scholarly journals Cholera epidemic in Kinshasa 2017-2018: targeted community-grid WaSH strategy rapidly interrupts cholera transmission throughout the city

2019 ◽  
Author(s):  
Didier Bompangue ◽  
Sandra Moore ◽  
Nadège Taty ◽  
Benido Impouma ◽  
Bertrand Sudre ◽  
...  
Keyword(s):  
Wash Water ◽  
Urban Settings ◽  
Awareness Campaigns ◽  
Cholera Epidemic ◽  
Sanitation And Hygiene ◽  
Grid Approach ◽  
Republic Of The Congo ◽  
Epidemic Response ◽  
The Impact ◽  
The City

Abstract Background Rapid control of cholera outbreaks is a significant challenge in overpopulated urban settings, and documented results on field interventions are scarce. During the 2017-2018 period, Kinshasa, the capital of Democratic Republic of the Congo, experienced two cholera epidemics of increasing intensity. By January 2018, cholera cases were reported throughout the city. We describe the spatiotemporal evolution of the cholera outbreaks in Kinshasa from 2017 to 2018 and assess the impact of the targeted community-grid WaSH (Water, Sanitation and Hygiene) strategy to quickly interrupt cholera transmission. Methods We carried out a descriptive study of the cholera outbreaks in Kinshasa from 2017 to 2018. Cholera surveillance databases from the Ministry of Health were analyzed to assess the spatiotemporal dynamics of the cholera epidemic using epidemic curves and cartography. Weekly precipitation levels in Kinshasa were also assessed. Additionally, we described the targeted community-grid WaSH strategy and examined the impact of this approach to interrupt cholera transmission in the city. Results From January 2017 to November 2018, a total of 1,712 suspected cholera cases were reported in Kinshasa. During this period, the health zones most affected included Binza Météo, Limeté, Kokolo, Kintambo and Kingabwa. The community-grid WaSH strategy was implemented to rapidly contain the outbreak by targeting interventions in five heavily-affected heath zones. With this strategy, cholera awareness and WaSH activities were carried out in cholera clusters. In Binza Météo, Kintambo and Limeté, the weekly cholera case numbers were reduced by an average of 57% in two weeks and 86% in four weeks. The total weekly case numbers throughout Kinshasa Province dropped by 71% at four weeks after the epidemic peak. Conclusion During the 2017-2018 period, Kinshasa reported two cholera epidemics of increasing intensity. To contain the main epidemic, response interventions targeted case households and nearby neighbors using a community-grid approach, focusing on emergency WaSH activities and awareness campaigns. The community-grid strategy was effective in bringing outbreaks throughout Kinshasa quickly under control. A similar approach may be useful in other urban settings to quickly interrupt cholera transmission.

scholarly journals Description of the targeted WASH response strategy implemented during the cholera outbreak of 2017-2018 in Kinshasa, DRC

2019 ◽  
Author(s):  
Didier Bompangue ◽  
Sandra Moore ◽  
Nadège Taty ◽  
Benido Impouma ◽  
Bertrand Sudre ◽  
...  
Keyword(s):  
Sharp Increase ◽  
Wash Water ◽  
Response Strategy ◽  
Cholera Outbreak ◽  
Household Water Treatment ◽  
Urban Settings ◽  
Public Areas ◽  
Republic Of The Congo ◽  
Emergency Water Supply ◽  
The City

