382 research outputs found

    Mapping urban physical distancing constraints, sub-Saharan Africa : a case study from Kenya

    No full text
    With the onset of the coronavirus disease 2019 (COVID-19) pandemic, public health measures such as physical distancing were recommended to reduce transmission of the virus causing the disease. However, the same approach in all areas, regardless of context, may lead to measures being of limited effectiveness and having unforeseen negative consequences, such as loss of livelihoods and food insecurity. A prerequisite to planning and implementing effective, context-appropriate measures to slow community transmission is an understanding of any constraints, such as the locations where physical distancing would not be possible. Focusing on sub-Saharan Africa, we outline and discuss challenges that are faced by residents of urban informal settlements in the ongoing COVID-19 pandemic. We describe how new geospatial data sets can be integrated to provide more detailed information about local constraints on physical distancing and can inform planning of alternative ways to reduce transmission of COVID-19 between people. We include a case study for Nairobi County, Kenya, with mapped outputs which illustrate the intra-urban variation in the feasibility of physical distancing and the expected difficulty for residents of many informal settlement areas. Our examples demonstrate the potential of new geospatial data sets to provide insights and support to policy-making for public health measures, including COVID-19

    Burkina Faso women empowerment and welfare project

    No full text
    It has been proven that the poor have the desire and motivation to do something to change their situation. They may be short of ideas of how to wiggle themselves out of an uncomfortable situation but they surely have the inner resource when they are gently nodded in the right direction. This was proven in a project that was carried out in Burkina Faso among poor urban women. The project further revealed that sustainable development cannot be attained without integration. To address the root causes of poverty; gender inequities, HIV/AIDS and the environment should be addressed together. Activities that provide and permit access to basic necessities like education and health should be integrated in the project too. To assure sustainability of the project CED practitioner should avoid introducing complex technology or financially unattainable practices but should, to the extent possible, use local resources and build on the local knowledge. In this project local resource persons, locally available material - mostly recycled - were utilized. The project drew largely from local knowledge and values will ensure continuity of the activities even after external support has ceased. Finally, following the principle of subsidiarity the management of the project activities should to the extent feasible be left to the beneficiaries. The targeted women in this project managed the savings and loan project, using the self help group model, to improve their personal businesses. (Author abstract)Macharia, D. G. (2007). Burkina Faso women empowerment and welfare project. Retrieved from http://academicarchive.snhu.eduMaster of Science (M.S.)School of Community Economic Developmen

    National and sub-national variation in patterns of febrile case management in sub-Saharan Africa

    No full text
    Given national healthcare coverage gaps, understanding treatment-seeking behaviour for fever is crucial for the management of childhood illness and to reduce deaths. Here, we conduct a modelling study triangulating household survey data for fever in children under the age of five years with georeferenced public health facility databases (n = 86,442 facilities) in 29 countries across sub-Saharan Africa, to estimate the probability of seeking treatment for fever at public facilities. A Bayesian item response theory framework is used to estimate this probability based on reported fever episodes, treatment choice, residence, and estimated travel-time to the nearest public-sector health facility. Findings show inter- and intra-country variation, with the likelihood of seeking treatment for fever less than 50% in 16 countries. Results highlight the need to invest in public healthcare and related databases. The variation in public sector use illustrates the need to include such modelling in future infectious disease burden estimation. © 2018, The Author(s)

    Paraoxonase 1 genetic polymorphisms in a mixed ancestry African population

    No full text
    CITATION: Macharia, M., Kengne, A. P., Blackhurst, D. M., Erasmus, R. T. & Matsha, T. E. 2014. Paraoxonase 1 genetic polymorphisms in a mixed ancestry African population. Mediators of Inflammation, 2014:1-9 (Article ID 217019), doi:10.1155/2014/217019.The original publication is available at http://www.hindawi.com/journals/miParaoxonase 1 (PON1) activity is markedly influenced by coding polymorphisms, Q/R at position 192 and M/L at position 55 of the PON1 gene. We investigated the frequencies of these polymorphisms and their effects on PON1 and antioxidant activities in 844 South African mixed ancestry individuals. Genotyping was done using allele-specific TaqMan technology, PON1 activities were measured using paraoxon and phenylacetate, oxidative status was determined by measuring the antioxidant activities of ferric reducing antioxidant power and trolox equivalent antioxidant capacity, and lipid peroxidation markers included malondialdehyde and oxidized LDL. The frequencies of Q192R and L55Mwere 47.6% and 28.8%, respectively, and the most common corresponding alleles were 192R (60.4%) and 55M (82.6%).The Q192 was significantly associated with 5.8 units’ increase in PON1 concentration and 15.4 units’ decrease in PONase activity after adjustment for age, sex, BMI, and diabetes, with suggestion of differential effects by diabetes status.The PON1 L55 variant was associated with none of the measured indices. In conclusion, we have shown that the Q192R polymorphism is a determinant of both PON1 concentration and activity and this association appeared to be enhanced in subjects with diabetes.http://www.hindawi.com/journals/mi/2014/217019/Publisher's versio

    Exercise training attenuates the hypermuscular phenotype and restores skeletal muscle function in the myostatin null mouse

    No full text
    Myostatin regulates both muscle mass and muscle metabolism. The myostatin null (MSTN-/-) mouse has a hypermuscular phenotype owing to both hypertrophy and hyperplasia of the myofibres. The enlarged muscles display a reliance on glycolysis for energy production; however, enlarged muscles that develop in the absence of myostatin have compromised force-generating capacity. Recent evidence has suggested that endurance exercise training increases the oxidative properties of muscle. Here, we aimed to identify key changes in the muscle phenotype of MSTN-/- mice that can be induced by training. To this end, we subjected MSTN-/- mice to two different forms of training, namely voluntary wheel running and swimming, and compared the response at the morphological, myocellular and molecular levels. We found that both regimes normalized changes of myostatin deficiency and restored muscle function. We showed that both exercise training regimes increased muscle capillary density and the expression of Ucp3, Cpt1a, Pdk4 and Err?, key markers for oxidative metabolism. Cross-sectional area of hypertrophic myofibres from MSTN-/- mice decreased towards wild-type values in response to exercise and, in this context, Bnip3, a key autophagy-related gene, was upregulated. This reduction in myofibre size caused an increase of the nuclear-to-cytoplasmic ratio towards wild-type values. Importantly, both training regimes increased muscle force in MSTN-/- mice. We conclude that impaired skeletal muscle function in myostatin-deficient mice can be improved through endurance exercise-mediated remodelling of muscle fibre size and metabolic profil
    corecore