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1.
PLoS One ; 19(5): e0300749, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38723036

RESUMEN

This paper aims to re-examine the dietary practices of individuals buried at Sigatoka Sand Dunes site (Fiji) in Burial Ground 1 excavated by Simon Best in 1987 and 1988 using two approaches and a reassessment of their archaeological, bioarchaeological and chronological frame. First, stable carbon and nitrogen isotope analysis was applied to document dietary changes between childhood and adulthood using an intra-individual approach on paired bone-tooth. Second, the potential adaptation of the individuals to their environment was evaluated through regional and temporal comparisons using inter-individual bone analysis. Ten AMS radiocarbon dates were measured directly on human bone collagen samples, placing the series in a range of approximately 600 years covering the middle of the first millennium CE (1,888 to 1,272 cal BP). δ13C and δ15N ratios were measured on bone and tooth collagen samples from 38 adult individuals. The results show that δ15N values from tooth are higher than those s from bone while bone and tooth δ13C values are similar, except for females. Fifteen individuals were included in an intra-individual analysis based on paired bone and tooth samples, which revealed six dietary patterns distinguished by a differential dietary intake of marine resources and resources at different trophic levels. These highlight sex-specific differences not related to mortuary practices but to daily life activities, supporting the hypothesis of a sexual division of labour. Compared to other Southwest Pacific series, Sigatoka diets show a specific trend towards marine food consumption that supports the hypothesis of a relative food self-sufficiency requiring no interactions with other groups.


Asunto(s)
Huesos , Entierro , Isótopos de Carbono , Isótopos de Nitrógeno , Humanos , Isótopos de Carbono/análisis , Femenino , Isótopos de Nitrógeno/análisis , Masculino , Entierro/historia , Huesos/química , Adulto , Fiji , Arqueología , Dieta/historia , Colágeno , Historia Antigua , Diente/química , Niño , Datación Radiométrica/métodos
2.
Arch Med Sadowej Kryminol ; 73(4): 294-307, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38662482

RESUMEN

The purpose of this paper is to formulate recommendations for the disclosure of biological traces in the laboratory and the handling of forensic evidence submitted for identification tests, recommended by the Polish Speaking Working Group of the International Society for Forensic Genetics. The paper organizes the knowledge of the most relevant stages of preliminary analysis of biological traces based on both literature sources and those resulting from years of research practice. Recommendations formulated in the course of multi-stage expert consultations contained in this study should be used in the development of laboratory procedures applied during the execution. * The research is part of doctoral dissertation of Dagmara Lisman entitled "Genetic analysis of a skeleton site revealed during the works on the premises of the former German Forced Labor Camp Treblinka I."


Asunto(s)
Antropología Forense , Humanos , Polonia , Antropología Forense/métodos , Entierro , Filogenia , Genética Forense/métodos , Restos Mortales
3.
4.
Nature ; 627(8005): 805-810, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38448591

RESUMEN

Stone tools stratified in alluvium and loess at Korolevo, western Ukraine, have been studied by several research groups1-3 since the discovery of the site in the 1970s. Although Korolevo's importance to the European Palaeolithic is widely acknowledged, age constraints on the lowermost lithic artefacts have yet to be determined conclusively. Here, using two methods of burial dating with cosmogenic nuclides4,5, we report ages of 1.42 ± 0.10 million years and 1.42 ± 0.28 million years for the sedimentary unit that contains Mode-1-type lithic artefacts. Korolevo represents, to our knowledge, the earliest securely dated hominin presence in Europe, and bridges the spatial and temporal gap between the Caucasus (around 1.85-1.78 million years ago)6 and southwestern Europe (around 1.2-1.1 million years ago)7,8. Our findings advance the hypothesis that Europe was colonized from the east, and our analysis of habitat suitability9 suggests that early hominins exploited warm interglacial periods to disperse into higher latitudes and relatively continental sites-such as Korolevo-well before the Middle Pleistocene Transition.


