Desert pastoralists' negative and positive effects on rare wildlife in the Gobi.

In arid regions of the developing world, pastoralists and livestock commonly inhabit protected areas, resulting in human-wildlife conflict. Conflict is inextricably linked to the ecological processes shaping relationships between pastoralists and native herbivores and carnivores. To elucidate relationships underpinning human-wildlife conflict, we synthesized 15 years of ecological and ethnographic data from Ikh Nart Nature Reserve in Mongolia's Gobi steppe. The density of argali (Ovis ammon), the world's largest wild sheep, at Ikh Nart was among the highest in Mongolia, yet livestock were >90% of ungulate biomass and dogs >90% of large-carnivore biomass. For argali, pastoral activities decreased food availability, increased mortality from dog predation, and potentially increased disease risk. Isotope analyses indicated that livestock accounted for >50% of the diet of the majority of gray wolves (Canis lupus) and up to 90% of diet in 25% of sampled wolves (n = 8). Livestock composed at least 96% of ungulate prey in the single wolf pack for which we collected species-specific prey data. Interviews with pastoralists indicated that wolves annually killed 1-4% of Ikh Nart's livestock, and pastoralists killed wolves in retribution. Pastoralists reduced wolf survival by killing them, but their livestock were an abundant food source for wolves. Consequently, wolf density appeared to be largely decoupled from argali density, and pastoralists had indirect effects on argali that could be negative if pastoralists increased wolf density (apparent competition) or positive if pastoralists decreased wolf predation (apparent facilitation). Ikh Nart's argali population was stable despite these threats, but livestock are increasingly dominant numerically and functionally relative to argali. To support both native wildlife and pastoral livelihoods, we suggest training dogs to not kill argali, community insurance against livestock losses to wolves, reintroducing key native prey species to hotspots of human-wolf conflict, and developing incentives for pastoralists to reduce livestock density.

Poison prevention practices and medically attended poisoning in young children: multicentre case-control study.

INTRODUCTION: Childhood poisonings are common, placing a substantial burden on health services. Case-control studies have found inconsistent evidence about modifiable risk factors for poisonings among children aged 0-4 years. This study quantifies associations between poison prevention practices and medically attended poisonings in children aged 0-4 years. METHODS: Multicentre case-control study conducted at hospitals, minor injury units and family practices from four study centres in England between 2010 and 2013. Participants comprised 567 children presenting with unintentional poisoning occurring at home and 2320 community control participants matched on age, sex, date of event and study centre. Parents/caregivers provided data on safety practices, safety equipment use, home hazards and potential confounders by means of self-completion questionnaires. Data were analysed using conditional logistic regression. RESULTS: Compared with community controls, parents of poisoned children were significantly more likely not to store medicines out of reach (adjusted OR (AOR) 1.59; 95% CI 1.21 to 2.09; population attributable fraction (PAF) 15%), not to store medicines safely (locked or out of reach (AOR 1.83; 95% CI 1.38 to 2.42; PAF 16%) and not to have put all medicines (AOR 2.11; 95% CI 1.54 to 2.90; PAF 20%) or household products (AOR 1.79, 95% CI 1.29 to 2.48; PAF 11%) away immediately after use. CONCLUSIONS: Not storing medicines out of reach or locked away and not putting medicines and household products away immediately after use increased the odds of secondary care attended poisonings in children aged 0-4 years. If associations are causal, implementing these poison prevention practices could each prevent between 11% and 20% of poisonings.

Interference competition: odours of an apex predator and conspecifics influence resource acquisition by red foxes.

