A Review of Smishing Attaks Mitigation Strategies

Mobile Smishing crime has continued to escalate globally due to technology enhancements and people's growing dependence on smartphones and other technologies. SMS facilitates the distribution of crucial information that is principally important for non-digital savvy users who are typically underprivileged. Smishing, often known as SMS phishing, entails transmitting deceptive text messages to lure someone into revealing individual information or installing malware. The number of incidences of smishing has increased tremendously as the internet and cellphones have spread to even the most remote regions of the globe

Airborne particulate matter monitoring in Kenya using calibrated low-cost sensors [final revised article]

East African countries face an increasing threat from poor air quality stemming from rapid urbanization, population growth, and a steep rise in fuel use and motorization rates. With few air quality monitoring systems available, this study provides much needed high temporal resolution data to investigate the concentrations of particulate matter (PM) air pollution in Kenya. Calibrated low-cost optical particle counters (OPCs) were deployed in Kenya in three locations: two in the capital Nairobi and one in a rural location in the outskirts of Nanyuki, which is upwind of Nairobi. The two Nairobi sites consist of an urban background site and a roadside site. The instruments were composed of an AlphaSense OPC-N2 ran with a Raspberry Pi low-cost microcomputer, packaged in a weather-proof box. Measurements were conducted over a 2-month period (February–March 2017) with an intensive study period when all measurements were active at all sites lasting 2 weeks. When collocated, the three OPCN2 instruments demonstrated good inter-instrument precision with a coefficient of variance of 8.8 ± 2.0 % in the fine particle fraction (PM2.5). The low-cost sensors had an absolute PM mass concentration calibration using a collocated gravimetric measurement at the urban background site in Nairobi. The mean daily PM1 mass concentration measured at the urban roadside, urban background and rural background sites were 23.9, 16.1 and 8.8 µg m−3 , respectively. The mean daily PM2.5 mass concentration measured at the urban roadside, urban background and rural background sites were 36.6, 24.8 and 13.0 µg m−3, respectively. The mean daily PM10 mass concentration measured at the urban roadside, urban background and rural background sites were 93.7, 53.0 and 19.5 µg m−3, respectively. The urban measurements in Nairobi showed that PM concentrations regularly exceed WHO guidelines in both the PM10 and PM2.5 size ranges. Following a “Lenschow”-type approach we can estimate the urban and roadside increments that are applicable to Nairobi (Lenschow et al., 2001). The median urban increment is 33.1 µg m−3 and the median roadside increment is 43.3 µg m−3 for PM2.5. For PM1, the median urban increment is 4.7 µg m−3 and the median roadside increment is 12.6 µg m−3. These increments highlight the importance of both the urban and roadside increments to urban air pollution in Nairobi. A clear diurnal behaviour in PM mass concentration was observed at both urban sites, which peaks during the morning and evening Nairobi rush hours; this was consistent with the high roadside increment indicating that vehicular traffic is a dominant source of PM in the city, accounting for approximately 48.1 %, 47.5 % and 57.2 % of the total PM loading in the PM10, PM2.5 and PM1 size ranges, respectively. Collocated meteorological measurements at the urban sites were collected, allowing for an understanding of the location of major sources of particulate matter at the two sites. The potential problems of using low-cost sensors for PM measurement without gravimetric calibration available at all sites are discussed. This study shows that calibrated low-cost sensors can be successfully used to measure air pollution in cities like Nairobi. It demonstrates that low-cost sensors could be used to create an affordable and reliable network to monitor air quality in cities

Airborne particulate matter monitoring in Kenya using calibrated low cost sensors [discussion paper]

East African countries face an increasing threat from poor air quality, stemming from rapid urbanisation, population growth and a steep rise in fuel use and motorization rates. With few air quality monitoring systems available, this study provides the much needed high temporal resolution data to investigate the concentrations of particulate matter (PM) air pollution in Kenya. Calibrated low cost optical particle counters (OPCs) were deployed in Kenya in three locations: two in the capital of Nairobi and one in a rural location in the outskirts of Nanyuki, which is upwind of Nairobi. The two Nairobi sites consist of an urban background site and a roadside site. The instruments were composed of an Alphasense OPC-N2 optical particle counter (OPC) ran with a raspberry pi low cost microcomputer, packaged in a weather proof box. Measurements were conducted over a two-month period (February–March 2017) with an intensive study period when all measurements were active at all sites lasting two weeks. When collocated, the three OPC-N2 instruments demonstrated good inter-instrument precision with a coefficient of variance of 8.8±2.0% in the PM2.5 fraction. The low cost sensors had an absolute PM mass concentration calibration using a collocated gravimetric measurement at the urban background site in Nairobi. The mean daily PM1 mass concentration measured at the urban roadside, urban background and rural background sites were 23.9, 16.1, 8.8µgm−3. The mean daily PM2.5 mass concentration measured at the urban roadside, urban background and rural background sites were 36.6, 24.8, 13.0µgm−3. The mean daily PM10 mass concentration measured at the urban roadside, urban background and rural background sites were 93.7, 53.0, 19.5µgm−3. The urban measurements in Nairobi showed that particulate matter concentrations regularly exceed WHO guidelines in both the PM10 and PM2.5 size ranges. Following a Lenschow type approach we can estimate the urban and roadside increments that are applicable to Nairobi. Median urban and roadside increments are 33.1 and 43.3µgm−3 for PM10, respectively, the median urban and roadside increments are 7.1 and 18.3µgm−3 for PM2.5, respectively, and the median urban and roadside increments are 4.7 and 12.6µgm−3 for PM1, respectively. These increments highlight the importance of both the urban and roadside increments to urban air pollution in Nairobi. A clear diurnal behaviour in PM mass concentration was observed at both urban sites, which peaks during the morning and evening Nairobi rush hours; this was consistent with the high measured roadside increment indicating vehicular traffic being a dominant source of particulate matter in the city, accounting for approximately 48.1, 47.5, and 57.2% of the total particulate matter loading in the PM10, PM2.5 and PM1 size ranges, respectively. Collocated meteorological measurements at the urban sites were collected, allowing for an understanding of the location of major sources of particulate matter at the two sites. The potential problems of using low cost sensors for PM measurement without gravimetric calibration available at all sites are discussed. This study shows that calibrated low cost sensors can be used successfully to measure air pollution in cities like Nairobi. It demonstrates that low cost sensors could be used to create an affordable and reliable network to monitor air quality in cities

