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Sample records for siem reap cambodia

  1. Soils under conservation agriculture with vegetables in Siem Reap, Cambodia

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Smallholder vegetable farmers in Siem Reap, Cambodia experienced declining crop productivity. It could be a result of a mixture of factors such as nutrient and pest problems and extreme weather events such as droughts and/or heavy rains. The no-till, continuous mulch and diverse species principles o...

  2. Mental health survey among landmine survivors in Siem Reap province, Cambodia.

    PubMed

    Lopes Cardozo, Barbara; Blanton, Curtis; Zalewski, Tami; Tor, Svang; McDonald, Laura; Lavelle, James; Brooks, Robert; Anderson, Mark; Mollica, Richard

    2012-01-01

    Many survivors of the Khmer Rouge period in Cambodia and the subsequent war with Vietnam have now returned to Cambodia. In this two-stage household cluster survey in Siem Reap Province in Cambodia, we explored the mental health consequences on 166 landmine injury survivors selected from 1000 household in 50 clusters and an oversample of all landmine survivors. We found a prevalence of anxiety of 62% for all respondents, 74% for depression, and 34% for post-traumatic stress disorder (PTSD). These prevalences were statistically significantly higher than among the adult population who had not been injured by landmines. These data underscore the importance of providing mental health care services for the people in Siem Reap Province in Cambodia who have been injured by landmines. PMID:22873010

  3. Intestinal Parasite Infections in Symptomatic Children Attending Hospital in Siem Reap, Cambodia

    PubMed Central

    Moore, Catrin E.; Nget, Phot; Saroeun, Mao; Kuong, Suy; Chanthou, Seng; Kumar, Varun; Bousfield, Rachel; Nader, Johanna; Bailey, J. Wendi; Beeching, Nicholas J.; Day, Nicholas P.; Parry, Christopher M.

    2015-01-01

    Background Infections with helminths and other intestinal parasites are an important but neglected problem in children in developing countries. Accurate surveys of intestinal parasites in children inform empirical treatment regimens and can assess the impact of school based drug treatment programmes. There is limited information on this topic in Cambodia. Methods In a prospective study of intestinal parasites in symptomatic children attending Angkor Hospital for Children, Siem Reap, Cambodia, April-June 2012, samples were examined by microscopy of a direct and concentrated fecal sample. Two culture methods for hookworm and Strongyloides stercoralis were employed when sufficient sample was received. Demographic, clinical and epidemiological data were collected. Principal Findings We studied 970 samples from 865 children. The median (inter-quartile range) age of the children was 5.4 (1.9-9.2) years, 54% were male. The proportion of children with abdominal pain was 66.8%, diarrhea 34.9%, anemia 12.7% and malnutrition 7.4%. 458 parasitic infections were detected in 340 (39.3%) children. The most common parasites using all methods of detection were hookworm (14.3%), Strongyloides stercoralis (11.6%) and Giardia lamblia (11.2%). Giardia lamblia was most common in children aged 1-5 years, hookworm and Strongyloides stercoralis were more common with increasing age. Hookworm, Strongloides stercoralis and Giardia lamblia were more common in children living outside of Siem Reap town. In a multivariate logistic regression increasing age was associated with all three infections, defecating in the forest for hookworm infection, the presence of cattle for S. stercoralis and not using soap for handwashing for G. lamblia. Conclusions/Significance This study confirms the importance of intestinal parasitic infections in symptomatic Cambodian children and the need for adequate facilities for laboratory diagnosis together with education to improve personal hygiene and sanitation. PMID

  4. Dynamics of soil carbon, nitrogen and soil respiration in farmer’s field with conservation agriculture Siem Reap, Cambodia

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The years of intensive tillage in many countries, including Cambodia, have caused significant decline in agriculture’s natural resources that could threaten the future of agricultural production and sustainability worldwide. Long-term tillage system and site-specific crop management can affect chang...

  5. Soil carbon and soil respiration in conservation agriculture with vegetables in Siem Reap, Cambodia

    Technology Transfer Automated Retrieval System (TEKTRAN)

    A balance between food production and environmental protection is required to sustainably feed a growing population. The resource saving concept of conservation agriculture aims to achieve this balance through implementing simultaneously three conservation practices; no-till, continuous soil cover, ...

  6. The value of intermittent point-prevalence surveys of healthcare-associated infections for evaluating infection control interventions at Angkor Hospital for Children, Siem Reap, Cambodia

    PubMed Central

    Stoesser, N; Emary, K; Soklin, S; Peng An, K; Sophal, S; Chhomrath, S; Day, NPJ; Limmathurotsakul, D; Nget, P; Pangnarith, Y; Sona, S; Kumar, V; Moore, CE; Chanpheaktra, N; Parry, CM

    2013-01-01

    Background There are limited data on the epidemiology of paediatric healthcare-associated infection (HCAI) and infection control in low-income countries. We describe the value of intermittent point-prevalence surveys for monitoring HCAI and evaluating infection control interventions in a Cambodian paediatric hospital. Methods Hospital-wide, point-prevalence surveys were performed monthly in 2011. Infection control interventions introduced during this period included a hand hygiene programme and a ventilator-associated pneumonia (VAP) care bundle. Results Overall HCAI prevalence was 13.8/100 patients at-risk, with a significant decline over time. The highest HCAI rates (50%) were observed in critical care; the majority of HCAIs were respiratory (61%). Klebsiella pneumoniae was most commonly isolated and antimicrobial resistance was widespread. Hand hygiene compliance doubled to 51.6%, and total VAP cases/1000 patient-ventilator days fell from 30 to 10. Conclusion Rates of HCAI were substantial in our institution, and antimicrobial resistance a major concern. Point-prevalence surveys are effective for HCAI surveillance, and in monitoring trends in response to infection control interventions. PMID:23418156

  7. Cambodia.

    PubMed

    1987-04-01

    The population of Cambodia stood at 6.25 million in 1986, with an average annual growth rate of 2.1%. Life expectancy is presently 42 years for men and 44.9 years for women. The government is currently disputed between resistance groups and Vietnamese-installed authorities in Phnom Penh. No single authority controls the entire country. The urban population increased sharply during the 1970-75 war, but after seizing power the Khmer Rouge forced most urban residents to return to rural areas as peasants. Massive numbers of people were executed for political reasons or died of starvation and disease during the Khmer Rouge period and after the dislocations caused by the Vietnamese invasion: an estimated 1.5-3 million people are estimated to have died out of a 1975 population of 7.3 million. The resistance forces have grown in size and effectiveness since 1985 and now challenge Vietnam's position in Cambodia. The Cambodian economy, badly damaged by the war and the Khmer Rouge regime, has only slowly begun to recover. Per capita gross national product (GNP) is estimated at less than US$100. The food situation remains precarious, with shortages of rice, meat, vegetables, sugar, flour, and dairy products. Extensive damage to the country's irrigation system, on which rice production depends, has only begun to be repaired. Basic services such as electricity and water are erratic. Although literacy and primary education campaigns have achieved success, health conditions remain poor.

  8. Hepatitis E Virus in Cambodia: Prevalence among the General Population and Complete Genome Sequence of Genotype 4.

    PubMed

    Yamada, Hiroko; Takahashi, Kazuaki; Lim, Olline; Svay, Somana; Chuon, Channarena; Hok, Sirany; Do, Son Huy; Fujimoto, Mayumi; Akita, Tomoyuki; Goto, Noboru; Katayama, Keiko; Arai, Masahiro; Tanaka, Junko

    2015-01-01

    Hepatitis E virus (HEV) is a growing public health problem in many countries. In this study, we investigated HEV seroprevalence among the general population in the Siem Reap province, Cambodia, and performed HEV genetic analysis with the aim to develop an HEV prevention strategy. This seroepidemiological cross-sectional study conducted from 2010 to 2014 included 868 participants from four different locations in Siem Reap province, Cambodia. They answered questionnaires and provided blood samples for the analysis of hepatitis virus infections. Among the participants (360 men and 508 women; age range, 7-90 years), the prevalence of anti-HEV IgG was 18.4% (95% confidence interval: 15.9-21.0); HEV RNA was detected in two participants (0.23%) and was classified as genotype 3 and 4. Full-length genome of the genotype 4 isolate, CVS-Sie10, was sequenced; it contained 7,222 nucleotides and three ORFs and demonstrated high sequence identity with the swine China isolates swGX40 (95.57%), SS19 (94.37%), and swDQ (91.94%). Multivariate logistic regression analysis revealed that men, elderly people, and house workers were risk groups significantly associated with the positivity for anti-HEV IgG. This is the first report on the detection of HEV genotype 4 in humans in Cambodia and on the complete genome sequence of HEV genotype 4 from this country. Our study demonstrates that new HEV infection cases occur frequently among the general population in Cambodia, and effective preventive measures are required.

  9. Hepatitis E Virus in Cambodia: Prevalence among the General Population and Complete Genome Sequence of Genotype 4

    PubMed Central

    Yamada, Hiroko; Takahashi, Kazuaki; Lim, Olline; Svay, Somana; Chuon, Channarena; Hok, Sirany; Do, Son Huy; Fujimoto, Mayumi; Akita, Tomoyuki; Goto, Noboru; Katayama, Keiko; Arai, Masahiro; Tanaka, Junko

    2015-01-01

    Hepatitis E virus (HEV) is a growing public health problem in many countries. In this study, we investigated HEV seroprevalence among the general population in the Siem Reap province, Cambodia, and performed HEV genetic analysis with the aim to develop an HEV prevention strategy. This seroepidemiological cross-sectional study conducted from 2010 to 2014 included 868 participants from four different locations in Siem Reap province, Cambodia. They answered questionnaires and provided blood samples for the analysis of hepatitis virus infections. Among the participants (360 men and 508 women; age range, 7–90 years), the prevalence of anti-HEV IgG was 18.4% (95% confidence interval: 15.9–21.0); HEV RNA was detected in two participants (0.23%) and was classified as genotype 3 and 4. Full-length genome of the genotype 4 isolate, CVS-Sie10, was sequenced; it contained 7,222 nucleotides and three ORFs and demonstrated high sequence identity with the swine China isolates swGX40 (95.57%), SS19 (94.37%), and swDQ (91.94%). Multivariate logistic regression analysis revealed that men, elderly people, and house workers were risk groups significantly associated with the positivity for anti-HEV IgG. This is the first report on the detection of HEV genotype 4 in humans in Cambodia and on the complete genome sequence of HEV genotype 4 from this country. Our study demonstrates that new HEV infection cases occur frequently among the general population in Cambodia, and effective preventive measures are required. PMID:26317620

  10. Hepatitis E Virus in Cambodia: Prevalence among the General Population and Complete Genome Sequence of Genotype 4.

    PubMed

    Yamada, Hiroko; Takahashi, Kazuaki; Lim, Olline; Svay, Somana; Chuon, Channarena; Hok, Sirany; Do, Son Huy; Fujimoto, Mayumi; Akita, Tomoyuki; Goto, Noboru; Katayama, Keiko; Arai, Masahiro; Tanaka, Junko

    2015-01-01

    Hepatitis E virus (HEV) is a growing public health problem in many countries. In this study, we investigated HEV seroprevalence among the general population in the Siem Reap province, Cambodia, and performed HEV genetic analysis with the aim to develop an HEV prevention strategy. This seroepidemiological cross-sectional study conducted from 2010 to 2014 included 868 participants from four different locations in Siem Reap province, Cambodia. They answered questionnaires and provided blood samples for the analysis of hepatitis virus infections. Among the participants (360 men and 508 women; age range, 7-90 years), the prevalence of anti-HEV IgG was 18.4% (95% confidence interval: 15.9-21.0); HEV RNA was detected in two participants (0.23%) and was classified as genotype 3 and 4. Full-length genome of the genotype 4 isolate, CVS-Sie10, was sequenced; it contained 7,222 nucleotides and three ORFs and demonstrated high sequence identity with the swine China isolates swGX40 (95.57%), SS19 (94.37%), and swDQ (91.94%). Multivariate logistic regression analysis revealed that men, elderly people, and house workers were risk groups significantly associated with the positivity for anti-HEV IgG. This is the first report on the detection of HEV genotype 4 in humans in Cambodia and on the complete genome sequence of HEV genotype 4 from this country. Our study demonstrates that new HEV infection cases occur frequently among the general population in Cambodia, and effective preventive measures are required. PMID:26317620

  11. Prevalence of intestinal helminths among inhabitants of Cambodia (2006-2011).

    PubMed

    Yong, Tai-Soon; Chai, Jong-Yil; Sohn, Woon-Mok; Eom, Keeseon S; Jeoung, Hoo-Gn; Hoang, Eui-Hyug; Yoon, Cheong-Ha; Jung, Bong-Kwang; Lee, Soon-Hyung; Sinuon, Muth; Socheat, Duong

    2014-12-01

    In order to investigate the status of intestinal helminthic infections in Cambodia, epidemiological surveys were carried out on a national scale, including 19 provinces. A total of 32,201 fecal samples were collected from schoolchildren and adults between 2006 and 2011 and examined once by the Kato-Katz thick smear technique. The overall egg positive rate of intestinal helminths was 26.2%. The prevalence of hookworms was the highest (9.6%), followed by that of Opisthorchis viverrini/minute intestinal flukes (Ov/MIF) (5.7%), Ascaris lumbricoides (4.6%), and Trichuris trichiura (4.1%). Other types of parasites detected were Enterobius vermicularis (1.1%), Taenia spp. (0.4%), and Hymenolepis spp. (0.2%). The northwestern regions such as the Siem Reap, Oddar Meanchey, and Banteay Meanchey Provinces showed higher prevalences (17.4-22.3%) of hookworms than the other localities. The southwestern areas, including Koh Kong and Preah Sihanouk Provinces showed higher prevalences of A. lumbricoides (17.5-19.2%) and T. trichiura (6.1-21.0%). Meanwhile, the central and southern areas, in particular, Takeo and Kampong Cham Provinces, showed high prevalences of Ov/MIF (23.8-24.0%). The results indicate that a considerably high prevalence of intestinal helminths has been revealed in Cambodia, and thus sustained national parasite control projects are necessary to reduce morbidity due to parasitic infections in Cambodia. PMID:25548418

  12. Prevalence of intestinal helminths among inhabitants of Cambodia (2006-2011).

    PubMed

    Yong, Tai-Soon; Chai, Jong-Yil; Sohn, Woon-Mok; Eom, Keeseon S; Jeoung, Hoo-Gn; Hoang, Eui-Hyug; Yoon, Cheong-Ha; Jung, Bong-Kwang; Lee, Soon-Hyung; Sinuon, Muth; Socheat, Duong

    2014-12-01

    In order to investigate the status of intestinal helminthic infections in Cambodia, epidemiological surveys were carried out on a national scale, including 19 provinces. A total of 32,201 fecal samples were collected from schoolchildren and adults between 2006 and 2011 and examined once by the Kato-Katz thick smear technique. The overall egg positive rate of intestinal helminths was 26.2%. The prevalence of hookworms was the highest (9.6%), followed by that of Opisthorchis viverrini/minute intestinal flukes (Ov/MIF) (5.7%), Ascaris lumbricoides (4.6%), and Trichuris trichiura (4.1%). Other types of parasites detected were Enterobius vermicularis (1.1%), Taenia spp. (0.4%), and Hymenolepis spp. (0.2%). The northwestern regions such as the Siem Reap, Oddar Meanchey, and Banteay Meanchey Provinces showed higher prevalences (17.4-22.3%) of hookworms than the other localities. The southwestern areas, including Koh Kong and Preah Sihanouk Provinces showed higher prevalences of A. lumbricoides (17.5-19.2%) and T. trichiura (6.1-21.0%). Meanwhile, the central and southern areas, in particular, Takeo and Kampong Cham Provinces, showed high prevalences of Ov/MIF (23.8-24.0%). The results indicate that a considerably high prevalence of intestinal helminths has been revealed in Cambodia, and thus sustained national parasite control projects are necessary to reduce morbidity due to parasitic infections in Cambodia.

