Magnitude of Schistosoma mansoni and intestinal helminthic infections among school children in Wondo-Genet Zuria, Southern Ethiopia

Abstract: A cross-sectional study was conducted in April, 1994 to determine the prevalence of S. mansoni and other intestinal helminths among students of Wondo-Genet Zuria Elementary and Junior Secondary Schools, Sidama Zone, Southern Ethiopia. A questionnaire was used to list each of the study subjects and Formol-ether concentration method was used to analyze stool samples collected. From a total of 520 students examined 465 (89.4%) were positive for different intestinal helminthiasis while 157 (30.2%) were positive for S. mansoni. The infection rate among the study group is discussed and possible recommendation is made for future action. [Ethiop. J. Health Dev. 1997;11(2):125-129

Epidemiology of low back pain among nurses working in public hospitals of Addis Ababa, Ethiopia

Background: Low back pain (LBP) related to Nursing Profession, is a very common public health problem throughout the world. Various risk factors have been implicated in the etiology and LBP is assumed to be of multi-factorial origin as individual, work-related and psychosocial factors can contribute to its development. The aim of this study was to determine the prevalence and to identify the risk factors of LBP among Nurses working in Addis Ababa City Public Hospitals, Ethiopia, in the year 2015. Addis Ababa University, Black-Lion (‘Tikur Anbessa’) Hospital-BLH, is the country’s highest tertiary level referral and teaching Hospital. The three departments in connection with this study: Radiology, Pathology and Orthopedics, run undergraduate and residency programs and receive referred patients from all over the country.Methods: A cross-sectional study with internal comparison was conducted throughout the period October-December, 2015. Sample was chosen by simple random sampling technique by taken the lists of Nurses from human resource departments as a sampling frame. A well-structured, pre-tested and selfadministered questionnaire was used to collect quantifiable information. The questionnaire included socio-demographic, back pain features, consequences of back pain, work-related and psychosocial factors. The collected data was entered in to epiinfo version 3.5.4 and was analyzed by SPSS. A probability level of 0.05 or less and 95% confidence level was used to indicate statistical significance. Ethical clearance was obtained from all respected administrative bodies, Hospitals and study participants.Results: The study included 395 Nurses and gave a response rate of 91.9%. The mean age was 30.6 (±8.4) years. Majority of the respondents were female (285, 72.2%). Nearly half of the participants (n=181, 45.8% (95% CI (40.8%- 50.6%))) were complained Low Back Pain. There were statistical significant association between Low Back Pain and working shift, physical activities at work; sleep disturbance and felt little pleasure by doing things.Conclusion: A high prevalence of Low Back Pain was found among Nurses working in Addis Ababa Public Hospitals. Recognition & Preventive measures like providing resting periods should be taken to reduce the risk of Low Back Pain in Nurses working in Public hospitalsKeywords: LBP Risk factors, Low back pain, Nurses, Work-Shift, and Public Hospital

Tef (Eragrostis tef (Zucc.) Trotter) Variety ‘Felagot’

