Co-endemicity of Plasmodium falciparum and Intestinal Helminths Infection in School Age Children in Rural Communities of Kwara State Nigeria

Background

Malaria and intestinal helminths co-infection are major public health problems particularly among school age children in Nigeria. However the magnitude and possible interactions of these infections remain poorly understood. This study determined the prevalence, impact and possible interaction of Plasmodium falciparum and intestinal helminths co-infection among school children in rural communities of Kwara State, Nigeria.

Methods

Blood, urine and stool samples were collected from 1017 primary school pupils of ages 4–15 years. Stool samples were processed using both Kato-Katz and formol-ether concentration techniques and microscopically examined for intestinal helminths infection. Urine samples were analyzed using sedimentation method for Schistosoma haematobium. Plasmodium falciparum was confirmed by microscopy using thick and thin blood films methods and packed cell volume (PCV) was determined using hematocrit reader. Univariate analysis and chi-square statistical tests were used to analyze the data.

Results

Overall, 61.2% of all school children had at least an infection of either P. falciparum, S. haematobium, or intestinal helminth. S. haematobium accounted for the largest proportion (44.4%) of a single infection followed by P. falciparum (20.6%). The prevalence of malaria and helminth co-infection in the study was 14.4%. Four species of intestinal helminths were recovered from the stool samples and these were hookworm (22.5%), Hymenolepis species (9.8%), Schistosoma mansoni (2.9%) and Enterobius vermicularis (0.6%). The mean densities of P. falciparum in children co-infected with S. haematobium and hookworm were higher compared to those infected with P. falciparum only though not statistically significant (p = 0.062). The age distribution of both S. haematobium (p = 0.049) and hookworm (p = 0.034) infected children were statistically significant with the older age group (10–15 years) recording the highest prevalence of 47.2% and 25% respectively. Children who were infected with S. haematobium (RR = 1.3) and hookworm (RR = 1.4) have equal chances of being infected with P. falciparum as children with no worm infection. On the other hand children infected with Hymenolepis spp. (p<0.0001) are more likely to be infected with P. falciparum than Hymenolepis spp. uninfected children (RR = 2.0)

Conclusions

These findings suggest that multiple parasitic infections are common in school age children in rural communities of Kwara State Nigeria. The Hymenolepis spp. induced increase susceptibility to P. falciparum could have important consequences on how concurrent infections affect the expression or pathogenesis of these infections.     

Combined Utilisation of Rapid Assessment Procedures for Loiasis (RAPLOA) and Onchocerciasis (REA) in Rain forest Villages of Cameroon

BACKGROUND: Individuals with high microfilarial loads of Loa loa are at increased risk of neurologic serious adverse (SAE) events following ivermectin treatment against onchocerciasis. RAPLOA (Rapid Assessment Procedure for loiasis), a newly developed rapid assessment procedure for loiasis that relates the prevalence of key clinical manifestation of loiasis (history of eye worm) to the level of endemicity of the infection (prevalence of high intensity), is a very useful tool to identify areas at potential risk of L. loa post ivermectin treatment encephalopathy. In a perspective of treatment decision making in areas of co-endemicity of loiasis/onchocerciasis, it would be advantageous (both in time and cost savings) for national onchocerciasis control programmes to use RAPLOA and the Rapid epidemiologic assessment for onchocerciasis (REA), in combination in given surveys. Since each of the two rapid assessment tools have their own specificities, the workability of combining the two methods needed to be tested. METHODS: We worked in 10 communities of a forest area presumed co-endemic for loiasis and onchocerciasis in the North-West Province of Cameroon where the mass-treatment with ivermectin had not been carried out. A four-step approach was used and comprised: (i) generating data on the prevalence and intensity of loiasis and onchocerciasis in an area where such information is scarce; (ii) testing the relationship between the L. loa microfilaraemia prevalence and the RAPLOA prevalence, (iii) testing the relationship between the O. volvulus microfiladermia prevalence and the REA prevalence, (iv) testing the workability of combining RAPLOA/REA by study teams in which a single individual can perform the interview for RAPLOA and the nodule palpation for REA. RESULTS: The microfilaraemia prevalence of loiasis in communities ranged from 3.6% to 14.3%. 6 (0.61%) individuals had L. loa microfilarial loads above 8000 mf/ml but none of them attained 30,000 mf/ml, the threshold value above which the risk of developing neurologic SAE after ivermectin treatment is very high. None of the communities surveyed had RAPLOA prevalence above 40%. All the communities had microfiladermia prevalence above 60%. The microfiladermia results could be confirmed by the rapid epidemiologic method (nodule palpation), with all the 10 communities having REA prevalence above 20%. For the first time, this study has demonstrated that the two rapid assessment procedures for loiasis and onchocerciasis can be carried out simultaneously by a survey team, in which a single individual can administer the questionnaire for RAPLOA and perform the nodule palpation for REA. CONCLUSION: This study has: (i) Revealed that the Momo valley of the North West province of Cameroon is hyperendemic for onchocerciasis, but is of lower level of endemicity for L. loa. (ii) Confirmed the previous relationships established between RAPLOA and the L. loa microfilaraemia prevalence in one hand and between the REA and the O. volvulus microfiladermia prevalence in another hand (iii) Shown that RAPLOA and REA could be used simultaneously for the evaluation of loiasis and onchocerciasis endemicity in areas targeted by the African Programme for onchocerciasis Control for community-directed treatment with ivermectin (CDTI).     

