Mapping the risk of anaemia in preschool-age children: the contribution of malnutrition, malaria, and helminth infections in West Africa

BACKGROUND Childhood anaemia is considered a severe public health problem in most countries of sub-Saharan Africa. We investigated the geographical distribution of prevalence of anaemia and mean haemoglobin concentration (Hb) in children aged 1-4 y (preschool children) in West Africa. The aim was to estimate the geographical risk profile of anaemia accounting for malnutrition, malaria, and helminth infections, the risk of anaemia attributable to these factors, and the number of anaemia cases in preschool children for 2011. METHODS AND FINDINGS National cross-sectional household-based demographic health surveys were conducted in 7,147 children aged 1-4 y in Burkina Faso, Ghana, and Mali in 2003-2006. Bayesian geostatistical models were developed to predict the geographical distribution of mean Hb and anaemia risk, adjusting for the nutritional status of preschool children, the location of their residence, predicted Plasmodium falciparum parasite rate in the 2- to 10-y age group (Pf PR(2-10)), and predicted prevalence of Schistosoma haematobium and hookworm infections. In the four countries, prevalence of mild, moderate, and severe anaemia was 21%, 66%, and 13% in Burkina Faso; 28%, 65%, and 7% in Ghana, and 26%, 62%, and 12% in Mali. The mean Hb was lowest in Burkina Faso (89 g/l), in males (93 g/l), and for children 1-2 y (88 g/l). In West Africa, severe malnutrition, Pf PR(2-10), and biological synergisms between S. haematobium and hookworm infections were significantly associated with anaemia risk; an estimated 36.8%, 14.9%, 3.7%, 4.2%, and 0.9% of anaemia cases could be averted by treating malnutrition, malaria, S. haematobium infections, hookworm infections, and S. haematobium/hookworm coinfections, respectively. A large spatial cluster of low mean Hb (95%) was predicted for an area shared by Burkina Faso and Mali. We estimate that in 2011, approximately 6.7 million children aged 1-4 y are anaemic in the three study countries. CONCLUSIONS By mapping the distribution of anaemia risk in preschool children adjusted for malnutrition and parasitic infections, we provide a means to identify the geographical limits of anaemia burden and the contribution that malnutrition and parasites make to anaemia. Spatial targeting of ancillary micronutrient supplementation and control of other anaemia causes, such as malaria and helminth infection, can contribute to efficiently reducing the burden of anaemia in preschool children in Africa.Funded by the University of Queensland and National Health and Medical Research Council (NHMRC), Australia

Pseudogap and the specific heat of high TcT_c superconductors

The specific heat of a two dimensional repulsive Hubbard model with local interaction is investigated. We use the two-pole approximation which exhibits explicitly important correlations that are sources of the pseudogap anomaly. The interplay between the specific heat and the pseudogap is the main focus of the present work. Our self consistent numerical results show that above the occupation $n_T\approx 0.85$, the specific heat starts to decrease due to the presence of a pseudogap in the density of states. We have also observed a two peak structure in the specific heat. Such structure is robust with respect to the Coulomb interaction $U$ but it is significantly affected by the occupation $n_T$. A detailed study of the two peak structure is carried out in terms of the renormalized quasi-particle bands. The role of the second nearest neighbor hopping on the specific heat behavior and on the pseudogap, is extensively discussed.Comment: 6 pages, 6 figures, accepted for publication in Solid State Communication

Specific heat of a non-local attractive Hubbard model

The specific heat of an attractive (interaction $G<0$) non-local Hubbard model is investigated. We use a two-pole approximation which leads to a set of correlation functions. In particular, the correlation function $\ $plays an important role as a source of anomalies in the normal state of the model. Our results show that for a giving range of$G$and$\delta$where$\delta=1-n_T$($n_T=n_{\uparrow}+n_{\downarrow}$), the specific heat as a function of the temperature presents a two peak structure. Nevertehelesss, the presence of a pseudogap on the anti-nodal points$(0,\pm\pi)$and$(\pm\pi,0)$ eliminates the two peak structure, the low temperature peak remaining. The effects of the second nearest neighbor hopping on the specific heat are also investigated.Comment: 5 pages, 7 figure