Food safety, nutrition, health and wellbeing are inextricably linked. This study investigated the environmental, awareness and practices amongst both food vendors and consumers in and around Freetown the capital of Si...Food safety, nutrition, health and wellbeing are inextricably linked. This study investigated the environmental, awareness and practices amongst both food vendors and consumers in and around Freetown the capital of Sierra Leone. The population of the area has vastly out-grown the infrastructure laid down before and since independence. De-centralization of authority to local councils as recommended post-war has only been partial. The role of local versus central government in the planning and maintenance of water, sanitation and market-infrastructure and related policies was explored. This is a qualitative study that used semi-structured interviews with vendors, consumers and 29 key informants. Amongst an estimated population of 5386 actors in food services a sample size of 309 vendors, consumers in and around the 12 busiest market hubs in Western Area Urban and Rural Districts were sampled. Most of the respondents described “food safety” as “good-to-eat, well taken care-off, and free from germs”. The respondents cited that main causes to unsafe food are poor hygienic practices: 38%, contamination by flies: 28%, uncovered food/ improper handling/poor personal hygiene: 21%, and environmental factors, such as improper refuse disposal: 11%. Respondents expressed that consuming unsafe foods can lead to diarrhoea: 34%, food poisoning: 24%, vomiting: 17%, stomach ache/pain: 16%, or typhoid: 9%. Various measures to improve food safety were cited as hand washing: 60%, cleaning surroundings: 57%, covering food: 56%, washing utensils: 52%, covering hair: 42% and using a face mask: 32%. However almost 76% of food vendors interviewed were trading near gutters, where muddy/dirty water settled, with slippery floors, discarded plastic waste, flies and inadequate water, sanitation, and/or storage facilities. None of the food vendors had had any formal training on food safety. Despite progress recently made in solid and liquid waste management during the “Transform Freetown” agenda much more improvement in infrastructure and behaviour change is required. Similarly, despite improvements in formal market facilities the pattern of informal street trading remains the most prevalent especially for the poor. The link between “safe food” and good health was only partially understood, whilst the widespread application of recommended practices to reduce risks was lacking due in part to inadequate infrastructure. As the importance of food safety becomes better understood by administrators and the public the investments required in infrastructure and social and behavioural change will contribute towards a healthier environment and outcomes.展开更多
Rainfall and temperature are the important variables that are often used to trace climate variability and change. A Perception study and analysis of climatic data were conducted to assess the changes in rainfall and t...Rainfall and temperature are the important variables that are often used to trace climate variability and change. A Perception study and analysis of climatic data were conducted to assess the changes in rainfall and temperature and their impact on crop production in Moyamba district, Sierra Leone. For the perception study, 400 farmers were randomly selected from Farmer-Based Organizations (FBOs) in 4 chiefdoms and 30 Agricultural Extension Workers (AWEs) in the Moyamba district were purposely selected as respondents. Descriptive statistics and Kendall’s test of concordance was used to analyze the data collected from the farmers and AEWs. Data for the analysis of variability and trends of rainfall and temperature from 1991 to 2020 were obtained from the Sierra Leone Meteorological Agency and Njala University and grouped into monthly, seasonal and annual time series. Regression analyses were used to determine the statistical values and trend lines for the seasonal and annual time series data. The Mann-Kendall test and Sen’s Slope Estimator were used to analyze the significance and magnitude of the trends respectively. The results of both studies show evidence of climate change in the Moyamba district. A substantial number of farmers and AEWs perceived a decrease in the annual rainfall amount, length of the rainy season, a late start and end of the rainy season, an increase in the temperature during the day and night, and a shortened harmattan period over the last 30 years. Analysis of the meteorological data shows evidence of variability in the seasonal and annual distribution of rainfall and temperature, a decreasing and non-significant trend in the rainy season and annual rainfall and an increasing and significant trend in seasonal and annual temperature from 1991 to 2020. However, the observed changes in rainfall and temperature by the farmers and AEWs partially agree with the results of the analyzed meteorological data. The majority of the farmers perceived that;adverse weather conditions have negatively affected crop production in the district. Droughts, high temperatures, and irregular rainfall are the three major adverse weather events that farmers perceived to have contributed to a substantial loss in the yields of the major crops cultivated in the district. In response to the negative effects of adverse weather events, a substantial number of farmers take no action due to their lack of knowledge, technical or financial capacity to implement climate-sensitive agricultural (CSA) practices. Even though few farmers are practicing some CSA practices on their farms, there is an urgent need to build the capacity of farmers and AEWs to adapt to and mitigate the negative impacts of climate change. The most priority support needed by farmers is the provision of climate-resilient crop varieties whilst the AEWs need training on CSA practices.展开更多
In this study,the Radio Direction Finding method is proposed for the detection of electromagnetic signals,in the VLF band,to try to anticipate the occurrence of potentially destructive geophysical events.The experimen...In this study,the Radio Direction Finding method is proposed for the detection of electromagnetic signals,in the VLF band,to try to anticipate the occurrence of potentially destructive geophysical events.The experimentation concerns the interception of electromagnetic anomalies in Sierra Leone,in the five-day time window,associated with seismic events that could potentially generate tsunamis.The area of investigation is Sierra Leone,whose coastline is subjected to tidal wave hazards triggered by earthquakes generated in the Mid-Atlantic Ridge.Although Sierra Leone is not affected by recurrent earthquakes,there is nevertheless a low probability,estimated at 2 percent,of the occurrence of destructive earthquakes in the next 50 years.Also in estimates,the risk of rogue and potentially damaging waves is estimated to strike the Sierra Leone coast at least once in the next 10 years.The Radio Direction Finding experiment carried out continuously 24/7,has shown a close relationship between increased radio-anomalies,in the frequencies of 6,000 Hz,a time window between electromagnetic anomaly detection and the imminence of an earthquake,and higher frequency times for the risk of earthquake occurrence in the Mid-Atlantic Ridge.展开更多
