scholarly journals Visceral Leishmaniasis in China: an Endemic Disease under Control

2015 ◽  
Vol 28 (4) ◽  
pp. 987-1004 ◽  
Author(s):  
Zhao-Rong Lun ◽  
Ming-Shui Wu ◽  
Yun-Fu Chen ◽  
Jun-Yun Wang ◽  
Xiao-Nong Zhou ◽  
...  
Keyword(s):  
Visceral Leishmaniasis ◽  
Rural Areas ◽  
Health Workers ◽  
Sand Fly ◽  
Current Status ◽  
Content Type ◽  
Control Programs ◽  
Treatment And Prevention ◽  
Special Value ◽  
The Government

SUMMARYVisceral leishmaniasis (VL) caused byLeishmaniaspp. is an important vector-borne and largely zoonotic disease. In China, three epidemiological types of VL have been described: anthroponotic VL (AVL), mountain-type zoonotic VL (MT-ZVL), and desert-type ZVL (DT-ZVL). These are transmitted by four different sand fly species:Phlebotomus chinensis,P. longiductus,P. wui, andP. alexandri.In 1951, a detailed survey of VL showed that it was rampant in the vast rural areas west, northwest, and north of the Yangtze River. Control programs were designed and implemented stringently by the government at all administrative levels, resulting in elimination of the disease from most areas of endemicity, except the western and northwestern regions. The control programs consisted of (i) diagnosis and chemotherapy of patients, (ii) identification, isolation, and disposal of infected dogs, and (iii) residual insecticide indoor spraying for vector control. The success of the control programs is attributable to massive and effective mobilization of the general public and health workers to the cause. Nationally, the annual incidence is now very low, i.e., only 0.03/100,000 according to the available 2011 official record. The overwhelming majority of cases are reported from sites of endemicity in the western and northwestern regions. Here, we describe in some depth and breadth the current status of epidemiology, diagnosis, treatment, and prevention of the disease, with particular reference to the control programs. Pertinent information has been assembled from scattered literature of the past decades in different languages that are not readily accessible to the scientific community. The information provided constitutes an integral part of our knowledge on leishmaniasis in the global context and will be of special value to those interested in control programs.

Scientific approach using AHP to prioritize low volume rural roads for pavement maintenance

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Akhilesh Nautiyal ◽  
Sunil Sharma
Keyword(s):  
Rural Areas ◽  
Socioeconomic Development ◽  
Public Works ◽  
Relative Importance ◽  
Road Transportation ◽  
Rural Roads ◽  
Content Type ◽  
Pavement Maintenance ◽  
Low Volume ◽  
The Government

PurposeA large number of roads have been constructed in the rural areas of India to connect habitations with the nearest major roads. With time, the pavements of these roads have deteriorated and they need some kind of maintenance, although they all do not need maintenance at the same time, as they have all not deteriorated to the same level. Hence, they have to be prioritized for maintenance.Design/methodology/approachIn order to present a scientific methodology for prioritizing pavement maintenance, the factors affecting prioritization and the relative importance of each were identified through an expert survey. Analytic Hierarchy Process (AHP) was used to scientifically establish weight (importance) of each factor based on its relative importance over other factors. The proposed methodology was validated through a case study of 203 low volume rural roads in the state of Himachal Pradesh in India. Ranking of these roads in order of their priority for maintenance was presented as the final result.FindingsThe results show that pavement distresses, traffic volume, type of connectivity and the socioeconomic facilities located along a road are the four major factors to be considered in determining the priority of a road for maintenance.Research limitations/implicationsThe methodology provides a comprehensive, scientific and socially responsible pavement maintenance prioritization method which will automatically select roads for maintenance without any bias.Practical implicationsTimely maintenance of roads will also save budgetary expenditure of restoration/reconstruction, leading to enhancement of road service life. The government will not only save money but also provide timely benefit to the needy population.Social implicationsRoad transportation is the primary mode of inland transportation in rural areas. Timely maintenance of the pavements will be of great help to the socioeconomic development of rural areas.Originality/valueThe proposed methodology lays special emphasis on rural roads which are small in length, but large in number. Instead of random, a scientific method for selection of roads for maintenance will be of great help to the public works department for better management of rural road network.

