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"Acharya, Pushpa"
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Possible high risk of transmission of the Nipah virus in South and South East Asia: a review
by
Chet Raj Joshi
,
Shyam Prakash Dumre
,
Ram Prashad Ojha
in
Arctic medicine. Tropical medicine
,
Bats
,
ELISA
2023
Nipah virus (NiV) is a zoonotic, single-stranded RNA virus from the family
Paramyxoviridae,
genus
Henipavirus
. NiV is a biosafety-level-4 pathogen that is mostly spread by
Pteropus
species, which serve as its natural reservoir host. NiV is one of the major public health challenges in South and South East Asia. However, few molecular studies have been conducted to characterise NiV in a specific region. The main objective of this review is to understand the epidemiology, pathogenesis, molecular surveillance, transmission dynamics, genetic diversity, reservoir host, clinical characteristics, and phylogenetics of NiV. South and South East Asian nations have experienced NiV outbreaks. Phylogenetic analysis confirmed that two primary clades of NiV are in circulation. In humans, NiV causes severe respiratory illness and/or deadly encephalitis. NiV is mainly diagnosed by ELISA along with PCR. Therefore, we recommend that the governments of the region support the One Health approach to reducing the risk of zoonotic disease transmission in their respective countries.
Journal Article
The costs of Suaahara II, a complex scaled‐up multisectoral nutrition programme in Nepal
2026
Limited evidence exists on the costs of scaled‐up multisectoral nutrition programmes. Such evidence is crucial to assess intervention value and affordability. Evidence is also lacking on the opportunity costs of implementers and participants engaging in community‐level interventions. We help to fill this gap by estimating the full financial and economic costs of the United States Agency for International Development‐funded Suaahara II (SII) programme, a scaled‐up multisectoral nutrition programme in Nepal (2016–2023). We applied a standardized mixed methods costing approach to estimate total and unit costs over a 3.7‐year implementation period. Financial expenditure data from national and subnational levels were combined with economic cost estimates assessed using in‐depth interviews and focus group discussions with staff, volunteers, community members, and government partners in four representative districts. The average annual total cost was US $908,948 per district, with economic costs accounting for 47% of the costs. The annual unit cost was US$ 132 per programme participant (mother in the 1000‐day period between conception and a child's second birthday) reached. Annual costs ranged from US $152 (mountains) to US$ 118 (plains) per programme participant. Personnel (63%) were the largest input cost driver, followed by supplies (11%). Community events (29%) and household counselling visits (17%) were the largest activity cost drivers. Volunteer cadres contributed significant time to the programme, with female community health volunteers spending a substantial amount of time (27 h per month) on SII activities. Multisectoral nutrition programmes can be costly, especially when taking into consideration volunteer and participant opportunity costs. This study provides much‐needed evidence of the costs of scaled‐up multisectoral nutrition programmes for future comparison against benefits. The average unit cost of Suaahara II, a scaled up multisectoral nutrition programme covering 42 of 77 districts in Nepal, was US $132 per programme participant (mother in the 1000‐day period) and US$ 76 per mother–child pair reached per year. Community events designed to improve access to and demand for nutritious foods accounted for the largest share of activity costs (29%). Opportunity costs of volunteer and participant time are high, accounting for 47% of total costs. Female Community Health Workers, already engaged in community nutrition activities, spent significant time on implementing Suaahara II activities at 27 h per month. Complex multisectoral programmes often require significant resources to ensure coordination and sufficient technical support at national and subnational levels.
Journal Article
Community structure of pollinating insects and its driving factors in different habitats of Shivapuri‐Nagarjun National Park, Nepal
by
Subedi, Pradip
,
Acharya, Pushpa Raj
,
Dyola, Urmila
in
Abundance
,
Community composition
,
Community structure
2022
Insect pollinators are important means for a stable ecosystem. The habitat types play a crucial role in the community composition, abundance, diversity, and species richness of the pollinators. The present study in Shivapuri‐Nagarjun National Park explored the species richness and abundances of insect pollinators in four different habitats and different environmental variables in determining the community composition of the pollinators. Data were collected from 1,500 m to 2,700 m using color pan traps and hand sweeping methods. Non‐Metric Multidimensional Scaling (NMDS) and Redundancy Analysis (RDA) were conducted to show the association between insect pollinators and environmental variables. The results firmly demonstrated that species richness and abundances were higher (158) in Open trail compared to other habitats. The distribution of the pollinator species was more uniform in the Open trail followed by the Grassland. Similarly, a strong positive correlation between flower resources and pollinators' abundance (R2 = .63, P < .001) was found. In conclusion, the Open trail harbors rich insect pollinators in lower elevation. The community structure of the pollinators was strongly influenced by the presence of flowers in the trails. We sampled the pollinators along the elevation gradients of Shivapuri–Nagarjun National Park in four types of habitats; forest trail, grassland, trails of managed habitat, and open trail of the forest. Open trail of the forest that hold more floral resources was high in the species richness and abundance of insect pollinators that decrease with the increase of elevation. A strong positive correlation between flower resources and pollinator's abundance was found.
Journal Article
Nutritional impact of resettlement of internally displaced people in Northern Iraq
2002
A survey aimed at assessing the nutritional impact of resettlement of Internally Displaced Persons (IDPs) was conducted in Northern Iraq between July and November 2000. The sample consisted of 301 households in the collective town of Dyana, representing the IDPs, and 282 households in ten villages of Rostey Valley, representing the resettled IDPs. The methodology consisted of structured questionnaires, anthropometry, and measurement of hemoglobin levels of one child under the age five years, one adult mate, and one adult female per household. The prevalence of low height-for-age among the children from the resettled households was 30.6% and among those still in the collective town was 18.9% (p < 0.01). Incidence of diarrhea was more than three times and acute respiratory infection (ARI) was more than seven times among the children in the collective town (p < 0.01). No significant differences existed in acute malnutrition and underweight rates among the children or in adult BMIs between the two populations. Anemia was present among 56.8% of the children in the collective town and among 46.8% of the children in the resettled villages (p < 0.01). When children who had diarrhea and ARI during the two weeks prior to the survey were removed from the analysis, the difference was not statistically significant, suggesting that the higher prevalence rate of anemia in the collective town may be due to higher infection rate. The presence of anemia among both male (42.9%) and female (47.2%) adults was significantly higher among the IDPs in the collective town than among the male (22.5%) and female (28.0%) adults in the resettled villages (p < 0.01). Except for vegetables, all other types of food were available in higher quantities to the resettled households (p < 0.05). Availability of food energy, protein, iron, zinc, thiamin, and folic acid was significantly higher in the resettled villages and availability of calcium, riboflavin, and vitamins C and A was significantly higher in the collective town (p < 0.05). The IDPs in the collective town had better diet diversity (p < 0.05). These results show that the resettled IDPs did not have a superior nutritional status than those still considered IDPs.
Dissertation