A Problem-Solving Workshop on Border Conflicts in Eastern Africa

ERIC Educational Resources Information Center

Walton, Richard E.

1970-01-01

Six participants each from Somalia, Ethiopia, and Kenya participated in a workshop to search for solutions to the border disputes between Somalia and her two neighbors. This pilot venture, a mixture of successes and failures, can provide the basis for improvement and extension of the concept. Followed by critical comments by John E. Harr, Otto…

A proboscidean from the late Oligocene of Eritrea, a "missing link" between early Elephantiformes and Elephantimorpha, and biogeographic implications.

PubMed

Shoshani, Jeheskel; Walter, Robert C; Abraha, Michael; Berhe, Seife; Tassy, Pascal; Sanders, William J; Marchant, Gary H; Libsekal, Yosief; Ghirmai, Tesfalidet; Zinner, Dietmar

2006-11-14

We report on a late Oligocene proboscidean species from Eritrea, dated to 26.8 +/- 1.5 Mya. This "missing link" between early elephantiformes and Elephantimorpha is the oldest known nongomphothere proboscidean to probably display horizontal tooth displacement, typical of elephants [Elephantimorpha consists of Mammutida (mastodons) and Elephantida, and Elephantida includes gomphotheres, stegodons, and elephants]. Together with the newly discovered late Oligocene gomphotheres from Chilga, Ethiopia, the Eritrean taxon points to the importance of East Africa as a major area for the knowledge of the early evolution of Elephantimorpha before the faunal exchange between Eurasia and Africa.

Somalia.

PubMed

1986-04-01

This discussion of Somalia focuses on: the people; geography; history; government; political conditions; the economy; foreign relations; defense; and relations between the US and Somalia. In 1985 the population was estimated to be 5,400,000 with an annual growth rate of 3%. The infant mortality rate is 145/1000; life expectancy is 47 years. Somalis have a homogeneous culture and identity. About 60% of all Somalis are nomadic or seminomadic pastoralists who raise cattle, camels, sheep, and goats. Sizable ethnic groups in Somalia include some 35,000 Arabs, about 2000 Italians, and 1000 Indians and Pakistanis. Somalia is located on the east coast of Africa north of the Equator and, with Ethiopia and Djibouti, is often referred to as the Horn of Africa. Somalia, which lacks natural resources and faces many major development challenges, has a principally pastoral and agricultural economy. Since independence, from Italy and Great Britain, Somalia has followed a foreign policy of nonalignment. After the Soviets were expelled, the US reintroduced the Agency for International Development program in 1978 and has provided extensive relief to Somali refugees.

Fogging the issue of HIV - barriers for HIV testing in a migrated population from Ethiopia and Eritrea.

PubMed

Lindkvist, Pille; Johansson, Eva; Hylander, Ingrid

2015-02-05

The outcome of HIV treatment has dramatically improved since the introduction of antiretroviral therapy. Studies confirm that if treatment of HIV is initiated when the immune system is not severely affected by the virus the prognosis for the outcome is significantly better. There is also evidence that many immigrants come late for their first HIV test. If found to be HIV positive, and if the immune system is already significantly affected, this will compromise the treatment outcome. This study was performed in an attempt to understand the barriers for early HIV testing in a migrant population from Ethiopia and Eritrea in Stockholm, Sweden. Participants were theoretically sampled and consisted of individuals who had immigrated from Ethiopia and Eritrea. Data were collected using 14 focus group discussions and seven semi-structured interviews. The analysis was performed according to a Grounded Theory approach using the paradigm model. Denial and fear of knowing one's HIV status dominated all aspects of behavior in relation to HIV. The main strategy was a "fogging" of the issue of HIV. People were said to not want to know because this would bring social isolation and exclusion, and it was often believed that treatment did not help. This attitude had strong roots in their culture and past experiences that were brought along to the new country and maintained within the immigrant community. The length of time spent in Sweden seemed to be an important factor affecting the "fogging of the HIV issue". In bridging the gap between the two cultures, Swedish authorities need to find ways to meet the needs of both earlier and newly arrived immigrants as well as the second generation of immigrants. This will require adjusting and updating the information that is given to these different sub-groups of Ethiopian and Eritrean immigrants. Appropriate access to healthcare for a diverse population obviously requires more than simply providing the healthcare services.

Monkeypox

MedlinePlus

... Rohingya Democratic Republic of the Congo Ethiopia Iraq Nigeria Somalia South Sudan Syrian Arab Republic Yemen All ... Republic of the Congo, Cameroon, Central African Republic, Nigeria, Ivory Coast, Liberia, Sierra Leone, Gabon and South ...

For the sake of purity (and control). Female genital mutilation.

PubMed

Gilbert, D

1993-01-01

In 1973 approximately 1 million girls will be victimized by female genital mutilation (FGM), widely practiced in more than 20 African nations from Mauritania to the Ivory Coast in the west, to Egypt and North Tanzania in the east, as well as in Oman, Bahrain, North and South Yemen, and the United Arab Emirates. FGM takes place among the Moslem populations of the Philippines, Indonesia, and Malaysia and the Jewish Falashas in Ethiopia. FGM is practiced on babies just a few days old to girls right before marriage or young women pregnant with their first child. The most extreme mutilation is called infibulation. In Somalia, almost 100% of the women are infibulated, and so are more than 80% of the women in north and central Sudan. In Ethiopia/Eritrea, Mali, and Sierra Leone, 90% of the women have undergone some form of genital mutilation. The rate reaches 70% in Burkina Faso; 60% in Kenya, Gambia, and the Ivory Coast; and 50% in Senegal, Egypt, Guinea Bissau, and Nigeria. The mutilation often results in accumulation of menstrual blood and pelvic inflammatory disease often leading to infertility. Between 20% and 25% of infertility in Sudan has been attributed to female genital mutilation. The practice of FGM has existed for centuries, and some claim it originated in the Nile Valley during the Pharaonic era. On the other hand, Muslim countries like Iraq, Syria, and Tunisia do not practice FGM. The London Black Women's Health Action Project set up an educational network to prevent mutilations and to dispel the myth of religion about FGM. FORWARD convened the First Study Conference on Genital Mutilation of Girls in Europe in 1992 and deemed FGM a form of child abuse. Local campaigns in Africa, Asia, and the Arab world educate against FGM. The Inter-Africa Committee on Traditional Practices Affecting the Health of Women and Children, based in Addis Ababa, Ethiopia, has offices in more than 20 African nations to sensitize the public about the harmful effects of FGM. In Nigeria, the National Association of Nigerian Nurses and Midwives presents plays in the local markets about the complications of FGM.

Female genital mutilation in Britain.

PubMed

Black, J A; Debelle, G D

1995-06-17

The practice of female genital mutilation predates the founding of both Christianity and Islam. Though largely confined among Muslims, the operation is also practiced in some Christian communities in Africa such that female genital mutilation takes place in various forms in more than twenty African countries, Oman, Yemen, the United Arab Emirates, and by some Muslims in Malaysia and Indonesia. In recent decades, ethnic groups which practice female genital mutilation have immigrated to Britain. The main groups are from Eritrea, Ethiopia, Somalia, and Yemen. In their own countries, an estimated 80% of women have had the operation. Female genital mutilation has been illegal in Britain since 1985, but it is practiced illegally or children are sent abroad to undergo the operation typically at age 7-9 years. It is a form of child abuse which poses special problems. The authors review the history of female genital mutilation and describe its medical complications. Assuming that the size of the population in Britain of ethnic groups which practice or favor female genital mutilation remains more or less unchanged, adaptation and acculturation will probably cause the practice to die out within a few generations. Meanwhile, there is much to be done. A conspiracy of silence exists in medical circles as well as widespread ignorance. Moreover, none of a number of well-known obstetric and pediatric textbooks mentions female genital mutilation, while the National Society for the Prevention of Cruelty to Children has neither information nor instructional material. It is high time that the problem was more widely and openly discussed.

An overview of the transboundary aquifers in East Africa

NASA Astrophysics Data System (ADS)

Abiye, Tamiru Alemayehu

2010-11-01

A transboundary aquifer is a body of groundwater intersected by two or more countries with the potential threat of dispute over a shared groundwater resource. A large portion of the population in East Africa relies on surface water resources for day-to-day activities; in turn, this is dependent on episodic rainfall. Surface water in the region is vulnerable to pollution and potential climate change. Consequently, frequent conflict over the water use is a regular event in the region. This paper examines the transboundary aquifers and their significance for water supply in the six adjacent Intergovernmental Authority on Development (IGAD) countries (Ethiopia, Eritrea, Sudan, Kenya, Somalia and Djibouti). Analysis of available literature and short field visits to accessible areas were undertaken in order to examine the geology, hydrogeological dynamics, and water use. The geology of the transboundary aquifers is mainly represented by Precambrian basement, Mesozoic sedimentary rocks, Cenozoic volcanics and recent alluvial deposits. Taking into consideration the topographic setting and water circulation, the Ethiopian highlands are the major sources of recharge to the transboundary aquifers of the adjacent countries. The surface runoff drains through 11 major rivers into the neighbouring countries. The groundwater contained in the transboundary aquifers is yet to receive attention by the various countries, but the future trend is towards exploiting the resources to alleviate water shortages in the region. It is hoped that the systematic development of these groundwater resources would strengthen cooperation in this conflict-dominated region.

Precipitation Extremes in Dynamically Downscaled Climate Scenarios over the Greater Horn of Africa

NASA Astrophysics Data System (ADS)

Shiferaw, A. S.; Tadesse, T.; Oglesby, R. J.; Rowe, C. M.

2017-12-01

The precipitation extremes were generated over the Greater Horn of Africa (GHA) using the Regional Climate Models (RCMs) simulations from the Coordinated Regional Downscaling Experiment (CORDEX). To assess how well the RCM simulations are capturing the historical observed precipitation extremes, they were compared with the precipitation extremes derived from Climate Hazards Group InfraRed Precipitation with Station data (CHIRPS v2). The result shows that RCM simulations have reasonably captured observed patterns of the precipitation extremes (i.e., the pattern correlation is greater than 0.5). However, significant overestimations or underestimations were observed over some localized areas in the region. The study then assessed the projected changes in these precipitation extremes during 2069-2098 and compared to the 1976-2005 period that were both derived from the RCM simulations. Projected changes in total annual precipitation (PRCPTOT), annual number of heavy (>10mm) and very heavy (>20mm) precipitation days by 2069-2098 show a general north-south pattern with a decrease over southern-half and increase over the northern-half of GHA. These changes are often greatest over parts of Somalia, Eritrea, Ethiopian highlands and southern Tanzania. Maximum 1 and 5-day total precipitation in a year and "Simple Daily Precipitation Intensity Index" (ratio of PRCPTOT to rainy days) are projected to increase over majority of GHA, including areas where PRCPTOT is projected to decrease, suggesting fewer but heavier rainy days in the future. Changes in annual sum of daily precipitation above 95th and 99th percentile are not statistically significant except Eritrea and northwestern Sudan/Somalia. Projected changes in consecutive dry days (CDD) suggest longer periods of dryness over majority of GHA. Among these areas, a substantial increases in CDD are located over southern Tanzania and Ethiopian highlands.

SOMALIA: Background Information for Operation Restore Hope. 1992-1993

DTIC Science & Technology

1992-12-31

AD-A259 959H III II !!!I i I! _ _ SSi Strategic Studies Institute U.S. Army War College SEL_.Et"TE FEB 2 1993. C SSI Special Report /S 93-01850...3234 or DSN 242-3234. .. * ’! .4K! ii | SOMALIA: OPERATION RESTORE HOPE A HANDBOOK FOR STAFF OFFICERS TABLE OF CONTENTS Sections Page 1. Introduction 1 2...Britain in the early years of this century. The consolidation of Ethiopia under Emperor Menelik in the last decade of the 19th century also led to

Earth Observations taken by the Expedition 27 Crew

NASA Image and Video Library

2011-03-31

ISS027-E-009564 (31 March 2011) --- Agricultural fields along the Shebelle River in Ethiopia are featured in this image photographed by an Expedition 27 crew member on the International Space Station. The Shebelle River supports limited agricultural development within the arid to semi-arid Ogaden Plateau region of southeastern Ethiopia. This detailed photograph illustrates a network of irrigation canals and fields located approximately 42 kilometers to the west-northwest of the city of Gode, Ethiopia. Floodplain sediments and soils are dark brown to gray (center), and contrast with reddish rocks and soils of the adjacent plateau. Water in the Shebelle River, and the irrigation canals, has a bright, mirror-like appearance due to sunglint, or light reflecting off the water surface back towards the observer on the space station. Vegetation in the floodplain (bottom center) and agricultural fields is dark green. The river water supports a variety of crops?the most common being sorghum and maize?as well as grazing for livestock (cattle, sheep, goats, and camels). The Shebelle River has its headwaters in the Ethiopian Highlands, and transports water and sediment 1,000 kilometers to the southeast across Ethiopia, continuing an additional 130 kilometers into neighboring Somalia. The Shebelle River does not reach the Indian Ocean during most years, but disappears into the sands near the coast in Somalia. During periods of heavy rainfall and flooding however, the Shebelle can reach the Indian Ocean.

A Review of Ethiopia’s Security Challenges in The Horn of Africa

DTIC Science & Technology

2013-03-01

Dec 14, 2006 ), in Haile Araya , Terrorist Activities Challenging the Horn of Africa, The 2nd Annual Combating and Preventing Terrorism in Africa, Pretoria (South Africa, 2007), 15-17. ...border town of Dollo Ado during the same period. The Somalia-based terrorist threat to Ethiopia reached a peak in 2006 when another group, the...Federal Government (TFG) in 2004. Ethiopia’s military intervention in 2006 also provided the conditions for the TFG to relocate from Nairobi, Kenya to

Identity in Africa's Internal Conflicts.

ERIC Educational Resources Information Center

Deng, Francis M.

1996-01-01

Identifies and defines four models of internal ethnic conflict and discusses those conflicts within various African nations. The corresponding models and countries include Integration Model: Botswana and Somalia; Managed Diversity Model: Ghana, Cote d'Ivorie, Kenya, and Nigeria; Ambivalent Accommodation Model: Ethiopia and Djibouti; and Acute…

The Emergency campaign for smallpox eradication from Somalia (1977-1979)--revisited.

PubMed

Deria, Abdullahi

2011-12-30

The historical significance of smallpox eradication from Somalia lies in the fact that the country was the last to record the last endemic smallpox case in the world. Before 1977 the programme was mismanaged. In the mid-1970s, the programme was plagued with concealment. Confirmation of smallpox outbreak in Mogadishu in September 1976 delayed global smallpox eradication. The Government maintained that there was no ongoing smallpox transmission in the country after the Mogadishu outbreak and frustrated independent attempts to verify its claim. In February 1977 the Government allowed World Health Organization (WHO) epidemiologists to search, unhindered, for smallpox outside Mogadishu. Soon widespread smallpox transmission was detected. The Government appealed for international support. The strategy to stop the smallpox transmission was based on surveillance and containment. The WHO took the leading role of the campaign which, in spite of the Somalia/Ethiopia war of 1977/78, culminated in the eradication of smallpox from the country. Somalia was certified smallpox-free on 19 October 1979. Copyright © 2011 Elsevier Ltd. All rights reserved.

The Ogaden Insurrection: Implications for Islamist Extremism and U.S. National Security

DTIC Science & Technology

2011-02-16

DISTRIBUTION A. Approved for public release: distribution unlimited i DISCLAIMER The views expressed in this academic research paper are those of...23 Terrence Lyons, “Avoiding Conflict in the Horn of Africa, U.S. Policy Toward Ethiopia and Eritrea,” Council on Foreign Relations, CSR No. 21...ballot box and [the EPRDF regards] the expression of differing views and interests as a form of betrayal,” and are therefore repressed. International

Oil Price Movements and Globalisation: Is There a Connection?

DTIC Science & Technology

2002-09-01

Côte d’Ivorie Chad Uzbekistan Hong Kong Mauritius Ecuador Congo, DR Ireland Mexico Gambia Eritrea Israel Mongolia Ghana Ethiopia Italy Nicaragua Guinea... Mexico (Group 2) – – Norway (Group 1) – – + – Notes: + indicates a factor increasing the strength of oil price increases in affecting GDP...shocks still inflict considerable economic losses on these countries. As might be imagined, the two oil economies included in the study, Mexico and Norway

Piracy Off the Horn of Africa

DTIC Science & Technology

2009-09-28

on the U.S.-flagged MV Liberty Sun allegedly was carried out with the intention of damaging or sinking the ship and injuring or killing its crew in...djibouti-meeting. 78 Djibouti, Ethiopia, Kenya, Madagascar, Maldives , Seychelles, Somalia, the United Republic of Tanzania, and Yemen signed the

Unemployed Youth: Alternative Approaches to an African Crisis.

ERIC Educational Resources Information Center

Livingstone, Ian

1989-01-01

This article draws on the findings of seven country studies of youth employment programs in Africa (Botswana, Somalia, Zambia, Malawi, Kenya, Ethiopia, and Mauritius). Considered are public service/public works programs, agricultural development, employable skills development and vocationalization of education, and national youth services. (SK)

Coping and chronic psychosocial consequences of female genital mutilation in The Netherlands.

PubMed

Vloeberghs, Erick; van der Kwaak, Anke; Knipscheer, Jeroen; van den Muijsenbergh, Maria

2012-01-01

The study presented in this article explored psychosocial and relational problems of African immigrant women in The Netherlands who underwent female genital mutilation/cutting (FGM/C), the causes they attribute to these problems--in particular, their opinions about the relationship between these problems and their circumcision--and the way they cope with these health complaints. This mixed-methods study used standardised questionnaires as well as in-depth interviews among a purposive sample of 66 women who had migrated from Somalia, Sudan, Eritrea, Ethiopia or Sierra Leone to The Netherlands. Data were collected by ethnically similar female interviewers; interviews were coded and analysed by two independent researchers. One in six respondents suffered from post-traumatic stress disorder (PTSD), and one-third reported symptoms related to depression or anxiety. The negative feelings caused by FGM/C became more prominent during childbirth or when suffering from physical problems. Migration to the Netherlands led to a shift in how women perceive FGM, making them more aware of the negative consequences of FGM. Many women felt ashamed to be examined by a physician and avoided visiting doctors who did not conceal their astonishment about the FGM. FGM/C had a lifelong impact on the majority of the women participating in the study, causing chronic mental and psychosocial problems. Migration made women who underwent FGM/C more aware of their condition. Three types of women could be distinguished according to their coping style: the adaptives, the disempowered and the traumatised. Health care providers should become more aware of their problems and more sensitive in addressing them.

Piracy off the Horn of Africa

DTIC Science & Technology

2009-04-21

carried out with the intention of damaging or sinking the ship and injuring or killing its crew in retaliation for the deaths of three Somali pirates...of Conduct to repress acts of piracy and armed robbery against ships,” 45 Djibouti, Ethiopia, Kenya, Madagascar, Maldives , Seychelles, Somalia, the

Trends in Innovation: Basic Education in Africa.

ERIC Educational Resources Information Center

Bartels, Francis L.

A comparative study is reported of basic education in 10 African countries: Ethiopia, Kenya, Somalia, Sudan, Uganda, Zambia, Benin, Mali, Upper Volta, and Angola. Basic education is defined as learning experiences to which all citizens are entitled or which are required to help them develop their potential to function effectively as individuals…

Some structural aspects of urbanization in Ethiopia.

PubMed

Rafiq, M; Hailemariam, A

1987-07-01

This article studies the emerging patterns of urbanization in Ethiopia. Over the period from 1967-1984, a number of structural changes have occurred which are likely to play a dominant role in the future urban growth in Ethiopia. In spite of its long history of settled population, Ethiopia did not witness sustained growth of urban centers. Ethiopia is 1 of the least urbanized areas in the Third World. A 3rd aspect of urbanization in Ethiopia is the wide range of regional differentials in the level of urbanization. Most of the urban population is concentrated in 2 administrative regions--Shoa and Eritrea. A more balanced urban growth may, inter alia, involve a better spread in terms of higher education, industrialization, provision of health and social services, and the development of communication and commercial infrastructure. Another striking feature of urbanization in Ethiopia is that growth has not been disproportionately concentrated in the largest urban centers. The largest urban centers have not assumed an inordinately higher level of primacy. The basic form of the curve depicting the relationship between the size of a locality and its rank has remained unchanged over the period. The post-revolution land reforms and the new socioeconomic structure emerging from reorganization of the society appear to have a rural-urban migration inhibiting effect. Some of the country's regional differentials may be associated with environmental factors.

Ethiopia.

PubMed

1988-07-01

Ethiopia lies in the Horn of Africa at the southern end of the Red Sea. It has the distinction of being the oldest independent country in Africa. In 1936, fascist Italy invaded and occupied Ethiopia, but Ethiopia regained its independence 5 years later with the help of colonial British forces. In 1974, civil unrest led to a coup and the armed forces deposed Emperor Haile Selassie. Today, the socialist government has a national legislature and a new constitution, both of which were created 13 years after the revolution. This government is faced with armed separatist movements in the autonomous regions of Eritrea and Tigre and also with periodic border conflicts with Somali forces. These conflicts combined with a massive drought in 1983-1985 and another in 1987 led to widespread famine in which an estimated 7.9 million people faced starvation and up to 1 million people died. Ethiopia has the potential for self-sufficiency in grains, livestock, vegetables, and fruits. Yet it's agriculture has been plagued not only with drought; but also soil degradation caused by overgrazing, deforestation, and high population density; dislocation due to the economy's rapid centralization; and government policies that do not provide incentives to producers. Still agriculture provides the basis of the nation's economy. Ethiopia has good relations with the Soviet Union, and the foreign policy of Ethiopia generally supports and parallels that of the USSR. After the revolution, the United States' relationship with Ethiopia has cooled because of differences over human rights. The US does assist with drought relief, however.

Visceral leishmaniasis in selected communities of Hamar and Banna-Tsamai districts in Lower Omo Valley, South West Ethiopia: Sero-epidemological and Leishmanin Skin Test Surveys.

PubMed

Bekele, Fitsum; Belay, Tariku; Zeynudin, Ahmed; Hailu, Asrat

2018-01-01

Visceral leishmaniasis [VL] is a debilitating parasitic disease which invariably kills untreated patients. The disease is caused by Leishmania (L.) donovani or L. infantum, and transmitted by the bite of female phlebotomine sandflies. VL often remains subclinical but can become symptomatic with an acute/subacute or chronic course. Globally, the Eastern Africa region is one of the main VL endemic areas. The disease is prevalent in numerous foci within Eritrea, Ethiopia, Kenya, Somalia, Sudan South Sudan, and Uganda. In Ethiopia, the Lower Omo plain is one of the many VL endemic regions. The objective of this study was to determine the prevalence of asymptomatic visceral leishmaniasisin Hamar and Banna-Tsamai districts of the South Omo plains where VL is becoming an emerging health problem of neglected communities. A community based cross-sectional survey was conducted in 2013 between 25th of July and 14th of August. A total of 1682 individuals living in 404 households were included in the study. Socio-demographic and clinical data were collected from each of the participants and venous blood was also collected for the detection of antibodies to visceral leishmaniasis using Direct Agglutination Test. Leishmanin Skin Test was performed to detect the exposure to the parasite. The surveys included 14 villages located in areas where VL had been reported. In a study population of 1682 individuals, the overall positive leishmanian skin test and sero-prevalence rates respectively were 8.6% and 1.8%. A statistically significant variation in the rate of positive LST response was observed in different study sites and age groups. Positive LST response showed an increasing trend with age. The sero-prevalence rate also showed a statistically significant variation among different study sites. Higher rates of sero-prevalence were observed in children and adolescents. The LST and sero-prevalence rates in Hamar District exceeded significantly that of Banna-Tsamai District (10.7% versus 5.8% for LST; and 2.6% versus 0.7% for sero-prevalence). The prevalence of asymptomatic VL infection in Hamar and Banna-Tsamai districts during the study period in 2013 was low compared to rates previously reported in other endemic areas of Ethiopia. This could be due to the fact that the disease is emerging in Hamar and Banna-Tsamai districts. Based on records of a nearby Hospital, increasing numbers of active VL cases have been reported in these districts through the years 2006-2012, especially in Hamar District. Both districts are important destinations of tourism, and thus the importance of surveillance should be emphasized. Detailed epidemiological and entomological studies are recommended.

Rebels and Separatists in Ethiopia: Regional Resistance to a Marxist Regime.

DTIC Science & Technology

1985-12-01

for Africa . Michigan State Universit*., East Lansing. 1982; Stephen H. L.ongrigg, A Short Histor\\ of Eritrea, Claren - don Press. Oxf ord, 1945; A. .1...Weyane to TPLF." in Horn of Africa . Vol. VI, No. 4. 1984, p. 27. ’Proposal for the Formation of a ,nited Resistance Force. Horn of Africa . Vol. VI. No. 4...of Africa affairs in U.S. government service and (since 1981) in private life. The study reflects numerous conversations with representatives of the

Survey of Basic Education in Eastern Africa. UNESCO/UNICEF Co-Operation Programme.

ERIC Educational Resources Information Center

United Nations Educational, Scientific, and Cultural Organization, Nairobi (Kenya). Regional Office of Science and Technology for Africa.

A survey of basic education in 13 Eastern African countries (Madagascar, Burundi, Comores, Ethiopia, Mauritius, Botswana, Kenya, Lesotho, Swaziland, Tanzania, Zambia, Malawi, and Somalia) covers basic education programs and UNICEF's supporting role. Basic education is seen as a concept evolved in the region, involving formal school systems and…

Wars and Child Health: Evidence from the Eritrean-Ethiopian Conflict *

PubMed Central

Akresh, Richard; Lucchetti, Leonardo; Thirumurthy, Harsha

2012-01-01

Conflict between and within countries can have lasting health and economic consequences, but identifying such effects can be empirically challenging. This paper uses household survey data from Eritrea to estimate the effect of exposure to the 1998–2000 Eritrea-Ethiopia war on children’s health. The identification strategy exploits exogenous variation in the conflict’s geographic extent and timing and the exposure of different birth cohorts to the fighting. The unique survey data include details on each household’s migration history, which allows us to measure a child’s geographic location during the war and without which war exposure would be incorrectly classified. War-exposed children have lower height-for-age Z-scores, with similar effects for children born before or during the war. Both boys and girls who are born during the war experience negative impacts due to conflict. Effects are robust to including region-specific time trends, alternative conflict exposure measures, and mother fixed effects. PMID:22962514

Trial of labour and vaginal birth after previous caesarean section: A population based study of Eastern African immigrants in Victoria, Australia.

PubMed

Belihu, Fetene B; Small, Rhonda; Davey, Mary-Ann

2017-03-01

Variations in caesarean section (CS) between some immigrant groups and receiving country populations have been widely reported. Often, African immigrant women are at higher risk of CS than the receiving population in developed countries. However, evidence about subsequent mode of birth following CS for African women post-migration is lacking. The objective of this study was to examine differences in attempted and successful vaginal birth after previous caesarean (VBAC) for Eastern African immigrants (Eritrea, Ethiopia, Somalia and Sudan) compared with Australian-born women. A population-based observational study was conducted using the Victorian Perinatal Data Collection. Pearson's chi-square test and logistic regression analysis were performed to generate adjusted odds ratios for attempted and successful VBAC. Victoria, Australia. 554 Eastern African immigrants and 24,587 Australian-born eligible women with previous CS having singleton births in public care. 41.5% of Eastern African immigrant women and 26.1% Australian-born women attempted a VBAC with 50.9% of Eastern African immigrants and 60.5% of Australian-born women being successful. After adjusting for maternal demographic characteristics and available clinical confounding factors, Eastern African immigrants were more likely to attempt (OR adj 1.94, 95% CI 1.57-2.47) but less likely to succeed (OR adj 0.54 95% CI 0.41-0.71) in having a VBAC. There are disparities in attempted and successful VBAC between Eastern African origin and Australian-born women. Unsuccessful VBAC attempt is more common among Eastern African immigrants, suggesting the need for improved strategies to select and support potential candidates for vaginal birth among these immigrants to enhance success and reduce potential complications associated with failed VBAC attempt. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

Qualitative interviews with non-national tuberculosis patients in Cairo, Egypt: understanding the financial and social cost of treatment adherence.

PubMed

Lohiniva, Anna L; Mokhtar, Alaa; Azer, Ashraf; Elmoghazy, Esaam; Kamal, Eman; Benkirane, Manal; Dueger, Erica

2016-11-01

Limited data are available about the challenges of non-national TB patients undergoing long-term treatment courses in an urban setting. This study aimed to understand the financial and social cost of adherence of non-national TB patients in Cairo, Egypt as a means to inform the development of context-specific interventions to support treatment adherence. In 2011, 22 in-depth interviews were conducted with TB patients from Sudan, Ethiopia, Eritrea, Somalia and Djibouti to obtain qualitative data. Analysis was based on thematic analysis that aimed to identify recurrent themes and codes from the narratives. The study identified a number of factors that influence TB treatment adherence. Uncertain financial status due to limited or no employment was frequently discussed in interviews, which resulted in fear of not being able to support family, loss of pride, dependence on family and friends, fear of losing housing, food insecurity and limited food options. Respondents also feared infecting other household members and longed for opportunities to discuss their illness and treatment experiences with other individuals but their social networks were often limited. TB-related stigma was driven by shame and blame of infection. Respondents also believed stigma was based on their foreign origin. Stigma manifested in distancing and exclusion in various ways, resulting in isolation, psychological distress and reluctance to disclose TB status to others. Poverty-related factors and social context with a special focus on stigma should be considered when developing strategies for supporting long-term treatment courses for non-national patients in Cairo and other similar urban settings. © 2015 John Wiley & Sons Ltd.

Understanding Africa: A Geographic Approach

DTIC Science & Technology

2009-01-01

articles in journals such as Ecological Economics and The Energy Journal. Dr. Jon C. Malinowski is Professor of Geography at the United States...banned all 1 Jeremy Lind and Kathryn Sturman, eds. Scarcity and Surfeit: The Ecology of Africa’s...Congo [DRC] (minerals), Sudan (oil), Ethiopia (Nile waters) and Somalia (pastures), the contributors to Scarcity and Surfeit: The Ecology of

Educating Handicapped Young People in Eastern and Southern Africa in 1981-83.

ERIC Educational Resources Information Center

Ross, D. H.

This publication compiles the findings and conclusions of the 3-year first phase (1980-83) of the Unesco Sub-regional Project for Special Education in Eastern and Southern Africa. It presents the state of the art of special education and prospects for future development in Botswana, Ethiopia, Kenya, Lesotho, Malawi, Mauritius, Seychelles, Somalia,…

Historical Frames and the Politics of Humanitarian Intervention: From Ethiopia, Somalia to Rwanda

ERIC Educational Resources Information Center

Shaw, Ibrahim Seaga

2007-01-01

This article argues that historical frames we often find in news media discourse can skew the way we perceive distant wars, and that this can have a knock-on effect on international humanitarian response within a cosmopolitan framework of global justice. Drawing on an empirical exploration of recent "humanitarian interventions" in…

Stakeholders' perspectives on facilitators of and barriers to the utilisation of and access to maternal health services in Eritrea: a qualitative study.

PubMed

Chol, Chol; Hunter, Cynthia; Debru, Berhane; Haile, Berhana; Negin, Joel; Cumming, Robert G

2018-01-19

Wars affect maternal health services by destroying health systems. Eritrea experienced two wars with neighbouring Ethiopia. Despite this, the maternal mortality ratio (MMR) in Eritrea fell by 69% from 1590 per 100,000 live births in 1990 to 501 in 2015. This study aimed to examine facilitators of and barriers to the utilisation of and access to maternal health services in Eritrea. Using in-depth interviews and field observations for data collection, this qualitative study was conducted in five healthcare facilities in Asmara, the capital of Eritrea, in February and March 2016. The participants were: women (n = 40), husbands (n = 5), healthcare providers (n = 10), and decision makers (n = 5). There were two perceived facilitators of utilisation of and access to maternal health services: health education (related to the WHO health service delivery building blocks) and improvement in gender equality driven by the role played by Eritrean women as combatants during the War of Independence (1961-1991). The only perceived barrier was poor quality of care due to lack of ultrasound machines, short clinic opening hours, and shortage of healthcare workers (related to the WHO health workforce building block). This study assessed women and their husbands/partners' perceptions and the possible effects of contemporary Eritrean culture and the history of war on the utilisation of and access to maternal health services in the country. As well, we examined healthcare providers' and decision makers' perspectives. The two key facilitators of women's utilisation of and access to maternal health services were health education and women's empowerment driven by their role as combatants during the War of Independence. One main barrier was poor quality of care due to lack of ultrasound machines, short clinic opening hours, and a shortage of healthcare workers. As only a limited number of qualitative studies have been published about maternal health services in war-affected sub-Saharan African countries, our findings regarding health education and women's empowerment could be considered in other war-affected countries similar to Eritrea. Nevertheless, further research is needed to investigate our findings - particularly regarding female empowerment driven by women's role in combat in relation to their maternal health.

Meteorological Conditions Affecting Electromagnetic Propagation on the Arabian Peninsula.

DTIC Science & Technology

1984-09-01

Arabian Sea * - EMEN*~ PEOPLE S DEM. ARAB REPt~ REP OF YEMEN " Aden ID,naut,"DJIBOUTI Socotra I ~ETHIOPIA -. I Addis Ababa SOMALIA , igure 11: "Aratian... vel were do minart. Fi~ure 62 shcws the presencc of an elevated duct. A low altituide (2000 feet) radar hcle is -resent below th-e duct f row 50 tc 200

Humanitarian Relief Capabilities in the Horn of Africa.

DTIC Science & Technology

2014-06-13

surface runways (Central Intelligence Agency 2014a). Camp Lemonnier, the only U.S. military base in Africa, is located in Djibouti. The camp is in close... Intelligence Agency 2014d). Somalia has sixty-one airports, of which six have permanent surface runways (Central 10 Intelligence Agency 2014e). Ethiopia...has fifty-seven airports, of which seventeen have permanent surface runways (Central Intelligence Agency 2014c). The country with the same number

Nations Hospitable to Organized Crime and Terrorism

DTIC Science & Technology

2003-10-01

illegal migrants from Somalia, Ethiopia, China, India, and Sri Lanka pass through the airport’s weak customs barriers en route to Western Europe and...osmium-187, possibly en route to terrorist organizations or Iraq. In December 2001, Moscow authorities arrested a group of Chechens from Kazakhstan...utilizes the city as a transit point en route to Sri Lanka.492 The LTTE continues to procure arms from arsenals abandoned after Cambodia’s civil war

Al-Qaeda and Its Affiliates: The Failure of the Transnational Network

DTIC Science & Technology

2014-11-24

the battlefields of Afghanistan in the late 1980s, fresh from their perceived victory over the Soviet Union , little thought was given to the threat...for the jihad against the Soviet Union after their invasion of Afghanistan in 1979. The influence of these two men upon a young bin Laden is...between Ethiopia and Somalia exploded into fighting, with the Soviet Union choosing to arm both protagonists. 68 Christopher S. Chivvis, Andrew

Plate drift in the Afar and Issas territory (French Somalia) and eastern Ethiopia as seen on space photography

NASA Technical Reports Server (NTRS)

Bannert, D.

1972-01-01

Apollo 9 photographs of the region northwest of the Gulf of Tadjura were studied. The occurrence of a large region of basement rocks, probably crystalline in nature, with a strongly faulted overlayer was recognized and has been named the Tadjura uplift. Study of this region is adding detailed knowledge to the literature on the phenomenon of plate drift in the southern Red Sea region.

Refugees in Europe: national overviews from key countries with a special focus on child and adolescent mental health.

PubMed

Hodes, Matthew; Vasquez, Melisa Mendoza; Anagnostopoulos, Dimitris; Triantafyllou, Kalliopi; Abdelhady, Dalia; Weiss, Karin; Koposov, Roman; Cuhadaroglu, Fusun; Hebebrand, Johannes; Skokauskas, Norbert

2018-04-01

Many European countries are becoming multicultural at a previously unseen rate. The number of immigrants including refugees has considerably increased since 2008, and especially after the beginning of the war in Syria. In 2015, 88,300 unaccompanied minors sought asylum in the Member States of the European Union (EU) and most came from Syria, Afghanistan, Iran, Iraq, Somalia and Eritrea. As a reaction to increased immigration, governments in many countries including Germany, Sweden and Norway implemented more restrictive immigration policy. A requirement for all countries, however, is the protection and welfare provision for all arriving children, regardless of their nationality, ensured by international and national legal frameworks. This paper provides an overview of the post 2015 immigration crisis in key European countries with a special focus on current demographics, refugee children, mental health studies, policies and practical support available for refugees.

Episiotomy and severe perineal trauma among Eastern African immigrant women giving birth in public maternity care: A population based study in Victoria, Australia.

PubMed

Belihu, Fetene B; Small, Rhonda; Davey, Mary-Ann

2017-08-01

Eastern African immigrants from countries affected by female genital mutilation have resettled in many developed countries, including Australia. Although possibly at risk of perineal trauma and episiotomy, research investigating their perineal status post-migration is sparse. To investigate variations in episiotomy use and incidence of severe perineal tear for women born in Eritrea, Ethiopia, Somalia and Sudan compared with Australian-born women. A population-based study of 203,206 Australian-born and 3502 Eastern African immigrant women admitted as public patients, with singleton vaginal births between 1999 and 2007, was conducted using the Victorian Perinatal Data Collection. Descriptive and multivariable logistic regression analysis adjusting for confounders selected a priori, were performed to compute incidence and adjusted odds ratios. Overall, 30.5% Eastern African immigrants had episiotomy compared to 17.2% Australian-born women. Severe perineal trauma occurred in 2.1% of Eastern African immigrants and 1.6% of Australian-born women. While the odds of severe perineal trauma was significantly elevated only during non-instrumental vaginal births for Eastern African immigrants {OR adj 1.56 95%CI(1.17, 2.12)}; that of episiotomy was increased during both non-instrumental {OR adj 4.47 95%CI(4.10, 4.88)} and instrumental {OR adj 2.51 95%CI(1.91, 3.29)} vaginal births. Overall, Eastern African immigrant women experienced elevated odds of episiotomy and severe perineal tear. Health care providers need to be mindful of the increased risk of severe perineal tear in these women and enhance efforts in identification and treatment of severe perineal trauma to minimise associated short and long term morbidity. Strategies to reduce unneeded episiotomy and ways of enhancing perineal safety are also needed. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

Sexual maltreatment of unaccompanied asylum-seeking minors from the Horn of Africa: a mixed method study focusing on vulnerability and prevention.

PubMed

Lay, Margaret; Papadopoulos, Irena

2009-10-01

The study described in this paper sought to identify the social, cultural, and political factors that effect African unaccompanied asylum-seeking minors' (UASM) vulnerability to sexual maltreatment in England. It aimed to illuminate how child protection measures could be strengthened for this highly marginalized group. A mixed method approach was used. Former UASM from Ethiopia, Eritrea and Somalia who had been sexually maltreated in the UK were interviewed in-depth. Prior to the interviews they all completed a questionnaire which captured their biographical details as well as sensitive but factual information. Of the 53 (N=53) former UASM who participated in the study only 2 were males. Most arrived in the UK aged 15-17. A range of sexual maltreatment, from sexual harassment to rape was reported. Three quarters experienced more than 1 incident. Most initial incidents happened in the first 12 months of their arrival in the UK. Two perpetrators were female carers. Many participants reported being groomed and sexually maltreated by people from their own country. Many described being seriously sexually maltreated, particularly by groups of young males living in the same accommodation or nearby, some reportedly also asylum seekers. Participants that had been warned of the dangers of sexual maltreatment were more likely to both disclose and to seek professional help. Professionals should assume that UASM will suffer sexual maltreatment in their host country if not protected adequately, which they are unlikely to disclose. They are likely to need more protection from outside sources and help to develop their personal resources than many have received in the past. Preventative measures include provision of safer environments, ideally single sex housing; more monitoring and supervision; more opportunities to develop trustworthy relationships and have emotional needs met; greater opportunities to develop language skills/access to interpretation; early information regarding the social system, culture, and sexual maltreatment; and improved professional awareness and competence in dealing with minors from other cultures.

Radicalization within the Somali-American Diaspora: Countering the Homegrown Terrorist Threat

DTIC Science & Technology

2009-12-01

memorized rap lyrics from “Ice Cube”, he wore hip-hop fashions, played basketball after school and hung out at the Mall of the Americans in...Somalia by Ethiopia, Hassan published an essay on his Facebook page. The essay , published on May 2, 2007, was in support of the Ethiopian backed...Transitional Federal Government (TFG) (Hassan, 2009). In his essay , Hassan articulates how the TFG is the only legitimate authority in the country, and

Somalia Background Information for Operation Restore Hope 1992-93

DTIC Science & Technology

1992-12-01

consolidation of Ethiopia under Emperor Menelik in the last decade of the 19th century also led to confrontations in the Ogaden. These external interventions...Horowitz, ibid., pp. 523-524. 𔃽 Horowitz, ibid., p. 552. - Ii - One of the most unfortunate aspects of Siad’s rule was the introduction of his family to...daughters of Lijj Iyasu, the chosen successor son to King Menelik , who was demonstrating interest in converting to Islam, causing alarm throughout the

Volcanic outcrops of southeast Ethiopia and the Ogaden Dyke Swarm

NASA Astrophysics Data System (ADS)

Mège, Daniel; Purcell, Peter; Jourdan, Fred; Pochat, Stéphane

2013-04-01

A new map of Tertiary volcanics occurrences in the Ogaden region of southeast Ethiopia and adjacent areas of Somalia has been prepared. Outcrop areas, mapped using satellite images and helicopter-­-supported field work in 2008, are more widespread than previously recognized, while magnetic and drill data reveal the vast subsurface extent of the magmatism. Several spectacular 'meandering' outcrops, over 100 km long, are undoubtedly exhumed canyon-­-filling flows and magnetic data show that many other apparently isolated outcrops are actually part of similar flows, the bulk of which are now subsurface. Age dating and well intersections show several volcanic episodes, with the major outpouring occurring across a broad peneplain in the Oligocene. Geological and aeromagnetic mapping, and 40Ar/39Ar age dating, reveal a dyke swarm extending SSE from the southern Afar margin more than 600 km across the Somali Plate, and coeval with dyke injection in the Red Sea rift at ~25 Ma. The Ogaden Dyke Swarm, which occurs in an area historically considered remote from the impact of the Afro-­-Arabian rifting and volcanism, appears associated with the Marda Fault and marks a zone of crustal dilation along the Red Sea trend across the Horn of Africa. Contemporaneous rifts, also trending WNW/ESE and over 120 km long, occur in NE Somalia, confirming the predominantly NE/SW-­-directed crustal stress regime in the Ogaden and adjacent region at this time.

The East African monsoon system: Seasonal climatologies and recent variations: Chapter 10

USGS Publications Warehouse

Funk, Christopher C.; Hoell, Andrew; Shukla, Shraddhanand; Husak, Gregory J.; Michaelsen, J.

2016-01-01

This chapter briefly reviews the complex climatological cycle of the East African monsoon system, paying special attention to its connection to the larger Indo-Pacific-Asian monsoon cycle. We examine the seasonal monsoon cycle, and briefly explore recent circulation changes. The spatial footprint of our analysis corresponds with the “Greater Horn of Africa” (GHA) region, extending from Tanzania in the south to Yemen and Sudan in the north. During boreal winter, when northeast trade winds flow across the northwest Indian Ocean and the equatorial moisture transports over the Indian Ocean exhibit strong westerly mean flows over the equatorial Indian Ocean, East African precipitation is limited to a few highland areas. As the Indian monsoon circulation transitions during boreal spring, the trade winds over the northwest Indian Ocean reverse, and East African moisture convergence supports the “long” rains. In boreal summer, the southwesterly Somali Jet intensifies over eastern Africa. Subsidence forms along the westward flank of this jet, shutting down precipitation over eastern portions of East Africa. In boreal fall, the Jet subsides, but easterly moisture transports support rainfall in limited regions of the eastern Horn of Africa. We use regressions with the trend mode of global sea surface temperatures to explore potential changes in the seasonal monsoon circulations. Significant reductions in total precipitable water are indicated in Kenya, Tanzania, Rwanda, Burundi, Uganda, Ethiopia, South Sudan, Sudan, and Yemen, with moisture transports broadly responding in ways that reinforce the climatological moisture transports over the Indian Ocean. Over Kenya, southern Ethiopia and Somalia, regressions with velocity potential indicate increased convergence aloft. Near the surface, this convergence appears to manifest as a surface high pressure system that modifies moisture transports in these countries as well as Uganda, Tanzania, Rwanda, and Burundi. An analysis of rainfall changes indicates significant declines in parts of Tanzania, Rwanda, Burundi, Uganda, Kenya, Somalia, Ethiopia, and Yemen.

Spatial patterns of multidrug resistant tuberculosis and relationships to socio-economic, demographic and household factors in northwest Ethiopia.

PubMed

Alene, Kefyalew Addis; Viney, Kerri; McBryde, Emma S; Clements, Archie C A

2017-01-01

Understanding the geographical distribution of multidrug-resistant tuberculosis (MDR-TB) in high TB burden countries such as Ethiopia is crucial for effective control of TB epidemics in these countries, and thus globally. We present the first spatial analysis of multidrug resistant tuberculosis, and its relationship to socio-economic, demographic and household factors in northwest Ethiopia. An ecological study was conducted using data on patients diagnosed with MDR-TB at the University of Gondar Hospital MDR-TB treatment centre, for the period 2010 to 2015. District level population data were extracted from the Ethiopia National and Regional Census Report. Spatial autocorrelation was explored using Moran's I statistic, Local Indicators of Spatial Association (LISA), and the Getis-Ord statistics. A multivariate Poisson regression model was developed with a conditional autoregressive (CAR) prior structure, and with posterior parameters estimated using a Bayesian Markov chain Monte Carlo (MCMC) simulation approach with Gibbs sampling, in WinBUGS. A total of 264 MDR-TB patients were included in the analysis. The overall crude incidence rate of MDR-TB for the six-year period was 3.0 cases per 100,000 population. The highest incidence rate was observed in Metema (21 cases per 100,000 population) and Humera (18 cases per 100,000 population) districts; whereas nine districts had zero cases. Spatial clustering of MDR-TB was observed in districts located in the Ethiopia-Sudan and Ethiopia-Eritrea border regions, where large numbers of seasonal migrants live. Spatial clustering of MDR-TB was positively associated with urbanization (RR: 1.02; 95%CI: 1.01, 1.04) and the percentage of men (RR: 1.58; 95% CI: 1.26, 1.99) in the districts; after accounting for these factors there was no residual spatial clustering. Spatial clustering of MDR-TB, fully explained by demographic factors (urbanization and percent male), was detected in the border regions of northwest Ethiopia, in locations where seasonal migrants live and work. Cross-border initiatives including options for mobile TB treatment and follow up are important for the effective control of MDR-TB in the region.

Evolution, distribution, and characteristics of rifting in southern Ethiopia

NASA Astrophysics Data System (ADS)

Philippon, Melody; Corti, Giacomo; Sani, Federico; Bonini, Marco; Balestrieri, Maria-Laura; Molin, Paola; Willingshofer, Ernst; Sokoutis, Dimitrios; Cloetingh, Sierd

2014-04-01

Southern Ethiopia is a key region to understand the evolution of the East African rift system, since it is the area of interaction between the main Ethiopian rift (MER) and the Kenyan rift. However, geological data constraining rift evolution in this remote area are still relatively sparse. In this study the timing, distribution, and style of rifting in southern Ethiopia are constrained by new structural, geochronological, and geomorphological data. The border faults in the area are roughly parallel to preexisting basement fabrics and are progressively more oblique with respect to the regional Nubia-Somalia motion proceeding southward. Kinematic indicators along these faults are mainly dip slip, pointing to a progressive rotation of the computed direction of extension toward the south. Radiocarbon data indicate post 30 ka faulting at both western and eastern margins of the MER with limited axial deformation. Similarly, geomorphological data suggest recent fault activity along the western margins of the basins composing the Gofa Province and in the Chew Bahir basin. This supports that interaction between the MER and the Kenyan rift in southern Ethiopia occurs in a 200 km wide zone of ongoing deformation. Fault-related exhumation at ~10-12 Ma in the Gofa Province, as constrained by new apatite fission track data, occurred later than the ~20 Ma basement exhumation of the Chew Bahir basin, thus pointing to a northward propagation of the Kenyan rift-related extension in the area.

Surgery in the Horn of Africa: a 1-year experience of an American-sponsored surgical residency in Eritrea.

PubMed

Khambaty, Fatima M; Ayas, Huda M; Mezghebe, Haile M

2010-08-01

To describe the 1-year experience of a unique postgraduate medical education program set in Eritrea, a recently war-torn country. The Partnership for Eritrea, a cooperative between The George Washington University Medical Center, Physicians for Peace, and the Eritrean Ministry of Health, formed a surgical residency program, launched January 2, 2008, in Asmara, Eritrea, to train native Eritrean surgeons. No prior residency program (to our knowledge) had existed in Eritrea. Eritrea, a country in the Horn of Africa. Five Eritrean physicians participated in the surgical residency. The number of operations performed, length of stay, antibiotic use, and intravenous fluid use. The number of operations increased and resource use decreased because of improved and standardized clinical management. The Partnership for Eritrea established a general surgical residency program that improved clinical care in a resource-poor country that previously had lacked postgraduate training. The program experience suggests a model that can be reproduced in other developing countries.

Characteristics of seismicity in Eritrea (2011-2012): Implications for rifting dynamics

NASA Astrophysics Data System (ADS)

Goitom, B.; Hammond, J. O. S.; Kendal, M. J.; Ogubazghi, G.; Keir, D.; Ayele, A.; Illsley-Kemp, F.

2015-12-01

Eritrea hosts the final stages of on-land East-African rifting, yet questions remain about how rifting transits from the Afar Depression to the Red Sea. In this study, we use data from recent deployments of 6 broadband seismometers in Eritrea together with deployments in Ethiopia to locate seismicity and determine the current focus of strain. Over 1000 events have been located with local magnitudes 0.7-5.0. A significant period of seismicity was observed on 1 July 2012 around Nabro volcano and is associated with the biggest event of mL 5 preceded by 33 events in the previous two days. It may be related to magma movement below Nabro. Other significant seismicity was observed on 25 December 2011 and is correlated with an earthquake of mL 4.2 and associated with 13 other events on the same day. This event is located around Hayli Gubbi and Ale Bagu volcanoes and could be related to the activities around these volcanoes. We use double difference relocations to improve accuracy and show two main clusters of seismicity, one oriented NW-SE in the Bada-Alid axis along the north-western boundary of the Danakil microplate and the other NE-SW, following the trend of the Biddu-Nabro volcanic complex. Our new estimates of seismicity demarcate the boundary between the Nubian, Somalian, and Danakil Microplate and suggest that the Danakil microplate may be broken in two along the Biddu-Nabro Volcanic complex. We estimate b-values for the different clusters of events and show that close to the major border faults near Massawa, average b-values are lower (0.65) than that found near the volcanic centres (1.2 - Bada-Alid, 0.81 - Biddu-Nabro). This may indicate that the stress is less in the volcanic regions and the seismicity is due to movement of magma fluids and strain is accommodated by the injection of magma. In contrast the earthquakes around Massawa occur in relatively stronger rocks suggesting strain may be accommodated by movement on larger faults.

Beginning the Modern Regime of Subduction Tectonics in Neoproterozoic time: Inferences from Ophiolites of the Arabian-Nubian Shield

NASA Astrophysics Data System (ADS)

Stern, R.

2003-04-01

It is now clear that the motive force for plate tectonics is provided by the sinking of dense lithosphere in subduction zones. Correspondingly, the modern tectonic regime is more aptly called ``subduction tectonics" than plate tectonics, which only describes the way Earth's thermal boundary layer adjusts to subduction. The absence of subduction tectonics on Mars and Venus implies that special circumstances are required for subduction to occur on a silicate planet. This begs the question: When did Earth's oceanic lithosphere cool sufficiently for subduction to began? This must be inferred from indirect lines of evidence; the focus here is on the temporal distribution of ophiolites. Well-preserved ophiolites with ``supra-subduction zone" (SSZ) affinities are increasingly regarded as forming when subduction initiates as a result of lithospheric collapse (± a nudge to get it started), and the formation of ophiolitic lithosphere in evolving forearcs favors their emplacement and preservation. The question now is what percentage of ophiolites with ``supra-subduction zone" (SSZ) chemical signatures formed in forearcs during subduction initiation events? Most of the large, well-preserved ophiolites (e.g., Oman, Cyprus, California, Newfoundland) may have this origin. If so, the distribution in space and time of such ophiolites can be used to identify ``subduction initiation" events, which are important events in the evolution of plate tectonics. Such events first occurred at the end of the Archean (˜2.5Ga) and again in the Paleoproterozoic (˜1.8 Ga), but ophiolites become uncommon after this. Well-preserved ophiolites become abundant in Neoproterozoic time, at about 800±50 Ma. Ophiolites of this age are common and well-preserved in the Arabian-Nubian Shield (ANS) of Egypt, Sudan, Ethiopia, Eritrea, and Saudi Arabia. ANS ophiolites mostly contain spinels with high Cr#, indicating SSZ affinities. Limited trace element data on pillowed lavas supports this interpretation. Boninites are unusual melts of harzburgite that result from asthenospheric upwelling interactng with slab-derived water. This environment is only common during subduction initiation events. Boninites associated with ophiolites have been reported from Egypt, Ethiopia and Eritrea, but most of the geochemical studies of ANS ophiolitic basalts are based on studies that are a decade or more old. The abundance of ANS ophiolites implies an episode of subduction initiation occurred in Neoproterozoic time.

Health of children adopted from Ethiopia.

PubMed

Miller, Laurie C; Tseng, Beverly; Tirella, Linda G; Chan, Wilma; Feig, Emily

2008-09-01

Since 2000, American families have adopted 1,700 children from Ethiopia. Little is known about the health and development of these children. Retrospective chart review of the arrival health status of all 50 (26F:24M) children from Ethiopia/Eritrea seen in the International Adoption Clinic. Prior to adoption, most children resided with relatives; 36% were >18 months old prior to entry into care. More than 50% were true orphans, often due to HIV. Arrival age ranged from 3 months to 15 years (mean +/- SD 4 years +/- 43.8 months). At arrival, growth z scores were near-average (weight -.59, height -.64, head circumference -.09); significantly better than adopted children Guatemala, China, or Russia seen in our clinic. However, some Ethiopian children were significantly growth delayed (WAZ < or =-2, 8%, HAZ 12%, HCZ 18%). Age at adoption did not relate to growth delays. Medical issues on arrival included intestinal parasites (53%, [14% with > or =3 types]), skin infections (45%), dental caries (25%), elevated liver transaminases (20%), latent tuberculosis (18%), and hepatitis B (2%). Age-appropriate vaccines had been administered in 15-77% of children (depending on specific vaccine). Behavior problems were uncommon. Gross/fine motor and cognitive skills were approximately 86% of expected for age. Age correlated inversely with developmental scores for cognition (r = -.49, P = .003). Five children had age reassignments. Ethiopian/Eritean adoptees differ from other groups of internationally adopted children: they reside for relatively long periods of time with relatives prior to institutionalization, often have uncertain ages, exhibit few behavioral problems at arrival, have better growth, and may have less severe developmental delays. Whether these differences at arrival predict better outcomes for the Ethiopian/Eritrean children is unknown.

Quality of life after postconflict displacement in Ethiopia: comparing placement in a community setting with that in shelters.

PubMed

Araya, Mesfin; Chotai, Jayanti; Komproe, Ivan H; de Jong, Joop T V M

2011-07-01

The resilience of post-war displaced persons is not only influenced partly by the nature of premigration trauma, but also by postmigration psychosocial circumstances and living conditions. A lengthy civil war leading to Eritrea separating from Ethiopia and becoming an independent state in 1991 resulted in many displaced persons. A random sample of 749 displaced women living in the shelters in the Ethiopian capital Addis Ababa was compared with a random sample of 110 displaced women living in the community setting of Debre Zeit, 50 km away from Addis Ababa, regarding their quality of life, mental distress, sociodemographics, living conditions, perceived social support, and coping strategies, 6 years after displacement. Subjects from Debre Zeit reported significantly higher quality of life and better living conditions. However, mental distress did not differ significantly between the groups. Also, Debre Zeit subjects contained a higher proportion born in Ethiopia, a higher proportion married, reported higher traumatic life events, employed more task-oriented coping, and perceived higher social support. Factors that accounted for the difference in quality of life between the shelters and Debre Zeit groups in three of the four quality of life domains of WHOQOL-BREF (physical health, psychological, environment), included protection from insects/rodents and other living conditions. However, to account for the difference in the fourth domain (social relationships), psychosocial factors also contributed significantly. Placement and rehabilitation in a community setting seems better than in the shelters. If this possibility is not available, measures to improve specific living conditions in the shelters are likely to lead to a considerable increase in quality of life.

Genetic characterization of poxviruses in Camelus dromedarius in Ethiopia, 2011-2014.

PubMed

Gelaye, Esayas; Achenbach, Jenna Elizabeth; Ayelet, Gelagay; Jenberie, Shiferaw; Yami, Martha; Grabherr, Reingard; Loitsch, Angelika; Diallo, Adama; Lamien, Charles Euloge

2016-10-01

Camelpox and camel contagious ecthyma are infectious viral diseases of camelids caused by camelpox virus (CMLV) and camel contagious ecthyma virus (CCEV), respectively. Even though, in Ethiopia, pox disease has been creating significant economic losses in camel production, little is known on the responsible pathogens and their genetic diversity. Thus, the present study aimed at isolation, identification and genetic characterization of the causative viruses. Accordingly, clinical case observations, infectious virus isolation, and molecular and phylogenetic analysis of poxviruses infecting camels in three regions and six districts in the country, Afar (Chifra), Oromia (Arero, Miyu and Yabello) and Somali (Gursum and Jijiga) between 2011 and 2014 were undertaken. The full hemagglutinin (HA) and partial A-type inclusion protein (ATIP) genes of CMLV and full major envelope protein (B2L) gene of CCEV of Ethiopian isolates were sequenced, analyzed and compared among each other and to foreign isolates. The viral isolation confirmed the presence of infectious poxviruses. The preliminary screening by PCR showed 27 CMLVs and 20 CCEVs. The sequence analyses showed that the HA and ATIP gene sequences are highly conserved within the local isolates of CMLVs, and formed a single cluster together with isolates from Somalia and Syria. Unlike CMLVs, the B2L gene analysis of Ethiopian CCEV showed few genetic variations. The phylogenetic analysis revealed three clusters of CCEV in Ethiopia with the isolates clustering according to their geographical origins. To our knowledge, this is the first report indicating the existence of CCEV in Ethiopia where camel contagious ecthyma was misdiagnosed as camelpox. Additionally, this study has also disclosed the existence of co-infections with CMLV and CCEV. A comprehensive characterization of poxviruses affecting camels in Ethiopia and the full genome sequencing of representative isolates are recommended to better understand the dynamics of pox diseases of camels and to assist in the implementation of more efficient control measures. Copyright © 2016 Elsevier B.V. All rights reserved.

[Development and prospects of acupuncture therapy in Eritrea].

PubMed

Hu, Shan-Jia

2011-10-01

It has been over 30 years that acupuncture was first introduced and later used to treat patients in Eritrea. There are acupuncture clinics at three hospitals to treat various common diseases. As one of the valuable treatments to cure diseases, acupuncture has been accepted by the government and the public in Eritrea. It is the fruits of public recognition, government support and the devotion of Chinese clinic practitioners.

Predicting East African spring droughts using Pacific and Indian Ocean sea surface temperature indices

USGS Publications Warehouse

Funk, Christopher C.; Hoell, Andrew; Shukla, Shraddhanand; Blade, Ileana; Liebmann, Brant; Roberts, Jason B.; Robertson, Franklin R.

2014-01-01

In southern Ethiopia, Eastern Kenya, and southern Somalia poor boreal spring rains in 1999, 2000, 2004, 2007, 2008, 2009 and 2011 contributed to severe food insecurity and high levels of malnutrition. Predicting rainfall deficits in this region on seasonal and decadal time frames can help decision makers support disaster risk reduction while guiding climate-smart adaptation and agricultural development. Building on recent research that links more frequent droughts to a stronger Walker Circulation, warming in the Indo-Pacific warm pool, and an increased western Pacific sea surface temperature (SST) gradient, we explore the dominant modes of East African rainfall variability, links between these modes and sea surface temperatures, and a simple index-based monitoring-prediction system suitable for drought early warning.

The elephants of Gash-Barka, Eritrea: nuclear and mitochondrial genetic patterns.

PubMed

Brandt, Adam L; Hagos, Yohannes; Yacob, Yohannes; David, Victor A; Georgiadis, Nicholas J; Shoshani, Jeheskel; Roca, Alfred L

2014-01-01

Eritrea has one of the northernmost populations of African elephants. Only about 100 elephants persist in the Gash-Barka administrative zone. Elephants in Eritrea have become completely isolated, with no gene flow from other elephant populations. The conservation of Eritrean elephants would benefit from an understanding of their genetic affinities to elephants elsewhere on the continent and the degree to which genetic variation persists in the population. Using dung samples from Eritrean elephants, we examined 18 species-diagnostic single nucleotide polymorphisms in 3 nuclear genes, sequences of mitochondrial HVR1 and ND5, and genotyped 11 microsatellite loci. The sampled Eritrean elephants carried nuclear and mitochondrial DNA markers establishing them as savanna elephants, with closer genetic affinity to Eastern than to North Central savanna elephant populations, and contrary to speculation by some scholars that forest elephants were found in Eritrea. Mitochondrial DNA diversity was relatively low, with 2 haplotypes unique to Eritrea predominating. Microsatellite genotypes could only be determined for a small number of elephants but suggested that the population suffers from low genetic diversity. Conservation efforts should aim to protect Eritrean elephants and their habitat in the short run, with restoration of habitat connectivity and genetic diversity as long-term goals.

Genetic profiling of Mycobacterium bovis strains from slaughtered cattle in Eritrea

PubMed Central

Hlokwe, Tiny; Rutten, Victor P. M. G.; Allepuz, Alberto; Cadmus, Simeon; Muwonge, Adrian; Robbe-Austerman, Suelee; Michel, Anita L.

2018-01-01

Mycobacterium bovis (M.bovis) is the main causative agent for bovine tuberculosis (BTB) and can also be the cause of zoonotic tuberculosis in humans. In view of its zoonotic nature, slaughterhouse surveillance, potentially resulting in total or partial condemnation of the carcasses and organs, is conducted routinely. Spoligotyping, VNTR profiling, and whole genome sequencing (WGS) of M. bovis isolated from tissues with tuberculosis-like lesions collected from 14 cattle at Eritrea’s largest slaughterhouse in the capital Asmara, were conducted.The 14 M. bovis isolates were classified into three different spoligotype patterns (SB0120, SB0134 and SB0948) and six VNTR profiles. WGS results matched those of the conventional genotyping methods and further discriminated the six VNTR profiles into 14 strains. Furthermore, phylogenetic analysis of the M. bovis isolates suggests two independent introductions of BTB into Eritrea possibly evolving from a common ancestral strain in Europe.This molecular study revealed the most important strains of M. bovis in Eritrea and their (dis)similarities with the strains generally present in East Africa and Europe, as well as potential routes of introduction of M. bovis. Though the sample size is small, the current study provides important information as well as platform for future in-depth molecular studies on isolates from both the dairy and the traditional livestock sectors in Eritrea and the region. This study provides information onthe origin of some of the M. bovis strains in Eritrea, its genetic diversity, evolution and patterns of spread between dairy herds. Such information is essential in the development and implementation of future BTB control strategy for Eritrea. PMID:29664901

Potential impacts of damming the Juba Valley, western Somalia: Insights from geomorphology and alluvial history

NASA Astrophysics Data System (ADS)

Williams, Martin

2014-05-01

In 1988 plans were well advanced to dam the Juba River in western Somalia. The aims of the Baardheere Dam Project were to generate hydroelectric power for the capital Mogadishu, and to provide water for irrigation in the Juba Valley. A reconnaissance survey on foot along 500 km of the river upstream of the proposed dam site at Baardheere and detailed geomorphic mapping from air photos provided a basis for reconstructing the late Quaternary alluvial history of the river and for assessing the potential impact of the proposed dam. The Juba River rises in the Ethiopian Highlands and is the only river in Somalia that flows to the sea. Its history reflects climatic events in Ethiopia, where the Rift Valley lakes were very low during the LGM (21±2 ka), and high for about 5, 000 years before and after then. Cave deposits in Somalia indicate wetter conditions at 13, 10, 7.5 and 1.5 ka. Alluvial terraces in the Juba Valley range in age from late Pleistocene to late Holocene but only attain a few metres above the present floodplain. This is because the dry tributary valleys contain limestone caves and fissures that divert any high flows from the parent river underground, a process not known when the project was first approved. The oldest preserved terrace was cemented by calcrete by 40 ka. Alluvial gravels were deposited at the outlet of dry tributary valleys during times of episodic high-energy flow between 26 ka and 28 ka. Finely laminated shelly sands accumulated at 10 ka to form the 5 m terrace. The 2 m terrace was laid down 3.2 ka ago as a slackwater deposit. The lack of high-level alluvial terraces raises doubts over plans to dam the river, since rapid leakage would occur from side valleys and the reservoir would not attain the height needed to generate hydroelectric power. It would submerge all existing arable land along the river. Finally, the presence in the late Holocene alluvium of the sub-fossil gastropods Bulinus truncatus and Biomphalaria pfeifferi, which are the two main vectors of schistosomiasis in northeast Africa, suggests that this parasitic disease could become endemic across the valley. Any future plans to manage the Juba River need to take proper account of alluvial history and geomorphic processes.

