 facilities; 78% were managed by the government health system. An opt-out approach for HIV testing was used in 100% of facilities in Zambia, 63% in Cameroon, and none in Côte d'Ivoire or South Africa. Using Pearson correlations, PMTCT coverage (median of 55%, (IQR: 33-68 was correlated with PMTCT quality score (rho = 0.51; p = 0.003; infrastructure quality score (rho = 0.43; p = 0.017; time spent at clinic (rho = 0.47; p = 0.013; patient understanding of medications score (rho = 0.51; p = 0.006; and patient satisfaction quality score (rho = 0.38; p = 0.031. PMTCT coverage was marginally correlated with the antenatal quality score (rho = 0.304; p = 0.091. Using GEE adjustment for clustering, the, antenatal quality score became more strongly associated with PMTCT coverage (p<0.001 and the PMTCT quality score and patient understanding of medications remained marginally significant. CONCLUSIONS/RESULTS: We observed a positive relationship between

  20. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE)

    DEFF Research Database (Denmark)

    O'Donnell, Martin J; Chin, Siu Lim; Rangarajan, Sumathy


    BACKGROUND: Stroke is a leading cause of death and disability, especially in low-income and middle-income countries. We sought to quantify the importance of potentially modifiable risk factors for stroke in different regions of the world, and in key populations and primary pathological subtypes o...

  1. Shrinking regions in a shrinking country: The geography of population decline in Lithuania 2001-2011 (discussion paper)

    NARCIS (Netherlands)

    Ubareviciene, R.; Van Ham, M.; Burneika, D.


    Shrinking populations have been gaining increasing attention, especially in post-socialist East and Central European countries. While most studies focus on the population decline of capital cities and their regions, much less is known about the spatial dimension of population decline on the national

  2. A review of the evidence to support influenza vaccine introduction in countries and areas of WHO's Western Pacific Region.

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    Gina Samaan

    Full Text Available BACKGROUND: Immunization against influenza is considered an essential public health intervention to control both seasonal epidemics and pandemic influenza. According to the World Health Organization (WHO, there are five key policy and three key programmatic issues that decision-makers should consider before introducing a vaccine. These are (a public health priority, (b disease burden, (c efficacy, quality and safety of the vaccine, (d other inventions, (e economic and financial issues, (f vaccine presentation, (g supply availability and (h programmatic strength. We analyzed the body of evidence currently available on these eight issues in the WHO Western Pacific Region. METHODOLOGY/PRINCIPAL FINDINGS: Studies indexed in PubMed and published in English between 1 January 2000 and 31 December 2010 from the 37 countries and areas of the Western Pacific Region were screened for keywords pertaining to the five policy and three programmatic issues. Studies were grouped according to country income level and vaccine target group. There were 133 articles that met the selection criteria, with most (90% coming from high-income countries. Disease burden (n = 34, vaccine efficacy, quality and safety (n = 27 and public health priority (n = 27 were most frequently addressed by studies conducted in the Region. Many studies assessed influenza vaccine policy and programmatic issues in the general population (42%, in the elderly (24% and in children (17%. Few studies (2% addressed the eight issues relating to pregnant women. CONCLUSIONS/SIGNIFICANCE: The evidence for vaccine introduction in countries and areas in this Region remains limited, particularly in low- and middle-income countries that do not currently have influenza vaccination programmes. Surveillance activities and specialized studies can be used to assess the eight issues including disease burden among vaccine target groups and the cost-effectiveness of influenza vaccine. Multi-country studies should

  3. Control of African swine fever epidemics in industrialized swine populations

    DEFF Research Database (Denmark)

    Hisham Beshara Halasa, Tariq; Bøtner, Anette; Mortensen, Sten


    African swine fever (ASF) is a notifiable infectious disease with a high impact on swine health. The disease is endemic in certain regions in the Baltic countries and has spread to Poland constituting a risk of ASF spread toward Western Europe. Therefore, as part of contingency planning, it is im......African swine fever (ASF) is a notifiable infectious disease with a high impact on swine health. The disease is endemic in certain regions in the Baltic countries and has spread to Poland constituting a risk of ASF spread toward Western Europe. Therefore, as part of contingency planning...

  4. Managed European-Derived Honey Bee, Apis mellifera sspp, Colonies Reduce African-Matriline Honey Bee, A. m. scutellata, Drones at Regional Mating Congregations. (United States)

    Mortensen, Ashley N; Ellis, James D


    African honey bees (Apis mellifera scutellata) dramatically changed the South American beekeeping industry as they rapidly spread through the Americas following their introduction into Brazil. In the present study, we aimed to determine if the management of European-derived honey bees (A. mellifera sspp.) could reduce the relative abundance of African-matriline drones at regional mating sites known as drone congregation areas (DCAs). We collected 2,400 drones at six DCAs either 0.25 km or >2.8 km from managed European-derived honey bee apiaries. The maternal ancestry of each drone was determined by Bgl II enzyme digestion of an amplified portion of the mitochondrial Cytochrome b gene. Furthermore, sibship reconstruction via nuclear microsatellites was conducted for a subset of 1,200 drones to estimate the number of colonies contributing drones to each DCA. Results indicate that DCAs distant to managed European apiaries (>2.8 km) had significantly more African-matriline drones (34.33% of the collected drones had African mitochondrial DNA) than did DCAs close (0.25 km) to managed European apiaries (1.83% of the collected drones had African mitochondrial DNA). Furthermore, nuclear sibship reconstruction demonstrated that the reduction in the proportion of African matriline drones at DCAs near apiaries was not simply an increase in the number of European matriline drones at the DCAs but also the result of fewer African matriline colonies contributing drones to the DCAs. Our data demonstrate that the management of European honey bee colonies can dramatically influence the proportion of drones with African matrilines at nearby drone congregation areas, and would likely decreasing the probability that virgin European queens will mate with African drones at those drone congregation areas.

  5. Plate Kinematic model of the NW Indian Ocean and derived regional stress history of the East African Margin (United States)

    Tuck-Martin, Amy; Adam, Jürgen; Eagles, Graeme


    Starting with the break up of Gondwana, the northwest Indian Ocean and its continental margins in Madagascar, East Africa and western India formed by divergence of the African and Indian plates and were shaped by a complicated sequence of plate boundary relocations, ridge propagation events, and the independent movement of the Seychelles microplate. As a result, attempts to reconcile the different plate-tectonic components and processes into a coherent kinematic model have so far been unsatisfactory. A new high-resolution plate kinematic model has been produced in an attempt to solve these problems, using seafloor spreading data and rotation parameters generated by a mixture of visual fitting of magnetic isochron data and iterative joint inversion of magnetic isochron and fracture zone data. Using plate motion vectors and plate boundary geometries derived from this model, the first-order regional stress pattern was modelled for distinct phases of margin formation. The stress pattern is correlated with the tectono-stratigraphic history of related sedimentary basins. The plate kinematic model identifies three phases of spreading, from the Jurassic to the Paleogene, which resulted in the formation of three main oceanic basins. Prior to these phases, intracontinental 'Karoo' rifting episodes in the late Carboniferous to late Triassic had failed to break up Gondwana, but initiated the formation of sedimentary basins along the East African and West Madagascan margins. At the start of the first phase of spreading (183 to 133 Ma) predominantly NW - SE extension caused continental rifting that separated Madagascar/India/Antarctica from Africa. Maximum horizontal stresses trended perpendicular to the local plate-kinematic vector, and parallel to the rift axes. During and after continental break-up and subsequent spreading, the regional stress regime changed drastically. The extensional stress regime became restricted to the active spreading ridges that in turn adopted trends

  6. China-Africa Health Development Initiatives: Benefits and Implications for Shaping Innovative and Evidence-informed National Health Policies and Programs in Sub-saharan African Countries (United States)

    Tambo, Ernest; Ugwu, Chidiebere E.; Guan, Yayi; Wei, Ding; Xiao-Ning; Xiao-Nong, Zhou


    Background and Introduction: This review paper examines the growing implications of China’s engagement in shaping innovative national initiatives against infectious diseases and poverty control and elimination in African countries. It seeks to understand the factors and enhancers that can promote mutual and innovative health development initiatives, and those that are necessary in generating reliable and quality data for evidence-based contextual policy, priorities and programs. Methods: We examined the China-Africa health cooperation in supporting global health agenda on infectious diseases such as malaria, schistosomiasis, Ebola, TB, HIV/AIDS, neglected tropical diseases (NTDs) prevention, control and elimination spanning a period of 10 years. We reviewed referenced publications, global support data, and extensive sources related to and other emerging epidemics and infectious diseases of poverty, programs and interventions, health systems development issues, challenges, opportunities and investments. Published literature in PubMed, Scopus, Google Scholar, Books and web-based peer-reviewed journal articles, government annual reports were assessed from the first Forum on China-Africa Cooperation (FOCAC) in November 2006 to December 2015 Third Ministerial conferences. Results: Our findings highlight current shared public health challenges and emphasize the need to nurture, develop and establish effective, functional and sustainable health systems capacity to detect and respond to all public health threats and epidemic burdens, evidence-based programs and quality care outcomes. China’s significant health diplomacy emphasizes the importance of health financing in establishing health development commitment and investment in improving the gains and opportunities, importantly efficiency and value health priorities and planning. Conclusions and Global Health Implications: Strengthening China-Africa health development agenda towards collective commitment and investment

  7. The Analysis and Evaluation of Trends in the Socio-Economic Development of European Union Countries and their Regions

    Directory of Open Access Journals (Sweden)

    Yaroshenko Igor V.


    Full Text Available The modern development of Ukraine and its regions on the background of the ongoing European integration process requires a detailed study of the experience of forming the European regional policy, positive examples and trends that have contributed to economic growth of the territories and improvement of population welfare of EU countries with a view to their use in forming the own national policy in the country. The EU regional policy, which is called the “unification” policy, as part of the European structural policy is aimed at solving development problems of the territories, primarily, depressive, old industrial, underdeveloped ones reducing the existing imbalances in social and economic development of the regions and preventing the emergence of inter-regional imbalances in the European Union. Studies of the uneven development of a country’s territories are an important part of its government policy. Identification of the main features of the asymmetry makes it possible not only to reveal the current situation with imbalances in the regional potential for sustainable development but also to assess the government’s actions aimed at their elimination. For Ukraine, which sets a goal to integrate into the European community, a detailed study of the experience and analysis of the priority principles of EU countries’ regional policy are very feasible in the formation and implementation of its own regional policy with regard to the best European principles of organization of managing the regional and local development and local government reform. Using the best practices of the regional policy of EU countries in Central and Eastern Europe, which show stable positive change in the socio-economic development, can appear to be of a special value

  8. Supporting the Contribution of Higher Education to Regional Development: Lessons Learned from an OECD Review of 14 Regions throughout 12 Countries (United States)

    Marmolejo, Francisco; Puukka, Jaana


    Following decades of expansion in higher education, policy attention in OECD countries has begun to focus on the outcomes of higher education including how universities and other higher education institutions contribute to regional development. With the processes of globalisation and localisation, the local availability of knowledge and skills and…

  9. Sustainable groundwater management system based on the regional hydrological cycle in the warm humid country, Japan (United States)

    Shimada, J.; Crest Kumamoto Groundwater Team


    The increase of precipitation variability with the global warming and the rapid population growth lead to the shortage of water resources on a global scale. Groundwater bocome attracted as a relatively stable water resource because of its larger reservoir and a longer residence time. As our country belongs to a warm humid climate with much precipitation and a steep topography, the regional hydrological cycle is extremely active. Surface water could be taken easily and was often used to a water supply until now, but recently groundwater is taking the place of surface water because of the stability of water supply. While in our hydro-climatic condition, the sustainable use of groundwater is possible under the appropriative management, that is, groundwater pumping rate does not exceed the recharge rate in a basin. For the sustainable use of groundwater resources, this project aims to develop new technologies relating to the quantity and quality aspects of groundwater resources. For the precise understanding of groundwater flow system, new technologies will be developed, like frequency changeable electric resistivity exploration method to evaluate an aquifer structure. There are many problems about groundwater quality including nitrate-nitrogen contamination and toxic substances from the domestic and industrial waste disposals. It is necessary to understand the production mechanism to prevent groundwater contamination and the degradation process of nitrate-nitrogen contamination to improve the water quality. Therefore this project will develop new technologies including the reduction of NO3=N and natural toxic substances loads before groundwater recharge, the on-site removal of contaminants from aquifers, and simple and effective equipment to improve groundwater quality after pumping. Furthermore, this project will also develop a new biological monitoring technique for local groundwater users to notice the contamination at a glance; change colar fish by specific ion

  10. An integrated approach to scale up the market penetration of low carbon technologies in developing countries and water scarce regions (United States)

    Thompson, Michelle Angela

    Water scarcity is a global challenge that stifles social and economic growth. There is a growing concern to examine the water-energy nexus to understand the importance of applying energy and water interactions to technology. In developing countries there are many communities that live off-grid in remote region with no access to electricity or clean water. Additionally, there are developed countries that are located in regions with electricity but no access to clean water. Recent developments in renewable energy technology and energy policies have greatly reduced the costs of renewable energy making them more attractive and affordable. The purpose of this dissertation is to evaluate the main barriers to deploying renewables to non-Organization for Economic Co-operation and Development (non-OECD) countries and member countries of the Organization for Economic Co-operation and Development (OECD). This dissertation examines the potential of renewable desalination technology systems across emerging countries. The findings of this research can serve as the basis for investors interested in entering this market. The combined chapters seek to address potential problems regarding the costs, methods, and tools required for the implementation of the appropriate water purification technologies for off-grid, community scale infrastructures.

  11. West African monsoon intraseasonal activity and its daily precipitation indices in regional climate models: diagnostics and challenges (United States)

    Poan, E. D.; Gachon, P.; Dueymes, G.; Diaconescu, E.; Laprise, R.; Seidou Sanda, I.


    The West African monsoon intraseasonal variability has huge socio-economic impacts on local populations but understanding and predicting it still remains a challenge for the weather prediction and climate scientific community. This paper analyses an ensemble of simulations from six regional climate models (RCMs) taking part in the coordinated regional downscaling experiment, the ECMWF ERA-Interim reanalysis (ERAI) and three satellite-based and observationally-constrained daily precipitation datasets, to assess the performance of the RCMs with regard to the intraseasonal variability. A joint analysis of seasonal-mean precipitation and the total column water vapor (also called precipitable water— PW) suggests the existence of important links at different timescales between these two variables over the Sahel and highlights the relevance of using PW to follow the monsoon seasonal cycle. RCMs that fail to represent the seasonal-mean position and amplitude of the meridional gradient of PW show the largest discrepancies with respect to seasonal-mean observed precipitation. For both ERAI and RCMs, spectral decompositions of daily PW as well as rainfall show an overestimation of low-frequency activity (at timescales longer than 10 days) at the expense of the synoptic (timescales shorter than 10 days) activity. Consequently, the effects of the African Easterly Waves and the associated mesoscale convective systems are substantially underestimated, especially over continental regions. Finally, the study investigates the skill of the models with respect to hydro-climatic indices related to the occurrence, intensity and frequency of precipitation events at the intraseasonal scale. Although most of these indices are generally better reproduced with RCMs than reanalysis products, this study indicates that RCMs still need to be improved (especially with respect to their subgrid-scale parameterization schemes) to be able to reproduce the intraseasonal variance spectrum adequately.

  12. Bridging the Gap between Academic Research and Regional Development in the Basque Country (United States)

    Karlsen, James; Larrea, Miren; Wilson, James R.; Aranguren, Mari Jose


    The discussion in this article focuses on how the gap between academic knowledge and regional development can be bridged, creating conditions for change processes between researchers and regional agents. Institutional entrepreneurs can create regional development organisations and research organisations, but in order to fulfil regional needs it is…

  13. Internationalization, Regionalization, and Soft Power: China's Relations with ASEAN Member Countries in Higher Education (United States)

    Yang, Rui


    Since the late 1980s, there has been a resurgence of regionalism in world politics. Prospects for new alliances are opened up often on a regional basis. In East and Southeast Asia, regionalization is becoming evident in higher education, with both awareness and signs of a rising ASEAN+3 higher education community. The quest for regional influence…

  14. State of neonatal health care in eight countries of the SAARC region, South Asia: how can we make a difference? (United States)

    Das, Jai K; Rizvi, Arjumand; Bhatti, Zaid; Paul, Vinod; Bahl, Rajiv; Shahidullah, Mohammod; Manandhar, Dharma; Stanekzai, Hedayatullah; Amarasena, Sujeewa; Bhutta, Zulfiqar A


    The South Asian Association for Regional Cooperation (SAARC) is an organization of eight countries--Bangladesh, Bhutan, India, the Maldives, Nepal, Pakistan, Sri Lanka and Afghanistan. The major objectives of this review are to examine trends and progress in newborn and neonatal health care in the region. A landscape analysis of the current state of neonatal mortality, stillbirths and trends over the years for each country and the effective interventions to reduce neonatal mortality and stillbirths was undertaken. A modelling exercise using the Lives Saved Tool (LiST) was also undertaken to determine the impact of scaling up a set of essential interventions on neonatal mortality and stillbirths. The findings demonstrate that there is an unacceptably high and uneven burden of neonatal mortality and stillbirths in the region which together account for 39% of global neonatal deaths and 41% of global stillbirths. Progress is uneven across countries in the region, with five of the eight SAARC countries having reduced their neonatal mortality rate by more than 50% since 1990, while India (43%), Afghanistan (29%) and Pakistan (25%) have made slower progress and will not reach their MDG4 targets. The major causes of neonatal mortality are intrapartum-related deaths, preterm birth complications and sepsis which account for nearly 80% of all deaths. The LiST analysis shows that a gradual increase in coverage of proven available interventions until 2020 followed by a uniform scale-up to 90% of all interventions until 2030 could avert 52% of neonatal deaths (0.71 million), 29% of stillbirths (0.31 million) and achieve a 31% reduction in maternal deaths (0.25 million). The analysis demonstrates that the Maldives and Sri Lanka have done remarkably well while other countries need greater attention and specific focus on strategies to improve neonatal health.

  15. Assessment of African Swine Fever Diagnostic Techniques as a Response to the Epidemic Outbreaks in Eastern European Union Countries: How To Improve Surveillance and Control Programs. (United States)

    Gallardo, C; Nieto, R; Soler, A; Pelayo, V; Fernández-Pinero, J; Markowska-Daniel, I; Pridotkas, G; Nurmoja, I; Granta, R; Simón, A; Pérez, C; Martín, E; Fernández-Pacheco, P; Arias, M


    This study represents a complete comparative analysis of the most widely used African swine fever (ASF) diagnostic techniques in the European Union (EU) using field and experimental samples from animals infected with genotype II ASF virus (ASFV) isolates circulating in Europe. To detect ASFV, three different PCRs were evaluated in parallel using 785 field and experimental samples. The results showed almost perfect agreement between the Universal ProbeLibrary (UPL-PCR) and the real-time (κ = 0.94 [95% confidence interval {CI}, 0.91 to 0.97]) and conventional (κ = 0.88 [95% CI, 0.83 to 0.92]) World Organisation for Animal Health (OIE)-prescribed PCRs. The UPL-PCR had greater diagnostic sensitivity for detecting survivors and allows earlier detection of the disease. Compared to the commercial antigen enzyme-linked immunosorbent assay (ELISA), good-to-moderate agreement (κ = 0.67 [95% CI, 0.58 to 0.76]) was obtained, with a sensitivity of 77.2% in the commercial test. For ASF antibody detection, five serological methods were tested, including three commercial ELISAs, the OIE-ELISA, and the confirmatory immunoperoxidase test (IPT). Greater sensitivity was obtained with the IPT than with the ELISAs, since the IPT was able to detect ASF antibodies at an earlier point in the serological response, when few antibodies are present. The analysis of the exudate tissues from dead wild boars showed that IPT might be a useful serological tool for determining whether or not animals had been exposed to virus infection, regardless of whether antibodies were present. In conclusion, the UPL-PCR in combination with the IPT was the most trustworthy method for detecting ASF during the epidemic outbreaks affecting EU countries in 2014. The use of the most appropriate diagnostic tools is critical when implementing effective control programs.

  16. A review of groundwater recharge estimation in humid and semi-arid African regions (United States)

    Chung, Il-Moon; Kim, Nam Won


    For the review of African recharge estimation, the distinct methods such as the geochemical approach, a method using groundwater level data, the streamflow method, and the water balance methods were first outlined. The major challenge of an African recharge study is the lack of basic data. Thus, this work suggests how to deal with this limitation and from future perspective using recently developed technologies such as RS, GIS, etc. With the rapid growth of information technology, more and more data, in terms of both volume and variety, are expected to be made available on the internet in the near future. RS technology has a great potential to revolutionize the groundwater development and management in the future by providing unique and completely new hydrological and hydrogeological data. However, at present, the RS data should be considered along with the conventional field data. In spite of the weaknesses of water balance methods in semi-arid areas, recently developed water balance methods combined with GIS technology are powerful tools for estimating groundwater re-charge, when spatial-temporal variability of components in water balance is taken into account (Lerner et al., 1990; De Vries and Simmers, 2002; Eilers et al., 2007).When enough data sets are available, integrated surface-groundwater modeling is recommended for more accurate estimation of groundwater recharge and discharge. Acknowledgements This work was supported by a grant(14RDRP-B076275-01-000000) from Infrastructure and transportation technology promotion research Program funded by the Ministry of Land, Infrastructure and Transport of Korean government.

  17. [Detection of HIV antibodies in a rural region of a developing country]. (United States)

    Courtois, X; Baccard-Longere, M; Dibi, K


    A HIV seroprevalence among 312 antenatal mothers at their first visit to the Idjwi isle's hospital, in Zaïre, near Rwanda, and among 61 other patients, was made with the HIV1 Immunocomb of PBS Orgenics during one year: 1989. The seroprevalence is 0.32%, in this rural area, as was confirmed by Western-Blot. A panel of this 51 "false and true positive" and 13 negative african sera was tested with one other ELISA and two new rapid tests used in France, HIV CHEK 1 + 2 and TEST PACK HIV1/HIV2 to evaluate efficacy under conditions in which transfusions are normally given. These were performed within 15 mn of receipt of blood from a donor in Zaïre.

  18. Managed European-Derived Honey Bee, Apis mellifera sspp, Colonies Reduce African-Matriline Honey Bee, A. m. scutellata, Drones at Regional Mating Congregations (United States)

    Mortensen, Ashley N.; Ellis, James D.


    African honey bees (Apis mellifera scutellata) dramatically changed the South American beekeeping industry as they rapidly spread through the Americas following their introduction into Brazil. In the present study, we aimed to determine if the management of European-derived honey bees (A. mellifera sspp.) could reduce the relative abundance of African-matriline drones at regional mating sites known as drone congregation areas (DCAs). We collected 2,400 drones at six DCAs either 0.25 km or >2.8 km from managed European-derived honey bee apiaries. The maternal ancestry of each drone was determined by Bgl II enzyme digestion of an amplified portion of the mitochondrial Cytochrome b gene. Furthermore, sibship reconstruction via nuclear microsatellites was conducted for a subset of 1,200 drones to estimate the number of colonies contributing drones to each DCA. Results indicate that DCAs distant to managed European apiaries (>2.8 km) had significantly more African−matriline drones (34.33% of the collected drones had African mitochondrial DNA) than did DCAs close (0.25 km) to managed European apiaries (1.83% of the collected drones had African mitochondrial DNA). Furthermore, nuclear sibship reconstruction demonstrated that the reduction in the proportion of African matriline drones at DCAs near apiaries was not simply an increase in the number of European matriline drones at the DCAs but also the result of fewer African matriline colonies contributing drones to the DCAs. Our data demonstrate that the management of European honey bee colonies can dramatically influence the proportion of drones with African matrilines at nearby drone congregation areas, and would likely decreasing the probability that virgin European queens will mate with African drones at those drone congregation areas. PMID:27518068

  19. Attainment of MDGs through tourism in the Central African sub-region: Implications for local economic development in Cameroon

    Directory of Open Access Journals (Sweden)

    Albert N. Kimbu


    Full Text Available This paper examines the role and contribution of tourism to local economic development and in the attainment of the Millennium Development Goals one and seven dealing with extreme poverty alleviation and environmental sustainability in the biodiversity endowed Central African sub-region. The concepts of sustainable tourism development and local economic development (in sub-Saharan Africa are examined. Through field observations and semi-structured interviews with 21 tourism industry stakeholders in Cameroon, an analysis of tourism’s role and future in LED and in the attainment of the Millennium Development Goals 1 & 7 is undertaken. The core challenges presently inhibiting tourism’s development thereby limiting its contribution to local economic development and the attainment of these goals in Cameroon are identified and a framework within which tourism’s contribution can be increased is proposed.

  20. Economic Community of West African States Regional Integration Process: A Study of the New Regionalism Phenomenon in Africa


    Gavua, Innocent Komla


    Regional cooperation and integration in the international system has taken new dimensions especially following the end of the Cold War and the example of the successful story of the European Union integration process. This new dynamism in the intra-regional cooperation, which started to emerge in the 1980’s, has been described by some scholars as ‘new regionalism’, with a view to differentiate it from the ‘old’ type of regional cooperation which was prominent from the 1950’s till the late 197...

  1. Liberalizing financial services trade in Africa: Going regional and multilateral


    JANSEN, Marion; Vennes, Yannick


    This paper analyses the possible gains from regional and multilateral liberalization of financial services trade for African countries taking into account the implications of such liberalization for financial regulation and capital account liberalization. It also describes existing efforts to integrate financial markets within four African regions (WAEMU, CEMAC, SADC and COMESA) and discusses the existing GATS commitments of the relevant countries with respect to financial services. Although ...

  2. Consumption of fruits and vegetables among adolescents: a multi-national comparison of eleven countries in the Eastern Mediterranean Region. (United States)

    Al Ani, M F; Al Subhi, L K; Bose, S


    Regional cross-country profile of fruit and vegetable (F&V) consumption is lacking in the Eastern Mediterranean Region (EMR). This study examines the prevalence and differences of consuming F&V ≥5 times/d among adolescents in eleven EMR countries, and also describes differences in the proportions of taking F&V ≥5 times/d by sex, age and BMI. The study included 26 328 school adolescents (13-15 years) with complete data on consumption of F&V, age, sex, weight and height taken from the Global School-based Student Health Survey conducted in the EMR between 2005 and 2009. Overall, only 19·4 % of adolescents reported consuming F&V ≥5 times/d. The highest prevalence was reported in Djibouti (40·4 %) and the lowest was reported in Pakistan (10·0 %). Statistically significant differences in prevalence were observed across countries (P<0·05). With the exception of Oman, Libya and Djibouti, significantly more males than females ate F&V ≥5 times/d. Proportion of students consuming F&V ≥5 times/d also varied significantly in all counties based on BMI (P<0·0001), with students within normal BMI having the highest frequency. A negative trend was observed between age and the prevalence of taking F&V ≥5 times/d in most of the eleven EMR countries but Jordan, Djibouti and Morocco. The prevalence of adequate intake of F&V was low in the eleven EMR countries. There is a need for interventions to increase the prevalence of adolescents consuming F&V ≥5 times/d. Interventions should take into consideration psychosocial, environmental and socio-environmental factors influencing F&V intake within countries.

  3. Equity, Institutional Diversity and Regional Development: A Cross-Country Comparison (United States)

    Pinheiro, Rómulo; Charles, David; Jones, Glen A.


    This paper investigates historical and current developments regarding governmental policies aimed at enhancing spatial equity (access) or decentralisation of higher education provision in three countries--Australia, Canada and Norway. We then shed light on the links or interrelations between policy objectives and initiatives and institutional…

  4. Population and development scenarios for EU neighbor countries in the South and East Mediterranean region

    NARCIS (Netherlands)

    Groenewold, W.G.F.; de Beer, J.A.A.


    This paper presents four population and development scenarios for 11 South and East Mediterranean countries (SEMC) for the period 2010-2050. Focus of analysis of scenario results is on working age population prospects, economic consequences, migration pressure in four migrant-sending SEMCs (Algeria,

  5. Contracting but not without caution: experience with outsourcing of health services in countries of the Eastern Mediterranean Region. (United States)

    Siddiqi, Sameen; Masud, Tayyeb Imran; Sabri, Belgacem


    The public sector in developing countries is increasingly contracting with the non-state sector to improve access, efficiency and quality of health services. We conducted a multicountry study to assess the range of health services contracted out, the process of contracting and its influencing factors in ten countries of the Eastern Mediterranean Region: Afghanistan, Bahrain, Egypt, Islamic Republic of Iran, Jordan, Lebanon, Morocco, Pakistan, the Syrian Arab Republic and Tunisia. Our results showed that Afghanistan, Egypt, Islamic Republic of Iran and Pakistan had experience with outsourcing of primary care services; Jordan, Lebanon and Tunisia extensively contracted out hospital and ambulatory care services; while Bahrain, Morocco and the Syrian Arab Republic outsourced mainly non-clinical services. The interest of the non-state sector in contracting was to secure a regular source of revenue and gain enhanced recognition and credibility. While most countries promoted contracting with the private sector, the legal and bureaucratic support in countries varied with the duration of experience with contracting. The inherent risks evident in the contracting process were reliance on donor funds, limited number of providers in rural areas, parties with vested interests gaining control over the contracting process, as well as poor monitoring and evaluation mechanisms. Contracting provides the opportunity to have greater control over private providers in countries with poor regulatory capacity, and if used judiciously can improve health system performance.

  6. Conflict and human African trypanosomiasis. (United States)

    Berrang-Ford, Lea; Lundine, Jamie; Breau, Sebastien


    Human African Trypanosomiasis (HAT) has reemerged in sub-Saharan Africa as a disease of major public health importance. The success of HAT elimination in sub-Saharan Africa is subject to the feasibility of controlling, eliminating, or mitigating the determinants of incidence in affected countries. Conflict has been widely recognized and cited as a contributing factor to the resurgence of HAT in many countries, as well as to continuing HAT incidence in politically unstable and resource-poor regions. Despite extensive anecdotal and qualitative recognition of the role of conflict, there has been no quantitative research of this topic at the population level in affected African countries. We characterize the qualitative and quantitative associations between HAT incidence and conflict-related processes in HAT-affected African countries over the past 30 years. HAT and conflict-related data were collected for 35 affected countries in sub-Saharan Africa for the years 1976-2004. Descriptive and univariate inferential statistics, as well as negative binomial regression modeling, are used to assess the associations between HAT and conflict. A space-time scan statistic is used to identify significant incidence clusters. Clusters of HAT incidence over the past 30 years have predominantly coincided with periods of conflict or socio-political instability. HAT cases occurred significantly more often in countries and during years with conflict, high political terror, and internationalized civil war. The results indicate a lag period between the start of conflict events and a peak in incidence of approximately 10 years. We recommend explicit consideration and quantification of socio-political measures such as conflict and terror indices in GIS (Geographic Information Systems)-based risk assessments for HAT policy and intervention.

  7. Understanding and simulating the link between African easterly waves and Atlantic tropical cyclones using a regional climate model: the role of domain size and lateral boundary conditions

    Energy Technology Data Exchange (ETDEWEB)

    Caron, Louis-Philippe [MISU, Stockholm University, Stockholm (Sweden); Universite du Quebec a Montreal, CRCMD Network, Montreal, QC (Canada); Jones, Colin G. [Swedish Meterological and Hydrological Institute, Rossby Center, Norrkoeping (Sweden)


    Using a suite of lateral boundary conditions, we investigate the impact of domain size and boundary conditions on the Atlantic tropical cyclone and african easterly Wave activity simulated by a regional climate model. Irrespective of boundary conditions, simulations closest to observed climatology are obtained using a domain covering both the entire tropical Atlantic and northern African region. There is a clear degradation when the high-resolution model domain is diminished to cover only part of the African continent or only the tropical Atlantic. This is found to be the result of biases in the boundary data, which for the smaller domains, have a large impact on TC activity. In this series of simulations, the large-scale Atlantic atmospheric environment appears to be the primary control on simulated TC activity. Weaker wave activity is usually accompanied by a shift in cyclogenesis location, from the MDR to the subtropics. All ERA40-driven integrations manage to capture the observed interannual variability and to reproduce most of the upward trend in tropical cyclone activity observed during that period. When driven by low-resolution global climate model (GCM) integrations, the regional climate model captures interannual variability (albeit with lower correlation coefficients) only if tropical cyclones form in sufficient numbers in the main development region. However, all GCM-driven integrations fail to capture the upward trend in Atlantic tropical cyclone activity. In most integrations, variations in Atlantic tropical cyclone activity appear uncorrelated with variations in African easterly wave activity. (orig.)