  13. Prevalence of Intestinal Helminths among Inhabitants of Cambodia (2006-2011)

    PubMed Central

    Yong, Tai-Soon; Sohn, Woon-Mok; Eom, Keeseon S.; Jeoung, Hoo-Gn; Hoang, Eui-Hyug; Yoon, Cheong-Ha; Jung, Bong-Kwang; Lee, Soon-Hyung; Sinuon, Muth; Socheat, Duong

    2014-01-01

    In order to investigate the status of intestinal helminthic infections in Cambodia, epidemiological surveys were carried out on a national scale, including 19 provinces. A total of 32,201 fecal samples were collected from schoolchildren and adults between 2006 and 2011 and examined once by the Kato-Katz thick smear technique. The overall egg positive rate of intestinal helminths was 26.2%. The prevalence of hookworms was the highest (9.6%), followed by that of Opisthorchis viverrini/minute intestinal flukes (Ov/MIF) (5.7%), Ascaris lumbricoides (4.6%), and Trichuris trichiura (4.1%). Other types of parasites detected were Enterobius vermicularis (1.1%), Taenia spp. (0.4%), and Hymenolepis spp. (0.2%). The northwestern regions such as the Siem Reap, Oddar Meanchey, and Banteay Meanchey Provinces showed higher prevalences (17.4-22.3%) of hookworms than the other localities. The southwestern areas, including Koh Kong and Preah Sihanouk Provinces showed higher prevalences of A. lumbricoides (17.5-19.2%) and T. trichiura (6.1-21.0%). Meanwhile, the central and southern areas, in particular, Takeo and Kampong Cham Provinces, showed high prevalences of Ov/MIF (23.8-24.0%). The results indicate that a considerably high prevalence of intestinal helminths has been revealed in Cambodia, and thus sustained national parasite control projects are necessary to reduce morbidity due to parasitic infections in Cambodia. PMID:25548418

  14. Qualitative understanding of an international learning experience: what Australian undergraduate nurses and midwives said about a Cambodia placement?

    PubMed

    Tuckett, Anthony; Crompton, Peta

    2014-04-01

    The aim of this study is to report the experiences of three groups of Australian undergraduate nursing and midwifery students undertaking an international learning experience in Cambodia. Relying on an interpretative research design using qualitative content analysis, data were drawn from a sub-group of undergraduate third-year bachelor and dual degree nursing/midwifery students at a Queensland university, Australia. Students from a clinical placement in Siem Reap, Cambodia for a 4-week period in the January of 2010-2012 completed a formal expression of interest, and at three time intervals a questionnaire comprising open-ended questions. The evaluation by the undergraduate nursing/midwifery students of the clinical experience in Cambodia is understood through two core themes: global citizen/better citizen, personal/professional development. The findings have implications for university curriculum developers interested in the internationalization of nursing and midwifery programmes to ensure students are well equipped to practice in diverse multicultural and global health systems. PMID:24713009

  15. Qualitative understanding of an international learning experience: what Australian undergraduate nurses and midwives said about a Cambodia placement?

    PubMed

    Tuckett, Anthony; Crompton, Peta

    2014-04-01

    The aim of this study is to report the experiences of three groups of Australian undergraduate nursing and midwifery students undertaking an international learning experience in Cambodia. Relying on an interpretative research design using qualitative content analysis, data were drawn from a sub-group of undergraduate third-year bachelor and dual degree nursing/midwifery students at a Queensland university, Australia. Students from a clinical placement in Siem Reap, Cambodia for a 4-week period in the January of 2010-2012 completed a formal expression of interest, and at three time intervals a questionnaire comprising open-ended questions. The evaluation by the undergraduate nursing/midwifery students of the clinical experience in Cambodia is understood through two core themes: global citizen/better citizen, personal/professional development. The findings have implications for university curriculum developers interested in the internationalization of nursing and midwifery programmes to ensure students are well equipped to practice in diverse multicultural and global health systems.

  16. The Molecular and Spatial Epidemiology of Typhoid Fever in Rural Cambodia.

    PubMed

    Pham Thanh, Duy; Thompson, Corinne N; Rabaa, Maia A; Sona, Soeng; Sopheary, Sun; Kumar, Varun; Moore, Catrin; Tran Vu Thieu, Nga; Wijedoru, Lalith; Holt, Kathryn E; Wong, Vanessa; Pickard, Derek; Thwaites, Guy E; Day, Nicholas; Dougan, Gordon; Turner, Paul; Parry, Christopher M; Baker, Stephen

    2016-06-01

    Typhoid fever, caused by the bacterium Salmonella Typhi, is an endemic cause of febrile disease in Cambodia. The aim of this study was to better understand the epidemiology of pediatric typhoid fever in Cambodia. We accessed routine blood culture data from Angkor Hospital for Children (AHC) in Siem Reap province between 2007 and 2014, and performed whole genome sequencing (WGS) on the isolated bacteria to characterize the S. Typhi population. The resulting phylogenetic information was combined with conventional epidemiological approaches to investigate the spatiotemporal distribution of S. Typhi and population-level risk factors for reported disease. During the study period, there were 262 cases of typhoid within a 100 km radius of AHC, with a median patient age of 8.2 years (IQR: 5.1-11.5 years). The majority of infections occurred during the rainy season, and commune incidences as high as 11.36/1,000 in children aged <15 years were observed over the study period. A population-based risk factor analysis found that access to water within households and increasing distance from Tonle Sap Lake were protective. Spatial mapping and WGS provided additional resolution for these findings, and confirmed that proximity to the lake was associated with discrete spatiotemporal disease clusters. We confirmed the dominance of MDR H58 S. Typhi in this population, and found substantial evidence of diversification (at least seven sublineages) within this single lineage. We conclude that there is a substantial burden of pediatric typhoid fever in rural communes in Cambodia. Our data provide a platform for additional population-based typhoid fever studies in this location, and suggest that this would be a suitable setting in which to introduce a school-based vaccination programme with Vi conjugate vaccines.

  17. The Molecular and Spatial Epidemiology of Typhoid Fever in Rural Cambodia

    PubMed Central

    Rabaa, Maia A; Sona, Soeng; Sopheary, Sun; Kumar, Varun; Moore, Catrin; Tran Vu Thieu, Nga; Wijedoru, Lalith; Holt, Kathryn E.; Wong, Vanessa; Pickard, Derek; Thwaites, Guy E.; Day, Nicholas; Dougan, Gordon; Turner, Paul; Parry, Christopher M.; Baker, Stephen

    2016-01-01

    Typhoid fever, caused by the bacterium Salmonella Typhi, is an endemic cause of febrile disease in Cambodia. The aim of this study was to better understand the epidemiology of pediatric typhoid fever in Cambodia. We accessed routine blood culture data from Angkor Hospital for Children (AHC) in Siem Reap province between 2007 and 2014, and performed whole genome sequencing (WGS) on the isolated bacteria to characterize the S. Typhi population. The resulting phylogenetic information was combined with conventional epidemiological approaches to investigate the spatiotemporal distribution of S. Typhi and population-level risk factors for reported disease. During the study period, there were 262 cases of typhoid within a 100 km radius of AHC, with a median patient age of 8.2 years (IQR: 5.1–11.5 years). The majority of infections occurred during the rainy season, and commune incidences as high as 11.36/1,000 in children aged <15 years were observed over the study period. A population-based risk factor analysis found that access to water within households and increasing distance from Tonle Sap Lake were protective. Spatial mapping and WGS provided additional resolution for these findings, and confirmed that proximity to the lake was associated with discrete spatiotemporal disease clusters. We confirmed the dominance of MDR H58 S. Typhi in this population, and found substantial evidence of diversification (at least seven sublineages) within this single lineage. We conclude that there is a substantial burden of pediatric typhoid fever in rural communes in Cambodia. Our data provide a platform for additional population-based typhoid fever studies in this location, and suggest that this would be a suitable setting in which to introduce a school-based vaccination programme with Vi conjugate vaccines. PMID:27331909

  18. The Molecular and Spatial Epidemiology of Typhoid Fever in Rural Cambodia.

    PubMed

    Pham Thanh, Duy; Thompson, Corinne N; Rabaa, Maia A; Sona, Soeng; Sopheary, Sun; Kumar, Varun; Moore, Catrin; Tran Vu Thieu, Nga; Wijedoru, Lalith; Holt, Kathryn E; Wong, Vanessa; Pickard, Derek; Thwaites, Guy E; Day, Nicholas; Dougan, Gordon; Turner, Paul; Parry, Christopher M; Baker, Stephen

    2016-06-01

    Typhoid fever, caused by the bacterium Salmonella Typhi, is an endemic cause of febrile disease in Cambodia. The aim of this study was to better understand the epidemiology of pediatric typhoid fever in Cambodia. We accessed routine blood culture data from Angkor Hospital for Children (AHC) in Siem Reap province between 2007 and 2014, and performed whole genome sequencing (WGS) on the isolated bacteria to characterize the S. Typhi population. The resulting phylogenetic information was combined with conventional epidemiological approaches to investigate the spatiotemporal distribution of S. Typhi and population-level risk factors for reported disease. During the study period, there were 262 cases of typhoid within a 100 km radius of AHC, with a median patient age of 8.2 years (IQR: 5.1-11.5 years). The majority of infections occurred during the rainy season, and commune incidences as high as 11.36/1,000 in children aged <15 years were observed over the study period. A population-based risk factor analysis found that access to water within households and increasing distance from Tonle Sap Lake were protective. Spatial mapping and WGS provided additional resolution for these findings, and confirmed that proximity to the lake was associated with discrete spatiotemporal disease clusters. We confirmed the dominance of MDR H58 S. Typhi in this population, and found substantial evidence of diversification (at least seven sublineages) within this single lineage. We conclude that there is a substantial burden of pediatric typhoid fever in rural communes in Cambodia. Our data provide a platform for additional population-based typhoid fever studies in this location, and suggest that this would be a suitable setting in which to introduce a school-based vaccination programme with Vi conjugate vaccines. PMID:27331909

  19. Pediatric Suppurative Parotitis in Cambodia 2007-2011

    PubMed Central

    Stoesser, Nicole; Pocock, Joanna; Moore, Catrin Elisabeth; Soeng, Sona; Chhat, Hor Put; Sar, Poda; Limmathurotsakul, Direk; Day, Nicholas; Thy, Vann; Sar, Vuthy; Parry, Christopher M.

    2012-01-01

    The causes of suppurative parotitis in Cambodian children are not known. We describe 39 cases at the Angkor Hospital for Children, Siem Reap between January 2007 and July 2011 (0.07/1000 hospital attendances). The median age was 5.7 years with no neonates affected. B. pseudomallei was cultured in 29 (74%) cases. No deaths occurred; one child developed a facial nerve palsy. PMID:22531239

  20. HIV Prevalence and Risks Associated with HIV Infection among Transgender Individuals in Cambodia

    PubMed Central

    Ngak, Song; Srean, Chhim; Sansothy, Neth; Mills, Stephen; Ferradini, Laurent

    2016-01-01

    Introduction Recognizing transgender individuals have a high risk of HIV acquisition, and to inform policies and programming, we conducted an HIV prevalence and risk behaviors survey among transgender individuals in Cambodia. Methods Cross-sectional survey using a respondent driven sampling method with self-administered audio-computer assisted interviews. HIV testing was performed prior to the questionnaire with results available immediately after. Eligible participants were ≥18 years, identified as male at birth and self-identified/expressed as a different gender, and reported having sex with at least one male partner in past year. From six major urban centers of Cambodia, 891 transgender individuals were recruited. Results The majority of the 891 participants self-identified as third gender or female (94.5%), were young (median age 23, IQR [20–27]), had secondary education or higher (80.5%), not married (89.7%), and employed (90.2%). The majority had first sex before 18 years (66.8%), with a male (79.9%), 37.9% having been paid or paying for this first sex. The rate of HIV positivity among participants was found to be 4.15%. Consistent condom use with male and female partners was low with all partner types, but particularly low with male partners when paying for sex (20.3%). The majority of participants reported having experienced discrimination in their lifetime (54.8%) and 30.3% had been assaulted. Multivariate analysis revealed that older age (adjusted OR = 14.73 [4.20, 51.67] for age 35–44 and adjusted OR = 7.63 [2.55, 22.81] for age 30–34), only having a primary school education or no schooling at all (adjusted OR = 2.62 [1.18, 5.80], being a resident of Siem Reap (adjusted OR = 7.44 [2.37,23.29], receiving payment at first sex (adjusted OR = 2.26 [1.00, 5.11], having sex during/after using drugs (adjusted OR = 2.90 [1.09,7.73]), inconsistent condom use during last anal sex (adjusted OR = 3.84 [1.58, 9.33]), and reporting low self-esteem (adjusted OR

  1. Factors associated with induced abortion among female entertainment workers: a cross-sectional study in Cambodia

    PubMed Central

    Yi, Siyan; Tuot, Sovannary; Chhoun, Pheak; Pal, Khuondyla; Tith, Khimuy; Brody, Carinne

    2015-01-01

    Objective To explore risk factors associated with induced abortion among sexually active female entertainment workers (FEWs) in Cambodia. Design Cross-sectional study. Setting Phnom Penh and Siem Reap, Cambodia. Participants This study included 556 FEWs aged 18–47 years randomly selected from entertainment establishments in the two cities in 2014 using a two-stage cluster sampling method. Data were collected through face-to-face interviews using a structured questionnaire. Primary outcome measure History of induced abortion during the time working as a FEW. Results Of the total sample, 45.6% reported currently using a contraceptive method with condom (42.4%) being the most common method, followed by pills (25.6%). One-fourth (25%) of the respondents reported having been pregnant at least once, and 21.4% reported having at least one induced abortion during the time working as a FEW. After controlling for other covariates in a multivariate logistic regression model, FEWs with a history of induced abortion remained significantly more likely to be currently working in a karaoke bar (AOR=1.75, 95% CI 1.10 to 2.78), to have worked longer as a FEW (AOR=1.42, 95% CI 1.06 to 1.43), to have had a greater number of sexual partners in the past 12 months (AOR=1.86, 95% CI 1.02 to 1.54), to be currently using a contraceptive method (AOR=1.52, 95% CI 1.01 to 2.29), to be able to find condoms when they needed them (AOR=2.03, 95% CI 1.09 to 3.82), and to report inconsistent condom use with non-commercial partners in the past 3 months (AOR=1.62, 95% CI 1.06 to 3.44). Conclusions This study highlights the high rates of unwanted pregnancies that ended in induced abortions among FEWs in Cambodia. Access of FEWs to quality sexual and reproductive healthcare services is deemed a high priority. Integrated interventions to improve sexual and reproductive health among these vulnerable women should be tailored to reach the most-at-risk groups. PMID:26231754

  2. Factors Associated with Inconsistent Condom Use among Men Who Have Sex with Men in Cambodia

    PubMed Central

    Yi, Siyan; Tuot, Sovannary; Chhoun, Pheak; Pal, Khuondyla; Tith, Khimuy; Brody, Carinne

    2015-01-01

    Background Compared to the general population, men who have sex with men (MSM) are at greater risk for HIV and less understood due to their more hidden and stigmatized nature. Moreover, the discrepancy in findings in the literature merits further investigations in MSM populations from different cultures and settings. We therefore conducted this study to explore factors associated with inconsistent condom use among high-risk MSM in Cambodia. Methods This cross-sectional study was conducted in 2014 among 367 MSM randomly selected from Battembang and Siem Reap using a two-stage cluster sampling method. A structured questionnaire was used for face-to-face interviews to collect information on characteristics of respondents, HIV testing history, self-perception of HIV risk, substance use, sexual behaviors, mental disorders, and HIV knowledge. Multivariable logistic regression analysis was performed to identify factors independently associated with inconsistent condom use. Results On average, 62.3% of respondents reported that they always used condoms over the past three months. The rates varied with types of sexual partners; the proportion of respondents who reported always using condoms was 55.1%, 64.2%, 75.9%, 73.0%, 78.1%, and 70.3%, for sexual partners who were girlfriends, boyfriends, female sex workers, male sex workers, female clients, or male clients, respectively. After adjustment, inconsistent condom use was significantly associated with age of ≥25 (AOR = 1.77, 95% CI = 1.09–2.86), self-rated quality of life as good or very good (AOR = 4.37, 95% CI = 1.79–5.67), self-perception of higher HIV risk compared to the general population (AOR = 2.37, 95% CI = 1.35–4.17), illicit drug use in the past three months (AOR = 5.76, 95% CI = 1.65–10.09), and reported consistent lubricant use when selling anal sex to men in the past three months (AOR = 2.85, 95% CI = 1.07–8.12). Conclusions We found risky sexual behaviors to be considerably high among MSM in this

  3. Reaping benefits from intellectual capital.

    PubMed

    Weston, Marla J; Estrada, Nicolette A; Carrington, Jane

    2007-01-01

    The wealth and value of organizations are increasingly based on intellectual capital. Although acquiring talented individuals and investing in employee learning adds value to the organization, reaping the benefits of intellectual capital involves translating the wisdom of employees into reusable and sustained actions. This requires a culture that creates employee commitment, encourages learning, fosters sharing, and involves employees in decision making. An infrastructure to recognize and embed promising and best practices through social networks, evidence-based practice, customization of innovations, and use of information technology results in increased productivity, stronger financial performance, better patient outcomes, and greater employee and customer satisfaction. PMID:17198112

  4. Reaping benefits from intellectual capital.

    PubMed

    Weston, Marla J; Estrada, Nicolette A; Carrington, Jane

    2007-01-01

    The wealth and value of organizations are increasingly based on intellectual capital. Although acquiring talented individuals and investing in employee learning adds value to the organization, reaping the benefits of intellectual capital involves translating the wisdom of employees into reusable and sustained actions. This requires a culture that creates employee commitment, encourages learning, fosters sharing, and involves employees in decision making. An infrastructure to recognize and embed promising and best practices through social networks, evidence-based practice, customization of innovations, and use of information technology results in increased productivity, stronger financial performance, better patient outcomes, and greater employee and customer satisfaction.

