scholarly journals Estimating the impact of Tiny Targets in reducing the incidence of Gambian sleeping sickness in the North-west Uganda focus

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Paul R. Bessell ◽  
Johan Esterhuizen ◽  
Michael J. Lehane ◽  
Joshua Longbottom ◽  
Albert Mugenyi ◽  
...  

Abstract Background Riverine species of tsetse (Glossina) transmit Trypanosoma brucei gambiense, which causes Gambian human African trypanosomiasis (gHAT), a neglected tropical disease. Uganda aims to eliminate gHAT as a public health problem through detection and treatment of human cases and vector control. The latter is being achieved through the deployment of ‘Tiny Targets’, insecticide-impregnated panels of material which attract and kill tsetse. We analysed the spatial and temporal distribution of cases of gHAT in Uganda during the period 2010–2019 to assess whether Tiny Targets have had an impact on disease incidence. Methods To quantify the deployment of Tiny Targets, we mapped the rivers and their associated watersheds in the intervention area. We then categorised each of these on a scale of 0–3 according to whether Tiny Targets were absent (0), present only in neighbouring watersheds (1), present in the watersheds but not all neighbours (2), or present in the watershed and all neighbours (3). We overlaid all cases that were diagnosed between 2000 and 2020 and assessed whether the probability of finding cases in a watershed changed following the deployment of targets. We also estimated the number of cases averted through tsetse control. Results We found that following the deployment of Tiny Targets in a watershed, there were fewer cases of HAT, with a sampled error probability of 0.007. We estimate that during the intervention period 2012–2019 we should have expected 48 cases (95% confidence intervals = 40–57) compared to the 36 cases observed. The results are robust to a range of sensitivity analyses. Conclusions Tiny Targets have reduced the incidence of gHAT by 25% in north-western Uganda. Graphical abstract

2021 ◽  
Author(s):  
Paul Bessell ◽  
Johan Esterhuizen ◽  
Mike Lehane ◽  
Joshua Longbottom ◽  
Albert Mugenyi ◽  
...  

Abstract Background Riverine species of tsetse (Glossina) transmit Trypanosoma brucei gambiense which causes Gambian human African trypanosomiasis (gHAT), a neglected tropical disease. Uganda aims to eliminate gHAT as a public health problem through detection and treatment of human cases and vector control. The latter is being achieved through the deployment of ‘Tiny Targets’, insecticide-impregnated panels of material which attract and kill tsetse. We analysed the spatial and temporal distribution of cases of gHAT in Uganda during the period 2010-2019 to assess whether Tiny Targets have had an impact on disease incidence.Methods To quantify the deployment of Tiny Targets, we mapped the rivers and their associated watersheds in the intervention area. We then categorised each of these on a 0-3 scale according to whether Tiny Targets were absent (0), present only in neighbouring watersheds (1), present in the watersheds but not all neighbours (2) or present in the watershed and all neighbours (3). We overlaid all cases that were diagnosed between 2000 and 2020 and assessed whether the probability of finding cases in a watershed changed following the deployment of targets. We also estimated the number of cases averted by tsetse control.Results We found that following the deployment of Tiny Targets in a watershed there are fewer cases of HAT (p=0.007). We estimate that during the intervention period 2012-2019 we should have expected 48 cases (95% confidence intervals = 40-57) compared to the 36 cases observed. The results are robust to a range of sensitivity analyses.Conclusions Tiny Targets have reduced the incidence of gHAT by 25% in North Western Uganda.


2019 ◽  
Vol 8 (2) ◽  
pp. 163 ◽  
Author(s):  
Adeniyi Francis Fagbamigbe ◽  
Rotimi F. Afolabi ◽  
Oyindamola B. Yusuf

