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    Molecular characterization and antigenic prediction of foot-and- mouth disease virus in relation to vaccine improvement in endemic settings in Africa

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    PhD ThesisFoot-and-mouth disease (FMD) affects all cloven-hoofed livestock and wildlife, and it is caused by FMD virus (FMDV) that belongs to the genus Aphthorvirus and family Picornaviridae. The disease threatens food security and livelihoods across different parts of the world. There are seven FMDV serotypes (O, A, C, Asia1, SAT1-3), and studies in southern Africa describe buffalos to be persistently infected reservoirs of SATs and transmit the viruses to cattle. The FMD control is challenging and antigenic heterogeneity among field-circulating strains represents the most significant factor. The field's infinite variants pose a challenge to the effectiveness of vaccines and suggests for quick, reliable, and cost-effective methods for obtaining vaccine improvements relevant information timely. FMD is endemic in Africa; impacting the livelihoods of pastoral communities, and hinders the livestock sector by denying access of regional and global lucrative markets. Currently, the strategies deployed to control FMD in Africa, especially tropical Africa, are typically fragmented national-level focused activities with relatively poor outcomes, rather than regionally coordinated initiatives that have been used on other continents (South America, Europe) to reduce and even eliminate virus circulation. Studies have not demonstrated whether the buffalo can also act as carrier of the EurAsian serotypes O and A occurring in parts of East Africa. Also the current epidemiological status of the field circulating strains and their genetic-antigenic characteristics need to be understood. Also, it was unclear on the main challenges to FMD control under pastoral dominated and endemic settings in Africa that has hindered FMD control for decades. This study investigated field reported outbreaks and clinically health buffalo of Tanzania to determine the molecular epidemiology of the circulating field strains between 2018 and 2021, their genetic- antigenic characteristics, and their evolutionary relationships using molecular techniques for FMDV detection, typing, and characterization. The seroprevalence of FMDV serotypes O and A in Tanzania were studied using NSP ELISA for natural infection screening and typed by Solid phase competitive ELISA (SPCE) assay. Additionally; the B-cell antigenic epitopes of SAT1 types were mapped by combined publicly available immuno-informatics tools ranging from those employing propensity scales to the most recent machine learning and artificial intelligence models, to maximize the prediction authenticity, on the FMDV type SAT1 VP1 polypeptides from this study and those sourced from global rich databases. The study identified three FMDV serotypes (A, O and, SAT1) circulating in the field as Africa Topotype G-I lineage, EA-2 Topotype, and Topotype I (NWZ) respectively. This study nucleotide sequences for serotypes O and SAT1 field strains were analysed categorically, and the shared percent identities of 92.0-100.0% and 96.9-98.8% were revealed respectively. The analysed 247 buffalo (37.6%, n =93) and cattle (58.3%, n =154) NSP ELISA positive serum samples from livestock-wildlife interface areas of Katavi, Mikumi, Mkomazi, and Ruaha ecosystems in Tanzania were further analyzed for FMDV serotype O and A by SPCE. A highest percentage seropositivity (PS) was revealed (67%, n= 103) and (55%, n= 51) in cattle and buffalo, whereas FMDV serotype A tested highest (54%, n= 83) and O (25%, n= 23) for cattle and buffalo sera, respectively. Also, some of the cattle (36%, n= 56) and buffalo (25%, n= 23) sera tested, showed evidence of multiple infection with FMDV serotypes O and A. Results showed that out of the 93 analyzed NSPE positive buffalo samples, 30.1% (28) of CI (19 – 39) had antibodies specific to FMDV Type A. Also 54.8% (51) of CI (39 – 64) and 24.7% (23) of CI (15 – 33) had antibodies specific to FMDV type O and those of mixed sero reaction respectively. Similarly, out of 154 NSPE positive cattle samples analyzed 53.9% (83) of CI (69 – 98), 66.9% (103) of CI (88 – 118) and 36.4% (56) of CI (44 – 70) had FMDV antibodies specific to type A, O, and mixed (O&A) seroreactions respectively. The results of compared serotype-specific seroreactions statuses revealed higher percentage for type O across all species, next type A, and the lowest score for mixed seroreactions. Similarly; at 95% CI, the analyzed cattle and buffalo NSPE positives expressed higher scores of (41.7%; 20.65%) by (33.6%; 11.34%) and (22.67%; 9.31%) on type O, type A and mixed seroreactions respectively. Results on Chi-square test of independence were significant, X2 (df = 4, N = 330) = 31.0876, p =.00001 at p<.05 criteria, indicating a relation between spp difference and variation in state of FMDV infection rates. The analyzed probang buffalo samples (n=89) from Serengeti national park using FMDV serotype O and A specific primers (one-step RT-PCR), 1.2% was revealed to be FMDV type O. Also, five consensus linear epitopes (PLE I – V) at positions 3-30, 44-59, 95-112, 134-149, 199-219 with 75%, 88%, 94%, 44 % and 24% of their aa reads conserved were observed respectively. Additionally; conformational epitopes (PCE I – VI) at positions 1-26, 82-87, 93-114, 131-149, 175-179, and 201-221 with 53 – 100% conserved were also identified. As the vaccines are challenged by the rapidly evolving FMDV in the field, the unveiling of conserved epitope domains is vital for enhancing future FMDV vaccines long-term effectiveness in the field. This study has demonstrated FMDV type O infections in buffalo being the first molecular and serosurvey combined study to be undertaken on Eurasian FMDV types O and A in cattle and buffalos in Tanzania. The information generated from this study strengthens knowledge on FMDV epidemiology in Tanzania and Africa, and thereby contributing to the progressive control pathway-FMD program through tailored control initiatives. The unveiled challenges of FMD control amongst Africa’s diverse pastoral communities’ landscape for triggering strategical discussions on national and transboundary regional-based FMD control approaches in Africa.Prof. Mark Rweyemamu the SACID-Director and Prof. Gerald Misinzo the SACIDS-ACE II Project Coordinato

