Preponderance of vaccine-preventable diseases hotspots in northern Ghana: a spatial and space-time clustering analysis from 2010 to 2014.

BACKGROUND: Vaccine-preventable diseases (VPDs) persist globally with a disproportionately high burden in Low and Middle-Income Countries (LMICs). Although this might be partly due to the failure to sustain vaccination coverage above 90% in some WHO regions, a more nuanced understanding of VPD transmission beyond vaccination coverage may unveil other important factors in VPD transmission and control. This study identified VPDs hotspots and explored their relationships with ecology, urbanicity and land-use variations (Artisanal and Small-scale Gold Mining (ASGM) activities) in Ghana. METHODS: District-level disease count data from 2010 to 2014 from the Ghana Health Service (GHS) and population data from the Ghana Population and Housing Census (PHC) were used to determine clustering patterns of six VPDs (Measles, Meningitis, Mumps, Otitis media, Pneumonia and Tetanus). Spatial and space-time cluster analyses were implemented in SaTScan using the discrete Poisson model. P-values were estimated using a combination of sequential Monte Carlo, standard Monte Carlo, and Gumbel approximations. RESULTS: The study found a preponderance for VPD hotspots in the northern parts of Ghana and northernmost ecological zones (Sudan Savannah and Guinea Savannah). Incidence of meningitis was higher in the Sudan Savannah ecological zone relative to: Tropical Rain Forest (p = 0.001); Semi Deciduous Forest (p < 0.0001); Transitional Zone (p < 0.0001); Coastal Savannah (p < 0.0001) and Guinea Savannah (p = 0.033). Except for mumps, which recorded a higher incidence in urban districts (p = 0.045), incidence of the other five VPDs did not differ across the urban-rural divide. Whereas spatial analysis suggested that some VPD hotspots (tetanus and otitis media) occur more frequently in mining districts in the southern part of the country, a Mann-Whitney U test revealed a higher incidence of meningitis in non-mining districts (p = 0.019). Pneumonia and meningitis recorded the highest (722.8 per 100,000) and least (0.8 per 100,000) incidence rates respectively during the study period. CONCLUSION: This study shows a preponderance of VPD hotspots in the northern parts of Ghana and in semi-arid ecoclimates. The relationship between ASGM activities and VPD transmission in Ghana remains blurred and requires further studies with better spatial resolution to clarify.

Unmanned Aerial Vehicle (UAV) applications in coastal zone management-a review.

Climate change and intense anthropogenic activities have heightened the vulnerability of coastal areas globally. The intensification in the dynamism and uncertainty of coastal processes and change in the past few decades have led researchers and coastal managers to explore new tools with the capability of undertaking a rapid assessment of coastal resources at a relatively lower cost compared with the conventional in situ data collection. The latest advances in unmanned aerial vehicle (UAV) platforms and sensor technologies have made them useful environmental remote sensing tools due to the high temporal and spatial resolution and relatively inexpensive operating costs. This study reviews literature that explored UAV applications in five different areas of the coastal zone comprising the intertidal, coastal organisms and habitats, marine litter, coastal zone disaster management, and coastal zone land use and land cover mapping. The review provides evidence of the potentials and effectiveness of UAVs for coastal zone management (CZM). However, factors such as difficulty in imaging water, setting out ground control points (GCPs) for geolocation of images, and processing large volumes of data can pose a challenge to coastal managers. Extensive review shows the capabilities of current UAV technologies for monitoring and tracking changes in the coastal environment at high spatial and temporal resolution.

Factors associated with Covid-19 vaccine acceptance among persons with disabilities: A cross-sectional study in Ghana.

BACKGROUND: While COVID-19 has had a wide-ranging impact on individuals and societies, persons with disabilities are uniquely affected largely due to secondary health conditions and challenges in adhering to protective measures. However, research on COVID-19 and vaccine acceptance has primarily focused on the general population and healthcare workers but has specifically not targeted PwDs, who are more vulnerable within societies. Hence, this study assessed PwDs knowledge of COVID-19 and factors associated with COVID-19 vaccine acceptance. METHODS: A cross-sectional survey was conducted among PwDs in the Atwima Mponua District in the Ashanti Region of Ghana. Respondents were sampled systematically and data was collected using a structured questionnaire. The data were analyzed with STATA version 16.0. Descriptive analysis was done using means and proportions. The chi-square test and Logistic regression were used to assess Covid-19 vaccine acceptance among the respondents. RESULTS: 250 PwDs were recruited for the study. A higher proportion of the respondents were females, physically impaired, and between 30-50 years. The majority (74%) of the PwDs had average knowledge about Covid-19. Factors such as age, educational level and type of disability were significantly associated with PwDs' knowledge of COVID-19. The acceptance rate for COVID-19 among PwDs was 71.2%. Age, religion, knowledge of COVID-19, and educational level were significantly associated with Covid-19 vaccine acceptance. Persons with disabilities with low and average knowledge of COVID-19 were 95% and 65%, respectively, less likely to accept the vaccine compared to those with high knowledge of COVID-19 (AOR = 0.05, 95%CI: 0.01, 0.21; AOR = 0.35, 95%CI: 0.12, 1.03). Older people and those with higher education were more likely to accept the vaccine compared to younger people and those with no or less education. CONCLUSION: Persons with disabilities have average knowledge of COVID-19 and a greater percentage of them were willing to accept the vaccine. The study identified age, religion, knowledge of COVID-19, and educational level as contributing factors to their willingness to accept the COVID-19 vaccine. This suggest that PwDs will lean positive toward COVID-19 vaccine programs and as such, vaccination programs should target them.

