Malaria in Eswatini, 2012–2019 : a case study of the elimination effort

Eswatini was the first country in sub-Saharan Africa to pass a National Malaria Elimination Policy in 2011, and later set a target for elimination by the year 2020. This case study aimed to review the malaria surveillance data of Eswatini collected over 8 years between 2012 and 2019 to evaluate the country’s efforts that targeted malaria elimination by 2020. Coverage of indoor residual spraying (IRS) for vector control and data on malaria cases were provided by the National Malaria Programme (NMP) of Eswatini. The data included all cases treated for malaria in all health facilities. The data was analysed descriptively. Over the 8 years, a total of 5511 patients reported to the health facilities with malaria symptoms. The case investigation rate through the routine surveillance system increased from 50% in 2012 to 84% in 2019. Incidence per 1000 population at risk fluctuated over the years, but in general increased from 0.70 in 2012 to 1.65 in 2019, with the highest incidence of 3.19 reported in 2017. IRS data showed inconsistency in spraying over the 8 years. Most of the cases were diagnosed by rapid diagnostic test (RDT) kits in government (87.6%), mission (89.1%), private (87%) and company/industry-owned facilities (84.3%), either singly or in combination with microscopy. Eswatini has fallen short of achieving malaria elimination by 2020. Malaria cases are still consistently reported, albeit at low rates, with occasional localized outbreaks. To achieve elimination, it is critical to optimize timely and well-targeted IRS and to consider rational expansion of tools for an integrated malaria control approach in Eswatini by including tools such as larval source management, long-lasting insecticidal nets (LLINs), screening of mosquito house entry points, and chemoprophylaxis. The establishment of rigorous routine entomological surveillance should also be prioritized to determine the local malaria vectors’ ecology, potential species diversity, the role of secondary vectors and insecticide resistance.The AFRO-II Project under the auspices of the Global Environment Facility/United Nations Environment Programme (GEF/UNEP) through the World Health Organization Regional Office for Africa (WHO-AFRO); icipe’s core donors, Foreign, Commonwealth & Development Office (FCDO) of the UK Government; Swedish International Development Cooperation Agency (Sida); the Swiss Agency for Development and Cooperation (SDC); Federal Democratic Republic of Ethiopia; and the Kenyan Government.https://malariajournal.biomedcentral.comam2022School of Health Systems and Public Health (SHSPH)UP Centre for Sustainable Malaria Control (UP CSMC

Changes in carbon and nutrient fluxes from headwaters to ocean in a mountainous temperate to subtropical basin

Water erosion provides major links in global cycles of carbon (C), nitrogen (N) and phosphorus (P). Although significant research on erosion mechanisms has been done, there is still little knowledge on C, N and P fluxes across landscapes to the ocean and their controlling factors in subtropical climates. A four-year study quantifying and comparing particulate and dissolved C, N and P from multiple scales (microplot, plot, microcatchment, subcatchment, catchment, sub-basin and basin) was performed in Thukela basin (≈30 000 km2), South Africa. The basin climate was largely subtropical-humid [mean annual precipitation (MAP) > 980 mm yr-1], but temperate (MAP >2000 mm yr-1) on the highlands. Open grassland, cropland and bushland were the major land uses. On average, 65, 24 and 4 g m-2 yr-1 C, N and P were displaced from original topsoil positions, but only 0.33, 0.005 and 0.002 mg m-2 yr-1 were, respectively, exported to the ocean. The fluxes decreased by 95, 97 and 84%, respectively, from plot to microcatchment outlet; and decreased further in downstream direction by >99% from microcatchment to basin outlet. The hillslope (microplot to microcatchment) fluxes correlated strongly with rainfall parameters. Particulate contributions dominated hillslope fluxes at 73, 81 and 76% of total annual C, N and P, respectively. Although particulate C dominated in the microcatchment-catchment reach (55%), N (54%) and P (69%) were dominated by dissolved forms. The lower basin zone was dominated by dissolved flux contributions at 93, 81 and 78% for C, N and P for the sub-basin outlet. These results suggested spatially varying drivers of C, N and P losses from the landscape to the ocean, via the river network. Deposition was envisaged the dominant hillslope level loss process, which gradually gave way to mineralization and biotic uptake in the river network as flux contributions shifted from being predominantly particulate to dissolved forms

Dataset for the article: Snakebite epidemiology, outcomes and multi-cluster risk modelling in Eswatini

Eswatini snakebite data 2019-202