Economic Value of Cultural Ecosystem Services from Recreation in Popa Mountain National Park, Myanmar: A Comparison of Two Rapid Valuation Techniques

Protected areas offer diverse ecosystem services, including cultural services related to recreation, which contribute manifold to human wellbeing and the economy. However, multiple pressures from other human activities often compromise ecosystem service delivery from protected areas. It is thus fundamental for effective management to understand the recreational values and visitor behaviors in such areas. This paper undertakes a rapid assessment of the economic value of cultural ecosystem services related to recreation in a national park in Myanmar using two valuation techniques, the individual travel cost method (TCM) and the Toolkit for Ecosystem Service Site-based Assessment (TESSA v.1.2). We focus on the Popa Mountain National Park, a protected area visited by approximately 800,000 domestic and 25,000 international tourists annually. Individual TCM estimates that each domestic visitor spent USD 20–24 per trip, and the total annual recreational value contributed by these visitors was estimated at USD 16.1–19.6 million (USD 916–1111 ha−1). TESSA estimated the annual recreational expenditure from domestic and international visitors at USD 15.1 million (USD 858 ha−1) and USD 5.04 million (USD 286 ha−1), respectively. Both methods may be employed as practical approaches to assess the recreational values of protected areas (and other land uses with recreational value), and they have rather complementary approaches. We recommend that both techniques be combined into a single survey protocol.</jats:p

Observational study of adult respiratory infections in primary care clinics in Myanmar: understanding the burden of melioidosis, tuberculosis and other infections not covered by empirical treatment regimes.

BACKGROUND: Lower respiratory infections constitute a major disease burden worldwide. Treatment is usually empiric and targeted towards typical bacterial pathogens. Understanding the prevalence of pathogens not covered by empirical treatment is important to improve diagnostic and treatment algorithms. METHODS: A prospective observational study in peri-urban communities of Yangon, Myanmar was conducted between July 2018 and April 2019. Sputum specimens of 299 adults presenting with fever and productive cough were tested for Mycobacterium tuberculosis (microscopy and GeneXpert MTB/RIF [Mycobacterium tuberculosis/resistance to rifampicin]) and Burkholderia pseudomallei (Active Melioidosis Detect Lateral Flow Assay and culture). Nasopharyngeal swabs underwent respiratory virus (influenza A, B, respiratory syncytial virus) polymerase chain reaction testing. RESULTS: Among 299 patients, 32% (95% confidence interval [CI] 26 to 37) were diagnosed with tuberculosis (TB), including 9 rifampicin-resistant cases. TB patients presented with a longer duration of fever (median 14 d) and productive cough (median 30 d) than non-TB patients (median fever duration 6 d, cough 7 d). One case of melioidosis pneumonia was detected by rapid test and confirmed by culture. Respiratory viruses were detected in 16% (95% CI 12 to 21) of patients. CONCLUSIONS: TB was very common in this population, suggesting that microscopy and GeneXpert MTB/RIF on all sputum samples should be routinely included in diagnostic algorithms for fever and cough. Melioidosis was uncommon in this population

Economic value of cultural ecosystem services from recreation in Popa Mountain National Park, Myanmar: a comparison of two valuation techniques

Protected areas offer diverse ecosystem services, including cultural services related to recreation, which contribute manifold to human wellbeing and the economy. However, multiple pressures from other human activities often compromise ecosystem service delivery from protected areas. It is thus fundamental for effective management to understand the recreational values and visitor behaviors in such areas. This paper undertakes a rapid assessment of the economic value of cultural ecosystem services related to recreation in a national park in Myanmar using two valuation techniques, the individual travel cost method (TCM) and the Toolkit for Ecosystem Service Site-based Assessment (TESSA v.1.2). We focus on the Popa Mountain National Park, a protected area visited by approximately 800,000 domestic and 25,000 international tourists annually. Individual TCM estimates that each domestic visitor spent USD 20–24 per trip, and the total annual recreational value contributed by these visitors was estimated at USD 16.1–19.6 million (USD 916–1111 ha−1). TESSA estimated the annual recreational expenditure from domestic and international visitors at USD 15.1 million (USD 858 ha−1) and USD 5.04 million (USD 286 ha−1), respectively. Both methods may be employed as practical approaches to assess the recreational values of protected areas (and other land uses with recreational value), and they have rather complementary approaches. We recommend that both techniques be combined into a single survey protocol