Assessment of coastal and marine ecosystems in West Africa: The case of Ghana.

Coastal and marine ecosystems, as integral component of social, ecological, and economic systems, are critical in providing essential ecosystem services that underpin human activities, including fishing and mining. Effective management of these ecosystems is paramount to safeguarding their vital contributions. This study adopts a socio-ecological framework, "Drivers (D) of human activities (A), associated Pressures (P), State change in coastal and marine environments, Impact (I) on human welfare (W) and Response (R) as measures (M) of management, (DAPSI(W)R(M))," to analyse the complexities of coastal and marine ecosystems in the Ghanaian context. The study identifies various drivers of anthropogenic activities, such as fishing, oil and gas production, and waste disposal. These anthropogenic activities create significant pressures, including selective extraction of living and non-living resources, as well as habitat degradation through substratum loss and pollution. Consequently, these pressures have led to changes in fish biomass and habitat quality, among other ecological shifts.

Effects of coastal protection structures in controlling erosion and livelihoods.

The fiscal and social cost of ameliorating the impact of coastal erosion resulting from climate change is an increasing burden for coastal states, and in developing nations the physical interventions implemented may present a double agony - increasing debt levels and potentially obstructing livelihoods in the rural coasts. Against this background, this study was conducted to explore the impact of hard-engineered coastal protection on coastal vulnerability and community livelihoods in Ghana using a combination of Unmanned Aerial Vehicles (UAV), geographic information system tools and social survey. Shoreline change analysis by the application of the Digital Shoreline Analysis System (DSAS) with aerial photographs from 2005 to 2022 reveals an average statistical rate of change of -1 m/year in shoreline erosion of the beaches. A computation of coastal vulnerability indices for fourteen beaches, incorporating coastal protection as an additional parameter shows that from east to west, hard-engineered coastal protection structures slowed the rate of erosion, whereas unprotected beaches have highly eroded, stressing the importance of coastal protection. In consequence, coastal protection has dire livelihood-reduction implications for coastal inhabitants who are predominantly artisanal fishers. A lack of acceptable consultation with the communities exacerbates the effects from these hard-engineering interventions. The beaches of high vulnerability concerns are Dzita, Ada, Sakumono, Glefe, Apam, Anlo, and Busua. To safeguard the livelihoods of vulnerable coastal communities, we support a shift from hard engineering to more integrated and nature-based coastal management approaches on a national scale since most parts of the coast are now susceptible to erosion in contrast to what was previously observed that only the eastern part of the coast was highly vulnerable.

Adaptive management of environmental challenges in West African coastal lagoons.

Human activities in coastal lagoons over several decades have had a significant impact on their ecology and the valuable ecosystem services they provide. Although there are several management approaches to mitigate the problem, they are unable to link human needs and activities with changes in the state of the environment. This research provides this link via assessment of eleven lagoons in Ghana with a socio-ecological framework (Drivers (D), Activities (A), Pressure (P), State (S), Impact (I) on welfare (W), and Response (R) as a Measure (M); DAPSI(W)R(M)). Data were systematically obtained from relevant publications, previously conducted research, and national reports on the subject and were analyzed using this socio-ecological framework. Results show that basic biological and physiological needs such as food and shelter, social status and dominance, financial self-reliance, and self-actualization are the drivers of fishing, farming, settlements, salt mining, mangrove harvesting, industries, among others. These activities have contributed to pressures of selective extraction of fish and mangroves species, the introduction of heavy metals, organic materials, and smothering of substrates, consequently altering the environment by decreasing the oxygen rate and increasing the biochemical oxygen demand, organic matter, nutrients and pathogens, and reduction in lagoon areas and biodiversity. Thus, ultimately impacting human welfare, such as loss of revenue, employment, and seafood provision. Management options, including addressing the building and fuelwood material sources, afforestation and community ownership of lagoons, the prohibition of construction activities, and research-led management that can support decision-makers to improve the sustainability of these ecosystems, are highlighted. The findings have global implications for guiding local planners and state regulators in the applications of such integrated environmental management.