    Tree farming investments and implications to carbon storage in Bukoba district, Tanzania

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    MSc. Ecosystem Sciences and ManagementThe current contribution of farm trees in solving wood related problems and income generation to smallholders in developing countries is unquestionable. However, the factors influencing households‟ decisions to invest in tree planting and the amount of carbon stored in agroforestry systems in many areas remain to be site and time specific and not clearly understood. The study aimed at assessing the factors influencing household decisions to invest in tree planting and implications to soil organic carbon storage in Bukoba district, Tanzania. A total of 80 households (40 with and 40 without woodlots) were randomly selected in four villages and questionnaires were applied for data collection. Data were analysed through descriptive statistics and binary logit regression. In the other hand, random sampling technique was used to select 32 homegarden and 32 woodlot farms. In farm sampling plots of 5m x 5m were established and two soil samples per plot were extracted, one from a depth 0-15cm and another from 15-30cm. A total of 128 composite soil samples were collected for laboratory analysis. The Walkley – Black procedures for Soil sample analysis was applied. The study‟s results showed that household land size, the age of the household head, accessibility to loan and credit services, availability of land not suitable for crop production, and education level of the household head, significantly (P<0.05) influenced households‟ decisions to invest in tree planting. Sex of the household head, market availability, land ownership and risk perception had no influence (P<0.05) on the decisions of the household to invest in woodlot farming. Furthermore, the results revealed that woodlots significantly (P<0.5) stored higher soil organic carbon content (125.2 ton/ha) compared to the homegarden agroforestry (96.8 ton/ha) in general. The knowledge created in this study is essential for policy makers and implementers to come out with appropriate agricultural approaches, which will have multi impacts economically, socially and environmentally

    Assessment of species composition and the genetic population structure of the endemic fishes in the Rufiji River Basin, Tanzania