The soil resources of Sierra Leone remain an integral part of sustainable agricultural development but knowledge of the suitability of soils and their management requirements for a variety of land uses is still lackin...The soil resources of Sierra Leone remain an integral part of sustainable agricultural development but knowledge of the suitability of soils and their management requirements for a variety of land uses is still lacking to a greater extent. In this view, a detailed soil survey of three chiefdoms in Northern Sierra Leone was undertaken to evaluate the genesis of soils and interpret soil-landscape properties and their relationships using the toposequence and free style approach of soil survey. Three major soil types, viz, gravelly, gravel-free over gravel and gravel-free soils, formed either directly or indirectly from weathered and disintegrated parent materials of two geologic origins namely Rokel River Series (comprising of sandstone, shale and mudstone), and Granite and Acid Gneiss were identified. The gravelly soils are formed from sandstone and sandy shales of the Rokel River Series, which upon weathering released iron and hydrated oxides that hardened into plinthite upon drying. The gravel-free over gravel soils are formed from acid gneiss containing acid and intermediate igneous and metamorphic rocks, which upon weathering produced sandy clay textured soils whereas the gravel-free soils are derived from sedimentary rocks (shales and mudstones) of Rokel River Series, which upon weathering and action of organisms produced sandy clay loam and sandy clay textured soils. The gravel-free over gravel soils are mostly located in the summit and back slopes and show dark brown to dark yellowish-brown hue and moderate chroma, weak to moderate structure and absence of coarse fragments in the 0 - 40 cm layer, and a strong brown hue and high chroma, very weak fine angular blocky structure having abundance of coarse fragments from 40 cm and above. In these soils, the compactness of ironstone and sandstone gravels increases with depth. The gravel-free soils are found on three landscape positions, viz, back slopes, foot slopes and toe slopes. On the back and foot slopes, the soils are characterized by very dark brown to dark yellowish-brown hue and high chroma, sandy loam to sandy clay texture, coarse angular to moderate sub-angular blocky structure and absence of coarse fragments throughout the horizon. In these soils, the clay content and sand grain sizes were observed to increase with depth. On the toe slopes, the soils show black to greyish-brown hue and low chroma, silty loam to sandy loam, structureless and high water holding capacity.展开更多
Slash-and-burn agriculture is the common practice for upland rice intercropping system in Sierra Leone and it has been blamed for the loss of forest vegetation across the country. Shortening of the fallow period in th...Slash-and-burn agriculture is the common practice for upland rice intercropping system in Sierra Leone and it has been blamed for the loss of forest vegetation across the country. Shortening of the fallow period in the Eastern region of Sierra Leone has implications on agricultural food production and the persistence of the remaining tropical rainforest. This study was therefore undertaken to assess: 1) the extent of reduction of the fallow period in the Nongowa Chiefdom of Kenema District;2) the causes of reduction in the fallow period;3) farmers’ perception of the relevance of fallow period and the implications of reduction of fallow period on crop production. The study revealed a drastic reduction of the fallow period in the chiefdom with a mean of 3.8 years which falls far below the country mean fallow period of 8.8 years as estimated by FAO. Farmers pointed out that the reduction of the fallow period was as a result of land scarcity due to competing land uses such as large scale commercial agriculture, logging, mining, charcoal burning and expansion of settlements. Farmers agreed that a fallow period of at least 10 years is necessary for upland rice production. Farmers were aware of the impact of reduction of the fallow period on upland rice production and were able to estimate rice yields based on the age of the fallow. Also, farmers have attempted to adapt to the constraints posed by shorter fallow periods by selection of rice varieties to suit the length of the fallow periods.展开更多
This paper examines the potential contribution of the fisheries sector to national economic development in Sierra Leone, following the cessation of the recent Ebola virus disease (EVD). The tragic deaths of some 4000 ...This paper examines the potential contribution of the fisheries sector to national economic development in Sierra Leone, following the cessation of the recent Ebola virus disease (EVD). The tragic deaths of some 4000 persons, as a direct result of this epidemic, have also been accompanied by serious economic disruption to one of the world’s poorest countries, amounting to a loss of over USD 1 billion (20 per cent of annual Gross Domestic Product, GDP). Based on recent work undertaken by the New Partnership for Africa’s Development (NEPAD), an assessment was made of the potential contribution of one of the country’s major natural resource sectors—fisheries—to future economic recovery. It was confirmed that the fish resources of Sierra Leone have an estimated capitalised economic value of USD 735 million, and could potentially make an increased contribution to GDP under suitable conditions, over and above the current estimated level of 10 per cent. However, our results also show that with an overall “readiness assessment” score of 41/100, the sector is unlikely to realise its full potential unless a number of specific areas are addressed (based on analysis valid up to January 2016). These include an improvement in fisheries economic assessment, the upgrading of the fisheries governance and management framework, and the establishment of a fisheries development strategy and implementation plan to channel future investments and interventions in an appropriate sequence. Particular attention should be given early on to an increase in the quality and capacity of both public and private sector organisations relevant to roles and functions within a general process of fisheries sector reform. Finally, the fisheries policy evaluation approach used here is novel. While it has been applied to Sierra Leone for the intrinsic interest of that case, this demonstration also shows that it could be applied elsewhere in the future when reviewing fisheries policy.展开更多
Objective People in Western Africa suffer greatly from febrile jaundice, which is caused by a variety of pathogens. However, yellow fever virus(YFV) is the only pathogen under surveillance in Sierra Leone owing to the...Objective People in Western Africa suffer greatly from febrile jaundice, which is caused by a variety of pathogens. However, yellow fever virus(YFV) is the only pathogen under surveillance in Sierra Leone owing to the undeveloped medical and public health system there. Most of the results of YFV identification are negative. Elucidation of the pathogen spectrum is required to reduce the prevalence of febrile jaundice. Methods In the present study, we used Ion Torrent semiconductor sequencing to profile the pathogen spectrum in archived YFV‐negative sera from 96 patients in Sierra Leone who presented with unexplained febrile jaundice. Results The most frequently identified sequencing reads belonged to the following pathogens: cytomegalovirus(89.58%), Epstein‐Barr virus(55.21%), hepatitis C virus(34.38%), rhinovirus(28.13%), hepatitis A virus(20.83%), coxsackievirus(10.42%), Ebola virus(8.33%), hepatitis E virus(8.33%), lyssavirus(4.17%), leptospirosis(4.17%), chikungunya virus(2.08%), Crimean‐Congo hemorrhagic fever virus(1.04%), and hepatitis B virus(1.04%). Conclusion The distribution of sequencing reads suggests a broader spectrum of pathogens for consideration in clinical diagnostics and epidemiological surveillance in Sierra Leone.展开更多
Ensuring availability and sustainable management of water and sanitation for all by 2030 is Goal 6 of the Sustainable Development Goals (SDGs). Since developing countries especially in Africa would struggle to meet th...Ensuring availability and sustainable management of water and sanitation for all by 2030 is Goal 6 of the Sustainable Development Goals (SDGs). Since developing countries especially in Africa would struggle to meet this target, this study was conceived. Hence, the study was designed to assess the water quality for physiochemical parameters around a mined out site in southern Sierra Leone with the view to determine their levels, determine related associations among indicators and explore environmental forensic options. A finite population correction factor was used to identify fifty (50) groundwater sources from one hundred and fifty two (152) in nine (9) sections of Moriba Town, in Moyamba District, Sierra Leone which constitute the sample size. The study assessed sixteen (16) physical and chemical indicators across the defined boundary of the sample size. Results indicated that almost 80% of all the indicators were in good agreement with water quality standards with the exception of three. Turbidity correlated strongly with , Al and ?and almost all other indicators did not show meaningful association. High values with significant variance of water quality indicators of physical to chemical ratio were observed for pH, temperature, electrical conductivity (EC) and total dissolved solids (TDS) but no such observation was noted for turbidity. On the whole, the water quality was judged to be good, although more pro active actions were encouraged by the local people and the mining company so as to reduce contamination in some areas.展开更多
