Rate of Carbon Sequestration at Two Thicket Restoration Sites in the Eastern Cape, South Africa

Ecosystem carbon storage in intact thicket in the Eastern Cape, South Africa exceeds 20 kg/m², which is an unusually large amount for a semiarid ecosystem. Heavy browsing by goats transforms the thicket into an open savanna and can result in carbon losses greater than 8.5 kg/m². Restoration of thicket using cuttings of the dominant succulent shrub Portulacaria afra could return biodiversity to the transformed landscape, earn carbon credits on international markets, reduce soil erosion, increase wildlife carrying capacity, improve water infiltration and retention, and provide employment to rural communities. Carbon storage in two thicket restoration sites was investigated to determine potential rates of carbon sequestration. At the farm Krompoort, near Kirkwood, 11 kg C/m² was sequestered over 27 years (average rate of 0.42 ± 0.08 kg C m^?2 yr^?1). In the Andries Vosloo Kudu Nature Reserve, near Grahamstown, approximately 2.5 kg C/m² was sequestered over 20 years (0.12 ± 0.03 kg C m^?2 yr^?1). Slower sequestration in the Kudu Reserve was ascribed to browsing by black rhinoceros and other herbivores, a shallower soil and greater stone volumes. Planting density and P. afra genotype appeared to affect sequestration at Krompoort. Closely‐packed P. afra planting may create a positive feedback through increased infiltration of rainwater. The rate of sequestration at Krompoort is comparable to many temperate and tropical forests. Potential earnings through carbon credits are likely to rival forest‐planting schemes, but costs are likely to be less due to the ease of planting cuttings, as opposed to propagating forest saplings.     

Exclusive Breastfeeding,Diarrhoeal Morbidity and All-Cause Mortality in Infants of HIV-Infected and HIV Uninfected Mothers: An Intervention Cohort Study in KwaZulu Natal,South Africa

Introduction

Antiretroviral drug interventions significantly reduce the risk of HIV transmission to infants through breastfeeding. We report diarrhoea prevalence and all-cause mortality at 12 months of age according to infant feeding practices, among infants born to HIV-infected and uninfected mothers in South Africa.

Methods

A non-randomised intervention cohort study that followed both HIV-infected and HIV-uninfected mothers and their infants until 18 months of age. Mothers were supported in their infant feeding choice. Detailed morbidity and vital status data were collected over the first year. At the time, only single dose nevirapine was available to prevent mother-to-child transmission of HIV.

Results

Among 2,589 infants, detailed feeding data and vital status were available for 1,082 HIV-exposed infants and 1,155 HIV non-exposed infants. Among exclusively breastfed (EBF) infants there were 9.4 diarrhoeal days per 1,000 child days (95%CI. 9.12-9.82) while among infants who were never breastfed there were 15.6 diarrhoeal days per 1,000 child days (95%CI. 14.62-16.59). Exclusive breastfeeding was associated with fewer acute, persistent and total diarrhoeal events than mixed or no breastfeeding in both HIV-exposed infants and also infants of HIV uninfected mothers. In an adjusted cox regression analysis, the risk of death among all infants by 12 months of age was significantly greater in those who were never breastfed (aHR 3.5, p<0.001) or mixed fed (aHR 2.65, p<0.001) compared with those who were EBF. In separate multivariable analyses, infants who were EBF for shorter durations had an increased risk of death compared to those EBF for 5-6 months [aHR 2.18 (95% CI, 1.56-3.01); p<0.001].

Discussion

In the context of antiretroviral drugs being scaled-up to eliminate new HIV infections among children, there is strong justification for financial and human resource investment to promote and support exclusive breastfeeding to improve HIV-free survival of HIV-exposed and non-exposed infants. Trial Registration: ClinicalTrials.gov NCT01948557; http://clinicaltrials.gov/     

Costs and Cost Effectiveness of Three Approaches for Cervical Cancer Screening among HIV-Positive Women in Johannesburg,South Africa

Background

South Africa has high rates of HIV and HPV and high incidence and mortality from cervical cancer. However, cervical cancer is largely preventable when early screening and treatment are available. We estimate the costs and cost-effectiveness of conventional cytology (Pap), visual inspection with acetic acid (VIA) and HPV DNA testing for detecting cases of CIN2+ among HIV-infected women currently taking antiretroviral treatment at a public HIV clinic in Johannesburg, South Africa.

Methods

Method effectiveness was derived from a validation study completed at the clinic. Costs were estimated from the provider perspective using micro-costing between June 2013-April 2014. Capital costs were annualized using a discount rate of 3%. Two different service volume scenarios were considered. Threshold analysis was used to explore the potential for reducing the cost of HPV DNA testing.

