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The unavailability of reliable, easy-to-use depression screening tools adapted for Sub-Saharan African children is a significant barrier to the treatment of childhood depression. We thus adapted the Child Depression Screening Tool (CDST) to the South African (SA), Senegalese (S) and Rwandan (R) contexts, as a tool to screen for depression in children suffering from chronic illnesses, trauma and difficulties related to COVID-19, family and community hardships. A DSM-5-based diagnostic interview and the CDST screening measure were administered to 1,001 participants aged between 7 and 16 years. The prevalence of depression ranged between 9.5 and 16.8%. It was more prevalent in youth with chronic illness and those exposed to adverse life events. Older age (R and SA), female sex (S), dislike of school (R and SA) and cannabis use (SA) were also associated with worse depression. Receiver operating characteristic analysis showed satisfactory performance (79-89%) and that sensitivity and specificity were optimized at a CDST cut-point of 5.0. The CDST is a valid tool to screen for depression in the settings assessed. If found to be suitable in other countries and settings, it may offer a clinically sound, sustainable path towards the identification of child depression in Africa.
Objectives/Goals: Transmission-blocking vaccines hold promise for malaria elimination by reducing community transmission. But a major challenge that limits the development of efficacious vaccines is the vast parasite’s genetic diversity. This work aims to assess the genetic diversity of the Pfs25 vaccine candidate in complex infections across African countries. Methods/Study Population: We employed next-generation amplicon deep sequencing to identify nonsynonymous single nucleotide polymorphisms (SNPs) in 194 Plasmodium falciparum samples from four endemic African countries: Senegal, Tanzania, Ghana, and Burkina Faso. The individuals aged between 1 and 74 years, but most of them ranged from 1 to 19 years, and all presented symptomatic P. falciparum infection. The genome amplicon sequencing was analyzed using Geneious software and P. falciparum 3D7 as a reference. The SPNs were called with a minimum coverage of 500bp, and for this work, we used a very sensitive threshold of 1% variant frequency to determine the frequency of SNPs. The identified SNPs were threaded to the crystal structure of the Pfs25 protein, which allowed us to predict the impact of the novel SNP in the protein or antibody binding. Results/Anticipated Results: We identified 26 SNPs including 24 novel variants, and assessed their population prevalence and variant frequency in complex infections. Notably, five variants were detected in multiple samples (L63V, V143I, S39G, L63P, and E59G), while the remaining 21 were rare variants found in individual samples. Analysis of country-specific prevalence showed varying proportions of mutant alleles, with Ghana exhibiting the highest prevalence (44.6%), followed by Tanzania (12%), Senegal (11.8%), and Burkina Faso (2.7%). Moreover, we categorized SNPs based on their frequency, identifying dominant variants (>25%), and rare variants (Discussion/Significance of Impact: We identified additional SNPs in the Pfs25 gene beyond those previously reported. However, the majority of these newly discovered display low variant frequency and population prevalence. Further research exploring the functional implications of these variations will be important to elucidate their role in malaria transmission.
The familys economic and socio-cultural capital and how it is shared among its members influence a person’s capabilities and choices. This chapter posits that the family acts as a collective conversion factor, and presents a case study in Mali. A typology of household configurations that best expresses the diversity of family forms is built, then used to see the relation to the overall quality of life of household members, measured by goods (household assets) and opportunities (child education and women’s autonomy). The association between these configurations and children’s access to schooling, controlling for the household standard of living, is then considered, regression analysis results showing that access to education is correlated with the household standard of living, but there is also a household configuration net effect. Extended households seem better off and better suited to develop solidarity strategies that facilitate access to schooling. But the priority given to education also appears to play a role in differences between households, shown by a higher education rate of children in rural households headed by an educated man and in urban ones that are female-headed.
