Outbreak of measles in Sokoto State North-Western Nigeria, three months after a supplementary immunization campaign

BackgroundWorldwide, measles infects about 20 million people with about 200,000 deaths annually. On February 12, 2016 an outbreak of measles was reported from Sokoto state, Nigeria.AimsA team of Nigeria Field Epidemiology and Laboratory Training Program (NFELTP) Residents was sent to confirm the existence of the outbreak, describe the socio-demographic characteristics and identify risk factors for the outbreak.MethodsWe defined cases according to the World Health Organization (WHO) criteria. We conducted an unmatched case-control study and descriptive study. We actively searched for cases across local government areas (LGAs) of the state, and administered questionnaires to parents of affected children. We analyzed the data using Epi-Info 7 and Microsoft Excel 2013.ResultsA total of 979 cases were recorded. Median age was 36 months with age range of 3–168 months. Ten deaths were recorded with a Case Fatality Rate (CFR) of 1.02 per cent. About 76.51 per cent of cases were under-five years of age. The outbreak spanned over a period of 10 weeks. Twenty-two out of 23 LGAs were affected. Eighty-nine cases (9.1 per cent) had their blood sample taken for laboratory confirmation, where 21 (23.6 per cent) tested positive for measles.A total of 238 respondents were interviewed; 128 cases and 110 controls. Mothers’ education (OR: 2.9, 95 per cent CI: 1.4–5.9), immunization status of children (OR: 2.0, 95 per cent CI: 1.1–3.4), and fathers’ occupation (OR: 0.2, 95 per cent CI: 0.1–0.5), are the factors that affect measles infection among children in the state.ConclusionOur investigation confirmed a measles outbreak in Sokoto state. Though with a low CFR, the majority of deaths occur in children are factors that adversely affect development of measles in Sokoto state

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

A Review of Conceptual Design and Self Health Monitoring Program in a Vertical City: A Case of Burj Khalifa, U.A.E.

Burj Khalifa, a notable landmark in a growing landscape of skyscrapers, along with other tall structures, has dramatically transformed the morphology of Dubai and elevated it to global prominence. This masterpiece was designed to attract international interest, as it diversifies the economy from an oil-based one towards one that is tourist-and servicebased. However, the foremost design input and major challenges of the super-tall building are associated with the increase in height, which put them at risk of wind- and earthquake-induced lateral loads and user satisfaction. Consequently, it was essential to study both the design and construction phases of the tallest towers in the context of the wind and earthquake impact. This study aims to revalidate the three structural design phases; conceptual, schematic, and detailed design of this vertical city to confirm that the requirements are achieved. The methodology is a theoretical and analytical elaboration of the case study that obtains and confirms the basic requirements through a review of the existing survey, drawings, literature, and archived documents. Finally, the study validates the presumed structural behaviour and the insitu determined response, which are outstanding. The study further unveils the development of the structural health monitoring programme that gives an instant and direct response to the real structural performance of the building from the commencement of the construction and throughout its lifespan

A Typology for Urban Landscape Progression: Toward a Sustainable Planning Mechanism in Kano Metropolis, Nigeria

The significance of urban landscapes in the current era of concern for a sustainable built environment can never be overemphasized. The study explores the landscape features and typologies of some urban environments within Kano to understand the management effectiveness of urban landscapes in the Kano metropolitan area. At least two wards were purposively selected each from the eight metropolitan local government areas due to their urban landscape and land use. Focus group discussion (FGD) sessions were carried out through with prominent elders and “Masu Unguwanni” (village/ward heads) of each of the sampled wards as well as direct assessments of their physical characteristics to justify the general landscape progression in support of documentation for the present and future generation. The study unveils the layout typology, the scenic points and the ecological and cultural landscapes in the sampled districts. It further reveals that the historic urban forms in Kano are degrading with time, or rather not following the course of sustainability, as the physical surroundings satisfy the immediate needs of the communities. However, the study suggests increasing the awareness of Kano’s urban landscape preservation and the 2011 UNESCO proposal implementation on Historic Urban Landscapes (HUL). Then, the study discourages unhealthy developments within Kano Metropolis and the entire state. It also recommends landscape architects be part and parcel of planning schemes for controlling and regulating urban development via the formal practice of land allocation, land acquisition, building codes, design, planning and construction

Wind Speed Characteristics and Energy Potentials in Lafia, Nasarawa State, Nigeria