The Influence of Soil Type on Rain Forest Insect Herbivore Communities

Insect herbivores were collected from five species of dipterocarp tree seedling within a large‐scale reciprocal transplant experiment in Sabah, Malaysia, on alluvial and sandstone soils in both gap and understory plots. The aim was to determine whether the location and ecological specialization of seedlings influenced the herbivore communities found on and around them. Three major groups of folivores were collected: Coleoptera, Orthoptera, and larval Lepidoptera. Herbivory of all species was confirmed through laboratory trials. Herbivore abundance in the understory plots was extremely low relative to the gaps. Rank‐abundance curves were similar on both soil types, differing only within the Lepidoptera. Coleoptera and Orthoptera communities were numerically dominated by a small suite of species capable of feeding on all dipterocarp species tested, whereas lepidopteran communities had both greater species richness and diversity. When corrected for leaf area surveyed, the abundance of Coleoptera was similar on both soil types, while larval Lepidoptera were more abundant in sandstone plots and Orthoptera were more abundant in alluvial plots. Estimated species richness of all three taxa was greater in alluvial forest, but there were contrasting patterns in Simpson diversity and evenness between groups. Species richness of Lepidoptera was greatest on seedlings when grown in their native soil type, providing partial evidence for possible escape effects, although this was not matched by differences in folivore abundance. The link between herbivore communities and herbivory rates on rain forest tree seedlings is complex and is unlikely to be detected through simplistic measures of abundance, species richness, or diversity.     

Aerobic Heterotrophic Bacterial and Fungal Communities in the Topsoil of Omo Biosphere Reserve in Southwestern Nigeria1

As a part of the surveillance effort to monitor the ecological status of Omo Biosphere Reserve in the southwestern region of Nigeria, the aerobic heterotrophic bacterial and fungal communities of the topsoil were investigated in March 1995 and April 1996, before the onset of the rainy season. Four distinct wood‐tree plantations, a core strict nature reserve (SNR) area, and a buffer zone were sampled. The topsoil samples (7.5 cm depth), including the litter, were taken with an auger (8 cm diameter) and transported to the laboratory in polyethylene bags. One‐gram dry weight equivalent of sample was suspended in 10 ml sterile water, and serial dilutions from it were used for the estimation of bacterial and fungal densities. The bacterial and fungal densities ranged in the order of 106 and 103 cfu/g, respectively. Out of the 18 bacterial and 16 fungal species that were obtained, 13 and 12, respectively, were isolated from the core SNR. About 46 to 69 percent of the bacteria and 50 to 83 percent of the fungi species found in the SNR were absent in different combinations in the plantations and the buffer zone; these variations were significant among the sites monitored. The bacterial and fungal species compositions were significantly different between the SNR and each of the other sites. Proportional distributions within the sites were significant only for the bacterial communities. It would appear that plantation and human activities have caused significant changes in the distribution and species richness of the heterotrophic bacterial and fungal communities relative to the undisturbed SNR area of the Omo Biosphere Reserve.     

