Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on child stunting and anaemia in rural Zimbabwe: a cluster-randomised trial.

BACKGROUND: Child stunting reduces survival and impairs neurodevelopment. We tested the independent and combined effects of improved water, sanitation, and hygiene (WASH), and improved infant and young child feeding (IYCF) on stunting and anaemia in in Zimbabwe. METHODS: We did a cluster-randomised, community-based, 2 × 2 factorial trial in two rural districts in Zimbabwe. Clusters were defined as the catchment area of between one and four village health workers employed by the Zimbabwe Ministry of Health and Child Care. Women were eligible for inclusion if they permanently lived in clusters and were confirmed pregnant. Clusters were randomly assigned (1:1:1:1) to standard of care (52 clusters), IYCF (20 g of a small-quantity lipid-based nutrient supplement per day from age 6 to 18 months plus complementary feeding counselling; 53 clusters), WASH (construction of a ventilated improved pit latrine, provision of two handwashing stations, liquid soap, chlorine, and play space plus hygiene counselling; 53 clusters), or IYCF plus WASH (53 clusters). A constrained randomisation technique was used to achieve balance across the groups for 14 variables related to geography, demography, water access, and community-level sanitation coverage. Masking of participants and fieldworkers was not possible. The primary outcomes were infant length-for-age Z score and haemoglobin concentrations at 18 months of age among children born to mothers who were HIV negative during pregnancy. These outcomes were analysed in the intention-to-treat population. We estimated the effects of the interventions by comparing the two IYCF groups with the two non-IYCF groups and the two WASH groups with the two non-WASH groups, except for outcomes that had an important statistical interaction between the interventions. This trial is registered with ClinicalTrials.gov, number NCT01824940. FINDINGS: Between Nov 22, 2012, and March 27, 2015, 5280 pregnant women were enrolled from 211 clusters. 3686 children born to HIV-negative mothers were assessed at age 18 months (884 in the standard of care group from 52 clusters, 893 in the IYCF group from 53 clusters, 918 in the WASH group from 53 clusters, and 991 in the IYCF plus WASH group from 51 clusters). In the IYCF intervention groups, the mean length-for-age Z score was 0·16 (95% CI 0·08-0·23) higher and the mean haemoglobin concentration was 2·03 g/L (1·28-2·79) higher than those in the non-IYCF intervention groups. The IYCF intervention reduced the number of stunted children from 620 (35%) of 1792 to 514 (27%) of 1879, and the number of children with anaemia from 245 (13·9%) of 1759 to 193 (10·5%) of 1845. The WASH intervention had no effect on either primary outcome. Neither intervention reduced the prevalence of diarrhoea at 12 or 18 months. No trial-related serious adverse events, and only three trial-related adverse events, were reported. INTERPRETATION: Household-level elementary WASH interventions implemented in rural areas in low-income countries are unlikely to reduce stunting or anaemia and might not reduce diarrhoea. Implementation of these WASH interventions in combination with IYCF interventions is unlikely to reduce stunting or anaemia more than implementation of IYCF alone. FUNDING: Bill & Melinda Gates Foundation, UK Department for International Development, Wellcome Trust, Swiss Development Cooperation, UNICEF, and US National Institutes of Health.The SHINE trial is funded by the Bill & Melinda Gates Foundation (OPP1021542 and OPP113707); UK Department for International Development; Wellcome Trust, UK (093768/Z/10/Z, 108065/Z/15/Z and 203905/Z/16/Z); Swiss Agency for Development and Cooperation; US National Institutes of Health (2R01HD060338-06); and UNICEF (PCA-2017-0002)

Major and trace element geochemistry of the Platreef on the farm Townlands, northern Bushveld Complex

