Patterns of Below- and Aboveground Biomass in Eucalyptus populnea Woodland Communities of Northeast Australia along a Rainfall Gradient

In vegetated terrestrial ecosystems, carbon in below- and aboveground biomass (BGB, AGB) often constitutes a significant component of total-ecosystem carbon stock. Because carbon in the BGB is difficult to measure, it is often estimated using BGB to AGB ratios. However, this ratio can change markedly along resource gradients, such as water availability, which can lead to substantial errors in BGB estimates. In this study, BGB and AGB sampling was carried out in Eucalyptus populnea-dominated woodland communities of northeast Australia to examine patterns of BGB to AGB ratio and vertical root distribution at three sites along a rainfall gradient (367, 602, and 1,101 mm). At each site, a vegetation inventory was undertaken on five transects (100 × 4 m), and trees representing the E. populnea vegetation structure were harvested and excavated to measure aboveground and coarse-root (diameter of at least 15 mm) biomass. Biomass of fine and small roots (diameter less than 15 mm) at each site was estimated from 40 cores sampled to 1 m depth. The BGB to AGB ratio of E. populnea-dominated woodland plant communities declined from 0.58 at the xeric end to 0.36 at the mesic end of the rainfall gradient. This was due to a marked decline in AGB with increased aridity whereas the BGB was relatively stable. The vertical distribution of fine roots in the top 1 m of soil varied along the rainfall gradient. The mesic sites had more fine-root biomass (FRB) in the upper soil profile and less at depth than the xeric site. Accordingly, at the xeric site, a much larger proportion of FRB was found at depth compared to the mesic sites. The vertical distribution patterns of small roots of the E. populnea woodland plant communities were consistently )-shaped, with the highest biomass occurring at 15–30-cm depth. The potential significance of such a rooting pattern for grass–tree and shrub–tree co-existence in these ecosystems is discussed. Overall, our results revealed marked changes in BGB to AGB ratio of E. populnea woodland communities along a rainfall gradient. Because E. populnea woodlands cover a large area (96 M ha), their contribution to continental-scale carbon sequestration and greenhouse gas emission can be substantial. Use of the rainfall-zone-specific ratios found in this study, in lieu of a single generic ratio for the entire region, will significantly improve estimates of BGB carbon stocks in these woodlands. In the absence of more specific data, our results will also be relevant in other regions with similar vegetation and rainfall gradients (that is, arid and semiarid woodland ecosystems).     

Antibiotic selection pressure and macrolide resistance in nasopharyngeal Streptococcus pneumoniae: a cluster-randomized clinical trial

Background

It is widely thought that widespread antibiotic use selects for community antibiotic resistance, though this has been difficult to prove in the setting of a community-randomized clinical trial. In this study, we used a randomized clinical trial design to assess whether macrolide resistance was higher in communities treated with mass azithromycin for trachoma, compared to untreated control communities.

Methods and Findings

In a cluster-randomized trial for trachoma control in Ethiopia, 12 communities were randomized to receive mass azithromycin treatment of children aged 1–10 years at months 0, 3, 6, and 9. Twelve control communities were randomized to receive no antibiotic treatments until the conclusion of the study. Nasopharyngeal swabs were collected from randomly selected children in the treated group at baseline and month 12, and in the control group at month 12. Antibiotic susceptibility testing was performed on Streptococcus pneumoniae isolated from the swabs using Etest strips. In the treated group, the mean prevalence of azithromycin resistance among all monitored children increased from 3.6% (95% confidence interval [CI] 0.8%–8.9%) at baseline, to 46.9% (37.5%–57.5%) at month 12 (p = 0.003). In control communities, azithromycin resistance was 9.2% (95% CI 6.7%–13.3%) at month 12, significantly lower than the treated group (p<0.0001). Penicillin resistance was identified in 0.8% (95% CI 0%–4.2%) of isolates in the control group at 1 year, and in no isolates in the children-treated group at baseline or 1 year.

