Phytochemicals, antioxidant and antibacterial properties of a lichen species Cladonia digitata

Antioxidant activity assessment was performed using the free radical scavenging activity of 1,1-diphenyl-2-picrylhydrazyl radical (DPPH) and reducing power assay. Phytochemical screening was done using chemical tests. Antibacterial activities of Cladonia digitata were determined by a disk diffusion method at concentrations of 0, 10, 50 and 100% (v/v) against pathogenic bacteria, Eschericia coli, Clostridium perfringens and Staphylococcus aureus. Standard cotrimoxazole (10 μg/ml) was used as a positive control. C. digitata revealed the presence of alkaloids, tannins, saponins, cardiac glycosides, flavonoids, anthraquinones and steroidal terpenes. The results of antioxidant activity indicate a concentration dependent activity. C. digitata extract showed better free radical scavenging activity than ascorbic acid and quercetin. There was no significant difference (T-test, p = 0.05) in the antioxidant activity between the extract and those of ascorbic acid and quercetin as assessed by the reducing power assay. The highest antibacterial activity was 16.1 mm diameter of zone inhibition observed against Clostridium perfringens followed by 15.5 mm against Staphylococcus aureus at the concentration of 100 and 50%, respectively. The results reveal that the tested extract consisted of several bioactive compounds, significant antioxidant and antimicrobial activity. The present results scientifically authenticate the use of C. digitata in folk medicine.Keywords: Phytochemicals, antioxidant, antibacterial, Cladonia digitat

Extraction of phenolic compounds from Temnocalyx obovatus

Phenolic compounds yield in plant extracts depend on the method employed in the extraction process. In this study, we investigated systematically, a method of determination of extraction yield of antioxidant compounds from Temnocalyx obovatus. A sample treatment and preparation protocol that employs strict statistical treatment to ensure sample homogeneity was applied. As preliminary indicator of homogeneity, total nitrogen and phosphorus were determined and an iterative process using Levene test was applied to statistically test the homogeneity of the ground T. obovatus leaves. At p = 0.01, homogeneity of the plant material was achieved on the third ground sample. Among the six solvents used, methanol gave the best yield of extractable phytochemicals and a butylated hydroxytoluene-spike recovery of 77%, whereas diethyl ether gave the lowest yield and a butylated hydroxytoluene-spike recovery of 63%, suggesting that optimal yields tended to be favoured by more polar solvents.Key words: Phenolic compound, antioxidant, Temnocalyx obovatus, homogeneity, Levene test, extraction yield

Indigenous peoples and the COVID-19 pandemic: a systematic scoping review

Past influenza pandemics including the Spanish flu and H1N1 have disproportionately affected Indigenous Peoples. We conducted a systematic scoping review to provide an overview of the state of understanding of the experience of Indigenous peoples during the first 18 months of the COVID-19 pandemic, in doing so we capture the state of knowledge available to governments and decision makers for addressing the needs of Indigenous peoples in these early months of the pandemic. We addressed three questions: (a) How is COVID-19 impacting the health and livelihoods of Indigenous peoples, (b) What system level challenges are Indigenous peoples experiencing, (c) How are Indigenous peoples responding? We searched Web of Science, Scopus, and PubMed databases and UN organization websites for publications about Indigenous peoples and COVID-19. Results were analyzed using descriptive statistics and content analysis. A total of 153 publications were included: 140 peer-reviewed articles and 13 from UN organizations. Editorial/commentaries were the most (43%) frequent type of publication. Analysis identified Indigenous peoples from 19 different countries, although 56% of publications were centered upon those in Brazil, United States, and Canada. The majority (90%) of articles focused upon the general adult population, few (<2%) used a gender lens. A small number of articles documented COVID-19 testing (0.04%), incidence (18%), or mortality (16%). Five themes of system level challenges affecting exposure and livelihoods evolved: ecological, poverty, communication, education and health care services. Responses were formal and informal strategies from governments, Indigenous organizations and communities. A lack of ethnically disaggregated health data and a gender lens are constraining our knowledge, which is clustered around a limited number of Indigenous peoples in mostly high-income countries. Many Indigenous peoples have autonomously implemented their own coping strategies while government responses have been largely reactive and inadequate. To 'build back better' we must address these knowledge gaps

Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic

Introduction Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality. Methods Prospective cohort study in 109 institutions in 41 countries. Inclusion criteria: children &lt;18 years who were newly diagnosed with or undergoing active treatment for acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, retinoblastoma, Wilms tumour, glioma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, medulloblastoma and neuroblastoma. Of 2327 cases, 2118 patients were included in the study. The primary outcome measure was all-cause mortality at 30 days, 90 days and 12 months. Results All-cause mortality was 3.4% (n=71/2084) at 30-day follow-up, 5.7% (n=113/1969) at 90-day follow-up and 13.0% (n=206/1581) at 12-month follow-up. The median time from diagnosis to multidisciplinary team (MDT) plan was longest in low-income countries (7 days, IQR 3-11). Multivariable analysis revealed several factors associated with 12-month mortality, including low-income (OR 6.99 (95% CI 2.49 to 19.68); p&lt;0.001), lower middle income (OR 3.32 (95% CI 1.96 to 5.61); p&lt;0.001) and upper middle income (OR 3.49 (95% CI 2.02 to 6.03); p&lt;0.001) country status and chemotherapy (OR 0.55 (95% CI 0.36 to 0.86); p=0.008) and immunotherapy (OR 0.27 (95% CI 0.08 to 0.91); p=0.035) within 30 days from MDT plan. Multivariable analysis revealed laboratory-confirmed SARS-CoV-2 infection (OR 5.33 (95% CI 1.19 to 23.84); p=0.029) was associated with 30-day mortality. Conclusions Children with cancer are more likely to die within 30 days if infected with SARS-CoV-2. However, timely treatment reduced odds of death. This report provides crucial information to balance the benefits of providing anticancer therapy against the risks of SARS-CoV-2 infection in children with cancer

