Environmental health science research: opportunities and challenges for some developing countries in Africa.

Due to ongoing developmental projects, there is a need for regular monitoring of the impact of pollutants on the environment. This review documented the challenges and opportunities in the field of environmental health sciences in some African countries. A systematic review was used to investigate opportunities and challenges in the field of environmental health science in Africa by examining published work with a specific focus on Africa. The reports showed that funding and infrastructure as the major problems. The study also highlighted recruiting study participants, retention, and compensation as a bane in the field in Africa. The absence of modern equipment also hinders research. The review, however, noted research collaboration from the region including studies on emerging pollutants such as pharmaceuticals, per and polyfluoroalkyl substances (PFAS), and microplastic (MPs) as great opportunities. The study concluded that collaboration with other continents, exchange programs and improved governmental interventions may help.

Trace metals concentrations in fresh milk from dairy farms and stores: An assessment of human health risk.

Milk may be consumed daily for the supply of essential nutrients in the body, however, depending on the source, milk may contain different concentrations of trace metals. The present study investigated the presence of trace metals in fresh milk purchased from different dairy farms and stores to determine the possible health risks to humans. A total of 15 fresh milk samples were purchased from various dairy farms (7 fresh milk samples) and stores (8 milk samples). Trace metals in collected milk samples were determined using Inductively Coupled Plasma Mass Spectrometer (ICP-MS). The human health risk was determined through the Hazard Quotient (HQ), Carcinogenic and Non-carcinogenic Risk. The results showed the presence of trace metals in fresh milk stores in the following order Pb>As>Se>Cr>Ni. The highest concentration for all the elements was recorded in Mg from milk purchased from the stores and ranged from 3.37±0.16 mg/L to 4.70±0.43 mg/L. In all the milk samples analyzed, levels of As, Pb, Se, Cr, and other elements were within the acceptable range recommended by the World Health Organization (WHO). Differences obtained in the concentrations of trace metals from both the purchased milk samples and those from the dairy farms were not significant (p<0.05). The Estimated Daily Intake (EDI) and Hazard Quotient Index showed no potential health risk for each trace metal indicating no health risk for the milk consumers at this stage. The traces of trace metals in the milk samples suggest the need for regular monitoring of trace metals in milk samples because prolonged exposure to these trace metals may seriously endanger the health of consumers.

Assessment of heavy metals and their human health risks in selected spices from South Africa.

The concerns of food safety are rising in developing countries such as South Africa as a result of heavy metal contamination of culinary herbs and spices. Spices and herbs are used for therapeutic purposes as well as flavoring and coloring food. Heavy metals in spices represent significant health risks due to their high toxicity in high quantities. A total of 20 spices samples were purchased from different registered shops, for heavy metals analysis. The samples were prepared, digested, and analyzed with an inductively coupled plasma mass spectrometer (ICP-MS). To ensure the method's accuracy, Polish Certified Reference Mixed Polish Herbs (INCT-MPH-2) from the Food and Drugs Control Center, Poland, was analyzed. The concentrations of Fe (32.22 ± 1.22-131.1 ± 3.26 mg/kg), As (ND to 0.12 ± 0.04 mg/kg), Cr (0.08 ± 0.01-3.2 ± 0.09 mg/kg), Pb (N.D - 0.21 ± 0.02 mg/kg) and Cd (ND to 0.14 ± 0.08 mg/kg) mg/kg were measured. The results revealed that the concentrations of Cr in all spice samples tested were much higher than the Maximum permissible limit (MPL) values. All spices in this study had THQ and HI values less than one, indicating that consumers will experience no potential health hazards from consuming specific metals through spices. However, continual scrutiny should be maintained.

Corrigendum to "Assessment of heavy metals and their human health risks in selected spices from South Africa" [Toxicol. Rep. 11 (2023) 216-220].

[This corrects the article DOI: 10.1016/j.toxrep.2023.09.008.].

Pattern of recurrence in patients with ruptured primary gastrointestinal stromal tumour.

