Contamination of Sachet Water in Nigeria: Assessment and Health Impact

Adequate supply of fresh and clean drinking water is a basic need for all human beings. Water consumers are frequently unaware of the potential health risks associated with exposure to water borne contaminants which have often led to diseases like diarrhoea, cholera, dysentery, typhoid fever, legionnaire’s disease and parasitic diseases. The inadequacy of pipe borne water-supply in Nigeria is a growing problem; as a result people resort to buying water from vendors, and sachet or bottled water became a major source of drinking water. Although, portable and affordable, the problems of its purity and other health concerns have begun to manifest. Sachet water have been reported to contain bacteria such as Bacillus sp., Pseudomonas sp., Klebsiella sp., Streptococcus sp., and oocysts of Cryptosporidia sp. Apart from environmental contaminants, improper storage and handling by vendors also poses a serious threat to the health of the ignorant consumers. This paper tends to review the quality of these ‘pure water’; its physical examination, microbial assessments, its impacts on health, and the various strategies adopted by the concerned authorities to regulate this thriving industry

Effectiveness of Climate Change Adaptation Measures used by Women Garden Egg Farmers in Enugu State, Nigeria

This study investigated the effectiveness of climate change (CC) adaptation measures used by women in garden egg production in Enugu State, Nigeria.  Multistage sampling procedure was used to select Eighty respondents for the study. Data were collected through the use of semi-structured interview schedule and analyzed with descriptive statistical tools such as frequency count & percentage, mean scores and standard deviation. The major effects of climate change on the garden egg production were scarcity of adequate floral resources (M =3.00), increased spread of pests and pathogens ( M=2.78), reduced pollen production in flowers ( M=2.68), reduced behavior and distribution activities, increase garden egg susceptibility to pathogens and decreased quantity and quality of garden egg production (M =2.67) and others. The most effective adaptation strategies used by women in garden egg production were change of the sites for farming (M=2.97), establishment of water reserve and farming close to irrigated area (M=2.92). The identified constraints to adapting to the present climate change scenario included: unstable weather (M=3.00), unavailability of modern harvesting techniques (M=2.75), increased pest and disease pathogens (M=2.68), poor access to materials and equipment (M=2.63), among others.  Hence, this study recommends awareness and training of garden egg farmers on how to improve the effects of the adaptation measures

Effectiveness of Climate Change Adaptation Measures used by Women Garden Egg Farmers in Enugu State, Nigeria

This study investigated the effectiveness of climate change (CC) adaptation measures used by women in garden egg production in Enugu State, Nigeria.  Multistage sampling procedure was used to select Eighty respondents for the study. Data were collected through the use of semi-structured interview schedule and analyzed with descriptive statistical tools such as frequency count & percentage, mean scores and standard deviation. The major effects of climate change on the garden egg production were scarcity of adequate floral resources (M =3.00), increased spread of pests and pathogens ( M=2.78), reduced pollen production in flowers ( M=2.68), reduced behavior and distribution activities, increase garden egg susceptibility to pathogens and decreased quantity and quality of garden egg production (M =2.67) and others. The most effective adaptation strategies used by women in garden egg production were change of the sites for farming (M=2.97), establishment of water reserve and farming close to irrigated area (M=2.92). The identified constraints to adapting to the present climate change scenario included: unstable weather (M=3.00), unavailability of modern harvesting techniques (M=2.75), increased pest and disease pathogens (M=2.68), poor access to materials and equipment (M=2.63), among others.  Hence, this study recommends awareness and training of garden egg farmers on how to improve the effects of the adaptation measures

Effectiveness of Climate Change Adaptation Measures used by Women Garden Egg Farmers in Enugu State, Nigeria

