The financial burden from non-communicable diseases in low- and middle-income countries: a literature review

Non-communicable diseases (NCDs) were previously considered to only affect high-income countries. However, they now account for a very large burden in terms of both mortality and morbidity in low- and middle-income countries (LMICs), although little is known about the impact these diseases have on households in these countries. In this paper, we present a literature review on the costs imposed by NCDs on households in LMICs. We examine both the costs of obtaining medical care and the costs associated with being unable to work, while discussing the methodological issues of particular studies. The results suggest that NCDs pose a heavy financial burden on many affected households; poor households are the most financially affected when they seek care. Medicines are usually the largest component of costs and the use of originator brand medicines leads to higher than necessary expenses. In particular, in the treatment of diabetes, insulin – when required – represents an important source of spending for patients and their families. These financial costs deter many people suffering from NCDs from seeking the care they need. The limited health insurance coverage for NCDs is reflected in the low proportions of patients claiming reimbursement and the low reimbursement rates in existing insurance schemes. The costs associated with lost income-earning opportunities are also significant for many households. Therefore, NCDs impose a substantial financial burden on many households, including the poor in low-income countries. The financial costs of obtaining care also impose insurmountable barriers to access for some people, which illustrates the urgency of improving financial risk protection in health in LMIC settings and ensuring that NCDs are taken into account in these systems. In this paper, we identify areas where further research is needed to have a better view of the costs incurred by households because of NCDs; namely, the extension of the geographical scope, the inclusion of certain diseases hitherto little studied, the introduction of a time dimension, and more comparisons with acute illnesses

Synthesis of eco-friendly ZnO-based heterophotocatalysts with enhanced properties under visible light in the degradation of organic pollutants

Abstract Heterogeneous photocatalysts have been widely used for the removal of various organic pollutants from wastewater. The main challenge so far resides in the sustainability of the process, with regard to the synthesis and the application under visible light. In this study the precipitated materials from the Moringa oleifera seed (MO), groundnut shells (GS) and apatite (A) agrowastes were functionalized with zinc oxide (ZnO) and silver (Ag) solution, to produce a novel bioheterophotocatalysts. Various analytical techniques such as scanning electron microscope (SEM), energy-dispersive X-ray spectroscopy (EDS), photoluminescence (PL) and X-ray diffraction (XRD) were used for the characterization of the novel photocatalysts. It was proven that agrowastes can also enhance the photocatalytic activity of a ZnO-based photocatalyst as pure metals. The combination of MO/GS/A/ZnO/Ag in a 1:1:1 ratio resulted in a lower band gap of 1.59 eV, as compared to the band gap of 2.96 eV for ZnO/Ag. These photocatalysts' efficiency was also tested on the photodegradation of polycyclic aromatic hydrocarbon (PAHs) derived from coal leaching in various water sources such as acidic mine drainage, alkaline mine drainage and sewage wastewater. From MO/GS/A/ZnO/Ag, the removal efficiency was found to be 69.59%, 61.07% and 61.68%, compared to 52.62%, 37.96 and 44.30% using ZnO/Ag in acidic mine drainage, alkaline mine drainage and sewage wastewater for 60 min under solar irradiation

Gum ghatti and acrylic acid based biodegradable hydrogels for the effective adsorption of cationic dyes

This article reports biosorption properties of Gum ghatti and acrylic acid based graft co-polymers for the adsorption of methylene blue (MB) and rhodamine B (RhB). Gg–cl–PAA removed 99% MB and 98% RhB from the respective dye solutions. Adsorption isotherm followed Langmuir isotherm with maximum adsorption capacity of 909.09 mg/g (MB) and 819.67 mg/g (RhB). Both the dyes followed pseudo second order rate equation. Eco-friendliness of Gg–cl–PAA was studied by assessing its susceptibility to biodegradation by Pseudomonas aeruginosa in phosphate buffered saline (PBS) and mineral salt medium (MSM). Gg–cl–PAA degraded faster in PBS (18%) than MSM (15.1%) using P. aeruginosaNational Research Foundation (NRF), South Afric

Chalcopyrite Leaching in Ferric Sulphate: The Effect of Fe₃O₄-CuFeS₂ Galvanic Couple on the Cu Dissolution

Galvanic interactions present alternative strategies to achieve a more efficient Cu dissolution from CuFeS2. The present work studied the interaction between chalcopyrite–magnetite (CuFeS2-Fe3O4) in acidified ferric sulphate Fe2(SO4)3-H2SO4 at a solution pH of 1.8 and a temperature of 25 or 50 °C. The addition of Fe3O4 to CuFeS2 forms a galvanic couple, which positively impacts the dissolution of Cu. The results showed that the presence of Fe3O4 led to high and fast Cu dissolution rates and decreased significantly the activation energy, from 83 to 57 kJ/mol. In addition to that, the solid residues revealed that CuFeS2 dissolution produced intermediate Cu-S-rich phases: CuS, Cu2S and Cu5FeS4, which appeared to envelop CuFeS2, had no observable intermediate phase while in the presence of Fe3O4. The results showed that 94% of Cu could be recovered after 5 h of leaching at 50 °C at a Fe3O4/CuFeS2 ratio of 4:1 and a 460 mV Ag/AgCl solution potential. The findings of this study present an option for efficient Cu dissolution from CuFeS2 in ferric sulphate at atmospheric pressure

Metagenomic profiling dataset of bacterial communities of a drinking water supply system (DWSS) in the arid Namaqualand region, South Africa: Source (lower Orange River) to point-ofuse (O'Kiep)

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