Prevalence of Cataract Blindness in Rural Ethiopia

Background: Over three-quarter of all blindness worldwide are preventable and usually caused by cataract and trachoma.Objective: To assess the prevalence of cataract blindness in rural Ethiopia in order to facilitate further health care planning.Methods: A Cross-sectional, community-based study of inhabitants over 40 years of age from villages in the Abeshge and Kebena Districts, south of Addis Ababa. A total of 1100 eligible participants were identified in the study. Visual acuity (VA) was measured using a Snellen’s E chart at 6 metres and eye examinations were performed using torch light, 2.5 X magnifying glasses and an ophthalmoscope. Cataract was defined as lens opacity identified as the cause of blindness and low vision after ruling out other causes. Unfortunately, there was no access to a refraction set and slit lamp to conduct thorough examinations.Results: The adjusted prevalence of bilateral cataract blindness (VA<3/60) was 2.4%, 95% confidence interval [CI], 1.8%–3.0%. Cataract is the major cause of bilateral blindness (66.7%) among the participants. The cataract surgical coverage was 28.9% for men and 18.1% for women. The adjusted prevalence of bilateral cataract and VA<6/60 was 3.6% (95% CI, 1.4%–5.8%). In this last group, the surgical coverage was 41.2% (persons) and 38.5% (eyes). Of all operated eyes, 30% could not see at 6/60. Inability to afford the procedure (64.5%) and poor knowledge of cataract (29.8%) were the reasons why surgery had not been performed.Conclusions: Cataract blindness is a major health problem in the study area with low surgical uptake. There is backlog of cataract blindness in the study area that will increase with ageing. This backlog was also reflected in other developing countries. Awareness campaigns, reducing cost, and expansion of surgical services may help to increase the cataract surgical rate, and women should be offered more cataract surgery. These results will enable health managers to plan effective interventions in line with Vision 2020. [Ethiop. J. Health Dev. 2011;25(2):156-160

Outbreak of Aeromonas hydrophila associated with the parasitic infection Ichthyophthirius multifiliis in pond of African catfish (Clarias gariepinus) fingerlings at Sebeta, Ethiopia

Outbreak of a disease was observed on African catfish (Clarias gariepinus) fingerlings manifested by white nodules all over the body and hemorrhage in the skin that occurred on June 20, 2011 in an earthen pond at Sebeta, Ethiopia. The outbreak was investigated by using a combination of methods that included clinical observations, gross and histopathology examination and bacterial isolation. On histopathological  examination co-infection of Aeromonas hydrophila with Ichthyophthirius multifiliis a holotrichous ciliate, was found to be the cause of the outbreak. In order to control the outbreak, the fish density was reduced and the fish were removed and treated with sodium chloride (3%) and moved to another properly disinfected pond that contains fresh and good quality water. The former pond was drained and left empty for two  weeks to dry and then lime was added over it before filling it with water. The sick fish got cured after three weeks and no new case was observed; which may be due to development of immunity or the intervention measures taken to control the problem. This intervention protocols need to be further investigated in a properly designed experiment as a possible control of co-infection of these two pathogens in catfish  fingerlings.Keywords: Aeromonas hydrophila, Co-infection, Ethiopia, Ichthyophthirius multifilii

Yersiniosis outbreak in rainbow trout at fish farm in Oromia Regional State, Ethiopia