አህፅሮት  ጤፍ በኢትዮጵያ ከሚመረቱ የብርዕና አገዳ ሰብሎች ዋነኛው ሲሆን ከ65 በመቶ   ለማያንስ ህዝብ ዋና የምግብ ሰብል በመሆን ያገለግላል፡፡ የጤፍ የዘር ቀለም ተለያይነት ያለው ሲሆን በአብዛኛው ነጭና ቡናማ/ቀይ አንዳንዴም ድብልቅ እና መካከለኛ የዘር ቀለም በየዓመቱ ከሶሰት ሚሊዮን ማሳ በላይ በመሸፈን ይመረታል፡፡ ይሁን እንጂ ከሌሎች ሰብሎች ጋር ሲወዳደር  ምርትና ምርታማነቱ ዝቅተኛ ነው፡፡ ለዚህም ዋና ዋና ምክንያት በመሆን የሚጠቀሰው የተሻሻሉ ዝርያዎች በበቂ ሁኔታ አለመኖር ነው፡፡ የዚህ ጥናት ዋና ዓላማ እየጨመረ የመጣውን የቡናማ/ቀይ ጤፍ ፍላጎት ለማሟላት በተለያየ የምርምር አሰራርና ሂደት የተገኘ የጤፍ ዝርያን በመፈተሽ የተሻለ ምርት የሚሰጥና በአርሶ አደሩና በተጠቃሚው ተመራጭ የሆነ ዝርያ ማፍለቅ ነበር፡፡ በጥናቱም አስራ ሁለት የተለያዩ የጤፍ ዓይነቶችን ጨምሮ  አንድ በቅርቡ የተለቀቀ እና አንድ የአካባቢ ዝርያን በማካተት በስድስት ወካይ ጤፍ አብቃይ ቦታዎች ላይ ተፈትሸው ፍላጎት (ደዘ-ክሮስ-442) የተባለው ቡናማ/ቀይ ዘር ቀለም ያለው ዝርያ ከሌሎች ማወዳደሪያ ዝርያዎች የተሻለ ውጤት በማስመዝገቡ በብሄራዊ የዝርያ አፅዳቂ ኮሚቴ ተገምግሞ ለምርት እንዲውል ተወስኗል፡፡ በተጨማሪም ይህ ዝርያ ቡናማ/ቀይ ዘር ቀለም ያለው ዝርያ ከተለቀቀ ከአስራ አምስት አመታት በኃላ የተገኘና የወደፊት የውጭ ገበያ ፍላጎትን ለሟሟላት ከፍተኛ አስተዋፅኦ ሊያበረክት የሚችል ነው፡፡ Abstract Tef [Eragrostis tef (Zucc.) Trotter] is the major cultivated cereal crop in Ethiopia and serves as staple food grain for over 65% of the population. The area under tef cultivation is over three million hectares of land each year. Depending on the type of seed color, tef grains are categorized into white and brown, while some admixtures and intermediate seed colors also exist. However, the productivity of tef is very low as compared to other cereals due, among others, to lack of high yielding varieties. The objective of this study was to evaluate the performance of released brown seeded tef variety called Felagot and to provide unique morphological and agronomic descriptions of this new variety. Twelve genotypes resulting from two independent crossesnd breed for at least seven generations plus local and standard check varieties were tested over two years (2014 and 2015 main season) at six tef growing locations namely: Debre Zeit light soil, Debre Zeit Black soil, Minjar, Adet, Bichena and Holetta using randomized complete block design with four replications. The study found that Felagot (DZ-Cr-442/ RIL-77C) which was obtained from a cross between Quncho (the popular variety) and Gea Lammie (local cultivar) exceled the other genotypes and it was approved for release by the Ethiopian National Variety Release Committee in March 2017. The main advantages of Felagot over the other tested lines were its higher grain yield together with high straw yield and brown seed color. In addition, it was released under the brown seed category after one and half decades. Furthermore, it is anticipated that because of the brown seed color Felagot will command high external market preferences and prices, and thereby contribute for future tef export market

Respectful maternity care in Ethiopian public health facilities

Background: Disrespect and abuse of women during institutional childbirth services is one of the deterrents to utilization of maternity care services in Ethiopia and other low- and middle-income countries. This paper describes the prevalence of respectful maternity care (RMC) and mistreatment of women in hospitals and health centers, and identifies factors associated with occurrence of RMC and mistreatment of women during institutional labor and childbirth services. Methods: This study had a cross sectional study design. Trained external observers assessed care provided to 240 women in 28 health centers and hospitals during labor and childbirth using structured observation checklists. The outcome variable, providers' RMC performance, was measured by nine behavioral descriptors. The outcome, any mistreatment, was measured by four items related to mistreatment of women: physical abuse, verbal abuse, absence of privacy during examination and abandonment. We present percentages of the nine RMC indicators, mean score of providers' RMC performance and the adjusted multilevel model regression coefficients to determine the association with a quality improvement program and other facility and provider characteristics. Results: Women on average received 5.9 (66%) of the nine recommended RMC practices. Health centers demonstrated higher RMC performance than hospitals. At least one form of mistreatment of women was committed in 36% of the observations (38% in health centers and 32% in hospitals). Higher likelihood of performing high level of RMC was found among male vs. female providers ((beta) over cap = 0: 65, p = 0.012), midwives vs. other cadres ((beta) over cap = 0: 88, p = 0.002), facilities implementing a quality improvement approach, Standards-based Management and Recognition (SBM-R (c)) ((beta) over cap = 1: 31, p = 0.003), and among laboring women accompanied by a companion (beta) over cap = 0: 99, p = 0.003). No factor was associated with observed mistreatment of women. Conclusion: Quality improvement using SBM-R (c) and having a companion during labor and delivery were associated with RMC. Policy makers need to consider the role of quality improvement approaches and accommodating companions in promoting RMC. More research is needed to identify the reason for superior RMC performance of male providers over female providers and midwives compared to other professional cadre, as are longitudinal studies of quality improvement on RMC and mistreatment of women during labor and childbirth services in public health facilities