Results

VIA was least costly in both scenarios. In the higher volume scenario, the average cost per procedure was US$ 3.67 for VIA, US$ 8.17 for Pap and US$ 54.34 for HPV DNA. Colposcopic biopsies cost on average US$ 67.71 per procedure. VIA was least sensitive but most cost-effective at US$ 17.05 per true CIN2+ case detected. The cost per case detected for Pap testing was US$ 130.63 using a conventional definition for positive results and US$ 187.52 using a more conservative definition. HPV DNA testing was US$ 320.09 per case detected. Colposcopic biopsy costs largely drove the total and per case costs. A 71% reduction in HPV DNA screening costs would make it competitive with the conservative Pap definition.

Conclusions

Women need access to services which meet their needs and address the burden of cervical dysplasia and cancer in this region. Although most cost-effective, VIA may require more frequent screening due to low sensitivity, an important consideration for an HIV-positive population with increased risk for disease progression.     

Coupling Community Heterogeneity and Perceptions of Conservation in Rural South Africa

Concerns about the impacts of national parks and protected areas upon local populations have generated significant interest in community conservation initiatives that attempt to include local knowledge and participation in natural resource decision-making. While there has been much interest in the institutional frameworks and livelihood impacts of community conservation, emerging research is documenting the various factors that shape local perceptions. This paper uses a case study of the Mahushe Shongwe Game Reserve in South Africa to examine the key variables shaping community perceptions of community conservation. We employ multinomial logistic regression models to understand views of the benefits and future direction of the reserve. These models are coupled with information collected from semi-structured interviews that assists in providing a detailed, and more complex, understanding of the diverse ways that community conservation is perceived by local residents. The paper demonstrates that multiple factors, particularly household history, education, and gender contribute in shaping views of the reserve. While these variables are often identified in the academic literature as important, we argue that the combination of qualitative and quantitative methods helps reveal the interplay between them in shaping perceptions of community conservation.     

Cost-Effectiveness of Peer Counselling for the Promotion of Exclusive Breastfeeding in Uganda

Background

Community based breastfeeding promotion programmes have been shown to be effective in increasing breastfeeding prevalence. However, there is limited data on the cost-effectiveness of these programmes in sub-Saharan Africa. This paper evaluates the cost-effectiveness of a breastfeeding promotion intervention targeting mothers and their 0 to 6 month old children.

Methods

Data were obtained from a community randomized trial conducted in Uganda between 2006–2008, and supplemented with evidence from several studies in sub-Saharan Africa. In the trial, peer counselling was offered to women in intervention clusters. In the control and intervention clusters, women could access standard health facility breastfeeding promotion services (HFP). Thus, two methods of breastfeeding promotion were compared: community based peer counselling (in addition to HFP) and standard HFP alone. A Markov model was used to calculate incremental cost-effectiveness ratios between the two strategies. The model estimated changes in breastfeeding prevalence and disability adjusted life years. Costs were estimated from a provider perspective. Uncertainty around the results was characterized using one-way sensitivity analyses and a probabilistic sensitivity analysis.

Findings

Peer counselling more than doubled the breastfeeding prevalence as reported by mothers, but there was no observable impact on diarrhoea prevalence. Estimated incremental cost-effectiveness ratios were US$68 per month of exclusive or predominant breastfeeding and U$11,353 per disability adjusted life year (DALY) averted. The findings were robust to parameter variations in the sensitivity analyses

Conclusions

Our strategy to promote community based peer counselling is unlikely to be cost-effective in reducing diarrhoea prevalence and mortality in Uganda, because its cost per DALY averted far exceeds the commonly assumed willingness-to-pay threshold of three times Uganda’s GDP per capita (US$1653). However, since the intervention significantly increases prevalence of exclusive or predominant breastfeeding, it could be adopted in Uganda if benefits other than reducing the occurrence of diarrhoea are believed to be important.     

High Uptake of Exclusive Breastfeeding and Reduced Early Post-Natal HIV Transmission

Background

Empirical data showing the clear benefits of exclusive breastfeeding (EBF) for HIV prevention are needed to encourage implementation of lactation support programs for HIV-infected women in low resource settings among whom replacement feeding is unsafe. We conducted a prospective, observational study in Lusaka, Zambia, to test the hypothesis that EBF is associated with a lower risk of postnatal HIV transmission than non-EBF.

