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IntroductionCommunity engagement has been considered a fundamental component of past outbreaks, such as Ebola. However, there is concern over the lack of involvement of communities and ‘bottom-up’ approaches used within COVID-19 responses thus far. Identifying how community engagement approaches have been used in past epidemics may support more robust implementation within the COVID-19 response.MethodologyA rapid evidence review was conducted to identify how community engagement is used for infectious disease prevention and control during epidemics. Three databases were searched in addition to extensive snowballing for grey literature. Previous epidemics were limited to Ebola, Zika, SARS, Middle East respiratory syndromeand H1N1 since 2000. No restrictions were applied to study design or language.ResultsFrom 1112 references identified, 32 articles met our inclusion criteria, which detail 37 initiatives. Six main community engagement actors were identified: local leaders, community and faith-based organisations, community groups, health facility committees, individuals and key stakeholders. These worked on different functions: designing and planning, community entry and trust building, social and behaviour change communication, risk communication, surveillance and tracing, and logistics and administration.ConclusionCOVID-19’s global presence and social transmission pathways require social and community responses. This may be particularly important to reach marginalised populations and to support equity-informed responses. Aligning previous community engagement experience with current COVID-19 community-based strategy recommendations highlights how communities can play important and active roles in prevention and control. Countries worldwide are encouraged to assess existing community engagement structures and use community engagement approaches to support contextually specific, acceptable and appropriate COVID-19 prevention and control measures.

The quasi-biennial oscillation (QBO) of the stratospheric tropical winds influences the global circulation over a wide range of latitudes and altitudes. Although it has strong effects on surface weather and climate, climate models have great difficulties in simulating a realistic QBO, especially in the lower stratosphere. Therefore, global wind observations in the tropical upper troposphere and lower stratosphere (UTLS) are of particular interest for investigating the QBO and the tropical waves that contribute significantly to its driving. In our work, we focus on the years 2018–2022 and investigate the QBO and different tropical wave modes in the UTLS region using global wind observations made by the Aeolus satellite instrument and three meteorological reanalyses: the fifth generation European Centre for Medium-Range Weather Forecasts (ECMWF) reanalysis (ERA-5), the Japanese 55-year Reanalysis (JRA-55) of the Japan Meteorological Agency (JMA), and the Modern-Era Retrospective Analysis for Research and Applications, version 2 (MERRA-2). Further, we compare these data with observations of selected radiosonde stations. By comparison with Aeolus observations, we find that, on zonal average, the QBO in the lower stratosphere is well represented in all three reanalyses, with ERA-5 performing best. Averaged over the years 2018–2022, agreement between Aeolus and the reanalyses is better than 1 to 2 m s−1, with somewhat larger differences during some periods. Differently from zonal averages, radiosonde stations provide only local observations and are therefore biased by global-scale tropical waves, which limits their use as a QBO standard. While reanalyses perform well on zonal average, there can be considerable local biases between reanalyses and radiosondes. We also find that, in the tropical UTLS, zonal wind variances of stationary waves and the most prominent global-scale traveling equatorial wave modes, such as Kelvin waves, Rossby-gravity waves, and equatorial Rossby waves, are in good agreement between Aeolus and all three reanalyses (in most cases better than 20 % of the peak values in the UTLS). On zonal average, this supports the use of reanalyses as a reference for comparison with free-running climate models, while locally, certain biases exist, particularly in the QBO wind shear zones and around the 2019–2020 QBO disruption.