Black flies and Onchocerciasis: Knowledge,attitude and practices among inhabitants of Alabameta,Osun State,Southwestern, Nigeria

Background and objectivesThis study reports knowledge of residents of Alabameta community, Osun State, Nigeria on the bioecology and socio-economic burden of black flies and onchocerciasis.MethodsUsing structured questionnaires and Focus Group Discussion (FGD), a total of 150 community respondents participated in the study.ResultsThe knowledge of the residents on the existence of black flies in the community was significant (p<0.05) as all the 150 respondents confirmed the presence of black flies with the local name ‘Amukuru’ i.e causing itching. However, their lack of knowledge of the flies breeding site (104) (69%), prevention (134) (89%), cause (132) (88%), and treatment (133) (89%) of onchocerciasis was profound. Majority 147(98%) of the respondents reported that flies bite more in the wet season as against dry season 3(2%) and have a higher affinity (124) (82%) for biting the leg than any other part of the body. A larger percentage (89%) of the respondents are unaware of any medication for the treatment of onchocerciasis while 11% are aware. There had been no sensitization on onchocerciasis according to 89% of the respondents.ConclusionDue to lack of resident’s knowledge on black flies bioecology which may continuously expose them to the bite of the flies and ultimately infection, it is paramount that the Osun State government and the NTD implementing partner map out new public health education strategies during routine Mass Administration of Medicines with Ivermectin with a view to preventing onchocerciasis infection as well as man-vector contact.     

Tree Species Composition Predicts Epiphytic Lichen Communities in an African Montane Rain Forest

The ecology of many tropical rain forest organisms, not the least in Africa, remains poorly understood. Here, we present a detailed ecological study of epiphytic lichens in the equatorial montane rain forest of Bwindi National Park (331 km²), Uganda. We evaluated all major lichen growth forms, including selected groups of crustose lichens. In 14 transects at elevations of 1290 m to 2500 m, we sampled 276 trees belonging to 60 species. We recorded all lichen species on each tree trunk between ground level and 2 m above the ground, yielding 191 lichen species in 67 genera, with a mean of 4.7 species per tree. We used non‐metric multi‐dimensional scaling to separate epiphytic lichen assemblages according to tree species composition and elevation. Structural equation modeling indicated that elevation influenced tree species composition and that tree species composition largely determined lichen species composition. Thus, elevation acted indirectly on the lichen assemblages. Further studies examining factors such as bark properties and lichen colonization ecology may clarify what determines the association between tree species and lichen assemblages. The link between lichen assemblages and large‐scale elevation patterns, as well as disturbance and regrowth histories, warrants further study. An analysis of lichen species composition on individual tree species that occur over large elevation ranges would distinguish the effect of tree species on lichen assemblages from the effect of elevation and thus climate. Our study highlights the limited extent of our knowledge of tropical epiphytic lichens.     

Moderate Human Disturbance of Rain Forest Alters Composition of Fruiting Plant and Bird Communities

Forests worldwide are experiencing rapid environmental change due to human activity. We aimed to increase understanding of anthropogenic impacts on community composition and species interactions. In a natural experiment, we asked whether subsistence human land use has altered the community composition of a Neotropical rain forest on the island of Tobago, in the West Indies. We surveyed fruiting plants and birds in three adjacent habitat types that varied in level of disturbance, and used multivariate analyses to determine whether changes in the plant community were associated with differences in avifauna composition. The three forest habitats had similar plant and bird diversities, yet markedly different species compositions and abundances. Primary forest had the most diverse plant community, while disturbed habitats had a more homogeneous plant composition. Primary and disturbed forest had distinct community compositions, with canopy cover and the relative abundance of plant types explaining 83 percent of the variation in bird species assemblages. Seemingly moderate human disturbance has led to substantial changes in the plant and bird assemblages of Tobago's rain forest, outside of a protected reserve. Our study highlights the direct links between human disturbance and the structure of rain forests, underscoring the impact of even moderate activity on community composition.     

The Stability of Invertebrate Communities in Bromeliad Phytotelmata in a Rain Forest Subject to Hurricanes

Communities of invertebrate animals in lower canopy and saxicolous tank bromeliads, originally studied in 1993–1997, were resampled along an elevational gradient in tabonuco, palo colorado, and dwarf or cloud forest in Puerto Rico in 2010. These Puerto Rican montane rain forests were impacted strongly by hurricanes in 1989 and 1998, so the surveys in the 1990s represented 4–8 yr of post‐hurricane recovery, whereas our recent survey represents 12 yr of post‐hurricane recovery. At most elevations, species diversity, both within individual bromeliads and at the forest scale, declined between the 1990s and 2010. This decline in diversity between decades is associated with reductions in bromeliad density as the canopy progressively closed during recovery from hurricane damage. The observed decline in alpha and gamma diversity appears to have involved the loss of rarer species, as might be expected from standard metapopulation theory. By contrast, the most common species were remarkably stable in abundance, composition, and frequency of occurrence over the two decades. In the lowermost tabonuco forest, two endemic bromeliad specialists, restricted to bromeliads for their entire life cycle, were not found on resampling. This study also demonstrates that, at least in Puerto Rico, sets of ten plants from each forest were sufficient to monitor bromeliad invertebrate populations and their diversity over time.     

