Monitoring and evaluation practices and operational research during public health emergencies in southeast Asia region (2012-2022) - a systematic review.

This systematic review aimed to explore the monitoring and evaluation (M&E) and operational research (OR) practices during public health emergencies (PHE) in the southeast Asian region (SEAR) over the last decade. We searched electronic databases and grey literature sources for studies published between 2012 and 2022. The studies written in English were included, and a narrative synthesis was undertaken. A total of 29 studies were included in this review. Among these 25 studies documented M&E and four studies documented OR practices. The majority of the studies were from India and Bangladesh, with no evidence found from Sri Lanka, Bhutan, Myanmar, and Timor-Leste. M&E of surveillance programs were identified among which PHE due to COVID-19 was most prevalent. M&E was conducted in response to COVID-19, cholera, Nipah, Ebola, Candida auris, and hepatitis A. OR practice was minimal and reported from India and Indonesia. India conducted OR on COVID-19 and malaria, whereas Indonesia focused on COVID-19 and influenza. While most SEAR countries have mechanisms for conducting M&E, there is a noticeable limitation in OR practices. There is a compelling need to develop a standard framework for M&E. Additionally, enhancing private sector engagement is crucial for strengthening preparedness against PHE. Furthermore, there is a necessity to increase awareness about the importance of conducting M&E and OR during PHE.

Data on growth performance of marine Chlorella sp. cultured in different cost-effective media.

This paper presents the data on growth performance of marine Chlorella sp. cultured in different cost-effective media including cow dung, cow urine, poultry litter, compost, NPK (nitrogen, phosphorus, and potassium), and UTR (Urea, TSP, and red potash). Growth curve of Chlorella sp. was determined at 5 mg of cow dung, poultry litter, compost, NPK, UTR and 5 µL of cow urine per 350 ml sea water (25 ppt) to identify the onset of stationary phase. Further four media among these were selected to continue the experiment at 8 mg and 11 mg of concentration. The higher cell densities were 4.21 × 106 and 4.18 × 106 cells/mL for NPK at 8 mg and 11 mg of concentration on 6th and 5th day, respectively. Cow dung with an 11 mg of concentration exhibited 2.67 × 106 cells/mL on the 3rd day, which is around 1.5 times greater than the highest growth in the same concentration of poultry litter. Chlorella sp. had a higher cell density in NPK media than in other media, however it was discarded since it is inorganic and costly. Due to the low cell density in cow urine media and the prolonged stationary phase in poultry litter media, the focus of the subsequent study was then placed on cow dung media. The data will contribute to the selection of locally available and cost-effective culture media by determining the stationary phases for specific microalgal species which will replace the costly and labor-intensive commercial media.

A review on the gendered impact of COVID-19 pandemic towards achieving sustainable development goals in Bangladesh: Ecofeminist perspectives on the response to COVID-19 pandemic.

In this article, we have reviewed how the women of Bangladesh are negatively exposed to the COVID-19 pandemic in terms of quality education, employment loss, labour market contribution, domestic violence, and health and wellness, thus putting their lives at more significant risk. We have employed the Drivers-Pressures-States-Impact-Response (DPSIR) framework to analyze the gendered effects of COVID-19 on some specific Sustainable Development Goals (SDGs) in Bangladesh. We have purposively selected five SDGs, SDG 1 (no poverty), SDG 3 (good health and well-being), SDG 4 (quality education), SDG 5 (gender equality), and SDG 8 (decent work & economic growth), those have direct effects on women's livelihood and well-being. Our DPSIR framework analysis has shown that gendered vulnerabilities have been exacerbated due to the COVID-19 situation with multiple pre-existing socio-cultural norms and various state policies like patriarchal values, stay-home policies etc. As SDG 1 focuses on poverty reduction, and SDG 8 focuses on decent work and economic growth, unemployment, losing job opportunities and economic downturn due to the pandemic have slowed down national growth as well as increased poverty in the country. With excessive pressure on the health sector to deal with COVID-19, women's essential maternal, sexual and reproductive health (SRH) services were neglected and health disparities were also observed. Thus, many women and adolescent girls could not access SRH services when needed that led to a myriad of consequences for SDG 3 achievements. The prolonged shutdown of educational institutes resulted in mass school dropouts, mental health problems, and higher risks of child labour and child marriage among girl children which has significant negative impacts on the achievement of SDG 4. Due to COVID-19-related preventive measures, such as social distancing, and lockdown, women have been involved to do more care and household job following traditional gender roles, experienced work from home, and a 'shadow pandemic' domestic violence amidst the COVID-19. Consequently, the overall gender gap has increased (SDG 5). We have argued that the existing neoliberal market economy has failed to save the global society from a pandemic, therefore, it is important to rethink its development targets and indicators. Moreover, a paradigm shift is recommended by deconstructing present economic systems to build a resilient society based on the caring relationships among nature, humans, and society embracing an ecofeminist perspective.

