The prevalence of antibodies to human herpesvirus 8 and hepatitis B virus in patients in two hospitals in Tanzania.

The aim of this study was to determine the seroprevalence of human herpesvirus 8 (HHV-8) and the immunization status for hepatitis B virus (HBV) infection in febrile patients in two districts of the United Republic of Tanzania. Between February and March 2007, blood samples were collected in Pemba Island and Tosamaganga from 336 outpatients and sent to the Virology Laboratory in Rome (Italy) for testing. HHV-8 DNA and HBV-DNA were amplified by two in-house molecular methods, anti-HHV-8 antibody titers were determined by an immunofluorescence assay (IFA), and anti-HCV, HBsAg, anti-HBs, and anti-HBc were evaluated by microplate enzyme immunoassay (MEIA). The seroprevalence of HHV-8 was 30.7% (96/313). In Pemba Island, the prevalence was lower than in Tosamaganga (14.4% vs. 46.3%). A higher prevalence of low titers of HHV-8 IgG (<1:80, 81%) was found among those under 5 years of age. HHV-8 DNA was detected in six seropositive patients (6.7%). The prevalence of HBsAg, anti-HBs, and anti-HBc was 4.3%, 37.6%, and 29.3%, respectively. Out of 277 patients, 70 had had a previous infection (25.3%). One case of occult hepatitis was found. The cover of hepatitis B vaccination was higher among children born after 2002 (66.7%) than in patients born before 2002. HHV-8 infection is endemic in Tanzania and the seroprevalence rate was higher in the mainland than on Pemba Island. The 3.9% percentage of HBsAg in children younger than 4 years of age suggests that increased efforts are required in order to achieve universal and compulsory immunization of children against HBV.

Economic valuation for the conservation of marine biodiversity.

Policy makers are increasingly recognising the role of environmental valuation to guide and support the management and conservation of biodiversity. This paper presents a goods and services approach to determine the economic value of marine biodiversity in the UK, with the aim of clarifying the role of valuation in the management of marine biodiversity. The goods and services resulting from UK marine biodiversity are detailed, and 8 of the 13 services are valued in monetary terms. It is found that a decline in UK marine biodiversity could result in a varying, and at present unpredictable, change in the provision of goods and services, including reduced resilience and resistance to change, declining marine environmental health, reduced fisheries potential, and loss of recreational opportunities. The results suggest that this approach can facilitate biodiversity management by enabling the optimal allocation of limited management resources and through raising awareness of the importance of marine biodiversity.

Quantifying the environmental impacts of artisanal fishing gear on Kenya's coral reef ecosystems.

The environmental impacts of artisanal fishing gear on coral reef ecosystems were studied in the multi-gear fishery of southern Kenya to evaluate which types of gear have the greatest impact on coral reef biodiversity. The gear types studied were large and small traps, gill nets, beach seines, hand lines and spear guns. Levels of coral damage, proportion of juvenile fish and discards, size and maturity stage at first capture were quantified and compared amongst the gear types. Results indicate that fishers using beach seines, spears and gill nets cause the most direct physical damage to corals. Spear fishers showed the highest number of contacts to live corals per unit catch followed by fishers using gill nets (12.6+/-1.8 and 5.9+/-2.0 coral contacts per kg fish caught per trip respectively). Apart from discarding 6.5% of their daily catch in the sea, as it was too small, beach seine fishers also landed the highest percentage of juvenile fish (68.4+/-15.7%), a proportion significantly higher (p<0.001) than in any other gear. The size and maturity stage at first capture for 150 of 195 species caught by all gear types was well below the lengths at which they mature. For example, 100% of Lethrinus xanthochilus, 99% of Lethrinus nebulosus and 94% of Lethrinus harak caught were juveniles. Across all gear types, 50.1+/-22.7% of the catch consisted of juvenile fish, indicating serious growth overfishing. Field assessment of levels of coral density showed that fishing grounds where beach seines were still in use had a significantly lower density than where beach seining was not used. This correlation is likely to arise in part because seines cannot be used in the most coral rich areas, and in part because coral loss is a consequence of seine use. On a per gear basis therefore, beach seines had the most impact on coral reef biodiversity. This study emphasizes the need to enforce restrictions on destructive gear and mesh sizes.

Rapid correction of severe lactic acidosis with massive isotonic bicarbonate infusion and simultaneous ultrafiltration.

Patients with severe lactic acidosis and oliguria who receive large amounts of sodium bicarbonate may develop fluid overload and hyperosmolarity. We infused massive amounts of isotonic sodium bicarbonate and simultaneously removed the excess sodium and water with ultrafiltration if 2 patients with lactic acidosis. The first patient received 1,125 mmol of bicarbonate over 4.5 h with a rise in pH from 7.00 to 7.36 and in HCO3 from 3.5 to 15.7 mmol/l. The second received 968 mmol of bicarbonate over 5.25 h with a rise in pH from 7.00 to 7.27 and in HCO3 from 5.3 to 14 mmol/l. Blood pressure remained stable or rose, electrolytes normalized, excess fluid was removed, and a higher pH was maintained. Isotonic bicarbonate infusion with simultaneous ultrafiltration is a safe and rapid method of correcting the metabolic status of patients with severe lactic acidosis who have not responded to standard therapy.