BACKGROUND: This study assessed the outcomes of patients with a gastrointestinal stromal tumour (GIST) that ruptured before or during resection. METHODS: The records of 23 patients (8 women, 15 men; median age 54 years) with ruptured primary non-metastatic GIST were retrieved from a database of 554 patients. The written surgical and pathology reports were analysed. Review pathology was performed in all 23 cases, and mutational analysis of KIT and platelet-derived growth factor α (PDGFRA) genes was performed in 21 patients. Median follow-up was 52 months. RESULTS: Tumour rupture was spontaneous in 16 patients, following abdominal trauma in two and occurred during resection in five. Primary tumour location was the stomach in six patients, duodenum in one and small bowel in 16. Mean tumour size was 10·2 (range 4-28) cm. According to the Miettinen and Lasota risk classification, the distribution of very low-, low-, intermediate- and high-risk cases was one, two, five and 15 respectively. One patient remained disease-free at 83 months. Fifteen of 16 patients who did not receive adjuvant therapy developed tumour recurrence after a median of 19 months. Median recurrence-free survival in patients with KIT mutations involving codons 557-558 was 11 months. CONCLUSION: Patients with a rupture of GIST into the abdominal cavity have a risk of recurrence of nearly 100 per cent. In patients with deletion mutations involving codons 557-558, recurrence-free survival was less than 1 year. All patient groups are clear candidates for adjuvant drug therapy.

Efficacy of drinking-water treatment residual in controlling off-site phosphorus losses: a field study in Florida.

Land application of drinking-water treatment residuals (WTR) has been shown to control excess soil soluble P and can reduce off-site P losses to surface and ground water. To our knowledge, no field study has directly evaluated the impacts of land application of WTRs on ground water quality. We monitored the effects of three organic sources of P (poultry manure, Boca Raton biosolids, Pompano biosolids) or triple superphosphate co-applied with an aluminum-based WTR (Al-WTR) on soil and ground water P and Al concentrations under natural field conditions for 20 mo in a soil with limited P sorption capacity. The P sources were applied at two rates (based on P or nitrogen [N] requirement of bahiagrass) with or without Al-WTR amendment and replicated three times. Without WTR application, applied P sources increased surface soil soluble P concentrations regardless of the P source or application rate. Co-applying the P sources with Al-WTR prevented increases in surface soil soluble P concentrations and reduced P losses to shallow ground water. Total dissolved P and orthophosphate concentrations of shallow well ground water of the N-based treatments were greater (>0.9 and 0.3 mg L(-1), respectively) in the absence than in the presence ( approximately 0.6 and 0.2 mg L(-1), respectively) of Al-WTR. The P-based application rate did not increase ground water P concentrations relative to background concentrations. Notwithstanding, Al-WTR amendment decreased ground water P concentrations from soil receiving treatments with P-based application rates. Ground water total dissolved Al concentrations were unaffected by soil Al-WTR application. We conclude that, at least for the study period, Al-WTR can be safely used to reduce P leaching into ground water without increasing the Al concentration of ground water.

Short report: Diagnosis of tick-borne relapsing fever by the quantitative buffy coat fluorescence method.

The quantitative buffy coat (QBC) parasite detection method is a sensitive and specific tool for the diagnosis of malaria parasites. It is also useful for the diagnoses of other hemoparasites, including Trypanosoma, Babesia, and Leptospira. We report a case of relapsing fever diagnosed by this technique in a short-term traveler from Senegal. The diagnosis was confirmed by the standard Giemsa hemoscopy and by the identification of significant titers of antibodies to Borrelia spp. of tick-borne relapsing fevers by specific immunofluorescence and Western blot tests. The QBC technique seems to be useful in the diagnosis of tick-borne relapsing fever in blood samples and should be included in the management of fever in the traveler returning from tropical regions.

Short report: primaquine-tolerant Plasmodium vivax in an Italian traveler from Guatemala.

