Addressing gaps in AMR awareness in the public: an evidence-based policy brief to guide school curriculum review in Uganda

The government of Uganda, through its Ministry of Health, previously adopted curriculum review as a mechanism to respond to public health threats such as HIV/AIDS and include content in primary and secondary schools. This approach contributes to raising public awareness, a key strategy recommended by the World Health Organization to support the global response to the threat of antimicrobial resistance (AMR). This policy brief, developed for policymakers related to school curricula, aims to advocate for and support integration of AMR content in Uganda's primary and secondary level school curricula. The policy brief supports efforts by the multisectoral National AMR Subcommittee to create awareness on this issue as part of its role in facilitating the operationalization of Uganda's National Action Plan on AMR

Vaccines to combat river blindness: expression, selection and formulation of vaccines against infection with Onchocerca volvulus in a mouse model.

Human onchocerciasis is a neglected tropical disease caused by Onchocerca volvulus and an important cause of blindness and chronic disability in the developing world. Although mass drug administration of ivermectin has had a profound effect on control of the disease, additional tools are critically needed including the need for a vaccine against onchocerciasis. The objectives of the present study were to: (i) select antigens with known vaccine pedigrees as components of a vaccine; (ii) produce the selected vaccine antigens under controlled conditions, using two expression systems and in one laboratory and (iii) evaluate their vaccine efficacy using a single immunisation protocol in mice. In addition, we tested the hypothesis that joining protective antigens as a fusion protein or in combination, into a multivalent vaccine, would improve the ability of the vaccine to induce protective immunity. Out of eight vaccine candidates tested in this study, Ov-103, Ov-RAL-2 and Ov-CPI-2M were shown to reproducibly induce protective immunity when administered individually, as fusion proteins or in combination. Although there was no increase in the level of protective immunity induced by combining the antigens into one vaccine, these antigens remain strong candidates for inclusion in a vaccine to control onchocerciasis in humans

Treatment outcome of the implementation of HIV test and treat policy at The AIDs Support Organization (TASO) Tororo clinic, Eastern Uganda: A retrospective cohort study.

BackgroundUganda has been making progress towards universal HIV test and treat since 2013 and the 2016 test and treat policy was expanded from the 2013 guidelines. The expanded policy was rolled out in 2017 across the country. The treatment outcomes of this new policy have not yet been assessed at program level. The objective of this study was to determine the treatment outcome of the HIV test and treat policy in TASO Tororo Clinic, Eastern Uganda.MethodologyThis was a retrospective cohort study using secondary data. The study involved 580 clients who were newly diagnosed HIV positive in TASO Tororo clinic between June 2017 and May 2018, who were then followed up for ART initiation, retention in care, viral load monitoring and viral load suppression. The data was analyzed using Stat 14.0 version statistical software application.ResultsOf the 580 clients, 93.1%(540) were adults aged ≥20 years. The uptake of test and treat was at 92.4%(536) and 12 months retention was at 78.7% (422). The factors associated with retention in care were a) being counselled before ART initiation, AOR 2.41 (95%CI, 1.56-3.71), b) having a treatment supporter, AOR 1.57 (95%CI, 1.02-2.43) and having an opportunistic infection, AOR 2.99 (95%CI:1.21-7.41). The viral load coverage was 52.4% (221) and viral load suppression rate was 89.1% (197) of clients monitored. Age ConclusionThis study found high uptake of ART under test and treat policy, with very low viral load coverage, and a high viral load suppression rate among those monitored. The study therefore highlights a need to differentiate viral load testing based on the population needs and ensure each client testing positive receives pre-ART initiation counselling so as to improve retention in care

Ectoparasite Fauna of Rodents and Shrews with Their Spatial, Temporal, and Dispersal along a Degradation Gradient in Mabira Central Forest Reserve

Ectoparasites like fleas, mites, and ticks that are key carriers of harmful pathogens such as viruses, bacteria, cestodes, and nematodes live on rodents and shrews. It should be noted that rodents’ ecological adaptability makes them suitable as parasite hosts. The main objective of the study was to determine the ectoparasite assemblages in rodents and shrews along a degradation gradient, while comparing infestation levels in different habitats with varying levels of degradation. The study was conducted in Mabira Central Forest Reserve. Ectoparasites were collected following rodent and shrew removal trapping which was done using Sherman’s traps set along transects of 200 meters in three habitat strata that included adjacent forest habitats, degraded forest edge, and regenerating forest interior. Data was collected intermittently with a break every two months for one year from November 2018 to December 2019. A total of 1411 rodents and shrews were collected, yielding a total of 5692 ectoparasites from 22 host species (17 rodents and 5 shrews). The most prevalent group of ectoparasites was mites followed by fleas, lice, ticks, and earwig. Ectoparasite prevalence significantly differed depending on hosts species (P=0.001) and host age (P=0.022), but not host sex (P=0.78), while mean infestation significantly varied basing on host species (P=0.001), host sex (P=0.001), season (P=0.001), and habitat (P=0.001). Prevalence (P=0.001) and mean infestation (P=0.001) significantly varied across studied habitats. The study has emphasized the significance of Praomys jacksoni and Hylomyscus stella as significant hosts for mites and S. congicus as a significant host for fleas. Additionally, environment and host characteristics have a bearing on prevalence and infestation of ectoparasites with habitat degradation playing a significant role in the occurrence of ectoparasites, thereby emphasizing its contribution to zoonotic outbreaks