The Canadian Dairy Commission: an empirical survey on its relevance in today's civil society

The current function of the Canadian Dairy Commission (CDC) raises important public policy issues that have implications for wealth redistribution, administrative law, and civil liberty. The CDC's purported economic relevance in Canadian society serves as a facade for a short-sighted management approach that is devoid of the rudiments of a market mechanism. In order to suggest future public policy developments, an exploratory field survey was conducted and results are presented in this paper. Although the results do not infer that Canadian consumers are discontented with dairy prices in Canada, our evidence shows that consumers know very little about the processes behind marketing milk in Canada, especially with the price setting powers of the CDC. This study indicates that future policies should address this lack of consumer awareness. As global dairy markets evolve, policies designed to protect against domestic and foreign competition will most likely become less effective. Protectionist policies can be detrimental to a country's long-term prosperity as opportunities for new products, adoption of new technologies and faster responses to consumer demands are squandered. The study's limitations and implications for practice and future research are described.Canadian Dairy Commission, marketing boards, Dairy industry, milk products., Livestock Production/Industries, Marketing,

The age-specific burden and household and school-based predictors of child and adolescent tuberculosis infection in rural Uganda.

BackgroundThe age-specific epidemiology of child and adolescent tuberculosis (TB) is poorly understood, especially in rural areas of East Africa. We sought to characterize the age-specific prevalence and predictors of TB infection among children and adolescents living in rural Uganda, and to explore the contribution of household TB exposure on TB infection.MethodsFrom 2015-2016 we placed and read 3,121 tuberculin skin tests (TST) in children (5-11 years old) and adolescents (12-19 years old) participating in a nested household survey in 9 rural Eastern Ugandan communities. TB infection was defined as a positive TST (induration ≥10mm or ≥5mm if living with HIV). Age-specific prevalence was estimated using inverse probability weighting to adjust for incomplete measurement. Generalized estimating equations were used to assess the association between TB infection and multi-level predictors.ResultsThe adjusted prevalence of TB infection was 8.5% (95%CI: 6.9-10.4) in children and 16.7% (95% CI:14.0-19.7) in adolescents. Nine percent of children and adolescents with a prevalent TB infection had a household TB contact. Among children, having a household TB contact was strongly associated with TB infection (aOR 5.5, 95% CI: 1.7-16.9), but the strength of this association declined among adolescents and did not meet significance (aOR 2.3, 95% CI: 0.8-7.0). The population attributable faction of TB infection due to a household TB contact was 8% for children and 4% among adolescents. Mobile children and adolescents who travel outside of their community for school had a 1.7 (95% CI 1.0-2.9) fold higher odds of TB infection than those who attended school in the community.ConclusionChildren and adolescents in this area of rural eastern Uganda suffer a significant burden of TB. The majority of TB infections are not explained by a known household TB contact. Our findings underscore the need for community-based TB prevention interventions, especially among mobile youth

Sustaining the Internet with Hyperbolic Mapping

The Internet infrastructure is severely stressed. Rapidly growing overheads associated with the primary function of the Internet---routing information packets between any two computers in the world---cause concerns among Internet experts that the existing Internet routing architecture may not sustain even another decade. Here we present a method to map the Internet to a hyperbolic space. Guided with the constructed map, which we release with this paper, Internet routing exhibits scaling properties close to theoretically best possible, thus resolving serious scaling limitations that the Internet faces today. Besides this immediate practical viability, our network mapping method can provide a different perspective on the community structure in complex networks

The epidemiology of chronic kidney disease (CKD) in rural East Africa: A population-based study.

BackgroundChronic kidney disease (CKD) may be common among individuals living in sub-Saharan Africa due to the confluence of CKD risk factors and genetic predisposition.MethodsWe ascertained the prevalence of CKD and its risk factors among a sample of 3,686 participants of a population-based HIV trial in rural Uganda and Kenya. Prevalent CKD was defined as a serum creatinine-based estimated glomerular filtration rate <60 mL/min/1.73m2 or proteinuria (urine dipstick ≥1+). We used inverse-weighting to estimate the population prevalence of CKD, and multivariable log-link Poisson models to assess the associations of potential risk factors with CKD.ResultsThe estimated CKD prevalence was 6.8% (95% CI 5.7-8.1%) overall and varied by region, being 12.5% (10.1-15.4%) in eastern Uganda, 3.9% (2.2-6.8%) in southwestern Uganda and 3.7% (2.7-5.1%) in western Kenya. Risk factors associated with greater CKD prevalence included age ≥60 years (adjusted prevalence ratio [aPR] 3.5 [95% CI 1.9-6.5] compared with age 18-29 years), HIV infection (aPR 1.6 [1.1-2.2]), and residence in eastern Uganda (aPR 3.9 [2.6-5.9]). However, two-thirds of individuals with CKD did not have HIV, diabetes, or hypertension as risk factors. Furthermore, we noted many individuals who did not have proteinuria had dipstick positive leukocyturia or hematuria.ConclusionThe prevalence of CKD is appreciable in rural East Africa and there are considerable regional differences. Conventional risk factors appear to only explain a minority of cases, and leukocyturia and hematuria were common, highlighting the need for further research into understanding the nature of CKD in sub-Saharan Africa