Recent Budget of Hydroclimatology and Hydrosedimentology of the Congo River in Central Africa

Although the Congo Basin is still one of the least studied river basins in the world, this paper attempts to provide a multidisciplinary but non-exhaustive synthesis on the general hydrology of the Congo River by highlighting some points of interest and some particular results obtained over a century of surveys and scientific studies. The Congo River is especially marked by its hydrological regularity only interrupted by the wet decade of 1960, which is its major anomaly over nearly 120 years of daily observations. Its interannual flow is 40,500 m3 s−1. This great flow regularity should not hide important spatial variations. As an example, we can cite the Ubangi basin, which is the most northern and the most affected by a reduction in flow, which has been a cause for concern since 1970 and constitutes a serious hindrance for river navigation. With regard to material fluxes, nearly 88 × 106 tonnes of material are exported annually from the Congo Basin to the Atlantic Ocean, composed of 33.6 × 106 tonnes of TSS, 38.1 × 106 tonnes of TDS and 16.2 × 106 tonnes of DOC. In this ancient flat basin, the absence of mountains chains and the extent of its coverage by dense rainforest explains that chemical weathering (10.6 t km−2 year−1 of TDS) slightly predominates physical erosion (9.3 t km−2 year−1 of TSS), followed by organic production (4.5 t km−2 year−1 of DOC). As the interannual mean discharges are similar, it can be assumed that these interannual averages of material fluxes, calculated over the longest period (2006–2017) of monthly monitoring of its sedimentology and bio-physical-chemistry, are therefore representative of the flow record available since 1902 (with the exception of the wet decade of 1960). Spatial heterogeneity within the Congo Basin has made it possible to establish an original hydrological classification of right bank tributaries, which takes into account vegetation cover and lithology to explain their hydrological regimes. Those of the Batéké plateau present a hydroclimatic paradox with hydrological regimes that are among the most stable on the planet, but also with some of the most pristine waters as a result of the intense drainage of an immense sandy-sandstone aquifer. This aquifer contributes to the regularity of the Congo River flows, as does the buffer role of the mysterious “Cuvette Centrale”. As the study of this last one sector can only be done indirectly, this paper presents its first hydrological regime calculated by inter-gauging station water balance. Without neglecting the indispensable in situ work, the contributions of remote sensing and numerical modelling should be increasingly used to try to circumvent the dramatic lack of field data that persists in this basin

Field Epidemiology and Laboratory Training Programs in sub-Saharan Africa from 2004 to 2010: need, the process, and prospects

As of 2010 sub-Saharan Africa had approximately 865 million inhabitants living with numerous public health challenges. Several public health initiatives [e.g., the United States (US) President’s Emergency Plan for AIDS Relief and the US President’s Malaria Initiative] have been very successful at reducing mortality from priority diseases. A competently trained public health workforce that can operate multi-disease surveillance and response systems is necessary to build upon and sustain these successes and to address other public health problems. Sub-Saharan Africa appears to have weathered the recent global economic downturn remarkably well and its increasing middle class may soon demand stronger public health systems to protect communities. The Epidemic Intelligence Service (EIS) program of the US Centers for Disease Control and Prevention (CDC) has been the backbone of public health surveillance and response in the US during its 60 years of existence. EIS has been adapted internationally to create the Field Epidemiology Training Program (FETP) in several countries. In the 1990s CDC and the Rockefeller Foundation collaborated with the Uganda and Zimbabwe ministries of health and local universities to create 2-year Public Health Schools Without Walls (PHSWOWs) which were based on the FETP model. In 2004 the FETP model was further adapted to create the Field Epidemiology and Laboratory Training Program (FELTP) in Kenya to conduct joint competencybased training for field epidemiologists and public health laboratory scientists providing a master’s degree to participants upon completion. The FELTP model has been implemented in several additional countries in sub-Saharan Africa. By the end of 2010 these 10 FELTPs and two PHSWOWs covered 613 million of the 865 million people in sub-Saharan Africa and had enrolled 743 public health professionals. We describe the process that we used to develop 10 FELTPs covering 15 countries in sub-Saharan Africa from 2004 to 2010 as a strategy to develop a locally trained public health workforce that can operate multi-disease surveillance and response systems.Key words: Field epidemiology, laboratory management, multi-disease surveillance and response systems, public health workforce capacity buildin

Increasing leadership capacity for HIV/AIDS programmes by strengthening public health epidemiology and management training in Zimbabwe

<p>Abstract</p> <p>Background</p> <p>Increased funding for global human immunodeficiency virus prevention and control in developing countries has created both a challenge and an opportunity for achieving long-term global health goals. This paper describes a programme in Zimbabwe aimed at responding more effectively to the HIV/AIDS epidemic by reinforcing a critical competence-based training institution and producing public health leaders.</p> <p>Methods</p> <p>The programme used new HIV/AIDS programme-specific funds to build on the assets of a local education institution to strengthen and expand the general public health leadership capacity in Zimbabwe, simultaneously ensuring that they were trained in HIV interventions.</p> <p>Results</p> <p>The programme increased both numbers of graduates and retention of faculty. The expanded HIV/AIDS curriculum was associated with a substantial increase in trainee projects related to HIV. The increased number of public health professionals has led to a number of practically trained persons working in public health leadership positions in the ministry, including in HIV/AIDS programmes.</p> <p>Conclusion</p> <p>Investment of a modest proportion of new HIV/AIDS resources in targeted public health leadership training programmes can assist in building capacity to lead and manage national HIV and other public health programmes.</p