Consolidating strategic planning and operational frameworks for integrated vector management in Eritrea.

PubMed

Chanda, Emmanuel; Ameneshewa, Birkinesh; Mihreteab, Selam; Berhane, Araia; Zehaie, Assefash; Ghebrat, Yohannes; Usman, Abdulmumini

2015-12-02

Contemporary malaria vector control relies on the use of insecticide-based, indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs). However, malaria-endemic countries, including Eritrea, have struggled to effectively deploy these tools due technical and operational challenges, including the selection of insecticide resistance in malaria vectors. This manuscript outlines the processes undertaken in consolidating strategic planning and operational frameworks for vector control to expedite malaria elimination in Eritrea. The effort to strengthen strategic frameworks for vector control in Eritrea was the 'case' for this study. The integrated vector management (IVM) strategy was developed in 2010 but was not well executed, resulting in a rise in malaria transmission, prompting a process to redefine and relaunch the IVM strategy with integration of other vector borne diseases (VBDs) as the focus. The information sources for this study included all available data and accessible archived documentary records on malaria vector control in Eritrea. Structured literature searches of published, peer-reviewed sources using online, scientific, bibliographic databases, Google Scholar, PubMed and WHO, and a combination of search terms were utilized to gather data. The literature was reviewed and adapted to the local context and translated into the consolidated strategic framework. In Eritrea, communities are grappling with the challenge of VBDs posing public health concerns, including malaria. The global fund financed the scale-up of IRS and LLIN programmes in 2014. Eritrea is transitioning towards malaria elimination and strategic frameworks for vector control have been consolidated by: developing an integrated vector management (IVM) strategy (2015-2019); updating IRS and larval source management (LSM) guidelines; developing training manuals for IRS and LSM; training of national staff in malaria entomology and vector control, including insecticide resistance monitoring techniques; initiating the global plan for insecticide resistance management; conducting needs' assessments and developing standard operating procedure for insectaries; developing a guidance document on malaria vector control based on eco-epidemiological strata, a vector surveillance plan and harmonized mapping, data collection and reporting tools. Eritrea has successfully consolidated strategic frameworks for vector control. Rational decision-making remains critical to ensure that the interventions are effective and their choice is evidence-based, and to optimize the use of resources for vector control. Implementation of effective IVM requires proper collaboration and coordination, consistent technical and financial capacity and support to offer greater benefits.

Variability of the recent climate of eastern Africa

NASA Astrophysics Data System (ADS)

Schreck, Carl J., III; Semazzi, Fredrick H. M.

2004-05-01

The primary objective of this study is to investigate the recent variability of the eastern African climate. The region of interest is also known as the Greater Horn of Africa (GHA), and comprises the countries of Burundi, Djibouti, Eritrea, Ethiopia, Kenya, Rwanda, Somalia, Sudan, Uganda, and Tanzania.The analysis was based primarily on the construction of empirical orthogonal functions (EOFs) of gauge rainfall data and on CPC Merged Analysis of Precipitation (CMAP) data, derived from a combination of rain-gauge observations and satellite estimates. The investigation is based on the period 1961-2001 for the short rains season of eastern Africa of October through to December. The EOF analysis was supplemented by projection of National Centers for Environmental Prediction wind data onto the rainfall eigenmodes to understand the rainfall-circulation relationships. Furthermore, correlation and composite analyses have been performed with the Climatic Research Unit globally averaged surface-temperature time series to explore the potential relationship between the climate of eastern Africa and global warming.The most dominant mode of variability (EOF1) based on CMAP data over eastern Africa corresponds to El Niño-southern oscillation (ENSO) climate variability. It is associated with above-normal rainfall amounts during the short rains throughout the entire region, except for Sudan. The corresponding anomalous low-level circulation is dominated by easterly inflow from the Indian Ocean, and to a lesser extent the Congo tropical rain forest, into the positive rainfall anomaly region that extends across most of eastern Africa. The easterly inflow into eastern Africa is part of diffluent outflow from the maritime continent during the warm ENSO events. The second eastern African EOF (trend mode) is associated with decadal variability. In distinct contrast from the ENSO mode pattern, the trend mode is characterized by positive rainfall anomalies over the northern sector of eastern Africa and opposite conditions over the southern sector. This rainfall trend mode eluded detection in previous studies that did not include recent decades of data, because the signal was still relatively weak. The wind projection onto this mode indicates that the primary flow that feeds the positive anomaly region over the northern part of eastern Africa emanates primarily from the rainfall-deficient southern region of eastern Africa and Sudan. Although we do not assign attribution of the trend mode to global warming (in part because of the relatively short period of analysis), the evidence, based on our results and previous studies, strongly suggests a potential connection.

Djibouti, the capital city of the country of Djibouti

NASA Image and Video Library

2000-11-20

ISS001-E-5028 (December 2000) --- Djibouti, the capital city of the country of Djibouti, can be seen in this northeast-looking view taken from the International Space Station (ISS) with a digital still camera using a 400mm lens. Djibouti, scarcely 100 years old, sits on the western shore of an isthmus in the Gulf of Tadjoura, an arm of the Gulf of Aden. Djibouti is surrounded by a rugged and bleak landscape, that has a dry and hot climate. The population of Djibouti has grown from an estimated 96,000 in 1973 to over 330,000 in 1991 mainly due to the influx of refugees from the neighboring, war torn countries of Ethiopia and Somalia. With its strategically located port, Djibouti’s economic importance results from the large transit trade it enjoys as the terminus of a railroad line from Addis Ababa in Ethiopia. The city has seen an increase in tourism in the past decade due a large number of cruise ships visiting the port. Besides tourism, salt production and shipbuilding and repair are other major industries. Below the center of the image, the long runway of the Djibouti/Ambouli International Airport is visible. Coral reefs are discernible in the upper left and upper right quadrants of the image.

Very High Efficiency Wood and Dung Mogogo in Eritrea

NASA Astrophysics Data System (ADS)

Ghebrehiwet, Debesai

In Eritrea, the cooking of traditionally yeast-leavened flat bread (injera or taita) is responsible for over 50%percnt; of the household's energy consumption. However, no literature exists in international journals, which reviews or analyse the efficiency or energy intensity of injera production.

Traditional risk-sharing arrangements and informal social insurance in Eritrea.

PubMed

Habtom, GebreMichael Kibreab; Ruys, Pieter

2007-01-01

In Eritrea neither the state nor the market is effective in providing health insurance to low-income people (in rural and informal job sector). Schemes intended for the informal sector are confronted with low and irregular incomes of target populations and consequently negligible potential for profit making. Because of this there, are no formal health insurance systems in Eritrea that cover people in the traditional (or informal) sector of the economy. In the absence of formal safety nets traditional Eritrean societies use their local social capital to alleviate unexpected social costs. In Eritrea traditional risk-sharing arrangements are made within extended families and mutual aid community associations. This study reveals that in a situation where the state no longer provides free public health services any more and access to private insurance is denied, the extension of the voluntary mutual aid community associations to Mahber-based health insurance schemes at the local level is a viable way for providing modern health services.

Mental, neurologic, and substance use (MNS) disorders among street homeless people in Ethiopia.

PubMed

Ayano, Getinet; Assefa, Dawit; Haile, Kibrom; Chaka, Asrat; Solomon, Haddish; Hagos, Petros; Yohannis, Zegeye; Haile, Kelemua; Bekana, Lulu; Agidew, Melkamu; Demise, Seife; Tsegaye, Belachew; Solomon, Melat

2017-01-01

About 25-60% of the homeless population is reported to have some form of mental disorder. To our knowledge, there are no studies aimed at the screening, diagnosis, treatment, care, rehabilitation, and support of homeless people with mental, neurologic, and substance use (MNS) disorders in general in Ethiopia. This is the first study of its kind in Africa which was aimed at screening, diagnosis, care, treatment, rehabilitation, and support of homeless individuals with possible MNS disorder. Community-based survey was conducted from January to March 2015. Homeless people who had overt and observable psychopathology and positive for screening instruments (SRQ20, ASSIST, and PSQ) were involved in the survey and further assessed for possible diagnosis by structured clinical interview for DSM-IV diagnoses and international diagnostic criteria for seizure disorders for possible involvement in care, treatment, rehabilitation services, support, and training. The Statistical Program for Social Science (SPSS version 20) was used for data entry, clearance, and analyses. A total of 456 homeless people were involved in the survey. Majority of the participants were male ( n   =  402; 88.16%). Most of the homeless participants had migrated into Addis Ababa from elsewhere in Ethiopia and Eritrea (62.50%). Mental, neurologic, and substance use disorders resulted to be common problems in the study participants (92.11%; n   =  420). Most of the participants with mental, neurologic, and substance use disorders (85.29%; n   =  354) had psychotic disorders. Most of those with psychosis had schizophrenia (77.40%; n   =  274). Almost all of the participants had a history of substance use (93.20%; n   =  425) and about one in ten individuals had substance use disorders (10.54%; n   =  48). Most of the participants with substance use disorder had comorbid other mental and neurologic disorders (83.33%; n   =  40). Mental, neurologic, and substance use disorders are common (92.11%) among street homeless people in Ethiopia. The development of centers for care, treatment, rehabilitation, and support of homeless people with mental, neurologic, and substance use disorders is warranted. In addition, it is necessary to improve the accessibility of mental health services and promote better integration between mental and primary health care services, as a means to offer a better general care and to possibly prevent homelessness among mentally ill.

GPS constraints on broad scale extension in the Ethiopian Highlands and Main Ethiopian Rift

NASA Astrophysics Data System (ADS)

Birhanu, Yelebe; Bendick, Rebecca; Fisseha, Shimeles; Lewi, Elias; Floyd, Michael; King, Robert; Reilinger, Robert

2016-07-01

Measurements from GPS sites spanning the Ethiopian Highlands, Main Ethiopian Rift, and Somali Platform in Ethiopia and Eritrea show that present-day finite strain rates throughout NE Africa can be approximated at the continent scale by opening on the MER. Most sites in the Ethiopian Highlands are consistent with the motion of the Nubian plate at the level of 1 mm/yr with 95% confidence. However, sites at least as far as 60 km west of the rift show higher velocities relative to the stable Nubian frame of 1-2 mm/yr, requiring a combination of localized and distributed deformation to accommodate the African extensional domain. Off-rift velocities are consistent with ongoing strain related to either high gravitational potential energy or intrusive magmatism away from midrift magmatic segments either on the western rift margin or within the Ethiopian Highlands, especially when combined with likely rheological differences between the Ethiopian Rift and Highlands. Velocities from the Somali Platform are less well determined with uncertainties and residuals from a Somali frame definition at the level of 2-3 mm/yr but without spatially correlated residuals.

The life cycle of continental rifting as a focus for U.S.-African scientific collaboration

NASA Astrophysics Data System (ADS)

Abdelsalam, Mohamed G.; Atekwana, Estella A.; Keller, G. Randy; Klemperer, Simon L.

2004-11-01

The East African Rift System (EARS) provides the unique opportunity found nowhere else on Earth, to investigate extensional processes from incipient rifting in the Okavango Delta, Botswana, to continental breakup and creation of proto-oceanic basins 3000 km to the north in the Afar Depression in Ethiopia, Eritrea, and Djibouti.The study of continental rifts is of great interest because they represent the initial stages of continental breakup and passive margin development, they are sites for large-scale sediment accumulation, and their geomorphology may have controlled human evolution in the past and localizes geologic hazards in the present. But there is little research that provides insights into the linkage between broad geodynamic processes and the life cycle of continental rifts: We do not know why some rifts evolve into mid-ocean ridges whereas others abort their evolution to become aulacogens. Numerous studies of the EARS and other continental rifts have significantly increased our understanding of rifting processes, but we particularly lack studies of the embryonic stages of rift creation and the last stages of extension when continental breakup occurs.

Supporting women's empowerment in Djibouti.

PubMed

Rasul, Z

1999-01-01

This article reports on the work carried out by the UN Population Fund (UNFPA) in the small island of Djibouti, Africa. The republic's population has been plagued with problems of high levels of unemployment, poverty, malnutrition, an almost non-existent family reproductive health care service, 100% prevalence rate of female genital mutilation and low literacy rate, especially for women. In addition, refugees from Ethiopia and Eritrea have settled in the country increasing the risks of sexually transmitted diseases (STDs), HIV/AIDS, prostitution, and other social ills. In 1983, UNFPA started funding family planning and later reproductive health projects aimed at assuring access to services for a majority of Djiboutan women. The first country population program of assistance was started in 1992. This would help the government with health care for its population and to conduct a population census. In addition, the Fund has paid for training of doctors, midwives, and traditional birth assistants in the country and for rehabilitating maternity clinics and information centers. Moreover, it has supported agencies concerned with educating people on STDs, HIV/AIDS, safe motherhood and reproductive health for men and women, and other important issues.

The First Historic Eruption of Nabro, Eritrea: Insights from Thermal and UV Satellite Data

NASA Astrophysics Data System (ADS)

Sealing, C. R.; Carn, S. A.; Harris, A. J. L.

2015-12-01

In June 2011, the first recorded eruption of Nabro volcano, took place at the border of Eritrea and Ethiopia. This eruption was the largest in what could be considered an ongoing sequence of eruptions in the Afar-Red Sea region since 2005. It halted air travel in northern Africa, contaminated food and water sources, and displaced thousands from their homes. Geographic isolation, previous quiescence, and regional civil unrest meant that this volcano was effectively unmonitored at the time of eruption, and opportunities for field study were limited. The purpose of this study is to explore the quantity of erupted products and the timing and mechanisms of their emplacement using predominantly free, publicly available satellite data. We use MODIS and OMI data to examine rates of lava effusion and SO2 emission, and quantify the amount of erupted products. We also examine published images from other satellites, such as ALI and SEVIRI in order to understand the temporal evolution of the eruption. Synthesizing these data, we then attempt to infer the mechanisms through which the eruption progressed. Examination of satellite data reveals a bimodal eruption, beginning with explosive activity marked by high SO2 emission totalling 1824 - 2299 KT, and extensive ash fall of 270 - 440 km2. This was followed by a period of rapid effusion, producing a ~17 km long lava flow, and a volume of ~22.1 x 106 m3. Mass balance between the SO2 and lava flows reveals no sulfur 'excess', suggesting that nearly all of the degassed magma was extruded. This eruption of Nabro continued for nearly 6 weeks, and may be considered the second largest historic eruption in Africa. This type of work highlights the effectiveness and importance of accessible satellite remote sensing data for the study of active volcanoes, particularly those in remote regions that may be otherwise inaccessible.

Immunity against measles, mumps, rubella, varicella, diphtheria, tetanus, polio, hepatitis A and hepatitis B among adult asylum seekers in the Netherlands, 2016.

PubMed

Freidl, Gudrun S; Tostmann, Alma; Curvers, Moud; Ruijs, Wilhelmina L M; Smits, Gaby; Schepp, Rutger; Duizer, Erwin; Boland, Greet; de Melker, Hester; van der Klis, Fiona R M; Hautvast, Jeannine L A; Veldhuijzen, Irene K

2018-03-14

Asylum seekers are a vulnerable population for contracting infectious diseases. Outbreaks occur among children and adults. In the Netherlands, asylum seeker children are offered vaccination according to the National Immunization Program. Little is known about protection against vaccine-preventable diseases (VPD) in adult asylum seekers. In this 2016 study, we assessed the immunity of adult asylum seekers against nine VPD to identify groups that might benefit from additional vaccinations. We invited asylum seekers from Syria, Iran, Iraq, Afghanistan, Eritrea and Ethiopia to participate in a serosurvey. Participants provided informed consent and a blood sample, and completed a questionnaire. We measured prevalence of protective antibodies to measles, mumps, rubella, varicella, diphtheria, tetanus, polio type 1-3 and hepatitis A and B, stratified them by country of origin and age groups. The median age of the 622 participants was 28 years (interquartile range: 23-35), 81% were male and 48% originated from Syria. Overall, seroprotection was 88% for measles (range between countries: 83-93%), 91% for mumps (81-95%), 94% for rubella (84-98%), 96% for varicella (92-98%), 82% for diphtheria (65-88%), 98% for tetanus (86-100%), 91% (88-94%) for polio type 1, 95% (90-98%) for polio type 2, 82% (76-86%) for polio type 3, 84% (54-100%) for hepatitis A and 27% for hepatitis B (anti-HBs; 8-42%). Our results indicate insufficient protection against certain VPD in some subgroups. For all countries except Eritrea, measles seroprotection was below the 95% threshold required for elimination. Measles seroprevalence was lowest among adults younger than 25 years. In comparison, seroprevalence in the Dutch general population was 96% in 2006/07. The results of this study can help prioritizing vaccination of susceptible subgroups of adult asylum seekers, in general and in outbreak situations. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

A sero-survey of rinderpest in nomadic pastoral systems in central and southern Somalia from 2002 to 2003, using a spatially integrated random sampling approach.

PubMed

Tempia, S; Salman, M D; Keefe, T; Morley, P; Freier, J E; DeMartini, J C; Wamwayi, H M; Njeumi, F; Soumaré, B; Abdi, A M

2010-12-01

A cross-sectional sero-survey, using a two-stage cluster sampling design, was conducted between 2002 and 2003 in ten administrative regions of central and southern Somalia, to estimate the seroprevalence and geographic distribution of rinderpest (RP) in the study area, as well as to identify potential risk factors for the observed seroprevalence distribution. The study was also used to test the feasibility of the spatially integrated investigation technique in nomadic and semi-nomadic pastoral systems. In the absence of a systematic list of livestock holdings, the primary sampling units were selected by generating random map coordinates. A total of 9,216 serum samples were collected from cattle aged 12 to 36 months at 562 sampling sites. Two apparent clusters of RP seroprevalence were detected. Four potential risk factors associated with the observed seroprevalence were identified: the mobility of cattle herds, the cattle population density, the proximity of cattle herds to cattle trade routes and cattle herd size. Risk maps were then generated to assist in designing more targeted surveillance strategies. The observed seroprevalence in these areas declined over time. In subsequent years, similar seroprevalence studies in neighbouring areas of Kenya and Ethiopia also showed a very low seroprevalence of RP or the absence of antibodies against RP. The progressive decline in RP antibody prevalence is consistent with virus extinction. Verification of freedom from RP infection in the Somali ecosystem is currently in progress.

Designing Media and ICT Strategies for Non-Formal Education in Eritrea

ERIC Educational Resources Information Center

Murthy, C. S. H. N.

2006-01-01

Designing media and ICT strategies for a newly formed country like Eritrea, which has endured 30 years of armed struggle, leading to massive destruction followed by serial drought, is fraught with numerous constraints: limitation of human resources (e.g. qualified personnel), infrastructure and financial constraints. At the same time, though it…

Multilingual Education Policy in Practice: Classroom Literacy Instruction in Different Scripts in Eritrea

ERIC Educational Resources Information Center

Asfaha, Yonas Mesfun; Kroon, Sjaak

2011-01-01

This contribution compares literacy instruction in three different scripts in Eritrea. It uses data stemming from classroom observations of beginning readers of Tigrinya (Ge'ez script), Arabic (Arabic script) and Saho (Roman alphabet), the examination of teaching materials, and teacher interviews. Our analysis focuses on literacy events. We…

Exploring the mental health effects of political trauma with newly arrived refugees.

PubMed

Shannon, Patricia J; Wieling, Elizabeth; McCleary, Jennifer Simmelink; Becher, Emily

2015-04-01

We explored the mental health effects of war trauma and torture as described by 111 refugees newly arrived in the United States. We used ethnocultural methodologies to inform 13 culture-specific focus groups with refugees from Bhutan (34), Burma (23), Ethiopia (27), and Somalia (27). Contrary to the belief that stigma prevents refugees from discussing mental health distress, participants readily described complex conceptualizations of degrees of mental health distress informed by political context, observation of symptoms, cultural idioms, and functional impairment. Recommendations for health care providers include assessment processes that inquire about symptoms in their political context, the degree of distress as it is culturally conceptualized, and its effect on functioning. Findings confirm the cross-cultural recognition of symptoms associated with posttraumatic stress disorder; however, refugees described significant cultural variation in expressions of distress, indicating the need for more research on culture-bound disorders and idioms of distress. © The Author(s) 2014.

Brief communication: Drought likelihood for East Africa

NASA Astrophysics Data System (ADS)

Yang, Hui; Huntingford, Chris

2018-02-01

The East Africa drought in autumn of year 2016 caused malnutrition, illness and death. Close to 16 million people across Somalia, Ethiopia and Kenya needed food, water and medical assistance. Many factors influence drought stress and response. However, inevitably the following question is asked: are elevated greenhouse gas concentrations altering extreme rainfall deficit frequency? We investigate this with general circulation models (GCMs). After GCM bias correction to match the climatological mean of the CHIRPS data-based rainfall product, climate models project small decreases in probability of drought with the same (or worse) severity as 2016 ASO (August to October) East African event. This is by the end of the 21st century compared to the probabilities for present day. However, when further adjusting the climatological variability of GCMs to also match CHIRPS data, by additionally bias-correcting for variance, then the probability of drought occurrence will increase slightly over the same period.

Distance Education and Its Potential for the Red Sea Nation, Eritrea--A Discourse

ERIC Educational Resources Information Center

Rena, Ravinder

2007-01-01

Across the world, the distance mode of education is gaining momentum. It is a system in which schools, universities and other educational agencies offer instruction wholly or partly by mail. Eritrea is a newly independent country in Africa and is facing many challenges, particularly in its education sector. It does not have many educational…

The quality of the maternal health system in Eritrea.

PubMed

Sharan, Mona; Ahmed, Saifuddin; Ghebrehiwet, Mismay; Rogo, Khama

2011-12-01

To examine the quality of the maternal health system in Eritrea to understand system deficiencies and its relevance to maternal mortality within the context of Millennium Development Goal (MDG) 5. A sample of 118 health facilities was surveyed. Data were collected on 5 dimensions of health system quality: availability; accessibility; management; infrastructure; and process indicators. Data on the causes of hospital admissions for obstetric patients and maternal deaths were extracted from medical records. Eritrea has only 11 comprehensive emergency obstetric care (CEmOC) facilities, all of which are grossly understaffed. There is considerable pressure on the infrastructure and health providers at hospitals. Compliance with clinical care standards and availability of supplies were optimal. As a result, the case fatality rate of 0.65% was low. In total, 45.6% of obstetric admissions and 19.5% of maternal deaths were attributed to abortion complications. In Eritrea, critical gaps in the health system-especially those related to human resources-will impede progress toward MDG 5, and it will not be possible to reduce maternal mortality without addressing the high burden of abortion. Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Projected climate over the Greater Horn of Africa under 1.5 °C and 2 °C global warming

NASA Astrophysics Data System (ADS)

Osima, Sarah; Indasi, Victor S.; Zaroug, Modathir; Seid Endris, Hussen; Gudoshava, Masilin; Misiani, Herbert O.; Nimusiima, Alex; Anyah, Richard O.; Otieno, George; Ogwang, Bob A.; Jain, Suman; Kondowe, Alfred L.; Mwangi, Emmah; Lennard, Chris; Nikulin, Grigory; Dosio, Alessandro

2018-06-01

We analyze the potential effect of global warming levels (GWLs) of 1.5 °C and 2 °C above pre-industrial levels (1861‑1890) on mean temperature and precipitation as well as intra-seasonal precipitation extremes over the Greater Horn of Africa. We used a large, 25-member regional climate model ensemble from the Coordinated Regional Downscaling Experiment and show that, compared to the control period of 1971‑2000, annual mean near-surface temperature is projected to increase by more than 1 °C and 1.5 °C over most parts of the Greater Horn of Africa, under GWLs of 1.5 °C and 2 °C respectively. The highest temperature increases are projected in the northern region, covering most parts of Sudan and northern parts of Ethiopia, and the lowest temperature increases are projected over the coastal belt of Tanzania. However, the projected mean surface temperature difference between 2 °C and 1. 5 °C GWLs is higher than 0.5 °C over nearly all land points, reaching 0.8 °C over Sudan and northern Ethiopia. This implies that the Greater Horn of Africa will warm faster than the global mean. While projected changes in precipitation are mostly uncertain across the Greater Horn of Africa, there is a substantial decrease over the central and northern parts of Ethiopia. Additionally, the length of dry and wet spells is projected to increase and decrease respectively. The combined effect of a reduction in rainfall and the changes in the wet and dry spells will likely impact negatively on the livelihoods of people within the coastal cities, lake regions, highlands as well as arid and semi-arid lands of Kenya, Tanzania, Somalia, Ethiopia and Sudan. The probable impacts of these changes on key sectors such as agriculture, water, energy and health sectors, will likely call for formulation of actionable policies geared towards adaptation and mitigation of the impacts of 1.5 °C and 2 °C warming.

Bayesian noise-reduction in Arabia/Somalia and Nubia/Arabia finite rotations since ˜20 Ma: Implications for Nubia/Somalia relative motion

NASA Astrophysics Data System (ADS)

Iaffaldano, Giampiero; Hawkins, Rhys; Sambridge, Malcolm

2014-04-01

Knowledge of Nubia/Somalia relative motion since the Early Neogene is of particular importance in the Earth Sciences, because it (i) impacts on inferences on African dynamic topography; and (ii) allows us to link plate kinematics within the Indian realm with those within the Atlantic basin. The contemporary Nubia/Somalia motion is well known from geodetic observations. Precise estimates of the past-3.2-Myr average motion are also available from paleo-magnetic observations. However, little is known of the Nubia/Somalia motion prior to ˜3.2 Ma, chiefly because the Southwest Indian Ridge spread slowly, posing a challenge to precisely identify magnetic lineations. This also makes the few observations available particularly prone to noise. Here we reconstruct Nubia/Somalia relative motions since ˜20 Ma from the alternative plate-circuit Nubia-Arabia-Somalia. We resort to trans-dimensional hierarchical Bayesian Inference, which has proved effective in reducing finite-rotation noise, to unravel the Arabia/Somalia and Arabia/Nubia motions. We combine the resulting kinematics to reconstruct the Nubia/Somalia relative motion since ˜20 Ma. We verify the validity of the approach by comparing our reconstruction with the available record for the past ˜3.2 Myr, obtained through Antarctica. Results indicate that prior to ˜11 Ma the total motion between Nubia and Somalia was faster than today. Furthermore, it featured a significant strike-slip component along the Nubia/Somalia boundary. It is only since ˜11 Ma that Nubia diverges away from Somalia at slower rates, comparable to the present-day one. Kinematic changes of some 20% might have occurred in the period leading to the present-day, but plate-motion steadiness is also warranted within the uncertainties.

Combined use of inactivated and oral poliovirus vaccines in refugee camps and surrounding communities - Kenya, December 2013.

PubMed

Sheikh, Mohamed A; Makokha, Frederick; Hussein, Abdullahi M; Mohamed, Gedi; Mach, Ondrej; Humayun, Kabir; Okiror, Samuel; Abrar, Leila; Nasibov, Orkhan; Burton, John; Unshur, Ahmed; Wannemuehler, Kathleen; Estivariz, Concepcion F

2014-03-21

Since the launch of the Global Polio Eradication Initiative (GPEI) in 1988, circulation of indigenous wild poliovirus (WPV) has continued without interruption in only three countries: Afghanistan, Nigeria, and Pakistan. During April-December 2013, a polio outbreak caused by WPV type 1 (WPV1) of Nigerian origin resulted in 217 cases in or near the Horn of Africa, including 194 cases in Somalia, 14 cases in Kenya, and nine cases in Ethiopia (all cases were reported as of March 10, 2014). During December 14-18, 2013, Kenya conducted the first-ever campaign providing inactivated poliovirus vaccine (IPV) together with oral poliovirus vaccine (OPV) as part of its outbreak response. The campaign targeted 126,000 children aged ≤59 months who resided in Somali refugee camps and surrounding communities near the Kenya-Somalia border, where most WPV1 cases had been reported, with the aim of increasing population immunity levels to ensure interruption of any residual WPV transmission and prevent spread from potential new importations. A campaign evaluation and vaccination coverage survey demonstrated that combined administration of IPV and OPV in a mass campaign is feasible and can achieve coverage >90%, although combined IPV and OPV campaigns come at a higher cost than OPV-only campaigns and require particular attention to vaccinator training and supervision. Future operational studies could assess the impact on population immunity and the cost-effectiveness of combined IPV and OPV campaigns to accelerate interruption of poliovirus transmission during polio outbreaks and in certain areas in which WPV circulation is endemic.

Fluctuations in wasting in vulnerable child populations in the Greater Horn of Africa.

PubMed

Chotard, Sophie; Mason, John B; Oliphant, Nicholas P; Mebrahtu, Saba; Hailey, Peter

2010-09-01

Malnutrition in preschool children, usually measured as wasting, is widely used to assess possible needs for emergency humanitarian interventions in areas vulnerable to drought, displacement, and related causes of food insecurity. The extent of fluctuations in wasting by season, year-to-year, and differential effects by livelihood group, need to be better established as a basis for interpretation together with ways of presenting large numbers of survey results to facilitate interpretation. To estimate levels of and fluctuations in wasting prevalences in children from surveys conducted in arid and semiarid areas of the Greater Horn of Africa according to livelihood (pastoral, agricultural, mixed, migrant), season or month, and year from 2000 to 2006. Results from around 900 area-level nutrition surveys (typical sample size, about 900 children) were compiled and analyzed. These surveys were carried out largely by nongovernmental organizations, coordinated by UNICEF, in vulnerable areas of Eritrea, Ethiopia, Kenya, Somalia, Southern Sudan, and Uganda. Demographic and Health Survey (DHS) and Multiple Indicator Cluster Survey (MICS) data were used for comparison. Data were taken from measurements of children 0 to 5 years of age (or less than 110 cm in height). Among pastoral child populations, the average prevalence of wasting (< -2 SD weight-for-height) was about 17%, 6-7 percentage points higher than the rates among agricultural populations or populations with mixed livelihoods. Fluctuations in wasting were greater among pastoralists during years of drought, with prevalences rising to 25% or higher; prevalences among agricultural populations seldom exceeded 15%. This difference may be related to very different growth patterns (assessed from DHS and UNICEF/MICS surveys), whereby pastoral children typically grow up thinner but taller than children of agriculturalists. Wasting peaks are seen in the first half of the year, usually during the dry or hunger season. In average years, the seasonal increase is about 5 percentage points. Internally displaced people and urban migrants have somewhat higher prevalence rates of wasting. Year-to-year differences are the largest, loosely correlated with drought at the national level but subject to local variations. Tracking changes in wasting prevalence over time at the area level--e.g., with time-series graphical presentations--facilitates interpretation of survey results obtained at any given time. Roughly, wasting prevalences exceeding 25% in pastoralists and 15% in agriculturalists (taking account of timing) indicate unusual malnutrition levels. Different populations should be judged by population-specific criteria, and invariant prevalence cutoff points avoided; interpretation rules are suggested. Survey estimates of wasting, when seen in the context of historical values and viewed as specific to different livelihood groups, can provide useful timely warning of the need for intervention to mitigate developing nutritional crises.

Contribution of Complementary Elementary Education towards Transition of Nomadic Pupils from Non-Formal to Middle School Education in Habero Sub-Zone, Eritrea

ERIC Educational Resources Information Center

Tekle, Tesfu; Njihia, Mukirae; Ogeta, Norbert; Habtu, Michael

2015-01-01

Background: Education in Eritrea is a fundamental right of every person. Therefore, ensuring equal and equitable educational opportunities for every citizen is essential for upward mobility. However, enrolment in areas inhabited by the nomadic groups is far less from the national average. To boost enrolment among the nomads and to meet the…

The Effect of Piracy on Somalia as a Failed State

DTIC Science & Technology

2011-02-01

economic stability and security for Somalia needed to eradicate piracy. If the U.S. were involved in another operation in Somalia to eradicate pirate bases, the international community must provide security and economic stability via a land-based approach. Problem: If the U.S. were involved in another operation in Somalia to eradicate pirate bases, Somalia’s geography, transportation, and political conditions present challenges. The country suffered from drought in the 1990’s, which made peacekeeping forces depend ’on organic supplies.

Inheriting Failure: An Exploratory Study of Post-Colonial Somalia

DTIC Science & Technology

2014-12-01

12b. DISTRIBUTION CODE A 13. ABSTRACT (maximum 200 words) ] Throughout its history , Somalia has experienced varying degrees of instability that has...Defense Analysis iii THIS PAGE INTENTIONALLY LEFT BLANK iv ABSTRACT Throughout its history , Somalia has experienced varying degrees of...1 A. STATE-SOCIETY RELATIONS...................................................................3 II. THE COLONIAL HISTORY OF SOMALIA

Who Goes to School? School Enrollment Patterns in Somalia

ERIC Educational Resources Information Center

Moyi, Peter

2012-01-01

Somalia gained its independence in 1960; however, civil conflict broke out in 1991. The outbreak of civil conflict was the final blow for already collapsed education in Somalia. The civil conflict completely destroyed the remaining educational structure. Despite the protracted nature of the conflict Somalia has slowly been pushed out of the active…

75 FR 19869 - Blocking Property of Certain Persons Contributing to the Conflict in Somalia

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-15

... in Somalia, and acts of piracy and armed robbery at sea off the coast of Somalia, which have... determine that, among other threats to the peace, security, or stability of Somalia, acts of piracy or armed... order, and to take necessary action to give effect to that determination. Sec. 8. This order is not...

Visceral leishmaniasis in Somalia: A review of epidemiology and access to care.

PubMed

Sunyoto, Temmy; Potet, Julien; Boelaert, Marleen

2017-03-01

Somalia, ravaged by conflict since 1991, has areas endemic for visceral leishmaniasis (VL), a deadly parasitic disease affecting the rural poor, internally displaced, and pastoralists. Very little is known about VL burden in Somalia, where the protracted crisis hampers access to health care. We reviewed evidence about VL epidemiology in Somalia and appraised control options within the context of this fragile state's health system. VL has been reported in Somalia since 1934 and has persisted ever since in foci in the southern parts of the country. The only feasible VL control option is early diagnosis and treatment, currently mostly provided by nonstate actors. The availability of VL care in Somalia is limited and insufficient at best, both in coverage and quality. Precarious security remains a major obstacle to reach VL patients in the endemic areas, and the true VL burden and its impact remain unknown. Locally adjusted, innovative approaches in VL care provision should be explored, without undermining ongoing health system development in Somalia. Ensuring VL care is accessible is a moral imperative, and the limitations of the current VL diagnostic and treatment tools in Somalia and other endemic settings affected by conflict should be overcome.

Visceral leishmaniasis in Somalia: A review of epidemiology and access to care

PubMed Central

Potet, Julien; Boelaert, Marleen

2017-01-01

Somalia, ravaged by conflict since 1991, has areas endemic for visceral leishmaniasis (VL), a deadly parasitic disease affecting the rural poor, internally displaced, and pastoralists. Very little is known about VL burden in Somalia, where the protracted crisis hampers access to health care. We reviewed evidence about VL epidemiology in Somalia and appraised control options within the context of this fragile state’s health system. VL has been reported in Somalia since 1934 and has persisted ever since in foci in the southern parts of the country. The only feasible VL control option is early diagnosis and treatment, currently mostly provided by nonstate actors. The availability of VL care in Somalia is limited and insufficient at best, both in coverage and quality. Precarious security remains a major obstacle to reach VL patients in the endemic areas, and the true VL burden and its impact remain unknown. Locally adjusted, innovative approaches in VL care provision should be explored, without undermining ongoing health system development in Somalia. Ensuring VL care is accessible is a moral imperative, and the limitations of the current VL diagnostic and treatment tools in Somalia and other endemic settings affected by conflict should be overcome. PMID:28278151

Nabro and Mallahle Volcanoes, Eritrea and Ethiopia, SRTM Colored Height and Shaded Relief

NASA Technical Reports Server (NTRS)

2004-01-01

The area known as the Afar Triangle is located at the northern end of the East Africa Rift, where it approaches the southeastern end of the Red Sea and the southwestern end of the Gulf of Aden. The East African Rift, the Red Sea, and the Gulf of Aden are all zones where Earth's crust is pulling apart in a process known as crustal spreading. Their three-way meeting is known as a triple junction, and their spreading creates a triangular topographic depression for which the area was named.

Not surprisingly, the topographic effects of crustal spreading are more dramatic in the Afar Triangle than anywhere else upon Earth's landmasses. The spreading is primarily evident as patterns of numerous tension cracks. But some of these cracks provide conduits for magma to rise to the surface to form volcanoes.

Shown here are a few of the volcanoes of the Afar Triangle. The larger two are Nabro Volcano (upper right, in Eritrea) and Mallahle Volcano (lower left, in Ethiopia). Nabro Volcano shows clear evidence of multiple episodes of activity that resulted in a crater in a crater in a crater. Many volcanoes in this area are active, including one nearby that last erupted in 1990.

This image was created directly from an SRTM elevation model. A shade image was derived by computing topographic slope in the north-south direction. Northern slopes appear bright and southern slopes appear dark. The shade image was then combined with a color coding of topographic height, with green at the lower elevations, rising through yellow, orange, and red, up to purple at the highest elevations.

Elevation data used in this image was acquired by the Shuttle Radar Topography Mission (SRTM) aboard the Space Shuttle Endeavour, launched on February 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. SRTM was designed to collect three-dimensional measurements of the Earth's surface. To collect the 3-D data, engineers added a 60-meter-long (200-foot) mast, installed additional C-band and X-band antennas, and improved tracking and navigation devices. The mission is a cooperative project between the National Aeronautics and Space Administration (NASA), the National Geospatial-Intelligence Agency (NGA) of the U.S. Department of Defense (DoD), and the German and Italian space agencies. It is managed by NASA's Jet Propulsion Laboratory, Pasadena, CA, for NASA's Earth Science Enterprise, Washington, DC.

Size: 35.2 kilometers (21.8 miles) by 22.5 kilometers (14.0 miles) Location: 13.3 degrees North latitude, 41.7 degrees East longitude Orientation: North toward the top Image Data: Shaded and colored SRTM elevation model Date Acquired: February 2000

Ethiopian-Eritrean Conflict: Security Implications for the Horn of Africa

DTIC Science & Technology

2012-03-19

and Eritrea accepted a diplomatic team from the United States and Rwanda to discuss and prevent the war from being pushed to its logical conclusion...2001), p. 6. 16 Medhane Tadesse ,The Djibouti-Eritrea Conflict, ( Inter Africa Group, Center for Dialogue on Humanitarian, Peace and Development...Tonui, Future Stability in the Horn of Africa, Strategy Research Project (U.S. Army War College, 2000), p. 18. 36 Medhane Tadesse ,The Djibouti

Prevalence and Pattern of Mandibular Third Molar Impaction in Eritrean Population: A Retrospective Study.

PubMed

Kumar, V Raj; Yadav, Priya; Kahsu, Efrem; Girkar, Farhana; Chakraborty, Rajnish

2017-02-01

The most commonly impacted tooth in the oral cavity is the mandibular third molar. Various etiologic factors have been suggested for impacted mandibular third molars. The pattern and prevalence of impacted mandibular third molars vary with different population and region. This study throws light on the prevalence and pattern of impacted mandibular third molars in Eritrea, East Africa. This is the first reported study regarding the same from Eritrea. To assess the prevalence and pattern of impacted mandibu-lar third molars in the population of Eritrea, East Africa by conducting a retrospective study from January 2009 to January 2014. This study was conducted in the Department of Oral and Maxillofacial Surgery, Orotta School of Medicine and Dental Medicine and the Orotta Referral Medical and Surgical Hospital, Asmara, Eritrea. A total of 1,813 clinical and radiographic records [orthopantomograms] were assessed and 276 cases were selected for the study as per the inclusion criteria. They were evaluated for the frequency among the various age groups, gender and region along with the sides affected, angulation and level of impaction. The presence of systemic conditions and associated pathologies was also assessed according to the type of impaction. The average age of these patients in the study was found to be 30 years, with the 20 to 30 years age group being the most affected (67.4%). Females (53.3%) were affected more than the males (46.7%). People from the Asmara region showed significantly more prevalence (79.7%) than the adjoining areas (20.3%). Mesioangular impaction was the most common angulation with a definite relationship to the age groups (p = 0.032). The level of impaction had no significant relationship to the age groups, gender, or region, although class I position A was found to be the most common type. Mesioangular class I position A impac-tion showed an apparent relationship with underlying systemic conditions, but it was statistically insignificant. Mesioangular impaction was found to be associated with the most number of pathologies (p = 0.001). The prevalence of mandibular impaction was less in Eritrea (15.2%) compared with other populations. This study provides useful baseline data for the prevalence and pattern of mandibular impaction in the Eritrean population. This study throws light on the pattern, type, and frequency of mandibular impacted teeth as per age, sex, and region among the population of Eritrea.

Health Profiles of Newly Arrived Refugee Children in the United States, 2006-2012.

PubMed

Yun, Katherine; Matheson, Jasmine; Payton, Colleen; Scott, Kevin C; Stone, Barbara L; Song, Lihai; Stauffer, William M; Urban, Kailey; Young, Janine; Mamo, Blain

2016-01-01

We conducted a large-scale study of newly arrived refugee children in the United States with data from 2006 to 2012 domestic medical examinations in 4 sites: Colorado; Minnesota; Philadelphia, Pennsylvania; and Washington State. Blood lead level, anemia, hepatitis B virus (HBV) infection, tuberculosis infection or disease, and Strongyloides seropositivity data were available for 8148 refugee children (aged < 19 years) from Bhutan, Burma, Democratic Republic of Congo, Ethiopia, Iraq, and Somalia. We identified distinct health profiles for each country of origin, as well as for Burmese children who arrived in the United States from Thailand compared with Burmese children who arrived from Malaysia. Hepatitis B was more prevalent among male children than female children and among children aged 5 years and older. The odds of HBV, tuberculosis, and Strongyloides decreased over the study period. Medical screening remains an important part of health care for newly arrived refugee children in the United States, and disease risk varies by population.

Health Profiles of Newly Arrived Refugee Children in the United States, 2006–2012

PubMed Central

Matheson, Jasmine; Payton, Colleen; Scott, Kevin C.; Stone, Barbara L.; Song, Lihai; Stauffer, William M.; Urban, Kailey; Young, Janine; Mamo, Blain

2016-01-01

Objectives. We conducted a large-scale study of newly arrived refugee children in the United States with data from 2006 to 2012 domestic medical examinations in 4 sites: Colorado; Minnesota; Philadelphia, Pennsylvania; and Washington State. Methods. Blood lead level, anemia, hepatitis B virus (HBV) infection, tuberculosis infection or disease, and Strongyloides seropositivity data were available for 8148 refugee children (aged < 19 years) from Bhutan, Burma, Democratic Republic of Congo, Ethiopia, Iraq, and Somalia. Results. We identified distinct health profiles for each country of origin, as well as for Burmese children who arrived in the United States from Thailand compared with Burmese children who arrived from Malaysia. Hepatitis B was more prevalent among male children than female children and among children aged 5 years and older. The odds of HBV, tuberculosis, and Strongyloides decreased over the study period. Conclusions. Medical screening remains an important part of health care for newly arrived refugee children in the United States, and disease risk varies by population. PMID:26562126

The global burden of measles in the year 2000--a model that uses country-specific indicators.

PubMed

Stein, Claudia E; Birmingham, Maureen; Kurian, Mary; Duclos, Philippe; Strebel, Peter

2003-05-15

The estimation of the global burden of measles is challenging in the absence of reliable and comparable surveillance systems worldwide. A static model is described that enables estimation of measles morbidity, mortality, and disability for the year 2000 on the basis of country-specific information (i.e., demographic profile, vaccine coverage, and estimates of case-fatality ratios). This approach estimated a global incidence of 39.9 million measles cases, 777,000 deaths, and 28 million disability-adjusted life years. The World Health Organization regions of Africa and Southeast Asia had 70% of incident cases and 84% of measles-related deaths; 11 countries alone (Afghanistan, Burkina Faso, Democratic Republic of the Congo, Ethiopia, India, Indonesia, Niger, Nigeria, Pakistan, Somalia, Uganda) account for 66% of deaths. This approach quantifies the measles burden by considering country-specific indicators, which can be updated, permitting an assessment of country, regional, and global changes in the burden associated with measles infection.

Early Flood Warning in Africa: Results of a Feasibility study in the JUBA, SHABELLE and ZAMBEZI

NASA Astrophysics Data System (ADS)

Pappenberger, F. P.; de Roo, A. D.; Buizza, Roberto; Bodis, Katalin; Thiemig, Vera

2009-04-01

Building on the experiences gained with the European Flood Alert System (EFAS), pilot studies are carried out in three river basins in Africa. The European Flood Alert System, pre-operational since 2003, provides early flood alerts for European rivers. At present, the experiences with the European EFAS system are used to evaluate the feasibility of flood early warning for Africa. Three case studies are carried in the Juba and Shabelle rivers (Somalia and Ethiopia), and in the Zambesi river (Southern Africa). Predictions in these data scarce regions are extremely difficult to make as records of observations are scarce and often unreliable. Meteorological and Discharge observations are used to calibrate and test the model, as well as soils, landuse and topographic data available within the JRC African Observatory. ECMWF ERA-40, ERA-Interim data and re-forecasts of flood events from January to March 1978, and in March 2001 are evaluated to examine the feasibility for early flood warning. First results will be presented.

Hydrologic modeling for monitoring water availability in Eastern and Southern Africa

NASA Astrophysics Data System (ADS)

McNally, A.; Harrison, L.; Shukla, S.; Pricope, N. G.; Peters-Lidard, C. D.

2017-12-01

Severe droughts in 2015, 2016 and 2017 in Ethiopia, Southern Africa, and Somalia have negatively impacted agriculture and municipal water supplies resulting in food and water insecurity. Information from remotely sensed data and field reports indicated that the Famine Early Warning Systems Network (FEWS NET) Land Data Assimilation (FLDAS) accurately tracked both the anomalously low soil moisture, evapotranspiration and runoff conditions. This work presents efforts to more precisely monitor how the water balance responds to water availability deficits (i.e. drought) as estimated by the FLDAS with CHIRPS precipitation, MERRA-2 meteorological forcing and the Noah33 land surface model.Preliminary results indicate that FLDAS streamflow estimates are well correlated with observed streamflow where irrigation and other channel modifications are not present; FLDAS evapotranspiration (ET) is well correlated with ET from the Operational Simplified Surface Energy Balance model (SSEBop) in Eastern and Southern Africa. We then use these results to monitor availability, and explore trends in water supply and demand.

Exceptional warming in the Western Pacific-Indian Ocean warm pool has contributed to more frequent droughts in eastern Africa

USGS Publications Warehouse

Funk, Christopher C.; Peterson, Thomas C.; Stott, Peter A.; Herring, Stephanie

2012-01-01

In 2011, East Africa faced a tragic food crisis that led to famine conditions in parts of Somalia and severe food shortages in parts of Ethiopia and Somalia. While many nonclimatic factors contributed to this crisis (high global food prices, political instability, and chronic poverty, among others) failed rains in both the boreal winter of 2010/11 and the boreal spring of 2011 played a critical role. The back-to-back failures of these rains, which were linked to the dominant La Niña climate and warm SSTs in the central and southeastern Indian Ocean, were particularly problematic since they followed poor rainfall during the spring and summer of 2008 and 2009. In fact, in parts of East Africa, in recent years, there has been a substantial increase in the number of below-normal rainy seasons, which may be related to the warming of the western Pacific and Indian Oceans (for more details, see Funk et al. 2008; Williams and Funk 2011; Williams et al. 2011; Lyon and DeWitt 2012). The basic argument of this work is that recent warming in the Indian–Pacific warm pool (IPWP) enhances the export of geopotential height energy from the warm pool, which tends to produce subsidence across eastern Africa and reduce onshore moisture transports. The general pattern of this disruption has been supported by canonical correlation analyzes and numerical experiments with the Community Atmosphere Model (Funk et al. 2008), diagnostic evaluations of reanalysis data (Williams and Funk 2011; Williams et al. 2011), and SST-driven experiments with ECHAM4.5, ECHAM5, and the Community Climate Model version 3 (CCM3.6) (Lyon and DeWitt 2012).

Confirmation of Arabia plate slow motion by new GPS data in Yemen

NASA Astrophysics Data System (ADS)

Vigny, Christophe; Huchon, Philippe; Ruegg, Jean-Claude; Khanbari, Khaled; Asfaw, Laike M.

2006-02-01

During the last 10 years, a network of about 30 GPS sites was measured in Djibouti, East Africa. Additional points were also measured in Yemen, Oman, Ethiopia, Iran, and on La Réunion island. Merged with data from the available International GPS Service permanent stations scattered on the different plates in the area (Eurasia, Anatolia, Africa, Arabia, Somalia), this unique data set provides new insight on the current deformation in the Africa-Somalia-Arabia triple junction area and on the Arabian plate motion. Here we show that coherent motions of points in Yemen, Bahrain, Oman, and Iran allow us to estimate a geodetically constrained angular velocity for the Arabian plate (52.59°N, 15.74°W, 0.461°/Myr in ITRF2000). This result differs significantly from earlier determinations and is based upon our vectors in Yemen. They provide new additional data and better geometry for angular velocity determination. Combined with the African and Somalian motions, this new angular velocity results in predicted spreading rates in the Red Sea and the Gulf of Aden which are 15-20% lower than those measured from oceanic magnetic anomalies and thus averaged over the last 3 Myr. With respect to Eurasia, the geodetic motion of Arabia is also about 30% slower than predicted by NUVEL-1A. On the basis of the kinematic results presented here and on other evidence for a similar slower geodetic rate of the Indian plate, we suggest that the whole collision zone between Africa, Arabia, India on one hand and Eurasia on the other hand has slowed down in the last 3 Myr.

Burden of HIV/AIDS infection before and during the civil war in Somalia.

PubMed

Ahmed, B H; Giovagnoli, M R; Mahad, H; Tarsitani, G G

2010-08-01

Somalia has suffered a massive internal population displacement and exodus that began in 1988 and is still ongoing during the prolonged and intermittent civil war. This review looks at the burden of HIV infection in Somali and the impact of civil war on its epidemiology. Serosurveys have indicated that HIV was not present in Somalia before the civil war and to date Somalia has had an HIV prevalence markedly below that of its neighbours. However, due to the ongoing war HIV sentinel surveillance cannot reach most of the affected areas in Somalia and the current HIV infection problem may be greater than the figures indicate.

Causes of Childhood Vision Impairment in the School for the Blind in Eritrea.

PubMed

Gyawali, Rajendra; Moodley, Vanessa R

2017-12-01

Our study provides the much-needed evidence on causes of childhood blindness in Eritrea. This will assist authorities to plan appropriate strategies and implement preventive, curative, and rehabilitative services to address these causes of vision loss in children in this resource-limited country. This study aims to identify the causes of severe vision impairment and blindness in children attending the only school for the blind in Eritrea. All children enrolled in the school were examined, and the World Health Organization form for the examination of visually impaired children was used to record the data. Examination included visual acuity, refraction, anterior segment, and fundus assessment. Causes of vision loss for children with severe vision impairment (visual acuity <6/60 to 3/60) and blindness (visual acuity <3/60) are reported. Causes were classified by the anatomical site affected and by underlying etiology based on the timing of the insult and causal factor. A total of 92 children were examined, and 71 (77.2%) of them had severe vision impairment and blindness. The major causes of vision loss were corneal scars (16.9%), cataract (12.7%), phthisis bulbi (11.3%), congenital eye deformities (11.3%), optic atrophy (9.3%), and presumed chorioretinal Toxoplasma scars (7.0%). Hereditary factors were the major known etiological category (15.5%) followed by the sequel of eye injuries (12.7%). Blindness due to vitamin A deficiency was not found, whereas infectious causes such as measles and ophthalmia neonatorum were relatively absent (one case each). Potentially avoidable causes of vision impairment were accounted for in 47.9% of children. This study provides the first direct evidence on childhood vision impairment in Eritrea. Despite the limitations, it is clearly shown that nearly half of the vision loss is due to avoidable causes. Thus, preventive public health strategies, specialist pediatric eye care, and rehabilitative services are recommended to address childhood vision impairment in Eritrea.

75 FR 20672 - Additional Identifying Information Associated With Persons Whose Property and Interests in...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-20

... (Yemen) (individual) [SOMALIA] 11. SA'ID, Mohamed (a.k.a. ATOM, Mohamed Sa'id; a.k.a. ATOM, Mohamed Siad; a.k.a. ``ATOM''), Badhan, Somalia; Galgala, Puntland, Somalia; DOB circa 1966; POB Galgala, Puntland...

Seismically imaging the Afar plume

NASA Astrophysics Data System (ADS)

Hammond, J. O.; Kendall, J. M.; Bastow, I. D.; Stuart, G. W.; Keir, D.; Ayele, A.; Ogubazghi, G.; Ebinger, C. J.; Belachew, M.

2011-12-01

Plume related flood basalt volcanism in Ethiopia has long been cited to have instigated continental breakup in northeast Africa. However, to date seismic images of the mantle beneath the region have not produced conclusive evidence of a plume-like structure. As a result the nature and even existence of a plume in the region and its role in rift initiation and continental rupture are debated. Previous seismic studies using regional deployments of sensors in East-Africa show that low seismic velocities underlie northeast Africa, but their resolution is limited to the top 200-300km of the Earth. Thus, the connection between the low velocities in the uppermost mantle and those imaged in global studies in the lower mantle is unclear. We have combined new data from Afar, Ethiopia with 6 other regional experiments and global network stations across Ethiopia, Eritrea, Djibouti and Yemen, to produce high-resolution models of upper mantle P- and S- wave velocities to the base of the transition zone. Relative travel time tomographic inversions show that the top 100km is dominated by focussed low velocity zones, likely associated with melt in the lithosphere/uppermost asthenosphere. Below these depths a broad SW-NE oriented sheet like upwelling extends down to the top of the transition zone. Within the transition zone two focussed sharp-sided low velocity regions exist: one beneath the Western Ethiopian plateau outside the rift valley, and the other beneath the Afar depression. The nature of the transition zone anomalies suggests that small upwellings may rise from a broader low velocity plume-like feature in the lower mantle. This interpretation is supported by numerical and analogue experiments that suggest the 660km phase change and viscosity jump may impede flow from the lower to upper mantle creating a thermal boundary layer at the base of the transition zone. This allows smaller, secondary upwellings to initiate and rise to the surface. Our images of secondary upwellings suggest that there is no evidence for a plume in the classical sense (i.e. a narrow conduit). Instead, we propose that secondary upwellings rise from the base of the transition zone and connect in the upper mantle. This coupled with measurements of seismic anisotropy suggest that mantle material flows northeast towards Arabia, and may be responsible for the dramatic dynamic topography observed in northeast Africa and western Arabia.

Where to deploy pre-exposure prophylaxis (PrEP) in sub-Saharan Africa?

PubMed

Verguet, Stéphane; Stalcup, Meg; Walsh, Julia A

2013-12-01

Two randomised controlled trials showed that pre-exposure prophylaxis (PrEP) reduces HIV transmission between heterosexual men and women. We model the potential impact on transmission and cost-effectiveness of providing PrEP in sub-Saharan Africa. We use a deterministic, compartmental model of HIV transmission to evaluate the potential of a 5-year PrEP intervention targeting the adult population of 42 sub-Saharan African countries. We examine the incremental impact of adding PrEP at pre-existing levels of male circumcision and antiretroviral therapy (ART). The base case assumes efficacy of 68%; adherence at 80%; country coverage at 10% of the HIV-uninfected adult population; and annual costs of PrEP and ART at US$200 and US$880 per person, respectively. After 5 years, 390,000 HIV infections (95% UR 190,000 to 630,000) would be prevented, 24% of these in South Africa. HIV infections averted per 100 000 people (adult) would range from 500 in Lesotho to 10 in Somalia. Incremental cost-effectiveness would be US$5800/disability-adjusted life year (DALY) (95% UR 3100 to 13500). Cost-effectiveness would range from US$500/DALY in Lesotho to US$44 600/DALY in Eritrea. In a general adult population, PrEP is a high-cost intervention which will have maximum impact and be cost-effective only in countries that have high levels of HIV burden and low levels of male circumcision in the population. Hence, PrEP will likely be most effective in Southern Africa as a targeted intervention added to existing strategies to control the HIV pandemic.

Notes from the field: outbreak of poliomyelitis--Somalia and Kenya, May 2013.

PubMed

2013-06-14

On May 9, 2013, the Somalia Ministry of Health and the World Health Organization (WHO) reported a confirmed wild poliovirus type 1 (WPV1) case in a girl aged 32 months from Mogadishu (Banadir Region), with onset of acute flaccid paralysis (AFP) on April 18, 2013. Subsequently, eight additional WPV1 cases have been confirmed in Somalia, seven in Banadir Region and one in Bay Region. These are the first reported polio cases in Somalia since March 2007.

Constraints for timing of extensional tectonics in the western margin of the Red Sea in Eritrea

NASA Astrophysics Data System (ADS)

Ghebreab, Woldai; Carter, Andrew; Hurford, Anthony J.; Talbot, Christopher J.

2002-06-01

Recent work on asthenosphere-lithosphere coupling reinforces past observations that active and passive rifting models do not adequately describe real rifts. There remains insufficient knowledge of fundamental controls on rift architecture. In the actively extending Red Sea margin of eastern Eritrea, which lies at the Red Sea/Danakil-Gulf of Aden and the East African rift triple junction zone, the geometry and kinematics of extension are complex and poorly defined due to large data gaps. Extension and sea-floor spreading in both the Red Sea and Gulf of Aden have influenced the Neogene tectonic development of Eritrea but many of the structures have Pan-African origins and do not follow normal plate opening geometries. To constrain the rifting history in eastern Eritrea, apatite fission-track thermochronologic data were measured for 22 Pan-African rock samples. Results identify late Oligocene-early Miocene cooling coincident with extension and erosion along the conjugate margin in Yemen. A younger age group, confined to Mt Ghedem, relates to an episode of fault reactivation and dyke injection that began ˜10 Ma coincident with rotation of the nearby Danakil block. Initially this was driven by onset of sea-floor spreading in the Gulf of Aden and later, in the Pliocene, aided by northward rifting in the Afar depression concomitant with spreading in the Red Sea. These different processes highlight the complex linkage between different extensional events and rift architecture.

A review on Sero diversity and antimicrobial resistance patterns of Shigella species in Africa, Asia and South America, 2001-2014.

PubMed

Kahsay, Atsebaha Gebrekidan; Muthupandian, Saravanan

2016-08-30

Shigella, gram negative bacterium, is responsible for Shigellosis/bacillary dysentery. It is a global concern although it predominates in developing countries. These are Shigella dysenteriae, Shigella flexneri, Shigella boydii and Shigella sonnei. Drug resistance by Shigella species is another headache of the world. Therefore; this study aimed to review distribution of Shigella Serogroups and their antimicrobial patterns carried out in Africa, Asia and South America. A literature search was performed to identify published studies between January 2001 and December 2014. Published studies were identified using an initial search of the MEDLINE/Index Medicus Database, PubMed, Project Management Consultant, Google Scholar, Science Direct, BioMed Central and Index Copernicus. Shigella flexneri was isolated predominately from seven studies in four African countries and eight studies in five Asian countries. The countries in which eligible studies carried out were Ethiopia, Kenya, Eritrea and Ghana in Africa and Pakistan, Iran, China, Nepal and India in Asia. S. sonnei was isolated predominately from one study in Africa, four in Asia and two South America. The countries in which eligible studies carried out were Ethiopia from Africa, Thailand, Vietnam and Iran from Asia and Chile and Trinidad from South America. S. dysentery was also reported majorly from one eligible study in Egypt and one in Nepal. S. boydii did not score highest prevalence in any one of the eligible studies. Three studies from Africa, five from Asia and one from South America were reviewed for antimicrobial resistance patterns of Shigella Serogroups. In all the regions, Ampicillin developed highly resistance to almost all the Serogroups of Shigella whereas all the strains were sensitive to Ciprofloxacin. The incidence of Shigella Serogroups in the selected three regions is different. The domination of S. flexneri is observed in Africa and Asia although S. sonnei in South America is dominant. Shigella Serogroups are becoming resistance to the commonly prescribed antimicrobial drugs in developing countries.

Girl's Schooling in War-Torn Somalia

ERIC Educational Resources Information Center

Moyi, Peter

2012-01-01

A civil war has raged in Somalia since 1991. The civil war was the final blow to an already collapsed education system. Somalia has received little research and policy attention yet children, especially girls, are very vulnerable during times of conflict. The different gender roles, activities, and status in society create gender differentiated…

Somalia and Vietnam. Deja Vu All Over Again

DTIC Science & Technology

1994-04-01

Rev. 2-89) Pre•cribed by ANSI Std. Z39-18 298-102 AIR WAR COLLEGE AIR LUNIVRITY SOMALIA AND VIETNAM " DEJA VU ALL OVER AGAIN" by James M. Comgan A...BASE., ALABAMA APRIL 1994 II II 3 AIR WAR COLLEGE AIR UNIVERITY *! SOMALIA AND VIETNAM S1 " DEJA VU ALL OVER AGAIN" I 3 by James M. Corrigan A RESEARCH...Vietnam: " Deja Vu All Over Again" AUTHOR. James M. Corrigan, Lieutenant Colonel During the recet involvemen in Somalia, U.S. leadership likely

31 CFR Appendix A to Part 551 - EXECUTIVE ORDER 13536

Code of Federal Regulations, 2010 CFR

2010-07-01

... laws of the United States of America, including the International Emergency Economic Powers Act (50 U.S... directly or indirectly threaten the peace, security, or stability of Somalia, including but not limited to..., or stability of Somalia, acts of piracy or armed robbery at sea off the coast of Somalia threaten the...

76 FR 61135 - Waiver of Restriction on Assistance to the Transitional Federal Government of Somalia

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-03

... DEPARTMENT OF STATE [Public Notice: 7627] Waiver of Restriction on Assistance to the Transitional Federal Government of Somalia Pursuant to Section 7086(c)(2) of the Department of State, Foreign... Somalia and I hereby waive such restriction. This determination shall be reported to the Congress, and...

Education in Somalia: History, Destruction, and Calls for Reconstruction.

ERIC Educational Resources Information Center

Abdi, Ali A.

1998-01-01

Traces the history of education in Somalia: in precolonial traditional Somalia; during colonial rule by Italy; under civilian rule, 1960-69; and under military rule, 1969-90. Describes the total destruction of the education system since the 1991 collapse of the state, widespread illiteracy and adolescent involvement in thuggery, and the urgent…

78 FR 76698 - Waiver of Restriction on Assistance to the Central Government of Somalia

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-18

... DEPARTMENT OF STATE [Public Notice 8559] Waiver of Restriction on Assistance to the Central Government of Somalia Pursuant to Section 7031(b)(3) of the Department of State, Foreign Operations, and... prior year Acts with respect to Somalia and I hereby waive this restriction. This determination and the...

Experiences of women seeking medical care for obstetric fistula in Eritrea: implications for prevention, treatment, and social reintegration.

PubMed

Turan, Janet Molzan; Johnson, Khaliah; Polan, Mary Lake

2007-01-01

This article presents findings from qualitative interviews with women seeking medical care for obstetric fistula in Eritrea. The interviews were designed to inform programme design for the prevention and treatment of obstetric fistula. Interviews were conducted with 11 new fistula repair patients, 15 women returning for follow-up for their fistula repairs, and five accompanying family members at Massawa Hospital in the Northern Red Sea Zone of Eritrea during November-December 2004. The women described long delays in accessing emergency obstetric care due to delayed recognition of the seriousness of the problem and lack of transportation from remote villages. Follow-up patients described improvements in their conditions, but many continued to have problems with incontinence and sexual health. Both new and returning patients lacked specific information about their condition, what to expect in terms of treatment and recovery, and how to care for themselves. The findings point to a need for community mobilization and education on safe motherhood for prevention of fistula, as well as for improved information, counselling, follow-up, and social services for women who develop obstetric fistulas.

3 CFR - Continuation of the National Emergency With Respect to Somalia

Code of Federal Regulations, 2012 CFR

2012-01-01

... 3 The President 1 2012-01-01 2012-01-01 false Continuation of the National Emergency With Respect to Somalia Presidential Documents Other Presidential Documents Notice of April 7, 2011 Continuation of the National Emergency With Respect to Somalia On April 12, 2010, by Executive Order 13536, I declared a national emergency pursuant to the...