Planetary Health Education and Capacity Building for Healthcare Professionals in a Global Context: Current Opportunities, Gaps and Future Directions.

The emerging concept of planetary health needs to be discussed in a more organized and sustainable way within the global public health and healthcare disciplines. Therefore, planetary health should be considered a cardinal component of the global academic framework for healthcare professionals. The availability of related curricula and courses is crucial to equip health professionals in this relatively new discipline of planetary health. In this review article, we aimed to explore published articles and online databases of courses to summarize the available planetary health education opportunities and discussions for health professionals, to identify the gaps in resource allocation and to suggest future recommendations. We observed a visible resource inequity in the global south with the lack of a universal planetary health module for healthcare professionals. Additionally, there is minimal inclusion of allied health disciplines in this learning process. We therefore recommend a dedicated network of motivated healthcare professionals and regional hubs with an agenda to ensure a comprehensive, uniform, and inclusive planetary health education curriculum and practice.

Are there plastic particles in my sugar? A pioneering study on the characterization of microplastics in commercial sugars and risk assessment.

Although several studies are confirming the ubiquity of microplastics (MPs) in environments, our knowledge about their effects on human health is still very limited. Therefore, while we have not gathered definitive information on their consequences, studies that aim to identify the MPs sources constitute subsidies to better understand the various exposure pathways to these pollutants. Thus, we investigated the possible presence of MP-like particles in five brands of commercial sugars and two unpacked, unbranded, and unlabeled sugars (hereinafter referred to as "non-branded"), obtained from different supermarkets in Dhaka (Bangladesh). Surprisingly, MPs-like particles were identified in all analyzed samples and taken together, our data demonstrated similar variations (between branded and non-branded samples) in terms of number, size, shape, color, and polymer composition. The number of plastic particles/kg sugar was, on average, 343.7 ± 32.08 (mean ± SEM), having been observed a tendency for a higher frequency of MPs < 300 µm. Overall, microfibers and spherules were the most and the predominant colors of MPs (in general) were black, pink, blue, and brown. The FT-IR analysis confirmed the chemical nature of MPs (in branded and non-branded), having identified nine polymeric types (ABS, PCV, PET, EVA, CA, PTFE, HDPE, PC, and nylon), being ABS and PVC the most frequent. Furthermore, we estimate that sugar consumption in Dhaka City can cause the ingestion of millions of tons of MPs annually (2.4 to 25.6 tons) (with an average of 10.2 tons). Our study is the most comprehensive report on the MP's occurrence in sugar, confirming that the ingestion of this food constitutes an important route of human exposure to these micropollutants and, therefore, serves as a baseline for future assessments and useful for generating efficient strategies to control MPs.

Cost-Effectiveness of Population Screening Programs for Cardiovascular Diseases and Diabetes in Low- and Middle-Income Countries: A Systematic Review.

Almost all low- and middle-income countries (LMICs) have instated a program to control and manage non-communicable diseases (NCDs). Population screening is an integral component of this strategy and requires a substantial chunk of investment. Therefore, testing the screening program for economic along with clinical effectiveness is essential. There is significant proof of the benefits of incorporating economic evidence in health decision-making globally, although evidence from LMICs in NCD prevention is scanty. This systematic review aims to consolidate and synthesize economic evidence of screening programs for cardiovascular diseases (CVD) and diabetes from LMICs. The study protocol is registered on PROSPERO (CRD42021275806). The review includes articles from English and Chinese languages. An initial search retrieved a total of 2,644 potentially relevant publications. Finally, 15 articles (13 English and 2 Chinese reports) were included and scrutinized in detail. We found 6 economic evaluations of interventions targeting cardiovascular diseases, 5 evaluations of diabetes interventions, and 4 were combined interventions, i.e., screening of diabetes and cardiovascular diseases. The study showcases numerous innovative screening programs that have been piloted, such as using mobile technology for screening, integrating non-communicable disease screening with existing communicable disease screening programs, and using community health workers for screening. Our review reveals that context is of utmost importance while considering any intervention, i.e., depending on the available resources, cost-effectiveness may vary-screening programs can be made universal or targeted just for the high-risk population.