This study presents the results of an investigation conducted on an outbreak of Yersiniosis (Enteric red mouth disease) caused by Yersinia ruckeri at a rainbow trout farm situated at Adaba, Oromia Regional State, Ethiopia. Seven diseased rainbow trout fish having average weight 80 - 100 grams and aged 9 months, were brought to the National Animal Health Diagnostic and Investigation Center (NAHDIC) for further examination and laboratory testing. The young sick fish showed clinical signs of darkening of the skin, loss of appetite and gasping at the surface of the water before death. The fish were sacrificed and examined thoroughly  externally for the presence of visible lesions. Scrapings were collected from the skin especially from areas around the fins and observed under the  stereomicroscope and also under the low power objective of the compound microscope. Bacteriological tests were carried out on samples from the kidney, liver and spleen. It was concluded that the fish were affected by Yersinia ruckeri based on colony morphology during growth on Tryptose Soy Agar (yellow colonies, gram negative and rodshaped) and distinctive biochemical characteristics. Y. ruckeri is identified from sick fish for the first time in Ethiopia. The protozoan parasites Trichodina species were also recovered in large colonies from the skin scrapings and histopathological sections of the gills. The pathological lesions recorded  included high degree anaemia of oral and branchial mucosa, congested gills, kidney and spleen and pale liver, congestion, extensive necrosis in the kidney and spleen, and infiltration with inflammatory cells. Antibiogram test conducted on the bacteria showed that the Y. ruckeri strain were susceptible to Oxytetracycline, Furazolidone, Trimethoprim and Streptomycin. This study showed the importance of stress induced by higher temperature and poor water quality associated with infestations by Trichodina species as predisposing factors to bacterial diseases in intensive fish farming practices. Key words: bacterial culture, histopathology, rainbow trout, Yersinia ruckeri, Trichodina specie

Maintenance and expansion of genetic and trait variation following domestication in a clonal crop

Clonal propagation enables favourable crop genotypes to be rapidly selected and multiplied. However, the absence of sexual propagation can lead to low genetic diversity and accumulation of deleterious mutations, which may eventually render crops less resilient to pathogens or environmental change. To better understand this trade-off, we characterize the domestication and contemporary genetic diversity of Enset (Ensete ventricosum), an indigenous African relative of bananas (Musa) and a principal starch staple for 20 million Ethiopians. Wild enset reproduction occurs strictly by sexual outcrossing, but for cultivation, it is propagated clonally and associated with diversification and specialization into hundreds of named landraces. We applied tGBS sequencing to generate genome-wide genotypes for 192 accessions from across enset's cultivated distribution, and surveyed 1340 farmers on enset agronomic traits. Overall, reduced heterozygosity in the domesticated lineage was consistent with a domestication bottleneck that retained 37% of wild diversity. However, an excess of putatively deleterious missense mutations at low frequency present as heterozygotes suggested an accumulation of mutational load in clonal domesticated lineages. Our evidence indicates that the major domesticated lineages initially arose through historic sexual recombination associated with a domestication bottleneck, followed by the amplification of favourable genotypes through an extended period of clonal propagation. Among domesticated lineages, we found a significant phylogenetic signal for multiple farmer-identified food, nutrition and disease resistance traits and little evidence of contemporary recombination. The development of future-climate adapted genotypes may require crop breeding, but outcrossing risks exposing deleterious alleles as homozygotes. This trade-off may partly explain the ubiquity and persistence of clonal propagation over recent centuries of comparative climate stability

Comparing serial X-ray crystallography and microcrystal electron diffraction (MicroED) as methods for routine structure determination from small macromolecular crystals.

Innovative new crystallographic methods are facilitating structural studies from ever smaller crystals of biological macromolecules. In particular, serial X-ray crystallography and microcrystal electron diffraction (MicroED) have emerged as useful methods for obtaining structural information from crystals on the nanometre to micrometre scale. Despite the utility of these methods, their implementation can often be difficult, as they present many challenges that are not encountered in traditional macromolecular crystallography experiments. Here, XFEL serial crystallography experiments and MicroED experiments using batch-grown microcrystals of the enzyme cyclophilin A are described. The results provide a roadmap for researchers hoping to design macromolecular microcrystallography experiments, and they highlight the strengths and weaknesses of the two methods. Specifically, we focus on how the different physical conditions imposed by the sample-preparation and delivery methods required for each type of experiment affect the crystal structure of the enzyme

Optimizing and evaluating protein microcrystallography experiments: strengths and weaknesses of X-rays and electrons

