Urban agriculture in Senegal: effect of wastewater on the agronomical performance and hygienic quality of tomato and lettuce

The use of wastewater in urban agriculture has gained a lot of interest in Senegal. The aim of this works was to assess the effect of wastewater on the agronomical performance of two vegetable crops and the hygienic threats as compared to tap water. We also compared the effect of irrigation mode and the addition of fertilizers. Results showed that there were no significant differences between the two irrigation modes. Thesturdiness at 2 months had a positive effect on the number of plant (tomato) at the harvest, the yield and fruit average weight. Considering the following parameters studied (overall yield, corrected yield, number of fruit per treatment and fruit average size, there were significant differences between plants (lettuce) treated with tap water and those treated with wastewater. In a chemical point of view, samples from aspersion and draining watering mode treatments were similar in term of their content in heavy metals. On the lettuce, results showed a low presence of worms on crop watered with wastewater. On the other hand, lettuce watered with theaspersion technique contents much more germs of pathogens than those watered in draining mode. As for tomato, there was a total absence of worms and other pathogenic germs in both irrigation modes. This studysuggests that use of wastewater in horticulture with a moderate fertilization and taking into account soil chemistry could be gainful to urban farmers. The study addresses the issue of preliminary studies on the wastewater and soil quality before deciding on the adequate crop to grow

Tracing natural groundwater recharge to the Thiaroye aquifer of Dakar, Senegal

Urban groundwater in Sub-Saharan Africa provides vital freshwater to rapidly growing cities. In the Thiaroye aquifer of Dakar (Senegal), groundwater within Quaternary unconsolidated sands provided nearly half of the city’s water supply into the 1980s. Rising nitrate concentrations traced to faecal contamination sharply curtailed groundwater withdrawals, which now contribute just 5% to Dakar’s water supply. To understand the attenuation capacity of this urban aquifer under a monsoonal semi-arid climate, stable-isotope ratios of O and H and radioactive tritium (3H), compiled over several studies, are used together with piezometric data to trace the origin of groundwater recharge and groundwater flowpaths. Shallow groundwaters derive predominantly from modern rainfall (tritium >2 TU in 85% of sampled wells). δ18O and δ2H values in groundwater vary by >4 and 20‰, respectively, reflecting substantial variability in evaporative enrichment prior to recharge. These signatures in groundwater regress to a value on the local meteoric water line that is depleted in heavy isotopes relative to the weighted-mean average composition of local rainfall, a bias that suggests recharge derives preferentially from isotopically depleted rainfall observed during the latter part of the monsoon (September). The distribution of tritium in groundwater is consistent with groundwater flowpaths to seasonal lakes and wetlands, defined by piezometric records. Piezometric data further confirm the diffuse nature and seasonality of rain-fed recharge. The conceptual understanding of groundwater recharge and flow provides a context to evaluate attenuation of anthropogenic recharge that is effectively diffuse and constant from the vast network of sanitation facilities that drain to this aquifer

Identifying youth-friendly service practices associated with adolescents’ use of reproductive healthcare services in post-conflict Burundi: a cross-sectional study

BACKGROUND: Very little is known about reproductive health service (RHS) availability and adolescents’ use of these services in post-conflict settings. Such information is crucial for targeted community interventions that aim to improve quality delivery of RHS and outcomes in post-conflict settings. The objectives of this study therefore was to examine the density of RHS availability; assess spatial patterns of RHC facilities; and identify youth-friendly practices associated with adolescents’ use of services in post-conflict Burundi. METHODS: A cross-sectional survey was conducted from a full census of all facilities (n = 892) and provider interviews in Burundi. Surveyed facilities included all public, private, religious and community association owned-centers and hospitals. At each facility efforts were made to interview the officer-in-charge and a group of his/her staff. We applied both geospatial and non-spatial analyses, to examine the density of RHS availability and density, and to explore the association between youth-friendly practices and adolescents’ use of RHS in post-conflict Burundi. RESULTS: High spatial patterning of distances of RHC facilities was observed, with facilities clustered predominantly in districts exhibiting persistent violence. But, use of services remained undeterred. We further found a stronger association between use of RHS and facility and programming characteristics. Community outreach, designated check-in/exam rooms, educational materials (posters, print, and pictures) in waiting rooms, privacy and confidentiality were significantly associated with adolescents’ use of RHS across all facility types. Cost was associated with use only at religious facilities and youth involvement at private facilities. No significant association was found between provider characteristics and use of RHS at any facility. CONCLUSIONS: Our findings indicate the need to improve youth-friendly service practices in the provision of RHS to adolescents in Burundi and suggest that current approaches to provider training may not be adequate for improving these vital practices. Our mixed methods approach and results are generalizable to other countries and post-conflict settings. In post-conflict settings, the methods can be used to identify service availability and spatial patterns of RHC facilities to plan for targeted service interventions, to increase demand and uptake of services by youth and young adults