In a bid to enhance the integrity and health of selected network of ecosystems and effectively manage them in Sierra Leone, a baseline assessment of butterfly diversity of two wetland ecosystems Mamunta Mayosso Wildli...In a bid to enhance the integrity and health of selected network of ecosystems and effectively manage them in Sierra Leone, a baseline assessment of butterfly diversity of two wetland ecosystems Mamunta Mayosso Wildlife Santuary (MMWS) and Sierra Leone River Estuary (SLRE) affected by different environmental stressors was undertaken as part of the Sierra Leone Wetland Conservation Project (SLWCP). We hypothesised that different environmental stressors affect butterfly communities in wetlands in Sierra Leone and the higher the stress the lower the butterfly diversity in an area. Sampling was conducted via field identification by wing patterns, flight mode, direct counts along transects and charaxes trapping. A total of 2300 individuals representing 95 species of butterflies were recorded. Though butterflies were evenly distributed at both sites, MMWS recorded the highest richness and abundance of butterflies during both seasons. This observation is reported to be because of high environmental stressors such as mining, agriculture and pollution from factories in the SLRE. The results further show that MMWS is made up of a mosaic of different vegetation patches that support higher diversity of butterfly species. This study also reveals that anthropogenic activities have a negative impact on butterfly diversity.展开更多
Rice is the main staple food of the vast majority of Sierra Leoneans, eaten on a daily basis by almost every household in the country. Rice is the most important food crop widely grown by farmers across the country. A...Rice is the main staple food of the vast majority of Sierra Leoneans, eaten on a daily basis by almost every household in the country. Rice is the most important food crop widely grown by farmers across the country. Although much attention is now focused on rice production through the small holder commercialization programme (SHCP), less attention has been given to investigating the constraints faced by rice producers in the country. Also, as food insecurity continues to be a major development problem across the country, thereby undermining people’s health, productivity, and often their very survival;this study contributes to efforts to overcome the development challenges posed by food insecurity necessarily begin with accurate assessment of influential factors that constrained the production of the staple food, rice. The main objective of this study is therefore to analysis the factors that influence rice production in the country, and specifically examine the relationship between rice production and the price of rice as sold in the domestic market. The study used a log linear model with the quantity of rice produced as the dependent variable and the price of domestic rice, quantity of rice imported and price of imported rice as explanatory. Findings indicated that, domestic rice is more expensive than imported rice per ton, and this underscores the argument that, rice importation is undermining domestic rice production as a viable income generating activity. Also, almost all the people in the capital city which hosts about 70% of the total population of country prefer eating imported rice, since it is free from stones and other impurities. However, In order to control price and still increase rice production, the government should be able to purchase the rice from the farmers and then sell this rice to private retailers.展开更多
Rice is the main food of Sierra Leoneans and an important source of employment and income for rural communities. According to the West African Rice Development Association report, annual consumption of rice is amongst...Rice is the main food of Sierra Leoneans and an important source of employment and income for rural communities. According to the West African Rice Development Association report, annual consumption of rice is amongst the highest in Sub- Saharan Africa(SSA), 104 kg. Mainly, small scale farmers who are resource poor on both the upland and various lowlands grow rice. Sierra Leone has not been able to produce enough rice to meet its local consumption demand for a very long time now. 530 000 MT of milled rice is the required consumption need of the Sierra Leonean population per annum. In 2007, national paddy rice production was projected at 638 000 MT. The level of rice self-sufficiency rose from 50.57% in 2002 to 62.15% in 2006 and then to 63.49% in 2007. The remainder must be imported at increasingly expensive prices in the current situation of high food prices, which includes rice. The price of rice has seen a steady increase in the entire country. What most affected by this, is the low-income urban and peri-urban households. The promotion of domestic rice production is therefore a key element in the strategies for improving rice self-sufficiency, stimulating economic growth and increasing rural income. Therefore, supporting rice production programme is the only solution to pull the country out of the worsening rice situation and maintain the present trend in rice self-sufficiency. Therefore, having an understanding of the strategic interventions in rice production in Sierra Leone is an important ingredient in the promotion and attainment of rice self-sufficiency.展开更多
Lassa Fever is endemic to the eastern region of Sierra Leone. It is a haemorrhagic disease that is often transmitted from rats to humans and then human to humans. Ecological disturbances such as changes in land use in...Lassa Fever is endemic to the eastern region of Sierra Leone. It is a haemorrhagic disease that is often transmitted from rats to humans and then human to humans. Ecological disturbances such as changes in land use involving conversion of natural ecosystems to agriculture, mining or for urban expansion are reported to bring humans into close contact with animals such as the Mastomys rat that carries the Lassa Fever virus thereby posing health problems.The nature and extent of such ecological disturbances or land use changes within areas known to be endemic to Lassa Fever are not clearly understood from a research context in Sierra Leone. This study was therefore undertaken to identify the pattern of changes in land use and cropping practices and their potential to bring humans into close interactions with the Mastomys rat that is the host for the Lassa Fever virus. Four communities were chosen for the study, two rural (Lalehun and Majihun) and two urban (Lambayama section in Kenema City and Largo Square section in Segbwema Town). Different vegetation and land use/cropping practices were identified and observations were made on the pattern of changes at different times in the cropping year. There were four common vegetation and cropping practices found in all communities: upland rice intercropping, old fallow, young fallow, and swamp rice cultivation. The study revealed the variations in land use patterns and cropping practices between urban and rural settlements. Agro-forestry practices such as perennial cash crops cacao and rubber plantations were more common in rural communities. The study also revealed that while fallow vegetation persisted in rural areas there had been expansion of settlements into old fallow vegetation indicating a greater threat to the persistence of natural ecosystem in urban than in rural settlements. These disturbances resulted in habitat fragmentation and increased the likelihood of contact between humans and animal species (e.g. Mastomys rat) associated with various habitats.展开更多
Background:The recent outbreak of the Ebola virus disease(EVD)in Sierra Leone has been characterized by the World Health Organization as one of the most challenging EVD outbreaks to date.The first confirmed case in Si...Background:The recent outbreak of the Ebola virus disease(EVD)in Sierra Leone has been characterized by the World Health Organization as one of the most challenging EVD outbreaks to date.The first confirmed case in Sierra Leone was a young woman who was admitted to a government hospital in Kenema following a miscarriage on 24 May 2014.On 5 January 2015,intensified training for an EVD response project was initiated at the medical university of Sierra Leone in Jui.To understand the knowledge,attitudes,practices,and perceived risk of EVD among the public,especially after this training,a rapid assessment was conducted from 10 to 16 March 2015.Methods:Interviews were conducted with 466 participants based on questionnaires that were distributed from 10 to 16 March 2015 by cluster sampling in three adjacent communities,namely Jui,Grafton,and Kossoh Town,in the Western Area Rural District of Sierra Leone.Results:It was found that knowledge about EVD was comprehensive and high.Positive attitude towards prevention was found to be satisfactory.Nearly all participants knew the reporting phone number 117 and had reported some change in behavior since learning about Ebola.More than half(62%)of the participants had a history of travelling to urban areas,which increases the risk of infection.The multivariable logistic regression analysis showed that community and occupation were variables associated with perceived risk of EVD.Conclusions:Our study showed that community level social mobilization and community engagement were an effective strategy in the special context.展开更多