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    MSc DissertationThe Rufiji River Basin (RRB) is the largest river basin in East Africa and is home to many endemic fish species that are important for local livelihoods and food systems. However, unsustainable fishing practices driven by rapid population growth and high consumer demand have led to a concerning decline in these endemic fishes. In response two protected sites were established including, the Kilombero Valley Floodplain Ramsar site in 2002 and Nyerere national park to protect the endemic fish species from overexploitation. Yet, fish stocks are declining, and it is still unknown whether the implemented measures are consistent with the genetic stock structure of endemic fishes in the basin. Therefore, the aim of this study was to assess the composition of endemic fishes and the genetic stock structure of endemic fish Bagrus orientalis in the RRB. This study used fishers, and the key informant’s interviews, Focus Group Discussion (FGDs), and fishery surveys to assess the composition of endemic fishes. DNA barcoding was also employed to confirm species identities. Tissue samples of 46 different endemic fish species and 182 of B. orientalis were collected from fishers at six landing sites in the RRB including Kivukoni, Mofu, Dinari, Ngalimila, Kidatu, and Zombe and preserved in 99.9% ethanol. Genomic DNA was extracted from each sample using the TIANamp Genomic DNA kit (TIANGEN Biotech, Beijing) and fragments (620 base pairs) of the cytochrome oxidase subunit I gene were amplified. The results showed 33 different fish species, out of which 54.55% are endemic and 45.45% are exotic. Additionally, it was revealed that Heterobranchus longifilis (Mjongwa), Citharinus congicus (Mbala), Labeo congoro (Ningu), Mormyrus longirostris (Sulusulu), and Labeobarbus leleupanus (Mkuyu) are very rare in the catch, despite being classified as Least Concern by IUCN. This suggests that rare species needs reassessment and reclassification by IUCN because their current criteria does not reflect their actual status on the ground. Furthermore, the results revealed significant genetic divergence between the populations of B. orientalis in the RRB (FST = 0.33, p < 0.01). Hierarchical AMOVA revealed that populations in the Ramsar site are genetically connected with those from other sites within the Kilombero Valley Flood Plain (KVFP), but genetically distinct from the populations in Ruaha and Rufiji. This implies that conservation efforts within the Ramsar site might not directly benefit the population in Ruaha and Rufiji. Therefore, it is recommended to establish the protected sites in Ruaha and Rufiji to rescue this population from further decline. The findings also showed that the low genetic diversity among population in Kidatu is due to restricted genetic connectivity, highlighting the need for enhancing habitat connectivity in the area. Moreover, the poor body condition and small sized fish were observed in Kidatu population. This does not conclude overfishing in the area but further studies on population dynamics and fishing pressure should be conducted to understand factors affecting size structure of the fish.Sokoine University of Agriculture Research and Innovation Support (SUARIS) and the Conservation of Endemic Fishes Project (CoEF

    Assessment of functionality in monitoring and evaluation systems of selected agricultural non-governmental organizations in Morogoro Municipality, Tanzania

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    MA. DissertationMonitoring and evaluation (M&E) systems have evolved over time as important tools that can enhance the management of programmes and thus facilitate measurement of progress on project implementation. This has raised interest among researchers who have noted the importance to assess M&E system so as enhance the efficiency of the systems. The study aims to assess functionality of the selected agricultural NGOs’ M&E systems to determine the functionality of key M&E components and the challenges of the M&E system in its current status. The study adopted case study research design and data were collected through desk reviews and interviews with M&E technical officers guided by a checklist of items. Quantitative data were analyzed using descriptive and inferential statistics whereas qualitative data were analyzed using content analysis. Generally, the enabling environment and data and information management well functioned respectively at 88.9% and 91.1%. Specifically, the functionality differed and ranged from 76.7% to 100% from one NGO to another. However, the Kruskal Wallis H Test showed no significant difference at a 5% level of significance among the NGOs. Therefore, the selected agricultural M&E system NGOs well functioned but needed improvement to strengthen some indicators. The study concludes that the M&E system of agricultural NGOs was functioning well with minimal improvements. Challenges were revealed in human capacity, communication and advocacy plan, databases and data dissemination. The assessment of agricultural NGOs revealed that there are improvements needed for the M&E system to be sustainable. These include a more systematic and long-term approach to develop M&E systems, staff training in M&E principles and practices, stronger supervision, feedback loops, and technical assistance and an information system that links program-specific sub-system

    Assessment of community perception on proper solid waste management at Household-level in Morogoro Municipality, Tanzania