OFF-FARM EMPLOYMENT IN SOUTHERN SHAN STATE

This research highlight presents key features of off-farm employment in Myanmar’s Southern Shan State. Analysis is based on the Shan Household Agriculture and Rural Economy Survey (SHARES), which collected detailed information on livelihoods and agriculture from 1562 households in nine townships. In this study, off-farm employment is defined as any income generating activity that does not take place on the household’s farm. Off-farm employment can therefore include both agriculture and non-agriculture related activities. We distinguish four main categories of off-farm employment: casual wage employment, salaried employment, non-farm enterprises, and natural resource extraction. Findings related to migration are presented in a separate research highlight. Below, we present the research findings in five sub-sections. The first provides a general overview of off-farm employment, and is followed by subsections presenting results on each of the four main categories of off-farm employment listed above

Antimicrobials use and resistance on integrated poultry-fish farming systems in the Ayeyarwady Delta of Myanmar

Antimicrobials are used to support livestock health and productivity, but might pose a risk for the development of antimicrobial resistance; in particular, when multiple livestock species are raised together in production systems. On integrated chicken-fish farms, chickens are raised over fish ponds and poultry faeces is excreted into the ponds. We investigated antimicrobial usage and the antimicrobial susceptibility of Escherichia coli cultured from poultry faeces on 301 integrated farms in Ayeyarwady Delta of Myanmar. Antimicrobials were used by 92.4% of farmers for chickens, but they were not applied to fish. The most common antimicrobials used were Octamix (amoxicillin and colistin sulfate) on 28.4%, enrofloxacin on 21.0% and amoxicillin on 16% of farms. Overall, 83.1% (152/183) of the E. coli were resistant to at least one antimicrobial. The highest level of resistance was to amoxicillin (54.6%), tetracycline (39.9%), sulfamethoxazole/trimethoprim (35.5%) and enrofloxacin (34.4%). Multidrug resistance was identified in 42.4% of isolates. In general, we found similar levels of antimicrobial resistance in non-users of antimicrobials as in users of antimicrobials for more commonly applied antimicrobials. Overall, antimicrobial resistance was lower in chickens on these integrated farms in Myanmar, compared to poultry farms in other countries of South East and East Asia

Consumption of fruits and vegetables and associations with risk factors for non-communicable diseases in the Yangon region of Myanmar: A cross-sectional study

OBJECTIVES: To explore the intake of fruits and vegetables in the Yangon region, Myanmar, and to describe associations between intake of fruits and vegetables (FV) and established risk factors for non-communicable diseases. DESIGN: 2 cross-sectional studies, using the STEPs methodology. SETTING: Urban and rural areas of the Yangon region of Myanmar. PARTICIPANTS: 1486, men and women, 25-74 years, were recruited through a multistage cluster sampling method. Institutionalised people, military personnel, Buddhist monks and nuns were not invited. Physically and mentally ill people were excluded. RESULTS: Mean intake of fruit was 0.8 (SE 0.1) and 0.6 (0.0) servings/day and of vegetables 2.2 (0.1) and 1.2 (0.1) servings/day, in urban and rural areas, respectively. Adjusted for included confounders (age, sex, location, income, education, smoking and low physical activity), men and women eating ≥2 servings of fruits and vegetables/day had lower odds than others of hypertriglyceridaemia (OR 0.72 (95% CI 0.56 to 0.94)). On average, women eating at least 2 servings of fruits and vegetables per day had cholesterol levels 0.28 mmol/L lower than the levels of other women. When only adjusted for sex and age, men eating at least 2 servings of fruits and vegetables per day had cholesterol levels 0.27 mmol/L higher than other men. CONCLUSIONS: A high intake of FV was associated with lower odds of hypertriglyceridaemia among men and women. It was also associated with cholesterol levels, negatively among women and positively among men