Drought Analysis Using Standardized Evapotranspiration and Aridity Index at Bilate Watershed: Sub-Basins of Ethiopian Rift Valley.

In Ethiopia, more prevalent drought happenings have been documented in the past century. The problem has gradually expanded from the north to the rest parts with deepened intensity. The study aimed to examine the magnitudes of spatiotemporal patterns of drought at the Bilate watershed from 1981 to 2016. Monthly rainfall and temperature data were used for the analysis. The Standardized Evapotranspiration Indexes (SPEI) at SPEI-03 and SPEI-12 timescales were applied to evaluate the drought patterns. Among different drought indices, the SPEI is the most valuable and preferred Index for drought studies. The SPEI method considers the role of temperature than other indices to compare drought in time and space. The Mann-Kendall test was used for trend analysis. Accordingly, the result revealed that 1988-2016 were years of continuous drought events in both timescales with (SPEI = -2.5 to -1.2) drought value. Drought severity and frequency were highly detected at Wulberag areas (SPEI: -2.5). Durame, Angacha, and Alaba experienced increasing drought trends (Z = -1.96-1.6) and Welayita Sodo is Z = -0.07-0.03. Bilate-Tena and Hossana area of the watershed were less affected by drought than other areas. Spatially, the drought occurrences were observed in all areas of the watershed with varying magnitude. In the SPEI-12 timescale, more frequent drought occurrences were observed than SPEI-03. It was found that severe drought was observed in 1987, 1993/94, 2000-2005, and 2010. Moreover, the watershed experienced an Aridity Index (AI) of 0.43 (43%) and was subjected to potential high evapotranspiration (PET). The highest PET was observed at Bilate-Tena, Angacha, Hosanna, Wulberag, Alaba, Welayita Sodo, and Durame (151.6, 119.6, 119.3, 140.8, 142, 127.5, and 125.7 mm/year, respectively. Hence, the finding of this study could initiate a further inquiry on drought risk management, early warning responses, and local scale planning.

Health profile of highland Ethiopians in a small town in the south-western part of the country.

BACKGROUND: In conjunction with an investigation of nerve function tests of highland Ethiopians in an area of low endemicity of leprosy for 25-30 years, a comprehensive health survey was performed. METHODS: We assessed 236 subjects, 118 females and 118 males, 177 students and 59 adults (Others) aged 10-75 years from Chencha woreda. We used a detailed medical, personal and social history, anthropomorphic measurements and complete physical examination. RESULTS: We identified six areas of medical concern: Intestinal parasite and diarrhoeal diseases affected 62%, despite treatment of all students and symptomatic adults the recurrence rate was high; skin diseases/conditions affected 88%; eye injections affected 26%; dental decay affected 33%; 20% had hypertension 14% requiring treatment; 11% gave a personal and/or family history of tuberculosis, 44% gave a history of BCG immunisation, while 34% had BCG scars, the lowest percentage (11%) being in students from Daramallo woreda. RECOMMENDATIONS: Supplies of clean water, effective disposal of human excreta and control of flies would greatly reduce intestinal, skin and eye infections. Regular tooth cleaning and possibly fluoridation of drinking water should improve dental health, with diet and exercise for young hypertensives. BCG immunisation in Chencha and Daramallo woredas (inaccessible areas) needs urgent attention.

Thermal threshold tester, a useful tool for detection of very early nerve damage--determination of normal values in a healthy population unexposed to Mycobacterium leprae and its application in the A9 study.

INTRODUCTION: In Ethiopia, a large percentage of leprosy patients present with established nerve damage. Present techniques for measuring nerve function impairment show no abnormality until 30% of nerve axons are destroyed. Nerve damage in leprosy occurs first in small diameter unmyelinated fibres, then in small myelinated fibres, and much later in large myelinated fibres. The Thermal Threshold Tester (TTT) was used to measure function in nerves carrying heat sensation (unmyelinated C fibres) and cold sensation (thinly myelinated Adelta fibres). PATIENTS: A school and community health survey, assessed 234 students and adults aged 10-75 years from Chencha Woreda, an area with low endemicity of leprosy. A group of students in Addis Ababa, exposed to leprosy, were also studied. RESULTS: The upper limits of normal were: wrist hot threshold (HT): 0.17 degrees C, wrist cold threshold (CT): 0.19 degrees C, foot HT: 0.17 degrees C and foot CT: 0.20 degrees C. Both the leprosy group and also controls in Addis Ababa showed significantly increased TTT values. CONCLUSION: The TTT detects nerve damage before clinical neuritis occurs and is a valuable tool for early diagnosis of leprosy or detecting clinical relapse of treated patients and for sequential and quantitative monitoring of small diameter nerve function in other neuropathies.

Peripheral nerves and nerve function in highland Ethiopians.

INTRODUCTION: In Ethiopia, where leprosy has been one of the commonest causes of peripheral nerve enlargement and dysfunction, nerve functions are assessed by a battery of "physical" tests. Voluntary Muscle Test (VMT) and Graded Sensory Skin Test (STG) are standard tests used for persons with leprosy. Normal values for nerve function tests (NFT) in Highland Ethiopians have not previously been determined, but have been taken from standard textbooks. In this study, normal values for NFT were determined by VMT, STG, 2-Point Discrimination Tests both static and moving, and Thermal Threshold Test. Physiological enlargement of right ulnar and radial-cutaneous nerves has been recognised by some leprologists, but we were unable to find written records in the available medical literature. MATERIALS: We assessed 236 students and adults aged 10-75 years from Chencha Woreda, an area with low endemicity of leprosy for 25-30 years. Two affected by leprosy were excluded from the analysis. RESULTS: NFT thresholds were affected variously by age, exercise and skin factors, domicile and exposure to organo-phosphates. Nerve size was affected by age, gender, exercise, skin fold thickness, body mass index. Exercise related physiological nerve enlargement has been documented. CONCLUSION: These data provide a usefull baseline for investigation of peripheral nerve function in highland Ethiopians.