scholarly journals Descriptive epidemiology of cholera outbreak in Nigeria, January–November, 2018: implications for the global roadmap strategy

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kelly Osezele Elimian ◽  
Anwar Musah ◽  
Somto Mezue ◽  
Oyeronke Oyebanji ◽  
Sebastian Yennan ◽  
...  
Keyword(s):  
Public Health ◽  
Case Fatality ◽  
Northern Region ◽  
Watery Diarrhoea ◽  
Cholera Outbreak ◽  
North West ◽  
Design And Implementation ◽  
North East ◽  
The North ◽  
Outbreak Period

Abstract Background The cholera outbreak in 2018 in Nigeria reaffirms its public health threat to the country. Evidence on the current epidemiology of cholera required for the design and implementation of appropriate interventions towards attaining the global roadmap strategic goals for cholera elimination however seems lacking. Thus, this study aimed at addressing this gap by describing the epidemiology of the 2018 cholera outbreak in Nigeria. Methods This was a retrospective analysis of surveillance data collected between January 1st and November 19th, 2018. A cholera case was defined as an individual aged 2 years or older presenting with acute watery diarrhoea and severe dehydration or dying from acute watery diarrhoea. Descriptive analyses were performed and presented with respect to person, time and place using appropriate statistics. Results There were 43,996 cholera cases and 836 cholera deaths across 20 states in Nigeria during the outbreak period, with an attack rate (AR) of 127.43/100,000 population and a case fatality rate (CFR) of 1.90%. Individuals aged 15 years or older (47.76%) were the most affected age group, but the proportion of affected males and females was about the same (49.00 and 51.00% respectively). The outbreak was characterised by four distinct epidemic waves, with higher number of deaths recorded in the third and fourth waves. States from the north-west and north-east regions of the country recorded the highest ARs while those from the north-central recorded the highest CFRs. Conclusion The severity and wide-geographical distribution of cholera cases and deaths during the 2018 outbreak are indicative of an elevated burden, which was more notable in the northern region of the country. Overall, the findings reaffirm the strategic role of a multi-sectoral approach in the design and implementation of public health interventions aimed at preventing and controlling cholera in Nigeria.

scholarly journals On the aurora borealis which occurred on the evening of Friday, the 17th of November, 1848

1851 ◽  
Vol 5 ◽  
pp. 790-792
Keyword(s):  
White Light ◽  
Northern Region ◽  
The South ◽  
North West ◽  
Aurora Borealis ◽  
North East ◽  
The North ◽  
Short Period ◽  
The Hours ◽  
Magnetic Meridian

The author states that the 17th of November was a fine day with a clear sky and bright sunshine: towards evening the sky became cloudy and a few drops of rain fell, but it soon again became clear, with the exception of a few fleecy clouds that here and there dimmed its brightness. At 6 h 45 m a soft and gentle light began to illumine the northern region of the sky; and at 7 o’clock a considerable portion of it was covered with dark-red streams of light towards the east; while streamers moving to and fro, arrayed in colours of golden and silvery hues, overspread the south and north. About 8 o’clock there appeared near the zenith, and upon the magnetic meridian, a ring of an elliptical form, from which proceeded in all directions towards the horizon, beams or columns of light, giving to the heavens the appearance of a splendid vault, with its top adorned with a crown or wreath; while around and within the vault were to be seen clouds of brilliant light flashing towards and from the crown or central circle of the aurora, sometimes tinged with prismatic rays, at other times intensely white and lucid. About half-past nine nearly the whole of the aerial canopy was clad with clouds of a bright red colour, casting a curious reddened hue over the objects on the surface of the earth. After a short period of time had elapsed, the red colour began to diminish in intensity, and was again replaced by the white dome. However, in various parts of the sky the red colour still remained, principally in the north-west, southwest, and north-east. Between the hours of twelve and one beams of brilliant white light commenced shooting up in the south from the horizon to the central ring or pole. The beams appeared to be at nearly equal distances from each other, the entire column of them stretching over a space equal to about one-fifth part of the visible horizon, in the form of a fan. The whole figure rapidly changed from a pure white light into a glow of brilliant colours of every tint, variegating the undulating waves as they rolled on their way to the pole of the aurora. In the course of three minutes these gave place to the white flashing radiations. During the time of the aurora there were a great number of small meteors, the direction of whose motion was from east to west, and which appeared to be considerably below the sphere of the aurora.

