MICROORGANISMS ASSOCIATED WITH THE PALMS OF FAST-FOOD HANDLERS IN ABEOKUTA, NIGERIA

The palms of 87 food vendors in Abeokuta metropolis were sampled for the presence and types of         microorganisms. The food handlers were grouped into six categories based on the type of vending         sites: hawkers (15), roadside (13), open air (15), closed / roofed (21), restaurants (12) and hotels ven-         dors (11). Only 43.7% of the 87 vendors sampled had undergone the annual medical check up while         56.3% had never done the check up. None of the hawkers sampled had ever done the medical check         up while all the hotel food handlers had the health certificate indicating that they have done the routine         medical   check   up.   Bacteria   isolated   from   the   hands   of   the   food   handlers   included  Staphylococcus         aureus, S. epidermidis, Alcaligenes spp. Bacillus subtilis, Listeria spp. Enterobacter sp, Escherichia         coli, Klebsiella aerogenes, Proteus vulgaris and  Vibrio cholerae. The fungi were Rhizopus sp. Asper-         gillus   niger  and  Sachharomyces   cerevisiae.  This   work   suggests   that   food   handlers   were   possible         sources of microorganisms implicated in food poisoning and food spoilage. Proper policing of vendors        to ensure that they undergo the annual physical and medical examinations and proper education of        food handlers on personal hygiene is recommended.&nbsp

Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey.

BACKGROUND:In African countries, including Angola, antenatal care (ANC) coverage is suboptimal and maternal mortality is still high due to pregnancy and childbirth-related complications. There is evidence of disparities in the uptake of ANC services, however, little is known about both the socio-economic and geographic-based disparity in the use of ANC services in Angola. The aim of this study was to assess the extent of socio-economic, urban-rural and subnational inequality in ANC coverage in Angola. METHODS:We analyzed data from the 2015 Angola Demographic and Health Survey (ADHS) using the World Health Organization (WHO) Health Equity Assessment Toolkit (HEAT) software. The analysis consisted of disaggregated ANC coverage rates using four equity stratifiers (economic status, education, residence, and region) and four summary measures (Difference, Population Attributable Risk, Ratio and Population Attributable Fraction). To measure statistical significance, an uncertainty interval (UI) of 95% was constructed around point estimates. RESULTS:The study showed both absolute and relative inequalities in coverage of ANC services in Angola. More specifically, inequality favored women who were rich (D = 54.2, 95% UI; 49.59, 58.70, PAF = 43.5, 95% UI; 40.12, 46.92), educated (PAR = 19.9, 95% UI; 18.14, 21.64, R = 2.14, 95% UI; 1.96, 2.32), living in regions such as Luanda (D = 51.7, 95% UI; 43.56, 59.85, R = 2.64, 95% UI; 2.01, 3.26) and residing in urban dwellings (PAF = 20, 95% UI; 17.70, 22.38, PAR = 12.3, 95% UI; 10.88, 13.75). CONCLUSION:The uptake of ANC services were lower among poor, uneducated, and rural residents as well as women from the Cuanza Sul region. Government policy makers must consider vulnerable subpopulations when designing needed interventions to improve ANC coverage in Angola to achieve the 2030 Sustainable Development Goal of reducing global maternal mortality ratio to 70 deaths per 100,000 live births

DESIGN AND FABRICATION OF COMBINED ELECTROMAGNETIC AND MAGNETIC DRUM-BELT CONVEYOR SEPARATOR

Mineral processing operations are faced with many challenges which include effective separation of unwanted materials generated through the extraction process from the bulk material. Magnetic device is a machine used for separating magnetic materials from non-magnetic materials by inducing the magnetic flux. Magnetic and electromagnetic separators are widely used as primary separation equipment. This work was centred on the design and construction of a laboratory-sized dual purpose magnetic and electromagnetic separator for separating the magnetic particles from the rest of the bulk mineral or ferrous materials from foundry sand in a single system. The main components of the equipment include: the hopper, conveyor belt rotating drums, pulley and belt, electromagnet. The approaches to achieving the result reported include the design conceptualization, design calculation, design drawing using the AutoCAD and Inventor software, fabrication and assembly of components. The evaluation showed that electromagnetic separation is more efficient than magnetic separation. The equipment was fabricated at an average cost of 224,000:00 naira

Comparative Analysis of Upstream Petroleum Fiscal Systems of Three (3) Petroleum Exporting Countries: Indonesia, Nigeria and Malaysia

The role of oil: its output and infrastructure and technology in the world are established. Exploration and Exploitation of oil is not only significant as a revenue generator but has become indispensible in the world economy especially as a result of the inability of world economy to find a better substitute. The recent decline and fluctuation arising from oil sector over the decades have prompted a reassessment of petroleum fiscal systems. The research compares the current upstream fiscal systems of three oil exporting countries: Nigeria, Indonesia and Malaysia. The approach adopted for this study is a review of the existing literature on fiscal regimes; the focus is an objective presentation of empirical evidence. The methodology involved desktop research which looked into published literature. Based on the evaluation, the paper arrived at possible conclusions and implications for oil fiscal regimes for the respective countries and the world fiscal systems in general