  8. Multiyear simulation of the African climate using a regional climate model (RegCM3) with the high resolution ERA-interim reanalysis

    Energy Technology Data Exchange (ETDEWEB)

    Sylla, Mouhamadou Bamba [Cheikh Anta Diop University, Laboratory for Atmospheric Physics, Simeon Fongang (LPASF), Polytechnic School, BP 5085, Dakar (Senegal); Coppola, E.; Giorgi, F.; Bi, X. [International Centre for Theoretical Physics (ICTP), Physics of Weather and Climate Group, Earth System Physics Section, Trieste (Italy); Mariotti, L. [International Centre for Theoretical Physics (ICTP), Physics of Weather and Climate Group, Earth System Physics Section, Trieste (Italy); University of L' Aquila, Department of Physics, Centre of Excellence CETEMPS, L' Aquila (Italy); Ruti, P.M.; Dell' Aquila, A. [Casaccia Center, Ente per le Nuove Technologie, l' Energia e l' Ambiente (ENEA), Climate Section, Rome (Italy)


    This study examines the ability of the latest version of the International Centre for Theoretical Physics (ICTP) regional climate model (RegCM3) to reproduce seasonal mean climatologies, annual cycle and interannual variability over the entire African continent and different climate subregions. The new European Center for Medium Range Weather Forecast (ECMWF) ERA-interim reanalysis is used to provide initial and lateral boundary conditions for the RegCM3 simulation. Seasonal mean values of zonal wind profile, temperature, precipitation and associated low level circulations are shown to be realistically simulated, although the regional model still shows some deficiencies. The West Africa monsoon flow is somewhat overestimated and the Africa Easterly Jet (AEJ) core intensity is underestimated. Despite these biases, there is a marked improvement in these simulated model variables compared to previous applications of this model over Africa. The mean annual cycle of precipitation, including single and multiple rainy seasons, is well captured over most African subregions, in some cases even improving the quality of the ERA-interim reanalysis. Similarly, the observed precipitation interannual variability is well reproduced by the regional model over most regions, mostly following, and sometimes improving, the quality of the ERA-interim reanalysis. It is assessed that the performance of this model over the entire African domain is of sufficient quality for application to the study of climate change and climate variability over the African continent. (orig.)

  9. Country report for the regional (RCA) training workshop on contamination monitoring

    Energy Technology Data Exchange (ETDEWEB)

    Shantha, T.H.S. [Atomic Energy Authority (Sri Lanka)


    The Atomic Energy Authority (AEA) is the organization in Sri Lanka responsible for the regulatory and development of applications in nuclear technology. AEA was established in 1969 by the AEA Act No. 19 of 1969 and at present it is under the Ministry of Science, Technology and Human Resources Development. As a developing country, Sri Lanka still needs technical assistance to support the development of application in nuclear technology. So far this country doesn`t have any type of nuclear reactors. Most of activities in Sri Lanka are in health sector using x-ray and radioisotopes for diagnostic and therapeutic purposes. In addition to that few number of radioisotopes are used in industrial and research institutes. In this paper, the following items are described: radiation protection activities, emergency preparation and planning, food testing program, and nuclear technique in monitoring industrial pollution. (G.K.)

  10. Jatropha´s biodiesel in emerging countries: an alternative to regional development


    Ferreira,Willian José; Batista,Getulio Teixeira; Castro, Cristina Maria de; Devide, Antonio Carlos Pries


    In this paper we investigate some of the causes that has been limiting the use of JCL (Jatropha curcas L.) to supply the biodiesel industry in a sustainable fashion. These barriers could be observed in a case study involving Brazil and India, countries with rapid economic growth in the last decade and that have policies already structured for biodiesel and research in progress with JCL. The findings indicated the need to survey the entire production chain, including agronomic and technologica...

  11. Clinical Implementation of Cardiac Resynchronization Therapy—Regional Disparities across Selected ESC Member Countries (United States)

    Hatala, R; Lunati, M; Calvi, V; Favale, S; Goncalvesová, E; Haim, M; Jovanovic, V; Kaczmarek, K; Kautzner, J; Merkely, B; Pokushalov, E; Revishvili, A; Theodorakis, G; Vatasescu, R; Zalevsky, V; Zupan, I; Vicini, I; Corbucci, G


    Background The present analysis aimed to estimate the penetration of cardiac resynchronization therapy (CRT) on the basis of the prevalence and incidence of eligible patients in selected European countries and in Israel. Methods and Results The following countries were considered: Italy, Slovakia, Greece, Israel, Slovenia, Serbia, the Czech Republic, Poland, Romania, Hungary, Ukraine, and the Russian Federation. CRT penetration was defined as the number of patients treated with CRT (CRT patients) divided by the prevalence of patients eligible for CRT. The number of CRT patients was estimated as the sum of CRT implantations in the last 5 years, the European Heart Rhythm Association (EHRA) White Book being used as the source. The prevalence of CRT indications was derived from the literature by applying three epidemiologic models, a synthesis of which indicates that 10% of heart failure (HF) patients are candidates for CRT. HF prevalence was considered to range from 1% to 2% of the general population, resulting in an estimated range of prevalence of CRT indication between 1000 and 2000 patients per million inhabitants. Similarly, the annual incidence of CRT indication, representing the potential target population once CRT has fully penetrated, was estimated as between 100 and 200 individuals per million. The results showed the best CRT penetration in Italy (47–93%), while in some countries it was less than 5% (Romania, Russian Federation, and Ukraine). Conclusion CRT penetration differs markedly among the countries analyzed. The main barriers are the lack of reimbursement for the procedure and insufficient awareness of guidelines by the referring physicians. PMID:25546696

  12. University as Regional Development Agent: A Counterfactual Analysis of an African University (United States)

    Fongwa, Samuel N.; Wangenge-Ouma, Gerald


    The contribution of universities to regional development has in the last few decades gained significant currency. Inter alia, this contribution has been through steered national, regional, and institutional policies aimed at enhancing national development, good governance, human capital creation and innovation in an increasing knowledge-dependent…

  13. One Region, Many Regionalisms : The Multiple Identities of a Neo-Gothic Circle in the Low Countries (1863-1900)

    NARCIS (Netherlands)

    Dagnino, Roberto


    Historical scholars have recently turned their attention to local communities, resulting in a lively debate about the role of regions and provinces in Western Europe. This has quite predictably led many to question this resurgence of local identities in order to discover the cultural roots and the g

  14. Variable light environments induce plastic spectral tuning by regional opsin coexpression in the African cichlid fish, Metriaclima zebra. (United States)

    Dalton, Brian E; Lu, Jessica; Leips, Jeff; Cronin, Thomas W; Carleton, Karen L


    Critical behaviours such as predation and mate choice often depend on vision. Visual systems are sensitive to the spectrum of light in their environment, which can vary extensively both within and among habitats. Evolutionary changes in spectral sensitivity contribute to divergence and speciation. Spectral sensitivity of the retina is primarily determined by visual pigments, which are opsin proteins bound to a chromophore. We recently discovered that photoreceptors in different regions of the retina, which view objects against distinct environmental backgrounds, coexpress different pairs of opsins in an African cichlid fish, Metriaclima zebra. This coexpression tunes the sensitivity of the retinal regions to the corresponding backgrounds and may aid in detection of dark objects, such as predators. Although intraretinal regionalization of spectral sensitivity in many animals correlates with their light environments, it is unknown whether variation in the light environment induces developmentally plastic alterations of intraretinal sensitivity regions. Here, we demonstrate with fluorescent in situ hybridization and qPCR that the spectrum and angle of environmental light both influence the development of spectral sensitivity regions by altering the distribution and level of opsins across the retina. Normally, M. zebra coexpresses LWS opsin with RH2Aα opsin in double cones of the ventral but not the dorsal retina. However, when illuminated from below throughout development, adult M. zebra coexpressed LWS and RH2Aα in double cones both dorsally and ventrally. Thus, environmental background spectra alter the spectral sensitivity pattern that develops across the retina, potentially influencing behaviours and related evolutionary processes such as courtship and speciation.

  15. The East African Rift System and the impact of orographic changes on regional climate and the resulting aridification (United States)

    Sommerfeld, Anja; Prömmel, Kerstin; Cubasch, Ulrich


    Several proxy data indicate an aridification of the East African climate during the Neogene, which might be influenced by the orographic changes of the East African Rift System (EARS) induced by tectonic forcing during the last 20 million years. To investigate the impact of the orography and especially of the rifts, the regional climate model CCLM is used, covering the EARS with Lake Victoria in the centre of the model domain. CCLM is driven by the ERA-Interim reanalysis and applied with a double-nesting method resulting in a very high spatial resolution of 7 km. The resolution clearly shows the shoulders and rifts of the western and eastern branch of the EARS and the Rwenzoris within the western branch. To analyse the orographic influence on climate, a new technique of modifying the orography is used in this sensitivity study. The shoulders of the branches are lowered and the rifts are elevated, resulting in a smoothed orography structure with less altitude difference between the shoulders and rifts. The changes in 2 m-temperature are very local and associated with the changes in the orography. The vertically integrated moisture transport is characterised by less vortices, and its zonal component is increased over the branches. The resulting amount of precipitation is mainly decreased west of the western branch and increased in the rift of the western branch. In the eastern branch, however, the changes in the amount of precipitation are not significant. The changes in the precipitation and temperature patterns lead to a shift of biomes towards a vegetation coverage characterised by more humid conditions in the northern part of the model domain and more arid conditions in the South. Thus, the aridification found in the proxy data can be attributed to the orographic changes of the rifts only in the northern model domain.

  16. Bioenergy from agro-industrial residues in the East African region. Summary report

    Energy Technology Data Exchange (ETDEWEB)

    Jungersen, G. [Dansk Teknologisk Inst. (Denmark); Kivaisi, A.; Rubindamayugi, M. [Univ. of Dar es Salaam (Tanzania, United Republic of)


    Tanzania has recently developed a comprehensive environmental policy which has put high priority on several specific environmental issues. One of the issues is the quality of waste water. A special priority is given to the pollution from the sisal industry. The East-African agro-industries generate very large quantities of organic residues from production and processing of different crops. These residues form a major contribution to the pollution of air, soil and waterways, but, at the same time they constitute a large potential for production of bioenergy through anaerobic digestion as well as potential substrate for other biological fermentation processes. Generally, these residues are regarded as having no or very little value and the different disposal methods are mainly a matter of getting rid of the waste. The generation of residues are very often concentrated on few large units, which makes the exploitation of these resources feasible in large scale biogas systems. Typically the units will have a potential of a daily methane generation of 1,000-20,000 m{sup 3} CH{sub 4}, equivalent to a potential electricity production of 0.2-3.2 MW. The future utilization of these resources for production of valuable products is described in this report. This report consists of 3 volumes. This summary report including the main objectives and findings from the different project report: Mapping and Quantification of Organic Agro-Industrial Residues in East Africa; Biogas - Bioenergy Potential in East Africa, Seminar Proceedings, Siler Sands, Dar es Salaam 22-23 September 1997; Bioenergy from Sisal residues - Experimental results and Capacity Building Activities. (EG)

  17. Proceedings: Onderstepoort Centenary Pan-African Veterinary Conference : foreword

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    Editorial Office


    Full Text Available In 1908 a Pan-African Veterinary Conference formed part of the inauguration ceremony of the Onderstepoort Veterinary Laboratory. Attended by 18 delegates from 12 countries in southern Africa, including the four colonies and three protectorates forming British South Africa, Rhodesia, German South West Africa, Portuguese East Africa, Madagascar and the Belgian Congo, discussions focussed on the animal diseases of the region with the emphasis on trypanosomosis (nagana and East Coast fever. The successful meeting was followed by a series of similar conferences held in different African countries during the first half of the 20th Century.

  18. Etiology and Epidemiology of Diarrhea in Hospitalized Children from Low Income Country: A Matched Case-Control Study in Central African Republic.

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    Sébastien Breurec


    Full Text Available In Sub-Saharan Africa, infectious diarrhea is a major cause of morbidity and mortality. A case-control study was conducted to identify the etiology of diarrhea and to describe its main epidemiologic risk factors among hospitalized children under five years old in Bangui, Central African Republic.All consecutive children under five years old hospitalized for diarrhea in the Pediatric Complex of Bangui for whom a parent's written consent was provided were included. Controls matched by age, sex and neighborhood of residence of each case were included. For both cases and controls, demographic, socio-economic and anthropometric data were recorded. Stool samples were collected to identify enteropathogens at enrollment. Clinical examination data and blood samples were collected only for cases.A total of 333 cases and 333 controls was recruited between December 2011 and November 2013. The mean age of cases was 12.9 months, and 56% were male. The mean delay between the onset of first symptoms and hospital admission was 3.7 days. Blood was detected in 5% of stool samples from cases. Cases were significantly more severely or moderately malnourished than controls. One of the sought-for pathogens was identified in 78% and 40% of cases and controls, respectively. Most attributable cases of hospitalized diarrhea were due to rotavirus, with an attributable fraction of 39%. Four other pathogens were associated with hospitalized diarrhea: Shigella/EIEC, Cryptosporidium parvum/hominis, astrovirus and norovirus with attributable fraction of 9%, 10%, 7% and 7% respectively. Giardia intestinalis was found in more controls than cases, with a protective fraction of 6%.Rotavirus, norovirus, astrovirus, Shigella/EIEC, Cryptosporidium parvum/hominis were found to be positively associated with severe diarrhea: while Giardia intestinalis was found negatively associated. Most attributable episodes of severe diarrhea were associated with rotavirus, highlighting the urgent

  19. Symptom Clusters in People Living with HIV Attending Five Palliative Care Facilities in Two Sub-Saharan African Countries: A Hierarchical Cluster Analysis.

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    Katrien Moens

    Full Text Available Symptom research across conditions has historically focused on single symptoms, and the burden of multiple symptoms and their interactions has been relatively neglected especially in people living with HIV. Symptom cluster studies are required to set priorities in treatment planning, and to lessen the total symptom burden. This study aimed to identify and compare symptom clusters among people living with HIV attending five palliative care facilities in two sub-Saharan African countries.Data from cross-sectional self-report of seven-day symptom prevalence on the 32-item Memorial Symptom Assessment Scale-Short Form were used. A hierarchical cluster analysis was conducted using Ward's method applying squared Euclidean Distance as the similarity measure to determine the clusters. Contingency tables, X2 tests and ANOVA were used to compare the clusters by patient specific characteristics and distress scores.Among the sample (N=217 the mean age was 36.5 (SD 9.0, 73.2% were female, and 49.1% were on antiretroviral therapy (ART. The cluster analysis produced five symptom clusters identified as: 1 dermatological; 2 generalised anxiety and elimination; 3 social and image; 4 persistently present; and 5 a gastrointestinal-related symptom cluster. The patients in the first three symptom clusters reported the highest physical and psychological distress scores. Patient characteristics varied significantly across the five clusters by functional status (worst functional physical status in cluster one, p<0.001; being on ART (highest proportions for clusters two and three, p=0.012; global distress (F=26.8, p<0.001, physical distress (F=36.3, p<0.001 and psychological distress subscale (F=21.8, p<0.001 (all subscales worst for cluster one, best for cluster four.The greatest burden is associated with cluster one, and should be prioritised in clinical management. Further symptom cluster research in people living with HIV with longitudinally collected symptom data to

  20. The Effects of Various Regional and Global Integration Indices on Foreign Direct Investment (Case Study: OPEC Countries

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    Shekoofe Nagheli


    Full Text Available Economic integration at global and regional level is one of the most important consequences of mutual relationships of countries. Given that capital is the stimulant of economic growth and development and developing countries are often faced with lack of capital, they are trying to compensate this with foreign borrowing but regarding crises resulted from it foreign direct investment is being used as its substitute. The main objective of this paper is to study the effect of economic integration and globalization on FDI attraction. In order to achieve the above goal foreign direct investment equation for Asian countries is estimated by Stata software using panel data during 2001-2011 based on theoretical literature of gravity model and using of econometric methods. Our results, as we expected reveal that there is a positive relation between economic integration and foreign investment. Comparison of results in different cases shows that co-integration has more impacts on FDI for OPEC Countries under globalization conditions. In globalization cases, integration is the best choice for attracting of FDI in OPEC.



    Scott, Allen J.


    Regional push derives from the geographic agglomeration of economic activities, and is expressed in increments to national productivity. Various pieces of statistical evidence in favor of the existence of regional push effects in low- and middle-income economies are marshalled. The origins of these effects in different sorts of externalities and increasing returns to agglomerative scale and scope are analyzed in theoretical terms. Further evidence for the existence of these effects is display...

  2. Personal income tax non-standard reliefs in European Union member states, Croatia and countries of the region

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    Sasa Drezgic


    Full Text Available The paper presents an overview of the current situation in personal income tax non-standard reliefs for the EU-15, most of the EU-12, Croatia and countries of the region, as well as a comparison of them for 2006-2011. A review of personal income tax relief issues in last twenty years is given, especially concerning the reaction of the entire personal income tax system to the economic and financial crises. It is followed by comparative analysis of non-standard tax reliefs in the stated period. Despite the mostly negative attitude of tax theory (and policy, economic crisis and fiscal consolidation, they still play very significant role. The EU-15 actually broadened these reliefs in the period observed, while the analyzed EU-12, Croatia and countries of the region with less developed non-standard tax reliefs have reduced them significantly. Many of these countries, accordingly, have none today. Since the introduction of the new personal income tax system in 1994 Croatia has gone a long way, from their complete exclusion to the inclusion of almost all of them and in the end the exclusion of almost all of them.

  3. Research Regarding the New Biodiversity Indicators in Genetic Diversity of the Region -Country Hateg

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    Iudith Ipate


    Full Text Available The present research started in June 2009 by identification of the species and breeds in the livestock of the 11 villages and 1 town existing in the Hatseg Land area. We use the modern genotyping tool for the study of zootechnical biodiversity- molecular biology tests- based on identification, amplification and characterization of nucleic acid, revolutionized the conservation of indigene animal genetic resources, gene assisted selection, pathology diagnostic and food traceability. The original Tipy Fix methods – internatinal patented by Prof.Brem - that were used in Romania (using for the first time in Romania by the researchers of CSCBA to reveal DNA polymorphism are described as their applicability in species identification and meat traceability. Vulnerability of farm animal breeds is caused by the lack of interest apart breeders for one breed. In Hateg land area the main mean of reducing biodiversity in farm animals is the crossbreeding. It was analysis the prion protein for scrapie resistance genotyping as codonamino acid at codon 136, 154, 171 from 5 known haplotypes resulting PrP Genotype .In results of analysis in Hateg country 41 the probes present the arginine (R at codon 171 of the prion protein who confers resistance to the structural change of prion scrapie.We presented biodiversity indicator for domestic animal in Hateg country.

  4. The Impact of the Atlantic Cold Tongue on West African Monsoon Onset in Regional Model Simulations for 1998-2002 (United States)

    Druyan, Leonard M.; Fulakeza, Matthew B.


    The Atlantic cold tongue (ACT) develops during spring and early summer near the Equator in the Eastern Atlantic Ocean and Gulf of Guinea. The hypothesis that the ACT accelerates the timing of West African monsoon (WAM) onset is tested by comparing two regional climate model (RM3) simulation ensembles. Observed sea surface temperatures (SST) that include the ACT are used to force a control ensemble. An idealized, warm SST perturbation is designed to represent lower boundary forcing without the ACT for the experiment ensemble. Summer simulations forced by observed SST and reanalysis boundary conditions for each of five consecutive years are compared to five parallel runs forced by SST with the warm perturbation. The article summarizes the sequence of events leading to the onset of the WAM in the Sahel region. The representation of WAM onset in RM3 simulations is examined and compared to Tropical Rainfall Measuring Mission (TRMM), Global Precipitation Climatology Project (GPCP) and reanalysis data. The study evaluates the sensitivity of WAM onset indicators to the presence of the ACT by analysing the differences between the two simulation ensembles. Results show that the timing of major rainfall events and therefore theWAM onset in the Sahel are not sensitive to the presence of the ACT. However, the warm SST perturbation does increase downstream rainfall rates over West Africa as a consequence of enhanced specific humidity and enhanced northward moisture flux in the lower troposphere.

  5. Mesoscale Modeling of Smoke Particles Distribution and Their Radiative Feedback over Northern Sub-Saharan African Region (United States)

    Yue, Y.; Wang, J.; Ichoku, C. M.; Ellison, L.


    Stretching from southern boundary of Sahara to the equator and expanding west to east from Atlantic Ocean coasts to the India Ocean coasts, the northern sub-Saharan African (NSSA) region has been subject to intense biomass burning. Comprised of savanna, shrub, tropical forest and a number of agricultural crops, the extensive fires burn belt covers central and south of NSSA during dry season (from October to March) contributes to one of the highest biomass burning rate per km2 in the world. Due to smoke particles' absorption effects of solar radiation, they can modify the surface and atmosphere temperature and thus change atmospheric stability, height of the boundary layer, regional atmospheric circulation, evaporation rate, cloud formation, and precipitation. Hence, smoke particles emitted from biomass burning over NSSA region has a significant influence to the air quality, weather and climate variability. In this study, the first version of this Fire Energetics and Emissions Research (FEER.v1) emissions of several smoke constituents including light-absorbing organic carbon (OC) and black carbon (BC) are applied to a state-of-science meteorology-chemistry model as NOAA Weather Research and Forecasting Model with Chemistry (WRF-Chem). We analyzed WRF-Chem simulations of surface and vertical distribution of various pollutants and their direct radiative effects in conjunction with satellite observation data from Moderate Resolution Imaging Spectroradiometer (MODIS) and Cloud-Aerosol Lidar data with Orthogonal Polarization (CALIPSO) to strengthen the importance of combining space measured emission products like FEER.v1 emission inventory with mesoscale model over intense biomass burning region, especially in area where ground-based air-quality and radiation-related observations are limited or absent.

  6. Serempathy: A New Approach To Innovation. An Application To Forty-Six Regions Of Atlantic Arc Countries

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    Pablo COTO-­‐MILLÁN


    Full Text Available This research provides a new theoretical approach to innovation calledSerempathy: Serendipity(which is achieved by chance+ Empathy(puttingyour self in the other. Serempathy relies on collaborative relationships between: University, private companies and publicadministration. In this theoretical approach adds chance to scientificdiscovery and an environment of empathy.Ideas aren’t self-­‐containedthings; they’re more like ecosystems and networks. The work also provides data processed in recentyears (2004-­‐2006 for forty six Atlantic Arc Regions(the forty regions of countries: United Kindong,France, Portugal and Spain, overall and in different clusters, providing relevant empirical evidence on the relationship betweenHuman Capital,Technological Platform,Innovation,Serempathy and Output.In the econometric and statistical modeling is considered especially for forty regions of the Atlantic Arc.

  7. Source regions of whistlers detected in the American, African/European and Western Pacific sectors (United States)

    Koronczay, David; Steinbach, Peter; Lichtenberger, Janos


    AWDANet is a recently completed network for automatic whistler detection and analysis. Here we investigate whistler measurements from its first years of operation, analyzing the time distribution of whistlers detected at various stations in Western Antarctica, Southern Africa, Europe and the Western Pacific region. Whistlers detected on the ground are thought to originate in their magnetic conjugate location, travelling through the plasmasphere before returning to the ground. We carry out a correlation analysis, comparing the occurrence of whistler events to lightning strokes using multiple lightning databases, including WWLLN (World Wide Lightning Location Network), to locate the events' source region. Our results can lead to a better understanding of the source regions and mechanisms of whistlers observed on the ground. This knowledge can improve their use as a tool to probe the plasmasphere.

  8. Virtual industrial water usage and wastewater generation in the Middle East/North African region

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    S. R. Sakhel


    Full Text Available This study deals with the quantification of volumes of water usage, wastewater generation, virtual water export, and wastewater generation from export for eight export relevant industries present in the Middle East/North Africa (MENA. It shows that about 3400 million m3 of water is used per annum while around 793 million m3 of wastewater is generated from products that are meant for domestic consumption and export. The difference between volumes of water usage and wastewater generation is due to water evaporation or injecting underground (oil wells pressure maintenance. The wastewater volume generated from production represents a population equivalent of 15.5 million in terms of wastewater quantity and 30.4 million in terms of BOD. About 409 million m3 of virtual water flows from MENA to EU27 (resulting from export of eight commodities which is equivalent to 12.1% of the water usage of those industries and Libya is the largest virtual water exporter (about 87 million m3. Crude oil and refined petroleum products represent about 89% of the total virtual water flow, fertilizers represent around 10% and 1% remaining industries. EU27 poses the greatest indirect pressure on the Kuwaiti hydrological system where the virtual water export represents about 96% of the actual renewable water resources in this country. The Kuwaiti crude oil water use in relation to domestic water withdrawal is about 89% which is highest among MENA countries. Pollution of water bodies, in terms of BOD, due to production is very relevant for crude oil, slaughterhouses, refineries, olive oil, and tanneries while pollution due to export to EU27 is most relevant for crude oil industry and olive oil mills.

  9. Toward a Caribbean psychology: an African-centered approach. (United States)

    Sutherland, Marcia Elizabeth


    Although the Americas and Caribbean region are purported to comprise different ethnic groups, this article’s focus is on people of African descent, who represent the largest ethnic group in many countries. The emphasis on people of African descent is related to their family structure, ethnic identity, cultural, psychohistorical, and contemporary psychosocial realities. This article discusses the limitations of Western psychology for theory, research, and applied work on people of African descent in the Americas and Caribbean region. In view of the adaptations that some people of African descent have made to slavery, colonialism, and more contemporary forms of cultural intrusions, it is argued that when necessary, notwithstanding Western psychology’s limitations, Caribbean psychologists should reconstruct mainstream psychology to address the psychological needs of these Caribbean people. The relationship between theory and psychological interventions for the optimal development of people of African descent is emphasized throughout this article. In this regard, the African-centered and constructionist viewpoint is argued to be of utility in addressing the psychological growth and development of people of African descent living in the Americas and Caribbean region.

  10. Improving the Quality of Host Country Ethical Oversight of International Research: The Use of a Collaborative 'Pre-Review' Mechanism for a Study of Fexinidazole for Human African Trypanosomiasis. (United States)

    Coleman, Carl H; Ardiot, Chantal; Blesson, Séverine; Bonnin, Yves; Bompart, Francois; Colonna, Pierre; Dhai, Ames; Ecuru, Julius; Edielu, Andrew; Hervé, Christian; Hirsch, François; Kouyaté, Bocar; Mamzer-Bruneel, Marie-France; Maoundé, Dionko; Martinent, Eric; Ntsiba, Honoré; Pelé, Gérard; Quéva, Gilles; Reinmund, Marie-Christine; Sarr, Samba Cor; Sepou, Abdoulaye; Tarral, Antoine; Tetimian, Djetodjide; Valverde, Olaf; Van Nieuwenhove, Simon; Strub-Wourgaft, Nathalie


    Developing countries face numerous barriers to conducting effective and efficient ethics reviews of international collaborative research. In addition to potentially overlooking important scientific and ethical considerations, inadequate or insufficiently trained ethics committees may insist on unwarranted changes to protocols that can impair a study's scientific or ethical validity. Moreover, poorly functioning review systems can impose substantial delays on the commencement of research, which needlessly undermine the development of new interventions for urgent medical needs. In response to these concerns, the Drugs for Neglected Diseases Initiative (DNDi), an independent nonprofit organization founded by a coalition of public sector and international organizations, developed a mechanism to facilitate more effective and efficient host country ethics review for a study of the use of fexinidazole for the treatment of late stage African Trypanosomiasis (HAT). The project involved the implementation of a novel 'pre-review' process of ethical oversight, conducted by an ad hoc committee of ethics committee representatives from African and European countries, in collaboration with internationally recognized scientific experts. This article examines the process and outcomes of this collaborative process.

  11. A Regional Stable Carbon Isotope Dendro-Climatology from the South African Summer Rainfall Area.

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    Stephan Woodborne

    Full Text Available Carbon isotope analysis of four baobab (Adansonia digitata L. trees from the Pafuri region of South Africa yielded a 1000-year proxy rainfall record. The Pafuri record age model was based on 17 radiocarbon dates, cross correlation of the climate record, and ring structures that were presumed to be annual for two of the trees. Here we present the analysis of five additional baobabs from the Mapungubwe region, approximately 200km west of Pafuri. The Mapungubwe chronology demonstrates that ring structures are not necessarily annually formed, and accordingly the Pafuri chronology is revised. Changes in intrinsic water-use efficiency indicate an active response by the trees to elevated atmospheric CO2, but this has little effect on the environmental signal. The revised Pafuri record, and the new Mapungubwe record correlate significantly with local rainfall. Both records confirm that the Medieval Warm Period was substantially wetter than present, and the Little Ice Age was the driest period in the last 1000 years. Although Mapungubwe is generally drier than Pafuri, both regions experience elevated rainfall peaking between AD 1570 and AD 1620 after which dry conditions persist in the Mapungubwe area until about AD 1840. Differences between the two records correlate with Agulhas Current sea-surface temperature variations suggesting east/west displacement of the temperate tropical trough system as an underlying mechanism. The Pafuri and Mapungubwe records are combined to provide a regional climate proxy record for the northern summer rainfall area of southern Africa.

  12. A Regional Stable Carbon Isotope Dendro-Climatology from the South African Summer Rainfall Area. (United States)

    Woodborne, Stephan; Gandiwa, Patience; Hall, Grant; Patrut, Adrian; Finch, Jemma


    Carbon isotope analysis of four baobab (Adansonia digitata L.) trees from the Pafuri region of South Africa yielded a 1000-year proxy rainfall record. The Pafuri record age model was based on 17 radiocarbon dates, cross correlation of the climate record, and ring structures that were presumed to be annual for two of the trees. Here we present the analysis of five additional baobabs from the Mapungubwe region, approximately 200km west of Pafuri. The Mapungubwe chronology demonstrates that ring structures are not necessarily annually formed, and accordingly the Pafuri chronology is revised. Changes in intrinsic water-use efficiency indicate an active response by the trees to elevated atmospheric CO2, but this has little effect on the environmental signal. The revised Pafuri record, and the new Mapungubwe record correlate significantly with local rainfall. Both records confirm that the Medieval Warm Period was substantially wetter than present, and the Little Ice Age was the driest period in the last 1000 years. Although Mapungubwe is generally drier than Pafuri, both regions experience elevated rainfall peaking between AD 1570 and AD 1620 after which dry conditions persist in the Mapungubwe area until about AD 1840. Differences between the two records correlate with Agulhas Current sea-surface temperature variations suggesting east/west displacement of the temperate tropical trough system as an underlying mechanism. The Pafuri and Mapungubwe records are combined to provide a regional climate proxy record for the northern summer rainfall area of southern Africa.

  13. African South of the Sahara: An Objective Test for Secondary Schools. A World Regions Perception Survey. (United States)

    Carnegie-Mellon Univ., Pittsburgh, PA.

