scholarly journals Revered but Poorly Understood: A Case Report of Dendroaspis polylepis (Black Mamba) Envenomation in Watamu, Malindi Kenya, and a Review of the Literature

2018 ◽  
Vol 3 (3) ◽  
pp. 104 ◽  
Author(s):  
Valentine Erulu ◽  
Mitchel Okumu ◽  
Francis Ochola ◽  
Joseph Gikunju
Keyword(s):  
Mechanical Ventilation ◽  
Oxygen Saturation ◽  
South African ◽  
Artificial Ventilation ◽  
Clinical Course ◽  
Clinical Manifestations ◽  
Hemodynamic Instability ◽  
Rapid Onset ◽  
Sub Saharan Africa ◽  
Sub Saharan

The black mamba (Dendroaspis polylepis) ranks consistently as one of the most revered snakes in sub-Saharan Africa. It has potent neurotoxic venom, and envenomation results in rapid onset and severe clinical manifestations. This report describes the clinical course and reversal of effects of black mamba envenomation in a 13-year-old boy in the Jimba area of Malindi. The victim presented to Watamu Hospital, a low resource health facility with labored breathing, frothing at the mouth, severe ptosis and pupils non-responsive to light. His blood pressure was unrecordable, heart rate was 100 beats per minute but thready, his temperature was 35.5 °C, and oxygen saturation was 83%. Management involved suction to clear salivary secretions, several hours of mechanical ventilation via ambu-bagging, oxygen saturation monitoring, and the use of South African Vaccine Producers (SAVP) polyvalent antivenom. Subcutaneous adrenaline was used to stave off anaphylaxis. The victim went into cardiac arrest on two occasions and chest compressions lasting 3–5 min was used to complement artificial ventilation. Hemodynamic instability was corrected using IV infusion of ringers lactate and normal saline (three liters over 24 h). Adequate mechanical ventilation and the use of specific antivenom remain key in the management of black mamba envenomation.

scholarly journals Conservation research output in sub-Saharan Africa is increasing, but only in a few countries

Oryx ◽  
2020 ◽  
pp. 1-10
Author(s):  
P. Christy Pototsky ◽  
Will Cresswell
Keyword(s):  
South African ◽  
Agricultural Land ◽  
Research Output ◽  
Sub Saharan Africa ◽  
Search Term ◽  
African Countries ◽  
Research Papers ◽  
North American Country ◽  
Conservation Research ◽  
Sub Saharan

Abstract We tested if peer-reviewed conservation research output has increased in sub-Saharan African countries over the last 30 years in response to increased development. We carried out a bibliometric analysis to identify the number of conservation research papers published by national authors of 41 sub-Saharan African countries during 1987–2017, to provide an index of national conservation research output. We identified country-specific development factors influencing these totals, using general linear modelling. There were positive relationships between conservation research output and population size, GDP, literacy rate, international tourism receipts and population growth rate, and negative relationships with urban population and agricultural land cover, in total explaining 77% of variation. Thirty-eight per cent of countries contributed < 30 conservation research papers (of 12,701) in 30 years. Analysis of trends in primary authorship in a random subsample of 2,374 of these papers showed that primary authorship by sub-Saharan African authors has increased significantly over time but is now at a lower rate than primary authorship for authors from countries outside the country associated with the search term, usually a European or North American country. Overall, 46% of papers had national primary authors, but 67% of these were South African. The results show that conservation research output in sub-Saharan Africa overall is increasing but only significantly in a few countries, and is still dominated by non-national scientists, probably as a result of a lack of socio-economic development.

scholarly journals Estimating the burden of cardiovascular risk in community dwellers over 40 years old in South Africa, Kenya, Burkina Faso and Ghana

2021 ◽  
Vol 6 (1) ◽  
pp. e003499
Author(s):  
Ryan G Wagner ◽  
Nigel J Crowther ◽  
Lisa K Micklesfield ◽  
Palwende Romauld Boua ◽  
Engelbert A Nonterah ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
South African ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Cvd Risk ◽  
Genomic Studies ◽  
Sub Saharan ◽  
Context Specific ◽  
The Impact

