Rabies Control: Could Innovative Financing Break the Deadlock?

The neglected zoonotic diseases (NZDs) have been all but eradicated in wealthier countries but remain major causes of ill-health and mortality in over 80 countries across Africa, Asia, and Latin America. The nature of neglect for the NZDs has been ascribed, in part, to underreporting resulting in an underestimation of their global burden that, together with a lack of advocacy, downgrades their relevance to policy-makers and funding agencies. While this may be the case for many NZDs, for rabies this is not the case.

Cost-estimate and proposal for a development impact bond for canine rabies elimination by mass vaccination in Chad.

Close to 69,000 humans die of rabies each year, most of them in Africa and Asia. Clinical rabies can be prevented by post-exposure prophylaxis (PEP). However, PEP is commonly not available or not affordable in developing countries.

Observation of residual disorder in the centre of amorphous solid water films after pore collapse at 125 K.

The rapid structural re-organisation of porous amorphous solid water, grown to thicknesses in the range 2.5-70 μm by vapour deposition on a copper substrate at 75 K, after heating to 125 K has been found to leave a μm-wide band of residual disorder-for example, nm-sized closed pores-in the centre of the film. This layer was revealed by thinning the film by sublimation and continuously measuring the fraction of 1.

Structural changes in amorphous solid water films on heating to 120-140 K and 150-160 K seen by positronium annihilation spectroscopy.

Changes in the structure of amorphous solid water films, grown by vapour deposition on a copper substrate at 75 K and then held at 120 K for 10 min to effect pore collapse, have been observed in the ranges 122-139 K and 150-162 K using positronium annihilation spectroscopy. It is proposed that the former is associated with the glass transition, with an effective activation energy of 0.266(3) eV.

Controlling malaria using livestock-based interventions: a one health approach.

Where malaria is transmitted by zoophilic vectors, two types of malaria control strategies have been proposed based on animals: using livestock to divert vector biting from people (zooprophylaxis) or as baits to attract vectors to insecticide sources (insecticide-treated livestock). Opposing findings have been obtained on malaria zooprophylaxis, and despite the success of an insecticide-treated livestock trial in Pakistan, where malaria vectors are highly zoophilic, its effectiveness is yet to be formally tested in Africa where vectors are more anthropophilic. This study aims to clarify the different effects of livestock on malaria and to understand under what circumstances livestock-based interventions could play a role in malaria control programmes.

Structure and sublimation of water ice films grown in vacuo at 120-190 K studied by positron and positronium annihilation.

The crystalline structure of ∼ 5-20 μm water ice films grown at 165 and 172 K has been probed by measuring the fraction of positrons forming ortho-positronium (ortho-Ps) and decaying into three gamma photons. It has been established that films grown at slower rates (water vapour pressure ≥ 1 mPa) have lower concentrations of lattice defects and closed pores, which act as Ps traps, than those grown at higher rates (vapour pressure ∼ 100 mPa), evidenced by ortho-Ps diffusion lengths being approximately four times greater in the former. By varying the growth temperature between 162 and 182 K it was found that films become less disordered at temperatures above ∼ 172 K, with the ortho-Ps diffusion length rising by ∼ 60%, in this range.

Modelling the use of insecticide-treated cattle to control tsetse and Trypanosoma brucei rhodesiense in a multi-host population.

We present a mathematical model for the transmission of Trypanosoma brucei rhodesiense by tsetse vectors to a multi-host population. To control tsetse and T. b.

The risk of Aedes aegypti breeding and premises condition in South Mexico.

A recent innovation instrumented for the Dengue Prevention and Control program in Mexico is the use of the premises condition index (PCI) as an indicator of risk for the vector Aedes aegypti infestation in dengue-endemic localities of Mexico. This paper addresses whether further improvements for the dengue control program could be made if the prevalence and productivity of Ae. aegypti populations could be reliably predicted using PCI at the household level, as well as medium-sized neighborhoods.

Measuring the three-photon self-annihilation fraction of positronium in and above thin films: a tool for determining film morphology.

A technique is described for evaluating the fraction of positrons F incident on thin film samples which form ortho-positronium and subsequently decay into three gamma photons. The method involves the measurement of two linked phenomena: the decrease in the number of annihilation events involving the emission of two gamma photons with approximately 511 keV in the germanium detector photopeak, and the increase in the number of decays into three gamma photons with energies in the range 395-505 keV. After the application of a number of systematic corrections to the raw data, these measurements allow the determination of the absolute value of F without the need for calibration on a sample with known F values, thereby avoiding problems with changing samples of different geometries measured under different conditions.

Direct observation of electron capture and reemission by the divacancy via charge transient positron spectroscopy.

Electron capture during forward bias and reemission at zero bias by divacancies in the depletion region of a silicon diode structure at room temperature have been studied for the first time using monoenergetic positrons. The positron response increases essentially linearly with electron current, as a result of increased positron trapping by negatively charged divacancies. The measurements indicate that ≤1% of the divacancies become negatively charged in the steady state at a forward bias of 1 V.

Do reincarnation beliefs protect older adult Chinese Buddhists against personal death anxiety?