Asunto(s)
Entierro , Migración Humana , Datación Radiométrica , Humanos , Arqueología , Entierro/historia , Europa (Continente) , Fósiles , Historia Antigua , Migración Humana/historia , Reproducibilidad de los Resultados , Ucrania , Factores de Tiempo
5.
J Forensic Sci ; 69(3): 1094-1101, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38491758

RESUMEN

The aim of the present study was to investigate the effects of time, temperature, and burial in a natural environment on the viability of chondrocytes in porcine femoral condyles using confocal laser scanning microscopy. Hind trotters from 10 pigs were buried or left unburied. Samples were collected daily and stained with a combination of vital dyes (calcein-AM and ethidium homodimer-1). The chondrocytes showed an intense staining corresponding to their vitality. In the first 3 days, viability decreased slowly and showed no statistical difference between buried and unburied samples. After the first 3 days, it decreased rapidly, with the viability of the buried samples being 66% on day 4, decreasing to 25% on day 8 and to 16% on day 10, while in the unburied samples it decreased to 43% on day 4, 13% on day 8 and 5% on day 10. Our results indicate a time, temperature, and burial dependent decrease in chondrocyte viability and suggest the use of chondrocyte viability as a marker for estimating PMI in both the natural environment and in animals, as well as its potential use in humans.


Asunto(s)
Entierro , Cartílago Articular , Supervivencia Celular , Condrocitos , Microscopía Confocal , Cambios Post Mortem , Temperatura , Animales , Condrocitos/citología , Cartílago Articular/citología , Porcinos , Factores de Tiempo , Estaciones del Año , Patologia Forense , Colorantes Fluorescentes , Fémur/citología
6.
PLoS One ; 19(2): e0293434, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38354185

RESUMEN

Animal remains are a common find in prehistoric and protohistoric funerary contexts. While taphonomic and osteological data provide insights about the proximate (depositional) factors responsible for these findings, the ultimate cultural causes leading to this observed mortuary behavior are obscured by the opacity of the archaeological record and the lack of written sources. Here, we apply an interdisciplinary suite of analytical approaches (zooarchaeological, anthropological, archaeological, paleogenetic, and isotopic) to explore the funerary deposition of animal remains and the nature of joint human-animal burials at Seminario Vescovile (Verona, Northern Italy 3rd-1st c. BCE). This context, culturally attributed to the Cenomane culture, features 161 inhumations, of which only 16 included animal remains in the form of full skeletons, isolated skeletal parts, or food offerings. Of these, four are of particular interest as they contain either horses (Equus caballus) or dogs (Canis lupus familiaris)-animals that did not play a dietary role. Analyses show no demographic, dietary, funerary similarities, or genetic relatedness between individuals buried with animals. Isotopic data from two analyzed dogs suggest differing management strategies for these animals, possibly linked to economic and/or ritual factors. Overall, our results point to the unsuitability of simple, straightforward explanations for the observed funerary variability. At the same time, they connect the evidence from Seminario Vescovile with documented Transalpine cultural traditions possibly influenced by local and Roman customs.


Asunto(s)
Restos Mortales , Entierro , Humanos , Animales , Caballos , Perros , Entierro/métodos , Italia , Antropología , Cultura , Arqueología
7.
Sci Adv ; 10(8): eadk2904, 2024 Feb 23.
Artículo en Inglés | MEDLINE | ID: mdl-38381818

RESUMEN

We present a robust radiocarbon (14C) chronology for burials at Sakhtysh, in European Russia, where nearly 180 inhumations of Lyalovo and Volosovo pottery-using hunter-gatherer-fishers represent the largest known populations of both groups. Past dating attempts were restricted by poor understanding of dietary 14C reservoir effects (DREs). We developed a DRE correction approach that uses multiple linear regression of differences in 14C, δ13C, and δ15N between bones and teeth of the same individuals to predict DREs of up to approximately 900 years. Our chronological model dates Lyalovo burials to the early fifth millennium BCE, and Volosovo burials to the mid-fourth to early third millennium. It reveals a change in the subsistence economy at approximately 3300 BCE, coinciding with a reorientation of trade networks, and dates the final burial to the early Fatyanovo period, the regional expression of the Yamnaya/Corded Ware expansion. Our approach is applicable when freshwater 14C reservoir effects are poorly constrained and grave goods cannot be dated directly.