Apex predators can impact smaller predators via lethal effects that occur through direct killing, and non-lethal effects that arise when fear-induced behavioural and physiological changes reduce the fitness of smaller predators. A general outcome of asymmetrical competition between co-existing predator species is that larger predators tend to suppress the abundances of smaller predators. Here, we investigate interference effects that an apex predator, the dingo (Canis dingo), has on the acquisition of food and water by the smaller red fox (Vulpes vulpes), by exposing free-ranging foxes to the odour of dingoes and conspecifics in an arid environment. Using giving-up densities we show that foxes foraged more apprehensively at predator-odour treatments than unscented controls, but their food intake did not differ between dingo- and fox-odour treatments. Using video analysis of fox behaviour at experimental water stations we show that foxes spent more time engaged in exploration behaviour at stations scented with fox odour and spent more time drinking at water stations scented with dingo odour. Our results provide support for the idea that dingo odour exerts a stronger interference effect on foxes than conspecific odour, but suggest that the odours of both larger dingoes and unfamiliar conspecifics curtailed foxes' acquisition of food resources.

Space and habitat use by wild Bactrian camels in the Transaltai Gobi of southern Mongolia.

Wild Bactrian camels (Camela ferus) are listed as Critically Endangered by the International Union for Conservation of Nature (IUCN) and only persist in some of the most remote locations in northern China and southern Mongolia. Although the species has been recognized as an umbrella species for the fragile central Asian desert ecosystem and has been high on the conservation agenda, little is known about the species' habitat requirements, with most information coming from anecdotal sightings and descriptive studies. We compiled the only available telemetry data from wild camels worldwide. Seven wild camels, which were followed for 11-378 monitoring days, covered a total range of 28,410 km2, with individual annual ranges being >12,000 km2 for three animals followed over a year. Camels reacted strongly to capture events, moving up to 64 km from the capture site within a day, whereas normal average daily straight line distances were 3.0-6.4 km/day. Camels showed a preference for intermediate productivity values (NDVI, habitat type) and landscape parameters (distance to water, elevation) and an avoidance of steep slopes. Our telemetry results suggest that wild camels still range throughout the entire Great Gobi A Strictly Protected Area (SPA), are highly mobile, and very sensitive to human disturbance. Their habitat preference may be a trade-off between dietary and safety requirements. Small sample size did not allow the development of a full habitat model testing all variables simultaneously and we urgently call for more data from additional wild camels as a foundation for evidence driven conservation actions.

Keeping children safe at home: protocol for a matched case-control study of modifiable risk factors for poisoning.

BACKGROUND: Childhood unintentional and suspected poisonings are a serious public health problem. Evidence from systematic reviews demonstrates that home safety education in combination with safety equipment provision increases the safe storage of medicines and other products. There is lack of evidence that poisoning prevention practices reduce poisoning rates. OBJECTIVES: To estimate ORs for medically attended poisonings in children aged 0-4 years for items of safety equipment, home hazards and parental safety practices aimed at preventing poisoning, and to explore differential effects by child and family factors. DESIGN: Multicentre case-control study in UK hospitals with validation of parent-reported exposures using home observations. Cases are aged 0-4 years with a medically attended poisoning occurring at home, matched on age and sex with community controls. Children attending hospital for other types of injury will serve as unmatched hospital controls. Matched analyses will use conditional logistic regression; unmatched analyses will use unconditional logistic regression to adjust for confounding variables. The study requires 266 poisoning cases and 1064 matched controls to detect an OR of 0.64 for safe storage of medicinal products and of 0.65 for non-medicinal products, with 80% power, a 5% significance level and a correlation between exposures in cases and controls of 0.1. MAIN OUTCOME MEASURES: Unintentional childhood poisoning. DISCUSSION: This will be the largest study to date exploring modifiable risk factors for poisoning in young children. Findings will inform: policy makers developing poison prevention strategies, practitioners delivering poison prevention interventions, parents to reduce the risk of poisoning in their homes.

Multicentre cluster randomised controlled trial evaluating implementation of a fire prevention Injury Prevention Briefing in children's centres: study protocol.