Background:Baseline mapping of soil-transmitted helminth(STH)infections among school age children(SAC)in 2008-2009 found high or moderate prevalence in 13 of the 14 districts in Sierra Leone.Following these surveys,ma...Background:Baseline mapping of soil-transmitted helminth(STH)infections among school age children(SAC)in 2008-2009 found high or moderate prevalence in 13 of the 14 districts in Sierra Leone.Following these surveys,mass drug administration(MDA)of mebendazole/albendazole was conducted biannually at national level targeting pre-school children(PSC)aged 12-59 months and intermittently at sub-national level targeting SAC.In addition,MDA with ivermectin and albendazole for eliminating lymphatic filariasis(LF)has been conducted nationwide since 2010 targeting individuals over 5 years of age.Each MDA achieved high coverage,except in 2014 when all but one round of MDA for PSC was cancelled due to the Ebola emergency.The objective of the current study was to determine the prevalence and intensity of STH infections among SAC after a decade of these deworming campaigns.Methods:Seventy-three schools in 14 districts were purposefully selected,including 39 schools from the baseline surveys,with approximately two sites from each of low,moderate and high prevalence categories at baseline per district.Fresh stool samples were collected from 3632 children aged 9-14 years(male 51%,female 49%)and examined using the Kato Katz technique.Results:The prevalence of STH infections in Sierra Leone decreased in 2016 compared to 2008:Ascaris lumbricoides 4.4%(95%confidence interval[CI]:3.7-5.1%)versus 6.6%(95%CI:0-25%),Trichuris trichiura 0.7%(95%CI:0.5-1.1%)versus 1.8%(95%CI:0-30.2%),hookworm 14.9%(95%CI:13.8-16.1)versus 38.5%(95%CI:5.4-95.1%),and any STH 18.3%(95%CI:17.0-19.5%)versus 48.3%(CI:5.4-96.3%),respectively.In 2016,no district had high hookworm prevalence and four districts had moderate prevalence,compared with eight and four districts respectively in 2008.In 2016,the arithmetic mean hookworm egg count in all children examined was light:45.5 eggs per gram(EPG)of faeces,(95%CI:\35.96-55.07 EPG);three(0.08%)children had heavy infections and nine(0.25%)children had moderate infections.Conclusions:Sierra Leone has made considerable progress toward controlling STH as a public health problem among SAC.As LF MDA phases out(between 2017 and 2021),transition of deworming to other platforms and water and sanitation strategies need to be strengthened to maintain STH control and ultimately interrupt transmission.展开更多
Introduction:Infectious disease surveillance has long been a challenge for low-income countries like Sierra Leone.Traditional approaches based on paper and Short Message Service(SMS)were subject to severe delays in ob...Introduction:Infectious disease surveillance has long been a challenge for low-income countries like Sierra Leone.Traditional approaches based on paper and Short Message Service(SMS)were subject to severe delays in obtaining,transmitting,and analyzing information.Methods:During the China aid operation for fighting Ebola since the end of 2014,a mobile electronic surveillance system for infectious diseases(MESSID)was developed in collaboration with the Republic of Sierra Leone Armed Forces(RSLAF),which comprised an Android-based reporting system and a complementary web-based program designed by Active Server Page.NET(ASP.NET)with the main functions including surveillance,real-time reporting,and risk assessment of infectious diseases.Results:MESSID was successfully registered in June 2016 and had been used by all medical and health institutions in RSLAF.From June 1,2016 to July 5,2021,34,419 cases were diagnosed with 47 infectious diseases of 5 categories,with a total of 42 clinical symptoms.Compared to traditional approaches based on paper and SMS,the MESSID showed flexibility,high efficiency,convenience,and acceptability.Discussion:MESSID is an accessible tool for surveillance of infectious diseases in Sierra Leone and possibly in other African countries with similar needs,capable of improving timeliness of disease reporting,thus rendering a timely outbreak detection and response.展开更多
BACKGROUND The Republic of Sierra Leone is located on the west coast of Africa,bordering Guinea and Liberia,with a population of 7.8 million in 2019(1).It has a tropical monsoon climate,with high temperatures and plen...BACKGROUND The Republic of Sierra Leone is located on the west coast of Africa,bordering Guinea and Liberia,with a population of 7.8 million in 2019(1).It has a tropical monsoon climate,with high temperatures and plentiful precipitation.As one of the least developed countries in the world(2),Sierra Leone has long struggled with poor health outcomes with a life expectancy at birth of 59 for male and 61 for female,and high maternal and neonatal mortality,threatened by infectious diseases such as malaria,tuberculosis,typhoid fever,cholera,and Lassa fever(3).展开更多
Since the outbreak of Ebola virus disease(EVD)in three countries in West Africa,China CDC has conducted two phases of technical cooperation projects based on the Sierra Leone-China Friendship Biological Safety Laborat...Since the outbreak of Ebola virus disease(EVD)in three countries in West Africa,China CDC has conducted two phases of technical cooperation projects based on the Sierra Leone-China Friendship Biological Safety Laboratory(SLE-CHN BSL-3 Lab)in the Republic of Sierra Leone(1-2).Phase Ⅰ was conducted from July 2015 to June 2017,while Phase Ⅱ started in July 2017 and will continue to June 2020.In total,85 Chinese public health specialists have been dispatched to Freetown,the capital city of Sierra Leone,with 80 serving for 6 months and 5 serving for a year.Most Chinese staff came from China CDC and the remaining roughly 15%came from different provincial-level CDCs.This report summarizes major developments to Sierra Leone’s public health field and comments on experiences obtained from the joint effort.展开更多
Background:The 2014-2016 Ebola virus epidemic in West Africa was the largest outbreak of Ebola virus disease(EVD)in history.Clarifying the influence of other prevalent diseases such as human immunodeficiency virus inf...Background:The 2014-2016 Ebola virus epidemic in West Africa was the largest outbreak of Ebola virus disease(EVD)in history.Clarifying the influence of other prevalent diseases such as human immunodeficiency virus infection and acquired immune deficiency syndrome(HIV/AIDS)will help improve treatment and supportive care of patients with EVD.Case presentation:We examined HIV and hepatitis C virus(HCV)antibody prevalence among suspected EVD cases from the Sierra Leone-China Friendship Biological Safety Laboratory during the epidemic in Sierra Leone.HIV and HCV antibodies were tested in 678 EVD-negative samples by enzyme-linked immunosorbent assay.A high HIV prevalence(17.6%)and low HCV prevalence(0.22%)were observed among the suspected cases.Notably,we found decreased HIV positive rates among the suspected cases over the course of the epidemic.This suggests a potentially beneficial effect of an improved public health system after assistance from the World Health Organization and other international aid organizations.Conclusions:This EVD epidemic had a considerable impact on the public health system and influenced the prevalence of HIV found among suspected cases in Sierra Leone,but also provided an opportunity to establish a better surveillance network for infectious diseases.展开更多
