Ethiopian refugees in the UK: migration, adaptation and settlement experiences and their relevance to health.

Aim: The study explores Ethiopian refugees’ and asylum seekers’ experiences of migration, adaptation and settlement in the UK and their health beliefs and practices. Design: Data was collected using semi-structured depth interviews and a semi-structured questionnaire. The sample consisted of 106 Ethiopians resident in the UK. Results: The majority of the participants fled Ethiopia due to political reasons. Whilst 65% of them had lived in the UK for over five years only 7% had full refugee status. Many of the participants faced difficulties with the immigration system, housing and social services and felt socially isolated. Many also had problems with gaining employment or employment appropriate to their qualifications, and 29% were unemployed. The majority of the participants believe that happiness is a prerequisite to healthiness and also an indication of healthiness. On the other hand the majority believed that sickness is caused by disease and mental illness is caused by both supernatural and psychosocial causes. Most of the participants sought the help of their GP in the first instance of illness although some had experienced difficulties accessing health services due to language problems and poor understanding of the primary health care system. The participants also believed that the stress of adaptation and settlement affected their mental health and led to stress and depression. Conclusion: Migration, adaptation and settlement experiences impact on the health of refugees and are dependent on a number of barriers and enablers, both at a personal and societal level. These should be taken into account in the provision of health and social care services, in particular services should be provided in a culturally competent manner

Food Safety Practice and Associated Factors of Food Handlers Working in Substandard Food Establishments in Gondar Town, Northwest Ethiopia, 2013/14

Introduction: Food borne illnesses comprise a broad spectrum of diseases and are responsible for substantial morbidity and mortality worldwide. The global incidence of food borne disease is difficult to estimate, but it has been reported that 2.1 million people died each year from diarrheal diseases and contaminated food contributes to 1.5 billion cases of diarrhea in children each year, resulting in more than three million premature deaths. In developing countries, up to an estimated 70% of cases of diarrheal diseases are associated with the consumption of contaminated foods. Approximately 10 to 20% of food-borne disease outbreaks are due to contamination by the food handler. Objective: This study was conducted to assess food safety practices and associated factors of food handlers working in substandard food establishments of Gondar town, Northwest Ethiopia, 2013/14. Methods: Institution based cross sectional study design was conducted to assess food safety practices and associated factors of food handlers. Four hundred three food handlers were taken randomly as study subjects and data were collected by observation by using standardized questionnaire and observational check lists. Ordinal logistic regression model was fitted to analyze the predictor variables. Results: The overall level of food safety practices (good – 30.30%, fair- 47.60% and poor – 22.10%) was reported. Of a number of predictor variables analyzed age, marital status, service year, monthly income, food hygiene and safety training, attitude, knowledge and depth of knowledge were identified as factors affecting food safety practices. Conclusion and recommendations: Compared to other similar studies, Low level of food safety practice (good – 30.30%, fair- 47.60% and poor – 22.10%) was reported. Therefore, Environmental health practitioners, the local Medias and the managers should do a lot to improve food safety practices of the food handlers. They should also design and implement food safety awareness creation programs

Radical Scavenging Activity and Preliminary Phytochemical Screening of Pods of Cassia arereh Del. (Fabaceae)

Cassia arereh is traditionally used as a fish poison and to manage different disease conditions including gastrointestinal tract (GIT) disorders, infertility, diabetes, insect bite, and infections. Free radicals have been implicated in the pathogenesis of a range of chronic diseases; and many medicinal plants are thought to be effective in managing such diseases, mainly through their free radicals scavenging ability. The objective of this study was to conduct phytochemical screening and investigate the free radical scavenging activity of various extracts of pods of C. arereh. Petroleum ether, ethanol, and water extracts were prepared from the pods powder and tested for their radical scavenging activity using 1, 1-Diphenyl-2-picrylhydrazyl (DPPH) assay. The pods powder was also subjected to preliminary phytochemical screening. The results revealed that ethanol and water extracts possessed strong DPPH radical scavenging activity with 50% inhibitory concentration (IC50) values of 8.84 and 16.76μg/ml, respectively. Ascorbic acid was used as a standard and exhibited a radical scavenging IC50 value of 2.0μg/ml. Results of preliminary phytochemical screening indicated the possible presence of anthraquinones, carbohydrates, deoxy-sugars, saponins, tannins, and terpenoids. It can be concluded that pods of C. arereh may contain medicinally relevant constituents such as terpenoids and displayed strong radical scavenging activity, which may partly contribute to the possible scientific basis for its traditional use to alleviate different disease conditions.Keywords: Cassia arereh, Phytochemical screening, Radical scavenging, Traditional medicine, Ethiopia

Experimental estimation of one-parameter qubit gates in the presence of phase diffusion

We address estimation of one-parameter qubit gates in the presence of phase diffusion. We evaluate the ultimate quantum limits to precision, seek for optimal probes and measurements, and demonstrate an optimal estimation scheme for polarization qubits. An adaptive method to achieve optimal estimation in any working regime is also analyzed in details and experimentally implemented.Comment: revised version, to appear on PR