Conclusions

This cluster-randomized clinical trial demonstrated that compared to untreated control communities, nasopharyngeal pneumococcal resistance to macrolides was significantly higher in communities randomized to intensive azithromycin treatment. Mass azithromycin distributions were given more frequently than currently recommended by the World Health Organization''s trachoma program. Azithromycin use in this setting did not select for resistance to penicillins, which remain the drug of choice for pneumococcal infections.

Trial registration

www.ClinicalTrials.gov {"type":"clinical-trial","attrs":{"text":"NCT00322972","term_id":"NCT00322972"}}NCT00322972 Please see later in the article for the Editors'' Summary     

Life cycle assessment of wind farms in Ethiopia

Purpose

The overall aim of this study is to contribute to the creation of LCA database on electricity generation systems in Ethiopia. This study specifically estimates the environmental impacts associated with wind power systems supplying high voltage electricity to the national grid. The study has regional significance as the Ethiopian electric system is already supplying electricity to Sudan and Djibouti and envisioned to supply to other countries in the region.

Materials and methods

Three different grid-connected wind power systems consisting of four different models of wind turbines with power rates between 1 and 1.67 MW were analyzed for the situation in Ethiopia. The assessment takes into account all the life cycle stages of the total system, cradle to grave, considering all the processes related to the wind farms: raw material acquisition, manufacturing of main components, transporting to the wind farm, construction, operation and maintenance, and the final dismantling and waste treatment. The study has been developed in line with the main principles of the ISO 14040 and ISO 14044 standard procedures. The analysis is done using SimaPro software 8.0.3.14 multi-user, Ecoinvent database version 3.01, and ReCiPe 2008 impact assessment method. The assumed operational lifetime as a baseline is 20 years.

Results and discussion

The average midpoint environmental impact of Ethiopian wind power system per kWh electricity generated is for climate change: 33.6 g CO₂ eq., fossil depletion: 8 g oil eq., freshwater ecotoxicity: 0.023 g 1,4-DCB eq., freshwater eutrophication: 0.005 g N eq., human toxicity: 9.9 g 1,4-DCB eq., metal depletion: 18.7 g Fe eq., marine ecotoxicity: 0.098 g 1,4-DCB eq., particulate matter formation: 0.097 g PM10 eq., photochemical oxidant formation: 0.144 g NMVOC, and terrestrial acidification: 0.21 g SO₂ eq. The pre-operation phase that includes the upstream life cycle stage is the largest contributor to all the environmental impacts, with shares ranging between 82 and 96%. The values of cumulative energy demand (CED) and energy return on investment (EROI) for the wind power system are 0.393 MJ and 9.2, respectively.

Conclusion

The pre-operation phase is the largest contributor to all the environmental impact categories. The sensitivity and scenario analyses indicate that changes in wind turbine lifespans, capacity factors, exchange rates for parts, transport routes, and treatment activities would result in significant changes in the LCA results.

     

Phylogeography of Eldana saccharina Walker (Lepidoptera: Pyralidae)

The pyralid moth Eldana saccharina Walker is an indigenous insect widely distributed throughout sub-Saharan Africa. Studies have shown that populations from West Africa have distinct behavioural differences compared to populations from East and southern Africa. In addition, the parasitoid guilds attacking populations in these different regions are markedly different. This marked geographical variation evoked a hypothesis of genetic differentiation. To evaluate this hypothesis a molecular analysis was conducted on populations of E. saccharina from throughout much of the species’ range, using the cytochrome c oxidase subunit I (COI) region of the mitochondrial genome. A minimum spanning network and a maximum parsimony tree separated the 21 specimens into three distinct groups. Results revealed the presence of substantial genetic differentiation that is related to geographic variation.     

Prevalence and Associated Factors of Hypertension among Adults in Durame Town,Southern Ethiopia

Background

To date, non-communicable diseases, such as cardiovascular diseases, are becoming severe public health challenges particularly in developing countries. Hypertension is a modifiable risk factor that contributes the leading role for mortality. The problem is significant in low- and middle-income countries like sub-Saharan Africa. However, there are limited studies in developing countries, particularly in Ethiopia. Hence, determining the magnitude of hypertension and identifying risk groups are important.