Technology generation to dissemination:lessons learned from the tef improvement project

Indigenous crops also known as orphan crops are key contributors to food security, which is becoming increasingly vulnerable with the current trend of population growth and climate change. They have the major advantage that they fit well into the general socio-economic and ecological context of developing world agriculture. However, most indigenous crops did not benefit from the Green Revolution, which dramatically increased the yield of major crops such as wheat and rice. Here, we describe the Tef Improvement Project, which employs both conventional- and molecular-breeding techniques to improve tef\u2014an orphan crop important to the food security in the Horn of Africa, a region of the world with recurring devastating famines. We have established an efficient pipeline to bring improved tef lines from the laboratory to the farmers of Ethiopia. Of critical importance to the long-term success of this project is the cooperation among participants in Ethiopia and Switzerland, including donors, policy makers, research institutions, and farmers. Together, European and African scientists have developed a pipeline using breeding and genomic tools to improve the orphan crop tef and bring new cultivars to the farmers in Ethiopia. We highlight a new variety, Tesfa, developed in this pipeline and possessing a novel and desirable combination of traits. Tesfa\u2019s recent approval for release illustrates the success of the project and marks a milestone as it is the first variety (of many in the pipeline) to be released

Intestinal parasitosis and shigellosis among diarrheal patients in Gondar teaching hospital, northwest Ethiopia

<p>Abstract</p> <p>Background</p> <p>Diarrheal diseases are the major causes of morbidity and mortality in developing world. Understanding the etiologic agents of diarrheal diseases and their association with socio-demographic characteristics of patients would help to design better preventive measures. Thus, this study was aimed to determine the prevalence of intestinal parasites and enteropathogenic bacteria in diarrheic patients.</p> <p>Methods</p> <p>A cross-sectional study involving 384 consecutive diarrheal patients who visited Gondar teaching hospital, Gondar, Ethiopia from October 2006 to March 2007 was conducted. Stool specimens were collected and examined for intestinal parasites and enteropathogenic bacteria following standard parasitological and microbiological procedures.</p> <p><b><it>Results</it></b></p> <p>Intestinal parasites were diagnosed in 36.5% of the patients. The most frequently encountered protozoan parasite was <it>Entamoeba histolytica/dispar </it>(7.3%) followed by <it>Giardia lamblia </it>(5.0%), C<it>ryptosporidium parvum </it>(1.8%) and <it>Isospora belli </it>(1.3%). The dominant helminthic parasite identified was <it>Ascaris lumbricoides </it>(5.5%) followed by <it>Strongyloides stercoralis </it>and <it>Schistosoma mansoni </it>(3.1% each), hookworm infection (1.8%), and <it>Hymenolepis </it>species (1.3%). Multiple infections of intestinal parasites were also observed in 6.3% of the patients. Among the enteropathogenic bacteria <it>Shigella </it>and <it>Salmonella </it>species were isolated from 15.6% and 1.6%, respectively, of the patients. <it>Escherichia coli O57:H7 </it>was not found in any of the stool samples tested. Eighty eight percent and 83.3% of the <it>Shigella </it>and <it>Salmonella </it>isolates were resistant to one or more commonly used antibiotics, respectively.</p> <p>Intestinal parasitosis was higher in patients who live in rural area, in patients who were washing their hands after visiting toilet either irregularly with soap and without soap or not at all, in patients who used well and spring water for household consumption, and in patients who had nausea (<it>P </it>< 0.05). Statistically significant associations were also observed between Shigella infections and patients who were using well and spring water for household consumption, and patients who had dysentery and mucoid stool (<it>P </it>< 0.05).</p> <p>Conclusions</p> <p>The high prevalence of intestinal parasites and <it>Shigella </it>species in diarrheic patients calls for institution of appropriate public health intervention measures to reduce morbidity and mortality associated with these diseases. The rational use of antibiotics should also be practiced.</p

