Application of Electromagnetic and Electrical Resistivity Methods for Borehole Siting in Low-Grade Metavolcanic and Metasedimentary Rocks, Sunyani West, Ghana

This paper employs the electromagnetic (EM) and the electrical resistivity methods for siting boreholes for communities in the Sunyani-West district of Ghana, a terrane comprising a mixture of granites and low-grade metavolcanic and metasedimentary rocks. These communities which depend on groundwater for livelihood have over the past few decades been hit by drastic seasonal irregularities in rainfall, making it imperative to seek an alternative source of potable water (preferably groundwater). Measurements to locate sites for boreholes were made by employing the Geonics EM-34 conductivity meter. In addition, co-located measurements were made with the ABEM SAS 1000C Terrameter in the Schlumberger electrode array configuration. Results of the measurements showed that each community could have at least two borehole sites with a high potential for groundwater extraction. The overburden of selected sites varied for the communities and ranged from 40 to 67 m. However, recommended drilling depths at these sites were 60 m for Adwinsa community, 70 m for Akurakan community and 60 m for Nana Ameyaw community. Test boreholes sunk at respective depths of 45 m, 55 m and 68 m in Adwinsa, Nana Ameyaw and Akurakan had yields of 12 m3/h (200 l/min), 24 m3/h (400 l/min) and 1.14 m3/h (19 l/min) respectively. In all three communities the aquifer was intercepted in phyllite bedrocks. Keywords: aquifer, groundwater potential, borehole, electrical resistivity, vertical electrical sounding, conductivity DOI: 10.7176/JEES/10-10-05 Publication date:October 31st 202

Aflatoxin levels, plasma vitamins A and E concentrations, and their association with HIV and hepatitis B virus infections in Ghanaians: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Micronutrient deficiencies occur commonly in people infected with the human immunodeficiency virus. Since aflatoxin exposure also results in reduced levels of several micronutrients, HIV and aflatoxin may work synergistically to increase micronutrient deficiencies. However, there has been no report on the association between aflatoxin exposure and micronutrient deficiencies in HIV-infected people. We measured aflatoxin B₁albumin (AF-ALB) adduct levels and vitamins A and E concentrations in the plasma of HIV-positive and HIV-negative Ghanaians and examined the association of vitamins A and E with HIV status, aflatoxin levels and hepatitis B virus (HBV) infection.</p> <p>Methods</p> <p>A cross-sectional study was conducted in which participants completed a demographic survey and gave a 20 mL blood sample for analysis of AF-ALB levels, vitamins A and E concentrations, CD4 counts, HIV viral load and HBV infection.</p> <p>Results</p> <p>HIV-infected participants had significantly higher AF-ALB levels (median for HIV-positive and HIV-negative participants was 0.93 and 0.80 pmol/mg albumin, respectively; p <0.01) and significantly lower levels of vitamin A (-16.94 μg/dL; p <0.0001) and vitamin E (-0.22 mg/dL; p <0.001). For the total study group, higher AF-ALB was associated with significantly lower vitamin A (-4.83 μg/dL for every 0.1 pmol/mg increase in AF-ALB). HBV-infected people had significantly lower vitamin A (-5.66 μg/dL; p = 0.01). Vitamins A and E levels were inversely associated with HIV viral load (p = 0.02 for each), and low vitamin E was associated with lower CD4 counts (p = 0.004).</p> <p>Conclusions</p> <p>Our finding of the significant decrease in vitamin A associated with AF-ALB suggests that aflatoxin exposure significantly compromises the micronutrient status of people who are already facing overwhelming health problems, including HIV infection.</p

Enrollment in HIV Care Two Years after HIV Diagnosis in the Kingdom of Swaziland: An Evaluation of a National Program of New Linkage Procedures

To improve early enrollment in HIV care, the Swaziland Ministry of Health implemented new linkage procedures for persons HIV diagnosed during the Soka Uncobe male circumcision campaign (SOKA, 2011–2012) and the Swaziland HIV Incidence Measurement Survey (SHIMS, 2011). Abstraction of clinical records and telephone interviews of a retrospective cohort of HIV-diagnosed SOKA and SHIMS clients were conducted in 2013–2014 to evaluate compliance with new linkage procedures and enrollment in HIV care at 92 facilities throughout Swaziland. Of 1,105 clients evaluated, within 3, 12, and 24 months of diagnosis, an estimated 14.0%, 24.3%, and 37.0% enrolled in HIV care, respectively, after adjusting for lost to follow-up and non-response. Kaplan-Meier functions indicated lower enrollment probability among clients 14–24 (P = 0.0001) and 25–29 (P = 0.001) years of age compared with clients > 35 years of age. At 69 facilities to which clients were referred for HIV care, compliance with new linkage procedures was low: referral forms were located for less than half (46.8%) of the clients, and few (9.6%) were recorded in the appointment register or called either before (0.3%) or after (4.9%) their appointment. Of over one thousand clients newly HIV diagnosed in Swaziland in 2011 and 2012, few received linkage services in accordance with national procedures and most had not enrolled in HIV care two years after their diagnosis. Our findings are a call to action to improve linkage services and early enrollment in HIV care in Swaziland

