Effectiveness of a serological tool to predict malaria transmission intensity in an elimination setting.

BACKGROUND: Sri Lanka achieved the WHO certificate as a malaria free country in September 2016, thus monitoring of malaria transmission using sensitive and effective tools is an important need. Use of age-specific antibody prevalence as a serological tool to predict transmission intensity is proven to be a cost effective and reliable method under elimination settings. This paper discusses the correlation of four anti-malarial antibodies against vivax and falciparum malaria with the declining transmission intensities in two previously high malaria endemic districts i.e. Kurunegala and Moneragala of Sri Lanka. METHODS: Sera was collected from 1,186 individuals from the two districts and were subjected to standard ELISA together with control sera from non-immune individuals to obtain Optical Density (OD) values for four anti-malarial antibodies i.e. anti-MSP1 and anti-AMA1 for both Plasmodium vivax and Plasmodium falciparum. The sero-positive samples were determined as mean OD + 3SD of the negative controls. The sero-prevalence was analyzed against the demographic characteristics of the population. A simple reversible catalytic model was fitted into sero-prevalence data to predict the sero-conversion and sero-reversion rates. RESULTS: Over 60% of the population was sero-positive for one or more antibodies except young children (<10 years). The sero-prevalence was zero in young children and very low in young adults when compared to the older age groups. The model developed for falciparum malaria that assumed the presence of a change in transmission was not significant in the Kurunegala district although significant reduction in transmission was observed when the model was used for P. vivax antibody data in that district. In Moneragala district however, all the serological markers indicated a change in transmission that has occurred approximately 15 years ago. CONCLUSIONS: Assessment of MSP1 and AMA1 anti-malarial antibodies of P. vivax and P. falciparum proved to be useful indicators in predicting transmission under elimination settings as prevailed in Sri Lanka. The sero-conversion rates for the two districts studied are shown to be very low or zero indicating the absence of active and/or hidden transmission confirming a "true" state of elimination at least, in the two study districts in Sri Lanka

The Global Burden of Snakebite: A Literature Analysis and Modelling Based on Regional Estimates of Envenoming and Deaths

Janaka de Silva and colleagues estimate that globally at least 421,000 envenomings and 20,000 deaths occur each year due to snakebite

