Aplexa marmorata (Guilding, 1828)(Basommatophora : Physidae) : an invasive freshwater snail in South Africa.

Thesis (M.Sc.)-University of Natal, Durban, 2000.Invasions of ecosystems by alien species is a worldwide problem. Man, with his constant travelling, introduces organisms to places they have never occurred in before. The introductions may be accidental or deliberate. Some of the introduced organisms become invasive and some of these also become pests. Two aquatic pulmonate snails, Physa acuta (Physidae) and Lymnaea columella (Lymnaeidae), were introduced to South Africa probably through the aquarium industry in the 1940s and have now spread to most of the country's freshwater systems. A third invasive pulmonate, and second physid provisionally called Aplexa cf. marmorata, has recently been found in South African freshwaters. Comparison between A.. cf. marmorata found in Durban and P. acuta from Pietermaritzburg as an example of the genus Physa, confirmed that they belong to different genera and are therefore different species. Features compared were the shell, radula, foot, mantle, male genitalia and sperm morphology. Aplexa cf. marmorata is characterized by its foot having a pointed posterior end with a dark mid-dorsal stripe while that of P. acuta does not have these features. The mantle edge ofA.cf. marmorata has short triangular dentations while that of P. acuta has long finger-like projections. Aplexa cf. marmorata does not have an externally visible preputial gland whereas P. acuta does. The penis of A.cf. marmorata has a lateral opening while that of P. acuta has a sub-terminal outlet. TEM sections of the spermatozoon of A.cf. marmorata showed that it has a maximum of two glycogen helices around the mid-piece while P. acuta is known to have three. A study of the population dynamics of A.cf. marmorata in Durban showed it to produce three overlapping generations within a 14 month period whereas P. acuta has been shown to produce as many as eight over a similar time period. Further comparisons between South African A. cf. marmorata and similar material from the West Indies, Nigeria and St Lucia (KwaZulu-Natal) showed that they shared the same features with the specimens collected in Durban and are therefore considered to belong to the same species , Aplexa marmorata (Guilding, 1828). This species is indigenous to the Caribbean and northern parts of South America. The picture is however complicated by the fact that Dr L Paraense, doyen of the Brazilian school of freshwater malacology, does not recognize the genus Aplexa and redescribed this species under the name Physa marmorata in 1986

Effect of soil factors on parasitic nematodes of sugarcane in KwaZulu- Natal, South Africa.

Thesis (Ph.D.)-University of Natal, Durban, 2004.Nematicides are not only expensive and unaffordable to small-scale farmers but are also harmful to the environment as they kill both the target organisms and non-target micro and macro-organisms, thereby destabilising the ecosystem. Most developed countries have or are in the process of banning use of chemicals for pest management, implying that agricultural products from developing countries using pesticides will not be marketed in the developed countries. In former studies, it was shown that plant parasitic nematodes posed serious problems in sugarcane fields as their attacks on sett roots during germination period decreased sett root weights, delayed bud germination or led to fewer buds germinating as most buds abort. Those that germinate later are then faced with competition for food, space and light from the "older" shoots and often die. The attacks on shoot roots may lead to inefficient uptake of water and nutrients by the plant thereby leading to stunted plants. Fewer and shorter sugarcane stalks due to nematode attacks result in poor yield. In this study, it has been shown that a large number of endoparasites would be needed to reduce sett root weights. Agricultural systems based on monoculture are rarely successful in the long term and because sugarcane fields have been monocultured for a very long time, they are losing their productive capacity and this is termed "Yield Decline". Instead of using nematicides, alternative methods can be used for the management of nematode communities. Research has shown on other plants that nematode communities dominated by Helicotylenchus dihystera are less pathogenic to the plants than other ectoparasitic nematodes, e.g., Xiphinema elongatum and Paratrichodorus spp. A study conducted as a pot experiment showed that sugarcane grown in soil with high H. dihystera grew taller and produced greater root and aerial biomass than one grown in X elongatum infested soil. To induce a nematode community dominated by H. dihystera in the field, two strategies were followed: (i ) abiotic factors that influence the nematode's environment were identified. Certain elements found in soil and sugarcane leaves were found to be correlated to certain species, e.g., H. dihystera was negatively correlated to soil sulphur, medium and coarse sand while X elongatum was positively correlated to these soil types and soil elements. Sugarcane leaves with high levels of Ca, Zn, Cu and Fe were found in areas with high percentages of H. dihystera while the reverse was true for X elongatum. (ii) organic amendments were used to improve the sugarcane growth, modify the environment and decrease competition among species within a community. Application of organic matter to the soil improves soil properties such as water infiltration, water holding capacity, erodibility and nutrient cycling, increases suppressiveness of soils to plant parasitic nematodes and stimulates other anti-nematode micro-organisms, e.g., nematode-trapping fungi. Organic amendments were therefore used in this study not only as screens to protect sugarcane roots from nematode attacks but also to manipulate nematode communities for the less pathogenic species, H. dihystera. In a field study where organic amendments were used, plots treated with filter cake, thume + filter cake, trash + filter cake, filter cake + furfural and Temik (aldicarb) had high percentages of H. dihystera while control plots had high percentages of X elongatum. However, the change in relative proportion of H. dihystera by certain treatments was not followed by an average increase in yield, probability because of the overall variability. The yield results, however, showed that for all treatments, including control, the highest yields corresponded to plots with higher H. dihystera proportions, conflicting the initial hypothesis. As a result, if an organic amendment that can substantially increase the relative proportions of H. dihystera can be found, a substantial increase in yield can be expected. Although the organic amendments did not successfully manipulate the nematode communities for the less pathogenic species, H. dihystera, plots with higher yield were those that had high H. dihystera percentages in their nematode communities