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    Journal articleEffective solid waste management is integral to environmental sustainability and public health. The success of waste management initiatives is intricately linked to community perceptions, as their awareness and attitudes significantly influence outcomes. This study, conducted in Morogoro Municipality, Tanzania, aimed to assess the community's perception of proper solid waste management at the household level. Employing a descriptive cross-sectional design, data were gathered from 70 respondents across three randomly chosen wards: Mazimbu (26), Mji Mkuu (22), and Mji Mpya (22). These wards were pivotal in capturing a comprehensive view of solid waste management practices, accounting for variations across different areas within Morogoro Municipality. Data were also collected from five key informants using the Kobo Collect survey tool. Inferential statistics, specifically Pearson chi-square tests, were applied to analyze the data. Descriptive statistics, including frequencies and percentages, were used to explore the types of solid waste generated at the household level. The findings revealed that 38.6% of respondents produced vegetable waste, 28.6% generated leaves/grass, 20% produced plastic waste, and 12.9% generated other types of solid waste. The chi-square tests showed no significant differences in community awareness regarding the importance of proper solid waste management across wards, except for a significant difference in relation to disease outbreak reduction. Descriptive statistics were employed to analyze the community's perception of obstacles hindering proper solid waste management. To evaluate the community's perception of solid waste management, a composite mean score was calculated; a mean score above 2.00 indicated a positive perception, while a score below 2.00 suggested a negative perception. In conclusion, while the community generally holds a positive perception of solid waste management, factors such as collection fees and inadequate infrastructure hinder its effectiveness and efficiency at the household level. It is recommended that municipal authorities enhance solid waste management strategies and implement educational campaigns to raise awareness within the community

    Crop storage practices and occurrence of fungi with public health importance from rodents’ trapped inside and outside the storage facilities in Mbeya, Tanzania

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    MSc DissertationAnimals play an important role in the dispersal of seeds and fungal spores. Several species that consume fruiting bodies of fungi play a primary role in dispersal networks. Through the rodent-mycorrhizal dispersal relationship, the study was conducted in selected wards of urban and peri-urban areas of Mbeya-Tanzania to discover whether rodents could act as the network for the dispersal of other fungi related to public health. As well as assessment of knowledge, awareness, and practices based on storage conditions, that may influence rodent infestation: implication to fungal contamination in storage facilities. A total of 210 rodents were trapped in and outside the storage facilities in selected wards in Mbeya city of which Rattus rattus (51.0%) was a dominant species, Praomys 40(19.0%), Lophuromys 29(13.8%), Mastomys natalensis 19(9.0%), Mus musculus 9(4.2%), and Lemnicomys spp 4(1.9%). Fresh fecal samples from the rectum were collected. The second form of samples were 77 pellets collected from the ground making a total number of 288 fecal pellets. Both samples were preserved at -20 0C at Mbeya National Research Institute (NIMR) for further laboratory analysis. Colony morphology obtained through Microbiological analysis and identification in selective media. A total number of 6 different fungal isolates were observed and Aspergillus fumigatus was the dominant fungal species from the cultured samples, with a prevalence of 26% (76/288) showing the potential for aspergillosis in humans followed by Aspergillus niger and Fusarium species with a prevalence of 9% (27/288), Aspergillus flavus 3% (10/288) and Aspergillus ochraceus 1% (4/288). Nested PCR confirmed the presence of aflR gene from suspected isolates of Aspergillus flavus, bands observed at 800kb for the first round and 400kb for the second round. Indirect Competitive ELISA performed on 10 maize samples that infected with A. flavus isolates, 10 maize samples free from isolates contamination, and 4 pure isolates of A. flavus. The aim was to check whether the isolates were capable of producing toxins and their respective concentrations (ug/ul) were calculated. To confirm the findings a cross-sectional survey was conducted and a total number of 50 facility storage owners were questioned based on grains storage practices, factors for rodent infestation, facility- building conditions, type of material used for storage of grains, Storage facilities owners’ knowledge based on the effects of rodent infestation and ways to reduce the effects. Poor storage practices, types of storage sacks, facility maintenance and longevity of the facility, and poor knowledge of controlling pests and losses due to rodents and moulds were the major findings. The 74% of respondents indicated that they stored only maize, while 26% stored maize along with other grains such as rice and beans. Among the respondents, 28% agreed that storing maize with other products facilitated rodent infestation, 22% disagreed with this opinion, and the remaining participants were unsure. The 58% of the participants expressed confidence in their understanding of the factors that influence rodent infestation, while 42% did not. Regarding major maintenance of their storage facilities, 38% of the storage keepers performed it annually, while 20% did it whenever they deemed it necessary. In terms of rodenticide application within the storage premises, 54% of the respondents indicated its use.The African Centre of Excellence for Innovative Rodent Pest Management and Biosensor Technology Development (ACE IRPM and BTD

