Book review: Civil Wars in the Democratic Republic of Congo, 1960-2010

Civil Wars in the Democratic Republic of Congo, 1960-2010 by Emizet Francois Kisangani* 2012, London, Lynne Rienner Publishers, 221 pages. ISBN 978-158826-826-827-

Understanding refugee durable solutions by international players: Does dialogue form a missing link?

This study evaluates durable solutions in relation to refugees from East Africa. It particularly focuses on the Great Lakes countries of Rwanda, Burundi, Democratic Republic of Congo and Uganda. The study is based on the conviction that these four countries have never had peaceful transfer of power which in essence has been a major contributing factor to political violence that has caused forced mass migration in the region to this day. The use of force or military suppression has been a norm since independence of these countries in the early 1960s. This suppression has continuously forced many people to flee their homes facing abuse of their human rights, dictatorship, persecution, indiscriminate arrests, ethnic wars and political violence. Based on a survey used to collect data and in-depth interviews with selected refugees from the Great Lakes region living in Cape Town, South Africa, this paper seeks to understand durable solutions through analysing the current refugee situation. It demonstrates that durable solutions can present both challenges and solutions. It also revisits the concept of durable solutions and seeks to re-evaluate whether these various solutions offer a chance for dialogue. With the aid of a legal perspective on the refugee situation in the region, the paper qualifies the concepts of dialogue as a mechanism for peace building as well as driver for voluntary repatriation.IBS

Book Reviews: Crafting an African security architecture: Addressing regional peace and conflict in the 21st century

Crafting an African security architecture: Addressing regional peace and conflict in the 21st centuryHany Besada ed. 2010The International Political Economy of New Regionalism SeriesFarnham, Surrey, Ashgate 222 pages.ISBN: 978-1-4094-0325-

Contamination of drinking water between source and point-of-use in rural households of South Africa and Zimbabwe: implications for monitoring the Millennium Development Goal for water

Aims: To assess contamination of drinking water in rural Zimbabwe and South AfricaMethods: We conducted a cohort study of 254 children aged 12-24 months in rural South Africa and Zimbabwe. In dry and wet seasons, we measured water quality, using the indicator organism E. coli, at improved and unimproved sources, in household storage and drinking cups. We also recorded hygiene and socio-economic factors for each household.Results: For improved sources, samples with E. coli counts less than 10 cfu/100ml were as follows: at source:165 (88%); in household storage 137 (59%); in drinking cups 91 (49%). The corresponding values for unimproved sources were: source 47 (29%); household storage 32 (19%); drinking cups 21 (18%). This significant deterioration in microbial quality of water from improved sources was seen in both countries and both survey rounds.Conclusion: Although improved sources generally delivered ‘safe’ water at the point-of-supply, 12% of source samples were contaminated and as such were ‘unsafe’. Furthermore, in household storage, more than 40% of samples were ‘unsafe’. For monitoring the Millennium Development Goal for water, UNICEF-WHO are assuming an equivalence between ‘improved’ sources and ‘safe’ water. Our findings suggest that this equivalence may be unsound

Human Papillomavirus Genotypes in Invasive Cervical Carcinoma in HIV-Seropositive and HIV-Seronegative Women in Zimbabwe

BackgroundInvasive cervical carcinoma (ICC) accounts for 23% of all cancer-related deaths in Zimbabwean women. Trials for a national program of genotype-specific human papillomavirus (HPV) vaccines are underway to prevent cervical carcinoma, but the distribution of HPV types among women with ICC according to HIV status is unknown.MethodsTo determine prevalence and distribution of high-risk HPV genotypes by HIV status in women with ICC, we performed a cross-sectional study on women referred for ICC testing at 4 urban referral hospitals in Zimbabwe from June 2014 to December 2015. Cervical biopsies were obtained for histology and HPV genotyping. HIV serology testing was performed. HPV testing was performed using MY09/MY11 polymerase chain reaction followed by typing using dot-blot hybridization.ResultsOf 107 participants with histologically proven ICC, HIV prevalence was 49.5% (53/107). HIV-positive women tended to be younger (median age 44 years) than HIV-negative women (median age 59 years). HPV prevalence was 94% (101/107), ranging from 1 to 5 genotypes per participant. HPV 16 (81.5%), 18 (24%), 33 (13%), 35 (11%), 56 (9%), and 45 (7.4%) were the most prevalent genotypes among HIV-negative participants; HPV 16 (67.9%), 18 (43.4%), 56 (18.9%), 45 (15.1%), 33 (11.3%), and 58 (9.4%) were the most prevalent among HIV-positive participants. Eighty-three percent of women were infected with either HPV-16 or HPV-18.ConclusionsEffective vaccination programs against HPV 16 and HPV 18 could prevent up to 83% of cases of cervical cancer in Zimbabwe. HIV may influence distribution of some HPV genotypes given the significant increase in prevalence of HPV 18 among HIV-positive participants