How effective were mangroves as a defence against the recent tsunami?

Whether or not mangroves function as buffers against tsunamis is the subject of in-depth research, the importance of which has been neglected or underestimated before the recent killer tsunami struck. Our preliminary post-tsunami surveys of Sri Lankan mangrove sites with different degrees of degradation indicate that human activity exacerbated the damage inflicted on the coastal zone by the tsunami.     

Distance from Home to Study Clinic and Risk of Follow-Up Interruption in a Cohort of HIV-1-Discordant Couples in Nairobi, Kenya

Background

Longitudinal studies of HIV-1-infected individuals or those at risk of infection are subject to missed study visits that may have negative consequences on the care of participants and can jeopardize study validity due to bias and loss of statistical power. Distance between participant residence and study clinic, as well as other socioeconomic and demographic factors, may contribute to interruptions in patient follow-up.

Methods

HIV-1-serodiscordant couples were enrolled between May 2007 and October 2009 and followed for two years in Nairobi, Kenya. At baseline, demographic and home location information was collected and linear distance from each participant’s home to the study clinic was determined. Participants were asked to return to the study clinic for quarterly visits, with follow-up interruptions (FUI) defined as missing two consecutive visits. Cox proportional hazards regression was used to assess crude and adjusted associations between FUI and home-to-clinic distance, and other baseline characteristics.

Results

Of 469 enrolled couples, 64% had a female HIV-1-infected partner. Overall incidence of FUI was 13.4 per 100 person-years (PY), with lower incidence of FUI in HIV-1-infected (10.8 per 100 PY) versus -uninfected individuals (16.1 per 100 PY) (hazard ratio [HR] = 0.66; 95% confidence interval [CI]: 0.50, 0.88). Among HIV-1-infected participants, those living between 5 and 10 kilometers (km) from the study clinic had a two-fold increased rate of FUI compared to those living <5 km away (HR = 2.17; 95% CI: 1.09, 4.34). Other factors associated with FUI included paying higher rent (HR = 1.67; 95% CI: 1.05, 2.65), having at least primary school education (HR = 1.96; 95% CI: 1.02, 3.70), and increased HIV-1 viral load (HR = 1.23 per log₁₀ increase; 95% CI: 1.01, 1.51).

Conclusions

Home-to-clinic distance, indicators of socioeconomic status, and markers of disease progression may affect compliance with study follow-up schedules. Retention strategies should focus on participants at greatest risk of FUI to ensure study validity.     

The Contribution of Emotional Partners to Sexual Risk Taking and Violence among Female Sex Workers in Mombasa,Kenya: A Cohort Study

Objectives

To assess sexual risk-taking of female sex workers (FSWs) with emotional partners (boyfriends and husbands), compared to regular and casual clients. Experiences of violence and the degree of relationship control that FSWs have with emotional partners are also described.

Design

Cohort study with quarterly follow-up visit over 12-months.

Methods

Four hundred HIV-uninfected FSWs older than 16 years were recruited from their homes and guesthouses in Mombasa, Kenya. A structured questionnaire assessed participant characteristics and study outcomes at each visit, and women received risk-reduction counselling, male and female condoms, and HIV testing.

Results

Four or more unprotected sex acts in the past week were reported by 21.3% of women during sex with emotional partners, compared to 5.8% with regular and 4.8% with casual clients (P<0.001). Total number of unprotected sex acts per week was 5–6-fold higher with emotional partners (603 acts with 259 partners) than with regular or casual clients (125 acts with 456, and 98 acts with 632 clients, respectively; P<0.001). Mostly, perceptions of “trust” underscored unprotected sex with emotional partners. Low control over these relationships, common to many women (36.9%), was linked with higher partner numbers, inconsistent condom use, and being physically forced to have sex by their emotional partners. Half experienced sexual or physical violence in the past year, similarly associated with partner numbers and inconsistent condom use.

Conclusions

High-risk sexual behaviour, low control and frequent violence in relationships with emotional partners heighten FSWs'' vulnerability and high HIV risk, requiring targeted interventions that also encompass emotional partners.     