Investigations into the Andean orocline revealed a counterclockwise rotation of about 37° in the north and a clockwise rotation of about 29° in the south. This rotation would have started in the Eocene becau...Investigations into the Andean orocline revealed a counterclockwise rotation of about 37° in the north and a clockwise rotation of about 29° in the south. This rotation would have started in the Eocene because the Nazca and South American plates converged. The transition zone between the Puna and the Sierras Pampeanas has a clockwise rotation pattern. Our new data show that the NE convergence of the Nazca and South American plates caused the counterclockwise rotation around the NW end of the Sierras Pampeanas. The temperature rise during a magmatic activity at 13 Ma would have favored a counterclockwise rotation of the mountain blocks of about 20° on a detachment zone within 10 to 15 km of depth. These range rotations generated local stress tensors trending NE and NW, facilitating the development of valleys, basins, mineralized dikes, mineral deposits, and alluvial fans separated from their origin. The Atajo fault shows both ductile and brittle characteristics. A mylonitic belt from the Sierra de Aconquija was juxtaposed on the rocks of the Ovejería Block and the Farallón Negro Volcanic Complex by reverse vertical displacement, and a dextral horizontal component of displacement resulted in curvatures that gave rise to pull-apart basins and step over features. The Santa Maria Valley, Campo del Arenal, Hualfín Valley, and Pipanaco salt flat most likely constituted a vast early Miocene basin rarely interrupted by low feature relief.展开更多
23 February,2022 Dear Ambassador Lin,Thank you and your team for the invitation to attend the amazing Opening and Closing ceremonies of the 2022 Winter Olympics,an experience I will never forget.It was a great honour ...23 February,2022 Dear Ambassador Lin,Thank you and your team for the invitation to attend the amazing Opening and Closing ceremonies of the 2022 Winter Olympics,an experience I will never forget.It was a great honour to see the President and his wife’s warm welcome to us all and to watch these wonderful events hke a family.I am full of admiration for the hard work of the Director,the production team and the thousands of performers of all ages.Likewise,great thanks should go to all the volunteers for their positive attitude in welcoming us to the Bird’s Nest Stadium and their perseverance despite the cold weather.展开更多
文摘Food safety, nutrition, health and wellbeing are inextricably linked. This study investigated the environmental, awareness and practices amongst both food vendors and consumers in and around Freetown the capital of Sierra Leone. The population of the area has vastly out-grown the infrastructure laid down before and since independence. De-centralization of authority to local councils as recommended post-war has only been partial. The role of local versus central government in the planning and maintenance of water, sanitation and market-infrastructure and related policies was explored. This is a qualitative study that used semi-structured interviews with vendors, consumers and 29 key informants. Amongst an estimated population of 5386 actors in food services a sample size of 309 vendors, consumers in and around the 12 busiest market hubs in Western Area Urban and Rural Districts were sampled. Most of the respondents described “food safety” as “good-to-eat, well taken care-off, and free from germs”. The respondents cited that main causes to unsafe food are poor hygienic practices: 38%, contamination by flies: 28%, uncovered food/ improper handling/poor personal hygiene: 21%, and environmental factors, such as improper refuse disposal: 11%. Respondents expressed that consuming unsafe foods can lead to diarrhoea: 34%, food poisoning: 24%, vomiting: 17%, stomach ache/pain: 16%, or typhoid: 9%. Various measures to improve food safety were cited as hand washing: 60%, cleaning surroundings: 57%, covering food: 56%, washing utensils: 52%, covering hair: 42% and using a face mask: 32%. However almost 76% of food vendors interviewed were trading near gutters, where muddy/dirty water settled, with slippery floors, discarded plastic waste, flies and inadequate water, sanitation, and/or storage facilities. None of the food vendors had had any formal training on food safety. Despite progress recently made in solid and liquid waste management during the “Transform Freetown” agenda much more improvement in infrastructure and behaviour change is required. Similarly, despite improvements in formal market facilities the pattern of informal street trading remains the most prevalent especially for the poor. The link between “safe food” and good health was only partially understood, whilst the widespread application of recommended practices to reduce risks was lacking due in part to inadequate infrastructure. As the importance of food safety becomes better understood by administrators and the public the investments required in infrastructure and social and behavioural change will contribute towards a healthier environment and outcomes.
文摘Rainfall and temperature are the important variables that are often used to trace climate variability and change. A Perception study and analysis of climatic data were conducted to assess the changes in rainfall and temperature and their impact on crop production in Moyamba district, Sierra Leone. For the perception study, 400 farmers were randomly selected from Farmer-Based Organizations (FBOs) in 4 chiefdoms and 30 Agricultural Extension Workers (AWEs) in the Moyamba district were purposely selected as respondents. Descriptive statistics and Kendall’s test of concordance was used to analyze the data collected from the farmers and AEWs. Data for the analysis of variability and trends of rainfall and temperature from 1991 to 2020 were obtained from the Sierra Leone Meteorological Agency and Njala University and grouped into monthly, seasonal and annual time series. Regression analyses were used to determine the statistical values and trend lines for the seasonal and annual time series data. The Mann-Kendall test and Sen’s Slope Estimator were used to analyze the significance and magnitude of the trends respectively. The results of both studies show evidence of climate change in the Moyamba district. A substantial number of farmers and AEWs perceived a decrease in the annual rainfall amount, length of the rainy season, a late start and end of the rainy season, an increase in the temperature during the day and night, and a shortened harmattan period over the last 30 years. Analysis of the meteorological data shows evidence of variability in the seasonal and annual distribution of rainfall and temperature, a decreasing and non-significant trend in the rainy season and annual rainfall and an increasing and significant trend in seasonal and annual temperature from 1991 to 2020. However, the observed changes in rainfall and temperature by the farmers and AEWs partially agree with the results of the analyzed meteorological data. The majority of the farmers perceived that;adverse weather conditions have negatively affected crop production in the district. Droughts, high temperatures, and irregular rainfall are the three major adverse weather events that farmers perceived to have contributed to a substantial loss in the yields of the major crops cultivated in the district. In response to the negative effects of adverse weather events, a substantial number of farmers take no action due to their lack of knowledge, technical or financial capacity to implement climate-sensitive agricultural (CSA) practices. Even though few farmers are practicing some CSA practices on their farms, there is an urgent need to build the capacity of farmers and AEWs to adapt to and mitigate the negative impacts of climate change. The most priority support needed by farmers is the provision of climate-resilient crop varieties whilst the AEWs need training on CSA practices.
文摘In this study,the Radio Direction Finding method is proposed for the detection of electromagnetic signals,in the VLF band,to try to anticipate the occurrence of potentially destructive geophysical events.The experimentation concerns the interception of electromagnetic anomalies in Sierra Leone,in the five-day time window,associated with seismic events that could potentially generate tsunamis.The area of investigation is Sierra Leone,whose coastline is subjected to tidal wave hazards triggered by earthquakes generated in the Mid-Atlantic Ridge.Although Sierra Leone is not affected by recurrent earthquakes,there is nevertheless a low probability,estimated at 2 percent,of the occurrence of destructive earthquakes in the next 50 years.Also in estimates,the risk of rogue and potentially damaging waves is estimated to strike the Sierra Leone coast at least once in the next 10 years.The Radio Direction Finding experiment carried out continuously 24/7,has shown a close relationship between increased radio-anomalies,in the frequencies of 6,000 Hz,a time window between electromagnetic anomaly detection and the imminence of an earthquake,and higher frequency times for the risk of earthquake occurrence in the Mid-Atlantic Ridge.