Analysing the Effect of Cassava Flour as a Mixture on the Physical, Mechanical, and Durability Properties of High-Strength Concrete

The availability, cost, and environmental impact of chemical admixtures are reduced when natural substitute materials are incorporated into the concrete as an admixture. This paper outlines the findings of a study that looked at the physical characteristics of fresh and hardened concrete made with Portland pozzolanic cement CEM II/B-P blended with cassava flour up to 5% by weight of cement. A low water/binder ratio of 0.35 was used together with a carboxylate-based superplasticizing admixture to produce high strength. In fresh-state concrete, the initial and final setting times, soundness, and consistency were found to increase with increased cassava flour content, whereas the compacting factor and slump were observed to decrease. In the hardened state, compressive strengths were determined at 3, 7, 14, 28, 56, and 90 days, while split tensile and flexural strengths were investigated at 28 days. Similarly, dry density and porosity were also investigated at 28 days. Water absorption was also studied as a potential indicator of durability in hardened concrete. Scanning electron microscopy characterization of cassava flour revealed porous particles of irregular shape. On the other hand, X-ray diffraction imaging showed that the primary chemicals in cassava flour are silicon dioxide (50%), calcium oxide (17%), and aluminium oxide (7%). All of the mixes that incorporated cassava flour were stronger than the control mix, with the 3% cassava flour combination producing the best results. Doi: 10.28991/CEJ-2022-08-12-015 Full Text: PD

Assisted partner notification services to augment HIV testing and linkage to care in Kenya: study protocol for a cluster randomized trial

Background: HIV case-finding and linkage to care are critical for control of HIV transmission. In Kenya, >50% of seropositive individuals are unaware of their status. Assisted partner notification is a public health strategy that provides HIV testing to individuals with sexual exposure to HIV and are at risk of infection and disease. This parallel, cluster-randomized controlled trial will evaluate the effectiveness, cost-effectiveness, and feasibility of implementing HIV assisted partner notification services at HIV testing sites (clusters) in Kenya. Methods/design Eighteen sites were selected among health facilities in Kenya with well-established, high-volume HIV testing programs, to reflect diverse communities and health-care settings. Restricted randomization was used to balance site characteristics between study arms (n = 9 per arm). Sixty individuals testing HIV positive (‘index partners’) will be enrolled per site (inclusion criteria: ≥18 years, positive HIV test at a study site, willing to disclose sexual partners, and never enrolled for HIV care; exclusion criteria: pregnancy or high risk of intimate partner violence). Index partners provide names and contact information for all sexual partners in the past 3 years. At intervention sites, study staff immediately contact sexual partners to notify them of exposure, offer HIV testing, and link to care if HIV seropositive. At control sites, passive partner referral is performed according to national guidelines, and assisted partner notification is delayed by 6 weeks. Primary outcomes, assessed 6 weeks after index partner enrollment and analyzed at the cluster level, are the number of partners accepting HIV testing and number of HIV infections diagnosed and linked to care per index partner. Secondary outcomes are the incremental cost-effectiveness of partner notification and the costs of identifying >1 partner per index case. Participants are closely monitored for adverse outcomes, particularly intimate partner violence. The study is unblinded due to practical limitations. Discussion This rigorously designed trial will inform policy decisions regarding implementation of HIV partner notification services in Kenya, with possible application to other parts of sub-Saharan Africa. Examination of effectiveness and cost-effectiveness in diverse settings will enable targeted application and define best practices. Trial registration ClinicalTrials.gov NCT01616420

Understanding the potential impact of different drug properties on SARS-CoV-2 transmission and disease burden : a modelling analysis

