Collapsing fish stocks,gendered economies,and anxieties of entrapment in coastal Sierra Leone

This article explores the economic negotiations between Sierra Leonean fishermen and the women who compete to buy their fish, tracing how relationships of gendered intimacy and interdependence are being reconfigured in a context of deepening economic precarity. Fish stocks in Sierra Leone are in crisis. Fisherfolk look back with nostalgia to a past in which bountiful harvests had made it possible for transactions of fish to be simple and impersonal. Today, by contrast, it is almost impossible for women to access fish without working to develop strong personal relationships with fishermen: deploying gifts of food, loans of money, and even secret ‘medicines’ to secure the loyalty of potential customers. I analyse how men and women reflect on their growing impoverishment through discourses that emphasize their moral ambivalence at being drawn back into webs of interpersonal dependency, and argue that these anxieties need to be understood in the context of Sierra Leone's history of domestic slavery.     

Thinking about artworlds in a global flow: Some major disparities in dealing with visual culture

This article will argue that the differences between art history and the anthropology of art not just due to discipline-driven methodologies, though these are certainly a factor, but also occur because art historians and anthropologists are usually asking rather different questions, and finding the answers in quite different places within the culture. As a starting point I will demonstrate these differences of both approach and result, using two acclaimed studies by anthropologists of African expressive culture, one from the Congo (Zaïre), the other from Sierra Leone. Although very different from each other, both downplay the importance of affect, and both assume aesthetic practice is transparent, i.e. that it directly reflects the meaning of life or human behavior. No art historian would make such a confident assumption.     

‘Illuminating the broader context’: anthropological and historical knowledge at the International Criminal Tribunal for Rwanda

Historians and anthropologists have been among the experts called to enlighten non‐Rwandan judges at the International Criminal Tribunal for Rwanda. Given that the Tribunal's regulations provide little guidance on who qualifies as an expert and that judges are not bound by national rules of evidence, judges exercise considerable discretion on who may provide expert testimony. By considering judges' scepticism towards repetitive expert testimony and that experts have changed their opinion because of information revealed in the course of the trials, this article seeks to convey the distinct characteristics of this innovative context and re‐evaluate the assumption that anthropologists and historians are inevitably engaged in an epistemological contest with law when they act as experts in criminal trials.     

Lassa Fever in Post-Conflict Sierra Leone

Background

Lassa fever (LF), an often-fatal hemorrhagic disease caused by Lassa virus (LASV), is a major public health threat in West Africa. When the violent civil conflict in Sierra Leone (1991 to 2002) ended, an international consortium assisted in restoration of the LF program at Kenema Government Hospital (KGH) in an area with the world''s highest incidence of the disease.

Methodology/Principal Findings

Clinical and laboratory records of patients presenting to the KGH Lassa Ward in the post-conflict period were organized electronically. Recombinant antigen-based LF immunoassays were used to assess LASV antigenemia and LASV-specific antibodies in patients who met criteria for suspected LF. KGH has been reestablished as a center for LF treatment and research, with over 500 suspected cases now presenting yearly. Higher case fatality rates (CFRs) in LF patients were observed compared to studies conducted prior to the civil conflict. Different criteria for defining LF stages and differences in sensitivity of assays likely account for these differences. The highest incidence of LF in Sierra Leone was observed during the dry season. LF cases were observed in ten of Sierra Leone''s thirteen districts, with numerous cases from outside the traditional endemic zone. Deaths in patients presenting with LASV antigenemia were skewed towards individuals less than 29 years of age. Women self-reporting as pregnant were significantly overrepresented among LASV antigenemic patients. The CFR of ribavirin-treated patients presenting early in acute infection was lower than in untreated subjects.

Conclusions/Significance

Lassa fever remains a major public health threat in Sierra Leone. Outreach activities should expand because LF may be more widespread in Sierra Leone than previously recognized. Enhanced case finding to ensure rapid diagnosis and treatment is imperative to reduce mortality. Even with ribavirin treatment, there was a high rate of fatalities underscoring the need to develop more effective and/or supplemental treatments for LF.     