  5. Echoes of Ancient Cambodia

    ERIC Educational Resources Information Center

    Feiring, Nancy Click

    2004-01-01

    The author of this article chose Cambodia's Angkor temples as a jumping-off point for her students' exploration of printmaking. This article describes a lesson in which students used subjects, themes, and symbols that demonstrate knowledge of contexts, values, and aesthetics that communicate intended meaning in artworks.

  6. Continuous CS Analysis of Using the SIEM to Introduction to Computer Programming Education in the School of Engineering Evening Division at the Department of Electrical and Electronic Engineering

    NASA Astrophysics Data System (ADS)

    Dohi, Shinichi; Miyakawa, Osamu; Konno, Noriko

    In order to improve students’ motivation, the SIEM (School of Information Environment Method) which is the education method for the introduction of the computer programming education was developed. We focus on students’ motivation, and we have measured students’ motivation as the educational effects. After the SIEM was developed in the School of Information Environment, it applied to introduction to the computer programming education in the School of Engineering Evening Division at the Department of Electrical and Electronic Engineering. It is effective for the improvement of students’ motivation. By adding the Customer Satisfaction Analysis to the SIEM Analysis, it was able to clarify the priority level of the SIEM assessment item. In this paper, we describe results of the Customer Satisfaction Analysis.

  7. Country watch: Cambodia.

    PubMed

    Mielke, J

    1998-01-01

    Based on the results of a study on sexuality among young people in Cambodia, a series of interactive teaching video packages that model real-life situations are being developed by the UN International Children's Emergency Fund. It is noted that the videos can be used to facilitate group discussions on issues such as problem identification, problem solving, assessment of personal risk for HIV infection, and how to reduce HIV infection risks in situations similar to those in the videos. Each video package tells the story of problem situations and model behavior options, and provides a facilitator guide that includes suggested discussion questions. These videos include ¿Snooker Game¿, ¿At the Brothel¿, ¿The Quiet Place¿, ¿The Vulnerable Housewife¿, and ¿The Drinking Scene¿. Meanwhile, the field-tested interactive teaching videos have been indicated as extremely popular among Cambodian young people, teachers, teacher trainers, school administrators, community leaders, and nongovernmental organization community workers. However, important concerns have also been raised about the risks of focusing on real-life social norms and attitudes in Cambodia.

  8. Fires in Thailand and Cambodia

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Many fires (red pixels) were seen burning across Thailand and Southern Cambodia on January 8, 2002, by the Moderate-resolution Imaging Spectroradiometer (MODIS) flying aboard NASA's Terra satellite. Almost the entire countries of Thailand (center) and Cambodia (lower right) were remarkably cloud-free in this true-color scene. Thailand is bordered by the countries of Myanmar to the west, Laos to the north and east, and Cambodia to the southeast. Thailand's capital city of Bangkok sits on its southern shore, where the Chao Phraya River flows into the large bay in the northern Gulf of Thailand. Moving eastward from Bangkok, one can see the Tonle Sap-Cambodia's largest inland body of water. Waters from the Tonle Sap flow southeastward and converge with the mighty Mekong River, just east of Phnom Penh, Cambodia's capital. The Mekong River defines much of the border between Thailand and Laos. The captal of Laos-Viangchan-is situated just across the Mekong from Thailand's northern border. Image courtesy Jacques Descloitres, MODIS Land Rapid Response Team at NASA GSFC

  9. ALIS deployment in Cambodia

    NASA Astrophysics Data System (ADS)

    Sato, Motoyuki; Takahashi, Kazunori

    2012-06-01

    Dual sensor is one of the most promising sensors for humanitarian demining operations. Conventional landmine detection depends on highly trained and focused human operators manually sweeping 1m2 plots with a metal detector and listening for characteristic audio signals indicating the presence of AP (Anti-personnel) landmines. In order to reduce the time of plodding detected objects, metal detectors need to be combined with a complimentary subsurface imaging sensor. i.e., GPR(Ground Penetrating Radar). The demining application requires real-time imaging results with centimetre resolution in a highly portable package. We are currently testing a dual sensor ALIS which is a real-time sensor tracking system based on a CCD camera and image processing. In this paper we introduce ALIS systems which we have developed for detection of buried antipersonnel mines and small size explosives. The performance of ALIS has been tested in Cambodia since 2009. More than 80 anti-personnel mines have been detected and removed from local agricultural area. ALIS has cleared more than 70,000 m2 area and returned it to local farmers.

  10. Oncology in Cambodia.

    PubMed

    Eav, S; Schraub, S; Dufour, P; Taisant, D; Ra, C; Bunda, P

    2012-01-01

    Cambodia, a country of 14 million inhabitants, was devastated during the Khmer Rouge period and thereafter. The resources of treatment are rare: only one radiotherapy department, renovated in 2003, with an old cobalt machine; few surgeons trained to operate on cancer patients; no hematology; no facilities to use intensive chemotherapy; no nuclear medicine department and no palliative care unit. Cervical cancer incidence is one of the highest in the world, while in men liver cancer ranks first (20% of all male cancers). Cancers are seen at stage 3 or 4 for 70% of patients. There is no prevention program - only a vaccination program against hepatitis B for newborns - and no screening program for cervical cancer or breast cancer. In 2010, oncology, recognized as a full specialty, was created to train the future oncologists on site at the University of Phnom Penh. A new National Cancer Center will be built in 2013 with modern facilities for radiotherapy, medical oncology, hematology and nuclear medicine. Cooperation with foreign countries, especially France, and international organizations has been established and is ongoing. Progress is occurring slowly due to the shortage of money for Cambodian institutions and the lay public.

  11. Women Reap More Benefits from Higher Education, Study Finds

    ERIC Educational Resources Information Center

    Troumpoucis, Patricia

    2004-01-01

    Higher education offers a variety of benefits, both economic and non-economic, and women seem to reap much bigger economic benefits from earning an associate's degree or a bachelor's degree than their male counterparts, according to a new study. The study's author said this revelation could shed some light on why the numbers of women in college…

  12. Mental health care in Cambodia.

    PubMed Central

    Somasundaram, D. J.; van de Put, W. A.

    1999-01-01

    An effort is being made in Cambodia to involve grass-roots personnel in the integration of the care of the mentally ill into a broad framework of health services. This undertaking is examined with particular reference to the work of the Transcultural Psychosocial Organization. PMID:10212521

  13. Cambodia: World Oil Report 1991

    SciTech Connect

    Khin, J.A. )

    1991-08-01

    This paper reports on the Ministry of Industry which has the that hydrocarbon potential exists in the 57,600-sq-mi sedimentary basin covering both onshore and offshore Cambodia. It is also reported that 13 foreign oil companies have contacted the government, regarding obtaining interests in Kampot and Koh Kong Provinces in the southwestern part of the country.

  14. Health care clinics in Cambodia.

    PubMed

    Wollschlaeger, K

    1995-04-01

    Under the Pol Pot Khmer Rouge regime, most physicians with clinical experience were either killed or fled the country. The few practitioners who managed to survive were forced to hide their knowledge; much of that knowledge and experience is now lost. As part of a general process of national rehabilitation, Cambodia has trained since the 1980s hundreds of physicians and physician assistants. There were 700 physicians, 1300 physician assistants, and 4000 nurses in the country by 1992. Problems do, however, remain with medical education in Cambodia. In particular, the medical texts and lectures are in French, a language which very few of the younger generation speak; instructional texts are designed to meet the needs of developing nations, not a rehabilitating one like Cambodia; emphasis is upon curative health care, hospitals, and vertical programs instead of primary and preventive health care; Cambodian physicians are used to a system based upon the division of patients by ability to pay instead of by age, disease, or need; corruption has grown as the cost of living has outstripped the level of official salaries; and there is neither professional contact, feedback, nor program evaluation within health care programs. The authors is a resident in obstetrics and gynecology at the University of Chicago who worked at two clinics during a stay in Phnom Penh. She recommends that instead of simply training more doctors, these training-related problems should be addressed, including a revision of the curriculum to include both primary health care medicine and psychiatry. Moreover, people in Cambodia need to be taught the importance of preventive health care, which should then reduce the number of visits to physicians. This process will be accomplished more effectively with the cooperation of physicians, the government, nongovernmental organizations, and international organizations associated with health care.

  15. Critical Literacy in Elementary Education in Cambodia

    ERIC Educational Resources Information Center

    In, Vichea

    2012-01-01

    This study focuses on a quest for insights into the introduction and negotiation of critical literacy in elementary education in Cambodia, whose recent past was scarred by devastating conflicts and wars. In this study, critical education is seen as a key to avoiding the reproduction of an unwanted past and minimizing social injustice in Cambodia.…

  16. Revisiting Primary School Dropout in Rural Cambodia

    ERIC Educational Resources Information Center

    No, Fata; Sam, Chanphirun; Hirakawa, Yukiko

    2012-01-01

    Previous studies on school dropout in Cambodia often used data from subjects after they already dropped out or statistics from education-related institutions. Using data from children in two rural provinces before they dropped out, this study examines four main factors in order to identify their influence on primary school dropout in Cambodia.…

  17. Evaluation of Flexibility Under "No Child Left Behind": Volume III--The Rural Education Achievement Program (REAP Flex)

    ERIC Educational Resources Information Center

    Christensen, Gayle S.; Amerikaner, Ary; Klasik, Daniel; Cohodes, Sarah

    2007-01-01

    This study focuses on flexibility provisions in the Rural Education Achievement Program (REAP) provision of NCLB. Specifically, it addresses REAP Flex, a program that allows rural districts additional control over how to spend portions of their federal funding. REAP Flex is part of a series of NCLB flexibility initiatives aimed at rural schools.…

  18. The Rocket Engine Advancement Program 2 (REAP2)

    NASA Technical Reports Server (NTRS)

    Harper, Brent (Technical Monitor); Hawk, Clark W.

    2004-01-01

    The Rocket Engine Advancement Program (REAP) 2 program is being conducted by a university propulsion consortium consisting of the University of Alabama in Huntsville, Penn State University, Purdue University, Tuskegee University and Auburn University. It has been created to bring their combined skills to bear on liquid rocket combustion stability and thrust chamber cooling. The research team involves well established and known researchers in the propulsion community. The cure team provides the knowledge base, research skills, and commitment to achieve an immediate and continuing impact on present and future propulsion issues. through integrated research teams composed of analysts, diagnosticians, and experimentalists working together in an integrated multi-disciplinary program. This paper provides an overview of the program, its objectives and technical approaches. Research on combustion instability and thrust chamber cooling are being accomplished

  19. Chemical sensitivity in symptomatic Cambodia veterans.

    PubMed

    Bischoff, Erik W M A; Soetekouw, Patricia M M B; De Vries, Maaike; Scheepers, Paul T I; Bleijenberg, Gijs; van der Meer, Jos W M

    2003-12-01

    Following their participation in a United Nations peacekeeping operation in Cambodia (1992-1993), Dutch veterans complained of symptoms similar to those reported by Gulf War veterans. The authors conducted a matched case-control study to evaluate 76 symptomatic and 32 matched asymptomatic Cambodia veterans on the basis of data collected by postal questionnaire. The number of symptomatic veterans who reported having used insect repellants that contained N,N,-diethyl-meta-toluamide (DEET) during the mission in Cambodia was significantly higher, compared with asymptomatic veterans. The percentage of veterans who reported feeling ill following brief exposures to chemicals such as paint or pesticides was equal in both groups, but the percentage was low compared with the results of other studies of Multiple Chemical Sensitivity Syndrome. The current study was limited by self-report and time delay (potential recall bias) between deployment to Cambodia and the time of survey. Nevertheless, the study results did not support the hypothesis that symptoms in the total group of Cambodia veterans could be related to Multiple Chemical Sensitivity Syndrome. PMID:15859508

  20. Abortion incidence in Cambodia, 2005 and 2010.

    PubMed

    Fetters, Tamara; Samandari, Ghazaleh

    2015-01-01

    Although Cambodia now permits elective abortion, scarcity of research on this topic means that information on abortion incidence is limited to regional estimates. This estimation model combines national survey data from Demographic and Health Surveys (DHS) with national prospective data of abortion procedures from government health facilities, collected in 2005 and 2010, to calculate the national incidence of safe and unsafe abortion. According to DHS, the proportion of all induced abortions that took place in a health facility in the five years preceding each survey increased from almost 52% to 60%. Projecting from facility-based abortions to national estimates, the national abortion rate increased from 21 to 28 per 1000 women aged 15-44. The abortion ratio also increased from 19 to 28 per 100 live births. This research quantifies an increase in safely induced abortions in Cambodia and provides a deeper understanding of induced abortion trends in Cambodia.

  1. "We don't forget the old rice pot when we get the new one": discourses on ideals and practices of women in contemporary Cambodia.

    PubMed

    Brickell, Katherine

    2011-01-01

    Drawing on microlevel research with men and women of differing ages living in rural and urban Siem Reap (home to the global heritage and tourist site of Angkor), this article focuses on the key discourses and practices that men and women draw on to (de)stabilize putatively traditional ideals of Cambodian womanhood and to (re)situate them in the contemporary period. Mapping the complex ways that people represent, make sense of, and respond to prerevolutionary cultural norms of female behavior in a very different era (with particular, though not exclusive, attention paid to mobility and education), the article demonstrates how deeper ideological changes concerning women’s relationship to Khmer tradition will have to accompany the surface reordering of Cambodian gender relations if equality between women and men is to be achieved. Until then, the ideal woman in contemporary Cambodian society is ultimately one who can creatively negotiate and balance the multiple demands placed on her by society, family, and self. PMID:21114083

  2. English in Cambodia: Changes and Challenges

    ERIC Educational Resources Information Center

    Moore, Stephen H.; Bounchan, Suksiri

    2010-01-01

    This paper reports research undertaken at a prestigious university in Phnom Penh in late 2007. The views of lecturers who teach the BEd (TEFL) degree and their students were canvassed in relation to the status of English in Cambodia. The students completed a questionnaire probing their views on the notion of a Cambodian English, as well as their…

  3. The Arts of Cambodia and Its Neighbors.

    ERIC Educational Resources Information Center

    Asian Art Museum of San Francisco, CA.

    This teacher's packet accompanies a slide presentation on the arts of Cambodia and those nations on the Indochina peninsula. The packet contains: (1) a slide list describing the art depicted on each slide with time period and dimensions of the piece; (2) an introductory essay describing the geography, people, religion, art and history of the area;…

  4. Marxist Educational Theory: Reflections in Cambodia.

    ERIC Educational Resources Information Center

    Kaminsky, James S.

    1985-01-01

    It is proposed that Cambodia's recent government actions toward education and the educated are incongruous with the humanism of Marxist theory, and that Marxist educational theories fail because they are based on a general failure of knowledge demonstrated in Marxist ideology. (MSE)

  5. Migrant Interactions with Elderly Parents in Rural Cambodia and Thailand

    ERIC Educational Resources Information Center

    Zimmer, Zachary; Korinek, Kim; Knodel, John; Chayovan, Napaporn

    2008-01-01

    This paper examines interactions between older adults living in rural areas of Thailand and Cambodia and their adult children. Thai data come from the Survey of the Welfare of the Elderly (N = 3,202 older adults and 17,517 adult children). Cambodia data are from the Survey of the Elderly in Cambodia (N = 777 older adults and 3,751 adult children).…

  6. Harm reduction in Cambodia: a disconnect between policy and practice

    PubMed Central

    2012-01-01

    In 2003 the Government of Cambodia officially began to recognise that harm reduction was an essential approach to preventing HIV among people who use drugs and their sexual partners. Several programs aiming to control and prevent HIV among drug users have been implemented in Cambodia, mostly in the capital, Phnom Penh. However, there have been ongoing tensions between law enforcement and harm reduction actors, despite several advocacy efforts targeting law enforcement. This study attempts to better understand the implementation of harm reduction in Cambodia and how the policy environment and harm reduction program implementation has intersected with the role of law enforcement officials in Cambodia. PMID:22770124

  7. UNTAC, CEAT, other international actions and the restoration of Cambodia`s forestry policy

    SciTech Connect

    Mareth, M.; Vanderstighelen, D.; Bann, C.; Ngongi, M.I.; Aertgeerts, R.; Eav, B.B.