Unintended pregnancy among female sex workers in Mekelle city, northern Ethiopia: a cross-sectional study

BACKGROUND: Unintended pregnancy is a significant public health concern in the world. Particularly, female sex workers are exposed to the risk of unintended pregnancy, abortion and their consequences. The aim of this study was, therefore, to assess unintended pregnancy and associated factors among female sex workers in Mekelle city, northern Ethiopia. METHODS: A community based cross-sectional study was conducted among 346 female sex workers from five Kebelles (smallest administrative units in Ethiopia) of Mekelle city from March-April, 2014. Sex workers were selected with simple random sampling technique using sampling frame obtained from urban health extension program. Epi-data version 3.1 was used to enter data and analysis was done using SPSS version 20. Bivariate and multivariate logistic regressions were performed to identify factors associated with unintended pregnancy using odds ratio and 95% confidence interval with P-value of 0.05. RESULTS: The magnitude of unintended pregnancy among female sex workers in the past two years was 28.6%. During this period, 59 women had abortion which represents three-fifths, (59.6%), of those who had unintended pregnancies, and 17.1% of all female sex workers. Female sex workers who gave birth and had history of abortion formerly had 3.1 (AOR = 3.07, 95% CI: [1.54, 6.09]) and 15.6 (AOR = 15.64 95% CI: [8.03, 30.47]) times higher odds of unintended pregnancy compared to their counterparts, respectively. Sex workers who had steady partners had 2.9 (AOR = 2.87, 95% CI: [1.47, 5.61]) times higher odds of have unintended pregnancy than those who hadn't. Drug users had 2.7 (AOR = 2.68, 95% CI: [1.30, 5.52]) times higher odds of unintended pregnancy than those who hadn't use. Sex workers who had 60-96 months of duration in sex work were 67% less likely to have unintended pregnancy than those with <12 months (AOR = 0.33, 95% CI: [0.11, 0.95]). CONCLUSIONS: High level of unintended pregnancy and a range of associated factors were identified among sex workers. Improving utilization of effective pregnancy prevention methods in a consistent manner can avert the existing high level of unintended pregnancy among female sex workers.Rishan Weldegebreal, Yohannes Adama Melaku, Mussie Alemayehu, and Tesfay Gebregzabher Gebrehiwo

Diarrhea prevalence and sociodemographic factors among under-five children in rural areas of North Gondar zone, Northwest Ethiopia

Published 3 June 2018Background. Diarrheal disease remains one of the principal causes of morbidity and mortality in infants and children in developing countries, including Ethiopia. Risk factors for diarrhea vary by settings and have important implications for developing intervention strategies to reduce the burden of the disease. Thus, the aim of this study was to assess diarrhea prevalence and sociodemographic factors among under-five children in rural areas of North Gondar Zone. Methods. A community-based cross-sectional study was conducted from April to June 2016 among 736 randomly selected households with one child under five years old. A structured questionnaire was used for collecting information on sociodemographic characteristics and diarrheal occurrence. Data was analyzed using SPSS version 20. The bivariate and multivariable logistic regression analysis were used to determine the association between risk factors and diarrheal occurrence, and a p value < 0.05 was taken as statistically significant. Results. A total of 736 under-five children and their respondents were enrolled during the study period. Almost all respondents were biological mothers 96.4% (709/736), married 94.2% (693/736), and house wives 86% (632/736). The overall prevalence of diarrheal disease among under-five children was 22.1% (163/743). Of these, children with age group of less than one year old, 7.7 % (57/736), were commonly infected with diarrheal diseases. Children less than or equal to one year [AOR=1.82, 95% CI= (1.39, 4.63)], guardians [AOR=4.37, 95% CI= (1.73, 11.1)], and children with no breast feeding practice [AOR=3.13, 95% CI= (1.62, 6.03)] were the major risk factors for the occurrence of diarrhea. Conclusion. Childhood diarrhea remains an important health concern in the study area. Occurrence of diarrhea was statistically associated with child age less than or equal to one year, educational status of mother/guardians, and breast feeding. To minimize the magnitude childhood diarrhea, various designing and implementing strategies, such as health education, child care, breast feeding, and weaning practice, integrated with the existing national health extension are quite essential.Atalay Getachew, Tadesse Guadu, Alebachew Tadie, Zemichael Gizaw, Mulat Gebrehiwot, Daniel Haile Cherkos, Martha Alemayehu Menberu, and Teklay Gebrecherko

Genetic diversity and effective population sizes of thirteen Indian cattle breeds