BACKGROUND: The UK has one of the highest fatality rates for deaths from fire-related injuries in children aged 0-14 years; these injuries have the steepest social gradient of all injuries in the UK. Children's centres provide children under five years old and their families with a range of services and information, including home safety, but their effectiveness in promoting injury prevention has yet to be evaluated. We developed a fire prevention intervention for use in children's centres comprising an Injury Prevention Briefing (IPB) which provides evidence on what works and best practice from those running injury prevention programmes, and a facilitation package to support implementation of the IPB. This protocol describes the design and methods of a trial evaluating the effectiveness and cost-effectiveness of the IPB and facilitation package in promoting fire prevention. METHODS/DESIGN: Pragmatic, multicentre cluster randomised controlled trial, with a nested qualitative study, in four study centres in England. Children's centres in the most disadvantaged areas will be eligible to participate and will be randomised to one of three treatment arms comprising: IPB with facilitation package; IPB with no facilitation package; usual care (control). The primary outcome measure will be the proportion of families who have a fire escape plan at follow-up. Eleven children's centres per arm are required to detect an absolute difference in the percentage of families with a fire escape plan of 20% in either of the two intervention arms compared with the control arm, with 80% power and a 5% significance level (2-sided), an intraclass correlation coefficient of 0.05 and assuming outcomes are assessed on 20 families per children's centre. Secondary outcomes include the assessment of the cost-effectiveness of the intervention, other fire safety behaviours and factors associated with degree of implementation of the IPB. DISCUSSION: This will be the first trial to develop and evaluate a fire prevention intervention for use in children's centres in the UK. Its findings will be generalisable to children's centres in the most disadvantaged areas of the UK and may also be generalisable to similar interventions to prevent other types of injury. TRIAL REGISTRATION: http://NCT01452191 (date of registration: 13/10/2011).

Incidence and 12-month outcome of non-transient childhood conversion disorder in the U.K. and Ireland.

BACKGROUND: Little is known about conversion disorder in childhood. AIMS: To document clinical incidence, features, management and 12-month outcome of non-transient conversion disorder in under 16-year-olds in the U.K. and Ireland. METHOD: Surveillance through the British Paediatric Surveillance Unit and Child and Adolescent Psychiatry Surveillance System. RESULTS: In total, 204 cases (age range 7-15 years) were reported, giving a 12-month incidence of 1.30/100 000 (95% CI 1.11-1.52). The most common symptoms were motor weakness and abnormal movements. Presentation with multiple symptoms was the norm. Antecedent stressors were reported for 80.8%, most commonly bullying in school. Most children required in-patient admission with frequent medical investigations. Follow-up at 12 months was available for 147 children, when all conversion disorder symptoms were reported as improved. Most families (91%) accepted a non-medical explanation of the symptoms either fully or partially. CONCLUSIONS: Childhood conversion disorder represents an infrequent but significant clinical burden in the UK and Ireland.

The value of enrichment to reintroduction success.

Reintroduction attempts have faced low, albeit improving, success rates, especially for threatened and endangered species reintroduced from captivity to the wild. This is not only a concern for conservation, as the low success of reintroduction also implies an animal welfare issue for the individuals concerned. Success rates are particularly low for species that live in complex social structures, require greater training during development, and exhibit higher levels of intelligence. Aside from mitigating the original cause of a species extirpation from an area, behavior factors arguably represent the most important aspect influencing an animal's survival following reintroduction. Indeed, we previously recommended using behavioral indicators for determining relative reintroduction success, especially as practitioners develop and compare protocols or if survivorship is difficult to gauge. Strategic enrichment programs targeted toward developing specific skills important for survival in the wild promise to improve reintroduction success by providing individuals with opportunities to develop and improve behavioral skills, such as avoiding predation, foraging (especially for predators and primates), interacting in social groups, courtship and mating, habitat selection, and learning movement and migration routes. Enrichment also improves the physical condition of most individuals, which should also increase reintroduction success. Last but not least, such programs offer the prospect of improved animal welfare both pre- and post-release. We explore how behavioral enrichment has influenced reintroduction success and welfare in a variety of different species.

Keeping children safe at home: protocol for three matched case-control studies of modifiable risk factors for falls.

