Host choice and multiple blood feeding behaviour of malaria vectors and other anophelines in Mwea rice scheme, Kenya

<p>Abstract</p> <p>Background</p> <p>Studies were conducted between April 2004 and February 2006 to determine the blood-feeding pattern of <it>Anopheles </it>mosquitoes in Mwea Kenya.</p> <p>Methods</p> <p>Samples were collected indoors by pyrethrum spay catch and outdoors by Centers for Disease Control light traps and processed for blood meal analysis by an Enzyme-linked Immunosorbent Assay.</p> <p>Results</p> <p>A total of 3,333 blood-fed <it>Anopheles </it>mosquitoes representing four <it>Anopheles </it>species were collected and 2,796 of the samples were assayed, with <it>Anopheles arabiensis </it>comprising 76.2% (n = 2,542) followed in decreasing order by <it>Anopheles coustani </it>8.9% (n = 297), <it>Anopheles pharoensis </it>8.2% (n = 272) and <it>Anopheles funestus </it>6.7% (n = 222). All mosquito species had a high preference for bovine (range 56.3–71.4%) over human (range 1.1–23.9%) or goat (0.1–2.2%) blood meals. Some individuals from all the four species were found to contain mixed blood meals. The bovine blood index (BBI) for <it>An. arabiensis </it>was significantly higher for populations collected indoors (71.8%), than populations collected outdoors (41.3%), but the human blood index (HBI) did not differ significantly between the two populations. In contrast, BBI for indoor collected <it>An. funestus </it>(51.4%) was significantly lower than for outdoor collected populations (78.0%) and the HBI was significantly higher indoors (28.7%) than outdoors (2.4%). Anthropophily of <it>An. funestus </it>was lowest within the rice scheme, moderate in unplanned rice agro-ecosystem, and highest within the non-irrigated agro-ecosystem. Anthropophily of <it>An. arabiensis </it>was significantly higher in the non-irrigated agro-ecosystem than in the other agro-ecosystems.</p> <p>Conclusion</p> <p>These findings suggest that rice cultivation has an effect on host choice by <it>Anopheles </it>mosquitoes. The study further indicate that zooprophylaxis may be a potential strategy for malaria control, but there is need to assess how domestic animals may influence arboviruses epidemiology before adapting the strategy.</p

Reimagining invasions; the social and cultural impacts of Prosopis on pastoralists in Southern Afar

Abstract Whilst the environmental impacts of biological invasions are clearly conceptualised and there is growing evidence on the economic benefits and costs, the social and cultural dimensions remain poorly understood. This paper presents the perceptions of pastoralist communities in southern Afar, Ethiopian lowlands, on one invasive species, Prosopis juliflora. The socio-cultural impacts are assessed, and the manner in which they interact with other drivers of vulnerability, including political marginalisation, sedentarisation and conflict, is explored. The research studied 10 communities and undertook semi-structured interviews and focus group discussions with pastoralists and agro-pastoralists. These results were supported by interviews with community leaders and key informants. The benefits and costs were analysed using the asset-based framework of the Sustainable Livelihoods Framework and the subject-focused approach of Wellbeing in Development. The results demonstrate that the costs of invasive species are felt across all of the livelihood capital bases (financial, natural, physical, human and social) highlighted within the framework and that the impacts cross multiple assets, such as reducing access through blocking roads. The concept of Wellbeing in Development provides a lens to examine neglected impacts, like conflict, community standing, political marginalisation and cultural impoverishment, and a freedom of definition and vocabulary to allow the participants to define their own epistemologies. The research highlights that impacts spread across assets, transcend objective and subjective classification, but also that impacts interact with other drivers of vulnerability. Pastoralists report deepened and broadened conflict, complicated relationships with the state and increased sedentarisation within invaded areas. The paper demonstrates that biological invasions have complex social and cultural implications beyond the environmental and economic costs which are commonly presented. Through synthesising methodologies and tools which capture local knowledge and perceptions, these implications and relationships are conceptualised

Older adults’ perspectives on HIV/AIDS prevention strategies for rural Kenya

Though prevention of HIV/AIDS is the mainstay of various responses to the epidemic,communication strategies used to motivate behavior change are challenged for lack of cultural appropriateness, hence the lack of success. Participatory communication that is culture-centered and culturally sensitive is emphasized in HIV/AIDS communication to engage affected communities in defining problems and finding appropriate solutions. This paper examines the views of older adults as key targets in HIV/AIDS prevention given the increasing number of elderly living with the disease and their changing role as caregivers of those infected and affected by HIV. As cultural, social, political, and opinion leaders in rural communities, older adults are in a position to influence attitudes and behaviors of their community members, but they have not been involved in the current HIV/AIDS prevention interventions. Several recommendations were made to inform the design and implementation of a culture-specific prevention program for rural Kenya

The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications

Background: The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications. Methods: ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery. Results: The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784. Conclusions: This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance. © 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.Medical Research Council of South Africa gran