Abstract Background Rapid control of cholera outbreaks is a significant challenge in overpopulated urban settings, and documented results on field interventions are scarce. During the 2017-2018 period, Kinshasa, the capital ofDemocratic Republic of the Congo, experienced a sharp increase in cholera cases that showed potential to quickly spread throughout the city. A novel targeted WASH (Water, Sanitation and Hygiene) strategy was implemented to quickly stem the cholera outbreak. Methods We carried out a descriptive study of the cholera outbreak in Kinshasa from 2017 to 2018. Cholera surveillance databases from the Ministry of Health were analyzed to assess the spatiotemporal dynamics of the cholera outbreak using epidemic curves and cartography. Weekly precipitation levels in Kinshasa were also assessed. We also described the targeted cluster grid WASH strategy, which was implemented to quickly target case clusters at the household and community level, carrying out interventions focused on emergency water supply, household water treatment and safe storage, home disinfection and hygiene promotion. We also examined the evolution of the outbreak following implementation of the response strategy. Results From January 2017 to November 2018, a total of 1,712 suspected cholera cases were reported in Kinshasa. During this period, the health zones most affected included Binza Météo, Limeté, Kokolo, Kintambo and Kingabwa. Following implementation of the response strategy, the weekly cholera case numbers in Binza Météo, Kintambo and Limeté decreased by an average of 57% in two weeks and 86% in four weeks. The total weekly case numbers throughout Kinshasa Province dropped by 71% at four weeks after the outbreak peak. Conclusion During the 2017-2018 period, Kinshasa experienced a sharp increase in cholera cases that showed potential to quickly spread throughout the city. To contain the outbreak, WASH response interventions targeted case households, nearby neighbors and public areas in case clusters using a grid approach. Following implementation of the WASH response, the outbreak in Kinshasa was quickly brought under control. A similar approach may be useful to quickly interrupt cholera transmission in other urban settings.

scholarly journals Description of the targeted water supply and hygiene response strategy implemented during the cholera outbreak of 2017-2018 in Kinshasa, DRC

2019 ◽  
Author(s):  
Didier Bompangue ◽  
Sandra Moore ◽  
Nadège Taty ◽  
Benido Impouma ◽  
Bertrand Sudre ◽  
...  
Keyword(s):  
Water Supply ◽  
Urban Areas ◽  
Response Strategy ◽  
Cholera Outbreak ◽  
Household Water Treatment ◽  
Cholera Case ◽  
Grid Approach ◽  
Public Areas ◽  
Republic Of The Congo ◽  
The City

Abstract Background Rapid control of cholera outbreaks is a significant challenge in overpopulated urban areas. During late-2017, Kinshasa, the capital of the Democratic Republic of the Congo, experienced an increase in cholera cases that showed potential to spread throughout the city. A novel targeted water and hygiene response strategy was implemented to quickly stem the outbreak. Methods We describe the first implementation of the cluster grid response strategy carried out in the community during the cholera outbreak in Kinshasa, in which water and hygiene response activities targeted cholera case clusters. Interventions, which focused on emergency water supply, household water treatment and safe storage, home disinfection and hygiene promotion, were organized using a grid approach. We also performed a preliminary community trial study to assess the temporal pattern of the outbreak, before and after response interventions were implemented. Cholera surveillance databases from the Ministry of Health were analyzed to assess the spatiotemporal dynamics of the outbreak using epidemic curves and cartography. Results From January 2017 to November 2018, a total of 1,712 suspected cholera cases were reported in Kinshasa. During this period, the health zones most affected included Binza Météo, Limeté, Kokolo, Kintambo and Kingabwa. Following implementation of the response strategy, the weekly cholera case numbers in Binza Météo, Kintambo and Limeté decreased by an average of 57% in two weeks and 86% in four weeks. The total weekly case numbers throughout Kinshasa Province dropped by 71% at four weeks after the outbreak peak. Conclusion During the 2017-2018 period, Kinshasa experienced a sharp increase in cholera cases that showed potential to rapidly spread throughout the city. To contain the outbreak, water and hygiene response interventions targeted case households, nearby neighbors and public areas in case clusters using a grid approach. Following implementation of the response, the outbreak in Kinshasa was quickly brought under control. A similar approach may be useful to quickly interrupt cholera transmission in other urban settings.

scholarly journals UNICEF and the WASH: Analisis Terhadap Peran UNICEF Dalam Mengatasi Masalah Ketersediaan Air Bersih di India

2020 ◽  
Vol 1 (2) ◽  
pp. 341-378
Author(s):  
Indra Kusumawardhana ◽  
Annisa Asti Nur Auliya
Keyword(s):  
International Organizations ◽  
Development Planning ◽  
Wash Water ◽  
World Health ◽  
Special Focus ◽  
Clean Water ◽  
Global Development ◽  
Sanitation And Hygiene ◽  
The Impact

