18 research outputs found
Demonstration of Self-Updating Landslide Hazard Maps with Dynamic Crowd-Sourced Data in Rwanda
No abstract availabl
Confirmed Sighting of a Spawning Aggregation of the Brown-marbled Grouper, Epinephelus fuscoguttatus, in Kenya
The occurrence of spawning aggregations at fixed sites and times is well documented for several species of reef fish. These aggregations are known to attract fishers and such species may therefore be vulnerable to overfishing. This is particularly true in the case of groupers which have intrinsically vulnerable life history traits. The brown-marbled grouper, Epinephelus fuscoguttatus, distributed throughout the Indo-Pacific region and classified by IUCN as Near Threatened, is reported to form spawning aggregations but little is known about its spawning behaviour; in the Western Indian Ocean this has only been reported for the Seychelles. This study confirmed spawning aggregation behaviour in E. fuscoguttatus in Kenya based on underwater observations and fishers’ knowledge of the phenomenon. We showed that E. fuscoguttatus forms short aggregations for ~5 days linked to the new moon for a 3-4 month period during the northeast monsoon (austral summer). The numbers of aggregating fish appear to be low, however, and the species is currently not managed in Kenya. Considering the fact that only small areas of the Kenyan coastline are under total protection (8.6% of the country’s coral reefs), these factors suggest that there is an urgent need for additional management of E. fuscoguttatus if it is to survive in Kenya
Phase II trial of standard versus increased transfusion volume in Ugandan children with acute severe anemia.
BACKGROUND: Severe anemia (SA, hemoglobin 6 g/dl: primary outcome) and 28-day survival. RESULTS: Median admission hemoglobin was 4.2 g/dl (IQR 3.1 to 4.9). Initial volume received followed the randomization strategy in 155 (97%) patients. By 24-hours, 70 (90%) children in the Tx30 arm had corrected SA compared to 61 (74%) in the Tx20 arm; cause-specific hazard ratio = 1.54 (95% confidence interval 1.09 to 2.18, P = 0.01). From admission to day 28 there was a greater hemoglobin increase from enrollment in Tx30 (global P <0.0001). Serious adverse events included one non-fatal allergic reaction and one death in the Tx30 arm. There were six deaths in the Tx20 arm (P = 0.12); three deaths were adjudicated as possibly related to transfusion, but none secondary to volume overload. CONCLUSION: A higher initial transfusion volume prescribed at hospital admission was safe and resulted in an accelerated hematological recovery in Ugandan children with SA. Future testing in a large, pragmatic clinical trial to establish the effect on short and longer-term survival is warranted. TRIAL REGISTRATION: ClinicalTrials.Gov identifier: NCT01461590 registered 26 October 2011
Comparative Genomic Analysis of six Glossina Genomes, Vectors of African Trypanosomes
Background: Tsetse flies (Glossina sp.) are the vectors of human and animal trypanosomiasis throughout subSaharan Africa. Tsetse flies are distinguished from other Diptera by unique adaptations, including lactation and the birthing of live young (obligate viviparity), a vertebrate blood-specific diet by both sexes, and obligate bacterial symbiosis. This work describes the comparative analysis of six Glossina genomes representing three sub-genera: Morsitans (G. morsitans morsitans, G. pallidipes, G. austeni), Palpalis (G. palpalis, G. fuscipes), and Fusca (G. brevipalpis) which represent different habitats, host preferences, and vectorial capacity. Results: Genomic analyses validate established evolutionary relationships and sub-genera. Syntenic analysis of Glossina relative to Drosophila melanogaster shows reduced structural conservation across the sex-linked X chromosome. Sex-linked scaffolds show increased rates of female-specific gene expression and lower evolutionary rates relative to autosome associated genes. Tsetse-specific genes are enriched in protease, odorant-binding, and helicase activities. Lactation-associated genes are conserved across all Glossina species while male seminal proteins are rapidly evolving. Olfactory and gustatory genes are reduced across the genus relative to other insects. Visionassociated Rhodopsin genes show conservation of motion detection/tracking functions and variance in the Rhodopsin detecting colors in the blue wavelength ranges. Conclusions: Expanded genomic discoveries reveal the genetics underlying Glossina biology and provide a rich body of knowledge for basic science and disease control. They also provide insight into the evolutionary biology underlying novel adaptations and are relevant to applied aspects of vector control such as trap design and discovery of novel pest and disease control strategies
Genome sequence of the tsetse fly (Glossina morsitans):Vector of African trypanosomiasis
Tsetse flies are the sole vectors of human African trypanosomiasis throughout sub-Saharan Africa.
