PUBLIC HEALTH ASPECT OF TROPICAL WATER RESOURCES DEVELOPMENT1

ABSTRACT. The Governments of Nigeria have planned to build 395 dams in the next five years. Such water resources development may increase the incidence of Schistosomiasis, Malaria, Onchocerciasis, and Trypanosomiasis. Adequate measures should be taken to minimize adverse effects of the projects on the public health.     

Environmental change,development and vectorborne disease: Malaysia’s experience with filariasis,scrub typhus and dengue

During Malaysia’s rapid economic development into becoming a middle income country in the past several decades, environmental changes resulted in altered land use patterns because of agricultural practices such as large scale rice, rubber and oil palm cultivation. The impact of environmental changes brought about by rice and rubber cultivation affected the breeding habitats of mosquito vectors which in turn affected the prevalence of two strains of lymphatic filariasis in different ways. With scrub typhus, the development of oil palm plantations affected the ecology of mite and rodent populations which resulted in very high incidence of the disease in affected populations. Malaysia’s relentless urbanization has resulted in increased incidence of dengue, as peridomestic mosquito vectors increasingly colonize urban habitats. This article discusses how ecological factors determine the way lymphatic filariasis, scrub typhus and dengue were spread in Malaysia. The nation’s experience with environmental changes due to rapid development provides lessons for other developing countries in control programs and public health policy.     

Environmental Information Systems in Malaria Risk Mapping and Epidemic Forecasting

Every year between one and two million African children under five die of malaria. If one adds to this the contribution of malaria to all-cause infant mortality then clearly the burden of the disease is catastrophic — a disaster quietly happening each and every year. New tools are needed urgently to support those currently available for control of the disease. An effective vaccine remains elusive. This article outlines the potential contribution to malaria control services of satellite information, which is being used by resource managers in other sectors. In particular, it highlights the lessons which can be learned from early warning systems in other areas, especially those designed to respond to famine. An appendix provides a brief introduction to satellite data and their interpretation.     

Biochemical evaluation of hepatotoxicity in mice due to administration of artemether

Effects of artemether administration on liver and selected biochemical parameters were evaluated. Eighty albino mice were divided into four equal groups. Group 1 was given water which served as control, while groups 2, 3, and 4 were given 1.2, 2.4, or 4.8 mg kg^?1 body weight artemether intramuscularly for five consecutive days. On day 6 all mice were sacrificed by cervical dislocation and blood was collected for analysis of alanine and aspartate transaminases, alkaline phosphatase, copper, and total proteins. Liver tissues were prepared for histological studies. It was found that the serum alanine and aspartate transaminase and alkaline phosphatase activities were higher in groups treated with artemether compared to control. The serum concentrations of copper and total proteins were lower than control. The histological features of liver tissues after administration of artemether showed histopathological alterations. These findings showed that artemether administration may have reversible adverse effects on mouse hepatocytes.     

Vector-Borne Diseases, Development & Climate Change

Vector-borne diseases are feared to extend their range in a future where global warming has occurred. There is considerable concern about scourges such as malaria re-invading currently temperate regions and reaching into higher altitudes in Africa. In this paper we examine the various factors thought to determine potential infectivity of malaria, and its actual outbreak in the context of a dynamic integrated assessment model. We quantify: (i) the role of demographics in placing a larger population in harms way; (ii) the role of climate change in increasing the potential geographic range and severity of the risk of infection; and (iii) the role of economic and social development in limiting the occurrence of malaria. We then explore the climate and economic implications of various climate policies in their effectiveness to limit potential infectivity of malaria. In illustration of these issues we present the climate-related and economics-related impacts of unilateral CO₂ control by OECD on incidence of malaria in non-OECD nations. The model presented here, although highly stylized in its representation of socio-economic factors, provides strong evidence of the role of socio-economic factors in determination of malaria incidence. The case study offers insights into unintended adverse consequences of well-meaning climate policies. This revised version was published online in July 2006 with corrections to the Cover Date.     

Exploring the use of satellite images in the estimation of potential malaria outbreak regions

Malaria outbreaks affect nearly 40 per cent of the earth's population, most of whom live in tropical and subtropical zones. Malaria is an infectious disease that is transferred by the female mosquito of the species Anopheles. The life cycle of the malaria parasite develops in the anopheline and in the human body. These parasites require suitable environmental conditions in order to complete their development cycles within the mosquito. The relevant parameters are temperature, humidity, vegetation and water. A temperature range of 25–35°C and relative humidity range of 50–80 per cent is suitable for developing malaria outbreaks. As the fly-range of the mosquito is limited to 2–4 km, and since water pools are necessary for breeding, the vector abundance is significantly higher around water bodies. Vegetation cover also has an indirect role on malaria vector abundance. To seek to locate the regions with high potential for malaria outbreaks, we have constructed an experimental map of above-mentioned parameters via remote sensing images. A 7ETM⁺ image of Landsat platform is used in this study and maps of parameters such as land surface temperature, air temperature, air humidity, water pools and vegetated area were produced. However, a weighted combination of these layers showed some poor agreement with the distribution of positive malaria cases collected in the health centres in the region. The methodology first developed in this study is fast and accurate enough to be relied on for forecasting purposes, and could eventually lead—after further research and proper correlations—to improving the targeting of mitigation and relief operations by local health and related organizations.     

The malaria parasite Plasmodium relictum in the endemic avifauna of eastern Cuba

Island populations are vulnerable to introduced pathogens, as evidenced by extinction or population decline of several endemic Hawaiian birds caused by the malaria parasite, Plasmodium relictum (order Haemosporida). We analyzed blood samples from 363 birds caught near Guantánamo Bay, Cuba, for the presence of haemosporidian infections. We characterized parasite lineages by determining nucleotide variation of the parasite's mitochondrial cyt b gene. Fifty‐nine individuals were infected, and we identified 7 lineages of haemosporidian parasites. Fifty individuals were infected by 6 Haemoproteus sp. lineages, including a newly characterized lineage of Haem. (Parahaemoproteus) sp. CUH01. Nine individuals carried the P. relictum lineage GRW4, including 5 endemic Cuban Grassquits (Tiaris canorus) and 1 migratory Cape May Warbler (Setophaga tigrina). A sequence of the merozoite surface protein gene from one Cuban Grassquit infected with GRW4 matched that of the Hawaiian haplotype Pr9. Our results indicate that resident and migratory Cuban birds are infected with a malaria lineage that has severely affected populations of several endemic Hawaiian birds. We suggest GRW4 may be associated with the lack of several bird species on Cuba that are ubiquitous elsewhere in the West Indies. From the standpoint of avian conservation in the Caribbean Basin, it will be important to determine the distribution of haemosporidian parasites, especially P. relictum GRW4, in Cuba as well as the pathogenicity of this lineage in species that occur and are absent from Cuba.