3 CFR - Continuation of the National Emergency With Respect to Somalia

Code of Federal Regulations, 2014 CFR

2014-01-01

... 3 The President 1 2014-01-01 2014-01-01 false Continuation of the National Emergency With Respect to Somalia Presidential Documents Other Presidential Documents Notice of April 4, 2013 Continuation of the National Emergency With Respect to Somalia On April 12, 2010, by Executive Order 13536, I declared a national emergency pursuant to the...

77 FR 43481 - Taking Additional Steps to Address the National Emergency With Respect to Somalia

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-24

... Additional Steps to Address the National Emergency With Respect to Somalia #0; #0; #0; Presidential Documents... Additional Steps to Address the National Emergency With Respect to Somalia By the authority vested in me as... order to take additional steps to deal with the national emergency with respect to the situation in...

78 FR 16356 - Waiver of Restriction on Assistance to the Central Government of Somalia

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-14

... DEPARTMENT OF STATE [Public Notice 8227] Waiver of Restriction on Assistance to the Central Government of Somalia Pursuant to Section 7031(b)(3) of the Department of State, Foreign Operations, and... United States to waive the requirements of Section 7031(b)(1) of the Act with respect to Somalia, and I...

How a Strong Government Backed an African Language: The Lessons of Somalia.

ERIC Educational Resources Information Center

Warsame, Ali A.

2001-01-01

Reports that English, Italian, and Arabic were the official languages of Somalia 1960, even though 95% of the population spoke Somali. However, under a totalitarian regime that came to power in the early 1970's, Somalia was able to promote Somali as the official language. Offers guidance for implementation of literacy campaigns. (Contains 18…

Acculturation, Partner Violence, and Psychological Distress in Refugee Women from Somalia

ERIC Educational Resources Information Center

Nilsson, Johanna E.; Brown, Chris; Russell, Emily B.; Khamphakdy-Brown, Supavan

2008-01-01

This study examined the relations among acculturation, domestic violence, and mental health in 62 married refugee women from Somalia. Refugees from Somalia constituted the largest group of refugees entering the United States in 2005, and little is known about the presence of domestic violence in this group. The results showed that women who…

The Somalia Country Case Study. Mid-Decade Review of Progress towards Education for All.

ERIC Educational Resources Information Center

Bennaars, Gerard A.; Seif, Huda A.; Mwangi, Doris

In 1995, the International Consultative Forum on Education for All commissioned case studies in developing countries as part of a mid-decade review of progress in expanding access to basic education. This paper examines the situation in Somalia, where civil war has completely destroyed the infrastructure of education. Part 1 summarizes Somalia's…

3 CFR - Continuation of the National Emergency With Respect to Somalia

Code of Federal Regulations, 2013 CFR

2013-01-01

... 3 The President 1 2013-01-01 2013-01-01 false Continuation of the National Emergency With Respect to Somalia Presidential Documents Other Presidential Documents Notice of April 10, 2012 Continuation of the National Emergency With Respect to Somalia On April 12, 2010, by Executive Order 13536, I declared a national emergency pursuant to the...

A cross-sectional survey of essential surgical capacity in Somalia

PubMed Central

Elkheir, Natalie; Sharma, Akshay; Cherian, Meena; Saleh, Omar Abdelrahman; Everard, Marthe; Popal, Ghulam Rabani; Ibrahim, Abdi Awad

2014-01-01

Objective To assess life-saving and disability-preventing surgical services (including emergency, trauma, obstetrics, anaesthesia) of health facilities in Somalia and to assist in the planning of strategies for strengthening surgical care systems. Design Cross-sectional survey. Setting Health facilities in all 3 administrative zones of Somalia; northwest Somalia (NWS), known as Somaliland; northeast Somalia (NES), known as Puntland; and south/central Somalia (SCS). Participants 14 health facilities. Measures The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was employed to capture a health facility's capacity to deliver surgical and anaesthesia services by investigating four categories of data: infrastructure, human resources, interventions available and equipment. Results The 14 facilities surveyed in Somalia represent 10 of the 18 districts throughout the country. The facilities serve an average patient population of 331 250 people, and 12 of the 14 identify as hospitals. While major surgical procedures were provided at many facilities (caesarean section, laparotomy, appendicectomy, etc), only 22% had fully available oxygen access, 50% fully available electricity and less than 30% had any management guidelines for emergency and surgical care. Furthermore, only 36% were able to provide general anaesthesia inhalation due to lack of skills, supplies and equipment. Basic supplies for airway management and the prevention of infection transmission were severely lacking in most facilities. Conclusions According to the results of the WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care survey, there exist significant gaps in the capacity of emergency and essential surgical services in Somalia including inadequacies in essential equipment, service provision and infrastructure. The information provided by the WHO tool can serve as a basis for evidence-based decisions on country-level policy regarding the allocation of resources and provision of emergency and essential surgical services. PMID:24812189

A cross-sectional survey of essential surgical capacity in Somalia.

PubMed

Elkheir, Natalie; Sharma, Akshay; Cherian, Meena; Saleh, Omar Abdelrahman; Everard, Marthe; Popal, Ghulam Rabani; Ibrahim, Abdi Awad

2014-05-07

To assess life-saving and disability-preventing surgical services (including emergency, trauma, obstetrics, anaesthesia) of health facilities in Somalia and to assist in the planning of strategies for strengthening surgical care systems. Cross-sectional survey. Health facilities in all 3 administrative zones of Somalia; northwest Somalia (NWS), known as Somaliland; northeast Somalia (NES), known as Puntland; and south/central Somalia (SCS). 14 health facilities. The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was employed to capture a health facility's capacity to deliver surgical and anaesthesia services by investigating four categories of data: infrastructure, human resources, interventions available and equipment. The 14 facilities surveyed in Somalia represent 10 of the 18 districts throughout the country. The facilities serve an average patient population of 331 250 people, and 12 of the 14 identify as hospitals. While major surgical procedures were provided at many facilities (caesarean section, laparotomy, appendicectomy, etc), only 22% had fully available oxygen access, 50% fully available electricity and less than 30% had any management guidelines for emergency and surgical care. Furthermore, only 36% were able to provide general anaesthesia inhalation due to lack of skills, supplies and equipment. Basic supplies for airway management and the prevention of infection transmission were severely lacking in most facilities. According to the results of the WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care survey, there exist significant gaps in the capacity of emergency and essential surgical services in Somalia including inadequacies in essential equipment, service provision and infrastructure. The information provided by the WHO tool can serve as a basis for evidence-based decisions on country-level policy regarding the allocation of resources and provision of emergency and essential surgical services.

Relying on Visiting Foreign Doctors for Fistula Repair: The Profile of Women Attending Fistula Repair Surgery in Somalia.

PubMed

Gele, Abdi A; Salad, Abdulwahab M; Jimale, Liban H; Kour, Prabhjot; Austveg, Berit; Kumar, Bernadette

2017-01-01

Obstetric fistula is treatable by surgery, although access is usually limited, particularly in the context of conflict. This study examines the profile of women attending fistula repair surgery in three hospitals in Somalia. A cross-sectional study was conducted in Somalia from August to September 2016. Structured questionnaires were administered to 81 women who registered for fistula repair surgery in the Garowe, Daynile, and Kismayo General Hospitals in Somalia. Findings revealed that 70.4% of the study participants reported obstetric labor as the cause of their fistula, and 29.6% reported iatrogenic causes. Regarding the waiting time for the repair surgery, 45% waited for the surgery for over one year, while the rest received the surgery within a year. The study suggests that training for fistula surgery has to be provided for healthcare professionals in Somalia, fistula centers should be established, and access to these facilities has to be guaranteed for all patients who need these services.

Relying on Visiting Foreign Doctors for Fistula Repair: The Profile of Women Attending Fistula Repair Surgery in Somalia

PubMed Central

Salad, Abdulwahab M.; Jimale, Liban H.; Kour, Prabhjot; Austveg, Berit; Kumar, Bernadette

2017-01-01

Obstetric fistula is treatable by surgery, although access is usually limited, particularly in the context of conflict. This study examines the profile of women attending fistula repair surgery in three hospitals in Somalia. A cross-sectional study was conducted in Somalia from August to September 2016. Structured questionnaires were administered to 81 women who registered for fistula repair surgery in the Garowe, Daynile, and Kismayo General Hospitals in Somalia. Findings revealed that 70.4% of the study participants reported obstetric labor as the cause of their fistula, and 29.6% reported iatrogenic causes. Regarding the waiting time for the repair surgery, 45% waited for the surgery for over one year, while the rest received the surgery within a year. The study suggests that training for fistula surgery has to be provided for healthcare professionals in Somalia, fistula centers should be established, and access to these facilities has to be guaranteed for all patients who need these services. PMID:28761443

The effect of body shape on weight-for-height and mid-upper arm circumference based case definitions of acute malnutrition in Ethiopian children.

PubMed

Myatt, Mark; Duffield, Arabella; Seal, Andrew; Pasteur, Frances

2009-01-01

Nutritional anthropometry surveys from Somalia and Ethiopia have reported that standard weight-for-height z-score (WHZ) and mid-upper arm circumference (MUAC) case definitions return different estimates of the prevalence of acute malnutrition in pastoralist livelihood zones but similar estimates of the prevalence of acute malnutrition in the agrarian livelihood zones. A study undertaken in Somalia to investigate this finding reported that children from pastoralist livelihood zones tended to have longer limbs and lower SSRs than children from agrarian livelihood zones. The present study investigated the relationship between weight-for-height and body shape and the relationship between MUAC and body shape in different populations of Ethiopian children. Six cross-sectional nutritional anthropometry surveys were undertaken. The combined survey datasets form the study sample. Data sources were grouped according to the livelihood zone from which data originated (either settled agrarian or semi-nomadic pastoralist). Case definitions of acute malnutrition using WHZ calculated using the NCHS and WHO reference populations and MUAC uncorrected for age or height were used. The SSR was used as an index of body shape. The association between body shape and the different case definitions of acute malnutrition were investigated using standard statistical techniques. Weight-for-height and MUAC case definitions yielded similar estimates of the prevalence of acute malnutrition in agrarian children but different estimates of the prevalence of acute malnutrition in pastoralist children. These populations also exhibit different SSRs. The SSR is an important predictor of weight-for-height. The SSR is a poor predictor of MUAC. WHZ and WHZ case status in children are associated with body shape and may overestimate the prevalence of acute malnutrition in some populations. Consideration should be given as to whether WHZ should be replaced by MUAC for the purposes of estimating the prevalence of acute malnutrition.

Ethnicity differences in breast cancer stage at the time of diagnosis in Norway.

PubMed

Latif, F; Helgeland, J; Bukholm, G; Bukholm, I R K

2015-12-01

Several studies have demonstrated that breast cancer survival rates differ with ethnicity. Most of these studies analyzed discrepancies between African-American and Caucasian-American women and were performed in the United States. There are increasing concerns about differences in breast cancer survival among immigrants from Asia and Africa living in Europe, including those living in Scandinavian countries. There are few data on breast cancer survival in relation to race or ethnicity in Scandinavian countries, even though immigrants from Asia and Africa have lived in Scandinavian countries for decades. The aim of this study was to identify variations in breast cancer incidence, treatment modalities, relapse, and survival among women from Pakistan, Sri Lanka, and Somalia compared to ethnic Norwegian women. The incidence, treatment modalities, relapse, and survival of breast cancer were analyzed in women from Pakistan, Sri Lanka, and Somalia in a nation-based study over a period of 7 ears. Results for women from Pakistan, Sri Lanka, and Somalia were compared with those from a group of ethnic Norwegian women during the same period. In our study, 63 patients from Pakistan, Sri Lanka, and Somalia were diagnosed with breast cancer during the period 2002-2009 in Norway. Comparison between women from Pakistan, Sri Lanka, and Somalia and ethnic women from Norway revealed significant differences in cancer stage at the time of diagnosis, age at diagnosis, type of surgical treatment, and relapse and breast cancer mortality rates. The findings of this study demonstrate that the outcome after a breast cancer diagnosis is significantly worse for women from Pakistan, Sri Lanka, and Somalia than for ethnic Norwegian women. In addition, the mean age at the breast cancer diagnosis was lower for women from Pakistan, Sri Lanka, and Somalia, especially those from Sri Lanka and Somalia, than for ethnic Norwegian women. © The Finnish Surgical Society 2015.

Major Threat to Malaria Control Programs by Plasmodium falciparum Lacking Histidine-Rich Protein 2, Eritrea

PubMed Central

Berhane, Araia; Anderson, Karen; Mihreteab, Selam; Gresty, Karryn; Rogier, Eric; Mohamed, Salih; Hagos, Filmon; Embaye, Ghirmay; Chinorumba, Anderson; Zehaie, Assefash; Dowd, Simone; Waters, Norman C.; Gatton, Michelle L.; Udhayakumar, Venkatachalam; Cunningham, Jane

2018-01-01

False-negative results for Plasmodium falciparum histidine-rich protein (HRP) 2–based rapid diagnostic tests (RDTs) are increasing in Eritrea. We investigated HRP gene 2/3 (pfhrp2/pfhrp3) status in 50 infected patients at 2 hospitals. We showed that 80.8% (21/26) of patients at Ghindae Hospital and 41.7% (10/24) at Massawa Hospital were infected with pfhrp2-negative parasites and 92.3% (24/26) of patients at Ghindae Hospital and 70.8% (17/24) at Massawa Hospital were infected with pfhrp3-negative parasites. Parasite densities between pfhrp2-positive and pfhrp2-negative patients were comparable. All pfhrp2-negative samples had no detectable HRP2/3 antigen and showed negative results for HRP2-based RDTs. pfhrp2-negative parasites were genetically less diverse and formed 2 clusters with no close relationships to parasites from Peru. These parasites probably emerged independently by selection in Eritrea. High prevalence of pfhrp2-negative parasites caused a high rate of false-negative results for RDTs. Determining prevalence of pfhrp2-negative parasites is urgently needed in neighboring countries to assist case management policies. PMID:29460730

Maternal psychosocial well-being in Eritrea: application of participatory methods and tools of investigation and analysis in complex emergency settings.

PubMed Central

Almedom, Astier M.; Tesfamichael, Berhe; Yacob, Abdu; Debretsion, Zaïd; Teklehaimanot, Kidane; Beyene, Teshome; Kuhn, Kira; Alemu, Zemui

2003-01-01

OBJECTIVE: To establish the context in which maternal psychosocial well-being is understood in war-affected settings in Eritrea. METHOD: Pretested and validated participatory methods and tools of investigation and analysis were employed to allow participants to engage in processes of qualitative data collection, on-site analysis, and interpretation. FINDINGS: Maternal psychosocial well-being in Eritrea is maintained primarily by traditional systems of social support that are mostly outside the domain of statutory primary care. Traditional birth attendants provide a vital link between the two. Formal training and regular supplies of sterile delivery kits appear to be worthwhile options for health policy and practice in the face of the post-conflict challenges of ruined infrastructure and an overstretched and/or ill-mannered workforce in the maternity health service. CONCLUSION: Methodological advances in health research and the dearth of data on maternal psychosocial well-being in complex emergency settings call for scholars and practitioners to collaborate in creative searches for sound evidence on which to base maternity, mental health and social care policy and practice. Participatory methods facilitate the meaningful engagement of key stakeholders and enhance data quality, reliability and usability. PMID:12856054

Major Threat to Malaria Control Programs by Plasmodium falciparum Lacking Histidine-Rich Protein 2, Eritrea.

PubMed

Berhane, Araia; Anderson, Karen; Mihreteab, Selam; Gresty, Karryn; Rogier, Eric; Mohamed, Salih; Hagos, Filmon; Embaye, Ghirmay; Chinorumba, Anderson; Zehaie, Assefash; Dowd, Simone; Waters, Norman C; Gatton, Michelle L; Udhayakumar, Venkatachalam; Cheng, Qin; Cunningham, Jane

2018-03-01

False-negative results for Plasmodium falciparum histidine-rich protein (HRP) 2-based rapid diagnostic tests (RDTs) are increasing in Eritrea. We investigated HRP gene 2/3 (pfhrp2/pfhrp3) status in 50 infected patients at 2 hospitals. We showed that 80.8% (21/26) of patients at Ghindae Hospital and 41.7% (10/24) at Massawa Hospital were infected with pfhrp2-negative parasites and 92.3% (24/26) of patients at Ghindae Hospital and 70.8% (17/24) at Massawa Hospital were infected with pfhrp3-negative parasites. Parasite densities between pfhrp2-positive and pfhrp2-negative patients were comparable. All pfhrp2-negative samples had no detectable HRP2/3 antigen and showed negative results for HRP2-based RDTs. pfhrp2-negative parasites were genetically less diverse and formed 2 clusters with no close relationships to parasites from Peru. These parasites probably emerged independently by selection in Eritrea. High prevalence of pfhrp2-negative parasites caused a high rate of false-negative results for RDTs. Determining prevalence of pfhrp2-negative parasites is urgently needed in neighboring countries to assist case management policies.

The angular velocity of Nubia relative to Somalia and the location of the Nubia-Somalia-Antarctica triple junction

NASA Astrophysics Data System (ADS)

Horner-Johnson, Benjamin C.; Gordon, Richard G.; Cowles, Sara M.; Argus, Donald F.

2005-07-01

A new analysis of geologically current plate motion across the Southwest Indian ridge (SWIR) and of the current location of the Nubia-Antarctica-Somalia triple junction is presented. Spreading rates averaged over the past 3.2 Myr are estimated from 103 well-distributed, nearly ridge-perpendicular profiles that cross the SWIR. All available bathymetric data are evaluated to estimate the azimuths and uncertainties of transform faults; six are estimated from multibeam data and 12 from precision depth recorder (PDR) data. If both the Nubian and Somalian component plates are internally rigid near the SWIR and if the Nubia-Somalia boundary is narrow where it intersects the SWIR, that intersection lies between ~26°E and ~32°E. Thus, the boundary is either along the spreading ridge segment just west of the Andrew Bain transform fault complex (ABTFC) or along some of the transform fault complex itself. These limits are narrower than and contained within limits of ~24°E to ~33°E previously found by Lemaux et al. from an analysis of the locations of magnetic anomaly 5. The data are consistent with a narrow boundary, but also consistent with a diffuse boundary as wide as ~700 km. The new Nubia-Somalia pole of rotation lies ~10° north of the Bouvet triple junction, which places it far to the southwest of southern Africa. The new angular velocity determined only from data along the SWIR indicates displacement rates of Somalia relative to Nubia of 3.6 +/- 0.5 mm yr-1 (95 per cent confidence limits) towards 176° (S04° E) between Somalia and Nubia near the SWIR, and of 8.3 +/- 1.9 mm yr-1 (95 per cent confidence limits) towards 121° (S59° E) near Afar. The new Nubia-Somalia angular velocity differs significantly from the Nubia-Somalia angular velocity estimated from Gulf of Aden and Red sea data. This significant difference has three main alternative explanations: (i) that the plate motion data have substantial unmodelled systematic errors, (ii) that the Nubian component plate is not a single rigid plate, or (iii) that the Somalian component plate is not a single rigid plate. We tentatively prefer the third explanation given the geographical distribution of earthquakes within the African composite plate relative to the inferred location of the Nubia-Somalia boundary along the SWIR.

High-resolution estimates of Nubia-Somalia plate motion since 20 Ma from reconstructions of the Southwest Indian Ridge, Red Sea, and Gulf of Aden

NASA Astrophysics Data System (ADS)

DeMets, C.; Merkuryev, S. A.

2015-12-01

We estimate Nubia-Somalia rotations at ~1-Myr intervals for the past 20 Myr from newly available, high-resolution reconstructions of the Southwest Indian Ridge and reconstructions of the Red Sea and Gulf of Aden. The former rotations are based on many more data, extend farther back in time, and have more temporal resolution than has previously been the case. Nubia-Somalia plate motion has remained remarkably steady since 5.2 Ma. For example, at the northern end of the East Africa rift, our Nubia-Somalia plate motion estimates at six different times between 0.78 Ma and 5.2 Ma agree to within 3% with the rift-normal component of motion that is extrapolated from the recently estimated Saria et al. (2014) GPS angular velocity. Over the past 10.6 Myr, the Nubia-Somalia rotations predict 42±4 km of rift-normal extension across the northern segment of the Main Ethiopian Rift. This agrees with approximate minimum and maximum estimates of 40 km and 53 km for post-10.6-Myr extension from seismological surveys of this narrow part of the plate boundary and is also close to 55-km and 48±3 km estimates from published and our own reconstructions of the Nubia-Arabia and Somalia-Arabia seafloorspreading histories for the Red Sea and Gulf of Aden. Our new rotations exclude at high confidence level two previously published estimates of Nubia-Somalia motion based on inversions of Chron 5n.2 along the Southwest Indian Ridge, which predict rift-normal extensions of 13±14 km and 129±16 km across the Main Ethiopian Rift since 11 Ma. Constraints on Nubia-Somalia motion before ~15 Ma are weaker due to sparse coverage of pre-15-Myr magnetic reversals along the Nubia-Antarctic plate boundary, but appear to require motion before 15 Ma. Nubia-Somalia rotations that we estimate from a probabilistic analysis of geometric and age constraints from the Red Sea and Gulf of Aden are consistent with those determined from Southwest Indian Ridge data, particularly for the past 11 Myr. Nubia-Somalia rotations determined from the Red Sea/Gulf of Aden rotations and Southwest Indian Ridge rotations independently predict that motion during its oldest phase was highly oblique to the rift and a factor-of-two or more faster than at present, although large uncertainties remain in the rotation estimates for times before ~15 Ma.

Adi Quala: application of solar photovoltaic generation in rural medical centres.

PubMed

Allen, P; Welstead, J

1994-01-01

Adi Quala is an Eritrean agricultural town of 14,000 people, and is situated about 70 km south of the capital, Asmara and 30 km from the border with Tigray, Ethiopia. On good days electricity was received from Asmara between 0600 h and 2300 h with nothing available outside these hours. These conditions meant the electricity supply had been a constant problem for the Adi Quala hospital which caters for about 50,000 people with 21 staff. It was for this reason that it was chosen for the first solar system, which provides all essential requirements completely independently from the grid connection. This will in turn enable the hospital to increase the range and reliability of services on offer. Three weeks after the arrival of the equipment the elders were able to have a guided tour of their new local facilities. This included 2kW of photovoltaic panels (installed on the roof), batteries and control equipment powering a range of hospital equipment used in the Mother and Child Health Centre, delivery room, wards, dispensary, clinic and laboratory. Their enormous appreciation was very moving and well articulated in an afternoon of music, speeches and feasting. Eritrea's first solar powered hospital was welcomed into capable hands. The pilot project was successfully installed and commissioned in February 1992, and has performed well to date.

48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, Tanzania, Togo, Tuvalu, Uganda, Vanuatu, Yemen..., Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, Tanzania, Togo...

48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... and Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, South Sudan, Tanzania, Timor-Leste..., Sierra Leone, Solomon Islands, Somalia, South Sudan, Tanzania, Timor-Leste, Togo, Tuvalu, Uganda, Vanuatu...

Notes from the field: malnutrition and mortality--southern Somalia, July 2011.

PubMed

2011-08-05

In July 2011, the internationally supported Food Security and Nutrition Analysis Unit-Somalia conducted nutrition and mortality surveys across 17 livelihood zones in southern Somalia to assess the impact of 18 months of insecurity and drought, which have resulted in crop failure, livestock mortality, increased cereal prices, and widespread malnutrition. On July 14, CDC was asked to assist with analyzing the survey data. This report describes the results of that analysis.

United Nations’ Operation in Somalia: The Possibility of Success With a Different Approach or Application

DTIC Science & Technology

2002-05-31

by ABUL FAZAL MD SANAULLAH, MAJ, BANGLADESH ARMY B.A., Chittagong University, Bangladesh, 1988 M.D.S., National University, Bangladesh, 2000 Fort...Candidate: Major Abul Fazal Md Sanaullah Thesis Title: United Nations’ Operation in Somalia: Possibility of Success Approved by...APPLICATION, by Major Abul Fazal Md Sanaullah, 136 pages. This study examines whether the UN Operation in Somalia could have succeeded with a different

48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., Sierra Leone, Solomon Islands, Somalia, South Sudan, Tanzania, Timor-Leste, Togo, Tuvalu, Uganda, Vanuatu..., Nepal, Niger, Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon Islands, Somalia...

The Angular Velocity of Nubia Relative to Somalia and the Location of the Nubia-Somalia-Antarctica Triple Junction

NASA Astrophysics Data System (ADS)

Horner-Johnson, B. C.; Gordon, R. G.; Cowles, S. M.; Argus, D. F.

2003-12-01

A new analysis of geologically current plate motion across the Southwest Indian Ridge and of the current location of the Nubia-Antarctica-Somalia triple junction is presented. We estimate spreading rates averaged over the past 3.2 Myr from 103 well-distributed, nearly ridge-perpendicular profiles crossing the Southwest Indian Ridge. We evaluate all available bathymetric data to estimate the azimuths and uncertainties of transform faults; six are estimated from multi-beam data and twelve from precision depth recorder data. If the Nubia-Somalia boundary is narrow where it intersects the Southwest Indian Ridge, that intersection lies between about 26° E and 32° E. This places it either along the spreading ridge segment just west of the Andrew Bain transform fault complex or along the transform fault complex itself. These limits are narrower than, and contained within, limits of about 24° E to 33° E previously found by Lemaux et al. (2002) from an analysis of the locations of magnetic anomaly 5. The data are consistent with a narrow boundary, but also consistent with a diffuse boundary as wide as about 700 km. The new Nubia-Somalia pole of rotation lies southwest of southern Africa and differs significantly from previously estimated poles, including that from data in the Red Sea and Gulf of Aden. The new pole indicates displacement rates of Somalia relative to Nubia of 3.4 +/- 1.3\\ mm yr-1 (95% confidence limits) towards 176.8° between Somalia and Nubia near the Southwest Indian Ridge, and of 8.4 +/- 1.3\\ mm yr-1 (95% confidence limits) towards 118.5° near Afar.

Predictors of the risk of malnutrition among children under the age of 5 years in Somalia.

PubMed

Kinyoki, Damaris K; Berkley, James A; Moloney, Grainne M; Kandala, Ngianga-Bakwin; Noor, Abdisalan M

2015-12-01

To investigate the predictors of wasting, stunting and low mid-upper arm circumference among children aged 6-59 months in Somalia using data from household cross-sectional surveys from 2007 to 2010 in order to help inform better targeting of nutritional interventions. Cross-sectional nutritional assessment surveys using structured interviews were conducted among communities in Somalia each year from 2007 to 2010. A two-stage cluster sampling methodology was used to select children aged 6-59 months from households across three livelihood zones (pastoral, agro-pastoral and riverine). Predictors of three anthropometric measures, weight-for-height (wasting), height-for-age (stunting) and mid-upper arm circumference, were analysed using Bayesian binomial regression, controlling for both spatial and temporal dependence in the data. The study was conducted in randomly sampled villages, representative of three livelihood zones in Somalia. Children between the ages of 6 and 59 months in Somalia. The estimated national prevalence of wasting, stunting and low mid-upper arm circumference in children aged 6-59 months was 21 %, 31 % and 36 %, respectively. Although fever, diarrhoea, sex and age of the child, household size and access to foods were significant predictors of malnutrition, the strongest association was observed between all three indicators of malnutrition and the enhanced vegetation index. A 1-unit increase in enhanced vegetation index was associated with a 38 %, 49 % and 59 % reduction in wasting, stunting and low mid-upper arm circumference, respectively. Infection and climatic variations are likely to be key drivers of malnutrition in Somalia. Better health data and close monitoring and forecasting of droughts may provide valuable information for nutritional intervention planning in Somalia.

Al-Shabaab: The Threat to Kenya and the Horn of Africa

DTIC Science & Technology

2013-03-01

Transitional Federal Government as well as the African Union (AU) peace keeping force, the African Mission in Somalia (AMISOM). Al Shabaab began as part of...the armed wing of the Islamic Courts Union (ICU) when the Courts Union gained power in the Somali capital of Mogadishu in 2006, then the Ethiopian...Somalia The Somalia Republic gained independence on 1st July 1960 formed by the Union of British Somaliland and Italian Somaliland with Aden Abdullah

American Society of Hand Therapists

MedlinePlus

... Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the ... Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the ...

Infectious disease profiles of Syrian and Eritrean migrants presenting in Europe: A systematic review.

PubMed

Isenring, Egon; Fehr, Jan; Gültekin, Nejla; Schlagenhauf, Patricia

2018-04-24

In the past decade, a large influx of migrants presented in Europe. Their country of origin was mainly either Syria or Eritrea. Public health institutions in host countries in Europe are challenged to screen and care for migrant populations with regard to infectious diseases. We performed a systematic literature review (according to PRISMA guidelines) to define the infectious disease profile of migrants originating in Syria and Eritrea. The search resulted in 825 papers of possible relevance for infectious diseases in migrants from Syria, of which, after screening, we included 35 in the systematic review. A further 265 papers of possible relevance for infectious diseases in Eritrean migrants were screened, of which we included 27 in the systematic review. In migrants from Syria, leishmaniasis was the most frequently reported infectious disease. In addition, colonisation with drug resistant, Gram-negativ bacteria was reported. In the Eritrean migrants the infectious disease most described in the selected papers was louse-borne relapsing fever. Other frequently reported infectious diseases were scabies and Plasmodium vivax malaria. Our systematic analysis defines the profiles of infectious diseases for migrants from Syria and Eritrea and serves as an evidence base for public health screening and care of presenting migrants. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Multiple mantle upwellings through the transition zone beneath the Afar Depression?

NASA Astrophysics Data System (ADS)

Hammond, J. O.; Kendall, J. M.; Stuart, G. W.; Thompson, D. A.; Ebinger, C. J.; Keir, D.; Ayele, A.; Goitom, B.; Ogubazghi, G.

2012-12-01

Previous seismic studies using regional deployments of sensors in East-Africa show that low seismic velocities underlie Africa, but their resolution is limited to the top 200-300km of the Earth. Thus, the connection between the low velocities in the uppermost mantle and those imaged in global studies in the lower mantle is unclear. We have combined new data from Afar, Ethiopia with 7 other regional experiments and global network stations across Kenya, Ethiopia, Eritrea, Djibouti and Yemen, to produce high-resolution models of upper mantle P- and S-wave velocities to the base of the transition zone. Relative travel time tomographic inversions show that within the transition zone two focussed sharp-sided low velocity regions exist: one beneath the Western Ethiopian plateau outside the rift valley, and the other beneath the Afar depression. Estimates of transition zone thickness suggest that this is unlikely to be an artefact of mantle discontinuity topography as a transition zone of normal thickness underlies the majority of Afar and surrounding regions. However, a low velocity layer is evident directly above the 410 discontinuity, co-incident with some of the lowest seismic velocities suggesting that smearing of a strong low velocity layer of limited depth extent may contribute to the tomographic models in north-east Afar. The combination of seismic constraints suggests that small low temperature (<50K) upwellings may rise from a broader low velocity plume-like feature in the lower mantle. This interpretation is supported by numerical and analogue experiments that suggest the 660km phase change and viscosity jump may impede flow from the lower to upper mantle creating a thermal boundary layer at the base of the transition zone. This allows smaller, secondary upwellings to initiate and rise to the surface. These, combined with possible evidence of melt above the 410 discontinuity can explain the seismic velocity models. Our images of secondary upwellings suggest that there is no evidence for a plume in the classical sense (i.e. a narrow conduit). Instead, we propose that secondary upwellings rise from the base of the transition zone and connect with the northeast flowing African superswell in the upper mantle.

Predicting East African spring droughts using Pacific and Indian Ocean sea surface temperature indices

NASA Astrophysics Data System (ADS)

Funk, C.; Hoell, A.; Shukla, S.; Bladé, I.; Liebmann, B.; Roberts, J. B.; Robertson, F. R.; Husak, G.

2014-03-01

In southern Ethiopia, Eastern Kenya, and southern Somalia, poor boreal spring rains in 1999, 2000, 2004, 2007, 2008, 2009, and 2011 contributed to severe food insecurity and high levels of malnutrition. Predicting rainfall deficits in this region on seasonal and decadal time frames can help decision makers implement disaster risk reduction measures while guiding climate-smart adaptation and agricultural development. Building on recent research that links more frequent droughts in that region to a stronger Walker Circulation, warming in the Indo-Pacific warm pool, and an increased western Pacific sea surface temperature (SST) gradient, we show that the two dominant modes of East African boreal spring rainfall variability are tied, respectively, to western-central Pacific and central Indian Ocean SST. Variations in these rainfall modes can be predicted using two previously defined SST indices - the West Pacific Gradient (WPG) and Central Indian Ocean index (CIO), with the WPG and CIO being used, respectively, to predict the first and second rainfall modes. These simple indices can be used in concert with more sophisticated coupled modeling systems and land surface data assimilations to help inform early warning and guide climate outlooks.

High-resolution estimates of Nubia-Somalia plate motion since 20 Ma from reconstructions of the Southwest Indian Ridge, Red Sea and Gulf of Aden

NASA Astrophysics Data System (ADS)

DeMets, C.; Merkouriev, S.

2016-10-01

Large gaps and inconsistencies remain in published estimates of Nubia-Somalia plate motion based on reconstructions of seafloor spreading data around Africa. Herein, we use newly available reconstructions of the Southwest Indian Ridge at ˜1-Myr intervals since 20 Ma to estimate Nubia-Somalia plate motion farther back in time than previously achieved and with an unprecedented degree of temporal resolution. At the northern end of the East African rift, our new estimates of Nubia-Somalia motion for six times from 0.78 Ma to 5.2 Ma differ by only 2 per cent from the rift-normal component of motion that is extrapolated from a recently estimated GPS angular velocity. The rate of rift-normal extension thus appears to have remained steady since at least 5.2 Ma. Our new rotations indicate that the two plates have moved relative to each other since at least 16 Ma and possibly longer. Motion has either been steady since at least 16 Ma or accelerated modestly between 6 and 5.2 Ma. Our Nubia-Somalia rotations predict 42.5 ± 3.8 km of rift-normal extension since 10.6 Ma across the well-studied, northern segment of the Main Ethiopian Rift, consistent with 40-50 km estimates for extension since 10.6 Myr based on seismological surveys of this narrow part of the plate boundary. Nubia-Somalia rotations are also derived by combining newly estimated Somalia-Arabia rotations that reconstruct the post-20-Ma opening of the Gulf of Aden with Nubia-Arabia rotations estimated via a probabilistic analysis of plausible opening scenarios for the Red Sea. These rotations predict Nubia-Somalia motion since 5.2 Myr that is consistent with that determined from Southwest Indian Ridge data and also predict 40 ± 3 km of rift-normal extension since 10.6 Ma across the Main Ethiopian Rift, consistent with our 42.5 ± 3.8 km Southwest Indian Ridge estimate. Our new rotations exclude at high confidence level previous estimates of 12 ± 13 and 123 ± 14 km for rift-normal extensions across the Main Ethiopian Rift since 10.6 Ma based on reconstructions of Chron 5n.2 along the Southwest Indian Ridge. Sparse coverage of magnetic reversals older than 16 Ma along the western third of the Southwest Indian Ridge precludes reliable determinations of Nubia-Somalia plate motion before 16 Ma, leaving unanswered the key question of when the motion between the two plates began.

Stigma, discrimination, or symptomatology differences in self-reported mental health between US-born and Somalia-born Black Americans.

PubMed

Henning-Smith, Carrie; Shippee, Tetyana P; McAlpine, Donna; Hardeman, Rachel; Farah, Farhiya

2013-05-01

We examined differences in self-reported mental health (SRMH) between US-born and Somalia-born Black Americans compared with White Americans. We tested how SRMH was affected by stigma toward seeing a mental health provider, discrimination in the health care setting, or symptoms of depression. Data were from a 2008 survey of adults in Minnesota and were limited to US-born and Somalia-born Black and White Americans (n = 938). Somalia-born adults were more likely to report better SRMH than either US-born Black or White Americans. They also reported lower levels of discrimination (18.6%) than US-born Black Americans (33.4%), higher levels of stigma (23.6% vs 4.7%), and lower levels of depressive symptoms (9.1% vs 31.6%). Controlling for stigma, discrimination, and symptomatology, Somalia-born Black Americans reported better SRMH than White and Black Americans (odds ratio = 4.76). Mental health programming and health care providers who focus on Black Americans' mental health might be missing important sources of heterogeneity. It is essential to consider the role of race and ethnicity, but also of nativity, in mental health policy and programming.

Stigma, Discrimination, or Symptomatology Differences in Self-Reported Mental Health Between US-Born and Somalia-Born Black Americans

PubMed Central

Shippee, Tetyana P.; McAlpine, Donna; Hardeman, Rachel; Farah, Farhiya

2013-01-01

Objectives. We examined differences in self-reported mental health (SRMH) between US-born and Somalia-born Black Americans compared with White Americans. We tested how SRMH was affected by stigma toward seeing a mental health provider, discrimination in the health care setting, or symptoms of depression. Methods. Data were from a 2008 survey of adults in Minnesota and were limited to US-born and Somalia-born Black and White Americans (n = 938). Results. Somalia-born adults were more likely to report better SRMH than either US-born Black or White Americans. They also reported lower levels of discrimination (18.6%) than US-born Black Americans (33.4%), higher levels of stigma (23.6% vs 4.7%), and lower levels of depressive symptoms (9.1% vs 31.6%). Controlling for stigma, discrimination, and symptomatology, Somalia-born Black Americans reported better SRMH than White and Black Americans (odds ratio = 4.76). Conclusions. Mental health programming and health care providers who focus on Black Americans’ mental health might be missing important sources of heterogeneity. It is essential to consider the role of race and ethnicity, but also of nativity, in mental health policy and programming. PMID:23488506

CTC Sentinel. Volume 2, Issue 3, March 2009. Somalia’s New Government and the Challenge of Al-Shabab

DTIC Science & Technology

2009-03-01

Somalia’s New Government and the Challenge of Al-Shabab By David H. Shinn Contents FEATURE ARTICLE 1 Somalia’s New Government and the Challenge...2009 to 00-00-2009 4. TITLE AND SUBTITLE Somalia?s New Government and the Challenge of Al-Shabab 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...forces and African Union peacekeepers.22 In a mid- February 2009 video, Abu Yahya called on Somalis to oppose the new Somali government and attack

Acculturation, partner violence, and psychological distress in refugee women from Somalia.

PubMed

Nilsson, Johanna E; Brown, Chris; Russell, Emily B; Khamphakdy-Brown, Supavan

2008-11-01

This study examined the relations among acculturation, domestic violence, and mental health in 62 married refugee women from Somalia. Refugees from Somalia constituted the largest group of refugees entering the United States in 2005, and little is known about the presence of domestic violence in this group. The results showed that women who reported greater ability to speak English also reported more experiences of partner psychological abuse and physical aggression. Experiences of more psychological abuse and physical aggressions also predicted more psychological distress. Implications for future research and psychological services are addressed.

48 CFR 52.225-23 - Required Use of American Iron, Steel, and Manufactured Goods-Buy American Act-Construction...

Code of Federal Regulations, 2010 CFR

2010-10-01

... Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, Tanzania, Togo, Tuvalu, Uganda, Vanuatu, Yemen..., Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, Tanzania, Togo...

48 CFR 52.225-23 - Required Use of American Iron, Steel, and Manufactured Goods-Buy American Act-Construction...

Code of Federal Regulations, 2011 CFR

2011-10-01

... Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, Tanzania, Togo, Tuvalu, Uganda, Vanuatu, Yemen..., Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, Tanzania, Togo...

Iodine intake in Somalia is excessive and associated with the source of household drinking water.

PubMed

Kassim, Ismail A R; Moloney, Grainne; Busili, Ahono; Nur, Abukar Yusuf; Paron, Paolo; Jooste, Pieter; Gadain, Hussein; Seal, Andrew J

2014-03-01

Few data on iodine status in Somalia are available, but it is assumed that deficiency is a public health problem due to the limited access to iodized salt. We aimed to describe the iodine status of the population of Somalia and to investigate possible determinants of iodine status. A national 2-stage, stratified household cluster survey was conducted in 2009 in the Northwest, Northeast, and South Central Zones of Somalia. Urinary iodine concentration (UIC) was determined in samples from women (aged 15-45 y) and children (aged 6-11 y), and examination for visible goiter was performed in the Northwest and South Central strata. A 24-h household food-frequency questionnaire was conducted, and salt samples were tested for iodization. The median UICs for nonpregnant women and children were 329 and 416 μg/L, respectively, indicating excessive iodine intake (>300 μg/L). The prevalence of visible goiter was <4%. The coverage of salt iodization was low, with a national average of 7.7% (95% CI: 3.2%, 17.4%). Spatial analysis revealed localized areas of relatively high and low iodine status. Variations could not be explained by food consumption or salt iodization but were associated with the main source of household drinking water, with consumers of borehole water having a higher UIC (569 vs. 385 μg/L; P < 0.001). Iodine intake in Somalia is among the highest in the world and excessive according to WHO criteria. Further work is required to investigate the geochemistry and safety of groundwater sources in Somalia and the impact on human nutrition and health.

77 FR 21837 - Continuation of the National Emergency With Respect to Somalia

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-11

... by the fragile security situation and the persistence of violence in Somalia, and acts of piracy and... continue in effect beyond April 12, 2012. Therefore, in accordance with section 202(d) of the National...

76 FR 19895 - Continuation of the National Emergency With Respect to Somalia

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-08

... deterioration of the security situation and the persistence of violence in Somalia, and acts of piracy and armed... in effect beyond April 12, 2011. Therefore, in accordance with section 202(d) of the National...

78 FR 21011 - Continuation of the National Emergency With Respect to Somalia

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-08

... deterioration of the security situation and the persistence of violence in Somalia, acts of piracy and armed... measures adopted on that date and on July 20, 2012, to deal with that emergency, must continue in effect...

Somalia: supporting the child survival agenda when routine health service is broken.

PubMed

Mirza, Imran Raza; Kamadjeu, Raoul; Assegid, Kebede; Mulugeta, Abraham

2012-03-01

Somalia, one of the most unstable countries in the world, has been without a permanent government for nearly 2 decades. With a health system in total disarray, coverage of basic health interventions remains low and, maternal and child mortality is among the highest in the world. Health partners jointly outlined an integrated package of critical child survival interventions to be delivered through a population-based delivery strategy known as Child Health Days (CHDs), to reduce child mortality. Using this strategy, key child survival interventions are delivered to the community with an objective of reaching children <5 years and women of childbearing age in all districts of Somalia every 6 months. Through this strategy, immunization services were reached in remote areas, and coverage disparity between the urban and rural areas was reduced from 17% (42% urban and 25% rural) to 10% (50% urban and 60% rural). In addition, infants were reached with a third dose of diphtheria-pertussis-tetanus vaccine, achieving 51% coverage during 2009 and 66% in 2010. This paper summarizes the challenges of scaling up child interventions in the troubled context of Somalia by reviewing the planning, implementation, and achievements of CHDs as well as reflecting on challenges for the future of child survival in Somalia.

The relationship between female genital cutting and women's autonomy in Eritrea.

PubMed

Besera, Ghenet; Roess, Amira

2014-09-01

To investigate the relationship between women's autonomy and attitudes toward female genital cutting (FGC) and having a daughter with FGC in Eritrea. Data from a nationally representative sample of 8754 women aged between 15 and 49 years from the 2002 Eritrea Demographic and Health Survey were analyzed. Multivariate logistic regression was used to determine significant predictors of the practice of and attitudes toward FGC, including women's autonomy. Sixty-three percent (n = 3168) of women sampled had at least one daughter who had undergone FGC and 50.1% (n = 4848) of women believed FGC should continue. When controlling for sociodemographic characteristics, the odds of supporting the continuation of FGC were greater among women who justified wife beating (adjusted odds ratio [aOR] 1.43; 95% confidence interval [CI] 1.23-1.66). Among women who participated in household decisions, the odds of them supporting the continuation of FGC were less than among women who did not participate in household decisions (aOR 0.87; 95% CI, 0.75-0.99). Interventions addressing women's autonomy, specifically attitudes toward gender norms and increasing women's involvement in household decisions that carry a greater responsibility, may be a useful approach to reduce the support for and practice of FGC. Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Disease threats in Somalia.

PubMed

Laughlin, L W; Legters, L J

1993-02-01

During this time of war and famine in Somalia, disease threats are encyclopedic both for Somalis and visitors. Malnutrition will amplify the magnitude and severity of endemic tropical infectious diseases. Necessary crowding around life-saving food distribution centers could turn focal infectious disease outbreaks into large epidemics.

Iodine Intake in Somalia Is Excessive and Associated with the Source of Household Drinking Water123

PubMed Central

Kassim, Ismail A. R.; Moloney, Grainne; Busili, Ahono; Nur, Abukar Yusuf; Paron, Paolo; Jooste, Pieter; Gadain, Hussein; Seal, Andrew J.

2014-01-01

Few data on iodine status in Somalia are available, but it is assumed that deficiency is a public health problem due to the limited access to iodized salt. We aimed to describe the iodine status of the population of Somalia and to investigate possible determinants of iodine status. A national 2-stage, stratified household cluster survey was conducted in 2009 in the Northwest, Northeast, and South Central Zones of Somalia. Urinary iodine concentration (UIC) was determined in samples from women (aged 15–45 y) and children (aged 6–11 y), and examination for visible goiter was performed in the Northwest and South Central strata. A 24-h household food-frequency questionnaire was conducted, and salt samples were tested for iodization. The median UICs for nonpregnant women and children were 329 and 416 μg/L, respectively, indicating excessive iodine intake (>300 μg/L). The prevalence of visible goiter was <4%. The coverage of salt iodization was low, with a national average of 7.7% (95% CI: 3.2%, 17.4%). Spatial analysis revealed localized areas of relatively high and low iodine status. Variations could not be explained by food consumption or salt iodization but were associated with the main source of household drinking water, with consumers of borehole water having a higher UIC (569 vs. 385 μg/L; P < 0.001). Iodine intake in Somalia is among the highest in the world and excessive according to WHO criteria. Further work is required to investigate the geochemistry and safety of groundwater sources in Somalia and the impact on human nutrition and health. PMID:24500936

Consequences of ongoing civil conflict in Somalia: evidence for public health responses.

PubMed

Guha-Sapir, Debarati; Ratnayake, Ruwan

2009-08-01

Debarati Guha-Sapir and Ruwan Ratnayake use field data to demonstrate the severe vulnerability faced by much of the Somalian population due to ongoing conflict, and call for concerted public health interventions and access to food aid especially in southern Somalia.

Somalia's Reconstruction: An Opportunity to Create a Responsive Information Infrastructure.

ERIC Educational Resources Information Center

Abdulla, Ali D.

1996-01-01

Argues that the development of an effective information infrastructure would contribute to Somalia's economic and social renewal. Outlines the attributes of such an infrastructure and makes specific recommendations to future Somali development planners and international donors supporting information development activities. (Author/PEN)

Sailing into Troubled Waters: Predicting Piracy Off Africa

DTIC Science & Technology

2011-03-22

from various Somalia seaports, including Eyl, Garard, Bosasso, Ras Asir , Alula Cape and Chismayu.39 However, given the recent large payoffs in ransom...other pirate gangs operating from various Somalia seaports, including Eyl, Garard, Bosasso, Ras Asir , Alula Cape and 22 Chismayu.54 Currently the

Matching food security analysis to context: the experience of the Somalia food security assessment unit.

PubMed

Hemrich, Günter

2005-06-01

This case study reviews the experience of the Somalia Food Security Assessment Unit (FSAU) of operating a food security information system in the context of a complex emergency. In particular, it explores the linkages between selected features of the protracted crisis environment in Somalia and conceptual and operational aspects of food security information work. The paper specifically examines the implications of context characteristics for the establishment and operations of the FSAU field monitoring component and for the interface with information users and their diverse information needs. It also analyses the scope for linking food security and nutrition analysis and looks at the role of conflict and gender analysis in food security assessment work. Background data on the food security situation in Somalia and an overview of some key features of the FSAU set the scene for the case study. The paper is targeted at those involved in designing, operating and funding food security information activities.

Emergency Contraception in Post-Conflict Somalia: An Assessment of Awareness and Perceptions of Need.

PubMed

Gure, Faduma; Dahir, Mohammed Koshin; Yusuf, Marian; Foster, Angel M

2016-03-01

In conflict-affected settings such as Somalia, emergency contraception (EC) has the potential to serve as an important means of pregnancy prevention. Yet Somalia remains one of the few countries without a registered progestin-only EC pill. In 2014, we conducted a qualitative, multi-methods study in Mogadishu to explore awareness of and perceptions of need for EC. Our project included 10 semi-structured key informant interviews, 20 structured in-person interviews with pharmacists, and four focus group discussions with married and unmarried Somali women. Our findings reveal a widespread lack of knowledge of both existing family planning methods and EC. However, once we described EC, participants expressed enthusiasm for expanding access to post-coital contraception. Our results shed light on why Somalia continues to be a global exception with respect to an EC product and suggest possible politically and culturally acceptable and effective avenues for introducing EC into the health system. © 2016 The Population Council, Inc.

Understanding the unique experiences, perspectives and sexual and reproductive health needs of very young adolescents: Somali refugees in Ethiopia.

PubMed

Ortiz-Echevarria, Luis; Greeley, Meghan; Bawoke, Tenaw; Zimmerman, Linnea; Robinson, Courtland; Schlecht, Jennifer

2017-01-01

Kobe Refugee camp hosts roughly 39,000 refugees displaced from Somalia during the 2011-2012 Horn of Africa Crisis. Sexual and reproductive health, as with the greater issues of health and well-being for adolescents displaced from this crisis remain largely unknown and neglected. In 2013, the Women's Refugee Commission, Johns Hopkins University, and International Medical Corps in Ethiopia, implemented qualitative and quantitative research to explore the factors and risks that impact the health of very young adolescents (VYAs), those 10-14 years of age, in this setting. This paper presents findings from the qualitative effort. Focus group discussions (FGD), incorporating community mapping and photo elicitation activities, were conducted with 10-12 and 13-14 year-olds to obtain information about their own perspectives, experiences and values. FGDs were also implemented with 15-16 year-olds and adults, to consider their perspectives on the sexual and reproductive health needs and risks of VYAs. This research identified several factors that were found to influence the health and well-being of VYAs in Kobe refugee camp, including newfound access to education and security, combined with gender divisions and parental communication around early SRH and puberty that remained intact from traditional Somali culture. Girls were found to face an additional risk of child marriage and early pregnancy exacerbated since displacement, which significantly limited their ability to access education and achieve future aspirations. Findings from this study could help to inform future programs in Kobe and similar contexts involving long-term displacement from conflict, focusing on the health and development needs of VYAs. Future programs should consider the determinants of positive VYA health and development, including access to education, gender equity, and safety.By better understanding the unique experiences, perspectives and needs of VYAs, practitioners, policy makers and donors can invest in the individual and community assets that reinforce positive behaviors established in early adolescence, in order to achieve long-term SRH impacts.

A review of visceral leishmaniasis during the conflict in South Sudan and the consequences for East African countries.

PubMed

Al-Salem, Waleed; Herricks, Jennifer R; Hotez, Peter J

2016-08-22

Visceral leishmaniasis (VL), caused predominantly by Leishmania donovani and transmitted by both Phlebotomus orientalis and Phlebotomus martini, is highly endemic in East Africa where approximately 30 thousands VL cases are reported annually. The largest numbers of cases are found in Sudan - where Phlebotomus orientalis proliferate in Acacia forests especially on Sudan's eastern border with Ethiopia, followed by South Sudan, Ethiopia, Somalia, Kenya and Uganda. Long-standing civil war and unrest is a dominant determinant of VL in East African countries. Here we attempt to identify the correlation between VL epidemics and civil unrest. In this review, literature published between 1955 and 2016 have been gathered from MSF, UNICEF, OCHA, UNHCR, PubMed and Google Scholar to analyse the correlation between conflict and human suffering from VL, which is especially apparent in South Sudan. Waves of forced migration as a consequence of civil wars between 1983 and 2005 have resulted in massive and lethal epidemics in southern Sudan. Following a comprehensive peace agreement, but especially with increased allocation of resources for disease treatment and prevention in 2011, cases of VL declined reaching the lowest levels after South Sudan declared independence. However, in the latest epidemic that began in 2014 after the onset of a civil war in South Sudan, more than 1.5 million displaced refugees have migrated internally to states highly endemic for VL, while 800,000 have fled to neighboring countries. We find a strong relationship between civil unrest and VL epidemics which tend to occur among immunologically naïve migrants entering VL-endemic areas and when Leishmania-infected individuals migrate to new areas and establish additional foci of disease. Further complicating factors in East Africa's VL epidemics include severe lack of access to diagnosis and treatment, HIV/AIDS co-infection, food insecurity and malnutrition. Moreover, cases of post-kala-azar dermal leishmaniasis (PKDL) can serve as important reservoirs of anthroponotic Leishmania parasites.

Quantifying strain partitioning between magmatic and amagmatic portions of the Afar triple junction of Ethiopia and Djibouti through use of contemporary and late Quaternary extension rates

NASA Astrophysics Data System (ADS)

Polun, S. G.; Hickcox, K.; Tesfaye, S.; Gomez, F. G.

2016-12-01

The central Afar rift in Ethiopia and Djibouti is a zone of accommodation between the onshore propagations of the Gulf of Aden and Red Sea oceanic spreading centers forming part of the Afar triple junction that divides the Arabia, Nubia, and Somalia plates. While extension in the onshore magmatic propagators is accommodated through magmatism and associated faulting, extension in the central Afar is accommodated solely by large and small faults. The contributions of these major faults to the overall strain budget can be well characterized, but smaller faults are more difficult to quantify. Sparse GPS data covering the region constrain the total extension budget across the diffuse triple junction zone. Late Quaternary slip rates for major faults in Hanle, Dobe, Guma, and Immino grabens were estimated using the quantitative analysis of faulted landforms. This forms a nearly complete transect from the onshore propagation of the Red Sea rift in Tendaho graben and the onshore propagation of the Gulf of Aden rift at Manda Inakir. Field surveying was accomplished using a combination of electronic distance measurer profiling and low altitude aerial surveying. Age constraints are provided from the Holocene lacustrine history or through terrestrial cosmogenic nuclide (TCN) dating of the faulted geomorphic surface. Along this transect, late Quaternary slip rates of major faults appear to accommodate 25% of the total horizontal stretching rate between the southern margin of Tendaho graben and the Red Sea coast, as determined from published GPS velocities. This constrains the proportion of total extension between Nubia and Arabia that is accommodated through major faulting in the central Afar, compared to the magmatism and associated faulting of the magmatic propagators elsewhere in the triple junction. Along the transect, individual fault slip rates decrease from the southeast to the northwest, suggesting a `Crank-Arm' model may be more applicable to explain the regional kinematics and the evolution of the triple junction.

A refinement of the chronology of rift-related faulting in the Broadly Rifted Zone, southern Ethiopia, through apatite fission-track analysis

NASA Astrophysics Data System (ADS)

Balestrieri, Maria Laura; Bonini, Marco; Corti, Giacomo; Sani, Federico; Philippon, Melody

2016-03-01

To reconstruct the timing of rift inception in the Broadly Rifted Zone in southern Ethiopia, we applied the fission-track method to basement rocks collected along the scarp of the main normal faults bounding (i) the Amaro Horst in the southern Main Ethiopian Rift and (ii) the Beto Basin in the Gofa Province. At the Amaro Horst, a vertical traverse along the major eastern scarp yielded pre-rift ages ranging between 121.4 ± 15.3 Ma and 69.5 ± 7.2 Ma, similarly to two other samples, one from the western scarp and one at the southern termination of the horst (103.4 ± 24.5 Ma and 65.5 ± 4.2 Ma, respectively). More interestingly, a second traverse at the Amaro northeastern terminus released rift-related ages spanning between 12.3 ± 2.7 and 6.8 ± 0.7 Ma. In the Beto Basin, the ages determined along the base of the main (northwestern) fault scarp vary between 22.8 ± 3.3 Ma and 7.0 ± 0.7 Ma. We ascertain through thermal modeling that rift-related exhumation along the northwestern fault scarp of the Beto Basin started at 12 ± 2 Ma while in the eastern margin of the Amaro Horst faulting took place later than 10 Ma, possibly at about 8 Ma. These results suggest a reconsideration of previous models on timing of rift activation in the different sectors of the Ethiopian Rift. Extensional basin formation initiated more or less contemporaneously in the Gofa Province (~ 12 Ma) and Northern Main Ethiopian Rift (~ 10-12 Ma) at the time of a major reorganization of the Nubia-Somalia plate boundary (i.e., 11 ± 2 Ma). Afterwards, rift-related faulting involved the Southern MER (Amaro Horst) at ~ 8 Ma, and only later rifting seemingly affected the Central MER (after ~ 7 Ma).

Total Motion Across the East African Rift Viewed From the Southwest Indian Ridge

NASA Astrophysics Data System (ADS)

Royer, J.; Gordon, R. G.

2005-05-01

The Nubian plate is known to have been separating from the Somalian plate along the East African Rift since Oligocene time. Recent works have shown that the spreading rates and spreading directions since 11 Ma along the Southwest Indian Ridge (SWIR) record Nubia-Antarctica motion west of the Andrew Bain Fracture Zone complex (ABFZ; between 25E and 35E) and Somalia-Antarctica motion east of it. Nubia-Somalia motion can be determined by differencing Nubia-Antarctica and Somalia-Antarctica motion. To estimate the total motion across the East African Rift, we estimated and differenced Nubia-Antarctica motion and Somalia-Antarctica motion for times that preceded the initiation of Nubia-Somalia motion. We analyze anomalies 24n.3o (53 Ma), 21o (48 Ma), 18o (40 Ma) and 13o (34 Ma). Preliminary results show that the poles of the finite rotations that describe the Nubia-Somalia motions cluster near 30E, 42S. Angles of rotation range from 2.7 to 4.0 degrees. The uncertainty regions are large. The lower estimate predicts a total extension of 245 km at the latitude of the Ethiopian rift (41E, 9N) in a direction N104, perpendicular to the mean trend of the rift. Assuming an age of 34 Ma for the initiation of rifting, the average rate of motion would be 7 mm/a, near the 9 mm/a deduced from present-day geodetic measurements [e.g. synthesis of Fernandes et al., 2004]. Although these results require further analysis, particularly on the causes of the large uncertainties, they represent the first independent estimate of the total extension across the rift. Among other remaining questions are the following: How significant are the differences between these estimates and those for younger chrons (5 or 6 ; respectively 11 and 20 Ma), i.e. is the start of extension datable? Is the region east of the ABFZ part of the Somalian plate or does it form a distinct component plate of Somalia, as postulated by Hartnady (2004)? How has motion between two or more component plates within the African composite plate affected estimates of India-Eurasia motion and of Pacific-North America motion?

Twenty-five years of geodetic measurements along the Tadjoura-Asal rift system, Djibouti, East Africa

NASA Astrophysics Data System (ADS)

Vigny, Christophe; de Chabalier, Jean-Bernard; Ruegg, Jean-Claude; Huchon, Philippe; Feigl, Kurt L.; Cattin, Rodolphe; Asfaw, Laike; Kanbari, Khaled

2007-06-01

Since most of Tadjoura-Asal rift system sits on dry land in the Afar depression near the triple junction between the Arabia, Somalia, and Nubia plates, it is an ideal natural laboratory for studying rifting processes. We analyze these processes in light of a time series of geodetic measurements from 1978 through 2003. The surveys used triangulation (1973), trilateration (1973, 1979, and 1981-1986), leveling (1973, 1979, 1984-1985, and 2000), and the Global Positioning System (GPS, in 1991, 1993, 1995, 1997, 1999, 2001, and 2003). A network of about 30 GPS sites covers the Republic of Djibouti. Additional points were also measured in Yemen and Ethiopia. Stations lying in the Danakil block have almost the same velocity as Arabian plate, indicating that opening near the southern tip of the Red Sea is almost totally accommodated in the Afar depression. Inside Djibouti, the Asal-Ghoubbet rift system accommodates 16 ± 1 mm/yr of opening perpendicular to the rift axis and exhibits a pronounced asymmetry with essentially null deformation on its southwestern side and significant deformation on its northeastern side. This rate, slightly higher than the large-scale Arabia-Somalia motion (13 ± 1 mm/yr), suggests transient variations associated with relaxation processes following the Asal-Ghoubbet seismovolcanic sequence of 1978. Inside the rift, the deformation pattern exhibits a clear two-dimensional pattern. Along the rift axis, the rate decreases to the northwest, suggesting propagation in the same direction. Perpendicular to the rift axis, the focus of the opening is clearly shifted to the northeast, relative to the topographic rift axis, in the "Petit Rift," a rift-in-rift structure, containing most of the active faults and the seismicity. Vertical motions, measured by differential leveling, show the same asymmetric pattern with a bulge of the northeastern shoulder. Although the inner floor of the rift is subsiding with respect to the shoulders, all sites within the rift system show uplift at rates varying from 0 to 10 mm/yr with respect to a far-field reference outside the rift.

Learning From the Disaster

ERIC Educational Resources Information Center

Di Giorgi, Umberto

1975-01-01

Struggling through drought, famine, and cyclones, Somalia must now also overcome social change. The nomad population are being settled into camps creating the foundation for sedentary, communal life. The nomads are taught a written language and simple agriculture. With international aid Somalia might create a new society and culture. (MR)

Understanding the Emergence of Alshabab in Somalia

DTIC Science & Technology

2011-12-16

UNDERSTANDING THE EMERGENCE OF ALSHABAB IN SOMALIA A thesis presented to the Faculty of the U.S. Army Command and General...failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE...

The distribution of cancer cases in Somalia.

PubMed

Baş, Yılmaz; Hassan, Hussein Abshir; Adıgüzel, Cevdet; Bulur, Oktay; Ibrahim, İkram Abdikarim; Soydan, Seçil

2017-06-01

The aim of this study was to investigate the frequency and distribution of cancer cases in a defined time period in Somalia. A total of 403 cancer cases were diagnosed between January 01, 2016 and March 01, 2017 in the Department of Pathology at the Somalia Mogadishu-Turkey Education and Research Hospital or the Department of Oncology at Uniso Hospital, Somalia University. Data on cancer type, patient age, and gender were obtained from pathology reports and hospital records. Female patients totaled 49.6% (n = 200) and 50.4% of patients were male (n = 203). The youngest patient was 18 years of age, the oldest was 97, and the average age was 53.4 years. The 10 most common types of cancer were esophageal (n = 130, 32.3%), non-Hodgkin lymphoma (n = 35, 8.7%), liver (n = 26, 6.5%), breast (n = 24, 6.0%), skin (n = 17, 4.2%), thyroid (n = 13, 3.2%), brain (n = 12, 3.0%), bone (n = 11, 2.7%), colorectal (n = 11, 2.7%), and soft tissue (n = 11, 2.7%). The most common site of cancer in both males and females was the esophagus. These results show a high incidence of esophageal cancer in Somalia, and strongly suggest that environmental risk factors and nutritional habits have a strong impact in this population. Serious and extensive research on the etiology of esophageal cancer is required. Copyright © 2017 Elsevier Inc. All rights reserved.

Prevalence of dental caries and associated factors among 12 years old students in Eritrea.

PubMed

Andegiorgish, Amanuel Kidane; Weldemariam, Bizen Weldmicheal; Kifle, Meron Mehari; Mebrahtu, Filmon Gebreysus; Zewde, Henos Keflom; Tewelde, Micheal Gebregziabhir; Hussen, Mohammed Anwar; Tsegay, Winta Kesete

2017-12-29

Dental caries is one of the most prevalent diseases of childhood in developing countries. However, there is a paucity of epidemiological data on the prevalence and associated factors of dental caries in Eritrea. The objective of this study was to assess the prevalence and associated factors of dental caries among 12 years old school children in Eritrea. A school based cross sectional study was conducted among 225 twelve years old students in two selected schools. One school from randomly selected urban and rural subzones of the country were selected. WHO adopted questionnaire and a standard checklist were used to collect relevant data. To assess dental caries, two examiners were calibrated by a certified dentist and inter observer agreement was calculated using the Cohen's Kappa statistic (0.82). All data analysis was done using SPSS version 20. The prevalence of dental caries was 78%, without significant difference between males (78%) and females (79%).The mean DMFT value was 2.50 (±2.21). The decayed component contributed 98.3% of the score as it had 2.44 (±1.2) share to the mean DMFT value. The first molar was the most affected tooth with a DMFT value of 1.55 (±1.36). The mean significant caries index score (SiC) was 4.97 (±1.9) which is higher than the upper limit of SiC value of 3 set by the WHO as a global average. More than half of the respondents had never visited a dentist and out of the students who had utilized a dental health facility, 82% of visits were due to dental pain while visits for regular checkups were cited by only 6.6% of the respondents. Dental caries was found to be a common public health problem among 12 years old Eritrean students. The prevalence of dental caries, mean DMFT and SiC scores were higher than the average score of other developing countries. Gaps in dental health service utilization, dental health practices and suboptimal water fluoride levels contribute to poor dental health among school children in Eritrea.

The consumption of khat and other drugs in Somali combatants: a cross-sectional study.