This study aims to determine the role played by the personal networks of mothers aged 25–40 in Bamako (Mali) in their recourse to prenatal care. Although education and household's economic situation remain important, our research shows that personal network matters in two ways. Prenatal follow-up is more adequate in small, dense, less centralized networks, a structure known to generating a higher level of bonding social capital and mutual support. Yet, the composition of networks is also important: those comprising the husband and neighbors/friends—without other family members—are associated with better prenatal care. In these more open networks, women are probably less subject to traditional social control. An unexpected outcome is that material support does not play a significative role; this may indicate that more specific measures are needed to identify the type of support useful, or that, in this context, normative aspects are more important.
Lack of mask use during large public events might spread COVID-19. It is now possible to measure this and similar public health information using publicly available webcams. We demonstrate a rapid assessment approach for measuring mask usage at a public event.
Method:
We monitored crowds at public areas in Sturgis, SD using a live, high-definition, town-sponsored video stream to analyze the prevalence of mask wearing. We developed a rapid coding procedure for mask wearing and analyzed brief (5 to 25 min) video segments to assess mask-wearing compliance in outdoor public areas. We calculated compliance estimates and compared reliability among the human coders.
Results:
We were able to observe and quantify public behavior on the public streets. This approach rapidly estimated public health information (e.g., 512 people observed over 25 minutes with 2.3% mask usage) available on the same day. Coders produced reliable estimates across a sample of videos for counting masked users and mask-wearing proportion. Our video data is stored in Databrary.org.
Conclusions:
This approach has implications for disaster responses and public health. The approach is easy to use, can provide same day results, and can provide public health stakeholders with key information on public behavior.
To identify the drivers and challenges of successful nutrition programme implementation in a multisectoral, community-level approach to improve infant and young child feeding (IYCF) practices in northern Burkina Faso.
Design:
A qualitative study was conducted in 2019 through (i) individual interviews with key informants from five different sectors (health, agriculture, environment, livestock and education) and association staff, agents and community leaders and (ii) focus groups with mothers of children under the age of 2 years.
Setting:
Three health districts in the northern region of Burkina Faso implemented a multisectoral community nutrition programme to improve IYCF practices.
Participants:
Forty-seven implementing actors and twenty-four beneficiary mothers.
Results:
Factors influencing successful implementation include community participation; sector commitment and involvement; the existence of nutrition champions; capacity building; the integration of interventions; micronutrient powder distribution; the introduction of nutrition-sensitive interventions, such as the promotion of the consumption of orange-fleshed sweet potatoes; improved food production and small livestock rearing and the effective coordination of actors and complementary funding. The main challenges of the implementation of multisectorality are low participation among nutrition-sensitive sectors, a tendency for siloed work among sectors, scheduling conflicts, high actor mobility, differences in the target population by sector, a lack of technical skills among community workers, insufficient financial resources, low geographic convergence and coverage of beneficiaries, a lack of a multisectoral monitoring mechanism and accountability and insecurity.
Conclusions:
Strengthening sector participation, identifying a common targeting strategy and mobilising financial resources have the potential to significantly reduce barriers and improve the quality of implementation.
The negative impact of pre- and post-migration adversity on mental health among refugee populations has been well documented, but a growing body of research indicates refugees’ resilience and family coping. Investigating resilience and coping among refugee families entails a close analysis of individual- and family-level protective factors, spousal dynamics, parenting styles, ethnocultural identification, and meaning-makings of pre- and post-migration experiences. The aim of the study reported in this chapter is to examine the migration narratives of eight West African refugee families (n = 16) in order to identify patterns of sociocultural and familial sources of resilience. Twenty-four qualitative interviews were analyzed. Findings indicate the role of cultural continuity, collectivism, religiosity, adaptive flexibility, and downward comparison as sociocultural protective factors and sources of resilience. Clinicians working with non-Western refugee populations should assess for sociocultural modes of coping and incorporate them into clinical and other psychosocial treatments and interventions.
Question 1: What do you see as the state of play between capture and participation in the global economic and financial governance system? Can you share your diagnostic analysis on this issue with us based on your experience and reflections?