scholarly journals Potential effects of minimum unit pricing at local authority level on alcohol-attributed harms in North West and North East England: a modelling study

2021 ◽  
Vol 9 (4) ◽  
pp. 1-106
Author(s):  
Alan Brennan ◽  
Colin Angus ◽  
Robert Pryce ◽  
Penny Buykx ◽  
Madeleine Henney ◽  
...  
Keyword(s):  
Public Health ◽  
Health Research ◽  
Local Authority ◽  
Alcohol Policy ◽  
Unit Price ◽  
Local Authorities ◽  
North West ◽  
North East ◽  
The North ◽  
Unit Pricing

Background In 2018, Scotland implemented a 50p-per-unit minimum unit price for alcohol. Previous modelling estimated the impact of minimum unit pricing for England, Scotland, Wales and Northern Ireland. Decision-makers want to know the potential effects of minimum unit pricing for local authorities in England; the premise of this study is that estimated effects of minimum unit pricing would vary by locality. Objective The objective was to estimate the potential effects on mortality, hospitalisations and crime of the implementation of minimum unit pricing for alcohol at local authority level in England. Design This was an evidence synthesis, and used computer modelling using the Sheffield Alcohol Policy Model (local authority version 4.0). This study gathered evidence on local consumption of alcohol from the Health Survey for England, and gathered data on local prices paid from the Living Costs and Food Survey and from market research companies’ actual sales data. These data were linked with local harms in terms of both alcohol-attributable mortality (from the Office for National Statistics) and alcohol-attributable hospitalisations (from Hospital Episode Statistics) for 45 conditions defined by the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision. These data were examined for eight age–sex groups split by five Index of Multiple Deprivation quintiles. Alcohol-attributable crime data (Office for National Statistics police-recorded crimes and uplifts for unrecorded offences) were also analysed. Setting This study was set in 23 upper-tier local authorities in North West England, 12 upper-tier local authorities in the North East region and nine government office regions, and a national summary was conducted. Participants The participants were the population of England aged ≥ 18 years. Intervention The intervention was setting a local minimum unit price. The base case is 50p per unit of alcohol. Sensitivity analyses were undertaken using minimum unit prices of 30p, 40p, 60p and 70p per unit of alcohol. Main outcome measures The main outcome measures were changes in alcohol-attributable deaths, hospitalisations and crime. Savings in NHS costs, changes in alcohol purchasing and consumption, changes in revenue to off-trade and on-trade retailers and changes in the slope index of inequality between most and least deprived areas were also examined. Results The modelling has proved feasible at the upper-tier local authority level. The resulting estimates suggest that minimum unit pricing for alcohol at local authority level could be effective in reducing alcohol-attributable deaths, hospitalisations, NHS costs and crime. A 50p minimum unit price for alcohol at local authority level is estimated to reduce annual alcohol-related deaths in the North West region by 205, hospitalisations by 5956 (–5.5%) and crimes by 8528 (–2.5%). These estimated reductions are mostly due to the 5% of people drinking at high-risk levels (e.g. men drinking > 25 pints of beer or five bottles of wine per week, women drinking > 17 pints of beer or 3.5 bottles of wine per week, and who spend around £2500 per year currently on alcohol). Model estimates of impact are bigger in the North West and North East regions than nationally because, currently, more cheap alcohol is consumed in these regions and because there are more alcohol-related deaths and hospitalisations in these areas. A 30p minimum unit price has estimated effects that are ≈ 90% lower than those of a 50p minimum unit price, and a 40p minimum unit price has estimated effects that are ≈ 50% lower. Health inequalities are estimated to reduce with greater health gains in the deprived areas, where more cheap alcohol is purchased and where there are higher baseline harms. Limitations The approach requires synthesis of evidence from multiple sources on alcohol consumption; prices paid; and incidence of diseases, mortality and crime. Price elasticities used are from previous UK analysis of price responsiveness rather than specific to local areas. The study has not estimated ‘cross-border effects’, namely travelling to shops outside the region. Conclusions The modelling estimates suggest that minimum unit pricing for alcohol at local authority level would be an effective and well-targeted policy, reducing inequalities. Future work The Sheffield Alcohol Policy Model for Local Authorities framework could be further utilised to examine the local impact of national policies (e.g. tax changes) or local policies (e.g. licensing or identification and brief advice). As evidence emerges from the Scottish minimum unit price implementation, this will further inform estimates of impact in English localities. The methods used to estimate drinking and purchasing patterns in each local authority could also be used for other topics involving unhealthy products affecting public health, for example to estimate local smoking or high-fat, high-salt food consumption patterns. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 9, No. 4. See the NIHR Journals Library website for further project information.