Trends in Prevalence of Advanced HIV Disease at Antiretroviral Therapy Enrollment - 10 Countries, 2004-2015.

Monitoring prevalence of advanced human immunodeficiency virus (HIV) disease (i.e., CD4+ T-cell count <200 cells/μL) among persons starting antiretroviral therapy (ART) is important to understand ART program outcomes, inform HIV prevention strategy, and forecast need for adjunctive therapies.*,†,§ To assess trends in prevalence of advanced disease at ART initiation in 10 high-burden countries during 2004-2015, records of 694,138 ART enrollees aged ≥15 years from 797 ART facilities were analyzed. Availability of national electronic medical record systems allowed up-to-date evaluation of trends in Haiti (2004-2015), Mozambique (2004-2014), and Namibia (2004-2012), where prevalence of advanced disease at ART initiation declined from 75% to 34% (p<0.001), 73% to 37% (p<0.001), and 80% to 41% (p<0.001), respectively. Significant declines in prevalence of advanced disease during 2004-2011 were observed in Nigeria, Swaziland, Uganda, Vietnam, and Zimbabwe. The encouraging declines in prevalence of advanced disease at ART enrollment are likely due to scale-up of testing and treatment services and ART-eligibility guidelines encouraging earlier ART initiation. However, in 2015, approximately a third of new ART patients still initiated ART with advanced HIV disease. To reduce prevalence of advanced disease at ART initiation, adoption of World Health Organization (WHO)-recommended "treat-all" guidelines and strategies to facilitate earlier HIV testing and treatment are needed to reduce HIV-related mortality and HIV incidence

Screening, prevalence, and risk factors for cervical lesions among HIV positive and HIV negative women in Swaziland

Abstract Background Cervical Cancer (CC) is the number one cancer among women in sub-Saharan Africa. Although CC is preventable, most women in developing countries do not have access to screening. Methods This cross-sectional study was conducted to determine the prevalence and risk factors for cervical lesions using visual inspection with acetic acid (VIA) among 112 HIV positive and 161 negative women aged 18–69 years. Results The presence of cervical lesions was greater among HIV positive (22.9%) than HIV negative women (5.7%; p < 0.0001). In logistic models, the risk of cervical lesions among HIV positive women was 5.24 times higher when adjusted by age (OR 5.24, CI 2.31–11.88), and 4.06 times higher in a full model (OR 4.06, CI 1.61–10.25), than among HIV negative women. In the age-adjusted model women who had ≥2 lifetime sexual partners were 3 times more likely (OR 3.00, CI 1.02–8.85) to have cervical lesions compared to women with one lifetime partner and the odds of cervical lesions among women with a history of STIs were 2.16 greater (OR 2.16, CI 1.04–4.50) than among women with no previous STI. In the fully adjusted model women who had a previous cervical exam were 2.5 times more likely (OR 2.53, CI 1.06–6.05) to have cervical lesions than women who had not. Conclusions The high prevalence of HIV infection and the strong association between HIV and cervical lesions highlight the need for substantial scale-up of cervical screening to decrease the rate of CC in Swaziland

Biomass cookstoves: A review of technical aspects and recent advances

The global increase in population coupled with poor access to clean energy has set pressure on solid fuel use. Through this, about one-third of the world's population currently relies on solid fuels (fuelwood, charcoal, coal, agro-residues, dung, etc.) in meeting their primary energy needs. However, only 11% of this population used improved biomass cookstoves (cookstoves with potential reductions in fuel use and toxic emissions). This is more peculiar to developing countries where cooking accounts for about 90% of domestic energy consumption. With this, research on cookstoves technology has increased in recent years as about 1905 articles have been reportedly published in less than a decade (2014–2022). This paper aims at bringing together literature spanning over a decade with a focus on the technical aspects of biomass cookstoves to establish the recent advances and current state of knowledge. Literature on different biomass cookstoves designs, operational features, and testing protocols have been reviewed. An overview of various cookstove performances was critically discussed with emphasis on thermal and emission performance. Having looked at the literature, pathways for future studies were recommended. This includes the incorporation of social factors such as end users’ perceptions in the design and development phase. This will not just enhance the design process but may influence the cookstove adoption. Others are developing similitudes of the traditional models but in improved forms using locally available materials, as well as models that operate with solid and liquid biofuels

