Epidemiology of asthma and associated factors in an urban Pakistani population: adult asthma study-Karachi

Background

This study was conducted in order to determine the prevalence of asthma and associated risk factors in the adult population of Karachi, Pakistan.

Methods

This multi-stage, cross-sectional survey was conducted from May 2014–August 2015; comprising 1629 adults in 75 randomly selected clusters in Karachi, Pakistan. Definitions included: ‘self-reported asthma’, ‘reversibility in FEV₁^’ and ‘respiratory symptoms and reversibility in FEV₁’.

Results

Prevalence of asthma was 1.8% (self-reported) (95% CI: 1.0–2.6), 11.3% (reversibility in FEV₁) (95% CI: 9.4–13.3) and 6.6% (symptoms and reversibility in FEV₁) (95% CI: 5.1–8.1). Asthmatics were more likely to belong to the age group ≥38?years according to ‘reversibility in FEV₁’ and ‘respiratory symptoms and reversibility in FEV₁’ (AOR: 1.9, 95% CI: 1.2–3.3) and (AOR: 2.1, 95% CI: 1.1–4.2), respectively. Asthmatics were more likely to report history of allergies (AOR: 1.9, 95% CI: 1.2–2.9) and (AOR: 2.8, 95% CI: 1.7–4.8); and were exposed to environmental tobacco smoke (AOR: 1.6, 95% CI: 1.1–2.5) and (AOR: 1.9, 95% CI: 1.1–3.3) according to ‘reversibility in FEV₁’ and ‘respiratory symptoms and reversibility in FEV₁’, respectively. Asthmatics were more likely to report pack years of smoking ≥5 (AOR: 2.3, 95% CI: 1.1–4.7) according to ‘respiratory symptoms and reversibility in FEV₁’.

Conclusion

This study reports a high prevalence of asthma among Pakistani adults and calls for developing appropriate public health policies for prevention and control of asthma in the country. Further studies should be conducted to determine the national prevalence as well as follow-up studies to identify preventable causes for adult asthma.

     

Growth and survival of peritrich ciliates in an urban stream

Summary A computerized system was devised to trace the attachment, growth and disappearance of peritrich ciliates in an urban river. By tracing the development of each Carchesium polypinum colony in the river, it was possible to estimate the actual growth rate of this species without considering the effect of immigration. The survival and colonization rates of the colonies and individuals of solitary species could also be estimated. C. polypinum showed high growth rates (r=1.370 day^-1, doubling time 12.14 h). The number of daily colonizers also increased at a high rate, and the combination of growth and colonization caused very high population increase rates at the area level. Because of its low survivorship, the rate of Vorticella microstoma increase was much lower than previously reported. The survival of solitary species and small colonies was lower than with large colonies, and fewer new colonizers survived with the development of the attached microbial community.     

Aggression and empathy as genetic differentiation factors of urban population

Permanent residents of Kharkiv (637 men and 856 women at the age of 45–65 years) are tested on the level of aggression and empathy. The average aggression level (41.7 points) is higher in migrants (born outside Kharkiv) than in indigenous people (36.3 points); the average empathy level is lower in migrants (3.2 points) than in indigenous people (5.5 points). The average values of the aggression and empathy indices are not associated with ethnicity and degree of miscegenation. The correlation between spouses (r) by these personal features is within 0.20–0.31; the marriage conjugation index (K) is 0.13–0.18. Genotyping of the married couples for the rs2235186 SNP of X-linked monoaminooxidase (MAO-A) gene detected a positive marriage assortativeness: the C × CC and T × TT pairs are developed more frequently than during panmixia; the C × TT and T × CC pairs, less frequently. The T allele is coupled with increased aggression level and decreased empathy level. The phenotypes of heterozygous women indicate the intermediate inheritance of these traits.     

Handedness and socioeconomic status in an urban population in Uzbekistan

The persistence of left-handers in every human population studied to date is an evolutionary puzzle in light of evidence of survival costs associated with left-handedness. Associations between left-handedness and socioeconomic advantages have been observed in Western countries and could provide left-handers fitness benefits through higher survival chances and greater reproductive success. We aimed to explore the generality of this result in another culture. For this purpose, we investigated several socioeconomic status indicators and the number of children alive for 917 men and women in Uzbekistan and compared results for two different measures of handedness: hand preferences for writing and for knife use. Among both men and women, left-handed writers were significantly more likely to own a car, own a washing machine and have a bank account. Left-handed women (using both measures) had a higher income than right-handed women. Among men, left-handers for knife use had a higher income than right-handers. The results of our study suggest that the previously observed socioeconomic advantage of left-handers in Western populations also applies to non-Western populations, at least in the urban environment studied. However, we did not detect any difference in the number of children. We discussed how the frequency-dependent socioeconomic status advantage could be responsible for the persistence of left-handers throughout human evolution.     