A new volcanic province: evidence from glacial erratics in western North Greenland

2000 ◽  
pp. 35-41 ◽  
Author(s):  
Peter R. Dawes ◽  
Bjørn Thomassen ◽  
T.I. Hauge Andersson
Keyword(s):  
Volcanic Rocks ◽  
Iron Formation ◽  
Banded Iron Formation ◽  
Common Component ◽  
Volcanic Province ◽  
North West ◽  
North East ◽  
The North ◽  
Surficial Deposits ◽  
North Greenland

NOTE: This article was published in a former series of GEUS Bulletin. Please use the original series name when citing this article, for example: Dawes, P. R., Thomassen, B., & Andersson, T. H. (2000). A new volcanic province: evidence from glacial erratics in western North Greenland. Geology of Greenland Survey Bulletin, 186, 35-41. https://doi.org/10.34194/ggub.v186.5213 _______________ Mapping and regional geological studies in northern Greenland were carried out during the project Kane Basin 1999 (see Dawes et al. 2000, this volume). During ore geological studies in Washington Land by one of us (B.T.), finds of erratics of banded iron formation (BIF) directed special attention to the till, glaciofluvial and fluvial sediments. This led to the discovery that in certain parts of Daugaard-Jensen Land and Washington Land volcanic rocks form a common component of the surficial deposits, with particularly colourful, red porphyries catching the eye. The presence of BIF is interesting but not altogether unexpected since BIF erratics have been reported from southern Hall Land just to the north-east (Kelly & Bennike 1992) and such rocks crop out in the Precambrian shield of North-West Greenland to the south (Fig. 1; Dawes 1991). On the other hand, the presence of volcanic erratics was unexpected and stimulated the work reported on here.

Excavations at Fishbourne, 1963. Third Interim Report

1964 ◽  
Vol 44 (1) ◽  
pp. 1-8
Keyword(s):  
Interim Report ◽  
The West ◽  
Civic Society ◽  
North West ◽  
The Third ◽  
North East ◽  
The North ◽  
The Future ◽  
Set Up

Early in 1963 much of the land occupied by the Roman building at Fishbourne was purchased by Mr. I. D. Margary, M.A., F.S.A., and was given to the Sussex Archaeological Trust. The Fishbourne Committee of the trust was set up to administer the future of the site. The third season's excavation, carried out at the desire of this committee, was again organized by the Chichester Civic Society.1 About fifty volunteers a day were employed from 24th July to 3rd September. Excavation concentrated upon three main areas; the orchard south of the east wing excavated in 1962, the west end of the north wing, and the west wing. In addition, trial trenches were dug at the north-east and north-west extremities of the building and in the area to the north of the north wing. The work of supervision was carried out by Miss F. Pierce, M.A., Mr. B. Morley, Mr. A. B. Norton, B.A., and Mr. J. P. Wild, B.A. Photography was organized by Mr. D. B. Baker and Mrs. F. A. Cunliffe took charge of the pottery and finds.

scholarly journals On tho proportions of the prevailing winds, the mean temperature, and depth of rain in the climate of London, computed through a cycle of Eighteen Years, or periods of the Moon’s declination