Forty years of rural reform in China: retrospect and future prospects

2019 ◽  
Vol 11 (3) ◽  
pp. 460-470 ◽  
Author(s):  
Xiwen Chen
Keyword(s):  
Rural Areas ◽  
Agricultural Policies ◽  
Timely Manner ◽  
Content Type ◽  
Rural Reform ◽  
Fields Of Study ◽  
The Future ◽  
The Government

Purpose Bottlenecked by rural underdevelopment, China’s overall development is bound to be inadequate and unbalanced. Through a brief retrospect of the reform directed against the “equalitarianism (egalitarianism)” in China’s rural areas, as well as the Chinese Government’s conceptual transformation and systemic construction and improvement thereof, the purpose of this paper is to clarify the panoramic significance of rural reform; the necessity, priority, and long-term nature of the current rural development; and the important role of public policy in doing so. It also looks ahead to consider the prospects for future rural reform. Design/methodology/approach This paper first reviews the rural reforms that were carried out in 1978. Second, it introduces the government’s conceptual change regarding rural reform and the establishment and improvement of the system that underlies it. Finally, the future of rural reform is envisaged. Findings The initial rural reforms brought extensive and profound changes to China’s rural areas. The experience of rural reform has been referred to and escalated by other fields of study. Hence, rural reforms have become something of global significance. Moreover, since the government can undertake reforms well beyond the reach of farmers, its views must be modified in a timely manner, and only then may it reasonably construct and improve the system pertaining to the “three rural issues (agriculture, rural areas, and farmers).” Originality/value This paper reviews the rural reforms carried out in 1978. It introduces the government’s change of concept with respect to rural reforms and the establishment and improvement of the system based on the “three rural issues,” thus looking forward to the future of rural reforms. The findings of this paper are of significance to the formulation of future agricultural policies.

scholarly journals Visceral leishmaniasis (Kala-azar) in Qom Province, Iran: Report of two cases

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1371
Author(s):  
Leyli Zanjirani Farahani ◽  
Abedin Saghafipour ◽  
Mehdi Mohebali ◽  
Behnaz Akhoundi ◽  
Hedayatollah Raufi
Keyword(s):  
Visceral Leishmaniasis ◽  
Rural Areas ◽  
Control Strategies ◽  
Sand Fly ◽  
Recurrent Fever ◽  
Kala Azar ◽  
Periodic Monitoring ◽  
History Of ◽  
The Common

Visceral leishmaniasis (VL) is a fatal parasitic zoonotic worldwide disease, which transmits to humans by the infected Phlebotomine sand fly bite. The common form of VL in Iran is the Mediterranean type with the causative agent of Leishmania infantum, whose main reservoirs are stray and domesticated dogs. The disease has several endemic foci in Iran, mostly seen among children under the age of 10, living in rural areas and nomadic tribes. The first cases of Kala-Azar in Qom province, central Iran, were reported in the year 2001, from the villages of Ghahan district. After conducting VL control strategies in the area, no new cases of the disease had been reported until recently. The cases described here are two 2-year-old girls, living in the urban parts of Qom province, one of whom did not have a history of traveling to known endemic areas of the disease. The patients were admitted to hospital in 2016-2017, complaining from recurrent fever with unrecognized reason, associated with decreased appetite and weight loss. Disease follow-up demonstrated anemia and splenomegaly, which led to diagnosis of VL, and both patients are now fully recovered. VL was presumed to be controlled in Qom province but the present cases indicate that possible VL existence remains in the region. Therefore, urgent studies and periodic monitoring are needed to identify potential reservoirs of VL in the area.