    1995-03-01

    Although no verifiable hard data regarding the rate of nation-wide deforestation in Cambodia exists, it is understood that on account of increasing logging activities, uncontrolled forest fires, increased demand for agricultural land and fuel wood for charcoal production and other domestic usage, the rates of deforestation and the degradation of existing forests will continue to be on the rise if no effective policy and management plans are established soon. There now seems to be international recognition and acceptance of the fact that unless the impact of human activities are incorporated into forestry management plans, the problems of deforestation in the world`s poorest regions will continue unabated. The depletion of this natural resource brings about complex changes in the environment which results in such phenomenon as global warming. Sound forest policies and management practices are central to the global warming solution. Without these, human survival remains, potentially, threatened. An essential key to the development of such policies and management practices lies in the identification of the problems related to the forests. In this process of identification and subsequent concrete actions in restoring Cambodia`s forest policies and management practices, the Royal government of Cambodia has been assisted and supported by the international community through organizations and agencies. The examine and appraisal of such assistance and the strategies and efforts of the Royal Government of Cambodia, is the main theme of this paper.

  8. Introduction of rehabilitation nursing concepts in Cambodia.

    PubMed

    Reed, Karen S

    2011-01-01

    Cambodia is a poor country in Southeast Asia; 80% of its 14.1 million people are sustenance farmers (Central Intelligence Agency, 2006). Health Volunteers Overseas, based in Washington, DC, and Sihanouk Hospital of Hope in Phnom Penh, Cambodia, collaborate to recruit master's-prepared nurse educators to participate in volunteer teaching trips to enhance the knowledge and skill set of Cambodian staff nurses. A methodical series of steps were taken to develop a basic lecture series regarding the care of patients with brain and spinal cord injuries, taking into consideration Cambodian healthcare beliefs and health system resources. This article describes the processes used to develop the lectures and the realities of teaching on the other side of the world.

  9. Decomposition of childhood malnutrition in Cambodia.

    PubMed

    Sunil, Thankam S; Sagna, Marguerite

    2015-10-01

    Childhood malnutrition is a major problem in developing countries, and in Cambodia, it is estimated that approximately 42% of the children are stunted, which is considered to be very high. In the present study, we examined the effects of proximate and socio-economic determinants on childhood malnutrition in Cambodia. In addition, we examined the effects of the changes in these proximate determinants on childhood malnutrition between 2000 and 2005. Our analytical approach included descriptive, logistic regression and decomposition analyses. Separate analyses are estimated for 2000 and 2005 survey. The primary component of the difference in stunting is attributable to the rates component, indicating that the decrease of stunting is due mainly to the decrease in stunting rates between 2000 and 2005. While majority of the differences in childhood malnutrition between 2000 and 2005 can be attributed to differences in the distribution of malnutrition determinants between 2000 and 2005, differences in their effects also showed some significance.

  10. Freshwater bryozoa of Tonle Sap, Cambodia.

    PubMed

    Hirose, Masato; Mawatari, Shunsuke F

    2007-06-01

    We identified a collection of freshwater bryozoans from Tonle Sap (meaning Tonle Lake), Cambodia, a body of water fed by the Mekong River and characterized by extreme fluctuations in water level between the wet and dry seasons. The collection also included specimens from the moat of Angkor Wat, located at the north end of the lake. We found four phylactolaemate species (Plumatella bombayensis, Plumatella casmiana, Plumatella vorstmani, Hyalinella lendenfeldi) and one ctenostome species (Hislopia cambodgiensis) from the lake, and only a single, additional phylactolaemate species (Plumatella javanica) from the moat. We provide brief descriptions of these species, photographs of colonies for some, and photomicrographs by light and scanning electron microscopy (SEM) of statoblasts. None of the species encountered in this study is endemic to Cambodia, and the wide distributions of the species are possibly related to the dispersability of floatoblasts by birds. We briefly discuss some of the taxonomic problems surrounding Hislopia cambodgiensis.

  11. Self-Assessment in the REAP Tutor: Knowledge, Interest, Motivation, & Learning

    ERIC Educational Resources Information Center

    Dela Rosa, Kevin; Eskenazi, Maxine

    2013-01-01

    Self-assessment questionnaires have long been used in tutoring systems to help researchers measure and evaluate various aspects of a student's performance during learning activities. In this paper, we chronicle the efforts made in the REAP project, a language tutor developed to teach vocabulary to ESL students through reading activities, to…

  12. 31 CFR 500.565 - Family remittances to nationals of Vietnam and Cambodia.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Vietnam and Cambodia. 500.565 Section 500.565 Money and Finance: Treasury Regulations Relating to Money... remittances to nationals of Vietnam and Cambodia. (a) The remittances specified in this section are authorized... relative is a national of Vietnam or Cambodia, is a resident of Vietnam, Cambodia, or a country to...

  13. Earthshots: Satellite images of environmental change – Phnom Penh, Cambodia

    USGS Publications Warehouse

    ,

    2013-01-01

    From 1975 to 1978, Cambodia was ruled by the Khmer Rouge regime, which sought among other things to build a vast system of irrigation canals. These images show an area around Cambodia's capital city of Phnom Penh where such waterworks were built. Many areas east of the Mekong River show a gridwork of canals by 1985.

  14. Introduction of ICT and Multimedia into Cambodia's Teacher Training Centres

    ERIC Educational Resources Information Center

    Dionys, David

    2012-01-01

    This article describes the integration of ICT in the teacher training centres of Cambodia. It focuses on the collaboration between the Teacher Training Department of the Ministry of Education, Youth and Sports (MoEYS) of Cambodia and VVOB (Flemish Association for Development Cooperation and Technical Assistance), which is aimed at improving ICT…

  15. A Multimedia Approach to ODL for Agricultural Training in Cambodia

    ERIC Educational Resources Information Center

    Grunfeld, Helena; Ng, Maria Lee Hoon

    2013-01-01

    Open distance learning (ODL) has long been an important option for formal and non-formal education (NFE) in most developed and developing countries, but less so in post-conflict countries, including Cambodia. However, in Cambodia there is now greater awareness that ODL can complement traditional face-to-face educational approaches, particularly as…

  16. 75 FR 11620 - Waiver of Restriction on Assistance to Cambodia

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to Cambodia Pursuant to section 7086(c)(2) of the Department of State... Act with respect to the Government of Cambodia, and I hereby waive such restriction....

  17. Tradition, Modernity, and the Development of Education in Cambodia.

    ERIC Educational Resources Information Center

    Ayres, David M.

    2000-01-01

    Reviews Cambodia's educational development, characterized by a series of successive crises since the country's independence from France in 1953. Examines various approaches of development discourse to the educational crisis, and suggests that previous analyses of Cambodia's educational development have failed to recognize the tensions generated by…

  18. Ground-water resources of Cambodia

    USGS Publications Warehouse

    Rasmussen, William Charles; Bradford, Gary M.

    1977-01-01

    Cambodia (now the Khmer Republic), in tropical, humid southeast Asia, has an area of 175,630 km and a population of about 5 million. The Mekong River, one of the world's largest rivers, flows through Cambodia. Also, the Tonle Sap (Grand Lac), a highly productive fresh-water lake, functions as a huge off-channel storage reservoir for flood flow of the Mekong River. Surfacewater discharge in streams and rivers of Cambodia is abundant during the wet season, mid-May through mid-November, when 85 percent of the precipitation falls, but is frequently deficient during the remainder of the year. Annual rainfall ranges from 1,370 mm in the central lowlands to more than 5,000 mm in the mountainous highlands. The mean annual temperature for the country is 27.5?C and the evaporation rate is high. During 1960-63, 1,103 holes were drilled in 16 of the 18 khets (provinces), of which 795 or approximately 72 percent, were productive wells at rates ranging from 1.1 to 2,967 l/min. The productive wells ranged in depth from 2 to 209.4 m and were 23.2 m deep on the average. Mr. Rasmussen ' studied the subsurface geology of Cambodia in considerable detail by examining drillers' logs and constructing nine geologic cross sections. The principal aquifer tapped by drilled wells in Cambodia is the Old Alluvium. In many places, however, dug wells and a few shallow drilled wells obtain water from the Young Alluvium. Sandstone of the Indosinias Formation yields moderate to small quantities of water to wells in a number of places. Also, wells tapping water-bearing basalt have a small to moderate yield. The quality of water is recorded in only a few analyses. The dissolved solids concentrations appear to be generally low so that the water is usable for most purposes without treatment. Some well waters, however, are high in iron and would have to be aerated and filtered before use. In this report, well records are tabulated, and the geology and hydrology is discussed by khets. The bulk of the

  19. Molecular Epidemiology of Hemoglobinopathies in Cambodia.

    PubMed

    Munkongdee, Thongperm; Tanakulmas, Jatuporn; Butthep, Punnee; Winichagoon, Pranee; Main, Barbara; Yiannakis, Miriam; George, Joby; Devenish, Robyn; Fucharoen, Suthat; Svasti, Saovaros

    2016-06-01

    Determining the magnitude of the thalassemia problem in a country is important for implementing a national prevention and control program. In order to acquire accurate thalassemia prevalence data, the gene frequency of α- and β-thalassemia (α- and β-thal) in different regions of a country should be determined. The molecular basis of thalassemia in Cambodia was performed by polymerase chain reaction (PCR)-based techniques in a community-based cross-sectional survey of 1631 unrelated individuals from three regions, Battambang, Preah Vihear and Phnom Penh. Thalassemia mutations were detected in 62.7% of the three studied population of Cambodia. Hb E (HBB: c.79G > A) was the most common β-globin gene mutation with a frequency ranging from 0.139 to 0.331, while the most frequent α-globin gene mutation was the -α(3.7) (rightward) deletion (0.098-0.255). The other frequencies were 0.001-0.003 for β-thal, 0.008-0.011 for α-thal-1 (- -(SEA)), 0.003-0.008 for α-thal-2 [-α(4.2) (leftward deletion)], 0.021-0.044 for Hb Constant Spring (Hb CS, HBA2: c.427T > C) and 0.009-0.036 for Hb Paksé (HBA2: c.429A > T). A regional specific thalassemia gene frequency was observed. Preah Vihear had the highest prevalence of Hb E (55.9%), α-thal-2 (24.0%) and nondeletional α-thal (15.1%), whereas Phnom Penh had the lowest frequency of thalassemia genes. Interestingly, in Preah Vihear, the frequency of Hb Paksé was extremely high (0.036), almost equivalent to that of Hb CS (0.044). Our results indicate the importance of micromapping and epidemiology studies of thalassemia, which will assist in establishing the national prevention and control program in Cambodia. PMID:27117566

  20. Cambodia passes new limits on abortion.

    PubMed

    1997-10-17

    According to international news sources, Cambodia's parliament approved a law limiting the circumstances under which abortions can be performed on October 6 [1997]. Members of parliament say the new law, the first ever passed regulating abortion in Cambodia, is intended to reduce maternal morality rates from abortions performed by unlicensed health practitioners under unsanitary conditions. Local news outlets report that the Cambodian Health Ministry estimates the maternal mortality at 4.7 deaths per 1000 live births. The rate in the US is 0.12 deaths per 1000 live births. The law requires that abortions be performed by licensed health professionals in hospitals and certified clinics within the first trimester of pregnancy, and that women under the age of 18 must obtain parental consent. The new law also sets harsh penalties for those who harm women during illegal procedures--up to 5 years in prison if a woman is injured and up to 10 years if she dies. Opponents of the law say they fear that the new restrictions will push abortion even further underground, as the hospital system cannot handle the current demand for abortion. PMID:12292784

  1. Analysis of Radar Images of Angkor, Cambodia

    NASA Technical Reports Server (NTRS)

    Freeman, Anthony; Hensley, Scott; Moore, Elizabeth

    2000-01-01

    During the 1996 AIRSAR Pacific Rim Deployment, data were collected over Angkor in Cambodia. The temples of Angkor date the succession of cities to the 9th-13th century AD, but little is known of its prehistoric habitation. A related area of archaeological debate has been the origin, spiritual meaning and use of the hydraulic constructions in the urban zone. The high resolution, multi-channel capability of AIRSAR, together with the unprecedentedly accurate topography provided by TOPSAR, offer identification and delineation of these features. Examples include previously unrecorded circular earthworks around circular village sites, detection of unrecorded earthwork dykes, reservoirs and canal features, and of temple sites located some distance from the main temple complex at Angkor.

  2. Collaborative Development of Anatomy Workshops for Medical and Dental Students in Cambodia

    ERIC Educational Resources Information Center

    Hayes, Jennifer A.; Ivanusic, Jason J.; le Roux, Cara M.; Hatzopoulos, Kate; Gonsalvez, David; Hong, Someth; Durward, Callum

    2011-01-01

    After Phnom Penh was liberated from the Khmer Rouge in 1979, health science education in Cambodia had to be completely rebuilt. In this article, the authors report the results of a teaching collaboration between the University of Melbourne (Australia), the International University (Cambodia), and the University of Health Sciences (Cambodia). The…

  3. A Bibliographic Foray into Documents and Publications Relating to Peacekeeping in Cambodia.

    ERIC Educational Resources Information Center

    Patterson, MacGregor

    1996-01-01

    Examines the publications, documents, and other materials relating to peacekeeping in Cambodia. Focuses on the United Nations Transitional Authority in Cambodia as a part in the development of the United Nations peacekeeping missions. Evaluates sources concerning operations within Cambodia. Identifies resources of international government…

  4. Reaping the benefits of an open systems approach: getting the commercial approach right

    NASA Astrophysics Data System (ADS)

    Pearson, Gavin; Dawe, Tony; Stubbs, Peter; Worthington, Olwen

    2016-05-01

    Critical to reaping the benefits of an Open System Approach within Defence, or any other sector, is the ability to design the appropriate commercial model (or framework). This paper reports on the development and testing of a commercial strategy decision support tool. The tool set comprises a number of elements, including a process model, and provides business intelligence insights into likely supplier behaviour. The tool has been developed by subject matter experts and has been tested with a number of UK Defence procurement teams. The paper will present the commercial model framework, the elements of the toolset and the results of testing.

  5. Genetic screening: programs, principles, and research--thirty years later. Reviewing the recommendations of the Committee for the Study of Inborn Errors of Metabolism (SIEM).

    PubMed

    Simopoulos, A P

    2009-01-01

    Screening programs for genetic diseases and characteristics have multiplied in the last 50 years. 'Genetic Screening: Programs, Principles, and Research' is the report of the Committee for the Study of Inborn Errors of Metabolism (SIEM Committee) commissioned by the Division of Medical Sciences of the National Research Council at the National Academy of Sciences in Washington, DC, published in 1975. The report is considered a classic in the field worldwide, therefore it was thought appropriate 30 years later to present the Committee's modus operandi and bring the Committee's recommendations to the attention of those involved in genetics, including organizational, educational, legal, and research aspects of genetic screening. The Committee's report anticipated many of the legal, ethical, economic, social, medical, and policy aspects of genetic screening. The recommendations are current, and future committees should be familiar with them. In 1975 the Committee stated: 'As new screening tests are devised, they should be carefully reviewed. If the experimental rate of discovery of new genetic characteristics means an accelerating rate of appearance of new screening tests, now is the time to develop the medical and social apparatus to accommodate what later on may otherwise turn out to be unmanageable growth.' What a prophetic statement that was. If the Committee's recommendations had been implemented on time, there would be today a federal agency in existence, responsive and responsible to carry out the programs and support research on various aspects of genetic screening, including implementation of a federal law that protects consumers from discrimination by their employers and the insurance industry on the basis of genetic information.

  6. Avian influenza: the political economy of disease control in Cambodia.

    PubMed

    Ear, Sophal

    2011-01-01

    Abstract In the wake of avian flu outbreaks in 2004, Cambodia received $45 million in commitments from international donors to help combat the spread of animal and human influenza, particularly avian influenza (H5N1). How countries leverage foreign aid to address the specific needs of donors and the endemic needs of the nation is a complex and nuanced issue throughout the developing world. Cambodia is a particularly compelling study in pandemic preparedness and the management of avian influenza because of its multilayered network of competing local, national, and global needs, and because the level of aid in Cambodia represents approximately $2.65 million per human case-a disproportionately high number when compared with neighbors Vietnam and Indonesia. This paper examines how the Cambodian government has made use of animal and human influenza funds to protect (or fail to protect) its citizens and the global community. It asks how effective donor and government responses were to combating avian influenza in Cambodia, and what improvements could be made at the local and international level to help prepare for and respond to future outbreaks. Based on original interviews, a field survey of policy stakeholders, and detailed examination of Cambodia's health infrastructure and policies, the findings illustrate that while pandemic preparedness has shown improvements since 2004, new outbreaks and human fatalities accelerated in 2011, and more work needs to be done to align the specific goals of funders with the endemic needs of developing nations.