    Designed by Project Africa of Carnegie-Mellon University, these two test instruments have been used to discover what selected American secondary school students know or believe about Africa and other regions of the world. The first instrument, a 30-minute objective test, "Africa South of the Sahara," is comprised of 60 multiple-choice…

  14. Policies for the Sustainable Development of Biofuels in the Pan American Region: A Review and Synthesis of Five Countries (United States)

    Solomon, Barry D.; Banerjee, Aparajita; Acevedo, Alberto; Halvorsen, Kathleen E.; Eastmond, Amarella


    Rapid growth of biofuel production in the United States and Brazil over the past decade has increased interest in replicating this success in other nations of the Pan American region. However, the continued use of food-based feedstock such as maize is widely seen as unsustainable and is in some cases linked to deforestation and increased greenhouse gas emissions, raising further doubts about long-term sustainability. As a result, many nations are exploring the production and use of cellulosic feedstock, though progress has been extremely slow. In this paper, we will review the North-South axis of biofuel production in the Pan American region and its linkage with the agricultural sectors in five countries. Focus will be given to biofuel policy goals, their results to date, and consideration of sustainability criteria and certification of producers. Policy goals, results, and sustainability will be highlighted for the main biofuel policies that have been enacted at the national level. Geographic focus will be given to the two largest producers—the United States and Brazil; two smaller emerging producers—Argentina and Canada; and one stalled program—Mexico. However, several additional countries in the region are either producing or planning to produce biofuels. We will also review alternative international governance schemes for biofuel sustainability that have been recently developed, and whether the biofuel programs are being managed to achieve improved environmental quality and sustainable development.

  15. Policies for the Sustainable Development of Biofuels in the Pan American Region: A Review and Synthesis of Five Countries. (United States)

    Solomon, Barry D; Banerjee, Aparajita; Acevedo, Alberto; Halvorsen, Kathleen E; Eastmond, Amarella


    Rapid growth of biofuel production in the United States and Brazil over the past decade has increased interest in replicating this success in other nations of the Pan American region. However, the continued use of food-based feedstock such as maize is widely seen as unsustainable and is in some cases linked to deforestation and increased greenhouse gas emissions, raising further doubts about long-term sustainability. As a result, many nations are exploring the production and use of cellulosic feedstock, though progress has been extremely slow. In this paper, we will review the North-South axis of biofuel production in the Pan American region and its linkage with the agricultural sectors in five countries. Focus will be given to biofuel policy goals, their results to date, and consideration of sustainability criteria and certification of producers. Policy goals, results, and sustainability will be highlighted for the main biofuel policies that have been enacted at the national level. Geographic focus will be given to the two largest producers-the United States and Brazil; two smaller emerging producers-Argentina and Canada; and one stalled program-Mexico. However, several additional countries in the region are either producing or planning to produce biofuels. We will also review alternative international governance schemes for biofuel sustainability that have been recently developed, and whether the biofuel programs are being managed to achieve improved environmental quality and sustainable development.

  16. African swine fever: an epidemiological update. (United States)

    Sánchez-Vizcaíno, J M; Mur, L; Martínez-López, B


    African swine fever (ASF) is one of the most important swine diseases, mainly because of its significant sanitary and socioeconomic consequences. This review gives an update on the epidemiology of the disease and reviews key issues and strategies to improve control of the disease and promote its eradication. Several characteristics of ASF virus (ASFV) make its control and eradication difficult, including the absence of available vaccines, marked virus resistance in infected material and contaminated animal products, and a complex epidemiology and transmission involving tick reservoir virus interactions. The incidence of ASF has not only increased on the African continent over the last 15 years, so that it now affects West African countries, Mauritius and Madagascar, but it has also reached new areas, such as the Caucasus region in 2007. In fact, the rapid spread of the disease on the European continent and the uncontrolled situation in the Russian Federation places all countries at great risk as a result of intense global trade. The proximity of some affected areas to the European Union (EU) borders (African swine fever -free countries should be aware of the potential risk of ASF incursion and implement risk reduction measures such as trade controls and other sanitary measures. This review will discuss lessons learnt so far about ASF control, current challenges to its control and future studies needed to support global efforts at prevention and control.

  17. Assessment of IRI and IRI-Plas models over the African equatorial and low-latitude region (United States)

    Adebiyi, S. J.; Adimula, I. A.; Oladipo, O. A.; Joshua, B. W.


    A reliable ionospheric specification by empirical models is important to mitigate the effects of the ionosphere on the operations of satellite-based positioning and navigation systems. This study evaluates the capability of the International Reference Ionosphere (IRI) and IRI extended to the plasmasphere (IRI-Plas) models in predicting the total electron content (TEC) over stations located in the southern hemisphere of the African equatorial and low-latitude region. TEC derived from Global Positioning System (GPS) measurements were compared with TEC predicted by both the IRI-Plas 2015 model and the three topside options of the IRI 2012 model (i.e., NeQuick (NeQ), IRI 2001 corrected factor (IRI-01 Corr), and the IRI 2001(IRI-01)). Generally, the diurnal and the seasonal structures of modeled TEC follow quite well with the observed TEC in all the stations, although with some upward and downward offsets observed during the daytime and nighttime. The prediction errors of both models exhibit latitudinal variation and these showed seasonal trends. The values generally decrease with increase in latitude. The TEC data-model divergence of both models is most significant at stations in the equatorial region during the daytime and nighttime. Conversely, both models demonstrate most pronounced convergence during the nighttime at stations outside the equatorial region. The IRI-Plas model, in general, performed better in months and seasons when the three options of the IRI model underestimate TEC. Factors such as the height limitation of the IRI model, the inaccurate predictions of the bottomside and topside electron density profiles were used to explain the data-model discrepancies.

  18. Democratic local governance in the Southern African Development Community region: Some emerging issues and challenges

    Directory of Open Access Journals (Sweden)

    Bornwell Chikulo


    Full Text Available Recent reforms have been transforming the structure of local governance in the Southern Africa Development Community (SADC region. Since the 1990s, a critical objective of governance reform has been the strengthening of local government by the decentralization of powers, resources and responsibilities to local authorities and other locally administered bodies. These reforms have been labelled ‘democratic decentralization’ by scholars (Ribot, 2004; Olowu & Wunsch, 2004. Democratic decentralization refers to initiatives which entail the transfer of significant authority, responsibility for services, fiscal and human resources to local governance. The objective of the reforms was to capacitate local governance structures, as well as to increase the capacity and productivity of the public sector in general (Hope & Chikulo, 2000. Efforts to improve institutional effectiveness, accountability and service delivery at the local level thus have been a major focus throughout the region.

  19. Prevalence of Hypertension in Member Countries of South Asian Association for Regional Cooperation (SAARC)

    DEFF Research Database (Denmark)

    Neupane, Dinesh; McLachlan, Craig S; Sharma, Rajan;


    included in the synthesis and meta-analyses. Hypertension is defined when an individual had a systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg, was taking antihypertensive drugs, or had previously been diagnosed as hypertensive by health care professionals......Hypertension is a leading attributable risk factor for mortality in South Asia. However, a systematic review on prevalence and risk factors for hypertension in the region of the South Asian Association for Regional Cooperation (SAARC) has not carried out before.The study was conducted according...... to the Meta-Analysis of Observational Studies in Epidemiology Guideline. A literature search was performed with a combination of medical subject headings terms, "hypertension" and "Epidemiology/EP". The search was supplemented by cross-references. Thirty-three publications that met the inclusion criteria were...

  20. Chad: An Overview of a Country Plagued with Internal Strife and Regional Conflict (United States)


    like to thank you for the writing breaks and always providing me with laughter and love. Finally, this MMS paper has truly provided me with a...Nigeria, Nigeria tried to form a stronger bond with Chad to receive economic benefits by growing regional trade relations. Nigeria expelled...nongovernmental organizations (NGOs) who carried out programs in health , education, water and sanitation, agriculture and food security, protection

  1. Fiscal Decentralization and Regional Disparity: A Panel Data Approach for OECD Countries


    Leßmann, Christian


    The advantages and disadvantages of public sector decentralization are widely discussedin economics and political science. While some authors argue that decentralization leads to an optimal provision of public services and a promotion of economic growth, others emphasize the dangers of competition associated with decentralization between subnational governments especially for redistributive reasons. These authors argue that poorer regions could not compete for mobile factors with the richer o...

  2. Regional differences in seasonal timing of rainfall discriminate between genetically distinct East African giraffe taxa. (United States)

    Thomassen, Henri A; Freedman, Adam H; Brown, David M; Buermann, Wolfgang; Jacobs, David K


    Masai (Giraffa tippelskirchi), Reticulated (G. reticulata) and Rothschild's (G. camelopardalis) giraffe lineages in East Africa are morphologically and genetically distinct, yet in Kenya their ranges abut. This raises the question of how divergence is maintained among populations of a large mammal capable of long-distance travel, and which readily hybridize in zoos. Here we test four hypotheses concerning the maintenance of the phylogeographic boundaries among the three taxa: 1) isolation-by-distance; 2) physical barriers to dispersal; 3) general habitat differences resulting in habitat segregation; or 4) regional differences in the seasonal timing of rainfall, and resultant timing of browse availability. We used satellite remotely sensed and climate data to characterize the environment at the locations of genotyped giraffes. Canonical variate analysis, random forest algorithms, and generalized dissimilarity modelling were employed in a landscape genetics framework to identify the predictor variables that best explained giraffes' genetic divergence. We found that regional differences in the timing of precipitation, and resulting green-up associated with the abundance of browse, effectively discriminate between taxa. Local habitat conditions, topographic and human-induced barriers, and geographic distance did not aid in discriminating among lineages. Our results suggest that selection associated with regional timing of events in the annual climatic cycle may help maintain genetic and phenotypic divergence in giraffes. We discuss potential mechanisms of maintaining divergence, and suggest that synchronization of reproduction with seasonal rainfall cycles that are geographically distinct may contribute to reproductive isolation. Coordination of weaning with green-up cycles could minimize the costs of lactation and predation on the young. Our findings are consistent with theory and empirical results demonstrating the efficacy of seasonal or phenologically dictated

  3. Regional differences in seasonal timing of rainfall discriminate between genetically distinct East African giraffe taxa.

    Directory of Open Access Journals (Sweden)

    Henri A Thomassen

    Full Text Available Masai (Giraffa tippelskirchi, Reticulated (G. reticulata and Rothschild's (G. camelopardalis giraffe lineages in East Africa are morphologically and genetically distinct, yet in Kenya their ranges abut. This raises the question of how divergence is maintained among populations of a large mammal capable of long-distance travel, and which readily hybridize in zoos. Here we test four hypotheses concerning the maintenance of the phylogeographic boundaries among the three taxa: 1 isolation-by-distance; 2 physical barriers to dispersal; 3 general habitat differences resulting in habitat segregation; or 4 regional differences in the seasonal timing of rainfall, and resultant timing of browse availability. We used satellite remotely sensed and climate data to characterize the environment at the locations of genotyped giraffes. Canonical variate analysis, random forest algorithms, and generalized dissimilarity modelling were employed in a landscape genetics framework to identify the predictor variables that best explained giraffes' genetic divergence. We found that regional differences in the timing of precipitation, and resulting green-up associated with the abundance of browse, effectively discriminate between taxa. Local habitat conditions, topographic and human-induced barriers, and geographic distance did not aid in discriminating among lineages. Our results suggest that selection associated with regional timing of events in the annual climatic cycle may help maintain genetic and phenotypic divergence in giraffes. We discuss potential mechanisms of maintaining divergence, and suggest that synchronization of reproduction with seasonal rainfall cycles that are geographically distinct may contribute to reproductive isolation. Coordination of weaning with green-up cycles could minimize the costs of lactation and predation on the young. Our findings are consistent with theory and empirical results demonstrating the efficacy of seasonal or phenologically

  4. Characterisation of GPS-TEC in the African equatorial and low latitude region and the regional evaluation of the IRI model (United States)

    Adebiyi, S. J.; Adimula, I. A.; Oladipo, O. A.


    With the increasing application of Global Navigation Satellite System (GNSS) products and services, knowledge of the Total Electron Content (TEC) variation is vital, particularly in historically under-sampled regions. The ionospheric induced-error, which is the largest and most variable error source of GNSS applications, is proportional to TEC along the satellite-receiver path. Simultaneous Global Positioning System (GPS) measurements from six African equatorial and low latitude stations in the southern hemisphere are used to investigate the latitudinal variation of TEC over the region during the year 2013, a year of moderate solar activity. The analysis reveals some detailed features of seasonal, month-to-month and solar activity dependence of TEC. The seasonal variation of TEC revealed that the daytime and the pre-midnight values of TEC for stations located close to the geographic equator is considerably higher in equinoxes and June solstice compared to stations farther from the equator, however, the difference is insignificant during the December solstice. The month-to-month variation of TEC shows semi-annual symmetry/asymmetry in TEC values for stations closer/farther from the equator. TEC sensitivity to solar activity shows significant seasonal and latitudinal characteristics. Generally, a relatively good correlation exists between TEC and F10.7 for stations around the Equatorial Ionization Anomaly (EIA) region compared to those found at stations close to the equator. Beyond the EIA region, the correlation coefficients drop in all seasons. TEC predicted by the three topside options of the International Reference Ionosphere (IRI) 2012 model [i.e. the NeQuick (NeQ), IRI-2001 Corrected (IRI-01 Corr) and the IRI-2001 (IRI-01) options] exhibits latitudinal and seasonal characteristics. The NeQ option performed better than the other two options at stations located within the equatorial region in most of the months and seasons. Outside the EIA region, the IRI-01 Corr

  5. Climate change impacts on water availability: developing regional scenarios for agriculture of the Former Soviet Union countries of Central Asia (United States)

    Kirilenko, A.; Dronin, N.


    Water is the major factor, limiting agriculture of the five Former Soviet Union (FSU) of Central Asia. Elevated topography prevents moist and warm air from the Atlantic and Indian Oceans from entering the region.With exception of Kazakhstan, agriculture is generally restricted to oases and irrigated lands along the major rivers and canals. Availability of water for irrigation is the major factor constraining agriculture in the region, and conflicts over water are not infrequent. The current water crisis in the region is largely due to human activity; however the region is also strongly impacted by the climate. In multiple locations, planned and autonomous adaptations to climate change have already resulted in changes in agriculture, such as a dramatic increase in irrigation, or shift in crops towards the ones better suited for warmer and dryer climate; however, it is hard to differentiate between the effects of overall management improvement and the avoidance of climate-related losses. Climate change will contribute to water problems, escalating irrigation demand during the drought period, and increasing water loss with evaporation. The future of the countries of the Aral Sea basin then depends on both the regional scenario of water management policy and a global scenario of climate change, and is integrated with global socioeconomic scenarios. We formulate a set of regional policy scenarios (“Business as Usual”, “Falling Behind” and “Closing the Gap”) and demonstrate how each of them corresponds to IPCC SRES scenarios, the latter used as an input to the General Circulation Models (GCMs). Then we discuss the relative effectiveness of the introduced scenarios for mitigating water problems in the region, taking into account the adaptation through changing water demand for agriculture. Finally, we introduce the results of multimodel analysis of GCM climate projections, especially in relation to the change in precipitation and frequency of droughts, and

  6. Regional developments in energy systems, economics and climate. 6.2. China, India and other rapidly developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, X.; Dhar, S.; Halsnaes, K.


    Despite fluctuations in global economic growth, some countries' economic growth consistently outperforms that of others. These rapidly growing economies are powerhouses for regional economic growth. Through market reforms, their productivity and competitiveness on the global market are increasing. The dynamics and influence of these countries cannot be neglected in an analysis of global economy, energy, and GHG emissions in the coming decades because of their large economic sizes and big populations. China, India, Brazil, Mexico, South Africa, and other large and rapidly-emerging economies are important forces, shaping global trends in development, energy, and climate change mitigation. The enormous investments in energy infrastructure in these countries in the years to come will provide a rare window of opportunity for low-carbon development and low-cost reductions in greenhouse gas emissions. At the same time, they face the challenge of supporting economic growth and eliminating poverty for billions of people in a world already facing many constraints on energy and carbon emissions. Of all the emerging economies, China and India deserve special attention due to their huge populations, large economies, and remarkable economic growth over the last three decades. This section will examine the recent trends in the economic, energy, and climate development in China and India and sets the stage for the analysis of the future energy system and climate implication analysis in the next chapter. (au)

  7. InterVA-4 as a public health tool for measuring HIV/AIDS mortality: a validation study from five African countries

    Directory of Open Access Journals (Sweden)

    Peter Byass


    Full Text Available Background: Reliable population-based data on HIV infection and AIDS mortality in sub-Saharan Africa are scanty, even though that is the region where most of the world’s AIDS deaths occur. There is therefore a great need for reliable and valid public health tools for assessing AIDS mortality. Objective: The aim of this article is to validate the InterVA-4 verbal autopsy (VA interpretative model within African populations where HIV sero-status is recorded on a prospective basis, and examine the distribution of cause-specific mortality among HIV-positive and HIV-negative people. Design: Data from six sites of the Alpha Network, including HIV sero-status and VA interviews, were pooled. VA data according to the 2012 WHO format were extracted, and processed using the InterVA-4 model into likely causes of death. The model was blinded to the sero-status data. Cases with known pre-mortem HIV infection status were used to determine the specificity with which InterVA-4 could attribute HIV/AIDS as a cause of death. Cause-specific mortality fractions by HIV infection status were calculated, and a person-time model was built to analyse adjusted cause-specific mortality rate ratios. Results: The InterVA-4 model identified HIV/AIDS-related deaths with a specificity of 90.1% (95% CI 88.7–91.4%. Overall sensitivity could not be calculated, because HIV-positive people die from a range of causes. In a person-time model including 1,739 deaths in 1,161,688 HIV-negative person-years observed and 2,890 deaths in 75,110 HIV-positive person-years observed, the mortality ratio HIV-positive:negative was 29.0 (95% CI 27.1–31.0, after adjustment for age, sex, and study site. Cause-specific HIV-positive:negative mortality ratios for acute respiratory infections, HIV/AIDS-related deaths, meningitis, tuberculosis, and malnutrition were higher than the all-cause ratio; all causes had HIV-positive:negative mortality ratios significantly higher than unity. Conclusions

  8. Factors limiting industrial development in peripheral regions of developing countries: a case study of kedah state, peninsular Malaysia

    Directory of Open Access Journals (Sweden)

    Morshidi Sirat


    Full Text Available Many developing countries, Malaysia included, have relied quite heavily on the policy of industrial decentralization to uplift the lagging economies of their peripheral regions. In Malaysia, the Malaysian Industrial Development Authorithy (MIDA - a federal agency - plays a major role in persuading foreign enterprises to locate in the periphery. In addition to MIDA there are plethora of state agencies which implement state industrial policy. Development officials, in their effort to attract more industries to their respective regions, work on the premise that certain locational factors are critical to investors locational decision- making process. Obviously, development officials have their own perceptions of the attractions and disadvantages of the periphery. This paper (a examines whether the officials have a good grasp of the industrialists dominant motives for selecting Kedah as production location, and (b discusses the implications for industrial development if officials assumptions do not concur with industrialists real reasons for selecting Kedah location.

  9. Country News. (United States)

    Population Education Newsletter and Forum, 1987


    Reports on the progress of population education programs in various countries in Asia and the Pacific region. Describes current developments in Bangladesh, China, India, Malaysia, Maldives, and Viet Nam. (TW)

  10. Advancing scientific base lines for the integrated assessment of climate change impacts and adaptation in mountain regions in developing countries (United States)

    Huggel, C.; Jurt, N. Salzmann, C.; Calanca, P.; Ordonez, A. Diaz, J.; Zappa, T. Jonas M.; Konzelmann, T.; Lagos, P.; Obersteiner, M.; Rohrer, M.; Silverio, W.


    Adaptation to climate change impacts is a major challenge for the human society. For countries in development, consistent base lines of expected impacts at the regional scale are required to plan and implement low-cost adaptation measures that effectively address societal needs. However, donors and implementing agencies are often confronted with a lack of scientific data. This poses a serious problem to global adaptation funds, such as the one established under the UNFCCC, which are predominantly directed towards developing countries. This contribution summarizes recent experiences gained from international projects in the Andes, by the Peruvian and Swiss Governments, and the World Bank, on the development of scientific base lines for selected regions in the Peruvian Andes. The focus is on the nexus between water resources, food security and natural disasters. The analysis shows that Peruvian Andes are among the most vulnerable regions to climate change. Negative impacts on water resources are expected from the rapid retreat of glaciers, extended and more frequent drought periods and increasing human needs. Climate change impacts are exacerbated by continued sub-optimal resource management. As a consequence of growing stresses, water availability for human consumption, agriculture and energy generation is increasingly limited. Assessment of the current conditions and reliable projections for the future are hampered by scarce data availability and methodological problems, such as downscaling of global and regional climate scenarios, cross-sector effects, and others. It is critical that related uncertainties, and the propagation thereof, are assessed throughout the impact analysis for an improved management of adaptation measures. Challenges furthermore include communication and understanding among different actors, including the scientific community, political and implementation agencies, and local population. Based on our experiences we will outline a good practice

  11. Small businesses performance in West African border regions: Do social networks pay off?

    DEFF Research Database (Denmark)

    Kuepié, Mathias; Tenikué, Michel; Walther, Olivier

    networks are also the most successful in terms of monthly sales and profit. The paper shows that the overall economic performance of traders is affected by the socio-professional position of the actors with whom they are connected. While social ties with local religious leaders have no effect...... on economic performances in Niger and Benin than in Nigeria, where average profit is much higher. Experience is more closely correlated with profit in the region where traders have developed re-export trade activities than where petty trade is the dominant form of business.......This paper studies the link between economic performance and social networks in West Africa. Using first-hand data collected on 358 small-scale traders in five border markets between Niger, Nigeria and Benin, we are particularly interested in testing whether the most well-connected actors of trade...

  12. A brucellosis disease control strategy for the Kakheti region of the country of Georgia: an agent-based model. (United States)

    Havas, K A; Boone, R B; Hill, A E; Salman, M D


    Brucellosis has been reported in livestock and humans in the country of Georgia with Brucella melitensis as the most common species causing disease. Georgia lacked sufficient data to assess effectiveness of the various potential control measures utilizing a reliable population-based simulation model of animal-to-human transmission of this infection. Therefore, an agent-based model was built using data from previous studies to evaluate the effect of an animal-level infection control programme on human incidence and sheep flock and cattle herd prevalence of brucellosis in the Kakheti region of Georgia. This model simulated the patterns of interaction of human-animal workers, sheep flocks and cattle herds with various infection control measures and returned population-based data. The model simulates the use of control measures needed for herd and flock prevalence to fall below 2%. As per the model output, shepherds had the greatest disease reduction as a result of the infection control programme. Cattle had the greatest influence on the incidence of human disease. Control strategies should include all susceptible animal species, sheep and cattle, identify the species of brucellosis present in the cattle population and should be conducted at the municipality level. This approach can be considered as a model to other countries and regions when assessment of control strategies is needed but data are scattered.

  13. Euro Heart Survey 2009 Snapshot: regional variations in presentation and management of patients with AMI in 47 countries (United States)

    Puymirat, Etienne; Battler, Alex; Birkhead, John; Bueno, Hector; Clemmensen, Peter; Cottin, Yves; Fox, Keith AA; Gorenek, Bulent; Hamm, Christian; Huber, Kurt; Lettino, Maddalena; Lindahl, Bertil; Müller, Christian; Parkhomenko, Alexander; Price, Susanna; Quinn, Tom; Schiele, Francois; Simoons, Maarten; Tatu-Chitoiu, Gabriel; Tubaro, Marco; Vrints, Christiaan; Zahger, Doron; Zeymer, Uwe


    Aims: Detailed data on patients admitted for acute myocardial infarction (AMI) on a European-wide basis are lacking. The Euro Heart Survey 2009 Snapshot was designed to assess characteristics, management, and hospital outcomes of AMI patients throughout European Society of Cardiology (ESC) member countries in a contemporary ‘real-world’ setting, using a methodology designed to improve the representativeness of the survey. Methods: Member countries of the ESC were invited to participate in a 1-week survey of all patients admitted for documented AMI in December 2009. Data on baseline characteristics, type of AMI, management, and complications were recorded using a dedicated electronic form. In addition, we used data collected during the same time period in national registries in Sweden, England, and Wales. Data were centralized at the European Heart House. Results: Overall, 4236 patients (mean age 66±13 years; 31% women) were included in the study in 47 countries. Sixty per cent of patients had ST-segment elevation myocardial infarction, with 50% having primary percutaneous coronary intervention and 21% fibrinolysis. Aspirin and thienopyridines were used in >90%. Unfractionated and low-molecular-weight heparins were the most commonly used anticoagulants. Statins, beta-blockers, and angiotensin-converting enzyme inhibitors were used in >80% of the patients. In-hospital mortality was 6.2%. Regional differences were observed, both in terms of population characteristics, management, and outcomes. Conclusions: In-hospital mortality of patients admitted for AMI in Europe is low. Although regional variations exist in their presentation and management, differences are limited and have only moderate impact on early outcomes. PMID:24338295

  14. Toward Building a Cross-Border Integration Region among Five Caribbean Countries

    Directory of Open Access Journals (Sweden)

    Silvia Cristina Mantilla Valbuena


    Full Text Available Este artículo pretende aportar insumos para proponer una zona de integración transfronteriza entre cinco países que comparten fronteras marítimo-territoriales en el c aribe: c olombia ( san andrés, Providencia y s anta c atalina, Panamá, c osta r ica, n icaragua y j amaica. s e realizó una caracterización de la zona fronteriza a partir de procesos comunes de conf iguración geohis - tórica, dinámicas de poblamiento y elementos étnicos, lingüísticos, culturales y religiosos que consolidaron la unidad sociocultural de esta región caribeña. e l desarrollo de esta caracteriza - ción permite identif icar una comunidad transfronteriza que, pese a las divisiones establecidas por los e stados, justif ica la integración regional.

  15. Cluster formation of investment attractive agrarian regions of the country using neural networks

    Directory of Open Access Journals (Sweden)

    I.M. Novak


    Full Text Available The aim of the article. The article analyzes the investment attractiveness of the domestic agricultural sector, determines the structure of sources of investment, heterogeneity of directions and attraction conditions. The results of the analysis. It is noted that the investment activity in Ukraine is under conditions of deficiency of financial resources and destructive financial policies. It is pointed out that during the period of 2012-2016 the total amount of money allocated by the state in the agricultural sector decreased by 83% and in 2016 is 16.5% in comparison with 2012. It is noted that the negative dynamics of public funding was partially covered with growth of capital investments from own funds of agricultural enterprises. But all this had social consequences, in particular reducing the number of employees and migration of the rural population. Investment attractive clusters of agricultural regions via factor, regression and neural analysis of information processing are defined. Using regression analysis, it is proved that the studied phenomena are closely linked, namely: increase in gross regional product of the cluster is due to the growth of factor characteristics. The analytical platform Deductor Studio Academic 5.2 is used for the neural processing of statistical information. It is specified on the main advantages of applying the method of neural networks. Visualization of neuro clustering results is based on the self-organizing map. This neuro clustering identified three clusters that partially repeat the results of factor analysis. Inequalities in the distribution of investment capital among clusters of agricultural enterprises are specified. Conclusions and directions of further researches. It is noted that investment policy requires improvement towards the creation of favorable conditions for attracting capital to the development of the agricultural sector and the organizational and economic mechanism requires development to

  16. The African Health Profession Regulatory Collaborative for Nurses and Midwives

    Directory of Open Access Journals (Sweden)

    McCarthy Carey F


    Full Text Available Abstract Background More than thirty-five sub-Saharan African countries have severe health workforce shortages. Many also struggle with a mismatch between the knowledge and competencies of health professionals and the needs of the populations they serve. Addressing these workforce challenges requires collaboration among health and education stakeholders and reform of health worker regulations. Health professional regulatory bodies, such as nursing and midwifery councils, have the mandate to reform regulations yet often do not have the resources or expertise to do so. In 2011, the United States of America Centers for Disease Control and Prevention began a four-year initiative to increase the collaboration among national stakeholders and help strengthen the capacity of health professional regulatory bodies to reform national regulatory frameworks. The initiative is called the African Health Regulatory Collaborative for Nurses and Midwives. This article describes the African Health Regulatory Collaborative for Nurses and Midwives and discusses its importance in implementing and sustaining national, regional, and global workforce initiatives. Discussion The African Health Profession Regulatory Collaborative for Nurses and Midwives convenes leaders responsible for regulation from 14 countries in East, Central and Southern Africa. It provides a high profile, south-to-south collaboration to assist countries in implementing joint approaches to problems affecting the health workforce. Implemented in partnership with Emory University, the Commonwealth Secretariat, and the East, Central and Southern African College of Nursing, this initiative also supports four to five countries per year in implementing locally-designed regulation improvement projects. Over time, the African Health Regulatory Collaborative for Nurses and Midwives will help to increase the regulatory capacity of health professional organizations and ultimately improve regulation and


    Institute of Scientific and Technical Information of China (English)


    Modern English is an international language inthe world.Besides Great Britain,English is spokenas first language in 39 countries.These countries arelocated in different regions with different naturalfeatures,history development and cultural character-istics.Thus,English used in these different regionscarries its own regional character—forming Englishregional varieties.The main English regional varieties are:BritishEnglish,American English,Canadian English andSouth African English.Canada is a rich country inNorth America with its own characteristics,which of

  18. Rabies - epizootiological situation at the territory of Serbia and countries in the region from 2006. to 2012.

    Directory of Open Access Journals (Sweden)

    Maksimović-Zorić Jelena


    Full Text Available Rabies is a disease that occurs both in animals and people, with relatively long period of incubation, intense clinical course and fatal ending. Majority of cases of illnes and death in people are caused by the standard rabies virus. According to books of regulations on suppression and eradiction of rabies from 1988. and 2009., each suspected rabies has to be laboratory confirmed. From 2006. to 2012. within the passive surveilance, 3549 samples of brain tissue were examined for the presence of rabies virus. The virus was confirmed in 923 samples by using the method of direct imunofluorescence. From 2006. to 2012. there were diagnosed 192, 160, 233, 181, 104, 43 and 10 positive cases, respectively. For the purpose of rabies eradiction at the territory of the Republic of Serbia, a regional project of oral vaccination of foxes against rabies has been implemented since 2010.Within monitoring of the effectiveness of oral vaccination against rabies which was carried out at the end of 2011. and at the beginning of 2012., there were examined 1385 samples, out of which 11 reacted positively. The virus was dominantly present in the fox population. During 2008. and 2009., a relatively large number of rabid cats was registered, what indicates a transmission of rabies from the fox to the cat population. The incidence of rabies at the territory of Serbia significantly differs from one epizootic area to another. Northern parts of the country (Sombor and Subotica epizootic regions have more favorable situation with only two cases of rabies for the last 7 years. In the period until 2010., in Pozarevac, Novi Sad, Jagodina, Pancevo, Belgrade and Nis epizootic region, a gradual decline in number of positive cases was noticed. International project for oral vaccination of foxes against rabies which has been implemented at the territory of the Republic of Serbia and neighboring countries, influenced a significant reduction of registered rabies cases. [Projekat

  19. African Otter Workshop

    Directory of Open Access Journals (Sweden)

    Jan Reed-Smith


    Full Text Available All concerned thought this was an excellent workshop with important progress made towards creating a viable beginning of an African Otter Network. There is a long road ahead but the 2015 African Otter Workshop is a start on developing range country partners, activists and researchers as well as collaborating on issue identification and resolution which will assist in preserving at least some refugia for Africa’s otters. A list of actions was agreed on, including the creation of an African Otter Network website and social media network, apublic Otter Awareness facebook page, encouraging online reporting of otter sightings, conducting otter awareness surveys, and emphasising the need for communication with the public, other members of the network and other professionals. information not shared or documented is information LOST. A Second African Otter Workshop should be held in 2017 elsewhere in Africa to encourage attendance from a wider range of countries.