The Sustainable Development Goals (SDGs) are a blueprint for sustainable global development for equitable growth and prosperity between countries. One indicator of equitable growth is the achievement of adequate access to drinking water, sanitation and hygiene and stopping open defecation (BABS) activities. But the difficulty of access to clean water sources and good sanitation facilities is still an urgent problem in India. More than 50% of the water has been polluted and cannot be consumed. The World Health Organization (WHO) estimates that 97 million Indians do not have access to clean water and proper sanitation. This is caused by various factors, among others, first the habits of the people (culture) who conduct BABS activities. Second, lack of education and human awareness of environmental cleanliness. And the third is the lack of public toilet facilities provided by the government. These problems have a major impact on the health of local communities such as diarrhea and pneumonia. Efforts by the Indian government to solve these problems have yet to produce a significant impact. So that the United Nations (UN) opened an open working group to formulate proposals related to global development planning on clean water and sanitation supported by UNICEF through the WASH (Water, Sanitation, and Hygiene) Program. The implementation of this program is aimed at overcoming the impact of problems that give special focus to children. This research will further examine the role of UNICEF in overcoming sanitation problems in India through the WASH Program. The method used in this study uses qualitative methods to explain systematically and factually. This study uses the theory of the Role of International Organizations. This theory is used to explain and emphasize UNICEF in carrying out its roles based on the values ​​set by international organizations.

scholarly journals Assessing the Impact and Equity of an Integrated Rural Sanitation Approach: A Longitudinal Evaluation in 11 Sub-Saharan Africa and Asian Countries

2020 ◽  
Vol 17 (5) ◽  
pp. 1808
Author(s):  
Paschal A. Apanga ◽  
Joshua V. Garn ◽  
Zoe Sakas ◽  
Matthew C. Freeman
Keyword(s):  
Data Collection ◽  
Wash Water ◽  
Sub Saharan Africa ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Successful Model ◽  
Sanitation And Hygiene ◽  
Basic Sanitation ◽  
Sub Saharan ◽  
The Impact

Few rural sanitation programs have documented large increases in sanitation coverage or have assessed if interventions equitably increase sanitation coverage for vulnerable groups. We characterize the impact of the Sustainable Sanitation and Hygiene for All (SSH4A) approach on key program WASH (water, sanitation, and hygiene) indicators, and also assess if these increases in WASH coverage are equitably reaching vulnerable groups. The SSH4A approach was administered in 12 program areas in 11 countries, including Bhutan, Ethiopia, Ghana, Indonesia, Kenya, Mozambique, Nepal, South Sudan, Tanzania, Uganda, and Zambia. Repeated cross-sectional household surveys were administered over four rounds at annual follow-up rounds from 2014 to 2018. Surveys were conducted in an average of 21,411 households at each round of data collection. Overall, sanitation coverage increased by 53 percentage points between baseline and the final round of data collection (95% CI: 52%, 54%). We estimate that 4.8 million people gained access to basic sanitation in these areas during the project period. Most countries also demonstrated movement up the sanitation ladder, in addition to increases in handwashing stations and safe disposal of child feces. When assessing equity—if sanitation coverage levels were similar comparing vulnerable and non-vulnerable groups—we observed that increases in coverage over time were generally comparable between vulnerable groups and non-vulnerable groups. However, the increase in sanitation coverage was slightly higher for higher wealth households compared to lower wealth households. Results from this study revealed a successful model of rural sanitation service delivery. However, further work should be done to explore the specific mechanisms that led to success of the intervention.

The impact of a mega-event on city branding: The European Capital of Culture 2010 and the image of Istanbul

2013 ◽  
Vol 3 (1) ◽  
pp. 29-50 ◽  
Author(s):  
Evinç Doğan ◽  
Ibrahim Sirkeci
Keyword(s):  
Visual Analysis ◽  
Place Branding ◽  
World City ◽  
City Branding ◽  
City Image ◽  
European Capital Of Culture ◽  
National Boundaries ◽  
Symbolic Production ◽  
The Impact ◽  
The City