Governance, defined in its simplest form, is about the way in which decisions are made, who makes them, and in whose interests such decisions are made.
SDG3, Health and Wellbeing for All, depends on many other SDGs but there are also potential conflicts and trade-offs. In this chapter, ee stress the importance of forests to global health and well-being as well as for Indigenous and local populations. In contrast, short-term economic and human health gains from further forest conversion (e.g. deforestation for food production) will create direct and indirect health risks for humans, as well as for other biota. Controlling indiscriminate burning and clearing of forests can reduce significant harm to health and well-being, via improved quality of water, soil and air, by reducing exposure to some infectious diseases, through preservation of traditional (and future) medicines, and by supporting other forest resources and services, including climate regulation. Many infectious diseases are associated with forest disturbance and intrusions and some may be prevented or modified through forest management. Universal access to sexual and reproductive health-care services, including family planning, is a critical SDG3 target to decrease demographic pressures on forests at local, regional and global scales, and to enhance well-being. Greater exposure to green space, including the ‘urban forest’, is likely to have many benefits for mental, social and physical health for the increasingly urban global population.
Pearl millet is an important cereal crop for smallholder farmers’ food security in Africa and India. However, its production has stagnated due to several factors such as downy mildew (DM). Thus, a study was conducted to identify new sources of resistance from pearl millet inbred lines derived from a collection of landraces originated from West and Central African countries. A set of 101 lines, including 99 inbred lines from West and Central Africa along with a 7042S and SOSAT C 88 as susceptible and resistant checks, respectively, were evaluated under field conditions with infector rows in Bambey and Nioro research stations during the rainy season of 2016. Data on DM incidence and severity, plant height, flowering time, panicle length and productive tillers were recorded. The results showed highly significant differences among lines for all observed traits. Among the tested lines, 55 including SOSAT C 88 were resistant, 16 moderately resistant and 30 including 7042S were susceptible to the disease. Out of the 55 resistant lines, 20 were disease free. Hierarchical ascendant cluster analysis grouped the lines into three clusters with the DM parameters and plant height as the most discriminant factors. Cluster II contains the susceptible lines, while cluster III comprises the moderately resistant lines. The lines which belongs to cluster I were characterized by their resistance to the disease. Further use of these available new sources of resistance will be very useful for improvement of pearl millet for DM resistance and other agronomic traits.
The 9th meeting of the African Society of Human Genetics, in partnership with the Senegalese Cancer Research and Study Group and the Human Heredity and Health in Africa (H3Africa) Consortium, was held in Dakar, Senegal. The theme was Strengthening Human Genetics Research in Africa. The 210 delegates came from 21 African countries and from France, Switzerland, UK, UAE, Canada and the USA. The goal was to highlight genetic and genomic science across the African continent with the ultimate goal of improving the health of Africans and those across the globe, and to promote the careers of young African scientists in the field. A session on the sustainability of genomic research in Africa brought to light innovative and practical approaches to supporting research in resource-limited settings and the importance of promoting genetics in academic, research funding, governmental and private sectors. This meeting led to the formation of the Senegalese Society for Human Genetics.
The prevalence of placental malaria and its impact on maternal and newborn outcomes have been poorly documented in periurban settings of Burkina Faso. Peripheral and placental blood from 320 mothers, and cord blood from their newborns were collected through a cross-sectional study and used to prepare thick and thin blood films. Maternal haemoglobin concentration and birthweight were also measured. The overall malaria parasitaemia prevalence in peripheral, placental and cord blood was of 17·2, 9·1 and 0·9%, respectively. Plasmodium falciparum was the sole species found in all cases and the mean parasite density in placental blood was 4·5 ± 0·8 parasites µL−1. Primigravida (aOR: 3·5; 95% CI (1·1–11·2)) and women who did not use a bed net (aOR: 2·6; 95% CI (1·1–6·3)), were at higher odds of placental malaria infection. Women with placental parasitaemia were at increased odds of maternal anaemia (aOR: 3·1; 95% CI (1·3–7·4)). There was no odds difference for LBW between mothers with placental parasitaemia and those without. Placental malaria parasitaemia resulted in a significant mean birthweight reduction of 200 g. Placental malaria infection is higher in primigravida. Use of insecticide-treated bed nets should be therefore emphasized for primigravida during the first antenatal care visit.