Global, regional, and national burden of colorectal cancer and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

Funding: F Carvalho and E Fernandes acknowledge support from Fundação para a Ciência e a Tecnologia, I.P. (FCT), in the scope of the project UIDP/04378/2020 and UIDB/04378/2020 of the Research Unit on Applied Molecular Biosciences UCIBIO and the project LA/P/0140/2020 of the Associate Laboratory Institute for Health and Bioeconomy i4HB; FCT/MCTES through the project UIDB/50006/2020. J Conde acknowledges the European Research Council Starting Grant (ERC-StG-2019-848325). V M Costa acknowledges the grant SFRH/BHD/110001/2015, received by Portuguese national funds through Fundação para a Ciência e Tecnologia (FCT), IP, under the Norma Transitória DL57/2016/CP1334/CT0006.proofepub_ahead_of_prin

Global, regional, and national sex-specific burden and control of the HIV epidemic, 1990-2019, for 204 countries and territories: the Global Burden of Diseases Study 2019

Background: The sustainable development goals (SDGs) aim to end HIV/AIDS as a public health threat by 2030. Understanding the current state of the HIV epidemic and its change over time is essential to this effort. This study assesses the current sex-specific HIV burden in 204 countries and territories and measures progress in the control of the epidemic. Methods: To estimate age-specific and sex-specific trends in 48 of 204 countries, we extended the Estimation and Projection Package Age-Sex Model to also implement the spectrum paediatric model. We used this model in cases where age and sex specific HIV-seroprevalence surveys and antenatal care-clinic sentinel surveillance data were available. For the remaining 156 of 204 locations, we developed a cohort-incidence bias adjustment to derive incidence as a function of cause-of-death data from vital registration systems. The incidence was input to a custom Spectrum model. To assess progress, we measured the percentage change in incident cases and deaths between 2010 and 2019 (threshold >75% decline), the ratio of incident cases to number of people living with HIV (incidence-to-prevalence ratio threshold <0·03), and the ratio of incident cases to deaths (incidence-to-mortality ratio threshold <1·0). Findings: In 2019, there were 36·8 million (95% uncertainty interval [UI] 35·1–38·9) people living with HIV worldwide. There were 0·84 males (95% UI 0·78–0·91) per female living with HIV in 2019, 0·99 male infections (0·91–1·10) for every female infection, and 1·02 male deaths (0·95–1·10) per female death. Global progress in incident cases and deaths between 2010 and 2019 was driven by sub-Saharan Africa (with a 28·52% decrease in incident cases, 95% UI 19·58–35·43, and a 39·66% decrease in deaths, 36·49–42·36). Elsewhere, the incidence remained stable or increased, whereas deaths generally decreased. In 2019, the global incidence-to-prevalence ratio was 0·05 (95% UI 0·05–0·06) and the global incidence-to-mortality ratio was 1·94 (1·76–2·12). No regions met suggested thresholds for progress. Interpretation: Sub-Saharan Africa had both the highest HIV burden and the greatest progress between 1990 and 2019. The number of incident cases and deaths in males and females approached parity in 2019, although there remained more females with HIV than males with HIV. Globally, the HIV epidemic is far from the UNAIDS benchmarks on progress metrics. Funding: The Bill & Melinda Gates Foundation, the National Institute of Mental Health of the US National Institutes of Health (NIH), and the National Institute on Aging of the NIH