This study examines the ways in which the city image of Istanbul is re-created through the mega-events within the context of the European Capital of Culture (ECoC) 2010. Istanbul “took the stage” as one of the three ECoC cities (Essen for the Ruhr in Germany and Pécs in Hungary), where the urban spaces were projected as the theatre décor while residents and visitors became the spectators of the events. Organisers and agents of the ECoC 2010 seemed to rebrand Istanbul as a “world city” rather than a “European capital”. With a series of transnational connotations, this can be considered as part of an attempt to turn Istanbul to a global city. In this study we examine posters used during the ECoC 2010 to see whether this was evident in the promoted images of Istanbul. The research employs a hermeneutic approach in which representations, signs and language are the means of symbolic meaning, which is analysed through qualitative methods for the visual data (Visual Analysis Methods), namely Semiotics and Discourse Analysis. The analysed research material comes from a sample of posters released during the ECoC 2010 to promote 549 events throughout the year. Using stratified random sampling we have drawn 28 posters (5% of the total) reflecting the thematic groups of events in the ECoC 2010. Particular attention is also paid to the reflexivity of the researchers and researchers’ embeddedness to the object of research. The symbolic production and visual representation are therefore investigated firstly through the authoritative and historically constituted discourses in the making of Istanbul image and secondly through the orders of cultural consumption and mediatisation of culture through spectacular events. Hence enforcing a transnationalisation of the image of the city where the image appears to be almost stateless transcending the national boundaries. Findings and methodology used in this study can be useful in understanding similar cases and further research into the processes of city and place branding and image relationships. 

Urbanization of fauna on the example of marsh frog (Pelophylax ridibundus)

2015 ◽  
Vol 26 (3-4) ◽  
pp. 116-123
Author(s):  
A. P. Korzh ◽  
T. V. Zahovalko
Keyword(s):  
Urban Areas ◽  
Cognitive Modeling ◽  
Negative Impact ◽  
Natural Populations ◽  
Cellular Level ◽  
Anthropogenic Factors ◽  
Migration Routes ◽  
Corrective Effect ◽  
The Impact ◽  
The City

Recently, the number of published works devoted to the processes of synanthropization of fauna, is growing like an avalanche, which indicates the extreme urgency of this theme. In our view, the process of forming devices to coexist with human and the results of his life reflects the general tandency of the modern nature evolution. Urbanization is characteristic for such a specific group of animals like amphibians, the evidence of which are numerous literature data. Many researchers use this group to assess the bioindicative quality of the environment. For this aim a variety of indicators are used: from the cellular level of life of organization up to the species composition of the group in different territories. At the same time, the interpretation of the results is not always comparable for different areas and often have significantly different interpretations by experts. Urban environment, primarily due to the contamination is extremely aggressive to amphibians. As a consequence, the urban populations of amphibians may be a change in the demographic structure, affecting the reproductive ability of the population, the disappearance of the most sensitive species or individuals, resizing animals, the appearance of abnormalities in the development, etc. At the same time play an important amphibians in the ecosystems of cities, and some species in these conditions even feel relatively comfortable. Therefore, it is interesting to understand the mechanisms of self-sustaining populations of amphibians in urban environments. To assess the impact of natural and anthropogenic factors on the development of amphibian populations were used cognitive modeling using the program Vensim PLE. Cognitive map of the model for urban and suburban habitat conditions were the same. The differences concerned the strength of connections between individual factors (migration, fertility, pollution) and their orientation. In general, factors like pollution, parasites, predators had negative impact on the population, reducing its number. The birth rate, food and migration contributed to raising number of individuals. Some of the factors affected on the strength to of each other as well: the majority of the factors affected the structure of the population, had an influence on the fertility. Thanks to it the model reflects the additive effect of complex of factors on the subsequent status of the population. Proposed and analyzed four scenarios differing strength and duration of exposure. In the first scenario, a one-time contamination occurs and not subsequently repeated. The second and third scenario assumes half board contamination, 1 year (2 scenario) and two years (scenario 3). In the fourth scenario, the pollution affected the population of amphibians constantly. In accordance with the results of simulation, much weaker than the natural populations respond to pollution - have them as an intensive population growth and its disappearance at constant pollution is slow. Changes to other parameters of the model showed that this pollution is the decisive factor -only the constant action leads to a lethal outcome for the populations. All other components of the model have a corrective effect on the population dynamics, without changing its underlying trand. In urban areas due to the heavy impact of pollution maintaining the population is only possible thanks to the migration process – the constant replenishment of diminishing micropopulations of natural reserves. This confirms the assumption that the form of existence metapopulations lake frog in the city. In order to maintain the number of amphibians in urban areas at a high level it is necessary to maintain existing migration routes and the creation of new ones. Insular nature of the placement of suitable habitats in urban areas causes the metapopulation structure of the types of urbanists. Therefore, the process of urbanization is much easier for those species whicht are capable of migration in conditions of city. In the initial stages of settling the city micropopulationis formed by selective mortality of the most susceptible individuals to adverse effects. In future, maintaining the categories of individuals is provided mainly due to migration processes metapopulisation form of the species of existence is supported). It should be noted that the changes in the previous levels are always saved in future. In the case of reorganizations of individuals we of morphology can assume the existence of extremely adverse environmental conditions that threaten the extinction of the micropopulations. 