Assessment of the prozone effect in malaria rapid diagnostic tests

BACKGROUND: The prozone effect (or high doses-hook phenomenon) consists of false-negative or false-low results in immunological tests, due to an excess of either antigens or antibodies. Although frequently cited as a cause of false-negative results in malaria rapid diagnostic tests (RDTs), especially at high parasite densities of Plasmodium falciparum, it has been poorly documented. In this study, a panel of malaria RDTs was challenged with clinical samples with P. falciparum hyperparasitaemia (> 5% infected red blood cells). METHODS: Twenty-two RDT brands were tested with seven samples, both undiluted and upon 10 x, 50 x and 100 x dilutions in NaCl 0.9%. The P. falciparum targets included histidine-rich protein-2 (HRP-2, n = 17) and P. falciparum-specific parasite lactate dehydrogenase (Pf-pLDH, n = 5). Test lines intensities were recorded in the following categories: negative, faint, weak, medium or strong. The prozone effect was defined as an increase in test line intensity of at least one category after dilution, if observed upon duplicate testing and by two readers. RESULTS: Sixteen of the 17 HRP-2 based RDTs were affected by prozone: the prozone effect was observed in at least one RDT sample/brand combination for 16/17 HRP-2 based RDTs in 6/7 samples, but not for any of the Pf-pLDH tests. The HRP-2 line intensities of the undiluted sample/brand combinations with prozone effect (n = 51) included a single negative (1.9%) and 29 faint and weak readings (56.9%). The other target lens (P. vivax-pLDH, pan-specific pLDH and aldolase) did not show a prozone effect. CONCLUSION: This study confirms the prozone effect as a cause of false-negative HRP-2 RDTs in samples with hyperparasitaemia

In Vitro and In Vivo Human Herpesvirus 8 Infection of Placenta

Herpesvirus infection of placenta may be harmful in pregnancy leading to disorders in fetal growth, premature delivery, miscarriage, or major congenital abnormalities. Although a correlation between human herpesvirus 8 (HHV-8) infection and abortion or low birth weight in children has been suggested, and rare cases of in utero or perinatal HHV-8 transmission have been documented, no direct evidence of HHV-8 infection of placenta has yet been reported. The aim of this study was to evaluate the in vitro and in vivo susceptibility of placental cells to HHV-8 infection. Short-term infection assays were performed on placental chorionic villi isolated from term placentae. Qualitative and quantitative HHV-8 detection were performed by PCR and real-time PCR, and HHV-8 proteins were analyzed by immunohistochemistry. Term placenta samples from HHV-8-seropositive women were analyzed for the presence of HHV-8 DNA and antigens. In vitro infected histocultures showed increasing amounts of HHV-8 DNA in tissues and supernatants; cyto- and syncitiotrophoblasts, as well as endothelial cells, expressed latent and lytic viral antigens. Increased apoptotic phenomena were visualized by the terminal deoxynucleotidyl transferase-mediated deoxyuridine nick end-labeling method in infected histocultures. Ex vivo, HHV-8 DNA and a latent viral antigen were detected in placenta samples from HHV-8-seropositive women. These findings demonstrate that HHV-8, like other human herpesviruses, may infect placental cells in vitro and in vivo, thus providing evidence that this phenomenon might influence vertical transmission and pregnancy outcome in HHV-8-infected women