Litter Fall Dynamics of Restored Mangroves (Rhizophora mucronata Lamk. and Sonneratia alba Sm.) in Kenya

Mangrove forests are active carbon sinks and important for nutrient cycling in coastal ecosystems. Restoration of degraded mangrove habitats enhances return of ecosystem goods and services, including carbon sequestration. Our objective was to assess the restoration of primary productivity of reforested mangrove stands in comparison with natural reference stands in Gazi Bay, Kenya. Litter fall data were collected in nine Rhizophora mucronata and Sonneratia alba monospecific stands by use of litter traps over 2 years. Litter was emptied monthly, dried, sorted, and weighed. The reforested and natural stands showed seasonality patterns only in the production of reproductive material. Leaves constituted the highest percentage to total litter fall. Litter productivity rates for the R. mucronata stands were not significantly different and ranged from 6.61–10.15 to 8.36–11.02 t ha^?1 yr^?1 for the restored and natural stands, respectively. The productivity of 5 years R. mucronata stands reached 5.22 t ha^?1 yr^?1 and was significantly different from other stands. Litter productivity rates for S. alba stands was 7.77–7.85 for the restored stands and 10.15 t ha^?1 yr^?1 for the natural stand but differences were not significant. Our results indicate that plantations of at least 11 years have attained litter productivity rates comparable to the natural forests. This suggests that productivity of replanted mangroves is likely to reach complete recovery by this age under the prevailing environmental conditions.     

HIV-neutralizing activity of cationic polypeptides in cervicovaginal secretions of women in HIV-serodiscordant relationships

Background

HIV exposed seronegative (HESN) women represent the population most in need of a prophylactic antiviral strategy. Mucosal cationic polypeptides can potentially be regulated for this purpose and we here aimed to determine their endogenous expression and HIV neutralizing activity in genital secretions of women at risk of HIV infection.

Methodology/Principal Findings

Cervicovaginal secretions (CVS) of Kenyan women in HIV-serodiscordant relationships (HESN, n = 164; HIV seropositive, n = 60) and low-risk controls (n = 72) were assessed for the cationic polypeptides HNP1–3, LL-37 and SLPI by ELISA and for HIV neutralizing activity by a PBMC-based assay using an HIV primary isolate. Median levels of HNP1–3 and LL-37 in CVS were similar across study groups. Neither HSV-2 serostatus, nor presence of bacterial vaginosis, correlated with levels of HNP1–3 or LL-37 in the HESN women. However, an association with their partner''s viral load was observed. High viral load (>10,000 HIV RNA copies/ml plasma) correlated with higher levels of HNP1–3 and LL-37 (p = 0.04 and 0.03, respectively). SLPI was most abundant in the low-risk group and did not correlate with male partner''s viral load in the HESN women. HIV neutralizing activity was found in CVS of all study groups. In experimental studies, selective depletion of cationic polypeptides from CVS rendered the remaining CVS fraction non-neutralizing, whereas the cationic polypeptide fraction retained the activity. Furthermore, recombinant HNP1–3 and LL-37 could induce neutralizing activity when added to CVS lacking intrinsic activity.

Conclusions/Significance

These findings show that CVS from HESN, low-risk, and HIV seropositive women contain HIV neutralizing activity. Although several innate immune proteins, including HNP1–3 and LL-37, contribute to this activity these molecules can also have inflammatory properties. This balance is influenced by hormonal and environmental factors and in the present HIV serodiscordant couple cohort study we show that a partner''s viral load is associated with levels of such molecules.     

The specific role of pRb in p16INK4A-mediated arrest of normal and malignant human breast cells

RB family proteins pRb, p107 and p130 have similar structures and overlapping functions, enabling cell cycle arrest and cellular senescence. pRb, but not p107 or p130, is frequently mutated in human malignancies. In human fibroblasts acutely exposed to oncogenic ras, pRb has a specific role in suppressing DNA replication, and p107 or p130 cannot compensate for the loss of this function; however, a second p53/p21-dependent checkpoint prevents escape from growth arrest. This model of oncogene-induced senescence requires the additional loss of p53/p21 to explain selection for preferential loss of pRb function in human malignancies. We asked whether similar rules apply to the role of pRb in growth arrest of human epithelial cells, the source of most cancers. In two malignant human breast cancer cell lines, we found that individual RB family proteins were sufficient for the establishment of p16-initiated senescence, and that growth arrest in G₁ was not dependent on the presence of functional pRb or p53. However, senescence induction by endogenous p16 was delayed in primary normal human mammary epithelial cells with reduced pRb but not with reduced p107 or p130. Thus, under these circumstances, despite the presence of functional p53, p107 and p130 were unable to completely compensate for pRb in mediating senescence induction. We propose that early inactivation of pRb in pre-malignant breast cells can, by itself, extend proliferative lifespan, allowing acquisition of additional changes necessary for malignant transformation.Key words: breast cancer, senescence, retinoblastoma, p130, p107     

Knowledge and acceptability of pap smears, self-sampling and HPV vaccination among adult women in Kenya

Objectives

Our study aimed to assess adult women’s knowledge of human papillomavirus (HPV) and cervical cancer, and characterize their attitudes towards potential screening and prevention strategies.

