Addressing food and nutrition security in South Africa: A review of policy responses since 2002

Since 2002, a range of South African policies have attempted to address the disproportionate burden of food and nutrition insecurity on the population. Yet malnutrition among the poor has worsened. This study reviewed policies to examine their implications for food security and the treatment of malnutrition. Policies enacted between 2002 and 2017 were retrieved from government departments and the data were thematically analysed. A preliminary analysis shows that policy has aided production through input provision and capacity building. Taxation, school nutrition programmes and social grants are some of the food access initiatives, whilst micronutrient supplementation, breastfeeding campaigns and food fortification are policies specifically focused on nutrition. However, despite these interventions, food insecurity has remained due to gaps in and contradictions among policies and the lack of coordination in policy development and implementation, especially across sectors. To improve food and nutrition security, government must better engage with ideas about how to address food and nutrition security systemically, and develop the appropriate coordination mechanisms for a more holistic approach to this challenge

Livestock ownership is associated with higher odds of anaemia among preschool‐aged children, but not women of reproductive age in Ghana

Livestock ownership may influence anaemia through complex and possibly contradictory mechanisms. In this study, we aimed to determine the association of household livestock ownership with anaemia among women aged 15–49 years and children aged 6–59 months in Ghana and to examine the contribution of animal source foods (ASFs) to consumption patterns as a potential mechanism mediating this association. We analysed data on 4,441 women and 2,735 children from the 2014 Ghana Demographic and Health Survey and 16,772 households from the Ghana Living Standards Survey Round 6. Haemoglobin measurements were used to define anaemia (non‐pregnant women: <120 g/L; children: <110 g/L). Child‐ and household‐level ASF consumption data were collected from 24‐hour food group intake and food consumption and expenditure surveys, respectively. In multiple logistic regression models, household livestock ownership was associated with anaemia among children (OR, 95% CI: 1.5 [1.1, 2.0]), but not women (1.0 [0.83, 1.2]). Household ownership of chickens was associated with higher odds of anaemia among children (1.6 [1.2, 2.2]), but ownership of other animal species was not associated with anaemia among women or children. In path analyses, we observed no evidence of mediation of the association of household livestock ownership with child anaemia by ASF consumption. Ownership of livestock likely has limited importance for consumption of ASFs among young children in Ghana and may in fact place children at an increased risk of anaemia. Further research is needed to elucidate if and how pathogen exposure associated with livestock rearing may underlie this increased risk of anaemia.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/144629/1/mcn12604_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/144629/2/mcn12604.pd

Systems thinking creates opportunities for a circular economy and sustainable palm agriculture in Africa

Palm agriculture has received strong criticism in recent years due to its link with deforestation, especially in Asia. Here we propose that there is instead an opportunity for sustainable palm futures in Africa. Applying interdisciplinary systems thinking and circular production models, food and economic security can be achieved sustainably by (i) promoting integrated production of nutritionally valuable insect and fungal protein using palm crop waste; (ii) increasing resilience and productivity of crop palms in the harsh tropical climates of sub-Saharan Africa; and (iii) promoting the development of palm plantations as biodiverse agroforestry ecosystems

Community and individual sense of trust and psychological distress among the urban poor in Accra, Ghana

BACKGROUND: Mental health disorders present significant health challenges in populations in sub Saharan Africa especially in deprived urban poor contexts. Some studies have suggested that in collectivistic societies such as most African societies people can draw on social capital to attenuate the effect of community stressors on their mental health. Global studies suggest the effect of social capital on mental disorders such as psychological distress is mixed, and emerging studies on the psychosocial characteristics of collectivistic societies suggest that mistrust and suspicion sometimes deprive people of the benefit of social capital. In this study, we argue that trust which is often measured as a component of social capital has a more direct effect on reducing community stressors in such deprived communities. METHODS: Data from the Urban Health and Poverty Survey (EDULINK Wave III) survey were used. The survey was conducted in 2013 in three urban poor communities in Accra: Agbogbloshie, James Town and Ussher Town. Psychological distress was measured with a symptomatic wellbeing scale. Participants' perceptions of their neighbours' willingness to trust, protect and assist others was used to measure community sense of trust. Participants' willingness to ask for and receive help from neighbours was used to measure personal sense of trust. Demographic factors were controlled for. The data were analyzed using descriptive and multivariate regressions. RESULTS: The mean level of psychological distress among the residents was 25.5 (SD 5.5). Personal sense of trust was 8.2 (SD 2.0), and that of community sense of trust was 7.5 (SD 2.8). While community level trust was not significant, personal sense of trust significantly reduced psychological distress (B = -.2016728, t = -2.59, p < 0.010). The other factors associated with psychological distress in this model were perceived economic standing, education and locality of residence. CONCLUSION: This study presents evidence that more trusting individuals are significantly less likely to be psychologically distressed within deprived urban communities in Accra. Positive intra and inter individual level variables such as personal level trust and perceived relative economic standing significantly attenuated the effect of psychological distress in communities with high level neighbourhood disorder in Accra

Repurposing an integrated national influenza platform for genomic surveillance of SARS-CoV-2 in Ghana: a molecular epidemiological analysis

