Reinfection after treatment of schistosome infections

Today, chemotherapy has a central role in the control of schistosome infections. Although the costs involved may be high in relation to local expenditures on health, externally funded mass treatment programmes can lead to large reductions in the prevalence and intensity of schistosome infections. But the benefits of treatment to a community that has been involved in a mass chemotherapy programme, or to an individual patient seen in a health centre, will be limited if reinfection after treatment is rapid and intense. Despite the efficacy of the available drugs few, if any, control programmes based on mass chemotherapy have interrupted transmission and come anywhere near to eradicating schistosome infection.     

Rapid kudzu eradication and switchgrass establishment through herbicide,bioherbicide and integrated programmes

Among the most important and visible weeds in the Southeastern USA is the exotic invasive vine, kudzu (Pueraria montana var. lobata). Efforts to eradicate it typically involve many years of application of restricted-use pesticides. Recent availability of effective, non-restricted-use pesticides and developments with the application of the bioherbicide Myrothecium verrucaria has made possible new control programmes for kudzu management. Field trials at three sites over two years with aminocyclopyrachlor, aminopyralid, fluroxypyr, metsulfuron methyl and combinations of these herbicides achieved 99–100% reduction in aboveground kudzu biomass. Additionally, programmes were developed that eradicated kudzu while simultaneously establishing native vegetation. One of these successful programmes integrated bioherbicide application, mechanical removal of kudzu biomass and planting switchgrass (Panicum virgatum) in an entirely chemical herbicide-free system. These field tests demonstrate a variety of methods that can be used independently or in an integrated approach for rapid kudzu eradication.     

Genetic aspects of insect production

Selection and maintenance of insect stocks for biological control programmes depend on the objective and the scope of propagation. Propagation for inoculative releases with the objective of colonization must ensure that the source colony contains a sufficient amount of genetic diversity. The implications of the origin and the size of the source colony are discussed. During propagation genetic decay can result from, among other processes, the founder effect, inbreeding or the selection of laboratory «ecotypes». Standardized strains of insect parasites and predators are recommended for mass production programmes for inundative releases. In addition to laboratory-construted strains for genetic controls, hybrid strains showing superior fitness, new pathotypes, and strains carrying genetic markers, may be useful for biological control. Some inferences are drawn from population genetic theory and applied to insectary rearing programmes. It is suggested that some widely held concepts of biological control should be discarded to enable the rigorous application of genetic strategies for pest control.     

Synergies between research organisations and the wider community in enhancing weed biological control in South Africa

Biological control offers a cost effective and ecologically sustainable tool for the management of invasive alien plants. Its implementation, however, has historically been slow and poorly co-ordinated. In South Africa, as in many other countries, most aspects of biological control programmes were done by researchers, but from 1995 onwards, with the advent of the Working for Water Programme, a more inclusive approach to biological control has been adopted. In this paper, we report on the development of community-based biological control implementation programmes in South Africa, after 1995, and highlight a number of initiatives, including employing persons with disabilities at mass-rearing facilities and in particular, we outline a suite of educational and outreach programmes for the general public and for schools, which have increased capacity, education and employment in the field of weed biological control.     

Evolution in invasive plants: implications for biological control

Evidence is increasing that invasive plants can undergo rapid adaptive evolution during the process of range expansion. Here, we argue that evolutionary change during invasions will also affect plant-antagonist interactions and, thus, will have important implications for biological control programmes targeted at invasive plants. We explore how altered selection in the new range might influence the evolution of plant defence (resistance and tolerance) and life history. The degree to which such evolutionary processes might affect biological control efficacy is largely unexplored. We hope that, by testing the hypotheses that we propose here, a closer link can be established between biological control and evolutionary biology, to the benefit of both disciplines.     

The stabilising factors of parasitic infections in Nigeria

The pattern of parasitic infections in Nigeria is discussed taking into consideration the status quo, and factors of change which tend to maintain the present situation rather than improving upon it. These factors include rapid urbanisation and uncontrolled population movement, agricultural developments, socio-economic factors, disease and vector control operations and health care delivery system. This rather deplorable situation calls for increased awareness on the part of everybody such that cognisance is taken of the hazards and remedies of these factors of change in order not to jeopardise our laudable development programmes.     