Plasmodium vivax infections caused by strains with low sensitivity to primaquine are widespread in the Western Pacific and Southeast Asia, and have been recently reported from Central America as well. We report a case of primaquine failure in a P. vivax infection acquired in Guatemala. A 28-year-old Italian woman developed two months after returning from Guatemala a vivax malaria attack that was treated with a standard chloroquine course (1,500 mg over three days) combined with primaquine (15 mg/day for 14 days). Two months later, she had a relapse that was again treated with chloroquine and primaquine at the same doses. After two more months, a second relapse occurred: this time primaquine (30 mg/day for 14 days was administered; the patient remained well during a follow-up period of six months and all parasitologic examination results were negative. Doses of primaquine as high as 6 mg/kg total dose may be indicated in the treatment of vivax malaria cases from Central America.

Holmes' tremor following midbrain Toxoplasma abscess: clinical features and treatment of a case.

The label Holmes' tremor defines a rare symptomatic movement disorder frequently occurring with midbrain damage. It appears at rest and worsens adopting a posture and on attempting movements. We describe the case of a patient with Holmes' tremor due to a presumed Toxoplasma abscess of the midbrain. The positive response to a combined therapy with levodopa and isoniazid is also reported.

A community-based intervention for improving utilization of medical services by rape survivors in refugee camps in Zambia

Background: Rape is the most common form of violence in conflict and refugee situations but because of the associated stigma few cases are reported. This study assessed the outcome of an intervention targeted at women groups on the utilization of medical services by rape survivors in refugee camps in Zambia. Methods: A prospective quasi-experimental community-based intervention study was carried out in two refugee camps allocated into intervention and comparison areas. The intervention was participatory education sessions for women groups. Data was collected using the clinic records and the main outcome was the number of rape survivors who utilized and completed medical services provided at the camp clinics. Univariate, bivariate and multivariate analyses were carried out with level of significance set at 5%. Results: The proportion of the rape survivors who accessed medical care within 72 hours increased significantly from 41.2% to 84.8% in the intervention area but from 31.1% to 38.9% in the comparison area, (p=0.005). Those who completed their medical treatment and the follow-up visits increased significantly from 42.8% to 94.8% in intervention area but reduced from 38.5% to 21.4% in the comparison area, (p=0.002). Being resident in the intervention area predicted the utilization of medical services, [OR: 3.15; 95%CI: 1.955-5.681], p=0.002. Conclusion: Community-based intervention using participatory women's group discussion had a significant impact on increasing the utilization of medical services by rape survivors and should be considered for scaling up as a key intervention for increasing utilization of medical services for rape survivors especially in refugee situations

A community-based intervention for improving utilization of medical services by rape survivors in refugee camps in Zambia

Background: Rape is the most common form of violence in conflict and refugee situations but because of the associated stigma few cases are reported. This study assessed the outcome of an intervention targeted at women groups on the utilization of medical services by rape survivors in refugee camps in Zambia.Methods: A prospective quasi-experimental community-based intervention study was carried out in two refugee camps allocated into intervention and comparison areas. The intervention was participatory education sessions for women groups. Data was collected using the clinic records and the main outcome was the number of rape survivors who utilized and completed medical services provided at the camp clinics. Univariate, bivariate and multivariate analyses were carried out with level of significance set at 5%.Results: The proportion of the rape survivors who accessed medical care within 72 hours increased significantly from 41.2% to 84.8% in the intervention area but from 31.1% to 38.9% in the comparison area, (p=0.005). Those who completed their medical treatment and the follow-up visits increased significantly from 42.8% to 94.8% in intervention area but reduced from 38.5% to 21.4% in the comparison area, (p=0.002). Being resident in the intervention area predicted the utilization of medical services, [OR: 3.15; 95%CI: 1.955-5.681], p=0.002. Conclusion: Community-based intervention using participatory women's group discussion had a significant impact on increasing the utilization of medical services by rape survivors and should be considered for scaling up as a key intervention for increasing utilization of medical services for rape survivors especially in refugee situations