文摘The soil resources of Sierra Leone remain an integral part of sustainable agricultural development but knowledge of the suitability of soils and their management requirements for a variety of land uses is still lacking to a greater extent. In this view, a detailed soil survey of three chiefdoms in Northern Sierra Leone was undertaken to evaluate the genesis of soils and interpret soil-landscape properties and their relationships using the toposequence and free style approach of soil survey. Three major soil types, viz, gravelly, gravel-free over gravel and gravel-free soils, formed either directly or indirectly from weathered and disintegrated parent materials of two geologic origins namely Rokel River Series (comprising of sandstone, shale and mudstone), and Granite and Acid Gneiss were identified. The gravelly soils are formed from sandstone and sandy shales of the Rokel River Series, which upon weathering released iron and hydrated oxides that hardened into plinthite upon drying. The gravel-free over gravel soils are formed from acid gneiss containing acid and intermediate igneous and metamorphic rocks, which upon weathering produced sandy clay textured soils whereas the gravel-free soils are derived from sedimentary rocks (shales and mudstones) of Rokel River Series, which upon weathering and action of organisms produced sandy clay loam and sandy clay textured soils. The gravel-free over gravel soils are mostly located in the summit and back slopes and show dark brown to dark yellowish-brown hue and moderate chroma, weak to moderate structure and absence of coarse fragments in the 0 - 40 cm layer, and a strong brown hue and high chroma, very weak fine angular blocky structure having abundance of coarse fragments from 40 cm and above. In these soils, the compactness of ironstone and sandstone gravels increases with depth. The gravel-free soils are found on three landscape positions, viz, back slopes, foot slopes and toe slopes. On the back and foot slopes, the soils are characterized by very dark brown to dark yellowish-brown hue and high chroma, sandy loam to sandy clay texture, coarse angular to moderate sub-angular blocky structure and absence of coarse fragments throughout the horizon. In these soils, the clay content and sand grain sizes were observed to increase with depth. On the toe slopes, the soils show black to greyish-brown hue and low chroma, silty loam to sandy loam, structureless and high water holding capacity.
文摘Slash-and-burn agriculture is the common practice for upland rice intercropping system in Sierra Leone and it has been blamed for the loss of forest vegetation across the country. Shortening of the fallow period in the Eastern region of Sierra Leone has implications on agricultural food production and the persistence of the remaining tropical rainforest. This study was therefore undertaken to assess: 1) the extent of reduction of the fallow period in the Nongowa Chiefdom of Kenema District;2) the causes of reduction in the fallow period;3) farmers’ perception of the relevance of fallow period and the implications of reduction of fallow period on crop production. The study revealed a drastic reduction of the fallow period in the chiefdom with a mean of 3.8 years which falls far below the country mean fallow period of 8.8 years as estimated by FAO. Farmers pointed out that the reduction of the fallow period was as a result of land scarcity due to competing land uses such as large scale commercial agriculture, logging, mining, charcoal burning and expansion of settlements. Farmers agreed that a fallow period of at least 10 years is necessary for upland rice production. Farmers were aware of the impact of reduction of the fallow period on upland rice production and were able to estimate rice yields based on the age of the fallow. Also, farmers have attempted to adapt to the constraints posed by shorter fallow periods by selection of rice varieties to suit the length of the fallow periods.
文摘This paper examines the potential contribution of the fisheries sector to national economic development in Sierra Leone, following the cessation of the recent Ebola virus disease (EVD). The tragic deaths of some 4000 persons, as a direct result of this epidemic, have also been accompanied by serious economic disruption to one of the world’s poorest countries, amounting to a loss of over USD 1 billion (20 per cent of annual Gross Domestic Product, GDP). Based on recent work undertaken by the New Partnership for Africa’s Development (NEPAD), an assessment was made of the potential contribution of one of the country’s major natural resource sectors—fisheries—to future economic recovery. It was confirmed that the fish resources of Sierra Leone have an estimated capitalised economic value of USD 735 million, and could potentially make an increased contribution to GDP under suitable conditions, over and above the current estimated level of 10 per cent. However, our results also show that with an overall “readiness assessment” score of 41/100, the sector is unlikely to realise its full potential unless a number of specific areas are addressed (based on analysis valid up to January 2016). These include an improvement in fisheries economic assessment, the upgrading of the fisheries governance and management framework, and the establishment of a fisheries development strategy and implementation plan to channel future investments and interventions in an appropriate sequence. Particular attention should be given early on to an increase in the quality and capacity of both public and private sector organisations relevant to roles and functions within a general process of fisheries sector reform. Finally, the fisheries policy evaluation approach used here is novel. While it has been applied to Sierra Leone for the intrinsic interest of that case, this demonstration also shows that it could be applied elsewhere in the future when reviewing fisheries policy.
基金supported by grants from the National Key Research and Development Plan of China [2016TFC1202700,2016YFC1200903,and 2017YFC1200503]the China Mega‐Project for Infectious Disease [2017ZX10302301‐004,2017ZX100101,and 2017ZX10104001]
文摘Objective People in Western Africa suffer greatly from febrile jaundice, which is caused by a variety of pathogens. However, yellow fever virus(YFV) is the only pathogen under surveillance in Sierra Leone owing to the undeveloped medical and public health system there. Most of the results of YFV identification are negative. Elucidation of the pathogen spectrum is required to reduce the prevalence of febrile jaundice. Methods In the present study, we used Ion Torrent semiconductor sequencing to profile the pathogen spectrum in archived YFV‐negative sera from 96 patients in Sierra Leone who presented with unexplained febrile jaundice. Results The most frequently identified sequencing reads belonged to the following pathogens: cytomegalovirus(89.58%), Epstein‐Barr virus(55.21%), hepatitis C virus(34.38%), rhinovirus(28.13%), hepatitis A virus(20.83%), coxsackievirus(10.42%), Ebola virus(8.33%), hepatitis E virus(8.33%), lyssavirus(4.17%), leptospirosis(4.17%), chikungunya virus(2.08%), Crimean‐Congo hemorrhagic fever virus(1.04%), and hepatitis B virus(1.04%). Conclusion The distribution of sequencing reads suggests a broader spectrum of pathogens for consideration in clinical diagnostics and epidemiological surveillance in Sierra Leone.
文摘Ensuring availability and sustainable management of water and sanitation for all by 2030 is Goal 6 of the Sustainable Development Goals (SDGs). Since developing countries especially in Africa would struggle to meet this target, this study was conceived. Hence, the study was designed to assess the water quality for physiochemical parameters around a mined out site in southern Sierra Leone with the view to determine their levels, determine related associations among indicators and explore environmental forensic options. A finite population correction factor was used to identify fifty (50) groundwater sources from one hundred and fifty two (152) in nine (9) sections of Moriba Town, in Moyamba District, Sierra Leone which constitute the sample size. The study assessed sixteen (16) physical and chemical indicators across the defined boundary of the sample size. Results indicated that almost 80% of all the indicators were in good agreement with water quality standards with the exception of three. Turbidity correlated strongly with , Al and ?and almost all other indicators did not show meaningful association. High values with significant variance of water quality indicators of physical to chemical ratio were observed for pH, temperature, electrical conductivity (EC) and total dissolved solids (TDS) but no such observation was noted for turbidity. On the whole, the water quality was judged to be good, although more pro active actions were encouraged by the local people and the mining company so as to reduce contamination in some areas.
