Distribution of Lilian's Lovebirds in Malawi

Lilian's Lovebird Agapornis lilianae is regarded as a mopane Colophospermum mopane woodland specialist. Its global population is sparse and is spread along the Zambezi valley with little known about its current distribution and status. We explored the current distribution of Lilian's Lovebird in Malawi, and in particular focused on the distribution and habitat associations of the largest resident population in Liwonde National Park (LNP). Local birders and tourist guides provided distribution information from across Malawi. Transect walks were conducted to collect data in LNP. Five new atlas records are reported; three were within 40–56 km of the LNP population and two were over 150 km south and north of LNP, respectively. One of the sites is about 66 km from the Lilian's Lovebird population in Luangwa Valley, Zambia. New national records were evidence of the importance of seasonal movements to the species. Lilian's Lovebirds occurred throughout LNP with the highest abundance in the central section. Seasonal movements to areas outside the park were also recorded. A variety of vegetation types were used by the lovebirds, but the strongest habitat associations were with seasonally wet grasslands and not mopane woodlands as would be expected. Thus, conservation efforts should also include these other habitats.     

Feeding ecology of Lilian’s Lovebird Agapornis lilianae in Liwonde National Park,Malawi

Lilian's Lovebird Agapornis lilianae is a small, near-threatened parrot resident in mopane Colophospermum mopane woodlands. We investigated its diet and foraging behaviour in Liwonde National Park, Malawi. We expected that Lilian's Lovebirds would show little specialisation for a particular food source but generally feed on available seeds, fruits, flowers and other items as observed in other lovebirds. Lilian's Lovebirds fed on 30 different plant species. Lilian's Lovebirds were observed feeding in six habitat types in Liwonde National Park and adjacent areas during the wet season, and four in the dry season. In the wet season lovebirds (23% of observations) foraged in grassy wetland (dambo) areas the most, whilst in the dry season they foraged in grasslands with tree cover (18%) the most. In mopane woodland, foraging flock sizes differed significantly between the wet (mean = 19.8 ± 1.0 lovebirds) and dry season (mean = 33.6 ± 2.3 lovebirds). Grass seeds were lovebirds’ main food source from December to June. The nutritional analysis of preferred foods showed that grass seeds have a relatively high protein and energy content. Grass seed availability is reduced with savanna burning and so early season burning (before May–June) in areas in and outside the park is not recommended.     

Sulfadoxine-pyrimethamine-based combinations for malaria: a randomised blinded trial to compare efficacy, safety and selection of resistance in Malawi

Background

In Malawi, there has been a return of Plasmodium falciparum sensitivity to chloroquine (CQ) since sulfadoxine-pyrimethamine (SP) replaced CQ as first line treatment for uncomplicated malaria. When used for prophylaxis, Amodiaquine (AQ) was associated with agranulocytosis but is considered safe for treatment and is increasingly being used in Africa. Here we compare the efficacy, safety and selection of resistance using SP or CQ+SP or artesunate (ART)+SP or AQ+SP for the treatment of uncomplicated falciparum malaria.

Methodology and Findings

455 children aged 1–5 years were recruited into a double-blinded randomised trial comparing SP to the three combination therapies. Using intention to treat analysis with missing outcomes treated as successes, and without adjustment to distinguish recrudescence from new infections, the day 28 adequate clinical and parasitological response (ACPR) rate for SP was 25%, inferior to each of the three combination therapies (p<0.001). AQ+SP had an ACPR rate of 97%, higher than CQ+SP (81%) and ART+SP (70%), p<0.001. Nineteen children developed a neutropenia of ≤0.5×10³ cells/µl by day 14, more commonly after AQ+SP (p = 0.03). The mutation pfcrt 76T, associated with CQ resistance, was detected in none of the pre-treatment or post-treatment parasites. The prevalence of the pfmdr1 86Y mutation was higher after treatment with AQ+SP than after SP, p = 0.002.

Conclusions

The combination AQ+SP was highly efficacious, despite the low efficacy of SP alone; however, we found evidence that AQ may exert selective pressure for resistance associated mutations many weeks after treatment. This study confirms the return of CQ sensitivity in Malawi and importantly, shows no evidence of the re-emergence of pfcrt 76T after treatment with CQ or AQ. Given the safety record of AQ when used as a prophylaxis, our observations of marked falls in neutrophil counts in the AQ+SP group requires further scrutiny.