Conflicts in Biafra, Katanga and Cabinda as a result of the geopolitical legacy of colonialism

2020 ◽  
Vol 2020 (10-3) ◽  
pp. 238-246
Author(s):  
Olga Dzhenchakova
Keyword(s):  
Democratic Republic ◽  
Economic Factor ◽  
Colonial Period ◽  
Sub Saharan Africa ◽  
Negative Consequences ◽  
Post Colonial ◽  
Republic Of The Congo ◽  
Sub Saharan ◽  
The Republic ◽  
The Impact

The article considers the impact of the colonial past of some countries in sub-Saharan Africa and its effect on their development during the post-colonial period. The negative consequences of the geopolitical legacy of colonialism are shown on the example of three countries: Nigeria, the Democratic Republic of the Congo and the Republic of Angola, expressed in the emergence of conflicts in these countries based on ethno-cultural, religious and socio-economic contradictions. At the same time, the focus is made on the economic factor and the consequences of the consumer policy of the former metropolises pursuing their mercantile interests were mixed.

TO THE QUESTION OF THE IMPACT OF CLIMATE CHANGE ON THE ECOLOGICAL STATE OF ARTIFICIAL PLANTATIONS OF PITSUNDSKAYA PINE IN THE SEASIDE AREA OF GELENDZHIK

2017 ◽  
Author(s):  
Elizaveta Derevenets ◽  
Elizaveta Derevenets
Keyword(s):  
Negative Impact ◽  
Standard Technique ◽  
Negative Influence ◽  
Exhaust Gases ◽  
The Road ◽  
Industrial Enterprises ◽  
Federal Highway ◽  
On The Road ◽  
The Impact ◽  
The City

Gelendzhik is the resort town, there aren't a lot of industrial enterprises here. The main pollutant is transport. The work purpose is the assessment of a condition of the artificial landings of a pine located along the Federal highway "Don" and landings, which is nearly the sea coast. Researches were conducted to a standard technique of the General vital state (A. S. Bogolyubov). The assessment of a condition of pines was carried out during 6 years: from 2010 to 2015. For carrying out research we used 6 experimental grounds on the Markotkhsky spine and 2 control grounds within the town. We investigated 24 trees on each platform, middle age of the trees were 30 - 40 years. Results. 1. The condition of trees in the pine forests located in immediate proximity with the Federal highway "Don" (No. 1, 2, 3) is unsatisfactory. As even weak influences of the majority of atmospheric gaseous pollutants (sulphurous gas, nitrogen oxides, etc.) give effect of a necrosis and hloroz of pine needles, the condition of pines is connected with technogenic pollution. So near the Federal highway "Don" the air environment is strongly polluted by exhaust gases. Information of 2012 confirm that negative influence of the route on Markotkh's vegetation decreases at reduction of load of the route. 2. On the sites located above on a slope (No. 4,5,6) thanks to remoteness and the wind mode intensity of influence of pollutants is lower and a condition of pines the quite satisfactory. 3. Trees on the sites located near the sea (No. 7,8) are in a good shape. Small deterioration of a state is noted in very droughty years. Conclusion. Results of six years' research show that the condition of the plantings which are in close proximity with the road worsens. It is explained by increase in intensity of the movement on the road, especially during a resort season. Gelendzhik is the city with a good ecological shape, but the damage to environment is already caused. If not to take measures, we can lose a unique part of the nature in the future, recreate it will be impossible. Measures of reduction of negative impact of exhaust gases were offered. Results of researches are transferred to ecological department of the City administration of Gelendzhik.