文摘In a bid to enhance the integrity and health of selected network of ecosystems and effectively manage them in Sierra Leone, a baseline assessment of butterfly diversity of two wetland ecosystems Mamunta Mayosso Wildlife Santuary (MMWS) and Sierra Leone River Estuary (SLRE) affected by different environmental stressors was undertaken as part of the Sierra Leone Wetland Conservation Project (SLWCP). We hypothesised that different environmental stressors affect butterfly communities in wetlands in Sierra Leone and the higher the stress the lower the butterfly diversity in an area. Sampling was conducted via field identification by wing patterns, flight mode, direct counts along transects and charaxes trapping. A total of 2300 individuals representing 95 species of butterflies were recorded. Though butterflies were evenly distributed at both sites, MMWS recorded the highest richness and abundance of butterflies during both seasons. This observation is reported to be because of high environmental stressors such as mining, agriculture and pollution from factories in the SLRE. The results further show that MMWS is made up of a mosaic of different vegetation patches that support higher diversity of butterfly species. This study also reveals that anthropogenic activities have a negative impact on butterfly diversity.
文摘Rice is the main staple food of the vast majority of Sierra Leoneans, eaten on a daily basis by almost every household in the country. Rice is the most important food crop widely grown by farmers across the country. Although much attention is now focused on rice production through the small holder commercialization programme (SHCP), less attention has been given to investigating the constraints faced by rice producers in the country. Also, as food insecurity continues to be a major development problem across the country, thereby undermining people’s health, productivity, and often their very survival;this study contributes to efforts to overcome the development challenges posed by food insecurity necessarily begin with accurate assessment of influential factors that constrained the production of the staple food, rice. The main objective of this study is therefore to analysis the factors that influence rice production in the country, and specifically examine the relationship between rice production and the price of rice as sold in the domestic market. The study used a log linear model with the quantity of rice produced as the dependent variable and the price of domestic rice, quantity of rice imported and price of imported rice as explanatory. Findings indicated that, domestic rice is more expensive than imported rice per ton, and this underscores the argument that, rice importation is undermining domestic rice production as a viable income generating activity. Also, almost all the people in the capital city which hosts about 70% of the total population of country prefer eating imported rice, since it is free from stones and other impurities. However, In order to control price and still increase rice production, the government should be able to purchase the rice from the farmers and then sell this rice to private retailers.
文摘Rice is the main food of Sierra Leoneans and an important source of employment and income for rural communities. According to the West African Rice Development Association report, annual consumption of rice is amongst the highest in Sub- Saharan Africa(SSA), 104 kg. Mainly, small scale farmers who are resource poor on both the upland and various lowlands grow rice. Sierra Leone has not been able to produce enough rice to meet its local consumption demand for a very long time now. 530 000 MT of milled rice is the required consumption need of the Sierra Leonean population per annum. In 2007, national paddy rice production was projected at 638 000 MT. The level of rice self-sufficiency rose from 50.57% in 2002 to 62.15% in 2006 and then to 63.49% in 2007. The remainder must be imported at increasingly expensive prices in the current situation of high food prices, which includes rice. The price of rice has seen a steady increase in the entire country. What most affected by this, is the low-income urban and peri-urban households. The promotion of domestic rice production is therefore a key element in the strategies for improving rice self-sufficiency, stimulating economic growth and increasing rural income. Therefore, supporting rice production programme is the only solution to pull the country out of the worsening rice situation and maintain the present trend in rice self-sufficiency. Therefore, having an understanding of the strategic interventions in rice production in Sierra Leone is an important ingredient in the promotion and attainment of rice self-sufficiency.
文摘Lassa Fever is endemic to the eastern region of Sierra Leone. It is a haemorrhagic disease that is often transmitted from rats to humans and then human to humans. Ecological disturbances such as changes in land use involving conversion of natural ecosystems to agriculture, mining or for urban expansion are reported to bring humans into close contact with animals such as the Mastomys rat that carries the Lassa Fever virus thereby posing health problems.The nature and extent of such ecological disturbances or land use changes within areas known to be endemic to Lassa Fever are not clearly understood from a research context in Sierra Leone. This study was therefore undertaken to identify the pattern of changes in land use and cropping practices and their potential to bring humans into close interactions with the Mastomys rat that is the host for the Lassa Fever virus. Four communities were chosen for the study, two rural (Lalehun and Majihun) and two urban (Lambayama section in Kenema City and Largo Square section in Segbwema Town). Different vegetation and land use/cropping practices were identified and observations were made on the pattern of changes at different times in the cropping year. There were four common vegetation and cropping practices found in all communities: upland rice intercropping, old fallow, young fallow, and swamp rice cultivation. The study revealed the variations in land use patterns and cropping practices between urban and rural settlements. Agro-forestry practices such as perennial cash crops cacao and rubber plantations were more common in rural communities. The study also revealed that while fallow vegetation persisted in rural areas there had been expansion of settlements into old fallow vegetation indicating a greater threat to the persistence of natural ecosystem in urban than in rural settlements. These disturbances resulted in habitat fragmentation and increased the likelihood of contact between humans and animal species (e.g. Mastomys rat) associated with various habitats.
文摘Background:The recent outbreak of the Ebola virus disease(EVD)in Sierra Leone has been characterized by the World Health Organization as one of the most challenging EVD outbreaks to date.The first confirmed case in Sierra Leone was a young woman who was admitted to a government hospital in Kenema following a miscarriage on 24 May 2014.On 5 January 2015,intensified training for an EVD response project was initiated at the medical university of Sierra Leone in Jui.To understand the knowledge,attitudes,practices,and perceived risk of EVD among the public,especially after this training,a rapid assessment was conducted from 10 to 16 March 2015.Methods:Interviews were conducted with 466 participants based on questionnaires that were distributed from 10 to 16 March 2015 by cluster sampling in three adjacent communities,namely Jui,Grafton,and Kossoh Town,in the Western Area Rural District of Sierra Leone.Results:It was found that knowledge about EVD was comprehensive and high.Positive attitude towards prevention was found to be satisfactory.Nearly all participants knew the reporting phone number 117 and had reported some change in behavior since learning about Ebola.More than half(62%)of the participants had a history of travelling to urban areas,which increases the risk of infection.The multivariable logistic regression analysis showed that community and occupation were variables associated with perceived risk of EVD.Conclusions:Our study showed that community level social mobilization and community engagement were an effective strategy in the special context.
基金the United States Agency for International Developm ent(USAID)through a grant to Helen Keller International,Cooperative Agreement No.GHS-A-00-06-00006-00 with the End NTDs in Africa project managed by Family Health International 360.