Asunto(s)
Entierro , Diente , Humanos , Federación de Rusia , Dieta , Huesos
8.
Sci Rep ; 14(1): 3871, 2024 02 16.
Artículo en Inglés | MEDLINE | ID: mdl-38365887

RESUMEN

With the beginning of the Early Bronze Age in Central Europe ~ 2200 BC, a regional and supra-regional hierarchical social organization emerged with few individuals in positions of power (chiefs), set apart by rich graves with extensive burial constructions. However, the social organization and stratification within the majority of people, who represent the non-elite, remain unclear. Here, we present genome-wide data of 46 individuals from the Early Bronze Age burial ground of Leubingen in today's Germany, integrating archaeological, genetic and strontium isotope data to gain new insights into Early Bronze Age societies. We were able to reconstruct five pedigrees which constitute the members of close biological kinship groups (parents and their offspring), and also identify individuals who are not related to individuals buried at the site. Based on combined lines of evidence, we observe that the kinship structure of the burial community was predominantly patrilineal/virilocal involving female exogamy. Further, we detect a difference in the amount of grave goods among the individuals buried at Leubingen based on genetic sex, age at death and locality but see no difference in the types of grave goods.


Asunto(s)
Arqueología , Entierro , Humanos , Femenino , Alemania , Europa (Continente) , Isótopos de Estroncio
9.
Insect Biochem Mol Biol ; 167: 104090, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38369269

RESUMEN

Social insects maintain hygienic conditions through their social immunity behaviors. Among these behaviors, burial behavior of termites is central for protecting healthy individuals from corpses. Many factors trigger burial behavior, and it is generally believed that chemicals released by corpses, such as oleic acid, are the most important cues for triggering burial behavior in termites. However, the contribution of the olfactory system to this behavior remains unclear. Here we report an odorant binding protein (OBP) that transports oleic acid and triggers burial behavior in Coptotermes formosanus Shiraki. We demonstrated that CforOBP7 is highly expressed in the antennae of workers. Fluorescent competition binding experiments exhibited that CforOBP7 has a strong affinity for oleic acid. Furthermore, the antennal response to oleic acid was significantly reduced, and oleic acid-triggered burial behavior was also inhibited in CforOBP7-silenced termites. We conclude that CforOBP7 governs the burial behavior of C. formosanus triggered by oleic acid.


Asunto(s)
Isópteros , Humanos , Animales , Ácido Oléico , Odorantes , Cadáver , Entierro
10.
Sci Rep ; 14(1): 282, 2024 01 02.
Artículo en Inglés | MEDLINE | ID: mdl-38168501

RESUMEN

The insular region of Wallacea has become a focal point for studying Pleistocene human ecological and cultural adaptations in island environments, however, little is understood about early burial traditions during the Pleistocene. Here we investigate maritime interactions and burial practices at Ratu Mali 2, an elevated coastal cave site on the small island of Kisar in the Lesser Sunda Islands of eastern Indonesia dated to 15,500-3700 cal. BP. This multidisciplinary study demonstrates extreme marine dietary adaptations, engagement with an extensive exchange network across open seas, and early mortuary practices. A flexed male and a female, interred in a single grave with abundant shellfish and obsidian at Ratu Mali 2 by 14.7 ka are the oldest known human burials in Wallacea with established funerary rites. These findings highlight the impressive flexibility of our species in marginal environments and provide insight into the earliest known ritualised treatment of the dead in Wallacea.