  20. Video mediated teaching of young students in peripheral regions of the Nordic countries - a discussion of problems and potentials

    DEFF Research Database (Denmark)

    Andreasen, Karen Egedal

    Modern labour market is characterized by high educational demands. However, the opportunities for young people living in peripheral regions of countries of meeting such demands are reduced. Modern technology and improvements of video technology widened the possibilities of providing young people...... teaching at two locations was implemented in years 2008 - 2010 (Andreasen, 2012). Drawing on theory of Etienne Wenger (2004) about learning and communities of practice this article discusses results from the dialogue research related to the project. The article will discuss problems and potentials...... teaching seems to be demanding for some students especially students with different kinds of social or academic problems. Wenger, E. (1998). Communities of Practice: Learning, Meaning, and Identity. Cambridge University Press. Andreasen, K. E. (2012). VIU: Projekt VIrtuel Undervisning : Rapport fra...

  1. Reshaping Economic Geography of East Africa : From Regional to Global Integration, Volume 2. Technical Annexes


    World Bank


    Five East African countries Burundi, Kenya, Rwanda, Tanzania, and Uganda have made solid progress on integrating regionally in the East African Community (EAC) since 1999. Such advances are crucial, as integration in East Africa has the potential for higher than usual benefits: Burundi, Rwanda, and Uganda are landlocked, with very high costs to their economies. Successful integration will ...

  2. Reshaping Economic Geography of East Africa : From Regional to Global Integration (Vol. 1 of 2)


    World Bank


    Five East African countries Burundi, Kenya, Rwanda, Tanzania, and Uganda have made solid progress on integrating regionally in the East African Community (EAC) since 1999. Such advances are crucial, as integration in East Africa has the potential for higher than usual benefits: Burundi, Rwanda, and Uganda are landlocked, with very high costs to their economies. Successful integration will ...

  3. Blood component use in a sub-Saharan African country: results of a 4-year evaluation of diagnoses associated with transfusion orders in Namibia. (United States)

    Pitman, John P; Wilkinson, Robert; Liu, Yang; von Finckenstein, Bjorn; Smit Sibinga, Cees Th; Lowrance, David W; Marfin, Anthony A; Postma, Maarten J; Mataranyika, Mary; Basavaraju, Sridhar V


    National blood use patterns in sub-Saharan Africa are poorly described. Although malaria and maternal hemorrhage remain important drivers of blood demand across Africa, economic growth and changes in malaria, HIV/AIDS, and noncommunicable disease epidemiology may contribute to changes in blood demand. We evaluated indications for blood use in Namibia, a country in southern Africa, using a nationally representative sample and discuss implications for the region. Clinical and demographic data related to the issuance of blood component units in Namibia were reviewed for a 4-year period (August 1, 2007-July 31, 2011). Variables included blood component type, recipient age and sex, and diagnosis. Diagnoses reported by clinicians were reclassified into International Statistical Classification of Diseases, 10th Revision categories. Multiple imputation methods were used to complete a data set missing age, sex or diagnosis data. Descriptive analyses were conducted to describe indications for transfusions and use of red blood cells (RBCs), platelets, and plasma. A total of 39,313 records accounting for 91,207 blood component units were analyzed. The median age of Namibian transfusion recipients was 45 years (SD, ±19). A total of 78,660 RBC units were issued in Namibia during the study period. Red blood cells transfused for "unspecified anemia" accounted for the single largest category of blood issued (24,798 units). Of the overall total, 38.9% were for diseases of the blood and blood-forming organs (D50-D89). Infectious disease (A00-B99), pregnancy (O00-O99), and gastrointestinal (K20-K93) accounted for 14.8%, 11.1%, and 6.1% of RBC units issued, respectively. Although a specific diagnosis of malaria accounted for only 2.7% of pediatric transfusions, an unknown number of additional transfusions for malaria may have been categorized by requesting physicians as unspecified anemia and counted under diseases of blood forming organs. During the study period, 9751 units of fresh

  4. Early Childhood Developmental Status in Low- and Middle-Income Countries: National, Regional, and Global Prevalence Estimates Using Predictive Modeling.

    Directory of Open Access Journals (Sweden)

    Dana Charles McCoy


    Full Text Available The development of cognitive and socioemotional skills early in life influences later health and well-being. Existing estimates of unmet developmental potential in low- and middle-income countries (LMICs are based on either measures of physical growth or proxy measures such as poverty. In this paper we aim to directly estimate the number of children in LMICs who would be reported by their caregivers to show low cognitive and/or socioemotional development.The present paper uses Early Childhood Development Index (ECDI data collected between 2005 and 2015 from 99,222 3- and 4-y-old children living in 35 LMICs as part of the Multiple Indicator Cluster Survey (MICS and Demographic and Health Surveys (DHS programs. First, we estimate the prevalence of low cognitive and/or socioemotional ECDI scores within our MICS/DHS sample. Next, we test a series of ordinary least squares regression models predicting low ECDI scores across our MICS/DHS sample countries based on country-level data from the Human Development Index (HDI and the Nutrition Impact Model Study. We use cross-validation to select the model with the best predictive validity. We then apply this model to all LMICs to generate country-level estimates of the prevalence of low ECDI scores globally, as well as confidence intervals around these estimates. In the pooled MICS and DHS sample, 14.6% of children had low ECDI scores in the cognitive domain, 26.2% had low socioemotional scores, and 36.8% performed poorly in either or both domains. Country-level prevalence of low cognitive and/or socioemotional scores on the ECDI was best represented by a model using the HDI as a predictor. Applying this model to all LMICs, we estimate that 80.8 million children ages 3 and 4 y (95% CI 48.1 million, 113.6 million in LMICs experienced low cognitive and/or socioemotional development in 2010, with the largest number of affected children in sub-Saharan Africa (29.4.1 million; 43.8% of children ages 3 and 4 y

  5. Romulea pilosa and R. quartzicola (Iridaceae: Crocoideae, two new species from the southern African winter rainfall region, with nomenclatural corrections

    Directory of Open Access Journals (Sweden)

    J. C. Manning


    Full Text Available Romulea pilosa J.C.Manning & Goldblatt and R. quartzicola J.C.Manning & Goldblatt are two narrow endemics from the southern African winter rainfall region. An early, fragmentary collection of R. pilosa from Riviersonderend lacked the diagnostic corm and was thus mistakenly associated with R. tetragona (sect. Ciliatae as var. flavandra Vos because of the highly distinctive pilose, H-shaped leaf. The rediscovery of the taxon in the wild shows it to be a previously unrecognized member of sect. Aggregatae, distinguished by its unusual foliage and bright orange flowers. R. quartzicola was grown to flowering from seeds collected from quartz patches in southern Namaqualand and proved to be a new species of sect. Ciliatae, distinguished by its early flowering, short, subclavate leaves with reduced sclerenchyma strands, and bright yellow flowers with short bracts. R. neglecta Vos, a rare endemic from the Kamiesberg in Northern Cape, is a later homonym for the Mediterranean R. neglecta Jord. & Fourr., and the earliest name for this plant is shown to be R. speciosa (Ker Gawl. Baker, typified by an illustration in Andrews’ The botanist’s repository. An epitype is designated to fix the application of the name. We have also examined the type illustration of R. pudica (Sol. ex Ker Gawl. Baker, hitherto treated as an uncertain species, and are confident that it represents the species currently known as R. amoena Schltr. ex Bég., and takes priority over it as being the earlier name. The type of R. reflexa Eckl., a new name for the later homonym I. reflexa Thunb. and the basionym of R. rosea var. reflexa (Eckl. Bég., has been mistakenly identified as an Ecklon collection but is in fact the collection that formed the basis of Thunberg’s I. reflexa. This collection is actually a form of R. flava Lam., and the name R. rosea var. reflexa is thus moved to the synonomy of that species. The variety currently known under this name should now be

  6. An African VLBI network of radio telescopes

    CERN Document Server

    Gaylard, M J; Combrinck, L; Booth, R S; Buchner, S J; Fanaroff, B L; MacLeod, G C; Nicolson, G D; Quick, J F H; Stronkhorst, P; Venkatasubramani, T L


    The advent of international wideband communication by optical fibre has produced a revolution in communications and the use of the internet. Many African countries are now connected to undersea fibre linking them to other African countries and to other continents. Previously international communication was by microwave links through geostationary satellites. These are becoming redundant in some countries as optical fibre takes over, as this provides 1000 times the bandwidth of the satellite links. In the 1970's and 1980's some two dozen large (30 m diameter class) antennas were built in various African countries to provide the satellite links. Twenty six are currently known in 19 countries. As these antennas become redundant, the possibility exists to convert them for radio astronomy at a cost of roughly one tenth that of a new antenna of similar size. HartRAO, SKA Africa and the South African Department of Science and Technology (DST) have started exploring this possibility with some of the African countries...

  7. Migration as a turning point in food habits: the early phase of dietary acculturation among women from South Asian, African, and Middle Eastern Countries living in Norway. (United States)

    Terragni, Laura; Garnweidner, Lisa M; Pettersen, Kjell Sverre; Mosdøl, Annhild


    This article explores the early phase of dietary acculturation after migration. South Asian, African and Middle Eastern women (N = 21) living in Norway were interviewed about their early experiences with food in a new context. The findings pointed to abrupt changes in food habits in the first period after migration. To various degrees, women reported unfamiliarity with foods in shops, uncertainty about meal formats and food preparation and fear of eating food prohibited by their religion. Their food consumption tended to be restricted to food items perceived as familiar or safe. Our findings indicate that the first period after migration represents a specific phase in the process of dietary acculturation. Early initiatives aimed at enhancing confidence in food and familiarity with the new food culture are recommended.

  8. A global framework convention on health: would it help developing countries to fulfil their duties on the right to health? A South African perspective. (United States)

    Heywood, Mark; Shija, John


    This article argues from a South African perspective that national experience in attempting to fulfil the right to health supports the need for an international framework. Secondly, we suggest that this framework is not just a matter of good choice or even of justice but of a direct legal duty that falls on those states that have consented to operate within the international human rights framework by ratifying key treaties such as the International Covenant on Economic Social and Cultural Rights (ICESCR), the Convention on the Elimination of all forms of Discrimination Against Women (CEDAW), and the Convention on the Rights of the Child (CRC). States can either accept this duty or face with growing pressure from those who believe in global social justice to find lasting solutions to the terrible inequities in global health standards.

  9. A first-language-first multilingual model to meet the quality imperative in formal basic education in three `francophone' West African countries (United States)

    Nikièma, Norbert


    This paper documents the new trend towards a first-language-first multilingual model in formal education in three former French colonies of West Africa, namely Burkina Faso, Mali and Niger. It compares the sociolinguistic situations, the conditions of the development of multilingual education and the achievements of mother-tongue-medium education in all three countries. The evidence is that, contrary to common discourse in francophonie, a strong first-language-first model in formal education is the best guarantee of a good mastery of French and, more generally, of quality education in francophone countries.

  10. Region 2 of 8q24 is associated with the risk of aggressive prostate cancer in Caribbean men of African descent from Guadeloupe (French West Indies)

    Institute of Scientific and Technical Information of China (English)

    Geraldine CancelTassin; Marc Romana; Cecile Gaffory; Pascal Blanchet; Olivier Cussenot; Luc Multigner


    Multiple regions of the genome have been associated with the risk of prostate cancer in Caucasians, particularly including several polymorphisms located at 8q24. Region 2 of 8q24 has been repeatedly found to be associated with the risk of prostate cancer among men of African descent, although one study performed in the Caribbean island of Jamaica did not report this finding. In this study, the single nucleotide polymorphism rs16901979, located in region 2 of 8q24, was genotyped in 498 cases of histologically confirmed prostate cancer and 541 controls from the French Caribbean islands of Guadeloupe, where the population is largely of African descent. The AA genotype and the A allele at rs16901979 were associated with elevated risks of prostate cancer (odds ratios [ORs] = 1.84, 95% confidence interval [95% CI] = 1.26–2.69, P = 0.002 and OR = 1.36, 95% CI = 1.13–1.64, P = 0.001, respectively). Following stratification of the patients by disease aggressiveness, as defined by the Gleason score, the pooled genotypes AC + AA were associated with a higher risk of a Gleason score ≥7 at diagnosis (OR = 1.79, 95% CI = 1.17–2.73, P = 0.007). In summary, the A allele at rs16901979 was associated with the risk of prostate cancer in the Caribbean population of Guadeloupe, confirming its involvement in populations of African descent. Moreover, our study provides the first evidence of an association between this variant and the risk of aggressive prostate cancer.

  11. Genetically Distinct Glossina fuscipes fuscipes Populations in the Lake Kyoga Region of Uganda and Its Relevance for Human African Trypanosomiasis

    Directory of Open Access Journals (Sweden)

    Richard Echodu


    Full Text Available Tsetse flies (Glossina spp. are the sole vectors of Trypanosoma brucei—the agent of human (HAT and animal (AAT trypanosomiasis. Glossina fuscipes fuscipes (Gff is the main vector species in Uganda—the only country where the two forms of HAT disease (rhodesiense and gambiense occur, with gambiense limited to the northwest. Gff populations cluster in three genetically distinct groups in northern, southern, and western Uganda, respectively, with a contact zone present in central Uganda. Understanding the dynamics of this contact zone is epidemiologically important as the merger of the two diseases is a major health concern. We used mitochondrial and microsatellite DNA data from Gff samples in the contact zone to understand its spatial extent and temporal stability. We show that this zone is relatively narrow, extending through central Uganda along major rivers with south to north introgression but displaying no sex-biased dispersal. Lack of obvious vicariant barriers suggests that either environmental conditions or reciprocal competitive exclusion could explain the patterns of genetic differentiation observed. Lack of admixture between northern and southern populations may prevent the sympatry of the two forms of HAT disease, although continued control efforts are needed to prevent the recolonization of tsetse-free regions by neighboring populations.

  12. Genetically distinct Glossina fuscipes fuscipes populations in the Lake Kyoga region of Uganda and its relevance for human African trypanosomiasis. (United States)

    Echodu, Richard; Sistrom, Mark; Hyseni, Chaz; Enyaru, John; Okedi, Loyce; Aksoy, Serap; Caccone, Adalgisa


    Tsetse flies (Glossina spp.) are the sole vectors of Trypanosoma brucei--the agent of human (HAT) and animal (AAT) trypanosomiasis. Glossina fuscipes fuscipes (Gff) is the main vector species in Uganda--the only country where the two forms of HAT disease (rhodesiense and gambiense) occur, with gambiense limited to the northwest. Gff populations cluster in three genetically distinct groups in northern, southern, and western Uganda, respectively, with a contact zone present in central Uganda. Understanding the dynamics of this contact zone is epidemiologically important as the merger of the two diseases is a major health concern. We used mitochondrial and microsatellite DNA data from Gff samples in the contact zone to understand its spatial extent and temporal stability. We show that this zone is relatively narrow, extending through central Uganda along major rivers with south to north introgression but displaying no sex-biased dispersal. Lack of obvious vicariant barriers suggests that either environmental conditions or reciprocal competitive exclusion could explain the patterns of genetic differentiation observed. Lack of admixture between northern and southern populations may prevent the sympatry of the two forms of HAT disease, although continued control efforts are needed to prevent the recolonization of tsetse-free regions by neighboring populations.

  13. Promoting anti-corruption reforms. Evaluating the implementation of a World Bank anti-corruption program in seven African countries (1999-2001)

    NARCIS (Netherlands)

    Klein Haarhuis, C.M.


    This study offers an investigation of the implementation of a World Bank anti-corruption program, by applying various relevant social science theories and methods. The aim of the program is to provide countries with tools to build a relevant and participatory anti-corruption program. The study begi

  14. Promoting anti-corruption reforms : Evaluating the implementation of a World Bank anti-corruption program in seven African countries (1999-2001)

    NARCIS (Netherlands)

    Klein Haarhuis, Carolien Maria


    This study offers an investigation of the implementation of a World Bank anti-corruption program, by applying various relevant social science theories and methods. The aim of the program is to provide countries with tools to build a relevant and participatory anti-corruption program. The study begin

  15. Relationships between vocational training centres and industrial SMEs in the Basque Country: A Regional Innovation System approach

    Directory of Open Access Journals (Sweden)

    Eneka Albizu


    Full Text Available Purpose: The aim of this document is to analyse the reach of the relation between vocational training (VT centres and industrial SMEs in the Basque Country (Spain, and its influence on innovation processes developed by companies.Design/methodology/approach: We employ the conceptual framework offered by the Regional Innovation System (RIS perspective and the information supplied, on the one hand, by relevant actors within the vocational training system, through in-depth interviews, and, on the other, by the response of industrial SMEs to a survey.Findings: The results obtained suggest that vocational training centres are an agent of significance within the RIS, contributing through its main lines of action (formal education, continuous training and company services to improving the competitiveness of companies and to stimulating their innovation processes.Research limitations: Although this paper has described the nature of the main mechanisms of relation between VT centres and industrial SMEs, there is a need for ongoing research to analyse the contribution of the educational system to innovation processes in industrial SMEs. For this purpose it would be interesting to measure how the skills of qualified workers and technicians coming from the VT system mesh with company innovation processes.Originality/value: The results of this study highlight a positive relationship between vocational training and innovation.

  16. Understanding growth options and challenges in African economies

    DEFF Research Database (Denmark)

    Kuada, John


    This paper provides an overview of theories relating to economic growth processes in developing countries and relates these theories to the economic growth process in Sub-Sahara African countries......This paper provides an overview of theories relating to economic growth processes in developing countries and relates these theories to the economic growth process in Sub-Sahara African countries...

  17. [Role of E. coli enterotoxins in the etiology of infantile diarrhea. Comparison of an African country Yaoundé (Cameroon) and France (Grenoble)]. (United States)

    Foucaud-Gamen, J; Le Noc, P; Renaudet, J; Guimet, J


    The detection of heat-labile enterotoxin by two tests (culture on Y1 cells and GM1-ELISA) has been carried out on strains of E. coli isolated in stools of children with diarrheal disease (220 strains isolated in the Pasteur Institute in Yaoundé, Cameroon, and 133 stool specimens selected in Grenoble). This work was undertaken to determine the frequency of enterotoxigenic E. coli in two different populations. In Yaoundé the isolation rate (6%) is not very high in comparison with other developing countries. It should be observed that some strains belong to enteropathogenic serogroups. In Grenoble results confirm the very low frequency of enterotoxigenic E. coli in industrialized countries.

  18. Stigma, explanatory models and unmet needs of caregivers of children with developmental disorders in a low-income African country: a cross-sectional facility-based survey


    Tilahun, Dejene; Hanlon, Charlotte; Fekadu, Abebaw; Tekola, Bethlehem; Baheretibeb, Yonas; Hoekstra, Rosa Anna


    Background Understanding the perspectives of caregivers of children with developmental disorders living in low-income countries is important to inform intervention programmes. The purpose of this study was to examine the stigma experiences, explanatory models, unmet needs, preferred interventions and coping mechanisms of caregivers of children with developmental disorders in Ethiopia. Methods Participants comprised caregivers (n = 102) of children with developmental disorders attending two ch...

  19. Geoconservation - a southern African and African perspective (United States)

    Reimold, Wolf Uwe


    In contrast to Europe, where geoconservation is actively pursued in most countries and where two international symposia on this subject have been staged in 1991 and 1996, geoconservation in Africa has indeed a very poor record. Considering the wealth of outstanding geological sites and the importance African stratigraphy has within the global geological record, pro-active geoconservation on this continent has not featured very prominently to date. In the interest of science, education and tourism, unique and typical geosites need to be identified, catalogued, and prioritised with the aim being their protection. Most African countries do not have vibrant non-governmental organisations such as a strong geological society, which could drive projects like geoconservation, or strong support from the private sector for environmental work. Here, a case is made for the role that established National Geological Surveys, some of which are already involved with retroactive environmental geological work, could play in the forefront of pro-active geoconservation and site protection.

  20. Differences in HIV natural history among African and non-African seroconverters in Europe and seroconverters in sub-Saharan Africa

    DEFF Research Database (Denmark)

    Pantazis, Nikos; Morrison, Charles; Amornkul, Pauli N


    It is unknown whether HIV treatment guidelines, based on resource-rich country cohorts, are applicable to African populations.......It is unknown whether HIV treatment guidelines, based on resource-rich country cohorts, are applicable to African populations....

  1. The environmental context for the origins of modern human diversity: a synthesis of regional variability in African climate 150,000-30,000 years ago. (United States)

    Blome, Margaret Whiting; Cohen, Andrew S; Tryon, Christian A; Brooks, Alison S; Russell, Joellen


    We synthesize African paleoclimate from 150 to 30 ka (thousand years ago) using 85 diverse datasets at a regional scale, testing for coherence with North Atlantic glacial/interglacial phases and northern and southern hemisphere insolation cycles. Two major determinants of circum-African climate variability over this time period are supported by principal components analysis: North Atlantic sea surface temperature (SST) variations and local insolation maxima. North Atlantic SSTs correlated with the variability found in most circum-African SST records, whereas the variability of the majority of terrestrial temperature and precipitation records is explained by local insolation maxima, particularly at times when solar radiation was intense and highly variable (e.g., 150-75 ka). We demonstrate that climates varied with latitude, such that periods of relatively increased aridity or humidity were asynchronous across the northern, eastern, tropical and southern portions of Africa. Comparisons of the archaeological, fossil, or genetic records with generalized patterns of environmental change based solely on northern hemisphere glacial/interglacial cycles are therefore imprecise. We compare our refined climatic framework to a database of 64 radiometrically-dated paleoanthropological sites to test hypotheses of demographic response to climatic change among African hominin populations during the 150-30 ka interval. We argue that at a continental scale, population and climate changes were asynchronous and likely occurred under different regimes of climate forcing, creating alternating opportunities for migration into adjacent regions. Our results suggest little relation between large scale demographic and climate change in southern Africa during this time span, but strongly support the hypothesis of hominin occupation of the Sahara during discrete humid intervals ~135-115 ka and 105-75 ka. Hominin populations in equatorial and eastern Africa may have been buffered from the

  2. African Literature


    Recek, Denis


    The topic of this diploma is the formation and shaping of African literature. The first chapter is about the beginning of African literature. It describes oral literature and its transmission into written literature. Written African literature had great problems in becoming a part of world literature because of its diversity of languages and dialects. Christianity and Islam are mentioned as two religions which had a great impact on African literature. Colonialism is broadly described as an es...

  3. A preliminary checklist of polypores of Peru, with notes on distribution in the Andes-Amazon region and new records for the country

    Directory of Open Access Journals (Sweden)

    Janovec JP


    Full Text Available A checklist of 33 polypore species (Hymenochaetales and Polyporales from the Camanti-Marcapata Biological Corridor (CMBC of Cusco, Peru, is provided with data about distribution in the Andes-Amazon region. More than 90% of polypore species reported herein are new records to the country.

  4. Regional impact assessment of land use scenarios in developing countries using the FoPIA approach: Findings from five case studies

    NARCIS (Netherlands)

    König, H.J.; Uthes, S.; Schuler, J.; Zhen, L.; Purushothaman, S.; Suarma, U.; Sghaier, M.; Makokha, S.; Helming, K.; Sieber, S.; Chen, L.; Brouwer, F.M.; Morris, J.; Wiggering, H.


    The impact of land use changes on sustainable development is of increasing interest in many regions of the world. This study aimed to test the transferability of the Framework for Participatory Impact Assessment (FoPIA), which was originally developed in the European context, to developing countries

  5. The West African monsoon: Contribution of the AMMA multidisciplinary programme to the study of a regional climate system. (United States)

    Lebel, T.; Janicot, S.; Redelsperger, J. L.; Parker, D. J.; Thorncroft, C. D.


    The AMMA international project aims at improving our knowledge and understanding of the West African monsoon and its variability with an emphasis on daily-to-interannual timescales. AMMA is motivated by an interest in fundamental scientific issues and by the societal need for improved prediction of the WAM and its impacts on water resources, health and food security for West African nations. The West African monsoon (WAM) has a distinctive annual cycle in rainfall that remains a challenge to understand and predict. The location of peak rainfall, which resides in the Northern Hemisphere throughout the year, moves from the ocean to the land in boreal spring. Around the end of June there is a rapid shift in the location of peak rainfall between the coast and around 10°N where it remains until about the end of August. In September the peak rainfall returns equatorward at a relatively steady pace and is located over the ocean again by November. The fact that the peak rainfall migrates irregularly compared to the peak solar heating is due to the interactions that occur between the land, the atmosphere and the ocean. To gain a better understanding of this complex climate system, a large international research programme was launched in 2002, the biggest of its kind into environment and climate ever attempted in Africa. AMMA has involved a comprehensive field experiment bringing together ocean, land and atmospheric measurements, on timescales ranging from hourly and daily variability up to the changes in seasonal activity over a number of years. This presentation will focus on the description of the field programme and its accomplishments, and address some key questions that have been recently identified to form the core of AMMA-Phase 2.

  6. Gonorrhoea and gonococcal antimicrobial resistance surveillance networks in the WHO European Region, including the independent countries of the former Soviet Union. (United States)

    Unemo, Magnus; Ison, Catherine A; Cole, Michelle; Spiteri, Gianfranco; van de Laar, Marita; Khotenashvili, Lali


    Antimicrobial resistance (AMR) in Neisseria gonorrhoeae has emerged for essentially all antimicrobials following their introduction into clinical practice. During the latest decade, susceptibility to the last remaining options for antimicrobial monotherapy, the extended-spectrum cephalosporins (ESC), has markedly decreased internationally and treatment failures with these ESCs have been verified. In response to this developing situation, WHO and the European Centre for Disease Prevention and Control (ECDC) have published global and region-specific response plans, respectively. One main component of these action/response plans is to enhance the surveillance of AMR and treatment failures. This paper describes the perspectives from the diverse WHO European Region (53 countries), including the independent countries of the former Soviet Union, regarding gonococcal AMR surveillance networks. The WHO European Region has a high prevalence of resistance to all previously recommended antimicrobials, and most of the first strictly verified treatment failures with cefixime and ceftriaxone were also reported from Europe. In the European Union/European Economic Area (EU/EEA), the European gonococcal antimicrobial surveillance programme (Euro-GASP) funded by the ECDC is running. In 2011, the Euro-GASP included 21/31 (68%) EU/EEA countries, and the programme is further strengthened annually. However, in the non-EU/EEA countries, internationally reported and quality assured gonococcal AMR data are lacking in 87% of the countries and, worryingly, appropriate support for establishment of a GASP is still lacking. Accordingly, national and international support, including political and financial commitment, for gonococcal AMR surveillance in the non-EU/EEA countries of the WHO European Region is essential.

  7. Promoting North-South partnership in space data use and applications: Case study - East African countries space programs/projects new- concepts in document management (United States)

    Mlimandago, S.

    This research paper have gone out with very simple and easy (several) new concepts in document management for space projects and programs which can be applied anywhere both in the developing and developed countries. These several new concepts are and have been applied in Tanzania, Kenya and Uganda and found out to bear very good results using simple procedures. The intergral project based its documentation management approach from the outset on electronic document sharing and archiving. The main objective of having new concepts was to provide a faster and wider availability of the most current space information to all parties rather than creating a paperless office. Implementation of the new concepts approach required the capturing of documents in an appropriate and simple electronic format at source establishing new procedures for project wide information sharing and the deployment of a new generation of simple procedure - WEB - based tools. Key success factors were the early adoption of Internet technologies and simple procedures for improved information flow new concepts which can be applied anywhere both in the developed and the developing countries.

  8. Large sequence divergence of mitochondrial DNA genotypes of the control region within populations of the African antelope, kob (Kobus kob)

    DEFF Research Database (Denmark)

    Birungi, J.; Arctander, Peter


    conservation genetics, control region, Kobus kob, mitochondrial DNA, population expansion, population structure......conservation genetics, control region, Kobus kob, mitochondrial DNA, population expansion, population structure...

  9. Prices of second-line antiretroviral treatment for middle-income countries inside versus outside sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Bryony Simmons


    Full Text Available Introduction: Antiretrovirals are available at low prices in sub-Saharan Africa, but these prices may not be consistently available for middle-income countries in other regions with large HIV epidemics. Over 30% of HIV infected people live in countries outside sub-Saharan Africa. Several key antiretrovirals are still on patent, with generic production restricted. We assessed price variations for key antiretroviral drugs inside versus outside sub-Saharan Africa. Methods: HIV drug prices used in national programmes (2010–2014 were extracted from the WHO Global Price Reporting Mechanism database for all reporting middle-income countries as classified by the World Bank. Treatment costs (branded and generic were compared for countries inside sub-Saharan Africa versus those outside. Five key second-line antiretrovirals were analysed: abacavir, atazanavir, darunavir, lopinavir/ritonavir, raltegravir. Results: Prices of branded antiretrovirals were significantly higher outside sub-Saharan Africa (p<0.001, adjusted for year of purchase (see Table 1. For example, the median (interquartile range price of darunavir from Janssen was $732 (IQR $732-806 per person-year in sub-Saharan Africa versus $4689 (IQR $4075-5717 in non-African middle-income countries, an increase of 541%. However, when supplied by generic companies, most antiretrovirals were similarly priced between countries in sub-Saharan Africa and other regions. Conclusions: Pharmaceutical companies are selling antiretrovirals to non-African middle-income countries at prices 74–541% higher than African countries with similar gross national incomes. However, generic companies are selling most of these drugs at similar prices across regions. Mechanisms to ensure fair pricing for patented antiretrovirals across both African and non-African middle-income countries need to be improved, to ensure sustainable treatment access.

  10. Evaluating socio-economic state of a country analyzing airtime credit and mobile phone datasets

    CERN Document Server

    Gutierrez, Thoralf; Blondel, Vincent D


    Reliable statistical information is important to make political decisions on a sound basis and to help measure the impact of policies. Unfortunately, statistics offices in developing countries have scarce resources and statistical censuses are therefore conducted sporadically. Based on mobile phone communications and history of airtime credit purchases, we estimate the relative income of individuals, the diversity and inequality of income, and an indicator for socioeconomic segregation for fine-grained regions of an African country. Our study shows how to use mobile phone datasets as a starting point to understand the socio-economic state of a country, which can be especially useful in countries with few resources to conduct large surveys.

  11. The role of partners’ educational attainment in the association between HIV and education amongst women in seven sub-Saharan African countries

    Directory of Open Access Journals (Sweden)

    Guy Harling


    Full Text Available Introduction: Individuals’ educational attainment has long been considered as a risk factor for HIV. However, little attention has been paid to the association between partner educational attainment and HIV infection. Methods: We conducted cross-sectional analysis of young women (aged 15–34 in 14 Demographic and Health Surveys from seven sub-Saharan Africa (SSA countries with generalized HIV epidemics. We measured the degree of similarity in educational attainment (partner homophily in 75,373 partnerships and evaluated the correlation between homophily and female HIV prevalence at the survey cluster level. We then used logistic regression to assess whether own and partner educational attainment was associated with HIV serostatus amongst 38,791 women. Results: Educational attainment was positively correlated within partnerships in both urban and rural areas of every survey (Newman assortativity coefficients between 0.09 and 0.44, but this correlation was not ecologically associated with HIV prevalence. At the individual level, larger absolute differences between own and partner educational attainment were associated with significantly higher HIV prevalence amongst women. This association was heterogeneous across countries, but not between survey waves. In contrast to other women, for those aged 25–34 who had secondary or higher education, a more-educated partner was associated with lower HIV prevalence. Conclusions: HIV prevalence amongst women in SSA is associated not only with one's own education but also with that of one's partner. These findings highlight the importance of understanding how partners place individuals at risk of infection and suggest that HIV prevention efforts may benefit from considering partner characteristics.