Can shooting be an effective management tool for foxes? Preliminary insights from a management programme

Historically, shooting has been a popular method for controlling foxes in Australia, but past research has shown it to be an ineffective method for significantly reducing fox population numbers. These past studies investigated shooting when conducted in isolated, one‐off programmes. In more recent years large, coordinated group fox management programmes has become popular in both agricultural and conservation areas. These landscape scale programmes give more chance of long‐term respite from predation damage by slowing down the immigration rates of foxes into the culled area. Studies have been conducted investigating the effectiveness of large‐scale group fox management programmes that primarily used 1080 baiting as the method of control to protect vulnerable livestock and small animal. This study investigated the potential of a large‐scale group programme that used shooting as the main form of control to reduce the impact of fox predation.     

WHO's special programmes: undermining from above.

Despite the World Health Organisation''s spoken commitment to developing integrated primary health care, its most visible and successful activities are not integrated within countries; they are its disease specific intervention programmes, such as the Global Programme on AIDS and the programmes for the control of diarrhoeal and acute respiratory diseases. The 10 or so special programmes, all but one of which (the onchocerciasis control programme) are based in Geneva, have found increasing favour among donors, but critics say that they undermine WHO''s attempts to integrate its activities at country level and discourage countries from developing their own capacity.     

Evaluating the epidemiological impact of national control programmes for helminths

During the past decade, there has been renewed commitment to programmes for helminth control, and several international initiatives have been launched. Scientific evaluation of large-scale interventions to reduce the incidence of infection and associated morbidity and mortality is vital, not only to demonstrate health benefits, but also to assess cost-effectiveness to show that monies from donor agencies have been used wisely. Using the example of schistosomiasis, this article outlines a framework for the evaluation of the impact of national control programmes, highlighting the important epidemiological and practical issues that must be addressed.     

Socio-economic impact of cystic echinococcosis and of its control: some data and considerations

The socio-economic impact of cystic echinococcosis (CE), caused by Echinococcus granulosus, is reviewed with special reference to the following topics: consequences in man and livestock, costs and benefits of control programmes and economic procedures for evaluating control programmes. Examples of some important costs and benefits are given. Many consequences in man and livestock are difficult to evaluate from an economic point of view, because some basic data are difficult to obtain in many countries. However, the socio-economic evaluation of the consequences of CE and of the present and future control actions proves indispensable to best use available resources and possibly tailor control stategies.     

Making genomic surveillance deliver: A lineage classification and nomenclature system to inform rabies elimination

The availability of pathogen sequence data and use of genomic surveillance is rapidly increasing. Genomic tools and classification systems need updating to reflect this. Here, rabies virus is used as an example to showcase the potential value of updated genomic tools to enhance surveillance to better understand epidemiological dynamics and improve disease control. Previous studies have described the evolutionary history of rabies virus, however the resulting taxonomy lacks the definition necessary to identify incursions, lineage turnover and transmission routes at high resolution. Here we propose a lineage classification system based on the dynamic nomenclature used for SARS-CoV-2, defining a lineage by phylogenetic methods for tracking virus spread and comparing sequences across geographic areas. We demonstrate this system through application to the globally distributed Cosmopolitan clade of rabies virus, defining 96 total lineages within the clade, beyond the 22 previously reported. We further show how integration of this tool with a new rabies virus sequence data resource (RABV-GLUE) enables rapid application, for example, highlighting lineage dynamics relevant to control and elimination programmes, such as identifying importations and their sources, as well as areas of persistence and routes of virus movement, including transboundary incursions. This system and the tools developed should be useful for coordinating and targeting control programmes and monitoring progress as countries work towards eliminating dog-mediated rabies, as well as having potential for broader application to the surveillance of other viruses.     

