Occupational risk factors of Low Back Pain among tea pickers and non-tea pickers in James Finlay (K) Ltd, Kericho County, Kenya

Low back pain (LBP) is a major public health problem in the world. It is estimated that 60% of all employees experience LBP at some point in their life during their employment career. It is also the most prevalent musculo-skeletal condition in rural communities in Kenya and it is estimated that 64% of the tea pickers are suffering from LBP in Kenya, of these, 29% had a history of back pain before they started picking tea. The study aimed at determining the prevalence and assessing the occupational risk factors of LBP among tea pickers and non-tea pickers in James Finlay (K) Limited tea estates in Kericho County. Data were collected using structured questionnaires. Bivariate, multivariate analysis and Pearson’s chi square (χ2) test was used to measure the associations. This study was a cross-sectional comparative study that sampled 454 adults (335 tea pickers and 119 non-tea pickers). The prevalence of LBP was found to be 45.4% (125/335) and 39.5% (47/119) among tea pickers and non-tea pickers respectively. The following characteristics were significant at bivariate level including age, parity and duration of work were found to be related to LBP among tea pickers and non-tea pickers (χ2=8.643; P=0.034 and χ2=6.013; p=0.049) respectively. However, the number of hours worked per day was significantly associated with LBP among tea pickers only (χ2=17.192; p=0.000).  Further, the number of kilograms of tea leaves picked and the number of kgs carried per day was also significantly associated with LBP (χ2=16.882; p=0.000 and χ2=15.978; p=0.001) respectively. There was also a significant association of LBP with carrying of heavy load and how one sharpened farm tools among the non tea pickers who reported to have suffered LBP (χ2=13.129; p=0.000 and χ2=4.125; p=0.042) respectively. However, age (p=0.0022; 95% CI -9.4-7); absenteeism from work (P=0.010; 95% CI 2.7-19.5), work duration per day (P=0.000; 95% CI 23.1-38.5), type of occupation (P=0.000; 95% CI 62.2-79.3) and the no. of Kgs (P=0.011; 95% CI -17.8-2.3) carried were found to contribute independently to LBP among tea pickers whereas absenteeism from work (P=0.000; 95% CI 11.9-29.1), work duration per day (P=0.000; 95% CI 69.8-86.8), alcohol uptake (P=0.008; 95% CI 3.2-20.7), heavy load carried (P=0.018; 95% CI 1.8-18.2) and work duration (P=0.002; 95% CI -14.3-3.2) among non-tea pickers were also found to contribute independently to LBP. The prevalence of LBP was found to be high among both tea and non-tea pickers. We recommend that there is need to consider reviewing tea picking policies for instance introduction of tea picking devices in order to alleviate occupational health hazards associated with tea picking. Key words: Low Back Pain, tea pickers, non-tea pickers.

Larvicidal effect of Mundulea sericea (Leguminosaea) plant extract against Aedes aegypti (L.) (Diptera: Culicidae)

IntroductionThe medical importance of mosquitoes as vectors forthe transmission of serious diseases that causemorbidity, mortality, economic loss, and socialdisruption such as malaria, lymphatic filariasis, andviral diseases is well recorded (Becker et al, 2003).Aedes aegypti, the main carrier for viruses that causedengue and dengue hemorrhagic and yellow fevers, isfound majorly in the tropics and subtropics. There is noeffective vaccine against dengue, and thus the only wayof significantly lowering the incidence of this disease isthrough mosquito control (Malavige et al, 2004).Chemical measures were first tried, but they failed sincetheir overuse led to disruption of natural biologicalcontrol systems and outbreak of new insect species. Inaddition, use of insecticides led to the development ofmosquito resistance, environmental pollution, andundesirable effect on non-target organisms (Brown,1986). In a bid to resolve these problems, interest ininsecticides of natural origin, specifically plant-derivedproducts has recently received close attention.Several studies have emphasized the importance ofresearch and development of herbal substances forcontrolling mosquitoes (Shaala et al, 2005). Theirresults may vary, but natural plant products may be apossible alternative to synthetic substances, as they areeffective and compatible with human and animal lifeand the environment (Chaithong et al, 2006).The genus Mundulea consists of about 15 species,widespread throughout Africa, Madagascar, Mauritius,India, Sri Lanka and Papua New Guinea. Only a singlespecies, Mundulea sericea, is found in Southern Africa.This species occurs in South Africa, Botswana, Namibiaand Angola, north to tropical Africa, and east toMadagascar, India, Sri Lanka and Papua New Guinea(Watt and Breyer-Brandwick, 1962).Mundulea sericea is one of the commonest fish poisonswhere both bark and seeds are used (Neuwinger, 2004).In addition, the Chinese used M. sericea to controltobacco budworm Heliothis virescens (Lepidopteriae:Noctuidae) (Yoshida and Toscano, 1994).The toxic principal of the plant is rotenone, anisoflavonoid (Vedcourt and Trump, 1969). Therotenoids deguelin and tephrosin are the potent activeprinciples which have been isolated from extracts of M.sericea (Luyengi et al, 1994). Deguelin is a natural plantderivedrotenoid, most commonly used as an insecticidein Africa and South America (Udeani et al, 1997).Rotenoids from the bark of M. sericea have beencommercially used as insecticide. These chemicalcompounds in the bark, leaves and seed are the activecompounds responsible for the fish poison. It isreported that the strength varies geographically (Wattand Breyer-Brandwick, 1962).The current study involved extraction and evaluation ofroot bark and seedpod of M. sericea for larvicidalactivities on Aedes aegypt

