Circular bioeconomy potential and challenges within an African context: From theory to practice

A circular bioeconomy has the potential to minimize the environmental impacts of biowaste while simultaneously generating value-added bioproducts and bioenergy. Currently, most countries of the African Union lack well-defined policies, requisite infrastructure, and expertise for biowaste valorisation, thus limiting the potential development of the region. Against this background, it is necessary to deploy circular bioeconomy principles based on the awareness of the biocapacity of territories through the nexus of biowaste management and life cycle thinking. In the present study, a preliminary assessment of waste management practices in a tourist hotel in Victoria Falls in Zimbabwe is explored. The hotel produces about 3.26 tons per month of biowaste, which is often improperly disposed in non-engineered waste dumps. Furthermore, the disposal options for 1 tonne of biowaste are explored using City of Harare (CoH) as a case study. The preliminary results show composting as the most environmentally favourable option (9.6 kg CO2 eq), followed by anaerobic digestion (56.4 kg CO2 eq), and finally, biowaste incineration (140 kg CO2 eq). Anaerobic digestion and composting remain the most viable biowaste disposal alternatives in Africa, due to limited expenses and expertise for construction, operation, and maintenance. However, both technologies remain under-utilized, hence, a significant portion of the source-separated biowaste is still disposed of in waste dumps and this reflects the lack of supportive institutional, regulatory and policy frameworks. Overall, these early results point to the potential to develop a circular bioeconomy in Africa, while calling for shared responsibilities among the state, market, and civil society actors to develop and adopt appropriate institutional, regulatory, policy and funding models

Loa loa Infection in Pregnant Women, Gabon

Loa loa, the African eye worm, is a filarial pathogen of Central African rainforest regions. As of 2013, it had affected an estimated 2–3 million persons in Central Africa (1,2). Adult worm migrations in humans may intermittently cause Calabar swelling, and microfilariae are commonly found in blood and body fluids. Loiasis is a chronic infection persisting for many years; a considerable proportion of women in loiasis-endemic regions are infected during gestation. To date, the epidemiology of loiasis in pregnant women has not been investigated, and the effects of loiasis on maternal and fetal health outcomes are unknown. We investigated the epidemiology of loiasis in a cohort of pregnant women participating in a drug trial for preventing malaria during pregnancy

Isoscalar giant monopole strength in 58^{58}Ni, 90^{90}Zr, 120^{120}Sn and 208^{208}Pb

Inelastic $\alpha$-particle scattering at energies of a few hundred MeV and very-forward scattering angles including $0^\circ$ has been established as a tool for the study of the isoscalar giant monopole (IS0) strength distributions in nuclei. An independent investigation of the IS0 strength in nuclei across a wide mass range was performed using the $0^\circ$ facility at iThemba Laboratory for Accelerator Based Sciences (iThemba LABS), South Africa, to understand differences observed between IS0 strength distributions in previous experiments performed at the Texas A\&M University (TAMU) Cyclotron Institute, USA and the Research Center for Nuclear Physics (RCNP), Japan. The isoscalar giant monopole resonance (ISGMR) was excited in $^{58}$Ni, $^{90}$Zr, $^{120}$Sn and $^{208}$Pb using $\alpha$-particle inelastic scattering with $196$ MeV $\alpha$ beam and scattering angles $\theta_{\text{Lab}} = 0^\circ$ and $4^\circ$. The K$600$ magnetic spectrometer at iThemba LABS was used to detect and momentum analyze the inelastically scattered $\alpha$ particles. The IS0 strength distributions in the nuclei studied were deduced with the difference-of-spectra (DoS) technique including a correction factor for the $4^\circ$ data based on the decomposition of $L > 0$ cross sections in previous experiments. IS0 strength distributions for $^{58}$Ni, $^{90}$Zr, $^{120}$Sn and $^{208}$Pb are extracted in the excitation-energy region $E_{\rm x} = 9 - 25$ MeV.Using correction factors extracted from the RCNP experiments, there is a fair agreement with their published IS0 results. Good agreement for IS0 strength in $^{58}$Ni is also obtained with correction factors deduced from the TAMU results, while marked differences are found for $^{90}$Zr and $^{208}$Pb.Comment: 12 pages, 10 figures, regular article submitted to PR

Fine structure of the isoscalar giant monopole resonance in 58^{58}Ni, 90^{90}Zr, 120^{120}Sn and 208^{208}Pb

