36,365 research outputs found
Urban agriculture and Anopheles habitats in Dar es Salaam, Tanzania.
A cross-sectional survey of agricultural areas, combined with routinely monitored mosquito larval information, was conducted in urban Dar es Salaam, Tanzania, to investigate how agricultural and geographical features may influence the presence of Anopheles larvae. Data were integrated into a geographical information systems framework, and predictors of the presence of Anopheles larvae in farming areas were assessed using multivariate logistic regression with independent random effects. It was found that more than 5% of the study area (total size 16.8 km2) was used for farming in backyard gardens and larger open spaces. The proportion of habitats containing Anopheles larvae was 1.7 times higher in agricultural areas compared to other areas (95% confidence interval = 1.56-1.92). Significant geographic predictors of the presence of Anopheles larvae in gardens included location in lowland areas, proximity to river, and relatively impermeable soils. Agriculture-related predictors comprised specific seedbed types, mid-sized gardens, irrigation by wells, as well as cultivation of sugar cane or leafy vegetables. Negative predictors included small garden size, irrigation by tap water, rainfed production and cultivation of leguminous crops or fruit trees. Although there was an increased chance of finding Anopheles larvae in agricultural sites, it was found that breeding sites originated by urban agriculture account for less than a fifth of all breeding sites of malaria vectors in Dar es Salaam. It is suggested that strategies comprising an integrated malaria control effort in malaria-endemic African cities include participatory involvement of farmers by planting shade trees near larval habitats
On the Descendants of King Dar ma
The ancient Tibetan kingdom perished at the death of King Dar ma in 846 A. D. Many Tibetan documents describe his descendants in a stereotyped manner, yet their actual existence has not hitherto been ascertained. However we can vouch for the existence of the descendants with the help of Mkhas pahi dgah ston, Deb gter sṅon po and Tung huang Documents. Further, according to H. E. Richardson’s opinion, we can also assess the dates of most of the events in the Central Tibet from the death of Dar ma up to the entry of Atīça into Tibet. After the final assessment of dates, it becomes apparent that the lineage of Yun brtan, the eldest son of Dar ma, had really existed as feudal lords of Bsam yas and that the lineage of Ḥod sruṅ, the second son of Dar ma, had become Yar kluṅs jo bo and occupied exclusively the post of abbot of Spyill bu Temple. The exclusive possession of abbacy was one of the ways of survival by the nobles in the unstable era of Middle Ages. Many other similar cases exist, but a special historical significance may be given to the case of Yar kluṅs jo bo since it took the initiative in such a practice.journal articl
Participatory mapping of target areas to enable operational larval source management to suppress malaria vector mosquitoes in Dar es Salaam, Tanzania.
BACKGROUND\ud
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Half of the population of Africa will soon live in towns and cities where it can be protected from malaria by controlling aquatic stages of mosquitoes. Rigorous but affordable and scaleable methods for mapping and managing mosquito habitats are required to enable effective larval control in urban Africa.\ud
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METHODS\ud
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A simple community-based mapping procedure that requires no electronic devices in the field was developed to facilitate routine larval surveillance in Dar es Salaam, Tanzania. The mapping procedure included (1) community-based development of sketch maps and (2) verification of sketch maps through technical teams using laminated aerial photographs in the field which were later digitized and analysed using Geographical Information Systems (GIS).\ud
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RESULTS\ud
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Three urban wards of Dar es Salaam were comprehensively mapped, covering an area of 16.8 km2. Over thirty percent of this area were not included in preliminary community-based sketch mapping, mostly because they were areas that do not appear on local government residential lists. The use of aerial photographs and basic GIS allowed rapid identification and inclusion of these key areas, as well as more equal distribution of the workload of malaria control field staff.\ud
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CONCLUSION\ud
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The procedure developed enables complete coverage of targeted areas with larval control through comprehensive spatial coverage with community-derived sketch maps. The procedure is practical, affordable, and requires minimal technical skills. This approach can be readily integrated into malaria vector control programmes, scaled up to towns and cities all over Tanzania and adapted to urban settings elsewhere in Africa
Design and Implementation of an Uplink Baseband Receiver for Wideband CDMA Communications
Informal urban settlements and cholera risk in Dar es Salaam, Tanzania.