Reliability and financial feasibility assessment of a community rainwater harvesting system considering precipitation variability due to climate change.

This study proposes a community rainwater harvesting (RWH) system as an alternative water supply solution for Paikgacha, a water-scarce coastal urban area in Bangladesh. Although individual household-based RWH systems have been implemented in many areas in Bangladesh, to date, no study has been conducted designing a community RWH system and assessing its reliability and financial feasibility. This study employs historical observed and available climate model predicted future rainfall data into stormwater management model (SWMM) for rainfall-runoff simulation of the community RWH, and compares SWMM's performance with rational formula based estimation. We then calculate volumetric and time reliability of the proposed system and assess its financial viability. We observe good agreement in reliability curves generated by SWMM and rational formula-based model. Under the historical rainfall scenario, our proposed community RWH shows up to 99% reliability for 100 L per day household demand, given that proper community size and storage tank size are chosen. Predicted rainfall pattern of 2041-2070 period shows similar reliability-tank size relation to that of historical observed rainfall; however, predicted high precipitation intensity during 2021-2040 and 2071-2100 seem to assist the system in attaining higher reliability. Cost-benefit analysis indicates the financial viability of the proposed system. Finally, we develop a nomograph incorporating interactive factors of RWH, which would ease decision making by the policymakers regarding the implementation of community RWH.

Application and evaluation of a low-cost PM sensor and data fusion with CMAQ simulations to quantify the impacts of prescribed burning on air quality in Southwestern Georgia, USA.

Prescribed burning (PB) is a prominent source of PM2.5 in the southeastern US and exposure to PB smoke is a health risk. As demand for burning increases and stricter controls are implemented for other anthropogenic sources, PB emissions tend to be responsible for an increasing fraction of PM2.5 concentrations. Here, to quantify the effect of PB on air quality, low-cost sensors are used to measure PM2.5 concentrations in Southwestern Georgia. The feasibility of using low-cost sensors as a supplemental measurement tool is evaluated by comparing them with reference instruments. A chemical transport model, CMAQ, is also used to simulate the contribution of PB to PM2.5 concentrations. Simulated PM2.5 concentrations are compared to observations from both low-cost sensors and reference monitors. Finally, a data fusion method is applied to generate hourly spatiotemporal exposure fields by fusing PM2.5 concentrations from the CMAQ model and all observations. The results show that the severe impact of PB on local air quality and public health may be missed due to the dearth of regulatory monitoring sites. In Southwestern Georgia PM2.5 concentrations are highly non-homogeneous and the spatial variation is not captured even with a 4-km horizontal resolution in model simulations. Low-cost PM sensors can improve the detection of PB impacts and provide useful spatial and temporal information for integration with air quality models. R2 of regression with observations increases from an average of 0.09 to 0.40 when data fusion is applied to model simulation withholding the observations at the evaluation site. Adding observations from low-cost sensors reduces the underestimation of nighttime PM2.5 concentrations and reproduces the peaks that are missed by the simulations. In the future, observations from a dense network of low-cost sensors could be fused with the model simulated PM2.5 fields to provide better estimates of hourly exposures to smoke from PB.Implications: Prescribed burning emissions are a major cause of elevated PM2.5 concentrations, posing a risk to human health. However, their impact cannot be quantified properly due to a dearth of regulatory monitoring sites in certain regions of the United States such as Southwestern Georgia. Low-cost PM sensors can be used as a supplemental measurement tool and provide useful spatial and temporal information for integration with air quality model simulations. In the future, data from a dense network of low-cost sensors could be fused with model simulated PM2.5 fields to provide improved estimates of hourly exposures to smoke from prescribed burning.

African American Exposure to Prescribed Fire Smoke in Georgia, USA.