Advanced Techniques for the Capturing and Separation of CO2 – A Review

The review was carried out to compare the efficiencies of the advanced and modern techniques for the capturing of CO2 and those (technologies) which are already in place. The ever-growing concern for the need to reduce and eliminate the effects of CO2 in the atmosphere has led to major areas of CO2 capture, over the years, to be explored and applied. Several techniques such as adsorption, absorption, cryogenic separation technique, membrane and a combination of two or more of these techniques were explored to determine which was most effective in the carbon capture process. A combination of the principles of these techniques were explored to determine how they can be applied in the advanced techniques of the CO2 capturing and storage processes, within this new age. Absorption stands out as the most commonly used technique for carbon capture. However, it is energy intensive and depending on the solvent used (i.e., ethanol), can be corrosive to the vessel it is utilized in. The review explored advanced methods for carbon dioxide capture such as the use of ionic liquids, zeolites, molten carbonate fuel cell and integration with several other components that enhance, not only their efficiencies, but also other physio-chemical properties that encourage its advancement. These were explored in the course of writing this review paper. From the review, it was discovered that Ionic liquids, integrated with membranes, enhance selectivity towards efficient CO2 capture. Zeolites occur naturally or are produced synthetically. They comprise of metal ions, are porous and made of certain ligands. They apply the principle of adsorption to remove CO2 and store. Molten carbonate fuel cells operate at high temperatures (usually at 600 ◦C) and have CO2 removal efficiencies of up to 60%. The review paper was, successfully, able to identify some of the major advanced technologies in the process of Carbon capture and the principles, efficiencies and costeffectiveness were described, appropriately. From the literature, molten carbonate fuel cells were the best of the three advanced methods, with high efficiency and operations at high (and varying) ranges of temperature

Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015

SummaryBackground The Global Burden of Diseases, Injuries, and Risk Factors Study 2015 provides an up-to-date synthesis of the evidence for risk factor exposure and the attributable burden of disease. By providing national and subnational assessments spanning the past 25 years, this study can inform debates on the importance of addressing risks in context. Methods We used the comparative risk assessment framework developed for previous iterations of the Global Burden of Disease Study to estimate attributable deaths, disability-adjusted life-years (DALYs), and trends in exposure by age group, sex, year, and geography for 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks from 1990 to 2015. This study included 388 risk-outcome pairs that met World Cancer Research Fund-defined criteria for convincing or probable evidence. We extracted relative risk and exposure estimates from randomised controlled trials, cohorts, pooled cohorts, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. We developed a metric that allows comparisons of exposure across risk factors—the summary exposure value. Using the counterfactual scenario of theoretical minimum risk level, we estimated the portion of deaths and DALYs that could be attributed to a given risk. We decomposed trends in attributable burden into contributions from population growth, population age structure, risk exposure, and risk-deleted cause-specific DALY rates. We characterised risk exposure in relation to a Socio-demographic Index (SDI). Findings Between 1990 and 2015, global exposure to unsafe sanitation, household air pollution, childhood underweight, childhood stunting, and smoking each decreased by more than 25%. Global exposure for several occupational risks, high body-mass index (BMI), and drug use increased by more than 25% over the same period. All risks jointly evaluated in 2015 accounted for 57·8% (95% CI 56·6–58·8) of global deaths and 41·2% (39·8–42·8) of DALYs. In 2015, the ten largest contributors to global DALYs among Level 3 risks were high systolic blood pressure (211·8 million [192·7 million to 231·1 million] global DALYs), smoking (148·6 million [134·2 million to 163·1 million]), high fasting plasma glucose (143·1 million [125·1 million to 163·5 million]), high BMI (120·1 million [83·8 million to 158·4 million]), childhood undernutrition (113·3 million [103·9 million to 123·4 million]), ambient particulate matter (103·1 million [90·8 million to 115·1 million]), high total cholesterol (88·7 million [74·6 million to 105·7 million]), household air pollution (85·6 million [66·7 million to 106·1 million]), alcohol use (85·0 million [77·2 million to 93·0 million]), and diets high in sodium (83·0 million [49·3 million to 127·5 million]). From 1990 to 2015, attributable DALYs declined for micronutrient deficiencies, childhood undernutrition, unsafe sanitation and water, and household air pollution; reductions in risk-deleted DALY rates rather than reductions in exposure drove these declines. Rising exposure contributed to notable increases in attributable DALYs from high BMI, high fasting plasma glucose, occupational carcinogens, and drug use. Environmental risks and childhood undernutrition declined steadily with SDI; low physical activity, high BMI, and high fasting plasma glucose increased with SDI. In 119 countries, metabolic risks, such as high BMI and fasting plasma glucose, contributed the most attributable DALYs in 2015. Regionally, smoking still ranked among the leading five risk factors for attributable DALYs in 109 countries; childhood underweight and unsafe sex remained primary drivers of early death and disability in much of sub-Saharan Africa. Interpretation Declines in some key environmental risks have contributed to declines in critical infectious diseases. Some risks appear to be invariant to SDI. Increasing risks, including high BMI, high fasting plasma glucose, drug use, and some occupational exposures, contribute to rising burden from some conditions, but also provide opportunities for intervention. Some highly preventable risks, such as smoking, remain major causes of attributable DALYs, even as exposure is declining. Public policy makers need to pay attention to the risks that are increasingly major contributors to global burden. Funding Bill & Melinda Gates Foundation