Previous studies have shown that in areas of seasonal malaria transmission, intermittent preventive treatment of malaria in children (IPTc), targeting the transmission season, reduces the incidence of clinical malaria. However, these studies were conducted in communities with low coverage with insecticide-treated nets (ITNs). Whether IPTc provides additional protection to children sleeping under an ITN has not been established. To assess whether IPTc provides additional protection to children sleeping under an ITN, we conducted a randomised, double-blind, placebo-controlled trial of IPTc with sulphadoxine pyrimethamine (SP) plus amodiaquine (AQ) in three localities in Kati, Mali. After screening, eligible children aged 3-59 mo were given a long-lasting insecticide-treated net (LLIN) and randomised to receive three rounds of active drugs or placebos. Treatments were administered under observation at monthly intervals during the high malaria transmission season in August, September, and October 2008. Adverse events were monitored immediately after the administration of each course of IPTc and throughout the follow-up period. The primary endpoint was clinical episodes of malaria recorded through passive surveillance by study clinicians available at all times during the follow-up. Cross-sectional surveys were conducted in 150 randomly selected children weekly and in all children at the end of the malaria transmission season to assess usage of ITNs and the impact of IPTc on the prevalence of malaria, anaemia, and malnutrition. Cox regression was used to compare incidence rates between intervention and control arms. The effects of IPTc on the prevalence of malaria infection and anaemia were estimated using logistic regression. 3,065 children were screened and 3,017 (1,508 in the control and 1,509 in the intervention arm) were enrolled in the study. 1,485 children (98.5%) in the control arm and 1,481 (98.1%) in the intervention arm completed follow-up. During the intervention period, the proportion of children reported to have slept under an ITN was 99.7% in the control and 99.3% in intervention arm (p = 0.45). A total of 672 episodes of clinical malaria defined as fever or a history of fever and the presence of at least 5,000 asexual forms of Plasmodium falciparum per microlitre (incidence rate of 1.90; 95% confidence interval [CI] 1.76-2.05 episodes per person year) were observed in the control arm versus 126 (incidence rate of 0.34; 95% CI 0.29-0.41 episodes per person year) in the intervention arm, indicating a protective effect (PE) of 82% (95% CI 78%-85%) (p<0.001) on the primary endpoint. There were 15 episodes of severe malaria in children in the control arm compared to two in children in the intervention group giving a PE of 87% (95% CI 42%-99%) (p = 0.001). IPTc reduced the prevalence of malaria infection by 85% (95% CI 73%-92%) (p<0.001) during the intervention period and by 46% (95% CI 31%-68%) (p<0.001) at the end of the intervention period. The prevalence of moderate anaemia (haemoglobin [Hb] <8 g/dl) was reduced by 47% (95% CI 15%-67%) (p<0.007) at the end of intervention period. The frequencies of adverse events were similar between the two arms. There was no drug-related serious adverse event. IPTc given during the malaria transmission season provided substantial protection against clinical episodes of malaria, malaria infection, and anaemia in children using an LLIN. SP+AQ was safe and well tolerated. These findings indicate that IPTc could make a valuable contribution to malaria control in areas of seasonal malaria transmission alongside other interventions. ClinicalTrials.gov NCT00738946. Please see later in the article for the Editors' Summary.

NiO is one of the most important candidates for semiconductors metal oxide nanocrystals by the arrangement of photocatalytic application. However, the photocatalytic performance of biosynthesized nanocrystals using Aspalathus linearis (Burm.f.) R. Dahlgren has not been investigated yet. In this contribution, we synthesize α-Ni(OH)2 using an A. linearis. A heat treatment of the α-Ni(OH)2 is carried out at 300-400°C for 2 h at normal air yields. Furthermore, we have characterized the structural, optical and photocatalytic activity of the samples. The optical results indicate that biosynthesized nanocrystals exhibit UV-visible light absorption and a narrow range distribution of intense green light (518.95 nm) emission, which decreases significantly as annealing temperature increases. The bandgap energies of the sample annealed at 300-400°C shift to lower photon energy, compared to bulk NiO (∼ 4 eV). Moreover, the photocatalytic experimental results reveal that NiO nanocrystals enable color switching of methylene blue.

