Ethnomedicine of the Kagera Region, north western Tanzania. Part 2: The medicinal plants used in Katoro Ward, Bukoba District

\ud The Kagera region of north western Tanzania has a rich culture of traditional medicine use and practices. The dynamic inter-ethnic interactions of different people from the surrounding countries constitute a rich reservoir of herbal based healing practices. This study, the second in an ongoing series, reports on the medicinal plant species used in Katoro ward, Bukoba District, and tries to use the literature to establish proof of the therapeutic claims. Ethnomedical information was collected using semi-structured interviews in Kyamlaile and Kashaba villages of Katoro, and in roadside bushes on the way from Katoro to Bukoba through Kyaka. Data collected included the common/local names of the plants, parts used, the diseases treated, methods of preparation, dosage, frequency and duration of treatments. Information on toxicity and antidote were also collected. Literature was consulted to get corroborative information on similar ethnomedical claims and proven biological activities of the plants. Thirty three (33) plant species for treatment of 13 different disease categories were documented. The most frequently treated diseases were those categorized as specific diseases/conditions (23.8% of all remedies) while eye diseases were the least treated using medicinal plants (1.5% of all remedies). Literature reports support 47% of the claims including proven anti-malarial, anti-microbial and anti-inflammatory activity or similar ethnomedical uses. Leaves were the most frequently used plant part (20 species) followed by roots (13 species) while making of decoctions, pounding, squeezing, making infusions, burning and grinding to powder were the most common methods used to prepare a majority of the therapies. Therapeutic claims made on plants used in traditional medicine in Katoro ward of Bukoba district are well supported by literature, with 47% of the claims having already been reported. This study further enhances the validity of plants used in traditional medicine in this region as resources that can be relied on to provide effective, accessible and affordable basic healthcare to the local communities. The plants documented also have the potential of being used in drug development and on farm domestication initiatives.\u

The decline of Alestes baremose Boulenger, 1901 and Hydrocynus forskahlii (Cuvier, 1819) stocks in Lake Albert: implications for sustainable management of their fisheries

The fish stocks of Lake Albert face immense exploitation pressure which has led to “fishingdown” of their fisheries, with some larger species having been driven to near-extinction, while others such as Citharinus citharus have almost disappeared. Both A. baremose (Angara) and H. forskahlii (Ngassia) historically formed the most important commercial species in Lake Albert until the early 2000s but recent Catch Assessment Surveys (2007-2013) revealed a sweeping decline in their contribution to the commercial catch from 72.7% in 1971 to less than 6% in 2013. The catch per unit effort also registered a two-fold decline from 45.6 and 36.1 kg/boat/day to 22.6 and 18.1 kg/boat/day for A. baremose and H. forskahlii respective between 1971 and 2007. Over 50% of illegal gillnets, below the legal minimum limit of four inches (101.6 mm) used on Lake Albert target the two species. Gillnet experiments found the three inch (76.2 mm) gill net mesh size suitable for sustained harvest of the two species. The study concludes that optimal utilization of the two species and probably other non target fish species is achievable through species specific management strategies, coupling species specific licensing, and controlling harvest of juvenile individuals, overall fishing effort and fish catch on Lake Albert and protecting the vulnerable fish habitats

Population morphological variation of the Nile perch (Lates niloticus, L. 1758), of East African Lakes and their associated waters

In this study an attempt was made to determine whether there are morphological variations associated with the different geographical populations of the Nile perch of East Africa. Analyses of the levels of morphological differentiation based on morphological characterisation and variation were carried out. The study was based on 864 Nile perch sampled from 25 different locations from different Lakes in the region and 10 morphological characters. Also determined were the length – weight relationships and condition factor of sampled Nile perch. The log transformed data of all sampled Nile perch were subjected to multivariate analysis, using ‘PAST’ statistical software. Findings showed that peduncle form and size, of all the variables used in this study, contributed most to the variance. The analysis clustered the Nile perch into two groups, which were found to be as characterised by earlier morphological description of this species and most probably are representatives of two distinct taxa of Nile perch in the East African waters. The LWRs and condition factor conformed to the fish isometric growth formula W = aLb with the value for the pooled data being W = 0.6664L0.3264. The existence of 2 morphs agrees with earlier taxonomists (Harrison, 1991; Ribbink, 1987; Bwathondi, 1985; Holden, 1967) who proposed that Nile perch exists in two populations – a bigger shallow water dwelling morph and a smaller deep open water dwelling morph. This calls for identification and mapping of the 2 populations in the different waters of East Africa that may require application of different management regimes.Keywords: Nile perch, taxa, morphological variation, East Africa