Non-adherence to the single dose nevirapine regimen for the prevention of mother-to-child transmission of HIV in Bindura town, Zimbabwe: a cross-sectional analytic study

<p>Abstract</p> <p>Background</p> <p>The Prevention of Mother to Child Transmission of HIV (PMTCT) programme was introduced at Bindura Hospital in 2003. Seven additional satellite PMTCT clinics were set up in the district to increase service coverage but uptake of PMTCT interventions remained unsatisfactory. In this study we determined the prevalence of and factors associated with non-adherence to the single dose nevirapine (SD-NVP) regimen for PMTCT in Bindura town.</p> <p>Methods</p> <p>An analytic cross-sectional study was conducted in four health institutions in Bindura town. Participants were mother-baby pairs on the PMTCT programme attending routine six weeks post natal visits in the participating health institutions from March to July 2008. We interviewed 212 mothers using a structured questionnaire.</p> <p>Results</p> <p>The non-adherence rate to the maternal nevirapine dose was 30.7%, while non-adherence to the newborn nevirapine dose was 26.9%. The combined mother-baby pair nevirapine non-adherence was 42.9%. Non-adherence to the maternal dose of nevirapine was associated with lack of maternal secondary education (POR = 2.38; 95%CI: 1.05-3.39) and multi-parity (POR = 2.66; 95%CI: 1.05-6.72), while previous maternal exposure to the PMTCT programme (POR = 0.22; 95%CI: 0.08-0.57) and giving the mother a NVP tablet to take home during antenatal care (POR = 0.03; 95%CI: 0.01-0.09) were associated with improved maternal adherence to nevirapine. Non-adherence to the infant dose of nevirapine was associated with maternal non-disclosure of HIV results to sexual partner (POR = 2.75; 95%CI: 1.04-7.32) and home deliveries (POR = 48.76; 95%CI: 17.51-135.82).</p> <p>Conclusions</p> <p>Non-adherence to nevirapine prophylaxis for PMTCT was high in Bindura. Ensuring institutional deliveries, encouraging self-disclosure of HIV results by the mothers to their partners and giving HIV positive mothers nevirapine doses to take home early in pregnancy all play significant roles in improving adherence to PMTCT prophylaxis.</p

A long-term monthly surface water storage dataset for the Congo basin from 1992 to 2015

The spatio-temporal variation of surface water storage (SWS) in the Congo River basin (CRB), the second-largest watershed in the world, remains widely unknown. In this study, satellite-derived observations are combined to estimate SWS dynamics at the CRB and sub-basin scales over 1992–2015. Two methods are employed. The first one combines surface water extent (SWE) from the Global Inundation Extent from Multi-Satellite (GIEMS-2) dataset and the long-term satellite-derived surface water height from multi-mission radar altimetry. The second one, based on the hypsometric curve approach, combines SWE from GIEMS-2 with topographic data from four global digital elevation models (DEMs), namely the Terra Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER), Advanced Land Observing Satellite (ALOS), Multi-Error-Removed Improved Terrain (MERIT), and Forest And Buildings removed Copernicus DEM (FABDEM). The results provide SWS variations at monthly time steps from 1992 to 2015 characterized by a strong seasonal and interannual variability with an annual mean amplitude of ∼101±23 km3. The Middle Congo sub-basin shows a higher mean annual amplitude (∼71±15 km3). The comparison of SWS derived from the two methods and four DEMs shows an overall fair agreement. The SWS estimates are assessed against satellite precipitation data and in situ river discharge and, in general, a relatively fair agreement is found between the three hydrological variables at the basin and sub-basin scales (linear correlation coefficient &gt;0.5). We further characterize the spatial distribution of the major drought that occurred across the basin at the end of 2005 and in early 2006. The SWS estimates clearly reveal the widespread spatial distribution of this severe event (∼40 % deficit as compared to their long-term average), in accordance with the large negative anomaly observed in precipitation over that period. This new SWS long-term dataset over the Congo River basin is an unprecedented new source of information for improving our comprehension of hydrological and biogeochemical cycles in the basin. As the datasets used in our study are available globally, our study opens opportunities to further develop satellite-derived SWS estimates at the global scale. The dataset of the CRB's SWS and the related Python code to run the reproducibility of the hypsometric curve approach dataset of SWS are respectively available for download at https://doi.org/10.5281/zenodo. 7299823 and https://doi.org/10.5281/zenodo.8011607 (Kitambo et al., 2022b, 2023).</p

Longest sediment flows yet measured show how major rivers connect efficiently to deep sea

Here we show how major rivers can efficiently connect to the deep-sea, by analysing the longest runout sediment flows (of any type) yet measured in action on Earth. These seafloor turbidity currents originated from the Congo River-mouth, with one flow travelling >1,130 km whilst accelerating from 5.2 to 8.0 m/s. In one year, these turbidity currents eroded 1,338-2,675 [>535-1,070] Mt of sediment from one submarine canyon, equivalent to 19–37 [>7–15] % of annual suspended sediment flux from present-day rivers. It was known earthquakes trigger canyon-flushing flows. We show river-floods also generate canyon-flushing flows, primed by rapid sediment-accumulation at the river-mouth, and sometimes triggered by spring tides weeks to months post-flood. It is demonstrated that strongly erosional turbidity currents self-accelerate, thereby travelling much further, validating a long-proposed theory. These observations explain highly-efficient organic carbon transfer, and have important implications for hazards to seabed cables, or deep-sea impacts of terrestrial climate change