The effect of dose on the antimalarial efficacy of artemether-lumefantrine: a systematic review and pooled analysis of individual patient data

Background: Artemether-lumefantrine is the most widely used artemisinin-based combination therapy for malaria, although treatment failures occur in some regions. We investigated the effect of dosing strategy on efficacy in a pooled analysis from trials done in a wide range of malaria-endemic settings. Methods: We searched PubMed for clinical trials that enrolled and treated patients with artemether-lumefantrine and were published from 1960 to December, 2012. We merged individual patient data from these trials by use of standardised methods. The primary endpoint was the PCR-adjusted risk of Plasmodium falciparum recrudescence by day 28. Secondary endpoints consisted of the PCR-adjusted risk of P falciparum recurrence by day 42, PCR-unadjusted risk of P falciparum recurrence by day 42, early parasite clearance, and gametocyte carriage. Risk factors for PCR-adjusted recrudescence were identified using Cox's regression model with frailty shared across the study sites. Findings: We included 61 studies done between January, 1998, and December, 2012, and included 14 327 patients in our analyses. The PCR-adjusted therapeutic efficacy was 97·6% (95% CI 97·4-97·9) at day 28 and 96·0% (95·6-96·5) at day 42. After controlling for age and parasitaemia, patients prescribed a higher dose of artemether had a lower risk of having parasitaemia on day 1 (adjusted odds ratio [OR] 0·92, 95% CI 0·86-0·99 for every 1 mg/kg increase in daily artemether dose; p=0·024), but not on day 2 (p=0·69) or day 3 (0·087). In Asia, children weighing 10-15 kg who received a total lumefantrine dose less than 60 mg/kg had the lowest PCR-adjusted efficacy (91·7%, 95% CI 86·5-96·9). In Africa, the risk of treatment failure was greatest in malnourished children aged 1-3 years (PCR-adjusted efficacy 94·3%, 95% CI 92·3-96·3). A higher artemether dose was associated with a lower gametocyte presence within 14 days of treatment (adjusted OR 0·92, 95% CI 0·85-0·99; p=0·037 for every 1 mg/kg increase in total artemether dose). Interpretation: The recommended dose of artemether-lumefantrine provides reliable efficacy in most patients with uncomplicated malaria. However, therapeutic efficacy was lowest in young children from Asia and young underweight children from Africa; a higher dose regimen should be assessed in these groups. Funding: Bill and Melinda Gates Foundation

Groundwater recharge estimation using chloride, stable isotopes and tritium profiles in the sands of northwestern Senegal

A study of environmental chloride, deuterium, oxygen-18, and tritium in deep sand profiles (35 m) has been carried out in order to estimate their relative value for measuring average groundwater recharge. The investigation was located at a 0.1-km2 site in Quaternary sands near the northwestern coast of Senegal in a zone of rainfed agriculture. By using a steady-state model for duplicate unsaturated zone chloride profiles, the long-term average recharge at the site was estimated to be 30 mm yr–1 or around 10% of the average precipitation (290 mm). The chloride concentration of adjacent shallow groundwater was relatively uniform and comparable to the unsaturated zone average, while the spatial variability in the depth distribution of Cl– in the unsaturated zone was considerable. Stable isotope (deuterium and oxygen-18) data show that there is some isotopic enrichment due to direct evaporation through the soil surface. The degree of heavy isotope enrichment is proportional to the extent of evaporative loss and there is good correspondance with the chloride enrichment. Nevertheless, stable isotopes cannot be used quantitatively to estimate the recharge. The excellent preservation of the peak in thermonuclear tritium in precipitation in the unsaturated zone at depths between 12 and 20 m enables an estimated annual recharge of 24 mm yr–1 in this area to be calculated, using the piston flow model. Agreement therefore between Cl and3H as tools for recharge measurement is reasonable over the site