Distribution and species composition of stemborders and their natural enemies in Maize and Sorghum in Ethiopia

Surveys were conducted to determine the species composition of stemborers and their natural enemies in maize and sorghum in 1999 and 2000 in eastern, northern, southern and western Ethiopia. The six species of stemborers found attacking maize and sorghum were Chilo partellus (Swinhoe) (Lepidoptera: Crambidae), Busseola fusca Fuller, Sesamia calamistis Hampson (Lepidoptera: Noctuidae), S. nonagrioides botanephaga Tams & Bowden (Lepidoptera: Noctuidae), Rhynchaenus niger (Horn) (Coleoptera: Rhynchophoridae) and Pissodes dubious (Ström) (Coleoptera: Rhynchophoridae). Twenty species of primary parasitoids of eggs, larvae and pupae of Ch. partellus, B. fusca and S. calamistis were recorded. Other natural enemies, including predators, fungi and nematodes, were also found. Cotesia flavipes Cameron (Hymenoptera: Braconidae) was the dominant and the most widely distributed parasitoid of stemborers in Ethiopia, and was reared from field-collected Ch. partellus, B. fusca and S. calamistis. RÉSUMÉ Des enquêtes ont été menées en 1999 et 2000 en Ethiopie afin de déterminer la composition des espèces de foreurs présents sur maïs et sorgho et leurs ennemis naturels. Les six espèces de foreurs trouvées sur le maïs et le sorgho sont Chilo partellus (Swinhoe) (Lepidoptera: Crambidae), Busseola fusca Fuller, Sesamia calamistis Hampson (Lepidoptera: Noctuidae), S. nonagrioides botanephaga Tams & Bowden (Lepidoptera: Noctuidae), Rhynchaenus niger (Horn) (Coleoptera: Rhynchophoridae) et Pissodes dubious (Ström) (Coleoptera: Rhynchophoridae). Vingt espèces de parasitoïdes primaires des oeufs, des larves et des pupes de Ch. partellus, B. fusca et S. calamistis ont été répertoriés. D'autres ennemis naturels en l'occurrence des prédateurs, des champignons et des nématodes ont aussi été trouvés. Le plus abondant et le plus largement répartie des parasitoïdes des foreurs en Ethiopie a été Cotesia flavipes Cameron (Hymenoptera: Braconidae). Il a été collecté sur Ch. partellus, B. fusca et S. calamistis

Species diversity of lepidopteran stem borer parasitoids in cultivated and natural habitats in Kenya

Field surveys were conducted during 2005 to 2007 to assess the species diversity of stem borer parasitoids in cultivated and natural habitats in four agroecological zones in Kenya. In total, 33 parasitoid species were recovered, of which 18 parasitized six stem borer species feeding on cereal crops, while 27 parasitized 21 stem borer species feeding on 19 wild host plant species. The most common parasitoids in cultivated habitats were Cotesia flavipes Cameron, Cotesia sesamiae (Cameron), Pediobius furvus Gahan and the tachinid Siphona sp., whereas in natural habitats, Siphona sp. was the most common. The majority of parasitoids were stenophagous species; only five species - Cotesia sp., Enicospilus ruscus Gauld and Mitchell, Pristomerus nr. bullis, Sturmiopsis parasitica (Curran) and Syzeuctus ruberrimus Benoit - were monophagous. In both cultivated and natural habitats, parasitoid species diversity was highest on the most dominant stem borers Busseola spp. and Chilo spp. On cereal crops, parasitoid diversity was highest on maize and among wild host plants, it was highest on Setaria spp. The ingress-and-sting attack method was the most common strategy used by parasitoids in both habitats. In all agroecological zones, parasitoid species diversity was significantly higher in natural than in cultivated habitats. Furthermore, the majority of parasitoid species were common to both cultivated and natural habitats. It was concluded that natural habitats surrounding cereal crops serve as refugia for sustaining the diversity of stem borer parasitoids from adjacent cereal fields

Geographic distribution, host range and perennation of Cotesia sesamiae and Cotesia flavipes Cameron in cultivated and natural habitats in Kenya

Field surveys were carried out in four agroecological zones to assess the geographic distribution, host range and perennation of Cotesia sesamiae and Cotesia flavipes in cultivated and natural habitats in Kenya. The distribution of the two Cotesia species in different ecological regions was most affected by the suitability of the local stem borer species for parasitoid development, and temperature, as both species were found in localities dominated by their suitable host(s) where temperature favoured their occurrence. Fourteen years after its release, C. flavipes has maintained a high level of specificity to its target host Chilo partellus on maize and sorghum in cultivated habitats and on Sorghum arundinaceum in natural habitats. Cotesia flavipes appeared to be an appropriate biological control agent against C. partellus in eastern Africa, with minimal or no effects on non-target hosts in different habitats. Conversely, C. sesamiae lacked host specificity in different habitats, as its stem borers or host plants varied with both locality and habitat type. Perennation by both Cotesia species occurred mainly in cultivated habitats. Furthermore, natural habitats played a role in sustaining some individuals of C. flavipes during both rainy and dry seasons. These areas acted as refuges for C. flavipes, but not for C. sesamiae, because its hosts were scarce on natural host plants. The availability of these Cotesia species across seasons was mainly influenced by the presence of actively feeding stem borers on cereal plants during different seasons, as well as the duration of the dry season in different localities

