Access to prompt diagnosis: The missing link in preventing mental health disorders associated with neglected tropical diseases

Globally, there are an estimated 1 billion people suffering from at least one of the 20 neglected tropical diseases (NTDs) prioritized by the World Health Organization (WHO). Prevalent in tropical and subtropical regions, this group of NTDs comprises diverse diseases, including vector-borne parasitic diseases (such as human African trypanosomiasis [HAT], Chagas disease, and leishmaniasis), skin diseases caused by environmental bacteria (such as Buruli ulcer [BU]), foodborne parasitic diseases (such as taeniasis/cysticercosis) or snake bite envenoming, which—together with scabies and other ectoparasites, mycetoma, and deep mycoses—were recently added to the list [1]. Despite their differences, NTDs are synonymous with poverty, life-long disability, stigma, and discrimination, not to mention the lack of effective control tools such as vaccines, diagnostics, and drugs.S

Factors associated with the utilization of diagnostic tools among countries with different income levels during the COVID-19 pandemic

Abstract Background Disparities in the utilization of essential medical products are a key factor contributing to inequality in health outcomes. We aimed to analyze the trends and influencing factors in using Coronavirus disease 2019 (COVID-19) diagnostic tools and disparities in countries with different income levels. Methods We conducted a cross-sectional study using open and publicly available data sources. Data were mainly collected from the Foundation for Innovative New Diagnostics, "Our World in Data," and the Global Burden of Disease databases. Negative binomial regression model and generalized linear mixed model were employed to investigate into five sets of factors associated with the usage of diagnostics: severity of COVID-19, socioeconomic status, health status, medical service capacity, and rigidity of response. Dominance analysis was utilized to compare the relative importance of these factors. The Blinder–Oaxaca decomposition was used to decompose the difference in the usage of diagnostics between countries. Results The total COVID-19 testing rate ranged from 5.13 to 22,386.63 per 1000 people from March 2020 to October 2022 and the monthly testing rate declined dramatically from January 2022 to October 2022 (52.37/1000 vs 5.91/1000).. The total testing rate was primarily associated with socioeconomic status (37.84%), with every 1 standard deviation (SD) increase in Gross Domestic Product per capita and the proportion of people aged ≥ 70, the total testing rate increased by 88% and 31%. And so is the medical service capacity (33.66%), with every 1 SD increase in health workforce density, the number increased by 38%. The monthly testing rate was primarily associated with socioeconomic status (34.72%) and medical service capacity (28.67%), and the severity of COVID-19 (21.09%). The average difference in the total testing rates between high-income and low-income countries was 2726.59 per 1000 people, and 2493.43 (91.45%) of the differences could be explained through the five sets of factors. Conclusions Redoubling the efforts, such as local manufacturing, regulatory reliance, and strengthening the community health workforce and laboratory capacity in low- and middle-income countries (LMICs) cannot be more significant for ensuring sustainable and equitable access to diagnostic tools during pandemic

The evolution of magma during continental rifting: New constraints from the isotopic and trace element signatures of silicic magmas from Ethiopian volcanoes

Magma plays a vital role in the break-up of continental lithosphere. However, significant uncertainty remains about how magma-crust interactions and melt evolution vary during the development of a rift system. Ethiopia captures the transition from continental rifting to incipient sea-floor spreading and has witnessed the eruption of large volumes of silicic volcanic rocks across the region over ∼45 Ma. The petrogenesis of these silicic rocks sheds light on the role of magmatism in rift development, by providing information on crustal interactions, melt fluxes and magmatic differentiation. We report new trace element and Sr–Nd–O isotopic data for volcanic rocks, glasses and minerals along and across active segments of the Main Ethiopian (MER) and Afar Rifts. Most δ18Odata for mineral and glass separates from these active rift zones fall within the bounds of modelled fractional crystallization trajectories from basaltic parent magmas (i.e., 5.5–6.5h) with scant evidence for assimilation of Pan-African Precambrian crustal material (δ18Oof 7–18h). Radiogenic isotopes (εNd= 0.92–6.52; 87Sr/86Sr = 0.7037–0.7072) and incompatible trace element ratios (Rb/Nb 100 km3), and estimate that crystal cumulates fill at least 16–30% of the volume generated by crustal extension under the axial volcanoes of the MER and Manda Hararo Rift Segment (MHRS) of Afar. At Erta Ale only ∼1% of the volume generated due to rift extension is filled by cumulates, supporting previous seismic evidence for a greater role of plate stretching in mature rifts at the onset of sea-floor spreading. We infer that ∼45 Ma of magmatism has left little fusible Pan-African material to be assimilated beneath the magmatic segments and the active segments are predominantly composed of magmatic cumulates with δ18O indistinguishable from mantle-derived melts. We predict that the δ18Oof silicic magmas should converge to mantle values as the rift continues to evolve. Although current data are limited, a comparison with ∼30 Ma ignimbrites (with δ18Oup to 8.9h) supports this inference, evidencing greater crustal assimilation during initial stages of rifting and at times of heightened magmatic flux