Evaluation of access to electricity and the socioeconomic effects in rural and urban expanses of Nigeria

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Toluwalope Ogunro ◽  
Luqman Afolabi
Keyword(s):  
Socioeconomic Status ◽  
Rural Areas ◽  
Urban Areas ◽  
National Development ◽  
Content Type ◽  
Factors Affecting ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
The Government ◽  
Electricity Access

PurposeRecently, multidimensional aspects of poverty has been increasingly focused on which includes education, economy and health, while access to modern energy such as stable electricity is also one of the possible solution; thus, this article aims to divulge the relation between access to electricity and progression in socioeconomic status in urban and rural areas of Nigeria in an attempt to propose a sustainable framework for access to electricity.Design/methodology/approachDemographic and health survey data are collected using four categories of model of questionnaires. A standard questionnaire was designed to gather information on features of the household's dwelling element and attributes of visitors and usual residents between the 2018 period. Biomarker questionnaire was used to gather biomarker data on men, women and children. Logistic model estimation technique was employed to estimate the socioeconomic factors affecting access to electricity in Nigeria.FindingsThese studies discovered that there are diverse set of factors affecting access to electricity in Nigeria especially in the rural areas. However, respondent residing in rural areas are still largely deprived access to electricity; most importantly, households with no access to electricity are more likely to use self-generating sets as revealed. Additionally, empirical findings indicated that the higher the level of your education and wealth, the higher the likelihood of having access to electricity in Nigeria. These factors included political will to connect the rural areas to the national grid, development of other infrastructures in those deprived areas and others.Practical implicationsThe problem confronting access to electricity in Nigeria has three components. The first is the significance of those deprived access to electricity in the rural areas and the physical resources needed to connect them to the national grid. The second is the political willingness of the government to have equitable distribution of public goods evenly between rural and urban areas especially on electricity access which will go a long way in reducing poverty in Nigeria. The third is lack of robust national development plans and strategy to tackle the problems facing electricity access in Nigeria.Social implicationsAs the rate of socioeconomic status/development increases, access to electricity is anticipated to rise up in Nigeria.Originality/valueThe findings can be used by the policy makers to address problems facing access to electricity in Nigeria.

Public health challenges during the COVID-19 outbreak in Nepal: a commentary

2020 ◽  
Vol 34 (4) ◽  
pp. 373-376 ◽  
Author(s):  
Sharmistha Sharma ◽  
Jeevan Bhatta
Keyword(s):  
Public Health ◽  
Design Methodology ◽  
Health Workers ◽  
Health Interventions ◽  
Content Type ◽  
The Public ◽  
Public Health Challenges ◽  
Current Scenario ◽  
Public Health Officials ◽  
The Government

PurposeThe purpose of this paper is to depict the current scenario of coronavirus diseases 2019 (COVID-19) in Nepal, how the government is tackling this pandemic as well as look at the public health challenges that Nepal is facing and might face in the future.Design/methodology/approachThis paper is a viewpoint of COVID-19 activities conducted in Nepal.FindingsNepal is vulnerable to COVID-19, as it shares borders with China and India. Cases have started to be seen in different parts of Nepal. Government of Nepal has started various measures to control the spread of the virus such as deploying health workers, information sharing via different mediums. However, there are still many challenges that the government and public health officials need to be concerned about as well.Originality/valueThis paper provides information about the situation of COVID-19 in Nepal, how the government is handling, and public health challenges that may arise. This paper can be beneficial for further public health interventions.

Palliative and end-of-life care’s barriers for older adults

2019 ◽  
Vol 24 (1) ◽  
pp. 72-80
Author(s):  
Retno Indarwati ◽  
Rista Fauziningtyas ◽  
Gilang Dwi Kuncahyo ◽  
Rr Dian Tristiana ◽  
Chong Mei Chan ◽  
...  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
End Of Life ◽  
Health Workers ◽  
Health Centre ◽  
Phenomenological Approach ◽  
Content Type ◽  
Professional Health ◽  
Qualitative Nature ◽  
The Government

Purpose A nursing home is a place that is familiar with death, since many older adults will spend the latter part of their lives in such a setting. However, research on this topic is still limited, especially in Indonesia. The purpose of this paper is to explore the barriers to successful palliative and, more generally, end-of-life care (EOLC) for older adults in nursing homes and to explore nurses’ views on the subject. Design/methodology/approach The study is of a qualitative nature and it employs a phenomenological approach. In-depth interviews with 15 nurses who taken care of older adults in a nursing home were conducted. The data were analysed using thematic content analysis. Findings Barriers to effective EOLC include lack of knowledge, ineffectual communication and insufficient resources. Research limitations/implications Better policies are needed, especially in training related to palliative/EOLC subjects and equitable distribution of professional health workers to overcome the barriers. The government should also encourage collaboration involving hospitals, Puskesmas (Health Centre Services), community and resident care settings in sharing knowledge and skills, especially for nurses. Originality/value The barriers identified in palliative and EOLC have been found to be almost identical to those encountered in other health services.