云南热带雨林:特征、生物地理起源与演化北大核心CSCD

云南热带雨林具有与东南亚低地热带雨林类似的群落结构、生态外貌特征和物种多样性,是亚洲热带雨林的一个类型。它的植物区系组成中有90%的属和多于80%的种为热带分布成分,其中约40%的属和70%的种为热带亚洲分布型,它含属种较多的优势科和在群落中重要值较大的科也与亚洲热带雨林相似,是亚洲热带雨林和植物区系的热带北缘类型。云南西南部、南部与东南部的热带雨林在群落结构和生态外貌上类似,但在南部与东南部之间有明显的植物区系分异,它们经历了不同的起源背景和演化历程。云南的热带雨林在很大程度上由西南季风维持。喜马拉雅隆升导致西南季风气候形成和加强,在云南热带局部地区产生了湿润气候,发育了热带雨林植被。现在的云南热带雨林里或其分布地区有落叶物种或热带落叶林存在,这不仅是季节性气候的影响,推测在晚第三纪或第四纪更新世云南热带地区曾经历了干旱气候。云南热带雨林的分布主要受制于局部生境,并非地区性气候条件。     

Programmatic and Communication Issues in Relation to Serious Adverse Events Following Ivermectin Treatment in areas Co-endemic for Onchocerciasis and Loiasis

In areas co-endemic for loiasis and onchocerciasis, the classic Community-Directed Treatment using ivermectin (Mectizan(R)) must be adapted as additional program activities, better communication and tighter control of ivermectin stocks are required to minimize risk and manage serious adverse events following ivermectin treatment in patients co-infected with Loa loa. The importance of these serious adverse events on community participation in onchocerciasis control efforts has not been adequately studied. Program implementers do not as of yet fully understand the psychological impact of serious adverse events on communities and therefore have not designed communication strategies that adequately address the real concerns of community members. It is clear, however, that along with an effective case detection and management strategy, a reinforced communication strategy will be required to motivate at least 65% of the total population in onchocerciasis and loiasis co-endemic areas to participate in the treatment program and to take ivermectin over an extended period. This strategy must be based on research undertaken at the community level in order to address the concerns, fears and issues associated with adverse events due to ivermectin - to ensure that communities believe that the benefits of taking ivermectin outweigh the risks. In addition to an overall increase in the time required to sustain onchocerciasis control programs in co-endemic areas, each aspect of the reinforced program and communication strategy - rapid epidemiological assessments, materials development, training, advocacy, community sensitization and mobilization, case management and counselling, supervision, monitoring and evaluation will require additional resources and support from all stakeholders concerned.     

Exploring the Phylogenetic Structure of Ecological Communities: An Example for Rain Forest Trees

Because of the correlation expected between the phylogenetic relatedness of two taxa and their net ecological similarity, a measure of the overall phylogenetic relatedness of a community of interacting organisms can be used to investigate the contemporary ecological processes that structure community composition. I describe two indices that use the number of nodes that separate taxa on a phylogeny as a measure of their phylogenetic relatedness. As an example of the use of these indices in community analysis, I compared the mean observed net relatedness of trees (>/=10 cm diameter at breast height) in each of 28 plots (each 0.16 ha) in a Bornean rain forest with the net relatedness expected if species were drawn randomly from the species pool (of the 324 species in the 28 plots), using a supertree that I assembled from published sources. I found that the species in plots were more phylogenetically related than expected by chance, a result that was insensitive to various modifications to the basic methodology. I tentatively infer that variation in habitat among plots causes ecologically more similar species to co-occur within plots. Finally, I suggest a range of applications for phylogenetic relatedness measures in community analysis.     