    Sustainable agricultural practices: implications on maize yields, household incomes, and food security

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    ThesisSustainable agricultural practices (SAPs) are often promoted as a way to improve sustainable development in agriculture, resulting in subsequent economic growth and development on both national and global scales. The global endorsement of the Sustainable Development Goals (SDGs) has directed attention towards initiatives to expand the utilization of SAPs in developing nations. These countries are facing challenges due to population expansion and increased household incomes, which are negatively impacting the sustainability of natural resources. Nevertheless, the current information is insufficient to clarify the implementation of bundled SAPs comprised of intercropping, crop rotation, manure, improved maize seeds, crop residual practices, and associated impacts on several end measures, such as crop yields, household incomes, and food security among smallholder maize farmers in Tanzania. This argument is driven by an integrative framework that merges the theories of utility maximization with the diffusion of innovation. Consistent with prior research, this approach recognizes adoption as a complex activity by a number of factors. Motivated by this phenomenon, the study examined (a) rate and intensity of adoption of bundled SAPs; (b) determinants of adoption of bundled SAPs; (c) impact of adopting bundled SAPs on yields and household incomes; (d) impact of adopting multiple SAPs on food security, nutrition, and poverty indices among smallholder maize farmers in Morogoro region. The data were collected through household and key informants’ interviews. The structured questionnaires were administered to 470 farming households in Kilosa and Mvomero districts in Morogoro region. Data were analyzed using descriptive and quantitative methods. The multivariate regression analysis was used to analyze the determinants of adoption of multiple SAPs. The results reveal that age, gender, family size, education level, farm size, livestock ownership, access to extension services, production shocks, and distance from the market, had a significant influence on the adoption of multiple SAPs. Moreover, the results demonstrate that there were six significant pairwise correlation coefficients across SAPs, indicating that smallholder maize farmers have the potential to adopt SAPs concurrently. The findings support the study’s claim that the adoption of bundled SAPs is significantly influenced by socio- economic and institutions factors. Ordered probit analysis was employed to analyze the adoption intensity of bundled SAPs. The findings reveal that education level, occupation, farming experience, sex of the household head, farm size, plot ownership, geographical area, participation in farmers' organizations, and production diversity, significantly impacted the degree to which SAPs are adopted. Moreover, there were notable disparities in the degree of adoption intensity in contrast to the adoption rates. The findings are in line with the study’s claim that socio-economic factors have significant impact on the number of SAPs adopted. An analysis utilizing multinomial switching regression to analyze the impact of adopting bundled SAPs on crop yields and household incomes demonstrates that the adoption of multiple SAPs had significant economic impacts on both maize yields and household incomes through various combinations comprised of manure, improved maize varieties, crop residual, intercropping, and crop rotation. The endogenous switching regression model was employed to assess the impacts of adopting SAPs on food security, nutrition and poverty indices. The findings reveal that the adoption of improved maize varieties, crop residue use, and crop rotation practices had significant and positive impacts on household's food security and nutrition. In addition, the adoption of improved maize varieties had the most significant impact on poverty indicators, highlighting its capacity to mitigate poverty among small-scale farmers. The study suggests these. Policymakers and agricultural development organizations need to take these significant factors into account when planning, promoting, and enabling the implementation of SAPs. Second, when developing methods to spread the adoption of SAPs, it is crucial to consider the interrelatedness of these SAPs and ascertain an efficient combination of various practices to enhance maize production and household incomes. Third, increasing awareness, providing education to farmers regarding the advantages of using SAPs, and implementing strategies to alleviate the impacts of climate change. Fourth, the implementation of initiatives aimed at enhancing agriculture production through the adoption of SAPs. These initiatives should implement a targeted approach aimed at reaching food-insecure households and disadvantaged agricultural households, with the goal of eradicating hunger and correcting nutritional deficiencies among these vulnerable populations