  12. How are countries in the Western Pacific Region tracking the HIV epidemic? Results from a 2011 survey of ministries of health (United States)

    Wi, Teodora; Calleja, Jesus Garcia


    In 2011, as part of the World Health Organization global reporting tool to collect data on the progress of improving the health sector response to HIV/AIDS towards universal access, a questionnaire was sent to ministries of health of Western Pacific Region Member States on the scope and functioning of their HIV surveillance systems. Of the 17 countries that responded, 13 were low- to middle-income countries and four were high-income countries. Regular serosurveillance surveys are conducted with female sex workers in all lower- and middle-income countries that responded to the survey but less so with people who inject drugs and men who have sex with men. Furthermore, there are no surveillance activities of the key populations in most of the Pacific island countries. It is recommended that estimations of high-risk populations be conducted in priority Pacific island countries and tailored surveillance systems be designed. Efforts should also be made to gather and accumulate data from sufficient geographic coverage to allow the HIV epidemic to continue to be monitored. PMID:23971003

  13. Mesoscale modeling and satellite observation of transport and mixing of smoke and dust particles over northern sub-Saharan African region (United States)

    Yang, Zhifeng; Wang, Jun; Ichoku, Charles; Hyer, Edward; Zeng, Jing


    transport and vertical distribution of smoke and dust aerosols over the northern sub-Saharan African region are simulated in the Weather Research and Forecasting model with Chemistry (WRF-Chem), which uses hourly dynamic smoke emissions from the Fire Locating and Modeling of Burning Emissions database derived from the Moderate Resolution Imaging Spectroradiometer (MODIS) fire products. Model performance for February 2008 is evaluated using MODIS true color images, aerosol optical depth (AOD) measurements from the Aerosol Robotic Network, MODIS AOD retrievals, and the Cloud-Aerosol Lidar data with Orthogonal Polarization (CALIOP) atmospheric backscattering and extinction products. Specification of smoke injection height of 650 m in WRF-Chem yields aerosol vertical profiles that are most consistent with CALIOP observations of aerosol layer height. Between the equator and 10°N, Saharan dust is often mixed with smoke near the surface, and their transport patterns manifest the interplay of trade winds, subtropical highs, precipitation associated with the Intertropical Convergence Zone, and the high mountains located near the Great Rift Valley region. At the 700 hPa level and above, smoke layers spread farther to the north and south and are often above the dust layers over the Sahel region. In some cases, transported smoke can also be mixed with dust over the Saharan region. Statistically, 5% of the CALIOP valid measurements in February 2007-2011 show aerosol layers either above or between the clouds, reinforcing the importance of the aerosol vertical distribution for quantifying aerosol impact on climate in the Sahel region.

  14. Variability of the preC/C region of hepatitis B virus genotype A from a South African cohort predominantly infected with HIV. (United States)

    Mayaphi, Simnikiwe H; Martin, Desmond J; Mphahlele, M Jeffrey; Blackard, Jason T; Bowyer, Sheila M


    Hepatitis B virus (HBV) is a serious global health problem, and HBV genotype is an important determinant of disease progression and treatment outcome. The aim of this study was to assess variations of the precore/core (preC/C) region in HBV genotype A. Sequencing of the preC/C and surface (S) genes of HBV was performed on plasma samples from 20 HBV/HIV co-infected and 5 HBV mono-infected individuals. All preC/C study sequences clustered with subgenotype A1, except for two which clustered with subgenotype D4 reference strains. The nucleotide and amino acid variability was far higher in the preC/C region than in the S region. Mutations associated with reduction or failure of HBV e-antigen (HBeAg) production were observed, with a preC start codon mutation being common (24%). Other mutations (e.g., P5H/L and I97L) associated with severe liver disease were also noticed, some of which were located in the major histocompatibility restricted sites. PreC/C intergenotype nucleotide divergence was >7%, while subgenotypes differed by 2.5-7%. Several study sequences were highly divergent from other African subgenotype A1 strains. This study showed that HBeAg-negative chronic hepatitis B is underestimated in subgenotype A1, and also highlighted the variant South African A1 strains. The major advantage of preC/C sequencing is that it informs patient management as HBeAg-negative chronic hepatitis B responds poorly to conventional interferon-α therapy, and some guidelines treat HBeAg-negative chronic hepatitis B differently from HBeAg-positive chronic hepatitis B. These data suggest that subgenotype A1 may be more involved in severe HBV-related diseases.

  15. African Biochemists Plan More Collaboration

    Directory of Open Access Journals (Sweden)

    Peter N. Campbell


    Full Text Available The Federation of European Biochemical Societies (FEBS was the first regional organisation of biochemists, holding its first congress in London in 1964. There followed the creation of the Pan American Association of Biochemical Societies (PAABS and then the Federation of Asian and Oceanian Biochemists (FAOB. An obvious development was the formation of a similar organisation to take care of Africa, but this proved impossible so long as apartheid survived in South Africa. With the removal of the latter, the way was clear for the foundation of the Federation of African Societies of Biochemistry and Molecular Biology (FASBMB. The first congress of the new federation was held in Nairobi in September 1996 under the Presidency of Prof. Dominic Makawiti of Nairobi University. Among the 300 participants were representatives from 19 countries in Africa. The second congress was held at Potchefstroom in South Africa in 1998 and the third was just held in Cairo.

  16. The prospects and requirements for increasing private sector investments in the mineral sector of the countries of the South Asian Association for Regional Cooperation (SAARC)

    Energy Technology Data Exchange (ETDEWEB)

    Handelsman, S.D. [Ridgewood Partners Ltd., New York, NY (United States)


    The South Asian Association for Regional Cooperation (SAARC) was established at the Dhaka summit, Dec 1985, to foster better understanding and economic development through mutual cooperation. The economies of the SAARC countries (India, Pakistan, Nepal, Bhutan, Bangladesh, Sri Lanka, and the Maldives) are at different stages of liberalization and economic reforms with the objective to increase economic development in these countries. To mobilize the financing and transfer of the technology and know-how required for such increased economic development, more emphasis is being given to the role and contribution of the private sector. A summary is presented of a study commissioned by the Asian Development Bank: to review the present status of the mineral sector in the SAARC countries; to identify its potential for further development; and the steps that need to be taken by the governments to promote such development. 171 refs., 12 figs., 9 tabs.

  17. Detection of African Swine Fever Virus DNA in Blood Samples Stored on FTA Cards from Asymptomatic Pigs in Mbeya Region, Tanzania

    DEFF Research Database (Denmark)

    Braae, U. C.; Johansen, M. V.; Ngowi, H. A.;


    The aim of the study was to assess whether blood samples collected onto FTA® cards could be used in combination with real-time PCR for the detection of African swine fever virus (ASFV) DNA in samples from resource-poor settings under the assumption that asymptomatically (sub-clinically) infected...... pigs may be present. Blood samples were collected from clinically healthy pigs from Mbeya Region, Tanzania. The blood samples were stored on FTA® cards and analysed by real-time PCR assays in duplicate; three pigs had high levels of viral DNA (Ct values of 27-29), and three pigs had a low level...... of viral DNA (Ct 36-45). Four pigs were positive in one of the duplicate samples only, but clear products of the expected size were obtained when the reactions were analysed by gel electrophoresis. For comparison, blood samples from pigs experimentally infected with either a pathogenic (OURT T88...

  18. TVET Initiatives in Southeast Asian Countries in Response to Increasing Labour Mobility within the Region and beyond (United States)



    The International Labour Organisation (ILO) report (2007) highlights that labour productivity, education and migration play important roles in shaping competitiveness, growth and development in Southeast Asia. The statistics also reveal interesting aspects of labour mobility. Thirteen and a half million migrants originate from countries in the…

  19. SADCC: challenging the "South African connection.". (United States)

    Liebenow, J G


    The Southern African Development Coordination Conference (SADCC) which unites 9 states with a combined population of 60 million, has as its objective the task of promoting economic development and realizing economic independence. In many respects the strain of neocolonialism that Southern Africa faces at this time is even more virulent than that facing West, Central, and East Africa. In the latter regions the surrender of political authority by colonial administrators frequently left the commercial, agricultural, and industrial interests of the European powers in continued control of the economies of the former colonies. The fate of economic development plans was determined by situations and decisions made in places distant from the African continent. In the case of Southern Africa, the withdrawal or expulsion of European colonialists has found whites in neighboring South Africa most eager to step into the economic breech. For most of the Southern African states this variant strain of the neocolonial virus creates a dual problem: the independent states acting separately have been no match for South Africa; and the acquiescence of independent African states in forging economic links with South Africa has impeded the liberation efforts of Africans in Namibia and the Republic of South Africa. Discussion focus turns to the challenges that confront SADCC; transport as the most significant factor accounting for the dependency of SADCC states upon South Africa; the role of minerals in dependency; other aspects of dependency; South Africa's proposed Constellation of States; the origins and objectives of SADCC; and dollars and donors. SADCC planning for economic liberation has been conducted against the background of a counterproposal advanced by South Africa's government, which put the Republic at the center of an expanded network of economic linkages within the entire southern African region. While being formally rejected, the Constellation of States scheme does have

  20. Integration of renewable energies and nuclear power into North African Energy Systems: An analysis of energy import and export effects

    Energy Technology Data Exchange (ETDEWEB)

    Supersberger, Nikolaus, E-mail: [Wuppertal Institute for Climate, Environment, Energy, P.O. Box 10 04 80, 42004 Wuppertal (Germany); Fuehrer, Laura, E-mail: [Sciences Po Paris, College Universitaire, Campus de Menton, du College Chemin du College, 06500 Menton (France)


    The North African countries Morocco, Algeria, Tunisia, Libya and Egypt have been and are currently experiencing rapid growth in energy demand. This development confronts their political leaders with the question of how to expand or diversify their countries' generation capacities. In this context, renewable energies and nuclear power constitute options that have rarely been exploited so far in the region. This article analyzes the drawbacks and benefits of both alternatives, with a special focus on import and export dynamics. When attempting to make the strategic decision between renewables and atomic power, North African regional specifics and circumstances have to be taken into account. Hence, in a first step, the article characterizes the energy systems of the North African countries and presents scenarios for their future development. In a second step, it scrutinizes the energy challenges these states face in terms of domestic concerns and foreign affairs. Finally, a case study of Algeria is used to demonstrate how renewable energies, but not nuclear power, are able to respond to North African energy challenges. - Research Highlights: > Using nuclear power would require fuel imports over the entire operation time. > Hence, energy exporters (Algeria, Libya) would become dependent on fuel imports. > Renewable energies can make North African countries less fuel import dependent. > Nuclear technologies would have to be imported over the whole life cycle of plants. > Domestic production for renewables technologies could be established after a first phase of technology imports.

  1. Integrated community case management of malaria, pneumonia and diarrhoea across three African countries: A qualitative study exploring lessons learnt and implications for further scale up

    Directory of Open Access Journals (Sweden)

    Clare Strachan


    Full Text Available Numerous studies highlight the effectiveness of an integrated approach for the management of malaria, pneumonia and diarrhoea at the community level. There has however been little study on lessons learnt from implementation in practice and stakeholder experiences which could inform future programmatic planning and evaluation frameworks. A participatory, qualitative evaluation was conducted in the three varied settings of South Sudan, Uganda and Zambia, which have seen the scale up of integrated community case management (iCCM over the last five years. All key in–country stakeholders were consulted on study design, with a particular focus on scope and methodology. Data collection methods included stakeholder consultations (key informant interviews, focus group discussions, and a review of project and Ministry of Health documentation. Data analysis followed the Framework Approach. Results suggest that iCCM implementation generally followed national pre–agreed guidelines. Overarching key programmatic recommendations included: collaboration with implementing partners in planning stages to positively impact on community acceptance and ownership; adoption of participatory training methods adapted to low literacy populations; development of alternative support supervision methods such as peer support groups; full integration of community level data into the health management information system and emphasizing data analysis, use and feedback at all levels; strengthened supply chains through improved quantification and procurement of commodities in conjunction with the national distribution network; community engagement to establish a support system for community health workers to increase their motivation; enhanced sensitisation and behaviour change communication to raise awareness and usage of appropriate health services; and advocacy at the national level for funding and logistical support for the continuation and integration of iCCM. This

  2. Integrated community case management of malaria, pneumonia and diarrhoea across three African countries: A qualitative study exploring lessons learnt and implications for further scale up. (United States)

    Strachan, Clare; Wharton-Smith, Alexandra; Sinyangwe, Chomba; Mubiru, Denis; Ssekitooleko, James; Meier, Joslyn; Gbanya, Miatta; Tibenderana, James K; Counihan, Helen


    Numerous studies highlight the effectiveness of an integrated approach for the management of malaria, pneumonia and diarrhoea at the community level. There has however been little study on lessons learnt from implementation in practice and stakeholder experiences which could inform future programmatic planning and evaluation frameworks. A participatory, qualitative evaluation was conducted in the three varied settings of South Sudan, Uganda and Zambia, which have seen the scale up of integrated community case management (iCCM) over the last five years. All key in-country stakeholders were consulted on study design, with a particular focus on scope and methodology. Data collection methods included stakeholder consultations (key informant interviews, focus group discussions), and a review of project and Ministry of Health documentation. Data analysis followed the Framework Approach. Results suggest that iCCM implementation generally followed national pre-agreed guidelines. Overarching key programmatic recommendations included: collaboration with implementing partners in planning stages to positively impact on community acceptance and ownership; adoption of participatory training methods adapted to low literacy populations; development of alternative support supervision methods such as peer support groups; full integration of community level data into the health management information system and emphasizing data analysis, use and feedback at all levels; strengthened supply chains through improved quantification and procurement of commodities in conjunction with the national distribution network; community engagement to establish a support system for community health workers to increase their motivation; enhanced sensitisation and behaviour change communication to raise awareness and usage of appropriate health services; and advocacy at the national level for funding and logistical support for the continuation and integration of iCCM. This qualitative study is a

  3. High-resolution regional modeling of summertime transport and impact of African dust over the Red Sea and Arabian Peninsula

    KAUST Repository

    Kalenderski, Stoitchko Dimitrov


    Severe dust outbreaks and high dust loading over Eastern Africa and the Red Sea are frequently detected in the summer season. Observations suggest that small-scale dynamic and orographic effects, from both the Arabian and African sides, strongly contribute to dust plume formation. To better understand these processes, we present here the first high resolution modeling study of a dust outbreak in June 2012 developed over East Africa, the Red Sea, and the Arabian Peninsula. Using the Weather Research and Forecasting model coupled with Chemistry component (WRF-Chem), we identified several dust generating dynamical processes that range from convective to synoptic scales, including synoptic cyclones, nocturnal low-level jets, and cold pools of mesoscale convective systems. The simulations reveal an eastward transport of African dust across the Red Sea. Over the northern part of the Red Sea, most of the dust transport occurs above 2 km height, whereas across the central and southern parts of the sea, dust is mostly transported below 2 km height. Dust is the dominant contributor (87%) to the aerosol optical depth, producing a domain average cooling effect of -12.1 W m-2 at the surface, a warming of 7.1 W m-2 in the atmosphere, and a residual cooling of -4.9 W m-2 at the top of the atmosphere. Both dry and wet deposition processes contribute significantly to dust removal from the atmosphere. Model results compare well with available ground-based and satellite observations, but generally underestimate the observed maximum values of aerosol optical depth. The satellite-retrieved mean optical depth at some locations are underestimated by a factor of two. A sensitive experiment suggests that these large local differences may result from poor characterization of dust emissions in some areas of the modeled domain. In this case study we successfully simulate the major fine-scale dust generating dynamical processes, explicitly resolving convection and haboob

  4. High-resolution regional modeling of summertime transport and impact of African dust over the Red Sea and Arabian Peninsula (United States)

    Kalenderski, Stoitchko; Stenchikov, Georgiy


    Severe dust outbreaks and high dust loading over Eastern Africa and the Red Sea are frequently detected in the summer season. Observations suggest that small-scale dynamic and orographic effects, from both the Arabian and African sides, strongly contribute to dust plume formation. To better understand these processes, we present here the first high-resolution modeling study of a dust outbreak in June 2012 developed over East Africa, the Red Sea, and the Arabian Peninsula. Using the Weather Research and Forecasting model coupled with Chemistry (WRF-Chem) component, we identified several dust generating dynamical processes that range from convective to synoptic scales, including synoptic cyclones, nocturnal low-level jets, and cold pools of mesoscale convective systems. The simulations reveal an eastward transport of African dust across the Red Sea. Over the northern part of the Red Sea, most of the dust transport occurs above 2 km height, whereas across the central and southern parts of the sea; dust is mostly transported below 2 km height. Dust is the dominant contributor (87%) to the aerosol optical depth, producing a domain average cooling effect of -12.1 W m-2 at the surface, a warming of 7.1 W m-2 in the atmosphere, and a residual cooling of -4.9 W m-2 at the top of the atmosphere. Both dry and wet deposition processes contribute significantly to dust removal from the atmosphere. Model results compare well with available ground-based and satellite observations but generally underestimate the observed maximum values of aerosol optical depth. The satellite-retrieved mean optical depth at some locations is underestimated by a factor of 2. A sensitive experiment suggests that these large local differences may result from poor characterization of dust emissions in some areas of the modeled domain. In this case study we successfully simulate the major fine-scale dust generating dynamical processes, explicitly resolving convection and haboob formation. The future

  5. Expanding the Scope of Nursing Research in Low Resource and Middle Resource Countries, Regions, and States Focused on Cervical Cancer Prevention, Early Detection, and Control


    Underwood, Sandra Millon; Ramsay-Johnson, Edith; Dean, Asante; Russ, Jori; Ivalis, Ruth


    Cervical cancer is the second most commonly diagnosed cancer and the third leading cause of cancer death in women worldwide. There are significant disparities in cervical cancer incidence and mortality globally as well as in the United States. The most significant global disparities in cervical cancer incidence and mortality are reported in low resource and middle resource countries, regions, and states. This report provides an overview of cervical cancer epidemiology and etiology, and identi...

  6. Monitoring fever treatment behaviour and equitable access to effective medicines in the context of initiatives to improve ACT access: baseline results and implications for programming in six African countries

    Directory of Open Access Journals (Sweden)

    Littrell Megan


    Full Text Available Abstract Background Access to artemisinin-based combination therapy (ACT remains limited in high malaria-burden countries, and there are concerns that the poorest people are particularly disadvantaged. This paper presents new evidence on household treatment-seeking behaviour in six African countries. These data provide a baseline for monitoring interventions to increase ACT coverage, such as the Affordable Medicines Facility for malaria (AMFm. Methods Nationally representative household surveys were conducted in Benin, the Democratic Republic of Congo (DRC, Madagascar, Nigeria, Uganda and Zambia between 2008 and 2010. Caregivers responded to questions about management of recent fevers in children under five. Treatment indicators were tabulated across countries, and differences in case management provided by the public versus private sector were examined using chi-square tests. Logistic regression was used to test for association between socioeconomic status and 1 malaria blood testing, and 2 ACT treatment. Results Fever treatment with an ACT is low in Benin (10%, the DRC (5%, Madagascar (3% and Nigeria (5%, but higher in Uganda (21% and Zambia (21%. The wealthiest children are significantly more likely to receive ACT compared to the poorest children in Benin (OR = 2.68, 95% CI = 1.12-6.42; the DRC (OR = 2.18, 95% CI = 1.12-4.24; Madagascar (OR = 5.37, 95% CI = 1.58-18.24; and Nigeria (OR = 6.59, 95% CI = 2.73-15.89. Most caregivers seek treatment outside of the home, and private sector outlets are commonly the sole external source of treatment (except in Zambia. However, children treated in the public sector are significantly more likely to receive ACT treatment than those treated in the private sector (except in Madagascar. Nonetheless, levels of testing and ACT treatment in the public sector are low. Few caregivers name the national first-line drug as most effective for treating malaria in Madagascar (2%, the DRC (2%, Nigeria (4% and Benin (10

  7. Deterioration and spoilage of peanuts and desiccated coconuts from two sub-Saharan tropical East African countries due to the associated mycobiota and their degradative enzymes. (United States)

    Ismail, M A


    A broad variety of fungi (84 species belonging to 36 genera) were identified with more taxa infesting peanut seed samples from two tropical countries (29 genera and 61 species) compared to those found in desiccated coconuts (20 genera and 55 species) on both DRBC and DG18 media. This may be due to the higher moisture levels in peanuts (5.07-7.97%) compared with coconuts (1.5-4.17%). More taxa and propagules were recovered on DG18 in both cases. The dominant fungi from both substrates on both isolation media were Aspergillus and Penicillium, with other fungi from only one substrate/medium. The aflatoxigenic species (A. flavus) dominated Kenyan samples more so than Ugandan samples on both substrates. However only 71.5% and 87.5% of the peanut kernels, on DRBC and DG18, respectively, were found to be infested with fungi. The aflatoxigenic species (A. flavus/parasiticus) were found in 75% of the samples, however only 15.75% and 13% of the kernels analyzed were infested. The most frequently isolated species from peanuts were A. niger followed by A. flavus and M. phaseolina. E. repens, E. amstelodami, E. rubrum and E. chevalieri dominated peanut seeds on DG18, and R. stolonifer, A. parasiticus, F. solani, L. theobromae and P. chrysogenum on DRBC. The mean count of fungal propagules in coconut samples were approximately 0.7 x 10(3) and 0.8 x 10(3) on DRBC and DG18, respectively, with a high proportion of those propagules recorded for the aflatoxigenic species (about 0. 17 x 10(3) and 0.25 x 10(3) colonies/g). The mycobiota of desiccated coconut was dominated by A. niger, A. flavus and P. chrysogenum. Also A. ochraceus, P. waksmanii, Paecilomyces variotii, P. islandicum and R. mucilaginosa were more frequent on DRBC, while, species of Cladosporium. Chrysosporium and Eurotium were more frequent on DG18. Enzyme indices (or the activities) for each specific strain, when determined after 5 and 8 days of incubation, proved to be similar. A recommendation is given. The

  8. Latinos in the United States on the HIV/AIDS care continuum by birth country/region: a systematic review of the literature. (United States)

    Sheehan, Diana M; Trepka, Mary Jo; Dillon, Frank R


    Twenty percent of Latinos with HIV in the US are unaware of their HIV status, 33% are linked to care late, and 74% do not reach viral suppression. Disparities along this HIV/AIDS care continuum may be present between various ethnic groups historically categorised as Latino. To identify differences along the HIV/AIDS care continuum between US Latinos of varying birth countries/regions a systematic review of articles published in English between 2002 and 2013 was conducted using MEDLINE, PsycINFO, and Web of Science. Studies that reported on one or more steps of the HIV/AIDS care continuum and reported results by birth country/region for Latinos were included. Latinos born in Mexico and Central America were found to be at increased risk of late diagnosis compared with US-born Latinos. No studies were found that reported on linkage to HIV care or viral load suppression by country/region of birth. Lower survival was found among Latinos born in Puerto Rico compared with Latinos born in mainland US. Inconsistent differences in survival were found among Latinos born in Mexico, Cuba, and Central America. Socio/cultural context, immigration factors, and documentation status are discussed as partial explanations for disparities along the HIV/AIDS care continuum.

  9. Investigation on the Regional Branding Mode of Modern Agriculture in Guanzhong-Tianshui Economic Zone——From the Perspective of Country-of-origin Image

    Institute of Scientific and Technical Information of China (English)


    The theory of the country-of-origin image is discussed and the natural relations between county-of-origin image and the regional brand are explored.The paper points out that the dispersion of agriculture has intensified the natural relations to a large extent.The paper probes into the branding status of agriculture in Guanzhong-Tianshui economic zone and points out the problems of it.In the first place,the agricultural industrial system is complete but there is no unified agricultural regional brand;in the second place,the weak awareness on protecting brand leads to the irrational behaviors on damaging brand.From the perspective of the image of the country of origin,the branding mode of agriculture is established and the countermeasures on improving the competitiveness of agricultural products are put forward.Firstly,the leading role of the government should be fully displayed;secondly,the image protection of original production place and regional brand promotion of the agricultural region should be intensified;thirdly,the functions of local pillar industries in protecting image and regional branding should be fully made use of.

  10. The clinical epidemiology of spontaneous ICH in a sub-Sahara African country in the CT scan era: a neurosurgical in-hospital cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Amos Olufemi Adeleye


    Full Text Available Background There is paucity of data-driven scientific reports from sub-Saharan Africa on the burden of spontaneous intracerebral haemorrhage (sICH. We have maintained a prospective consecutive in-hospital data base of cases of sICH referred for neurosurgical intervention over a 5-year period. Methods This is a cross-sectional descriptive study of the clinical epidemiology and brain-CT characterization of sICH from the data base in this region in the current era. Results There were 63 subjects, 38 (60.3% males, aged 28 to 85 years, mean 55.7 (SD, 12.7, the modal age distribution being the sixth decade. Uncontrolled hypertension was the main predisposition in the study: present, premorbid, in 79% but uncontrolled in 88% of these known cases, and exhibited malignant derangements of blood pressure in more than half. The clinical ictus to in-hospital presentation was delayed, median 72 hours; was in severe clinical state in 70%; 57% was comatose, and was complicated with fever in 57% and respiratory morbidity also in 55.6%. The main clinical symptomatology was hemiparesis, headache, vomiting and aphasia. The sICH was supratentorial on brain CT in 85.7%, ganglionic in 50.8% and thalamic in 58.3% of the latter. The bleed had CT evidence of mass effect and intraventricular extension in more than half. Twenty three patients (36.5% underwent operative interventionsConclusions In this patient population, sICH is mainly ganglionic and thalamic in location with significant rate of associated IVH. In-hospital clinical presentation is delayed and in critical state, and, the bleeding is uncontrolled hypertension related in >95%.

  11. Steps to African Development

    Institute of Scientific and Technical Information of China (English)


    The development of Africa is vital to the world’s sustainable development.However,African countries still face key challenges in achieving the meaningful expansion of their economies.At the High-Level Symposium on China-Africa Investment Cooperation in Xiamen,southeast China’s Fujian Province,held from September 8 to 10,Chen Deming,Minister of Commerce of China,elaborates on these challenges and sees

  12. Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital. (United States)

    Wilhelm, April K; Jacobson, Debra J; Guzman-Corrales, Laura; Fan, Chun; Baker, Karen; Njeru, Jane W; Wieland, Mark L; Boehm, Deborah H


    Adherence to diabetic care guidelines among US immigrants remains low. This study assesses adherence to diabetic care guidelines by country-of-origin and language among a limited English-proficient (LEP) population. Timely completion of diabetic measures and acceptable levels of hemoglobin A1c (A1c), low density lipoprotein (LDL) cholesterol, and blood pressure (BP) were compared between LEP and English-proficient (EP) patients in this 2013 retrospective cohort study of adult diabetics. More LEP patients met BP targets (83 vs. 68 %, p safety net hospital in improving diabetes management among diverse populations.

  13. Viral hepatitis a to e in South mediterranean countries. (United States)

    Kamal, Sanaa M; Mahmoud, Sara; Hafez, Tamer; El-Fouly, Runia


    Viral hepatitis represents an important health problem in the South Mediterranean countries, Egypt, Libya, Tunisia, Algeria and Morocco. Emerging natural history and epidemiological information reveal differences in the overall epidemiology, risk factors and modes of transmission of viral hepatitis A, B, C, D, E infections in the South Mediterranean region. The differences in the in incidence and prevalence of viral hepatitis across North African countries is attributed to variations in health care and sanitation standards, risk factors and immunization strategies. The active continuous population movement through travel, tourism and migration from and to the South Mediterranean countries contribute to the spread of infections due to hepatitis viruses across borders leading to outbreaks and emergence of new patterns of infection or introduction of uncommon genotypes in other countries, particularly in Europe.


    Directory of Open Access Journals (Sweden)

    Sanaa M. Kamal


    Full Text Available Viral hepatitis represents an important health problem in the South Mediterranean countries, Egypt, Libya, Tunisia, Algeria and Morocco.  Emerging natural history and epidemiological information reveal differences in the overall epidemiology, risk factors and modes of transmission of viral hepatitis A, B, C, D, E infections in the South Mediterranean region. The differences in the in incidence and prevalence of viral hepatitis across North African countries is attributed to variations in health care  and sanitation standards, risk factors and immunization strategies. The active continuous population movement through travel, tourism and migration from and to the South Mediterranean countries contribute to the spread of infections due to hepatitis viruses across borders leading to outbreaks and emergence of new patterns of infection or introduction of uncommon genotypes in other countries, particularly in Europe.

  15. Tendências e tensões de sociabilidade de estudantes dos Palop em duas universidades brasileiras Tendencies and tensions in the sociability of students from African countries where Portuguese is the official language at two Brazilian universities

    Directory of Open Access Journals (Sweden)

    Kelly Silva


    Full Text Available Este trabalho discute, a partir de uma perspectiva etnográfica, tendências e tensões características da sociabilidade de estudantes africanos - vindos de países de língua oficial portuguesa - na Universidade de Brasília (UnB e na Universidade de São Paulo (USP. Abordamos os modos pelos quais eles experimentam as práticas linguísticas e pedagógicas das universidades, vivenciam as tensões raciais existentes no Brasil, atribuem sentido aos espaços urbanos nos quais são acolhidos; e analisamos seus padrões mais comuns de interação e agregação. Sugerimos que o tempo de participação no fluxo migratório, a nacionalidade de origem dos estudantes e a cidade de acolhida no Brasil são variáveis que condicionam de forma importante a sociabilidade dos estudantes. Residualmente, e de forma ainda incipiente, exploramos algumas dinâmicas de identificação entre os alunos. Alguns se apresentam como sujeitos em diáspora. Outros, contudo, chamam atenção para a necessidade de continuarem a ser reconhecidos como estrangeiros. A maioria demonstra surpresa em se ver percebido como negro ou africano, simplesmente. Os estudantes vêm para o Brasil mediante o Programa Estudante Convênio de Graduação (PEC-G, um acordo diplomático que facilita o deslocamento do aluno ao nosso país a fim de realizar seu curso de nível superior.This article discusses typical tendencies and tensions of the sociability of foreign students from African countries where Portuguese is the official language at 'Universidade de Brasilia' and at 'Universidade de São Paulo'. Our analysis is carried out through an ethnographic approach. We analyze the way students experienced the linguistic and pedagogical practices at the universities, the way they make sense the urban spaces they live as well as the Brazilian typical racial tensions and their most common patterns of integration and aggregation. The time they are involved in the migratory flow, the city they live in

  16. Global Patterns of Prostate Cancer Incidence, Aggressiveness, and Mortality in Men of African Descent

    Directory of Open Access Journals (Sweden)

    Timothy R. Rebbeck


    Full Text Available Prostate cancer (CaP is the leading cancer among men of African descent in the USA, Caribbean, and Sub-Saharan Africa (SSA. The estimated number of CaP deaths in SSA during 2008 was more than five times that among African Americans and is expected to double in Africa by 2030. We summarize publicly available CaP data and collected data from the men of African descent and Carcinoma of the Prostate (MADCaP Consortium and the African Caribbean Cancer Consortium (AC3 to evaluate CaP incidence and mortality in men of African descent worldwide. CaP incidence and mortality are highest in men of African descent in the USA and the Caribbean. Tumor stage and grade were highest in SSA. We report a higher proportion of T1 stage prostate tumors in countries with greater percent gross domestic product spent on health care and physicians per 100,000 persons. We also observed that regions with a higher proportion of advanced tumors reported lower mortality rates. This finding suggests that CaP is underdiagnosed and/or underreported in SSA men. Nonetheless, CaP incidence and mortality represent a significant public health problem in men of African descent around the world.