Hazard Analysis of Critical Control Points Assessment as a Tool to Respond to Emerging Infectious Disease Outbreaks

Highly pathogenic avian influenza virus (HPAI) strain H5N1 has had direct and indirect economic impacts arising from direct mortality and control programmes in over 50 countries reporting poultry outbreaks. HPAI H5N1 is now reported as the most widespread and expensive zoonotic disease recorded and continues to pose a global health threat. The aim of this research was to assess the potential of utilising Hazard Analysis of Critical Control Points (HACCP) assessments in providing a framework for a rapid response to emerging infectious disease outbreaks. This novel approach applies a scientific process, widely used in food production systems, to assess risks related to a specific emerging health threat within a known zoonotic disease hotspot. We conducted a HACCP assessment for HPAI viruses within Vietnam’s domestic poultry trade and relate our findings to the existing literature. Our HACCP assessment identified poultry flock isolation, transportation, slaughter, preparation and consumption as critical control points for Vietnam’s domestic poultry trade. Introduction of the preventative measures highlighted through this HACCP evaluation would reduce the risks posed by HPAI viruses and pressure on the national economy. We conclude that this HACCP assessment provides compelling evidence for the future potential that HACCP analyses could play in initiating a rapid response to emerging infectious diseases.     

A decade of malaria during pregnancy in Brazil: what has been done concerning prevention and management

In Brazil, malaria remains a disease of major epidemiological importance because of the high number of cases in the Amazonian Region. Plasmodium spp infections during pregnancy are a significant public health problem with substantial risks for the pregnant woman, the foetus and the newborn child. In Brazil, the control of malaria during pregnancy is primarily achieved by prompt and effective treatment of the acute episodes. Thus, to assure rapid diagnosis and treatment for pregnant women with malaria, one of the recommended strategy for low transmission areas by World Health Organization and as part of a strategy by the Ministry of Health, the National Malaria Control Program has focused on integrative measures with woman and reproductive health. Here, we discuss the approach for the prevention and management of malaria during pregnancy in Brazil over the last 10 years (2003-2012) using morbidity data from Malaria Health Information System. Improving the efficiency and quality of healthcare and education and the consolidation of prevention programmes will be challenges in the control of malaria during pregnancy in the next decade.     

False Positive HIV Diagnoses in Resource Limited Settings: Operational Lessons Learned for HIV Programmes

Background

Access to HIV diagnosis is life-saving; however the use of rapid diagnostic tests in combination is vulnerable to wrongly diagnosing HIV infection when both screening tests give a false positive result. Misclassification of HIV patients can also occur due to poor quality control, administrative errors and lack of supervision and training of staff. Médecins Sans Frontières discovered in 2004 that HIV negative individuals were enrolled in some HIV programmes. This paper describes the result of an audit of three sites to review testing practices, implement improved testing algorithms and offer re-testing to clients enrolled in the HIV clinic.

Findings

In the Democratic Republic of Congo (DRC), Burundi and Ethiopia patients were identified for HIV retesting. In total, 44 false-positive patients were identified in HIV programmes in DRC, two in Burundi and seven in Ethiopia. Some of those identified had been abandoned by partners or started on anti-retroviral therapy or prophylaxis. Despite potential damage to programme reputations, no impact in terms of testing uptake occurred with mean monthly testing volumes stable after introduction of re-testing. In order to prevent the problem, training, supervision and quality control of testing procedures were strengthened. A simple and feasible confirmation test was added to the test algorithm. Prevalence of false positives after introducing the changes varied from zero percent (95% CI 0%–8.2%) to 10.3 percent (95% CI: 7.2%–14.1%) in Burundi and DRC respectively.

Conclusion

False HIV diagnoses were found in a variety of programme settings and had devastating individual consequences. We re-tested individuals in our programmes while instituting improved testing procedures without a negative impact on test uptake. Considering the importance of correct diagnosis to the individual, as well as the resources needed to care for someone with HIV, it is critical to ensure that all patients registered in HIV programmes are accurately diagnosed.     