Over the past two decades high energy-resolution inelastic proton scattering studies were used to gain an understanding of the origin of fine structure observed in the isoscalar giant quadrupole resonance (ISGQR) and the isovector giant dipole resonance (IVGDR). Recently, the isoscalar giant monopole resonance (ISGMR) in $^{58}$Ni, $^{90}$Zr, $^{120}$Sn and $^{208}$Pb was studied at the iThemba Laboratory for Accelerator Based Sciences (iThemba LABS) by means of inelastic $\alpha$-particle scattering at very forward scattering angles (including $0\circ$). The good energy resolution of the measurement revealed significant fine structure of the ISGMR.~To extract scales by means of wavelet analysis characterizing the observed fine structure of the ISGMR in order to investigate the role of different mechanisms contributing to its decay width. Characteristic energy scales are extracted from the fine structure using continuous wavelet transforms. The experimental energy scales are compared to different theoretical approaches performed in the framework of quasiparticle random phase approximation (QRPA) and beyond-QRPA including complex configurations using both non-relativistic and relativistic density functional theory. All models highlight the role of Landau fragmentation for the damping of the ISGMR especially in the medium-mass region. Models which include the coupling between one particle-one hole (1p-1h) and two particle-two hole (2p-2h) configurations modify the strength distributions and wavelet scales indicating the importance of the spreading width. The effect becomes more pronounced with increasing mass number. Wavelet scales remain a sensitive measure of the interplay between Landau fragmentation and the spreading width in the description of the fine structure of giant resonances.Comment: 13 pages,7 figures, regular articl

Sulphadoxine/pyrimethamine versus amodiaquine for treating uncomplicated childhood malaria in Gabon: A randomized trial to guide national policy

<p>Abstract</p> <p>Background</p> <p>In Gabon, following the adoption of amodiaquine/artesunate combination (AQ/AS) as first-line treatment of malaria and of sulphadoxine/pyrimethamine (SP) for preventive intermittent treatment of pregnant women, a clinical trial of SP versus AQ was conducted in a sub-urban area. This is the first study carried out in Gabon following the WHO guidelines.</p> <p>Methods</p> <p>A random comparison of the efficacy of AQ (10 mg/kg/day × 3 d) and a single dose of SP (25 mg/kg of sulphadoxine/1.25 mg/kg of pyrimethamine) was performed in children under five years of age, with uncomplicated falciparum malaria, using the 28-day WHO therapeutic efficacy test. In addition, molecular genotyping was performed to distinguish recrudescence from reinfection and to determine the frequency of the <it>dhps </it>K540E mutation, as a molecular marker to predict SP-treatment failure.</p> <p>Results</p> <p>The day-28 PCR-adjusted treatment failures for SP and AQ were 11.6% (8/69; 95% IC: 5.5–22.1) and 28.2% (20/71; 95% CI: 17.7–38.7), respectively This indicated that SP was significantly superior to AQ (<it>P </it>= 0.019) in the treatment of uncomplicated childhood malaria and for preventing recurrent infections. Both treatments were safe and well-tolerated, with no serious adverse reactions recorded. The <it>dhps </it>K540E mutation was not found among the 76 parasite isolates tested.</p> <p>Conclusion</p> <p>The level of AQ-resistance observed in the present study may compromise efficacy and duration of use of the AQ/AS combination, the new first-line malaria treatment. Gabonese policy-makers need to plan country-wide and close surveillance of AQ/AS efficacy to determine whether, and for how long, these new recommendations for the treatment of uncomplicated malaria remain valid.</p

Evidence of decline of malaria in the general hospital of Libreville, Gabon from 2000 to 2008

BACKGROUND: Substantial decline in malaria transmission, morbidity and mortality has been reported in several countries where new malaria control strategies have been implemented. In Gabon, the national malaria policy changed in 2003, according to the WHO recommendations. The trend in malaria morbidity was evaluated among febrile children before and after their implementation in Libreville, the capital city of Gabon. METHODS: From August 2000 to December 2008, febrile paediatric outpatients and inpatients, under 11 years of age, were screened for malaria by microscopic examination at the Malaria Clinical Research Unit (MCRU) located in the largest public hospital in Gabon. Climatic data were also collected. RESULTS: In total, 28,092 febrile children were examined; those under five years always represented more than 70%. The proportion of malaria-positive slides was 45% in 2000, and declined to 15% in 2008. The median age of children with a positive blood smear increased from 24(15-48) to 41(21-72) months over the study period (p < 0.01). Rainfall patterns had no impact on the decline observed throughout the study period. CONCLUSION: The decrease of malaria prevalence among febrile children during the last nine years is observed following the introduction of new strategies of malaria cases management, and may announce epidemiological changes. Moreover, preventive measures must be extended to children older than five years

Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017

Background: Population estimates underpin demographic and epidemiological research and are used to track progress on numerous international indicators of health and development. To date, internationally available estimates of population and fertility, although useful, have not been produced with transparent and replicable methods and do not use standardised estimates of mortality. We present single-calendar year and single-year of age estimates of fertility and population by sex with standardised and replicable methods. Methods: We estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods. We based the estimates on the demographic balancing equation, with inputs of fertility, mortality, population, and migration data. Fertility data came from 7817 location-years of vital registration data, 429 surveys reporting complete birth histories, and 977 surveys and censuses reporting summary birth histories. We estimated age-specific fertility rates (ASFRs; the annual number of livebirths to women of a specified age group per 1000 women in that age group) by use of spatiotemporal Gaussian process regression and used the ASFRs to estimate total fertility rates (TFRs; the average number of children a woman would bear if she survived through the end of the reproductive age span [age 10–54 years] and experienced at each age a particular set of ASFRs observed in the year of interest). Because of sparse data, fertility at ages 10–14 years and 50–54 years was estimated from data on fertility in women aged 15–19 years and 45–49 years, through use of linear regression. Age-specific mortality data came from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 estimates. Data on population came from 1257 censuses and 761 population registry location-years and were adjusted for underenumeration and age misreporting with standard demographic methods. Migration was estimated with the GBD Bayesian demographic balancing model, after incorporating information about refugee migration into the model prior. Final population estimates used the cohort-component method of population projection, with inputs of fertility, mortality, and migration data. Population uncertainty was estimated by use of out-of-sample predictive validity testing. With these data, we estimated the trends in population by age and sex and in fertility by age between 1950 and 2017 in 195 countries and territories. Findings: From 1950 to 2017, TFRs decreased by 49·4% (95% uncertainty interval [UI] 46·4–52·0). The TFR decreased from 4·7 livebirths (4·5–4·9) to 2·4 livebirths (2·2–2·5), and the ASFR of mothers aged 10–19 years decreased from 37 livebirths (34–40) to 22 livebirths (19–24) per 1000 women. Despite reductions in the TFR, the global population has been increasing by an average of 83·8 million people per year since 1985. The global population increased by 197·2% (193·3–200·8) since 1950, from 2·6 billion (2·5–2·6) to 7·6 billion (7·4–7·9) people in 2017; much of this increase was in the proportion of the global population in south Asia and sub-Saharan Africa. The global annual rate of population growth increased between 1950 and 1964, when it peaked at 2·0%; this rate then remained nearly constant until 1970 and then decreased to 1·1% in 2017. Population growth rates in the southeast Asia, east Asia, and Oceania GBD super-region decreased from 2·5% in 1963 to 0·7% in 2017, whereas in sub-Saharan Africa, population growth rates were almost at the highest reported levels ever in 2017, when they were at 2·7%. The global average age increased from 26·6 years in 1950 to 32·1 years in 2017, and the proportion of the population that is of working age (age 15–64 years) increased from 59·9% to 65·3%. At the national level, the TFR decreased in all countries and territories between 1950 and 2017; in 2017, TFRs ranged from a low of 1·0 livebirths (95% UI 0·9–1·2) in Cyprus to a high of 7·1 livebirths (6·8–7·4) in Niger. The TFR under age 25 years (TFU25; number of livebirths expected by age 25 years for a hypothetical woman who survived the age group and was exposed to current ASFRs) in 2017 ranged from 0·08 livebirths (0·07–0·09) in South Korea to 2·4 livebirths (2·2–2·6) in Niger, and the TFR over age 30 years (TFO30; number of livebirths expected for a hypothetical woman ageing from 30 to 54 years who survived the age group and was exposed to current ASFRs) ranged from a low of 0·3 livebirths (0·3–0·4) in Puerto Rico to a high of 3·1 livebirths (3·0–3·2) in Niger. TFO30 was higher than TFU25 in 145 countries and territories in 2017. 33 countries had a negative population growth rate from 2010 to 2017, most of which were located in central, eastern, and western Europe, whereas population growth rates of more than 2·0% were seen in 33 of 46 countries in sub-Saharan Africa. In 2017, less than 65% of the national population was of working age in 12 of 34 high-income countries, and less than 50% of the national population was of working age in Mali, Chad, and Niger. Interpretation: Population trends create demographic dividends and headwinds (ie, economic benefits and detriments) that affect national economies and determine national planning needs. Although TFRs are decreasing, the global population continues to grow as mortality declines, with diverse patterns at the national level and across age groups. To our knowledge, this is the first study to provide transparent and replicable estimates of population and fertility, which can be used to inform decision making and to monitor progress