    Epidemiology and community knowledge, attitude and practice towards lumpy skin disease in Tanga and Pwani Regions inTanzania

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    DissertationLumpy skin disease (LSD) is an important viral disease of cattle and water buffalo affecting animals of all breeds and all ages. LSD was first reported in Zambia in 1929, with the first report of outbreak in Tanzania in 1981 and 1986 and considered endemic in many sub-Saharan countries. Presently, the disease is among global threat to the cattle industry due to its rapid spread beyond Africa and having very high morbidity and is therefore, one of the WOAH listed notifiable transboundary disease. Despite, the high morbidity and associated economic losses, scientific information on LSD in Tanzania remains scarce. The current study aimed to generate information on the seroprevalence and risk factors associated with lumpy skin disease and to assess the community knowledge, altitude and practice (KAP) towards LSD. A cross sectional study was conducted in Tanzania in two regions (Tanga and Pwani) from December 2022 to February 2023. Blood samples were collected from 200 unvaccinated cattle from randomly selected households and their sera were tested for presence of LSD virus antibodies using capripox double antigen multispecies commercial Enzyme Linked Immunosorbent Assay kit (ID.vet Innovative Diagnostics-France). A questionnaire tool was used to collected data through face-to-face interview with herd owners or representatives to assess risk factors for LSD occurrence in the area and to assess KAP. The present study has confirmed presence of LSD antibodies and generated epidemiological information by establishing seroprevalence and risk factors for LSD occurrence. The overall prevalence was 13.5% (CI= 9.06-19.03) and 22.73% (CI =14.47- 32.89) at animal and herd level respectively. Seven (7) factors appeared to have significant influence on the LSD serostatus; namely age (OR= 3.1, CI =0.94-9.94), communal grazing system (OR= 6.14, CI =1.4-26.84), herd size (OR= 0.1, CI =0.02-0.04), introduction of new animal (OR= 3.53, CI=1.53- 8.18), source of breeding bull (OR =0.1, CI= 0.03-0.59), rural area location (OR= 2.6, CI =1.0-6.9), breed (OR= 0.3, CI =0.11-0.62) and free movement and contact with other animals (OR =3.54, CI =1.17- 10.704). Animal sex, breeding system and region had no significant association with the observed seropositivity at P≤0.05. Results on KAP revealed that majority of the respondents were aware of LSD and over half of the respondents had past LSD experience. Limited knowledge on LSD clinical signs, associated losses, transmission, control and blood feeding insect role in LSD epidemiology was observed. Majority of the respondents perceived LSD impact and its possibility of occurrence and believed vaccine is important in LSD control, however, majority believed that they had limited access to vaccines. Sharing of grazing areas and watering points, introduction of new animals and sharing of breeding bulls were common practices. Respondent age, herd size, district, role in the households, animal type and past experience on LSD occurrence were significantly associated with the observed KAP. This is the first study to be contacted in Tanzania which has generated important information on LSD including seroprevalence, risk factors and KAP. This information is important in planning and implementation of different control measure. These findings also suggest the need of conducting further studies to identify and characterize the causative agent and to develop vaccine for controlling this economically important diseaseTanzania Veterinary Laboratory Agenc

    Digital health education on epidemiology of taenia solium cysticercosis in Iringa-Tanzania