Trial Registration

Controlled-Trials.com ISRCTN22075368     

CHOP Chemotherapy for Aggressive Non-Hodgkin Lymphoma with and without HIV in the Antiretroviral Therapy Era in Malawi

There are no prospective studies of aggressive non-Hodgkin lymphoma (NHL) treated with CHOP in sub-Saharan Africa. We enrolled adults with aggressive NHL in Malawi between June 2013 and May 2015. Chemotherapy and supportive care were standardized, and HIV+ patients received antiretroviral therapy (ART). Thirty-seven of 58 patients (64%) were HIV+. Median age was 47 years (IQR 39–56), and 35 (60%) were male. Thirty-five patients (60%) had stage III/IV, 43 (74%) B symptoms, and 28 (48%) performance status ≥2. B-cell NHL predominated among HIV+ patients, and all T-cell NHL occurred among HIV- individuals. Thirty-one HIV+ patients (84%) were on ART for a median 9.9 months (IQR 1.1–31.7) before NHL diagnosis, median CD4 was 121 cells/μL (IQR 61–244), and 43% had suppressed HIV RNA. HIV+ patients received a similar number of CHOP cycles compared to HIV- patients, but more frequently developed grade 3/4 neutropenia (84% vs 31%, p = 0.001), resulting in modestly lower cyclophosphamide and doxorubicin doses with longer intervals between cycles. Twelve-month overall survival (OS) was 45% (95% CI 31–57%). T-cell NHL (HR 3.90, p = 0.017), hemoglobin (HR 0.82 per g/dL, p = 0.017), albumin (HR 0.57 per g/dL, p = 0.019), and IPI (HR 2.02 per unit, p<0.001) were associated with mortality. HIV was not associated with mortality, and findings were similar among patients with diffuse large B-cell lymphoma. Twenty-three deaths were from NHL (12 HIV+, 11 HIV-), and 12 from CHOP (9 HIV+, 3 HIV-). CHOP can be safe, effective, and feasible for aggressive NHL in Malawi with and without HIV.     

Comparative performance of four survey methods for assessing Lilian’s Lovebird abundance in Liwonde National Park,Malawi

Monitoring abundance of threatened species is important for conservation planning. Lilian’s Lovebird Agapornis lilianae is a near-threatened small parrot found in mopane Colophospermum mopane woodland. Its population has not been investigated in any part of its range. We investigated the abundance and density of the Lilian’s Lovebird in Liwonde National Park, Malawi. Both distance sampling (line and point transects) methods and total counts (waterhole and flyway counts) were applied. The point count method gave very low numbers and was discontinued after the first year. Line transects conducted during the wet season had the highest density estimates of 17 ± 4.8 lovebirds km?2 of mopane woodland. However, number of observations per transect in each year were low. Waterhole counts had the lowest density estimates (10 ± 3.5 lovebirds km?2). Flyway counts gave an intermediate estimate (13 ± 3.0 lovebirds km?2). The total population of Lilian’s Lovebirds in Liwonde National Park is therefore estimated to be about 4 000 individuals. The use of line transect counts at the end of the rainy season is recommended for continued monitoring of Lilian’s Lovebirds abundance in Liwonde National Park.     

The drinking habits of the Lilian's lovebird and incidents of poisoning at waterholes

Use of poison to kill wildlife is a threat to biodiversity. Lilian's lovebirds Agapornis lilianae are among the fatalities at poisoned waterholes in Liwonde National Park, Malawi. Their population in Liwonde National Park (LNP) represents about 20% of the global population. We investigated the drinking habits of Lilian's lovebird, availability of natural waterholes and occurrence of poisoning incidents in LNP. Results showed Lilian's lovebirds congregate at waterholes in the dry season with flocks ranging from 1 to 100 individuals. Significantly larger flocks were seen in the dry than the wet season. Poisoning incidents/year ranged from 1 to 8 and were highest in the dry season. Lilian's lovebirds were killed at a mean of four poisoning incidents each year between 2000 and 2012. Number of lovebirds found dead at a poisoned pool ranged from 5 to 50 individuals. Currently about 32% of the Lilian's lovebird population is threatened by poisoning. Other species were also noted. There is a need for increased efforts in preventing this lethal activity in LNP.