Relating vehicle generated pollutants to urban stormwater quality

Rapid urbanisation and resulting continuous increase in traffic has been recognised as key factors in the contribution of increased pollutant loads to urban stormwater and in turn to receiving waters. Urbanisation primarily increases anthropogenic activities and the percentage of impervious surfaces in urban areas. These processes are collectively responsible for urban stormwater pollution. In this regard, urban traffic and land use related activities have been recognised as the primary pollutant sources. This is primarily due to the generation of a range of key pollutants such as solids, heavy metals and PAHs. Appropriate treatment system design is the most viable approach to mitigate stormwater pollution. However, limited understanding of the pollutant process and transport pathways constrains effective treatment design. This highlights necessity for the detailed understanding of traffic and other land use related pollutants processes and pathways in relation to urban stormwater pollution. This study has created new knowledge in relation to pollutant processes and transport pathways encompassing atmospheric pollutants, atmospheric deposition and build-up on ground surfaces of traffic generated key pollutants. The research study was primarily based on in-depth experimental investigations. This thesis describes the extensive knowledge created relating to the processes of atmospheric pollutant build-up, atmospheric deposition and road surface build-up and establishing their relationships as a chain of processes. The analysis of atmospheric deposition revealed that both traffic and land use related sources contribute total suspended particulate matter (TSP) to the atmosphere. Traffic sources become dominant during weekdays whereas land use related sources become dominant during weekends due to the reduction in traffic sources. The analysis further concluded that atmospheric TSP, polycyclic aromatic hydrocarbons (PAHs) and heavy metals (HMs) concentrations are highly influenced by total average daily heavy duty traffic, traffic congestion and the fraction of commercial and industrial land uses. A set of mathematical equation were developed to predict TSP, PAHs and HMs concentrations in the atmosphere based on the influential traffic and land use related parameters. Dry deposition samples were collected for different antecedent dry days and wet deposition samples were collected immediately after rainfall events. The dry deposition was found to increase with the antecedent dry days and consisted of relatively coarser particles (greater than 1.4 ìm) when compared to wet deposition. The wet deposition showed a strong affinity to rainfall depth, but was not related to the antecedent dry period. It was also found that smaller size particles (less than 1.4 ìm) travel much longer distances from the source and deposit mainly with the wet deposition. Pollutants in wet deposition are less sensitive to the source characteristics compared to dry deposition. Atmospheric deposition of HMs is not directly influenced by land use but rather by proximity to high emission sources such as highways. Therefore, it is important to consider atmospheric deposition as a key pollutant source to urban stormwater in the vicinity of these types of sources. Build-up was analysed for five different particle size fractions, namely, 300 ìm for solids, PAHs and HMs. The outcomes of the study indicated that PAHs and HMs in the 150 ìm size fraction is generated by both traffic and land use related sources. Atmospheric deposition is an important source for HMs build-up on roads, whereas the contribution of PAHs from atmospheric sources is limited. A comprehensive approach was developed to predict traffic and other land use related pollutants in urban stormwater based on traffic and other land use characteristics. This approach primarily included the development of a set of mathematical equations to predict traffic generated pollutants by linking traffic and land use characteristics to stormwater quality through mathematical modelling. The outcomes of this research will contribute to the design of appropriate treatment systems to safeguard urban receiving water quality for future traffic growth scenarios. The „real world. application of knowledge generated was demonstrated through mathematical modelling of solids in urban stormwater, accounting for the variability in traffic and land use characteristics

Influence of traffic and land use on urban stormwater quality: Implications for urban stormwater treatment design (SpringerBriefs in Water Science and Technology - BRIEFSWATER)

Urbanisation is a common phenomenon in most parts of the world as a result of increasing numbers of people moving into urban areas. This results in the increased use of motor vehicles and demand for living areas. The use of motor vehicles and other anthropogenic activities common to urban areas introduce a wide range of pollutants to the urban environment, including toxic species such as heavy metals and polycyclic aromatic hydrocarbons (PAHs). These pollutants are either directly deposited on ground surfaces such as roads or initially accumulate in the atmosphere and subsequently deposited on ground surfaces. When rainfall occurs, the deposited pollutants can be washed off by stormwater runoff and transported to receiving water bodies, undermining the urban water environment. In order to mitigate stormwater pollution, a diversity of treatment devices are employed and their effective design is dependent on an in-depth understanding of pollutant processes and pathways. Additionally, state-of-the-art knowledge is also required for the development of effective stormwater management strategies to minimise the adverse impacts on receiving water bodies due to urbanisation. This book focuses on three important pollutant processes and transport pathways, namely, atmospheric build-up, atmospheric deposition (including dry and wet deposition) and build-up on road surfaces. Heavy metals and PAHs were the primary pollutants investigated in this study. Since traffic and land use are considered as the primary influential factors in pollutant generation, this research study selected a total of 15 study sites with varying traffic and land use characteristics in the Gold Coast, Queensland State, Australia. Three types of samples were collected at the selected study sites. These included atmospheric samples, atmospheric dry and wet deposition samples and road build-up samples. Univariate and multivariate data analysis techniques and mathematical modelling approaches were employed for the investigations undertaken and to create knowledge relating to the relationship between pollutants, traffic and land use, and for defining the linkages between pollutants in the atmospheric and ground phases. It was noted that the concentrations of heavy metals and PAHs in the atmospheric phase are higher during weekdays when compared to weekends due to higher traffic volume on weekdays. Therefore, this could lead to increased human health risk during weekdays. Additionally, Zn was found to be the most abundant heavy metal species in the atmosphere, atmospheric (wet and dry) deposition and road build-up. This suggests that the presence of Zn in road stormwater runoff merits particular attention, compared to other heavy metal species. Light molecular weight PAHs (3–4 rings) showed higher concentrations and spatial variability compared to heavy molecular weight PAH species (5–6 rings) in both, atmospheric phase and road build-up. This is attributed to the volatile nature of light molecular weight PAHs. Heavy duty vehicle traffic volume is the primary source of PAHs and industrial land use tends to produce higher loads of PAHs than commercial and residential land uses. These outcomes demonstrate the important role atmospheric pollutants play in contributing to road stormwater pollution through atmospheric deposition. Furthermore, a modelling approach was developed to estimate the annual loads of traffic-related pollutants in stormwater runoff from a given road site by incorporating a series of replication equations to a widely used computer model tool. Pollutant loads were modelled by assigning co-fraction coefficients of solids. The modelling approach developed can be used not only to estimate solids generation from road sites, but also as a planning tool to identify the enhancements required to improve urban stormwater quality