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    DissertationTaenia solium cysticercosis (TSC) is a parasitic disease caused by larvae of the pork tapeworm, Taenia solium. It is common in low- and middle-income countries. The disease is transmitted through ingestion of food or water contaminated with the tapeworm's eggs or through direct contact with contaminated objects or the worm infected individuals. One effective approach to raise community awareness about the disease is digital health education, the technology disseminates health information and services to a wider audience. Digital health technology provides an opportunity for communities to engage with physicians for consultation, access medical care, follow-up on treatments, and report health emergencies. In Tanzania, digital health education suggested the strategy for endemic T. solium cysticercosis (TSC) control. The disease cause human disabilities even death, also it affects pig industry by causing unsafe and unwholesome pork. The digital health education technology can potentially improve socio-cultural settings and lifestyles influencing TSC epidemiology in endemic communities. However, utilization of digital health in Tanzania is inconsistent. This study aimed at assessing the impact of digital health education intervention on porcine cysticercosis prevalence and on associated household factors in endemic rural communities for management decisions. A baseline cross-sectional study was carried at Izazi, Migoli, and Mlowa wards of Iringa District Council, in April-May, 2018, to evaluate the practices promoting porcine cysticercosis transmission. The survey was a quasi-controlled field trial with pre- and post- intervention assessments for porcine cysticercosis and the associated household practices. The focus was on socio-cultural practices and lifestyles related to the life cycle of T. solium, such as household pig management, sanitation and hygiene practices, pork preparation and consumption. Upon visits, respondents provided information guided with questionnaire, observational checklist used for observation study. Pigs were bleed for Enzyme-Linked Immunosorbent Assay (ELISA) analysis to detect the parasite antigen glycoprotein that indicated T. solium cysticercosis prevalence. Immediately after the baseline study, digital health intervention conducted at Migoli and Izazi wards. A door-to-door video show of animations on T. solium cysticercosis and taeniosis educational messages presented using tablets. The tablets were then left in the intended ward offices for voluntary learning. Furthermore, free internet access was provided in designated offices for unsupervised community access to online health education using smartphones or tablets. Post-intervention assessment was then conducted 25 months after commencement of the intervention study in July, 2021. The intervention effect was analysed based on the post-intervention and the baseline data collected with the same procedures described earlier. Digital health technology adoption in health information, health learning, and managing health issues, was also investigated as a cross-sectional study involving 78 public service health offices in the 26 regions of Tanzania's mainland. The survey involved a face-to-face visit and through questionnaire. In places researchers couldn't afford to visit, an electronic questionnaire was distributed via email. The gathered information concerned the experience and the use of digital technologies in health services. The survey showed 33 (37.9%) households had latrines without restrictions to entrance and with limited water supply for handwashing, 42 (57.5%) pigpens didn‟t maintain pigs indoors, and 52 (15%) households allowed pigs to roam freely. Averagely, 22.3 ± 3.44% pigs were tested positive for porcine cysticercosis, and 53.4% households surveyed had at least one seropositive pig. Porcine cysticercosis was significantly associated with free-roaming pigs (OR=2.426; p≤0.05) and poor-quality pens (OR=1.75; p≤0.05). The digital health intervention significantly increased pig confinement (p=0.026) and improved the quality of pigpens (p=0.025), but it didn‟t improve the quality of household latrines (p=0.453) nor the prevalence of porcine cysticercosis (p=0.231). The survey also found Tanzanians (n=191, 91.0%) were preferring digital mobile and internet-enabled tools for personal and official health services. The adoption of digital health services was determined by the availability (n=137, 65.2%), accessibility (n=75, 35.7%), internet connection (n=196, 93.3%), affordability (n=198, 94.3%), and interest of using social media (n=189, 90.0%). Digital health services use was associated with individual's primary occupation (p=0.002, 95% CI), availability of digital health materials (p=0.001, 95% CI), affordability of internet use (p=0.006, 95% CI), and preference of internet, short message system (SMS), and phone calls on health information search (p=0.020, 95% CI). It was also associated with living in areas having reliable electricity (p=0.049, 95% CI). Persistent seropositive pigs suggest traditional lifestyle promotes T. solium worm life cycle. The latrines without entrance restrictions and with limited water supply for hand-washing after toilet, indicate lack of knowledge about safe and hygiene latrine use, hence neglect of safety. It implies community lacks skills to construct and properly use of good latrines made with locally available materials. Sensitization on proper construction and sanitary use of latrines is required. The free-roaming pigs or kept in poorly constructed pens indicates lack of information on benefits of raising pigs under total confinement. Training on good pig management practices is crucial to improve the situation. The practices in the studied community perpetuate Taenia solium life cycle and risk them to infection. Unrestricted entrances latrines, limited water for hand-washing, free-roaming scavenging pigs, and/or pigs escape from confinement poses for TSC infection. Pigs are coprophagous, they become exposed to T. solium eggs by eating feces of human tapeworm carriers who contaminate land with T. solium eggs. The uncomfortable constructed latrines prompt people to less or not use them, resulting defecation in bushes that favor T. solium eggs dispersal. The digital health education was effective in improving pig confinement (p=0.026) and quality pigpens, as pigs were kept indoors during post-intervention study visits. Therefore, digital health intervention is recommended among important strategies in disseminating knowledge aimed at T. solium and other related diseases control in wider communities. Remote communities in mainland Tanzania hardly practice digital health services due to electricity, network, and internet constraints. Marginalized communities can‟t afford costs associated with the necessary hardware and internet access. Therefore, digital health applicability in such communities requires public and private sector partnership. In Tanzania, digital health services are preferred for learning and addressing health problems; however, availability, accessibility, affordability, and internet connection hinder. Thus, socio-cultural practices surveillance and sustainable health education are mandatory when planning for TSC control.The Norwegian Research Council and The Norwegian Ministry of Foreign Affairs/The Norwegian Agency for Development Cooperation (NORAD), this would not have been possible