Recently, significant technological innovations have enabled the measurement of both X-ray and electron diffraction from protein microcrystals. These new microcrystallography experiments are useful when large crystals cannot be obtained, but also in other cases, such as when large crystals suffer from long-range disorder, or when uniform perturbations need to be applied rapidly to the entire crystal volume. Optimizing the preparation of protein microcrystals for this new class of experiments presents new challenges for crystallographers, who have traditionally sought to grow large, single crystals. To better understand these new challenges, we optimized the production of microcrystalline samples of cyclophilin A (CypA), starting from conditions that produced millimeter scale crystals. Next, we used these microcrystals to determine CypA structures by serial femtosecond crystallography (SFX) at two XFEL lightsources, and by microcrystal electron diffraction (microED) in an electron cryomicroscope. Here, I will present our optimization strategy for protein microcrystallization, and compare the results of X-ray and electron microcrystallography experiments with CypA. I will focus on the unique caveats of sample delivery for each method, and compare the resulting structures. The goal will be to provide insight into which microcrystallography experiment is most appropriate for which types of samples, and to share our experience with sample preparation and delivery for each type of experiment

A decentralized approach to model national and global food and land use systems

The achievement of several sustainable development goals and the Paris Climate Agreement depends on rapid progress towards sustainable food and land systems in all countries. We have built a flexible, collaborative modeling framework to foster the development of national pathways by local research teams and their integration up to global scale. Local researchers independently customize national models to explore mid-century pathways of the food and land use system transformation in collaboration with stakeholders. An online platform connects the national models, iteratively balances global exports and imports, and aggregates results to the global level. Our results show that actions toward greater sustainability in countries could sum up to 1 Mha net forest gain per year, 950 Mha net gain in the land where natural processes predominate, and an increased CO2 sink of 3.7 GtCO2e yr−1 over the period 2020-2050 compared to current trends, while average food consumption per capita remains above the adequate food requirements in all countries. We show examples of how the global linkage impacts national results and how different assumptions in national pathways impact global results. This modeling setup acknowledges the broad heterogeneity of socio-ecological contexts and the fact that people who live in these different contexts should be empowered to design the future they want. But it also demonstrates to local decision-makers the interconnectedness of our food and land use system and the urgent need for more collaboration to converge local and global priorities.Fil: Mosnier, Aline. Sustainable Development Solutions Network; FranciaFil: Javalera Rincon, Valeria. International Institute For Applied Systems Analysis, Laxenburg; AustriaFil: Jones, Sarah K. Alliance of Bioversity International; FranciaFil: Andrew, Robbie. Center for International Climate Research; NoruegaFil: Bai, Zhaohai. Chinese Academy of Sciences; República de ChinaFil: Baker, Justin. North Carolina State University; Estados UnidosFil: Basnet, Shyam. Stockholm Resilience Centre; SueciaFil: Boer, Rizaldi. Bogor Agricultural University; IndonesiaFil: Chavarro, John. Geo-agro-environmental Sciences And Resources Research Center; ColombiaFil: Costa, Wanderson. Centro de Previsao de Tempo e Estudos Climáticos. Instituto Nacional de Pesquisas Espaciais; BrasilFil: Daloz, Anne Sophie. Center for International Climate Research; NoruegaFil: DeClerck, Fabrice A.. Alliance of Bioversity International; Francia. Stockholm Resilience Centre; SueciaFil: Diaz, Maria. Sustainable Development Solutions Network; FranciaFil: Douzal, Clara. Sustainable Development Solutions Network; FranciaFil: Howe Fan, Andrew Chiah. Sunway University; MalasiaFil: Fetzer, Ingo. Stockholm Resilience Centre; SueciaFil: Frank, Federico. Instituto Nacional de Tecnología Agropecuaria. Centro Regional Buenos Aires; ArgentinaFil: Gonzalez Abraham, Charlotte E.. University of California at San Diego; Estados UnidosFil: Habiburrachman, A. H. F.. Universitas Indonesia; IndonesiaFil: Immanuel, Gito. Stockholm Resilience Centre; SueciaFil: Harrison, Paula A.. Centre for Ecology & Hydrology; Reino UnidoFil: Imanirareba, Dative. Uganda Martyrs University; UgandaFil: Jha, Chandan. Indian Institute Of Management Ahmedabad; IndiaFil: Monjeau, Jorge Adrian. Fundación Bariloche; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Vittis, Yiorgos. International Institute For Applied Systems Analysis; AustriaFil: Wade, Chris. North Carolina State University; Estados UnidosFil: Winarni, Nurul L.. Universitas Indonesia; IndonesiaFil: Woldeyes, Firew Bekele. Ethiopian Development Research Institute; EtiopíaFil: Wu, Grace C.. University of California; Estados UnidosFil: Zerriffi, Hisham. University of British Columbia; Canad