IntroductionCardiovascular disease (CVD) risk factors are increasing in sub-Saharan Africa. The impact of these risk factors on future CVD outcomes and burden is poorly understood. We examined the magnitude of modifiable risk factors, estimated future CVD risk and compared results between three commonly used 10-year CVD risk factor algorithms and their variants in four African countries.MethodsIn the Africa-Wits-INDEPTH partnership for Genomic studies (the AWI-Gen Study), 10 349 randomly sampled individuals aged 40–60 years from six sites participated in a survey, with blood pressure, blood glucose and lipid levels measured. Using these data, 10-year CVD risk estimates using Framingham, Globorisk and WHO-CVD and their office-based variants were generated. Differences in future CVD risk and results by algorithm are described using kappa and coefficients to examine agreement and correlations, respectively.ResultsThe 10-year CVD risk across all participants in all sites varied from 2.6% (95% CI: 1.6% to 4.1%) using the WHO-CVD lab algorithm to 6.5% (95% CI: 3.7% to 11.4%) using the Framingham office algorithm, with substantial differences in risk between sites. The highest risk was in South African settings (in urban Soweto: 8.9% (IQR: 5.3–15.3)). Agreement between algorithms was low to moderate (kappa from 0.03 to 0.55) and correlations ranged between 0.28 and 0.70. Depending on the algorithm used, those at high risk (defined as risk of 10-year CVD event >20%) who were under treatment for a modifiable risk factor ranged from 19.2% to 33.9%, with substantial variation by both sex and site.ConclusionThe African sites in this study are at different stages of an ongoing epidemiological transition as evidenced by both risk factor levels and estimated 10-year CVD risk. There is low correlation and disparate levels of population risk, predicted by different risk algorithms, within sites. Validating existing risk algorithms or designing context-specific 10-year CVD risk algorithms is essential for accurately defining population risk and targeting national policies and individual CVD treatment on the African continent.

Perspectives from Four Stages of Development

2019 ◽  
pp. 159-178
Author(s):  
Eleanor M. Fox ◽  
Mor Bakhoum
Keyword(s):  
South African ◽  
Gold Standard ◽  
Developed Countries ◽  
The United States ◽  
Point Of View ◽  
Sub Saharan Africa ◽  
The European Union ◽  
African Countries ◽  
Sub Saharan ◽  
The Developed Countries

This chapter identifies four clusters of nations based on state of development, in order to highlight significant qualitative differences that may call for different law and policies. The first cluster comprises the least developed sub-Saharan African countries with the most resource-challenged competition authorities, such as Benin and Togo. The second cluster compromises nations that have advanced economically to a perceptibly higher level. The third cluster is a “group” of one—South Africa. With all of its challenges, the South African competition regime is as close to a gold standard as there is in sub-Saharan Africa. Finally, for comparison, the fourth cluster comprises the developed countries, led in particular by the European Union and the United States. These nations have open economies, fairly robust markets, good infrastructure, and good institutions. The chapter proceeds to identify, from the point of view of each of the clusters, the most fitting competition framework nationally and globally. The chapter proposes how the divergences can be brought into sympathy.

South Africa

2019 ◽  
pp. 89-120
Author(s):  
Eleanor M. Fox ◽  
Mor Bakhoum
Keyword(s):  
South Africa ◽  
South African ◽  
Competition Law ◽  
Sub Saharan Africa ◽  
Inclusive Development ◽  
Economic Opportunity ◽  
Law And Policy ◽  
Equity And Efficiency ◽  
Development Goals ◽  
Sub Saharan

This chapter explores South African competition law. South Africa has the most sophisticated system of competition law and policy in sub-Saharan Africa. It has a mission to expand economic opportunity and facilitate inclusive development. In the wake of the UN Millennium Development Goals and the follow-on Sustainable Development Goals, there is a new world consciousness of the need to combat deep systemic poverty and to reverse the tide of increasing inequality of wealth, income, and opportunity. If there is any nation in the world whose competition law mandates integration of equity and efficiency, it is South Africa, and its policymakers are intent to address this need. The chapter looks at the South African Competition Act and highlights selected cases to illustrate the law and its implementation, including the effort by the Competition Tribunal to give serious regard to the equality and inclusiveness values that animated the statute.

