The East African Community (EAC) mobile laboratory networks in Kenya, Burundi, Tanzania, Rwanda, Uganda, and South Sudan-from project implementation to outbreak response against Dengue, Ebola, COVID-19, and epidemic-prone diseases.

BACKGROUND: East Africa is home to 170 million people and prone to frequent outbreaks of viral haemorrhagic fevers and various bacterial diseases. A major challenge is that epidemics mostly happen in remote areas, where infrastructure for Biosecurity Level (BSL) 3/4 laboratory capacity is not available. As samples have to be transported from the outbreak area to the National Public Health Laboratories (NPHL) in the capitals or even flown to international reference centres, diagnosis is significantly delayed and epidemics emerge. MAIN TEXT: The East African Community (EAC), an intergovernmental body of Burundi, Rwanda, Tanzania, Kenya, Uganda, and South Sudan, received 10 million € funding from the German Development Bank (KfW) to establish BSL3/4 capacity in the region. Between 2017 and 2020, the EAC in collaboration with the Bernhard-Nocht-Institute for Tropical Medicine (Germany) and the Partner Countries' Ministries of Health and their respective NPHLs, established a regional network of nine mobile BSL3/4 laboratories. These rapidly deployable laboratories allowed the region to reduce sample turn-around-time (from days to an average of 8h) at the centre of the outbreak and rapidly respond to epidemics. In the present article, the approach for implementing such a regional project is outlined and five major aspects (including recommendations) are described: (i) the overall project coordination activities through the EAC Secretariat and the Partner States, (ii) procurement of equipment, (iii) the established laboratory setup and diagnostic panels, (iv) regional training activities and capacity building of various stakeholders and (v) completed and ongoing field missions. The latter includes an EAC/WHO field simulation exercise that was conducted on the border between Tanzania and Kenya in June 2019, the support in molecular diagnosis during the Tanzanian Dengue outbreak in 2019, the participation in the Ugandan National Ebola response activities in Kisoro district along the Uganda/DRC border in Oct/Nov 2019 and the deployments of the laboratories to assist in SARS-CoV-2 diagnostics throughout the region since early 2020. CONCLUSIONS: The established EAC mobile laboratory network allows accurate and timely diagnosis of BSL3/4 pathogens in all East African countries, important for individual patient management and to effectively contain the spread of epidemic-prone diseases.

Trenches reduce crop foraging by elephants: Lessons from Kibale National Park, Uganda for elephant conservation in densely settled rural landscapes.

Crop loss to wildlife, particularly elephants, threatens livelihoods and support for conservation around many protected areas in Africa and Asia. Low-cost elephant barriers have been successfully deployed in savannas but seldom tested around isolated forest parks where the stakes are high for local farmers and isolated elephant populations. We measured the effectiveness of a series of ≥3 m deep trenches dug by farmers neighboring Kibale National Park, Uganda. We monitored trench quality and crop loss to elephants weekly for a year across 47 transects in four park-adjacent communities, and conducted controlled, before-and-after comparisons of verified damage. Elephants damaged or destroyed >4 ha of crops during 48 independent foraging events, the majority <220m from the forest boundary. The frequency of damage varied significantly between and within communities. The majority of trenches were not breached by elephants but five suffered ≥4 breaches. Elephant-breached trenches and their neighboring trenches were lower quality than those not breached in the same week (Wilcoxon test: p<0.001). Trenches were also more likely to be breached where people had planted more crops favored by elephants (Wilcoxon test: p = 0.014). Thus, trench quality and the draw of palatable crops both appeared to influence elephant damage. Although trenches may deter elephants, challenges include heavy labor and difficulties of digging in rocky and swampy areas. Trenches alone will not prevent conflict but this strategy holds promise for hot-spots of conflict at forest edges. Given the stakes for farmers and biodiversity, we call for systematic assessment of crop losses and offer recommendations on monitoring and analysis. Such data will allow for stronger inference about effectiveness before investment of effort and resources in interventions.