Both sexes of adult tsetse feed exclusively on blood and contribute to disease transmission. Notable
differences between tsetse and other disease vectors include obligate microbial symbioses, viviparous
reproduction, and lactation. Here, we describe the sequence and annotation of the 366-megabase
Glossina morsitans morsitans genome. Analysis of the genome and the 12,308 predicted
protein-encoding genes led to multiple discoveries, including chromosomal integrations of bacterial
(Wolbachia) genome sequences, a family of lactation-specific proteins, reduced complement of
host pathogen recognition proteins, and reduced olfaction/chemosensory associated genes. These
genome data provide a foundation for research into trypanosomiasis prevention and yield important
insights with broad implications for multiple aspects of tsetse biology.IS
Comparative genomic analysis of six Glossina genomes, vectors of African trypanosomes.
BACKGROUND
Tsetse flies (Glossina sp.) are the vectors of human and animal trypanosomiasis throughout sub-Saharan Africa. Tsetse flies are distinguished from other Diptera by unique adaptations, including lactation and the birthing of live young (obligate viviparity), a vertebrate blood-specific diet by both sexes, and obligate bacterial symbiosis. This work describes the comparative analysis of six Glossina genomes representing three sub-genera: Morsitans (G. morsitans morsitans, G. pallidipes, G. austeni), Palpalis (G. palpalis, G. fuscipes), and Fusca (G. brevipalpis) which represent different habitats, host preferences, and vectorial capacity.
RESULTS
Genomic analyses validate established evolutionary relationships and sub-genera. Syntenic analysis of Glossina relative to Drosophila melanogaster shows reduced structural conservation across the sex-linked X chromosome. Sex-linked scaffolds show increased rates of female-specific gene expression and lower evolutionary rates relative to autosome associated genes. Tsetse-specific genes are enriched in protease, odorant-binding, and helicase activities. Lactation-associated genes are conserved across all Glossina species while male seminal proteins are rapidly evolving. Olfactory and gustatory genes are reduced across the genus relative to other insects. Vision-associated Rhodopsin genes show conservation of motion detection/tracking functions and variance in the Rhodopsin detecting colors in the blue wavelength ranges.
CONCLUSIONS
Expanded genomic discoveries reveal the genetics underlying Glossina biology and provide a rich body of knowledge for basic science and disease control. They also provide insight into the evolutionary biology underlying novel adaptations and are relevant to applied aspects of vector control such as trap design and discovery of novel pest and disease control strategies
Incidence and predictors of hospital readmission in children presenting with severe anaemia in Uganda and Malawi: a secondary analysis of TRACT trial data
Background: Severe anaemia (haemoglobin < 6 g/dL) is a leading cause of recurrent hospitalisation in African children. We investigated predictors of readmission in children hospitalised with severe anaemia in the TRACT trial (ISRCTN84086586) in order to identify potential future interventions.
Methods: Secondary analyses of the trial examined 3894 children from Uganda and Malawi surviving a hospital episode of severe anaemia. Predictors of all-cause readmission within 180 days of discharge were identified using multivariable regression with death as a competing risk. Groups of children with similar characteristics were identified using hierarchical clustering.
Results: Of the 3894 survivors 682 (18%) were readmitted; 403 (10%) had ≥2 re-admissions over 180 days. Three main causes of readmission were identified: severe anaemia (n = 456), malaria (n = 252) and haemoglobinuria/dark urine syndrome (n = 165). Overall, factors increasing risk of readmission included HIV-infection (hazard ratio 2.48
(95% CI 1.63–3.78), p < 0.001); ≥2 hospital admissions in the preceding 12 months (1.44(1.19–1.74), p < 0.001); history of transfusion (1.48(1.13–1.93), p = 0.005); and missing ≥1 trial medication dose (proxy for care quality) (1.43 (1.21–1.69), p < 0.001). Children with uncomplicated severe anaemia (Hb 4-6 g/dL and no severity features),
who never received a transfusion (per trial protocol) during the initial admission had a substantially lower risk of readmission (0.67(0.47–0.96), p = 0.04). Malaria (among children with no prior history of transfusion) (0.60(0.47–0.76), p < 0.001); younger-age (1.07 (1.03–1.10) per 1 year younger, p < 0.001) and known sickle cell disease (0.62(0.46–0.82), p = 0.001) also decreased risk of readmission. For anaemia re-admissions, gross splenomegaly and enlarged spleen increased risk by 1.73(1.23–2.44) and 1.46(1.18–1.82) respectively compared to no splenomegaly.