  7. Intestinal helminthic infections in schoolchildren in Cambodia.

    PubMed

    Sinuon, Muth; Anantaphruti, Malinee T; Socheat, Doung

    2003-06-01

    During the period January to December 1998, the National Malaria Center (CNM) carried out a parasitological survey of schoolchildren in rural and semi-urban areas, to assess intestinal helminthic infections in schoolchildren in the central parts of Cambodia. In the rural areas, there were four schools in Stung Treng Province (all situated along the Mekong River), five schools in Kratie Province (around rubber plantations), six schools in Kampong Chhnang Province (along Tonle Sap Lake); and in the semi-urban areas, three schools in Beng Tumpon Commune and five schools in Chbar Ampeou Commune (Mean Chey District) were selected for study. By Kato-Katz technique, the prevalence of soil-transmitted helminthic infections in schoolchildren in both the rural and urban areas was high. The infection rate was between 10-40% for Ascaris, 2-17% for Trichuris and 5-65% for hookworm. Schistosomiasis and opisthorchiasis were found in the schoolchildren living along the Mekong River (Stung Treng Province); the infection rate of S. mekongi ranged from 12 to 43%. These infections in children were with hepatomegalies. An intervention in an urban area (Chraing Chamres) showed that after repeated treatment with mebendazole 500 mg single dose every 6 months, the prevalence of all parasites had dropped to about one third of the initial level.

  8. How Does Science Learning Occur in the Classroom? Students' Perceptions of Science Instruction during the Implementation of REAPS Model

    ERIC Educational Resources Information Center

    Gomez-Arizaga, Maria P.; Bahar, A. Kadir; Maker, C. June; Zimmerman, Robert; Pease, Randal

    2016-01-01

    In this qualitative study the researchers explored children's perceptions of their participation in a science class in which an elementary science curriculum, the Full Option Science System (FOSS), was combined with an innovative teaching model, Real Engagement in Active Problem Solving (REAPS). The children were capable of articulating views…

  9. Capitalizing on Nigeria’s demographic dividend: reaping the benefits and diminishing the burdens

    PubMed Central

    Reed, Holly E.; Mberu, Blessing U.

    2015-01-01

    Nigeria is the most populous country in Africa and the eighth most populous country in the world, yet there is a dearth of published research about its demography. As Nigeria enters a period of potentially rapid economic growth due to the increase in the working-age population, it is critical to understand the demographic trends in the country. This paper examines the age and sex composition of Nigeria as it relates to various population characteristics using the two most recent Demographic and Health Surveys for Nigeria (2003 and 2008), as well as some data from the 2006 Census. It also highlights Nigeria’s demographic composition and trends using United Nations population projection data, and its implications for the country reaping the demographic dividend. Finally, it draws some conclusions and makes some policy recommendations based on the findings. PMID:25705077

  10. Introducing the GRACEnet/REAP Data Contribution, Discovery, and Retrieval System.

    PubMed

    Del Grosso, S J; White, J W; Wilson, G; Vandenberg, B; Karlen, D L; Follett, R F; Johnson, J M F; Franzluebbers, A J; Archer, D W; Gollany, H T; Liebig, M A; Ascough, J; Reyes-Fox, M; Pellack, L; Starr, J; Barbour, N; Polumsky, R W; Gutwein, M; James, D

    2013-07-01

    Difficulties in accessing high-quality data on trace gas fluxes and performance of bioenergy/bioproduct feedstocks limit the ability of researchers and others to address environmental impacts of agriculture and the potential to produce feedstocks. To address those needs, the GRACEnet (Greenhouse gas Reduction through Agricultural Carbon Enhancement network) and REAP (Renewable Energy Assessment Project) research programs were initiated by the USDA Agricultural Research Service (ARS). A major product of these programs is the creation of a database with greenhouse gas fluxes, soil carbon stocks, biomass yield, nutrient, and energy characteristics, and input data for modeling cropped and grazed systems. The data include site descriptors (e.g., weather, soil class, spatial attributes), experimental design (e.g., factors manipulated, measurements performed, plot layouts), management information (e.g., planting and harvesting schedules, fertilizer types and amounts, biomass harvested, grazing intensity), and measurements (e.g., soil C and N stocks, plant biomass amount and chemical composition). To promote standardization of data and ensure that experiments were fully described, sampling protocols and a spreadsheet-based data-entry template were developed. Data were first uploaded to a temporary database for checking and then were uploaded to the central database. A Web-accessible application allows for registered users to query and download data including measurement protocols. Separate portals have been provided for each project (GRACEnet and REAP) at nrrc.ars.usda.gov/slgracenet/#/Home and nrrc.ars.usda.gov/slreap/#/Home. The database architecture and data entry template have proven flexible and robust for describing a wide range of field experiments and thus appear suitable for other natural resource research projects. PMID:24216379

  11. Academic Achievement among Adolescents in Cambodia: Does Caregiver Trauma Matter?

    ERIC Educational Resources Information Center

    Eng, Sothy; Mulsow, Miriam; Cleveland, Harrington; Hart, Sybil L.

    2009-01-01

    How will hostilities occurring around today's world influence future generations in affected areas? Cambodia may be one place where this question can be answered, and academic achievement is one way to measure these effects. Cambodian adolescent/caregiver dyads (n=288) were examined for links between caregiver trauma history and adolescent…

  12. Re-Orientations in Moral Education in Cambodia Since 1975

    ERIC Educational Resources Information Center

    Clayton, Thomas

    2005-01-01

    In recent years, Cambodia has transitioned from a communist state to a liberal democracy following market economic practices. Transition in the political economy has, in turn, influenced education and, more specifically, moral education. In this article, I define moral education more broadly than many, as additionally dedicated to the preparation…

  13. Seroepidemiology of Human Enterovirus 71 Infection among Children, Cambodia.

    PubMed

    Horwood, Paul F; Andronico, Alessio; Tarantola, Arnaud; Salje, Henrik; Duong, Veasna; Mey, Channa; Ly, Sovann; Dussart, Philippe; Cauchemez, Simon; Buchy, Philippe

    2016-01-01

    Enterovirus 71 is reported to have emerged in Cambodia in 2012; at least 54 children with severe encephalitis died during that outbreak. We used serum samples collected during 2000-2011 to show that the virus had been widespread in the country for at least a decade before the 2012 outbreak.

  14. Fatal motorcycle crashes: a growing public health problem in Cambodia.

    PubMed

    Roehler, Douglas R; Ear, Chariya; Parker, Erin M; Sem, Panhavuth; Ballesteros, Michael F

    2015-01-01

    This study examines the risk characteristics of fatal motorcycle crashes in Cambodia over a 5-year period (2007-2011). Secondary data analyses were conducted using the Cambodia Road Crash and Victim Information System, the only comprehensive and integrated road crash surveillance system in the country. Researchers from the Centers for Disease Control and Prevention and Handicap International found that (1) males are dying in motorcycle crashes roughly seven times more frequently than females; (2) motorcyclist fatalities increased by about 30% from 2007 to 2011; (3) the motorcyclist death rates per 100,000 population increased from 7.4 to 8.7 deaths from 2007 to 2011; and (4) speed-related crashes and not wearing motorcycle helmet were commonly reported for motorcyclist fatalities at approximately 50% and over 80% through the study years, respectively. Additionally, this study highlights that Cambodia has the highest motorcycle death rate in South-East Asia, far surpassing Thailand, Malaysia, and Myanmar. By recognising the patterns of fatal motorcycle crashes in Cambodia, local road-safety champions and stakeholders can design targeted interventions and preventative measures to improve road safety among motorcyclists.

  15. The Peoples and Cultures of Cambodia, Laos, and Vietnam.

    ERIC Educational Resources Information Center

    Center for Applied Linguistics, Washington, DC. Language and Orientation Resource Center.

    A handbook for those involved in Southeast Asian refugee assistance discusses some of the values and customs that refugee groups from Cambodia, Laos, and Vietnam may have in common and looks at the different countries and peoples of the region. A section on the shared values and customs of Indochinese refugees focuses on aspects of family life,…

  16. Fatal motorcycle crashes: a growing public health problem in Cambodia.

    PubMed

    Roehler, Douglas R; Ear, Chariya; Parker, Erin M; Sem, Panhavuth; Ballesteros, Michael F

    2015-01-01

    This study examines the risk characteristics of fatal motorcycle crashes in Cambodia over a 5-year period (2007-2011). Secondary data analyses were conducted using the Cambodia Road Crash and Victim Information System, the only comprehensive and integrated road crash surveillance system in the country. Researchers from the Centers for Disease Control and Prevention and Handicap International found that (1) males are dying in motorcycle crashes roughly seven times more frequently than females; (2) motorcyclist fatalities increased by about 30% from 2007 to 2011; (3) the motorcyclist death rates per 100,000 population increased from 7.4 to 8.7 deaths from 2007 to 2011; and (4) speed-related crashes and not wearing motorcycle helmet were commonly reported for motorcyclist fatalities at approximately 50% and over 80% through the study years, respectively. Additionally, this study highlights that Cambodia has the highest motorcycle death rate in South-East Asia, far surpassing Thailand, Malaysia, and Myanmar. By recognising the patterns of fatal motorcycle crashes in Cambodia, local road-safety champions and stakeholders can design targeted interventions and preventative measures to improve road safety among motorcyclists. PMID:24499413

  17. Prodasineura hoffmanni sp. nov. (Odonata, Platycnemididae, Disparoneurinae) from eastern Cambodia.

    PubMed

    Kosterin, Oleg E

    2015-01-01

    Prodasineura hoffmanni sp. nov. is described from Annamense Mountains in eastern Cambodia (holotype: Cambodia, Mondulkiri Province, 4.2 km SE of Dak Dam village, 12°23'10-18'' N 107°19'22-30'' E, 877-878 m asl, 14. VI. 2014, RMNH). The species has a blue pattern, and the male is characterised by medium-broad blue stripes on synthorax and blue colour at the end of the abdomen confined to a tiny spot on S9, dorsum of S10 and cerci. A female of P. doisuthepensis Hoess, 2007 is described. Based on original descriptions, the following synonymy is proposed: Prodasineura fujianensis Xu, 2006 = Prodasineura huai Zhou et Zhou, 2007, syn. n. PMID:26624197

  18. Prodasineura hoffmanni sp. nov. (Odonata, Platycnemididae, Disparoneurinae) from eastern Cambodia.

    PubMed

    Kosterin, Oleg E

    2015-10-06

    Prodasineura hoffmanni sp. nov. is described from Annamense Mountains in eastern Cambodia (holotype: Cambodia, Mondulkiri Province, 4.2 km SE of Dak Dam village, 12°23'10-18'' N 107°19'22-30'' E, 877-878 m asl, 14. VI. 2014, RMNH). The species has a blue pattern, and the male is characterised by medium-broad blue stripes on synthorax and blue colour at the end of the abdomen confined to a tiny spot on S9, dorsum of S10 and cerci. A female of P. doisuthepensis Hoess, 2007 is described. Based on original descriptions, the following synonymy is proposed: Prodasineura fujianensis Xu, 2006 = Prodasineura huai Zhou et Zhou, 2007, syn. n.

  19. Microgomphus alani (Odonata, Gomphidae) sp. nov. from Cambodia.

    PubMed

    Kosterin, Oleg E

    2016-01-01

    Microgomphus alani sp. nov. is described from two males from the coastal southwestern foothills of the Cardamom Mts. in southwestern Cambodia (type locality: Cambodia, Koh Kong Province, 17 km ENE of Koh Kong, 'Macromia Rivulet', 11°40'17'' N, 103°07'28'' E, 296 m a.s.l., 3 vi 2014, RMNH). The species is characterised by its small size (hindwing 21-23 mm), cerci with outer angulations, truncated apices and crescent-shaped inner arms sprouting from their middle and not reaching their apices, synthorax with two parallel black lateral stripes and dorsal and collar yellow stripes fused in 7-like manner. Probably females of the same species were earlier reported from Phrae Province in northern Thailand. PMID:27395135

  20. Evaluation test of ALIS in Cambodia for humanitarian demining

    NASA Astrophysics Data System (ADS)

    Sato, Motoyuki

    2010-04-01

    ALIS is a hand-held dual sensor developed by Tohoku University, Japan since 2002. Dual sensor is a general name of sensor for humanitarian demining, which are equipped with metal detector and GPR. ALIS is only one hand-held dual sensor, which can record the sensor position with sensor signals. Therefore, the data can be processed after data acquisition, and can increase the imaging capability. ALIS has been tested in some mine affected courtiers including Afghanistan (2004), Egypt(2005), Croatia(2006-) and Cambodia(2007-). Mine fields at each country has different conditions and soil types. Therefore testes at the real mine fields are very important. ALIS has detected more than 30 AP-Mines in evaluation test in Cambodia held in 2009.

  1. Effectiveness of community forestry in Prey Long forest, Cambodia.

    PubMed

    Lambrick, Frances H; Brown, Nick D; Lawrence, Anna; Bebber, Daniel P

    2014-04-01

    Cambodia has 57% forest cover, the second highest in the Greater Mekong region, and a high deforestation rate (1.2%/year, 2005-2010). Community forestry (CF) has been proposed as a way to reduce deforestation and support livelihoods through local management of forests. CF is expanding rapidly in Cambodia. The National Forests Program aims to designate one million hectares of forest to CF by 2030. However, the effectiveness of CF in conservation is not clear due to a global lack of controlled comparisons, multiple meanings of CF, and the context-specific nature of CF implementation. We assessed the effectiveness of CF by comparing 9 CF sites with paired controls in state production forest in the area of Prey Long forest, Cambodia. We assessed forest condition in 18-20 randomly placed variable-radius plots and fixed-area regeneration plots. We surveyed 10% of households in each of the 9 CF villages to determine the proportion that used forest products, as a measure of household dependence on the forest. CF sites had fewer signs of anthropogenic damage (cut stems, stumps, and burned trees), higher aboveground biomass, more regenerating stems, and reduced canopy openness than control areas. Abundance of economically valuable species, however, was higher in control sites. We used survey results and geographic parameters to model factors affecting CF outcomes. Interaction between management type, CF or control, and forest dependence indicated that CF was more effective in cases where the community relied on forest products for subsistence use and income. PMID:24400672

  2. Dental nurse training in Cambodia--a new approach.

    PubMed

    Mallow, P K; Klaipo, M; Durward, C S

    1997-06-01

    In 1993 a 4-5 month programme to train rural dental nurses in Cambodia was introduced. Courses have now been conducted in 12 of Cambodia's 22 provinces. The dental nurses are trained to provide simple treatment, including local anaesthetic, extractions, ART restorations, and scaling, for all age groups, and also learn how to introduce prevention and oral health promotion activities within their communities. On completion of training nurses are supplied with a set of basic instruments and some materials. Evaluation has shown the programme to be meeting the oral health needs of the rural people where there are no dentists and a number of unique strengths were identified. A recent planning workshop on oral health care in Cambodia to 2005 decided to set up a dental nurses training school in two provincial capitals, and to increase the number of nurses in training. At the same time the annual number of new dentists being trained will be limited to ten. The expansion of the dental nurses training programme will ensure that increasingly more of the population have access to basic preventive and curative dental care, and at a cost which the country can afford.

  3. Effectiveness of community forestry in Prey Long forest, Cambodia.

    PubMed

    Lambrick, Frances H; Brown, Nick D; Lawrence, Anna; Bebber, Daniel P

    2014-04-01

    Cambodia has 57% forest cover, the second highest in the Greater Mekong region, and a high deforestation rate (1.2%/year, 2005-2010). Community forestry (CF) has been proposed as a way to reduce deforestation and support livelihoods through local management of forests. CF is expanding rapidly in Cambodia. The National Forests Program aims to designate one million hectares of forest to CF by 2030. However, the effectiveness of CF in conservation is not clear due to a global lack of controlled comparisons, multiple meanings of CF, and the context-specific nature of CF implementation. We assessed the effectiveness of CF by comparing 9 CF sites with paired controls in state production forest in the area of Prey Long forest, Cambodia. We assessed forest condition in 18-20 randomly placed variable-radius plots and fixed-area regeneration plots. We surveyed 10% of households in each of the 9 CF villages to determine the proportion that used forest products, as a measure of household dependence on the forest. CF sites had fewer signs of anthropogenic damage (cut stems, stumps, and burned trees), higher aboveground biomass, more regenerating stems, and reduced canopy openness than control areas. Abundance of economically valuable species, however, was higher in control sites. We used survey results and geographic parameters to model factors affecting CF outcomes. Interaction between management type, CF or control, and forest dependence indicated that CF was more effective in cases where the community relied on forest products for subsistence use and income.

  4. 3 CFR - Presidential Determination for the Kingdom of Cambodia Under Section 2(b)(2) of the Export-Import...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Cambodia Under Section 2(b)(2) of the Export-Import Bank Act of 1945, as amended Presidential Documents... Determination for the Kingdom of Cambodia Under Section 2(b)(2) of the Export-Import Bank Act of 1945, as... Kingdom of Cambodia has ceased to be a Marxist-Leninist country within the definition of such term...