BACKGROUND: Childhood falls result in considerable morbidity, mortality and health service use. Despite this, little evidence exists on protective factors or effective falls prevention interventions in young children. OBJECTIVES: To estimate ORs for three types of medically attended fall injuries in young children in relation to safety equipment, safety behaviours and hazard reduction and explore differential effects by child and family factors and injury severity. DESIGN: Three multicentre case-control studies in UK hospitals with validation of parental reported exposures using home observations. Cases are aged 0-4 years with a medically attended fall injury occurring at home, matched on age and sex with community controls. Children attending hospital for other types of injury will serve as unmatched hospital controls. Matched analyses will use conditional logistic regression to adjust for potential confounding variables. Unmatched analyses will use unconditional logistic regression, adjusted for age, sex, deprivation and distance from hospital in addition to other confounders. Each study requires 496 cases and 1984 controls to detect an OR of 0.7, with 80% power, 5% significance level, a correlation between cases and controls of 0.1 and a range of exposure prevalences. MAIN OUTCOME MEASURES: Falls on stairs, on one level and from furniture. DISCUSSION: As the largest in the field to date, these case control studies will adjust for potential confounders, validate measures of exposure and investigate modifiable risk factors for specific falls injury mechanisms. Findings should enhance the evidence base for falls prevention for young children.

Cutaneous Bacteria of Confiscated Telmatobius culeus in Lima, Peru.

The Lake Titicaca frog is endangered due to threats such as water pollution, introduced species, and overharversting for markets, where people consume them as frog juice. This study, conducted June to November 2012, aimed to determinate the bacteria microflora living on the skin of frogs confiscated from the La Parada market, Lima, Peru, and housed individually in the Laboratory of Wildlife at the Faculty of Veterinary Medicine and Zootechnic of the Universidad Peruana Cayetano Heredia in Lima, Peru. Samples collected with sterile swabs and cultured on blood, tryptic soy, and MacConkey agars were investigated using commercially available test kits, to investigate the commonly encountered bacterial and potentially zoonotic microorganisms associated with their consumption. We found three species of zoonotic concern in the genus Vibro: Vibrio alginolyticus, Vibro cholerae, and Vibro fluvialis. Other Gram-negative species cultured included two different colonies of Aeromonas hydrophila, or Aeromonas caviae or Aeromonas sobria; Pseudomona luteola; one example of Weeksella virosa or Empedobacter brevis; and Citrobacter freundii. Gram-positive bacteria detected were Staphylococcus spp., Micrococcus spp., and Erysipelothrix rhusiopathiae. We recommend against the consumption of this frog due to the pathogens it may carry that could cause serious illness among consumers and in vendors who handle animals.

Promotion of children's rights and prevention of child maltreatment.

In medical literature, child maltreatment is considered as a public-health problem or an issue of harm to individuals, but less frequently as a violation of children's human rights. Public-health approaches emphasise monitoring, prevention, cost-effectiveness, and population strategies; protective approaches concentrate on the legal and professional response to cases of maltreatment. Both approaches have been associated with improvement in outcomes for children, yet maltreatment remains a major global problem. We describe how children's rights provide a different perspective on child maltreatment, and contribute to both public-health and protective responses. Children's rights as laid out in the UN convention on the rights of the child (UNCRC) provide a framework for understanding child maltreatment as part of a range of violence, harm, and exploitation of children at the individual, institutional, and societal levels. Rights of participation and provision are as important as rights of protection. The principles embodied in the UNCRC are concordant with those of medical ethics. The greatest strength of an approach based on the UNCRC is that it provides a legal instrument for implementing policy, accountability, and social justice, all of which enhance public-health responses. Incorporation of the principles of the UNCRC into laws, research, public-health policy, and professional training and practice will result in further progress in the area of child maltreatment.

Case ascertainment in active paediatric surveillance systems: a report from the British Paediatric Surveillance Unit Ascertainment Group.

The British Paediatric Surveillance Unit (BPSU) conducts surveillance of rare paediatric conditions using active, or prospective, case finding. The reliability of estimates of incidence, which is the primary outcome of public health importance, depends on ascertainment being as near complete as possible. This paper reviews evidence of the completeness of ascertainment in recent surveillance studies run through the BPSU. Ascertainment varied between 49% and 94% depending on the study. These are upper estimates. This was the basis of a discussion on barriers and facilitators of ascertainment which we have separated into factors related to the condition, factors related to the study methods, factors related to the study team and factors related to the surveillance system infrastructure. This leads to a series of recommendations to ensure continuing high levels of ascertainment in active surveillance studies.

