The Role of Viral Introductions in Sustaining Community-Based HIV Epidemics in Rural Uganda: Evidence from Spatial Clustering, Phylogenetics, and Egocentric Transmission Models

Background:It is often assumed that local sexual networks play a dominant role in HIV spread in sub-Saharan Africa. The aim of this study was to determine the extent to which continued HIV transmission in rural communities-home to two-thirds of the African population-is driven by intra-community sexual networks versus viral introductions from outside of communities.Methods and Findings:We analyzed the spatial dynamics of HIV transmission in rural Rakai District, Uganda, using data from a cohort of 14,594 individuals within 46 communities. We applied spatial clustering statistics, viral phylogenetics, and probabilistic transmission models to quantify the relative contribution of viral introductions into communities versus community- and household-based transmission to HIV incidence. Individuals living in households with HIV-incident (n = 189) or HIV-prevalent (n = 1,597) persons were 3.2 (95% CI: 2.7-3.7) times more likely to be HIV infected themselves compared to the population in general, but spatial clustering outside of households was relatively weak and was confined to distances <500 m. Phylogenetic analyses of gag and env genes suggest that chains of transmission frequently cross community boundaries. A total of 95 phylogenetic clusters were identified, of which 44% (42/95) were two individuals sharing a household. Among the remaining clusters, 72% (38/53) crossed community boundaries. Using the locations of self-reported sexual partners, we estimate that 39% (95% CI: 34%-42%) of new viral transmissions occur within stable household partnerships, and that among those infected by extra-household sexual partners, 62% (95% CI: 55%-70%) are infected by sexual partners from outside their community. These results rely on the representativeness of the sample and the quality of self-reported partnership data and may not reflect HIV transmission patterns outside of Rakai.Conclusions:Our findings suggest that HIV introductions into communities are common and account for a significant proportion of new HIV infections acquired outside of households in rural Uganda, though the extent to which this is true elsewhere in Africa remains unknown. Our results also suggest that HIV prevention efforts should be implemented at spatial scales broader than the community and should target key populations likely responsible for introductions into communities.Please see later in the article for the Editors' Summary

Sources and rates of potassium for sweet orange production

Fruit yield and quality of citrus trees (Citrus spp.) is markedly affected by potassium (K) fertilization. Potassium chloride is the major source of K, even though other sources are also available for agricultural use when crops are sensitive to chloride or where potential for accumulation of salts in soils exists. Only few studies addressed the effect of K sources on yield and quality of citrus fruits. Therefore, the present study was conducted to evaluate K2SO4 and KCl fertilizer sources at 0, 100, 200, and 300 kg ha-1 per year K2O on fruit yield and quality of 'Pêra' and 'Valencia' sweet orange trees in the field. The experiments were carried out in a 4 × 2 factorial design under randomized complete blocks, with four replicates from 2001 to 2004. Fruit yield increased with increased K fertilization. Nutrient rate for maximum economic yield of 'Pêra' was 200 kg ha-1 of K2O and for 'Valencia', 270 kg ha-1 of K2O. Differences were attributed to higher production and K exportation by fruits of 'Valencia'. Fruit mass also increased with increased K fertilization what decreased total soluble solids in juice, and which correlated with leaf K concentrations for 'Valencia' (r = 0.76; p < 0.05). Leaf Ca, Mg and B concentrations decreased with K rates. Additionally, leaf Cl increased up to 440 mg kg-1 with KCl rates, even though no negative effects occurred either on fruit yield or quality of trees