Variabilities in Rainfall Onset, Cessation and Length of Rainy Season for the Various Agro-Ecological Zones of Ghana

This paper examines the onset and cessation dates of the rainy season over Ghana using rain gauge data from the Ghana Meteorological Agency (GMet) over the period of 1970–2012. The onset and cessation dates were determined from cumulative curves using the number of rainy days and rainfall amount. In addition, the inter-annual variability of the onset and cessation dates for each climatic zone was assessed using wavelet analysis. A clear distinction between the rainfall characteristics and the length of the rainy season in the various climatic zones is discussed. The forest and coastal zones in the south had their rainfall onset from the second and third dekads of March. The onset dates of the transition zone were from the second dekad of March to the third dekad of April. Late onset, which starts from the second dekad of April to the first dekad of May, was associated with the savannah zone. The rainfall cessation dates in the forest zone were in the third dekad of October to the first dekad of November, and the length of the rainy season was within 225–240 days. The cessation dates of the coastal zone were within the second and third dekad of October, and the length of rainy season was within 210–220 days. Furthermore, the transition zone had cessation dates in the second to third dekad of October, and the length of the rainy season was within 170–225 days. Lastly, the savannah zone had cessation dates within the third dekad of September to the first dekad of October, and the length of rainy season was within 140–180 days. The bias in the rainfall onset, cessation and length of the rainy season was less than 10 days across the entire country, and the root mean square error (RMSE) was in the range of 5–25 days. These findings demonstrate that the onset derived from the cumulative rainfall amount and the rainy days are in consistent agreement. The wavelet power spectrum and its significant peaks showed evidence of variability in the rainfall onset and cessation dates across the country. The coastal and forest zones showed 2–8- and 2–4-year band variability in the onsets and cessations, whereas the onset and cessation variability of the transition and savannah zones were within 2–4 and 4–8 years. This result has adverse effects on rain-fed agricultural practices, disease control, water resource management, socio-economic activities and food security in Ghana

Variabilities in Rainfall Onset, Cessation and Length of Rainy Season for the Various Agro-Ecological Zones of Ghana

This paper examines the onset and cessation dates of the rainy season over Ghana using rain gauge data from the Ghana Meteorological Agency (GMet) over the period of 1970–2012. The onset and cessation dates were determined from cumulative curves using the number of rainy days and rainfall amount. In addition, the inter-annual variability of the onset and cessation dates for each climatic zone was assessed using wavelet analysis. A clear distinction between the rainfall characteristics and the length of the rainy season in the various climatic zones is discussed. The forest and coastal zones in the south had their rainfall onset from the second and third dekads of March. The onset dates of the transition zone were from the second dekad of March to the third dekad of April. Late onset, which starts from the second dekad of April to the first dekad of May, was associated with the savannah zone. The rainfall cessation dates in the forest zone were in the third dekad of October to the first dekad of November, and the length of the rainy season was within 225–240 days. The cessation dates of the coastal zone were within the second and third dekad of October, and the length of rainy season was within 210–220 days. Furthermore, the transition zone had cessation dates in the second to third dekad of October, and the length of the rainy season was within 170–225 days. Lastly, the savannah zone had cessation dates within the third dekad of September to the first dekad of October, and the length of rainy season was within 140–180 days. The bias in the rainfall onset, cessation and length of the rainy season was less than 10 days across the entire country, and the root mean square error (RMSE) was in the range of 5–25 days. These findings demonstrate that the onset derived from the cumulative rainfall amount and the rainy days are in consistent agreement. The wavelet power spectrum and its significant peaks showed evidence of variability in the rainfall onset and cessation dates across the country. The coastal and forest zones showed 2–8- and 2–4-year band variability in the onsets and cessations, whereas the onset and cessation variability of the transition and savannah zones were within 2–4 and 4–8 years. This result has adverse effects on rain-fed agricultural practices, disease control, water resource management, socio-economic activities and food security in Ghana