Background Healthcare-associated infections are the most frequent adverse events in healthcare worldwide, with limited available evidence suggesting highest burden in resource-limited settings. Recent Ebola epidemics emphasize the disastrous impact that spread of infectious agents within healthcare facilities can have, accentuating the need for improvement of infection control practices. Hand hygiene (HH) measures are considered to be the most effective tool to prevent healthcare-associated infections. However, HH knowledge and compliance are low, especially in vulnerable settings such as Guinea. The aim of PASQUALE (Partnership to Improve Patient Safety and Quality of Care) was to assess knowledge and compliance with HH and improve HH by incorporating the WHO HH Strategy within the Faranah Regional Hospital (FRH), Guinea. Methods In a participatory approach, a team of FRH staff and leadership was invited to identify priorities of the hospital prior to the start of PASQUALE. The local hygiene committee was empowered to increase its activities and take ownership of the HH improvement strategy. A baseline assessment of knowledge, perception and compliance was performed months before the intervention. The main intervention consisted of local alcohol-based-hand-rub (ABHR) production, with final product efficacy testing, in conjunction with a training adapted to the needs identified in the baseline assessment. A follow-up assessment was conducted directly after the training. Effectiveness of the intervention was assessed via uncontrolled before-and-after comparison. Results Baseline knowledge score (13.0/25) showed a significant increase to 19.0/25 in follow-up. Baseline-Compliance was 23.7% and increased significantly to 71.5% in follow-up. Compliance rose significantly across all professional groups except for midwifes and in all indications for HH, with the largest in the indication “Before aseptic tasks”. The increase in compliance was associated with the intervention and remained significant after adjusting for confounders. The local pharmacy successfully supplies the entire hospital. The local supply resulted in a ten-fold increase of monthly hospital disinfectant consumption. Conclusion The WHO HH strategy is an adaptable and effective method to improve HH knowledge and compliance in a resource-limited setting. Local production is a feasible method for providing self-sufficient supply of ABHR to regional hospitals like the FRH. Participatory approaches like hygiene committee ownership builds confidence of sustainability.

In this study of 400 children in Mali, an adjuvanted vaccine based on an apical membrane antigen 1 from the 3D7 strain of Plasmodium falciparum (a blood-stage antigen) showed some strain-specific activity in preventing clinical malaria. An effective malaria vaccine would improve the prospects for eradicating malaria. 1 Vaccines that interrupt the transmission of malaria are emphasized in discussions of eradication, 2 but the ideal malaria vaccine would provide a direct clinical benefit. Vaccines targeting the blood stages of malaria are intended to reduce morbidity and mortality and are being developed in hopes of creating a multistage, multiantigen vaccine. 3 Vaccines based on two polymorphic Plasmodium falciparum blood-stage proteins, merozoite surface protein 1 4 and apical membrane antigen 1 (AMA1), 5 were not shown to be effective in recent studies, probably because of insufficient cross-protection against diverse malaria strains 6 , 7 or . . .

The quasi-biennial oscillation (QBO) is a major mode of climate variability in the tropical stratosphere with quasi-periodically descending westerly and easterly winds, modulating transport and distributions of key greenhouse gases such as water vapour and ozone. In 2016 and 2020, anomalous QBO easterlies disrupted the QBO's mean period of about 28 months previously observed. Here, we quantify the impact of these two QBO disruption events on the Brewer–Dobson circulation and respective distributions of water vapour and ozone using the ERA5 reanalysis and Microwave Limb Sounder (MLS) satellite observations, respectively. In 2016, both water vapour and ozone in the lower stratosphere decreased globally during the QBO disruption event by up to about 20 %. In 2020, the lower-stratospheric ozone only weakly decreased during the QBO disruption event, by up to about 10 %, while the lower-stratospheric water vapour increased by up to about 15 %. These dissimilarities in the anomalous circulation and the related ozone response between the year 2016 and the year 2020 result from differences in the tropical upwelling and in the secondary circulation of the QBO caused by differences in anomalous planetary and gravity wave breaking in the lower stratosphere near the equatorward upper flanks of the subtropical jet. The anomalous planetary and gravity wave breaking was stronger in the lower stratosphere between the tropopause and the altitude of about 23 km during the QBO disruption events in 2016 than in 2020. However, the differences in the response of lower-stratospheric water vapour to the QBO disruption events between the year 2016 and the year 2020 are mainly due to the differences in cold-point temperatures induced by Australian wildfire, which moistened the lower stratosphere, thereby obscuring the impact of the QBO disruption event in 2020 on water vapour in the lower stratosphere. Our results highlight the need for a better understanding of the causes of the QBO disruption, their interplay with other modes of climate variability in the Indo-Pacific region, including the El Niño–Southern Oscillation (ENSO) and the Indian Ocean Dipole (IOD), and their impacts on water vapour and ozone in the upper troposphere/lower stratosphere in the face of a changing climate.