Methods

A community based cross sectional study was conducted in April 2013 among adults (age>31 years) old. A systematic sampling technique was used to select a total of 518 study participants. Data were collected after full verbal informed consent was obtained from each participant. Multivariable logistic regressions were fitted to control the effect of confounding. Adjusted Odds ratios (OR) with their 95% confidence intervals (95% CI) were calculated to measure associations. Variables having P-value <0.05 were considered as significant.

Results

The overall prevalence of hypertension in Durame town was 22.4% (95% CI: 18.8–26.0). Nearly 40% of hypertensive patients were newly screened. Male sex [AOR  = 2.03, 95% CI; 1.05–3.93], age [AOR  = 29.49, 95% CI; 10.60–81.27], salt use [AOR  = 6.55, 95% CI; 2.31–18.53], eating vegetable three or fewer days per week [AOR  = 2.3,95% CI; 1.17–4.51], not continuously walking at least for 10 minutes per day [AOR  = 7.82, 95% CI; 2.37–25.82], having family history of hypertension [AOR  = 2.46, 95%CI; 1.31–4.61] and being overweight/obese [AOR  = 15.7, 95% CI 7.89–31.21)] were found to be risk factors for hypertension.

Conclusions

The prevalence of hypertension is found to be high. Older age, male sex, having family history of hypertension, physical inactivity, poor vegetable diet, additional salt consumption and obesity were important risk factors associated with hypertension among adults. Community level intervention measures with a particular emphasis on prevention by introducing lifestyle modifications are recommended.     

Clearing the backlog: trichiasis surgeon retention and productivity in northern Ethiopia

Background

In 2006 there were an estimated 645,000 people in Amhara, Ethiopia, with trachomatous trichiasis (TT) who needed surgery. Despite an extensive integrated eye care worker training programme (IECW) and robust support for TT surgical services, productivity has not reached targets. We investigated why surgeon productivity was below target.

Methodology/Principal Findings

Confidential interviews were conducted in person with TT surgeons trained from 24 selected districts in Amhara Region and their supervisors. Determinants of attrition and productivity were investigated. We interviewed 225 people who had received IECW training; 139 (59%) had subsequently changed career/job. Staff retention was associated with good road access to their health centre, mobile telephone network and a shorter time from initial training. Amongst the 94 IECW still working in the programme, the average number of patients operated was 41/year, which was mostly (86%) done through outreach campaigns and only 14% of cases were performed in the static facilities where they routinely worked. Spot checks were made of surgical instruments and consumables: only 3/94 IECW had the minimum instruments and consumables to perform surgery. The main barriers to operating were lack of time, shortage of consumables, lack of patients, lack of support and equipment problems. Very few IECW received ongoing supervision or active management.

Conclusions/Significance

Surgeon attrition rates are high. Vertical surgery campaigns were effective in treating large numbers of cases, whilst static-site service productivity was low. Good health system management is key to building a well-staffed and well-run service.     

Molecular identification of unilocular hydatid cysts from domestic ungulates in Ethiopia: implications for human infections

To identify the etiologic agents of cystic echinococcosis in Ethiopia, unilocular hydatid cysts were collected from 11 sheep, 16 cattle and 16 camels slaughtered in abattoirs of Aweday, Jijiga, Haramaya and Addis Ababa during June 2010 to February 2011. A PCR-based DNA sequencing of the mitochondrial cytochrome oxidase c subunit 1 gene (cox1) was conducted for 40 cysts. The majority of cysts (87.5%) were identified as Echinococcus granulosus sensu stricto and the rest as Echinococcus canadensis. The fertile cysts of E. granulosus s.s. were found only from sheep, although it occurred in all the host species. The predominance of E. granulosus s.s. has important implications for public health since this species is the most typical causative agent of human cystic echinococcosis worldwide. The major cox1 haplotype of E. granulosus s.s. detected in Ethiopia was the same as that has been reported to be most common in Peru and China. However, a few cox1 haplotypes unique to Ethiopia were found in both of the two Echinococcus species. The present regional data would serve as baseline information in determining the local transmission patterns and in designing appropriate control strategies.     