Background Genomic surveillance of SARS-CoV-2 is crucial for monitoring the spread of COVID-19 and guiding public health decisions, but the capacity for SARS-CoV-2 testing and sequencing in Africa is low. We integrated SARS-CoV-2 surveillance into an existing influenza surveillance network with the aim of providing insights into SARS-CoV-2 transmission and genomics in Ghana. Methods In this molecular epidemiological analysis, which is part of a wider multifaceted prospective observational study, we collected national SARS-CoV-2 test data from 35 sites across 16 regions in Ghana from Sept 1, 2020, to Nov 30, 2021, via the Ghanaian integrated influenza and SARS-CoV-2 surveillance network. SARS-CoV-2-positive samples collected through this integrated national influenza surveillance network and from international travellers arriving in Accra were sequenced with Oxford Nanopore Technology sequencing and the ARTIC tiled amplicon method. The sequence lineages were typed with pangolin and the phylogenetic analysis was conducted with IQ-Tree2 and TreeTime. Findings During the study period, 5495 samples were submitted for diagnostic testing through the national influenza surveillance network (2121 [46·1%] of 4021 samples with complete demographic data were from female individuals and 2479 [53·9%] of 4021 samples were from male individuals). We also obtained 2289 samples from travellers who arrived in Accra and had a positive lateral flow test, of whom 1626 (71·0%, 95% CI 69·1–72·9) were confirmed to be SARS-CoV-2 positive. Co-circulation of influenza and SARS-CoV-2 in Ghana was detected, with increased cases of influenza in November, 2020, November, 2021, and January and June, 2021. In 4124 samples from individuals with influenza-like illness, SARS-CoV-2 was identified in 583 (14·1%, 95% CI 13·1–15·2) samples and influenza in 356 (8·6%, 7·8–9·5). Conversely, in 476 samples from individuals with of severe acute respiratory illness, SARS-CoV-2 was detected in 58 (12·2%, 9·5–15·5) samples and influenza in 95 (19·9%, 16·5–23·9). We detected four waves of SARS-CoV-2 infections in Ghana; each wave was driven by a different variant: B.1 and B.1.1 were the most prevalent lineages in wave 1, alpha (B.1.1.7) was responsible for wave 2, delta (B.1.617.2) and its sublineages (closely related to delta genomes from India) were responsible for wave 3, and omicron variants were responsible for wave 4. We detected omicron variants among 47 (32%) of 145 samples from travellers during the start of the omicron spread in Ghana (wave 4). Interpretation This study shows the value of repurposing existing influenza surveillance platforms to monitor SARS-CoV-2. Influenza continued to circulate in Ghana in 2020 and 2021, and remained a major cause of severe acute respiratory illness. We detected importations of SARS-CoV-2 variants into Ghana, including those that did or did not lead to onward community transmission. Investment in strengthening national influenza surveillance platforms in low-income and middle-income countries has potential for ongoing monitoring of SARS-CoV-2 and future pandemics. Funding The EDCTP2 programme supported by the EU

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

Self-healing Al₂O₃ ceramics: Selection and testing of novel healing particles

Alumina (Al2O3) is an attractive ceramic for engineering applications operating at elevated or high temperatures because of its good thermal and chemical resistance. It also maintains high strength and hardness at high temperatures. These desirable properties are due to the strong covalent and ionic bonds existing between its atoms.However, these same strong and directional bonds are the origins of its inherent brittleness. Over the last decade, material scientists have adopted self-healing as a means of restoring the load bearing capability of such materials after damage from micro-sized surface cracks. In this methodology, the material is restored to a status comparable to the original one by the ‘healing’ of such surface cracks at high temperatures. Healing is achieved by the addition of ‘healing agents’ to the base ceramic material which upon the occurrence of a crack oxidise into a healing oxide which fills and seals of the crack. There are some gaps in the build-up of the knowledge ladder of self-healing ceramics to an application ready level. This thesis addresses some design questions and tests the capability of newly identified healing particles under laboratory and application conditions.(OLD) MSE-

Self-healing of Al₂O₃ containing Ti microparticles

This work explores the possibility of using embedded micron-sized Ti particles to heal surface cracks in alumina and to unravel the evolution of the crack filling process in case of pure solid-state oxidation reactions. The oxidation kinetics of the Ti particles is studied and the results are applied in a simple model for crack-gap filling. An activation energy of 136 kJ/mol is determined for the oxidation of the Ti particles having an average particle size of 10 µm. The almost fully dense alumina composite containing 10 vol% Ti has an indentation fracture resistance of 4.5 ± 0.5 MPa m1/2. Crack healing in air is studied at 700, 800 and 900 °C for 0.5, 1, and 4 h and the strength recovered is measured by 4-point bending. The optimum healing condition for full strength recovery is 800 °C for 1 h or 900 °C for 15 min. Crack filling is observed to proceed in three steps i.e., local bonding at the site of an intersected Ti particle, lateral spreading of the oxide and global filling of the crack. It is discovered that, although significant strength recovery can be attained by local bonding of the intersected particles, full crack filling is required to prevent crack initiation from the damaged region upon reloading. The experimental results observed are in good agreement with the predictions of a simple discrete crack filling/healing model.(OLD) MSE-1Novel Aerospace Material

The effect of the TiC particle size on the preferred oxidation temperature for self-healing of oxide ceramic matrix materials

The effect of particle size on the oxidation kinetics of TiC powders is studied. Different sizes of TiC powder ranging from nanometre to submillimetre sizes are investigated. The samples are heated at different heating rates from room temperature up to 1200 °C in dry synthetic air. The Kissinger method for analysis of non-isothermal oxidation is used to estimate the activation energy for oxidation of the powders and to identify the active temperature window for efficient self-healing. The master curve plotting method is used to identify the model which best describes the oxidation of TiC powders, and the Senum and Yang method is used to approximate the value for the Arrhenius constant. The oxidation of TiC proceeds via the formation of oxycarbides, anatase and then finally the most stable form: rutile. The activation energy is found to be a strong function of the particle size for particle sizes between 50 nm and 11 µm and becomes constant at larger particle sizes. The data demonstrate how the minimal healing temperature for oxide ceramics containing TiC as healing particles can be tailored between 400 and 1000 °C by selecting the right average TiC particle size.green(OLD) MSE-1Novel Aerospace Material