This study investigated the effectiveness of climate change (CC) adaptation measures used by women in garden egg production in Enugu State, Nigeria.  Multistage sampling procedure was used to select Eighty respondents for the study. Data were collected through the use of semi-structured interview schedule and analyzed with descriptive statistical tools such as frequency count & percentage, mean scores and standard deviation. The major effects of climate change on the garden egg production were scarcity of adequate floral resources (M =3.00), increased spread of pests and pathogens ( M=2.78), reduced pollen production in flowers ( M=2.68), reduced behavior and distribution activities, increase garden egg susceptibility to pathogens and decreased quantity and quality of garden egg production (M =2.67) and others. The most effective adaptation strategies used by women in garden egg production were change of the sites for farming (M=2.97), establishment of water reserve and farming close to irrigated area (M=2.92). The identified constraints to adapting to the present climate change scenario included: unstable weather (M=3.00), unavailability of modern harvesting techniques (M=2.75), increased pest and disease pathogens (M=2.68), poor access to materials and equipment (M=2.63), among others.  Hence, this study recommends awareness and training of garden egg farmers on how to improve the effects of the adaptation measures

Phase III Randomized Trial of Chemotherapy With or Without Bevacizumab in Patients With Recurrent or Metastatic Head and Neck Cancer.

PURPOSE: We evaluated the addition of bevacizumab, a humanized monoclonal antibody that targets vascular endothelial growth factor, to platinum-based chemotherapy in recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN). PATIENTS AND METHODS: Patients with chemotherapy-naïve (or with prior platinum as part of multimodal therapy completed ≥ 4 months earlier) recurrent or metastatic SCCHN were randomly assigned to receive a platinum-based chemotherapy doublet with or without bevacizumab 15 mg/kg given intravenously every 3 weeks until disease progression. Chemotherapy could be discontinued after six cycles if a maximum response was achieved. RESULTS: The study randomly assigned 403 patients. Median overall survival (OS) was 12.6 months with bevacizumab plus chemotherapy (BC) and 11.0 months with chemotherapy alone (hazard ratio, 0.87; 95% CI, 0.70 to 1.09; P = .22). At 2, 3, and 4 years, the OS rates were 25.2% v 18.1%, 16.4% v 10.0%, and 11.8% v 6.4% for BC versus chemotherapy, respectively. In an analysis of 365 eligible patients who started treatment, the hazard ratio was 0.82 (95% CI, 0.65 to 1.04; P = .10), with a median OS of 14.2 months on BC v 11.1 months on chemotherapy. Median progression-free survival with BC was 6.0 months v 4.3 months with chemotherapy (P = .0014). Overall response rates were 35.5% with BC and 24.5% with chemotherapy (P = .016). There was increased toxicity, including a higher rate of treatment-related grade 3 to 5 bleeding events (6.7% v 0.5%; P \u3c .001) and treatment-related deaths (9.3% v 3.5%; P = .022) with BC versus chemotherapy. CONCLUSION: The addition of bevacizumab to chemotherapy did not improve OS but improved the response rate and progression-free survival with increased toxicities. These results encourage biomarker-driven studies of angiogenesis inhibitors with better toxicity profiles in select patients with SCCHN

Solubilized Chitosan Biopolymers for Sequestration of Organic Acids in Aquatic Environments after Biodegradation in a Constructed Wetland Treatment System

Pristine chitosan was dissolved in two different respective aqueous acids, namely acetic acid (AcA) and hydrochloric acid (HCl). The respective acid solutions were used as media to associate with naphthenic acid fraction compounds (NAFCs) from raw oil sands process water (R-OSPW) contaminants and constructed treatment wetland systems OSPW (CWTS-OSPW) samples. The results revealed selective removal of NAFCs and lyotropic effects due to variable counterion binding of chloride versus acetate with the ionized NAFCs (carboxylate species)

