Reproductive health in Afghanistan: results of a knowledge, attitudes and practices survey among Afghan women in Kabul

A reproductive-health knowledge, attitudes and practices (KAP) survey was carried out among 468 Afghan women of reproductive age. A convenience sample of women was selected from attendees in the outpatient departments of four health facilities in Kabul. Seventy-nine per cent of respondents had attended at least one antenatal consultation during their last pregnancy. Two-thirds (67 per cent) delivered their first child between 13 and 19 years. The Caesarean-section rate was low (1.6 per cent). Two-thirds (67 per cent) of deliveries occurred in the home. The contraceptive prevalence rate was 23 per cent (16 per cent modern and 7 per cent natural methods). Twenty-four per cent had knowledge of any STIs, although most of these women did not know correctly how to prevent them. Most of the women (93 per cent) needed authorization from their husband or a male relative before seeking professional health-care. In multivariate analysis, women's schooling was significantly associated with antenatal-care attendance (AOR 4.78), institutional delivery (AOR 2.29), skilled attendance at birth (AOR 2.07) and use of family planning (AOR 4.59). Reproductive-health indicators were noted to be poor even among these women living in Kabul, a group often considered to be the most privileged. To meet the reproductive-health needs of Afghan women, the socio-cultural aspects of their situation--especially their decision-making abilities -- will need to be addressed. A long-standing commitment from agencies and donors is required, in which the education of women should be placed as a cornerstone of the reconstruction process of Afghanistan.     

Whiplash-associated disorders in frontal impacts: influencing factors and consequences

This multidisciplinary in-depth investigation of accidents using 24 occupants with neck symptoms shows the complexity of whiplash-associated disorders (WAD) in frontal impacts with respect to factors that influence occurrence as well as duration of symptoms. Several different occupant kinematics have been identified, all resulting in symptoms classified as WAD. Compared to occupants restrained only by a seat belt, occupants with arm resistance influence showed a greater representation of symmetrical neck symptoms. Two cases of unbelted occupants with a neck compression mechanism far from conventional "whiplash" motion were found. Posture as well as physical and psychosocial factors such as strong negative reactions, bad prognosis expectation, and stressed daily activities influenced the duration of symptoms. Occupant characteristics and sitting posture and behavior at the time of impact are important factors when analyzing and understanding WAD.     

Combination effect of light and toxicity in algal tests

The sensitivity of Scenedesmus subspicatus against potassium dichromate is positively correlated to the photon flux density during the algal growth inhibition test. Low photon flux densities led to significantly reduced maximum effects and higher EC50 levels. To improve the testing of colored substances, we distinguished between the toxic effect (chemical part, represented by potassium dichromate) and the shading effect (physical part, simulated by reduced light intensities during the test) of a hypothetical light absorbing substance. The contribution of these single effects to the total inhibition varied greatly. At high concentrations of potassium dichromate (1.6 and 3.2 mg L(-1)) the physical part never exceeded 25% of the total inhibition, not even at strongest light reduction, while at low concentrations (0.2 and 0.4 mg L(-1)) the physical effect became more prominent when halving the amount of available light. Further, the combination effect of the chemical and the physical effect could be calculated well only by using the concept of independent action. Thus, if chemical and physical effects are measured in combination, as is the case in tests with dye-stuffs, the current test protocol for the algal growth inhibition test may lead to incorrect estimations of the toxic potential.     

Hypersaline cyanobacterial mats as indicators of elevated tropical hurricane activity and associated climate change

The Atlantic hurricanes of 1999 caused widespread environmental damage throughout the Caribbean and US mid-Atlantic coastal regions. However, these storms also proved beneficial to certain microbial habitats; specifically, cyanobacteria-dominated mats. Modern mats represent the oldest known biological communities on earth, stromatolites. Contemporary mats are dominant biological communities in the hypersaline Bahamian lakes along the Atlantic hurricane track. We examined the impacts of varying levels of hypersalinity on 2 processes controlling mat growth, photosynthesis and nitrogen fixation, in Salt Pond, San Salvador Island, Bahamas. Hypersalinity (> 5 times seawater salinity) proved highly inhibitory to these processes. Freshwater input from Hurricane Floyd and other large storms alleviated this salt-inhibition. A predicted 10 to 40 year increase in Atlantic hurricane activity accompanied by more frequent "freshening" events will enhance mat productivity, CO2 sequestration and nutrient cycling. Cyanobacterial mats are sensitive short- and long-term indicators of climatic and ecological changes impacting these and other waterstressed environments.     