  17. Study on Freshwater Macroinvertebrates of Some Tanzanian Rivers as a Basis for Developing Biomonitoring Index for Assessing Pollution in Tropical African Regions

    Directory of Open Access Journals (Sweden)

    Julius D. Elias


    Full Text Available Macroinvertebrates and physicochemical parameters were assessed at 15 sites along five rivers in Kilimanjaro region, Tanzania, with the aim of understanding their ecological status and setting a base to the development of a biological index for tropical regions. Investigated rivers that occur within Pangani basin include Karanga, Rau, Lumbanga, Sere, and Umbwe. Sampling sites were categorized according to the level of water and habitat quality as follows: reference or least impacted (4 sites, moderately impacted (5 sites, and highly impacted (6 sites sites. A total of 12,527 macroinvertebrates belonging to 13 orders and 48 families were recorded. The highest total abundance of 4,110 individuals per m2 was found in Karanga river, while Umbwe river had the lowest with 1,203 individuals per m2. Chironomidae was the most abundant family (2,588 individuals per m2 and the least were Hydridae and Thiaridae, each having 5 individuals per m2. High numbers of taxa were noted among the orders: Ephemeroptera (8, Odonata (8, Diptera (7, and Trichoptera (6. In conclusion, orders with greater diversity of macroinvertebrate families offer a wide range of tolerance to pollution and, thus can potentially be used to develop a biomonitoring index for evaluating pollution in tropical African rivers.

  18. Cardiovascular disease, diabetes and established risk factors among populations of sub-Saharan African descent in Europe: a literature review

    Directory of Open Access Journals (Sweden)

    de Graft Aikins Ama


    Full Text Available Abstract Background Most European countries are ethnically and culturally diverse. Globally, cardiovascular disease (CVD is the leading cause of death. The major risk factors for CVD have been well established. This picture holds true for all regions of the world and in different ethnic groups. However, the prevalence of CVD and related risk factors vary among ethnic groups. Methods This article provides a review of current understanding of the epidemiology of vascular disease, principally coronary heart disease (CHD, stroke and related risk factors among populations of Sub-Sahara African descent (henceforth, African descent in comparison with the European populations in Europe. Results Compared with European populations, populations of African descent have an increased risk of stroke, whereas CHD is less common. They also have higher rates of hypertension and diabetes than European populations. Obesity is highly prevalent, but smoking rate is lower among African descent women. Older people of African descent have more favourable lipid profile and dietary habits than their European counterparts. Alcohol consumption is less common among populations of African descent. The rate of physical activity differs between European countries. Dutch African-Suriname men and women are less physically active than the White-Dutch whereas British African women are more physically active than women in the general population. Literature on psychosocial stress shows inconsistent results. Conclusion Hypertension and diabetes are highly prevalent among African populations, which may explain their high rate of stroke in Europe. The relatively low rate of CHD may be explained by the low rates of other risk factors including a more favourable lipid profile and the low prevalence of smoking. The risk factors are changing, and on the whole, getting worse especially among African women. Cohort studies and clinical trials are therefore needed among these groups to

  19. East African institutions

    DEFF Research Database (Denmark)

    Nordby, Johannes Riber; Jacobsen, Katja

    For the past decade security in East Africa has gained focus internationally. However there is a growing ambition among African states to handle such issues by themselves, sometimes through regional institutions. This has been supported by many Western states but potential risks are often forgotten....

  20. The Geography of Multinational Corporations in CEE Countries: Perspectives for Second-Tier City Regions and European Cohesion Policy

    Directory of Open Access Journals (Sweden)

    Teodora Dogaru


    Full Text Available Las mayores disparidades regionales en los países del centro y este de Europa se observan entre las regiones con las capitales y el resto. Las empresas multinacionales invierten en estas regiones por distintas razones, contribuyendo de manera exógena al desarrollo regional. En este artículo, analizamos las decisiones de localización de las inversiones directas extranjeras entre 2003 y 2010. Encontramos que los factores más importantes de las inversiones extranjeras son la accesibilidad del mercado, las ventajas estratégicas, la calidad institucional y aglomeración, más aún en la época después de la crisis. En la actualidad, las regiones con ciudades secundarias no son capaces de ofrecer todos estos factores al mismo tiempo. Para mejorar sus oportunidades y contribuciones a la cohesión y convergencia europea se requieren mayores inversiones. Sin éstas, las oportunidades de competir mencionadas anteriormente para las regiones con ciudades secundarias serían difíciles de obtener.

  1. 9 CFR 94.17 - Dry-cured pork products from regions where foot-and-mouth disease, rinderpest, African swine... (United States)


    ... RINDERPEST, FOOT-AND-MOUTH DISEASE, EXOTIC NEWCASTLE DISEASE, AFRICAN SWINE FEVER, CLASSICAL SWINE FEVER... where foot-and-mouth disease, rinderpest, African swine fever, classical swine fever, or swine vesicular disease exists. 94.17 Section 94.17 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION...

  2. The African Union

    DEFF Research Database (Denmark)

    Mandrup, Thomas; Mandrup, Bjørn


    . Moreover, the ‘African Security Architecture’, of which it is the central component, also includes sub-regional organisations to which responsibility is to be devolved for dealing with armed confl ict and other matters. These so-called Regional Economic Communities (RECs) are, likewise, constantly changing......The African Union (AU) is a young international organisation, founded in 2002, which is still in the process of setting up its various institutions, while constantly having to face up to new challenges, such as civil wars breaking out and military coups being undertaken in its member states......, just as they have very different strengths. Hence, any account of the AU and the RECs can only provide a ‘snapshot’ of the organisation at any given time, one which may soon become outdated. In contrast with regional and sub-regional organisations in the North, those in Africa are facing an additional...

  3. Low prevalence of liver disease but regional differences in HBV treatment characteristics mark HIV/HBV co-infection in a South African HIV clinical trial.

    Directory of Open Access Journals (Sweden)

    Prudence Ive

    Full Text Available BACKGROUND: Hepatitis B virus (HBV infection is endemic in South Africa however, there is limited data on the degree of liver disease and geographic variation in HIV/HBV coinfected individuals. In this study, we analysed data from the CIPRA-SA 'Safeguard the household study' in order to assess baseline HBV characteristics in HIV/HBV co-infection participants prior to antiretroviral therapy (ART initiation. METHODS: 812 participants from two South African townships Soweto and Masiphumelele were enrolled in a randomized trial of ART (CIPRA-SA. Participants were tested for hepatitis B surface antigen (HBsAg, hepatitis B e antigen (HBeAg, and HBV DNA. FIB-4 scores were calculated at baseline. RESULTS: Forty-eight (5.9% were HBsAg positive, of whom 28 (58.3% were HBeAg positive. Of those with HBV, 29.8% had an HBV DNA<2000 IU/ml and ALT<40 IU/ml ; 83.0% had a FIB-4 score <1.45, consistent with absent or minimal liver disease. HBV prevalence was 8.5% in Masiphumelele compared to 3.8% in Soweto (relative risk 2.3; 95% CI: 1.3-4.0. More participants in Masiphumelele had HBeAg-negative disease (58% vs. 12%, p = 0.002 and HBV DNA levels ≤2000 IU/ml, (43% vs. 6% p<0.007. CONCLUSION: One third of HIV/HBV co-infected subjects had low HBV DNA levels and ALT while the majority had indicators of only mild liver disease. There were substantial regional differences in HBsAg and HbeAg prevalence in HIV/HBV co-infection between two regions in South Africa. This study highlights the absence of severe liver disease and the marked regional differences in HIV/HBV co-infection in South Africa and will inform treatment decisions in these populations.

  4. Effect of NPK Fertilization on Cassava Mosaic Disease (CMD) Expression in a Sub-Saharan African Region


    Muengula-Manyi, M.; K.K. Nkongolo; Bragard, C.; Tshilenge-Djim, P.; Winter, S; Kalonji-Mbuyi, A.


    The influence of NPK fertilizer on the incidence, severity and gravity of cassava mosaic disease (CMD) was investigated using eight genetically improved cassava varieties and eight local farmer’s varieties. The study was carried out in a savannah region (Gandajika) in D.R. Congo at two locations. The varieties were planted with and without NPK fertilization. Application of NPK fertilizer significantly (P<0.05) increased CMD incidence, severity (AUDPC) and gravity overtime compared to...

  5. Nonlinear responses of southern African rainfall to forcing from Atlantic SST in a high-resolution regional climate model (United States)

    Williams, C.; Kniveton, D.; Layberry, R.


    It is increasingly accepted that any possible climate change will not only have an influence on mean climate but may also significantly alter climatic variability. A change in the distribution and magnitude of extreme rainfall events (associated with changing variability), such as droughts or flooding, may have a far greater impact on human and natural systems than a changing mean. This issue is of particular importance for environmentally vulnerable regions such as southern Africa. The subcontinent is considered especially vulnerable to and ill-equipped (in terms of adaptation) for extreme events, due to a number of factors including extensive poverty, famine, disease and political instability. Rainfall variability is a function of scale, so high spatial and temporal resolution data are preferred to identify extreme events and accurately predict future variability. In this research, high resolution satellite derived rainfall data from the Microwave Infra-Red Algorithm (MIRA) are used as a basis for undertaking model experiments using a state-of-the-art regional climate model. The MIRA dataset covers the period from 1993-2002 and the whole of southern Africa at a spatial resolution of 0.1 degree longitude/latitude. Once the model's ability to reproduce extremes has been assessed, idealised regions of sea surface temperature (SST) anomalies are used to force the model, with the overall aim of investigating the ways in which SST anomalies influence rainfall extremes over southern Africa. In this paper, results from sensitivity testing of the regional climate model's domain size are briefly presented, before a comparison of simulated daily rainfall from the model with the satellite-derived dataset. Secondly, simulations of current climate and rainfall extremes from the model are compared to the MIRA dataset at daily timescales. Finally, the results from the idealised SST experiments are presented, suggesting highly nonlinear associations between rainfall extremes

  6. Tropical convective systems life cycle characteristics from geostationary satellite and precipitating estimates derived from TRMM and ground weather radar observations for the West African and South American regions (United States)

    Fiolleau, T.; Roca, R.; Angelis, F. C.; Viltard, N.


    In the tropics most of the rainfall comes in the form of individual storm events embedded in the synoptic circulations (e.g., monsoons). Understanding the rainfall and its variability hence requires to document these highly contributing tropical convective systems (MCS). Our knowledge of the MCS life cycle, from a physical point of view mainly arises from individual observational campaigns heavily based on ground radar observations. While this large part of observations enabled the creation of conceptual models of MCS life cycle, it nevertheless does not reach any statistically significant integrated perspective yet. To overcome this limitation, a composite technique, that will serve as a Day-1 algorithm for the Megha-Tropiques mission, is considered in this study. this method is based on a collocation in space and time of the level-2 rainfall estimates (BRAIN) derived from the TMI radiometer onboard TRMM with the cloud systems identified by a new MCS tracking algorithm called TOOCAN and based on a 3-dimensional segmentation (image + time) of the geostationary IR imagery. To complete this study, a similar method is also developed collocating the cloud systems with the precipitating features derived from the ground weather radar which has been deployed during the CHUVA campaign over several Brazilian regions from 2010 up to now. A comparison of the MCSs life cycle is then performed for the 2010-2012 summer seasons over the West African, and South American regions. On the whole region of study, the results show that the temporal evolution of the cold cloud shield associated to MCSs describes a symmetry between the growth and the decay phases. It is also shown that the parameters of the conceptual model of MCSs are strongly correlated, reducing thereby the problem to a single degree of freedom. At the system scale, over both land and oceanic regions, rainfall is described by an increase at the beginning (the first third) of the life cycle and then smoothly decreases

  7. GIS and the Analytic Hierarchy Process for Regional Landfill Site Selection in Transitional Countries: A Case Study From Serbia (United States)

    Zelenović Vasiljević, Tamara; Srdjević, Zorica; Bajčetić, Ratko; Vojinović Miloradov, Mirjana


    The Serbian National Waste Management Strategy for the Period 2010-2019, harmonized with the European Union Directives, mandates new and very strict requirements for landfill sites. To enable analysis of a number of required qualitative and quantitative factors for landfill site selection, the traditional method of site selection must be replaced with a new approach. The combination of GIS and the Analytic Hierarchy Process (AHP) was selected to solve this complex problem. The Srem region in northern Serbia, being one of the most environmentally sensitive areas, was chosen as a case study. Seventeen factors selected as criteria/sub-criteria were recognized as most important, divided into geo-natural, environmental, social and techno-economic factors, and were evaluated by experts from different fields using an AHP extension in Arc GIS. Weighted spatial layers were combined into a landfill suitability map which was then overlapped with four restriction maps, resulting in a final suitability map. According to the results, 82.65% of the territory of Srem is unsuitable for regional landfill siting. The most suitable areas cover 9.14%, suitable areas 5.24%, while areas with low and very low suitability cover 2.21 and 0.76% of the territory, respectively. Based on these findings, five sites close to two large urban agglomerations were suggested as possible locations for a regional landfill site in Srem. However, the final decision will require further field investigation, a public acceptance survey, and consideration of ownership status and price of the land.

  8. Social Phobia in an Italian region: do Italian studies show lower frequencies than community surveys conducted in other European countries?

    Directory of Open Access Journals (Sweden)

    Dell'Osso Liliana


    Full Text Available Abstract Background The lifetime prevalence of Social Phobia (SP in European countries other than Italy has been estimated to range from 3.5% to 16.0%. The aim of this study was to assess the frequency of SP in Sardinia (Italy in order to verify the evidence of a lower frequency of SP in Italy observed in previous studies (from 1.0% to 3.1%. Methods A randomised cross sample of 1040 subjects, living in Cagliari, in rural areas, and in a mining district in Sardinia were interviewed using a Simplified version of the Composite International Diagnostic Interview (CIDIS. Diagnoses were made according to the 10th International Classification of Diseases (ICD-10. Results Lifetime prevalence of SP was 2.2% (males: 1.5%, females: 2.8% whereas 6-month prevalence resulted in 1.5% (males: 0.9%, females: 2.1%. Mean age at onset was 16.2 ± 9.3 years. A statistically significant association was found with Depressive Episode, Dysthymia and Generalized Anxiety Disorder. Conclusions The study is consistent with findings reported in several previous studies of a lower prevalence of SP in Italy. Furthermore, the results confirm the fact that SP, due to its early onset, might constitute an ideal target for early treatment aimed at preventing both the accumulation of social disabilities and impairments caused by anxiety and avoidance behaviour, as well as the onset of more serious, associated complications in later stages of the illness.

  9. The extent of the Cratonic keel underneath the Southern African region: A 3D image using Finite-Frequency Tomograph

    DEFF Research Database (Denmark)

    Soliman, Mohammad Youssof Ahmad; Bezada, Max; Thybo, Hans;


    We have re-examined the P body wave data from the South Africa Seismic Experiment (Carlson et al, EOS 77, 1996) across the Kaapvaal and Zimbabwe cratons and the Bushveld complex. Using finite-frequency kernels, we inverted the P-wave delay times to obtain 3-D images of compressional velocity...... between the Archean and modified regions such as the Bushveld complex, and the mobile belts surrounding the cratons. The high velocity (+1.0%) cratonic roots extend to 220-250 km depth beneath the Kaapvaal and Zimbabwe cratons. Lower P-velocities are found under the Bushveld complex and the mobile belts...

  10. Detection of African swine fever virus DNA in blood samples stored on FTA cards from asymptomatic pigs in Mbeya region, Tanzania. (United States)

    Braae, U C; Johansen, M V; Ngowi, H A; Rasmussen, T B; Nielsen, J; Uttenthal, Å


    The aim of the study was to assess whether blood samples collected onto FTA(®) cards could be used in combination with real-time PCR for the detection of African swine fever virus (ASFV) DNA in samples from resource-poor settings under the assumption that asymptomatically (sub-clinically) infected pigs may be present. Blood samples were collected from clinically healthy pigs from Mbeya Region, Tanzania. The blood samples were stored on FTA(®) cards and analysed by real-time PCR assays in duplicate; three pigs had high levels of viral DNA (Ct values of 27-29), and three pigs had a low level of viral DNA (Ct 36-45). Four pigs were positive in one of the duplicate samples only, but clear products of the expected size were obtained when the reactions were analysed by gel electrophoresis. For comparison, blood samples from pigs experimentally infected with either a pathogenic (OURT T88/1) or a non-pathogenic (OURT T88/3) isolate of ASFV were collected, stored on FTA(®) cards and analysed in the same way. The blood from pigs infected with the OURT T88/1 isolate showed high levels of viral DNA (Ct 22-33), whereas infection with non-pathogenic OURT T88/3 isolate resulted in only low levels of viral DNA (Ct 39) in samples collected at 10-14 days after inoculation.

  11. Feasibility survey of the introduction of new energy/renewable energy in Pacific island countries. Agreed record. Regional Energy Meeting (REM 2000)

    Energy Technology Data Exchange (ETDEWEB)



    The Regional Energy Meeting (REM 2000) was held in Tarawa, Kiribati, from September 20 to September 26, 2000. This meeting was sponsored by the South Pacific Applied Geoscience Commission. Countries present in the meeting were the Cook Islands, Micronesia, the Fiji Islands, Kiribati, Nauru, Niue, Papua New Guinea, Pitcairn, Samoa, Tonga, Tuvalu, Vanuatu and Japan. In the meeting, a draft Regional Energy Logical Framework Matrix was recognized, and it was advised that the plan should be achieved by June 2001 by cooperation of CROP-EWG (the Committee of the Regional Organizations of the Pacific Working Group). In the meeting, the report on hydrogen fuel and solar energy power generation was presented by CROP-EWG. For the hydrogen fuel and solar energy power generation, efforts have been made, but they are still in a stage of the laboratory level. There is arising a feeling of unrest because the commercial exhibition is being made only in the Pacific region. To advise the order of priority in the energy field, CROP-EWG started the investigation into activities/plans of regional energy organizations. (NEDO)

  12. Analysis of Vegetation Behavior in a North African Semi-Arid Region, Using SPOT-VEGETATION NDVI Data

    Directory of Open Access Journals (Sweden)

    Abdelghani Chehbouni


    Full Text Available The analysis of vegetation dynamics is essential in semi-arid regions, in particular because of the frequent occurrence of long periods of drought. In this paper, multi-temporal series of the Normalized Difference of Vegetation Index (NDVI, derived from SPOT-VEGETATION satellite data between September 1998 and June 2010, were used to analyze the vegetation dynamics over the semi-arid central region of Tunisia. A study of the persistence of three types of vegetation (pastures, annual agriculture and olive trees is proposed using fractal analysis, in order to gain insight into the stability/instability of vegetation dynamics. In order to estimate the state of vegetation cover stress, we propose evaluating the properties of an index referred to as the Vegetation Anomaly Index (VAI. A positive VAI indicates high vegetation dynamics, whereas a negative VAI indicates the presence of vegetation stress. The VAI is tested for the above three types of vegetation, during the study period from 1998 to 2010, and is compared with other drought indices. The VAI is found to be strongly correlated with precipitation.

  13. The Cooperation of the Danube Countries within the frames of the Priority Area 11 of the EU Strategy for the Danube Region /EUSDR/

    Directory of Open Access Journals (Sweden)

    Krasimir Koev


    Full Text Available The goal of this paper is to underline the importance of the issues, which are object of intervention within Priority 11 of the EUSDR, namely working together to tackle security and organized crime. The author has presented a large scale study on the security issues in European context, reflected in his PhD dissertation. Exploration of the existing EU programming documents and strategic plans for cooperation in the area of security. Through examining the progress of activities and results within the Priority area 11 of the EUSDR, the author outlines the contribution of all Danube countries for the cooperation in security within the Danube region. The paper can attract the attention of academics, stakeholders and NGOs on initiating of projects within the Priority area 11 of EUSDR. The added value of the paper is in finding the interconnection between guaranteeing the security in all its types within the Danube space and the prosperity of the region.

  14. Economic Globalization and Interregional Agglomeration in a Multi-Country and Multi-Regional Neoclassical Growth Model

    Directory of Open Access Journals (Sweden)

    Wei-Bin Zhang


    Full Text Available El objetivo de este artículo es generalizar el conocido modelo de Uzawa de dos sectores para una economía nacional para su aplicación en contextos globales con muchos países y muchas regiones dentro de cada país. Se estudia el desarrollo económico internacional e interregional a través de un modelo de equilibrio general donde se considera la acumulación de riqueza, el intercambio de recursos y la estructura económica bajo los supuestos de maximización de beneficios y utilidad y competencia perfecta. Para ello se aplica el modelo alternativo de Zhang sobre el comportamiento de los hogares simulándolo para un contexto multi-país y multi-región en una economía global, identificando la existencia del equilibrio y confirmando la estabilidad del mismo. Adicionalmente, se realiza un análisis comparativo dinámico para la productividad total de los factores, tanto del sector industrial como del terciario en cada región, así como de la propensión del ahorro, la asignación regional de recursos, la propensión al consumo de los hogares y los efectos de la población.

  15. A One-Year Study of the Diurnal Cycle of Meteorology, Clouds, and Radiation in the West African Sahel Region

    Energy Technology Data Exchange (ETDEWEB)

    Marquardt-Collow, Allison; Ghate, Virendra P.; Miller, Mark A.; Trabachino, Lynne


    The diurnal cycles of meteorological and radiation variables are analyzed during the wet and dry seasons over the Sahel region of West Africa during 2006 using surface data collected by the Atmospheric Radiation Measurement (ARM) program’s Mobile Facility, satellite radiation measurements from the Geostationary Earth Radiation Budget (GERB) instrument aboard Meteosat 8, and reanalysis products from the National Center for Environmental Prediction (NCEP). The meteorological analysis builds upon past studies of the diurnal cycle in the region by incorporating diurnal cycles of lower tropospheric wind profiles, thermodynamic profiles, integrated water vapor and liquid water measurements, and cloud radar measurements of frequency and location. These meteorological measurements are complemented by 3-hour measurements of the diurnal cycles of the TOA and surface shortwave (SW) and longwave (LW) radiative fluxes and cloud radiative effects (CREs), and the atmospheric radiative flux divergence (RFD) and atmospheric CREs. Cirrus cloudiness during the dry season is shown to peak in coverage in the afternoon, while convective clouds during the wet season are shown to peak near dawn and have an afternoon minimum related to the rise of the Lifting Condensation Level into the Saharan Air Layer. The LW and SW RFDs and CREs exhibit diurnal cycles during both seasons, but there is a relatively small difference in the LW cycles during the two seasons (10-30 Wm^(-2) depending on the variable and time of day). Small differences in the TOA CREs during the two seasons are overwhelmed by large differences in the surface SW CREs, which exceed 100 Wm^(-2). A significant surface SW CRE during the wet season combined with a negligible TOA SW CRE produces a diurnal cycle in the atmospheric CRE that is modulated primarily by the SW surface CRE, peaks at midday at ~150 Wm^(-2), and varies widely from day to day.

  16. Tyrosinase-positive oculocutaneous albinism in Southern African blacks: P gene-associated haplotypes suggest a major mutation in the 5{prime} region of the gene

    Energy Technology Data Exchange (ETDEWEB)

    Ramsay, M.; Stevens, G.; Beukering, J. van [Univ. of the Witwatersrand, Johannesburg (South Africa)] [and others


    Tyrosinase-positive oculocutaneous albinism (ty-pos OCA) occurs with a prevalence of 1 in 3900 among Southern African (SA) blacks. The major contributors to morbidity and mortality are skin cancer and decreased visual acuity. Two distinct phenotypes occur, namely individuals with ephelides (darkly pigmented patches) and those without. There is complete concordance with regard to ephelus status among siblings. The disorder is linked to markers on chromosome 15q11.2-q12, and no obligatory cross-overs were observed with polymophic markers at the human homolog, P, of the mouse pink eyed dilute gene, p. Contrary to what has been shown for Caucasoid ty-pos OCA, this condition shows locus homogeneity among SA blacks. The P gene is an excellent candidate for ty-pos OCA and mutations in this gene will confirm its role in causing the common form of albinism in SA. Numerous P gene mutations have been described in other populations. In an attempt to detect mutations, the P gene cDNA was used to search for structural rearrangements or polymorphisms. Six polymorphisms (plR10/Scal, 912/Xbal, 912/HincII, 912/TaqI, 1412/TaqI [two systems] and 1412/HindIII) were detected with subclones of the P cDNA and haplotypes were determined in each family. None were clearly associated with an albinism-related rearrangement. However, strong linkage disequilibrium was observed with alleles at loci toward the 5{prime} region of the gene ({triangle}=0.65, 0.57 and 0.80 for the three polymorphisms detected with the 912 subclone), suggesting a major ty-pos OCA mutation in this region. Haplotype analysis provides evidence for a major mutation associated with the same haplotype in individuals with ephelides (8/12 OCA chromosomes) and those without ephelides (24:30). The presence of other ty-pos OCA associated haplotypes indicates several other less common mutations.

  17. Intra-Africa agricultural trade: A South African perspective

    Directory of Open Access Journals (Sweden)

    Y. Daya


    Full Text Available Purpose: The aim of this paper is to assess and provide an overview of the magnitude of current agricultural trade patterns between South Africa and the five leading regional economic communities (REC's in Africa. This paper also seeks to examine some of the constraints limiting greater intra-African agricultural trade. This is done in order to better understand the role South Africa currently plays and could potentially play in promoting intra-Africa trade. Design/Methodology/Approach: Trade flows between South Africa and the leading REC's are outlined and explained. Trade data and tariff data is sourced from available databases. Non-tariff barriers and other impediments to greater intra-African trade are examined with reference to available literature and discussions the authors have had with trade experts and policy makers.Findings: South Africa is the most active country in intra-Africa agricultural trade. However, it is a relationship defined predominantly on exports to Africa with a low level of imports. South Africa exports a diverse range of value added products whilst imports remain concentrated in commodities. Significant imbalances in agricultural trade between South Africa and the respective REC's continue to persist. Regional trade arrangements have fostered greater trade but significant obstacles to greater trade remain.Implications: African countries that do not invest in infrastructure and create a trade-enabling environment and diversify their production, limit their potential to the supply of one or two commodities thereby perpetuating the trend of huge trade imbalances in favour of South Africa.Originality/Value: This work provides a platform for assessing trade relationships and examining impediments to greater trade. It is also relevant in guiding future research on priority markets in Africa as export destinations and import suppliers in light of increasing regional integration initiatives and governments commitment to

  18. Scaling up specialist training in developing countries: lessons learned from the first 12 years of regional postgraduate training in Fiji – a case study

    Directory of Open Access Journals (Sweden)

    Oman Kimberly


    Full Text Available Abstract Background In 1997, regional specialist training was established in Fiji, consisting of one-year Postgraduate Diplomas followed by three-year master’s degree programs in anesthesia, internal medicine, obstetrics/gynecology, pediatrics and surgery. The evolution of these programs during the first 12 years is presented. Case description A case study utilizing mixed methods was carried out, including a prospective collection of enrolment and employment data, supplemented by semi-structured interviews. Between 1997 and 2009, 207 doctors (113 from Fiji and 94 from 13 other countries or territories in the Pacific trained to at least the Postgraduate Diploma level. For Fiji graduates, 29.2% migrated permanently to developed countries, compared to only 8.5% for regional graduates (P coup d’etat in 2000. By 2005, interviews suggested a dynamic of political instability initially leading to resignations, leading to even heavier workloads, compounded by academic studies that seemed unlikely to lead to career benefit. This was associated with loss of hope and downward spirals of further resignations. After 2006, however, Master’s graduates generally returned from overseas placements, had variable success in career progression, and were able to engage in limited private practice. Enrolments and retention stabilized and increased. Discussion and evaluation Over time, all specialties have had years when the viability and future of the programs were in question, but all have recovered to varying degrees, and the programs continue to evolve and strengthen. Prospective clarification of expected career outcomes for graduates, establishment of career pathways for diploma-only graduates, and balancing desires for academic excellence with workloads that trainees were able to bear may have lessened ongoing losses of trainees and graduates. Conclusions Despite early losses of trainees, the establishment of regional postgraduate training in Fiji is

  19. Possible Climate Change/Variability and Human Impacts, Vulnerability of African Drought Prone Regions, its Water Resources and Capacity Building (United States)

    Yew Gan, Thian; Huelsmann, Stephen; Qin, XiaoSheng; Lu, Xi Xi; Liong, Shie-Yui; Rutschmann, Peter; Disse, Markus; Koivusalo, Harri


    The climate, water resources and historical droughts of Africa, drought indices, vulnerability, impact of global warming and landuse to drought-prone regions in West, Southern, and Greater Horn of Africa, which have suffered recurrent severe droughts in the past are reviewed first. Recent studies detected warming and drying trends in Africa since the mid-20th century. Based on the 4th Assessment Report of the Intergovernmental Panel of Climate Change, and that of the 5th Coupled Model Intercomparison Project (CMIP5), both northern and southern Africa are projected to experience drying such as decreasing precipitation, runoff and soil moisture in the 21st Century and could become more vulnerable to impact of droughts. The daily maximum temperature is projected to increase up to 8oC (RCP8.5 of CMIP5), precipitation indices such as total wet day precipitation (PRCPTOT) and heavy precipitation days (R10mm) could decrease, while warm spell duration (WSDI) and consecutive dry days (CDD) could increase. Uncertainties of the above long-term projections, teleconnections to climate anomalies such as ENSO and Madden Julian Oscillation which could also affect water resources of Africa, and capacity building in terms of physical infrastructure and non-structural solutions, are also discussed. Given traditional climate and hydrologic data observed in Africa are generally limited, satellite data should also be exploited to fill in the data gap for Africa in future.


    Directory of Open Access Journals (Sweden)

    S. A. Egorova


    Full Text Available Abstract. We studied the prevalence of K. pneumoniae and E. coli resistance to extended spectrum cephalosporins and carbapenems, isolated from patients of eight hospitals in St-Petersburg from January to May, 2012. Prevalence of cephalosporin resistant isolates varied in different hospitals: E. coli – from 7,8 to 50%, K. pneumoniae – from 25,4 to 88,4%. Isolates produced extended spectrum beta-lactamases СТХ-М, mainly СТХ-М-1, also СТХ-М-2 and СТХ-М-9. Twenty two carbapenem-resistant K. pneumoniae strains (also resistant to other antimicrobials were isolated in three hospitals. MALDI-TOF MS showed that carbapenem resistance was caused by carbapenemase. Carbapenemases of all isolates belonged to metallo-β-lactamases according to results of the ROSCO Diagnostica tests. The gene coding production of New Delhi metallo-β-lactamase (blaNDM-1 were detected in all strains. Our data confirmed that the main cephalosporin resistance mechanism of E. coli и K. pneumoniae in Baltic region (including Russia, St-Petersburg is CTX-M-1 production. For the first time in Russia K. pneumoniae strains  producing metallo-β-lactamases NDM-1 were isolated in several hospitals of St-Petersburg.

  1. Mitigation of Disasters Due to Severe Climate Events: from Policy to Practice,the West African Coastal Region Experience (United States)

    Ediang, Okuku


    The distributive pattern of disaster due to severe climate events over the coast of West Africa especially Nigeria was examined using yearly mean disaster due to severe climatic events for the period of 30 years (1981-2010) from the marine stations in the coastal region of Nigeria. Graphical and isohyetal analyses were used to look into the patter of severe weather events over the area considered and to see if the severe weather events is increasing or not in the coast of West Africa especially the Nigerian coast and how to mitigate ,were policy relating to severe weather events are discussed. The paper conclude that due to the nature of coast of West Africa and Nigeria in particular, it enjoys longer severe weather events season than dry during the wet season, it is common to observe periods of enhanced or suppressed convective activity to persist over the wide areas for somedays. This paper also contributes to the wealth of knowledge already existing on Indigenous people play major roles in preserving the ecosystem especially during severe weather events . This has resulted in the recent calls for the integration of indigenous knowledge systems into global knowledge system strategies. Until now, integrating local knowledge systems into severe weather events and climate change concerns is not a completely new idea. A comprehensive review of literature using electronic and non-electronic databases formed the methodology. The paper conclude also by drawing the attention that by targeting Promoting indigenous people's participation in severe weather events and climate change issues is an important initiative towards adaptation and sustainable development in Africa and around the world. It is increasingly realized that the global knowledge system has dominated research, policies and programmes that address current severe weather events and climate change's challenges,mitigation and adaptation strategies.