Epidemic of hypertension in Ghana: a systematic review

Background Hypertension is a major risk factor for many cardiovascular diseases in developing countries. A comprehensive review of the prevalence of hypertension provides crucial information for the evaluation and implementation of appropriate programmes. Methods The PubMed and Google Scholar databases were searched for published articles on the population-based prevalence of adult hypertension in Ghana between 1970 and August 2009, supplemented by a manual search of retrieved references. Fifteen unique population-based articles in non-pregnant humans were obtained. In addition, two relevant unpublished graduate student theses from one university department were identified after a search of its 1996-2008 theses. Results The age and sex composition of study populations, sampling strategy, measurement of blood pressure, definition of hypertension varied between studies. The prevalence of hypertension (BP ≥ 140/90 mmHg ± antihypertensive treatment) ranged from 19% to 48% between studies. Sex differences were generally minimal whereas urban populations tended to have higher prevalence than rural population in studies with mixed population types. Factors independently associated with hypertension included older age group, over-nutrition and alcohol consumption. Whereas there was a trend towards improved awareness, treatment and control between 1972 and 2005, less than one-third of hypertensive subjects were aware they had hypertension and less than one-tenth had their blood pressures controlled in most studies. Conclusion Hypertension is clearly an important public health problem in Ghana, even in the poorest rural communities. Emerging opportunities such as the national health insurance scheme, a new health policy emphasising health promotion and healthier lifestyles and effective treatment should help prevent and control hypertension

Acanthus montanus: An experimental evaluation of the antimicrobial, anti-inflammatory and immunological properties of a traditional remedy for furuncles

<p>Abstract</p> <p>Background</p> <p><it>Acanthus montanus </it>(Nees) T. Anderson (Acanthaceae) is a shrub widespread in Africa, the Balkans, Romania, Greece and Eastern Mediterranean. It is used in African traditional medicine for the treatment of urogenital infections, urethral pain, endometritis, urinary disease, cystitis, leucorrhoea, aches and pains. In southeastern Nigeria, the root is popular and acclaimed highly effective in the treatment of furuncles. This study was undertaken to experimentally evaluate the antimicrobial and anti-inflammatory properties of the root extract as well as its effect on phagocytosis and specific cell-mediated immune response which may underlie the usefulness of the roots in treatment of furuncles.</p> <p>Methods</p> <p>The aqueous root extract (obtained by hot water maceration of the root powder) was studied for effects on the growth of clinically isolated strains of <it>Pseudomonas aeruginosa </it>and <it>Staphylococcus aureus</it>. The anti-inflammatory activity was investigated using acute topical edema of the mouse ear induced by xylene, acute paw edema induced by agar in rats, formaldehyde arthritis in rats, vascular permeability induced by acetic acid in mice and heat- and hypotonicity-induced haemolysis of ox red blood cells (RBCs). Also evaluated were the effects on <it>in vivo </it>leukocyte migration induced by agar, phagocytic activity of macrophages on <it>Candida albicans </it>and specific cell-mediated immune responses (delayed type hypersensitivity reaction (DTHR) induced by sheep red blood cell (SRBC)). The acute toxicity and lethality (LD₅₀) in mice and phytochemical constituents of the extract were also determined.</p> <p>Results</p> <p>The extract moderately inhibited the growth of the test organisms and significantly (<it>P </it>< 0.05) inhibited (57%) topical acute edema in the mouse ear. It significantly (<it>P </it>< 0.05) suppressed the development of acute edema of the rat paw in a non-dose-related manner and was not effective in inhibiting the global edematous response to formaldehyde arthritis. It also inhibited vascular permeability induced by acetic acid in mice and the haemolysis of ox RBCs induced by heat- and hypotonicity. The extract increased total leukocyte and neutrophil counts and caused a significant (<it>P </it>< 0.05) dose-related increase in the total number of macrophages at the 800 mg/kg dose. On phagocytic activity, the extract evoked a significant (<it>P </it>< 0.05) increase in the number of macrophages with ingested <it>C. albicans </it>at 800 mg/kg dose, and significantly (<it>P </it>< 0.05) inhibited DTHR in a dose-related manner. Phytochemical tests on the extract revealed an abundant presence of alkaloids and carbohydrates while saponins, glycosides, and terpenoids occurred in trace amounts. Acute toxicity test established an oral and intraperitoneal LD₅₀greater than 5,000 mg/kg.</p> <p>Conclusion</p> <p>The effectiveness of the root of <it>A. montanus </it>in the treatment of furuncles may largely derive from mobilization of leukocytes to the site of the infection and activation of phagocytic activity as well as suppression of exacerbated immune responses by its constituents. Antimicrobial and anti-inflammatory activities are likely contributory mechanisms. Phytochemical constituents such as alkaloids and carbohydrates may be responsible for these pharmacological activities.</p