Asunto(s)
Arqueología , Entierro , Humanos , Masculino , Femenino , Indonesia , Cuevas , Prácticas Mortuorias
11.
Sci Rep ; 14(1): 1028, 2024 01 10.
Artículo en Inglés | MEDLINE | ID: mdl-38200208

RESUMEN

Following the development of modern genome sequencing technologies, the investigation of museum osteological finds is increasingly informative and popular. Viable protocols to help preserve these collections from exceedingly invasive analyses, would allow greater access to the specimens for scientific research. The main aim of this work is to survey skeletal tissues, specifically petrous bones and roots of teeth, using infrared spectroscopy as a prescreening method to assess the bone quality for molecular analyses. This approach could overcome the major problem of identifying useful genetic material in archaeological bone collections without resorting to demanding, time consuming and expensive laboratory studies. A minimally invasive sampling of archaeological bones was developed and bone structural and compositional changes were examined, linking isotopic and genetic data to infrared spectra. The predictive model based on Infrared parameters is effective in determining the occurrence of ancient DNA (aDNA); however, the quality/quantity of aDNA cannot be determined because of the influence of environmental and local factors experienced by the examined bones during the burial period.


Asunto(s)
Arqueología , Entierro , Humanos , Espectrofotometría Infrarroja , Mapeo Cromosómico , ADN Antiguo , Isótopos
12.
Forensic Sci Int ; 355: 111919, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38218100

RESUMEN

In Colombia there are estimated to be over 121,000 missing people and victims of forced disappearances. Forensic investigators therefore need assistance in determining optimal detection techniques for buried victims, to give victims' families closure and for the wider community to see that justice is being served. Previous research has created 12 controlled simulated clandestine graves of typical Colombian murder victim scenarios at 0.5 m - 1.2 m depths in savannah and rainforest sites in Colombia. The 0-3 years of geophysical monitoring results of were published, with this paper reporting on 4-8 years monitoring of both UAV drone results and geophysical data. The UAV results from the year 8 survey, published for first time from Colombia, showed that the simulated graves could still be located using NDVI and NIR multi-spectral data, but not using optical or other multi-spectral data. The 0-3 years of geophysical data found the simulated clandestine graves could be detected with electrical resistivity and GPR methods, with the 4-8 year surveys evidencing that they could still be detected using bulk ground conductivity surveys, GPR horizontal time slice datasets and 2D ERT profiles. Research implications suggest initial use of UAV remote sensing technology to pinpoint likely search areas, before subsequent ground reconnaissance, geophysical surveys and their interpretation, before intrusive investigation methods are employed for detecting missing and disappeared persons in Colombia.


Asunto(s)
Entierro , Ciencias Forenses , Humanos , Colombia , Fenómenos Geológicos , Ciencias Forenses/métodos , Impedancia Eléctrica , América del Sur , Tomografía
13.
Anthropol Anz ; 81(3): 351-360, 2024 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-38226683

RESUMEN

The Cortijo Coracho archaeological site dates from the Late Antiquity period, from the 5th to the 8th century AD. During this period, a number of populations settled in the area (Germanic peoples until Visigothic rule, Byzantine until the arrival of the Arabs, etc.), each of them concentrating the historical characteristics in the Sub-Baetic that are currently known. The Cortijo Coracho archaeological site is currently located in the city of Lucena (Cordoba, Spain), found after the works on the A-45 motorway. The necropolis consists of 294 inhumations and the remains of a basilica, although after a series of surveys it is estimated that there are around 700 additional burials, which would make it the largest necropolis with ad sancti burials surrounding a martyrial basilica dating back to the 4th century AD. Among the burials, 397 subjects were recovered, which implies a large presence of shared and/or reused burials. These subjects were transferred to the city's museum, where they were examined, reorganised and classified. At this point, subjects of scientific interest were found, as is the case of subject 204, the topic of this article. This individual, described as an adult male, is an example of the living conditions of this period, since despite his injury on the left lower extremity, a double fracture aggravated by a chronic osteomyelitis infection, he continued to use that limb. This paper will give the details of that distinctive lesion and the possible hypotheses underlying it.