Our project examines the association between percent African American and smoke pollution in the form of prescribed burn-sourced, fine particulate matter (PM2.5) in the U.S. state of Georgia for 2018. (1) Background: African Americans constitute 32.4% of Georgia's population, making it the largest racial/ethnic minority group in the state followed by Hispanic Americans at 9.8%. African Americans, Hispanic Americans, and lower wealth groups are more likely than most middle and upper income White Americans to be exposed to environmental pollutants. This is true because racial and ethnic minorities are more likely to live in urban areas where pollution is more concentrated. As a point of departure, we examine PM2.5 concentrations specific to prescribed fire smoke, which typically emanates from fires occurring in rural or peri-urban areas. Two objectives are specified: a) examine the association between percent African American and PM2.5 concentrations at the census tract level for Georgia, and b) identify emitters of PM2.5 concentrations that exceed National Ambient Air Quality Standards (NAAQS) for the 24-h average, i. e., >35 µg/m3. (2) Methods: For the first objective, we estimate a spatial Durbin error model (SDEM) where pollution concentration (PM2.5) estimates for 1683 census tracts are regressed on percent of the human population that is African American or Hispanic; lives in mobile homes; and is employed in agriculture and related occupations. Also included as controls are percent evergreen forest, percent mixed evergreen/deciduous forest, and variables denoting lagged explanatory and error variables, respectively. For the second objective, we merge parcel and prescribed burn permit data to identify landowners who conduct prescribed fires that produce smoke exceeding the NAAQS. (3) Results: Percent African American and mobile home dweller are positively related to PM2.5 concentrations; and government and non-industrial private landowners are the greatest contributors to exceedance levels (4) Conclusions: Reasons for higher PM2.5 concentrations in areas with higher African American and mobile home percent are not clear, although we suspect that neither group is a primary contributor to prescribed burn smoke but rather tend to live proximate to entities, both public and private, that are. Also, non-industrial private landowners who generated prescribed burn smoke exceeding NAAQS are wealthier than others, which suggests that African American and other environmental justice populations are less likely to contribute to exceedance levels in the state.

Protective effects of Manuka honey on LPS-treated RAW 264.7 macrophages. Part 1: Enhancement of cellular viability, regulation of cellular apoptosis and improvement of mitochondrial functionality.

Manuka honey (MH) is a monofloral honey from Australia and New Zealand, well-known for its healthy properties, such as antioxidant, antimicrobial and wound healing capacities. The aim of this work was to assess the phenolic composition and the total antioxidant capacity (TAC) of MH, as well as its effects on cellular viability, proliferation, apoptosis and metabolism in lipopolysaccharide (LPS)-treated RAW 264.7 macrophages, highlighting the molecular mechanisms involved. Up to 18 compounds were identified in MH, with gallic acid and quercetin as the major ones; MH showed also remarkable TAC. In addition, MH was able to enhance cellular viability, decrease apoptosis, promote wound healing and attenuate inflammation in a dose-dependent manner, by reducing the expression of caspase 3, p-p38 and p-Erk1/2 proteins, in macrophages stressed with LPS. In addition, it improved mitochondrial respiration and glycolytic activities, stimulating the expression of p-AMPK, SIRT1 and PGC1α, counteracting in this way the deleterious effects of LPS treatment. In conclusion, one of the possible mechanisms by which MH exerts its beneficial effects could be to its capacity to improve cellular viability, promote proliferation and enhance energetic metabolism, by modulating the expression of several proteins involved in apoptosis, inflammation, metabolism and mitochondrial biogenesis.

Protective effects of Manuka honey on LPS-treated RAW 264.7 macrophages. Part 2: Control of oxidative stress induced damage, increase of antioxidant enzyme activities and attenuation of inflammation.