BACKGROUND: As a result of poor economic opportunities and an increasing shortage of affordable housing, much of the spatial growth in many of the world's fastest-growing cities is a result of the expansion of informal settlements where residents live without security of tenure and with limited access to basic infrastructure. Although inadequate water and sanitation facilities, crowding and other poor living conditions can have a significant impact on the spread of infectious diseases, analyses relating these diseases to ongoing global urbanization, especially at the neighborhood and household level in informal settlements, have been infrequent. To begin to address this deficiency, we analyzed urban environmental data and the burden of cholera in Dar es Salaam, Tanzania. METHODOLOGY/PRINCIPAL FINDINGS: Cholera incidence was examined in relation to the percentage of a ward's residents who were informal, the percentage of a ward's informal residents without an improved water source, the percentage of a ward's informal residents without improved sanitation, distance to the nearest cholera treatment facility, population density, median asset index score in informal areas, and presence or absence of major roads. We found that cholera incidence was most closely associated with informal housing, population density, and the income level of informal residents. Using data available in this study, our model would suggest nearly a one percent increase in cholera incidence for every percentage point increase in informal residents, approximately a two percent increase in cholera incidence for every increase in population density of 1000 people per km(2) in Dar es Salaam in 2006, and close to a fifty percent decrease in cholera incidence in wards where informal residents had minimally improved income levels, as measured by ownership of a radio or CD player on average, in comparison to wards where informal residents did not own any items about which they were asked. In this study, the range of access to improved sanitation and improved water sources was quite narrow at the ward level, limiting our ability to discern relationships between these variables and cholera incidence. Analysis at the individual household level for these variables would be of interest. CONCLUSIONS/SIGNIFICANCE: Our results suggest that ongoing global urbanization coupled with urban poverty will be associated with increased risks for certain infectious diseases, such as cholera, underscoring the need for improved infrastructure and planning as the world's urban population continues to expand
Dar es Salaam as a 'Harbour of Peace' in East Africa: Tracing the Role of Creolized Urban Ethnicity in Nation-State Formation
Dar es Salaam is exceptional in East Africa for having a record of relatively little ethnic tension, and remaining tranquil and true to its name, the ‘harbour of peace’. This paper explores the interface between ethnic and national identities in Tanzania’s capital city, focusing on its ethnic foundations and their malleability with regard to nationalism, asking how nationalist identities were negotiated vis-à-vis existing local ethnic identities. How willing were ethnic groups that were indigenous to the locality to ‘share’ the city, its land, and amenities with newcomer compatriots, given that the city was almost as new as the nation-state? How did their modus operandi affect nation-building?nation-state, Tanzania, nationalism, urbanization
Ecology and Epidemiology of Integrated Malaria Vector Management in Dar es Salaam, Tanzania
Malaria remains one of the major contributors to the global burden of disease with approximately 70% of the clinical malaria attacks occurring in sub-Saharan Africa. Sub- Saharan Africa has the highest risk as ideal climatic conditions for transmission coincide with occurrence of some of the most efficient malaria vectors, namely Anopheles gambiae s.s., Anopheles arabiensis and Anopheles funestus.. Even though it is estimated that by the year 2030 more than 50% of the African population will live in towns and cities, relatively little is known about urban malaria epidemiology, larval ecology and adult mosquito behaviour. Although integrated malaria control programs including environmental management and larviciding have proven successful before the Global Eradication Campaign started in 1955, they were neglected after the invention of DDT. Lately interest into these control measures has revived but it remains to be determined whether they are feasible and cost-effective in urban Africa. The overall goal of the research presented in this thesis was to enhance current understanding of urban malaria epidemiology and ecology and to take an in-depth look at the effectiveness of larviciding with Bacillus thuringiensis (Bti) in the context of the Urban Malaria Control Program (UMCP) in Dar es Salaam, Tanzania. Our findings are based on data derived from the first 3 years of the UMCP, where data collection started in March 2004. The project area includes 5 wards in each of the 3 municipalities which consist of 67 mitaa covering an area of 55 km2 in which 611,871 people lived during the population census of 2002. Achieving the UMCPs objectives fundamentally relies on three component activities: 1) Mapping and surveillance of potential Anopheles breeding sites, 2) Monitoring of adult mosquito densities, and 3) Household surveys with questionnaires and blood smears testing for malaria parasite infection. In the third year of the UMCP, beginning in March 2006, the routine application of the microbial larvicides Bti in open habitats and Bs in closed habitats was initiated in 3 of the 15 wards in the study area, adding to existing interventions such as bednets, house screening, ceiling boards, repellents, spray and coils. At the same time a detailed survey of mosquito biting behaviour, human behaviour and domestic protection measures was conducted in 12 Ten Cell Units (TCU), the smallest subunit of local government in Tanzania, which