Sweet sorghum is highly coveted to contribute and take up food and energy challenges. A collection of 84 West Africa landraces mostly from Senegal and four control cultivars were screened to identify relevant accessions and trait combination for multi-purpose (sugar/grain/biomass). The implication of photoperiod sensitivity was particularly addressed. A total of 20 traits related to phenology, morphology, grain and sugar production were assessed in two sowing dates (July and August) at CNRA Bambey in Senegal. Late sowing resulted in shortened vegetative phase and a significant decrease in traits related to plant size, stem sugar, biomass and grain productions. Broad-sense heritability was moderate to high for most of the phenology, morphology, grain and sugar-related traits, suggesting their interest for breeding. All the traits related to plant size were positively correlated with plant sugar production except plant height. A cluster analysis identified three groups contrasting in their ability to combine sugar, grain or fodder production based on 18 traits measured for the early sowing. Clusters I and III were suitable for one purpose: grain and sugar, respectively. Cluster II was the most suitable for multi-purpose, showing the best trade-off among grain, sugar and vegetative biomass production. The best accessions for stem sugar yield belonged to durra, caudatum and their intermediate types. The relationship between internode size and sweetness should be further studied, in particular exploring their relationship with internode tissue anatomy. Further studies are also needed to evaluate the role that stay-green can play in sugar yield maintenance under post-flowering drought.
Despite the widespread dissemination of HIV information through public awareness campaigns in Mali, disclosing seropositivity to one's steady sexual partner (SSP) remains difficult for people living with HIV (PLHIV). Disclosure is a public health concern with serious implications and is also strongly linked to the quality of life of PLHIV. This study aimed to analyse factors associated with voluntary HIV disclosure to one's SSP, using a community-based cross-sectional study on 300 adult PLHIV in contact with a Malian community-based organization working in the field of AIDS response. A 125-item questionnaire was administered by trained personnel to study participants between May and October 2011. Analysis was restricted to the 219 participants who both reported having a SSP and answered to the question on disclosure to their SSP. A weighted multivariate logistic regression was used to determine variables independently associated with disclosure. In total, 161 participants (73%) reported HIV disclosure to their SSP. Having children (odds ratio [95% confidence interval]: 4.52 [1.84–11.12]), being accompanied to the survey site (3.66 [1.00–13.33]), knowing others who had publicly declared their seropositivity (3.12 [1.59–6.12]), having higher self-esteem (1.55 [1.09–2.19]) and using means other than anti-retroviral treatment to treat HIV (0.33 [0.11–1.00]) were independently associated with disclosure. This study identified several factors that should be considered for the design of interventions aimed at facilitating disclosure if/when desired in this cultural context.
The αS1 casein gene is one of the lacto protein genes, which are involved in the milk synthesis. The objective of this study was to identify genotypes of B and E alleles at the locus αS1 casein in the Guéra and Sahel goat herds in Mali. These herds were located in the Regional Center of Agronomic Research and the Ségala village in Kayes, Mali. A total of 101 blood samples (53 for Guéra goat and 48 for Sahel goats) were collected and analysed. Alleles B and/or E, located on exon 19, of the αS1 casein gene were amplified using allele specific amplification polymerase chain reaction and analysed using 2 percent agarose gel electrophoresis. Results from this analysis identified three genotypes: BB, BE and EE with frequencies 0.77, 0.17 and 0.06 for the Guéra goats. However, only the BB genotype was identified in the Sahel goats. The frequencies of alleles B and E in the Guéra goats were 0.86 and 0.14, respectively, with an observed and expected heterozygotes of 0.08 and 0.12, respectively.