    Effects of neem (Azadirachta Indica) leaf powder on intestinal hstomorphology and growth performance in Nile Tilapia (Oreochromis niloticus) fingerlings

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    DissertationThe application of leaves from neem tree (Azadirachta indica) as dietary feed additive in Nile tilapia (Oreochromis niloticus) fish is gaining attention worldwide due to its effectiveness and minimal side effects on the aquatic environment. As a phytomedicine has been included in juvenile Nile tilapia diets at inclusion levels of 2–8 g/kg feed to control reproduction, by exerting degenerative histological changes on gonadal tissues of Nile tilapia fish. However, a slow growth rate and lowered feed utilization were reported in juvenile Nile tilapia post-exposure to neem compounded feeds. Therefore, this study aimed to evaluate the effects of neem leaf powder (NLP) on intestinal histomorphology in tilapia fish and its association with growth performance. A total of 180 Nile tilapia fingerlings were randomly distributed in four groups (n = 30 for growth performance, n = 15 for intestinal histomorphology) and kept in a clear-water recirculation aquaculture system (RAS). A total of 45 fingerlings used in control groups, while 135 used in treated groups. The fish received NLP at concentrations of 0 g, 1 g, 4 g, and 8 g for each kilogram of Nile tilapia commercial feed and the experiment was conducted for 90 days. Results showed that the inclusion of NLP at 4 g/Kg feed significantly (P < 0.05) enhanced weight gain (WG), percent weight gain (PWG), daily weight gain (DWG), and specific growth rate (SGR) in comparison to treated groups given NLP 1 g and 8 g/kg feed and the control group. A higher survival rate (P < 0.05) was recorded in the group fed NLP at 8 g/Kg feed. Values for intestinal histomorphometry (villous height) in the middle/spiral intestine in the group fed 8 g/Kg feed were significantly lower (p < 0.05) than in the control group. Moreover, compared to the control group, the treated group on early exposure to NLP (Days 0–3) had increased TNF-α and single-stranded DNA (ssDNA) expression. The TNF-α was associated with significant (p < 0.05) increased expression of TNF-α in all portions of the intestines and pancreatic regions compared. This was reflected by the inflammatory effect in the proximal, middle, and distal intestines. But on long-term exposure (Day 30–90), all treated groups and all three intestinal portions experienced epithelial recovery associated with decreased expression of TNF-α and ssDNA. In conclusion, there was an adaptation in long-term exposure to the used NLP doses on Nile tilapia fingerlings, and the inclusion from one up to 4 g of NLP per Kg feed has no detrimental effect on intestinal morphology and promotes growth and feed utilization

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