1843 ◽  
Vol 4 ◽  
pp. 300-300
Keyword(s):  
The Moon ◽  
Fair Weather ◽  
North West ◽  
West Wind ◽  
North East ◽  
East Wind ◽  
The North ◽  
The Common ◽  
The Mean ◽  
Solar Influence

In this paper the author investigates the periodical variations of the winds, rain and temperature, corresponding to the conditions of the moon’s declination, in a manner similar to that he has already followed in the case of the barometrical variations, on a period of years extending from 1815 to 1832 inclusive. In each case he gives tables of the average quantities for each week, at the middle of which the moon is in the equator, or else has either attained its maximum north or south declination. He thus finds that a north-east wind is most promoted by the constant solar influence which causes it, when the moon is about the equator, going from north to south; that a south-east wind, in like manner, prevails most when the moon is proceeding to acquire a southern declination ; that winds from the south and west blow more when the moon is in her mean degrees of declination, going either way, than with a full north or south declination ; and that a north-west wind, the common summer and fair weather wind of the climate, affects, in like manner, the mean declination, in either direction, in preference to the north or south, and most when the moon is coming north. He finds the average annual depth of rain, falling in the neighbourhood of London, is 25’17 inches.

scholarly journals Psychiatry in Ireland

2009 ◽  
Vol 6 (2) ◽  
pp. 36-38 ◽  
Author(s):  
Zahid Latif
Keyword(s):  
Northern Ireland ◽  
European Economic Community ◽  
Total Population ◽  
Economic Community ◽  
Republic Of Ireland ◽  
North West ◽  
North East ◽  
The North ◽  
The United Kingdom ◽  
The Republic

Ireland is the third largest island in Europe and the twentieth largest island in the world, with an area of 86 576 km2; it has a total population of slightly under 6 million. It lies to the north-west of continental Europe and to the west of Great Britain. The Republic of Ireland covers five-sixths of the island; Northern Ireland, which is part of the United Kingdom, is in the north-east. Twenty-six of the 32 counties are in the Republic of Ireland, which has a population of 4.2 million, and its capital is Dublin. The other six counties are in Northern Ireland, which has a population of 1.75 million, and its capital is Belfast. In 1973 both parts of Ireland joined the European Economic Community. This article looks at psychiatry in the Republic of Ireland.

Part VI. The Cyclopean Terrace Building and the Deposit of Pottery beneath It

1954 ◽  
Vol 49 ◽  
pp. 267-291
Author(s):  
Elizabeth B. Wace
Keyword(s):  
Contour Line ◽  
The South ◽  
Main Road ◽  
North West ◽  
North East ◽  
The North ◽  
South West

The Cyclopean Terrace Building lies to the north-west of the Lion Gate on the northern end of the Panagia Ridge and faces almost due west across the valley of the Kephissos and modern main road from Corinth to Argos. It lies just below the 200 m. contour line, and one terrace below the houses excavated in 1950–51 by Dr. Papadimitriou and Mr. Petsas to the east at the same end of the ridge. The area contains a complex of buildings, both successive and contemporary, and in view of the discovery of structures both to the south-west and, by the Greek Archaeological Service, to the north-east it is likely that this whole slope was covered by a portion of the outer town of Mycenae. This report will deal only with the structure to which the name Cyclopean Terrace Building was originally given, the so-called ‘North Megaron’, supported by the heavy main terrace wall.The excavation of this structure was begun in 1923. The main terrace wall was cleared and two L.H. IIIC burials discovered in the top of the fill in the south room. In 1950 it was decided to attempt to clear this building entirely in an endeavour to find out its date and purpose. The clearing was not, however, substantially completed until the close of the 1953 excavation season, and this report presents the available evidence for the date as determined by the pottery found beneath the building; the purpose is still a matter for study, though various tentative conclusions can be put forward.

scholarly journals Investigations of detrital zircon, rutile and titanite from present-day Labrador drainage basins: fingerprinting the Grenvillean front

1969 ◽  
pp. 77-80
Author(s):  
Tonny B. Thomsen ◽  
Christian Knudsen ◽  
Alana M. Hinchey
Keyword(s):  
Newfoundland And Labrador ◽  
Sedimentary Basins ◽  
Geological Survey ◽  
Drainage Basins ◽  
Grenville Province ◽  
Collaborative Project ◽  
North West ◽  
North East ◽  
The North ◽  
Three Samples