Fine scale spatial urban land cover factors associated with adult mosquito abundance and risk in Tucson,Arizona

It is currently unclear what role microhabitat land cover plays in determining the seasonal spatial distribution of Aedes aegypti and Culex quinquefasciatus, disease vectors of dengue and West Nile Virus, respectively, in Tucson, AZ. We compared mosquito abundance to sixteen land cover variables derived from 2010 NAIP multispectral data and 2008 LiDAR height data. Mosquitoes were trapped with 30–9 traps from May to October of 2010 and 2011. Variables were extracted for five buffer zones (10–50 m radii at 10 m intervals) around trapping sites. Stepwise regression was performed to determine the best scale for observation and the influential land cover variables. The 30 m radius buffer was determined to be the best for observing the land cover‐mosquito abundance relationship. Ae. aegypti presence was positively associated with structure and medium height trees and negatively associated with bare earth; Cx. quinquefasciatus presence was positively associated with pavement and medium height trees and negatively associated with shrubs. These findings emphasize vegetation, impervious surfaces, and soil influences on mosquito presence in an urban setting. Lastly, the land cover‐mosquito abundance relationships were used to produce risk maps of seasonal presence that highlight high risk areas in Tucson, which may be useful for focusing mosquito control program actions.     

Genetic variants of TSLP and asthma in an admixed urban population

Background

Thymic stromal lymphopoietin (TSLP), an IL7-like cytokine produced by bronchial epithelial cells is upregulated in asthma and induces dendritic cell maturation supporting a Th2 response. Environmental pollutants, including tobacco smoke and diesel exhaust particles upregulate TSLP suggesting that TSLP may be an interface between environmental pollution and immune responses in asthma. Since asthma is prevalent in urban communities, variants in the TSLP gene may be important in asthma susceptibility in these populations.

Objectives

To determine whether genetic variants in TSLP are associated with asthma in an urban admixed population.

Methodology and Main Results

Ten tag-SNPs in the TSLP gene were analyzed for association with asthma using 387 clinically diagnosed asthmatic cases and 212 healthy controls from an urban admixed population. One SNP (rs1898671) showed nominally significant association with asthma (odds ratio (OR) = 1.50; 95% confidence interval (95% CI): 1.09–2.05, p = 0.01) after adjusting for age, BMI, income, education and population stratification. Association results were consistent using two different approaches to adjust for population stratification. When stratified by smoking status, the same SNP showed a significantly increased risk associated with asthma in ex-smokers (OR = 2.00, 95% CI: 1.04–3.83, p = 0.04) but not significant in never-smokers (OR = 1.34; 95% CI: 0.93–1.94, p = 0.11). Haplotype-specific score test indicated that an elevated risk for asthma was associated with a specific haplotype of TSLP involving SNP rs1898671 (OR = 1.58, 95% CI: 1.10–2.27, p = 0.01). Association of this SNP with asthma was confirmed in an independent large population-based cohort consortium study (OR = 1.15, 95% CI: 1.07–1.23, p = 0.0003) and the results stratified by smoking status were also validated (ex-smokers: OR = 1.21, 95% CI: 1.08–1.34, p = 0.003; never-smokers: OR = 1.06, 95% CI: 0.94–1.17, p = 0.33).

Conclusions

Genetic variants in TSLP may contribute to asthma susceptibility in admixed urban populations with a gene and environment interaction.     

Nest survival of birds in an urban environment in New Zealand

We compared nest survival of three urban bird species over two seasons in Dunedin City: silvereyes (Zosterops lateralis), a recent self-introduced native that is very abundant; blackbirds (Turdus merula), an abundant exotic species; and fantails (Rhipidura fuliginosa), a native species that occurs in relatively low numbers in some urban habitats. We also used artificial nests to compare nest predation rates between residential gardens and bush fragments isolated within a residential matrix. Silvereye nests had highest survival (daily survival probability = 0.98), with early nests and nests situated higher in trees having higher survival. Blackbird nest survival was lower (0.966); higher nests had better survival. Fantail nest survival varied significantly between years (0.908 in 2006?07 and 0.987 in 2007?08). Predation was a major cause of fantail nest failure, despite fantail nests being highest off the ground (mean = 4.2 m cf. 2.8 m for blackbirds and 2.2 m for silvereyes). Mortality of fantails during the week following fledging was high (41%). Low nest and juvenile survival may result in low abundance of fantails in Dunedin City. Predation of artificial nests was unaffected by nest placement (central or peripheral in the tree/shrub) and was the same in gardens as in bush fragments, with rats (Rattus rattus), possums (Trichosurus vulpecula) and possibly mice (Mus musculus) identified as nest predators.     