Associations between Mental Health and Ebola-Related Health Behaviors: A Regionally Representative Cross-sectional Survey in Post-conflict Sierra Leone

BackgroundLittle attention has been paid to potential relationships between mental health, trauma, and personal exposures to Ebola virus disease (EVD) and health behaviors in post-conflict West Africa. We tested a conceptual model linking mental health and trauma to EVD risk behaviors and EVD prevention behaviors.ConclusionsIn post-conflict settings, past war trauma and mental health problems are associated with health behaviors related to combatting EVD. The associations between war trauma and both EVD risk behaviors and EVD prevention behaviors may be mediated through two key mental health variables: depression and PTSD symptoms. Considering the role of mental health in the prevention of disease transmission may help fight continuing and future Ebola outbreaks in post-conflict Sierra Leone. This sample is specific to Freetown and the Western Area and may not be representative of all of Sierra Leone. In addition, our main outcomes as well as personal EVD exposure, war exposures, and mental health predictors rely on self-report, and therefore raise the possibility of common methods bias. However, the findings of this study may be relevant for understanding dynamics related to EVD and mental health in other major capital cities in the EVD-affected countries of West Africa.     

The Islam of anthropology

Research on ‘Muslim societies’ is a controversial topic in the present, particularly given the US army’s current employment of anthropological experts in war zones under military occupation. In 2006 the UK Foreign Office, too, sought to include anthropologists in its worldwide research project entitled ‘Combating Terrorism by Countering Radicalization’, with grants given outside the normal process of research funding and differently assessed. In this article, I immodestly argue for how the discipline of anthropology should apprehend and analyse Islam in the present political context. The paper claims that anthropological research provides an antidote to the Islamophobia of much talk about Islam in the Australian public sphere, an Islamophobia originating not only from the right but from some leftists and feminists as well.     

Viral infections in travellers from tropical Africa.

Examination of sera from 86 travellers to Britain from tropical Africa disclosed evidence of past infection with 10 identifiable viruses, of which the most important were O''nyong-nyong, dengue, chikungunya, and Ntaya. The findings indicate that infection with O''nyong-nyong may be acquired sporadically in Nigeria, Ghana, and Sierra Leone, where it has not previously been identified. Chikungunya infection had not been recorded in West Africa other than Nigeria and Senegal. Patients from Sierra Leone and contiguous Liberia had antibodies to this infection. An outbread of dengue fever in the Seychelles in early 1977 was confirmed. Ntaya virus, though known in Uganda, Cameroon, and Zaire, appears also to be transmitted in Kenya, Nigeria, and Zambia. Clinical studies indicated that chikungunya infection may present with alimentary features, possibly with jaundice. The clinical features of Ntaya infection may include kizarre neurological manifestations in addition to fever. The absence of Lassa antibodies among these travellers suggested that this infection is not a common hazard among such persons.     

Establishment and spread of Gyranusoidea tebygi noyes and Anagyrus mangicola noyes (hymenoptera: encyrtidae), two biological control agents released against the mango mealybug Rastrococcus invadens williams (homoptera: pseudococcidae) in Africa

Two specific endophagous parasitoids Gyranusoidea tebygi and Anagyrus mangicola, of Indian origin, were mass‐reared at the International Institute of Tropical Agriculture in Cotonou and released against the mango mealybug Rastrococcus invadens, in collaboration with national biological control programmes. G. tebygi was released in the following countries: Benin, Gabon, Ghana, Nigeria, Sierra Leone and Zaire. In Togo, it had been released earlier and studied during another project. This parasitoid is now established in all areas infested by the mango mealybug. In addition, it established itself without previous release in Congo and Côte d'Ivoire. A. mangicola has been released in Benin, Gabon and Sierra Leone since 1991, and by mid‐1993 was recovered from a few sites. It seems locally established in southern Benin.     