The redox-system is altered by oxidative stress that is initiated by oxidative agents such as lipopolysaccharides (LPS) and reactive oxygen species (ROS), which are strongly involved in chronic inflammation. Even if Manuka honey (MH) is a good source of polyphenol rich antioxidants, its antioxidant and anti-inflammatory effects are still elusive. The aim of the present work was to explore the protective effects of MH against E.coli LPS stimulated oxidative stress and inflammatory condition and the underlying mechanisms on murine RAW 264.7 macrophages. Pre-treatment with MH markedly inhibited LPS induced ROS and nitrite accumulation and increased the protection against cellular biomolecules such as lipids, proteins, and DNA. Stimulation by LPS suppressed both antioxidant enzyme activities and expressions, and Keap1-Nrf2 signaling pathway which was significantly (p < 0.05) increased in the presence of MH. The pro-inflammatory cytokines, such as TNF-α, IL-1ß and IL-6, and other inflammatory mediators (iNOS) were enhanced after LPS treatment, whereas MH suppressed the expression of these inflammatory markers. Moreover, MH also inhibited the expression of TLR4/NF-кB via IкB phosphorylation in LPS-stressed RAW 264.7 macrophages. In conclusion, MH acted as a natural agent for preventing oxidative and inflammatory-related diseases.

Manuka honey synergistically enhances the chemopreventive effect of 5-fluorouracil on human colon cancer cells by inducing oxidative stress and apoptosis, altering metabolic phenotypes and suppressing metastasis ability.

The development of chemo-sensitizers is urgently needed to overcome 5-fluorouracil (5-FU) therapeutic resistance and adverse toxicity in colorectal cancer. This work aims to evaluate the synergic effects of 5-FU and Manuka honey (MH), a rich source of bioactive compounds, in enhancing the anticancer effects of this drug on human colon cancer HCT-116 and LoVo cells. Compared to 5-FU alone, MH synergistically enhanced the chemotherapeutic effects of 5-FU, by reducing cell proliferation through the suppression of EGFR, HER2, p-Akt and p-mTOR expression, and promoting apoptosis by the modulation pro-apoptotic (p53, Bax, Cyto c, FasL caspase-3, -8, -9 and cleave-PARP) and anti-apoptotic (Bcl-2) markers. The activations of p-p38MAPK and p-Erk1/2 pathways and ROS production were also involved in this process. Downregulation of transcription factor (NF-κB and Nrf2) and antioxidant enzyme activity (SOD, catalase, glutathione peroxidase and glutathione reductase) and expression (SOD, catalase and HO-1) were more evident after the combined treatment, leading to more cell death by oxidative stress. Moreover, additive effects were also observed by increasing lipid and protein oxidation and arresting cell cycle. All the parameters of mitochondrial respiration and glycolysis function decreased and both cells entered the quiescent stage after the combined treatments. MH also influenced the anti-metastasis effects of 5-FU by decreasing migration ability, suppressing the expression of MMP-2, MMP-9 and increasing N-cadherin and E-cadherin. In conclusion, MH could be a useful preventive or adjuvant agent in the treatment of colorectal cancer with 5-FU.

The inhibitory effect of Manuka honey on human colon cancer HCT-116 and LoVo cell growth. Part 1: the suppression of cell proliferation, promotion of apoptosis and arrest of the cell cycle.

Numerous investigations have been made on plant phenolic compounds and cancer prevention in recent decades. Manuka honey (MH) represents a good source of phenolic compounds such as luteolin, kaempferol, quercetin, gallic acid and syringic acid. The aim of this work was to evaluate the chemopreventive effects of MH on human colon cancer HCT-116 and LoVo cells. Both cells were exposed to different concentrations of MH (0-20 mg mL-1 for HCT-116 cells and 0-50 mg mL-1 for LoVo cells) for 48 h to measure apoptosis and cell cycle arrest as well as apoptosis and cell cycle regulatory gene and protein expression. MH exhibited profound inhibitory effects on cellular growth by reducing the proliferation ability, inducing apoptosis and arresting the cell cycle in a dose-dependent manner. Interestingly, MH treatment in non-malignant cells did not exert any significant toxicity at similar concentrations. The apoptosis event was associated with the increasing expression of p53, cleaved-PARP and caspase-3 and with the activation of both intrinsic (caspase-9) and extrinsic (caspase-8) apoptotic pathways. MH induced cell cycle arrest in the S phase in HCT-116 cells, and simultaneously, in LoVo cells, it occurred in the G2/M phase through the modulation of cell cycle regulator genes (cyclin D1, cyclin E, CDK2, CDK4, p21, p27 and Rb). The expression of p-Akt was suppressed while the expression of p-p38MAPK, p-Erk1/2 and endoplasmic stress markers (ATF6 and XBP1) was increased for apoptosis induction. Overall, these findings indicate that MH could be a promising preventive or curative food therapy for colon cancer.