Regional determinants in the development of the Lviv startup ecosystem

2019 ◽  
pp. 74-86
Author(s):  
Marianna Kokhan ◽  
Anastasiya Mazur
Keyword(s):  
Global Market ◽  
Scientific Development ◽  
Local Policy ◽  
It Industry ◽  
Successful Development ◽  
Corporate Universities ◽  
Regional Leadership ◽  
Focus Strategy ◽  
The Impact ◽  
The City

The article considers the concept of startups and ecosystems of startup development. It investigates the innovativeness ratings of countries and regional ecosystems of startups and the factors influencing the successful development of startups. The article considers the ranking of the best regional startup ecosystems in the world. It covers the experience of the leading regions, whose effectiveness is driven by attention to financing, networking, expanding access to markets, attracting and nurturing talents, accumulating experience and scientific development. Particular attention is given to the impact of the specialization and effectiveness of the regional focus strategy. Based on the methodology and results of the Global Startup Ecosystem Ranking 2019, authors have empirically investigated the startup ecosystem of the Lviv city. Authors described and systemized the startups operating in the city, the elements, and dynamics of the urban startup infrastructure. The preconditions for successful development of startups - financing, talents, experience, connectedness, access to markets - have been identified. The effectiveness of the activity of city authorities, the local policy of promoting the startup environment development - documents, measures and results – have been investigated. The main factors of Lviv’s regional leadership in the development of digital startups in Ukraine are: the dynamic development of the IT industry, the development of digital competencies and the concentration of talent in leading universities, the development of corporate universities and innovative infrastructure, the development of infrastructure and comfort in the city. For the development of the Lviv startup ecosystem, it is recommended to focus the efforts on further accumulation and transfer of experience, retention of talents, improvement of technology transfer systems, focusing on areas of exclusive competence while expanding access to finance and the global market.

TO THE QUESTION OF THE IMPACT OF CLIMATE CHANGE ON THE ECOLOGICAL STATE OF ARTIFICIAL PLANTATIONS OF PITSUNDSKAYA PINE IN THE SEASIDE AREA OF GELENDZHIK

2017 ◽  
Author(s):  
Elizaveta Derevenets ◽  
Elizaveta Derevenets
Keyword(s):  
Negative Impact ◽  
Standard Technique ◽  
Negative Influence ◽  
Exhaust Gases ◽  
The Road ◽  
Industrial Enterprises ◽  
Federal Highway ◽  
On The Road ◽  
The Impact ◽  
The City

Gelendzhik is the resort town, there aren't a lot of industrial enterprises here. The main pollutant is transport. The work purpose is the assessment of a condition of the artificial landings of a pine located along the Federal highway "Don" and landings, which is nearly the sea coast. Researches were conducted to a standard technique of the General vital state (A. S. Bogolyubov). The assessment of a condition of pines was carried out during 6 years: from 2010 to 2015. For carrying out research we used 6 experimental grounds on the Markotkhsky spine and 2 control grounds within the town. We investigated 24 trees on each platform, middle age of the trees were 30 - 40 years. Results. 1. The condition of trees in the pine forests located in immediate proximity with the Federal highway "Don" (No. 1, 2, 3) is unsatisfactory. As even weak influences of the majority of atmospheric gaseous pollutants (sulphurous gas, nitrogen oxides, etc.) give effect of a necrosis and hloroz of pine needles, the condition of pines is connected with technogenic pollution. So near the Federal highway "Don" the air environment is strongly polluted by exhaust gases. Information of 2012 confirm that negative influence of the route on Markotkh's vegetation decreases at reduction of load of the route. 2. On the sites located above on a slope (No. 4,5,6) thanks to remoteness and the wind mode intensity of influence of pollutants is lower and a condition of pines the quite satisfactory. 3. Trees on the sites located near the sea (No. 7,8) are in a good shape. Small deterioration of a state is noted in very droughty years. Conclusion. Results of six years' research show that the condition of the plantings which are in close proximity with the road worsens. It is explained by increase in intensity of the movement on the road, especially during a resort season. Gelendzhik is the city with a good ecological shape, but the damage to environment is already caused. If not to take measures, we can lose a unique part of the nature in the future, recreate it will be impossible. Measures of reduction of negative impact of exhaust gases were offered. Results of researches are transferred to ecological department of the City administration of Gelendzhik.

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