Elevated Plasma Von Willebrand Factor and Propeptide Levels in Malawian Children with Malaria

In children with malaria plasma VWF and propeptide levels are markedly elevated in both cerebral and mild paediatric malaria, with levels matching disease severity, and these normalize upon recovery. High levels of both markers also occur in retinopathy-negative 'cerebral malaria' cases, many of whom are thought to be suffering from diseases other than malaria, indicating that further studies of these markers will be required to determine their sensitivity and specificity

Malaria prevention in north-eastern Tanzania: patterns of expenditure and determinants of demand at the household level

OBJECTIVE: This study aims to provide a better understanding of the amounts spent on different malaria prevention products and the determinants of these expenditures. METHODS: 1,601 households were interviewed about their expenditure on malaria mosquito nets in the past five years, net re-treatments in the past six months and other expenditures prevention in the past two weeks. Simple random sampling was used to select villages and streets while convenience sampling was used to select households. Expenditure was compared across bed nets, aerosols, coils, indoor spraying, using smoke, drinking herbs and cleaning outside environment. FINDINGS: 68% of households owned at least one bed net and 27% had treated their nets in the past six months. 29% were unable to afford a net. Every fortnight, households spent an average of US $0.18 on nets and their treatment, constituting about 47$0.21). Factors positively related to expenditure were household wealth, years of education of household head, household head being married and rainy season. Poor quality roads and living in a rural area had a negative impact on expenditure. CONCLUSION: Expenditure on bed nets and on alternative malaria prevention products was comparable. Poor households living in rural areas spend significantly less on all forms of malaria prevention compared to their richer counterparts. Breaking the cycle between malaria and poverty is one of the biggest challenges facing malaria control programmes in Africa

Cost of increasing access to artemisinin combination therapy: the Cambodian experience

BACKGROUND: Malaria-endemic countries are switching antimalarial drug policy from cheap ineffective monotherapies to artemisinin combination therapies (ACTs) for the treatment of Plasmodium falciparum malaria and the global community are considering setting up a global subsidy to fund their purchase. However, in order to ensure that ACTs are correctly used and are accessible to the poor and remote communities who need them, specific interventions will be necessary and the additional costs need to be considered. METHODS: This paper presents an incremental cost analysis of some of these interventions in Cambodia, the first country to change national antimalarial drug policy to an ACT of artesunate and mefloquine. These costs include the cost of rapid diagnostic tests (RDTs), the cost of blister-packaging the drugs locally and the costs of increasing access to diagnosis and treatment to remote communities through malaria outreach teams (MOTs) and Village Malaria Workers (VMW). RESULTS: At optimum productive capacity, the cost of blister-packaging cost under $0.20 per package but in reality was significantly more than this because of the low rate of production. The annual fixed cost (exclusive of RDTs and drugs) per capita of the MOT and VMW schemes was$0.44 and $0.69 respectively. However because the VMW scheme achieved a higher rate of coverage than the MOT scheme, the cost per patient treated was substantially lower at$5.14 compared to $12.74 per falciparum malaria patient treated. The annual cost inclusive of the RDTs and drugs was$19.31 for the MOT scheme and $11.28 for the VMW scheme given similar RDT positivity rates of around 22% and good provider compliance to test results. CONCLUSION: In addition to the cost of ACTs themselves, substantial additional investments are required in order to ensure that they reach the targeted population via appropriate delivery systems and to ensure that they are used appropriately. In addition, differences in local conditions, in particular the prevalence of malaria and the pre-existing infrastructure, need to be considered in choosing appropriate diagnostic and delivery strategies

Data from: Habitat attributes associated with short-term settlement of Ozark hellbender (Cryptobranchus alleganiensis bishopi) salamanders following translocation to the wild

1. Organisms associated with lotic systems rank among the most threatened because of global change. Although translocation is being increasingly applied as a conservation strategy, most studies have focused on survival and recruitment of individuals, and few have attempted to identify how habitat attributes influence short-term settlement of animals during the critical post-release period. 2. We demonstrate the application of resource selection modelling in an information theoretic framework to identify release-site characteristics that will increase the likelihood of settlement for a fully aquatic benthic stream salamander, the Ozark hellbender (Cryptobranchus alleganiensis bishopi). We fit discrete choice models using data from 29 radio-tagged hellbenders that were translocated to two sites in the North Fork of the White River (NFWR), Missouri (U.S.A.). We defined resource availability at two spatial scales (stream reach and home range) and quantified abiotic habitat attributes at 3181 salamander locations and 6329 random available locations collected between May 2008 and August 2009. 3. At both sites and spatial scales, a single model received substantially greater support (0.96–1.00 of total model weight) than all other models, and top-ranked models were similar in form and predictive ability. At both spatial scales, selection was positively influenced by the presence of cobble-boulder substratum relative to bedrock and finer substrata. We also noted a negative interactive effect between distance to the nearest substratum particle large enough to provide cover (i.e. at least one axis ≥15 cm in length) and an increase in either a direct or relative (i.e. pool, run, and riffle) measure of water velocity. 4. Collectively, salamanders released in our study selected resources indicative of long-term benthic microhabitat stability. However, despite strong selection of cobble-boulder substratum, 8% (282 of 3181) of captive-reared hellbender locations occurred in bank crevices and root masses. Although several studies have reported the importance of near bed hydraulics in determining occurrence of stream macroinvertebrates, our findings are the first to indicate that spacing among cobble-boulder substrata may be important for hellbenders. 5. To increase the likelihood of short-term settlement of captive-reared hellbenders in the wild, we recommend prioritising release sites where the average distance between cobble-boulder particles within habitat patches is minimised. In general, average spacing among cobble and boulder substrata should be <1 m in habitat patches where mean benthic water velocity exceeds 0.1 m s−1, and <0.5 m where water velocity approaches 0.30 m s−1. Based on home range sizes of captive-reared Ozark hellbenders, the collective extent of suitable cobble-boulder habitat patches within release sites should approximate at least 10 m2 per salamander released

Data from: Habitat attributes associated with short-term settlement of Ozark hellbender (Cryptobranchus alleganiensis bishopi) salamanders following translocation to the wild

No description availabl

Hellbender Data

Hellbender Dat