Local Increase of Arginase Activity in Lesions of Patients with Cutaneous Leishmaniasis in Ethiopia

The leishmaniases are a complex of diseases caused by Leishmania parasites. Currently, the diseases affect an estimated 12 million people in 88 countries, and approximately 350 million more people are at risk. The leishmaniases belong to the most neglected tropical diseases, affecting the poorest populations, for whom access to diagnosis and effective treatment are often not available. Leishmania parasites infect cells of the immune system called macrophages, which have the capacity to eliminate the intracellular parasites when they receive the appropriate signals from other cells of the immune system. In nonhealing persistent leishmaniasis, lymphocytes are unable to transmit the signals to macrophages required to kill the intracellular parasites. The local upregulation of the enzyme arginase has been shown to impair lymphocyte effector functions at the site of pathology. In this study, we tested the activity of this enzyme in skin lesions of patients presenting with localized cutaneous leishmaniasis. Our results show that arginase is highly upregulated in these lesions. This increase in arginase activity coincides with lower expression of a signalling molecule in lymphocytes, which is essential for efficient activation of these cells. These results suggest that increased arginase expression in the localized cutaneous lesions might contribute to persistent disease in patients presenting with cutaneous leishmaniasis

Global trends of hand and wrist trauma: A systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study

Background: As global rates of mortality decrease, rates of non-fatal injury have increased, particularly in low Socio-demographic Index (SDI) nations. We hypothesised this global pattern of non-fatal injury would be demonstrated in regard to bony hand and wrist trauma over the 27-year study period. Methods: The Global Burden of Diseases, Injuries, and Risk Factors Study 2017 was used to estimate prevalence, age-standardised incidence and years lived with disability for hand trauma in 195 countries from 1990 to 2017. Individual injuries included hand and wrist fractures, thumb amputations and non-thumb digit amputations. Results: The global incidence of hand trauma has only modestly decreased since 1990. In 2017, t

Global trends of hand and wrist trauma : a systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study

Background As global rates of mortality decrease, rates of non-fatal injury have increased, particularly in low Socio-demographic Index (SDI) nations. We hypothesised this global pattern of non-fatal injury would be demonstrated in regard to bony hand and wrist trauma over the 27-year study period. Methods The Global Burden of Diseases, Injuries, and Risk Factors Study 2017 was used to estimate prevalence, age-standardised incidence and years lived with disability for hand trauma in 195 countries from 1990 to 2017. Individual injuries included hand and wrist fractures, thumb amputations and non-thumb digit amputations. Results The global incidence of hand trauma has only modestly decreased since 1990. In 2017, the age-standardised incidence of hand and wrist fractures was 179 per 100 000 (95% uncertainty interval (UI) 146 to 217), whereas the less common injuries of thumb and non-thumb digit amputation were 24 (95% UI 17 to 34) and 56 (95% UI 43 to 74) per 100 000, respectively. Rates of injury vary greatly by region, and improvements have not been equally distributed. The highest burden of hand trauma is currently reported in high SDI countries. However, low-middle and middle SDI countries have increasing rates of hand trauma by as much at 25%. Conclusions Certain regions are noted to have high rates of hand trauma over the study period. Low-middle and middle SDI countries, however, have demonstrated increasing rates of fracture and amputation over the last 27 years. This trend is concerning as access to quality and subspecialised surgical hand care is often limiting in these resource-limited regions.Peer reviewe