Exposure Programme on Atmospheric Corrosion Effects of Acidifying Pollutants in Tropical and Subtropical Climates

Many national exposure programmes have been performed in tropical and subtropical climates during the last 50 years. However, ambitious programmes involving more than a few countries are scarce. In this paper a recently formed network of test sites is described involving 12 test sites in Asia (India, Vietnam, Thailand, Malaysia and China including Hong Kong) and four test sites in Africa (South Africa, Zambia and Zimbabwe). This effort is part of the 2001–2004 Swedish International Development Agency (SIDA) funded Programme on Regional Air Pollution in Developing Countries (RAPIDC). Corrosion attack after one (2002–2003) year of exposure (carbon steel, zinc, copper, limestone and paint coated steel) are presented together with environmental data (SO₂, NO₂, HNO₃, O₃, particles, amount and pH of precipitation, temperature and relative humidity) for all the test sites. The obtained corrosion values are substantially higher than expected for limestone, higher than expected for carbon steel and lower than expected for zinc compared to values calculated using the best available dose–response functions.     

Review of ozone and temperature lidar validations performed within the framework of the Network for the Detection of Stratospheric Change

The use of assimilation tools for satellite validation requires true estimates of the accuracy of the reference data. Since its inception, the Network for Detection of Stratospheric Change (NDSC) has provided systematic lidar measurements of ozone and temperature at several places around the world that are well adapted for satellite validations. Regular exercises have been organised to ensure the data quality at each individual site. These exercises can be separated into three categories: large scale intercomparisons using multiple instruments, including a mobile lidar; using satellite observations as a geographic transfer standards to compare measurements at different sites; and comparative investigations of the analysis software. NDSC is a research network, so each system has its own history, design, and analysis, and has participated differently in validation campaigns. There are still some technological differences that may explain different accuracies. However, the comparison campaigns performed over the last decade have always proved to be very helpful in improving the measurements. To date, more efforts have been devoted to characterising ozone measurements than to temperature observations. The synthesis of the published works shows that the network can potentially be considered as homogeneous within +/-2% between 20-35 km for ozone and +/-1 K between 35-60 km for temperature. Outside this altitude range, larger biases are reported and more efforts are required. In the lower stratosphere, Raman channels seem to improve comparisons but such capabilities were not systematically compared. At the top of the profiles, more investigations on analysis methodologies are still probably needed. SAGE II and GOMOS appear to be excellent tools for future ozone lidar validations but need to be better coordinated and take more advantage of assimilation tools. Also, temperature validations face major difficulties caused by atmospheric tides and therefore require intercomparisons with the mobile systems, at all sites.     

Technical Aspects of Lime/Limestone Scrubbers for Coal-Fired Power Plants

This 2-part article deals with the technical aspects of lime/limestone scrubbers for coal-fired power plants. Part I covers process chemistry and scrubber systems. Part II (next month) will cover instrumentation, particulate removal, and sludge disposal.     

The value of the environment – Is it a matter of approach?

This paper discusses why estimates of the benefits of reduced air pollution differ in accordance with the approach used. Estimates based on bottom-up studies of the damage costs related to air pollution usually turn out much lower than estimates based on assessments of the utility of reduced air pollution, obtained for instance by willingness to pay assessments. This is usually explained by the fact that the willingness to pay approach includes the utility aspect of non-market values, and for this reason, it is often preferred to the damage cost approach. This is, however, not the whole story. The paper shows why alternative approaches should not be considered as being in conflict, but rather as means to get supplementary information necessary to put a value on environmental quality. Information from bottom-up assessments of damage costs and from studies of the willingness to pay is used in a macroeconomic model to carry out an evaluation of the social costs of energy saving measures in Hungary.