文摘Background:Baseline mapping of soil-transmitted helminth(STH)infections among school age children(SAC)in 2008-2009 found high or moderate prevalence in 13 of the 14 districts in Sierra Leone.Following these surveys,mass drug administration(MDA)of mebendazole/albendazole was conducted biannually at national level targeting pre-school children(PSC)aged 12-59 months and intermittently at sub-national level targeting SAC.In addition,MDA with ivermectin and albendazole for eliminating lymphatic filariasis(LF)has been conducted nationwide since 2010 targeting individuals over 5 years of age.Each MDA achieved high coverage,except in 2014 when all but one round of MDA for PSC was cancelled due to the Ebola emergency.The objective of the current study was to determine the prevalence and intensity of STH infections among SAC after a decade of these deworming campaigns.Methods:Seventy-three schools in 14 districts were purposefully selected,including 39 schools from the baseline surveys,with approximately two sites from each of low,moderate and high prevalence categories at baseline per district.Fresh stool samples were collected from 3632 children aged 9-14 years(male 51%,female 49%)and examined using the Kato Katz technique.Results:The prevalence of STH infections in Sierra Leone decreased in 2016 compared to 2008:Ascaris lumbricoides 4.4%(95%confidence interval[CI]:3.7-5.1%)versus 6.6%(95%CI:0-25%),Trichuris trichiura 0.7%(95%CI:0.5-1.1%)versus 1.8%(95%CI:0-30.2%),hookworm 14.9%(95%CI:13.8-16.1)versus 38.5%(95%CI:5.4-95.1%),and any STH 18.3%(95%CI:17.0-19.5%)versus 48.3%(CI:5.4-96.3%),respectively.In 2016,no district had high hookworm prevalence and four districts had moderate prevalence,compared with eight and four districts respectively in 2008.In 2016,the arithmetic mean hookworm egg count in all children examined was light:45.5 eggs per gram(EPG)of faeces,(95%CI:\35.96-55.07 EPG);three(0.08%)children had heavy infections and nine(0.25%)children had moderate infections.Conclusions:Sierra Leone has made considerable progress toward controlling STH as a public health problem among SAC.As LF MDA phases out(between 2017 and 2021),transition of deworming to other platforms and water and sanitation strategies need to be strengthened to maintain STH control and ultimately interrupt transmission.
基金The China Mega-Project on Infectious Disease Prevention(2018ZX10101003-002)the Key Research and Development Program of China(2019YFC1200604)the National Natural Science Funds(81825019).
文摘Introduction:Infectious disease surveillance has long been a challenge for low-income countries like Sierra Leone.Traditional approaches based on paper and Short Message Service(SMS)were subject to severe delays in obtaining,transmitting,and analyzing information.Methods:During the China aid operation for fighting Ebola since the end of 2014,a mobile electronic surveillance system for infectious diseases(MESSID)was developed in collaboration with the Republic of Sierra Leone Armed Forces(RSLAF),which comprised an Android-based reporting system and a complementary web-based program designed by Active Server Page.NET(ASP.NET)with the main functions including surveillance,real-time reporting,and risk assessment of infectious diseases.Results:MESSID was successfully registered in June 2016 and had been used by all medical and health institutions in RSLAF.From June 1,2016 to July 5,2021,34,419 cases were diagnosed with 47 infectious diseases of 5 categories,with a total of 42 clinical symptoms.Compared to traditional approaches based on paper and SMS,the MESSID showed flexibility,high efficiency,convenience,and acceptability.Discussion:MESSID is an accessible tool for surveillance of infectious diseases in Sierra Leone and possibly in other African countries with similar needs,capable of improving timeliness of disease reporting,thus rendering a timely outbreak detection and response.
文摘BACKGROUND The Republic of Sierra Leone is located on the west coast of Africa,bordering Guinea and Liberia,with a population of 7.8 million in 2019(1).It has a tropical monsoon climate,with high temperatures and plentiful precipitation.As one of the least developed countries in the world(2),Sierra Leone has long struggled with poor health outcomes with a life expectancy at birth of 59 for male and 61 for female,and high maternal and neonatal mortality,threatened by infectious diseases such as malaria,tuberculosis,typhoid fever,cholera,and Lassa fever(3).
文摘Since the outbreak of Ebola virus disease(EVD)in three countries in West Africa,China CDC has conducted two phases of technical cooperation projects based on the Sierra Leone-China Friendship Biological Safety Laboratory(SLE-CHN BSL-3 Lab)in the Republic of Sierra Leone(1-2).Phase Ⅰ was conducted from July 2015 to June 2017,while Phase Ⅱ started in July 2017 and will continue to June 2020.In total,85 Chinese public health specialists have been dispatched to Freetown,the capital city of Sierra Leone,with 80 serving for 6 months and 5 serving for a year.Most Chinese staff came from China CDC and the remaining roughly 15%came from different provincial-level CDCs.This report summarizes major developments to Sierra Leone’s public health field and comments on experiences obtained from the joint effort.
基金the National Mega-Project for Infectious Disease,Ministry of Science and Technology(Grant no.2016ZX10004222-003)National Key Project of Ebola Research,National Natural Science Foundation of China(NSFC,Grant no.81590763)NSFC projects for Dr.William J Liu(Grant no.81373141 and 81401312).
文摘Background:The 2014-2016 Ebola virus epidemic in West Africa was the largest outbreak of Ebola virus disease(EVD)in history.Clarifying the influence of other prevalent diseases such as human immunodeficiency virus infection and acquired immune deficiency syndrome(HIV/AIDS)will help improve treatment and supportive care of patients with EVD.Case presentation:We examined HIV and hepatitis C virus(HCV)antibody prevalence among suspected EVD cases from the Sierra Leone-China Friendship Biological Safety Laboratory during the epidemic in Sierra Leone.HIV and HCV antibodies were tested in 678 EVD-negative samples by enzyme-linked immunosorbent assay.A high HIV prevalence(17.6%)and low HCV prevalence(0.22%)were observed among the suspected cases.Notably,we found decreased HIV positive rates among the suspected cases over the course of the epidemic.This suggests a potentially beneficial effect of an improved public health system after assistance from the World Health Organization and other international aid organizations.Conclusions:This EVD epidemic had a considerable impact on the public health system and influenced the prevalence of HIV found among suspected cases in Sierra Leone,but also provided an opportunity to establish a better surveillance network for infectious diseases.
文摘Investigations into the Andean orocline revealed a counterclockwise rotation of about 37° in the north and a clockwise rotation of about 29° in the south. This rotation would have started in the Eocene because the Nazca and South American plates converged. The transition zone between the Puna and the Sierras Pampeanas has a clockwise rotation pattern. Our new data show that the NE convergence of the Nazca and South American plates caused the counterclockwise rotation around the NW end of the Sierras Pampeanas. The temperature rise during a magmatic activity at 13 Ma would have favored a counterclockwise rotation of the mountain blocks of about 20° on a detachment zone within 10 to 15 km of depth. These range rotations generated local stress tensors trending NE and NW, facilitating the development of valleys, basins, mineralized dikes, mineral deposits, and alluvial fans separated from their origin. The Atajo fault shows both ductile and brittle characteristics. A mylonitic belt from the Sierra de Aconquija was juxtaposed on the rocks of the Ovejería Block and the Farallón Negro Volcanic Complex by reverse vertical displacement, and a dextral horizontal component of displacement resulted in curvatures that gave rise to pull-apart basins and step over features. The Santa Maria Valley, Campo del Arenal, Hualfín Valley, and Pipanaco salt flat most likely constituted a vast early Miocene basin rarely interrupted by low feature relief.
文摘23 February,2022 Dear Ambassador Lin,Thank you and your team for the invitation to attend the amazing Opening and Closing ceremonies of the 2022 Winter Olympics,an experience I will never forget.It was a great honour to see the President and his wife’s warm welcome to us all and to watch these wonderful events hke a family.I am full of admiration for the hard work of the Director,the production team and the thousands of performers of all ages.Likewise,great thanks should go to all the volunteers for their positive attitude in welcoming us to the Bird’s Nest Stadium and their perseverance despite the cold weather.