Spectres of Seppo: the afterlives of Finland's nuclear waste experts

This article examines how Finland's nuclear waste repository safety assessment experts summoned memories of Seppo: a deceased colleague whose ‘spectre’ was said to still ‘haunt’ their workplace. First, it tracks how Seppo appeared in predecessor parables: cautionary tales told about his death, which conveyed value judgements about how experts ought to act, engage, and aspire. Second, it explores how Seppo's long-time ‘right-hand man’ Gustav still felt haunted by his colleague's affective intensities, scientific vision, and sharp tongue. This led Gustav to prod his workmates to reconsider how they modelled Finland's ecosystems many millennia into the future. Studying this ethnographically revealed how traces of Seppo's past life infused living experts with emotions, opened them to alternative futures, and spurred them to rethink their professional values. This article concludes by introducing expert afterlives as a temporal, epistemic, and affective nexus that can shape how technocratic projects are organized and how expert knowledge is made.     

Moral failure: a jeremiad of the war on drugs in Guatemala

The current consensus among social scientists and political pundits is that the war on drugs failed, with a raft of failed programmes, failed interventions, failed policies, and even failed states. But these critics have tended to overlook a more existential form of failure that plays a key role in the ongoing effects of the war on drugs. This failure, which anthropologists of Christianity are well positioned to understand, is the perceived failure of Pentecostal Christians to make right with the Lord. Based on extensive fieldwork in Guatemala, a country profoundly transformed by the illicit movement of cocaine from the Andes to the United States, this article assesses how and to what effect a sense of moral failure among the country's Christian communities sustains a now expansive network of Pentecostal drug rehabilitation centres. Reading one such centre's archive of intake forms as a jeremiad – a Christian lament that bemoans the failures of society to keep its covenant with God – this article concludes that a sense of moral failure sustains the fading edges of today's war on drugs.     

A flavour of Alzheimer's

This article describes how today in the United States neurologists diagnose forms of dementia, such as Alzheimer's disease and frontotemporal dementia. Taking as a starting‐point the pervasive context of uncertainty in the diagnosis of neurodegenerative diseases, it examines how uncertainty is not merely an epistemological obstacle to the making of knowledge. On the contrary, the article analyses how uncertainty positively incites the use of clinicians’ ‘feelings’ in diagnostic work. Drawing on observations of clinical consultations and team meetings, it studies how, alongside contemporary instruments of objectification, clinicians use, share, and discuss their ‘feelings’ to ultimately renew knowledge about brain diseases. In documenting the manner in which medical expertise is bound to a concrete experience of the world, this article further explores how experts’ ‘intuition’ can be grasped as a conscious and effortful process, rather than as something ineffable, resisting analysis, and confined to an unconscious background.     

Polymorphism and population density in Donax mgosus (Lamellibranchiata: Donacidae)

Donax rugosus is a common member of the intertidal fauna on wave-beaten sandy beaches in West Africa. In Sierra Leone, the animals breed during December and the shell grows about 3 mm a year to 24 mm after seven years. All populations studied are polymorphic with respect to shell colour, more so in Sengal than in Sierra Leone. Both the relative frequency of the white form and the total number of forms present in the same population increases with population density. There is little indication of significant differences in the relative frequency of colour forms in different year groups from the same population. The polymorphism is therefore assumed to be fairly stable at least over the short term.     

Molecular epidemiology of simian T-cell lymphotropic virus type 1 in wild and captive sooty mangabeys