Methods

Women were participants of an HIV-discordant couples cohort in Nairobi, Kenya. An interviewer-administered questionnaire was used to obtain information on sociodemographic status, and sexual and medical history at baseline and on knowledge and attitudes towards Pap smears, self-sampling, and HPV vaccination at study exit.

Results

Only 14% of the 409 women (67% HIV-positive; median age 29 years) had ever had a Pap smear prior to study enrollment and very few women had ever heard of HPV (18%). Although most women knew that Pap smears detect cervical cancer (69%), very few knew that routine Pap screening is the main way to prevent ICC (18%). Most women reported a high level of cultural acceptability for Pap smear screening and a low level of physical discomfort during Pap smear collection. In addition, over 80% of women reported that they would feel comfortable using a self-sampling device (82%) and would prefer at-home sample collection (84%). Nearly all women (94%) reported willingness to be vaccinated to prevent cervical cancer if offered at no or low cost.

Conclusions

These findings highlight the need to educate women on routine use of Pap smears in the prevention of cervical cancer and demonstrate that vaccination and self-sampling would be acceptable modalities for cervical cancer prevention and screening.     

Functionality of restored mangroves: A review

Widespread mangrove degradation coupled with the increasing awareness of the importance of these coastal forests have spurred many attempts to restore mangroves but without concomitant assessment of recovery (or otherwise) at the ecosystem level in many areas. This paper reviews literature on the recovery of restored mangrove ecosystems using relevant functional indicators. While stand structure in mangrove stands is dependent on age, site conditions and silvicultural management, published data indicates that stem densities are higher in restored mangroves than comparable natural stands; the converse is true for basal area. Biomass increment rates have been found to be higher in younger stands than older stands (e.g. 12 t ha⁻¹ year⁻¹ for a 12 years plantation compared to 5.1 t ha⁻¹ year⁻¹ for a 80-year-old plantation). Disparities in patterns of tree species recruitment into the restored stands have been observed with some stands having linear recruitment rates with time (hence enhancing stand complexity), while some older stands completely lacked the understorey. Biodiversity assessments suggest that some fauna species are more responsive to mangrove degradation (e.g. herbivorous crabs and mollusks in general), and thus mangrove restoration encourages the return of such species, in some cases to levels equivalent to those in comparable natural stands. The paper finally recommends various mangrove restoration pathways in a functional framework dependent on site conditions and emphasizes community involvement and ecosystem level monitoring as integral components of restoration projects.     

Spatial variations in macrobenthic fauna recolonisation in a tropical mangrove bay

Recolonisation by crab species and sediment-infauna taxa (at class level) in artificially regenerated mangrove stands of Avicennia marina, Rhizophora mucronata and Sonneratia alba (5 yr old) were studied using respective bare sites (open without mangroves or denuded) and natural sites (relatively undisturbed) as controls. The controls were chosen based on site history, physical proximity and tidal inundation class in reference to the particular reforested mangrove stand and samples randomly taken. A number of environmental variables were measured; interstitial water salinity and temperature (measured at low tide) were lower, whereas sediment organic matter content was higher in the areas with mangrove cover, with the natural sites having the highest content. The bare sites were generally sandier, whereas the areas with mangrove cover had higher proportions of clay and silt. Generally, there was a higher crab density in the reforested sites than in the bare sites, whereas crab species diversity (Shannon diversity index) did not vary from one site to another for any of the mangrove species. In terms of crab species composition, the reforested sites were more similar (Sørensen similarity coefficient) to the natural sites and less to the bare controls. For sediment-infauna, the reforested sites had a significantly higher density than the respective bare controls, while the natural sites had the highest density. The number of sediment-infauna taxa in both the reforested and natural sites of all the mangrove species was similar and higher than in the comparable bare sites. The results suggest that the reforested sites are supporting more faunal recolonisation, and therefore becoming more akin to the natural mangrove sites in terms of the investigated functional indicators. The findings seem to support the use of artificial mangrove regeneration (in areas where natural regeneration has been impeded by physical conditions or otherwise) as an effective management tool in the restoration and conservation of the functional integrity of degraded mangrove habitats.Key words: Crabs, Environmental variables, Kenya, Recolonisation, Restored mangroves, Sediment-infauna