Plant Power:Opportunities and challenges for meeting sustainable energy needs from the plant and fungal kingdoms

Societal Impact Statement Bioenergy is a major component of the global transition to renewable energy technologies. The plant and fungal kingdoms offer great potential but remain mostly untapped. Their increased use could contribute to the renewable energy transition and addressing the United Nations Sustainable Development Goal 7 “Ensure access to affordable, reliable, sustainable and modern energy for all.” Current research focuses on species cultivated at scale in temperate regions, overlooking the wealth of potential new sources of small‐scale energy where they are most urgently needed. A shift towards diversified, accessible bioenergy technologies will help to mitigate and adapt to the threats of climate change, decrease energy poverty, improve human health by reducing indoor pollution, increase energy resilience of communities, and decrease greenhouse gas emissions from fossil fuels. Summary Bioenergy derived from plants and fungi is a major component of the global transition to renewable energy technologies. There is rich untapped diversity in the plant and fungal kingdoms that offers potential to contribute to the shift away from fossil fuels and to address the United Nations Sustainable Development Goal 7 (SDG7) “Ensure access to affordable, reliable, sustainable and modern energy for all.” Energy poverty—the lack of access to modern energy services—is most acute in the Global South where biodiversity is greatest and least investigated. Our systematic review of the literature over the last 5 years (2015–2020) indicates that research efforts have targeted a very small number of plant species cultivated at scale, mostly in temperate regions. The wealth of potential new sources of bioenergy in biodiverse regions, where the implementation of SDG7 is most urgently needed, has been largely overlooked. We recommend next steps for bioenergy stakeholders—research, industry, and government—to seize opportunities for innovation to alleviate energy poverty while protecting biodiversity. Small‐scale energy production using native plant species in bioenergy landscapes overcomes many pitfalls associated with bioenergy crop monocultures, such as biodiversity loss and conflict with food production. Targeted trait‐based screening of plant species and biological screening of fungi are required to characterize the potential of this resource. The benefits of diversified, accessible bioenergy go beyond the immediate urgency of energy poverty as more diverse agricultural landscapes are more resilient, store more carbon, and could also reduce the drivers of the climate and environmental emergencies

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

α-Amylase and α-glucosidase inhibitors from Zanthoxylum chalybeum Engl. root bark

A systematic analysis of the root bark of Zanthoxylum chalybeum was conducted to establish the antidiabetic potential of isolated compounds based on its ethnomedicinal use to manage diabetes. Chromatographic separation of alkaloid extracts led to isolation of three undescribed amides, chaylbemide A (1), chalybemide B (2) and chalybemide C (3) alongside the known fagaramide (4); four known benzophenanthridine alkaloids skimmianine (5), norchelerythrine (6), 6-acetonyldihydrochelerythrine (7) and 6-hydroxy-N-methyl decarine (8). The alkaloid free extracts yielded three known lignans, ailanthoidol (9), 2,3-epoxy-6,7-methylenedioxy coniferyl alcohol (10), sesamine (11), together with five known triterpenoids, lupeol (12), lupanone (13), 3α,20-dihydroxy-28-lupanoic acid (14), 20-hydroxy-3-oxo-28-lupanoic acid (15) and 3α,20,28-trihydroxylupane (16). The structures of the compounds were established based on 1D and 2D NMR spectroscopic and mass spectrometric experiments. Compounds 1–8 displayed inhibitory activities against both α-amylase and α-glycosidase in the range of IC50 = 43.22–49.36 μM which showed no significant (P > 0.05) difference to the positive control acarbose (IC50 = 42.67; 44.88 μM). The results confirmed anti-hyperglycemic potential of alkaloids from Z. chalybeum which lends credence to its use towards management of diabetes susceptibilities