Productivity and water relations of burnt and long-unburnt semi-arid shrubland in Western Australia

This study provides a comparison between vegetation of relatively recent and long-unburnt shrubland in terms of structural and functional groups, annual net primary productivity and water relations. Adjacent areas of vegetation long-unburnt or burnt 5 years previously were compared within a remnant block of Acacia–Allocasuarina–Melaleuca arid shrubland at Kalannie, south west Western Australia. Species were classified according to growth and life form, fire response, phenology and rooting morphology and densities, mean plant above-ground dry weights and shoot:root dry mass ratios of each assessed. Species compositions, seedling densities and absence of recruitment in the long-unburnt area suggested marked dependence on fire in maintenance of biodiversity. Comparisons of above-ground standing dry biomass and annual net primary productivity of total (above-ground plus below-ground) dry matter showed the 4.09 kg m^–2 biomass of long-unburnt vegetation to be increasing at 0.52 kg m^–2 year^–1 versus 0.45 and 0.18 kg m^–2 year^–1 for vegetation of the burnt area. Water relations of soils indicated consistently wetter profiles in burnt than long-unburnt areas and no deep drainage during the year of study. Lower water stress of key species in burnt than long-unburnt areas were indicated by less negative pre-dawn water potentials and higher stomatal conductance during the year of study and more negative carbon-isotope composition (¹³C) in wood laid down over the past 5 years. Budgets for water use were estimated for both sites and compared with annual net primary productivities. Data suggested much greater transpiration loss per unit dry matter gain by the rapidly growing plants at the burnt site (437 ml H₂O g^–1 DM) than by the plants of the long-unburnt community (92 ml H₂O g^–1 DM). Results are discussed in relation to composition and functioning of other Western Australian ecosystems. It is clear that time since fire affects productivity and water-use of vegetation of semi-arid shrublands and is therefore an important consideration for management and protection of remnant vegetation.     

Diagnostic Testing of Pediatric Fevers: Meta-Analysis of 13 National Surveys Assessing Influences of Malaria Endemicity and Source of Care on Test Uptake for Febrile Children under Five Years

Background

In 2010, the World Health Organization revised guidelines to recommend diagnosis of all suspected malaria cases prior to treatment. There has been no systematic assessment of malaria test uptake for pediatric fevers at the population level as countries start implementing guidelines. We examined test use for pediatric fevers in relation to malaria endemicity and treatment-seeking behavior in multiple sub-Saharan African countries in initial years of implementation.

Methods and Findings

We compiled data from national population-based surveys reporting fever prevalence, care-seeking and diagnostic use for children under five years in 13 sub-Saharan African countries in 2009–2011/12 (n = 105,791). Mixed-effects logistic regression models quantified the influence of source of care and malaria endemicity on test use after adjusting for socioeconomic covariates. Results were stratified by malaria endemicity categories: low (PfPR_2–10<5%), moderate (PfPR_2–10 5–40%), high (PfPR_2–10>40%). Among febrile under-fives surveyed, 16.9% (95% CI: 11.8%–21.9%) were tested. Compared to hospitals, febrile children attending non-hospital sources (OR: 0.62, 95% CI: 0.56–0.69) and community health workers (OR: 0.31, 95% CI: 0.23–0.43) were less often tested. Febrile children in high-risk areas had reduced odds of testing compared to low-risk settings (OR: 0.51, 95% CI: 0.42–0.62). Febrile children in least poor households were more often tested than in poorest (OR: 1.63, 95% CI: 1.39–1.91), as were children with better-educated mothers compared to least educated (OR: 1.33, 95% CI: 1.16–1.54).

Conclusions

Diagnostic testing of pediatric fevers was low and inequitable at the outset of new guidelines. Greater testing is needed at lower or less formal sources where pediatric fevers are commonly managed, particularly to reach the poorest. Lower test uptake in high-risk settings merits further investigation given potential implications for diagnostic scale-up in these areas. Findings could inform continued implementation of new guidelines to improve access to and equity in point-of-care diagnostics use for pediatric fevers.