Comparison of Post-Mine Rehabilitated and Natural Shrubland Communities in Southwestern Australia

Following mineral sand mining near Eneabba, southwestern Australia, rehabilitation managers have the difficult task of restoring shrubland communities of exceptional plant species richness. Species diversity, composition, structure, and key functional attributes in four mined sites rehabilitated 8 (R8) to 24 (R24) years ago were compared with those of typical nearby natural areas classified on the basis of substrate type (Low and High sand Dunes, shallow sand Swales, sand over Laterite, and sand over Limestone). The rehabilitated sites (except R8) had more species (about 140) than natural sites (about 100) in 40 × 40–m plots, with 12–37% species in common with natural sites. Rehabilitated sites were more similar in composition to each other than they were to the natural sites, with two strong colonizers, the fire-killed Acacia blakelyi and the fire-tolerant Melaleuca leuropoma , universally present. Dendrograms and ordinations based on composition and cover showed that rehabilitated sites grouped with each other before they did with the Dune and Swale sites (physically closest), and last with the Laterite and Limestone sites. Plant densities for R16 and R24 were about half those of the High Dune and Limestone, and about a quarter those of the Swale and Laterite. Fire resprouters were under-represented in the rehabilitated sites. Growth form distribution in rehabilitated sites was most similar to those of the dunes, with some woody shrubs up to 2.5 m tall present. Total iron and soil hardness (penetrability) were the only soil factors consistently different (higher) in the rehabilitated sites.     

High Noon in the Rain Forest

Guido Boggiani. Fotograf. Fotografo. Fotografo. Photographer. Pavel Fric and Yvonna Fricova. eds. Nakladatelsvi Titanic, Praha, 1997. 82 photographs. 137 pp. Text and captions are in Czech, Italian, Spanish, Portuguese, and English.     

Clinical profile of parkinsonism and Parkinson's disease in Lagos, Southwestern Nigeria

Background  

Current data on the pattern of parkinsonism and Parkinson's disease in Nigerians are sparse.     

Exploring Consumer Perceptions and Economic Burden of Onchocerciasis on Households in Enugu State,South-East Nigeria

Introduction

Onchocerciasis or river blindness constitutes a major burden to households especially in resource-poor settings, causing a significant reduction in household productivity. There has been renewed interest from policy makers to reduce the burden of Neglected Tropical Diseases (NTDs) such as onchocerciasis on individuals and households. This paper provides new information on the patient’s perceptions of onchocerciasis and its economic burden on households in South-eastern Nigeria. The information will be useful to health providers and policy makers for evidence-informed resource allocation decisions.

Methods

Information was generated from a cross-sectional household survey conducted in Achi community, Oji River Local Government Area (LGA) of Enugu State, Southeast Nigeria. A pre-tested interviewer-administered questionnaire was used to collect data. A total of 747 households were visited randomly and data were collected using pre-tested interviewer administered questionnaire from 370 respondents. The respondents’ knowledge of the cause of symptoms of the disease, costs incurred for seeking treatment and productivity losses were elicited. Data were analyzed using tabulations and inferential statistics. A socio-economic status (SES) index was used to disaggregate some key variables by SES quintiles for equity analysis.

Results

Many people had more than one type of manifestation of onchocerciasis. However, more than half of the respondents (57%) had no knowledge of the cause of their symptoms. Male respondents had significantly more knowledge of the cause of symptoms than females (P = 0.04) but knowledge did not differ across SES (P = 0.82). The average monthly treatment cost per respondent was US$ 14.0. Drug cost (US$10) made up about 72% of total treatment cost. The per capita productivity loss among patients was US$16 and it was higher in the poorest (Q1) (US$20) and the third SES quintiles (Q3) (US$21). The average monthly productivity loss among caregivers was US$3.5.

Conclusion

Onchocerciasis still constitutes considerable economic burden on patients due to the high cost of treatment and productivity loss. Prioritizing domestic resource allocation for the treatment of onchocerciasis is important for significant and sustained reduction in the burden of the disease. In addition, focused health promotion interventions such as health education campaigns should be scaled up in onchocerciasis-endemic communities.     

Ants of Forest and Fallow Plots in Nigeria1

Pitfall traps were used to monitor the activity of ants in a forest floor and a one-year-old fallow plot in Ile-Ife, Nigeria, at monthly intervals between November 1980 and October 1981. Similar studies were carried out between October 1987 and June 1988. These studies also included manual collection of ants from the floor of the experimental plots Of all the 10 species of ants recorded, Pbeihk crassinoda was the most abundant in the forest and fallow plots both in 1980–81 and 1987–88. P. crassinoda accounted for 52 percent and 88 percent of the ant populations collected manually from the forest and fallow plots respectively between December 1987 and June 1988. This species was also significantly higher in the pitfall catches of the fallow than the forest plots. Pitfall traps were not effective in sampling the populations of the belligerent Dorylus nigricans. The data are consistent with the widely accepted notion that forested areas support less ants than unforested areas. Differences in physical habitat characteristics, food availability, nesting habits, predation and microenvironmental factors were considered responsible for the differences in activities and abundance of ants in the forest and fallow plots.