scholarly journals Evaluating South Africa’s utilisation of sustained export potential in sub-Saharan Africa

2018 ◽  
Vol 21 (1) ◽  
Author(s):  
Gabriel Mhonyera ◽  
Ermie Steenkamp ◽  
Marianne Matthee
Keyword(s):  
South Africa ◽  
South African ◽  
Import Demand ◽  
Sub Saharan Africa ◽  
Eastern Africa ◽  
Second Step ◽  
Regional Trade ◽  
Traditional Markets ◽  
Western Africa ◽  
Sub Saharan

Background: Regional trade could be a powerful engine of economic growth and sustainable job creation. However, South Africa’s exports to sub-Saharan Africa (SSA) are typically smaller and more short-lived than its exports to its traditional markets. This is despite South African policymakers considering trade with SSA to be a priority. Aim: The aim of the article is to evaluate South Africa’s utilisation of sustained export potential in SSA with a view to providing practical insights that will inform future policymaking and planning. Setting: Despite the priority attention given to SSA in the country’s trade policy, South Africa is yet to make meaningful inroads into SSA’s largest and fastest-growing economies. Method: The research method applied comprised three steps. The first step involved the identification, over a five-year period from 2010 to 2014, of consistently large and/or growing import demand in SSA for all products at the Harmonised System (HS) six-digit level, as well as the identification of products South Africa consistently exported competitively (sustainable exports). The second step entailed matching SSA markets with consistently large and/or growing import demand to South Africa’s sustainable exports. The third step involved evaluating South Africa’s utilisation of sustained export potential in SSA. Results: The results reveal that South Africa is utilising just over half (54%) of its sustained export potential in SSA. Conclusion: South Africa is, therefore, underutilising or not utilising close to 50% of its sustained export potential in SSA. Most of the export potential that South Africa is utilising is in Eastern Africa while most of the export potential that the country is underutilising and not utilising at all is in Central and Western Africa.

scholarly journals Youth Resilience to Drought: Learning from a Group of South African Adolescents

2020 ◽  
Vol 17 (21) ◽  
pp. 7896
Author(s):  
Linda Theron ◽  
Motlalepule Ruth Mampane ◽  
Liesel Ebersöhn ◽  
Angie Hart
Keyword(s):  
South African ◽  
Qualitative Data ◽  
Phenomenological Study ◽  
Secondary Analysis ◽  
Sub Saharan Africa ◽  
Sociocultural Context ◽  
Disadvantaged Community ◽  
Sub Saharan ◽  
Youth Resilience

Exposure to drought is on the increase, also in sub-Saharan Africa. Even so, little attention has been paid to what supports youth resilience to the stressors associated with drought. In response, this article reports a secondary analysis of qualitative data generated in a phenomenological study with 25 South African adolescents (average age 15.6; majority Sepedi-speaking) from a drought-impacted and structurally disadvantaged community. The thematic findings show the importance of personal, relational, and structural resources that fit with youths’ sociocultural context. Essentially, proactive collaboration between adolescents and their social ecologies is necessary to co-advance socially just responses to the challenges associated with drought.

An econophysics non-monetized theory of value

2018 ◽  
Vol 19 (3) ◽  
pp. 519-535 ◽  
Author(s):  
Wolfgang Baer ◽  
Ahmed Bounfour ◽  
Thomas J. Housel
Keyword(s):  
South African ◽  
Distance Measure ◽  
Banking System ◽  
Sub Saharan Africa ◽  
Vector Model ◽  
Social Implications ◽  
African Countries ◽  
High Stake ◽  
Content Type ◽  
Sub Saharan