Examining unit costs for COVID-19 case management in Kenya

Introduction We estimated unit costs for COVID-19 case management for patients with asymptomatic, mild-to-moderate, severe and critical COVID-19 disease in Kenya. Methods We estimated per-day unit costs of COVID-19 case management for patients. We used a bottom-up approach to estimate full economic costs and adopted a health system perspective and patient episode of care as our time horizon. We obtained data on inputs and their quantities from data provided by three public COVID-19 treatment hospitals in Kenya and augmented this with guidelines. We obtained input prices from a recent costing survey of 20 hospitals in Kenya and from market prices for Kenya. Results Per-day, per-patient unit costs for asymptomatic patients and patients with mild-to-moderate COVID-19 disease under home-based care are 1993.01 Kenyan shilling (KES) (US$18.89) and 1995.17 KES (US$18.991), respectively. When these patients are managed in an isolation centre or hospital, the same unit costs for asymptomatic patients and patients with mild-to-moderate disease are 6717.74 KES (US$63.68) and 6719.90 KES (US$63.70), respectively. Per-day unit costs for patients with severe COVID-19 disease managed in general hospital wards and those with critical COVID-19 disease admitted in intensive care units are 13 137.07 KES (US$124.53) and 63 243.11 KES (US$599.51). Conclusion COVID-19 case management costs are substantial, ranging between two and four times the average claims value reported by Kenya’s public health insurer. Kenya will need to mobilise substantial resources and explore service delivery adaptations that will reduce unit costs

Exploring farmer preferences for contagious bovine pleuropneumonia vaccination: a case study of Narok District, Kenya

Contagious bovine pleuropneumonia (CBPP) is an economically important disease in most of sub-Saharan Africa. A conjoint analysis and ordered probit regression models were used to measure the preferences of farmers for CBPP vaccine and vaccination attributes. This was with regard to inclusion or not of an indicator in the vaccine, vaccine safety, vaccine stability as well as frequency of vaccination, vaccine administration and the nature of vaccination. The analysis was carried out in 190 households in Narok District of Kenya between October and December 2006 using structured questionnaires, 16 attribute profiles and a five-point Likert scale. The factors affecting attribute valuation were shown through a two-way location interaction model. The study also demonstrated the relative importance (RI) of attributes and the compensation value of attribute levels. The attribute coefficient estimates showed that farmers prefer a vaccine that has an indicator, is 100% safe and is administered by the government (p0.05). While inclusion of an indicator in the vaccine was the most important attribute (RI=43.6%), price was the least important (RI=0.5%). Of the 22 household factors considered, 15 affected attribute valuation. The compensation values for a change from non inclusion to inclusion of an indicator, 95-100% safety, 2h to greater than 2h stability and from compulsory to elective vaccination were positive while those for a change from annual to biannual vaccination and from government to private administration were negative. The study concluded that the farmers in Narok District had preferences for specific vaccine and vaccination attributes. These preferences were conditioned by various household characteristics and disease risk factors. On average the farmers would need to be compensated or persuaded to accept biannual and private vaccination against CBPP. There is need for consideration of farmer preferences for vaccine attribute levels during vaccine formulations and farmer preferences for vaccination attribute levels when designing delivery of vaccines

Epidemiological impact and cost-effectiveness analysis of COVID-19 vaccination in Kenya.

Background A few studies have assessed the epidemiological impact and the cost-effectiveness of COVID-19 vaccines in settings where most of the population had been exposed to SARS-CoV-2 infection. Methods We conducted a cost-effectiveness analysis of COVID-19 vaccine in Kenya from a societal perspective over a 1.5-year time frame. An age-structured transmission model assumed at least 80% of the population to have prior natural immunity when an immune escape variant was introduced. We examine the effect of slow (18 months) or rapid (6 months) vaccine roll-out with vaccine coverage of 30%, 50% or 70% of the adult (>18 years) population prioritising roll-out in those over 50-years (80% uptake in all scenarios). Cost data were obtained from primary analyses. We assumed vaccine procurement at US$7 per dose and vaccine delivery costs of US$3.90–US$6.11 per dose. The cost-effectiveness threshold was US$919.11. Findings Slow roll-out at 30% coverage largely targets those over 50 years and resulted in 54% fewer deaths (8132 (7914–8373)) than no vaccination and was cost saving (incremental cost-effectiveness ratio, ICER=US$−1343 (US$−1345 to US$−1341) per disability-adjusted life-year, DALY averted). Increasing coverage to 50% and 70%, further reduced deaths by 12% (810 (757–872) and 5% (282 (251–317) but was not cost-effective, using Kenya’s cost-effectiveness threshold (US$919.11). Rapid roll-out with 30% coverage averted 63% more deaths and was more cost-saving (ICER=US$−1607 (US$−1609 to US$−1604) per DALY averted) compared with slow roll-out at the same coverage level, but 50% and 70% coverage scenarios were not cost-effective. Interpretation With prior exposure partially protecting much of the Kenyan population, vaccination of young adults may no longer be cost-effective