Asunto(s)
Osteomielitis , Humanos , Osteomielitis/historia , España/epidemiología , Masculino , Historia Medieval , Entierro/historia , Historia Antigua , Enfermedad Crónica , Femenino , Adulto
14.
Int J Legal Med ; 138(1): 151-164, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36820918

RESUMEN

The isotopic signatures of human tissues can provide valuable information on geographic origin for medicolegal investigations involving unidentified persons. It is important to understand the impact of diagenetic processes on isotopic signatures, as alterations could result in incorrect estimation of geographic origin. This study examines alterations in isotope signatures of different tissues of five human body donors studied throughout decomposition at the Forensic Anthropology Research Facility (FARF), San Marcos, TX. Two body donors were buried, two were placed in open pits, and one was first allowed to naturally mummify and then buried. Remains were recovered after a period of 7-34 months. The preplacement and post-recovery Sr-Pb isotope data of scalp hair, bone (iliac and tibia), and tooth enamel and dentine were compared. The hair samples record significant shifts in Sr-Pb isotope compositions, with hair keratin Pb isotope composition shifting towards the Pb signature of local soil samples. Hair keratin Sr isotope compositions were altered by the burial environment and possibly also by the lab sample cleaning method. The spongy iliac bone samples show inconsistencies in the recoverability of the preplacement Sr-Pb isotope signatures. The post-placement signatures of the buried donors show slight elevation over preplacement signatures. The post-placement signatures of donors placed in open pits are significantly elevated. The tibia and dental samples record the most consistent isotopic data with the least alteration. These more densely mineralised elements show good recoverability of the preplacement isotope signatures in burials and open pits and are thus deemed better targets for forensic investigative purposes.


Asunto(s)
Queratinas Específicas del Pelo , Plomo , Humanos , Isótopos , Cabello , Entierro
15.
Anthropol Anz ; 81(1): 79-107, 2024 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-37548019

RESUMEN

Skeletal remains of two prehispanic male adult individuals (antiquity ≈ 550 BP) recovered from a burial cave located in Montaña Blanca (Las Cañadas del Teide) at an altitude of 2450 m above sea level, in the highlands of Tenerife (Canary Islands) showed some unusual features. Femora and tibiae of both individuals showed increased bone density, with irregular thickening of the midshaft diaphyses. One individual showed a cystic lesion in the distal third of the left femoral diaphysis, surrounded by a subtle sclerotic reaction of the spongiosa and a thin cortex that was partially fractured. Periosteal thickening was present, but not around the cystic lesion. A thoracic vertebra with rachischisis was also recovered. The bone density of vertebrae and iliac bones were normal, and one recovered jaw was also normal. The tibiae of one individual showed an abnormal location of the foramen nutritium. Hypoplasia of the lesser trochanter and an abnormally thin left femoral neck were also observed. It is possible that both individuals were affected by diaphyseal dysplasia (possibly Camurati Engelmann or Ribbing disease). One of them also showed a lesion compatible with a unicameral bone cyst. The alternative possibility of a Klippel-Trenaunay-Weber disease, with a bone aneurysmal cyst, also exists.


Asunto(s)
Quistes Óseos , Síndrome de Camurati-Engelmann , Adulto , Humanos , Masculino , España , Entierro , Canadá
16.
Am J Biol Anthropol ; 183(1): 125-140, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37830270