PubMed

Odenwald, Michael; Hinkel, Harald; Schauer, Elisabeth; Neuner, Frank; Schauer, Maggie; Elbert, Thomas R; Rockstroh, Brigitte

2007-12-01

For more than a decade, most parts of Somalia have not been under the control of any type of government. This "failure of state" is complete in the central and southern regions and most apparent in Mogadishu, which had been for a long period in the hands of warlords deploying their private militias in a battle for resources. In contrast, the northern part of Somalia has had relatively stable control under regional administrations, which are, however, not internationally recognized. The present study provides information about drug abuse among active security personnel and militia with an emphasis on regional differences in relation to the lack of central governmental control-to our knowledge the first account on this topic. Trained local interviewers conducted a total of 8,723 interviews of armed personnel in seven convenience samples in different regions of Somalia; 587 (6.3%) respondents discontinued the interview and 12 (0.001%) were excluded for other reasons. We assessed basic sociodemographic information, self-reported khat use, and how respondents perceived the use of khat, cannabis (which includes both hashish and marijuana), psychoactive tablets (e.g., benzodiazepines), alcohol, solvents, and hemp seeds in their units. The cautious interpretation of our data suggest that sociodemographic characteristics and drug use among military personnel differ substantially between northern and southern/central Somalia. In total, 36.4% (99% confidence interval [CI] 19.3%-57.7%) of respondents reported khat use in the week before the interview, whereas in some regions of southern/central Somalia khat use, especially excessive use, was reported more frequently. Self-reported khat use differed substantially from the perceived use in units. According to the perception of respondents, the most frequent form of drug use is khat chewing (on average, 70.1% in previous week, 99% CI 63.6%-76.5%), followed by smoking cannabis (10.7%, 99% CI 0%-30.4%), ingesting psychoactive tablets (8.5%, 99% CI 0%-24.4%), drinking alcohol (5.3%, 99% CI 0%-13.8%), inhaling solvents (1.8%, 99% CI 0%-5.1%), and eating hemp seeds (0.6%, 99% CI 0%-2.0%). Perceived use of khat differs little between northern and southern Somalia, but perceived use of other drugs reaches alarmingly high levels in some regions of the south, especially related to smoking cannabis and using psychoactive tablets. Our data suggest that drug use has quantitatively and qualitatively changed over the course of conflicts in southern Somalia, as current patterns are in contrast to traditional use. Although future studies using random sampling methods need to confirm our results, we hypothesize that drug-related problems of armed staff and other vulnerable groups in southern Somalia has reached proportions formerly unknown to the country, especially as we believe that any biases in our data would lead to an underestimation of actual drug use. We recommend that future disarmament, demobilization, and reintegration (DDR) programs need to be prepared to deal with significant drug-related problems in Somalia.

14 CFR Special Federal Aviation... - Prohibition Against Certain Flights Within the Territory and Airspace of Somalia

Code of Federal Regulations, 2012 CFR

2012-01-01

... the Territory and Airspace of Somalia Federal Special Federal Aviation Regulation No. 107 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, SFAR No. 107 Special Federal Aviation...

14 CFR Special Federal Aviation... - Prohibition Against Certain Flights Within the Territory and Airspace of Somalia

Code of Federal Regulations, 2011 CFR

2011-01-01

... the Territory and Airspace of Somalia Federal Special Federal Aviation Regulation No. 107 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, SFAR No. 107 Special Federal Aviation...

14 CFR Special Federal Aviation... - Prohibition Against Certain Flights Within the Territory and Airspace of Somalia

Code of Federal Regulations, 2013 CFR

2013-01-01

... the Territory and Airspace of Somalia Federal Special Federal Aviation Regulation No. 107 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, SFAR No. 107 Special Federal Aviation...

14 CFR Special Federal Aviation... - Prohibition Against Certain Flights Within the Territory and Airspace of Somalia

Code of Federal Regulations, 2014 CFR

2014-01-01

... the Territory and Airspace of Somalia Federal Special Federal Aviation Regulation No. 107 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, SFAR No. 107 Special Federal Aviation...

14 CFR Special Federal Aviation... - Prohibition Against Certain Flights Within the Territory and Airspace of Somalia

Code of Federal Regulations, 2010 CFR

2010-01-01

... the Territory and Airspace of Somalia Federal Special Federal Aviation Regulation No. 107 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, SFAR No. 107 Special Federal Aviation...

Operation Restore Hope: Strengthening Multilateral Operations

DTIC Science & Technology

2013-12-13

is what caused the UN failure in Somalia. Clarke argues the decision to avoid disarmament and develop a clear political agenda for Somalia weighted ...at the Olympic Hotel in an area usually determined to be off limits to UN personnel. The quick turn from obtaining the intelligence and planning and

Disease Vector Ecology Profile: Somalia. Fourth Edition

DTIC Science & Technology

1993-09-15

excrement, decaying plant material and other debris). Eggs hatch in 1-3 weeks. Larval stage 4-6 weeks. Often associated with termite mounds . Biting...lengths of up to 14 feet. It occurs primarily in the forest and open bush country of northern Somalia, where it is found in tree stumps, termite mounds

Somalia: Country Status Report.

ERIC Educational Resources Information Center

McFerren, Margaret

A survey of the status of language usage in Somalia begins with an overview of the usage patterns of Somali, the official language, and three languages previously used officially: English, Italian, and Arabic. The cultural context that for many years has supported the usage of a single native language for communication and administration is also…

Matching response to context in complex political emergencies: 'relief', 'development', 'peace-building' or something in-between?

PubMed

White, P; Cliffe, L

2000-12-01

There is an ongoing debate over the value and pitfalls of the policy and practice of 'linking relief and development' or 'developmental relief' in aid responses to complex political emergencies (CPEs). Driven by concerns about relief creating dependence, sometimes doing harm and failing to address root causes of emergencies despite its high cost, pursuit of both relief and development has become a dominant paradigm among international aid agencies in CPEs as in 'natural' disasters. In CPEs a third objective of 'peace-building' has emerged, along with the logic that development can itself help prevent or resolve conflict and sustain peace. However, this broadening of relief objectives in ongoing CPEs has recently been criticised on a number of counts, central concerns being that it leads to a dilution of commitment to core humanitarian principles and is overly optimistic. This paper addresses these issues in the light of two of the CPEs studied by the COPE project: Eritrea and Somalia/Somaliland. It is argued that the debate has so far suffered from lack of clarity about what we mean by 'relief', 'development' and, for that matter, 'rehabilitation' and 'peace-building'. The wide spectrum of possible aid outcomes does not divide neatly into these categories. The relief-development divide is not always as clear-cut, technically or politically, as the critics claim. Moreover such distinctions, constructed from the point of view of aid programmers, are often of little relevance to the concerns of intended beneficiaries. Second, there has been insufficient attention to context: rather than attempting to generalise within and across CPE cases, a more productive approach would be to examine more closely the conditions under which forms of aid other than basic life support can fruitfully be pursued. This leads to consideration of collective agency capacity to respond effectively to diverse needs in different and changing circumstances.

Evolution of the northern tip of Afar triangle: Inferences from the Quaternary succession of the Dandiero - Massawa area (Eritrea)

NASA Astrophysics Data System (ADS)

Sani, Federico; Ghinassi, Massimiliano; Papini, Mauro; Oms, Oriol; Finotello, Alvise

2017-10-01

The Afar region is a triangular area located at the triple junction between the African, Somalia, and Arabian plates, which are currently diverging at different rates. Currently, the extension vector is roughly oriented in a NE-SW direction in the Afar, Red Sea and Gulf of Aden, in respect to Arabia plate, whereas the Nubian-Somalian divergence, evidenced by the Main Ethiopian Rift (MER), is approximately WNW-ESE (N95-100°E). This study focuses on the tectono-sedimentary evolution of a sector from Massawa to the north up to the continental Early-Middle Pleistocene Dandiero Basin to the south. This basin is filled with approximately 500 m thick fluvial-lacustrine deposits and includes six formations. Sedimentation occurred mainly along the basin axis and allowed accumulation of sand and mud deposits with subordinate gravels close to the basin margin. The age of the basin infill succession is well constrained through integration between paleomagnetic and paleontological data and ranges between 1.2 and 0.75 Ma. The Dandiero Basin is controlled by two main roughly NNW-SSE trending, east dipping normal faults. The westernmost fault delimits the basins from the plateau, whereas the easternmost marks the limit between the basin succession and the Late Pleistocene Samoti Plain. We infer that the NNW-trending faults were progressively activated as a consequence of the Danakil Block counter clockwise rotation and were superimposed to the N-S trending faults that delimited the basin at the time of its inception as a marginal graben roughly aligned to the Eritrean-Ethiopian plateau. The timing of deformation (1.2 Ma up to Present) is well constrained by the age of syntectonic sediments of the Dandiero Basin and volcanic products of the Alid Volcano. These relations allowed us to refine the timing and evolution of this sector of Afar and giving some insights on the geodynamics of the area.

A one-million-year-old Homo cranium from the Danakil (Afar) Depression of Eritrea.

PubMed

Abbate, E; Albianelli, A; Azzaroli, A; Benvenuti, M; Tesfamariam, B; Bruni, P; Cipriani, N; Clarke, R J; Ficcarelli, G; Macchiarelli, R; Napoleone, G; Papini, M; Rook, L; Sagri, M; Tecle, T M; Torre, D; Villa, I

1998-06-04

One of the most contentious topics in the study of human evolution is that of the time, place and mode of origin of Homo sapiens. The discovery in the Northern Danakil (Afar) Depression, Eritrea, of a well-preserved Homo cranium with a mixture of characters typical of H. erectus and H. sapiens contributes significantly to this debate. The cranium was found in a succession of fluvio-deltaic and lacustrine deposits and is associated with a rich mammalian fauna of early to early-middle Pleistocene age. A magnetostratigraphic survey indicates two reversed and two normal magnetozones. The layer in which the cranium was found is near the top of the lower normal magnetozone, which is identified as the Jaramillo subchron. Consequently, the human remains can be dated at approximately 1 million years before present.

Drought in the Horn of Africa: attribution of a damaging and repeating extreme event

NASA Astrophysics Data System (ADS)

Marthews, Toby; Otto, Friederike; Mitchell, Daniel; Dadson, Simon; Jones, Richard

2015-04-01

We have applied detection and attribution techniques to the severe drought that hit the Horn of Africa in 2014. The short rains failed in late 2013 in Kenya, South Sudan, Somalia and southern Ethiopia, leading to a very dry growing season January to March 2014, and subsequently to the current drought in many agricultural areas of the sub-region. We have made use of the weather@home project, which uses publicly-volunteered distributed computing to provide a large ensemble of simulations sufficient to sample regional climate uncertainty. Based on this, we have estimated the occurrence rates of the kinds of the rare and extreme events implicated in this large-scale drought. From land surface model runs based on these ensemble simulations, we have estimated the impacts of climate anomalies during this period and therefore we can reliably identify some factors of the ongoing drought as attributable to human-induced climate change. The UNFCCC's Adaptation Fund is attempting to support projects that bring about an adaptation to "the adverse effects of climate change", but in order to formulate such projects we need a much clearer way to assess how much climate change is human-induced and how much is a consequence of climate anomalies and large-scale teleconnections, which can only be provided by robust attribution techniques.

Risk of Mycobacterium tuberculosis infection in Somalia: national tuberculin survey 2006.

PubMed

Munim, A; Rajab, Y; Barker, A; Daniel, M; Williams, B

2008-01-01

To estimate the annual risk of tuberculosis (TB) infection (ARTI) in Somalia a tuberculin survey was conducted in February/March 2006. Stratified cluster sampling was carried out within the 18 regions and 101 randomly selected primary schools. Tuberculin testing was done in 10 680 grade 1 schoolchildren. Transverse tuberculin reaction size was measured 72 hours later. The number of children with a satisfactory test read was 10 364. The overall BCG coverage was 54%. Based on frequency distribution of tuberculin reaction sizes, the ARTI in Somalia was estimated at 2.2% (confidence interval: 1.5%-3.2%). There was an annual decline of 2.6% comparing with a previous study in 1956.

Clonal relationship among Vibrio cholerae O1 El Tor strains isolated in Somalia.

PubMed

Scrascia, Maria; Pugliese, Nicola; Maimone, Francesco; Mohamud, Kadigia A; Grimont, Patrick A D; Materu, Sadiki F; Pazzani, Carlo

2009-03-01

One hundred and three Vibrio cholerae O1 strains, selected to represent the cholera outbreaks which occurred in Somalia in 1998-1999, were characterized by random amplified polymorphic DNA patterns, ribotyping, and antimicrobial susceptibility. All strains showed a unique amplified DNA pattern and 2 closely related ribotypes (B5a and B8a), among which B5a was the more frequently identified. Ninety-one strains were resistant to ampicillin, chloramphenicol, spectinomycin, streptomycin, sulfamethoxazole, and trimethoprim, conferred, except for spectinomycin, by a conjugative plasmid IncC. These findings indicated that the group of strains active in Somalia in the late 1990s had a clonal origin.

Paediatric in-patient care in a conflict-torn region of Somalia: are hospital outcomes of acceptable quality?

PubMed Central

Zachariah, R.; Hinderaker, S. G.; Khogali, M.; Manzi, M.; van Griensven, J.; Ayada, L.; Jemmy, J. P.; Maalim, A.; Amin, H.

2013-01-01

Setting: A district hospital in conflict-torn Somalia. Objective: To report on in-patient paediatric morbidity, case fatality and exit outcomes as indicators of quality of care. Design: Cross-sectional study. Results: Of 6211 children, lower respiratory tract infections (48%) and severe acute malnutrition (16%) were the leading reasons for admission. The highest case-fatality rate was for meningitis (20%). Adverse outcomes occurred in 378 (6%) children, including 205 (3.3%) deaths; 173 (2.8%) absconded. Conclusion: Hospital exit outcomes are good even in conflict-torn Somalia, and should boost efforts to ensure that such populations are not left out in the quest to achieve universal health coverage. PMID:26393014

Teacher Incentive Systems, Final Report. Policy Research Initiative: Haiti, Liberia, Somalia, Yemen Arab Republic.

ERIC Educational Resources Information Center

Kemmerer, Frances; Thiagarajan, Sivasailam

Findings of a study that examined the implementation of a teacher incentives initiative in four countries--Haiti, Liberia, Somalia, and Yemen--are presented in this paper. The countries are participating in a 10-year initiative founded in 1984, Improving the Efficiency of Educational Systems (IEES). Methodology involved interviews with…

78 FR 66756 - Extension of the Designation of Somalia for Temporary Protected Status

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-06

... DEPARTMENT OF HOMELAND SECURITY U.S. Citizenship and Immigration Services [CIS No. 2538-13; DHS Docket No. USCIS-2013-0006] RIN 1615-ZB24 Extension of the Designation of Somalia for Temporary Protected Status Correction In notice document 2013-25969 beginning on page 65690 in the issue of Friday, November...

Multidrug-resistant tuberculosis, Somalia, 2010-2011.

PubMed

Sindani, Ireneaus; Fitzpatrick, Christopher; Falzon, Dennis; Suleiman, Bashir; Arube, Peter; Adam, Ismail; Baghdadi, Samiha; Bassili, Amal; Zignol, Matteo

2013-03-01

In a nationwide survey in 2011, multidrug-resistant tuberculosis (MDR TB) was found in 5.2% and 40.8% of patients with new and previously treated TB, respectively. These levels of drug resistance are among the highest ever documented in Africa and the Middle East. This finding presents a serious challenge for TB control in Somalia.

77 FR 40948 - Additional Designation of Persons Whose Property and Interests in Property Are Blocked Pursuant...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-11

..., Mombasa, Kenya; DOB 1962; alt. DOB 1967; POB Kenya; citizen Kenya (individual) [SOMALIA]. 3. GOITOM, Taeme... Jan 1969; POB Kenya; alt. POB Lamu Island, Kenya; citizen Kenya (individual) [SOMALIA]. 5. NEGASH..., Kenya; Passport A764712 (Kenya) expires 27 Mar 2013; alt. Passport B002271 (Kenya); alt. Passport...

Effectiveness of U.S. Policies for Al Shabaab

DTIC Science & Technology

2014-06-13

somalia-oil-exploration-idUSL6E8L2O7D20121002 (accessed 10 March 2014). 82Michelle Nichols and Louis Charbonneau , “Exclusive: Western oil exploration in...Michelle, and Louis Charbonneau . “Exclusive: Western oil exploration in Somalia may spark conflict – U.N. report.” Chicago Tribune, 17 July 2013. Perlez

The present-day epidemiological situation in the Horn of Africa on the example of Somalia.

PubMed

Korzeniewski, Krzysztof

2012-01-01

This article presents information on the environmental hazards prevailing in Somalia and recommends a health prophylaxis in connection with a potential deployment of Polish Military Contingent to this part of the world. Somalia is a country located in the eastern part of Africa, in the so-called Horn of Africa. The country has been continuously at war for over two decades. Because of its much-devastated municipal and industrial infrastructure, widespread famine and limited access of the local people to healthcare it is considered one of the countries where living conditions are extremely difficult. Epidemiological indexes in Somalia are the worst in the world, and the Somali citizens are entirely dependent on foreign humanitarian assistance. At present, three different military operations, under the auspices of international organizations, have been carried out on the soil and the territorial waters: the European Union Naval Force Somalia--Operation Atlanta, the NATO Operation Ocean Shield, and the biggest of the three--the UN peacekeeping mission AMISOM with 9,5 thousand African troops, mainly from Uganda and Burundi). Despite their presence, the situation of the civilian population is critical. If the number ofpeacekeeping and stabilization troops deployed to the Horn of Africa is increased, it is very likely that Polish soldiers will also get involved in the military operations in Somalia. because of a strong possibility that following European military contingents are going to be relocated to East Africa to carry out the mandatory tasks, in relation to the occurrence of difficult climatic conditions and low sanitary standards, it is necessary to undertake appropriate preventive measures before the departure (compulsory/recommended vaccinations, antimalarial chemoprophylaxis, stocks of medicines to be taken by soldiers for an extended period of time, prevention and treatment kits), throughout the deployment (acclimatization, avoiding alcohol, water and electrolytes replenishment, using antimalarial chemoprophylaxis and repellents), and after returning from the area of operation (terminal chemoprophylaxis of malaria, reporting any health problem to health care facilities).

The Consumption of Khat and Other Drugs in Somali Combatants: A Cross-Sectional Study

PubMed Central

Odenwald, Michael; Hinkel, Harald; Schauer, Elisabeth; Neuner, Frank; Schauer, Maggie; Elbert, Thomas R; Rockstroh, Brigitte

2007-01-01

Background For more than a decade, most parts of Somalia have not been under the control of any type of government. This “failure of state” is complete in the central and southern regions and most apparent in Mogadishu, which had been for a long period in the hands of warlords deploying their private militias in a battle for resources. In contrast, the northern part of Somalia has had relatively stable control under regional administrations, which are, however, not internationally recognized. The present study provides information about drug abuse among active security personnel and militia with an emphasis on regional differences in relation to the lack of central governmental control—to our knowledge the first account on this topic. Methods and Findings Trained local interviewers conducted a total of 8,723 interviews of armed personnel in seven convenience samples in different regions of Somalia; 587 (6.3%) respondents discontinued the interview and 12 (0.001%) were excluded for other reasons. We assessed basic sociodemographic information, self-reported khat use, and how respondents perceived the use of khat, cannabis (which includes both hashish and marijuana), psychoactive tablets (e.g., benzodiazepines), alcohol, solvents, and hemp seeds in their units. The cautious interpretation of our data suggest that sociodemographic characteristics and drug use among military personnel differ substantially between northern and southern/central Somalia. In total, 36.4% (99% confidence interval [CI] 19.3%–57.7%) of respondents reported khat use in the week before the interview, whereas in some regions of southern/central Somalia khat use, especially excessive use, was reported more frequently. Self-reported khat use differed substantially from the perceived use in units. According to the perception of respondents, the most frequent form of drug use is khat chewing (on average, 70.1% in previous week, 99% CI 63.6%–76.5%), followed by smoking cannabis (10.7%, 99% CI 0%–30.4%), ingesting psychoactive tablets (8.5%, 99% CI 0%–24.4%), drinking alcohol (5.3%, 99% CI 0%–13.8%), inhaling solvents (1.8%, 99% CI 0%–5.1%), and eating hemp seeds (0.6%, 99% CI 0%–2.0%). Perceived use of khat differs little between northern and southern Somalia, but perceived use of other drugs reaches alarmingly high levels in some regions of the south, especially related to smoking cannabis and using psychoactive tablets. Conclusions Our data suggest that drug use has quantitatively and qualitatively changed over the course of conflicts in southern Somalia, as current patterns are in contrast to traditional use. Although future studies using random sampling methods need to confirm our results, we hypothesize that drug-related problems of armed staff and other vulnerable groups in southern Somalia has reached proportions formerly unknown to the country, especially as we believe that any biases in our data would lead to an underestimation of actual drug use. We recommend that future disarmament, demobilization, and reintegration (DDR) programs need to be prepared to deal with significant drug-related problems in Somalia. PMID:18076280

Evaluation of six satellite rainfall products over the Great Horn of Africa

NASA Astrophysics Data System (ADS)

Cattani, Elsa; Merino Suances, Andrés; Levizzani, Vincenzo

2014-05-01

Satellite precipitation products are used in various application fields, as extreme event monitoring (flood and drought), generation of time series for regional or global climatological studies, and assimilation in hydro-meteorological models. They are particularly necessary in regions with very sparse rain-gauge networks to augment the observational capabilities, such as in the Great Horn of Africa (GHA). GHA is characterized by a complex topography and highly varying climatic conditions ranging from the wetter mountainous and coastal regions to the arid lowlands, which can greatly affect the quality of satellite rainfall estimations. Moreover GHA is characterized by very frequent drought events, whose monitoring and forecast can benefit from satellite rainfall estimations. All that justifies the importance of satellite product validation and inter-comparisons in order to assess their reliability and application domain. The monthly accumulated precipitation from six satellite products, TAMSAT, GSMaP, CMORPH, PERSIANN, RFE, and TRMM-3B42, are analysed for the time period 2003 - 2009, by dividing the studied region (5°S - 20°N, 28°E - 52°E) in six sub-areas (clusters) characterized by a different annual cycle. The measurement uncertainties in satellite products are evaluated by computing the variance from the ensemble of the six satellite products at the resolution of 0.25°. The annual cycle characteristics of each cluster are correctly identified by each satellite product, whereas marked differences can be seen in the precipitations amount. GSMaP, PERSIANN and CMORPH provide larger amount of precipitation on South Sudan and West Ethiopia and North Uganda and the coastal region of North Somalia with respect to the other products. The regions with higher variability among satellite products are mountainous West Ethiopia, during summer (wet season) and for heavy precipitation (> 200 mm), South Sudan during summer and fall, and the Lake Victoria region. Comparisons (correlation coefficient, mean error, root mean square error, and efficiency coefficient) are carried out with respect to the GPCC Full Data Reanalysis at 0.5° resolution. From this analysis TRMM-3B42 stands out as the satellite product with the better performances, generally followed by TAMSAT and RFE. PERSIANN and GSMaP have the lowest efficiency coefficients. CMORPH provides good results for the central part of Ethiopia. Finally, monthly anomalies between the satellite products and the GPCC Climatology Version 2011 product at 0.25° are computed to evaluate the potential of satellite products for identifying drought periods.

Forensic data and microvariant sequence characterization of 27 Y-STR loci analyzed in four Eastern African countries.

PubMed

Iacovacci, Giuseppe; D'Atanasio, Eugenia; Marini, Ornella; Coppa, Alfredo; Sellitto, Daniele; Trombetta, Beniamino; Berti, Andrea; Cruciani, Fulvio

2017-03-01

By using the recently introduced 6-dye Yfiler ® Plus multiplex, we analyzed 462 males belonging to 20 ethnic groups from four eastern African countries (Eritrea, Ethiopia, Djibouti and Kenya). Through a Y-STR sequence analysis, combined with 62 SNP-based haplogroup information, we were able to classify observed microvariant alleles at four Y-STR loci as either monophyletic (DYF387S1 and DYS458) or recurrent (DYS449 and DYS627). We found evidence of non-allelic gene conversion among paralogous STRs of the two-copy locus DYF387S1. Twenty-two diallelic and triallelic patterns observed at 13 different loci were found to be significantly over-represented (p<10 -6 ) among profiles obtained from cell lines compared to those from blood and saliva. Most of the diallelic/triallelic patterns from cell lines involved recurrent mutations at rapidly mutating loci (RM Y-STRs) included in the multiplex (p<10 -2 ). At haplotype level, intra-population diversity indices were found to be among the lowest so far reported for the Yfiler ® Plus, while statistically significant differences among countries and ethnic groups were detected when considering haplotype frequencies alone (F ST ) or by using molecular distances among haplotypes (Φ ST ). The strong population subdivision observed is probably the consequence of the patrilineal social organization of most eastern African ethnic groups, and suggests caution in the use of country-based haplotype frequency distributions for forensic inferences in this region. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Dust Storm over the Red Sea

NASA Technical Reports Server (NTRS)

2002-01-01

In the summer months in the Northern Hemisphere, dust storms originating in the deserts around the Arabian Peninsula have a significant impact on the amount of solar radiation that reaches the surface. Winds sweep desert sands into the air and transport them eastward toward India and Asia with the seasonal monsoon. These airborne particles absorb and deflect incoming radiation and can produce a cooling effect as far away as North America. According to calculations performed by the NASA Goddard Institute for Space Studies (GISS), the terrain surrounding the southern portions of the Red Sea is one of the areas most dramatically cooled by the presence of summertime dust storms. That region is shown experiencing a dust storm in this true-color image from the Moderate Resolution Imaging Spectroradiometer (MODIS) acquired on July 11, 2002. The GISS model simulations indicate that between June and August, the temperatures would be as much as 2 degrees Celsius warmer than they are if it weren't for the dust in the air-a cooling equivalent to the passage of a rain cloud overhead. The image shows the African countries of Sudan (top left), Ethiopia (bottom left), with Eritrea nestled between them along the western coast of the Red Sea. Toward the right side of the image are Saudi Arabia (top) and Yemen (bottom) on the Arabian Peninsula. Overlooking the Red Sea, a long escarpment runs along the western edge of the Arabian Peninsula, and in this image appears to be blocking the full eastward expansion of the dust storm. Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC

Seismicity During Continental Breakup in the Red Sea Rift of Northern Afar

NASA Astrophysics Data System (ADS)

Illsley-Kemp, Finnigan; Keir, Derek; Bull, Jonathan M.; Gernon, Thomas M.; Ebinger, Cynthia; Ayele, Atalay; Hammond, James O. S.; Kendall, J.-Michael; Goitom, Berhe; Belachew, Manahloh

2018-03-01

Continental rifting is a fundamental component of plate tectonics. Recent studies have highlighted the importance of magmatic activity in accommodating extension during late-stage rifting, yet the mechanisms by which crustal thinning occurs are less clear. The Red Sea rift in Northern Afar presents an opportunity to study the final stages of continental rifting as these active processes are exposed subaerially. Between February 2011 and February 2013 two seismic networks were installed in Ethiopia and Eritrea. We locate 4,951 earthquakes, classify them by frequency content, and calculate 31 focal mechanisms. Results show that seismicity is focused at the rift axis and the western marginal graben. Rift axis seismicity accounts for ˜64% of the seismic moment release and exhibits a swarm-like behavior. In contrast, seismicity at the marginal graben is characterized by high-frequency earthquakes that occur at a constant rate. Results suggest that the rift axis remains the primary locus of seismicity. Low-frequency earthquakes, indicative of magmatic activity, highlight the presence of a magma complex ˜12 km beneath Alu-Dalafilla at the rift axis. Seismicity at the marginal graben predominantly occurs on westward dipping, antithetic faults. Focal mechanisms show that this seismicity is accommodating E-W extension. We suggest that the seismic activity at the marginal graben is either caused by upper crustal faulting accommodating enhanced crustal thinning beneath Northern Afar or as a result of flexural faulting between the rift and plateau. This seismicity is occurring in conjunction with magmatic extension at the rift axis, which accommodates the majority of long-term extension.

Converging Oceaniac Internal Waves, Somalia, Africa

NASA Image and Video Library

1988-10-03

The arculate fronts of these apparently converging internal waves off the northeast coast of Somalia (11.5N, 51.5E) probably were produced by interaction with two parallel submarine canyons off the Horn of Africa. Internal waves are packets of tidally generated waves traveling within the ocean at varying depths and are not detectable by any surface disturbance.

78 FR 22765 - Presidential Determination on Eligibility of the Federal Republic of Somalia To Receive Defense...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-16

... #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register / Vol. 78 , No. 73 / Tuesday... April 8, 2013 Presidential Determination on Eligibility of the Federal Republic of Somalia To Receive... me by the Constitution and the laws of the United States, including section 503(a) of the Foreign...

Somalia’s Endless Transition: Breaking the Deadlock (Strategic Forum, Number 257, June 2010)

DTIC Science & Technology

2010-06-01

the TFG is not to follow the example of its predecessor, the Transitional National Government, in a slow slide to oblivion , this requires the use...Somalia: The Trouble with Puntland,” Africa Briefing, no. 64 (August 12, 2009), and Human Rights Watch, “Hostages to Peace: Threats to Human Rights and

Notes from the field: mortality among refugees fleeing Somalia--Dadaab refugee camps, Kenya, July-August 2011.

PubMed

2011-08-26

Refugee camps in Dadaab, Kenya, currently are receiving Somali refugees fleeing famine and armed conflict at a rate of approximately 1,400 refugees per day. New arrivals are at an elevated risk for mortality because of severe famine in Somalia, the dangerous journey, and overcrowding in the camps.

3 CFR - Presidential Determination on Eligibility of the Federal Republic of Somalia To Receive Defense...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 3 The President 1 2014-01-01 2014-01-01 false Presidential Determination on Eligibility of the Federal Republic of Somalia To Receive Defense Articles and Defense Services Under the Foreign Assistance Act of 1961, as Amended, and the Arms Export Control Act, as Amended Presidential Documents Other Presidential Documents Presidential Determinatio...

From Post-Colonial to Neoliberal Schooling in Somalia: The Need for Culturally Relevant School Leadership among Somaliland Principals

ERIC Educational Resources Information Center

Khalifa, Muhammad A.; Bashir-Ali, Khadar; Abdi, Nimo; Witherspoon Arnold, Noelle

2014-01-01

This article examines school leadership behaviors and understandings of Somaliland school principals. By using postcolonial theory and critical phenomenology, we explore culturally responsive leadership in Northern Somalia; we expound on the unique ways that school leaders enact school leadership, and interact with the students, families, and…

Evaluation of Mathematics Curriculum in Primary Teacher Training Institute in Somalia. African Studies in Curriculum Development & Evaluation.

ERIC Educational Resources Information Center

Jama, Mohamed A. F.

This study sought to evaluate the mathematics curriculum of the Halane Teacher Training Institute in Somalia with a view toward: (1) determining its weaknesses and recommending measures for improvement; (2) examining its relevance to the present needs of the Somali society; (3) determining the suitability of instructional materials and other…

Investigation of Problems of Implementing Curriculum in Primary Schools in Somalia. African Studies in Curriculum Development & Evaluation.

ERIC Educational Resources Information Center

Mohamed, Ibrahim Jeylani

The aim of this study was to investigate the implementation of modern mathematics in the primary schools of Somalia. In particular, three concerns were addressed: (1) teachers' confidence and ability in teaching mathematics; (2) students' interest in mathematics; and (3) students' examination performance in mathematics. Subjects were 30 teachers…

Multidrug-Resistant Tuberculosis, Somalia, 2010–2011

PubMed Central

Sindani, Ireneaus; Fitzpatrick, Christopher; Falzon, Dennis; Suleiman, Bashir; Arube, Peter; Adam, Ismail; Baghdadi, Samiha; Bassili, Amal

2013-01-01

In a nationwide survey in 2011, multidrug-resistant tuberculosis (MDR TB) was found in 5.2% and 40.8% of patients with new and previously treated TB, respectively. These levels of drug resistance are among the highest ever documented in Africa and the Middle East. This finding presents a serious challenge for TB control in Somalia. PMID:23621911

Norwegian-Somali Parents Who Send Their Children to Schools in Somalia

ERIC Educational Resources Information Center

Thomas, Paul

2016-01-01

The perplexing numbers of Somali children withdrawn from schools in Norway and sent to Somalia is the concern of this study. These students are often brought back and re-enroll later as adolescents with concomitant educational challenges. The findings are critically analyzed employing John Ogbu's cultural ecology of minorities and a CHAT-based…

Infrasonic crackle and supersonic jet noise from the eruption of Nabro Volcano, Eritrea

NASA Astrophysics Data System (ADS)

Fee, David; Matoza, Robin S.; Gee, Kent L.; Neilsen, Tracianne B.; Ogden, Darcy E.

2013-08-01

The lowermost portion of an explosive volcanic eruption column is considered a momentum-driven jet. Understanding volcanic jets is critical for determining eruption column dynamics and mitigating volcanic hazards; however, volcanic jets are inherently difficult to observe due to their violence and opacity. Infrasound from the 2011 eruption of Nabro Volcano, Eritrea has waveform features highly similar to the "crackle" phenomenon uniquely produced by man-made supersonic jet engines and rockets and is characterized by repeated asymmetric compressions followed by weaker, gradual rarefactions. This infrasonic crackle indicates that infrasound source mechanisms in sustained volcanic eruptions are strikingly similar to jet noise sources from heated, supersonic jet engines and rockets, suggesting that volcanologists can utilize the modeling and physical understandings of man-made jets to understand volcanic jets. The unique, distinctive infrasonic crackle from Nabro highlights the use of infrasound to remotely detect and characterize hazardous eruptions and its potential to determine volcanic jet parameters.

Use of 'sense of coherence (SOC)' scale to measure resilience in Eritrea: interrogating both the data and the scale.

PubMed

Almedom, Astier M; Tesfamichael, Berhe; Saeed Mohammed, Zein; Mascie-Taylor, C G N; Alemu, Zemui

2007-01-01

An adapted 'sense of coherence' scale short form (SOC-13) was administered in nine languages of Eritrea with a total of 265 participants (162 women and 103 men) in order to assess 'resilience' in quantitative terms. Statistical analysis yielded significant differences in SOC scores between the displaced and non-displaced: mean=54.84 (SD=6.48) in internally displaced person (IDP) camps, compared with mean=48.94 (SD=11.99) in urban and rural settlements (t=3.831, p<0.001). Post-hoc tests revealed that the main difference is between IDP camp dwellers and urban (non-displaced) residents. Those in rural but traditionally mobile (pastoralist or transhumant) communities scored more or less the same as the urban non-displaced - i.e. significantly higher than those in IDP camps (p<0.05). Analysis of variance showed that displacement has a significantly negative effect on women compared with men (RR=0.262, p<0.001). Repeating the analysis for the three groups confirmed that urban and pastoralist/transhumant groups are similar, while women in IDP camps are lower scoring (RR=0.268, p<0.001), Hamboka women being worst affected due to their experience of serial displacement. These findings are interpreted and discussed in the light of qualitative information gleaned from the study participants' interrogation of the content of the SOC scale; and in the wider context of historical, socio-political and cultural characteristics of Eritrea. The study's implications for humanitarian and public health policy are considered.

Environmental predictors of stunting among children under-five in Somalia: cross-sectional studies from 2007 to 2010.

PubMed

Kinyoki, Damaris K; Berkley, James A; Moloney, Grainne M; Odundo, Elijah O; Kandala, Ngianga-Bakwin; Noor, Abdisalan M

2016-07-28

Stunting among children under five years old is associated with long-term effects on cognitive development, school achievement, economic productivity in adulthood and maternal reproductive outcomes. Accurate estimation of stunting and tools to forecast risk are key to planning interventions. We estimated the prevalence and distribution of stunting among children under five years in Somalia from 2007 to 2010 and explored the role of environmental covariates in its forecasting. Data from household nutritional surveys in Somalia from 2007 to 2010 with a total of 1,066 clusters covering 73,778 children were included. We developed a Bayesian hierarchical space-time model to forecast stunting by using the relationship between observed stunting and environmental covariates in the preceding years. We then applied the model coefficients to environmental covariates in subsequent years. To determine the accuracy of the forecasting, we compared this model with a model that used data from all the years with the corresponding environmental covariates. Rainfall (OR = 0.994, 95 % Credible interval (CrI): 0.993, 0.995) and vegetation cover (OR = 0.719, 95 % CrI: 0.603, 0.858) were significant in forecasting stunting. The difference in estimates of stunting using the two approaches was less than 3 % in all the regions for all forecast years. Stunting in Somalia is spatially and temporally heterogeneous. Rainfall and vegetation are major drivers of these variations. The use of environmental covariates for forecasting of stunting is a potentially useful and affordable tool for planning interventions to reduce the high burden of malnutrition in Somalia.

Handwriting Manual for Primary Teachers in Somalia. African Studies in Curriculum Development & Evaluation No. 61.

ERIC Educational Resources Information Center

Dirie, Mohamed Farah

Concern over the poor and illegible handwriting of the students in Somalia led to the development of this handwriting manual for primary school teachers to: (1) give teachers guidance in teaching handwriting; (2) help teachers in the methodology of teaching handwriting; (3) let teachers know the easier ways of making cheap and obtainable materials…

Revision of Primary I-III Science Curriculum in Somalia. African Studies in Curriculum Development & Evaluation No. 83.

ERIC Educational Resources Information Center

Abdi, Ahmed Ali

This study was designed to evaluate: (1) the content of the primary I-III science curriculum in Somalia; (2) the instructional materials that back up the content and methodologies; and (3) the professional competence of the teachers in charge of teaching this subject. Data were collected by means of a questionnaire, observations, and unstructured…

Community Assumes the Role of State in Education in Stateless Somalia

ERIC Educational Resources Information Center

Abdinoor, Abdullahi

2008-01-01

Education contributes, in peace time and war time, to the cultivation of human capital as well as social capital of the society. It is in this light that this article seeks to explore the close interplay between education and the community in the present-day stateless Somalia. In order to explore how the Somali community has coped or is coping…

3 CFR - Unexpected Urgent Refugee and Migration Needs Related to Somalia and Food Pipeline Breaks for...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 3 The President 1 2011-01-01 2011-01-01 false Unexpected Urgent Refugee and Migration Needs... 8, 2010 Unexpected Urgent Refugee and Migration Needs Related to Somalia and Food Pipeline Breaks... section 2(c)(1) of the Migration and Refugee Assistance Act of 1962 (the “Act”), as amended, (22 U.S.C...

How a Strong Government Backed an African Language: The Lessons of Somalia

NASA Astrophysics Data System (ADS)

Warsame, Ali A.

2001-07-01

Although Somali is the mother tongue of over 95 per cent of the population of Somalia, when the country received independence in 1960 it took English, Italian, and Arabic as its official languages. Because of controversy involving technical, religious and political questions, no script for the Somali language could be agreed upon, either in the colonial era or in parliamentary years, 1960-1969. The consequences of this non-decision were considerable for Somali society. However, when the authoritarian military rulers came to the power in the early 1970s, they made a final decision in regard to script. They also issued a decree to the effect that Somali was to be the language of political and administrative discourse in the Somali Republic. That act marked the beginning of the restoration of cultural and linguistic rights for Somali society. This article examines how Somalia, under a strong and totalitarian regime, was able to promote its language. The article also presents an overview of the organisation and the implementation of the literacy campaigns carried out in Somalia, as well as some notes on planning and the theoretical framework behind the campaigns.

Pre-, Syn- and Post Eruptive Seismicity of the 2011 Eruption of Nabro Volcano, Eritrea

NASA Astrophysics Data System (ADS)

Goitom, Berhe; Hammond, James; Kendall, Michael; Nowacky, Andy; Keir, Derek; Oppenheimer, Clive; Ogubazghi, Ghebrebrhan; Ayele, Atalay; Ibrahim, Said; Jacques, Eric

2014-05-01

Nabro volcano, located in south-east Eritrea, East Africa, lies at the eastern margin of the Afar Rift and the Danakil Depression. Its tectonic behaviour is controlled by the divergence of the Arabian, Nubian and Somali plates. Nabro volcano was thought to be seismically quiet until it erupted in June 2011 with limited warning. The volcano erupted on June 12, 2011 around 20:32 UTC, following a series of earthquakes on that day that reached a maximum magnitude of 5.8. It is the first recorded eruption of Nabro volcano and only the second in Eritrea, following the Dubbi eruption in 1861. A lava flow emerged from the caldera and travelled about 20 km from the vent and buried settlements in the area. At the time of this eruption there was no seismic network in Eritrea, and hence the volcano was not monitored. In this study we use ten Ethiopian, one Yemeni and one Djibouti stations to investigate the seismicity of the area before, during and after the eruption. Four Eritrean seismic stations deployed in June 2011, four days after the eruption, are also included in the dataset. Travel time picks supplied by colleagues from Djibouti were also incorporated into the dataset. Our analysis covers roughly three months before and after the eruption and shows that Nabro was seismically quiet before the eruption (nine events), with the exception of one major earthquake (4.8 magnitude) that occurred on March 31, 2011. In contrast, the region shows continued seismic activity after the eruption (92 events). During the eruption seismicity levels are high (123 events), with two days particularly active, June 12 and June 17 with 85 and 28 discrete events, respectively. Maximum magnitudes of 5.8 and 5.9 were recorded on these two days. The two days of increased seismicity are consistent with satellite observations of the eruption which show two distinct phases of the eruption. The period between these two phases was dominated by volcanic tremor. The tremor signal lasted for almost one month following the initiation of the eruption. In summary, we have shown that the volcano was relatively quiet before eruption but continued to be seismically active for an extended period of time afterwards.

Retrospective data on causes of childhood vision impairment in Eritrea.

PubMed

Gyawali, Rajendra; Bhayal, Bharat Kumar; Adhikary, Rabindra; Shrestha, Arjun; Sah, Rabindra Prasad

2017-11-22

Proper information on causes of childhood vision loss is essential in developing appropriate strategies and programs to address such causes. This study aimed at identifying the causes of vision loss in children attending the national referral eye hospital with the only pediatric ophthalmology service in Eritrea. A retrospective data review was conducted for all the children (< 16 years of age) who attended Berhan Aiyni National Referral Eye Hospital in five years period from January 2011 to December 2015. Causes of vision loss for children with vision impairment (recorded visual acuity less than 6/18 for distance in the better eye) was classified by the anatomical site affected and by underlying etiology based on the timing of the insult and causal factor. The medical record cards of 22,509 children were reviewed, of whom 249 (1.1%) were visually impaired. The mean age of the participants was 7.82 ± 5.43 years (range: one month to 16 years) and male to female ratio was 1:0.65. The leading causes of vision loss were cataract (19.7%), corneal scars (15.7%), refractive error and amblyopia (12.1%), optic atrophy (6.4%), phthisis bulbi (6.4%), aphakia (5.6%) and glaucoma (5.2%). Childhood factors including trauma were the leading causes identified (34.5%) whereas other causes included hereditary factors (4%), intrauterine factors (2.0%) and perinatal factors (4.4%). In 55.0% of the children, the underlying etiology could not be attributed. Over two-thirds (69.9%) of vision loss was potentially avoidable in nature. This study explored the causes of vision loss in Eritrean children using hospital based data. Cataract corneal opacities, refractive error and amblyopia, globe damage due to trauma, infection and nutritional deficiency, retinal disorders, and other congenital abnormalities were the leading causes of childhood vision impairment in children attending the tertiary eye hospital in Eritrea. As majority of the causes of vision loss was due to avoidable causes, we recommended primary level public health strategies to prevent ocular injuries, vitamin A deficiency, perinatal infections and retinopathy of prematurity as well as specialist pediatric eye care facilities for cataract, refractive errors, glaucoma and rehabilitative services to address childhood vision loss in Eritrea.

40 CFR Appendix C to Subpart A of... - Parties to the Montreal Protocol, and Nations Complying With, But Not Parties to, the Protocol

Code of Federal Regulations, 2013 CFR

2013-07-01

... ✓ ✓ ✓ ✓ Slovakia ✓ ✓ ✓ ✓ ✓ Slovenia ✓ ✓ ✓ ✓ ✓ Solomon Island ✓ ✓ ✓ ✓ Somalia ✓ ✓ ✓ ✓ ✓ South Africa ✓ ✓ ✓ Spain... 118. Sierra Leone 119. Singapore 120. Solomon Islands 121. Somalia 122. South Africa 123. Sri Lanka...

40 CFR Appendix C to Subpart A of... - Parties to the Montreal Protocol, and Nations Complying With, But Not Parties to, the Protocol

Code of Federal Regulations, 2010 CFR

2010-07-01

... ✓ ✓ ✓ ✓ Slovakia ✓ ✓ ✓ ✓ ✓ Slovenia ✓ ✓ ✓ ✓ ✓ Solomon Island ✓ ✓ ✓ ✓ Somalia ✓ ✓ ✓ ✓ ✓ South Africa ✓ ✓ ✓ Spain... 118. Sierra Leone 119. Singapore 120. Solomon Islands 121. Somalia 122. South Africa 123. Sri Lanka...

40 CFR Appendix C to Subpart A of... - Parties to the Montreal Protocol, and Nations Complying With, But Not Parties to, the Protocol

Code of Federal Regulations, 2012 CFR

2012-07-01

... ✓ ✓ ✓ ✓ Slovakia ✓ ✓ ✓ ✓ ✓ Slovenia ✓ ✓ ✓ ✓ ✓ Solomon Island ✓ ✓ ✓ ✓ Somalia ✓ ✓ ✓ ✓ ✓ South Africa ✓ ✓ ✓ Spain... 118. Sierra Leone 119. Singapore 120. Solomon Islands 121. Somalia 122. South Africa 123. Sri Lanka...

40 CFR Appendix C to Subpart A of... - Parties to the Montreal Protocol, and Nations Complying With, But Not Parties to, the Protocol

Code of Federal Regulations, 2011 CFR

2011-07-01

... ✓ ✓ ✓ ✓ Slovakia ✓ ✓ ✓ ✓ ✓ Slovenia ✓ ✓ ✓ ✓ ✓ Solomon Island ✓ ✓ ✓ ✓ Somalia ✓ ✓ ✓ ✓ ✓ South Africa ✓ ✓ ✓ Spain... 118. Sierra Leone 119. Singapore 120. Solomon Islands 121. Somalia 122. South Africa 123. Sri Lanka...

Polio outbreak investigation and response in Somalia, 2013.

PubMed

Kamadjeu, Raoul; Mahamud, Abdirahman; Webeck, Jenna; Baranyikwa, Marie Therese; Chatterjee, Anirban; Bile, Yassin Nur; Birungi, Julianne; Mbaeyi, Chukwuma; Mulugeta, Abraham

2014-11-01

For >2 decades, conflicts and recurrent natural disasters have maintained Somalia in a chronic humanitarian crisis. For nearly 5 years, 1 million children <10 years have not had access to lifesaving health services, including vaccination, resulting in the accumulation by 2012 of the largest geographically concentrated cohort of unvaccinated children in the world. This article reviews the epidemiology, risk, and program response to what is now known as the 2013 wild poliovirus (WPV) outbreak in Somalia and highlights the challenges that the program will face in making Somalia free of polio once again. A case of acute flaccid paralysis (AFP) was defined as a child <15 years of age with sudden onset of fever and paralysis. Polio cases were defined as AFP cases with stool specimens positive for WPV. From 9 May to 31 December 2013, 189 cases of WPV type 1 (WPV1) were reported from 46 districts of Somalia; 42% were from Banadir region (Mogadishu), 60% were males, and 93% were <5 years of age. All Somalian polio cases belonged to cluster N5A, which is known to have been circulating in northern Nigeria since 2011. In response to the outbreak, 8 supplementary immunization activities were conducted with oral polio vaccine (OPV; trivalent OPV was used initially, followed subsequently by bivalent OPV) targeting various age groups, including children aged <5 years, children aged <10 years, and individuals of any age. The current polio outbreak erupted after a polio-free period of >6 years (the last case was reported in March 2007). Somalia interrupted indigenous WPV transmission in 2002, was removed from the list of polio-endemic countries a year later, and has since demonstrated its ability to control polio outbreaks resulting from importation. This outbreak reiterates that the threat of large polio outbreaks resulting from WPV importation will remain constant unless polio transmission is interrupted in the remaining polio-endemic countries. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Hepatitis C Virus Epidemiology in Djibouti, Somalia, Sudan, and Yemen: Systematic Review and Meta-Analysis.

PubMed

Chaabna, Karima; Kouyoumjian, Silva P; Abu-Raddad, Laith J

2016-01-01

To characterize hepatitis C virus (HCV) epidemiology and assess country-specific population-level HCV prevalence in four countries in the Middle East and North Africa (MENA) region: Djibouti, Somalia, Sudan, and Yemen. Reports of HCV prevalence were systematically reviewed as per PRISMA guidelines. Pooled HCV prevalence estimates in different risk populations were conducted when the number of measures per risk category was at least five. We identified 101 prevalence estimates. Pooled HCV antibody prevalence in the general population in Somalia, Sudan and Yemen was 0.9% (95% confidence interval [95%CI]: 0.3%-1.9%), 1.0% (95%CI: 0.3%-1.9%) and 1.9% (95%CI: 1.4%-2.6%), respectively. The only general population study from Djibouti reported a prevalence of 0.3% (CI: 0.2%-0.4%) in blood donors. In high-risk populations (e.g., haemodialysis and haemophilia patients), pooled HCV prevalence was 17.3% (95%CI: 8.6%-28.2%) in Sudan. In Yemen, three studies of haemodialysis patients reported HCV prevalence between 40.0%-62.7%. In intermediate-risk populations (e.g.. healthcare workers, in patients and men who have sex with men), pooled HCV prevalence was 1.7% (95%CI: 0.0%-4.9%) in Somalia and 0.6% (95%CI: 0.4%-0.8%) in Sudan. National HCV prevalence in Yemen appears to be higher than in Djibouti, Somalia, and Sudan as well as most other MENA countries; but otherwise prevalence levels in this subregion are comparable to global levels. The high HCV prevalence in patients who have undergone clinical care appears to reflect ongoing transmission in clinical settings. HCV prevalence in people who inject drugs remains unknown.

Hepatitis C Virus Epidemiology in Djibouti, Somalia, Sudan, and Yemen: Systematic Review and Meta-Analysis

PubMed Central

Chaabna, Karima; Kouyoumjian, Silva P.; Abu-Raddad, Laith J.

2016-01-01

Objectives To characterize hepatitis C virus (HCV) epidemiology and assess country-specific population-level HCV prevalence in four countries in the Middle East and North Africa (MENA) region: Djibouti, Somalia, Sudan, and Yemen. Methods Reports of HCV prevalence were systematically reviewed as per PRISMA guidelines. Pooled HCV prevalence estimates in different risk populations were conducted when the number of measures per risk category was at least five. Results We identified 101 prevalence estimates. Pooled HCV antibody prevalence in the general population in Somalia, Sudan and Yemen was 0.9% (95% confidence interval [95%CI]: 0.3%–1.9%), 1.0% (95%CI: 0.3%–1.9%) and 1.9% (95%CI: 1.4%–2.6%), respectively. The only general population study from Djibouti reported a prevalence of 0.3% (CI: 0.2%–0.4%) in blood donors. In high-risk populations (e.g., haemodialysis and haemophilia patients), pooled HCV prevalence was 17.3% (95%CI: 8.6%–28.2%) in Sudan. In Yemen, three studies of haemodialysis patients reported HCV prevalence between 40.0%-62.7%. In intermediate-risk populations (e.g.. healthcare workers, in patients and men who have sex with men), pooled HCV prevalence was 1.7% (95%CI: 0.0%–4.9%) in Somalia and 0.6% (95%CI: 0.4%–0.8%) in Sudan. Conclusion National HCV prevalence in Yemen appears to be higher than in Djibouti, Somalia, and Sudan as well as most other MENA countries; but otherwise prevalence levels in this subregion are comparable to global levels. The high HCV prevalence in patients who have undergone clinical care appears to reflect ongoing transmission in clinical settings. HCV prevalence in people who inject drugs remains unknown. PMID:26900839

Spatial prediction of Plasmodium falciparum prevalence in Somalia

PubMed Central

Noor, Abdisalan M; Clements, Archie CA; Gething, Peter W; Moloney, Grainne; Borle, Mohammed; Shewchuk, Tanya; Hay, Simon I; Snow, Robert W

2008-01-01

Background Maps of malaria distribution are vital for optimal allocation of resources for anti-malarial activities. There is a lack of reliable contemporary malaria maps in endemic countries in sub-Saharan Africa. This problem is particularly acute in low malaria transmission countries such as those located in the horn of Africa. Methods Data from a national malaria cluster sample survey in 2005 and routine cluster surveys in 2007 were assembled for Somalia. Rapid diagnostic tests were used to examine the presence of Plasmodium falciparum parasites in finger-prick blood samples obtained from individuals across all age-groups. Bayesian geostatistical models, with environmental and survey covariates, were used to predict continuous maps of malaria prevalence across Somalia and to define the uncertainty associated with the predictions. Results For analyses the country was divided into north and south. In the north, the month of survey, distance to water, precipitation and temperature had no significant association with P. falciparum prevalence when spatial correlation was taken into account. In contrast, all the covariates, except distance to water, were significantly associated with parasite prevalence in the south. The inclusion of covariates improved model fit for the south but not for the north. Model precision was highest in the south. The majority of the country had a predicted prevalence of < 5%; areas with ≥ 5% prevalence were predominantly in the south. Conclusion The maps showed that malaria transmission in Somalia varied from hypo- to meso-endemic. However, even after including the selected covariates in the model, there still remained a considerable amount of unexplained spatial variation in parasite prevalence, indicating effects of other factors not captured in the study. Nonetheless the maps presented here provide the best contemporary information on malaria prevalence in Somalia. PMID:18717998

Spatial prediction of Plasmodium falciparum prevalence in Somalia.

PubMed

Noor, Abdisalan M; Clements, Archie C A; Gething, Peter W; Moloney, Grainne; Borle, Mohammed; Shewchuk, Tanya; Hay, Simon I; Snow, Robert W

2008-08-21

Maps of malaria distribution are vital for optimal allocation of resources for anti-malarial activities. There is a lack of reliable contemporary malaria maps in endemic countries in sub-Saharan Africa. This problem is particularly acute in low malaria transmission countries such as those located in the horn of Africa. Data from a national malaria cluster sample survey in 2005 and routine cluster surveys in 2007 were assembled for Somalia. Rapid diagnostic tests were used to examine the presence of Plasmodium falciparum parasites in finger-prick blood samples obtained from individuals across all age-groups. Bayesian geostatistical models, with environmental and survey covariates, were used to predict continuous maps of malaria prevalence across Somalia and to define the uncertainty associated with the predictions. For analyses the country was divided into north and south. In the north, the month of survey, distance to water, precipitation and temperature had no significant association with P. falciparum prevalence when spatial correlation was taken into account. In contrast, all the covariates, except distance to water, were significantly associated with parasite prevalence in the south. The inclusion of covariates improved model fit for the south but not for the north. Model precision was highest in the south. The majority of the country had a predicted prevalence of < 5%; areas with > or = 5% prevalence were predominantly in the south. The maps showed that malaria transmission in Somalia varied from hypo- to meso-endemic. However, even after including the selected covariates in the model, there still remained a considerable amount of unexplained spatial variation in parasite prevalence, indicating effects of other factors not captured in the study. Nonetheless the maps presented here provide the best contemporary information on malaria prevalence in Somalia.

Progress toward polio eradication--Somalia, 1998-2013.

PubMed

Mbaeyi, Chukwuma; Kamadjeu, Raoul; Mahamud, Abdirahman; Webeck, Jenna; Ehrhardt, Derek; Mulugeta, Abraham

2014-11-01

Since the 1988 resolution of the World Health Assembly to eradicate polio, significant progress has been made toward achieving this goal, with the result that only Afghanistan, Nigeria, and Pakistan have never successfully interrupted endemic transmission of wild poliovirus. However, one of the greatest challenges of the Global Polio Eradication Initiative has been that of maintaining the polio-free status of countries in unstable regions with weak healthcare infrastructure, a challenge exemplified by Somalia, a country in the Horn of Africa region. Somalia interrupted indigenous transmission of wild poliovirus in 2002, 4 years after the country established its national polio eradication program. But political instability and protracted armed conflict, with significant disruption of the healthcare system, have left Somalia vulnerable to 2 imported outbreaks of wild poliovirus. The first occurred during 2005-2007, resulting in >200 cases of paralytic polio, whereas the second, which began in 2013, is currently ongoing. Despite immense challenges, the country has a sensitive surveillance system that has facilitated prompt detection of outbreaks, but its weak routine immunization system means that supplementary immunization activities constitute the primary strategy for reaching children with polio vaccines. Conducting vaccination campaigns in a setting of conflict has been at times hazardous, but the country's polio program has demonstrated resilience in overcoming many obstacles to ensure that children receive lifesaving polio vaccines. Regaining and maintaining Somalia's polio-free status will depend on finding innovative and lasting solutions to the challenge of administering vaccines in a setting of ongoing conflict and instability. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Supporting 'medicine at a distance' for delivery of hospital services in war-torn Somalia: how well are we doing?

PubMed

Maalim, Abdisalan M; Zachariah, Rony; Khogali, Mohamed; Van Griensven, Johan; Van den Bergh, Rafael; Tayler-Smith, Katherine; Kizito, Walter; Baruani, Bienvenu; Osoble, Abdirahman; Abdirahman, Faiza; Ayada, Latifa; Mohamed, Abdinoor H

2014-03-01

We describe an innovative strategy implemented to support national staff at Istarlin Hospital in the conflict setting of Somalia; and report on inpatient morbidities, mortality and adverse hospital exit outcomes. This was a retrospective analysis of hospital data for 2011. Of 8584 admitted patients, the largest numbers were for lower respiratory tract infections (LRTI) (2114; 25%), normal deliveries (1355; 16%) and diarrhoeal diseases (715; 8%). The highest contributors to mortality were gunshot wounds in surgery (18/30; 60%), LRTIs in internal medicine (6/32; 19%) and malnutrition in paediatrics (30/81; 37%). Adverse hospital exit outcomes (deaths and absconded) were well within thresholds set by Médecins Sans Frontières. With a support package, satisfactory standards of care were met for hospital care in Somalia.

Running on Empty: The Development of Helicopter Aerial Refueling and Implications for Future USAF Combat Rescue Capabilities

DTIC Science & Technology

1997-03-01

Haiti, Somalia, Liberia, and Bosnia. The future appears very busy for Air Force rescue units as well. According to ?Strategic Assessment 1996?Instruments...13 COMTEMPORARY ROLE OF AIR REFUELING IN US AIR FORCE SEARCH AND RESCUE...places such as Haiti, Somalia, Liberia, and Bosnia. The future appears very busy for Air Force rescue units as well. According to “Strategic Assessment

Somalia Piracy: Challenges and Solutions

DTIC Science & Technology

2013-04-01

agricultural goods are the most threatened. Agricultural goods like mangoes, avocadoes and canned beans are exported by sea. 9 The value of these...imported and exported goods. 1 It is of international strategic importance because of the importance of the sea lanes off the Somalia coast (roughly...vessels re-route to avoid the HOA, and increased delays in delivery of goods.31 Kenya’s major exported items, including tea, coffee, and other

Stability Operations in Somalia 1992-1993: A Case Study

DTIC Science & Technology

2016-07-01

164 Appendix N : Addis Ababa Agreement of the First Session of the Conference on National Reconciliation in Somalia (March 27, 1993...adopted the Addis Abba Agreement of the First Session of the Conference on National Reconciliation in Soma- lia (Appendix N ). In the agreement, all...reaches the starving inland town of Baidoa. December 21, 1992 A mine near Bardera kills Lawrence N . Freedman, a U.S. government civilian employee and

The Role of National Adult Education Centre in Curriculum Development in Somalia in Selected Government Primary Adult Schools of Mogadisho. African Studies in Curriculum Development and Evaluation, No. 109.

ERIC Educational Resources Information Center

Bahar, Ismail F. S.

A study of curriculum development in Somalia focused on the role of the National Adult Education Centre (NAEC) and involvement of teachers and inspectors. The sample consisted of 80 Mogadisho primary adult school teachers. Information sources were related literature, teacher questionnaires, and unstructured interviews with school inspectors,…

Political Culture and Risk Analysis: An Outline of Somalia, Tunisia, and Libya

DTIC Science & Technology

2016-11-21

analysis, risk assessment, national maturity, independence move- ments, extremists, national violence , Africa, Somalia, Somaliland, Puntland, Tunisia...changed in terms of actors, but not in any appreciable reduction of violence . In the north, any episodes of conflict were negligible in scale and...duration, never approaching that of the south. The continuous violence in the south, in fact, is unprecedented in Somali history.21 Despite any

Immunizing nomadic children and livestock--Experience in North East Zone of Somalia.

PubMed

Kamadjeu, Raoul; Mulugeta, Abraham; Gupta, Dhananjoy; Abshir Hirsi, Abdirisak; Belayneh, Asalif; Clark-Hattingh, Marianne; Adams, Clement; Abed, Payenda; Kyeyune, Brenda; Ahmed, Tajudin; Salih, Mohamed; Biaou, Cyprien; Toure, Brigitte

2015-01-01

Nomads and pastoralists represent around 30% of the population of North East zone of Somalia (Puntland) and have very limited access to basic health including immunization. During the 2013-2014 polio outbreak in Somalia, an increase number of polio cases notified health services among these underserved communities highlighted the urgent need to devise innovative strategies to reach them. Harnessing the high demand for veterinary services among pastoralist communities, the Ministry of Health and the Ministry of Livestock, with support from UNICEF, WHO and FAO launched an integrated human and animal vaccination campaign on 19 October 2014. Over 30 days, 20 social mobilizers conducted shelter to shelter social mobilization and interpersonal communication for nomadic/pastoralist hamlets, 20 human vaccination teams, accompanied by local community elders, traveled with animal vaccination teams to administer polio and measles vaccination to pastoralist communities in the 5 regions of Puntland. 26,393 children (0 to 10 years) received Oral Polio Vaccine (OPV) out of which 34% for the first time ever; 23,099 were vaccinated against measles. and 12,556 Vitamin A. Despite various operational challenges and a significantly higher operational cost of $6.2 per child reached with OPV, the integrated human and animal vaccination campaign was effective in reaching the unvaccinated children from nomadic and pastoralist communities of Somalia.

Measles control and elimination in Somalia: the good, the bad, and the ugly.

PubMed

Kamadjeu, Raoul; Assegid, Kebede; Naouri, Boubker; Mirza, Imran Raza; Hirsi, Abdurazak; Mohammed, Abdurahman; Omer, Mohammed; Dualle, Abdi Hassan; Mulugeta, Abraham

2011-07-01

Despite enormous challenges, Somalia has been successfully implementing accelerated measles control activities since 2005. Through innovative strategies and with the support of local and international partners, the country has shown potentials of implementing measles mortality reduction activities in complex emergencies. Measles incidence has been reduced by >80% after the measles catch-up campaigns of 2005-2007, and national reported measles routine immunization coverage with first dose measles containing vaccine has reached 59% for the first time in 2009. However, the near collapse of the health care system and the ongoing insecurity continue to hamper the implementation of recommended measles control and elimination strategies in some parts of the country, making these achievements fragile. Somalia exemplifies the challenges in meeting measles elimination goals in the World Health Organization Eastern Mediterranean region. As the region is entering its 2010 measles elimination goals, it appears necessary to establish realistic and flexible interim goals for measles control in Somalia that will take into consideration the specificities of the country. Maintaining flexibility in conducting field operations, securing financial resources, multiplying opportunities for measles vaccination, and improving disease monitoring systems will remain vital to sustain and improve current achievements. © The Author 2011. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brown, S.

This document describes the contents of a digital database containing maximum potential aboveground biomass, land use, and estimated biomass and carbon data for 1980. The biomass data and carbon estimates are associated with woody vegetation in Tropical Africa. These data were collected to reduce the uncertainty associated with estimating historical releases of carbon from land use change. Tropical Africa is defined here as encompassing 22.7 x 10{sup 6} km{sup 2} of the earth's land surface and is comprised of countries that are located in tropical Africa (Angola, Botswana, Burundi, Cameroon, Cape Verde, Central African Republic, Chad, Congo, Benin, Equatorial Guinea,more » Ethiopia, Djibouti, Gabon, Gambia, Ghana, Guinea, Ivory Coast, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritania, Mozambique, Namibia, Niger, Nigeria, Guinea-Bissau, Zimbabwe (Rhodesia), Rwanda, Senegal, Sierra Leone, Somalia, Sudan, Tanzania, Togo, Uganda, Burkina Faso (Upper Volta), Zaire, and Zambia). The database was developed using the GRID module in the ARC/INFO{trademark} geographic information system. Source data were obtained from the Food and Agriculture Organization (FAO), the U.S. National Geophysical Data Center, and a limited number of biomass-carbon density case studies. These data were used to derive the maximum potential and actual (ca. 1980) aboveground biomass values at regional and country levels. The land-use data provided were derived from a vegetation map originally produced for the FAO by the International Institute of Vegetation Mapping, Toulouse, France.« less

Predictors of Women's Satisfaction with Hospital-Based Intrapartum Care in Asmara Public Hospitals, Eritrea.