Sources and transport pathways of common heavy metals to urban road surfaces

Heavy metals that are built-up on urban impervious surfaces such as roads are transported to urban water resources through stormwater runoff. Therefore, it is essential to understand the predominant pathways of heavy metals to the build-up on roads in order to develop suitable pollution mitigation strategies to protect the receiving water environment. The study presented in this paper investigated the sources and transport pathways of manganese, lead, copper, zinc and chromium, which are heavy metals commonly present in urban road build-up. It was found that manganese and lead are contributed to road build-up primarily by direct deposition due to the re-suspension of roadside soil by wind turbulence, while traffic is the predominant source of copper, zinc and chromium to the atmosphere and road build-up. Atmospheric deposition is also the major transport pathway for copper and zinc, and for chromium, direct deposition by traffic sources is the predominant pathway

Heavy metals transport pathways: The importance of atmospheric pollution contributing to stormwater pollution

Pollution has become a serious issue in the urban water environment as stormwater runoff transports a range of pollutants to receiving water bodies, undermining water quality and posing human and ecosystem health risks. Commonly, the primary focus of stormwater quality research is on the role of pollutants directly accumulating at the ground phase. However, atmospheric phase can also exert a significant impact on stormwater quality through atmospheric deposition. Unfortunately, only limited research has focused on the linkage between atmospheric and ground phases in relation to urban stormwater quality. The study discussed in this paper characterised the four primary transport pathways, atmospheric build-up (AB), atmospheric deposition (AD) and road surface build-up (BU) and wash-off (WO) in relation to heavy metals, which is a key urban stormwater pollutant. The research outcomes confirmed the direct linkage between atmospheric phase and ground phase and in turn the significance of atmospheric heavy metals as a contributing source to stormwater runoff pollution. Zn was the most dominant heavy metal in all four pathways. For the AB pathway, atmospheric heavy metal pollution on weekdays is more serious than weekends. For the AD pathway, dry atmospheric deposition of heavy metals is positively correlated to dry days, whilst wet (bulk) deposition is related to rainfall depth. For the BU pathway, heavy-duty vehicle traffic volume was found to be the most important source. For the WO pathway, industrial and commercial areas tend to produce higher heavy metal concentrations in stormwater runoff than residential areas. The study results will contribute to the creation of effective urban stormwater pollution mitigation strategies and thereby enhancing the quality of the urban water environment

Health seeking behavior following snakebites in Sri Lanka: Results of an island wide community based survey.