Is it feasible to pool funds for local children's services in England? Evidence from the national evaluation of children's trust pathfinders.

OBJECTIVES: To describe how funds were pooled or otherwise jointly managed by National Health Service (NHS) primary care trusts and local authorities in England. To compare expenditure on local children's services by health, education and social services. METHODS: We conducted a questionnaire survey of all 35 children's trust pathfinders, six months after they were launched, with a follow-up at 2.5 years. We also undertook an in-depth analysis of local authorities and primary care trusts, within eight pathfinder areas and three non-pathfinder areas, whereby we compared expenditure on children's services, interviewed managers and professionals and examined financial documents. RESULTS: Local authorities and NHS trusts coordinated expenditure in various ways, most commonly through informal agreements and aligning budgets but also by formally pooling budgets. The latter were usually for selected services such as child and adolescent mental health services, though four children's trusts pathfinders pooled (or aligned) their budgets for all children's services. Total expenditure per child was greatest for education, lowest for social services and intermediate for health. However, it was difficult to quantify education expenditure on children with health and social care needs, and health care expenditure on children. CONCLUSIONS: Sharing money for local children's services requires shared objectives, trust, and legal and accounting expertise. Several different mechanisms are permitted and many are feasible but programme budgeting for children's services could make them more effective.

Individual factors explain neighbourhood variations in accidents to children under 5 years of age.

Previous studies have identified possible neighbourhood-level influences on the risk of injuries to preschool children, but none have had sufficient data at both household and area level to explain these neighbourhood effects. We used data from the Avon Longitudinal Study of Parents and Children, which recruited over 14,062 children at birth in the former county of Avon, UK, and collected information about accidents, as well as extensive social, health and developmental data throughout the first 5 years of life. This information was combined with census and geographical data in order to identify neighbourhood influences on accident risks and then attempt to explain these using multilevel regression modelling. A small but statistically significant amount of between-neighbourhood variance in accident risk was found, with neighbourhood intraclass correlation coefficients of 0.82% for any accident, and 0.84% for accidents resulting in injury requiring medical attention. This was entirely accounted for by a variety of child, parental and household level variables. Independent risk factors for both outcomes were children who were developmentally more advanced or displayed greater conduct and behavioural problems, mothers who were of younger age, who were without work, who were smokers, whose partners were unemployed or drank alcohol excessively, and households in which there had recently been adverse life events, or which were under financial stress. The mother's perceptions of neighbourhood quality also explained some of the risks for any accident, but not for medically attended accidents, and this was a variable that operated at the level of individual households rather than at the level of neighbourhoods. The implications of this study are that differences in accident risk between neighbourhoods are explained by geographical clustering of similar types of children, families and households. Interventions should focus more on parental factors and household social circumstances than on the physical environment or community based risks. However, many of these factors are those most resistant to modification without broader societal change.

Neighbourhood variations in child accidents and related child and maternal characteristics: does area definition make a difference?

Accident occurrence and measures of physical activity, total development and conduct difficulties were recorded for 9391 pre-school children recruited to the Avon Longitudinal Study of Parents and Children (ALSPAC) study in southwest England. Information about their mothers' age at delivery, post-natal depression, life events, social support and smoking status was also included. Multilevel modelling was used to identify variations between alternative sets of subjective and automated zone design neighbourhoods, which incorporated different boundaries and different scales. The risk of accidents to pre-school children, and most of the characteristics of children and mothers associated with accident risk, varied significantly between neighbourhoods. Differences in the strength of area effects between alternative sets of neighbourhoods were small, although slightly stronger effects were observed in areas with populations less than 4000. Neighbourhoods subjectively defined by planners did not produce stronger effects than computer-generated areas.