PubMed

Kifle, Meron Mehari; Ghirmai, Filmon Abraham; Berhe, Soliana Amanuel; Tesfay, Winta Sium; Weldegebriel, Yodit Teklemariam; Gebrehiwet, Zebib Tesfamariam

2017-01-01

Exploring patient satisfaction contributes to provide quality maternity care, but there is paucity of epidemiologic data in Eritrea. To determine the predictors of women's satisfaction with intrapartum care in Asmara public maternity hospitals in Eritrea. A cross-sectional study among 771 mothers who gave birth in three public Hospitals. Chi-square tests were done to analyze the difference in proportion and logistic regression to assess the predictors of satisfaction with intrapartum care. Overall, only 20.8% of the participants were satisfied with intrapartum service. The key predictors of satisfaction with intrapartum care were provision of clean bed and beddings (AOR = 18.87, 2.33-15.75), privacy during examinations (AOR = 10.22, 4.86-21.48), using understandable language (AOR = 8.72, 3.57-21.27), showing how to summon for help (AOR = 8.16, 4.30-15.48), showing baby immediately after birth (AOR = 8.14, 2.87-23.07), control of the delivery room (AOR = 6.86, 2.65-17.75), receiving back massage (AOR = 6.43, 3.23-12.81), toilet access and cleanliness (AOR = 6.09, 3.25-11.42), availability of chairs for relatives (AOR = 5.96, 3.14-11.30), allowing parents to stay during labour (AOR = 3.52, 1.299-9.56), and request for permission before any procedure (AOR = 2.39, 1.28-4.46). To increase satisfaction with intrapartum care, maternity service providers need to address the general maternity ward cleanliness, improve the quality of physical facilities, and sensitize health providers for better communication with clients. Policy makers need to adopt strategies that ensure more women involvement in decision making and consideration of privacy and reassurance needs during the whole delivery process.

Cost analysis of an integrated disease surveillance and response system: case of Burkina Faso, Eritrea, and Mali.

PubMed

Somda, Zana C; Meltzer, Martin I; Perry, Helen N; Messonnier, Nancy E; Abdulmumini, Usman; Mebrahtu, Goitom; Sacko, Massambou; Touré, Kandioura; Ki, Salimata Ouédraogo; Okorosobo, Tuoyo; Alemu, Wondimagegnehu; Sow, Idrissa

2009-01-08

Communicable diseases are the leading causes of illness, deaths, and disability in sub-Saharan Africa. To address these threats, countries within the World Health Organization (WHO) African region adopted a regional strategy called Integrated Disease Surveillance and Response (IDSR). This strategy calls for streamlining resources, tools, and approaches to better detect and respond to the region's priority communicable disease. The purpose of this study was to analyze the incremental costs of establishing and subsequently operating activities for detection and response to the priority diseases under the IDSR. We collected cost data for IDSR activities at central, regional, district, and primary health care center levels from Burkina Faso, Eritrea, and Mali, countries where IDSR is being fully implemented. These cost data included personnel, transportation items, office consumable goods, media campaigns, laboratory and response materials and supplies, and annual depreciation of buildings, equipment, and vehicles. Over the period studied (2002-2005), the average cost to implement the IDSR program in Eritrea was $0.16 per capita, $0.04 in Burkina Faso and $0.02 in Mali. In each country, the mean annual cost of IDSR was dependent on the health structure level, ranging from $35,899 to $69,920 at the region level, $10,790 to $13,941 at the district level, and $1,181 to $1,240 at the primary health care center level. The proportions spent on each IDSR activity varied due to demand for special items (e.g., equipment, supplies, drugs and vaccines), service availability, distance, and the epidemiological profile of the country. This study demonstrates that the IDSR strategy can be considered a low cost public health system although the benefits have yet to be quantified. These data can also be used in future studies of the cost-effectiveness of IDSR.

Risk mapping of Rinderpest sero-prevalence in Central and Southern Somalia based on spatial and network risk factors.

PubMed

Ortiz-Pelaez, Angel; Pfeiffer, Dirk U; Tempia, Stefano; Otieno, F Tom; Aden, Hussein H; Costagli, Riccardo

2010-04-28

In contrast to most pastoral systems, the Somali livestock production system is oriented towards domestic trade and export with seasonal movement patterns of herds/flocks in search of water and pasture and towards export points. Data from a rinderpest survey and other data sources have been integrated to explore the topology of a contact network of cattle herds based on a spatial proximity criterion and other attributes related to cattle herd dynamics. The objective of the study is to integrate spatial mobility and other attributes with GIS and network approaches in order to develop a predictive spatial model of presence of rinderpest. A spatial logistic regression model was fitted using data for 562 point locations. It includes three statistically significant continuous-scale variables that increase the risk of rinderpest: home range radius, herd density and clustering coefficient of the node of the network whose link was established if the sum of the home ranges of every pair of nodes was equal or greater than the shortest distance between the points. The sensitivity of the model is 85.1% and the specificity 84.6%, correctly classifying 84.7% of the observations. The spatial autocorrelation not accounted for by the model is negligible and visual assessment of a semivariogram of the residuals indicated that there was no undue amount of spatial autocorrelation. The predictive model was applied to a set of 6176 point locations covering the study area. Areas at high risk of having serological evidence of rinderpest are located mainly in the coastal districts of Lower and Middle Juba, the coastal area of Lower Shabele and in the regions of Middle Shabele and Bay. There are also isolated spots of high risk along the border with Kenya and the southern area of the border with Ethiopia. The identification of point locations and areas with high risk of presence of rinderpest and their spatial visualization as a risk map will be useful for informing the prioritization of disease surveillance and control activities for rinderpest in Somalia. The methodology applied here, involving spatial and network parameters, could also be applied to other diseases and/or species as part of a standardized approach for the design of risk-based surveillance activities in nomadic pastoral settings.

Analysis of satellite precipitation over East Africa during last decades

NASA Astrophysics Data System (ADS)

Cattani, Elsa; Wenhaji Ndomeni, Claudine; Merino, Andrés; Levizzani, Vincenzo

2016-04-01

Daily accumulated precipitation time series from satellite retrieval algorithms (e.g., ARC2 and TAMSAT) are exploited to extract the spatial and temporal variability of East Africa (EA - 5°S-20°N, 28°E-52°E) precipitation during last decades (1983-2013). The Empirical Orthogonal Function (EOF) analysis is applied to precipitation time series to investigate the spatial and temporal variability in particular for October-November-December referred to as the short rain season. Moreover, the connection among EA's precipitation, sea surface temperature, and soil moisture is analyzed through the correlation with the dominant EOF modes of variability. Preliminary results concern the first two EOF's modes for the ARC2 data set. EOF1 is characterized by an inter-annual variability and a positive correlation between precipitation and El Niño, positive Indian Ocean Dipole mode, and soil moisture, while EOF2 shows a dipole structure of spatial variability associated with a longer scale temporal variability. This second dominant mode is mostly linked to sea surface temperature variations in the North Atlantic Ocean. Further analyses are carried out by computing the time series of the joint CCI/CLIVAR/JCOMM Expert Team on Climate Change Detection and Indices (ETCCDI, http://etccdi.pacificclimate.org/index.shtml), i.e. RX1day, RX5day, CDD, CDD, CWD, SDII, PRCPTOT, R10, R20. The purpose is to identify the occurrenes of extreme events (droughts and floods) and extract precipitation temporal variation by trend analysis (Mann-Kendall technique). Results for the ARC2 data set demonstrate the existence of a dipole spatial pattern in the linear trend of the time series of PRCPTOT (annual precipitation considering days with a rain rate > 1 mm) and SDII (average precipitation on wet days over a year). A negative trend is mainly present over West Ethiopia and Sudan, whereas a positive trend is exhibited over East Ethiopia and Somalia. CDD (maximum number of consecutive dry days) and CWD (maximum number of consecutive wet days) time series do not exhibit a similar behavior and trends are generally weaker with a lower significance level with respect to PRCPTOT and SDII.

Precision Strike Annual Programs Review

DTIC Science & Technology

2008-04-16

SW For Precise Targeting 8 “Secure the High Ground” Evolution of Deployable HEL Weapons Capability THEL ACTD C5 Galaxy HEL TD C17 Globemaster Future...Security Ranger Training Maritime Ops CT Coastal SecurityERITREA African Union CA Wells, Schools MED / VETCAPs CA MED / VET Bilateral Military

Four malaria success stories: how malaria burden was successfully reduced in Brazil, Eritrea, India, and Vietnam.

PubMed

Barat, Lawrence M

2006-01-01

While many countries struggle to control malaria, four countries, Brazil, Eritrea, India, and Vietnam, have successfully reduced malaria burden. To determine what led these countries to achieve impact, published and unpublished reports were reviewed and selected program and partner staff were interviewed to identify common factors that contributed to these successes. Common success factors included conducive country conditions, a targeted technical approach using a package of effective tools, data-driven decision-making, active leadership at all levels of government, involvement of communities, decentralized implementation and control of finances, skilled technical and managerial capacity at national and sub-national levels, hands-on technical and programmatic support from partner agencies, and sufficient and flexible financing. All these factors were essential in achieving success. If the goals of Roll Back Malaria are to be achieved, governments and their partners must take the lessons learned from these program successes and apply them in other affected countries.

How the Use of Remote Sensing is Transferred to Diverse User Communities Through Capacity Building at Columbia University

NASA Astrophysics Data System (ADS)

Ceccato, P.; Bell, M. A.; Mantilla, G.; Thomson, M. C.

2012-12-01

This presentation will provide an overview of capacity-building activities developed by the International Research Institute for Climate and Society to help diverse stakeholder communities use remote sensing to monitor climate and environmental factors that influence public health, natural disasters and food security. Teaching at a graduate level at Columbia University, at summer institutes and in counties, we developed training modules and case studies on how to combine remote sensing data to monitor precipitation, temperature, vegetation, and water bodies with climate information and field data (e.g. fires, infectious disease incidence, Desert Locusts) to 1) understand the relationship between climate, environmental factors and specific challenges to development and 2) provide methodologies and tools to forecast and better manage the problems. At Columbia University, we have developed a graduate course that provides the practical and theoretical foundations for the application of remote sensing techniques to the identification and monitoring of environmental change. We use the IRI Data Library, an online tool, to i) manage diverse data, ii) visualize data, iii) analyze remote sensing images and iii) combine data from different sources (e.g., fires, public health, natural disasters, agriculture). The IRI Data Library tool allows the users to analyze on-line climatic and environmental factors in relation to particular problems at various space and time scales. A Summer Institute on Climate Information for Public Health, first developed in 2008, has brought together experts from the public health and climate communities at the IRI to learn how to integrate climate and environmental factors with public health issues. In countries and regions, we also provide training for climate and public health working professionals in Madagascar, Ethiopia, Eritrea, Colombia and the Mercosur Region (including Uruguay, Paraguay, Brazil and Argentina).

Area Handbook Series. Somalia: A Country Study

DTIC Science & Technology

1992-05-01

Mombasa castle of Fort Jesus . From then until the European "scramble" for African colonies in the 1880s, the Omanis exercised a shadowy authority over... hospitable climate. Although the civil service remained inadequate to staff the expanding adminis- tration, efforts were made to establish health and... hospitals and factories and in the 1970s of the major north- south road. Somalia’s relations with Italy after independence remained good, and Italian

Somalia: Line in the Sand - Identification of MYM Vulnerabilities

DTIC Science & Technology

2010-09-01

both positive and negative effects on the MYM. While elements of the HI can be counted on to provide manpower or reinforcements on a tactical level...for Harakat al-Shabaab al-Mujahi- din or Mujahidin Youth Movement (MYM). “Somalia: No Peace without Islam Video,” MYM Media Section, translation in...January 21, 2009; “Somali Op- position Official Calls for Cessation of Violence,” in translation OSC AFP20090104950051, Mogadishu, Shabeelle Media

Medical Dimensions of Joint Humanitarian Relief Operations

DTIC Science & Technology

1996-01-01

was key to establishing disease prevalence in Somalia and early identification of disease/injury ■ M E D I C A L D I M E N S I O N S 94 JFQ / Spring...Hope: Disease/Non-Battle Injuries.* Preventive Medicine Like the Desert Storm/Desert Shield theater in its initial stages, current and specific disease ... prevalence information concerning Somalia was not available from medical intelligence sources or even international health organizations. Com

American Jihadist Terrorism: Combating a Complex Threat

DTIC Science & Technology

2010-12-07

Esposito, “Terror Raids at JFK Airport Net American Alleged Terror Plotters Headed for Somalia,” abcnews.com, June 6, 2010, http://abcnews.go.com...Blotter/terror-raids- jfk - airport -net-alleged-terror-plotters/story?id= 10839045. 186 U.S. v. Mohamed Alessa and Carlos E. Almonte, Criminal Complaint... Airport Net American Alleged Terror Plotters Headed for Somalia,” ABC News, June 6, 2010, http://abcnews.go.com/Blotter/terror-raids- jfk - airport -net

Countering Al-Shabaab: A Case to Minimize Transnational Terrorist Threats Against Uganda

DTIC Science & Technology

2011-12-01

Region. ...31 xii THIS PAGE INTENTIONALLY LEFT BLANK xiii LIST OF ACRONYMS AND ABBREVIATIONS AMISOM African Union Mission in Somalia ANC African...National Congress AQAP Al-Qaeda in the Arab Peninsula AQI Al-Qaeda in Iraq ARS Alliance for the Re-liberation of Somalia AU African Union COG...Bureau of Investigation GIMF Global Islamic Media Front HOA Horn of Africa ICU Islamic Courts Union ILDMH Ice Link Discotheque in Makindye House

Syllabus Outline on Child Care for Day Care Teachers at Family Life Teacher Training Centre in Somalia. African Studies in Curriculum Development and Evaluation No. 103.

ERIC Educational Resources Information Center

Ahmed, Mumina M.

Five day care centers in Mogadiscio, the capital city of Somalia, were studied to (1) identify problems encountered in teaching a course in child care; (2) observe teaching methods and assess their effectiveness; (3) ascertain reasons for the lack of preservice training for day care teachers; and (4) develop a new syllabus for a course in child…

Role of mantle flow in Nubia-Somalia plate divergence

NASA Astrophysics Data System (ADS)

Stamps, D. S.; Iaffaldano, G.; Calais, E.

2015-01-01

Present-day continental extension along the East African Rift System (EARS) has often been attributed to diverging sublithospheric mantle flow associated with the African Superplume. This implies a degree of viscous coupling between mantle and lithosphere that remains poorly constrained. Recent advances in estimating present-day opening rates along the EARS from geodesy offer an opportunity to address this issue with geodynamic modeling of the mantle-lithosphere system. Here we use numerical models of the global mantle-plates coupled system to test the role of present-day mantle flow in Nubia-Somalia plate divergence across the EARS. The scenario yielding the best fit to geodetic observations is one where torques associated with gradients of gravitational potential energy stored in the African highlands are resisted by weak continental faults and mantle basal drag. These results suggest that shear tractions from diverging mantle flow play a minor role in present-day Nubia-Somalia divergence.

[Dysphagia in a young woman from Somalia].

PubMed

Veldhuis, Suzanne; van Altena, Richard; van Steenwijk, Reindert P; Rauws, Erik A J; Eeftinck Schattenkerk, Jan Karel M

2013-01-01

Multidrug-resistant tuberculosis is increasing worldwide. The determination of possible resistance is essential for adequate treatment. Tuberculosis is common amongst immigrants from Somalia and extra-pulmonary localisation is often seen. A 21-year-old woman from Somalia presented with progressive dysphagia and severe weight loss. Endoscopy revealed two ulcers in the mid-oesophagus. A chest x-ray showed enlarged lymph nodes in the right hilar and mediastinal regions. The Ziehl-Neelsen stain and PCR for mycobacteria were negative. Sputum samples and oesophageal biopsies were cultured. Quadruple tuberculostatic therapy was started empirically. After five weeks, a sputum culture grew Mycobacterium tuberculosis, which was resistant to rifampicin and isoniazid. She was treated with second-line anti-tuberculous therapy and eventually recovered. Tuberculosis can manifest in many ways. It is important to obtain patient material for culture; not only to confirm the diagnosis but also for the determination of possible resistance which is necessary for adequate therapy.

Have we made progress in Somalia after 30 years of interventions? Attitudes toward female circumcision among people in the Hargeisa district.

PubMed

Gele, Abdi A; Bø, Bente P; Sundby, Johanne

2013-03-27

Female circumcision is a major public health problem that largely contributes to the ill-health of women and their children globally. Accordingly, the international community is committed to take all possible measures to abolish the practice that is internationally considered to be absolutely intolerable. While the practice is a social tradition shared by people in 28 African countries, there is no country on earth where FC is more prevalent than in Somalia. Yet, since the early 1990s, there is no quantitative study that has investigated whether the perception towards the practice among Somali men and women in Somalia has improved or not. Thus, this cross-sectional quantitative study examines the attitudes toward the practice among people in Hargeisa, Somalia. A cross-sectional study of 215 randomly selected persons, including both men and women, was conducted in Hargeisa, Somalia from July to September of 2011. Participants were interviewed using structured questionnaires, with questions including the circumcision status of the female participants, the type of circumcision, if one has the intention to circumcise his/her daughter, whether one supports the continuation or discontinuation of the practice and men's perceptions toward having an uncircumcised woman as a wife. The findings show that 97% of the study's participants were circumcised with no age differences. Of this, 81% were subjected to Type 3, while 16% were subjected to either Type 1 or 2 and only 3% were left uncircumcised. Approximately 85% of the respondents had intention to circumcise their daughters, with 13% were planning the most radical form. Among men, 96% preferred to marry circumcised women, whereas overall, 90% of respondents supported the continuation of the practice. The vast majority of the study's respondents had a good knowledge of the negative health effects of female circumcision. In multivariate logistic regressions, with an adjustment for all other important variables, female circumcision (the Sunna form) is a religious requirement 16.5 (2.43-112.6) and the Sunna form is not harmful 25.1(2.35-281.1), are the two factors significantly associated with the continuation of female circumcision. Moreover, females were less likely to support the continuation of FC compared to their male counterparts (aOR 0.07; CI: 0.05-0.88). The study shows that the support towards the persistence of the practice is profoundly high in Somalia. People are aware of the health and human rights effect of female circumcision, and yet they support the continuation of the practice. Therefore, over 30 years of campaigns with limited progress demand an alternative approach towards the eradication of female circumcision in Somalia.

Have we made progress in Somalia after 30 years of interventions? Attitudes toward female circumcision among people in the Hargeisa district

PubMed Central

2013-01-01

Background Female circumcision is a major public health problem that largely contributes to the ill-health of women and their children globally. Accordingly, the international community is committed to take all possible measures to abolish the practice that is internationally considered to be absolutely intolerable. While the practice is a social tradition shared by people in 28 African countries, there is no country on earth where FC is more prevalent than in Somalia. Yet, since the early 1990s, there is no quantitative study that has investigated whether the perception towards the practice among Somali men and women in Somalia has improved or not. Thus, this cross-sectional quantitative study examines the attitudes toward the practice among people in Hargeisa, Somalia. Methods A cross-sectional study of 215 randomly selected persons, including both men and women, was conducted in Hargeisa, Somalia from July to September of 2011. Participants were interviewed using structured questionnaires, with questions including the circumcision status of the female participants, the type of circumcision, if one has the intention to circumcise his/her daughter, whether one supports the continuation or discontinuation of the practice and men’s perceptions toward having an uncircumcised woman as a wife. Result The findings show that 97% of the study’s participants were circumcised with no age differences. Of this, 81% were subjected to Type 3, while 16% were subjected to either Type 1 or 2 and only 3% were left uncircumcised. Approximately 85% of the respondents had intention to circumcise their daughters, with 13% were planning the most radical form. Among men, 96% preferred to marry circumcised women, whereas overall, 90% of respondents supported the continuation of the practice. The vast majority of the study’s respondents had a good knowledge of the negative health effects of female circumcision. In multivariate logistic regressions, with an adjustment for all other important variables, female circumcision (the Sunna form) is a religious requirement 16.5 (2.43-112.6) and the Sunna form is not harmful 25.1(2.35-281.1), are the two factors significantly associated with the continuation of female circumcision. Moreover, females were less likely to support the continuation of FC compared to their male counterparts (aOR 0.07; CI: 0.05-0.88). Conclusion The study shows that the support towards the persistence of the practice is profoundly high in Somalia. People are aware of the health and human rights effect of female circumcision, and yet they support the continuation of the practice. Therefore, over 30 years of campaigns with limited progress demand an alternative approach towards the eradication of female circumcision in Somalia. PMID:23537232

Arctic Capability Inventory Tool User Guide: Version 2 (International References)

DTIC Science & Technology

2011-07-01

drawn from the primary source documents. In cases where the analyst included additional information, the text is included in [square brackets]. The...following: FERPistheallhazardsplanforacoordinatedfederalresponsetoemergencies. Inmost cases ,departmentsmanageemergencieswithevent...signed—(20)Andorra,Azerbaijan, Ecuador ,Eritrea,Israel,Kazakhstan, Kyrgyzstan,Peru,SanMarino,Syria,Tajikistan,TimorLeste,Turkey

Kinematics of the Ethiopian Rift and Absolute motion of Africa and Somalia Plates

NASA Astrophysics Data System (ADS)

Muluneh, A. A.; Cuffaro, M.; Doglioni, C.

2013-12-01

The Ethiopian Rift (ER), in the northern part of East African Rift System (EARS), forms a boundary zone accommodating differential motion between Africa and Somalia Plates. Its orientation was influenced by the inherited Pan-African collisional system and related lithospheric fabric. We present the kinematics of ER derived from compilation of geodetic velocities, focal mechanism inversions, structural data analysis, and construction of geological profiles. GPS velocity field shows a systematic eastward magnitude increase in NE direction in the central ER. In the same region, incremental extensional strain axes recorded by earthquake focal mechanism and fault slip inversion show ≈N1000E orientation. This deviation between GPS velocity trajectories and orientation of incremental extensional strain is developed due to left lateral transtensional deformation. This interpretation is consistent with the en-échelon pattern of tensional and transtensional faults, the distribution of the volcanic centers, and the asymmetry of the rift itself. Small amount of vertical axis blocks rotation, sinistral strike slip faults and dyke intrusions in the rift accommodate the transtensional deformation. We analyzed the kinematics of ER relative to Deep and Shallow Hot Spot Reference Frames (HSRF). Comparison between the two reference frames shows different kinematics in ER and also Africa and Somalia plate motion both in magnitude and direction. Plate spreading direction in shallow HSRF (i.e. the source of the plumes locates in the asthenosphere) and the trend of ER deviate by about 27°. Shearing and extension across the plate boundary zone contribute both to the style of deformation and overall kinematics in the rift. We conclude that the observed long wavelength kinematics and tectonics are consequences of faster SW ward motion of Africa than Somalia in the shallow HSRF. This reference frame seems more consistent with the geophysical and geological constraints in the Rift. The faster SW motion of Africa with respect to Somalia plate is due to a possibly lower viscosity in the top asthenosphere (Low-Velocity Zone) beneath Africa. These findings have significant implications for the evolution of continental rifting in transtensional settings and provide evidence for the kinematics and tectonics of the Ethiopian rift in the context of the Africa-Somalia plate interaction in the mantle reference frame.

Forgetting the Lessons of Vietnam: Army Force Structure Changes as a Result of Reduced Budgets

DTIC Science & Technology

2016-02-16

9. 34 Ibid. 35 Ibid. 36 Valerie J. Lofland, “Somalia: U.S. Intervention and Operation Restore Hope” in Case Studies in Policy Making...and Miranda A. Carlton-Carew, 34-67. Washington : The Center for Strategic and International Studies, 2006. 23 Lofland, Valerie J. “Somalia...Szayna, Thomas S., Kevin F. McCarthy, Jerry M. Sollinger, Linda J. Demaine, Jefferson P. Marquis, Brett Steele . The Civil-Military Gap in the

Somali Pirates: A New Phase Zero Stability Operational Approach, a Strategic Imperative in the Horn of Africa

DTIC Science & Technology

2010-06-18

criminals, but most are not. Therefore, the cause of piracy is within Somalia itself and must be addressed from within, rather than contested at sea ...commons. It explored the operating environment of northern Somalia, highlighting the root causes of the criminal behavior at sea . It was found that...During this period, Larson found employment in the commercial fishing industry Bering Sea Alaska. Returning to active service in 1997, Larson returned

American Jihadist Terrorism: Combating a Complex Threat

DTIC Science & Technology

2010-09-20

www.nytimes.com/2010/07/30/us/30fbi.html. 177 Richard Esposito, “Terror Raids at JFK Airport Net American Alleged Terror Plotters Headed for Somalia...abcnews.com, June 6, 2010, http://abcnews.go.com/Blotter/terror-raids- jfk - airport -net-alleged-terror-plotters/story?id= 10839045. 178 U.S. v. Mohamed... Airport Net American Alleged Terror Plotters Headed for Somalia,” ABC News, June 6, 2010, http://abcnews.go.com/Blotter/terror-raids- jfk - airport -net

Naval War College Review. Volume 64, Number 1, Winter 2011

DTIC Science & Technology

2011-01-01

2010, a Chinese delegation headed by Major General Li Ning, the defense counselor for the Chinese mission to the European Union , visited the...headquarters of European Union Naval Force (EU NAVFOR) Somalia in Djibouti.52 Djibouti would be an excellent choice as a place for the PLAN, and it should...France’s Base Aérienne 188 is home to the headquarters of EU NAVFOR Somalia/Operation ATALANTA, the European Union naval force tasked with

Immunizing nomadic children and livestock – Experience in North East Zone of Somalia

PubMed Central

Kamadjeu, Raoul; Mulugeta, Abraham; Gupta, Dhananjoy; Abshir Hirsi, Abdirisak; Belayneh, Asalif; Clark-Hattingh, Marianne; Adams, Clement; Abed, Payenda; Kyeyune, Brenda; Ahmed, Tajudin; Salih, Mohamed; Biaou, Cyprien; Toure, Brigitte

2015-01-01

Nomads and pastoralists represent around 30% of the population of North East zone of Somalia (Puntland) and have very limited access to basic health including immunization. During the 2013–2014 polio outbreak in Somalia, an increase number of polio cases notified health services among these underserved communities highlighted the urgent need to devise innovative strategies to reach them. Harnessing the high demand for veterinary services among pastoralist communities, the Ministry of Health and the Ministry of Livestock, with support from UNICEF, WHO and FAO launched an integrated human and animal vaccination campaign on 19 October 2014. Over 30 days, 20 social mobilizers conducted shelter to shelter social mobilization and interpersonal communication for nomadic/pastoralist hamlets, 20 human vaccination teams, accompanied by local community elders, traveled with animal vaccination teams to administer polio and measles vaccination to pastoralist communities in the 5 regions of Puntland. 26,393 children (0 to 10 years) received Oral Polio Vaccine (OPV) out of which 34% for the first time ever; 23,099 were vaccinated against measles. and 12,556 Vitamin A. Despite various operational challenges and a significantly higher operational cost of $6.2 per child reached with OPV, the integrated human and animal vaccination campaign was effective in reaching the unvaccinated children from nomadic and pastoralist communities of Somalia. PMID:26365693

Sudan: Humanitarian Crisis, Peace Talks, Terrorism, and U.S. Policy

DTIC Science & Technology

2002-03-19

Congressional Research Service ˜ The Library of Congress CRS Issue Brief for Congress Received through the CRS Web Order Code IB98043 Sudan...as articulated by President Clinton in a 1996 letter to President Isaias of Eritrea supports regional efforts and seeks to isolate the NIF regime for

Sudan: Humanitarian Crisis, Peace Talks, Terrorism, and U.S. Policy

DTIC Science & Technology

2002-05-08

Congressional Research Service ˜ The Library of Congress Issue Brief for Congress Received through the CRS Web Order Code IB98043 Sudan...U.S. policy toward Sudan as articulated by President Clinton in a 1996 letter to President Isaias of Eritrea supports regional efforts and seeks to

A Conceptual Model of Counterinsurgency: Understanding Elements, Factors, and Probability of Success

DTIC Science & Technology

2011-05-03

the counterinsurgent. Galula is critical of Mao Tse -tung in the regard that Mao‘s ―laws of revolutionary warfare‖ are only applicable for the side...Algerian Independence 1954 1962 Government Loses Eritrea 1960 1993 Government Loses Laos 1960 1975 Government Loses Namibia 1960 1989 Government

Vitamin D status in recently arrived immigrants from Africa and Asia: a cross-sectional study from Norway of children, adolescents and adults

PubMed Central

Eggemoen, Åse R; Knutsen, Kirsten V; Dalen, Ingvild; Jenum, Anne K

2013-01-01

Objectives To estimate the prevalence of vitamin D deficiency (25(OH)D) <50 nmol/L among recently arrived immigrants from Africa and Asia in Oslo, and to explore 25(OH)D levels according to origin, gender and age. Design A cross-sectional study. Setting Primary healthcare unit in Oslo, Norway, offering family immigrants, asylum seekers, United Nations (UN) refugees or individuals granted asylum a free medical examination on arrival. Participants All individuals from African and Asian countries (n=591) referred to the Centre of Migrant Health, Health Agency, Oslo, Norway in 2010, estimated to cover 60% of the targeted population. Results 25(OH)D <50 nmol/L was very prevalent in immigrants from the Middle East (81% (95% CI 75.4% to 86.6%)), South Sahara Africa (73% (CI 67.5% to 78.5%)) and South Asia (75% (CI 64.0% to 86.0%)), in contrast to East Asians (24% (CI 12.6% to 35.4%)), p<0.001 for differences. The prevalence of 25(OH)D<25 nmol/L was lower but followed the same pattern (Middle East: 38% (CI 31.1% to 45.0%), South Sahara Africa: 24% (CI 18.7% to 29.3%) and South Asia: 35% (CI 22.9% to 47.1%), although it was not observed in East Asians (p<0.001 for differences)). The ethnic differences persisted after adjusting for the duration of residence, seasonality and residence status in multiple linear regression analyses. Female adolescents from South Asia, the Middle East and South Sahara Africa had the lowest levels of 25(OH)D. Further, country-specific median levels of 25(OH)D were low (24–38 nmol/L) among groups from Somalia, Eritrea, Afghanistan and Iraq, the countries with the largest number of immigrants in our study. Conclusions The majority of recently settled immigrant groups from the Middle East, South Asia and Africa had 25(OH)D <50 nmol/L, in contrast to East Asians. Female adolescents from these regions had the lowest levels of 25(OH)D. PMID:24157818

Providing surgical care in Somalia: A model of task shifting.

PubMed

Chu, Kathryn M; Ford, Nathan P; Trelles, Miguel

2011-07-15

Somalia is one of the most political unstable countries in the world. Ongoing insecurity has forced an inconsistent medical response by the international community, with little data collection. This paper describes the "remote" model of surgical care by Medecins Sans Frontieres, in Guri-El, Somalia. The challenges of providing the necessary prerequisites for safe surgery are discussed as well as the successes and limitations of task shifting in this resource-limited context. In January 2006, MSF opened a project in Guri-El located between Mogadishu and Galcayo. The objectives were to reduce mortality due to complications of pregnancy and childbirth and from violent and non-violent trauma. At the start of the program, expatriate surgeons and anesthesiologists established safe surgical practices and performed surgical procedures. After January 2008, expatriates were evacuated due to insecurity and surgical care has been provided by local Somalian doctors and nurses with periodic supervisory visits from expatriate staff. Between October 2006 and December 2009, 2086 operations were performed on 1602 patients. The majority (1049, 65%) were male and the median age was 22 (interquartile range, 17-30). 1460 (70%) of interventions were emergent. Trauma accounted for 76% (1585) of all surgical pathology; gunshot wounds accounted for 89% (584) of violent injuries. Operative mortality (0.5% of all surgical interventions) was not higher when Somalian staff provided care compared to when expatriate surgeons and anesthesiologists. The delivery of surgical care in any conflict-settings is difficult, but in situations where international support is limited, the challenges are more extreme. In this model, task shifting, or the provision of services by less trained cadres, was utilized and peri-operative mortality remained low demonstrating that safe surgical practices can be accomplished even without the presence of fully trained surgeon and anesthesiologists. If security improves in Somalia, on-site training by expatriate surgeons and anesthesiologists will be re-established. Until then, the best way MSF has found to support surgical care in Somalia is continue to support in a "remote" manner.

Mapping the receptivity of malaria risk to plan the future of control in Somalia

PubMed Central

Alegana, Victor Adagi; Patil, Anand Prabhakar; Moloney, Grainne; Borle, Mohammed; Yusuf, Fahmi; Amran, Jamal; Snow, Robert William

2012-01-01

Objectives To measure the receptive risks of malaria in Somalia and compare decisions on intervention scale-up based on this map and the more widely used contemporary risk maps. Design Cross-sectional community Plasmodium falciparum parasite rate (PfPR) data for the period 2007–2010 corrected to a standard age range of 2 to <10 years (PfPR2–10) and used within a Bayesian space–time geostatistical framework to predict the contemporary (2010) mean PfPR2–10 and the maximum annual mean PfPR2–10 (receptive) from the highest predicted PfPR2–10 value over the study period as an estimate of receptivity. Setting Randomly sampled communities in Somalia. Participants Randomly sampled individuals of all ages. Main outcome measure Cartographic descriptions of malaria receptivity and contemporary risks in Somalia at the district level. Results The contemporary annual PfPR2–10 map estimated that all districts (n=74) and population (n=8.4 million) in Somalia were under hypoendemic transmission (≤10% PfPR2–10). Of these, 23% of the districts, home to 13% of the population, were under transmission of <1% PfPR2–10. About 58% of the districts and 55% of the population were in the risk class of 1% to <5% PfPR2–10. In contrast, the receptivity map estimated 65% of the districts and 69% of the population were under mesoendemic transmission (>10%–50% PfPR2–10) and the rest as hypoendemic. Conclusion Compared with maps of receptive risks, contemporary maps of transmission mask disparities of malaria risk necessary to prioritise and sustain future control. As malaria risk declines across Africa, efforts must be invested in measuring receptivity for efficient control planning. PMID:22855625

United States Army Rangers in Somalia: an analysis of combat casualties on an urban battlefield.

PubMed

Mabry, R L; Holcomb, J B; Baker, A M; Cloonan, C C; Uhorchak, J M; Perkins, D E; Canfield, A J; Hagmann, J H

2000-09-01

This study was undertaken to determined the differences in injury patterns between soldiers equipped with modern body armor in an urban environment compared with the soldiers of the Vietnam War. From July 1998 to March 1999, data were collected for a retrospective analysis on all combat casualties sustained by United States military forces in Mogadishu, Somalia, on October 3 and 4, 1993. This was the largest and most recent urban battle involving United States ground forces since the Vietnam War. There were 125 combat casualties. Casualty distribution was similar to that of Vietnam; 11% died on the battlefield, 3% died after reaching a medical facility, 47% were evacuated, and 39% returned to duty. The incidence of bullet wounds in Somalia was higher than in Vietnam (55% vs. 30%), whereas there were fewer fragment injuries (31% vs. 48%). Blunt injury (12%) and burns (2%) caused the remaining injuries in Somalia. Fatal penetrating injuries in Somalia compared with Vietnam included wounds to the head and face (36% vs. 35%), neck (7% vs. 8%), thorax (14% vs. 39%), abdomen (14% vs. 7%), thoracoabdominal (7% vs. 2%), pelvis (14% vs. 2%), and extremities (7% vs. 7%). No missiles penetrated the solid armor plate protecting the combatants' anterior chests and upper abdomens. Most fatal penetrating injuries were caused by missiles entering through areas not protected by body armor, such as the face, neck, pelvis, and groin. Three patients with penetrating abdominal wounds died from exsanguination, and two of these three died after damage-control procedures. The incidence of fatal head wounds was similar to that in Vietnam in spite of modern Kevlar helmets. Body armor reduced the number of fatal penetrating chest injuries. Penetrating wounds to the unprotected face, groin, and pelvis caused significant mortality. These data may be used to design improved body armor.

Turning the ECOWAS Standby Force in a More Proactive Force: An Analysis of Past Interventions to Assess Key Deployment Hindrances

DTIC Science & Technology

2015-06-12

collective security mechanisms, almost from nothing, in less than 20 years. Since 2003, the AU has deployed missions to Burundi (AMIB), Sudan/ Darfur (AMIS...deployment of AU missions in Somalia, Darfur and in the CAR. ECOWAS, despite the absence of a formalized MOU between its member states, is...proven somewhat effective in eastern Africa where the AU deployed a mission first in Darfur and then in Somalia, which the UN later undertook. However

Louse-borne relapsing fever in a refugee from Somalia arriving in Belgium.

PubMed

Darcis, Gilles; Hayette, Marie-Pierre; Bontems, Sebastien; Sauvage, Anne-Sophie; Meuris, Christelle; Van Esbroeck, Marjan; Leonard, Philippe

2016-03-01

We report a case of louse-borne relapsing fever (LBRF) in a refugee from Somalia who had arrived in Belgium a few days earlier. He complained of myalgia and secondarily presented fever. Blood smears revealed spirochetes later identified as Borrelia recurrentis. LBRF should be considered in countries hosting refugees, particularly those who transit through endemic regions. © International Society of Travel Medicine, 2016. All rights reserved. Published by Oxford University Press. For permissions, please e-mail: journals.permissions@oup.com.

Somalia: IGAD’s Attempt to Restore Somalia’s Transitional Federal Government

DTIC Science & Technology

2006-12-01

the Samale and the Sab, which break into six major clan-families: Digil, Rahanweyn, Darod, Hawiye, Isaq, and Dir. In genealogical terms, the Digil...and Rahanweyn clan families belong to the Sab, while the Darod, Hawiye, Isaq, and Dir belong to the Samale . Although the 7 families are not strictly...differentiation between Sab and Samale is reflected in the basic contrast between the nomadic pastoralism of the Samale and the sedentary farming of the Sab

Aid in a city at war: the case of Mogadishu, Somalia.

PubMed

Grünewald, François

2012-07-01

Mogadishu, the capital of Somalia, has been central to life, war, and peace in the country for almost two decades. Its urban characteristics, though, have been put to one side for the most part. In recent years, Mogadishu-related issues have been merged mostly into a global agenda for South and Central Somalia, resulting in the technical and coordination approaches employed in the city largely being reproductions of solutions utilised in refugee camps and rural areas. Unfortunately, urban problems require urban solutions. The aid system is just starting to discover how specific aid in cities at war should be, both from an organisational and a technical standpoint. The enhancement of aid practices in an urban setting implies, among other things, a more strategic approach to the specific spatial characteristics of the city, a more fine-tuned analysis of the technical requirements of the urban service delivery systems, and a better understanding of the role of urban institutions. © 2012 The Author(s). Journal compilation © Overseas Development Institute, 2012.

The Geography Teacher. Volume 6, Number 2, 2009

ERIC Educational Resources Information Center

Geography Teacher, 2009

2009-01-01

"The Geography Teacher" provides hands-on reference and educative material for K-12 Geography teachers. The journal also pioneers innovative ideas for contemporary teaching methods, including lesson plans. This issue contains the following: (1) Census in Schools Program (census.gov); (2) Ask Dr. de Blij (Dr. Harm de Blij); (3) Eritrea:…

77 FR 76864 - Amendment to the International Traffic in Arms Regulations: Afghanistan and Change to Policy on...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-31

... Belarus, Cuba, Eritrea, Iran, North Korea, Syria, and Venezuela. This policy also applies to countries... International Traffic in Arms Regulations: Afghanistan and Change to Policy on Prohibited Exports AGENCY.... Goforth, Director, Office of Defense Trade Controls Policy, U.S. Department of State, telephone (202) 663...

Profile of Trace Elements in Selected Medicinal Plants Used for the Treatment of Diabetes in Eritrea

PubMed Central

Kareru, Patrick; Keriko, Joseph; Girmay, Berhane; Medhanie, Ghebrehiwet; Debretsion, Semere

2016-01-01

This study was designed to investigate the profile of certain trace elements having therapeutic properties related to diabetes mellitus. The investigated plants were Aloe camperi, Meriandra dianthera, Lepidium sativum, Brassica nigra, and Nigella sativa. These plants are traditionally used in the management of diabetes in Eritrea. The elemental analysis was conducted using inductively coupled plasma optical emission spectrometry (ICP-OES) and flame atomic absorption spectroscopy (FAAS) techniques. The accuracy of the methods was verified using in-house reference materials (CRMs) and no significant differences were observed between the measured and certified values. The analysis displayed variable concentrations of the different trace elements including Zn, Cr, V, Mn, and Se in the plants. Moreover, the levels of major elements, such as Mg, Ca, K, Na, and Ba, and heavy metals, such as Fe, Cu, Ni, Co, As, and Pb, were determined and found to be in the permissible limit defined by WHO. Among the plants, Meriandra dianthera showed the highest levels of Mn, Cr, V, and other elements and the values were significantly different (P < 0.05). PMID:27795982

Profile of Trace Elements in Selected Medicinal Plants Used for the Treatment of Diabetes in Eritrea.

PubMed

Sium, Mussie; Kareru, Patrick; Keriko, Joseph; Girmay, Berhane; Medhanie, Ghebrehiwet; Debretsion, Semere

This study was designed to investigate the profile of certain trace elements having therapeutic properties related to diabetes mellitus. The investigated plants were Aloe camperi , Meriandra dianthera , Lepidium sativum , Brassica nigra, and Nigella sativa . These plants are traditionally used in the management of diabetes in Eritrea. The elemental analysis was conducted using inductively coupled plasma optical emission spectrometry (ICP-OES) and flame atomic absorption spectroscopy (FAAS) techniques. The accuracy of the methods was verified using in-house reference materials (CRMs) and no significant differences were observed between the measured and certified values. The analysis displayed variable concentrations of the different trace elements including Zn, Cr, V, Mn, and Se in the plants. Moreover, the levels of major elements, such as Mg, Ca, K, Na, and Ba, and heavy metals, such as Fe, Cu, Ni, Co, As, and Pb, were determined and found to be in the permissible limit defined by WHO. Among the plants, Meriandra dianthera showed the highest levels of Mn, Cr, V, and other elements and the values were significantly different ( P < 0.05).

Tropical Africa: Land Use, Biomass, and Carbon Estimates for 1980 (and updated for the year 2000) (NDP-055)

DOE Data Explorer

Brown, Sandra [University of Illinois, Urbana, IL (USA); Winrock International, Arlington, Virginia (USA); Gaston, Greg [University of Illinois, Urbana, IL (USA); Oregon State University; Beaty, T. W. [Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory, Oak Ridge, TN (USA); Olsen, L. M. [Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory, Oak Ridge, TN (USA)

2001-01-01

This document describes the contents of a digital database containing maximum potential aboveground biomass, land use, and estimated biomass and carbon data for 1980. The biomass data and carbon estimates are associated with woody vegetation in Tropical Africa. These data were collected to reduce the uncertainty associated with estimating historical releases of carbon from land use change. Tropical Africa is defined here as encompassing 22.7 x 10E6 km² of the earth's land surface and is comprised of countries that are located in tropical Africa (Angola, Botswana, Burundi, Cameroon, Cape Verde, Central African Republic, Chad, Congo, Benin, Equatorial Guinea, Ethiopia, Djibouti, Gabon, Gambia, Ghana, Guinea, Ivory Coast, Kenya, Liberia, Madagascar, Malawi, Mali, Mauritania, Mozambique, Namibia, Niger, Nigeria, Guinea-Bissau, Zimbabwe (Rhodesia), Rwanda, Senegal, Sierra Leone, Somalia, Sudan, Tanzania, Togo,Uganda, Burkina Faso (Upper Volta), Zaire, and Zambia). The database was developed using the GRID module in the ARC/INFO (TM geographic information system. Source data were obtained from the Food and Agriculture Organization (FAO), the U.S. National Geophysical Data Center, and a limited number of biomass-carbon density case studies. These data were used to derive the maximum potential and actual (ca. 1980) aboveground biomass values at regional and country levels. The land-use data provided were derived from a vegetation map originally produced for the FAO by the International Institute of Vegetation Mapping, Toulouse, France.

Predicting East African spring droughts using Pacific and Indian Ocean sea surface temperature indices

NASA Astrophysics Data System (ADS)

Funk, C.; Hoell, A.; Shukla, S.; Bladé, I.; Liebmann, B.; Roberts, J. B.; Robertson, F. R.; Husak, G.

2014-12-01

In eastern East Africa (the southern Ethiopia, eastern Kenya and southern Somalia region), poor boreal spring (long wet season) rains in 1999, 2000, 2004, 2007, 2008, 2009, and 2011 contributed to severe food insecurity and high levels of malnutrition. Predicting rainfall deficits in this region on seasonal and decadal time frames can help decision makers implement disaster risk reduction measures while guiding climate-smart adaptation and agricultural development. Building on recent research that links more frequent East African droughts to a stronger Walker circulation, resulting from warming in the Indo-Pacific warm pool and an increased east-to-west sea surface temperature (SST) gradient in the western Pacific, we show that the two dominant modes of East African boreal spring rainfall variability are tied to SST fluctuations in the western central Pacific and central Indian Ocean, respectively. Variations in these two rainfall modes can thus be predicted using two SST indices - the western Pacific gradient (WPG) and central Indian Ocean index (CIO), with our statistical forecasts exhibiting reasonable cross-validated skill (rcv ≈ 0.6). In contrast, the current generation of coupled forecast models show no skill during the long rains. Our SST indices also appear to capture most of the major recent drought events such as 2000, 2009 and 2011. Predictions based on these simple indices can be used to support regional forecasting efforts and land surface data assimilations to help inform early warning and guide climate outlooks.

Christchurch earthquakes: how did former refugees cope?

PubMed

Osman, Mohamud; Hornblow, Andrew; Macleod, Sandy; Coope, Pat

2012-06-29

This study investigated how former refugees now living in Christchurch (Canterbury Province, New Zealand) communities coped after the 4 September 2010 and subsequent earthquakes. A systematic sample of one in three former refugees from five ethnic groupings (Afghanistan, Kurdistan, Ethiopia, Somalia and Bhutan) was selected from a list of 317 refugees provided by the Canterbury Refugee Council and invited to participate in the study. Seventy-two out of 105 potential participants completed a 26 item questionnaire regarding the impact of the quakes, their concerns and anxieties, coping strategies and social supports. The methodology was complicated by ongoing aftershocks, particularly that of 22 February 2011. Three-quarters of participants reported that they had coped well, spirituality and religious practice being an important support for many, despite less then 20% receiving support from mainstream agencies. Most participants (72%) had not experienced a traumatic event or natural disaster before. Older participants and married couples with children were more likely to worry about the earthquakes and their impact than single individuals. There was a significant difference in the level of anxiety between males and females. Those who completed the questionnaire after the 22 February 2011 quake were more worried overall than those interviewed before this. Overall, the former refugees reported they had coped well despite most of them not experiencing an earthquake before and few receiving support from statutory relief agencies. More engagement from local services is needed in order to build trust and cooperation between the refugee and local communities.

Predictors of Women's Satisfaction with Hospital-Based Intrapartum Care in Asmara Public Hospitals, Eritrea

PubMed Central

Ghirmai, Filmon Abraham; Berhe, Soliana Amanuel; Tesfay, Winta Sium; Weldegebriel, Yodit Teklemariam; Gebrehiwet, Zebib Tesfamariam

2017-01-01

Background Exploring patient satisfaction contributes to provide quality maternity care, but there is paucity of epidemiologic data in Eritrea. Objectives To determine the predictors of women's satisfaction with intrapartum care in Asmara public maternity hospitals in Eritrea. Methods A cross-sectional study among 771 mothers who gave birth in three public Hospitals. Chi-square tests were done to analyze the difference in proportion and logistic regression to assess the predictors of satisfaction with intrapartum care. Results Overall, only 20.8% of the participants were satisfied with intrapartum service. The key predictors of satisfaction with intrapartum care were provision of clean bed and beddings (AOR = 18.87, 2.33–15.75), privacy during examinations (AOR = 10.22, 4.86–21.48), using understandable language (AOR = 8.72, 3.57–21.27), showing how to summon for help (AOR = 8.16, 4.30–15.48), showing baby immediately after birth (AOR = 8.14, 2.87–23.07), control of the delivery room (AOR = 6.86, 2.65–17.75), receiving back massage (AOR = 6.43, 3.23–12.81), toilet access and cleanliness (AOR = 6.09, 3.25–11.42), availability of chairs for relatives (AOR = 5.96, 3.14–11.30), allowing parents to stay during labour (AOR = 3.52, 1.299–9.56), and request for permission before any procedure (AOR = 2.39, 1.28–4.46). Conclusion To increase satisfaction with intrapartum care, maternity service providers need to address the general maternity ward cleanliness, improve the quality of physical facilities, and sensitize health providers for better communication with clients. Policy makers need to adopt strategies that ensure more women involvement in decision making and consideration of privacy and reassurance needs during the whole delivery process. PMID:29445401

Cost analysis of an integrated disease surveillance and response system: case of Burkina Faso, Eritrea, and Mali

PubMed Central

Somda, Zana C; Meltzer, Martin I; Perry, Helen N; Messonnier, Nancy E; Abdulmumini, Usman; Mebrahtu, Goitom; Sacko, Massambou; Touré, Kandioura; Ki, Salimata Ouédraogo; Okorosobo, Tuoyo; Alemu, Wondimagegnehu; Sow, Idrissa

2009-01-01

Background Communicable diseases are the leading causes of illness, deaths, and disability in sub-Saharan Africa. To address these threats, countries within the World Health Organization (WHO) African region adopted a regional strategy called Integrated Disease Surveillance and Response (IDSR). This strategy calls for streamlining resources, tools, and approaches to better detect and respond to the region's priority communicable disease. The purpose of this study was to analyze the incremental costs of establishing and subsequently operating activities for detection and response to the priority diseases under the IDSR. Methods We collected cost data for IDSR activities at central, regional, district, and primary health care center levels from Burkina Faso, Eritrea, and Mali, countries where IDSR is being fully implemented. These cost data included personnel, transportation items, office consumable goods, media campaigns, laboratory and response materials and supplies, and annual depreciation of buildings, equipment, and vehicles. Results Over the period studied (2002–2005), the average cost to implement the IDSR program in Eritrea was $0.16 per capita, $0.04 in Burkina Faso and $0.02 in Mali. In each country, the mean annual cost of IDSR was dependent on the health structure level, ranging from $35,899 to $69,920 at the region level, $10,790 to $13,941 at the district level, and $1,181 to $1,240 at the primary health care center level. The proportions spent on each IDSR activity varied due to demand for special items (e.g., equipment, supplies, drugs and vaccines), service availability, distance, and the epidemiological profile of the country. Conclusion This study demonstrates that the IDSR strategy can be considered a low cost public health system although the benefits have yet to be quantified. These data can also be used in future studies of the cost-effectiveness of IDSR. PMID:19133149

Counterinsurgency in Somalia: Lessons Learned from the African Union Mission in Somalia, 2007-2013

DTIC Science & Technology

2014-09-01

J S O U R e p o rt 1 4 -5 C o u n te rin s u rg e n c y in S o m a lia B ru to n / W illia m s Counterinsurgency...REPORT unclassified b. ABSTRACT unclassified c . THIS PAGE unclassified Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 Joint...Force Ret., Resident Senior Fellows Anna-Marie Wyant, M.A., English, JSOU Press Editor Editorial Advisory Board Roby C . Barrett Ph.D., Middle

A Multilateral Strategy for Rural Somalia: Providing a Foundation for the Social and Economic Reconstruction of Somalia Using a Bottom up Approach

DTIC Science & Technology

2009-06-12

international and legal conditions in the host nation. Examples are: Pepsi , Starbucks, Nike, and Toyota just to mention a few (rateitall.com 2008...to mean free market and, for the poor world, it was defined as doing whatever the IMF and the World Bank tells you to do‖ (Easterly 2008, 1-3...describes a model on the re-establishment of a market economy that can develop if there is a liberal government that is able to instil reform within a

USAWC (United States Army War College) Military Studies Program Paper. A Southwest Asia Basing Strategy for USCENTCOM.

DTIC Science & Technology

1986-04-07

basirg structure, supported b- essential operating rights - such as sta-ging arid overf1 ight - continues, to be import nit to our a.bi I ity to...Kenya had little room to be critical of Somalia since it was agreeing to essentially the same arms aid package as Somalia. Irtertwined with this search...strive for a more forreal agreement that became more and more tied to U.S. military and ecnomic aid to Egypt. This U.S. argument proved unsucces:fu

Fog Collection Pilot Project (FCPP) in the Eastern Escarpments of Eritrea

NASA Astrophysics Data System (ADS)

Gherezghiher, T.

2010-07-01

Eritrea is water scarce country that relies heavily on underground water reserve and more than 80% of the rural population does not have access to safe and clean drinking water. In the rural areas, shallow hand dug wells are the primary sources of water and in most cases their discharge rate is deteriorating due to the recurrent drought. Particularly, in the targeted project areas underground water reserve is hard to find due to the steep topography. However, in these parts of Eritrea one will find a sector of mountains, about 700 km long, where the wind transports moist air from the Red Sea forming fog on the highlands. The area of the FCPP is the region of Maakel, near the villages Nefasit and Arborobu. The overall objective of his FCPP was to provide supplementary water supply system from large fog collectors (LFCs) in order to increase access to safe and clean drinking water in the targeted Schools and surrounding villages. Communities and students were organized to participate in the implementation of the project. Forty LFCs were established in all the targeted areas in previously evaluated potential locations. The project was implemented by Vision Eritrea, a National NGO in partnership with the country's' Water Resource Department; Fog Quest a Canadian NGO and Water Foundation, a German NGO, who also funded the project. The FCPP focused on introducing a new innovative water harvesting technology which is a crucial element for the survival of the people in the mountainous escarpment of the country; and with prospect of locally owned solutions for a sustainable management of and access to natural resource. Preliminary evaluation of the project showed that there was a good production of fog water, with an average of 6-8 litters/m2/day on the low intensity of fog and from 12 -18 litters on the high fog intensity. A functional water committee was established and trained on water management and maintenance of the LFC. They also developed water bylaw by which the water committee manages the water supply system. Similarly, the fog collectors have also been proved indeed to collect rain water during the wet seasons. This will extend the water harvesting period of the LFC within a year. The new fog harvest technology will further be developed in the target areas and in the long term is expected to help decrease poverty, improve food security and have a positive impact of the livelihood of target communities and neighboring villages. As a result, its dissemination and the mainstreaming of the action will be greatly facilitated to other similar part of the country where water can be harvested from fog.

Providing surgical care in Somalia: A model of task shifting

PubMed Central

2011-01-01

Background Somalia is one of the most political unstable countries in the world. Ongoing insecurity has forced an inconsistent medical response by the international community, with little data collection. This paper describes the "remote" model of surgical care by Medecins Sans Frontieres, in Guri-El, Somalia. The challenges of providing the necessary prerequisites for safe surgery are discussed as well as the successes and limitations of task shifting in this resource-limited context. Methods In January 2006, MSF opened a project in Guri-El located between Mogadishu and Galcayo. The objectives were to reduce mortality due to complications of pregnancy and childbirth and from violent and non-violent trauma. At the start of the program, expatriate surgeons and anesthesiologists established safe surgical practices and performed surgical procedures. After January 2008, expatriates were evacuated due to insecurity and surgical care has been provided by local Somalian doctors and nurses with periodic supervisory visits from expatriate staff. Results Between October 2006 and December 2009, 2086 operations were performed on 1602 patients. The majority (1049, 65%) were male and the median age was 22 (interquartile range, 17-30). 1460 (70%) of interventions were emergent. Trauma accounted for 76% (1585) of all surgical pathology; gunshot wounds accounted for 89% (584) of violent injuries. Operative mortality (0.5% of all surgical interventions) was not higher when Somalian staff provided care compared to when expatriate surgeons and anesthesiologists. Conclusions The delivery of surgical care in any conflict-settings is difficult, but in situations where international support is limited, the challenges are more extreme. In this model, task shifting, or the provision of services by less trained cadres, was utilized and peri-operative mortality remained low demonstrating that safe surgical practices can be accomplished even without the presence of fully trained surgeon and anesthesiologists. If security improves in Somalia, on-site training by expatriate surgeons and anesthesiologists will be re-established. Until then, the best way MSF has found to support surgical care in Somalia is continue to support in a "remote" manner. PMID:21762491

High Resolution Quaternary and Neogene Reconstructions of the Southwest Indian Ridge and Rifting in Eastern Africa

NASA Astrophysics Data System (ADS)

DeMets, C.; Merkuryev, S. A.; Calais, E.; Sauter, D.

2014-12-01

The Southwest Indian Ridge (SWIR) south of Africa is a critical link in plate circuits between the Atlantic and Indian Ocean basins and between the Nubia and Somalia plates. Detailed reconstructions of its seafloor spreading history are challenging due to the low fidelity of its magnetic anomalies, which were mostly created at slow to ultraslow spreading rates, and gaps in data coverage for some areas of the ridge. Here, we describe the first high-resolution analysis of Quaternary/Neogene SWIR plate kinematics based on nearly 5000 identifications that we made of magnetic reversals C1n (0.78 Ma) to C6no (19.7 Ma) and ~6000 crossings of 21 fracture zones and transform faults that offset the ridge. We also outline the implications for estimates of motion between the Nubia and Somalia plates since 20 Ma across rifts in eastern Africa. Searches for the Nubia-Lwandle and Lwandle-Somalia plate boundaries north of the SWIR with our new data corroborate previous evidence for respective locations near the Andrew Bain transform fault at ~30°E and at ~50°E. Inversions of the abundant new data to find best-fitting rotations at ~1 Myr intervals since 20 Ma reveal a previously unknown, ~20% deceleration of seafloor spreading rates at 7.2±1 Ma everywhere along the SWIR. Motion since 7 Ma has remained remarkably steady and agrees within uncertainties with GPS estimates that are based on more than 100 continuous GPS sites on the Nubia, Somalia, and Antarctic plates. The consistency of the geodetic and geologic estimates validates both and also supports evidence we will describe for anomalously wide outward displacement west of ~30E. Nubia-Somalia rotations determined from our new model indicate that the two plates have undergone steady relative motion since at least 19 Ma. Our new rotation for C5n.2 predicts ~70% less opening across the East Africa rift since 11 Ma than the most recently published kinematic estimate, in better accord with at least one geologically-derived estimate for the total extension.

Assessing comorbidity and correlates of wasting and stunting among children in Somalia using cross-sectional household surveys: 2007 to 2010

PubMed Central

Kinyoki, Damaris K; Kandala, Ngianga-Bakwin; Manda, Samuel O; Krainski, Elias T; Fuglstad, Geir-Arne; Moloney, Grainne M; Berkley, James A; Noor, Abdisalan M

2016-01-01

Objective Wasting and stunting may occur together at the individual child level; however, their shared geographic distribution and correlates remain unexplored. Understanding shared and separate correlates may inform interventions. We aimed to assess the spatial codistribution of wasting, stunting and underweight and investigate their shared correlates among children aged 6–59 months in Somalia. Setting Cross-sectional nutritional assessments surveys were conducted using structured interviews among communities in Somalia biannually from 2007 to 2010. A two-stage cluster sampling methodology was used to select children aged 6–59 months from households across three livelihood zones (pastoral, agropastoral and riverine). Using these data and environmental covariates, we implemented a multivariate spatial technique to estimate the codistribution and divergence of the risks and correlates of wasting and stunting at the 1×1 km spatial resolution. Participants 73 778 children aged 6–59 months from 1066 survey clusters in Somalia. Results Observed pairwise child level empirical correlations were 0.30, 0.70 and 0.73 between weight-for-height and height-for-age; height-for-age and weight-for-age, and weight-for-height and weight-for-age, respectively. Access to foods with high protein content and vegetation cover, a proxy of rainfall or drought, were associated with lower risk of wasting and stunting. Age, gender, illness, access to carbohydrates and temperature were correlates of all three indicators. The spatial codistribution was highest between stunting and underweight with relative risk values ranging between 0.15 and 6.20, followed by wasting and underweight (range: 0.18–5.18) and lowest between wasting and stunting (range: 0.26–4.32). Conclusions The determinants of wasting and stunting are largely shared, but their correlation is relatively variable in space. Significant hotspots of different forms of malnutrition occurred in the South Central regions of the country. Although nutrition response in Somalia has traditionally focused on wasting rather than stunting, integrated programming and interventions can effectively target both conditions to alleviate common risk factors. PMID:26962034

Epidemiology and clinical features of patients with visceral leishmaniasis treated by an MSF clinic in Bakool region, Somalia, 2004-2006.

PubMed

Raguenaud, Marie-Eve; Jansson, Anna; Vanlerberghe, Veerle; Van der Auwera, Geert; Deborggraeve, Stijn; Dujardin, Jean-Claude; Orfanos, Giannos; Reid, Tony; Boelaert, Marleen

2007-10-31

There are few reports describing the epidemiology of visceral leishmaniasis (VL) in Somalia. Over the years 2002 to 2005, a yearly average of 140 patients were reported from the Huddur centre in Bakool region, whereas in 2006, this number rose to 1002 patients. Given the limited amount of information on VL and the opportunity to compare features with the studies done in 2000 in this part of Somalia, we describe the epidemiologic and clinical features of patients who presented to the Huddur treatment centre of Bakool region, Somalia, using data routinely collected over a five-year observation period (2002-2006). Methods used included the analysis of routine data on VL cases treated in the Huddur treatment centre, a retrospective study of records of patients admitted between 2004 and 2006, community leaders interviews, and analysis of blood specimens taken for parasite species identification in Antwerp Institute of Tropical Medicine. A total of 1671 VL patients were admitted to the Huddur centre from January 2002 until December 2006. Nearly all patients presented spontaneously to the health centre. Since 2002, the average patient load was stable, with an average of 140 admissions per year. By the end of 2005, the number of admissions dramatically increased to reach a 7-fold increase in 2006. The genotype of L. donovani identified in 2006 was similar to the one reported in 2002. 82% of total patients treated for VL originated from two districts of Bakool region, Huddur and Tijelow districts. Clinical recovery rate was 93.2% and case fatality rate 3.9%. After four years of low but constant VL case findings, a major increase in VL was observed over a 16-month period in the Huddur VL centre. The profile of the patients was pediatric and mortality relatively low. Decentralized treatment centers, targeted active screening, and community sensitization will help decrease morbidity and mortality from VL in this endemic area. The true magnitude of VL in Somalia remains unknown. Further documentation to better understand transmission dynamics and thus define appropriate control measures will depend on the stability of the context and safe access to the Somali population.

Assessing comorbidity and correlates of wasting and stunting among children in Somalia using cross-sectional household surveys: 2007 to 2010.

PubMed

Kinyoki, Damaris K; Kandala, Ngianga-Bakwin; Manda, Samuel O; Krainski, Elias T; Fuglstad, Geir-Arne; Moloney, Grainne M; Berkley, James A; Noor, Abdisalan M

2016-03-09

Wasting and stunting may occur together at the individual child level; however, their shared geographic distribution and correlates remain unexplored. Understanding shared and separate correlates may inform interventions. We aimed to assess the spatial codistribution of wasting, stunting and underweight and investigate their shared correlates among children aged 6-59 months in Somalia. Cross-sectional nutritional assessments surveys were conducted using structured interviews among communities in Somalia biannually from 2007 to 2010. A two-stage cluster sampling methodology was used to select children aged 6-59 months from households across three livelihood zones (pastoral, agropastoral and riverine). Using these data and environmental covariates, we implemented a multivariate spatial technique to estimate the codistribution and divergence of the risks and correlates of wasting and stunting at the 1 × 1 km spatial resolution. 73,778 children aged 6-59 months from 1066 survey clusters in Somalia. Observed pairwise child level empirical correlations were 0.30, 0.70 and 0.73 between weight-for-height and height-for-age; height-for-age and weight-for-age, and weight-for-height and weight-for-age, respectively. Access to foods with high protein content and vegetation cover, a proxy of rainfall or drought, were associated with lower risk of wasting and stunting. Age, gender, illness, access to carbohydrates and temperature were correlates of all three indicators. The spatial codistribution was highest between stunting and underweight with relative risk values ranging between 0.15 and 6.20, followed by wasting and underweight (range: 0.18-5.18) and lowest between wasting and stunting (range: 0.26-4.32). The determinants of wasting and stunting are largely shared, but their correlation is relatively variable in space. Significant hotspots of different forms of malnutrition occurred in the South Central regions of the country. Although nutrition response in Somalia has traditionally focused on wasting rather than stunting, integrated programming and interventions can effectively target both conditions to alleviate common risk factors. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Mother Tongue versus Arabic: The Post-Independence Eritrean Language Policy Debate

ERIC Educational Resources Information Center

Mohammad, Abdulkader Saleh

2016-01-01

This paper analyses the controversial discourses around the significance of the Arabic language in Eritrea. It challenges the arguments of the government and some scholars, who claim that the Arabic language is alien to Eritrean society. They argue that it was introduced as an official language under British rule and is only spoken by the Rashaida…

76 FR 62599 - Presidential Determination With Respect to Foreign Governments' Efforts Regarding Trafficking in...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-11

... North Korea (DPRK), Eritrea, Iran, Madagascar, and Venezuela, not to provide certain funding for those..., consistent with section 110(d)(4) of the Act, with respect to Cuba and Venezuela, that a partial waiver to... Act, with respect to Venezuela, that a partial waiver to allow funding for programs described in...