Rearing beneficial insects for biological control purposes in resource poor areas of africa

Biological control of insect pest and weeds using beneficial insects in resource poor areas is not very well supported. Poor funding has affected in particular the importation of classical biological control agents, quarantine, rearing, research facilities, and the research programmes. Donor agencies, commercial and semi-commercial enterprises in a number of African countries have, however, been able to contribute to biological control efforts using beneficial insects by providing some of the resources needed. This has led to biological control becoming a real possibility to control insect pests and weeds in several resource poor countries. Examples are provided of the “spin-offs” of such programmes for resource poor areas in South Africa, Zambia, Kenya, Malawi, Benin and Nigeria. Conventional insect rearing, insect conservation and habitat management as an aid to biological control programmes are discussed.     

An assessment of scientific approaches towards species relocations in Australia

Species relocation programmes are increasingly performed with the intention of establishing a self‐sustaining population of threatened or declining native species. However, the use of experimental quantitative approaches in species relocation programmes is still relatively uncommon, despite a number of international studies recommending clear guidelines and standards. This paper evaluates species relocation programmes conducted within Australia to assess how programmes performed in relation to such standards. The search techniques identified 54 species relocation programmes, the majority of which were reintroductions (52%) and supplementations (30%). Only 25 (46%) of the species relocation programmes claimed success, with a lack of effective predator control recognized as contributing to the failure of 14 programmes. There was considerable variation in the quality of species relocation programmes in relation to key features such as whether the programme integrated experimental approaches with testable hypotheses, whether there were explicit statements of criteria for success, whether suitable habitat was identified for the release site and whether long‐term monitoring was conducted. We propose guidelines to improve scientific rigour and success rates of species relocation programmes.     

Perspectives on optimal control of varicella and herpes zoster by mass routine varicella vaccination

Herpes zoster arises from reactivation of the varicella–zoster virus (VZV), causing varicella in children. As reactivation occurs when cell-mediated immunity (CMI) declines, and there is evidence that re-exposure to VZV boosts CMI, mass varicella immunization might increase the zoster burden, at least for some decades. Fear of this natural zoster boom is the main reason for the paralysis of varicella immunization in Europe. We apply optimal control to a realistically parametrized age-structured model for VZV transmission and reactivation to investigate whether feasible varicella immunization paths that are optimal in controlling both varicella and zoster exist. We analyse the optimality system numerically focusing on the role of the cost functional, of the relative zoster–varicella cost and of the planning horizon length. We show that optimal programmes will mostly be unfeasible for public health owing to their complex temporal profiles. This complexity is the consequence of the intrinsically antagonistic nature of varicella immunization programmes when aiming to control both varicella and zoster. However, we show that gradually increasing—hence feasible—vaccination schedules can perform better than routine programmes with constant vaccine uptake. Finally, we show the optimal profiles of feasible programmes targeting mitigation of the post-immunization natural zoster boom with priority.     

Control of coffee berry disease*

Field experiments comparing six spraying programmes and two fungicides for control of coffee berry disease were carried out at three sites during 1968. These established that protection of the crop by sprays applied throughout the long rains (February–July) gave the best control and increased yields threefold. Early season spray programmes, which reduced the sporulating capacity of the pathogen in coffee twigs, but which ceased before the end of the rainy season, gave no disease control in the late crop (harvested October-December) and yields were less than in unsprayed controls. All programmes which gave protection at the onset of the rains gave some disease control in the early crop (harvested June-August). Captafol (‘Ortho-Difolatan’ 80 WP) was better than a 50% copper formulation (‘Perenox’). Conditions suitable for infection, as determined from meteorological records, occurred frequently during both rainy seasons. Estimates of sporulating capacity and data from spore trappings showed that although inoculum from the bark might initiate an epidemic, subsequent disease progress was more dependent upon spores derived from diseased berries; these accounted for most of the inoculum dispersed during the greater part of the season. Removal of the early crop, which was very small, had no detectable effect on disease in the late crop. Although losses were greatest with early season spray programmes, these did nevertheless delay the onset of the epidemic. However, the subsequent rate of disease increase was greatest and ‘scab’ lesion formation least in these treatments. ‘Scab’ lesions were most abundant in those treatments which caused least delay; in unsprayed coffee, it appeared that early exposure to infection resulted in ‘scab’ lesion formation which subsequently retarded the rate of disease progress. Tree height was positively correlated with disease incidence, but there was little effect of tree aspect. Crop density had a small effect on disease incidence within branches.