West Africa and the adjacent oceanic regions are very important locations for studying dust properties and their influence on weather and climate. The SHADOW (study of SaHAran Dust Over West Africa) campaign is performing a multiscale and multilaboratory study of aerosol properties and dynamics using a set of in situ and remote sensing instruments at an observation site located at the IRD (Institute for Research and Development) in Mbour, Senegal (14° N, 17° W). In this paper, we present the results of lidar measurements performed during the first phase of SHADOW (study of SaHAran Dust Over West Africa) which occurred in March–April 2015. The multiwavelength Mie–Raman lidar acquired 3β + 2α + 1δ measurements during this period. This set of measurements has permitted particle-intensive properties, such as extinction and backscattering Ångström exponents (BAE) for 355/532 nm wavelengths' corresponding lidar ratios and depolarization ratio at 532 nm, to be determined. The mean values of dust lidar ratios during the observation period were about 53 sr at both 532 and 355 nm, which agrees with the values observed during the SAMUM-1 and SAMUM-2 campaigns held in Morocco and Cabo Verde in 2006 and 2008. The mean value of the particle depolarization ratio at 532 nm was 30 ± 4.5 %; however, during strong dust episodes this ratio increased to 35 ± 5 %, which is also in agreement with the results of the SAMUM campaigns. The backscattering Ångström exponent during the dust episodes decreased to ∼ −0.7, while the extinction Ångström exponent, though negative, was greater than −0.2. Low values of BAE can likely be explained by an increase in the imaginary part of the dust refractive index at 355 nm compared to 532 nm. The dust extinction and backscattering coefficients at multiple wavelengths were inverted to the particle microphysics using the regularization algorithm and the model of randomly oriented spheroids. The analysis performed has demonstrated that the spectral dependence of the imaginary part of the dust refractive index may significantly influence the inversion results and should be taken into account.

The Intertropical Convergence Zone (ITCZ) is a dominant feature of tropical climate characterized by intense convection that influences global atmospheric circulation and serves as a primary source of stratospheric gravity waves (GWs), which transport energy and momentum vertically through the atmosphere. This study investigates the modulation of the tropical ITCZ position and stratospheric gravity wave activity by the El Niño–Southern Oscillation (ENSO), the Madden–Julian Oscillation (MJO), and the Quasi-Biennial Oscillation (QBO) using 11 years (2011–2021) of radio occultation and reanalysis data. ITCZ latitude (from 850 hPa refractivity) and gravity wave potential energy maxima (from stratospheric temperatures) were identified via Gaussian fitting. Both ITCZ and gravity wave potential energy maxima exhibit coherent seasonal migration (∼10 and ∼5° latitudinal shifts, respectively), with potential energy maxima typically equatorward of the ITCZ. ENSO is the primary modulator: El Niño conditions shift the ITCZ northward in the American sector but southward in the African and Asian sectors. For gravity wave potential energy maxima, El Niño induces southward shifts in the American sector but northward shifts in the Asian sector, while enhancing overall GW activity. The MJO prompts regionally complex southward shifts in the ITCZ/potential energy maxima. The QBO predominantly influences gravity wave potential energy, with westerly phases associated with southward shifts in the potential energy maxima in the African and Asian sectors. While long-term latitudinal trends are weak, climate modes significantly impact ITCZ/GW peak values. The radio occultation data captured finer-scale features than reanalysis products, highlighting the importance of observational constraints in understanding troposphere–stratosphere coupling mechanisms.