Nest survival and productivity of translocated and resident burrowing owls in Arizona

Development activities associated with urbanization can directly displace animals, causing high mortality and dispersal rates. Wildlife managers have attempted to mitigate the impacts of development on burrowing owls (Athene cunicularia), a species susceptible to ground-disturbing activities, by translocating them away from areas slated for development. In this study, we evaluated the effects of translocation on burrowing owl reproduction by comparing nest survival and productivity of owls involved in an ongoing translocation program in Arizona, USA, with that of resident owls. We used nest survival models to evaluate differences in nest survival and generalized linear models with Poisson error to assess differences in productivity. In 2017, cumulative nest survival (CNS) was lower among current-year translocated owls (i.e., owls translocated within the last year; CNS = 0.34, 95% CI = 0.18, 0.51) compared to non-translocated resident owls (0.83, 95% CI = 0.71, 0.94), but CNS was similar between previously translocated owls (i.e., those translocated >1 yr ago, CNS = 0.81, 95% CI = 0.64, 0.98) and residents. Likewise, in 2018, CNS was lower for current-year translocated owls (CNS = 0.12, 95% CI = 0.00, 0.24) compared to residents (CNS = 0.68, 95% CI = 0.50, 0.87) and previously translocated owls (CNS = 0.65, 95% CI = 0.40, 0.90). Productivity was significantly lower for current-year translocated owls ($\bar{x}$ = 0.5 fledglings/nest) compared to residents ($\bar{x}$ = 2.4 fledglings/nest) and previously translocated owls ($\bar{x}$ = 1.5 fledglings/nest) across sites and years. With the current methods of translocation, owls had poor reproductive success in the first year after release, but if they survived 2 years after release, they had similar nest survival and productivity compared to residents. Our results demonstrate that the current practice of releasing translocated burrowing owls in the Phoenix, Arizona area during the breeding season depresses reproduction and should be substantially changed. Nest survival was low and this was mainly attributed to nest establishment of translocated owls within release tents (acclimation structures used in translocations that involve soft release) where 85% of nests failed following tent removal. Translocation approaches that reflect a closer fit to the timing and behavior of the species should be tested to determine whether they result in better success. In particular, future studies should examine the translocation results of releasing owls as male-female pairs or single birds during the nonbreeding period.     

High prevalence of cardio-metabolic risk factors in a young urban Sri-Lankan population

Background

South-Asian''s are predisposed to early onset type 2 diabetes (T2DM). The prevalence of cardio-metabolic risk-factors in young Sri-Lankans is unknown.

Methodology/Principal Findings

To determine by questionnaire and anthropometry the prevalence of first degree family history (FH) of T2DM, physical inactivity, raised waist circumference (WC) and raised body mass index (BMI) in a representative healthy urban population selected by cluster sampling. Those with ≥2 risk-factors were evaluated for metabolic syndrome (MS) and recruited for an intervention trial. Of 23,296 participants screened, 22,507 (53% Female) were eligible [8,497 aged 10–14 yrs, 4,763 aged 15–19 yrs and 9,247 aged 20–40 yrs]. 51% had none of the 4 risk-factors, 26% 1 risk-factor and 23% (5,163) ≥2 risk-factors of whom 4,532 were assessed for MS. Raised BMI was noted in 19.7% aged 10–14 yrs, 15.3% between 15–19 yrs, and between 20–40 yrs, 27.4% of males vs. 21.8% of females p<0.001. Prevalence of raised WC was greater in females for each age group: 42.7% vs. 32.1%; 28.1% vs. 16.1%; 34.5% vs. 25.7% (p<0.05 for all) as was physical inactivity: 39.9% vs. 14.5%; 51.7% vs. 20.0%; 62.7% vs. 41.3% which rose in both sexes with age (p<0.05 for all). FH of T2DM was present in 26.2%. In 4532 (50%<16 yrs) with ≥2 risk-factors, impaired fasting glycaemia/impaired glucose tolerance (pre-diabetes) prevalence was 16%. MS was more prevalent in males [10–16 yrs (13.0% vs. 8.8%), 16–40 yrs (29.5% vs. 20.0%) p<0.001 for both].

Conclusions/Significance

There is a high prevalence of modifiable cardio-metabolic risk-factors in young urban Sri-Lankans with significant gender differences. A primary prevention intervention trial is ongoing in this cohort. Clinical Trial Registration Number SLCTR/2008/World Health Organization (WHO) international clinical trial registry platform.     