Malaria knowledge and agricultural practices that promote mosquito breeding in two rural farming communities in Oyo State, Nigeria

<p>Abstract</p> <p>Background</p> <p>Agricultural practices such as the use of irrigation during rice cultivation, the use of ponds for fish farming and the storage of water in tanks for livestock provide suitable breeding grounds for anthropophylic mosquitoes. The most common anthropophylic mosquito in Nigeria which causes much of the morbidity and mortality associated with malaria is the anopheles mosquito. Farmers are therefore at high risk of malaria - a disease which seriously impacts on agricultural productivity. Unfortunately information relating to agricultural practices and farmers' behavioural antecedent factors that could assist malaria programmers plan and implement interventions to reduce risk of infections among farmers is scanty. Farmers' knowledge about malaria and agricultural practices which favour the breeding of mosquitoes in Fashola and Soku, two rural farming communities in Oyo State were therefore assessed in two rural farming communities in Oyo State.</p> <p>Methods</p> <p>This descriptive cross-sectional study involved the collection of data through the use of eight Focus Group Discussions (FGDs) and the interview of 403 randomly selected farmers using semi-structured questionnaires. These sets of information were supplemented with observations of agricultural practices made in 40 randomly selected farms. The FGD data were recorded on audio-tapes, transcribed and subjected to content analysis while the quantitative data were analyzed using descriptive and inferential statistics.</p> <p>Results</p> <p>Most respondents in the two communities had low level of knowledge of malaria causation as only 12.4% stated that mosquito bite could transmit the disease. Less than half (46.7%) correctly mentioned the signs and symptoms of malaria as high body temperature, body pains, headache, body weakness and cold/fever. The reported main methods for preventing mosquito bites in the farming communities included removal of heaps of cassava tuber peelings (62.3%), bush burning/clearing (54.6%) and clearing of ditches (33.7%). The dumping of cassava tuber peelings which allows the collection of pools of water in the farms storage of peeled cassava tubers soaked in water in uncovered plastic containers, digging of trenches, irrigation of farms and the presence of fish ponds were the observed major agricultural practices that favoured mosquito breeding on the farms. A significant association was observed between respondents' knowledge about malaria and agricultural practices which promote mosquito breeding. Respondents' wealth quintile level was also seen to be associated with respondents' knowledge about malaria and agricultural practices which promote mosquito breeding.</p> <p>Conclusion</p> <p>Farmers' knowledge of malaria causation and signs and symptoms was low, while agricultural practices which favour mosquito breeding in the farming communities were common. There is an urgent need to engage farmers in meaningful dialogue on malaria reduction initiatives including the modification of agricultural practices which favour mosquito breeding. Multiple intervention strategies are needed to tackle the factors related to malaria prevalence and mosquito abundance in the communities.</p

Exploring evidence-policy linkages in health research plans: A case study from six countries

The complex evidence-policy interface in low and middle income country settings is receiving increasing attention. Future Health Systems (FHS): Innovations for Equity, is a research consortium conducting health systems explorations in six Asian and African countries: Bangladesh, India, China, Afghanistan, Uganda, and Nigeria. The cross-country research consortium provides a unique opportunity to explore the research-policy interface. Three key activities were undertaken during the initial phase of this five-year project. First, key considerations in strengthening evidence-policy linkages in health system research were developed by FHS researchers through workshops and electronic communications. Four key considerations in strengthening evidence-policy linkages are postulated: development context; research characteristics; decision-making processes; and stakeholder engagement. Second, these four considerations were applied to research proposals in each of the six countries to highlight features in the research plans that potentially strengthen the research-policy interface and opportunities for improvement. Finally, the utility of the approach for setting research priorities in health policy and systems research was reflected upon. These three activities yielded interesting findings. First, developmental consideration with four dimensions – poverty, vulnerabilities, capabilities, and health shocks – provides an entry point in examining research-policy interfaces in the six settings. Second, research plans focused upon on the ground realities in specific countries strengthens the interface. Third, focusing on research prioritized by decision-makers, within a politicized health arena, enhances chances of research influencing action. Lastly, early and continued engagement of multiple stakeholders, from local to national levels, is conducive to enhanced communication at the interface. The approach described has four main utilities: first, systematic analyses of research proposals using key considerations ensure such issues are incorporated into research proposals; second, the exact meaning, significance, and inter-relatedness of these considerations can be explored within the research itself; third, cross-country learning can be enhanced; and finally, translation of evidence into action may be facilitated. Health systems research proposals in low and middle income countries should include reflection on transferring research findings into policy. Such deliberations may be informed by employing the four key considerations suggested in this paper in analyzing research proposals