Routine immunization experience and practices during the COVID-19 pandemic of caregivers attending a tertiary hospital in Cape Town

Introduction

Immunizations are successful, cost-effective interventions for the control of infectious diseases and preventing mortality. Lockdown restrictions during the COVID-19 pandemic had adverse effects on child-health including access to immunizations. Our study aimed to document immunization status, describe caregiver experiences around accessing immunizations during the COVID-19 pandemic and identify any significant factors associated with immunization status.

Methods

Caregivers, with children between the ages of 10 to 33 months, attending Tygerberg Hospital Paediatric Department were invited to complete an anonymous survey from 15th September-15th December 2022. Data was captured using a REDCap questionnaire and analysed using Stata Version 17.

Results

171 caregivers completed the survey. Immunizations were up to date in 81%. Most (155, 88%) agreed it was important to immunize their child. A third of caregivers (55) felt it was unsafe to attend the clinic and 37% (62) agreed it was difficult to attend. Caregivers receiving a social grant (p = 0.023) or who felt safe attending clinic (p = 0.053) were more likely to be up to date with immunizations. Three-quarters (128, 78%) were aware of recommendations to continue immunization. These caregivers were more likely to think it was important to immunize on time (p = 0.003) and to receive family encouragement (p = 0.001). Caregivers were more likely to attend clinic if they felt it was important to vaccinate on time (p < 0.001) or felt safe attending clinic (p = 0.036).

Conclusion

Immunization rates were higher than expected but below global targets. Although caregivers feel immunizations are important, unknowns still instilled fear of attending clinics. Social factors such as family support and social grants improve vaccine seeking behaviour.

Anthelmintic properties of extracts from Artemisia plants against nematodes

Artemisia plant genus, natural inhabitant of northern Punjab Pakistan, is well known for its anthelmintic properties; many Artemisia species have not been so far scientifically proved. The aim of this study was to assess in vitro anthelmintic activity of Artemisia indica and Artemisia roxburghiana against mixed infection of gastrointestinal nematodes in small ruminants. This study is first scientifically proven study on anthelmintic activity of A. indica and A. roxburghiana. Five different concentrations (50, 25, 12.5, 6.25 and 3.75 mg/mL) accompanied by negative control (PBS) and positive control (albendazole, 10%) were used to carry out the egg hatch inhibition assay, larval mortality assay and adult worm mortality assay. The Baermann technique was used first time in larval mortality assay and proved to be effective. The results revealed that methanolic extracts of both A. indica and A. roxburghiana, showed maximum anthelmintic activity at concentration of 50 mg/ml by egg hatch inhibition (85±21.2; 80±28.3), larvae mortality (18±2.8; 17±4.2) and adult worm mortality (8.5±2.1; 8±2.8) assays. However, at concentration of 50 mg/ml both plant extracts in comparison to albendazole showed statistically insignificant (p≤0.05) results. The A. indica showed higher anthelmintic activity at all concentrations as compared to A. roburghiana. It has been concluded both plants exhibit anthelmintic activity and further evaluation of these plants should be carried out to purify the active ingredients for anthelmintic activity. Moreover, the decoctions of these plants could be used to GINs after confirming anthelmintic properties through in vivo.

Comparative evaluation of local and improved crop varieties through farmers’ participation on resource-poor farms in Afghanistan

The introduction of new crop varieties is important to improve farm productivity and increase food security in developing countries. This study was conducted to determine the performance of improved varieties of wheat (Triticum aestivum L.), rice (Oryza sativa L.), mungbean [(Vigna radiata (L.) Wilczek] and potato (Solanum tuberosum L.) in comparison to local varieties through farmers’ participatory evaluation. The study was conducted during three years (2006 to 2008) with 948 farmers’ participatory field trials across 18 districts in three Eastern provinces (Nangarhar, Laghman and Kunar) of Afghanistan. One or more improved varieties of wheat, rice, mungbean and potato were compared to the most popular local variety. Data were recorded on the grain yield of wheat, rice and mungbean, and the tuber yield of potato. On average, the improved varieties outyielded local varieties by 69, 57, 70 and 65% for wheat, rice, mungbean, and potato, respectively. Economic analysis in terms of net benefit demonstrated that the adoption of improved varieties resulted in additional incomes of US$ 1840, 1299, 574 and 790 ha-1 for wheat, rice, mungbean and potato, respectively. These findings underline the importance of on-farm farmers’ participatory technology evaluation in developing countries to disseminate new crop varieties to improve farm productivity.

Community-based river management in Southeast Sulawesi, Indonesia: a case study of the Bau-Bau River

In this paper we explain the current condition of the Bau-Bau River, examine community participation for management of the river system, and consider options for improving the institutional capacity for a community-based approach. This assessment is based on a research project with the following objectives: (1) analyse the biophysical and socio-economic condition of the river as a basis for future planning; (2) identify current activities which contribute waste or pollution to the river; (3) assess the status and level of pollution in the river; (4) analyse community participation related to all stages of river management; and (5) identify future river management needs and opportunities. Due to the increasing population in Bau-Bau city, considerable new land is required for housing, roads, agriculture, social facilities, etc. Development in the city and elsewhere has increased run-off and erosion, as well as sedimentation in the river. In addition, household activities are generating more solid and domestic waste that causes organic pollution in the river. The research results show that the water quality in the upper river system is still good, whilst the quality of water in the vicinity of Bau-Bau city, from the mid-point of the watershed to the estuary, is not good, being contaminated with heavy metals (Cd and Pb) and organic pollutants. However, the levels of those pollutants are still below regulatory standards. The main reasons for pollution in the river are mainly lack of management for both liquid and solid wastes, as well as lack of community participation in river management. The government of Bau-Bau city and the community are developing a participatory approach for planning to restore and conserve the Bau-Bau River as well as the entire catchment. The activities of this project are: (1) forming institutional arrangements to support river conservation; (2) implementing extension initiatives to empower the community; (3) identifying a specific location to establish an urban forest; (4) implementing demonstration projects for liquid system management; (5) promoting coordination amongst the different organisations and agencies in the catchment; (6) improving domestic waste transportation; and (7) recycling waste to create compost material to become an income source for the community.

Bronchiolitis obliterans in children--a report of six cases

Six children who survived severe acute bronchiolitis in infancy and early childhood continued to have persistent symptoms of breathlessness, cough and wheeze resistant to bronchodilator therapy. Hyperinflation of the chest, widespread crepitations and rhonchi were persistent clinical features. Failure to thrive was a problem in most. At presentation clinical measles was diagnosed in one child and adenovirus titres were raised in another; the aetiological agents in the others were not known. Lung biopsy from the child with measles showed features of severe bronchiolitis. The clinical and radiological features and course of the illness were consistent with those of bronchiolitis obliterans. Although illness was prolonged the long term prognosis was satisfactory with the majority of children showing improved chest signs, growth and general health after four to eight years of follow up.