  5. The Problem of "Choice" and the Construction of the Demand for English in Cambodia

    ERIC Educational Resources Information Center

    Clayton, Stephen

    2008-01-01

    This paper uses Cambodia as a case study to problematise the notion of choice in the spread of English. I explore specific historical contexts which were central to the construction of the demand for English and English language teaching (ELT) in Cambodia. The actions of a range of external agencies resulted in the close discursive articulation of…

  6. Unsystematic Technology Adoption in Cambodia: Students' Perceptions of Computer and Internet Use

    ERIC Educational Resources Information Center

    Richardson, Jayson W.; Nash, John B.; Flora, Kevin L.

    2014-01-01

    This study was designed to understand how upper secondary school students in Cambodia perceive the use of computers and the Internet. Data were collected from students in three urban upper secondary schools (n = 1,137) in Cambodia using questionnaires. The data indicate that the more exposure a Cambodian student had to computers and the Internet…

  7. 78 FR 17745 - Waiver of Restriction on Assistance to the Central Government of Cambodia

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Cambodia Pursuant to Section 7031(b)(3) of... Section 7031(b)(1) of the Act with respect to Cambodia and I hereby waive this restriction....

  8. Ensuring Gender Equity in Education for All: Is Cambodia on Track?

    ERIC Educational Resources Information Center

    Velasco, Esther

    2004-01-01

    Gender-equity goals in Cambodia are intimately linked with socio-economic and cultural biases that are embedded in the very system of education and in the society as a whole. There are, however, strong indicators that the vicious cycle in Cambodia's education system could be broken, and here the commitment of key stakeholders and partnership modes…

  9. Two Views of Education: Promoting Civic and Moral Values in Cambodia Schools

    ERIC Educational Resources Information Center

    Tan, Charlene

    2008-01-01

    This paper discusses the Cambodian government's attempt to promote civic and moral values in Cambodia schools through the subject "Civics and Morals". The paper argues that the tensions and challenges associated with civic and moral education are linked to a fundamental difference between the traditional view of education in Cambodia, and the…

  10. Enhancing Aid Effectiveness in Education through a Sector-Wide Approach in Cambodia

    ERIC Educational Resources Information Center

    Hattori, Hiroyuki

    2009-01-01

    Since 2001 the government of Cambodia has striven to advance policy-led education reform based on a sector-wide approach. This paper critically reviews the status and progress of Cambodia's education reform from the perspective of the aid's effectiveness. The paper looks at the performance of the sector reform in the three priority areas…

  11. Is Something Better than Nothing? An Evaluation of Early Childhood Programs in Cambodia

    ERIC Educational Resources Information Center

    Rao, Nirmala; Sun, Jin; Pearson, Veronica; Pearson, Emma; Liu, Hongyun; Constas, Mark A.; Engle, Patrice L.

    2012-01-01

    This study evaluated the relative effectiveness of home-based, community-based, and state-run early childhood programs across Cambodia. A total of 880 five-year-olds (55% girls) from 6 rural provinces in Cambodia attending State Preschools, Community Preschools, Home-Based Programs, or no programs were assessed twice using the Cambodian…

  12. Highland Children's Education Project: A Pilot Project on Bilingual Education in Cambodia

    ERIC Educational Resources Information Center

    Middleborg, Jorn

    2005-01-01

    The report was produced by UNESCO in partnership with CARE International in Cambodia for the "Highland Children's Education Project" (HCEP) to show how bilingual primary education has been implemented among the Tampuen and Kreung ethnic minority groups in six remote villages in the northeastern province of Ratanakiri, Cambodia. Central to HCEP is…

  13. Becoming and Being Academic Women in Cambodia: Cultural and Other Understandings

    ERIC Educational Resources Information Center

    Maxwell, T. W.; Nget, Sokhany; Am, Kunthy; Peou, Leakhna; You, Songly

    2015-01-01

    Cambodia's higher education is under development. This is the first study of the role of women teaching in a university in Cambodia. There has been many studies of academic women in western countries and these guided the 16 interviews in Khmer that were carried out by young female researchers, translated by them and then analysed with the…

  14. "A Frog in a Well": The Exclusion of Disabled People from Work in Cambodia

    ERIC Educational Resources Information Center

    Gartrell, Alexandra

    2010-01-01

    Based on ethnographic research conducted in north-west Cambodia in 2000-2001, this paper examines why disabled people experience systematic marginalisation in the labour market. Although there are no official data on the relationship between disability and employment status in Cambodia, this research suggests that disabled people are more likely…

  15. Educational Policy Trajectories in an Era of Globalization: Singapore and Cambodia

    ERIC Educational Resources Information Center

    Tan, Charlene

    2010-01-01

    This paper critically discusses the educational policy trajectories of Singapore and Cambodia in an era of globalization. Drawing upon David Johnson's five metaphors to describe the historical and political forces that shape educational policy trajectories, the paper argues that Cambodia's current educational policy trajectory is characterized by…

  16. Educational Cooperation between Thailand and Cambodia: Outcomes on Human Development, International Understanding and Future Prospect

    ERIC Educational Resources Information Center

    Kijtorntham, Wichuda; Ruangdej, Phumjit; Saisuwan, Chatchanog

    2015-01-01

    Thailand and Cambodia set up educational cooperation since 1996, before signed a Memorandum of Understanding on Cooperation in the Promotion of Education in 2003. This research aimed to investigate outcomes of educational cooperation projects on Cambodia human development and international understanding, process of participatory learning and…

  17. 76 FR 33019 - Waiver of Restriction on Assistance to the Royal Government of Cambodia

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-07

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Royal Government of Cambodia Pursuant to Section 7086(c)(2) of... Act with respect to the Royal Government of Cambodia and I hereby waive such restriction....

  18. Iodized salt in Cambodia: trends from 2008 to 2014.

    PubMed

    Laillou, Arnaud; Mam, Borath; Oeurn, Sam; Chea, Chantum

    2015-05-29

    Though the consequences of nutritional iodine deficiency have been known for a long time, in Cambodia its elimination has only become a priority in the last 18 years. The Royal Government of Cambodia initiated the National Sub-Committee for Control of Iodine Deficiency Disorders in 1996 to fight this problem. Using three different surveys providing information across all provinces, we examined the compliance of salt iodization in Cambodia over the last 6 years. Salt samples from the 24 provinces were collect at the household level in 2008 (n = 566) and 2011 (n = 1275) and at the market level in 2014 (n = 1862) and analysed through a wavelength spectrophotometer for iodine content. According to the samples collected, the median iodine content significantly dropped from 22 mg/kg (25th/75th percentile: 2/37 mg/kg) in 2011 to 0 mg/kg in 2014 (25th/75th percentile: 0/8.9 mg/kg) (p < 0.001). The proportion of non-iodized salt within our collected salt drastically increased from 22% in 2011 to 62% in 2014 (p < 0.001). Since the international organizations ceased to support the procurement of iodine, the prevalence of salt compliant with the Cambodian declined within our samples. To date, the current levels of iodine added to tested salt are unsatisfactory as 92% of those salts do not meet the government requirements (99.6% of the coarse salt and 82.4% of the fine salt). This inappropriate iodization could illustrate the lack of periodic monitoring and enforcement from government entities. Therefore, government quality inspection should be reinforced to reduce the quantity of salt not meeting the national requirement.

  19. Water cycle observations in forest watersheds of Cambodia

    NASA Astrophysics Data System (ADS)

    Shimizu, A.; Tamai, K.; Kabeya, N.; Shimizu, T.; Iida, S. I.

    2015-12-01

    The Lower Mekong River flows through Cambodia, where forests cover ~60% of the country and are believed to have a marked effect on the water cycle. These tropical seasonal forests in the Cambodian flat lands are very precious in the Indochinese Peninsula as few forests of this type remain. However, few hydrological observations have been conducted in these areas. In Cambodia, deciduous and evergreen forests make up 42% and 33% of the total forest area, respectively. We established experimental watersheds both in deciduous and evergreen forests containing meteorological observation towers in Cambodia and collected various observational data since 2003 (O'Krieng, deciduous forest watershed including a 30-m-high observation tower, 2,245 km2; Stung Chinit, evergreen forest watershed including a 60-m-high observation tower, 3,700 km2 including three small watersheds). The basic data from these sites included various kinds of information related to the composition of vegetation, soil characteristics, etc. Hydrologic data was collected and linked to the above data; the main hydrologic research results follow. The water budget for each watershed was determined using an observational rainfall and runoff dataset. The evapotranspiration rate in an evergreen forest was obtained using various observational methods including the Bowen energy-balance ratio and the bandpass eddy covariance method. The annual evapotranspiration of evergreen forests, estimated using the Bowen energy-balance ratio method and water balance, was about 1100-1200 mm, corresponding to 70-80% of annual rainfall. While considering the importance of the presence of evergreen forest, we conducted sap flow measurements to analyze the transpiration process that maintains water uptake through root systems that reach to depths exceeding 8 m. Characteristics of the evaporation from the forest floor that form an important element of the evaporation system were estimated in both evergreen and deciduous forests.

  20. Iodized Salt in Cambodia: Trends from 2008 to 2014

    PubMed Central

    Laillou, Arnaud; Mam, Borath; Oeurn, Sam; Chea, Chantum

    2015-01-01

    Though the consequences of nutritional iodine deficiency have been known for a long time, in Cambodia its elimination has only become a priority in the last 18 years. The Royal Government of Cambodia initiated the National Sub-Committee for Control of Iodine Deficiency Disorders in 1996 to fight this problem. Using three different surveys providing information across all provinces, we examined the compliance of salt iodization in Cambodia over the last 6 years. Salt samples from the 24 provinces were collect at the household level in 2008 (n = 566) and 2011 (n = 1275) and at the market level in 2014 (n = 1862) and analysed through a wavelength spectrophotometer for iodine content. According to the samples collected, the median iodine content significantly dropped from 22 mg/kg (25th/75th percentile: 2/37 mg/kg) in 2011 to 0 mg/kg in 2014 (25th/75th percentile: 0/8.9 mg/kg) (p < 0.001). The proportion of non-iodized salt within our collected salt drastically increased from 22% in 2011 to 62% in 2014 (p < 0.001). Since the international organizations ceased to support the procurement of iodine, the prevalence of salt compliant with the Cambodian declined within our samples. To date, the current levels of iodine added to tested salt are unsatisfactory as 92% of those salts do not meet the government requirements (99.6% of the coarse salt and 82.4% of the fine salt). This inappropriate iodization could illustrate the lack of periodic monitoring and enforcement from government entities. Therefore, government quality inspection should be reinforced to reduce the quantity of salt not meeting the national requirement. PMID:26035245

  1. Low Urinary Iodine Concentration among Mothers and Children in Cambodia.

    PubMed

    Laillou, Arnaud; Sophonneary, Prak; Kuong, Khov; Hong, Rathavuth; Un, Samoeurn; Chamnan, Chhoun; Poirot, Etienne; Berger, Jacques; Wieringa, Frank

    2016-01-01

    A 2014 national assessment of salt iodization coverage in Cambodia found that 62% of samples were non-iodized, suggesting a significant decline in daily iodine intakes. The Cambodian Micronutrient Survey conducted in 2014 (CMNS-2014) permitted obtaining national data on urinary iodine concentrations (UIC) to assess iodine status and whether iodized salt use had an impact. Urine samples were collected from mothers (n = 736) and children (n = 950). The median UIC was 63 µg/L and 72 µg/L in mothers and children respectively. More than 60% of mothers and their children had a UIC < 100 µg/L, thereby indicating a serious public health problem. Iodine status was significantly lower among mothers and children living in rural areas, belonging to the poorest socioeconomic category, or living in a household not using iodized salt. The limited enforcement of the legislation for iodized salt has resulted in a major decrease in the prevalence of iodized salt, which in turn has compromised iodine status in Cambodia. It is essential for the government to enhance enforcement of the iodized salt legislation, and implement short term strategies, such as iodine supplementation, to prevent an increase of severe complications due to iodine deficiency in the Cambodian population. PMID:27058551

  2. Rodent-borne hantaviruses in Cambodia, Lao PDR, and Thailand.

    PubMed

    Blasdell, Kim; Cosson, Jean François; Chaval, Yannick; Herbreteau, Vincent; Douangboupha, Bounneuang; Jittapalapong, Sathaporn; Lundqvist, Ake; Hugot, Jean-Pierre; Morand, Serge; Buchy, Philippe

    2011-12-01

    In order to evaluate the circulation of hantaviruses present in southeast Asia, a large scale survey of small mammal species was carried out at seven main sites in the region (Cambodia, Lao People's Democratic Republic, and Thailand). Small scale opportunistic trapping was also performed at an eighth site (Cambodia). Using a standard IFA test, IgG antibodies reacting to Hantaan virus antigens were detected at six sites. Antibody prevalence at each site varied from 0 to 5.6% with antibodies detected in several rodent species (Bandicota indica, B. savilei, Maxomys surifer, Mus caroli, M. cookii, Rattus exulans, R. nitidius, R. norvegicus, and R. tanezumi). When site seroprevalence was compared with site species richness, seropositive animals were found more frequently at sites with lower species richness. In order to confirm which hantavirus species were present, a subset of samples was also subjected to RT-PCR. Hantaviral RNA was detected at a single site from each country. Sequencing confirmed the presence of two hantavirus species, Thailand and Seoul viruses, including one sample (from Lao PDR) representing a highly divergent strain of Seoul virus. This is the first molecular evidence of hantavirus in Lao PDR and the first reported L segment sequence data for Thailand virus.

  3. Calming the mind: Healing after mass atrocity in Cambodia.

    PubMed

    Agger, Inger

    2015-08-01

    After catastrophic events in which people's survival has been threatened, as happened during the Khmer Rouge regime in Cambodia 1975-1979, some continue to suffer from painful mental symptoms. Surveys carried out in Cambodia based on Western diagnostic categories have found a high prevalence of posttraumatic stress disorder (PTSD), depression, and anxiety symptoms in the population. This study explored Cambodian approaches to healing trauma, examining the ways in which Cambodians appeal to elements of Buddhism in their efforts to calm their minds, situating this mode of coping in the context of broader Khmer Buddhist practice and understandings. Western psychology may have much to learn from local, contextualised methods of dealing with the aftermath of trauma, including Khmer understandings of distress and approaches to relief. Methods of assessment and treatment of distress cannot be transposed wholesale from one cultural setting to another but require considerable cultural adaptation. This kind of cultural interchange may give rise to innovative, hybrid discourses and methods that may have much to offer in the support of victims of organised violence. PMID:25653141

  4. Low Urinary Iodine Concentration among Mothers and Children in Cambodia

    PubMed Central

    Laillou, Arnaud; Sophonneary, Prak; Kuong, Khov; Hong, Rathavuth; Un, Samoeurn; Chamnan, Chhoun; Poirot, Etienne; Berger, Jacques; Wieringa, Frank

    2016-01-01

    A 2014 national assessment of salt iodization coverage in Cambodia found that 62% of samples were non-iodized, suggesting a significant decline in daily iodine intakes. The Cambodian Micronutrient Survey conducted in 2014 (CMNS-2014) permitted obtaining national data on urinary iodine concentrations (UIC) to assess iodine status and whether iodized salt use had an impact. Urine samples were collected from mothers (n = 736) and children (n = 950). The median UIC was 63 µg/L and 72 µg/L in mothers and children respectively. More than 60% of mothers and their children had a UIC < 100 µg/L, thereby indicating a serious public health problem. Iodine status was significantly lower among mothers and children living in rural areas, belonging to the poorest socioeconomic category, or living in a household not using iodized salt. The limited enforcement of the legislation for iodized salt has resulted in a major decrease in the prevalence of iodized salt, which in turn has compromised iodine status in Cambodia. It is essential for the government to enhance enforcement of the iodized salt legislation, and implement short term strategies, such as iodine supplementation, to prevent an increase of severe complications due to iodine deficiency in the Cambodian population. PMID:27058551

  5. Calming the mind: Healing after mass atrocity in Cambodia

    PubMed Central

    2015-01-01

    After catastrophic events in which people’s survival has been threatened, as happened during the Khmer Rouge regime in Cambodia 1975–1979, some continue to suffer from painful mental symptoms. Surveys carried out in Cambodia based on Western diagnostic categories have found a high prevalence of posttraumatic stress disorder (PTSD), depression, and anxiety symptoms in the population. This study explored Cambodian approaches to healing trauma, examining the ways in which Cambodians appeal to elements of Buddhism in their efforts to calm their minds, situating this mode of coping in the context of broader Khmer Buddhist practice and understandings. Western psychology may have much to learn from local, contextualised methods of dealing with the aftermath of trauma, including Khmer understandings of distress and approaches to relief. Methods of assessment and treatment of distress cannot be transposed wholesale from one cultural setting to another but require considerable cultural adaptation. This kind of cultural interchange may give rise to innovative, hybrid discourses and methods that may have much to offer in the support of victims of organised violence. PMID:25653141

  6. Labor migration and mental health in Cambodia: a qualitative study.

    PubMed

    Meyer, Sarah R; Robinson, W Courtland; Chhim, Sotheara; Bass, Judith K

    2014-03-01

    Labor migration is thought to have significant mental and physical health impacts, given the risks for exploitation and abuse of migrant workers, particularly among those in semiskilled and unskilled positions, although empirical data are limited. This qualitative study, conducted in July 2010 in Banteay Meanchey Province, Cambodia, focused on psychosocial and mental health signs and symptoms associated with labor migration among Cambodian migrant workers to Thailand. Two qualitative methods identified a number of mental health problems faced by Cambodian migrant workers in Thailand, including the presence of anxiety and depression-like problems among this population, described in local terminology as pibak chet (sadness), keut chreun (thinking too much), and khval khvay khnong chet (worry in heart). Key informants revealed the extent to which psychosocial well-being is associated with conditions of poverty, including debt and lack of access to basic services. PMID:24566505

  7. Bolstering medical education to enhance critical care capacity in Cambodia.

    PubMed

    Albert, Tyler J; Fassier, Thomas; Chhuoy, Meng; Bounchan, Youttiroung; Tan, Sokhak; Ku, No; Chhor, Nareth; LoGerfo, James P; West, T Eoin

    2015-04-01

    The capacity to care for the critically ill has long been viewed as a fundamental element of established and comprehensive health care systems. Extending this capacity to health care systems in low- and middle-income countries is important given the burden of disease in these regions and the significance of critical care in overall health system strengthening. However, many practicalities of improving access and delivery of critical care in resource-limited settings have yet to be elucidated. We have initiated a program to build capacity for the care of critically ill patients in one low-income Southeast Asian country, Cambodia. We are leveraging existing international academic partnerships to enhance postgraduate critical care education in Cambodia. After conducting a needs assessment and literature review, we developed a three-step initiative targeting training in mechanical ventilation. First, we assessed and revised the current resident curriculum pertaining to mechanical ventilation. We addressed gaps in training, incorporated specific goals and learning objectives, and decreased the hours of lectures in favor of additional bedside training. Second, we are incorporating e-learning, e-teaching, and e-assessment into the curriculum, with both live, interactive and independent, self-paced online instruction. Third, we are developing a train-the-trainer program defined by bidirectional international faculty exchanges to provide hands-on, case-based, and bedside training to achieve competency-based outcomes. In targeting specific educational needs and a key population-the next generation of Cambodian intensivists-this carefully designed approach should address some existing gaps in the health care system and hopefully yield a lasting impact.