The Platreef is a platinum group elements and base metal enriched mafic/ultramafic layer situated along the base of the northern limb of the Bushveld Complex. The present study contains a detailed petrographic and geochemical investigation of a borehole core intersection through the Platreef on the farm Townlands. At this locality, the Platreef rests on metasedimentary rocks of the Silverton Formation of the Transvaal Supergroup, and is comprised of three medium-grained units of gabbronorite/feldspathic pyroxenite that are separated by hornfels interlayers. We refer to the three platiniferous layers as the Lower, Middle and Upper Platreef. The Middle Platreef is the main mineralised layer, with total PGE contents up to 4 ppm. The Lower and Upper Platreefs are less well mineralised (up to 1.5 ppm). Trace element and S-isotope data show compositional breaks between the different platiniferous layers suggesting that they represent distinct sill-like intrusions of pyroxene and sulphide enriched crystal mushes. The study also reveals a reversed differentiation trend of more primitive rocks towards the top of the succession. For example, orthopyroxene shows an increase in Cr (sub 2) O (sub 3) from 0.07 to 0.37 weight % with height and the whole rock concentration of incompatible trace elements such as Y and Zr decreases. This pattern is interpreted to reflect enhanced crustal contamination of the lower Platreef layers. All three Platreef layers are enriched in heavy S (delta (super 34) S of 2.6 to 9.1 per mil) indicating addition of crustal sulphur, and they have elevated K, Ca, Zr and Y contents and high Zr/Y ratio relative to Critical Zone rocks from elsewhere in the Bushveld Complex, suggesting a model of crustal contamination in ore formation. Well defined correlations between the concentrations of the individual PGE, and between the PGE and S suggest that the concentration of the PGE was controlled by segregating sulphide melt. Alteration of the rocks, possibly due to infiltration by fluids derived from the floor rocks, caused localized redistribution of Cu, S and, to a lesser degree, the PGE. However, alteration, sulphur and metal mobility was apparently much less pronounced at Townlands than at other Platreef localities further to the north, notably at Sandsloot mine where the PGE are largely hosted by PGM (Armitage et al., 2002). We suggest that this is due to more pronounced devolatisation of the dolomites relative to the shales, implying that the nature of the floor rocks plays an important role in ore formation

Magmatic sulfide deposits and exploration targets in southern and central Africa : an overview

Sub-Saharan Africa contains the bulk of the world's PGE resources (Bushveld, Great Dyke) and important Ni sulfide ores (Kabanga, Selebi P hikwe, Phoenix, Shangani, Trojan). Much of the region remains relatively poorly explored, implying considerable future exploration potential.

The precambrian mafic magmatic record, including large igneous provinces of the kalahari craton and its constituents : A paleogeographic review

The study of Precambrian dyke swarms, sill provinces and large igneous provinces on the Kalahari craton in southern Africa has expanded greatly since the pioneering work initiated almost four decades ago. The main contributors to this progress have been a large number of precise U–Pb crystallization ages of mafic rocks, published in a number of recent papers. This information is compiled here into a series of maps that provide a nearly 3 billion year intraplate magmatic record of the Kalahari craton and its earlier constituents, the proto-Kalahari, Kaapvaal and Zimbabwe cratons. We also review their possible paleogeographic relations to other cratons or supercontinents. This review provides a more accessible overview of individual magmatic events, and mostly includes precise U–Pb ages of mafic dykes and sills, some of which can be linked to stratigraphically well-constrained volcanic rocks. The extrusion ages of these volcanic units are also starting to be refined by, among others, in situ dating of baddeleyite. Some mafic dyke swarms, previously characterized entirely on similarity in dyke trends within a swarm, are found to be temporally composite and sometimes consist of up to three different generations. Other mafic dyke swarms, with different trends, can now be linked to protracted volcanic events like the stratigraphically well preserved Mesoarchean Nsuze Group (Pongola Supergroup) and Neoarchean Ventersdorp Supergroup. Following upon these Archean events, shorter-lived Proterozoic large igneous provinces also intrude the Transvaal Supergroup, Olifantshoek Supergroup and Umkondo Group, and include the world’s largest layered intrusion, the Bushveld Complex. Longer-lived late Paleoproterozoic magmatic events are also preserved as mafic intrusions and lava units within the Waterberg and Soutpansberg groups as well as the granitic basement. Many gaps in our knowledge of the Precambrian mafic record of the Kalahari craton remain, but further multi-disciplinary studies combining the latest advances in U–Pb geochronology and both paleomagnetism and geochemistry will help solve the Precambrian paleogeographic puzzle