Kinematics of the Danakil microplate

NASA Astrophysics Data System (ADS)

Eagles, Graeme; Gloaguen, Richard; Ebinger, Cynthia

2002-10-01

A refinement and extrapolation of recent motion estimates for the Danakil microplate, based on ancient kinematic indicators in the Afar region, describes the evolution of a microplate in the continental realm. The Danakil horst is an elevated part of this microplate, exposing a Precambrian basement within the Afar depression, the site of the Nubia-Somalia-Arabia triple junction. We compare evidence for strike- or oblique-slip faults in data from the Afar depression and southern Red Sea to small circles about published poles of rotation for the Danakil microplate with respect to Nubia. A reconstruction about the preferred pole reunites lengths of a Precambrian shear zone on the Nubia and Danakil sides and preserves a uniform basement fabric strike through Nubia, Danakil and Yemen. Since at least magnetic chron C5 (˜11 Ma) Danakil rotated about a different pole with respect to Nubia than either Somalia or Arabia, but between chrons C5 and C2A Nubia-Danakil motion was a close approximation to Nubia-Somalia motion. Since C2A relative motions of the Danakil microplate have been independent of movements on any of the neighbouring plate boundaries. We relate this to the onset of oceanic-type accretion within Afar. The resulting eastwards acceleration of Danakil was accommodated by westwards propagation of the Gulf of Aden rift that became the new, discrete, plate boundary between the Danakil microplate and the Somalia plate. Present-day activity suggests that the Red Sea and Aden rifts will link through Afar, thereby isolating the Danakil horst as a microcontinent on the Arabian margin.

Diabetes: a cross-cultural interview study of immigrants from Somalia.

PubMed

Wallin, Anne-Marie; Löfvander, Monica; Ahlström, Gerd

2007-11-01

To describe how diabetic immigrants from Somalia experience everyday life in Sweden and how they manage diabetes-related problems, with inclusion of a gender perspective. To treat and care for minority populations successfully, healthcare staff in Sweden must thoroughly understand the illness experiences of different ethnic groups. However, no studies have so far been reported that focus on immigrants from Somalia with diabetes. Descriptive, qualitative interview study with 19 diabetic adults born in Somalia and now living in Sweden. Cross-cultural interviews with the aid of an interpreter. The transcribed interviews were subjected to qualitative latent content analysis, resulting in sub-themes and themes. Four themes emerged: experience of distress in everyday life; everyday life continues as before; comprehensibility gives a feeling of control; and being compliant. A major finding was the variation in how the participants managed the fasting month of Ramadan. Several participants fasted and did not see the diabetes as an obstacle, others did see it as an obstacle or indicated that fasting was not compulsory for a sick person. This study provides healthcare staff with information about how a minority group experience and manage diabetes. The results indicate the importance of considering cultural background, as well as religious traditions such as Ramadan, in diabetes care. They also indicate that men and women differ in their reaction to diabetes and that care should be adapted to this. It is important to develop evidence-based guidelines for diabetes care in ethnic groups that are fasting during Ramadan to prevent complications and promote relevant self-care. Further, the prescribed dietary advice must be culturally appropriate.

Strengthening Acute Flaccid Paralysis Surveillance through the Village Polio Volunteers Program in Somalia.

PubMed

Mbaeyi, Chukwuma; Mohamed, Abdinoor; Owino, Brian Ogola; Mengistu, Kumlachew F; Ehrhardt, Derek; Elsayed, Eltayeb Ahmed

2018-03-02

Surveillance for cases of acute flaccid paralysis (AFP) is a key strategy adopted for the eradication of polio. Detection of poliovirus circulation is often predicated on the ability to identify AFP cases and test their stool specimens for poliovirus infection in a timely manner. The Village Polio Volunteers (VPV) program was established in 2013 in a bid to strengthen polio eradication activities in Somalia, including AFP surveillance, given the country's vulnerability to polio outbreaks. To assess the impact of the VPV program on AFP surveillance, we determined case counts, case-reporting sources, and non-polio AFP rates in the years before and after program introduction, i.e., 2011-2016. We also compared the stool adequacy and timeliness of cases reported by VPVs to those reported by other sources. In the years following program introduction, VPVs accounted for a high proportion of AFP cases reported in Somalia. AFP case counts rose from 148 cases in 2012, the year before program introduction, to 279 cases in 2015, during which VPVs accounted for 40% of reported cases. Further, the non-polio AFP rate improved from 2.8 cases in 2012 to 4.8 cases per 100,000 persons <15 years by 2015. Stool adequacy rates have been consistently high and AFP cases have been detected in a timelier manner since the program was introduced. Given the impact of the VPV program on improving AFP surveillance indicators in Somalia, similar community-based programs could play a crucial role in enhancing surveillance activities in countries with limited healthcare infrastructure.

Mapping the economic benefits to livestock keepers from intervening against bovine trypanosomosis in Eastern Africa.

PubMed

Shaw, A P M; Cecchi, G; Wint, G R W; Mattioli, R C; Robinson, T P

2014-02-01

Endemic animal diseases such as tsetse-transmitted trypanosomosis are a constant drain on the financial resources of African livestock keepers and on the productivity of their livestock. Knowing where the potential benefits of removing animal trypanosomosis are distributed geographically would provide crucial evidence for prioritising and targeting cost-effective interventions as well as a powerful tool for advocacy. To this end, a study was conducted on six tsetse-infested countries in Eastern Africa: Ethiopia, Kenya, Somalia, South Sudan, Sudan and Uganda. First, a map of cattle production systems was generated, with particular attention to the presence of draught and dairy animals. Second, herd models for each production system were developed for two scenarios: with or without trypanosomosis. The herd models were based on publications and reports on cattle productivity (fertility, mortality, yields, sales), from which the income from, and growth of cattle populations were estimated over a twenty-year period. Third, a step-wise spatial expansion model was used to estimate how cattle populations might migrate to new areas when maximum stocking rates are exceeded. Last, differences in income between the two scenarios were mapped, thus providing a measure of the maximum benefits that could be obtained from intervening against tsetse and trypanosomosis. For this information to be readily mappable, benefits were calculated per bovine and converted to US$ per square kilometre. Results indicate that the potential benefits from dealing with trypanosomosis in Eastern Africa are both very high and geographically highly variable. The estimated total maximum benefit to livestock keepers for the whole of the study area amounts to nearly US$ 2.5 billion, discounted at 10% over twenty years--an average of approximately US$ 3300 per square kilometre of tsetse-infested area--but with great regional variation from less than US$ 500 per square kilometre to well over US$ 10,000. The greatest potential benefits accrue to Ethiopia, because of its very high livestock densities and the importance of animal traction, but also to parts of Kenya and Uganda. In general, the highest benefit levels occur on the fringes of the tsetse infestations. The implications of the models' assumptions and generalisations are discussed. Copyright © 2013 Food and Agriculture Organization of the United Nations. Published by Elsevier B.V. All rights reserved.

[Deployment of a dermatologist in Cambodia and Somalia: Personal experience of a medical officer].

PubMed

Dieterle, R

2015-05-01

Throughout history, physicians of the armed forces have gained experience in tropical medicine during deployment in tropical countries. During deployments in Cambodia and Somalia, dermatologists treated participants of the UN missions and also local people to win their confidence. The experience acquired during these missions is reported. The dermatologist was mainly confronted with the diagnosis and treatment of infectious skin diseases, including genitourinary diseases. Therapy of parasitic infections rarely imported to Europe was a challenge. Training and experience in Tropical Medicine are essential for medical officers deployed on missions as well as for physicians advising travellers.

Reaching out to take on TB in Somalia.

PubMed

Moore, David A J; Granat, Simo M

2014-01-01

Among the many challenges facing populations disrupted by complex emergencies, personal security and food security rank much higher than access to healthcare. However, over time health needs assume increasing importance. Many complex crises occur in settings where the background incidence of TB is already high; social and economic conditions in crises are then highly conducive to amplification of the existing TB problem. Innovative approaches to delivery of diagnostic and treatment services, transition planning and integration with other healthcare providers and services are vital. In the extremely challenging environment of Somalia, multiple partners are making headway though collaboration and innovation.

The Transfer of Training at Macro Level in Least Developed Countries: A Case Study of the "Brain-Drain" in Eritrea

ERIC Educational Resources Information Center

Tessema, Mussie T.; Winrow, Brian P.; Teclezion, Mussie M.

2012-01-01

Over the past four decades, governments in the least developed countries (LDCs--a categorization adopted by the United Nations) have been attempting to improve the skills and knowledge of their public servants by providing local and international training programs. Despite these training activities, however, many LDCs continue to experience acute…

Supporting Capacity Building in Health Service Provision in Eritrea via Distance Learning Master's Programmes: The Challenges and Rewards

ERIC Educational Resources Information Center

Corlett, Joanne; Martindale, Linda

2017-01-01

A qualitative study investigating the experiences and effects on practice of Eritrean healthcare professionals studying for a postgraduate degree by distance learning is reported. The programme is delivered via online learning together with in-country teaching visits. Two focus group discussions with 19 postgraduate students were conducted. Online…

Left-lateral transtension along the Ethiopian Rift and constrains on the mantle-reference plate motions

NASA Astrophysics Data System (ADS)

Muluneh, Ameha A.; Cuffaro, Marco; Doglioni, Carlo

2014-09-01

We present the kinematics of the Ethiopian Rift, in the northern part of East African Rift System, derived from compilation of geodetic velocities, focal mechanism inversions, structural data analysis and geological profiles. In the central Ethiopian Rift, the GPS velocity field shows a systematic magnitude increase in ENE direction, and the incremental extensional strain axes recorded by earthquake focal mechanisms and fault slip inversion show ≈ N100°E orientation. This deviation between direction of GPS velocity vectors and orientation of incremental extensional strain is developed due to left lateral transtensional deformation along the NE-SW trending segment of the rift. This interpretation is consistent with the en-échelon pattern of tensional and transtensional faults, plus the distribution of the volcanic centers, and the asymmetry of the rift itself. We analyzed the kinematics of the Ethiopian Rift also relative to the mantle comparing the results in the deep and shallow hotspot reference frames. While the oblique orientation of the rift was controlled by the pre-existing lithospheric fabric, the two reference frames predict different kinematics of Africa and Somalia plates along the rift itself, both in magnitude and direction, and with respect to the mantle. However, the observed kinematics and tectonics along the rift are more consistent with a faster WSW-ward motion of Africa than Somalia observed in the shallow hotspot framework. The faster WSW motion of Africa with respect to Somalia plate is inferred to be due to the lower viscosity in the top asthenosphere (LVZ-low-velocity zone) beneath Africa. These findings have significant implication for the evolution of continental rifting in transtensional settings and provide evidence for the kinematics of the Ethiopian Rift in the context of the Africa-Somalia plate interaction in the mantle reference frame.

Effectiveness of oral polio vaccination against paralytic poliomyelitis: a matched case-control study in Somalia.

PubMed

Mahamud, Abdirahman; Kamadjeu, Raoul; Webeck, Jenna; Mbaeyi, Chukwuma; Baranyikwa, Marie Therese; Birungi, Julianne; Nurbile, Yassin; Ehrhardt, Derek; Shukla, Hemant; Chatterjee, Anirban; Mulugeta, Abraham

2014-11-01

After the last case of type 1 wild poliovirus (WPV1) was reported in 2007, Somalia experienced another outbreak of WPV1 (189 cases) in 2013. We conducted a retrospective, matched case-control study to evaluate the vaccine effectiveness (VE) of oral polio vaccine (OPV). We retrieved information from the Somalia Surveillance Database. A case was defined as any case of acute flaccid paralysis (AFP) with virological confirmation of WPV1. We selected two groups of controls for each case: non-polio AFP cases ("NPAFP controls") matched to WPV1 cases by age, date of onset of paralysis and region; and asymptomatic "neighborhood controls," matched by age. Using conditional logistic regression, we estimated the VE of OPV as (1-odds ratio)×100. We matched 99 WPV cases with 99 NPAFP controls and 134 WPV1 cases with 268 neighborhood controls. Using NPAFP controls, the overall VE was 70% (95% confidence interval [CI], 37-86), 59% (2-83) among 1-3 dose recipients, 77% (95% CI, 46-91) among ≥4 dose recipients. In neighborhood controls, the overall VE was 95% (95% CI, 84-98), 92% (72-98) among 1-3 dose recipients, and 97% (89-99) among ≥4 dose recipients. When the analysis was limited to cases and controls ≤24 months old, the overall VE in NPAFP and neighborhood controls was 95% (95% CI, 65-99) and 97% (95% CI, 76-100), respectively. Among individuals who were fully vaccinated with OPV, vaccination was effective at preventing WPV1 in Somalia. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Establishing Medical Schools in Limited Resource Settings.

PubMed

Tsinuel, Girma; Tsedeke, Asaminew; Matthias, Siebeck; Fischer, Martin R; Jacobs, Fabian; Sebsibe, Desalegn; Yoseph, Mamo; Abraham, Haileamlak

2016-05-01

One urgent goal of countries in sub-Saharan Africa is to dynamically scale up the education and work force of medical doctors in the training institutions and health facilities, respectively. These countries face challenges related to the rapid scale up which is mostly done without proper strategic planning, without the basic elements of infrastructure development, educational as well as academic and administrative human resources. Medical education done in the context of limited resources is thus compromising the quality of graduates. In the future, a collaborative and need-based approach involving major stakeholders such as medical educators concerned, ministries, planners and policy makers is needed. This article identifies the challenges of establishing medical schools and sustaining the quality of education through rapid scale-up in Sub-Saharan Africa in the settings of limited resources. It also outlines the minimum requirements for establishing medical schools. A consensus building workshop was conducted in Bishoftu, Ethiopia, from Nov 8-12, 2013. Participants were professionals from 13 Ethiopian medical schools, and representatives of medical schools from South Sudan, Somaliland, Somalia, and Mozambique. Participants are listed in Appendix 1. The governments and stakeholders should jointly develop strategic plans and a roadmaps for opening or expanding medical schools to scale up educational resources. It is advisable that medical schools have autonomy regarding the number of student-intake, student selection, curriculum ownership, resource allocation including for infrastructure and staff development. Health science and medical curricula should be integrated within and harmonized nationally. An educational evaluation framework needs to be embedded in the curricula, and all medical schools should have Health Science Education Development Centers.

Potential new production in two upwelling regions of the western Arabian Sea: Estimation and comparison

NASA Astrophysics Data System (ADS)

Liao, Xiaomei; Zhan, Haigang; Du, Yan

2016-07-01

Using satellite-derived and in situ data, the wind-driven potential new production (nitrate supply) for the 300 km wide coastal band in two upwelling regions of the western Arabian Sea (AS) during the southwest monsoon is estimated. The upward nitrate flux to the euphotic zone is generally based on the physical processes of coastal transport (Ekman transport and geostrophic transport) and offshore Ekman pumping. The coastal geostrophic current in the western AS influences the upwelling intensity and latitudinal distributions of nitrate supply. The Oman and Somalia upwelling regions have similar level of potential new production (nitrate supply) during the summer monsoon, while the satellite estimates of primary production off Oman are 2 times greater than those off Somalia. The much higher potential f-ratio in the Somalia upwelling region indicates that the primary production could be limited by availability of other macronutrients (e.g., silicate). The correlation analysis of the primary production and the aerosol optical thickness shows that the Oman upwelling region displays a stronger coupling between the atmospheric deposition and the phytoplankton abundance. The high summertime dust levels in the atmosphere are suggested to contribute to the high primary production in the Oman upwelling region.

Cytological Findings of Malignant and Benign Head and Neck Masses in Somalia.

PubMed

Baş, Yılmaz

2018-04-11

There are no up-to-date records on head and neck masses (HNMs) in Somalia. This cytological study is the first to demonstrate the benefits and findings of fine-needle aspiration cytology in evaluating HNMs in the adult population of Somalia. A total of 116 aspiration samples were taken from different levels of the neck region, except for the thyroid. Cases were classified as salivary gland, lymph node, or soft tissue/cystic lesions. They were classified according to age, gender, and cytological diagnosis. Patients included 54 (46.6%) males and 62 (53.4%) females, with a mean age of 40.6 years. Seventy-two patients (62.1%) had benign lesions, while 44 (37.9%) had malignant lesions. Necrotizing granulomatous lymphadenitis (n = 51, 70.8% of the benign findings) and lymph node metastasis of squamous cell carcinoma (n = 13, 29.5% of the malignant findings) were the most frequent findings. Fine-needle aspiration is a useful procedure in the diagnosis of neck masses. It is a cheap and easy guiding method for diagnosing granulomatous lymphadenitis and advanced-stage metastatic cancers, which are common in this country. © 2018 S. Karger AG, Basel.

An Alternative Estimate of the Motion of the Capricorn Plate

NASA Astrophysics Data System (ADS)

Burris, S. G.; Gordon, R. G.

2013-12-01

Diffuse plate boundaries cover ~15% of Earth's surface and can exceed 1000 km in across-strike width. Deforming oceanic lithosphere in the equatorial Indian Ocean accommodates the motion between the India and Capricorn plates and serves as their mutual diffuse plate boundary. This deforming lithosphere lies between the Central Indian Ridge to the west and the Sumatra trench to the east; the plates diverge to the west of ≈74°E and converge to the east of it. Many data have shown that the pole of rotation between the India and Capricorn plates lies within this diffuse plate boundary [1,2]. Surprisingly, however, the recently estimated angular velocity in the MORVEL global set of angular velocities [3] places this pole of rotation north of prior poles by several degrees, and north of the diffuse plate boundary. The motion between the India and Capricorn plates can only be estimated indirectly by differencing the motion of the India plate relative to the Somalia plate, on the one hand, and the motion of the Capricorn plate relative to Somalia plate, on the other. While the MORVEL India-Somalia angular velocity is similar to prior estimates, the MORVEL Capricorn-Somalia pole of rotation lies northwest of its predecessors. The difference is not caused by new transform azimuth data incorporated into MORVEL or by the new application of a correction to spreading rates for outward displacement. Instead the difference appears to be caused by a few anomalous spreading rates near the northern end of the Capricorn-Somalia plate boundary along the Central Indian Ridge. Rejecting these data leads to consistency with prior results. Implications for the motion of the Capricorn plate relative to Australia will be discussed. [1] DeMets, C., R. G. Gordon, and J.-Y. Royer, 2005. Motion between the Indian, Capricorn, and Somalian plates since 20 Ma: implications for the timing and magnitude of distributed deformation in the equatorial Indian ocean, Geophys. J. Int., 161, 445-468. [2] Gordon, R. G., Royer, J.-Y., and D. F. Argus, 2008. Space geodetic test of kinematic models for the Indo-Australian composite plate, Geology, 36, 827-830, doi: 10.1130/G25089A.1. [3] DeMets, C., Gordon, R. G., & Argus, D. F., 2010. Geologically current plate motions, Geophys. J. Int., 181, 1-80, doi: 10.1111/j.1365-246X.2009.04491.x.

Epidemiology and Clinical Features of Patients with Visceral Leishmaniasis Treated by an MSF Clinic in Bakool Region, Somalia, 2004–2006

PubMed Central

Raguenaud, Marie-Eve; Jansson, Anna; Vanlerberghe, Veerle; Van der Auwera, Geert; Deborggraeve, Stijn; Dujardin, Jean-Claude; Orfanos, Giannos; Reid, Tony; Boelaert, Marleen

2007-01-01

Background There are few reports describing the epidemiology of visceral leishmaniasis (VL) in Somalia. Over the years 2002 to 2005, a yearly average of 140 patients were reported from the Huddur centre in Bakool region, whereas in 2006, this number rose to 1002 patients. Given the limited amount of information on VL and the opportunity to compare features with the studies done in 2000 in this part of Somalia, we describe the epidemiologic and clinical features of patients who presented to the Huddur treatment centre of Bakool region, Somalia, using data routinely collected over a five-year observation period (2002–2006). Methodology Methods used included the analysis of routine data on VL cases treated in the Huddur treatment centre, a retrospective study of records of patients admitted between 2004 and 2006, community leaders interviews, and analysis of blood specimens taken for parasite species identification in Antwerp Institute of Tropical Medicine. Principal Findings A total of 1671 VL patients were admitted to the Huddur centre from January 2002 until December 2006. Nearly all patients presented spontaneously to the health centre. Since 2002, the average patient load was stable, with an average of 140 admissions per year. By the end of 2005, the number of admissions dramatically increased to reach a 7-fold increase in 2006. The genotype of L. donovani identified in 2006 was similar to the one reported in 2002. 82% of total patients treated for VL originated from two districts of Bakool region, Huddur and Tijelow districts. Clinical recovery rate was 93.2% and case fatality rate 3.9%. Conclusions After four years of low but constant VL case findings, a major increase in VL was observed over a 16-month period in the Huddur VL centre. The profile of the patients was pediatric and mortality relatively low. Decentralized treatment centers, targeted active screening, and community sensitization will help decrease morbidity and mortality from VL in this endemic area. The true magnitude of VL in Somalia remains unknown. Further documentation to better understand transmission dynamics and thus define appropriate control measures will depend on the stability of the context and safe access to the Somali population. PMID:17989791

Detailed View of Erupting Nabro Volcano [annotated

NASA Image and Video Library

2017-12-08

NASA image acquired June 24, 2011 Since it began erupting on June 12, 2011, emissions from Eritrea’s Nabro Volcano have drifted over much of East Africa and the Middle East. Ash has displaced residents living near the volcano and disrupted flights in the region. Despite the volcano’s widespread effects, little is known about the eruption. Nabro is located in an isolated region along the border between Eritrea and Ethiopia, and few English-language reports have been published. Satellite remote sensing is currently the only reliable way to monitor the ongoing eruption. This satellite image is among the first detailed pictures of the erupting vent and lava flows. They were acquired by the Advanced Land Imager (ALI) aboard the Earth Observing-1 (EO-1) satellite on June 24, 2011. The bright red portions of the false-color image (top) indicate hot surfaces. Hot volcanic ash glows above the vent, located in the center of Nabro’s caldera. To the west of the vent, portions of an active lava flow (particularly the front of the flow) are also hot. The speckled pattern on upstream portions of the flow are likely due to the cool, hardened crust splitting and exposing fluid lava as the flow advances. The bulbous blue-white cloud near the vent is likely composed largely of escaping water vapor that condensed as the plume rose and cooled. The whispy, cyan clouds above the lava flow are evidence of degassing from the lava. NASA Earth Observatory image by Robert Simmon, using EO-1 ALI data. Caption by Robert Simmon. Instrument: EO-1 - ALI To download the high res go here: earthobservatory.nasa.gov/IOTD/view.php?id=51216 NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

Detailed View of Erupting Nabro Volcano

NASA Image and Video Library

2011-06-28

NASA image acquired June 24, 2011 Since it began erupting on June 12, 2011, emissions from Eritrea’s Nabro Volcano have drifted over much of East Africa and the Middle East. Ash has displaced residents living near the volcano and disrupted flights in the region. Despite the volcano’s widespread effects, little is known about the eruption. Nabro is located in an isolated region along the border between Eritrea and Ethiopia, and few English-language reports have been published. Satellite remote sensing is currently the only reliable way to monitor the ongoing eruption. This satellite image is among the first detailed pictures of the erupting vent and lava flows. They were acquired by the Advanced Land Imager (ALI) aboard the Earth Observing-1 (EO-1) satellite on June 24, 2011. The bright red portions of the false-color image (top) indicate hot surfaces. Hot volcanic ash glows above the vent, located in the center of Nabro’s caldera. To the west of the vent, portions of an active lava flow (particularly the front of the flow) are also hot. The speckled pattern on upstream portions of the flow are likely due to the cool, hardened crust splitting and exposing fluid lava as the flow advances. The bulbous blue-white cloud near the vent is likely composed largely of escaping water vapor that condensed as the plume rose and cooled. The whispy, cyan clouds above the lava flow are evidence of degassing from the lava. NASA Earth Observatory image by Robert Simmon, using EO-1 ALI data. Caption by Robert Simmon. Instrument: EO-1 - ALI To download the high res go here: earthobservatory.nasa.gov/IOTD/view.php?id=51216 NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

China and United Nations Peacekeeping Operations in Africa

DTIC Science & Technology

2007-01-01

November 2006 China-Africa Economic Forum , hosted by Beijing and attended by forty-eight African nations, President Hu promised that China would...scholarships to four thousand African students, and develop increasingly closer ties over the succeeding decade.7 This forum and China’s actions with...and Eritrea (UNMEE), Liberia (UNMIL), Sudan (UNMIS), Sierra Leone (UNIOSIL), and the Western Sahara (MINURSO, discussed at length below). The Chinese

Market Effects of Naval Presence in a Globalized World

DTIC Science & Technology

2002-01-01

reductions in Gross Domestic Product (GDP). The second group of countries, largely the top layer of developing countries led by Mexico , South Africa and...Republic Turkmenistan Germany Malaysia Cote d’Ivorie Chad Uzbekistan Hong Kong Mauritius Ecuador Congo, DR Ireland Mexico Gambia Eritrea...study, Mexico and Norway would experience declines in income associated with forward deployed naval operations. On the other hand movements in

A geochemical reconnaissance of the Alid volcanic center and geothermal system, Danakil depression, Eritrea

USGS Publications Warehouse

Lowenstern, J. B.; Janik, C.J.; Fournier, R.O.; Tesfai, T.; Duffield, W.A.; Clynne, M.A.; Smith, James G.; Woldegiorgis, L.; Weldemariam, K.; Kahsai, G.

1999-01-01

Geological and geochemical studies indicate that a high-temperature geothermal system underlies the Alid volcanic center in the northern Danakil depression of Eritrea. Alid is a very late-Pleistocene structural dome formed by shallow intrusion of rhyolitic magma, some of which vented as lavas and pyroclastic flows. Fumaroles and boiling pools distributed widely over an area of ~10 km2 on the northern half of Alid suggest that an active hydrothermal system underlies much of that part of the mountain. Geothermometers indicate that the fumarolic gases are derived from a geothermal system with temperatures >225??C. The isotopic composition of condensed fumarolic steam is consistent with these temperatures and implies that the source water is derived primarily from either lowland meteoric waters or fossil Red Sea water, or both. Some gases vented from the system (CO2, H2S and He) are largely magmatic in origin. Permeability beneath the volcanic center may be high, given the amount of intrusion-related deformation and the active normal faulting within the Danakil depression.Geological and geochemical studies indicate that a high-temperature geothermal system underlies the Alid volcanic center in the northern Danakil depression of Eritrea. Alid is a very late-Pleistocene structural dome formed by shallow intrusion of rhyolitic magma, some of which vented as lavas and pyroclastic flows. Fumaroles and boiling pools distributed widely over an area of approx. 10 km2 on the northern half of Alid suggest that an active hydrothermal system underlies much of that part of the mountain. Geothermometers indicate that the fumarolic gases are derived from a geothermal system with temperatures >225??C. The isotopic composition of condensed fumarolic steam is consistent with these temperatures and implies that the source water is derived primarily from either lowland meteoric waters or fossil Red Sea water, or both. Some gases vented from the system (CO2, H2S and He) are largely magmatic in origin. Permeability beneath the volcanic center may be high, given the amount of intrusion-related deformation and the active normal faulting within the Danakil depression.

Fabric evolution across a discontinuity between lower and upper crustal domains from field, microscopic, and anisotropy of magnetic susceptibility studies in central eastern Eritrea, NE Africa

NASA Astrophysics Data System (ADS)

Ghebreab, W.; Kontny, A.; Greiling, R. O.

2007-06-01

In the Neoproterozoic East African Orogen (EAO) of Eritrea, lower to middle crustal high-grade metamorphic rocks are juxtaposed against low-grade upper crustal rocks along diffuse tectonic contact zones or discontinuities. In the central eastern part of Eritrea, such a tectonic zone is exposed as a low-angle shear zone separating two distinct high- and low-grade domains, the Ghedem and Bizen, respectively. Integrated field, microfabric, and anisotropy of magnetic susceptibility (AMS) studies show that this low-angle shear zone formed during late deformation, D2, with top-to-the-E/SE sense of motion. The hanging wall upper crustal volcanosedimentary schists are mainly paramagnetic and the footwall middle crustal mylonitized orthogneisses are mainly ferrimagnetic. Magnetic fabric studies revealed a good agreement between metamorphic/mylonitic and magnetic foliations (Kmin) and helped to explain fabric development in the shear zone. The magnetic lineations (Kmax) reflect stretching lineations where stretched mineral aggregates dominate fine-grained mylonitic matrices and intersection lineations where microstructural studies revealed two fabric elements. AMS directional plots indicate that the orientations of the magnetic lineation and of the pole to the magnetic foliation vary systematically across the shear zone. While Kmax axes form two broad maxima oriented approximately N-S and E-W, the Kmin axes change from subhorizontal, generally westward inclination in the west to moderate to steep inclination in the direction of tectonic movement to the east. Because there is a systematic change in inclination of Kmin for individual samples, all samples together form a fairly well defined cluster distribution. The distribution of Kmin in combination with the E-W scattered plot of the Kmax is in accordance with the E/SE flow of mylonites over exhumed Damas core complex in the late Neoproterozoic. During the Cenozoic, the Red Sea rift-related detachments exploited the late orogenic shear zone, indicating that the discontinuities between ductile middle and brittle upper crustal layers in the region are reactivated low-angle shear zones and possible sites of core complexes.

High seasonal variation in entomologic inoculation rates in Eritrea, a semi-arid region of unstable malaria in Africa.

PubMed

Shililu, Josephat; Ghebremeskel, Tewolde; Mengistu, Solomon; Fekadu, Helen; Zerom, Mehari; Mbogo, Charles; Githure, John; Novak, Robert; Brantly, Eugene; Beier, John C

2003-12-01

Entomologic studies were conducted in eight villages to investigate the patterns of malaria transmission in different ecologic zones in Eritrea. Mosquito collections were conducted for 24 months between September 1999 and January 2002. The biting rates of Anopheles arabiensis were highly seasonal, with activity concentrated in the wet season between June and October in the highlands and western lowlands, and between December and March in the coastal region. The biting rates in the western lowlands were twice as high as in the western escarpment and 20 times higher than in the coastal region. Sporozoite rates were not significantly different among villages. The risk of infection ranged from zero on the coast to 70.6 infective bites per year in the western lowlands. The number of days it would take for an individual to receive an infective bite from an infected An. arabiensis was variable among villages (range = 2.8-203.1 days). The data revealed the presence of only one main malaria transmission period between July and October for the highlands and western lowlands. Peak inoculation rates were recorded in August and September (range = 0.29-43.6 infective bits/person/month) at all sites over the two-year period. The annual entomologic inoculation rates (EIRs) varied greatly depending on year. The EIR profiles indicated that the risk of exposure to infected mosquitoes is highly heterogeneous and seasonal, with high inoculation rates during the rainy season, and with little or no transmission during the dry season. This study demonstrates the need to generate spatial and temporal data on transmission intensity on smaller scales to guide targeted control of malaria operations in semi-arid regions. Furthermore, EIR estimates derived in the present study provide a means of quantifying levels of exposure to infected mosquitoes in different regions of the country and could be important for evaluating the efficacy of vector control measures, since Eritrea has made significant steps in reducing the burden of malaria based on the Roll Back Malaria initiative of the World Health Organization.

Near-death experiences, attacks by family members, and absence of health care in their home countries affect the quality of life of refugee women in Germany: a multi-region, cross-sectional, gender-sensitive study.

PubMed

Jesuthasan, Jenny; Sönmez, Ekin; Abels, Ingar; Kurmeyer, Christine; Gutermann, Jana; Kimbel, Renate; Krüger, Antje; Niklewski, Guenter; Richter, Kneginja; Stangier, Ulrich; Wollny, Anja; Zier, Ulrike; Oertelt-Prigione, Sabine; Shouler-Ocak, Meryam

2018-02-01

The year 2016 has marked the highest number of displaced people worldwide on record. A large number of these refugees are women, yet little is known about their specific situation and the hurdles they have to face during their journey. Herein, we investigated whether sociodemographic characteristics and traumatic experiences in the home country and during the flight affected the quality of life of refugee women arriving in Germany in 2015-2016. Six hundred sixty-three women from six countries (Afghanistan, Syria, Iran, Iraq, Somalia, and Eritrea) living in shared reception facilities in five distinct German regions were interviewed by native speakers using a structured questionnaire. Sociodemographic data and information about reasons for fleeing, traumatic experiences, symptoms, quality of life, and expectations towards their future were elicited. All information was stored in a central database in Berlin. Descriptive analyses, correlations, and multivariate analyses were performed. The most frequent reasons cited for fleeing were war, terror, and threat to one's life or the life of a family member. Eighty-seven percent of women resorted to smugglers to make the journey to Europe, and this significantly correlated to residence in a war zone (odds ratio (OR) = 2.5, 95% confidence interval (CI) = 1.4-4.6, p = 0.003) and homelessness prior to fleeing (OR = 2.1, 95% CI = 1-4.3, p = 0.04). Overall the described quality of life by the women was moderate (overall mean = 3.23, range of 1-5) and slightly worse than that of European populations (overall mean = 3.68, p < 0.0001). The main reasons correlating with lower quality of life were older age, having had a near-death experience, having been attacked by a family member, and absence of health care in case of illness. Refugee women experience multiple traumatic experiences before and/or during their journey, some of which are gender-specific. These experiences affect the quality of life in their current country of residence and might impact their integration. We encourage the early investigation of these traumatic experiences to rapidly identify women at higher risk and to improve health care for somatic and mental illness.

School Principal's Role in Facilitating Change in Teaching-Learning Process: Teachers' Attitude. A Case Study on Five Junior Schools in Asmara, Eritrea

ERIC Educational Resources Information Center

Fessehatsion, Petros Woldu

2017-01-01

The research tried to examine the role of school principal in facilitating change in teaching-learning process. Moreover, it has focused on the main roles of principal in implementing LCIP. The research employed both quantitative and qualitative methods. The study used a random sample of 62 teachers from a purposefully selected five junior schools…

EVALUATION OF A COMMUNITY INTERVENTION FOR PROMOTION OF SAFE MOTHERHOOD IN ERITREA

PubMed Central

Turan, Janet Molzan; Tesfagiorghis, Mekonnen; Polan, Mary Lake

2010-01-01

Objectives We evaluated a community-based intervention to promote safe motherhood, focusing on knowledge and behaviors that may prevent maternal mortality and birth complications. The intervention aimed to increase women’s birth preparedness, knowledge of birth danger signs, use of antenatal care (ANC) services, and delivery at a health facility. Methods Volunteers from a remote rural community in Northern Eritrea were trained to lead participatory educational sessions on safe motherhood with women and men. The evaluation used a quasi-experimental design (non-equivalent group pretest-posttest) including cross-sectional surveys with postpartum women (pretest N=466, posttest N=378) in the intervention area and in a similar remote rural comparison area. Results Women’s knowledge of birth danger signs increased significantly in the intervention area, but not in the comparison area. There was a significant increase in the proportion of women who had the recommended four or more ANC visits during pregnancy in the intervention area (from 18% to 80%, p<.001); while this proportion did not change significantly in the comparison area (from 53% to 47%, p=0.194). There was a greater increase in delivery in a health facility in the intervention area. Conclusions Participatory sessions led by community volunteers can increase safe motherhood knowledge and encourage use of essential maternity services. PMID:21323845

The role of counseling for obstetric fistula patients: Lessons learned from Eritrea

PubMed Central

Johnson, Khaliah A.; Turan, Janet M.; Hailemariam, Letu; Mengsteab, Elsa; Jena, Dirk; Polan, Mary Lake

2013-01-01

Objective The goal of this study was to evaluate the first formal counseling program for obstetric fistula patients in Eritrea. Methods To evaluate the impact of the counseling program, clients were interviewed both before pre-operative counseling and again after post-operative counseling. A questionnaire was used in the interviews to assess women's knowledge about fistula, self-esteem, and their behavioral intentions for health maintenance and social reintegration following surgical repair. In addition, two focus groups were conducted with a total of 19 clients assessing their experiences with the surgical care and counseling. Results Data from the questionnaires revealed significant improvements in women's knowledge about fistula, self-esteem, and behavioral intentions following counseling. Focus group data also supported increased knowledge and self-esteem. Conclusion Evaluation of the short-term impact of an initial formal counseling program for fistula patients in sub-Saharan Africa affirmed the positive effects that such a program has for fistula patients, with increased knowledge about the causes of fistula, fistula prevention and enhanced self-esteem. Practical implications Culturally appropriate counseling can be incorporated into services for surgical repair of obstetric fistula in low-resource settings and has the potential to improve the physical and mental well-being of women undergoing fistula repair. PMID:20034756

Efficacy of monotherapies and artesunate-based combination therapies in children with uncomplicated malaria in Somalia.

PubMed

Warsame, Marian; Atta, Hoda; Klena, John D; Waqar, Butt Ahmed; Elmi, Hussein Haji; Jibril, Ali Mohamed; Hassan, Hassan Mohamed; Hassan, Abdullahi Mohamed

2009-02-01

In order to guide the antimalarial treatment policy of Somalia, we conducted therapeutic efficacy studies of routinely used antimalarial monotherapies as well as artemisinin-based combination therapies (ACTs) for uncomplicated malaria in three sentinel sites during 2003-2006. Therapeutic efficacy of chloroquine (CQ), amodiaquine (AQ) and sulfadoxine/pyrimetahmine (SP) monotherapies, and artesunate plus SP (AS+SP) or AQ (AS+AQ) were evaluated in children 6 months to 10 years old with uncomplicated malaria. For the assessment of the monotherapies, 2003 WHO protocol with 14-day follow-up was used while the 2005 WHO protocol with 28-day follow-up was used for testing the ACTs. Of the monotherapies, CQ performed very poorly with treatment failures varying from 76.5% to 88% between the sites. AQ treatment failure was low except for Janale site with treatment failure of 23.4% compared to 2.8% and 8% in Jamame and Jowhar, respectively. For SP, treatment failures from 7.8% to 12.2% were observed. A 28-day test of artemisinin-based combinations, AS+SP and AS+AQ, proved to be highly efficacious with cure rates of 98-100% supporting the choice of AS+SP combination as first line treatment for uncomplicated malaria for Somalia.

Modelling the Ecological Comorbidity of Acute Respiratory Infection, Diarrhoea and Stunting among Children Under the Age of 5 Years in Somalia.

PubMed

Kinyoki, Damaris K; Manda, Samuel O; Moloney, Grainne M; Odundo, Elijah O; Berkley, James A; Noor, Abdisalan M; Kandala, Ngianga-Bakwin

2017-04-01

The aim of this study was to assess spatial co-occurrence of acute respiratory infections (ARI), diarrhoea and stunting among children of the age between 6 and 59 months in Somalia. Data were obtained from routine biannual nutrition surveys conducted by the Food and Agriculture Organization 2007-2010. A Bayesian hierarchical geostatistical shared component model was fitted to the residual spatial components of the three health conditions. Risk maps of the common spatial effects at 1×1 km resolution were derived. The empirical correlations of the enumeration area proportion were 0.37, 0.63 and 0.66 for ARI and stunting, diarrhoea and stunting and ARI and diarrhoea, respectively. Spatially, the posterior residual effects ranged 0.03-20.98, 0.16-6.37 and 0.08-9.66 for shared component between ARI and stunting, diarrhoea and stunting and ARI and diarrhoea, respectively. The analysis showed clearly that the spatial shared component between ARI, diarrhoea and stunting was higher in the southern part of the country. Interventions aimed at controlling and mitigating the adverse effects of these three childhood health conditions should focus on their common putative risk factors, particularly in the South in Somalia.

Treatment of uncomplicated malaria with artesunate plus sulfadoxine-pyrimethamine is failing in Somalia: evidence from therapeutic efficacy studies and Pfdhfr and Pfdhps mutant alleles.

PubMed

Warsame, Marian; Hassan, Abdillahi Mohamed; Barrette, Amy; Jibril, Ali Mohamed; Elmi, Husein Haji; Arale, Abdulkadir Mohamed; Mohammady, Hanan El; Nada, Rania A; Amran, Jamal Ghilan Hefzullah; Muse, Abdikarim; Yusuf, Fahmi Essa; Omar, Abdiqani Sheikh

2015-04-01

Artesunate plus sulfadoxine-pyrimethamine (AS + SP) has been Somalia's national treatment policy since 2006. Routine monitoring of first-line malaria treatment is needed to ensure appropriate national malaria treatment policy and early detection of drug resistance. For this purpose, we conducted therapeutic efficacy studies of AS + SP for the treatment of uncomplicated malaria in Somalia in 2011. Studies were conducted in three sentinel sites. Eligible patients were evaluated for clinical and parasitological outcomes according to the WHO standard protocol. Molecular surveillance was conducted on resistance conferring mutations in the P.falciparum dihydrofolate reductase (dfhr) and dihydropteroate synthase (dhps) genes. The proportion of PCR-corrected treatment failures was high in Jamame (22%, 95% CI: 13.7-32.8%) and low (<5%) in Janale and Jowhar. All patients cleared parasites by day 3. Molecular markers associated with SP resistance were detected in all three sites. Treatment failure was associated with the presence of the double mutant dhps A437G/K540E (OR = 22.4, 95% CI: 5.1-98.1), quadruple mutant dhfr N51I/S108N+dhps A437G/K540E (OR = 5.5, 95% CI: 2.3-13.6), quintuple mutant dhfr N51I/C59R/S108N+dhps A437G/K540E (OR = 3.5, 95% CI: 1.4-8.8) and younger age (OR=0.86, 95% CI: 0.76-0.96). The high treatment failure rate observed in Jamame, together with the presence of molecular mutations associated with SP resistance, indicates P. falciparum resistance to SP. In Jowhar, high treatment failure rates were absent despite the presence of molecular mutations; signs of resistance in vivo may have been masked by the stronger immunity of the older study population. The study underscores the need to update Somalia's national malaria treatment policy. © 2015 John Wiley & Sons Ltd.

Population dynamics of rural Ethiopia.

PubMed

Bariabagar, H

1978-01-01

2 rounds of the national sample surveys, conducted by the central statistical office of Ethiopia during 1964-1967 and 1969-1971, provide the only comprehensive demographic data for the country and are the basis for this discussion of rural Ethiopia's population dynamics. The population of Ethiopia is predominantly rural. Agglomerations of 2000 and over inhabitants constitute about 14% of the population, and this indicates that Ethiopia has a low level of urbanization. In rural Ethiopia, international migration was negligent in the 1970's and the age structure can be assumed to be the results of past trends of fertility and mortality conditions. The reported crude birthrate (38.2), crude death rate (12.3) and infant mortality rate (90) of rural Ethiopia fall short of the averages for African countries. Prospects of population growth of rural Ethiopia would be immense. At the rate of natural increase of between 2.4 and 3.0% per annum, the population would double in 24-29 years. Regarding population issues, the programs of the National Democratic Revolution of Ethiopia faces the following main challenging problems: 1) carrying out national population censuses in order to obtain basic information for socialist planning; 2) minimizing or curtailing the existing high urban growth rates; 3) reducing rapidly growing population; and 5) mobilizing Ethiopian women to participate in the social, economic and political life of the country in order to create favorable conditions for future fertility reduction.

Immunization Coverage

MedlinePlus

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48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., Mauritania, Mozambique, Nepal, Niger, Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon... Leone, Solomon Islands, Somalia, Tanzania, Togo, Tuvalu, Uganda, Vanuatu, Yemen, or Zambia. Least...

48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., Mauritania, Mozambique, Nepal, Niger, Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon... Leone, Solomon Islands, Somalia, Tanzania, Togo, Tuvalu, Uganda, Vanuatu, Yemen, or Zambia. Least...

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2016-12-28

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The predominance of Ethiopian specific Mycobacterium tuberculosis families and minimal contribution of Mycobacterium bovis in tuberculous lymphadenitis patients in Southwest Ethiopia.

PubMed

Tadesse, Mulualem; Abebe, Gemeda; Bekele, Alemayehu; Bezabih, Mesele; de Rijk, Pim; Meehan, Conor J; de Jong, Bouke C; Rigouts, Leen

2017-11-01

Ethiopia has an extremely high rate of extrapulmonary tuberculosis, dominated by tuberculous lymphadenitis (TBLN). However, little is known about Mycobacterium tuberculosis complex (MTBc) lineages responsible for TBLN in Southwest Ethiopia. A total of 304 MTBc isolates from TBLN patients in Southwest Ethiopia were genotyped primarily by spoligotyping. Isolates of selected spoligotypes were further analyzed by 15-loci mycobacterial interspersed repetitive unit-variable number tandem repeat (MIRU-VNTR) (n=167) and qPCR-based single nucleotide polymorphism (n=38). Isolates were classified into main phylogenetic lineages and families by using the reference strain collections and identification tools available at MIRU-VNTRplus data base. Resistance to rifampicin was determined by Xpert MTB/RIF. The majority of isolates (248; 81.6%) belonged to the Euro-American lineage (Lineage 4), with the ill-defined T and Haarlem as largest families comprising 116 (38.2%) and 43 (14.1%) isolates respectively. Of the T family, 108 isolates were classified as being part of the newly described Ethiopian families, namely Ethiopia_2 (n=44), Ethiopia_3 (n=34) and Ethiopia_H 37 Rv-like (n=30). Other sub-lineages included URAL (n=18), S (n=17), Uganda I (n=16), LAM (n=13), X (n=5), TUR (n=5), Uganda II (n=4) and unknown (n=19). Lineage 3 (Delhi/CAS) was the second most common lineage comprising 44 (14.5%) isolates. Interestingly, six isolates (2%) were belonged to Lineage 7, unique to Ethiopia. Lineage 1 (East-African Indian) and Lineage 2 (Beijing) were represented by 3 and 1 isolates respectively. M. bovis was identified in only two (0.7%) TBLN cases. The cluster rate was highest for Ethiopia_3 isolates showing clonal similarity with isolates from North Ethiopia. Lineage 3 was significantly associated with rifampicin resistance. In TBLN in Southwest Ethiopia, the recently described Ethiopia specific Lineage 4 families were predominant, followed by Lineage 3 and Lineage 4-Haarlem. The contribution of M. bovis in TBLN infection is minimal. Copyright © 2017. Published by Elsevier B.V.

Assessing and mitigating the risks for polio outbreaks in polio-free countries - Africa, 2013-2014.

PubMed

Andre, McKenzie; Wolff, Chris G; Tangermann, Rudolf H; Chenoweth, Paul; Tallis, Graham; Kamgang, Jean Baptiste; Wassilak, Steven G F

2014-08-29

Since 1988, when the Global Polio Eradication Initiative (GPEI) began, the annual number of polio cases has decreased by >99%. Only three countries remain that have never interrupted wild poliovirus (WPV) transmission: Afghanistan, Nigeria, and Pakistan. Since 2001, outbreaks have occurred in 31 formerly polio-free counties in Africa, with outbreaks in 25 countries caused by WPV originating in Nigeria (2-4). After the declaration of the World Health Assembly of polio eradication as a programmatic emergency in 2012, efforts to identify areas at high risk for importation-associated outbreaks and to reduce that risk have been intensified. This report updates the 2013 assessment of the risk for outbreaks attributable to importation of poliovirus in 33 countries in Africa, using indicators of childhood susceptibility to poliovirus and proximity to countries currently affected by polio . From January 2013 to August 12, 2014, outbreaks occurred in five African countries. Four of the five (Cameroon, Equatorial Guinea, Ethiopia, and Somalia) have had recent transmission (cases within the previous 12 months). Based on the current risk assessment, 15 countries are considered to be at high risk for WPV outbreaks, five at moderate-to-high risk, seven at moderate risk, and six at low risk. In 15 of the 33 countries, less than half of the population resides in areas where surveillance performance indicators have met minimum targets. Enhanced, coordinated activities to raise childhood immunity are underway in 2014 to prevent additional WPV spread. Although substantial progress toward polio eradication has occurred in Nigeria, all African countries remain at risk for outbreaks as long as WPV continues to circulate anywhere on the continent.

Refugees and displaced persons. War, hunger, and public health.

PubMed

Toole, M J; Waldman, R J

1993-08-04

The number of refugees and internally displaced persons in need of protection and assistance has increased from 30 million in 1990 to more than 43 million today. War and civil strife have been largely responsible for this epidemic of mass migration that has affected almost every region of the world, including Europe. Since 1990, crude death rates (CDRs) during the early influx of refugees who crossed international borders have been somewhat lower than CDRs reported earlier among Cambodian and Ethiopian refugees. Nevertheless, CDRs among refugees arriving in Ethiopia, Kenya, Nepal, Malawi, and Zimbabwe since 1990 ranged from five to 12 times the baseline CDRs in the countries of origin. Among internally displaced populations in northern Iraq, Somalia, and Sudan, CDRs were extremely high, ranging from 12 to 25 times the baseline CDRs for the nondisplaced. Among both refugees and internally displaced persons, death rates among children less than 5 years of age were far higher than among older children and adults. In Bangladesh, the death rate in female Rohingya refugees was several times higher than in males. Preventable conditions such as diarrheal disease, measles, and acute respiratory infections, exacerbated often by malnutrition, caused most deaths. Although relief programs for refugees have improved since 1990, the situation among the internally displaced may have worsened. The international community should intervene earlier in the evolution of complex disasters involving civil war, human rights abuses, food shortages, and mass displacement. Relief programs need to be based on sound health and nutrition information and should focus on the provision of adequate shelter, food, water, sanitation, and public health programs that prevent mortality from diarrhea, measles, and other communicable diseases, especially among young children and women.

Khat use and monitoring drug use in Europe: the current situation and issues for the future.

PubMed

Griffiths, Paul; Lopez, Dominique; Sedefov, Roumen; Gallegos, Ana; Hughes, Brendan; Noor, André; Royuela, Luis

2010-12-01

To review the information available on the use of khat (Catha edulis) in the EU, and to assess the future use of this drug and related substances. Khat is not controlled by international law and it has not been systematically included in the list of illicit drugs monitored in the EU. The current principal source of information on khat use in Europe is the early-warning system set up to monitor new and emerging drugs. Further information was obtained from official national reports to the EMCDDA and from the scientific literature. Across Europe, the use of khat is low. Khat use is limited to countries with immigrant communities from countries where khat use is common (such as Ethiopia, Somalia and Kenya). Information on the prevalence of khat use in the general population is scarce. Data on seizures provide an insight on the situation, though these may be difficult to interpret. The most recent estimates suggest that Europe accounts for about 40% of the khat seized worldwide. The shortage of data on the use and patterns of use of khat in Europe does not allow an evaluation of the needs for health and social interventions in communities in which the drug is used. But seizures of the plant are increasing in the EU, and more synthetic derivatives of the pharmacologically active ingredients of the plant (cathine and cathinone) are appearing on the market. Some of these, like mephedrone, have significant potential for future diffusion, and are likely to play a greater role on the European drug scene of the future. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Characteristics of Travellers from Bosnia and Herzegovina to Africa

PubMed Central

Obradovic, Zarema; Obradovic, Amina

2013-01-01

Conflict of interest: none declared. Introduction Travellers from Bosnia and Herzegovina (B&H) travel to different world countries. The awareness of people is changing every day and nowadays travellers seek advices related to their travel and destination more often than before. In the previous years, travellers came to Travel Clinics almost only to get the vaccines which were obligatory for entry into a country. In B&H travel clinics are a part of public health institutes. The largest Travel Clinic which provides service for the highest number of travellers is in the Public Health Institute of Sarajevo Canton, in the city of Sarajevo, which is the capital of B&H. In the last years we have seen an increasing interest for travel to Africa because the highest number of travellers travel to African countries. Objective To show the characteristics of persons travelling to Africa, the reasons of their travel, the destination countries and the types of vaccines applied. Materials and methods We used protocol books of the Travel Clinic in Public Health Institute of Sarajevo Canton and the data from individual forms of travellers. Results Persons travelling to Africa make 55% of all travellers that are advised and vaccinated in the Travel Clinic in Public Health Institute of Sarajevo Canton. There are significantly more men than women among people travelling to Africa. The highest number of travellers is in the category of working population which means age group of 20-50 years. The most visited countries are Kenya, Ethiopia, Somalia and Ghana. Travellers received the following vaccines: yellow fever, VHA, VHB, meningitis, tetanus. All travellers were given the advice on how to dress, feed and protect against malaria. PMID:24082834

The Climate-Population Nexus in the East African Horn: Emerging Degradation Trends in Rangeland and Pastoral Livelihood Zones

NASA Astrophysics Data System (ADS)

Pricope, N. G.; Husak, G. J.; Funk, C. C.; Lopez-Carr, D.

2014-12-01

Increasing climate variability and extreme weather conditions along with declining trends in both rainfall and temperature represent major risk factors affecting agricultural production and food security in many regions of the world. We identify regions where significant rainfall decrease from 1979-2011 over the entire continent of Africa couples with significant human population density increase. The rangelands of Ethiopia, Kenya, and Somalia in the East African Horn remain one of the world's most food insecure regions, yet have significantly increasing human populations predominantly dependent on pastoralist and agro-pastoralist livelihoods. Vegetation in this region is characterized by a variable mosaic of land covers, generally dominated by grasslands necessary for agro-pastoralism, interspersed by woody vegetation. Recent assessments indicate that widespread degradation is occurring, adversely impacting fragile ecosystems and human livelihoods. Using two underutilized MODIS products, we observe significant changes in vegetation patterns and productivity over the last decade all across the East African Horn. We observe significant vegetation browning trends in areas experiencing drying precipitation trends in addition to increasing population pressures. We also found that the drying precipitation trends only partially statistically explain the vegetation browning trends, further indicating that other factors such as population pressures and land use changes are responsible for the observed declining vegetation health. Furthermore, we show that the general vegetation browning trends persist even during years with normal rainfall conditions such as 2012, indicating potential long-term degradation of rangelands on which approximately 10 million people depend. These findings have serious implications for current and future regional food security monitoring and forecasting as well as for mitigation and adaptation strategies in a region where population is expected to continue increasing against a backdrop of drying climate trends.

HIV prevalence and characteristics of sex work among female sex workers in Hargeisa, Somaliland, Somalia.

PubMed

Kriitmaa, Kelsi; Testa, Adrienne; Osman, Mohamed; Bozicevic, Ivana; Riedner, Gabriele; Malungu, Jacqueline; Irving, Greg; Abdalla, Ismail

2010-07-01

To measure prevalence of HIV and syphilis and describe characteristics of sex work among female sex workers (FSWs) in Hargeisa, Somaliland, Somalia. A cross-sectional survey recruited 237 FSWs using respondent-driven sampling (RDS). A face-to-face, structured interview using handheld-assisted personal interviewing (HAPI) on personal digital assistants (PDAs) was completed and blood collected for serological testing. FSWs 15-19 years old accounted for 6.9% of the population; 20-24 year-old constituted an additional 18.0%. The majority (86.6%) never attended school. International (59.0%) and interzonal (10.7%) migration was common. Most (95.7%) reported no other source of income; 13.8% had five or more clients in the last 7 days. A minority (38.4%) had heard of STIs, even fewer (6.9%) held no misconceptions about HIV. Only 24% of FSW reported using a condom at last transactional sex, and 4% reported ever been tested for HIV. HIV prevalence was 5.2% and syphilis prevalence was 3.1%. Sex work in Hargeisa, Somaliland, Somalia, is characterized by high numbers of sexual acts and extremely low knowledge of HIV. This study illustrates the need for targeted HIV prevention interventions focusing on HIV testing, risk-reduction awareness raising, and review of condom availability and distribution mechanisms among FSWs and males engaging with FSWs.

Buruli Ulcer (Mycobacterium ulcerans Infection)

MedlinePlus

... Pacific WHO in countries » Overview Statistics Cooperation strategies Democratic Republic of the Congo » Emergencies Focus on » Bangladesh Rohingya Democratic Republic of the Congo Iraq Nigeria Somalia South ...

Global Health Observatory (GHO): Life Expectancy

MedlinePlus

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Onchocerciasis

MedlinePlus

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Surgical treatment of neglected congenital idiopathic talipes equinovarus after walking age in Eritrea: an Italo-Eritrean cooperation.

PubMed

Faldini, C; Prosperi, L; Traina, F; Nanni, M; Tesfaghiorghi, S; Tsegay, S; Yosief, M; Pungetti, C; Sanzarello, I

2016-08-01

An Italian team of orthopaedic surgeons joined Eritrean colleagues to perform a clinical study in ambulating children affected by neglected idiopathic congenital talipes equinovarus (clubfoot). This study reports the surgical strategy as well as clinical outcomes, early complications and relapse at a mid-term follow-up. Four expeditions of 7 days were organized between 2012 and 2015 from Italy to the Halibet Hospital of Asmara in Eritrea. In each expedition were included two experienced surgeons, two assistants and one anaesthesiologist. During these expeditions, a total of 468 patients were evaluated together with Eritrean colleagues and 45 cases of neglected talipes equinovarus in ambulating children were diagnosed and selected for surgery. Follow-up range was 1-3 years. During the four expeditions, the Eritrean team of orthopaedic surgeons learned to manage most cases of neglected talipes equinovarus. No major complications were reported. Sixteen feet were considered excellent, 25 good and four poor. No overcorrections were observed. Neglected congenital talipes equinovarus is the result of delayed treatment of congenital deformity in developing countries, and its treatment often requires extensive surgery. Collaboration with foreign expert surgeons may help local doctors to learn how to treat this disease. The current study demonstrates that surgical expeditions in developing countries, when organized in collaboration with local doctors, help to manage on site this severe deformity.

Indirect child mortality estimation technique to identify trends of under-five mortality in Ethiopia.

PubMed

Ayele, Dawit G; Zewotir, Temesgen; Mwambi, Henry

2016-03-01

In sub-Saharan African countries, the chance of a child dying before the age of five years is high. The problem is similar in Ethiopia, but it shows a decrease over years. The 2000; 2005 and 2011 Ethiopian Demographic and Health Survey results were used for this work. The purpose of the study is to detect the pattern of under-five child mortality overtime. Indirect child mortality estimation technique is adapted to examine the under-five child mortality trend in Ethiopia. From the result, it was possible to see the trend of under-five child mortality in Ethiopia. The under-five child mortality shows a decline in Ethiopia. From the study, it can be seen that there is a positive correlation between mother and child survival which is almost certain in any population. Therefore, this study shows the trend of under-five mortality in Ethiopia and decline over time.

Frequently Asked Questions and Answers on Smallpox

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Measles

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The need for a comprehensive response to HIV/ AIDS in north-western Somalia: evidence from a seroprevalence survey.

PubMed

Abdalla, E; Ekanem, E; Said, D; Arube, P; Gboun, M; Mohammed, F

2010-02-01

The prolonged civil strife in the North-West Zone of Somalia (Somaliland) has hampered the development of social infrastructure and public health services. There are limited data on HIV/AIDS. In 2004, a sentinel HIV seroprevalence survey was conducted. Blood samples were collected from 1561 women attending antenatal care clinics, 249 tuberculosis (TB) patients and 243 people attending sexually transmitted disease (STD) clinics. Samples were tested for syphilis and HIV. Overall HIV prevalence was 1.4%, significantly higher than that observed in many other countries in the Region. Prevalence was 1.2% among pregnant women 15-24 years, 12.3% among patients with STD and 5.6% among TB patients. The prevalence of syphilis was 1.3% in the pregnant women.

Technical and scale efficiency of public community hospitals in Eritrea: an exploratory study

PubMed Central

2013-01-01

Background Eritrean gross national income of Int$610 per capita is lower than the average for Africa (Int$1620) and considerably lower than the global average (Int$6977). It is therefore imperative that the country’s resources, including those specifically allocated to the health sector, are put to optimal use. The objectives of this study were (a) to estimate the relative technical and scale efficiency of public secondary level community hospitals in Eritrea, based on data generated in 2007, (b) to estimate the magnitudes of output increases and/or input reductions that would have been required to make relatively inefficient hospitals more efficient, and (c) to estimate using Tobit regression analysis the impact of institutional and contextual/environmental variables on hospital inefficiencies. Methods A two-stage Data Envelopment Analysis (DEA) method is used to estimate efficiency of hospitals and to explain the inefficiencies. In the first stage, the efficient frontier and the hospital-level efficiency scores are first estimated using DEA. In the second stage, the estimated DEA efficiency scores are regressed on some institutional and contextual/environmental variables using a Tobit model. In 2007 there were a total of 20 secondary public community hospitals in Eritrea, nineteen of which generated data that could be included in the study. The input and output data were obtained from the Ministry of Health (MOH) annual health service activity report of 2007. Since our study employs data that are five years old, the results are not meant to uncritically inform current decision-making processes, but rather to illustrate the potential value of such efficiency analyses. Results The key findings were as follows: (i) the average constant returns to scale technical efficiency score was 90.3%; (ii) the average variable returns to scale technical efficiency score was 96.9%; and (iii) the average scale efficiency score was 93.3%. In 2007, the inefficient hospitals could have become more efficient by either increasing their outputs by 20,611 outpatient visits and 1,806 hospital discharges, or by transferring the excess 2.478 doctors (2.85%), 9.914 nurses and midwives (0.98%), 9.774 laboratory technicians (9.68%), and 195 beds (10.42%) to primary care facilities such as health centres, health stations, and maternal and child health clinics. In the Tobit regression analysis, the coefficient for OPDIPD (outpatient visits as a proportion of inpatient days) had a negative sign, and was statistically significant; and the coefficient for ALOS (average length of stay) had a positive sign, and was statistically significant at 5% level of significance. Conclusions The findings from the first-stage analysis imply that 68% hospitals were variable returns to scale technically efficient; and only 42% hospitals achieved scale efficiency. On average, inefficient hospitals could have increased their outpatient visits by 5.05% and hospital discharges by 3.42% using the same resources. Our second-stage analysis shows that the ratio of outpatient visits to inpatient days and average length of inpatient stay are significantly correlated with hospital inefficiencies. This study shows that routinely collected hospital data in Eritrea can be used to identify relatively inefficient hospitals as well as the sources of their inefficiencies. PMID:23497525

Find a Hematologist

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The seismicity of Ethiopia; active plate tectonics

USGS Publications Warehouse

Mohr, P.

1981-01-01

Ethiopia, descended from the semimythical Kingdom of Punt, lies at the strategic intersection of Schmidt's jigsaw puzzle where the Red Sea, Gulf of Aden, and the African Rift System meet. Because of geologically recent uplift combined with rapid downcutting erosion by rivers, notably the Blue Nile (Abbay), Ethiopia is the most mountainous country in Africa. It is also the most volcanically active, while its historical seismicity matches that of the midocean ridges. And, in a sense, Ethiopia is host to an evoloving ocean ridge system. 

15 CFR 746.1 - Introduction.

Code of Federal Regulations, 2013 CFR

2013-01-01

... (Iraq) and 746.4 (North Korea). (2) The countries subject to United Nations Security Council arms..., Liberia, Libya, North Korea, Somalia, and Sudan. (3) A license is required to export or reexport items...

Find a Diabetes Educator

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Pneumonia Prevention during a Humanitarian Emergency: Cost-effectiveness of Haemophilus Influenzae Type B Conjugate Vaccine and Pneumococcal Conjugate Vaccine in Somalia.

PubMed

Gargano, Lisa M; Hajjeh, Rana; Cookson, Susan T

2015-08-01

Pneumonia is a leading cause of death among children less than five years old during humanitarian emergencies. Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae are the leading causes of bacterial pneumonia. Vaccines for both of these pathogens are available to prevent pneumonia. Problem This study describes an economic analysis from a publicly funded health care system perspective performed on a birth cohort in Somalia, a country that has experienced a protracted humanitarian emergency. An impact and cost-effectiveness analysis was performed comparing: no vaccine, Hib vaccine only, pneumococcal conjugate vaccine 10 (PCV10) only, and both together administered through supplemental immunization activities (SIAs). The main summary measure was the incremental cost per disability-adjusted life-years (DALYs) averted. One-way sensitivity analysis was conducted for uncertainty in parameter values. Each SIA would avert a substantial number of cases and deaths. Compared with no vaccine, the DALYs averted by two SIAs for two doses of Hib vaccine was US $202.93 (lower and upper limits: $121.80-$623.52), two doses of PCV10 was US $161.51 ($107.24-$227.21), and two doses of both vaccines was US $152.42 ($101.20-$214.42). Variables that influenced the cost-effectiveness for each strategy most substantially were vaccine effectiveness, case fatality rates (CFRs), and disease burden. The World Health Organization (WHO) defines a cost-effective intervention as costing one to three times the per capita gross domestic product (GDP; in 2011, for Somalia=US $112). Based on the presented model, Hib vaccine alone, PCV10 alone, or Hib vaccine and PCV10 given together in SIAs are cost-effective interventions in Somalia. The WHO/Strategic Advisory Group of Experts decision-making factors for vaccine deployment appear to have all been met: the disease burden is large, the vaccine-related risk is low, prevention in this setting is more feasible than treatment, the vaccine duration probably is sufficient for the vulnerable period of the child's life, cost is reasonable, and herd immunity is possible.