  8. A Culture Under Siege: Post-Colonial Higher Education and Teacher Education in Cambodia from 1953 to 1979.

    ERIC Educational Resources Information Center

    Le Masson, Gildas; Fergusson, Lee C.

    1997-01-01

    Charts the 20-year rise and fall of higher education and teacher education in Cambodia beginning with political independence in 1953 and ending with the devastation wrought by the Khmer Rouge. Discusses the effects of political instability, civil war, and the Vietnam War on Cambodia's educational system. (MJP)

  9. Coping Methods: Personal and Community Resources Used among Cambodians in Cambodia and Cambodian-Americans in Lowell, Massachusetts.

    ERIC Educational Resources Information Center

    pierSath, Chath

    This qualitative research assesses mental health resources from the perspective of providers in Cambodia and in Lowell, Massachusetts. The research documents culturally relevant coping strategies available to Cambodians for combating the effects of trauma and stress. Interviews were conducted with 11 caregivers in Cambodia and with 6 providers in…

  10. Radar Image with Color as Height, Ancharn Kuy, Cambodia

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This image of Ancharn Kuy, Cambodia, was taken by NASA's Airborne Synthetic Aperture Radar (AIRSAR). The image depicts an area northwest of Angkor Wat. The radar has highlighted a number of circular village mounds in this region, many of which have a circular pattern of rice fields surrounding the slightly elevated site. Most of them have evidence of what seems to be pre-Angkor occupation, such as stone tools and potsherds. Most of them also have a group of five spirit posts, a pattern not found in other parts of Cambodia. The shape of the mound, the location in the midst of a ring of rice fields, the stone tools and the current practice of spirit veneration have revealed themselves through a unique 'marriage' of radar imaging, archaeological investigation, and anthropology.

    Ancharn Kuy is a small village adjacent to the road, with just this combination of features. The region gets slowly higher in elevation, something seen in the shift of color from yellow to blue as you move to the top of the image.

    The small dark rectangles are typical of the smaller water control devices employed in this area. While many of these in the center of Angkor are linked to temples of the 9th to 14th Century A.D., we cannot be sure of the construction date of these small village tanks. They may pre-date the temple complex, or they may have just been dug ten years ago!

    The image dimensions are approximately 4.75 by 4.3 kilometers (3 by 2.7 miles) with a pixel spacing of 5 meters (16.4 feet). North is at top. Image brightness is from the C-band (5.6 centimeters, or 2.2 inches) wavelength radar backscatter, which is a measure of how much energy the surface reflects back toward the radar. Color is used to represent elevation contours. One cycle of color; that is going from blue to red to yellow to green and back to blue again; corresponds to 10 meters (32.8 feet) of elevation change.

    AIRSAR flies aboard a NASA DC-8 based at NASA's Dryden Flight Research Center, Edwards, Calif

  11. Seroprevalence of foot-and-mouth disease in the southern provinces of Cambodia.

    PubMed

    Tum, Sothyra; Robertson, Ian Ducan; Edwards, John; Abila, Ronello; Morzaria, Subhash

    2015-03-01

    A serological surveillance study was conducted between March and June 2006 in the southern provinces of Cambodia to determine the prevalence and distribution of foot-and-mouth disease. Cattle and buffalo originating from eight provinces and 69 villages were sampled. The results revealed that the village level prevalence of foot-and-mouth disease (FMD) in the southern provinces of Cambodia was 87% with an overall individual animal prevalence of 30%. Three serotypes: O, A and Asia 1 were detected in this region with a prevalence of 28.5, 9.5 and 9.3%, respectively. However, as the antibody level to FMDV serotypes A and Asia 1 were generally low, it is likely that serotype O is responsible for most of the recent outbreaks of FMD in Cambodia. Seropositive animals were older than seronegative animals, especially with serotype O.

  12. Paleoenvironmental history of the West Baray, Angkor (Cambodia)

    NASA Astrophysics Data System (ADS)

    Day, Mary Beth; Hodell, David A.; Brenner, Mark; Chapman, Hazel J.; Curtis, Jason H.; Kenney, William F.; Kolata, Alan L.; Peterson, Larry C.

    2012-01-01

    Angkor (Cambodia) was the seat of the Khmer Empire from the 9th to 15th century AD. The site is noted for its monumental architecture and complex hydro-engineering systems, comprised of canals, moats, embankments, and large reservoirs, known as barays. We infer a 1,000-y, 14C-dated paleoenvironmental record from study of an approximately 2-m sediment core taken in the largest Khmer reservoir, the West Baray. The baray was utilized and managed from the time of construction in the early 11th century, through the 13th century. During that time, the West Baray received relatively high rates of detrital input. In the 14th century, linear sedimentation rates diminished by an order of magnitude, yielding a condensed section that correlates temporally with episodes of regional monsoon failure during the late 14th and early 15th century, recorded in tree ring records from Vietnam. Our results demonstrate that changes in the water management system were associated with the decline of the Angkorian kingdom during that period. By the 17th century, the West Baray again functioned as a limnetic system. Ecologic and sedimentologic changes over the last millennium, detected in the baray deposits, are attributed to shifts in regional-scale Khmer water management, evolving land use practices in the catchment, and regional climate change.

  13. Paleoenvironmental history of the West Baray, Angkor (Cambodia).

    PubMed

    Day, Mary Beth; Hodell, David A; Brenner, Mark; Chapman, Hazel J; Curtis, Jason H; Kenney, William F; Kolata, Alan L; Peterson, Larry C

    2012-01-24

    Angkor (Cambodia) was the seat of the Khmer Empire from the 9th to 15th century AD. The site is noted for its monumental architecture and complex hydro-engineering systems, comprised of canals, moats, embankments, and large reservoirs, known as barays. We infer a 1,000-y, (14)C-dated paleoenvironmental record from study of an approximately 2-m sediment core taken in the largest Khmer reservoir, the West Baray. The baray was utilized and managed from the time of construction in the early 11th century, through the 13th century. During that time, the West Baray received relatively high rates of detrital input. In the 14th century, linear sedimentation rates diminished by an order of magnitude, yielding a condensed section that correlates temporally with episodes of regional monsoon failure during the late 14th and early 15th century, recorded in tree ring records from Vietnam. Our results demonstrate that changes in the water management system were associated with the decline of the Angkorian kingdom during that period. By the 17th century, the West Baray again functioned as a limnetic system. Ecologic and sedimentologic changes over the last millennium, detected in the baray deposits, are attributed to shifts in regional-scale Khmer water management, evolving land use practices in the catchment, and regional climate change. PMID:22215582

  14. Paleoenvironmental history of the West Baray, Angkor (Cambodia)

    PubMed Central

    Day, Mary Beth; Hodell, David A.; Brenner, Mark; Chapman, Hazel J.; Curtis, Jason H.; Kenney, William F.; Kolata, Alan L.; Peterson, Larry C.

    2012-01-01

    Angkor (Cambodia) was the seat of the Khmer Empire from the 9th to 15th century AD. The site is noted for its monumental architecture and complex hydro-engineering systems, comprised of canals, moats, embankments, and large reservoirs, known as barays. We infer a 1,000-y, 14C-dated paleoenvironmental record from study of an approximately 2-m sediment core taken in the largest Khmer reservoir, the West Baray. The baray was utilized and managed from the time of construction in the early 11th century, through the 13th century. During that time, the West Baray received relatively high rates of detrital input. In the 14th century, linear sedimentation rates diminished by an order of magnitude, yielding a condensed section that correlates temporally with episodes of regional monsoon failure during the late 14th and early 15th century, recorded in tree ring records from Vietnam. Our results demonstrate that changes in the water management system were associated with the decline of the Angkorian kingdom during that period. By the 17th century, the West Baray again functioned as a limnetic system. Ecologic and sedimentologic changes over the last millennium, detected in the baray deposits, are attributed to shifts in regional-scale Khmer water management, evolving land use practices in the catchment, and regional climate change. PMID:22215582

  15. Patterns of alcohol and tobacco use in Cambodia.

    PubMed

    Banta, Jim E; Addison, Askari; Job, Jayakaran S; Yel, Daravuth; Kheam, They; Singh, Pramil N

    2013-09-01

    Few studies have considered whether the habitual use of tobacco in Southeast Asia is part of an established pattern of addiction that includes regular alcohol use. As part of a national survey of adult tobacco use in Cambodia (n = 13 988), we found that men who smoked were 2 times more likely to have drank alcohol in the past week (odds ratio = 2.53, 95% confidence interval = 2.10-3.03). By age 18 to 25 years, 47% of male smokers drank alcohol, and this pattern of alcohol and tobacco use increased to >55% through the fifth decade. Women using smokeless tobacco with betel quid were more likely to be alcohol drinkers (odds ratio = 1.49, 95% confidence interval = 1.12-1.98). Past week's drinking declined by late middle age and was associated with lower education and being currently married; the behavior was lower in some ethnic groups (ie, Cham). Our findings indicate an important association between alcohol and tobacco use, and raise the possibility that reducing alcohol consumption can be an important component of tobacco control.

  16. Douching practices among female sex workers in Phnom Penh, Cambodia.

    PubMed

    Bui, Thanh Cong; Tran, Ly T H; Ross, Michael W; Markham, Christine M

    2015-03-01

    Several studies indicate that douching has few benefits but numerous adverse health outcomes, including increased risk for sexually transmitted infections and HIV. No published study explores douching practices among Cambodian female sex workers. This report provides preliminary data about the prevalence and frequency of douching among female sex workers in Phnom Penh, Cambodia. Survey data were obtained from 81 female sex workers who were taken into custody due to engagement in commercial sex from March to June 2011. Results showed that 91% of participants douched. The mean numbers of times douched before sex and after sex per 10 sex episodes were 4.43 (SD = 3.87) and 4.63 (SD = 3.94), respectively. Half of the participants thought that douching could help to prevent sexually transmitted infections including HIV; 24% were unsure about this. Usually, douching after sex was associated with ever obtaining an HIV test (p = .012) and was marginally associated (although not statistically significant) with a higher average number of clients per week (p =. 063) and consistent condom use with clients (p = .053). This suggests that these practices may be related to individual perceptions of sexually transmitted infections/HIV risk or susceptibility. Given the commonness of douching and related misperceptions among Cambodian female sex workers, future studies and interventions are needed to prevent adverse health problems.

  17. Evaluation of genetic variation among wild rice populations in Cambodia

    PubMed Central

    Orn, Chhourn; Shishido, Rieko; Akimoto, Masahiro; Ishikawa, Ryo; Htun, Than Myint; Nonomura, Ken-Ichi; Koide, Yohei; Sarom, Men; Vang, Seng; Sophany, Sakhan; Makara, Ouk; Ishii, Takashige

    2015-01-01

    A total of 448 samples in five natural populations of wild rice (Oryza rufipogon) were collected in Cambodia. They were examined using 12 SSR and two chloroplast markers to evaluate the degree of variation among populations and the genetic structure within populations. In the two annual populations, the number of plants with homozygous alleles at all 12 SSR loci were high (66.3% and 79.5%), suggesting that these plants propagate mainly through self-pollination. In the three perennial populations, no individuals had all homozygous genotypes, but redundant genotypes resulted from clonal propagation were observed. Percentages of the redundant genotypes were highly varied (3.6%, 29.2% and 86.0%). This may be due to the different stable levels of environmental conditions. As for chloroplast genome, most of the wild plants showed the same chloroplast types as most Indica-type cultivars have. However, plants with different chloroplast types were maintained, even in the same population. In tropical Asian countries, many wild rice populations were observed under similar ecological conditions examined in this study. Therefore, the present results concerning population structure will be important to further elucidate genetic features of wild rice, and will also give strong clues to utilize and conserve wild natural genetic resources. PMID:26719746

  18. [Dermatology in Cambodia: Sustainable establishment of a medical discipline].

    PubMed

    Bendick, Ch

    2015-05-01

    After almost 25 years of dictatorship and civil war, in the mid 1990s, Cambodia was in dire need of improvement of its medical infrastructure on all levels. Attention had already been focused on establishing primary care services such as emergency surgery, paediatrics and gynaecology/obstetrics; however dermatovenereology services had so far not been addressed. Using a comprehensive approach aiming at sustainable development, German, French and Cambodian institutions worked together to identify four core areas in need of improvement: postgraduate training, development of skin clinics, quality management, and integration of dermatology services into the health insurance scheme. Since 2005, this "Masterplan Dermatology" was financially supported by the Centre for International Migration and Development (CIM) based in Frankfurt am Main and Else Kröner Fresenius-Stiftung (EKFS) based in Bad Homburg auf der Höhe. Significant improvements have been made due to the efforts of the above institutions with the support of the donors; however challenges of this complex endeavor still remain. PMID:25868569

  19. Association between Arsenic Exposure and Diabetes Mellitus in Cambodia

    PubMed Central

    Huang, Jhih-Wei; Cheng, Ya-Yun; Sung, Tzu-Ching; Guo, How-Ran

    2014-01-01

    Whereas studies in Taiwan found associations between arsenic exposure from drinking water and diabetes mellitus (DM), studies in other countries yielded inconsistent results, and diet might be a confounder. We conducted a study in Cambodia, where people have non-Western style diet, to evaluate the association. We measured well water and urine samples and examined skin signs of arsenicosis to assess arsenic exposure and used questionnaires to collect data on potential risk factors. We performed a fingertip blood glucose test followed by measurement of hemoglobin A1c to assess DM. The 43-male and 99-female participants had an average age of 40.4 years. We found that participants with skin signs of arsenicosis had a higher level of arsenic in the drinking water (1101.1 versus 972.2 μg/L, P = 0.02). Drinking water with arsenic levels above the median (907.25 μg/L) was associated with a nearly twofold increase in the risk of DM (odds ratio [OR] = 1.7, 95% confidence interval [CI]: 0.5–5.8), so was having skin sings of arsenicosis (OR = 1.7, 95% CI: 0.5–5.6). The ORs did not reach statistical significance most likely because of the small case number. Therefore, further studies with larger study populations are needed to confirm our findings. PMID:24949461

  20. A new cavernicolous sand fly from Cambodia: Idiophlebotomus nicolegerae n. sp. (Diptera: Psychodidae).

    PubMed

    Loyer, Mathieu; Depaquit, Jérôme; Gay, Frédérick

    2016-03-01

    Cambodia is an area considered free of leishmaniasis and consequently little is known of its' phlebotomine sand fly fauna. Only six species of sand flies have previously been recorded: Sergentomyia barraudi, Sergentomyia pertubans, Sergentomyia bailyi, Sergentomyia silvatica, Sergentomyia khawi and Grassomyia indica and none belonging to the genus Phlebotomus. During an inventory carried out in Cambodia, we caught a new species, belonging to the genus Idiophlebotomus, in a cave. We describe the new species in this paper and also report three other new species for the country: Sergentomyia anodontis, Phlebotomus stantoni and Phlebotomus kiangsuensis.