presented the highest An. gambiae s.l. densities during the early period of the UMCP surveillance system. Human landing catch (HLC) was conducted in 216 houses on an hourly basis indoors and outdoors from 6 pm till 7 am and residents were interviewed about their sleeping behaviour, where they spend their evenings and what kind of preventive measures against malaria they use. Personal protection of an insecticide treated net (ITN) was evaluated using an extension of a recently developed mathematical model. Overall An. gambiae s.l. exhibited a classical hourly biting pattern. In contrast one of the complex’s component sibling species, namely An. arabiensis, had an early biting peak before 10 pm. Both sibling species, namely An. gambiae s.s. and An. arabiensis, as well as An. funestus and An. coustani were highly exophagic. This behaviour led to a reduced personal protection against exposure to An. gambiae s.s. by ITNs which conferred 59% reduction of exposure in Dar es Salaam compared to 70% in rural Tanzania. An. arabiensis is a vector of only modest importance in Dar es Salaam which is fortunate because ITNs only conferred 38% protection against exposure to this species of mosquito. ITNs conferred slightly less protection against exposure to malaria vectors in good quality houses. This is mainly because people living in good houses tend to spend more time indoors before they go to bed. An. gambiae s.l. is the most important vector in Dar es Salaam , responsible for an EIR (entomological inoculation rate) of 1.00 infectious bites per person per year whereas An. funestus has an EIR of 0.13. Surprisingly, An. coustani also acts as a notable vector in Dar es Salaam with an EIR of 0.20 infectious bites per person per year. Malaria transmission is seasonal with two peaks of malaria prevalence during and after the two rainy seasons. Malaria prevalence was only related to EIR in children under 5 years of age, with a classical ageprevalence distribution similar to most of rural Africa. Malaria prevalence steadily declined from 2004 onwards as the use of window screenings, ceiling boards and more effective drugs like amodiaquine and artemisin-based drugs increased. ITNs (prevalence reduction estimate 20%, 95% CI 0%-36%; P=0.060; year 1) and ceiling boards (prevalence reduction estimate 22%, 95% CI 3%-38%; P=0.026; year 2) conferred modest personal protection and reduced malaria prevalence by approximately one fifth. By comparison, a much greater reduction (prevalence reduction estimate 50%, 95% CI 20%-64%; P=0.002) of malaria prevalence was achieved by larviciding with Bti. This was mainly achieved through major reductions of An. gambiae during July and August when most of the sporozoite infected mosquitoes were caught, combined with all-year-round suppression of the secondary vectors, namely An. funestus and An. coustani. This major achievement was only possible through the novel surveillance and staff management procedures developed by the UMCP to enable effective community based implementation in a decentralized manner. Standards of the surveillance improved greatly after the onset of the program with realized reaction times to vector surveillance at observations being one day, week and month at ward, municipality and city level, respectively. These results of changing biting behaviour of the main malaria vectors in urban settings and the therefore lower but still useful personal protection offered by ITNs call for additional complementary vector control methods such as environmental management or larviciding. The UMCP demonstrated that major reductions in malaria prevalence can be achieved through routine application of microbial larvicides with its new practical management and surveillance system. As these represent the early results of the program, we expect substantial improvement with time and investment. Here we demonstrated for the first time since before the Global Eradication Campaign era, a success story of a malaria control program integrating larviciding, which could be easily adapted by other African cities as a cost-effective option for malaria prevention
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Detection of Pulmonary Tuberculosis among Patients with Cough Attending Outpatient Departments in Dar Es Salaam, Tanzania: Does Duration of Cough Matter?
According to WHO estimates, tuberculosis case detection rate in Tanzania is less than 50% and this poses a major challenge to control tuberculosis in the country. Currently, one of the defining criteria for suspecting tuberculosis is cough for two weeks or more. We wanted to find out whether the prevalence of tuberculosis was different in patients who reported cough for two weeks or more, compared to patients with cough for less than two weeks. We conducted a cross sectional study in six health facilities in Dar es Salaam, between September and October 2007. All patients aged five years and above with cough were screened for pulmonary tuberculosis (PTB) by smear microscopy. Patients were divided into two groups, those who coughed for less than two weeks (<2 wks) and those who coughed for two weeks or more (> or = 2 wks). A total of 65,530 patients attended outpatients department (OPD). Out of these, 2274 (3.5%) patients reported cough. Among patients who reported cough, 2214 (97.4%) remembered their cough duration. One thousand nine hundred and seventy three patients (89.1%) coughed for >/= 2 wks as compared to 241 (10.9%) patients who coughed for <2 wks. Of those who coughed for two weeks or more, 250 (12.7%) had smear positive PTB, and of those who had coughed for less than two weeks, 21 (8.7%) had smear positive PTB. There was no statistically significant difference in prevalence of smear positive tuberculosis among the two groups (Pearson Chi-Square 3.2; p = 0.074). Detection of smear positive PTB among patients who coughed for less than two weeks was as high as for those who coughed for two weeks or more
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