  2. African Games of Strategy: A Teaching Manual. African Outreach Series, No. 2. (United States)

    Crane, Louise

    Appreciation of African games has increased in this country; especially board games which have been popularized through commercial versions. African games are invaluable resources for studying subjects requiring mathematical concepts, as well as social studies, history, geography, and languages. This manual presents some of the better known…

  3. 中国与海上丝绸之路非洲沿线国家的贸易发展态势、问题与共建思路%An Analysis of Trade Development Trend, Problems and Suggestions for Co-Building between China and African Countries along the Maritime Silk Road

    Institute of Scientific and Technical Information of China (English)



    提升中国与海上丝绸之路非洲沿线国家的经贸合作水平,打造中非经贸合作升级版,是中国共建“21世纪海上丝绸之路”中的重要环节。中国与这一区域9国的贸易属于互补性贸易,近几年快速增长,但双方贸易规模偏小而且不平衡,仍有相当大的提升空间,同时贸易结构有待优化。因此,要在共建“21世纪海上丝绸之路”和打造“中非合作升级版”的战略下,提升双方经贸合作关系。建议双方共建“21世纪海上丝绸之路”沿“基础设施互联互通、贸易自由化投资便利化、发展援助与政治互信、海上安全合作”四大战略方向,分“非洲内部、外部和海上驿站”三大空间路径和“近、中、远期”三层时间路径展开,构建“论坛、博览会、融资”三大保障平台。%To enhance the level of economic and trade cooperation between China and African countries along the Mar-itime Silk Road, and to create an upgraded version of the Sino-African economic and trade cooperation, are an important part of China’s“21st Century Maritime Silk Road”. The trade between China and nine countries in this region belongs to com-plementary trade, and it has increased rapidly in recent years. However, the trade scale between the two sides is small and there is still considerable room for improvement. Meanwhile, the trade structure should be optimized as well. It is suggested that the two sides can upgrade the level of economic and trade cooperation along the following strategic directions:“infrastructure in-terconnection, the liberalization of trade and investment facilitation, development assistance and mutual political trust, maritime security cooperation”, with three approaches in space“Africa internal, external and offshore station” and three approaches in time“short-term, medium-term and long-term”, and construction of three security platforms“forum, exhibition, and

  4. A study on African animal trypanosomosis in four areas of Senegal


    Ravel, Sophie; Mediannikov, Oleg; Bossard, G.; Desquesnes, M; Cuny, Gérard; Davoust, B.


    In Senegal, several areas provide great potential for agriculture and animal production, but African animal trypanosomosis (AAT) is one of the major constraints to the development of more effective livestock production systems. A study was conducted to assess the current situation of AAT in this country. Surveys were carried out between June 2011 and September 2012 in four different areas: Dakar, Sine Saloum, Kedougou region and Basse Casamance in several animal species: dogs (152), donkeys (...

  5. Genetic characterization of Chikungunya virus in the Central African Republic. (United States)

    Desdouits, Marion; Kamgang, Basile; Berthet, Nicolas; Tricou, Vianney; Ngoagouni, Carine; Gessain, Antoine; Manuguerra, Jean-Claude; Nakouné, Emmanuel; Kazanji, Mirdad


    Chikungunya virus (CHIKV) is an alphavirus transmitted by the bite of mosquito vectors. Over the past 10 years, the virus has gained mutations that enhance its transmissibility by the Aedes albopictus vector, resulting in massive outbreaks in the Indian Ocean, Asia and Central Africa. Recent introduction of competent A. albopictus vectors into the Central African Republic (CAR) pose a threat of a Chikungunya fever (CHIKF) epidemic in this region. We undertook this study to assess the genetic diversity and background of CHIKV strains isolated in the CAR between 1975 and 1984 and also to estimate the ability of local strains to adapt to A. albopictus. Our results suggest that, local CHIKV strains have a genetic background compatible with quick adaptation to A. albopictus, as previously observed in other Central African countries. Intense surveillance of the human and vector populations is necessary to prevent or anticipate the emergence of a massive CHIKF epidemic in the CAR.

  6. Levels and trends of smokeless tobacco use among youth in countries of the World Health Organization South-East Asia Region

    Directory of Open Access Journals (Sweden)

    D N Sinha


    Full Text Available Background: At least two rounds of the Global Youth Tobacco Survey (GYTS have been completed in most of the countries in the World Health Organization South-East Asia region. Comparing findings from these two rounds provides trend data on smokeless tobacco (SLT use for the first time. Methods: This study uses GYTS data from Bangladesh, Bhutan, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand, and Timor-Leste during 2006-2013. GYTS is a nationally representative survey of 13-15-year-old students using a consistent and standard protocol. Current SLT use is defined as using any kind of SLT products, such as chewing betel quid or nonbetel quid or snuffing any other products orally or through the nasal route, during the 30 days preceding the survey. Prevalence and 95% confidence intervals were computed using SAS/SUDAAN software. Results: According to most recent GYTS data available in each country, the prevalence of current use of SLT among youth varied from 5.7% in Thailand to 23.2% in Bhutan; among boys, from 7.1% in Bangladesh to 27.2% in Bhutan; and among girls, from 3.7% in Bangladesh to 19.8% in Bhutan. Prevalence of SLT was reported significantly higher among boys than girls in Bhutan (boys 27.2%; girls 19.8%, India (boys 11.1%; girls 6.0%, Maldives (boys 9.2%; girls 2.9%, Myanmar (boys 15.2%; girls 4.0%, and Sri Lanka (boys 13.0%; girls 4.1%. Prevalence of current SLT use increased in Bhutan from 9.4% in 2009 to 23.2% in 2013, and in Nepal from 6.1% in 2007 to 16.2% in 2011. Conclusion: The findings call for countries to implement corrective measures through strengthened policy and enforcement.

  7. The Brain Drain Potential of Students in the African Health and Nonhealth Sectors

    Directory of Open Access Journals (Sweden)

    Jonathan Crush


    Full Text Available The departure of health professionals to Europe and North America is placing an intolerable burden on public health systems in many African countries. Various retention, recall, and replacement policies to ameliorate the impact of this brain drain have been suggested, none of which have been particularly successful to date. The key question for the future is whether the brain drain of health sector skills is likely to continue and whether the investment of African countries in training health professionals will continue to be lost through emigration. This paper examines the emigration intentions of trainee health professionals in six Southern African countries. The data was collected by the Southern African Migration Program (SAMP in a survey of final-year students across the region which included 651 students training for the health professions. The data also allows for the comparison of health sector with other students. The analysis presented in this paper shows very high emigration potential amongst all final-year students. Health sector students do show a slightly higher inclination to leave than those training to work in other sectors. These findings present a considerable challenge for policy makers seeking to encourage students to stay at home and work after graduation.

  8. Economic Diplomacy in Africa: The Impact of Regional Integration versus Bilateral Diplomacy on Bilateral Trade

    DEFF Research Database (Denmark)

    Afesorgbor, Sylvanus Kwaku

    The paper examines the impact of two main instruments of economic diplomacy — regional integration and commercial diplomacy on export flows among African states. We test whether there is any evidence of a trade-off or complementary interaction between these two instruments in trade facilitation. We...... compare the effects of these two instruments of economic diplomacy on bilateral trade by employing a gravity model for 45 African states over the period 1980-2005. The results show that bilateral diplomatic exchange is a relatively more significant determinant of bilateral exports among African states...... compared to regional integration. We also find a nuanced interaction between these two instruments of economic diplomacy: the trade–stimulating effect of diplomatic exchange is less pronounced among African countries that shared membership of the same regional bloc. Generally, this could mean...

  9. African hunt for investment: any chance for success?

    Directory of Open Access Journals (Sweden)

    Ignaty Dyakov


    Full Text Available During recent two decades the world has witnessed a drastic increase in global FDI inflows. Gradually more and more investment has been directed to the developing countries in the attempt to diversify portfolios and use finance in the most efficient way. Not all developing regions of the world perfectly succeeded in attracting FDI. Large by labor force and territory, abundant in natural resources Sub-Saharan Africa could perform much better in this aspect. This paper once again reviews the opportunities for FDI in Africa and suggests possible ways for authorities of African states to overcome the existing situation.

  10. Prevalence and sociodemographic determinants of tobacco use in four countries of the World Health Organization: South-East Asia region: Findings from the Global Adult Tobacco Survey

    Directory of Open Access Journals (Sweden)

    K Palipudi


    Full Text Available Introduction: Tobacco use is a leading cause of deaths and Disability Adjusted Life Years lost worldwide, particularly in South-East Asia. Health risks associated with exclusive use of one form of tobacco alone has a different health risk profile when compared to dual use. In order to tease out specific profiles of mutually exclusive categories of tobacco use, we carried out this analysis. Methods: The Global Adult Tobacco Survey (GATS data was used to describe the profiles of three mutually exclusive tobacco use categories ("Current smoking only," "Current smokeless tobacco [SLT] use only," and "Dual use" in four World Health Organization South-East Asia Region countries, namely Bangladesh, India, Indonesia and Thailand. GATS was a nationally representative household-based survey that used a stratified multistage cluster sampling design proportional to population size. Prevalence of different forms of usage were described as proportions. Logistics regression analyses was performed to calculate odds ratios (OR with 95% confidence intervals. All analyses were weighted, accounted for the complex sampling design and conducted using SPSS version 18. Results: The prevalence of different forms of tobacco use varied across countries. Current tobacco use ranged from 27.2% in Thailand to 43.3% in Bangladesh. Exclusively smoking was more common in Indonesia (34.0% and Thailand (23.4% and less common in Bangladesh (16.1% and India (8.7%. Exclusively using SLT was more common in Bangladesh (20.3% and India (20.6% and less common on Indonesia (0.9% and Thailand (3.5%. Dual use of smoking and SLT was found in Bangladesh (6.8% and India (5.3%, but was negligible in Indonesia (0.8 and Thailand (0.4%. Gender, age, education and wealth had significant effects on the OR for most forms of tobacco use across all four countries with the exceptions of SLT use in Indonesia and dual use in both Indonesia and Thailand. In general, the different forms of tobacco use

  11. [Risk assessment and control measures for import of African schistosomiasis into China]. (United States)

    Liang, You-Sheng; Wang, Wei; Hong, Qing-Biao; Dai, Jian-Rong


    The habitats of Biomphalaria straminea, the intermediate host of Schistosoma mansoni, have been found in Hong Kong Special Administrative Region and Shenzhen City of People's Republic of China. Currently, there is a sharp increase in the number of Africa-aid projects and workers moving to Africa, and more and more cases infected with S. mansoni or S. haematobium returning from African countries have been detected in China. The possibility of transmission of African schistosomiasis in Chinese mainland, in the context of global climate warming, has received much attention. This paper illustrates the risk of transmission of African schistosomiasis in China based on biological and epidemiological features, and proposes interventions to tackle the risk.

  12. African America. (United States)

    Brodie, Carolyn S.; Brown, Gloria


    Presents an annotated bibliography of quality materials by and about African Americans in the areas of poetry, music, folklore, women, picture books, history/collective biography, authors, and professional materials. Activities are suggested in each area for Black History Month. (LRW)

  13. Regional Frameworks for Safeguarding Children: The Role of the African Committee of Experts on the Rights and Welfare of the Child

    Directory of Open Access Journals (Sweden)

    Julia Sloth-Nielsen


    Full Text Available This article discusses the safeguarding movement in the context of child protection. After providing it’s key principles and precepts, the relevant provisions of the African Charter on the Rights and Welfare of the Child which link to safeguarding are stipulated, as well as a brief description given of the mandate of the African Committee of Experts on the Rights and Welfare of the Child. Some aspects of the practical working methods of the Committee are thereafter considered. With reference to the Committee’s interface with non-governmental organisations, some proposals concerning the Committee and the safeguarding movement are put forward.

  14. Family Food Providers’ Perceptions of the Causes of Obesity and Effectiveness of Weight Control Strategies in Five Countries in the Asia Pacific Region: A Cross-Sectional Survey

    Directory of Open Access Journals (Sweden)

    Anthony Worsley


    Full Text Available The rise of the middle classes in developing countries and the associated epidemiological transition raises the importance of assessing this population group’s awareness of the causes of obesity and effective weight control strategies in order to develop effective health promotion strategies. The study aimed to examine the perceptions of the causes of obesity and weight control strategies held by middle class household food providers in Melbourne, Singapore, Shanghai, Indonesia and Vietnam. An online survey was conducted in late 2013, early 2014 among 3945 respondents. Information about body weight concerns, perceived causes of obesity, effectiveness of weight control methods, demographics, self-reported height and weight, and personal values was elicited. Confirmatory factor analyses (CFA derived nine reliable factors which were used in structural equation modelling (SEM. Two thirds of respondents were trying to change their body weight, of them, 71% were trying to lose weight. The CFA and SEM showed that demographics, region of residence, personal values and perceptions of the causes of obesity (Unhealthy food behaviours, influences Beyond personal control and Environmental influences had direct and indirect associations with three weight control methods factors, named: Healthy habits, Eat less, sit less, and Dieting. Middle class food providers in the study regions share public health views of obesity causation and personal weight control. These findings could inform public health and food policies, and the design of public health interventions and communications. Further research is required among lower socio economic status (SES populations.

  15. Legal tools of public participation in the Environmental Impact Assessment process and their application in the countries of the Barents Euro-Arctic Region

    Directory of Open Access Journals (Sweden)

    Nenasheva Marina


    Full Text Available The article focuses on research of existing legal tools of public participation in the Environmental Impact Assessment (EIA process and on practical issues of their application in the countries of the Barents Euro-Arctic Region (BEAR. The EIA is mandatory for projects which can have negative impacts on the environment and/or human health. Public participation in the EIA is one of the instruments used both on the international and national level that helps prevent or minimise the negative consequences of the project for the environment and human health. This article is based on research of national EIA legislation and on the analysis of the findings from interviews conducted with private and public organisations during benchmarking visits and fact-finding trips to the northern regions of Finland, Norway, Sweden and Northwest Russia. In addition, feedback was collected from participants during four seminars. Participatory methods, focused on public-private communication and pariticpation during the environmental impact assessment process, provides the theoretical basis for the article. This research results from work in a two-year strategic project funded by the Finnish Funding Agency for Innovation, TEKES.

  16. Effects of the intense geomagnetic storm of September-October 2012 on the equatorial, low- and mid-latitude F region in the American and African sector during the unusual 24th solar cycle (United States)

    de Jesus, R.; Fagundes, P. R.; Coster, A.; Bolaji, O. S.; Sobral, J. H. A.; Batista, I. S.; de Abreu, A. J.; Venkatesh, K.; Gende, M.; Abalde, J. R.; Sumod, S. G.


    The main purpose of this paper is to investigate the response of the ionospheric F layer in the American and African sectors during the intense geomagnetic storm which occurred on 30 September-01 October 2012. In this work, we used observations from a chain of 20 GPS stations in the equatorial, low- and mid-latitude regions in the American and African sectors. Also, in this study ionospheric sounding data obtained during 29th September to 2nd October, 2012 at Jicamarca (JIC), Peru, São Luis (SL), Fortaleza (FZ), Brazil, and Port Stanley (PST), are presented. On the night of 30 September-01 October, in the main and recovery phase, the h´F variations showed an unusual uplifting of the F region at equatorial (JIC, SL and FZ) and mid- (PST) latitude stations related with the propagations of traveling ionospheric disturbances (TIDs) generated by Joule heating at auroral regions. On 30 September, the VTEC variations and foF2 observations at mid-latitude stations (American sector) showed a long-duration positive ionospheric storm (over 6 h of enhancement) associated with large-scale wind circulations and equatorward neutral winds. Also, on 01 October, a long-duration positive ionospheric storm was observed at equatorial, low- and mid- latitude stations in the African sector, related with the large-scale wind circulations and equatorward neutral winds. On 01 and 02 October, positive ionospheric storms were observed at equatorial, low- and mid-latitude stations in the American sector, possibly associated with the TIDs and an equatorward neutral wind. Also, on 01 October negative ionospheric storms were observed at equatorial, low- and mid-latitude regions in the American sector, probably associated with the changes in the O/N2 ratio. On the night of 30 September-01 October, ionospheric plasma bubbles were observed at equatorial, low- and mid- latitude stations in the South American sector, possibly associated with the occurrence of geomagnetic storm.

  17. African-American Biography. (United States)

    Martin, Ron


    Suggests sources of information for African American History Month for library media specialists who work with students in grades four through eight. Gale Research's "African-American Reference Library," which includes "African-America Biography,""African-American Chronology," and "African-American Almanac,"…


    Directory of Open Access Journals (Sweden)

    V. M. Neuimin


    -equipment of the TPPs in the countries of the East-European region in the medium term is going to follow the way of reconstruction/modernization of the 300 MW-capacity power-block equipment and prolongation of the specified operation life.


    Directory of Open Access Journals (Sweden)

    A.C. Lillie


    Full Text Available It has been said that 'Necessity is the mother of invention' and there can be few countries, if any, where this is more true than in South Africa.In the late 1930's, prior to World War II, the South African Artillery was severely restricted due to its lack of mobility. The inventiveness shown in tackling this probelm is surely not a thing of the past and the possiblity of adapting South African artillery to current South african needs in warfare should not be overlooked. The South African Defence Force is not able to purchase armament in a free and open market place and the costs of developing new artillery are prohibitive in a country of South Africa's size. it will be argued that it is necessary and possible, in the short term, to take what is currently available and adapt this to South Africa's needs.

  20. African Trypanosomiasis (United States)


    Histol. 1977;375:53- 70. 42. Poltera AA, Owor R, Cox JN. Pathological aspects of human African trypanosomiasis (HAT) in Uganda. A post - mortem survey of...nodular lesions , including anthrax or tick bite associated with Rickettsia conorii infection. The chancre is followed by a hemolymphatic stage, dur- ing...electrocardiograph- ic changes and, at times, terminal cardiac insufficiency.41 Pulmonary lesions specifically related to trypanosomiasis are not

  1. East African wetland-catchment data base for sustainable wetland management (United States)

    Leemhuis, Constanze; Amler, Esther; Diekkrüger, Bernd; Gabiri, Geofrey; Näschen, Kristian


    Wetlands cover an area of approx. 18 Mio ha in the East African countries of Kenya, Rwanda, Uganda and Tanzania, with still a relative small share being used for food production. Current upland agricultural use intensification in these countries due to demographic growth, climate change and globalization effects are leading to an over-exploitation of the resource base, followed by an intensification of agricultural wetland use. We aim on translating, transferring and upscaling knowledge on experimental test-site wetland properties, small-scale hydrological processes, and water related ecosystem services under different types of management from local to national scale. This information gained at the experimental wetland/catchment scale will be embedded as reference data within an East African wetland-catchment data base including catchment physical properties and a regional wetland inventory serving as a base for policy advice and the development of sustainable wetland management strategies.

  2. Digital Divide in Sub-Saharan African Universities: Recommendations and Monitoring

    Energy Technology Data Exchange (ETDEWEB)

    Barry, Boubakar; /Assoc. Afr. Univ.; Chukwuma, Victor; /Olabisi Onabanjo U.; Petitdidier, Monique; /CEPT, Velizy; Cottrell, Les; /SLAC; Bartons, Charles; /Australian Natl. U., RSES


    The Digital Divide prevents Africa from taking advantages of new information technologies. One of the most urgent priorities is to bring the Internet in African Universities, Research, and Learning Centers to the level of other regions of the world. eGY-Africa, and the Sharing Knowledge Foundation are two bottom-up initiatives by scientists to secure better cyber-infrastructure and Internet facilities in Africa. Recommendations by the present scientific communities are being formulated at national, regional and international levels. The Internet capabilities are well documented at country level overall, but this is not the case at the University level. The snapshot of the Internet status in universities in 17 African countries, obtained by a questionnaire survey, is consistent with measures of Internet penetration in the corresponding country. The monitoring of Internet performance has been proposed to those African universities to provide an information base for arguing the need to improve the coverage for Africa. A pilot program is recommended that will start scientific collaboration with Europe in western Africa using ICT. The program will lay the foundations for the arrival of new technologies like Grids.

  3. Economic Key to Sino-African Ties

    Institute of Scientific and Technical Information of China (English)


    Following Chinese President Hu Jintao's visit to Africa's Morocco, Nigeria and Kenya in April, Chinese Premier Wen Jiabao is currently visiting seven African countries-Egypt, Ghana, Republic of Congo, Angola, South Africa, Tanzania and Uganda. Haile-Kiros Gessesse, Ethiopia's Ambassador to China, discussed with Beijing Review reporter Ni Yanshuo the future of the Sino-African relationship. As special envoy for the Forum on China-Africa Cooperation, he also expressed his expectations of the forum summit t...

  4. South African coal statistics 2006. Marketing manual

    Energy Technology Data Exchange (ETDEWEB)



    The report shows that South African thermal exports increased 5% from 66.6Mt to 69.9Mt in 2005 and that the country was the world's third largest seaborne exporter of thermal coal last year. Covering local coal consumption, South African coal imports, exports, prices and qualities, the report offers a complete statistical review of 2005. The report also includes details on labour, individual collieries, export and rail infrastructure and Black Empowerment (BEE) companies.

  5. Obesity and African Americans (United States)

    ... Data > Minority Population Profiles > Black/African American > Obesity Obesity and African Americans African American women have the ... ss6304.pdf [PDF | 3.38MB] HEALTH IMPACT OF OBESITY More than 80 percent of people with type ...

  6. The African VLBI network project (United States)

    Loots, Anita


    The AVN is one of the most significant vehicles through which capacity development in Africa for SKA participation will be realized. It is a forerunner to the long baseline Phase 2 component of the mid-frequency SKA. Besides the 26m HartRAO telescope in South Africa, Ghana is expected to be the first to establish a VLBI-capable telescope through conversion of a redundant 32m telecommunications system near Accra. The most widely used receivers in the EVN are L-band and C-band (5 GHz). L-band is divided into a low band around the hydrogen (HI) line frequency of 1420 MHz, and a high band covering the hydroxyl line frequencies of 1612-1720 MHz. The high band is much more commonly used for VLBI as it provides more bandwidth. For the AVN, the methanol maser line at 6668 MHz is a key target for the initial receiver and the related 12178MHz methanol maser line also seen in star-forming regions a potential future Ku-band receiver. In the potential future band around 22GHz(K-band), water masers in star-forming regions and meg-maser galaxies at 22.235 GHz are targets, as are other radio continuum sources such as AGNs. The AVN system will include 5GHz and 6.668GHz receiver systems with recommendation to partner countries that the first upgrade should be L-band receivers. The original satellite telecommunications feed horns cover 3.8 - 6.4 GHz and should work at 5 GHz and operation at 6.668 GHz for the methanol maser is yet to be verified. The first light science will be conducted in the 6.7 GHz methanol maser band. Telescopes developed for the AVN will initially join other global networks for VLBI. When at least four VLBI-capable telescopes are operational on the continent, it will be possible to initiate stand-alone AVN VLBI. Each country where an AVN telescope becomes operational will have its own single-dish observing program. Capacity building to run an observatory includes the establishment of competent core essential observatory staff in partner countries who can train

  7. New insights into the role of ticks in African swine fever epidemiology. (United States)

    Sánchez-Vizcaíno, J M; Mur, L; Bastos, A D S; Penrith, M L


    African swine fever (ASF), one of the most important diseases of swine, is present in many African countries, as well as in eastern Europe, Russia and Sardinia. It is caused by a complex virus, ASF virus (ASFV), for which neither vaccine nor treatment is available. ASFV affects swine of all breeds and ages, and also replicates in soft ticks of the genus Ornithodoros, facilitating ASFV persistence and reocurrence of disease. Depending on the involvement of these ticks, and the presence or not of sylvatic asymptomatic animals, several epidemiological cycles have been identified. The disease persists in East and southern African countries in a sylvatic cycle between O. porcinus (of the O. moubata species complex) and common warthogs. In some countries a domestic pig-tick cycle exists, whereas in other regions, notably West Africa, the role of soft ticks has not been demonstrated, and ASFV is transmitted between domestic pigs in the absence of tick vectors. Even in several East and Central African countries which have the sylvatic or domestic cycle, the majority of outbreaks are not associated with ticks or wild suids. In Europe, O. erraticus was detected and identified as a crucial vector for ASF maintenance in outdoor pig production on the Iberian Peninsula. However, in most parts of Europe, there is a lack of information about the distribution and role of Ornithodoros ticks in ASF persistence, particularly in eastern regions. This article reviews ASF epidemiology and its main characteristics, with a special focus on the distribution and role of soft ticks in ASF persistence in different settings. Information abouttick detection, control measures and future directions for research is also included.

  8. Structural analysis of the 5 prime flanking region of the. beta. -globin gene in African sickle cell anemia patients: Further evidence for three origins of the sickle cell mutation in Africa

    Energy Technology Data Exchange (ETDEWEB)

    Chebloune, Y.; Pagnier, J.; Trabuchet, G.; Faure, C.; Verdier, G.; Labie, D.; Nigon, V. (Universite Claude Bernard-Lyon, Villeurbane (France))


    Haplotype analysis of the {beta}-globin gene cluster shows two regions of DNA characterized by nonrandom association of restriction site polymorphisms. These regions are separated by a variable segment containing the repeated sequences (ATTTT){sub n} and (AT){sub x}T{sub y}, which might be involved in recombinational events. Studies of haplotypes linked to the sickle cell gene in Africa provide strong argument for three origins of the mutation: Benin, Senegal, and the Central African Republic. The structure of the variable segment in the three African populations was studied by S1 nuclease mapping of genomic DNA, which allows a comparison of several samples. A 1080-base-pair DNA segment was sequenced for one sample from each population. S1 nuclease mapping confirmed the homogeneity of each population with regard to both (ATTTT){sub n} and (AT){sub x}T{sub y} repeats. The authors found three additional structures for (AT){sub x}T{sub y} correlating with the geographic origin of the patients. Ten other nucleotide positions, 5{prime} and 3{prime} to the (AT){sub x}T{sub y} copies, were found to be variable when compared to homologous sequences from human and monkey DNAs. These results allow us to propose an evolutionary scheme for the polymorphisms in the 5{prime} flanking region of the {beta}-globin gene. The results strongly support the hypothesis of three origins for the sickle mutation in Africa.

  9. Emergency department mental health presentations by people born in refugee source countries: an epidemiological logistic regression study in a Medicare Local region in Australia. (United States)

    Enticott, Joanne C; Cheng, I-Hao; Russell, Grant; Szwarc, Josef; Braitberg, George; Peek, Anne; Meadows, Graham


    This study investigated if people born in refugee source countries are disproportionately represented among those receiving a diagnosis of mental illness within emergency departments (EDs). The setting was the Cities of Greater Dandenong and Casey, the resettlement region for one-twelfth of Australia's refugees. An epidemiological, secondary data analysis compared mental illness diagnoses received in EDs by refugee and non-refugee populations. Data was the Victorian Emergency Minimum Dataset in the 2008-09 financial year. Univariate and multivariate logistic regression created predictive models for mental illness using five variables: age, sex, refugee background, interpreter use and preferred language. Collinearity, model fit and model stability were examined. Multivariate analysis showed age and sex to be the only significant risk factors for mental illness diagnosis in EDs. 'Refugee status', 'interpreter use' and 'preferred language' were not associatedwith a mental health diagnosis following risk adjustment forthe effects ofage and sex. The disappearance ofthe univariate association after adjustment for age and sex is a salutary lesson for Medicare Locals and other health planners regarding the importance of adjusting analyses of health service data for demographic characteristics.

  10. African anthropogenic combustion emission inventory: specificities and uncertainties (United States)

    Sekou, K.; Liousse, C.; Eric-michel, A.; Veronique, Y.; Thierno, D.; Roblou, L.; Toure, E. N.; Julien, B.


    Fossil fuel and biofuel emissions of gases and particles in Africa are expected to significantly increase in the near future, particularly due to the growth of African cities. In addition, African large savannah fires occur each year during the dry season, mainly for socio-economical purposes. In this study, we will present the most recent developments of African anthropogenic combustion emission inventories, stressing African specificities. (1)A regional fossil fuel and biofuel inventory for gases and particulates will be presented for Africa at a resolution of 0.25° x 0.25° from 1990 to 2012. For this purpose, the original database of Liousse et al. (2014) has been used after modification for emission factors and for updated regional fuel consumption including new emitter categories (waste burning, flaring) and new activity sectors (i.e. disaggregation of transport into sub-sectors including two wheel ). In terms of emission factors, new measured values will be presented and compared to litterature with a focus on aerosols. They result from measurement campaigns organized in the frame of DACCIWA European program for each kind of African specific anthropogenic sources in 2015, in Abidjan (Ivory Coast), Cotonou (Benin) and in Laboratoire d'Aérologie combustion chamber. Finally, a more detailed spatial distribution of emissions will be proposed at a country level to better take into account road distributions and population densities. (2) Large uncertainties still remain in biomass burning emission inventories estimates, especially over Africa between different datasets such as GFED and AMMABB. Sensitivity tests will be presented to investigate uncertainties in the emission inventories, applying methodologies used for AMMABB and GFED inventories respectively. Then, the relative importance of each sources (fossil fuel, biofuel and biomass burning inventories) on the budgets of carbon monoxide, nitrogen oxides, sulfur dioxide, black and organic carbon, and volatile

  11. The topology of African exports: Emerging patterns on spanning trees (United States)

    Araújo, Tanya; Ferreira, Manuel Ennes


    This paper is a contribution to interweaving two lines of research that have progressed in separate ways: network analysis of international trade and the literature on African trade and development. Gathering empirical data on African countries has important limitations and so does the space occupied by African countries in the analysis of trade networks. Here, these limitations are dealt with by the definition of two independent bipartite networks: a destination share network and a commodity share network. These networks-together with their corresponding minimal spanning trees-allow to uncover some ordering emerging from African exports in the broader context of international trade. The emerging patterns help to understand important characteristics of African exports and its binding relations to other economic, geographic and organizational concerns as the recent literature on African trade, development and growth has shown.

