Protocol: WASH and biosecurity interventions for reducing burdens of infection, antibiotic use and antimicrobial resistance: a One Health mixed methods systematic review

Antimicrobial resistance (AMR) is a growing global problem. Like many other public health issues, research points to the important role of structural factors in shaping the emergence, transmission and burden of AMR. However, mirroring other areas of public health, the evidence-base of interventions that address these structural issues is slim and infrequently synthesised. Structural interventions (SIs) seek to alter the context that produces or co-produces ill-health4. AMR has been configured as a One Health problem to be understood in terms of human-animal-environment interconnections. Infection control and prevention is recognised as essential to addressing AMR, but how best to achieve this through a One Health perspective remains a challenge. This review addresses this gap by identifying and synthesising evidence of interventions that operate on a structural level to Improve water, hygiene, sanitation and biosecurity in communities that live and/or work with animals In Low- and Middle-Income Countries (LMICs). The premise of this review is that interventions to improve water, sanitation, hygiene (WASH), and biosecurity intend to reduce burdens of infection and have the potential to reduce reliance on antibiotics for humans and animals. Therefore, such interventions have the ability to reduce both transmission and emergence of AMR. Two further observations inform the focus of this review: growing evidence of the insufficiency of purely technical or behavioural WASH/biosecurity Interventions to reduce disease burdens across LMICs, accompanied by calls for structural Interventions; and that most reviews retain classificatory silos of either human WASH or animal biosecurity which belies the realities of many rural and urban populations whose lives are interconnected with animals across LMIC settings. This review, therefore, addresses the potential for structural interventions on WASH/biosecurity to have an impact on Infections, antibiotic use and AMR in LMICs. Methodologically, this review is influenced by impact assessments in development studies, where interventions are often complex in design and implementation and their effects multifaceted. The kinds of intervention that operate at a structural level are similarly challenging to identify and to characterise neatly, and are unlikely to be restricted to a randomised controlled trial design. Therefore, our search criteria and strategy are wide and our methods mixed, in order to capture potential interventions that could have an impact on our set of outcomes. In addition, in this review we recognise that interventions have impacts beyond a particular pre-defined outcome, and to be able to recommend a particular intervention strategy requires consideration of not only what that intervention comprised and required, but also what unintended consequences or co-benefits the intervention may have produced. Finally, a key consideration for this review is that many studies undertaken in Spanish, Portuguese and French speaking countries, where different interventions may have been developed and piloted, can be excluded due to language criteria, and in this case, we deliberately include studies in these languages in addition to English in the search and review. This systematic review will summarise evidence on how WASH and biosecurity interventions could have the potential to reduce the burden of infections, antimicrobial use and/or AMR in animal agriculture and in people in contact with animals in different country settings, with a focus on LMICs. WASH and biosecurity interventions for reducing burdens of infection, antibiotic use and antimicrobial resistance: a One Health mixed methods systematic review Included studies have to examine the impact of WASH and biosecurity interventions on reducing burden of infections and therefore promote healthier production systems where the use of antibiotics is reduced or limited. Our review will categorise these interventions according to the context where they were performed (e.g., LMICs country, region, urban or rural, type of productions systems, livelihoods systems, agroecological situation, beneficiaries, climate conditions). The aim of this study is to identify points for WASH and biosecurity interventions at structural and system levels that will enable reduction in reliance on antibiotics in the everyday lives of people living with animals in urbanised and rural landscapes

Opening Our Eyes : How film contributes to the culture of the UK

Opening our eyes looks at how films are consumed and the factors which affect people’s viewing choices. It also covers the relationships audiences report between film and other activities. It goes on to explore the sorts of effects which film has upon people, their sense of identity and relationship with the world. Finally it looks at the various effects which individual films have had on those surveyed and reaches a number of conclusions.Final Published versio

Interview with Chris Chandler - OH 723

This interview was conducted by Stacy Steele with Chris Chandler as part of Project 2020: A Collaborative Oral History. In the interview, Chandler discusses his experience as an administrator in Rock Hill School District amid the COVID-19 pandemic. He sheds light on the educational and social challenges that school administrators, educators, and students faced in response to the pandemic, particularly when it came to reopening in the fall of 2020. Other notable topics include COVID protocols, hybrid learning, and the long-term effects of the pandemic on education. Christ Chandler is an assistant principal and former social studies teacher at Rock Hill High School. Chandler earned all three of his degrees from Winthrop University: B.A. in History, M.A. in History, and M.A. in Educational Leadership. Spearheaded by Dr. O. Jennifer Dixon-McKnight, Assistant Professor of History and African American studies, the project is best summarized in her words: “The goal was to conduct interviews that explored the various ways in which Americans were experiencing and being impacted by the various watershed moments that emerged during 2020 (the global pandemic, social unrest, financial challenges, issues with healthcare, etc.).https://digitalcommons.winthrop.edu/oralhistoryprogram/1641/thumbnail.jp

Characterizing Spatial Structure in Climate Model Ensembles

This paper presents a methodology that is designed for rapid exploratory analysis of the outputs from ensembles of climate models, especially when these outputs consist of maps. The approach formalizes and extends the technique of “intermodel empirical orthogonal function” analysis, combining multivariate analysis of variance techniques with singular value decompositions (SVDs) of structured components of the ensemble data matrix. The SVDs yield spatial patterns associated with these components, which we call ensemble principal patterns (EPPs). A unique hierarchical partitioning of variation is obtained for balanced ensembles in which all combinations of factors, such as GCM and RCM pairs in a regional ensemble, appear with equal frequency: suggestions are also proposed to handle unbalanced ensembles without imputing missing values or discarding runs. Applications include the selection of ensemble members to propagate uncertainty into subsequent analyses, and the diagnosis of modes of variation associated with specific model variants or parameter perturbations. The approach is illustrated using outputs from the EuroCORDEX regional ensemble over the United Kingdom

Automatic visual-spatial perspective taking in alcohol-dependence: A study with happy emotional faces

Background: Understanding the world from another’s perspective is an important and potentially automatic human process which is crucial for efficient social interactions. However, whilst deficits have been repeatedly described for various interpersonal abilities in alcohol-dependence (AD), only one previous study has investigated perspective taking in this pathology. Aim: The aim of the current study was to explore further how AD affects visual-spatial perspective taking (VSPT) by examining the effect of positive emotional stimuli on VSPT in both an AD and non-AD sample. Methods: Reaction times (RT) for simple spatial judgements were measured. Participants made these judgements from their own perspective, but judgements were either congruent or incongruent with the perspective of another agent. The emotion conveyed by that agent (happy or neutral) was manipulated across trials. Results: Compared to baseline, both AD and non-AD groups displayed delayed RTs for spatial judgements when these were incongruent with the perspective of a happy agent (the expected VSPT RT cost, indicating automatic VSPT). The AD, but not the non-AD group, further displayed a VSPT RT cost when the agent expressed a neutral emotion. Conclusion: There was no evidence that automatic VSPT was compromised by AD. However, as in previous research, AD was associated with differences in the processing of emotional stimuli. Future research should explore which ‘real-world’ settings are likely to trigger social confusion and misunderstanding