Q1Q1Background The unprecedented public health impact of the COVID-19 pandemic has motivated a rapid search for potential therapeutics, with some key successes. However, the potential impact of different treatments, and consequently research and procurement priorities, have not been clear. Methods and Findings develop a mathematical model of SARS-CoV-2 transmission, COVID-19 disease and clinical care to explore the potential public-health impact of a range of different potential therapeutics, under a range of different scenarios varying: i) healthcare capacity, ii) epidemic trajectories; and iii) drug efficacy in the absence of supportive care. In each case, the outcome of interest was the number of COVID-19 deaths averted in scenarios with the therapeutic compared to scenarios without. We find the impact of drugs like dexamethasone (which are delivered to the most critically-ill in hospital and whose therapeutic benefit is expected to depend on the availability of supportive care such as oxygen and mechanical ventilation) is likely to be limited in settings where healthcare capacity is lowest or where uncontrolled epidemics result in hospitals being overwhelmed. As such, it may avert 22% of deaths in highincome countries but only 8% in low-income countries (assuming R=1.35). Therapeutics for different patient populations (those not in hospital, early in the course of infection) and types of benefit (reducing disease severity or infectiousness, preventing hospitalisation) could have much greater benefits, particularly in resource-poor settings facing large epidemics. Conclusions There is a global asymmetry in who is likely to benefit from advances in the treatment of COVID-19 to date, which have been focussed on hospitalised-patients and predicated on an assumption of adequate access to supportive care. Therapeutics that can feasibly be delivered to those earlier in the course of infection that reduce the need for healthcare or reduce infectiousness could have significant impact, and research into their efficacy and means of delivery should be a priorityRevista Internacional - Indexad

Vaccine Protection Against Zika Virus from Brazil

Zika virus (ZIKV) is a flavivirus that is responsible for an unprecedented current epidemic in Brazil and the Americas1,2. ZIKV has been causally associated with fetal microcephaly, intrauterine growth restriction, and other birth defects in both humans3–8 and mice9–11. The rapid development of a safe and effective ZIKV vaccine is a global health priority1,2, but very little is currently known about ZIKV immunology and mechanisms of immune protection. Here we show that a single immunization of a plasmid DNA vaccine or a purified inactivated virus vaccine provides complete protection in susceptible mice against challenge with a ZIKV outbreak strain from northeast Brazil. This ZIKV strain has recently been shown to cross the placenta and to induce fetal microcephaly and other congenital malformations in mice11. We produced DNA vaccines expressing full-length ZIKV pre-membrane and envelope (prM-Env) as well as a series of deletion mutants. The full-length prM-Env DNA vaccine, but not the deletion mutants, afforded complete protection against ZIKV as measured by absence of detectable viremia following challenge, and protective efficacy correlated with Env-specific antibody titers. Adoptive transfer of purified IgG from vaccinated mice conferred passive protection, and CD4 and CD8 T lymphocyte depletion in vaccinated mice did not abrogate protective efficacy. These data demonstrate that protection against ZIKV challenge can be achieved by single-shot subunit and inactivated virus vaccines in mice and that Env-specific antibody titers represent key immunologic correlates of protection. Our findings suggest that the development of a ZIKV vaccine for humans will likely be readily achievable

HIV partner services in Kenya: a cost and budget impact analysis study

Abstract Background The elicitation of contact information, notification and testing of sex partners of HIV infected patients (aPS), is an effective HIV testing strategy in low-income settings but may not necessarily be affordable. We applied WHO guidelines and the International Society for Pharmaco-economics and Outcomes Research (ISPOR) guidelines to conduct cost and budget impact analyses, respectively, of aPS compared to current practice of HIV testing services (HTS) in Kisumu County, Kenya. Methods Using study data and time motion studies, we constructed an Excel-based tool to estimate costs and the budget impact of aPS. Cost data were collected from selected facilities in Kisumu County. We report the annual total and unit costs of HTS, incremental total and unit costs for aPS, and the budget impact of scaling up aPS over a 5-year horizon. We also considered a task-shifted scenario that used community health workers (CHWs) rather than facility based health workers and conducted sensitivity analyses assuming different rates of scale up of aPS. Results The average unit costs for HIV testing among HIV-infected index clients was US$25.36 per client and US$ 17.86 per client using nurses and CHWs, respectively. The average incremental costs for providing enhanced aPS in Kisumu County were US$1,092,161 and US$ 753,547 per year, using nurses and CHWs, respectively. The average incremental cost of scaling up aPS over a five period was 45% higher when using nurses compared to using CHWs (US$5,460,837 and US$ 3,767,738 respectively). Over the five years, the upper-bound budget impact of nurse-model was US$1,767,863, 63$ 1,258,854, which was 71.2% lower than the nurse-based model. The budget impact was sensitive to the level of aPS coverage and ranged from US$28,547 for 30$ 1,267,603 for 80% coverage using nurses in 2018. Conclusion Scaling aPS using nurses has minimal budget impact but not cost-saving over a five-year period. Targeting aPS to newly-diagnosed index cases and task-shifting to community health workers is recommended