A multidisciplinary provenance study was conducted on stream sediment samples from major rivers in the eastern part of Labrador, Canada (Fig. 1). Th e purpose was to fi ngerprint the sources that deliver material to the stream sediments and to the reservoir sand units deposited off shore in the sedimentary basins in the Labrador Sea. We used a multimineral U-Pb geochronological approach employing rutile and titanite in addition to zircon to obtain unbiased age data. Th e purpose of this was to characterise the diff erent igneous and metamorphic episodes that occurred in Labrador, which is an area with highly variable geology characterised by the Palaeoproterozoic south-eastern Churchill province in the north-west, the Archaean Nain plutonic suite in the north-east, the Palaeoproterozoic Makkovik province in the east and the Mesoproterozoic Grenville Province to the south. Th e fi eld work was carried out in 2012 and 2013 and the study is a collaborative project between the Geological Survey of Denmark and Greenland and the Geological Survey of Newfoundland and Labrador. In this paper we focus on three samples from the southern part of the study area where two parts of the Grenville orogeny are found (Fig. 1).

scholarly journals 'Greenfields' and 'Brownfields': automotive industrial development in the UK and in Portugal

Finisterra ◽  
2012 ◽  
Vol 31 (62) ◽  
Author(s):  
Andrew Pike ◽  
Mário Vale
Keyword(s):  
Industrial Policy ◽  
Automobile Industry ◽  
Industrial Development ◽  
Development Strategies ◽  
North West ◽  
Demonstration Effect ◽  
North East ◽  
The North ◽  
The Uk ◽  
The Impact

The industrial policy in the UK and in Portugal, as in most EU countries, seeks to attract new investment capacity, to create jobs and to promote the impact of the so-called "demonstration efect" of "greenfield" development strategies pursued in the new plants of inward investors on existing or "brownfield" plants. This industrial policy focus is particularly evident in the automobile industry.This paper compares the industrial policy oriented towards the automobile industry in the UK and in Portugal. Two recent "greenfield" investments are analised: Nissan in the North-East region (UK) and Ford/VW in the Setúbal Peninsula (Portugal), as well as three "brownfield" plants: Ford Halewood and GM Vauxhall Ellesmere Port in the North-West region (UK) and Renault in Setúbal (Portugal). The first part starts with a discussion of industrial policy in the automobile sector, the role of "greenfield" development strategies and the "demonstration effect" on "brownfield" plants. Then, the limits of new inward investment are pointed out, basically their problems and restrictions. Afterwards, the structural barriers to the "demonstration effect" within "brownfield" plants are outlined and some possabilities for alternative "brownfield" development strategies are presented.

scholarly journals KLYUCHEVSKOY VOLCANO: NEW FLANK ERUPTION NAMED AFTER G.S. GORSHKOV, 2021 (KAMCHATKA)

2021 ◽  
pp. 5-9
Author(s):  
A.Yu. Ozerov ◽  
◽  
O.A. Girina, ◽  
D.V. Melnikov, ◽  
I.A. Nuzhdaev ◽  
...  
Keyword(s):  
Lava Flow ◽  
Cinder Cone ◽  
Western Slope ◽  
Flank Eruption ◽  
Associate Member ◽  
North West ◽  
North East ◽  
The North ◽  
River Bed ◽  
North Western

February 18, 2021, a flank eruption started on the north-western slope of the Klyuchevskoy Volcano (Kamchatka, Russia). Cinder cone was formed at the altitude of 2 850 m above sea level, from which a lava flow was spreading north-west. Having moved 1.2 km downslope, the lava flow entered the Ehrmann Glacier, which resulted in the formation of huge mud-stone flows. The latter made their way further north-east along the Kruten’kaya River bed and reached the length of about 30 km. The eruption brought onto the surface high-aluminous basaltic andesites typical of the Klyuchevskoy Volcano. By March 21, the flank eruption ended. It has been named after G.S. Gorshkov, associate member of USSR Academy of Science, famous Russian volcanologist.

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