A study was conducted to evaluate the prevalence and diversity of simian T-cell lymphotropic virus (STLV) isolates within the long-established Tulane National Primate Research Center (TNPRC) colony of sooty mangabeys (SMs; Cercocebus atys). Serological analysis determined that 22 of 39 animals (56%) were positive for STLV type 1 (STLV-1). A second group of thirteen SM bush meat samples from Sierra Leone in Africa was also included and tested only by PCR. Twenty-two of 39 captive animals (56%) and 3 of 13 bush meat samples (23%) were positive for STLV-1, as shown by testing with PCR. Nucleotide sequencing and phylogenetic analysis of viral strains obtained demonstrated that STLV-1 strains from SMs (STLV-1sm strains) from the TNPRC colony and Sierra Leone formed a single cluster together with the previously reported STLV-1sm strain from the Yerkes National Primate Research Center. These data confirm that Africa is the origin for TNPRC STLV-1sm and suggest that Sierra Leone is the origin for the SM colonies in the United States. The TNPRC STLV-1sm strains further divided into two subclusters, suggesting STLV-1sm infection of two original founder SMs at the time of their importation into the United States. STLV-1sm diversity in the TNPRC colony matches the high diversity of SIVsm in the already reported colony. The lack of correlation between the lineage of the simian immunodeficiency virus from SMs (SIVsm) and the STLV-1sm subcluster distribution of the TNPRC strains suggests that intracolony transmissions of both viruses were independent events.     

Measuring the performance of vaccination programs using cross-sectional surveys: a likelihood framework and retrospective analysis

Background

The performance of routine and supplemental immunization activities is usually measured by the administrative method: dividing the number of doses distributed by the size of the target population. This method leads to coverage estimates that are sometimes impossible (e.g., vaccination of 102% of the target population), and are generally inconsistent with the proportion found to be vaccinated in Demographic and Health Surveys (DHS). We describe a method that estimates the fraction of the population accessible to vaccination activities, as well as within-campaign inefficiencies, thus providing a consistent estimate of vaccination coverage.

Methods and Findings

We developed a likelihood framework for estimating the effective coverage of vaccination programs using cross-sectional surveys of vaccine coverage combined with administrative data. We applied our method to measles vaccination in three African countries: Ghana, Madagascar, and Sierra Leone, using data from each country''s most recent DHS survey and administrative coverage data reported to the World Health Organization. We estimate that 93% (95% CI: 91, 94) of the population in Ghana was ever covered by any measles vaccination activity, 77% (95% CI: 78, 81) in Madagascar, and 69% (95% CI: 67, 70) in Sierra Leone. “Within-activity” inefficiencies were estimated to be low in Ghana, and higher in Sierra Leone and Madagascar. Our model successfully fits age-specific vaccination coverage levels seen in DHS data, which differ markedly from those predicted by naïve extrapolation from country-reported and World Health Organization–adjusted vaccination coverage.

Conclusions

Combining administrative data with survey data substantially improves estimates of vaccination coverage. Estimates of the inefficiency of past vaccination activities and the proportion not covered by any activity allow us to more accurately predict the results of future activities and provide insight into the ways in which vaccination programs are failing to meet their goals. Please see later in the article for the Editors'' Summary     

Progress in controlling the reinvasion of windborne vectors into the western area of the Onchocerciasis Control Programme in West Africa

Since vector control began in 1975, waves of Simulium sirbanum and S. damnosum s.str., the principal vectors of severe blinding onchocerciasis in the West African savannas, have reinvaded treated rivers inside the original boundaries of the Onchocerciasis Control Programme in West Africa. Larviciding of potential source breeding sites has shown that these 'savanna' species are capable of travelling and carrying Onchocerca infection for at least 500 km northeastwards with the monsoon winds in the early rainy season. Vector control has, therefore, been extended progressively westwards. In 1984 the Programme embarked on a major western extension into Guinea, Sierra Leone, western Mali, Senegal and Guinea-Bissau. The transmission resulting from the reinvasion of northern C?te d'Ivoire and Burkina Faso has been reduced by over 95%, but eastern Mali has proved more difficult to protect because of sources in both Guinea and Sierra Leone. Rivers in Sierra Leone were treated for the first time in 1989 and biting and transmission rates in Sierra Leone and Guinea fell by over 90%. Because of treatment problems in some complex rapids and mountainous areas, flies still reinvaded Mali, though biting rates were approximately 70% lower than those recorded before anti-reinvasion treatments started. It was concluded that transmission in eastern Mali has now been reduced to the levels required to control onchocerciasis.     