) May (2011) Res

Abstract An identification has been achieved of only 1:1 and 1:2 chelates of hexahydroxystannat

Ways to Improve Uptake of Tier 2 Weight Management Programmes in BAME Communities in Medway: A Qualitative Study

Overweight and obesity is usually determined by Body Mass Index (BMI). Twelve BAME adults participated in the interviews: six were female, ten were first-generation migrants, three were retirees, none lived with a disability, and all were concerned about their excess weight. There were four themes from the data and eight subthemes obtained. To improve the uptake of the weight management service provided in Medway, the participants recommended the use of strategies such as indigenous food labelling, BAME-led clinics, the use of translated leaflets, the recruitment of local weight management champions, better coordination of services, appropriate communication strategies, and further research. This study investigated a small sample of English-speaking participants, which may not represent all people from BAME backgrounds in Medway and across the United Kingdom (UK). This study investigated the perspectives of residents who are overweight or obese, as well as weight management concerns among ethnically diverse adults. It also investigated how to increase the use of weight management services in Medway, England. In Medway, 69.2% of adults are living with overweight or obesity, which is considerably higher than the national average of 62%. Indigenous food labelling, BAME-led clinics, the use of translated leaflets, the recruitment of local weight management champions, better coordination of services, appropriate communication strategies, and further research are essential ingredients that can be used to improve access to and uptake of weight management programmes in BAME communities

) May (2011) Res

Abstract An identification has been achieved of only 1:1 and 1:2 chelates of hexahydroxystannat

Respuesta de plantas in vitro de banano cv. `Grande naine' (Musa AAA) al estrés hídrico inducido con polietilenglicol

Bananas and plantains are grown in tropical and subtropical regions of the world. These plants required high humid conditions; therefore water deficit affects their growth and productivity. Through biotechnology, new drought tolerant genotypes could be obtained. These genotypes can be selected from in vitro culture by adding osmo-stressor agents to the media. The aim of this work was to determine the response of in vitro banana plants cv. `Grande naine' (Musa AAA) to water stress induced by polyethylene glycol. Morphological (height and number of shoots per explant), physiological (total chlorophyll and relative water chlorophyll contents) and biochemical (proline, malondialdehyde and hydrogen peroxide contents) traits of water stress were determined on stressed and unstressed plants. On stressed plants, a decrease in height and number of shoots per explant, and the increase in proline and malondialdehyde contents were observed. However, total chlorophyll, hydrogen peroxide and relative water contents were not affected. These findings showed that polyethylene glycol can be used as osmo-stress inducer for in vitro selection of drought tolerant banana plants.Los plátanos y bananos se cultivan en las regiones tropicales y subtropicales del mundo. Son cultivos que requieren altas condiciones de humedad, por lo que el déficit hídrico afecta su crecimiento y productividad. Mediante técnicas biotecnológicas se podrían obtener nuevos genotipos tolerantes a la sequía. Estos pueden ser seleccionados desde las fases de cultivo in vitro, con el uso de agentes osmo-estresantes incorporados en los medios de cultivo. El objetivo del presente trabajo fue determinar la respuesta de plantas in vitro de banano cv. `Grande naine' (Musa AAA) al estrés hídrico inducido con polietilenglicol. Se determinaron variables morfológicas (altura y número de brotes por planta), fisiológicas (contenido relativo de agua y contenido de clorofilas totales) y bioquímicas (contenido de prolina, malondialdehído y de peróxido de hidrógeno) en plantas sometidas al estrés y control. En las plantas sometidas a estrés se observó una disminución en la altura y el número de brotes, así como un aumento en el contenido de prolina y malondialdehído. El contenido relativo de agua, de clorofilas totales y de peróxido de hidrógeno no se vio afectado por el estrés. Teniendo en cuenta estos resultados, el uso del polietilenglicol 6000 como agente inductor de estrés hídrico, podría permitir la selección de plantas in vitro de banano cv. `Grande naine', tolerantes a la sequía. Palabras clave: malondialdehído,prolina, selección, sequí

The impact of an intervention to introduce malaria rapid diagnostic tests on fever case management in a high transmission setting in Uganda: A mixed-methods cluster-randomized trial (PRIME).