RESUMEN

OBJECTIVE: The study of health-related care provision in archeology gives important indications on the culture and community organization of past populations. This study aims to assess the health status of the skeletal assemblage recovered from the burial site of St. Biagio (Ravenna, 17th-18th Centuries); next, we identified likely instances of need for and receipt of caregiving in response to the condition, to examine evidence of community attitudes toward disease and disability. MATERIALS AND METHODS: The skeletal assemblage is composed of 133 individuals in a generally good state of preservation. Sex and age-at-death were estimated through classical anthropological methods. Health status was inferred through the biological index of frailty (BIF) and paleopathological analysis was performed through macroscopic and radiographic investigations. The "bioarcheology of care" approach was applied to individuals who showed evidence of impairment and disability. RESULTS: The skeletal assemblage of St. Biagio was equally represented by males and females (50% males), with a higher percentage of adults (83.4%) than subadults (10.5%), and this is reflected in the high life expectancy at birth (40.3 years). No significant differences in health status emerged between age groups and sexes, with a generally high percentage of joint diseases, antemortem trauma, and infectious diseases. Evidence of care and compassion was found in some individuals with a high degree of impairment or disability, as in the case of probable Angelman syndrome. DISCUSSION: This study provided important insights into the biological and social aspects of an Early Modern population in Northern Italy, showing that people with functional and/or visible abnormalities were probably cared for in life and were presumably considered full members of the society.


Asunto(s)
Cementerios , Personas con Discapacidad , Masculino , Adulto , Femenino , Recién Nacido , Humanos , Cementerios/historia , Estado de Salud , Entierro/historia , Italia/epidemiología
17.
J Forensic Sci ; 69(1): 316-328, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37904624

RESUMEN

Research in many forensic science fields commonly uses domestic pigs (Sus spp.) as proxies for human remains, due to their physiological and anatomical similarities, as well as being more readily available. Unfortunately, previous research, especially that which compares the decompositional process, has shown that pigs are not appropriate proxies for humans. To date, there has not been any published research that specifically addresses whether domestic pigs are adequate human proxies for the geophysical detection of clandestine graves. As such, the aim of this paper was to compare the geophysical responses of pig cadavers and human donor graves, in order to determine if pigs can indeed be used as adequate human proxies. To accomplish this, ground penetrating radar (GPR) and electrical resistivity tomography (ERT) responses on single and multiple pig cadaver graves were compared to single and multiple human donor graves, all of which are in known locations within the same geological environment. The results showed that under field conditions, both GPR and ERT were successful at observing human and pig burials, with no obvious differences between the detected geophysical responses. The results also showed that there were no differences in the geophysical responses of those who were clothed and unclothed. The similarity of the responses may reflect that the geophysical techniques can detect graves despite what their contents are. The study implications suggest that experimental studies in other soil and climate conditions can be easily replicated, benefiting law enforcement with missing persons cases.


Asunto(s)
Ciencias Forenses , Sus scrofa , Porcinos , Humanos , Animales , Fenómenos Geológicos , Ciencias Forenses/métodos , Suelo , Impedancia Eléctrica , Cadáver , Entierro
18.
Wilderness Environ Med ; 35(1_suppl): 20S-44S, 2024 03.
Artículo en Inglés | MEDLINE | ID: mdl-37945433

RESUMEN

To provide guidance to the general public, clinicians, and avalanche professionals about best practices, the Wilderness Medical Society convened an expert panel to revise the evidence-based guidelines for the prevention, rescue, and resuscitation of avalanche and nonavalanche snow burial victims. The original panel authored the Wilderness Medical Society Practice Guidelines for Prevention and Management of Avalanche and Nonavalanche Snow Burial Accidents in 2017. A second panel was convened to update these guidelines and make recommendations based on quality of supporting evidence.