Degrees of heterogeneity and the survival of an insect population

Summary The results of simulation experiments with a stochastic model incorporating internal and external sources of heterogeneity suggest that the western tent caterpillar is a risk spreader of a type discussed byDen Boer (1968). By maintaining physiological plasticity in its population,M.c. pluviale can survive periods of bad weather and then expand rapidly in an improved climate. Intrinsic variability in the moths’ dispersal capacity also ensures that some will continue to contribute to populations in the climatic refuges where the species persists during unfavorable periods, while others can quickly colonize marginal areas as soon as favorable conditions return. This northern population of the western tent caterpillar seems distinctly less well adapted to a world in which the terrain and the weather are more homogeneous than on the Saanich Peninsula. As this series of papers is jointly produced by our whole group, the order of authorship on each is decided by chance, not protocol.     

Size-at-birth standards for an urban Canadian population.

By random sampling of all births occurring in Hamilton, Ont. over an 18-month period the percentile distributions of the newborn infants'' weight, length, and head and chest circumferences were determined. The resulting standards may be used in the clinical evaluation of size for gestational age. The smoothed 50th percentile values for newborns of 40 weeks gestational age were as follows for boys and girls respectively: birth weight 3530 and 3355 g, crown-heel length 52.0 and 51.3 cm, head circumference 35.2 and 34.4 cm, and chest circumference 33.4 and 32.8 cm. The mother''s height averaged 160.8 +/- 6.1 cm and her weight before the pregnancy 59.2 +/- 10.5 kg. The prevalence of cigarette smoking during pregnancy was 34.8%.     

Some correlates of density in an urban Blackbird Turdus merula population

Capsule Blackbird density within a town is related to the proportion of gardens, open space and housing density within individual developments.     

Diversity of the KIR gene cluster in an urban Brazilian population

The activity of natural killer cells depends on the balance between activating and inhibitory signals coming from their receptors. Among these are the killer cell immunoglobulin-like receptors (KIR) that recognize specific HLA class I allotypes. Here we characterized KIR genetic diversity and their HLA ligands in the population of Curitiba, Paraná State (n = 164), and compared it with other worldwide populations. The distribution of 2DL4 alleles was also analyzed. The Curitiba population did not differ significantly from European and Euro-descendant populations, but as an admixed population showed higher genetic diversity. We found 27 KIR profiles, many of them uncommon in European populations, in agreement with the elevated historically recent gene flow in the study population. The frequencies of KIR genes and their respective HLA ligands were distributed independently and none of the analyzed individuals lacked functional KIR–HLA ligand combinations. KIR gene frequencies of 33 worldwide populations were consistent with geographic and ethnic distribution, in agreement with demography being the major factor shaping the observed gene content diversity of the KIR locus.     

Application of broad-spectrum, sequence-based pathogen identification in an urban population

A broad spectrum detection platform that provides sequence level resolution of target regions would have a significant impact in public health, case management, and means of expanding our understanding of the etiology of diseases. A previously developed respiratory pathogen microarray (RPM v.1) demonstrated the capability of this platform for this purpose. This newly developed RPM v.1 was used to analyze 424 well-characterized nasal wash specimens from patients presenting with febrile respiratory illness in the Washington, D. C. metropolitan region. For each specimen, the RPM v.1 results were compared against composite reference assay (viral and bacterial culture and, where appropriate, RT-PCR/PCR) results. Across this panel, the RPM assay showed >or=98% overall agreement for all the organisms detected compared with reference methods. Additionally, the RPM v.1 results provide sequence information which allowed phylogenetic classification of circulating influenza A viruses in approximately 250 clinical specimens, and allowed monitoring the genetic variation as well as antigenic variability prediction. Multiple pathogens (2-4) were detected in 58 specimens (13.7%) with notably increased abundances of respiratory colonizers (esp. S. pneumoniae) during viral infection. This first-ever comparison of a broad-spectrum viral and bacterial identification technology of this type against a large battery of conventional "gold standard" assays confirms the utility of the approach for both medical surveillance and investigations of complex etiologies of illness caused by respiratory co-infections.     

Demography and pathology of an urban slave population from New Orleans

Twenty-nine skeletons from the first cemetery in New Orleans provide significant new information about urban slavery in America. Dating as early as 1720 and used perhaps as late as 1810, the cemetery provided an identifiable sample of two whites, 13 blacks, one individual of possible Indian-white ancestry, and two possibly mulatto individuals. Numerous skeletal and dental lesions were noted in the series, and historical information was used in conjunction with the physical data to draw conclusions about rates and patterns of mortality. Pathological changes indicate that the cemetery contained individuals representing two slave occupational groups, house servants and laborers. This research provides information in the expanding area of Afro-American biohistorical research.