<span lang="EN-ZA">Teenage pregnancy (TP) is a recurrent global and public health problem. It poses both social and health challenges. Considering the massive campaign on the use of modern contraceptives to prevent TP in recent decades, we assessed trends in TP in Nigeria between 1961 and 2013. Pregnancy and contraception history of 70,811 women who were at least 20 years old when the Nigerian DHS was conducted in 1990, 2003, 2008, and 2013 respectively were used for the study, and descriptive statistics, time analysis techniques and multiple logistic regression were used to analyze the data at 5% significance level. </span><span lang="EN-GB">The overall prevalence of TP between 1961 and 2013 was 49.5% which fluctuated insignificantly during the studied period. The TP prevalence among women who entered adulthood in 1961 was 39.2%; it peaked in 1978 at 58.9% before its unsteady decline to 39.6% in 2012, and then rose sharply to 55.6% in 2013. We </span><span lang="EN-ZA">predicted TP prevalence as 49.0%, 49.9% and 51.0% in 2014, 2015 and 2016 respectively. The odds of TP were over 4 times higher in the North East and 5 times higher in the North West than in the South West. Teenagers with no education had higher odds of TP and it was higher among teenagers from the poorest households (OR=5.64, 95% CI: 5.36-5.94). Rather than reducing with the worldwide acknowledged increase in contraceptive campaigns, TP increased over the years studied. </span><span lang="EN-GB">As far as TP is concerned in Nigeria, the impact of the campaign on MC use is far from being effective. </span><span lang="EN-ZA">To achieve the objective of fewer TPs, fewer resources should be spent on access to contraception and instead diverted to areas more likely to achieve results such as improvements in educational achievement amongst girls.</span>


2016 ◽  
Author(s):  
M. Venkat Ratnam ◽  
S. Ravindra Babu ◽  
S. S. Das ◽  
Ghouse Basha ◽  
B. V. Krishnamurthy ◽  
...  

Abstract. Tropical cyclones play an important role in modifying the tropopause structure and dynamics as well as stratosphere-troposphere exchange (STE) process in the Upper Troposphere and Lower Stratosphere (UTLS) region. In the present study, the impact of cyclones that occurred over the North Indian Ocean during 2007–2013 on the STE process is quantified using satellite observations. Tropopause characteristics during cyclones are obtained from the Global Positioning System (GPS) Radio Occultation (RO) measurements and ozone and water vapor concentrations in UTLS region are obtained from Aura-Microwave Limb Sounder (MLS) satellite observations. The effect of cyclones on the tropopause parameters is observed to be more prominent within 500 km from the centre of cyclone. In our earlier study we have observed decrease (increase) in the tropopause altitude (temperature) up to 0.6 km (3 K) and the convective outflow level increased up to 2 km. This change leads to a total increase in the tropical tropopause layer (TTL) thickness of 3 km within the 500 km from the centre of cyclone. Interestingly, an enhancement in the ozone mixing ratio in the upper troposphere is clearly noticed within 500 km from cyclone centre whereas the enhancement in the water vapor in the lower stratosphere is more significant on south-east side extending from 500–1000 km away from the cyclone centre. We estimated the cross-tropopause mass flux for different intensities of cyclones and found that the mean flux from stratosphere to troposphere for cyclonic stroms is 0.05 ± 0.29 × 10−3 kg m−2 and for very severe cyclonic stroms it is 0.5 ± 1.07 × 10−3 kg m−2. More downward flux is noticed in the north-west and south-west side of the cyclone centre. These results indicate that the cyclones have significant impact in effecting the tropopause structure, ozone and water vapour budget and consequentially the STE in the UTLS region.


Finisterra ◽  
2012 ◽  
Vol 31 (62) ◽  
Author(s):  
Andrew Pike ◽  
Mário Vale

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.


Pakistan ◽  
2020 ◽  
pp. 131-144
Author(s):  
Mariam Abou Zahab

This chapter attempts to analyse the dynamics of the Pashtun–Punjabi nexus and the areas of competition and cooperation between Sunni sectarian groups and the Pakistani Taliban. It outlines the links between Sunni sectarian groups and the Afghan Taliban, the impact of the collapse of the Taliban regime in Afghanistan and the implications of the relocation of Punjabi jihadi/sectarian groups in the North West Frontier Province (NWFP) and the Federally Administered Tribal Areas (FATA). It also focuses on the consequences of the storming of Islamabad's Lal Masjid in July 2007, and it investigates the re-emergence of sectarian groups in Karachi and in the Punjab and its implications for Pakistan. The Punjab and Karachi have been the primary hubs of sectarian violence in Pakistan since the 1980s, but in the post-9/11 environment the Sunni-Shia conflict has assumed a new dimension.


2010 ◽  
Vol 75 (5) ◽  
pp. 703-715 ◽  
Author(s):  
Snezana Nenadovic ◽  
Ljiljana Matovic ◽  
Misko Milanovic ◽  
Sava Janicevic ◽  
Jasmina Grbovic-Novakovic ◽  
...  