Asunto(s)
Avalanchas , Nieve , Accidentes , Entierro , Sociedades Médicas , Humanos
19.
PLoS One ; 18(12): e0292008, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38096312

RESUMEN

This study was carried out to assess the levels of physico-chemical parameters that could be impacted by burial leakage and associated human health risks in Benin City, Nigeria. A total of thirty groundwater samples were collected from two cemeteries and analysed for pH, alkalinity, chloride, sulphate, nitrate, phosphate, ammonia- N, calcium, sodium, potassium, BOD5, COD, Mn, Cd, Cu, Ni, Pb, Zn and Fe. The concentrations of the parameters were compared to national and international standards. The results revealed that the groundwater is highly acidic in nature. Principal component analysis (PCA) revealed that except for alkalinity, all other parameters characterised contributed significantly to various principal components (PC) with eigenvalues ≥ 1. Moreover, the significance of the PC depicted decomposition of the body corpse and associated burial materials. Water quality index (WQI), heavy metal evaluation index (HEI) and Nemerov pollution index (NI) indicated that groundwater from the study area is of poor quality, and highly contaminated by heavy metals. We determined the Chronic health risk through exposure by calculating the hazard quotient (HQ) and hazard index (HI), for both children and adults. For the oral exposure, approximately 33% of samples suggest the high category of chronic risk for children while the medium category was indicated for adults. We found that oral exposure showed relatively higher risk than dermal exposure, and chronic risk for children and adults ranged from low to negligible. However, the carcinogenic risk of Ni and Pb via oral exposure route suggests, very high risk for Ni and medium risk for Pb. In consideration that long term exposure to low concentrations of some heavy metals (including Pb, Cd, and Ni) could result in different manifestations of cancer, we recommend that residents of these areas should find an alternative source of water for drinking and other domestic uses.


Asunto(s)
Agua Subterránea , Metales Pesados , Contaminantes Químicos del Agua , Adulto , Niño , Humanos , Cementerios , Nigeria , Cadmio/análisis , Plomo/análisis , Monitoreo del Ambiente/métodos , Medición de Riesgo , Metales Pesados/análisis , Calidad del Agua , Entierro , Agua Subterránea/química , Contaminantes Químicos del Agua/análisis
20.
BMC Med ; 21(1): 484, 2023 12 05.
Artículo en Inglés | MEDLINE | ID: mdl-38049815

RESUMEN

BACKGROUND: A protracted Ebola Virus Disease (EVD) epidemic in the eastern Ituri, North and South Kivu provinces of the Democratic Republic of Congo (DRC) caused 3470 confirmed and probable cases between July 2018 and April 2020. During the epidemic, the International Federation of Red Cross and Red Crescent Societies (IFRC) supported the DRC Red Cross and other local actors to offer safe and dignified burials (SDB) for suspected and confirmed EVD cases, so as to reduce transmission associated with infectious dead bodies. We conducted a retrospective cohort study of the SDB service's performance in order to inform future applications of this intervention. METHODS: We analysed data on individual SDB responses to quantify performance based on key indicators and against pre-specified service standards. Specifically, we defined SDB timeliness as response within 24 h and success as all components of the service being implemented. Combining the database with other information sources, we also fit generalised linear mixed binomial models to explore factors associated with unsuccessful SDB. RESULTS: Out of 14,624 requests for SDB, 99% were responded to, 89% within 24 h. Overall, 61% of SDBs were successful, somewhat below target (80%), with failures clustered during a high-insecurity period. Factors associated with increased odds of unsuccessful SDB included reported community and/or family nonacceptance, insecurity and suspensions of the EVD response, low health facility coverage and high coverage of radio and telephony. Burials supported by mobile Civil Protection (local authorities) and/or static, community-based 'harm reduction' teams were associated with lower odds of failure. CONCLUSIONS: A large-scale, timely and moderately performant SDB service proved feasible during the challenging eastern DRC EVD response. Burial teams that are managed by community actors and operate locally, and supported rather than owned by the Red Cross or other humanitarian organisations, are a promising modality of delivering this pillar of EVD control.


Asunto(s)
Ebolavirus , Fiebre Hemorrágica Ebola , Humanos , Fiebre Hemorrágica Ebola/epidemiología , Fiebre Hemorrágica Ebola/prevención & control , República Democrática del Congo/epidemiología , Estudios Retrospectivos , Brotes de Enfermedades/prevención & control , Entierro
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