Falling inequality will help China 'rebalance' economy

2015 ◽  
Keyword(s):  
Rural Areas ◽  
Political Stability ◽  
National Bureau ◽  
Content Type ◽  
The Social ◽  
Hukou Reform ◽  
The Government ◽  
People's Congress ◽  
Opinion Polls ◽  
Official Corruption

Subject Inequality in China. Significance 'Income distribution' is the social issue of greatest concern to the Chinese public, according to opinion polls by Xinhua and the People's Daily ahead of the National People's Congress (NPC) currently underway in Beijing. However, the latest data from China's National Bureau of Statistics (NBS) indicate, paradoxically, that income inequality has actually narrowed for six successive years. Impacts Though falling, inequality is still high enough to weaken political stability. Greater equality will not earn the government as much popular support as cracking down on official corruption and conspicuous consumption. Urbanisation and household registration (hukou) reform will redress imbalances that have disadvantaged people from rural areas.

Colombia peace talks offer scope for organised crime

2015 ◽  
Keyword(s):  
Rural Areas ◽  
Armed Forces ◽  
Economic Benefits ◽  
Peace Treaty ◽  
Western Coast ◽  
Content Type ◽  
Criminal Violence ◽  
Post Conflict ◽  
The Government ◽  
Criminal Groups

Subject The rising threat from BACRIM. Significance Organised criminal groups are now the non-state actors most frequently responsible for internal displacement of Colombians, according to a recent UN report. There is also evidence that the so-called BACRIM (criminal bands) are seeking to fill the vacuum after an eventual demobilisation of the Revolutionary Armed Forces of Colombia (FARC). The BACRIM, and Los Urabenos in particular, have expanded control over rural areas and the mining sector, posing a threat as the government seeks to attract foreign investment to boost development in a post-conflict environment. Impacts Criminal violence in cities along the western coast is already causing damage to Colombia's international image. Increased insecurity perceptions risk marring the political and economic benefits the government expects from the peace process. Criminal groups such as Los Urabenos will benefit from the vacuum left by the FARC if a peace treaty is signed later this year.

Smuggling will weigh on Tunisian economy and politics

2015 ◽  
Keyword(s):  
Rural Areas ◽  
Political Stability ◽  
Coalition Government ◽  
Security Threats ◽  
Content Type ◽  
Cross Border ◽  
Tax Revenues ◽  
Border Towns ◽  
General Elections ◽  
The Government

Significance Essid has been working to form a new coalition government since general elections in late December. The new unity government will face tremendous pressure to jumpstart the economy, ensure political stability, and counter growing security threats. One major challenge -- cross-border smuggling -- poses a particularly serious threat to the new government. Smuggling costs the government some 615 million dollars per year, representing nearly 5% of total tax revenues, and undermines legitimate trade, further damaging growth. Impacts If the government fails to address smuggling, it will continue to lose critical revenue. Yet cracking down on smuggling will probably meet with considerable opposition -- particularly in rural areas and border towns. The new government's lack of a decisive mandate will impede reforms.

Service sector creates jobs and problems for China

2018 ◽  
Keyword(s):  
Rural Women ◽  
Rural Areas ◽  
Service Sector ◽  
The Elderly ◽  
Chinese Government ◽  
Content Type ◽  
Gig Economy ◽  
Unemployment Data ◽  
The Government ◽  
To Come

Subject New unemployment data methodology. Significance China’s urban unemployment rate averaged just under 5% during the first half of 2018, according to new official statistics. The government claims that a new methodology adopted to produce them gauges the level of joblessness better than the previous, largely useless, figures. However, the new data still do not reveal the whole picture: they exclude workers in rural areas (nearly half the workforce) and mask instability in the urban job market. Impacts The growing number of workers in the gig economy will stage strikes and protests in order to improve their pay and working conditions. Rural women, the elderly, disabled and poorly educated workers in particular will struggle to find secure employment. Imbalances in the employment market will remain a serious challenge for the Chinese government for many years to come.

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