Knowledge translation in Africa for 21st century integrative biology: the "know-do gap" in family planning with contraceptive use among Somali women.

PubMed

Ahmed, Ahmed A; Mohamed, Abdullahi A; Guled, Ibrahim A; Elamin, Hayfa M; Abou-Zeid, Alaa H

2014-11-01

An emerging dimension of 21(st) century integrative biology is knowledge translation in global health. The maternal mortality rate in Somalia is amongst the highest in the world. We set out to study the "know-do" gap in family planning measures in Somalia, with a view to inform future interventions for knowledge integration between theory and practice. We interviewed 360 Somali females of reproductive age and compared university-educated females to women with less or no education, using structured interviews, with a validated questionnaire. The mean age of marriage was 18 years, with 4.5 pregnancies per marriage. The mean for the desired family size was 9.3 and 10.5 children for the university-educated group and the less-educated group, respectively. Importantly, nearly 90% of the university-educated group knew about family planning, compared to 45.6% of the less-educated group. All of the less-educated group indicated that they would never use contraceptives, as compared to 43.5% of the university-educated group. Prevalence of contraceptive use among ever-married women was 4.3%. In the less-educated group, 80.6% indicated that they would not recommend contraceptives to other women as compared to 66.0% of the university-educated group. There is a huge gap between knowledge and practice regarding family planning in Somalia. The attendant reasons for this gap, such as level of education, expressed personal religious beliefs and others, are examined here. For primary health care to gain traction in Africa, we need to address the existing "know-do" gaps that are endemic and adversely impacting on global health. This is the first independent research study examining the knowledge gaps for family planning in Somalia in the last 20 years, with a view to understanding knowledge integration in a global world. The results shall guide policy makers, donors, and implementers to develop a sound family planning policy and program to improve maternal and child health in 21(st) century primary healthcare.

Building Trust and Capacity: Disarmament, Demobilization, and Reintegration to Transition Pro-Government Non-State Armed Groups

DTIC Science & Technology

2009-05-11

de Pau. “Cambodia.” Escola de Cultura de Pau, http://www.escolapau.org/img/ programas /desarme/mapa/camboyai.pdf (accessed March 20, 2009). 69...Escola de Cultura de Pau. “Eritrea.” Escola de Cultura de Pau, http://www.escolapau.org/img/ programas /desarme/mapa/eritreai.pdf (accessed March 20...government authorized the formation and support of “rondas” or Comites de auto defensa (Committees of Self Defense) as the government fought the

A climate trend analysis of Ethiopia

USGS Publications Warehouse

Funk, Christopher C.; Rowland, Jim; Eilerts, Gary; Kebebe, Emebet; Biru, Nigist; White, Libby; Galu, Gideon

2012-01-01

This brief report, drawing from a multi-year effort by the U.S. Agency for International Development (USAID) Famine Early Warning Systems Network (FEWS NET), examines recent trends in March-June, June-September, and March-September rainfall and temperature, identifying significant reductions in rainfall and increases in temperature over time in many areas of Ethiopia. Conclusions: * Spring and summer rains in parts of Ethiopia have declined by 15-20 percent since the mid-1970s. * Substantial warming across the entire country has exacerbated the dryness.* An important pattern of observed existing rainfall declines coincides with heavily populated areas of the Rift Valley in south-central Ethiopia, and is likely already adversely affecting crop yields and pasture conditions. * Rapid population growth and the expansion of farming and pastoralism under a drier, warmer climate regime could dramatically increase the number of at-risk people in Ethiopia during the next 20 years.* Many areas of Ethiopia will maintain moist climate conditions, and agricultural development in these areas could help offset rainfall declines and reduced production in other areas.

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Observations on White Grubs Affecting Sugar Cane at the Juba Sugar Project, South-Western Somalia, in the 1980s, and Implications for Their Management

PubMed Central

Cock, Matthew J. W.; Allard, Gillian B.

2013-01-01

The authors made two visits to the Juba Sugar Project in south-west Somalia, at the beginning of the minor rains in October 1986, and at the beginning of the main rains in March 1987. Observations were made on morphospecies of scarabaeid white grub larvae, the adults, and the two associated for the key economic species, Cochliotis melolonthoides and Brachylepis werneri. Sampling larvae and adults by digging soil quadrats and adults by light trapping gave useful information on their biology and phenology. Sampling methods were evaluated and economic thresholds were extrapolated based on earlier work. Natural enemies were surveyed, and entomopathogenic nematodes and a cordyceps fungus (Ophiocordyceps barnesii) were considered to have potential to be used as biological control interventions. PMID:26464389

Observations on White Grubs Affecting Sugar Cane at the Juba Sugar Project, South-Western Somalia, in the 1980s, and Implications for Their Management.

PubMed

Cock, Matthew J W; Allard, Gillian B

2013-06-18

The authors made two visits to the Juba Sugar Project in south-west Somalia, at the beginning of the minor rains in October 1986, and at the beginning of the main rains in March 1987. Observations were made on morphospecies of scarabaeid white grub larvae, the adults, and the two associated for the key economic species, Cochliotis melolonthoides and Brachylepis werneri. Sampling larvae and adults by digging soil quadrats and adults by light trapping gave useful information on their biology and phenology. Sampling methods were evaluated and economic thresholds were extrapolated based on earlier work. Natural enemies were surveyed, and entomopathogenic nematodes and a cordyceps fungus (Ophiocordyceps barnesii) were considered to have potential to be used as biological control interventions.

The Southern Oscillation and Prediction of `Der' Season Rainfall in Somalia.

NASA Astrophysics Data System (ADS)

Hutchinson, P.

1992-05-01

Somalia survives in semiarid to arid conditions, with annual rainfall totals rarely exceeding 700 mm, which are divided between two seasons. Many areas are arid, with negligible precipitation. Seasonal totals are highly variable. Thus, any seasonal rainfall forecast would be of significant importance to both the agricultural and animal husbandry communities. An investigation was carried out to determine whether there is a relationship between the Southern Oscillation and seasonal rainfall. No relationship exists between the Southern Oscillation and rainfall during the midyear `Gu' season, but it is shown that the year-end `Der' season precipitation is attected by the Southern Oscillation in southern and central areas of Somalia. Three techniques were used: correlation, regression, and simple contingency tables. Correlations between the SOI (Southern Oscillation index) and seasonal rainfall vary from zero up to about 0.8, with higher correlations in the south, both for individual stations and for area-averaged rainfall. Regression provides some predictive capacity, but the `explanation' of the variation in rainfall is not particularly high. The contingency tables revealed that there were very few occasions of both high SOI and high seasonal rainfall, although there was a wide scatter of seasonal rainfall associated with a low SOI.It is concluded that the SOI would be useful for planners, governments, and agencies as one tool in food/famine early warning but that the relationships are not strong enough for the average farmer to place much reliance on forecasts produced solely using the SOI.

Training reproductive health professionals in a post-conflict environment: exploring medical, nursing, and midwifery education in Mogadishu, Somalia.

PubMed

Yalahow, Abdiasis; Hassan, Mariam; Foster, Angel M

2017-11-01

Following two decades of civil war, Somalia recently entered the post-conflict rebuilding phase that has resulted in the rapid proliferation of higher education institutions. Given the high maternal mortality ratio, the federal government has identified the reproductive health education of health service professionals as a priority. Yet little is known about the coverage of contraception, abortion, pregnancy, childbirth, and sexual and gender-based violence (SGBV) in medicine, nursing, or midwifery. In 2016, we conducted a multi-methods study to understand the reproductive health education and training landscape and identify avenues by which development of the next generation of health service professionals could be improved. Our study comprised two components: interviews with 20 key informants and 7 focus group discussions (FGDs) with 48 physicians, nurses, midwives, and medical students. Using the transcripts, memos, and field notes, we employed a multi-phased approach to analyse our data for content and themes. Our findings show that reproductive health education for medical and nursing students is inconsistent and significant content gaps, particularly in abortion and SGBV, exist. Students have few clinical training opportunities and the overarching challenges plaguing higher education in Somalia also impact health professions programmes in Mogadishu. There is currently a window of opportunity to develop creative strategies to improve the breadth and depth of evidence-based education and training, and multi-stakeholder engagement and the promotion of South-South exchanges appear warranted.

Plate kinematics of Nubia Somalia using a combined DORIS and GPS solution

NASA Astrophysics Data System (ADS)

Nocquet, J.-M.; Willis, P.; Garcia, S.

2006-11-01

We have used up to 12 years of data to assess DORIS performance for geodynamics applications. We first examine the noise characteristics of the DORIS time-series of weekly station coordinates to derive realistic estimates of velocity uncertainties. We find that a combination of white and flicker noise best explains the DORIS time-series noise characteristics. Second, weekly solutions produced by the Institut Géographique National/Jet Propulsion Laboratory (IGN/JPL) DORIS Analysis Centre are combined to derive a global velocity field. This solution is combined with two independent GPS solutions, including 11 sites on Nubia and 5 on the Somalia plate. The combination indicates that DORIS horizontal velocities have an average accuracy of 3 mm/year, with best-determined sites having velocity accuracy better than 1 mm/year (one-sigma levels). Using our combined velocity field, we derive an updated plate kinematics model with a focus on the Nubia Somalia area. Including DORIS data improves the precision of the angular velocity vector for Nubia by 15%. Our proposed model provides robust bounds on the maximum opening rates along the East African Rift (4.7 6.7 mm/year). It indicates opening rates 15 and 7% slower than values predicted by NUVEL-1A for the southern Atlantic Ocean and Indian Ocean, respectively. These differences are likely to arise from the fact that NUVEL-1A considered Africa as a single non-deforming plate, while here we use a more refined approach.

Inclusion of Students with Disabilities in Formal Vocational Education Programs in Ethiopia

ERIC Educational Resources Information Center

Malle, Abebe Yehualawork; Pirttimaa, Raija; Saloviita, Timo

2015-01-01

In Ethiopia, individuals with disabilities have limited access to educational and vocational training opportunities. This study investigates prevailing challenges and opportunities for the participation of students with disabilities in vocational education programs in Ethiopia. Data for the study were gathered from the five biggest regions out of…

Extension Agents' Awareness of Climate Change in Ethiopia

ERIC Educational Resources Information Center

Abegaz, Dagmawi M.; Wims, Padraig

2015-01-01

Purpose: The fact that highly vulnerable countries like Ethiopia face far greater challenges from climate change makes agricultural adaptation a top priority. Even though the public agriculture extension system in Ethiopia plays a central role in facilitating and supporting adaptation, very limited information is available on how aware the actual…

Development of Libraries, Documentation and Information Centres in Ethiopia in the Twentieth Century.

ERIC Educational Resources Information Center

Gupta, Sushma

1995-01-01

Describes the historical development of libraries in Ethiopia. Examines the National Library of Ethiopia, Addis Ababa University Libraries, the Institute of Ethiopian Studies Library, and the Ethiopian Science and Technology Documentation and Information Center. Discusses the development of special libraries, libraries and documentation centers of…

Religious and cultural traits in HIV/AIDS epidemics in sub-Saharan Africa.

PubMed

Velayati, Ali-Akbar; Bakayev, Valerii; Bahadori, Moslem; Tabatabaei, Seyed-Javad; Alaei, Arash; Farahbood, Amir; Masjedi, Mohammad-Reza

2007-10-01

The pandemic of HIV/AIDS in sub-Saharan Africa and the rise of epidemics in Asia to the previously unforeseen level are likely to have global social, economic, and political impacts. In this emergency, it is vital to reappraise the weight of powerful religious and cultural factors in spreading the disease. The role of Islam in shaping values, norms, and public policies in North African states is to be appreciated for the lowest HIV prevalence in their populations. Yet, the place of religion in prevention of the disease diffusion is not fully understood nor worldwide acknowledged by the primary decision makers. Another topic, which has received little attention to date, despite the abundance of literature concerning the unfortunate Africa's anti-AIDS campaign, is an issue of colonial past. To better comprehend the share of both traits in diverse spread of HIV in sub-Saharan Africa, we studied the correlation between Muslim and Christian proportions in the state's population and HIV rate. By this method, Muslim percentage came out as a potential predictor of HIV prevalence in a given state. In another approach, most subcontinental countries were clustered by colocalization and similarity in their leading religion, colonial past, and HIV seroprevalence starting from barely noticeable (0.6 - 1.2%, for Mauritania, Senegal, Somalia, and Niger) and low levels (1.9 - 4.8%, for Mali, Eritrea, Djibouti, Guinea, Guinea-Bissau, Burkina-Faso, and Chad) for Muslim populated past possessions of France and Italy, in the northern part of the subcontinent. Former territories of France, Belgium, Portugal, and the UK formed two other groups of the countries nearing the equator with Catholic prevailing (Democratic Republic of Congo, Republic of Congo, Rwanda, Gabon, and Burundi) or mixed populations comprising Christian, Muslim, and indigenous believers (Benin, Ghana, Uganda, Togo, Angola, Nigeria, Liberia, Kenya, Cameroon, Côte d'Ivoire, and Sierra-Leone), which covered the HIV prevalence range from 1.9% to 7%. Albeit being traced by origin to the central part of the continent, HIV has reached the highest rates in the South, particularly Malawi (14.2%), Zambia (16.5%), South Africa (21.5%), Zimbabwe (24.6%), Lesotho (28.9%), Botswana (37.3%), and Swaziland (38.8%)-all former British colonies with dominating Christian population. In the group ranking list, a distinct North to South oriented incline in HIV rates related to prevailing religion and previous colonial history of the country was found, endorsing the preventive role of the Islam against rising HIV and the increased vulnerability to menace in states with particular colonial record.

Present-day kinematics of the Danakil block (southern Red Sea-Afar) constrained by GPS

NASA Astrophysics Data System (ADS)

Ladron de Guevara, R.; Jonsson, S.; Ruch, J.; Doubre, C.; Reilinger, R. E.; Ogubazghi, G.; Floyd, M.; Vasyura-Bathke, H.

2017-12-01

The rifting of the Arabian plate from the Nubian and Somalian plates is primarily accommodated by seismic and magmatic activity along two rift arms of the Afar triple junction (the Red Sea and Gulf of Aden rifts). The spatial distribution of active deformation in the Afar region have been constrained with geodetic observations. However, the plate boundary configuration in which this deformation occurs is still not fully understood. South of 17°N, the Red Sea rift is composed of two parallel and overlapping rift branches separated by the Danakil block. The distribution of the extension across these two overlapping rifts, their potential connection through a transform fault zone and the counterclockwise rotation of the Danakil block have not yet been fully resolved. Here we analyze new GPS observations from the Danakil block, the Gulf of Zula area (Eritrea) and Afar (Ethiopia) together with previous geodetic survey data to better constrain the plate kinematics and active deformation of the region. The new data has been collected in 2016 and add up to 5 years to the existing geodetic observations (going back to 2000). Our improved GPS velocity field shows differences with previously modeled GPS velocities, suggesting that the rate and rotation of the Danakil block need to be updated. The new velocity field also shows that the plate-boundary strain is accommodated by broad deformation zones rather than across sharp boundaries between tectonic blocks. To better determine the spatial distribution of the strain, we first implement a rigid block model to constrain the overall regional plate kinematics and to isolate the plate-boundary deformation at the western boundary of the Danakil block. We then study whether the recent southern Red Sea rifting events have caused detectable changes in observed GPS velocities and if the observations can be used to constrain the scale of this offshore rift activity. Finally, we investigate different geometries of transform faults that might connect the two overlapping branches of the southern Red Sea rift in the Gulf of Zula region.

Tuberculous Lymphadenitis in Ethiopia Predominantly Caused by Strains Belonging to the Delhi/CAS Lineage and Newly Identified Ethiopian Clades of the Mycobacterium tuberculosis Complex

PubMed Central

Biadglegne, Fantahun; Merker, Matthias; Sack, Ulrich; Rodloff, Arne C.; Niemann, Stefan

2015-01-01

Background Recently, newly defined clades of Mycobacterium tuberculosis complex (MTBC) strains, namely Ethiopia 1–3 and Ethiopia H37Rv-like strains, and other clades associated with pulmonary TB (PTB) were identified in Ethiopia. In this study, we investigated whether these new strain types exhibit an increased ability to cause TB lymphadenitis (TBLN) and raised the question, if particular MTBC strains derived from TBLN patients in northern Ethiopia are genetically adapted to their local hosts and/or to the TBLN. Methods Genotyping of 196 MTBC strains isolated from TBLN patients was performed by spoligotyping and 24-loci mycobacterial interspersed repetitive unit-variable number of tandem repeats (MIRU-VNTR) typing. A statistical analysis was carried out to see possible associations between patient characteristics and phylogenetic MTBC strain classification. Results Among 196 isolates, the majority of strains belonged to the Delhi/CAS (38.8%) lineage, followed by Ethiopia 1 (9.7%), Ethiopia 3 (8.7%), Ethiopia H37RV-like (8.2%), Ethiopia 2 and Haarlem (7.7% each), URAL (3.6%), Uganda l and LAM (2% each), S-type (1.5%), X-type (1%), and 0.5% isolates of TUR, EAI, and Beijing genotype, respectively. Overall, 15 strains (7.7%) could not be allocated to a previously described phylogenetic lineage. The distribution of MTBC lineages is similar to that found in studies of PTB samples. The cluster rate (35%) in this study is significantly lower (P = 0.035) compared to 45% in the study of PTB in northwestern Ethiopia. Conclusion In the studied area, lymph node samples are dominated by Dehli/CAS genotype strains and strains of largely not yet defined clades based on MIRU-VNTR 24-loci nomenclature. We found no indication that strains of particular genotypes are specifically associated with TBLN. However, a detailed analysis of specific genetic variants of the locally contained Ethiopian clades by whole genome sequencing may reveal new insights into the host-pathogen co-evolution and specific features that are related to the local host immune system. PMID:26376441

The Practices of Student Network as Cooperative Learning in Ethiopia

ERIC Educational Resources Information Center

Reda, Weldemariam Nigusse; Hagos, Girmay Tsegay

2015-01-01

Student network is a teaching strategy introduced as cooperative learning to all educational levels above the upper primary schools (grade 5 and above) in Ethiopia. The study was, therefore, aimed at investigating to what extent the student network in Ethiopia is actually practiced in line with the principles of cooperative learning. Consequently,…

Historical Analysis of the Challenges and Opportunities of Higher Education in Ethiopia

ERIC Educational Resources Information Center

Bishaw, Alemayehu; Melesse, Solomon

2017-01-01

There is a massive higher education expansion in Ethiopia. However, the efforts to expand higher education are characterized by great opportunities and significant challenges. The current higher education policy formulation and practice are the result of long history of traditional education in Ethiopia, the western countries' influence and the…

Rights of the Child in Ethiopia.

ERIC Educational Resources Information Center

Schonveld, Ben; Mejia, Fernando

This report to the United Nations Committee on the Rights of the Child contains observations of the World Organisation Against Torture (OMCT) concerning the application of the U.N. Convention on the Rights of the Child by the nation of Ethiopia. The report's introduction asserts that despite the considerable lip service being paid by Ethiopia's…

Comparative Study on the Senior Secondary School Mathematics Curricula Development in Ethiopia and Australia

ERIC Educational Resources Information Center

Meleta, Fufa E.; Zhang, Weizhong

2017-01-01

The main objective of this study is to compare the process of the senior secondary school mathematics curricula development in Ethiopia and Australia. The study was investigated qualitatively with document analysis and semi-structured interview research methods. The documents were collected from Federal Democratic Republic of Ethiopia Ministry of…

Ethiopia.

ERIC Educational Resources Information Center

Semaan, Leslie

This document is a text dealing mainly with Ethiopia's rich cultural heritage and current lifestyles. It gives students the opportunity to go beyond the media coverage that has led to the perception of the whole of Ethiopia as a famine stricken land, and to discover the realities of this new nation, that about 15 percent of the population, mainly…

The role of strategic health planning processes in the development of health care reform policies: a comparative study of Eritrea, Mozambique and Zimbabwe.

PubMed

Green, Andrew; Collins, Charles; Stefanini, Angelo; Ferrinho, Paulo; Chapman, Glyn; Hagos, Besrat; Adams, Yussuf; Omar, Mayeh

2007-01-01

This paper reports on comparative analysis of health planning and its relationship with health care reform in three countries, Eritrea, Mozambique and Zimbabwe. The research examined strategic planning in each country focusing in particular on its role in developing health sector reforms. The paper analyses the processes for strategic planning, the values that underpin the planning systems, and issues related to resources for planning processes. The resultant content of strategic plans is assessed and not seen to have driven the development of reforms; whilst each country had adopted strategic planning systems, in all three countries a more complex interplay of forces, including influences outside both the health sector and the country, had been critical forces behind the sectoral changes experienced over the previous decade. The key roles of different actors in developing the plans and reforms are also assessed. The paper concludes that a number of different conceptions of strategic planning exist and will depend on the particular context within which the health system is placed. Whilst similarities were discovered between strategic planning systems in the three countries, there are also key differences in terms of formality, timeframes, structures and degrees of inclusiveness. No clear leadership role for strategic planning in terms of health sector reforms was discovered. Planning appears in the three countries to be more operational than strategic. Copyright (c) 2006 John Wiley & Sons, Ltd.

A state of limbo--in transition between two contexts: Health assessments upon arrival in Sweden as perceived by former Eritrean asylum seekers.

PubMed

Jonzon, Robert; Lindkvist, Pille; Johansson, Eva

2015-07-01

National statistics have shown that only about 40% of asylum seekers actually attend the optional health assessment offered upon their arrival in Sweden, but the reasons for this have not been fully explored. Health assessments for newly arrived asylum seekers have become a regular practice in most EU countries, but what is performed, how it is organized and whether it is mandatory or not varies between countries. The aim of the study was to explore and improve our understanding of how former asylum seekers from Eritrea perceived and experienced the health assessment during their asylum-seeking process. We used a qualitative research approach guided by grounded theory. Semi-structured interviews were conducted with 11 former asylum seekers from Eritrea. Data were analysed based on constant comparative analysis. The asylum seekers expressed feelings of ambiguity and mistrust and felt that they were seen only as objects by the Swedish healthcare system during their asylum-seeking process. Poor communication and inability to overcome language and cultural barriers seemed to be the most important findings in the narratives. The core category was defined as 'A state of limbo - in transition between two contexts'. There are reasons to believe that these issues with communication negatively affected both the quality of the health assessment and the number of asylum seekers attending the health assessment. Improved communication by the authorities towards the asylum seekers is, therefore, of vital importance. © 2015 the Nordic Societies of Public Health.

75 FR 34617 - Unexpected Urgent Refugee and Migration Needs Related to Somalia and Food Pipeline Breaks for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-18

... unexpected and urgent refugee and migration needs, including by contributions to international, governmental, and nongovernmental organizations and payment of administrative expenses of the Bureau of Population...

The burden of neglected tropical diseases in Ethiopia, and opportunities for integrated control and elimination

PubMed Central

2012-01-01

Background Neglected tropical diseases (NTDs) are a group of chronic parasitic diseases and related conditions that are the most common diseases among the 2·7 billion people globally living on less than US$2 per day. In response to the growing challenge of NTDs, Ethiopia is preparing to launch a NTD Master Plan. The purpose of this review is to underscore the burden of NTDs in Ethiopia, highlight the state of current interventions, and suggest ways forward. Results This review indicates that NTDs are significant public health problems in Ethiopia. From the analysis reported here, Ethiopia stands out for having the largest number of NTD cases following Nigeria and the Democratic Republic of Congo. Ethiopia is estimated to have the highest burden of trachoma, podoconiosis and cutaneous leishmaniasis in sub-Saharan Africa (SSA), the second highest burden in terms of ascariasis, leprosy and visceral leishmaniasis, and the third highest burden of hookworm. Infections such as schistosomiasis, trichuriasis, lymphatic filariasis and rabies are also common. A third of Ethiopians are infected with ascariasis, one quarter is infected with trichuriasis and one in eight Ethiopians lives with hookworm or is infected with trachoma. However, despite these high burdens of infection, the control of most NTDs in Ethiopia is in its infancy. In terms of NTD control achievements, Ethiopia reached the leprosy elimination target of 1 case/10,000 population in 1999. No cases of human African trypanosomiasis have been reported since 1984. Guinea worm eradication is in its final phase. The Onchocerciasis Control Program has been making steady progress since 2001. A national blindness survey was conducted in 2006 and the trachoma program has kicked off in some regions. Lymphatic Filariasis, podoconiosis and rabies mapping are underway. Conclusion Ethiopia bears a significant burden of NTDs compared to other SSA countries. To achieve success in integrated control of NTDs, integrated mapping, rapid scale up of interventions and operational research into co implementation of intervention packages will be crucial. PMID:23095679

Blending local scale information for developing agricultural resilience in Ethiopia

USGS Publications Warehouse

Funk, Christopher C.; Husak, Gregory; Mahiny, A.S; Eilerts, Gary; Rowland, James

2013-01-01

This brief article looks at the intersection of climate, land cover/land use, and population trends in the world's most food insecure country, Ethiopia. As a result of warming in the Indian and Western Pacific oceans, Ethiopia has experienced substantial drying over the past 20 years. We intersect the spatial pattern of this drying with high resolution climatologies, maps of agricultural expansion, population data, and socioeconomic livelihoods information to suggest that the coincidence of drying and agricultural expansion in south-central Ethiopia is likely adversely affecting a densely populated region with high levels of poverty and low wage levels.

Medicinal Plants Used for Treatment of Diarrhoeal Related Diseases in Ethiopia

PubMed Central

Woldeab, Bizuneh; Regassa, Reta

2018-01-01

This paper presents a review of relevant antidiarrhoeal medicinal plants based on the fundamental knowledge accumulated by indigenous people of Ethiopia. The review includes an inventory carried out on the phytochemical and pharmacological analysis of plant species used in the treatments of diarrhoeal diseases. This study is based on a review of the literature published in scientific journals, books, theses, proceedings, and reports. A total of 132 medicinal plants used by local people of Ethiopia are reported in the reviewed literature. Herbs (43.6%) were the primary source of medicinal plants, followed by trees (27%). Some findings include the predominance of leaf material used (78%), as well as the frequent use of crushing of the plant parts (38%) as a mode of preparation. This study demonstrates the importance of traditional medicines in the treatment of basic human ailments such as diarrhoeal diseases in Ethiopia. Baseline information gaps were observed in different regions of Ethiopia. Thus, documentation of the knowledge held by other regions of Ethiopia that have so far received less attention and urban ethnobotany is recommended for future ethnobotanical studies. In addition, phytochemical studies are recommended mainly on frequently utilized medicinal plants for treatment of diarrhoeal diseases which can serve as a basis for future investigation of modern drug development. Although societies in Ethiopia have long used medicinal plants for diarrhoeal diseases treatment, it is also a good practice to perform toxicological tests. PMID:29743923

Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia

PubMed Central

Endris, Neima; Asefa, Henok

2017-01-01

Background Child malnutrition continues to be the leading public health problem in developing countries. In Ethiopia, malnutrition is a leading cause of child illness and death. Recently the composite index of anthropometric failure (CIAF) has been implemented to measure the prevalence of malnutrition. This index presents a more complete picture compared with the previous conventional indices. In this study, CIAF was used to determine the prevalence of malnutrition among children aged 0–59 months in rural Ethiopia. Methods Data was extracted from the 2014 Ethiopian Mini Demographic and Health Survey (EMDHS) for this study. A total of 3095 children were included in the analysis. The composite index of anthropometric failure (CIAF) was used to measure the nutritional status of the children. Logistic regression was fitted, to identify factors associated with malnutrition among children in rural Ethiopia, using STATA 13. Result The prevalence of malnutrition among rural children in Ethiopia was 48.5%. Age of the children, preceding birth interval, educated status of mother, wealth status, and region were factors independently associated with nutritional status of children in rural Ethiopia. Conclusion The prevalence of malnutrition among children in rural Ethiopia was high. A child older than 12 months, having uneducated mother, living in a household with poor wealth status, born with short birth interval, and living in some region of the country are associated with increased odds of being malnourished. PMID:28596966

Visceral Leishmaniasis in Ethiopia: An Evolving Disease

PubMed Central

Leta, Samson; Dao, Thi Ha Thanh; Mesele, Frehiwot; Alemayehu, Gezahegn

2014-01-01

Visceral leishmaniasis (also known as kala-azar) is classified as one of the most neglected tropical diseases. It is becoming a growing health problem in Ethiopia, with endemic areas that are continually spreading. The annual burden of visceral leishmaniasis (VL) in Ethiopia is estimated to be between 4,500 and 5,000 cases, and the population at risk is more than 3.2 million. There has been a change in the epidemiology of VL in Ethiopia. Over the last decades, almost all cases and outbreaks of VL were reported from arid and semi-arid parts of the country; however, recent reports indicated the introduction of this disease into the highlands. Migration of labourers to and from endemic areas, climatic and environmental changes, and impaired immunity due to HIV/AIDS and malnutrition resulted in the change of VL epidemiology. HIV spurs the spread of VL by increasing the risk of progression from asymptomatic infection towards full VL. Conversely, VL accelerates the onset of AIDS. In Ethiopia, VL epidemiology remains complex because of the diversity of risk factors involved, and its control is becoming an increasing challenge. This paper reviews the changes in epidemiology of VL in Ethiopia and discusses some of the possible explanations for these changes. The prospects for novel approaches to VL control are discussed, as are the current and future challenges facing Ethiopia's public health development program. PMID:25188253

Prevalence of Malnutrition and Associated Factors among Children in Rural Ethiopia.

PubMed

Endris, Neima; Asefa, Henok; Dube, Lamessa

2017-01-01

Child malnutrition continues to be the leading public health problem in developing countries. In Ethiopia, malnutrition is a leading cause of child illness and death. Recently the composite index of anthropometric failure (CIAF) has been implemented to measure the prevalence of malnutrition. This index presents a more complete picture compared with the previous conventional indices. In this study, CIAF was used to determine the prevalence of malnutrition among children aged 0-59 months in rural Ethiopia. Data was extracted from the 2014 Ethiopian Mini Demographic and Health Survey (EMDHS) for this study. A total of 3095 children were included in the analysis. The composite index of anthropometric failure (CIAF) was used to measure the nutritional status of the children. Logistic regression was fitted, to identify factors associated with malnutrition among children in rural Ethiopia, using STATA 13. The prevalence of malnutrition among rural children in Ethiopia was 48.5%. Age of the children, preceding birth interval, educated status of mother, wealth status, and region were factors independently associated with nutritional status of children in rural Ethiopia. The prevalence of malnutrition among children in rural Ethiopia was high. A child older than 12 months, having uneducated mother, living in a household with poor wealth status, born with short birth interval, and living in some region of the country are associated with increased odds of being malnourished.

Isotopic composition of waters from Ethiopia and Kenya: Insights into moisture sources for eastern Africa

NASA Astrophysics Data System (ADS)

Levin, Naomi E.; Zipser, Edward J.; Cerling, Thure E.

2009-12-01

Oxygen and deuterium isotopic values of meteoric waters from Ethiopia are unusually high when compared to waters from other high-elevation settings in Africa and worldwide. These high values are well documented; however, the climatic processes responsible for the isotopic anomalies in Ethiopian waters have not been thoroughly investigated. We use isotopic data from waters and remote data products to demonstrate how different moisture sources affect the distribution of stable isotopes in waters from eastern Africa. Oxygen and deuterium stable isotopic data from 349 surface and near-surface groundwaters indicate isotopic distinctions between waters in Ethiopia and Kenya and confirm the anomalous nature of Ethiopian waters. Remote data products from the Tropical Rainfall Measuring Mission (TRMM) and National Centers for Environmental Prediction (NCEP) reanalysis project show strong westerly and southwesterly components to low-level winds during precipitation events in western and central Ethiopia. This is in contrast to the easterly and southeasterly winds that bring rainfall to Kenya and southeastern Ethiopia. Large regions of high equivalent potential temperatures (θe) at low levels over the Sudd and the Congo Basin demonstrate the potential for these areas as sources of moisture and convective instability. The combination of wind direction data from Ethiopia and θe distribution in Africa indicates that transpired moisture from the Sudd and the Congo Basin is likely responsible for the high isotopic values of rainfall in Ethiopia.

Expansion vs. Quality: Emerging Issues of For-Profit Private Higher Education Institutions in Ethiopia

ERIC Educational Resources Information Center

Alemu, Daniel S.

2010-01-01

Private for-profit higher education has been rapidly expanding in developing countries worldwide since the early 1990s. This global trend has been particularly evident in Ethiopia, where only three public universities existed until 1996. By 2005, about 60 private for-profit higher education institutions had been founded in Ethiopia. This has led…

Operationalization of National Objectives of Ethiopia into Educational Objectives. African Studies in Curriculum Development & Evaluation. No. 60.

ERIC Educational Resources Information Center

Adaye, Abebe Alaro

This paper reports on past educational objectives of the old political regime in Ethiopia and new educational objectives of revolutionary Ethiopia. It is reported that these new objectives focus on education for production, scientific research, and socialist consciousness, and that all subjects are based on Marxism-Leninism. Curricular objectives…

Instructional Language Policy in Ethiopia: Motivated by Politics or the Educational Needs of Children?

ERIC Educational Resources Information Center

Alemu, Daniel S.; Tekleselassie, Abebayehu A.

2006-01-01

The purpose of this study is to explain the formulation, implementation, and outcome of Ethiopia's instructional language policy in light of the PRINCE system of power analysis as adapted by Fowler (2004), along with several literature references pertinent to the issue. After providing a brief background on Ethiopia and its education and language…

Accuracy of Assessment of Eligibility for Early Medical Abortion by Community Health Workers in Ethiopia, India and South Africa.

PubMed

Johnston, Heidi Bart; Ganatra, Bela; Nguyen, My Huong; Habib, Ndema; Afework, Mesganaw Fantahun; Harries, Jane; Iyengar, Kirti; Moodley, Jennifer; Lema, Hailu Yeneneh; Constant, Deborah; Sen, Swapnaleen

2016-01-01

To assess the accuracy of assessment of eligibility for early medical abortion by community health workers using a simple checklist toolkit. Diagnostic accuracy study. Ethiopia, India and South Africa. Two hundred seventeen women in Ethiopia, 258 in India and 236 in South Africa were enrolled into the study. A checklist toolkit to determine eligibility for early medical abortion was validated by comparing results of clinician and community health worker assessment of eligibility using the checklist toolkit with the reference standard exam. Accuracy was over 90% and the negative likelihood ratio <0.1 at all three sites when used by clinician assessors. Positive likelihood ratios were 4.3 in Ethiopia, 5.8 in India and 6.3 in South Africa. When used by community health workers the overall accuracy of the toolkit was 92% in Ethiopia, 80% in India and 77% in South Africa negative likelihood ratios were 0.08 in Ethiopia, 0.25 in India and 0.22 in South Africa and positive likelihood ratios were 5.9 in Ethiopia and 2.0 in India and South Africa. The checklist toolkit, as used by clinicians, was excellent at ruling out participants who were not eligible, and moderately effective at ruling in participants who were eligible for medical abortion. Results were promising when used by community health workers particularly in Ethiopia where they had more prior experience with use of diagnostic aids and longer professional training. The checklist toolkit assessments resulted in some participants being wrongly assessed as eligible for medical abortion which is an area of concern. Further research is needed to streamline the components of the tool, explore optimal duration and content of training for community health workers, and test feasibility and acceptability.

77 FR 25723 - Extension and Redesignation of Somalia for Temporary Protected Status

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-01

... the highest malnutrition rates in the world. According to the UN Food Security and Nutrition Analysis... about renewed food insecurity and severe malnutrition. It also endangers the ability of Somali people in...

48 CFR 52.225-23 - Required Use of American Iron, Steel, and Manufactured Goods-Buy American Statute-Construction...

Code of Federal Regulations, 2014 CFR

2014-10-01

..., Mozambique, Nepal, Niger, Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon Islands... Leone, Solomon Islands, Somalia, South Sudan, Tanzania, Timor-Leste, Togo, Tuvalu, Uganda, Vanuatu...

Somalia

DTIC Science & Technology

2013-04-01

Full event data is available online . 2 fied assault on Al Shabaab positions outside Mogadishu, the group was already engaging in sporadic...uting to militants’ further radicalisation . In Somalia’s north -east, Al Shabaab militants have been reportedly operat- ing and establishing bases in

Social Studies for Somali Nomads.

ERIC Educational Resources Information Center

Brook, Diane L.; Brook, George A.

1993-01-01

Describes the Somalia Nomad Education Program. States that social studies is the core of the program which has a primary goal of developing national unity. Discusses successful features of the program and its vulnerability to political and economic events. (CFR)

A dipole-like SST trend in the Somalia region during the monsoon season

NASA Astrophysics Data System (ADS)

Santos, F.; Gómez-Gesteira, M.; deCastro, M.; Días, J. M.

2015-02-01

SST trends measured in the Somalia region during the southwest monsoon season over the period 1982-2013 have shown the existence of a warming-cooling dipole. The positive spot, with a warming trend on the order of 0.37°C dec-1, is centered around 5.1°N-50.3°E and the negative one, with a trend on the order of -0.43°C dec-1, around 11.1°N-52.2°E. The migration of the Great Whirl (GW) over the last three decades at a speed of -0.3°C dec-1 in longitude and -0.6°C dec-1 in latitude was considered as the possible origin of the SST dipole. The displacement of the GW produces changes in the geostrophic currents which, in turn, generate changes in the amount of advected water from and to coast.

Stabilisation and humanitarian access in a collapsed state: the Somali case.

PubMed

Menkhaus, Ken

2010-10-01

Somalia today is the site of three major threats: the world's worst humanitarian crisis; the longest-running instance of complete state collapse; and a robust jihadist movement with links to Al-Qa'ida. External state-building, counter-terrorism and humanitarian policies responding to these threats have worked at cross-purposes. State-building efforts that insist humanitarian relief be channelled through the nascent state in order to build its legitimacy and capacity undermine humanitarian neutrality when the state is a party to a civil war. Counter-terrorism policies that seek to ensure that no aid benefits terrorist groups have the net effect of criminalising relief operations in countries where poor security precludes effective accountability. This paper argues that tensions between stabilisation and humanitarian goals in contemporary Somalia reflect a long history of politicisation of humanitarian operations in the country. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.

Air medical evacuations from a developing world conflict zone.

PubMed

Low, Adam; Vadera, Bettina

2011-01-01

Somalia has been without effective government for close to two decades, with more than 1 million people internally displaced. The political unrest persists, with United Nations-backed African Union peacekeeping forces supporting the Transitional National government of Sharif Ahmed, struggling to maintain control of central Mogadishu from Islamist extremist groups, such as the reportedly Al-Qaeda-backed Al-Shabab. The African Union force of 5,000 troops is predominantly of Ugandan and Burundian origin, making up the African Mission in Somalia (AMISOM) effort. However, its mandate is limited to operations only in Mogadishu, and it is unauthorized to actively pursue insurgents. As with other ongoing high-profile conflicts, African Union troops face an enemy that blends into the civilian populace, fighting with a lethal mixture of improvised explosive devices and suicide bombers. Copyright © 2011 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

Woods from the Miocene Bakate Formation, Ethiopia : anatomical characteristics, estimates of original specific gravity and ecological inferences

Treesearch

E.A. Wheeler; M.C. Wiemann; J.G. Fleagle

2007-01-01

An assemblage of permineralized woods from the Miocene Bakate Formation, Fejej Plain, Ethiopia, is described. This assemblage of twelve wood types differs from other Miocene wood assemblages known from Ethiopia. Cell wall percentages of the woods were determined to estimate the original specific gravities of the woods in order to better understand the Miocene...

Measuring Learning Quality in Ethiopia, India and Vietnam: From Primary to Secondary School Effectiveness

ERIC Educational Resources Information Center

Iyer, Padmini; Moore, Rhiannon

2017-01-01

This paper examines the way in which learning quality has been conceptualised and measured in school effectiveness surveys conducted by Young Lives, a longitudinal study of child poverty. Primary school surveys were conducted in Vietnam in 2010-11 and Ethiopia in 2012-13, and surveys at upper-primary and secondary level were conducted in Ethiopia,…

Podoconiosis in Ethiopia: From Neglect to Priority Public Health Problem

PubMed Central

Deribe, Kebede; Kebede, Biruck; Mengistu, Belete; Negussie, Henok; Sileshi, Mesfin; Tamiru, Mossie; Tomczyk, Sara; Tekola-Ayele, Fasil; Davey, Gail; Fentaye, Amha

2017-01-01

Podoconiosis is a geochemical disease occurring in individuals exposed to red clay soil of volcanic origin. This Neglected Tropical Disease (NTD) is highly prevalent in Ethiopia. According to the nationwide mapping in 2013, the disease is endemic in 345 districts, where an estimated 35 million people live. The government of Ethiopia prioritized podoconiosis as one of eight priority NTDs and included it in the national integrated master plan for NTDs. An integrated lymphoedema management guideline has been developed. Service expansion has continued in the last few years and lymphoedema management services have been expanded to over one hundred endemic districts. The last few years have been critical in generating evidence about the distribution, burden and effective interventions for podoconiosis in Ethiopia. Although the extent of the problem within Ethiopia is considerable, the country is well positioned to now scale-up elimination efforts. Given the extraordinary progress of the past ten years and the current commitment of government, private and third sectors, Ethiopia seems to be on course for the elimination of podoconiosis in our lifetime. We need continued strong partner commitment, evidence-building, and scale-up of activities to accomplish this. PMID:28878431

Podoconiosis in Ethiopia: From Neglect to Priority Public Health Problem.

PubMed

Deribe, Kebede; Kebede, Biruck; Mengistu, Belete; Negussie, Henok; Sileshi, Mesfin; Tamiru, Mossie; Tomczyk, Sara; Tekola-Ayele, Fasil; Davey, Gail; Fentaye, Amha

2017-01-01

Podoconiosis is a geochemical disease occurring in individuals exposed to red clay soil of volcanic origin. This Neglected Tropical Disease (NTD) is highly prevalent in Ethiopia. According to the nationwide mapping in 2013, the disease is endemic in 345 districts, where an estimated 35 million people live. The government of Ethiopia prioritized podoconiosis as one of eight priority NTDs and included it in the national integrated master plan for NTDs. An integrated lymphoedema management guideline has been developed. Service expansion has continued in the last few years and lymphoedema management services have been expanded to over one hundred endemic districts. The last few years have been critical in generating evidence about the distribution, burden and effective interventions for podoconiosis in Ethiopia. Although the extent of the problem within Ethiopia is considerable, the country is well positioned to now scale-up elimination efforts. Given the extraordinary progress of the past ten years and the current commitment of government, private and third sectors, Ethiopia seems to be on course for the elimination of podoconiosis in our lifetime. We need continued strong partner commitment, evidence-building, and scale-up of activities to accomplish this.

Evaluation of Borama tuberculosis control program in Somaliland, Somalia.

PubMed

Qayad, Mohamed Gedi; Tarsitani, Gianfranco

2017-02-28

The Borama TB program in Somalia lost resources for TB operations in 2003. We evaluated the impact of the loss on the program. Pre-event (2002-2003) and post-event (2007) design were used. All TB patients registered in Borama and a sample of four months from Hargeisa (comparison) TB patients in both periods were abstracted. The following TB treatment outcomes were estimated: treatment success, treatment failure, case fatality, treatment interruption and transfer rates, along with percentage of patients with sputum specimen prior to treatment, percentage of patients from neighboring countries, and monthly average patients enrolled in treatment. The pre-event to post-event outcomes and measures were compared using descriptive and multivariate analyses. In total, 3,367 TB cases were abstracted. In Borama, the TB treatment success rate increased 6% in the post-event. The treatment failure and interruption rates both declined 75%. Monthly average TB patients declined 55%. Percentage of patients smear tested prior to the initiation of the treatment declined 9%. Percentage of TB patients from neighboring countries and other parts of Somalia declined 51%. Treatment interruption/transfer rates declined significantly in the post-event, compared to the pre-event period. Treatment failure/death rate did not change in the post-event period. In Hargeisa, the treatment success, failure/death, and interruption/transfer rates were similar in both periods. The RR did not change in these measures after adjusting for age and gender. This study indicates a significant setback to the Borama TB control program in the majority of measures evaluated, except the TB success rate.

A high resolution spatial population database of Somalia for disease risk mapping.

PubMed

Linard, Catherine; Alegana, Victor A; Noor, Abdisalan M; Snow, Robert W; Tatem, Andrew J

2010-09-14

Millions of Somali have been deprived of basic health services due to the unstable political situation of their country. Attempts are being made to reconstruct the health sector, in particular to estimate the extent of infectious disease burden. However, any approach that requires the use of modelled disease rates requires reasonable information on population distribution. In a low-income country such as Somalia, population data are lacking, are of poor quality, or become outdated rapidly. Modelling methods are therefore needed for the production of contemporary and spatially detailed population data. Here land cover information derived from satellite imagery and existing settlement point datasets were used for the spatial reallocation of populations within census units. We used simple and semi-automated methods that can be implemented with free image processing software to produce an easily updatable gridded population dataset at 100 × 100 meters spatial resolution. The 2010 population dataset was matched to administrative population totals projected by the UN. Comparison tests between the new dataset and existing population datasets revealed important differences in population size distributions, and in population at risk of malaria estimates. These differences are particularly important in more densely populated areas and strongly depend on the settlement data used in the modelling approach. The results show that it is possible to produce detailed, contemporary and easily updatable settlement and population distribution datasets of Somalia using existing data. The 2010 population dataset produced is freely available as a product of the AfriPop Project and can be downloaded from: http://www.afripop.org.

Progress Toward Polio Eradication — Somalia, 1998–2013

PubMed Central

Mbaeyi, Chukwuma; Kamadjeu, Raoul; Mahamud, Abdirahman; Webeck, Jenna; Ehrhardt, Derek; Mulugeta, Abraham

2015-01-01

Since the 1988 resolution of the World Health Assembly to eradicate polio, significant progress has been made toward achieving this goal, with the result that only Afghanistan, Nigeria, and Pakistan have never successfully interrupted endemic transmission of wild poliovirus. However, one of the greatest challenges of the Global Polio Eradication Initiative has been that of maintaining the polio-free status of countries in unstable regions with weak healthcare infrastructure, a challenge exemplified by Somalia, a country in the Horn of Africa region. Somalia interrupted indigenous transmission of wild poliovirus in 2002, four years after establishing its national polio eradication programme. But political instability and protracted armed conflict, with significant disruption of the healthcare system, left the country vulnerable to two subsequent imported outbreaks of wild poliovirus. The first occurred during 2005–2007, resulting in over 200 cases of paralytic polio, while the second importation in 2013 is currently ongoing. Despite immense challenges, the country has a sensitive surveillance system that has facilitated prompt detection of outbreaks, but its weak routine immunization system means that supplementary immunization activities constitute the primary strategy for reaching children with polio vaccines. Conducting vaccination campaigns in a setting of conflict has been at times hazardous but the country’s polio programme has demonstrated resilience in overcoming many obstacles to ensure that children receive life-saving polio vaccines. Regaining and maintaining Somalia’s polio-free status will, however, depend on finding innovative and lasting solutions to the challenge of administering vaccines in a setting of ongoing conflict and instability. PMID:25316833

Conflict in Somalia: impact on child undernutrition

PubMed Central

Kinyoki, Damaris K; Moloney, Grainne M; Uthman, Olalekan A; Kandala, Ngianga-Bakwin; Odundo, Elijah O; Noor, Abdisalan M; Berkley, James A

2017-01-01

Introduction In Somalia, protracted conflict and drought have caused population displacement and livelihood destruction. There is also widespread childhood undernutrition. We aimed to determine the independent effects of conflict on wasting and stunting among children aged 6–59 months nationwide in Somalia. Methods Data were from household surveys during 2007–2010, including 73 778 children in 1066 clusters, the Armed Conflict Location and Event Data project database and remote sensing. We used Bayesian hierarchical spatial-temporal regression to examine the effects of conflict on wasting and stunting. Models included individual, household and environmental covariates and recent (<3 months) or longer term (3–12 months) conflict events. Results 15 355 (21%) and 22 739 (31%) observations were from wasted and stunted children, respectively. The conflict was associated with undernutrition independently of the individual, household and environmental factors, and its inclusion improved model performance. Recent conflict was associated with wasting (OR 1.37, 95% credible interval (CrI): (1.33, 1.42) and attributable fraction (AF) 7.6%)) and stunting (OR 1.21, 95% CrI (1.15, 1.28), AF 6.9%). Longer term conflict had greater effects on wasting (OR 1.76, 95% CrI (1.71, 1.81), AF 6.0%) and stunting (OR 1.88, 95% CrI = (1.83, 1.94), AF 7.4%). After controlling for conflict, the harmful effect of internal displacement and protective effects of rainfall and vegetation cover on undernutrition were enhanced. Conclusion Conflict and internal displacement have large effects on undernutrition in ways not fully captured by simply measuring individual, household and environmental factors or drought. PMID:28966793

A high resolution spatial population database of Somalia for disease risk mapping

PubMed Central

2010-01-01

Background Millions of Somali have been deprived of basic health services due to the unstable political situation of their country. Attempts are being made to reconstruct the health sector, in particular to estimate the extent of infectious disease burden. However, any approach that requires the use of modelled disease rates requires reasonable information on population distribution. In a low-income country such as Somalia, population data are lacking, are of poor quality, or become outdated rapidly. Modelling methods are therefore needed for the production of contemporary and spatially detailed population data. Results Here land cover information derived from satellite imagery and existing settlement point datasets were used for the spatial reallocation of populations within census units. We used simple and semi-automated methods that can be implemented with free image processing software to produce an easily updatable gridded population dataset at 100 × 100 meters spatial resolution. The 2010 population dataset was matched to administrative population totals projected by the UN. Comparison tests between the new dataset and existing population datasets revealed important differences in population size distributions, and in population at risk of malaria estimates. These differences are particularly important in more densely populated areas and strongly depend on the settlement data used in the modelling approach. Conclusions The results show that it is possible to produce detailed, contemporary and easily updatable settlement and population distribution datasets of Somalia using existing data. The 2010 population dataset produced is freely available as a product of the AfriPop Project and can be downloaded from: http://www.afripop.org. PMID:20840751

Uptake of postabortion care services and acceptance of postabortion contraception in Puntland, Somalia.

PubMed

Chukwumalu, Kingsley; Gallagher, Meghan C; Baunach, Sabine; Cannon, Amy

2017-11-01

Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabortion care (PAC) services to address the issue of high maternal morbidity and mortality due to unsafe abortion. Abortion is explicitly permitted by Somali law to save the life of a woman, but remains a sensitive topic due to religious and social conservatism that exists in the region. Using a multipronged approach focusing on capacity building, assurance of supplies and infrastructure, and community collaboration and mobilisation, the demand for PAC services increased as did the proportion of women who adopted a method of family planning post-abortion. From January 2013 to December 2015, a total of 1111 clients received PAC services at the four SCI-supported health facilities. The number of PAC clients increased from a monthly average of 20 in 2013 to 38 in 2015. During the same period, 98% (1090) of PAC clients were counselled for postabortion contraception, of which 955 (88%) accepted a contraceptive method before leaving the facility, with 30% opting for long-acting reversible contraception. These results show that comprehensive PAC services can be implemented in politically unstable, culturally conservative settings where abortion and modern contraception are sensitive and stigmatised matters among communities, health workers, and policy makers. However, like all humanitarian settings, large unmet needs exist for PAC services in Somalia.

Space-time mapping of wasting among children under the age of five years in Somalia from 2007 to 2010.

PubMed

Kinyoki, Damaris K; Berkley, James A; Moloney, Grainne M; Odundo, Elijah O; Kandala, Ngianga-Bakwin; Noor, Abdisalan M

2016-02-01

To determine the sub-national seasonal prevalence and trends in wasting from 2007 to 2010 among children aged 6-59 months in Somalia using remote sensing and household survey data from nutritional surveys. Bayesian hierarchical space-time model was implemented using a stochastic partial differential equation (SPDE) approach in integrated nested Laplace approximations (INLA) to produce risk maps of wasting at 1 × 1 km(2) spatial resolution and predict to seasons in each year of study from 2007 to 2010. The prevalence of wasting was generally at critical levels throughout the country, with most of the areas remaining in the upper classes of critical and very critical levels. There was minimal variation in wasting from year-to-year, but a well-defined seasonal variation was observed. The mean difference of the prevalence of wasting between the dry and wet season ranges from 0% to 5%. The risks of wasting in the South Central zone were highest in the Gedo (37%) and Bay (32%) regions. In North East zone the risk was highest in Nugaal (25%) and in the North West zone the risk was high in Awdal and Woqooyi Galbeed regions with 23%. There was a clear seasonal variation in wasting with minimal year-to-year variability from 2007 to 2010 in Somalia. The prevalence was high during the long dry season, which affects the prevalence in the preceding long rainy season. Understanding the seasonal fluctuations of wasting in different locations and at different times is important to inform timely interventions. Copyright © 2016. Published by Elsevier Ltd.

75 FR 19865 - Honoring the Victims of the Montcoal, West Virginia, Mine Disaster

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-15

... Somalia #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register / Vol. 75, No. 72 / Thursday, April 15, 2010 / Presidential Documents#0;#0; #0; #0;Title 3-- #0;The President [[Page 19867...

48 CFR 52.225-23 - Required Use of American Iron, Steel, and Manufactured Goods-Buy American Act-Construction...

Code of Federal Regulations, 2013 CFR

2013-10-01

..., Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, South Sudan..., Mozambique, Nepal, Niger, Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon Islands...

Health service providers in Somalia: their readiness to provide malaria case-management

PubMed Central

Noor, Abdisalan M; Rage, Ismail A; Moonen, Bruno; Snow, Robert W

2009-01-01

Background Studies have highlighted the inadequacies of the public health sector in sub-Saharan African countries in providing appropriate malaria case management. The readiness of the public health sector to provide malaria case-management in Somalia, a country where there has been no functioning central government for almost two decades, was investigated. Methods Three districts were purposively sampled in each of the two self-declared states of Puntland and Somaliland and the south-central region of Somalia, in April-November 2007. A survey and mapping of all public and private health service providers was undertaken. Information was recorded on services provided, types of anti-malarial drugs used and stock, numbers and qualifications of staff, sources of financial support and presence of malaria diagnostic services, new treatment guidelines and job aides for malaria case-management. All settlements were mapped and a semi-quantitative approach was used to estimate their population size. Distances from settlements to public health services were computed. Results There were 45 public health facilities, 227 public health professionals, and 194 private pharmacies for approximately 0.6 million people in the three districts. The median distance to public health facilities was 6 km. 62.3% of public health facilities prescribed the nationally recommended anti-malarial drug and 37.7% prescribed chloroquine as first-line therapy. 66.7% of public facilities did not have in stock the recommended first-line malaria therapy. Diagnosis of malaria using rapid diagnostic tests (RDT) or microscopy was performed routinely in over 90% of the recommended public facilities but only 50% of these had RDT in stock at the time of survey. National treatment guidelines were available in 31.3% of public health facilities recommended by the national strategy. Only 8.8% of the private pharmacies prescribed artesunate plus sulphadoxine/pyrimethamine, while 53.1% prescribed chloroquine as first-line therapy. 31.4% of private pharmacies also provided malaria diagnosis using RDT or microscopy. Conclusion Geographic access to public health sector is relatively low and there were major shortages of appropriate guidelines, anti-malarials and diagnostic tests required for appropriate malaria case management. Efforts to strengthen the readiness of the health sector in Somalia to provide malaria case management should improve availability of drugs and diagnostic kits; provide appropriate information and training; and engage and regulate the private sector to scale up malaria control. PMID:19439097

Health service providers in Somalia: their readiness to provide malaria case-management.

PubMed

Noor, Abdisalan M; Rage, Ismail A; Moonen, Bruno; Snow, Robert W

2009-05-13

Studies have highlighted the inadequacies of the public health sector in sub-Saharan African countries in providing appropriate malaria case management. The readiness of the public health sector to provide malaria case-management in Somalia, a country where there has been no functioning central government for almost two decades, was investigated. Three districts were purposively sampled in each of the two self-declared states of Puntland and Somaliland and the south-central region of Somalia, in April-November 2007. A survey and mapping of all public and private health service providers was undertaken. Information was recorded on services provided, types of anti-malarial drugs used and stock, numbers and qualifications of staff, sources of financial support and presence of malaria diagnostic services, new treatment guidelines and job aides for malaria case-management. All settlements were mapped and a semi-quantitative approach was used to estimate their population size. Distances from settlements to public health services were computed. There were 45 public health facilities, 227 public health professionals, and 194 private pharmacies for approximately 0.6 million people in the three districts. The median distance to public health facilities was 6 km. 62.3% of public health facilities prescribed the nationally recommended anti-malarial drug and 37.7% prescribed chloroquine as first-line therapy. 66.7% of public facilities did not have in stock the recommended first-line malaria therapy. Diagnosis of malaria using rapid diagnostic tests (RDT) or microscopy was performed routinely in over 90% of the recommended public facilities but only 50% of these had RDT in stock at the time of survey. National treatment guidelines were available in 31.3% of public health facilities recommended by the national strategy. Only 8.8% of the private pharmacies prescribed artesunate plus sulphadoxine/pyrimethamine, while 53.1% prescribed chloroquine as first-line therapy. 31.4% of private pharmacies also provided malaria diagnosis using RDT or microscopy. Geographic access to public health sector is relatively low and there were major shortages of appropriate guidelines, anti-malarials and diagnostic tests required for appropriate malaria case management. Efforts to strengthen the readiness of the health sector in Somalia to provide malaria case management should improve availability of drugs and diagnostic kits; provide appropriate information and training; and engage and regulate the private sector to scale up malaria control.

Litho-tectonic mapping of the North Afar region from Sentinel-2A multispectral imagery and ALOS AW3D30 digital elevation data: Controls on Danakil-Nubia plate motion between the Erta'Ale ridge and the Gulf of Zula

NASA Astrophysics Data System (ADS)

Hartnady, Chris; Hartnady, Michael; Wise, Edward; Blake, Dylan; McGibbon, David; Hay, E. Rowena

2017-04-01

The Danakil Depression in the North Afar region of Ethiopia reaches elevations deeper than 120 m below sea level and contains a Pleistocene-Holocene evaporite sequence currently investigated for potash mineral deposits. Separated from the main Ethiopian escarpment by the Dogua horst mountains, the asymmetric half-graben is bordered on its western (Nubian) side by the active, normal Main Danakil Rift-border Fault (MDRF). Above the MDRF, a series of piedmont alluvial fans (bajadas) fringes the Dogua Horst, emanating from a series of wadi catchments between the larger perennial rivers (Ragali, Saba) that drain from the high (>2000 m) Ethiopian Plateau. On its eastern side, the Danakil block contains Proterozoic-Palaeozoic sequences correlated with similar units in the Dogua range, and forms a microplate rotating independently between the larger Nubian and Arabian plates (McClusky et al., 2010). An understanding of the sedimentary and tectonic evolution of the Danakil-Nubia (DA-NU) plate system is crucial to the beneficial development of fresh groundwater resources and to an assessment of seismotectonic and volcanic geohazards in the area. Between the Mt Alid caldera in the Dandeiro graben and the Erta'Ale crater in the south Danakil, the rate of present-day DA-NU motion is 10.9 - 13.5 mm/yr, with direction azimuths N106E- N096E (after Schettino et al., 2016). DA-NU relative motion is focussed along the east-dipping MDRF in the Danakil but switches to an eastern (west-dipping) rift-border normal fault in the Dandiero, a northward extension of the Renda-Maglalla-Coma graben, separating the Dogua Horst from the main part of the NU plate. This change in rifting asymmetry occurs across a WNW/ESE-striking zone of basement faulting that terminates the Dogua Horst and functions as a left-stepping proto-transform fault zone, across the NNW direction of DA-NU proto-rift propagation. From 13-channel multispectral data of the European Space Agency satellite Sentinel-2A, a false-colour composite image, centred about MDRF and covering a wide region across the Ethiopia-Eritrea border, was created by combination of selected spectral band-ratios. This Sentinel-2A-based lithological mapping is integrated with the new ALOS AW3D30 digital elevation model, providing geomorphometric analysis and morphotectonic interpretations that allow 1) revision of previous fault-zone mapping, 2) seismotectonic contextualization of the earthquake record, and 3) improved discrimination of volcanic units and centres, both basaltic and silicic, along the northward propagating DA-NU rift zone. References McClusky, S., et al., 2010. Kinematics of the southern Red Sea-Afar Triple Junction and implications for plate dynamics. Geophys. Res. Lett., 37, L05301, doi:10.1029/2009GL041127 Schettino, A., Macchiavelli, C., Pierantoni, P.P., Zanoni, D., and Rasul, N., 2016. Recent kinematics of the tectonic plates surrounding the Red Sea and Gulf of Aden. Geophys. J. Int., 207, 457-480, doi: 10.1093/gji/gg

Somali Proverbs and Poems as Acculturation Indices

ERIC Educational Resources Information Center

Doob, Leonard W.; Hurreh,Ismael M.

1970-01-01

Hypothesizes that proverbs and poems among nonliterate peoples vary inversely with the user's degree of Westernization. Suggests that the oral tradition in Somalia, East Africa serves different functions for the different social groups such as nomads, semi-nomads, and students. (MB)

Literacy in Somali: Linguistic Consequences.

ERIC Educational Resources Information Center

Biber, Douglas; Hared, Mohamed

1991-01-01

Linguistic consequences of literacy in Somalia are examined in a review of the literature and through a study of five dimensions of variation among Somali registers and the expansion of linguistic variation in Somali resulting from the introduction of written registers. (36 references) (LB)

76 FR 47647 - Additional Designation of Person Whose Property and Interests in Property Are Blocked Pursuant to...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-05

... 10 Apr 1979; POB Garissa, Kenya; nationality Kenya; Kenyan ID No. 23446085 (Kenya); Passport A1180173 (Kenya) expires 20 Aug 2017; (INDIVIDUAL) [SOMALIA] Dated: July 29, 2011. Barbara C. Hammerle, Acting...

Understanding the Unique Equatorial Density Irregularities

DTIC Science & Technology

2015-04-01

3 Bahir Dar, 79 ETHIOPIA EOARD GRANT #FA8655-13-1-3052 Report Date: April 2015 Final Report from 15 June 2013 to 30 March 2015 Air Force...ADDRESS(ES) Bahir Dar University Peda Straight, Region 3 Bahir Dar, 79 ETHIOPIA 8. PERFORMING ORGANIZATION REPORT NUMBER N/A 9. SPONSORING/MONITORING...satellite signal receivers and others in collaboration with institutions outside Ethiopia . This effort provided some support for the installation of the

Spatial prediction of wheat Septoria leaf blotch (Septoria tritici) disease severity in central Ethiopia

USGS Publications Warehouse

Wakie, Tewodros; Kumar, Sunil; Senay, Gabriel; Takele, Abera; Lencho, Alemu

2016-01-01

A number of studies have reported the presence of wheat septoria leaf blotch (Septoria tritici; SLB) disease in Ethiopia. However, the environmental factors associated with SLB disease, and areas under risk of SLB disease, have not been studied. Here, we tested the hypothesis that environmental variables can adequately explain observed SLB disease severity levels in West Shewa, Central Ethiopia. Specifically, we identified 50 environmental variables and assessed their relationships with SLB disease severity. Geographically referenced disease severity data were obtained from the field, and linear regression and Boosted Regression Trees (BRT) modeling approaches were used for developing spatial models. Moderate-resolution imaging spectroradiometer (MODIS) derived vegetation indices and land surface temperature (LST) variables highly influenced SLB model predictions. Soil and topographic variables did not sufficiently explain observed SLB disease severity variation in this study. Our results show that wheat growing areas in Central Ethiopia, including highly productive districts, are at risk of SLB disease. The study demonstrates the integration of field data with modeling approaches such as BRT for predicting the spatial patterns of severity of a pathogenic wheat disease in Central Ethiopia. Our results can aid Ethiopia's wheat disease monitoring efforts, while our methods can be replicated for testing related hypotheses elsewhere.

Review paper on research ethics in Ethiopia: experiences and lessons learnt from Addis Ababa University College of Health Sciences 2007-2012.