Clustering identified four groups of children with readmission rates from 14 to 20%. The cluster with the highest readmission rate was characterised by very low haemoglobin (mean 3.6 g/dL). Sickle Cell Disease (SCD) predominated in two clusters associated with chronic repeated admissions or severe, acute presentations in largely undiagnosed SCD. The final cluster had high rates of malaria (78%), severity signs and very low platelet count, consistent with acute severe
malaria.
Conclusions: Younger age, HIV infection and history of previous hospital admissions predicted increased risk of readmission. However, no obvious clinical factors for intervention were identified. As missing medication doses was highly predictive, attention to care related factors may be important.
Trial registration: ISRCTN ISRCTN84086586.
Keywords: Severe anaemia, Readmissio
Using Participatory Methods to Assess Data Poor Migrant Fisheries in Kenya
Spatial information is limited for artisanal fisheries management and almost entirely absent for migrant fishers. Here, we addressed this data gap for East African migrant fishers via participatory mapping methods. We worked with 14 migrant fishing vessels operating from four fish landing sites in Kenya. We monitored individual vessels using GPS tracking to produce fishing ground intensity maps. We then generated fishing preference maps via focus group discussions. The fishing intensity maps provided high-resolution spatial information on fishing activities, whereas the fishing preference maps identified preferred fishing grounds. These two techniques generally showed high agreement. By further integrating these two fisher coproduced maps with supplemental vessel logbook data, it is clear that any spatial management measures would most affect migrant fishers using ringnets, hook and line, and cast nets gear. Our successful application of low-technology participatory mapping techniques to provide geospatial fisheries data have broad application to data poor fisheries worldwide
Quantifying Increased Ground Water Demand from Prolonged Drought in the East African Rift Valley
Millions of people in the arid regions of Kenya and Ethiopia face water scarcity and frequent drought. Water resource forecasting and reliable operation of groundwater distribution systems may improve drought resilience. In this study, we examined three remote sensing data sets against in-situ sensor-collected groundwater extraction data from 221 water points serving over 1.34 million people across northern Kenya and Afar, Ethiopia between January 1, 2017 and August 31, 2018. In models containing rainfall as a binary variable, we observed an overall 23% increase in borehole runtime following weeks with no rainfall compared to weeks preceded by some rainfall. Further, a 1 mm increase in rainfall was associated with a 1% decrease in borehole use the following week. When surface water availability is reduced during the dry seasons, groundwater demand increases. Our findings emphasize the imperative to maintain functionality of groundwater boreholes in these regions which often suffer drought related emergencies
Mapping Climate Vulnerability of River Basin Communities in Tanzania to Inform Resilience Interventions
Increasing climate variability and change coupled with steady population growth is threatening water resources and livelihoods of communities living in the Wami-Ruvu and Rufiji basins in Tanzania. These basins are host to three large urban centers, namely Dar es Salaam, Dodoma and Morogoro, with a combined total of more than 7 million people. Increased demand for ecosystem services from the available surface water resources and a decreasing supply of clean and safe water are exacerbating the vulnerability of communities in these basins. Several studies have analyzed climate projects in the two basins but little attention has been paid to identify locations that have vulnerable communities in a spatially-explicit form. To address this gap, we worked with stakeholders from national and local government agencies, basin water boards and the Water Resources Integration Development Initiative (WARIDI) project funded by USAID to map the vulnerability of communities to climate variability and change in the two basins. A generalized methodology for mapping social vulnerability to climate change was used to integrate biophysical and socioeconomic indicators of exposure, sensitivity and adaptive capacity and produced climate vulnerability index maps. Our analysis identified vulnerability “hotspots” where communities are at a greater risk from climate stressors. The results from this study were used to identify priority sites and adaptation measures for the implementation of resilience building interventions and to train local government agencies and communities on climate change adaptation measures in the two basins