Reliability of measurements performed by community-drawn anthropometrists from rural Ethiopia

Background

Undernutrition is an important risk factor for childhood mortality, and remains a major problem facing many developing countries. Millennium Development Goal 1 calls for a reduction in underweight children, implemented through a variety of interventions. To adequately judge the impact of these interventions, it is important to know the reproducibility of the main indicators for undernutrition. In this study, we trained individuals from rural communities in Ethiopia in anthropometry techniques and measured intra- and inter-observer reliability.

Methods and Findings

We trained 6 individuals without prior anthropometry experience to perform weight, height, and middle upper arm circumference (MUAC) measurements. Two anthropometry teams were dispatched to 18 communities in rural Ethiopia and measurements performed on all consenting pre-school children. Anthropometry teams performed a second independent measurement on a convenience sample of children in order to assess intra-anthropometrist reliability. Both teams measured the same children in 2 villages to assess inter-anthropometrist reliability. We calculated several metrics of measurement reproducibility, including the technical error of measurement (TEM) and relative TEM. In total, anthropometry teams performed measurements on 606 pre-school children, 84 of which had repeat measurements performed by the same team, and 89 of which had measurements performed by both teams. Intra-anthropometrist TEM (and relative TEM) were 0.35 cm (0.35%) for height, 0.05 kg (0.39%) for weight, and 0.18 cm (1.27%) for MUAC. Corresponding values for inter-anthropometrist reliability were 0.67 cm (0.75%) for height, 0.09 kg (0.79%) for weight, and 0.22 kg (1.53%) for MUAC. Inter-anthropometrist measurement error was greater for smaller children than for larger children.

Conclusion

Measurements of height and weight were more reproducible than measurements of MUAC and measurements of larger children were more reliable than those for smaller children. Community-drawn anthropometrists can provide reliable measurements that could be used to assess the impact of interventions for childhood undernutrition.     

Performance of local light microscopy and the ParaScreen Pan/Pf rapid diagnostic test to detect malaria in health centers in Northwest Ethiopia

Background

Diagnostic tests are recommended for suspected malaria cases before treatment, but comparative performance of microscopy and rapid diagnostic tests (RDTs) at rural health centers has rarely been studied compared to independent expert microscopy.

Methods

Participants (N = 1997) with presumptive malaria were recruited from ten health centers with a range of transmission intensities in Amhara Regional State, Northwest Ethiopia during October to December 2007. Microscopy and ParaScreen Pan/Pf® RDT were done immediately by health center technicians. Blood slides were re-examined later at a central laboratory by independent expert microscopists.

Results

Of 1,997 febrile patients, 475 (23.8%) were positive by expert microscopists, with 57.7% P.falciparum, 24.6% P.vivax and 17.7% mixed infections. Sensitivity of health center microscopists for any malaria species was >90% in five health centers (four of which had the highest prevalence), >70% in nine centers and 44% in one site with lowest prevalence. Specificity for health center microscopy was very good (>95%) in all centers. For ParaScreen RDT, sensitivity was ≥90% in three centers, ≥70% in six and <60% in four centers. Specificity was ≥90% in all centers except one where it was 85%.

Conclusions

Health center microscopists performed well in nine of the ten health centers; while for ParaScreen RDT they performed well in only six centers. Overall the accuracy of local microscopy exceeded that of RDT for all outcomes. This study supports the introduction of RDTs only if accompanied by appropriate training, frequent supervision and quality control at all levels. Deficiencies in RDT use at some health centers must be rectified before universal replacement of good routine microscopy with RDTs. Maintenance and strengthening of good quality microscopy remains a priority at health center level.