Improving oxidative stability of soya and sunflower oil using Temnocalyx obovatus extracts

Recently an increasing interest in formulations of medicinal plant origin and other plant additives as antioxidants has been observed in the food market and pharmaceutical fields. This is as a result of the realization that synthetic antioxidants can participate as mutagenic and genotoxic agents. In this study Temnocalyx obovatus extracts were compared with rosemary (Rosmarinus officinallis) and tert- butyl-hydroquinone (TBHQ) as possible antioxidants in sunflower and soya oil. Upon addition of 200 ppm of dried leaf extract, acetone extract yielded protection of the samples against oxidation more efficiently as compared to rosemary, ethanol, methanol and TBHQ extracts added at the same concentration for both peroxide value determinations and Rancimat method. Higher induction periods, 12.45 and 17.17 h were achieved with acetone extracts. Increasing the concentration from 50 to 200 ppm increased the antioxidant effect of the extracts. On analyzing ultra-violet (UV) absorption at 232 nm, acetone extract showed the least absorbance implying greater protection against oil oxidation. Results of the present study are interesting as they may lead to isolation and identification of bioactive compounds present in T. obovatus that can be used to prolong shelf lives in oil based foods which are susceptible to rancidification.Key words: Oxidative stability, Temnocalyx obovatus, peroxidation, antioxidant

Justice implications of health and food security policies for Indigenous peoples facing COVID-19: a qualitative study and policy analysis in Peru

The spread of COVID-19 in Peru resulted in the declaration of a national health emergency, in which Indigenous peoples were identified as being particularly vulnerable due to their pre-existing poor health indicators and disadvantaged social conditions. The aim of this paper is to examine how the Peruvian government responded to the health and food needs of the Shawi and Ashaninka Indigenous peoples of Peru during the first 18 months of the pandemic (March 2020–August 2021). This study uses both official policy documents and real-world experiences to evaluate policy responses in terms of their immediate impact and their longer-term sustainability and contribution to the improvement of health, well-being and justice for Indigenous communities. Four health and food security responses were evaluated: the Amazon Health Plan and Indigenous Command; food aid; cash aid; and COVID-19 vaccination. We employed the Multidimensional Injustice Framework to analyse the justice implications of the design and implementation of responses. Data collection included 71 interviews with government officials (n = 7), Indigenous leaders (n = 31) and community members (n = 33). The results show how national and regional governments released policies to address the health and food needs of Indigenous peoples directly or indirectly, as part of a broader focus on vulnerable people. However, justice implications were not sufficiently addressed in the design or implementation of the responses. On the distributive dimension, Indigenous communities were prioritized to receive health goods and services, nevertheless, the distribution had shortcomings that impeded their collection and Indigenous food systems and livelihoods were largely overlooked. On the procedural dimension, Indigenous representatives were included to provide culturally sensitive feedback on health interventions, but without funding, and furthermore, the community members had only passive participation. This paper points out the importance of considering and addressing justice implications for more effective and fairer health and food policy responses to current and future health crises

Impact of the COVID-19 pandemic on patients with paediatric cancer in low-income, middle-income and high-income countries: a multicentre, international, observational cohort study

OBJECTIVES: Paediatric cancer is a leading cause of death for children. Children in low-income and middle-income countries (LMICs) were four times more likely to die than children in high-income countries (HICs). This study aimed to test the hypothesis that the COVID-19 pandemic had affected the delivery of healthcare services worldwide, and exacerbated the disparity in paediatric cancer outcomes between LMICs and HICs. DESIGN: A multicentre, international, collaborative cohort study. SETTING: 91 hospitals and cancer centres in 39 countries providing cancer treatment to paediatric patients between March and December 2020. PARTICIPANTS: Patients were included if they were under the age of 18 years, and newly diagnosed with or undergoing active cancer treatment for Acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, Wilms' tumour, sarcoma, retinoblastoma, gliomas, medulloblastomas or neuroblastomas, in keeping with the WHO Global Initiative for Childhood Cancer. MAIN OUTCOME MEASURE: All-cause mortality at 30 days and 90 days. RESULTS: 1660 patients were recruited. 219 children had changes to their treatment due to the pandemic. Patients in LMICs were primarily affected (n=182/219, 83.1%). Relative to patients with paediatric cancer in HICs, patients with paediatric cancer in LMICs had 12.1 (95% CI 2.93 to 50.3) and 7.9 (95% CI 3.2 to 19.7) times the odds of death at 30 days and 90 days, respectively, after presentation during the COVID-19 pandemic (p<0.001). After adjusting for confounders, patients with paediatric cancer in LMICs had 15.6 (95% CI 3.7 to 65.8) times the odds of death at 30 days (p<0.001). CONCLUSIONS: The COVID-19 pandemic has affected paediatric oncology service provision. It has disproportionately affected patients in LMICs, highlighting and compounding existing disparities in healthcare systems globally that need addressing urgently. However, many patients with paediatric cancer continued to receive their normal standard of care. This speaks to the adaptability and resilience of healthcare systems and healthcare workers globally