PubMed

Feleke, Yeweyenhareg; Addissie, Adamu; Wamisho, Biruk L; Davey, Gail

2015-01-01

Health research in Ethiopia is increasing both in volume and type, accompanied with expansion of higher education and research since the past few years. This calls for a proportional competence in the governance of medical research ethics in Ethiopia in the respective research and higher learning institutes. The paper highlights the evolution and progress ofthe ethics review at Addis Ababa University - College of Health Sciences (AAU-CHS) in the given context of health research review system in Ethiopia. Reflections are made on the key lessons to be drawnfrom the formative experiences of the Institutional Review Board (IRB) and their implications to the Ethiopian health research review system. This article is a review paper based on review of published and un published documents on research ethics in Ethiopia and the AAU-CHS (2007-2012). Thematic summaries of review findings are presented in thematic areas - formation of ethics review and key factors in the evolution of ethics review and implications. The IRB at AAU-CHS has been pivotal in providing review and follow-up for important clinical studies in Ethiopia. It has been one of the first IRBs to get WHO/SIDCER recognition from Africa and Ethiopia. Important factors in the successes of the IRB among others included leadership commitment, its placement in institutional structure, and continued capacity building. Financial challenges and sustainability issues need to be addressed for the sustained gains registered so far. Similar factors are considered important for the new and younger IRBs within the emergent Universities and research centers in the country.

Extreme U-Th disequilibrium in rift-related basalts, rhyolites and granophyric granite and the timescale of rhyolite generation, intrusion and crystallization at Alid volcanic center, Eritrea

USGS Publications Warehouse

Lowenstern, J. B.; Charlier, B.L.A.; Clynne, M.A.; Wooden, J.L.

2006-01-01

Rhyolite pumices and co-erupted granophyric (granite) xenoliths yield evidence for rapid magma generation and crystallization prior to their eruption at 15·2 ± 2·9 ka at the Alid volcanic center in the Danikil Depression, Eritrea. Whole-rock U and Th isotopic analyses show 230Th excesses up to 50% in basalts <10 000 years old from the surrounding Oss lava fields. The 15 ka rhyolites also have 30–40% 230Th excesses. Similarity in U–Th disequilibrium, and in Sr, Nd, and Pb isotopic values, implies that the rhyolites are mostly differentiated from the local basaltic magma. Given the (230Th/232Th) ratio of the young basalts, and presumably the underlying mantle, the (230Th/232Th) ratio of the rhyolites upon eruption could be generated by in situ decay in about 50 000 years. Limited (∼5%) assimilation of old crust would hasten the lowering of (230Th/232Th) and allow the process to take place in as little as 30 000 years. Final crystallization of the Alid granophyre occurred rapidly and at shallow depths at ∼20–25 ka, as confirmed by analyses of mineral separates and ion microprobe data on individual zircons. Evidently, 30 000–50 000 years were required for extraction of basalt from its mantle source region, subsequent crystallization and melt extraction to form silicic magmas, and final crystallization of the shallow intrusion. The granophyre was then ejected during eruption of the comagmatic rhyolites.

Child injuries in Ethiopia: A review of the current situation with projections.

PubMed

Li, Qingfeng; Alonge, Olakunle; Lawhorn, Collene; Ambaw, Yirga; Kumar, Smita; Jacobs, Troy; Hyder, Adnan A

2018-01-01

Heavy burden of child injuries and lack of policy response in Ethiopia call for an improved understanding of the situation and development of action plans from multiple governmental agencies and stakeholders. A consortium of international and Ethiopian researchers and stakeholders used extensive literature review and mixed analytical methods to estimate and project the burden of fatal and non-fatal child unintentional injuries in Ethiopia from 2015 to 2030. Estimates were derived for children aged 0-14 years. Data sources include a longitudinal study conducted by the Central Statistics Agency of Ethiopia and the World Bank as well as model-based estimates from World Health Organization 2017 and Global Burden of Disease 2016 project. Injuries caused about 25 thousand deaths among 0-14-year olds in Ethiopia in 2015. The leading cause of fatal child unintentional injuries in Ethiopia was road-traffic injuries, followed by fire, heat and hot substances and drowning. The death rate due to injuries among 0-14 years olds was about 50 percent higher in males than females. Rural children were exposed to a greater risk of injury than their urban peers. The longitudinal survey suggests that the incidence rate of child injuries increased during the period 2011-2014. The annual mortality caused by injuries is projected to increase from 10,697 in 2015 to 11,279 in 2020 and 11,989 in 2030 among children under 5 years, an increase of 12 percentage points in 15 years. The number of deaths among 0-14-year olds will be 26,463, 27,807, and 30,364 respectively in 2015, 2020, and 2030. As the first multisectoral collaboration on child injuries in Ethiopia, this study identified gaps in understanding of the burden of child injuries in Ethiopia. In consultation with Ethiopian government and other stakeholders, we propose starting an injury surveillance system at health clinics and hospitals and building an intervention package based on existing platforms.

Child injuries in Ethiopia: A review of the current situation with projections

PubMed Central

Alonge, Olakunle; Lawhorn, Collene; Ambaw, Yirga; Kumar, Smita; Hyder, Adnan A.

2018-01-01

Background Heavy burden of child injuries and lack of policy response in Ethiopia call for an improved understanding of the situation and development of action plans from multiple governmental agencies and stakeholders. Methods A consortium of international and Ethiopian researchers and stakeholders used extensive literature review and mixed analytical methods to estimate and project the burden of fatal and non-fatal child unintentional injuries in Ethiopia from 2015 to 2030. Estimates were derived for children aged 0–14 years. Data sources include a longitudinal study conducted by the Central Statistics Agency of Ethiopia and the World Bank as well as model-based estimates from World Health Organization 2017 and Global Burden of Disease 2016 project. Results Injuries caused about 25 thousand deaths among 0-14-year olds in Ethiopia in 2015. The leading cause of fatal child unintentional injuries in Ethiopia was road-traffic injuries, followed by fire, heat and hot substances and drowning. The death rate due to injuries among 0–14 years olds was about 50 percent higher in males than females. Rural children were exposed to a greater risk of injury than their urban peers. The longitudinal survey suggests that the incidence rate of child injuries increased during the period 2011–2014. The annual mortality caused by injuries is projected to increase from 10,697 in 2015 to 11,279 in 2020 and 11,989 in 2030 among children under 5 years, an increase of 12 percentage points in 15 years. The number of deaths among 0-14-year olds will be 26,463, 27,807, and 30,364 respectively in 2015, 2020, and 2030. Conclusions As the first multisectoral collaboration on child injuries in Ethiopia, this study identified gaps in understanding of the burden of child injuries in Ethiopia. In consultation with Ethiopian government and other stakeholders, we propose starting an injury surveillance system at health clinics and hospitals and building an intervention package based on existing platforms. PMID:29584763

31 CFR 551.401 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false [Reserved] 551.401 Section 551.401 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Interpretations § 551.401...

76 FR 47646 - Additional Designation of Person Whose Property and Interests in Property Are Blocked Pursuant to...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-05

... is featured in an Al-Shabaab video in which militia members are shown training and explicitly stating... organizing a suicide bombing attack carried out by a Somali-American from Minnesota who traveled to Somalia...

Evolving Service Poles in Presence Missions.

DTIC Science & Technology

1995-08-01

were trained, equipped, deployed and re-deployed t-.hrough FMF; e.g., Morocco in Somalia and S*n* ga , Nigeria, Ghana, Siarra Leone. Uganda, and TanzarH...Mongolia, Nopal , and Bangladesh, military outraach programs, including parsonnsl exchanges and multinational conferences, provide some of our basic

Capacity Building with CHIRPS Amidst a Station-Recording Crisis

NASA Astrophysics Data System (ADS)

Peterson, P.

2016-12-01

Station data are essential for improving the accuracy of satellite-derived rainfall products. However we face a severe reporting crisis as the number of available stations observations has declined precipitously. For example there were 2400 monthly stations available in Africa (excluding South Africa) in the 1980's, while at present there are about 500 stations (Figure 1). In this talk we describe how partnerships with regional and national collaborators can improve our collective ability to monitor food production and inform decision making. A high quality, long-term, high-resolution precipitation dataset is key for supporting agricultural drought monitoring, food security and early warning. Here we present the Climate Hazards group InfraRed Precipitation with Stations (CHIRPS) v2.0, developed by scientists at the University of California, Santa Barbara and the U.S. Geological Survey Earth Resources Observation and Science Center under the direction of Famine Early Warning Systems Network (FEWS NET). This quasi-global precipitation product is available at daily to seasonal time scales with a spatial resolution of 0.05° and a 1981 to near real-time period of record. The Climate Hazards Group (CHG) has developed an extensive database of in situ daily, pentadal, and monthly precipitation totals with over a billion daily observations worldwide. Under support from the USAID FEWS NET, CHG/USGS has developed a two way strategy for incorporating contributed station data while providing web-based visualization tools to partners in developing nations. For example, we are currently working with partners in Mexico (Conagua), Southern Africa (SASSCAL), Colombia (IDEAM), Somalia (SWALIM) and Ethiopia (NMA). These institutions provide in situ observations which enhance the CHIRPS. The CHIRPS is then placed in a web accessible geospatial database. Partners in these countries can then access and display this information using web based mapping tools. This provides a win-win collaboration, leading to improved globally accessible precipitation estimates and improved climate services in developing nations.

The mass media alone are not effective change agents.

PubMed

Ruijter, J M

1991-01-01

Social mobilization programs for immunization have been used by African leaders, however, coverage from 20% to 70% in capitals like Mogadishu, Maputo, and Dakar were the result of short campaigns rather than the consequence of knowledge, attitudes, and practices (KAP) improvement. One-party states relied on their network of cadres issuing decrees from the top down to enforce completion of these immunization campaigns. Sometimes resistance developed against these programs, as the military mobilized people (e.g., Somalia). These efforts became rather superficial once the temporary pressure evaporated. In Mogadishu coverage increased from 22% to 70% in 1985, and within a year it dropped back to 8% above the original level. Nigeria, Senegal, and Togo where they used regular mini campaigns had better results. Research data from Botswana, Kenya, Lesotho, Malawi, Mozambique, and Zambia were analyzed. In 1983 in Kenya 73% of health workers never advised their clients, and 82% were incompetent to do so. Data also showed that clinics provided the bulk of information to women aged 15-45 in lower income groups, but they rarely consulted village health workers. Radio and TV programs were not reaching people because radio ownership was not universal (47% in Zambia and 30% in Zimbabwe), and batteries were often not available. In addition, most people turned to the radio for entertainment. In 1989, vaccination coverage was 19% in Luanda, Angola, but only 5% of 232 respondents to an evaluation could name the immunizable diseases. An identical percentage was familiar with these diseases in a Zambian study in 1986. Media experts proposed dramas to raise interest, but innovative mass media programs of dissemination of the message advocated in the 1960s did not prove effective to bring about KAP changes. Training of health and paramedical personnel by mass organizations as initiated in Ethiopia may prove to be worthwhile.

A Novel Strategy to Increase Identification of African-Born People With Chronic Hepatitis B Virus Infection in the Chicago Metropolitan Area, 2012–2014

PubMed Central

Song, Sharon; Johnson, Matthew; Harris, Aaron M.; Kaufman, Gary I.; Freedman, David; Quinn, Michael T.; Kim, Karen E.

2016-01-01

Introduction Most research on hepatitis B virus (HBV) infection in the United States is limited to Asian populations, despite an equally high prevalence among African immigrants. The purpose of this study was to determine testing and detection rates of HBV infection among African-born people residing in the Chicago metropolitan area. Methods A hepatitis education and prevention program was developed in collaboration with academic, clinical, and community partners for immigrant and refugee populations at risk for HBV infection. Community health workers implemented chain referral sampling, a novel strategy for recruiting hard-to-reach participants, targeting African-born participants. Participants were tested in both clinical and nonclinical settings. To assess infection status, blood samples were obtained for hepatitis B surface antigen (HBsAg), core antibody, and surface antibody testing. Demographic information was collected on age, sex, health insurance status, country of origin, and years residing in the United States. Participants were notified of testing results, and HBsAg-positive participants were referred for follow-up medical care. Results Of 1,000 African-born people who received education, 445 (45%) agreed to participate in HBV screening. There were 386 (87%) participants tested in clinical and 59 (13%) tested in nonclinical sites. Compared with participants who were tested in clinical settings, participants tested in nonclinical settings were older, were less likely to have health insurance, and had lived in the United States longer (P < .005 for each). Of these, most were from the Democratic Republic of the Congo (14%), Nigeria (13%), Ghana (11%), Somalia (11%), or Ethiopia (10%). There were 35 (8%) HBsAg-positive people, 37% had evidence of past infection, and 29% were immune. Conclusions Chain referral sampling identified many at-risk African-born people with chronic HBV infection. The large proportion of HBsAg-positive people in this sample reinforces the need for health promotion programs that are culturally appropriate and community-driven. PMID:27584874

International migration and sustainable human development in eastern and southern Africa.

PubMed

Oucho, J O

1995-01-01

International migration in eastern and southern Africa (ESA) is rarely addressed in population and development policies or regional organizations, and regional organizations must in the articulation of sustainable shared development identify the role of international migration. Poor quality data on international migration hampers analysis. Sustainable, shared, and human development within the region are subregional issues. Permanent migration is characterized among ESA countries as increasing demographic ethnic pluralism that may result in redrawing of territorial boundaries and further population movement. Portuguese and Arab settlement and integration in eastern areas resulted in coexistence, while European immigration to South Africa resulted in racial segregation. Modern colonial settlement and the aftermath of political conflict resulted in independent countries after the 1960s and outmigration of nonAfrican groups. Much of the labor migration in ESA is unskilled workers moving to South African mining regions. Labor migration to Zimbabwe and Zambia declined after the 1960s. The formation of the Common Market for ESA and the potential merger with the Preferential Trade Area and South African Development Community is a key approach to integration of migration into regional cooperation and shared development. Refugee movements create the most problems. Prior to 1992 ESA countries accounted for 83.4% of refugees, particularly in Mozambique, Ethiopia, and Somalia. Some countries blame poor economic performance on the deluge of refugees. Illegal migration is currently detected because of the required work permits, but the adoption of the Common Market would obscure this phenomenon. Human development is affected most by migrations related to drought, labor migration to strong economic areas, and return migration. The Inter-Governmental Authority on Drought and Development needs to become more active and establish better policies on nomadic and refugee movements and displaced populations. Movement of educated populations to countries lacking in trained and skilled human resources is a future challenge. Strategies of immigration should facilitate economic development.

A comparative review of governments' views on objectives and policy instruments in the field of population and development.

PubMed

1982-01-01

It is possible to assess population policies through statements and decisions taken by governments as they reflect the views and commitments of political authorities in the field of population and development. Cases in the following African countries are reviewed with focus on objectives and policy instruments: Algeria; Angola; Benin; Botswana; Cape Verde; Central African Republic; Congo; Djibouti; Egypt; Ethiopia; Guinea; Gabon; Gambia; Ghana; Equatorial Guinea; Guinea-Bissau; Ivory Coast; Kenya; Lesotho; Liberia; Libyan Arab Jamahiriya; Madagascar; Malawi; Mali; Mauritania; Mauritius; Morocco; Mozambique; Niger; Nigeria; Rwanda; Sao Tome and Principe; Senegal; Seychelles; Sierra Leone; Somalia; Sudan; Swaziland; Togo; Tunisia; Uganda; United Republic of Cameroon; Tanzania; Upper Volta; Zaire; Zambia; and Zimbabwe. The information presented was drawn from the following publications: UN Population Division, "Population Policy Briefs: Current Situation in Developing Countries and Selected Territories," and UNFPA, "Population Programs and Projects," Volume 2, 1980-1981. On the basis of this review the following conclusions are drawn, which could indicate areas in which technical assistance to the Economic Commission for Africa (ECA) member States would be required: among the 50 country members of ECA, 34 countries (68%) have as a development objective the reduction of mortality, and in particular, maternal and child mortality; the 2nd important objective is stabilizing or improving spatial distribution of population, and 44% of the 50 countries have adopted this objective which involves the distribution of population from 1 place to another within a country; the 3rd important objective consists of restricting the migratory flow from rural areas to urban areas; the countries of Botswana, Egypt, Ghana, Kenya, Lesotho, Mauritius, Morocco, Rwanda, Seychelles, Swaziland, and Tunisia adopted the objective of reducing the rate of population growth; 34% of African countries have decided to integrate family planning programs with health services; and only 20% of African countries have announced socioeconomic development as an instrument to solve their population problems.

Estimating probabilistic rainfall and food security outcomes for eastern and southern Africa

NASA Astrophysics Data System (ADS)

Verdin, J.; Funk, C.; Dettinger, M.; Brown, M.

2009-05-01

Since 1980, the number of undernourished people in eastern and southern Africa has more than doubled. Rural development stalled and rural poverty expanded during the 1990s. Population growth remains high, and declining per-capita agricultural capacity retards development. In September of 2008, Ethiopia, Kenya, Djibouti, and Somalia faced high or extreme conditions of food insecurity caused by repeated droughts and rapid food price inflation. In this talk we present research, performed for the US Agency for International Development on probabilistic projections of rainfall and food security trends for eastern and southern Africa. Analyses of station data and satellite-based estimates of precipitation have identified another problematic trend: main growing- season rainfall has diminished by ~15% in food-insecure countries clustered along the western rim of the Indian Ocean. Occurring during the main growing seasons in poor countries dependent on rain-fed agriculture, these declines constitute a long term danger to subsistence agricultural and pastoral livelihoods. Tracing moisture deficits upstream to an anthropogenically-induced warming Indian Ocean leads us to conclude that further rainfall declines are likely. We present analyses suggesting that warming in the central Indian Ocean disrupts onshore moisture transports, reducing continental rainfall. Thus, late 20th century Indian Ocean warming has probably already produced societally dangerous climate change by creating drought and social disruption in some of the world's most fragile food economies. We quantify the potential impacts of the observed precipitation and agricultural capacity trends by modeling millions of undernourished people as a function of rainfall, population, cultivated area, and seed and fertilizer use. Persistence of current trends may result in a 50% increase in undernourished people. On the other hand, modest increases in per-capita agricultural productivity could more than offset the observed precipitation declines. Increased investment in agricultural development would help mitigate climate change while decreasing rural poverty and vulnerability.

Female circumcision and child mortality in urban Somalia.

PubMed

Mohamud, O A

1991-01-01

In Somalia, a demographer analyzed urban data obtained from the Family Health Survey to examine the effect female circumcision has on child mortality and the mechanism of that effect. Girls undergo female circumcision between 5-12 years old in Somalia. Since sunni circumcision (removal of the clitoral prepuce and tip of the clitoris) and clitoridectomy (removal of the entire clitoris) did not affect child mortality, he used them as the reference group. Infibulation (entire removal of the clitoris and of the labia minora and majora with the remains of the labia majora being sewn together allowing only a small opening for passage of urine) did affect child mortality. Female children who underwent infibulation and whose mothers most likely also underwent infibulation experienced higher mortality (13-72%) than those from other circumcised mothers. Female mortality exceeded male mortality indicating possible son preference. Mothers with clitoridectomy or infibulation had significantly higher infant mortality than those with sunni circumcision with the strongest effects during the neonatal period (95% and 42% higher mortality, respectively; p=.01). The effect of female circumcision on child mortality decreased with increased child's age. This higher than expected mortality among women with clitoridectomy may have been because women with infibulation had more stillbirths which were not counted as births. The exposed vagina of clitoridectomized women is more likely to be infected resulting in high risk of stillbirths and premature births than the closed vagina of infibulated women. The researcher suggested that the policies promoting education and consciousness raising may eventually eradicate female circumcision. This longterm campaign should use mass media, senior women of high status, and respected religious leaders. Legislation prohibiting this practice would only drive it underground under unsanitary conditions. Demographers should no longer ignore female circumcision's effect on mortality and other demographic variables.

Space–time mapping of wasting among children under the age of five years in Somalia from 2007 to 2010

PubMed Central

Kinyoki, Damaris K; Berkley, James A; Moloney, Grainne M; Odundo, Elijah O; Kandala, Ngianga-Bakwin; Noor, Abdisalan M

2016-01-01

Objective To determine the sub-national seasonal prevalence and trends in wasting from 2007 to 2010 among children aged 6–59 months in Somalia using remote sensing and household survey data from nutritional surveys. Methods Bayesian hierarchical space–time model was implemented using a stochastic partial differential equation (SPDE) approach in integrated nested Laplace approximations (INLA) to produce risk maps of wasting at 1 × 1 km2 spatial resolution and predict to seasons in each year of study from 2007 to 2010. Results The prevalence of wasting was generally at critical levels throughout the country, with most of the areas remaining in the upper classes of critical and very critical levels. There was minimal variation in wasting from year-to-year, but a well-defined seasonal variation was observed. The mean difference of the prevalence of wasting between the dry and wet season ranges from 0% to 5%. The risks of wasting in the South Central zone were highest in the Gedo (37%) and Bay (32%) regions. In North East zone the risk was highest in Nugaal (25%) and in the North West zone the risk was high in Awdal and Woqooyi Galbeed regions with 23%. Conclusion There was a clear seasonal variation in wasting with minimal year-to-year variability from 2007 to 2010 in Somalia. The prevalence was high during the long dry season, which affects the prevalence in the preceding long rainy season. Understanding the seasonal fluctuations of wasting in different locations and at different times is important to inform timely interventions. PMID:26919757

Assessing the impact of mass rape on the incidence of HIV in conflict-affected countries

PubMed Central

Virginie, Supervie; Yasmin, Halima; Sally, Blower

2010-01-01

Objectives To quantify the potential impact of mass rape on HIV incidence in seven conflict-afflicted-countries (CACs), with severe HIV epidemics, in Sub-Saharan Africa. Design Uncertainty analysis of a risk equation model. Methods A mathematical model was used to evaluate the potential impact of mass rape on increasing HIV incidence in women and girls in: Burundi, Democratic Republic of Congo (DRC), Rwanda, Sierra Leone, Somalia, southern Sudan and Uganda. The model was parameterized with data from UNAIDS/WHO and the US Census Bureau’s International Data Base. Incidence data from UNAIDS/WHO were used for calibration. Results Mass rape could cause ~five HIV infections per 100,000 females per year in the DRC, Sudan, Somalia and Sierra Leone, double that in Burundi and Rwanda, and quadruple that in Uganda. The number of females infected per year due to mass rape is likely to be relatively low in Somalia and Sierra Leone, 127 (median: Inter-Quartile-Range (IQR) 55–254) and 156 (median: IQR 69–305), respectively. Numbers could be high in the DRC and Uganda: 1,120 (median: IQR 527–2,360) and 2,172 (median: IQR 1,031–4,668), respectively. In Burundi, Rwanda and Sudan numbers are likely to be intermediate. Under extreme conditions 10,000 women and girls could be infected per year in the DRC, and 20,000 women and girls in Uganda. Mass rape could increase annual incidence by ~ 7% (median: IQR 3–15). Conclusions Interventions and treatment targeted to rape survivors during armed conflicts could reduce HIV incidence. Support should be provided both on the basis of human rights and public health. PMID:20859191

Concordance study and population frequencies for 16 autosomal STRs analyzed with PowerPlex® ESI 17 and AmpFℓSTR® NGM SElect™ in Somalis, Danes and Greenlanders.

PubMed

Tomas, C; Mogensen, H S; Friis, S L; Hallenberg, C; Stene, M C; Morling, N

2014-07-01

A concordance study of the results of PowerPlex(®) ESI 17 and AmpFℓSTR(®) NGM SElect™ kits obtained from 591 individuals from Somalia (N=198), Denmark (N=199) and Greenland (N=194) was performed. Among 9456 STR types, seven discordant results were found with the two kits: one observed in the D19S433 system in an individual from Denmark and six in the SE33 system in six individuals from Somalia. Sequencing of SE33 in the six samples with discordant results showed G>A transition 15bp downstream of the repeat unit in three of the individuals, and G>A transition 68bp downstream of the repeat unit in the other three individuals. Population data for 16 autosomal STR systems analyzed in 989 individuals from Somalia, Denmark and Greenland are also presented. The highest mean heterozygosity was observed in Danes (82.5%). With the exception of D8S1179 in Danes, no significant deviations from Hardy-Weinberg expectations were observed. Only one pair of systems (D12S391 and D18S51) showed significant allelic association in Greenlanders (after Holm-Šidák correction). A MDS plot drawn from pairwise FST values calculated between 21 populations showed a clear displacement of the Greenlandic population versus the other ones included in the analyses. The highest combined chance of exclusion and power of discrimination was observed for Danes reaching values of 99.9999987% and 1 in 1.8×10(21), respectively. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

From diagnosis to health: a cross-cultural interview study with immigrants from Somalia.

PubMed

Wallin, Anne-Marie; Ahlström, Gerd

2010-06-01

Being diagnosed as having a chronic disease gives rise to emotions. Beliefs about health are culturally constructed and affect people's decisions regarding treatment. No studies have been reported that focus on the health beliefs of immigrants of Somalian origin with diabetes and how these people experiences the diagnosis. Therefore the aim of the present study was to investigate how immigrants from Somalia living in Sweden experienced receiving the diagnosis and describe their beliefs about health. The sample consisted of 19 adults with diabetes born in Somalia and now living in Sweden who were interviewed with the aid of an interpreter. The interviews were subjected to qualitative content analysis. From the analysis of what the participants said about their experiences of the diagnosis there emerged three themes: 'Existential brooding', 'Avoiding the diagnosis' and 'Accepting what is fated'. Three themes also emerged from the analysis of what they said about beliefs about health: 'Health as absence of disease', 'Health as general well-being' and 'Fated by a higher power'. A major finding was that women when they communicated their experiences regarding the diagnosis and health beliefs made more use of supernatural beliefs than men did. The participants, irrespective of gender, did not immediately respond with shock or other strong emotion when they received the diagnosis. The study provides health-care staff with knowledge concerning a minority group's experiences of being diagnosed as having diabetes and their beliefs about health. The findings indicate that men and women differ in how they experiences the diagnosis and how they described their health beliefs. The quality improvement of health education and nursing for patients with diabetes calls for consideration of the variation of beliefs related to cultural background and gender.

Practicing medicine without borders: tele-consultations and tele-mentoring for improving paediatric care in a conflict setting in Somalia?

PubMed

Zachariah, R; Bienvenue, B; Ayada, L; Manzi, M; Maalim, A; Engy, E; Jemmy, J P; Ibrahim Said, A; Hassan, A; Abdulrahaman, F; Abdulrahman, O; Bseiso, J; Amin, H; Michalski, D; Oberreit, J; Draguez, B; Stokes, C; Reid, T; Harries, A D

2012-09-01

In a district hospital in conflict-torn Somalia, we assessed (i) the impact of introducing telemedicine on the quality of paediatric care, and (ii) the added value as perceived by local clinicians. A 'real-time' audio-visual exchange of information on paediatric cases (Audiosoft Technologies, Quebec, Canada) took place between clinicians in Somalia and a paediatrician in Nairobi. The study involved a retrospective analysis of programme data, and a perception study among the local clinicians. Of 3920 paediatric admissions, 346 (9%) were referred for telemedicine. In 222 (64%) children, a significant change was made to initial case management, while in 88 (25%), a life-threatening condition was detected that had been initially missed. There was a progressive improvement in the capacity of clinicians to manage complicated cases as demonstrated by a significant linear decrease in changes to initial case management for meningitis and convulsions (92-29%, P = 0.001), lower respiratory tract infection (75-45%, P = 0.02) and complicated malnutrition (86-40%, P = 0.002). Adverse outcomes (deaths and lost to follow-up) fell from 7.6% in 2010 (without telemedicine) to 5.4% in 2011 with telemedicine (30% reduction, odds ratio 0.70, 95% CI: 0.57-0.88, P = -0.001). The number needed to be treated through telemedicine to prevent one adverse outcome was 45. All seven clinicians involved with telemedicine rated it to be of high added value. The introduction of telemedicine significantly improved quality of paediatric care in a remote conflict setting and was of high added value to distant clinicians. © 2012 Blackwell Publishing Ltd.

Efficacy of artesunate + sulphadoxine/pyrimethamine and artemether + lumefantrine and dhfr and dhps mutations in Somalia: evidence for updating the malaria treatment policy.

PubMed

Warsame, Marian; Hassan, Abdikarim Hussein; Hassan, Abdillahi Mohamed; Arale, Abdulkadir Mohamed; Jibril, Ali Mohamed; Mohamud, Said Abdulkadir; Barrette, Amy; Muse, Abdikarim Yusuf; Yusuf, Fahmi Essa; Nada, Rania A; Amran, Jamal Ghilan Hefzullah

2017-04-01

To determine the therapeutic efficacy of artesunate + sulphadoxine/pyrimethamine (AS + SP) and artemether + lumefantrine (AL), and to investigate the presence of molecular mutations associated with resistance, to inform national malaria treatment policy. One-arm prospective studies were conducted in three study sites in Somalia in 2013 and 2015 to evaluate the efficacy of AS + SP and AL among patients with uncomplicated falciparum malaria. Outcomes included clinical and parasitological response over 28 days, and the presence of dihydrofolate reductase (dfhr) and dihydropteroate synthase (dhps) and mutations. Among patients treated with AS + SP, the PCR-corrected treatment failure rate was 12.3%. The majority of patients (89%) carried either the quintuple mutations (51I/108N + 437G/540E/581G or 51I/59R/108N + 437G/540E) or the quadruple mutation (51I/108N + 437G/540E). All patients who failed treatment with AS + SP carried the quintuple mutation (51I/108N + 437G/540E/581G). In the studies of AL, the PCR-corrected treatment failure rate was <6%. All patients in both treatment groups cleared their parasitaemia by day 3. The findings demonstrate a failing first-line treatment (AS + SP), with a failure rate above the threshold (10%) for policy change, and a high prevalence of quintuple mutations. In contrast, AL was highly efficacious. Based on these findings and the results from a previous AS + SP study, AL was selected to replace AS + SP as the first-line treatment for uncomplicated malaria in Somalia in 2016. Dihydroartemisinin + piperaquine (DHA + PPQ) has been recommended as the second-line treatment. Routine monitoring of recommended ACTs should continue to inform treatment policy. © 2017 John Wiley & Sons Ltd.

Reconciling geodetic and geological estimates of recent plate motion across the Southwest Indian Ridge

NASA Astrophysics Data System (ADS)

DeMets, C.; Calais, E.; Merkouriev, S.

2017-01-01

We use recently published, high-resolution reconstructions of the Southwest Indian Ridge to test whether a previously described systematic difference between Global Positioning System (GPS) and 3.16-Myr-average estimates of seafloor spreading rates between Antarctica and Africa is evidence for a recent slowdown in Southwest Indian Ridge seafloor spreading rates. Along the Nubia-Antarctic segment of the ridge, seafloor opening rates that are estimated with the new, high-resolution reconstructions and corrected for outward displacement agree well with geodetic rate estimates and reduce previously reported, highly significant non-closure of the Nubia-Antarctic-Sur plate circuit. The observations are inconsistent with a slowdown in spreading rates and instead indicate that Nubia-Antarctic plate motion has been steady since at least 5.2 Ma. Lwandle-Antarctic seafloor spreading rates that are estimated from the new high-resolution reconstructions differ insignificantly from a GPS estimate, thereby implying steady Lwandle-Antarctic plate motion since 5.2 Ma. Between the Somalia and Antarctic plates, the new Southwest Indian Ridge reconstructions eliminate roughly half of the systematic difference between the GPS and MORVEL spreading rate estimates.We interpret the available observations as evidence that Somalia-Antarctic spreading rates have been steady since at least 5.2 Ma and postulate that the remaining difference is attributable to random and/or systematic errors in the plate kinematic estimates and the combined effects of insufficient geodetic sampling of undeforming areas of the Somalia plate, glacial isostatic adjustment in Antarctica and transient deformation triggered by the 1998 Mw = 8.2 Antarctic earthquake, the 2004 Mw = 9.3 Sumatra earthquake, or possibly other large historic earthquakes.

Weighted log-linear models for service delivery points in Ethiopia: a case of modern contraceptive users at health facilities.

PubMed

Workie, Demeke Lakew; Zike, Dereje Tesfaye; Fenta, Haile Mekonnen; Mekonnen, Mulusew Admasu

2018-05-10

Ethiopia is among countries with low contraceptive usage prevalence rate and resulted in high total fertility rate and unwanted pregnancy which intern affects the maternal and child health status. This study aimed to investigate the major factors that affect the number of modern contraceptive users at service delivery point in Ethiopia. The Performance Monitoring and Accountability2020/Ethiopia data collected between March and April 2016 at round-4 from 461 eligible service delivery points were in this study. The weighted log-linear negative binomial model applied to analyze the service delivery point's data. Fifty percent of service delivery points in Ethiopia given service for 61 modern contraceptive users with the interquartile range of 0.62. The expected log number of modern contraceptive users at rural was 1.05 (95% Wald CI: - 1.42 to - 0.68) lower than the expected log number of modern contraceptive users at urban. In addition, the expected log count of modern contraceptive users at others facility type was 0.58 lower than the expected log count of modern contraceptive users at the health center. The numbers of nurses/midwives were affecting the number of modern contraceptive users. Since, the incidence rate of modern contraceptive users increased by one due to an additional nurse in the delivery point. Among different factors considered in this study, residence, region, facility type, the number of days per week family planning offered, the number of nurses/midwives and number of medical assistants were to be associated with the number of modern contraceptive users. Thus, the Government of Ethiopia would take immediate steps to address causes of the number of modern contraceptive users in Ethiopia.

Clinical and Epidemiological Studies on Rickettsial Infections.

DTIC Science & Technology

1980-06-01

investigations currently or fo Tly undertaken with the collaboration or spotof the following or n’iztiona- 1) In, Ethiopia : Naval Medical Research Uit-S.. 2) In B...data from the continuing studies in Burma ocanplement and extend our earlier investigati6ns in Ethiopia , we now sumarize those results frm the Ethiopian...TESTS COMPARING RATES IN RATTUS RATTUS A14D MUS MUSCULUS WITH OTHER RODENTS (INDOORS AND OUTDOORS) IN ETHIOPIA , WITH INDICATION OP THEIR MAJOR

Leptospirosis Survey of Rodents and Domestic Animals in Ethiopia

DTIC Science & Technology

1976-08-01

bovin --. leptospirosis . Amer. J. Vet. Res. 15, 434. Sulzer, C. R., Harvey, T. W., and Galton, M. M, (1968) Comparison of diagnostic technics for the...U.S. DEPARTMENT OF COMMERCE National Technical Inforuation Service AD-A033 991 LEPTOSPIROSIS SURVEY OF RODENTS AND DOMESTIC ANIMALS IN ETHIOPIA NAVAL...34) Domestic animals. Ethiopia. Leptospirosis.Rodents. ien suoy wasa c’r ’ ubtosryds,’C and domestic animals for leptospirosis in 5 sites in western and

Legal harvest and illegal trade: Trends, challenges, and options in khat production in Ethiopia.

PubMed

Cochrane, Logan; O'Regan, Davin

2016-04-01

The production of khat in Ethiopia has boomed over the last two decades, making the country the world's leading source. Khat is now one of Ethiopia's largest crops by area of cultivation, the country's second largest export earner, and an essential source of income for millions of Ethiopian farmers. Consumption has also spread from the traditional khat heartlands in the eastern and southern regions of Ethiopia to most major cities. This steady growth in production and use has unfolded under negligible government support or regulation. Meanwhile, khat, which releases a stimulant when chewed, is considered an illicit drug in an increasing number of countries. Drawing on government data on khat production, trade, and seizures as well as research on the political, socioeconomic, and development effects of plant-based illicit narcotics industries, this commentary identifies possible considerations and scenarios for Ethiopia as the country begins to manage rising khat production, domestic consumption, and criminalization abroad. Deeply embedded in social and cultural practices and a major source of government and agricultural revenue, Ethiopian policymakers have few enviable choices. Criminalization abroad raises a small but not insignificant possibility that previously nonexistent linkages between khat and transnational organized crime and trafficking networks will emerge. Likewise, more stringent regulation of khat in Ethiopia could merge with lingering political cleavages and anti-government sentiments, exacerbating low-level domestic conflicts. Copyright © 2016 Elsevier B.V. All rights reserved.

A binary logistic regression model with complex sampling design of unmet need for family planning among all women aged (15-49) in Ethiopia.

PubMed

Workie, Demeke Lakew; Zike, Dereje Tesfaye; Fenta, Haile Mekonnen; Mekonnen, Mulusew Admasu

2017-09-01

Unintended pregnancy related to unmet need is a worldwide problem that affects societies. The main objective of this study was to identify the prevalence and determinants of unmet need for family planning among women aged (15-49) in Ethiopia. The Performance Monitoring and Accountability2020/Ethiopia was conducted in April 2016 at round-4 from 7494 women with two-stage-stratified sampling. Bi-variable and multi-variable binary logistic regression model with complex sampling design was fitted. The prevalence of unmet-need for family planning was 16.2% in Ethiopia. Women between the age range of 15-24 years were 2.266 times more likely to have unmet need family planning compared to above 35 years. Women who were currently married were about 8 times more likely to have unmet need family planning compared to never married women. Women who had no under-five child were 0.125 times less likely to have unmet need family planning compared to those who had more than two-under-5. The key determinants of unmet need family planning in Ethiopia were residence, age, marital-status, education, household members, birth-events and number of under-5 children. Thus the Government of Ethiopia would take immediate steps to address the causes of high unmet need for family planning among women.

31 CFR 551.303 - Entity.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Entity. 551.303 Section 551.303 Money... CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.303 Entity. The term entity means a partnership, association, trust, joint venture, corporation, group, subgroup...

31 CFR 551.303 - Entity.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Entity. 551.303 Section 551.303 Money... CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.303 Entity. The term entity means a partnership, association, trust, joint venture, corporation, group, subgroup...

75 FR 24394 - Somalia Sanctions Regulations

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-05

... reference books, photocopies, credit reports, transcripts of statements, registered mail, insurance... alia, the International Emergency Economic Powers Act (50 U.S.C. 1701- 1706), the National Emergencies... section. Note 2 to Sec. 551.201: Section 203 of the International Emergency Economic Powers Act (50 U.S.C...

31 CFR 551.801 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false [Reserved] 551.801 Section 551.801 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Procedures § 551.801 [Reserved] ...

31 CFR 551.405 - Setoffs prohibited.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Setoffs prohibited. 551.405 Section 551.405 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Interpretations § 551.405...

31 CFR 551.308 - Transfer.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Transfer. 551.308 Section 551.308 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.308...

31 CFR 551.304 - Interest.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Interest. 551.304 Section 551.304 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.304...

31 CFR 551.301 - Blocked account; blocked property.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Blocked account; blocked property. 551.301 Section 551.301 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS...

31 CFR 551.306 - Person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Person. 551.306 Section 551.306 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.306 Person...

The Elusive Goal of World Literacy.

ERIC Educational Resources Information Center

Bhola, H. S.; And Others

1980-01-01

This issue is devoted to discussions of world literacy and national programs which comparative studies indicate may be used as models for future UNESCO international campaigns. Individual articles explore economic incentives for literacy motivation, radio learning projects, media programs in Jamaica, literacy improvement in Somalia, and a…

31 CFR 551.302 - Effective date.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Effective date. 551.302 Section 551.302 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551...

31 CFR 551.503 - Exclusion from licenses.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Exclusion from licenses. 551.503 Section 551.503 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Licenses...

Law and Anarchy in Somalia

DTIC Science & Technology

1993-01-01

incapacitating spray, such as Mace, could be an answer to the problem of theft from moving vehicles. Commercially produced cayenne pepper spray would work...reviewed at higher headquarters. When the cayenne pepper spray was finally approved in April 1993, it proved to be highly effective." Detention of

Fever prevalence and management among three rural communities in the North West Zone, Somalia.

PubMed

Youssef, R M; Alegana, V A; Amran, J; Noor, A M; Snow, R W

2010-06-01

Between March and August 2008 we undertook 2 cross-sectional surveys among 1375 residents of 3 randomly selected villages in the district of Gebiley in the North-West Zone, Somalia. We investigated for the presence of malaria infection and the period prevalence of self-reported fever 14 days prior to both surveys. All blood samples examined were negative for both species of Plasmodium. The period prevalence of 14-day fevers was 4.8% in March and 0.6% in August; the majority of fevers (84.4%) were associated with other symptoms including cough, running nose and sore throat; 48/64 cases had resolved by the day of interview (mean duration 5.4 days). Only 18 (37.5%) fever cases were managed at a formal health care facility: 7 within 24 hours and 10 within 24-72 hours of onset. None of the fevers were investigated for malaria; they were treated with antibiotics, antipyretics and vitamins.

STS-56 Earth observation of a sun-glinted ocean along the coast of Somalia

NASA Technical Reports Server (NTRS)

1993-01-01

STS-56 Earth observation taken aboard Discovery, Orbiter Vehicle (OV) 103, is of a sun-glinted ocean along the northeastern coast of Somalia. The small island of Xaafuun is connected to the mainland by a well-developed double tombolo-two sand bars. Between the two toombolos a lagoon is formed which gradually fills with sediment and becomes a flat sand bar. Better known double tombolos include those of Gibraltar, the now-partially submerged giant tombolos forming Adam's Bridge (Palk Strait) connecting Sri Lanka to India, Monte Argentario in Italy, and Long Island, New York. Such tombolos usually indicate a constant sediment source and a strong unidirectional or bi-directional (monsoonal) long shore current. In this case, sediment is provided by the plumes of the major African rivers debauching into the Mozambique Channel. The sediment is carried predominately to the northeast along the coast by the swiftly moving monsoonal Agulhas Current. Visible in this scene are internal waves, shear

Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008

PubMed Central

Youssef, Randa M.; Cook, Jackie; Cox, Jonathan; Alegana, Victor A.; Amran, Jamal; Noor, Abdisalan M.; Snow, Robert W.; Drakeley, Chris

2010-01-01

Areas in which malaria is not highly endemic are suitable for malaria elimination, but assessing transmission is difficult because of lack of sensitivity of commonly used methods. We evaluated serologic markers for detecting variation in malaria exposure in Somalia. Plasmodium falciparum or P. vivax was not detected by microscopy in cross-sectional surveys of samples from persons during the dry (0/1,178) and wet (0/1,128) seasons. Antibody responses against P. falciparum or P. vivax were detected in 17.9% (179/1,001) and 19.3% (202/1,044) of persons tested. Reactivity against P. falciparum was significantly different between 3 villages (p<0.001); clusters of seroreactivity were present. Distance to the nearest seasonal river was negatively associated with P. falciparum (p = 0.028) and P. vivax seroreactivity (p = 0.016). Serologic markers are a promising tool for detecting spatial variation in malaria exposure and evaluating malaria control efforts in areas where transmission has decreased to levels below the detection limit of microscopy. PMID:20202412

Is Active Tectonics on Madagascar Consistent with Somalian Plate Kinematics?

NASA Astrophysics Data System (ADS)

Stamps, D. S.; Kreemer, C.; Rajaonarison, T. A.

2017-12-01

The East African Rift System (EARS) actively breaks apart the Nubian and Somalian tectonic plates. Madagascar finds itself at the easternmost boundary of the EARS, between the Rovuma block, Lwandle plate, and the Somalian plate. Earthquake focal mechanisms and N-S oriented fault structures on the continental island suggest that Madagascar is experiencing east-west oriented extension. However, some previous plate kinematic studies indicate minor compressional strains across Madagascar. This inconsistency may be due to uncertainties in Somalian plate rotation. Past estimates of the rotation of the Somalian plate suffered from a poor coverage of GPS stations, but some important new stations are now available for a re-evaluation. In this work, we revise the kinematics of the Somalian plate. We first calculate a new GPS velocity solution and perform block kinematic modeling to evaluate the Somalian plate rotation. We then estimate new Somalia-Rovuma and Somalia-Lwandle relative motions across Madagascar and evaluate whether they are consistent with GPS measurements made on the island itself, as well as with other kinematic indicators.

Mapping cattle trade routes in southern Somalia: a method for mobile livestock keeping systems.

PubMed

Tempia, S; Braidotti, F; Aden, H H; Abdulle, M H; Costagli, R; Otieno, F T

2010-12-01

The Somali economy is the only one in the world in which more than half the population is dependent on nomadic pastoralism. Trade typically involves drovers trekking animals over long distances to markets. A pilot approach for mapping trade routes was undertaken, using the Afmadow to Garissa routes in southern Somalia. The methodology included conducting a workshop with traders to gather preliminary information about the most-used routes and general husbandry practices and training selected drovers to collect data about key features along the routes, using hand-held global positioning system (GPS) devices, radio collar GPS and pictorial data forms. Collected data were then integrated into geographic information systems for analysis. The resultant spatial maps describe the Afmadow to Garissa routes, the speed of livestock movement along these routes and relevant environmental and social features affecting this speed. These data are useful for identifying critical control points for health screening along the routes, which may enable the establishment of a livestock certification system in nomadic pastoral environments.

Fever prevalence and management among three rural communities in the North West Zone, Somalia

PubMed Central

Youssef, R.M.; Alegana, V.A.; Amran, J.; Noor, A.M.; Snow, R.W.

2010-01-01

Between March and August 2008 we undertook 2 cross-sectional surveys among 1375 residents of 3 randomly selected villages in the district of Gebiley in the North-West Zone, Somalia. We investigated for the presence of malaria infection and the period prevalence of self-reported fever 14 days prior to both surveys. All blood samples examined were negative for both species of Plasmodium. The period prevalence of 14-day fevers was 4.8% in March and 0.6% in August; the majority of fevers (84.4%) were associated with other symptoms including cough, running nose and sore throat; 48/64 cases had resolved by the day of interview (mean duration 5.4 days). Only 18 (37.5%) fever cases were managed at a formal health care facility: 7 within 24 hours and 10 within 24–72 hours of onset. None of the fevers were investigated for malaria; they were treated with antibiotics, antipyretics and vitamins. PMID:20799585

Serologic markers for detecting malaria in areas of low endemicity, Somalia, 2008.

PubMed

Bousema, Teun; Youssef, Randa M; Cook, Jackie; Cox, Jonathan; Alegana, Victor A; Amran, Jamal; Noor, Abdisalan M; Snow, Robert W; Drakeley, Chris

2010-03-01

Areas in which malaria is not highly endemic are suitable for malaria elimination, but assessing transmission is difficult because of lack of sensitivity of commonly used methods. We evaluated serologic markers for detecting variation in malaria exposure in Somalia. Plasmodium falciparum or P. vivax was not detected by microscopy in cross-sectional surveys of samples from persons during the dry (0/1,178) and wet (0/1,128) seasons. Antibody responses against P. falciparum or P. vivax were detected in 17.9% (179/1,001) and 19.3% (202/1,044) of persons tested. Reactivity against P. falciparum was significantly different between 3 villages (p<0.001); clusters of seroreactivity were present. Distance to the nearest seasonal river was negatively associated with P. falciparum (p = 0.028) and P. vivax seroreactivity (p = 0.016). Serologic markers are a promising tool for detecting spatial variation in malaria exposure and evaluating malaria control efforts in areas where transmission has decreased to levels below the detection limit of microscopy.

Between protest, revenge and material interests: a phenomenological analysis of looting in the Somali war.

PubMed

Bakonyi, Jutta

2010-04-01

This paper examines practices of looting in the Somali war. Rather than being inspired primarily by economic objectives, lootings are complex and ambiguous social activities, which are embedded in daily practices and the political rhetoric of the war. In Somalia, looting activities have been driven by a broad range of motives, including military-strategic considerations and/or desire to revenge past atrocities and (perceived) injustices, as well as economic interests. Furthermore, the organisational structure, the performance of actions and the main targets of looters have differed widely. Based on an empirical analysis of different waves and phases of looting in the context of war and state decay in Somalia, the paper identifies five types of looting. Beyond a state-centred conceptualisation of order, the study reveals that looting is not an expression of political chaos, but rather is patterned by and rooted in local moral universes, which have been fundamentally transformed during the course of the violent conflicts in the country since the end of the 1970s.

Cirolana bambang, a distinctive new species of Cirolana Leach, 1818 (Crustacea: Isopoda: Cirolanidae) from Bitung, Indonesia.

PubMed

Sidabalok, Conni M; Bruce, Niel L

2018-01-25

Cirolana bambang sp. nov. from Bitung, North Sulawesi, Indonesia is described. The species can be recognised by generally smooth body with small, acute, submedian nodules on pleonites 4-5 and the anterior dorsal surface of the pleotelson together with a flat, pentagonal frontal lamina, linguiform and sexually dimorphic pleotelson with the dorsal surface covered by short setae in males, deeply bifid uropod apices, and a conspicuously large robust seta on the superodistal angle of pereopod 1 ischium. Cirolana bambang sp. nov. appears to belong to a group of Indo-West Pacific Cirolana with prominent penial process, a large robust seta on the superodistal angle of pereopod 1 ischium and the presence of setae on dorsal surface of pleotelson and or uropod in males. The most similar species are Cirolana comata Keable, 2001; Cirolana dissimilis Keable, 2001; Cirolana aldabrensis Schotte Kensley, 2005; and Cirolana somalia Schotte Kensley, 2005. Cirolana kiliani Müller, 1993 and C. somalia are found not to belong to the Cirolana'parva-group'.

Uvulectomy to prevent throat infections.

PubMed

Hartley, B E; Rowe-Jones, J

1994-01-01

It is common practice in many parts of Africa for traditional healers to remove the uvula to prevent infections and other disorders associated with the throat. We report two cases of children presenting with recurrent tonsillitis. On examination both children showed complete absence of the uvula and prominent tonsils. It was later revealed that they both had undergone uvulectomy, performed by traditional healers in Eritrea. We report this because this practice, although commonly performed, is little known to otolaryngologists practising outside Africa. In addition, although velopharyngeal competence seems to be maintained after uvulectomy, it may theoretically be at risk if adenoidectomy is performed in these patients.

On a mission: training traditional birth attendants in Ethiopia.

PubMed

Ciolino, Alice

2011-06-01

Alice Ciolino, a midwife from London spent eight months in Ethiopia with Doctors of the World. Her mission was to train Traditional Birth Attendants (TBAs). Based in the Somali region of Ethiopia, access to healthcare facilities was limited; indeed Kebri Dehar had the only hospital in the region. Here Alice shares her experience of what it is like to live and work in a remote part of the world, far from the medical facilities we take for granted in the West.

Growth faltering and recovery in children aged 1-8 years in four low- and middle-income countries: Young Lives.

PubMed

Lundeen, Elizabeth A; Behrman, Jere R; Crookston, Benjamin T; Dearden, Kirk A; Engle, Patrice; Georgiadis, Andreas; Penny, Mary E; Stein, Aryeh D

2014-09-01

We characterized post-infancy child growth patterns and determined the incidence of becoming stunted and of recovery from stunting. Data came from Young Lives, a longitudinal study of childhood poverty in four low- and middle-income countries. We analysed length/height measurements for children at ages 1, 5 and 8 years. Children (n 7171) in Ethiopia, India, Peru and Vietnam. Mean height-for-age Z-score (HAZ) at age 1 year ranged from -1·51 (Ethiopia) to -1·08 (Vietnam). From age 1 to 5 years, mean HAZ increased by 0·27 in Ethiopia (P < 0·001) and decreased among the other cohorts (range: -0·19 (Peru) to -0·32 (India); all P < 0·001). From 5 to 8 years, mean HAZ increased in all cohorts (range: 0·19 (India) to 0·38 (Peru); all P < 0·001). Prevalence of stunting (HAZ<-2·0) at 1 year ranged from 21 % (Vietnam) to 46 % (Ethiopia). From age 1 to 5 years, stunting prevalence decreased by 15·1 percentage points in Ethiopia (P < 0·001) and increased in the other cohorts (range: 3·0 percentage points (Vietnam) to 5·3 percentage points (India); all P ≤ 0·001). From 5 to 8 years, stunting prevalence decreased in all cohorts (range: 5·0 percentage points (Vietnam) to 12·7 percentage points (Peru); all P < 0·001). The incidence of becoming stunted between ages 1 to 5 years ranged from 11 % (Vietnam) to 22 % (India); between ages 5 to 8 years, it ranged from 3 % (Peru) to 6 % (India and Ethiopia). The incidence of recovery from stunting between ages 1 and 5 years ranged from 27 % (Vietnam) to 53 % (Ethiopia); between ages 5 and 8 years, it ranged from 30 % (India) to 47 % (Ethiopia). We found substantial recovery from early stunting among children in four low- and middle-income countries.

31 CFR 551.305 - Licenses; general and specific.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Licenses; general and specific. 551.305 Section 551.305 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General...

31 CFR 551.402 - Effect of amendment.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Effect of amendment. 551.402 Section 551.402 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Interpretations § 551.402...

31 CFR 551.901 - Paperwork Reduction Act notice.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Paperwork Reduction Act notice. 551.901 Section 551.901 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Paperwork...

31 CFR 551.501-551.502 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false [Reserved] 551.501-551.502 Section 551.501-551.502 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Licenses...

Rethinking Ethnic Conflict: Somalia and Fiji.

ERIC Educational Resources Information Center

McFerson, Hazel M.

1996-01-01

Compares and contrasts the recent years of ethnic conflict in Somali and Fiji. The widely divergent reactions of both populations dispels the belief that ethnic pluralism is both a necessary and sufficient condition for violent conflict in a society. Provides succinct portraits of both societies and their cultures. (MJP)

31 CFR 551.507 - Authorization of emergency medical services.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Authorization of emergency medical services. 551.507 Section 551.507 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS...

USDA, ARS, ABDRL Research on Countermeasures for Rift Valley Fever Virus

USDA-ARS?s Scientific Manuscript database

The United State Department of Agriculture, Agriculture Research Service has recently established research program to address countermeasures for of Rift Valley fever (RVF) virus (RVFV). The recent outbreak in Kenya, Tanzania and Somalia demonstrates the impact this virus can have on human and live...

Needs Assessment of International Students at Eastern Oregon State College.

ERIC Educational Resources Information Center

Eid, Mamoud Taha; Jordan-Domschot, Theresa

The purpose of the research project was to assess the needs, satisfaction, and concerns of international students attending Eastern Oregon State College. The international student population consisted of students from Micronesia, Netherlands, Somalia, Saudi Arabia, Jordan, Iran, Japan, Thailand, Zimbabwe, Belgium, Canada, Nigeria, China,…

Child Schooling in Ethiopia: The Role of Maternal Autonomy.

PubMed

Gebremedhin, Tesfaye Alemayehu; Mohanty, Itismita

2016-01-01

This paper examines the effects of maternal autonomy on child schooling outcomes in Ethiopia using a nationally representative Ethiopian Demographic and Health survey for 2011. The empirical strategy uses a Hurdle Negative Binomial Regression model to estimate years of schooling. An ordered probit model is also estimated to examine age grade distortion using a trichotomous dependent variable that captures three states of child schooling. The large sample size and the range of questions available in this dataset allow us to explore the influence of individual and household level social, economic and cultural factors on child schooling. The analysis finds statistically significant effects of maternal autonomy variables on child schooling in Ethiopia. The roles of maternal autonomy and other household-level factors on child schooling are important issues in Ethiopia, where health and education outcomes are poor for large segments of the population.

Energy and the agroeconomic complexity of Ethiopia

NASA Astrophysics Data System (ADS)

Karakatsanis, Georgios

2016-04-01

Since the Industrial Revolution, modern agriculture has transformed from a net energy supplier to a net energy user, via the extensive use fossil fuels -that substituted solar energy inputs- and petroleum derivative products (fertilizers) (Pimentel and Pimentel 2008; Woods et al. 2010). This condenses a significant overview of agricultural energetics, especially for economies set on their first stage of development, growth and economic diversification, such as Ethiopia. Ethiopia is the Blue Nile's most upstream country, constituting a very sensitive hydroclimatic area. Since 2008, Ethiopian agriculture experiences a boost in energy use and agricultural value-added per worker, due to the rapid introduction of oil-fueled agricultural machinery that increased productivity and allowed crop diversification. Agriculture in Ethiopia accounts for ~82% of its total exports, ~45% of its Gross Domestic Product (GDP) and ~75% of its total labor force. In addition, Ethiopia's agricultural sector is equipped with a set of new financial tools to deal with hydroclimatic extremes, like the 1983-85 droughts that deteriorated its crop output, causing a devastating famine. In fact, Ethiopia's resilience from the (most) recent drought (2015-16) has been remarkable. These facts signify that Ethiopia satisfies the necessary conditions to become a regional agritrade gravity center in the Blue Nile, granted that the dispersion of agricultural trade comprises a primary tool for securing food supply. As gravity equations have been used to model global trade webs (Tinbergen 1962), similar principles may apply to agritrade as well, for identifying emergent topological structures and supply chains. By examining the relation between energy inputs in agriculture with crop diversification and value-added chains of Ethiopia's agritrade, we could extract accurate information on the importance of energy for the country's agroeconomic complexity and regionalization trend across its first stages of development. Via the use of entropy we may identify patterns of agritrade agglomeration or dispersal; alternatively study the continuity or fragmentation of Ethiopia's agritrade gravity field. Agglomeration towards Ethiopian agricultural supply would indicate the upgrade of the country's supply stability and -therefore- importance in the global agritrade web. Keywords: Industrial Revolution, net energy, diversification, Blue Nile, hydroclimatic extremes, agritrade, gravity, value-added, complexity, regionalization, entropy References 1. Tinbergen, J. (1962), Shaping the World Economy: Suggestions for an International Economic Policy, The Twentieth Century Fund, New York 2. Pimentel, David and Marcia H. Pimentel (2008), Food, Energy and Society (3rd Ed.), CRC Press, Taylor and Francis Group 3. Woods, Jeremy et al. (2010), Energy and the food system, Philosophical Transactions of the Royal Society B, 365, 2991-3006

Costing commodity and human resource needs for integrated community case management in thie differing community health strategies of Ethiopia, Kenya and Zambia.

PubMed

Nefdt, Rory; Ribaira, Eric; Diallo, Khassoum

2014-10-01

To ensure correct and appropriate funding is available, there is a need to estimate resource needs for improved planning and implementation of integrated Community Case Management (iCCM). To compare and estimate costs for commodity and human resource needs for iCCM, based on treatment coverage rates, bottlenecks and national targets in Ethiopia, Kenya and Zambia from 2014 to 2016. Resource needs were estimated using Ministry of Health (MoH) targets fronm 2014 to 2016 for implementation of case management of pneumonia, diarrhea and malaria through iCCM based on epidemiological, demographic, economic, intervention coverage and other health system parameters. Bottleneck analysis adjusted cost estimates against system barriers. Ethiopia, Kenya and Zambia were chosen to compare differences in iCCM costs in different programmatic implementation landscapes. Coverage treatment rates through iCCM are lowest in Ethiopia, followed by Kenya and Zambia, but Ethiopia had the greatest increases between 2009 and 2012. Deployment of health extension workers (HEWs) in Ethiopia is more advanced compared to Kenya and Zambia, which have fewer equivalent cadres (called commu- nity health workers (CHWs)) covering a smaller proportion of the population. Between 2014 and 2016, the propor- tion of treatments through iCCM compared to health centres are set to increase from 30% to 81% in Ethiopia, 1% to 18% in Kenya and 3% to 22% in Zambia. The total estimated cost of iCCM for these three years are USD 75,531,376 for Ethiopia, USD 19,839,780 for Kenya and USD 33,667,742 for Zambia. Projected per capita expen- diture for 2016 is USD 0.28 for Ethiopia, USD 0.20 in Kenya and USD 0.98 in Zambia. Commodity costs for pneumonia and diarrhea were a small fraction of the total iCCM budget for all three countries (less than 3%), while around 80% of the costs related to human resources. Analysis of coverage, demography and epidemiology data improves estimates of fimding requirements for iCCM. Bottleneck analysis adjusts cost estimates by including system barriers, thus reflecting a more accurate estimate of potential resource utilization. Adding pneumonia and diarrhea interventions to existing large scale community-based malaria case management programs is likely to require relatively small and nationally affordable investments. iCCM can be implemented for USD 0.09 to 0.98 per capita per annum, depending on the stage of scale-up and targets set by the MoH.

Costs and cost-effectiveness of vector control in Eritrea using insecticide-treated bed nets.

PubMed

Yukich, Joshua O; Zerom, Mehari; Ghebremeskel, Tewolde; Tediosi, Fabrizio; Lengeler, Christian

2009-03-30

While insecticide-treated nets (ITNs) are a recognized effective method for preventing malaria, there has been an extensive debate in recent years about the best large-scale implementation strategy. Implementation costs and cost-effectiveness are important elements to consider when planning ITN programmes, but so far little information on these aspects is available from national programmes. This study uses a standardized methodology, as part of a larger comparative study, to collect cost data and cost-effectiveness estimates from a large programme providing ITNs at the community level and ante-natal care facilities in Eritrea. This is a unique model of ITN implementation fully integrated into the public health system. Base case analysis results indicated that the average annual cost of ITN delivery (2005 USD 3.98) was very attractive when compared with past ITN delivery studies at different scales. Financing was largely from donor sources though the Eritrean government and net users also contributed funding. The intervention's cost-effectiveness was in a highly attractive range for sub-Saharan Africa. The cost per DALY averted was USD 13 - 44. The cost per death averted was USD 438-1449. Distribution of nets coincided with significant increases in coverage and usage of nets nationwide, approaching or exceeding international targets in some areas. ITNs can be cost-effectively delivered at a large scale in sub-Saharan Africa through a distribution system that is highly integrated into the health system. Operating and sustaining such a system still requires strong donor funding and support as well as a functional and extensive system of health facilities and community health workers already in place.

Costs and consequences of large-scale vector control for malaria

PubMed Central

Yukich, Joshua O; Lengeler, Christian; Tediosi, Fabrizio; Brown, Nick; Mulligan, Jo-Ann; Chavasse, Des; Stevens, Warren; Justino, John; Conteh, Lesong; Maharaj, Rajendra; Erskine, Marcy; Mueller, Dirk H; Wiseman, Virginia; Ghebremeskel, Tewolde; Zerom, Mehari; Goodman, Catherine; McGuire, David; Urrutia, Juan Manuel; Sakho, Fana; Hanson, Kara; Sharp, Brian

2008-01-01

Background Five large insecticide-treated net (ITN) programmes and two indoor residual spraying (IRS) programmes were compared using a standardized costing methodology. Methods Costs were measured locally or derived from existing studies and focused on the provider perspective, but included the direct costs of net purchases by users, and are reported in 2005 USD. Effectiveness was estimated by combining programme outputs with standard impact indicators. Findings Conventional ITNs: The cost per treated net-year of protection ranged from USD 1.21 in Eritrea to USD 6.05 in Senegal. The cost per child death averted ranged from USD 438 to USD 2,199 when targeting to children was successful. Long-lasting insecticidal nets (LLIN) of five years duration: The cost per treated-net year of protection ranged from USD 1.38 in Eritrea to USD 1.90 in Togo. The cost per child death averted ranged from USD 502 to USD 692. IRS: The costs per person-year of protection for all ages were USD 3.27 in KwaZulu Natal and USD 3.90 in Mozambique. If only children under five years of age were included in the denominator the cost per person-year of protection was higher: USD 23.96 and USD 21.63. As a result, the cost per child death averted was higher than for ITNs: USD 3,933–4,357. Conclusion Both ITNs and IRS are highly cost-effective vector control strategies. Integrated ITN free distribution campaigns appeared to be the most efficient way to rapidly increase ITN coverage. Other approaches were as or more cost-effective, and appeared better suited to "keep-up" coverage levels. ITNs are more cost-effective than IRS for highly endemic settings, especially if high ITN coverage can be achieved with some demographic targeting. PMID:19091114

First recorded eruption of Nabro volcano, Eritrea, 2011.

PubMed

Goitom, Berhe; Oppenheimer, Clive; Hammond, James O S; Grandin, Raphaël; Barnie, Talfan; Donovan, Amy; Ogubazghi, Ghebrebrhan; Yohannes, Ermias; Kibrom, Goitom; Kendall, J-Michael; Carn, Simon A; Fee, David; Sealing, Christine; Keir, Derek; Ayele, Atalay; Blundy, Jon; Hamlyn, Joanna; Wright, Tim; Berhe, Seife

We present a synthesis of diverse observations of the first recorded eruption of Nabro volcano, Eritrea, which began on 12 June 2011. While no monitoring of the volcano was in effect at the time, it has been possible to reconstruct the nature and evolution of the eruption through analysis of regional seismological and infrasound data and satellite remote sensing data, supplemented by petrological analysis of erupted products and brief field surveys. The event is notable for the comparative rarity of recorded historical eruptions in the region and of caldera systems in general, for the prodigious quantity of SO 2 emitted into the atmosphere and the significant human impacts that ensued notwithstanding the low population density of the Afar region. It is also relevant in understanding the broader magmatic and tectonic significance of the volcanic massif of which Nabro forms a part and which strikes obliquely to the principal rifting directions in the Red Sea and northern Afar. The whole-rock compositions of the erupted lavas and tephra range from trachybasaltic to trachybasaltic andesite, and crystal-hosted melt inclusions contain up to 3,000 ppm of sulphur by weight. The eruption was preceded by significant seismicity, detected by regional networks of sensors and accompanied by sustained tremor. Substantial infrasound was recorded at distances of hundreds to thousands of kilometres from the vent, beginning at the onset of the eruption and continuing for weeks. Analysis of ground deformation suggests the eruption was fed by a shallow, NW-SE-trending dike, which is consistent with field and satellite observations of vent distributions. Despite lack of prior planning and preparedness for volcanic events in the country, rapid coordination of the emergency response mitigated the human costs of the eruption.