Renewable energy, specifically wind power, is vital for reducing fossil fuel dependency, greenhouse gas emissions, and improving energy security. With advancements in technology, wind energy has become cost-effective and competitive. Wind energy research in Lafia is essential to developing solutions in harnessing its potential as a significant renewable energy source for Nigeria, which has abundant but untapped wind energy resources. This study investigates the wind energy potential in Lafia, Nasarawa State, using daily averaged wind speed data from MERRA-2 measured at 2, 10, and 50-metre altitudes. The Weibull distribution function was applied to determine Lafia's wind energy potential, and the outcomes revealed that the highest yield for wind harvest occurred during the peak of the dry season in February, while the lowest yield for wind harvest occurred during the beginning of the dry season in October. Moreover, the monthly mean power densities peaked in February, 2001 at 341.87 W/m2 (class 3: 300 &lt; PD ≤ 399), indicating moderate potential, and in January, 2002 at 454.12 W/m2 (class 4: 400 &lt; PD ≤ 499), indicating good potential. However, the peak monthly mean power densities in December, 2003 and February, 2004 were poor and marginal, respectively, according to the Wind Resource Potential (WRP) classification. Furthermore, at 50 metres altitude, the recorded wind speeds were above the recommended minimum (3.00 – 4.00 m/s) for most wind turbines to start producing electricity. The findings indicate significant wind resource potential at high altitudes (50 metres) in Lafia, which suggests great potential for wind energy generation

Use of Geoelectric Method for Groundwater Assessment in Awe Brine Area, Awe Nasarawa Nigeria

A total of Forty-five vertical electrical soundings (VES) were conducted using Schlumberger electrode configuration to map the groundwater condition in the Awe Brine Field, Nasarawa, Nigeria. The result of the study exhibited significant variations in resistivity across the area, which allowed the generation of iso-resistivity contour maps for four distinct geoelectric layers. The first layer, consisting of a thin top layer of unconsolidated material, displayed resistivity values ranging from 85 Ωm to 2437.8 Ωm. The second layer, composed of shale-sandstone, has a resistivity between 1.2 Ωm to 785 Ωm. The third layer showed resistivity ranging from 1.2 Ωm to 430.5 Ωm. it was observed that a thick layer of sandy clay contained fresh water, with resistivity levels ranging from 27 Ωm to 1825.9 Ωm. The Dar Zarrouk parameters were calculated to evaluate the protective attributes of the aquifers. The analysis revealed that the longitudinal conductance (Sc) ranged from 0.06 to 3.86 S, the longitudinal resistivity (ρL)) ranged from 71.66 to 3830.4 Ωm, and the transverse resistance (TR) ranged between 2.55 and 1102.18 Ω. Based on the resistivity values and thickness of the geoelectric layers, the researchers identified four distinct aquifer zones labelled A, B, C, and D. Notably, the third layer, referred to as the C horizon, displayed significantly lower resistivity and higher salinity compared to the other layers. This layer corresponds to the Awe Formation, renowned for its brine deposits. Consequently, the study suggests that exploring freshwater resources near New Awe is more promising than the Old Awe are

Spatio-Temporal Variation of Virtual Temperature in Ilorin, Kwara State, Nigeria

This study investigates the diurnal and vertical variations of virtual temperature (Tv) and ambient temperature (T) from 2013 to 2023 in Ilorin. Data analysis reveals that Tv peaks between 1200 and 1400 hours daily, influenced mainly by relative humidity and inversely by temperature changes, with no significant pressure impact. At the planetary boundary layer, Tv and T exhibit marginal differences, converging higher in the troposphere due to diminishing specific humidity. Temporal trends indicate a surface temperature increase of 0.065 degrees and a Tv increase of 0.016 degrees over the past decade. While no simple linear correlation between Tv and relative humidity was found, seasonal patterns suggest potential underlying correlations. This highlights the complex interplay of atmospheric variables in influencing virtual temperature and underscores the need for further investigation into seasonal effects

Prevalence of urinary schistosomiasis in Nigeria, 1994–2015: Systematic review and meta-analysis

Introduction: The Global significance of schistosomiasis started waning over the years owing to its eradication in most developed societies, until the reawaking of global attention and it now occupies a prominent place amongst the neglected tropical diseases (NTD). The aim of our study was to accurately estimate the prevalence of schistosomiasis in Nigeria, and its six geo-political zones. Subjects and methods: We utilized electronic databases to search and select studies on prevalence across the geographical zones between 1994 and 2015. STATA 10 Random effects meta-analysis of observational studies was used to generate our estimates. Result: Sixty-seven studies met the inclusion criteria. The unified pooled population studied was 47,440 (n = 14,888 persons). The pooled prevalence]) of Schistosoma haematobium infestation was, for all regions = 34.7% (31.0–38.5) (95% confidence interval [CI)). Conclusion: Schistosomal infestations remain hyperendemic in Nigeria. Nigeria must, therefore, expedite the execution of resolution WHA66.12 adopted by the World Health Assembly on NTD

Surgical site infection after gastrointestinal surgery in children : an international, multicentre, prospective cohort study

Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45 center dot 1%) children were from high HDI, 397 (34 center dot 2%) from middle HDI and 239 (20 center dot 6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12 center dot 8% (51/397) in middle HDI and 24 center dot 7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.Peer reviewe