In this paper, the impacts of some meteorological parameters on the SO2 concentrations in the City of Obrenovac are presented. The City of Obrenovac is located in the north-west part of Serbia on the banks of the River Sava. The observed source emission, the power plants TENT A and TENT B are situated on the bank of the Sava River in the vicinity of Obrenovac. During the period from January to November 2006, the concentrations of sulfur dioxide in the air at 4 monitoring sites in Obrenovac were measured. It was noticed that the maximal measured daily concentrations of sulfur dioxide ranged from 1 ?g/m3 (16th November, 2006) to 98 ?g/m3 (29th January 2006) and lie under the maximal allowed concentration value according to the Serbian Law on Environmental Protection. The measured sulfur dioxide concentrations mostly showed characteristics usual for a daily acidification sulfur dioxide cycle, excluding the specificities influenced by the measuring site itself. Sulfur dioxide transport was recorded at increased wind speeds, primarily from the southeast direction. Based on the impact of meteorological parameters on the sulfur dioxide concentration, a validation of the monitoring sites was also performed from the aspect of their representivity.


2016 ◽  
Vol 56 (2) ◽  
pp. 556
Author(s):  
Sergey Birdus ◽  
Vincent Ganivet ◽  
Alexey Artemov ◽  
Ray Teakle ◽  
Paul Phythian

This extended abstract presents a two-step sequence to estimate uncertainties in lateral positioning of fault planes on 3D PSDM (pre-stack depth migration) seismic images. This analysis can be applied to any localised detail on a seismic image but, in the majority of geological settings, it is most important for the faults. The first step provides an approximate evaluation of what causes the uncertainties, how the uncertainties are distributed in a 3D space, and what to expect within target zones. The authors assume that every complex detail within a 3D PSDM velocity model causes some uncertainties to the seismic image below. Thus, the uncertainties at a target level depend on the complexity of the overburden and the seismic acquisition parameters. At this step a qualitative 3D volume of lateral fault position uncertainties is created. In the second step the authors focus on a single fault of practical interest. Based on the results of the first step, the authors modify the existing 3D PSDM anisotropic velocity model by introducing additional anomalies that cause maximal changes to the lateral position of the fault on seismic image. Then the authors iteratively re-migrate a small sub-volume around the fault and check the PSDM images and residual moveout. The objective is to find out how far the velocity variations can move the image of the fault and still satisfy available seismic data. The second step gives more reliable quantitative estimations of the impact of velocity on fault positioning. A real multi-azimuth 3D seismic dataset from the North West Shelf is used to illustrate this sequence.


1979 ◽  
Vol 30 (2) ◽  
pp. 143 ◽  
Author(s):  
DJ Staples

Samples of juvenile P. merguiensis taken from 20 major rivers around the Gulf of Carpentaria from 1970 to 1973 showed that the Gulf could be divided into four major areas, each characterized by its own seasonal pattern of postlarval immigration and emigration of juveniles. The main nursery areas for the Gulf, however, are the rivers along the east and south-east coasts (Cape Keerweer to Mornington Island) and the majority of prawns migrate from these rivers during the north-west monsoon period (November to February); the main recruitment into the commercial fishery, there- fore, occurs during a relatively confined period each year. Additional sampling in 1976-77 showed that although there have been recent changes in the temporal distribution of adult prawns as a result of increased fishing pressure, no major change in the temporal pattern of postlarval immigration has resulted. An hypothesis is presented in which the observed geographical differences in the seasonal migration patterns are explained with reference to a basic pattern involving two generations of P. merguiensis each year.


Ocean Science ◽  
2019 ◽  
Vol 15 (1) ◽  
pp. 147-159 ◽  
Author(s):  
Alexander Harker ◽  
J. A. Mattias Green ◽  
Michael Schindelegger ◽  
Sophie-Berenice Wilmes

Abstract. An established tidal model, validated for present-day conditions, is used to investigate the effect of large levels of sea-level rise (SLR) on tidal characteristics around Australasia. SLR is implemented through a uniform depth increase across the model domain, with a comparison between the implementation of coastal defences or allowing low-lying land to flood. The complex spatial response of the semi-diurnal M2 constituent does not appear to be linear with the imposed SLR. The most predominant features of this response are the generation of new amphidromic systems within the Gulf of Carpentaria and large-amplitude changes in the Arafura Sea, to the north of Australia, and within embayments along Australia's north-west coast. Dissipation from M2 notably decreases along north-west Australia but is enhanced around New Zealand and the island chains to the north. The diurnal constituent, K1, is found to decrease in amplitude in the Gulf of Carpentaria when flooding is allowed. Coastal flooding has a profound impact on the response of tidal amplitudes to SLR by creating local regions of increased tidal dissipation and altering the coastal topography. Our results also highlight the necessity for regional models to use correct open boundary conditions reflecting the global tidal changes in response to SLR.


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