Sri Lanka has a population of 21 million and about 80,000 snakebites occur annually. However, there are limited data on health seeking behavior following bites. We investigated the effects of snakebite and envenoming on health seeking behavior in Sri Lanka. In a community-based island-wide survey conducted in Sri Lanka 44,136 households were sampled using a multistage cluster sampling method. An individual who reported experiencing a snakebite within the preceding 12 months was considered a case. An interviewer-administered questionnaire was used to obtain details of the bite and health seeking behavior among cases. Among 165,665 individuals surveyed, there were 695 snakebite victims. 682 (98.1%) had sought health care after the bite; 381 (54.8%) sought allopathic treatment and 301 (43.3%) sought traditional treatment. 323 (46.5%) had evidence of probable envenoming, among them 227 (70.3%) sought allopathic treatment, 94 (29.1%) sought traditional treatment and 2 did not seek treatment. There was wide geographic variation in the proportion of seeking allopathic treatment from 90% in the Northern province. Multiple logistic regression analysis showed that seeking allopathic treatment was independently associated with being systemically envenomed (Odds Ratio = 1.99, 95% CI: 1.36-2.90, P < 0.001), distance to the healthcare facility (OR = 1.13 per kilometer, 95% CI: 1.09 to 1.17, P < 0.001), time duration from the bite (OR = 0.49 per day, 95% CI: 0.29-0.74, P = 0.002), and the local incidence of envenoming (OR = 1.31 for each 50 per 100,000, 95% CI: 1.19-1.46, P < 0.001) and snakebite (OR = 0.90 for each 50 per 100,000, 95% CI: 0.85-0.94, P < 0.001) in the relevant geographic area. In Sri Lanka, both allopathic and traditional treatments are sought following snakebite. The presence of probable envenoming was a major contribution to seeking allopathic treatment

Taxonomy of factors which influence heavy metal build-up on urban road surfaces

Heavy metals build-up on urban road surfaces is a complex process and influenced by a diverse range of factors. Although numerous research studies have been conducted in the area of heavy metals build-up, limited research has been undertaken to rank these factors in terms of their influence on the build-up process. This results in limitations in the identification of the most critical factor/s for accurately estimating heavy metal loads and for designing effective stormwater treatment measures. The research study undertook an in-depth analysis of the factors which influence heavy metals build-up based on data generated from a number of different geographical locations around the world. Traffic volume was found to be the highest ranked factor in terms of influencing heavy metals build-up while land use was ranked the second. Proximity to arterial roads, antecedent dry days and road surface roughness has a relatively lower ranking. Furthermore, the study outcomes advances the conceptual understanding of heavy metals build-up based on the finding that with increasing traffic volume, total heavy metal build-up load increases while the variability decreases. The outcomes from this research study are expected to contribute to more accurate estimation of heavy metals build-up loads leading to more effective stormwater treatment design

Characterisation of atmospheric deposited particles during a dust storm in urban areas of Eastern Australia

The characteristics of dust particles deposited during the 2009 dust storm in the Gold Coast and Brisbane regions of Australia are discussed in this paper. The study outcomes provide important knowledge in relation to the potential impacts of dust storm related pollution on ecosystem health in the context that the frequency of dust storms is predicted to increase due to anthropogenic desert surface modifications and climate change impacts. The investigated dust storm contributed a large fraction of fine particles to the environment with an increased amount of total suspended solids, compared to dry deposition under ambient conditions. Although the dust storm passed over forested areas, the organic carbon content in the dust was relatively low. The primary metals present in the dust storm deposition were aluminium, iron and manganese, which are common soil minerals in Australia. The dust storm deposition did not contain significant loads of nickel, cadmium, copper and lead, which are commonly present in the urban environment. Furthermore, the comparison between the ambient and dust storm chromium and zinc loads suggested that these metals were contributed to the dust storm by local anthropogenic sources. The potential ecosystem health impacts of the 2009 dust storm include, increased fine solids deposition on ground surfaces resulting in an enhanced capacity to adsorb toxic pollutants as well as increased aluminium, iron and manganese loads. In contrast, the ecosystem health impacts related to organic carbon and other metals from dust storm atmospheric deposition are not considered to be significant