The aim of this exploratory survey study was to develop and validate a Buddhist reincarnation beliefs scale and explore the relation between Buddhist reincarnation beliefs and personal death anxiety in 141 older adult Hong Kong Chinese Buddhists. Buddhist reincarnation beliefs were unrelated to personal death anxiety. This suggests that not all religious afterlife beliefs have death anxiety buffering power as proposed by Terror Management Theory, perhaps because Buddhists view reincarnation not as a solace but rather as a renewal of sufferings due to unwholesome karma.

Spiritual belief, social support, physical functioning and depression among older people in Bulgaria and Romania.

Objectives: An exploratory investigation is reported into the role of spirituality and religious practice in protecting against depression among older people living in rural villages in Bulgaria and Romania, two neighbouring countries with similar cultural, political and religious histories, but with differing levels of current religiosity.

Methods: In both countries, interviews were conducted with samples of 160 persons of 60 years and over in villages of similar socio-economic status. The Hospital Anxiety and Depression-D scale and the Royal Free Interview for Religious and Spiritual Beliefs were used to assess depression and spiritual belief and practice respectively.

Structural and phase changes in amorphous solid water films revealed by positron beam spectroscopy.

The evolution and annealing of pores in, and the crystallization of, vapor-deposited films of amorphous solid water have been studied by using variable-energy positron annihilation spectroscopy for temperatures in the range 50-150 K. Both positron and positronium annihilation provide insight to the nature of the grown-in pores and their evolution with temperature. Crystallization of the films was observed at just below 140 K, in agreement with earlier studies, with the topmost 80 nm undergoing a transition consistent with crystallization at 90-100 K.

Coupling between positron-atom scattering channels above the first inelastic threshold.

Experimentally determined cross sections for the elastic scattering of positrons by argon and xenon atoms have been found to exhibit a steplike increase at the first inelastic threshold energy--i.e., that for positronium formation.

Patterns in age-seroprevalence consistent with acquired immunity against Trypanosoma brucei in Serengeti lions.

Trypanosomes cause disease in humans and livestock throughout sub-Saharan Africa. Although various species show evidence of clinical tolerance to trypanosomes, until now there has been no evidence of acquired immunity to natural infections. We discovered a distinct peak and decrease in age prevalence of T.

Pupal surveys for Aedes aegypti surveillance and potential targeted control in residential areas of Mérida, México.

A mosquito larval-pupal survey was conducted in 1,160 households of the Mexican city of Mérida during the rainy season of 2003 to determine their differential productivity for Aedes aegypti. Larvae and pupae were detected in 15 broad categories of container types. All breeding sites were found in the patios (backyards) and were potentially rain filled.

Relationship between transmission intensity and incidence of dengue hemorrhagic fever in Thailand.

Background: Dengue is the most prevalent mosquito-borne virus, and potentially fatal dengue hemorrhagic fever (DHF) occurs mainly in secondary infections. It recently was hypothesized that, due to the presence of cross-immunity, the relationship between the incidence of DHF and transmission intensity may be negative at areas of intense transmission. We tested this hypothesis empirically, using vector abundance as a surrogate of transmission intensity.

Analysis of risk factors for T. brucei rhodesiense sleeping sickness within villages in south-east Uganda.

Background: Sleeping sickness (HAT) caused by T.b. rhodesiense is a major veterinary and human public health problem in Uganda.

Death rattle: its impact on staff and volunteers in palliative care.

Background: Hospice staff and volunteers frequently hear the sound of death rattle and offer explanations and reassurance to relatives and other patients. This paper describes our study into the impact of hearing the sound of death rattle on hospice staff and volunteers, part of our wider investigation into death rattle.

Methods: Seven focus group meetings were held, involving a total of 41 participants from medical, nursing, chaplaincy, housekeeping and volunteer backgrounds.

Reconstructing historical changes in the force of infection of dengue fever in Singapore: implications for surveillance and control.

Objective: To reconstruct the historical changes in force of dengue infection in Singapore, and to better understand the relationship between control of Aedes mosquitoes and incidence of classic dengue fever.

Methods: Seroprevalence data were abstracted from surveys performed in Singapore from 1982 to 2002. These data were used to develop two mathematical models of age seroprevalence.

Estimating the burden of rhodesiense sleeping sickness during an outbreak in Serere, eastern Uganda.

Background: Zoonotic sleeping sickness, or HAT (Human African Trypanosomiasis), caused by infection with Trypanosoma brucei rhodesiense, is an under-reported and neglected tropical disease. Previous assessments of the disease burden expressed as Disability-Adjusted Life Years (DALYs) for this infection have not distinguished T.b.

Activation energies for the formation and evaporation of vacancy clusters in silicon.

The thermal evolution of vacancy-type defects in Czochralski (Cz-) and epitaxially grown (epi-) silicon has been investigated using variable-energy positron annihilation spectroscopy. Heating at 300-500 degrees C caused rapid migration of divacancies and clustering of the resulting defects with activation energies of 2.1(2) and 2.

Self-rated activity levels and longevity: evidence from a 20 year longitudinal study.

The study reports on factors predicting the longevity of 328 people over the age of 65 drawn from an English city and followed over 20 years. Both the reported activities score and the individual's comparative evaluation of their own level of activity independently reduced the risk of death, even when health and cognitive status were taken into account. The analysis has provided a strong test of the relevance of measures of reported activity and measures of self-perception to longevity.