'Undoubtedly an expert'? Anthropologists in British asylum courts

Many British social anthropologists have been asked in recent years to provide expert evidence for use in legal appeals by asylum seekers. This article describes the administrative and legal decision-making procedures to which asylum claims are subject. It considers how the courts respond to 'objective evidence' from 'country experts' such as anthropologists, comparing this to legal approaches to evidence from medical experts. The problems which arise – especially in relation to the key issue of an asylum seeker's 'credibility'– are analysed with reference to diverse forms of reasoning among social scientists and lawyers, and their different understandings as to the nature of 'fact' and 'truth'.     

‘I cover myself in the blood of Jesus’: Born Again heritage making in Sierra Leone

This article concerns the risky terrain of heritage management in Sierra Leone and its navigation by devout Born Again Pentecostal Christians. It engages with the ever‐expanding Born Again movement and its narrative of rupture, on the one hand, and the increasingly visible heritage sector and its focus on cultural continuity, on the other. These positions appear irreconcilable: one experiences the past as a dangerous satanic realm, the other as a valuable resource. However, as this article explores, they frequently meet in the workplace as many heritage professionals are also Born Again believers. I am interested in this meeting‐point as demonic channels and godly practices converge. I argue that Freetown's Born Again heritage professionals do not succeed in their roles despite their religion, but because of it.     

Life during wartime: aspirational kinship and the management of insecurity

This article explores the ways that the institution of the avunculate has been used as an idiom for negotiating forced displacement, dispossession, and insecurity in the forested region where modern‐day Guinea, Liberia, Sierra Leone, and Côte d'Ivoire converge. The essay analyses the ways that the rights and responsibilities that inhere in the MB‐ZS relationship are both invoked ‘aspirationally’ by those with no prior link of kinship and parried by those who should in principle be bound by them. This degree of play suggests that the avunculate in this region is best understood as one of several idioms used to legitimate claims made on others, often in times of uncertainty and instability. Rather than treat this relationship as an always‐already existing social institution, the article suggests that it is also the product of a historical experience of persistent warfare, displacement, and flight.     

Sometimes the impact factor outshines the H index

Human immunodeficiency virus type 2 (HIV-2) emerged following cross-species transmission of simian immunodeficiency virus (SIV) from sooty mangabeys to humans several decades ago. The epidemic groups of HIV-2 have been established in the human population for at least 50 years. However, it is likely that new divergent SIVs can infect humans and lead to new outbreaks. We report the isolation of a new strain of HIV-2, HIV2-NWK08F, from an immunodeficient Sierra Leone immigrant. Health care providers in Sierra Leone and elsewhere need to be alerted that a subtype of HIV-2, which is not detected by PCR for epidemic HIV-2 strains, exists and can lead to immunosuppression.     

The usefulness of defined clinical features in the diagnosis of HIV/AIDS infection in Sierra Leone.

Sierra Leone ranks at the bottom of the global World Bank Development Index based on multiple health and economic indices and lacks the resources to purchase HIV diagnostic kits. Our study has defined some common clinical features presenting HIV infection that could form clinical algorithms for the diagnosis and recognition of HIV infection by health workers in Sierra Leone. In a private clinic in Freetown, Sierra Leone, West Africa, 106 out of a total of 124 patients presenting with various symptoms and strong clinical suspicion of HIV infection within a two-year period (1999 and 2000), were deemed positive by two different ELISA tests. The prevalence of HIV infection seen in this private clinic in Freetown in 2000 was 14.89% as compared to 9.25% in 1999. The positive predictive value of our clinical diagnosis of HIV/AIDS infection was 85.5%. The male:female ratio of the patients in our series was 1:1.9, with a mean age of 39 years for males and 28 years for females. HIV infection was found in a cross-section of the population that we examined. Heterosexual contact appeared to be the major mode of transmission amongst our patients and there seemed to be a significant epidemiological risk of HIV infection amongst those who traveled to other countries in the West African sub region. Common clinical features in decreasing frequency were fever (92.5%), weight loss (84.1%), lymphadenopathy (78.3%), cough (48.1%), diarrhea (37.7%), candidiasis (32.1%) and body aches (30.1%).