Rapid diagnostic tests for malaria (mRDTs) have been scaled-up widely across Africa. The PRIME study evaluated an intervention aiming to improve fever case management using mRDTs at public health centers in Uganda. A cluster-randomized trial was conducted from 2010-13 in Tororo, a high malaria transmission setting. Twenty public health centers were randomized in a 1:1 ratio to intervention or control. The intervention included training in health center management, fever case management with mRDTs, and patient-centered services; plus provision of mRDTs and artemether-lumefantrine (AL) when stocks ran low. Three rounds of Interviews were conducted with caregivers of children under five years of age as they exited health centers (N = 1400); reference mRDTs were done in children with fever (N = 1336). Health worker perspectives on mRDTs were elicited through semi-structured questionnaires (N = 49) and in-depth interviews (N = 10). The primary outcome was inappropriate treatment of malaria, defined as the proportion of febrile children who were not treated according to guidelines based on the reference mRDT. There was no difference in inappropriate treatment of malaria between the intervention and control arms (24.0% versus 29.7%, adjusted risk ratio 0.81 95\% CI: 0.56, 1.17 p = 0.24). Most children (76.0\%) tested positive by reference mRDT, but many were not prescribed AL (22.5\% intervention versus 25.9\% control, p = 0.53). Inappropriate treatment of children testing negative by reference mRDT with AL was also common (31.3\% invention vs 42.4\% control, p = 0.29). Health workers appreciated mRDTs but felt that integrating testing into practice was challenging given constraints on time and infrastructure. The PRIME intervention did not have the desired impact on inappropriate treatment of malaria for children under five. In this high transmission setting, use of mRDTs did not lead to the reductions in antimalarial prescribing seen elsewhere. Broader investment in health systems, including infrastructure and staffing, will be required to improve fever case management

Elimination of Schistosomiasis Transmission in Zanzibar: Baseline Findings before the Onset of a Randomized Intervention Trial.

Gaining and sustaining control of schistosomiasis and, whenever feasible, achieving local elimination are the year 2020 targets set by the World Health Organization. In Zanzibar, various institutions and stakeholders have joined forces to eliminate urogenital schistosomiasis within 5 years. We report baseline findings before the onset of a randomized intervention trial designed to assess the differential impact of community-based praziquantel administration, snail control, and behavior change interventions. In early 2012, a baseline parasitological survey was conducted in ∼20,000 people from 90 communities in Unguja and Pemba. Risk factors for schistosomiasis were assessed by administering a questionnaire to adults. In selected communities, local knowledge about schistosomiasis transmission and prevention was determined in focus group discussions and in-depths interviews. Intermediate host snails were collected and examined for shedding of cercariae. The baseline Schistosoma haematobium prevalence in school children and adults was 4.3% (range: 0-19.7%) and 2.7% (range: 0-26.5%) in Unguja, and 8.9% (range: 0-31.8%) and 5.5% (range: 0-23.4%) in Pemba, respectively. Heavy infections were detected in 15.1% and 35.6% of the positive school children in Unguja and Pemba, respectively. Males were at higher risk than females (odds ratio (OR): 1.45; 95% confidence interval (CI): 1.03-2.03). Decreasing adult age (OR: 1.04; CI: 1.02-1.06), being born in Pemba (OR: 1.48; CI: 1.02-2.13) or Tanzania (OR: 2.36; CI: 1.16-4.78), and use of freshwater (OR: 2.15; CI: 1.53-3.03) showed higher odds of infection. Community knowledge about schistosomiasis was low. Only few infected Bulinus snails were found. The relatively low S. haematobium prevalence in Zanzibar is a promising starting point for elimination. However, there is a need to improve community knowledge about disease transmission and prevention. Control measures tailored to the local context, placing particular attention to hot-spot areas, high-risk groups, and individuals, will be necessary if elimination is to be achieved

Integration of prevention and control measures for female genital schistosomiasis, HIV and cervical cancer

Female genital schistosomiasis as a result of chronic infection with Schistosoma haematobium (commonly known as bilharzia) continues to be largely ignored by national and global health policy-makers. International attention for large-scale action against the disease focuses on whether it is a risk factor for the transmission of human immunodeficiency virus (HIV). Yet female genital schistosomiasis itself is linked to pain, bleeding and sub- or infertility, leading to social stigma, and is a common issue for women in schistosomiasis-endemic areas in sub-Saharan Africa. The disease should therefore be recognized as another component of a comprehensive health and human rights agenda for women and girls in Africa, alongside HIV and cervical cancer. Each of these three diseases has a targeted and proven preventive intervention: antiretroviral therapy and pre-exposure prophylaxis for HIV; human papilloma virus vaccine for cervical cancer; and praziquantel treatment for female genital schistosomiasis. We discuss how female genital schistosomiasis control can be integrated with HIV and cervical cancer care. Such a programme will be part of a broader framework of sexual and reproductive health and rights, women’s empowerment and social justice in Africa. Integrated approaches that join up multiple public health programmes have the potential to expand or create opportunities to reach more girls and women throughout their life course. We outline a pragmatic operational research agenda that has the potential to optimize joint implementation of a package of measures responding to the specific needs of girls and wome