Effects of peer counselling on feeding practices of HIV positive and HIV negative women in South Africa: a randomised controlled trial

Magister Public Health - MPHPromotion of exclusive breastfeeding (EBF), (giving breast milk only without any solids or liquids), has proved to be very challenging in the South African context, although this infant feeding practice has been found to protect babies against diarrhoea and respiratory tract infections and to carry a lower risk of HIV infection than mixed feeding (breastfeeding combined with formula or solids). Study design: The PROMISE-EBF study is a multi-country cluster randomised trial to examine peer support to promote exclusive breastfeeding in Africa. For the South African site in the PROMISE-EBF study, three sites, Paarl, Rietvlei and Umlazi, were selected because of their different geographic settings and each site operated as a separate stratum for cluster selection and randomisation purposes. The clusters were then randomised into intervention and control arms making a total of 17 clusters in each arm. HIV positive and negative women in the intervention arm received support on their choice of infant feeding from the peer supporters who visited them at their homes while the women in the control group only received the standard infant feeding counselling and support provided by health care workers at health facilities. Data collection: Mothers were interviewed at recruitment during the antepartum period to establish eligibility, obtain informed consent and data on socio-economic status. Home visits were scheduled for data collection by trained data collectors at 3, 6, 12 and 24 weeks after birth. Analysis of results: This mini-thesis was a secondary analysis of the PROMISE-EBF data focusing on the South African data only. The data was adjusted for clustering and analysed using SAS. Comparison of variables between the intervention and control groups within sites was done. Results: A significant difference, regarding counselling and infant feeding practices, was observed among all women who received peer support compared to those who received the standard antenatal counselling, with more women in the intervention group (20.5%) practising EBF than those in the control group (12.8%) by Week 3. When the women's HIV status was considered, more than 65% of HIV positive and 40% of HIV negative women practised MF and EFF (giving formula milk only with no breast milk) throughout the study, respectively, regardless of the group they were in. For women who hadintended to practise EBF at recruitment, 33% in the control group and 20% in the intervention group actually practised EBF by Week 3. Regarding disclosure and feeding choice, 77.4% of women who had disclosed their HIV status actually practised MF versus 8.6% who practised EBF by Week 3.Conclusion: Community peer counselling should be strengthened as the results from this study showed that a high percentage of women who practised EBF were those who had received counselling, irrespective of their HIV status. The high percentage of HIV positive women who practised high risk feeding, despite receiving infant counselling, is of concern. Disclosure of the women's HIV status did not translate to them practising low risk infant feeding methods, which may suggest that there are other issues that determine the women's choice of infant feeding.South Afric

Public perceptions on national health insurance : moving towards universal health coverage in South Africa

Background. Since 1994, considerable progress has been made in transforming the South African health care system, implementing programmes that improve the health of the population, and improving access to health care services. However, amid escalating health care costs disparities continue to exist between the public and private health sectors. The implementation of a national or social health insurance remains elusive despite three government-appointed committees on the matter. Method and objective. This paper reports on the findings of a national probability household sample of the South African population, drawn as part of the 2005 HIV / AIDS national survey, to gauge public opinion on universal health care coverage. The perceptions of South Africans were assessed on selected health care affordability and financing issues. Results. The majority support efforts to contain medicine costs and one-third are of the opinion that the country can provide everyone with all the needed health care and medical services. A large percentage of participants thought it more important to provide improved health care coverage even if it meant raising taxes, while a small percentage said it is better to hold down taxes despite lack of access to health care for some South Africans. Almost a quarter of participants were unable to comment on questions posed to them, indicating the need for improved public education and communication. Conclusion. The study provides important insights into public opinion on key policy issues. However, greater public awareness is needed to ensure an informed debate, while the design of a universal national health insurance scheme must take into account both the current context and public opinion. South African Medical Journal Vol. 96(9) 2006: 814-81

Public perceptions on national health insurance: Moving towards universal health coverage in South Africa

Background. Since 1994, considerable progress has been made in  transforming the South African health care system, implementing  programmes that improve the health of the population, and improving  access to health care services. However, amid escalating health care costs disparities continue to exist between the public and private health sectors. The implementation of a national or social health insunmce remains elusive despite three government-appointed committees on the matter.Method and objective. This paper reports on the findings of a national probability household sample of the South African population, drawn as part of the 2005 HIV I AIDS national survey, to gauge public opinion on universal health care coverage. The perceptions of South Africans were assessed on selected health care affordability and financing issues.Results. The majority support efforts to contain medicine costs and one-third are of the opinion that the country can provide everyone with all the needed health care and medical services. A l<1rge percentage of participants thought it more important to provide improved health care coverage even if it meant raising taxes, while a small percentage said it is better to hold down taxes despite lack of access to health care for some South Africans. Almost a quarter of participants were unable to comment on questions posed to them, indicating the need for improved public  education and communication.Conclusion. The study provides important insights into public opinion on key policy issues. However, greater public awareness is needed to ensure an informed debate, while the design of a universal national health insurance scheme must take into account both the current context and public opinion