  12. Thermal springs, fumaroles and gas vents of continental Yemen: Their relation with active tectonics, regional hydrology and the country's geothermal potential

    Energy Technology Data Exchange (ETDEWEB)

    Minissale, Angelo [CNR - Italian Council for Research, Institute of Geosciences and Earth Resources of Florence, Via La Pira 4, 50121 Florence (Italy)]. E-mail:; Mattash, Mohamed A. [Ministry of Oil and Mineral Resources, Geological Survey and Minerals Resources Board, P.O. Box 297, Sana' a (Yemen); Vaselli, Orlando [Department of Earth Sciences, Via La Pira 4, 50121 Firenze (Italy); CNR - Italian Council for Research, Institute of Geosciences and Earth Resources of Florence, Via La Pira 4, 50121 Firenze (Italy); Tassi, Franco [Department of Earth Sciences, Via La Pira 4, 50121 Firenze (Italy); Al-Ganad, Ismail N. [Ministry of Oil and Mineral Resources, Geological Survey and Minerals Resources Board, P.O. Box 297, Sana' a (Yemen); Selmo, Enrico [Department of Earth Sciences, Parco Area delle Scienze 157A, 43100 Parma (Italy); Shawki, Nasr M. [Department of Geology, University of Ta' iz, P.O. Box 5679, Ta' iz (Yemen); Tedesco, Dario [Department of Environmental Sciences, Second University of Naples, Via Vivaldi 43, 81100 Caserta (Italy); Poreda, Robert [Department of Earth and Environmental Sciences, 227 Hutchinson Hall, Rochester, NY 14627 (United States); Ad-Dukhain, Abdassalam M. [Ministry of Oil and Mineral Resources, Geological Survey and Minerals Resources Board, P.O. Box 297, Sana' a (Yemen); Hazzae, Mohammad K. [Ministry of Oil and Mineral Resources, Geological Survey and Minerals Resources Board, P.O. Box 297, Sana' a (Yemen)


    Most thermal springs of continental Yemen (about 65 emergences at 48 sampling sites) and a couple of fumaroles and boiling water pools have been sampled and analyzed for chemical and isotopic composition in the liquid phase and the associated free-gas phase. Whatever the emergence, all the water discharges have an isotopic signature of meteoric origin. Springs seeping out from high altitudes in the central volcanic plateau show a prevalent Na-HCO{sub 3}-composition, clearly affected by an anomalous flux of deep CO{sub 2} deriving from active hydrothermal systems located in the Jurassic Amran Group limestone sequence and/or the Cretaceous Tawilah Group, likely underlying the 2000-3000 m thick volcanic suite. At lower elevations, CO{sub 2} also affects the composition of some springs emerging at the borders of the central volcanic plateau. Although mixing to a limited extent with organic CO{sub 2} infiltrating together with the meteoric recharge waters cannot be ruled out, all the CO{sub 2}-rich gas samples have a {delta} {sup 13}C-CO{sub 2} signature that falls in the range of mantle CO{sub 2} (-3 < {delta} {sup 13}C < -7 per mille V-PDB). The relatively high {sup 3}He/{sup 4}He (1 < R/R {sub a} < 3.2) ratios measured in all the CO{sub 2}-rich springs and also some mixed N{sub 2}-CO{sub 2} gas vents in the far east Hadramaut region support the presence of mantle magmas and related hydrothermal systems residing at the crust level in several areas of Yemen. This well agrees with the presence of Quaternary basaltic magmatic activity along the Gulf of Aden, as well as inside the central Yemen volcanic plateau. Presently, the thermal springs of Yemen are prevalently used for spas and/or bathing. Nevertheless, liquid- and gas-geothermometry and geological considerations suggest that there are at least three areas (Al Lisi, Al Makhaya and Damt) inside the Yemen volcanic plateau (around Dhamar) that may be promising prospects for the future development of geothermal energy

  13. North African oil and foreign investment in changing market conditions

    Energy Technology Data Exchange (ETDEWEB)

    Fattouh, Bassam [SOAS, University of London (United Kingdom); Darbouche, Hakim [Oxford Institute for Energy Studies (United Kingdom)


    Since the 1960s, the experiences of the North African oil producers of Libya, Algeria, Egypt and Sudan within the oil industry have followed separate paths, which have led them into different relations with foreign oil companies. While reflecting broader trends of 'resource nationalism', these relations have also been affected by a number of factors specific to these countries. In tracing the evolution of the oil investment frameworks of these countries, as well as their concomitant relations with IOCs, this paper probes the roles played by these factors and argues that the type and size of remaining reserves as well as the capability of NOCs are likely to determine the most future developments in the region's oil industry. (author)

  14. Poverty reduction and investing in people : the new role of safety nets in Africa experiences from 22 countries


    Monchuk, Victoria


    Safety nets are on the rise in Africa, and beginning to evolve from scattered standalone programs into systems. Until recently, many African countries approached social protection on an ad-hoc basis. But when the global crisis threatened recent progress in poverty reduction, safety nets increasingly began to be viewed as core instruments for poverty reduction in the region. Social protection programming has started to develop from emergency food aid programs to one-off interventions to regula...

  15. Diversity among African pygmies.

    Directory of Open Access Journals (Sweden)

    Fernando V Ramírez Rozzi

    Full Text Available Although dissimilarities in cranial and post-cranial morphology among African pygmies groups have been recognized, comparative studies on skull morphology usually pull all pygmies together assuming that morphological characters are similar among them and different with respect to other populations. The main aim of this study is to compare cranial morphology between African pygmies and non-pygmies populations from Equatorial Africa derived from both the Eastern and the Western regions in order to test if the greatest morphological difference is obtained in the comparison between pygmies and non-pygmies. Thirty three-dimensional (3D landmarks registered with Microscribe in four cranial samples (Western and Eastern pygmies and non-pygmies were obtained. Multivariate analysis (generalized Procrustes analysis, Mahalanobis distances, multivariate regression and complementary dimensions of size were evaluated with ANOVA and post hoc LSD. Results suggest that important cranial shape differentiation does occur between pygmies and non-pygmies but also between Eastern and Western populations and that size changes and allometries do not affect similarly Eastern and Western pygmies. Therefore, our findings raise serious doubt about the fact to consider African pygmies as a homogenous group in studies on skull morphology. Differences in cranial morphology among pygmies would suggest differentiation after divergence. Although not directly related to skull differentiation, the diversity among pygmies would probably suggest that the process responsible for reduced stature occurred after the split of the ancestors of modern Eastern and Western pygmies.

  16. 外向型FDI能促进母国的对外贸易吗?--基于69个国家和地区样本的GMM检验%Can Outward FDI Promote Foreign Trade of Home Country?-Based on GMM Test of Samples from 69 Countries and Regions

    Institute of Scientific and Technical Information of China (English)



    对外直接投资对母国经济的诸多方面有正面的影响。文章选取41个发展中国家和地区以及28个发达国家和地区2002-2011年的观测样本,实证考察外向型FDI对母国对外贸易的影响。实证结果发现,不管是在发达国家样本还是在发展中国家样本,在控制了外向型FDI的内生性之后,外向国际直接投资存量对母国的进出口贸易总额没有显著影响。%Outward FDI has a positive impact on many aspects of the home country’s economy. The paper, by selecting sam-ples of 41 developing countries and regions, 28 developed countries and regions from the year of 2002 to 2011, empirically inves-tigates the impact of outward FDI on foreign trade of home countries. The empirical results show that the stock of outward FDI has no significant impact on foreign trade of home countries after the control on the endogeneity of outward FDI, whether the samples are from developed countries or developing countries.

  17. Parenting African American Children in the Context of Racism (United States)

    Keyes, Angela W.; Smyke, Anna T.; Middleton, Melissa; Black, Corey L.


    The legacy of slavery in the United States has impacted generations of African Americans, especially parents who must prepare their children to face the challenges associated with being a person of color in this country. The authors explore aspects of racism, White privilege, racial socialization, and African American parents' fears as they equip…

  18. 76 FR 32851 - African-American Music Appreciation Month, 2011 (United States)


    ...-American Music Appreciation Month, we honor the rich musical traditions of African-American musicians and their gifts to our country and our world. From the cadenced hums of spirituals to the melodies of rhythm... and equality for all. Today, African-American musicians continue to create new musical genres...

  19. Bioenergy and African transformation. (United States)

    Lynd, Lee R; Sow, Mariam; Chimphango, Annie Fa; Cortez, Luis Ab; Brito Cruz, Carlos H; Elmissiry, Mosad; Laser, Mark; Mayaki, Ibrahim A; Moraes, Marcia Afd; Nogueira, Luiz Ah; Wolfaardt, Gideon M; Woods, Jeremy; van Zyl, Willem H


    Among the world's continents, Africa has the highest incidence of food insecurity and poverty and the highest rates of population growth. Yet Africa also has the most arable land, the lowest crop yields, and by far the most plentiful land resources relative to energy demand. It is thus of interest to examine the potential of expanded modern bioenergy production in Africa. Here we consider bioenergy as an enabler for development, and provide an overview of modern bioenergy technologies with a comment on application in an Africa context. Experience with bioenergy in Africa offers evidence of social benefits and also some important lessons. In Brazil, social development, agricultural development and food security, and bioenergy development have been synergistic rather than antagonistic. Realizing similar success in African countries will require clear vision, good governance, and adaptation of technologies, knowledge, and business models to myriad local circumstances. Strategies for integrated production of food crops, livestock, and bioenergy are potentially attractive and offer an alternative to an agricultural model featuring specialized land use. If done thoughtfully, there is considerable evidence that food security and economic development in Africa can be addressed more effectively with modern bioenergy than without it. Modern bioenergy can be an agent of African transformation, with potential social benefits accruing to multiple sectors and extending well beyond energy supply per se. Potential negative impacts also cut across sectors. Thus, institutionally inclusive multi-sector legislative structures will be more effective at maximizing the social benefits of bioenergy compared to institutionally exclusive, single-sector structures.

  20. Fiocruz as an actor in Brazilian foreign relations in the context of the Community of Portuguese-Speaking Countries: an untold story. (United States)

    Roa, Alejandra Carrillo; Baptista e Silva, Felipe Ricardo


    Brazilian foreign policy paradigms and changes in the global scenario since the Cold War created conditions for stronger ties between Brazil and Portuguese-speaking African countries. Recently, Brazil took the lead in regional integration processes and in South-South cooperation initiatives. These strategies and Fiocruz's acknowledged technical expertise resulted in its direct involvement in Brazilian foreign public health policy in the Community of Portuguese-Speaking Countries. Fiocruz developed cooperation projects in various areas, sharing its know-how and best practices in the most critical fields in partner countries, consolidating "public health framework cooperation" and contributing to diversifying Brazil's partners and promoting Brazil as a global actor.

  1. Beginning Science Curriculum for English Speaking Tropical Africa (African Primary Science Program). Final Report. (United States)

    Education Development Center, Inc., Newton, MA.

    The African Primary Science Program, which was established in 1960 as part of the African Education Program, has operated widely in English-speaking African countries. Science centers have been established with program assistance in seven of these: Ghana, Kenya, Malawi, Nigeria, Sierra Leone, Tanzania, and Uganda. Its goals have been centered on…

  2. Using ICTs (Educationally) for Development in an African Context: Possibilities and Limitations (United States)

    Carrim, Nazir; Taruvinga, Mandi


    This article examines the possibilities and limitations of using ICTs for development in an African context from an education perspective. Although we provide an account of the Pan-African Agenda on integrating ICTs, which covers many countries on the African continent, our focus is specifically on using ICTs for development in a South African…

  3. A Case Study of the Development of African American Women Executives (United States)

    Brooks Greaux, Lisa


    Even in an era when the country elected an African American man as President of the United States, there is still a paucity of African American women executives within Fortune 500 companies. Although more African American women have joined the ranks of corporate management over the last two decades, the numbers, when compared to those of White…

  4. The African School of Fundamental Physics and its Applications 2012 - English subtitles

    CERN Document Server

    CERN Video Productions


    Forty-nine students from 15 African countries plus one student from Iran are currently attending the African School of Physics (ASP) 2012. The school, which is in its second year, is a unique opportunity for young African students to receive training in cutting-edge physics research. Listen to their voices…

  5. The current bioenergy production potential of semi-arid and arid regions in sub-Saharan Africa

    NARCIS (Netherlands)

    Wicke, B.; Smeets, E.M.W.; Watson, H.; Faaij, A.P.C.


    This article assesses the current technical and economic potential of three bioenergy production systems (cassava ethanol, jatropha oil and fuelwood) in semi-arid and arid regions of eight sub-Saharan African countries. The results indicate that the availability of land for energy production ranges

  6. Human Rights in the Context of Deepening Integration of East African Community (EAC

    Directory of Open Access Journals (Sweden)

    Richard MUKO OCHANDA


    Full Text Available This study contributes to the discourse on the process of political integration by studying East African Community (EAC’s integration efforts in the light of Human Rights Based Approach (HBRA. Data used has been assembled from various sources such as media reports, EAC documents and country statistical reports from various institutions such as bureaus of statistics, UNDP, UNAIDS, World Bank, Freedom House and Transparency International. This study has been on-going from 2008 to 2012. The study found that various structures have been created to aid the deepening integration efforts in East Africa. With the exception of human rights, the EAC treaty stipulates eleven areas of collaboration. It was also found that Tanzania scores better than other countries on political and civil liberties, while Human Welfare Indicators were a challenge in the entire EAC. The Gini index scores were high and worsening in some countries over time, indicating the presence of distributive injustices.Other areas of concern comprised media control, gender based challenges, harassment of opposition and poor protection of minorities and vulnerable populations. Four countries of the region are part of the Africa Peer Review Mechanism (APRMprocess. The APRM as a process is meant to promote good governance and presents an opportunity for bettering human rights in the region.The study ends by recommending the mainstreaming of Human Rights Based Approach (HBRA through the formation of East African Human Rights Commission (EAHRC within EAC structures.

  7. The renewable energy targets of the Maghreb countries: Impact on electricity supply and conventional power markets

    Energy Technology Data Exchange (ETDEWEB)

    Brand, Bernhard, E-mail: [Institute of Energy Economics at the University of Cologne, Vogelsanger Strasse 321, 50827 Cologne (Germany); Zingerle, Jonas [Institute of Energy Economics at the University of Cologne, Vogelsanger Strasse 321, 50827 Cologne (Germany)


    Morocco, Algeria and Tunisia, the three countries of the North African Maghreb region, are showing increased efforts to integrate renewable electricity into their power markets. Like many other countries, they have pronounced renewable energy targets, defining future shares of 'green' electricity in their national generation mixes. The individual national targets are relatively varied, reflecting the different availability of renewable resources in each country, but also the different political ambitions for renewable electricity in the Maghreb states. Open questions remain regarding the targets' economic impact on the power markets. Our article addresses this issue by applying a linear electricity market optimization model to the North African countries. Assuming a competitive, regional electricity market in the Maghreb, the model minimizes dispatch and investment costs and simulates the impact of the renewable energy targets on the conventional generation system until 2025. Special emphasis is put on investment decisions and overall system costs. - Research Highlights: >Market simulation shows impact of RES-E penetration on the conventional power system of Morocco, Algeria and Tunisia. >Noticeable effects on dispatch and investments in fossil power plants. >Reduced utilization of base-load plants - stronger investments in flexible capacities. >Overall system costs can be decreased by optimizing the RES-E goals.

  8. Bullying victimization among 13 to 15-year-old school children: results from two comparative studies in 66 countries and regions

    DEFF Research Database (Denmark)

    Due, Pernille; Holstein, Bjørn Evald; Soc, Mag Scient


    AIM: to examine the prevalence of bullying victimization in 66 countries and territories from five continents based on data from two large international surveys: the 2001/2 Health Behavior in School-aged Children survey (HBSC) and the Global School-based Students Health Survey (GSHS). The surveys...... provide nationally representative, cross-sectional information on 13-15-year-old school children (N = 218,104). OUTCOME MEASURES: Bullying victimization, once or more within the past 2 months (HBSC)/30 days (GSHS). RESULTS: On average, 32.1% of the children were bullied at school at least once within...... the past 2 months in countries involved in the HBSC study and 37.4% of children were bullied at least one day within the past 30 days in countries involved in the GSHS study. In both surveys, a large variation in prevalence was found across countries. The lowest prevalence in the GSHS survey was observed...

  9. Central African Republic. (United States)


    Focus in this discussion of the Central African Republic is on: geography; the people; history and political conditions; government; the economy; foreign relations; and relations with the US. The population of the Central African Republic totaled 2.7 million in 1985 with an annual growth rate of 2.8%. The infant mortality rate is 134/1000 with life expectancy at 49 years. The Central African Republic is at almost the precise center of Africa, about 640 km from the nearest ocean. More than 70% of the population live in rural areas. There are more than 80 ethnic groups, each with its own language. The precolonial history of the area was marked by successive waves of migration, of which little is known. These migrations are responsible for the complex ethnic and linguistic patterns today. United with Chad in 1906, it formed the Oubangui-Chari-Chad colony. In 1910, it became 1 of the 4 territories of the Federation of French Equatorial Africa, along with Chad, Congo, and Gabon. After World War II, the French Constitution of 1946 inaugurated the first of a series of reforms that led eventually to complete independence for all French territories in western and equatorial Africa. The nation became an autonomous republic within the newly established French Community on December 1, 1958, and acceded to complete independence as the Central Africa Republic on August 13, 1960. The government is made up of the executive and the judicial branches. The constitution and legislature remain suspended. All executive and legislative powers, as well as judicial oversight, are vested in the chief of state. The Central African Republic is 1 of the world's least developed countries, with an annual per capita income of $310. 85% of the population is engaged in subsistence farming. Diamonds account for nearly 1/3 of export earnings; the industrial sector is limited. The US terminated bilateral assistance programs in 1979, due to the human rights violations of the Bokassa regime, but modest

  10. HLA-E coding and 3' untranslated region variability determined by next-generation sequencing in two West-African population samples. (United States)

    Castelli, Erick C; Mendes-Junior, Celso T; Sabbagh, Audrey; Porto, Iane O P; Garcia, André; Ramalho, Jaqueline; Lima, Thálitta H A; Massaro, Juliana D; Dias, Fabrício C; Collares, Cristhianna V A; Jamonneau, Vincent; Bucheton, Bruno; Camara, Mamadou; Donadi, Eduardo A


    HLA-E is a non-classical Human Leucocyte Antigen class I gene with immunomodulatory properties. Whereas HLA-E expression usually occurs at low levels, it is widely distributed amongst human tissues, has the ability to bind self and non-self antigens and to interact with NK cells and T lymphocytes, being important for immunosurveillance and also for fighting against infections. HLA-E is usually the most conserved locus among all class I genes. However, most of the previous studies evaluating HLA-E variability sequenced only a few exons or genotyped known polymorphisms. Here we report a strategy to evaluate HLA-E variability by next-generation sequencing (NGS) that might be used to other HLA loci and present the HLA-E haplotype diversity considering the segment encoding the entire HLA-E mRNA (including 5'UTR, introns and the 3'UTR) in two African population samples, Susu from Guinea-Conakry and Lobi from Burkina Faso. Our results indicate that (a) the HLA-E gene is indeed conserved, encoding mainly two different protein molecules; (b) Africans do present several unknown HLA-E alleles presenting synonymous mutations; (c) the HLA-E 3'UTR is quite polymorphic and (d) haplotypes in the HLA-E 3'UTR are in close association with HLA-E coding alleles. NGS has proved to be an important tool on data generation for future studies evaluating variability in non-classical MHC genes.

  11. The Politics of African Industrial Policy

    DEFF Research Database (Denmark)

    Whitfield, Lindsay; Therkildsen, Ole; Buur, Lars;

    in the early stages of capitalist transformation that also experience the pressures of elections due to democratization, this book provides four in-depth African country studies that illustrate the challenges to economic transformation and the politics of implementing industrial policies....

  12. Leaving Home: The Challenges of Black-African International Students Prior to Studying Overseas (United States)

    Caldwell, Elizabeth Frances; Hyams-Ssekasi, Denis


    Much of the literature on international students centres on their experiences once they arrive in their host countries. This study explores the preparations of Black-African students for leaving their home countries to study abroad. Semi-structured interviews were carried out with 50 Black-African students studying at one British university. The…

  13. Heart Disease and African Americans (United States)

    ... Minority Population Profiles > Black/African American > Heart Disease Heart Disease and African Americans Although African American adults are ... were 30 percent more likely to die from heart disease than non-Hispanic whites. African American women are ...

  14. Phylogeography of Bacillus anthracis in the country of Georgia shows evidence of population structuring and is dissimilar to other regional genotypes.

    Directory of Open Access Journals (Sweden)

    Ekaterine Khmaladze

    Full Text Available Sequence analyses and subtyping of Bacillus anthracis strains from Georgia reveal a single distinct lineage (Aust94 that is ecologically established. Phylogeographic analysis and comparisons to a global collection reveals a clade that is mostly restricted to Georgia. Within this clade, many groups are found around the country, however at least one subclade is only found in the eastern part. This pattern suggests that dispersal into and out of Georgia has been rare and despite historical dispersion within the country, for at least for one lineage, current spread is limited.

  15. Economic Partnership Agreements of the EU: Impact on Regional Integration in Africa


    Marinov, Eduard


    The development and dynamics of regional integration in Africa are severely influenced by the transformation of the trade relations between African, Caribbean and Pacific (ACP) countries and the EU, imposed by the Cotonou agreement. Economic relations now based on unilateral trade preferences provided by the EU are envisaged to be based on Economic partnership agreements (EPAs) that should regulate trade and cooperation establishing new trade regimes between the EU and ACP regions selected by...


    Directory of Open Access Journals (Sweden)

    Youssouf Ali Mahamat


    Full Text Available The article covers the main problems of the post-colonial modernization of countries of sub-Saharan region. Market-oriented approaches to the development of economic systems are being implemented in the region in the form of structural adaptation plans. In general, the connection of the African economy to the market regulators is a complex process which requires a sharp, painful break-up of traditional social structures.

  17. Southern African Power Pool: Planning and Prospects for Renewable Energy

    Energy Technology Data Exchange (ETDEWEB)

    Miketa, Asami [IRENA, Bonn (Germany); Merven, Bruno [Energy Research Centre, Univ. of Cape Town (South Africa)


    With the energy systems of many African countries dominated by fossil-fuel sources that are vulnerable to global price volatility, regional and intra-continental power systems with high shares of renewable energy can provide least-cost option to support continued economic growth and address the continent’s acute energy access problem. Unlocking Africa’s huge renewable energy potential could help to take many people out of poverty, while ensuring the uptake of sustainable technologies for the continent’s long-term development. The report examines the ''renewable scenario'' based on a modelling tool developed by IRENA and tested in cooperation with the South African National Energy Development Institute (SANEDI) and the Southern African Development Community (SADC). Initial results from the System Planning and Test (SPLAT) model show that the share of renewable technologies in Southern Africa could increase from the current 10% to as much as 46% in 2030, with 20% of decentralised capacity coming from renewable sources and nearly 80% of the envisaged capacity additions between 2010 and 2030 being provided by renewable energy technologies. Deployment and export of hydropower from the Democratic Republic of Congo’s Inga hydropower project to the SADC region would significantly reduce average electricity generation costs. Analysis using SPLAT – along with a similar model developed for West Africa – can provide valuable input for regional dialogue and energy projects such as the East and Southern Africa Clean Energy Corridor and the Programme for Infrastructure and Development in Africa (PIDA). IRENA, together with partner organisations, has started plans to set up capacity building and development support for energy system modelling and planning for greater integration of renewables in Africa. IRENA is also completing a similar model and study for East Africa and intends to extend this work to Central and North Africa.

  18. Human papillomavirus prevalence and type-distribution, cervical cancer screening practices and current status of vaccination implementation in Russian Federation, the Western countries of the former Soviet Union, Caucasus region and Central Asia. (United States)

    Rogovskaya, Svetlana I; Shabalova, Irina P; Mikheeva, Irina V; Minkina, Galina N; Podzolkova, Nataly M; Shipulina, Olga Y; Sultanov, Said N; Kosenko, Iren A; Brotons, Maria; Buttmann, Nina; Dartell, Myassa; Arbyn, Marc; Syrjänen, Stina; Poljak, Mario


    Limited data are available on the burden of human papillomavirus (HPV) and its associated diseases in the Russian Federation, the Western Countries of the former Soviet Union (Belarus, Republic of Moldova, Ukraine), the Caucasus region and Central Asia (Armenia, Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan). Both the incidence and mortality rate of cervical cancer are higher in these countries than in most Western European countries. In this article, we review available data on HPV prevalence and type distribution in women with normal cytology, women from the general population, cervical precancerous lesions and cervical cancer, as well as data on national policies of cervical cancer screening and HPV vaccination initiatives in these countries. Based on scarce data from the 12 countries, the high-risk HPV (hrHPV) prevalence among 5226 women with normal cytology ranged from 0.0% to 48.4%. In women with low-grade cervical lesions, the hrHPV prevalence among 1062 women varied from 29.2% to 100%. HrHPV infection in 565 women with high-grade cervical lesions ranged from 77.2% to 100% and in 464 invasive cervical cancer samples from 89.8% to 100%. HPV16 was the most commonly detected hrHPV genotype in all categories. As the HPV genotype distribution in cervical diseases seems to be similar to that found in Western Europe the implementation of HPV testing in screening programs might be beneficial. Opportunistic screening programs, the lack of efficient call-recall systems, low coverage, and the absence of quality assured cytology with centralized screening registry are major reasons for low success rates of cervical cancer programs in many of the countries. Finally, HPV vaccination is currently not widely implemented in most of the twelve countries mainly due to pricing, availability, and limited awareness among public and health care providers. Country-specific research, organized nationwide screening programs, registries and well

  19. Forecasting Training Needs in the Hotel, Catering and Tourism Sector: A Comparative Analysis of Results from Regional Studies in Three European Countries. (United States)

    Giffard, Andre; Guegnard, Christine; Strietska-Ilina, Olga


    A pilot study on the hotel, catering, and tourism sector was conducted in the Burgundy region of France, Northwest region of the Czech Republic, and Podravje region of Slovenia. Three main kinds of factors of change were brought out. The first, evoked in Slovenia and the Czech Republic, concerned the opening of borders. Typical trends were…

  20. Southern African NGOs seize the initiative. (United States)

    Morna, C L


    The Southern African Network of AIDS Service Organizations (SANASO) was begun at a conference in Harare, Zimbabwe in May 1990, marking the 1st local unification of Non-Governmental agencies in AIDS prevention and care. This region has about 20% of Africa's reported AIDS cases, but has seen an 8-fold increase in 2 years. The goals of the organization are to facilitate sharing of information, ideas and experiences, to promote cooperation among the NGOs, to move toward common positions on AIDS and to articulate to the rest of the world the needs of the region as regards AIDS. While the incidence ranges from 6/million in Lesotho, to 906/million in Malawi, the countries represented have varied but pressing political and economic situations making HIV infection a serious threat. Examples are economic contraction with reduced funding of health and education; rapid urbanization; wars in Angola and Mozambique, with associated sexual abuse, refugees and displaced people; and in South Africa Apartheid, unemployment, forced relocation, violence and even suspicion of the government's AIDS program. Discussions on how the NGOs in particular can help change peoples' behavior resulted in the suggestion that they involve People With AIDS (PWA), to give the disease "a face" and lessen fear and alienation. The best example of such a successful approach is the home-based care instituted by Zambia's Chikankata Salvation Army Mission Hospital.


    Directory of Open Access Journals (Sweden)

    Sara Mahmoud


    Full Text Available

    Viral hepatitis represents an important health problem in the South Mediterranean countries, Egypt, Libya, Tunisia, Algeria and Morocco.  Emerging natural history and epidemiological information reveal differences in the overall epidemiology, risk factors and modes of transmission of viral hepatitis A, B, C, D, E infections in the South Mediterranean region. The differences in the in incidence and prevalence of viral hepatitis across North African countries is attributed to variations in health care  and sanitation standards, risk factors and immunization strategies. The active continuous population movement through travel, tourism and migration from and to the South Mediterranean countries contribute to the spread of infections due to hepatitis viruses across borders leading to outbreaks and emergence of new patterns of infection or introduction of uncommon genotypes in other countries, particularly in Europe.

  2. The Chemistry and Biological Activities of Natural Products from Northern African Plant Families: From Taccaceae to Zygophyllaceae. (United States)

    Ntie-Kang, Fidele; Njume, Leonel E; Malange, Yvette I; Günther, Stefan; Sippl, Wolfgang; Yong, Joseph N


    Traditional medicinal practices have a profound influence on the daily lives of people living in developing countries, particularly in Africa, since the populations cannot generally afford the cost of Western medicines. We have undertaken to investigate the correlation between the uses of plants in Traditional African medicine and the biological activities of the derived natural products, with the aim to validate the use of traditional medicine in Northern African communities. The literature is covered for the period 1959-2015 and part III of this review series focuses on plant families with names beginning with letters T to Z. The authors have focused on curating data from journals in natural products and phytomedicine. Within each journal home page, a query search based on country name was conducted. All articles "hits" were then verified, one at a time, that the species was harvested within the Northern African geographical regions. The current data partly constitutes the bases for the development of the Northern African natural compounds database. The review discusses 284 plant-based natural compounds from 34 species and 11 families. It was observed that the ethnobotanical uses of less than 40 % of the plant species surveyed correlated with the bioactivities of compounds identified.

  3. Depression and African Americans (United States)

    ... You are here Home » Depression And African Americans Depression And African Americans Not “Just the Blues” Clinical ... or spiritual communities. Commonly Asked Questions about Clinical Depression How do I get help for clinical depression? ...

  4. African Attraction

    Institute of Scientific and Technical Information of China (English)



    Edward Xu is excited. The 55-year-old Shanghai businessman is talking about his latest project in Gabon,one of Africa's richest countries. “We build these pre-fabricated houses in China, equip them with furniture and electronics and then send the whole thing in cargos.” Once the shipment arrives in Gabon, Xu and his company, Shanghai New Years International Group, will unwrap them, put them up in a two square kilometer piece of land granted by the local government and finally sell the estates at a cost of over US$120,000 each.

  5. Complementarity of Foreign Aid and Domestic Savings as Drivers of Economic Growth: Evidence from WAMZ Countries

    Directory of Open Access Journals (Sweden)

    Damilola Felix Arawomo


    Full Text Available This study examined the impact of foreign aid and domestic savings on economic growth in the WAMZ countries, while including control variables: domestic investment, labour force, trade openness, financial liberalization and foreign direct investment. Panel Data Analysis and GMM were compared for the period 1980 and 2012. The paper found that economic growth obviously deteriorates with foreign aid and hence does not complement the role of saving on economic growth of the WAMZ countries. Savings on the other hand was found to be positively significant in increasing economic growth in the sub-region. Labour force and financial liberation (M2 and FDI exhibit economic growth. A policy implication of the result is that the countries in the West African Monetary Zone should be wary in soliciting for foreign aid. If foreign aids become expedient, then it should be channeled to productive ventures.

  6. How Changes In International Trade Effect African Growth?

    Directory of Open Access Journals (Sweden)

    Adolfo C. Fernández Puente


    Full Text Available The dismal growth performance of Africa in the last decades is one of the main worries of the global economy. In this paper we design an empirical model to explain how the growth rate of the economy is affected by changes in international trade. The main message of the model is that integration enables countries to exchange more varieties of goods and take advantage of some spillovers linked to the export-import process. These predictions are tested using GMM technique in a panel data performed on a sample of 22 countries belonging to the Sub-Sahara region over the period 1970-2002. The estimations suggest that Africa’s growth rates are positively related to a more open attitude and to a greater integration in international markets. However, the empirical analysis also points out the need of a certain degree of “social capacity” to ensure a successful integration. Finally, our results imply that African nations can profit from the economic growth of the OECD countries, as they are the main buyers of the region.

  7. Botswana country study

    Energy Technology Data Exchange (ETDEWEB)


    This study was carried out in Botswana, Tanzania and Zambia as part of the project `Climate Change Mitigation in Southern Africa` funded by the Danish International Development Agency (Danida). The project was conducted parallel to the UNEP/GEF project `Economics of Greenhouse Gas Limitations` which involved 8 other developing countries and 2 regional projects in Latin America and the SADC region. The limitation of greenhouse gas (GHG) emissions is a complex issue, intimately connected with economic development at local, national, regional and global levels. Key economic sectors such as energy, agriculture, industry and forestry all produce GHGs, and are likely to be affected directly and indirectly by any mitigation policy. The UNEP Greenhouse Gas Abatement Costing Studies, initiated in 1991, attempted to address these complex issues, developing a methodological framework and testing it through practical application in ten countries. (EHS) 28 refs.

  8. Central African Republic. (United States)


    The Central African Republic contains 242,000 square miles, which rolling terrain almost 2000 feet above sea level. The climate is tropical, and it has a population of 2.8 million people with a 2.5% growth rate. There are more than 80 ethnic groups including Baya 34%, Banda 28%, Sara 10%, Mandja 9%, Mboum 9%, and M'Baka 7%. The religions are traditional African 35%, protestant 25%, Roman Catholic 25%, and Muslim 15%, and the languages are French and Sangho. The infant mortality rate is 143/1000, with expectancy at 49 years and a 40% literacy rate. The work force of 1 million is 70% agricultural, industry 6% and commerce and service 6% and government 3%. The government consists of a president assisted by cabinet ministers and a single party. Natural resources include diamonds, uranium, timber, gold, and oil, and major industries are beverages, textiles, and soap. Agricultural products feature coffee, cotton, peanuts, tobacco, food crops a