Background: The genetic structure of a diverse set of 15 Indian indigenous breeds and non-descript indigenous cattle sampled from eight states was examined, based on 777 k single nucleotide polymorphism (SNP) genotypes obtained on 699 animals, with sample sizes ranging from 17 to 140 animals per breed. To date, this is the largest and most detailed assessment of the genetic diversity of Indian cattle breeds. Results: Admixture analyses revealed that 109 of the indigenous animals analyzed had more than 1% Bos taurus admixture of relatively recent origin. Pure indigenous animals were defined as having more than 99% Bos indicus ancestry. Assessment of the genetic diversity within and between breeds using principal component analyses, F statistics, runs of homozygosity, the genomic relationship matrix, and maximum likelihood clustering based on allele frequencies revealed a low level of genetic diversity among the indigenous breeds compared to that of Bos taurus breeds. Correlations of SNP allele frequencies between breeds indicated that the genetic variation among the Bos indicus breeds was remarkably low. In addition, the variance in allele frequencies represented less than 1.5% between the Indian indigenous breeds compared to about 40% between Bos taurus dairy breeds. Effective population sizes (Ne) increased during a period post-domestication, notably for Ongole cattle, and then declined during the last 100 generations. Although we found that most of the identified runs of homozygosity are short in the Indian indigenous breeds, indicating no recent inbreeding, the high FROH coefficients and low FIS values point towards small population sizes. Nonetheless, the Ne of the Indian indigenous breeds is currently still larger than that of Bos taurus dairy breeds. Conclusions: The changes in the estimates of effective population size are consistent with domestication from a large native population followed by consolidation into breeds with a more limited population size. The surprisingly low genetic diversity among Indian indigenous cattle breeds might be due to their large Ne since their domestication, which started to decline only 100 generations ago, compared to approximately 250 to 500 generations for Bos taurus dairy cattle

Impact of landscape management scenarios on ecosystem service values in Central Ethiopia

This study aimed at modeling scenarios of future land use and land cover (LULC) change and estimating ecosystem service (ES) values for the year 2051 compared to 2021 in Central Ethiopia. The future LULC changes for the year 2051 were simulated for four scenarios, namely Business-as-Usual (BAU), Rapid Agricultural Expansion (RAE), Ecosystems Protection and Agricultural Development (EPAD) and Landscape Ecosystems Restoration and Conservation (LERC). The four LULC change scenarios were simulated based on anticipated assumptions that were derived from existing spatial policies, a consultation workshop report on scenarios of agricultural development in Ethiopia, suitability analysis, population growth analysis and expert knowledge of the study area characteristics. We used a Multi-Layer Perceptron–Artificial Neuron Network (MLP–ANN) model-based projected LULC for the BAU scenario and the Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) model to generate RAE, EPAD and LERC scenarios in the study landscape. The benefit transfer method was used to estimate the total ES values and for trade-off analysis. The result showed that LULC changes in the study area varied across simulated scenarios compared to the base year 2021. Under the BAU and RAE scenarios, cultivated land increased by 146,548 ha (22%) and 193,965 ha (29%), whereas forest, water body, wetland and shrub-bush land were reduced. However, forest cover increased by 31,725 ha and 100,080 ha but bare land was reduced by 8466 ha (21%) and 10,379 ha (25%) under the EPAD and LERC scenarios. The forest cover annual rate of change was 3.2% and 6% under the EPAD and LERC scenarios. As a result, the total ES value increased by USD 24.5 and 78.5 million under the EPAD and LERC scenarios for the year 2051, whereas the total ES value was reduced under the BAU and RAE scenarios by USD 27.1 and 73.2 million. The trade-offs among ecosystem services were significantly synergized under the LERC scenario compared to RAE. Therefore, EPAD and LERC could be used as a reference for sustainable landscape planning and management. Landscape ecosystems restoration integrated with a sustainable agricultural intensification approach would enable us to ensure the sustainability of both agricultural production and ecosystem service synergies without negatively affecting the natural environment

Ecosystem service valuation along landscape transformation in Central Ethiopia

Land degradation and discontinuation of ecosystem services (ES) are a common phe nomenon that causes socio-economic and environmental problems in Ethiopia. However, a dearth of information is known about how ES are changing from the past to the future with regard to land use land cover (LULC) changes. This study aimed at estimating the values of ES based on the past and future LULC changes in central Ethiopia. Maximum likelihood classifier and cellular automata artificial neuron network (CA-ANN) models that integrate the module for land use change evaluation (MOLUSE) were used to classify and predict LULC. The CA-ANN model learning and validation was employed to predict LULC of 2031 and 2051. Following LULC change detection and prediction, the total ES values were estimated using the benefit transfer method. Results revealed that forests, wetlands, grazing lands, shrub-bush-woodlands, and water bodies were reduced by 9755 ha (37%), 4092 ha (38.4%), 21,263 ha (81%), 63,161 ha (25.7%), and 905 ha (1%), respectively, between 1986 and 2021. Similarly, forests, wetlands, grazing lands, shrub-bush lands, and water bodies will experience a decline of 1.5%, 0.5%, 2.6%, 19.6%, and 0.1%, respectively. Meanwhile, cultivated lands, bare-lands, and built-up areas will experience an increase between 1986 and 2051. The estimated total ES values were reduced by US$58.3 and 85.4 million in the period 1986–2021 and 1986–2051. Food production and biological control value increased while 15 other ES decreased throughout the study periods. Proper land use policy with strategic actions, including enforcement laws for natural ecosystems protection, afforestation, ecosystems restoration, and conservation practices, are recommended to be undertaken to enhance multiple ES provision