Methods and Results

As part of a randomized trial of early weaning, 958 HIV-infected women and their infants were recruited and all were encouraged to breastfeed exclusively to 4 months. Single-dose nevirapine was provided to prevent transmission. Regular samples were collected from infants to 24 months of age and tested by PCR. Detailed measurements of actual feeding behaviors were collected to examine, in an observational analysis, associations between feeding practices and postnatal HIV transmission. Uptake of EBF was high with 84% of women reporting only EBF cumulatively to 4 months. Post-natal HIV transmission before 4 months was significantly lower (p = 0.004) among EBF (0.040 95% CI: 0.024–0.055) than non-EBF infants (0.102 95% CI: 0.047–0.157); time-dependent Relative Hazard (RH) of transmission due to non-EBF = 3.48 (95% CI: 1.71–7.08). There were no significant differences in the severity of disease between EBF and non-EBF mothers and the association remained significant (RH = 2.68 95% CI: 1.28–5.62) after adjusting for maternal CD4 count, plasma viral load, syphilis screening results and low birth weight.

Conclusions

Non-EBF more than doubles the risk of early postnatal HIV transmission. Programs to support EBF should be expanded universally in low resource settings. EBF is an affordable, feasible, acceptable, safe and sustainable practice that also reduces HIV transmission providing HIV-infected women with a means to protect their children''s lives.

Trial Registration

ClinicalTrials.gov {"type":"clinical-trial","attrs":{"text":"NCT00310726","term_id":"NCT00310726"}}NCT00310726     

Three Groups of Teratocarcinoma Antigens Co-Expressed in the Visceral Endoderm are Located in Mutually Exclusive Sites in the Adult Kidney

Monoclonal rat antibodies were prepared against glycoproteins isolated from murine teratocarcinoma OTT6050 by affinity chromatography on Ricinus communis agglutinin (RCA). These antibodies defined three distinct groups of antigens (OR antigens) commonly expressed in teratocarcinoma cells and in restricted sites of the kidney. OR 17 antigen was a new glycoprotein antigen and the biochemical properties were different from any membrane glycoprotiens or matrix glycoproteins so far described in teratocarcinoma cells. In the kidney, the antigen was found in the glomerular basement membrane, and to lesser extent in the endothelium of the glomerulus and blood vessels. On the other hand, OR 8 antigen corresponded to "brushin" defined by conventional antibodies, while OR 4 and 19 antigens were carbohydrate antigens resembling "TC antigen". OR 8 antigen was detected in the tubular brush border and the epithelium of Bowman's capsule. OR 4 antigen was present in the collecting tubules and the thin loop of Henle. Although OR 19 antigen showed distribution similar to OR 4 antigen, there were genetic differences in the expression of the former antigen. All of the antigens were present in early postimplantation embryos of the mouse, notably in the visceral endoderm. These antigens are interesting subjects to study the mechanism of differentiation-dependent control of gene expression, since antigenic distribution is specialized as the result of differentiation.     

Behavioural Ecology: Noise Annoys at Community Level

A new study on the impact of anthropogenic noise on birds takes a behavioural discipline to the level of community ecology: noise can not only harm individual species but also alter species relationships.     

Biotechnology in South Africa

Since adopting the National Biotechnology Strategy in 2001, the South African government has established several regional innovation centres and has put in place initiatives to encourage international partnerships that can spur internal development of life science ventures. This strategy seeks to capitalize on the high quality of research carried out in public research institutions and universities but is hampered, somewhat, by the lack of entrepreneurial culture among South African researchers due to, among other reasons, the expenses involved in registering foreign patents. Although private sector development is still relatively embryonic, start-ups are spinning out of universities and pre-existing companies. These represent a vital source of innovations for commercialization in the future, provided that the challenges facing the emerging South African biotechnology industry can be overcome.     

Coral recruitment patterns at Sodwana Bay, South Africa

Recruitment is widely acknowledged as one of the most important processes in the maintenance of coral reef systems, particularly in their recovery and replenishment following disturbances. In this study variation in coral recruitment was monitored for 3 years at Sodwana Bay, South Africa, located in the Greater St Lucia Wetland Park (GSLWP), a world heritage site. Due to the latitude (27–28°S) and physical conditions, this area is considered marginal for coral reef growth. Recruitment of corals to ceramic tiles peaked between March and May each year, with broadcast spawners dominating plates in March and brooders more abundant in May. Pocilloporid corals were the most abundant during all periods except March 2001, when acroporids comprised 72% of the total number of spat. Total recruitment was the highest during this period, with a mean of 13.2 ± 15.73 (mean ± SD) corals tile⁻¹. Recruitment rates varied widely between and within different reefs monitored. Patterns of variation were inconsistent between seasons, but some reefs had persistently low rates of settlement.