Direct numerical simulations are used to investigate the individual dynamics of large spherical particles suspended in a developed homogeneous turbulent flow. A definition of the direction of the particle motion relative to the surrounding flow is introduced and used to construct the mean fluid velocity profile around the particle. This leads to an estimate of the particle slipping velocity and its associated Reynolds number. The flow modifications due to the particle are then studied. The particle is responsible for a shadowing effect that occurs in the wake up to distances of the order of its diameter: the particle calms turbulent fluctuations and reduces the energy dissipation rate compared to its average value in the bulk. Dimensional arguments are presented to draw an analogy between particle effects on turbulence and wall flows. Evidence is obtained for the presence of a logarithmic sublayer at distances between the thickness of the viscous boundary layer and the particle diameter ${D}_{p} $. Finally, asymptotic arguments are used to relate the viscous sublayer quantities to the particle size and the properties of the outer turbulence. It is shown in particular that the skin-friction Reynolds number behaves as $R{e}_{\tau } \propto {({D}_{p} / \eta )}^{4/ 3} $.
This paper offers a theoretical and empirical model of ecosystem-based fishery management. A multi-species and multi-fleet model integrating Lotka–Volterra trophic dynamics as well as production and profit assessments is developed and applied to the coastal fishery of French Guiana. This small-scale fishery constitutes a challenging example with high fish biodiversity, several non-selective fleets and a potentially increasing local food demand due to demographic growth. The dynamic model is calibrated with 13 species and four fleets using monthly catch and effort data from 2006 to 2009. Several contrasted fishing scenarios including status quo, total closure, economic and viable strategies are then simulated. They are compared from the viewpoints of both biodiversity preservation and socioeconomic performance, assuming fixed landing prices and fixed costs. We show that fishing outputs, including food supply and fleet profitability, can be sustained on average but a loss of species cannot be avoided.
Genetic variants in the FTO (fat mass- and obesity-associated) gene have the highest association of all obesity-associated genes. Its placental expression was shown to relate to birth weight, suggesting that it may participate in the control of fetal weight gain. To gain more insight into the implication of FTO in fetal growth, we measured its placental expression in samples including extremes of abnormal fetal growth, such as after intrauterine growth restriction (IUGR) or macrosomia in both rats and humans. In rats, fetal growth was modulated by maternal nutritional modifications. In humans, placental villi were collected from pathological pregnancies (i.e. with IUGR or fetal macrosomia). Placental FTO mRNA expression was reduced by IUGR but was not significantly affected by macrosomia in either rats or humans. Our data suggest that placental FTO may participate in interactions between the in utero environment and the control of fetal growth under IUGR conditions by modulating epigenetic processes.
The Cliff of Bandiagara (Land of the Dogons) is one of four Malian sites on the World Heritage List. It was inscribed as a mixed site (cultural and natural) in December 1989, under criteria (v)2 and (vii)3. Mali is a vast continental country in West Africa, covering 1,204,000 km2 and with a population of 14 million. The site in the Mopti region is quite large, one of the largest World Heritage mixed sites, extending over 4,000 km2. Over two-thirds of the inscribed area is covered by the Bandiagara plateau and cliffs, over 100 km south-west to northeast. This area includes 289 villages located in three natural regions: plateau, cliffs and plains. The populations settled here are mainly classified as Dogon, hence the additional designation of the site as Land of the Dogons.
The sustainable and productive management of World Heritage sites in Africa and the strict adherence to the principles of the 1972 World Heritage Convention require a better understanding, perception and interpretation of the concept of World Heritage on the part of population groups living in and around heritage sites. In working towards these aims the following questions have provided guidance:
How can communities be involved in heritage management programmes and projects, in the context of local development?
How can World Heritage status be of benefit to local populations and engage them in sustainable conservation of heritage sites and their resources?