Purpose Mobile phones are radically transforming micro-finance in Sub-Saharan Africa, and Kenya, in particular. The introduction of the micro-financial transaction mobile phone application, “MPesa,” created a means to facilitate micro-transactions without the need for an intermediary, such as a banking system. The purpose of this paper is to posit an econophysics model to predict the value of Mpesa for Kenyan and South African consumers. The econophysics framework posits several fitness matrices and a distance measure that can account for the concepts of mass, distance, momentum, velocity, action, and force. The authors begin with a table of the match between the physics concepts and the economic concepts followed by the vector model that utilizes these concepts for the MPesa application case. In this paper, the authors will argue that MPesa succeeded in Sub-Saharan African countries, such as Kenya, because the fit between what this group of customers needed and the solutions Safaricom’s MPesa offered was a better fit with a smaller distance to adoption than in the South African case. Design/methodology/approach The research develops an econophysics approach to the assessment of micro-finance development in Sub-Saharan countries. Findings The research shows clearly the reasons of the success of MPesa in Kenya in comparison of its relative failure in South Africa: the distance between customers’ expectations and the system supply. Research limitations/implications The research is limited to two case studies and needs to be extended to other contexts, in order to demonstrate its robustness, especially with regard to the intangible dimension, e.g., the distance between a system potential and what it really offers. Practical implications The research shows the importance of system’s characteristics in its success. Social implications The social implications are very high, especially in this case, where micro-finance is a high stake for developing societies. Originality/value This is one of the first works to develop an econophysics approach for the evaluation of the key characteristics of a system.

scholarly journals Acaricidal and Repellence of R. appendiculatus, and GC-MS Chemical Content of Essential Oils from Three South African Ethno-Veterinary Plants

2021 ◽  
Vol 33 (6) ◽  
pp. 1370-1378
Author(s):  
N.M. Mkolo ◽  
B.T. Gumede ◽  
S.R. Magano ◽  
O.O. Olaokun
Keyword(s):  
Essential Oils ◽  
South African ◽  
Tick Infestation ◽  
Chemical Compounds ◽  
Sub Saharan Africa ◽  
Tithonia Diversifolia ◽  
Cymbopogon Citratus ◽  
Livestock Farming ◽  
Chemical Content ◽  
Sub Saharan

The advancement of the livestock farming in sub-Saharan Africa is restricted by tick infestation. With conventional pesticides posing a threat to human and the environment, natural products are alternative anti-tick source. This study characterized the essential oils from Tithonia diversifolia, Lavandula angustifolia and Cymbopogon citratus leaves by GC-MS and, for acaricidal and repellence of R. appendiculatus. GC-MS analysis detected various chemical compounds, some of the isolated compounds have anti-tick properties. The repellence of T. diversifolia essential oil at 5% v/v was the weakest against adult ticks. All essential oils at 15% v/v paralysed nymph after 20 mins, with C. citratus after 24 h causing high mortality of nymph and adult ticks. Exposure to L. angustifolia did not achieve 50% mortality after 24 h. All essential oils caused complete inhibition of moulting of engorged larvae. The study demonstrated that the essential oils of the ethno-veterinary plants may be a source of anti-ticks agents.

scholarly journals Helminths in South Africa: management of cestode and trematode infections in humans

2020 ◽  
pp. 33-38
Author(s):  
RL van Zyl
Keyword(s):  
South Africa ◽  
South African ◽  
Age Groups ◽  
Signs And Symptoms ◽  
Epidemiological Data ◽  
Sub Saharan Africa ◽  
The South ◽  
Increased Risk ◽  
Sub Saharan ◽  
The Impact

Sub-Saharan Africa has to contend with many challenges, including inadequate healthcare systems, lack of optimal sanitation, and clean water and food. All of these contribute to malnutrition and an increased risk of infections, including parasitism by cestodes and trematodes. Schistosomiasis is a category-2 notifiable trematode (fluke) infection, whereas cestode (tapeworm) infections need not be reported to the South African Department of Health. Epidemiological data for helminthiasis in South Africa is scant, with a paucity of publications on the South African scenario. As such, a complete picture of the impact of helminth infections on all age groups in South Africa does not exist. These parasitic diseases not only have an impact on socio economic development of a country, community and families, but also contribute to the chronic and detrimental effects on the health and nutritional status of the host, including the impaired development of children. In order to break the cycle of poverty and disease, a strong education drive is required in schools and communities to provide effective strategies and guidelines on preventative measures that result in avoidance of exposure to infective stages of Schistosoma and Taenia tapeworms. Also, it is imperative that healthcare professionals are able to recognise the signs and symptoms, so that interventions can be promptly initiated. The current anthelmintic treatments available in South Africa are effective against cestodes and trematodes, with no drug resistance having being reported. The need for compliancy when taking anthelmintic drugs must be emphasised.

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