  1. Increase in paratyphoid fever cases in Japanese travellers returning from Cambodia in 2013.

    PubMed

    Saitoh, T; Morita, M; Shimada, T; Izumiya, H; Kanayama, A; Oishi, K; Ohnishi, M; Sunagawa, T

    2016-02-01

    In 2013, an unusual increase of paratyphoid fever cases in travellers returning from Cambodia was reported in Japan. From December 2012 to September 2013, 18 cases of Salmonella Paratyphi A infection were identified. Microbiological analyses revealed that most isolates had the same clonal identity, although the epidemiological link between these cases remains unclear. It was inferred that the outbreak was caused by a common and persistent source in Cambodia that was likely to have continued during 2014. The information of surveillance and laboratory data from cases arising in travellers from countries with limited surveillance systems should be timely shared with the country of origin.

  2. Asiagomphus reinhardti sp. nov. (Odonata, Gomphidae) from eastern Cambodia and southern Laos.

    PubMed

    Kosterin, Oleg E; Yokoi, Naoto

    2016-01-01

    Asiagomphus reinhardti sp. nov. is described by two males from Annamense Mountains in eastern Cambodia (holotype: Cambodia, Mondulkiri Province, the left tributary of the main river downstream from Buu Sraa Waterfall, 12°34'01-19'' N 107°24'50''-25'03'' E, ca 450 m a.s.l., 15 vi 2014, RMNH) and southern Laos. The species is characterised by a large caudal lobe on S10 in males and a blunt medial lateroventral projection at cercus. PMID:27394611

  3. An Acinetobacter trimeric autotransporter adhesin reaped from cells exhibits its nonspecific stickiness via a highly stable 3D structure

    PubMed Central

    Yoshimoto, Shogo; Nakatani, Hajime; Iwasaki, Keita; Hori, Katsutoshi

    2016-01-01

    Trimeric autotransporter adhesins (TAAs), cell surface proteins of Gram-negative bacteria, mediate bacterial adhesion to host cells and extracellular matrix proteins. However, AtaA, a TAA in the nonpathogenic Acinetobacter sp. strain Tol 5, shows nonspecific, high adhesiveness to abiotic material surfaces as well as to biotic surfaces. AtaA is a homotrimer of polypeptides comprising 3,630 amino acids and forms long nanofibers; therefore, it is too large and structurally complex to be produced as a recombinant protein. In this study, we isolated AtaA’s passenger domain (AtaA PSD), which is translocated to the cell surface through the C-terminal transmembrane domain and exhibits biological functions, using a new method. We introduced a protease recognition site and reaped AtaA nanofibers 225 nm in length from the cell surface through proteolytic cleavage with a specific protease. Biochemical and biophysical analyses of the purified native AtaA PSD revealed that it has a stable structure under alkaline and acidic conditions. Temperatures above 80 °C, which disrupted AtaA’s higher-order structure but maintained the full-length AtaA polypeptide, inactivated AtaA’s nonspecific adhesiveness, suggesting that the stickiness of AtaA requires its 3D structure. This finding refutes the widespread but vague speculation that large unfolded polypeptides readily stick to various surfaces. PMID:27305955

  4. Minehound TM trials in Cambodia, Bosnia, and Angola

    NASA Astrophysics Data System (ADS)

    Daniels, David J.; Curtis, Paul

    2006-05-01

    This paper describes the trials of the MINEHOUND TM dual sensor, land mine detector carried out in Cambodia, Bosnia and Angola. MINEHOUND TM has been developed for use in humanitarian demining as a means of improving the efficiency of clearance operations. The trials were sponsored by the UK Department for International Development (DFID). ERA Technology Ltd conducted the trials, which were monitored by staff drawn from the countries participating in the International Test and Evaluation Programme (ITEP) for humanitarian de-mining. Experienced deminers from the Mines Advisory Group (MAG) and Norwegian Peoples Aid (NPA) used the pre-production units in live minefields. The objectives of the trial were: 1. To record information on the performance of MINEHOUND TM when used in a live minefield. 2. To determine the reduction in False Alarm Rate (FAR) that could be achieved using a dual sensor mine detector. The trials were conducted in three mine-affected countries for a period of eight weeks per country; the programme of trials ran from July 2005 to December 2005, with an additional smaller trial in late February 2006. The results of the trials showed that MINEHOUND TM achieved 100% detection of the mines encountered and an improvement in FAR of better than 5:1 compared with a basic metal detector. The trials enabled optimisation of the production design and clearly demonstrated that new technology can be brought to humanitarian clearance operations in a safe and controlled manner. As a result of the highly successful trials, Vallon and ERA will produce the MINEHOUND TM (Type number VMR1) starting in Q3 of 2006.

  5. Media reporting of tenofovir trials in Cambodia and Cameroon

    PubMed Central

    Mills, Edward; Rachlis, Beth; Wu, Ping; Wong, Elaine; Wilson, Kumanan; Singh, Sonal

    2005-01-01

    Background Two planned trials of pre-exposure prophylaxis tenofovir in Cambodia and Cameroon to prevent HIV infection in high-risk populations were closed due to activist pressure on host country governments. The international news media contributed substantially as the primary source of knowledge transfer regarding the trials. We aimed to characterize the nature of reporting, specifically focusing on the issues identified by media reports regarding each trial. Methods With the aid of an information specialist, we searched 3 electronic media databases, 5 electronic medical databases and extensively searched the Internet. In addition we contacted stakeholder groups. We included media reports addressing the trial closures, the reasons for the trial closures, and who was interviewed. We extracted data using content analysis independently, in duplicate. Results We included 24 reports on the Cambodian trial closure and 13 reports on the Cameroon trial closure. One academic news account incorrectly reported that it was an HIV vaccine trial that closed early. The primary reasons cited for the Cambodian trial closure were: a lack of medical insurance for trial related injuries (71%); human rights considerations (71%); study protocol concerns (46%); general suspicions regarding trial location (37%) and inadequate prevention counseling (29%). The primary reasons cited for the Cameroon trial closure were: inadequate access to care for seroconverters (69%); participants not sufficiently informed of risks (69%); inadequate number of staff (46%); participants being exploited (46%) and an unethical study design (38%). Only 3/23 (13%) reports acknowledged interviewing research personnel regarding the Cambodian trial, while 4/13 (30.8%) reports interviewed researchers involved in the Cameroon trial. Conclusion Our review indicates that the issues addressed and validity of the media reports of these trials is highly variable. Given the potential impact of the media in formulation of

  6. High prevalence of large trematode eggs in schoolchildren in Cambodia.

    PubMed

    Bless, Philipp J; Schär, Fabian; Khieu, Virak; Kramme, Stefanie; Muth, Sinuon; Marti, Hanspeter; Odermatt, Peter

    2015-01-01

    Large trematode eggs (LTE) resembling Fasciola spp. eggs were reportedly found in the stools of schoolchildren in Kandal province, Cambodia. This study aimed to assess the prevalence of LTE in the stools of children attending the affected school, identify potential risk factors for infection and ascertain the trematode species. We performed a cross-sectional study involving an in-depth questionnaire administered to schoolchildren at the affected school, and examined cattle droppings in the surrounding area and the livers of slaughtered cattle. Three stool samples were examined per child, using Kato-Katz and formalin-ether concentration techniques. In addition, blood serum enzyme-linked immunosorbent assay (ELISA) and coprological polymerase chain reaction (PCR) was conducted for species clarification. Cattle droppings were examined by cup sedimentation and coprological ELISA. LTE were observed in the stools of 106 schoolchildren (46.5%). Two blood serum samples from schoolchildren were positive for Fasciola hepatica in a first ELISA but were negative in a confirmation immunofluorescence antibody test. Out of 221 PCR samples, only one tested positive for Fasciola spp. and none for Fasciolopsis buski. The consumption of raw aquatic plants (odds ratio (OR)=3.3) and fermented fish sauce (OR=2.1) were significantly associated with LTE in the stool. Fasciola spp. flukes were observed in 18.3% of 191 cattle livers. The prevalence of fascioliasis in cattle droppings was 88.8%. The low prevalence of schoolchildren that tested positive for Fasciola spp. with specific molecular diagnostics and who had no diagnostic evidence of F. buski strongly indicates that the majority of microscopically observed LTE are from Echinostoma spp. Fasciola spp. transmission from cattle to human is possible and public health services need to be alerted accordingly.

  7. The effects of duration of exposure to the REAPS model in developing students' general creativity and creative problem solving in science

    NASA Astrophysics Data System (ADS)

    Alhusaini, Abdulnasser Alashaal F.

    The Real Engagement in Active Problem Solving (REAPS) model was developed in 2004 by C. June Maker and colleagues as an intervention for gifted students to develop creative problem solving ability through the use of real-world problems. The primary purpose of this study was to examine the effects of the REAPS model on developing students' general creativity and creative problem solving in science with two durations as independent variables. The long duration of the REAPS model implementation lasted five academic quarters or approximately 10 months; the short duration lasted two quarters or approximately four months. The dependent variables were students' general creativity and creative problem solving in science. The second purpose of the study was to explore which aspects of creative problem solving (i.e., generating ideas, generating different types of ideas, generating original ideas, adding details to ideas, generating ideas with social impact, finding problems, generating and elaborating on solutions, and classifying elements) were most affected by the long duration of the intervention. The REAPS model in conjunction with Amabile's (1983; 1996) model of creative performance provided the theoretical framework for this study. The study was conducted using data from the Project of Differentiation for Diverse Learners in Regular Classrooms (i.e., the Australian Project) in which one public elementary school in the eastern region of Australia cooperated with the DISCOVER research team at the University of Arizona. All students in the school from first to sixth grade participated in the study. The total sample was 360 students, of which 115 were exposed to a long duration and 245 to a short duration of the REAPS model. The principal investigators used a quasi-experimental research design in which all students in the school received the treatment for different durations. Students in both groups completed pre- and posttests using the Test of Creative Thinking

  8. Reviewing the Role of Teachers in Achieving Education for All in Cambodia

    ERIC Educational Resources Information Center

    Kim, Chae-Young; Rouse, Martyn

    2011-01-01

    Over the last 20 years education policies in Cambodia have been driven by the global Education for All (EFA) campaign and have resulted in a rapid increase in the rates of primary education enrolment. However, the increasing number of children enrolling in schools has not always translated into high rates of primary education completion. Against…

  9. Learning to Read in Ratanakiri: A Case Study from Northeastern Cambodia

    ERIC Educational Resources Information Center

    Gregerson, Marilyn J.

    2009-01-01

    In Ratanakiri province, northeastern Cambodia, the majority of the local people are native speakers of ethnic minority languages. Primarily subsistence farmers, they use their own language to communicate with others in their villages, and as they work in their rice fields. A baseline survey taken between 1996 and 1998 in five such villages showed…

  10. Disability and Democracy in Cambodia: An Integrative Approach to Community Building and Civic Engagement

    ERIC Educational Resources Information Center

    Zook, Darren C.

    2010-01-01

    The political framework through which the various communities of disabled persons in Cambodia advocate for and claim their rights is complex and confusing. Both governmental and non-governmental actors engage this political framework through the mobilization of persons from the various disabled communities, competing in the civic sphere through…

  11. Vernaculars in Literacy and Basic Education in Cambodia, Laos and Thailand

    ERIC Educational Resources Information Center

    Kosonen, Kimmo

    2005-01-01

    Three Southeast Asian polities, Cambodia, Laos and Thailand share much of their geography, history, culture, religion and language. Not all speakers of more than 100 languages spoken in the area have a sufficient knowledge of the respective national languages, Khmer, Lao and Thai. Yet, for the most part, the national languages are the only…

  12. Cambodia: Summary Report. The Impact of Informal School Fees. Asia-South Pacific Education Watch

    ERIC Educational Resources Information Center

    de Guzman, Sylvia

    2007-01-01

    A prior study of costs of education in Cambodia was undertaken by Mark Bray in 1999. In his study he suggests that: "... the scale of dropout from Cambodian primary schools has been demonstrated to be high. Costs appear to be an important factor for many households when making decisions to withdraw their children from school." In that study,…

  13. Student Transition from Primary to Lower Secondary School in Cambodia: Narrative Insights into Complex Systems

    ERIC Educational Resources Information Center

    Edwards, D. Brent, Jr.; Zimmermann, Thomas; Sitha, Chhinh; Williams, James H.; Kitamura, Yuto

    2014-01-01

    This article has three purposes. First, it presents findings from a study of student retention and dropout in Cambodia, as pupils transition from primary to lower secondary school. Second, it aims to understand from an in-depth, emic perspective the dynamics of this process and the challenges that individual families and their students face around…

  14. Student Achievement and Education Policy in a Period of Rapid Expansion: Assessment Data Evidence from Cambodia

    ERIC Educational Resources Information Center

    Marshall, Jeffery H.; Chinna, Ung; Nessay, Puth; Hok, Ung Ngo; Savoeun, Va; Tinon, Soeur; Veasna, Meung

    2009-01-01

    This article analyses student achievement and school quality in large samples of schools in Cambodia. Descriptive summaries of student proficiency levels in language and mathematics reveal large gaps between average performance in grades three and six. Given the near universal completion rates for grade three--and lower access to grade six--these…

  15. Pneumococcal Infection among Children before Introduction of 13-Valent Pneumococcal Conjugate Vaccine, Cambodia.

    PubMed

    Turner, Paul; Turner, Claudia; Suy, Kuong; Soeng, Sona; Ly, Sokeng; Miliya, Thyl; Goldblatt, David; Day, Nicholas P J

    2015-11-01

    Vaccination of children with pneumococcal conjugate vaccine (PCV13) was initiated in Cambodia in 2015. To determine baseline data, we collected samples from children in 2013 and 2014. PCV13 serotypes accounted for 62.7% of colonizing organisms in outpatients and 88.4% of invasive pneumococci overall; multidrug resistance was common. Thus, effectiveness of vaccination should be high.

  16. Situation Reports--Brasil, Cambodia, Fiji, Malaysia (West), Thailand, and Uganda.

    ERIC Educational Resources Information Center

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in six foreign countries are presented in these situation reports. Countries included are Brazil, Cambodia, Fiji, Malaysia (West), Thailand, and Uganda. Information is provided, where appropriate and available, under two topics, general background and family planning situation. General background…

  17. Multidrug-Resistant Shigella Infections in Patients with Diarrhea, Cambodia, 2014–2015

    PubMed Central

    Poramathikul, Kamonporn; Chiek, Sivhour; Oransathid, Wilawan; Ruekit, Sirigade; Nobthai, Panida; Lurchachaiwong, Woradee; Serichantalergs, Oralak; Lon, Chanthap; Swierczewski, Brett

    2016-01-01

    We observed multidrug resistance in 10 (91%) of 11 Shigella isolates from a diarrheal surveillance study in Cambodia. One isolate was resistant to fluoroquinolones and cephalosporins and showed decreased susceptibility to azithromycin. We found mutations in gyrA, parC, β-lactamase, and mphA genes. Multidrug resistance increases concern about shigellosis treatment options. PMID:27532684

  18. Perinatal consumption of thiamine-fortified fish sauce in rural Cambodia. A randomized clinical trial

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Infantile beriberi, a potentially fatal disease caused by thiamine deficiency, is a public health concern in Cambodia and regions where thiamine-poor white rice is a staple food. Low maternal thiamine intake reduces breast milk thiamine placing breastfed infants at risk of beriberi. The objective wa...

  19. Perinatal consumption of thiamin-fortified fish sauce in rural Cambodia: a randomized controlled efficacy trial

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Importance: Infantile beriberi, a potentially fatal disease caused by thiamin deficiency, remains a public health concern in Cambodia and regions where B-vitamin poor, polished white rice is a staple food. Low maternal thiamin intake reduces breast milk thiamin concentrations, placing breastfed infa...

  20. Challenges of Adopting the Use of Technology in Less Developed Countries: The Case of Cambodia

    ERIC Educational Resources Information Center

    Richardson, Jayson W.

    2011-01-01

    Drawing on Everett Rogers's theory of the diffusion of innovations, this article identifies the barriers, challenges, and successes in the adoption of technology training by teacher trainers in Cambodia. The analysis was based on data collected from an open-ended survey, face-to-face interviews, and document analysis. Findings reveal that the…

  1. Development of Indicators for Educational Planning: Brazil, Cambodia, Estonia, Gambia, Lithuania, Thailand.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France). International Inst. for Educational Planning.

    This publication presents the outcomes of a distance education course on development and dissemination of indicators used for educational planning. The course took place from November 2000 to February 2001 and was attended by representatives from the ministries of education of Brazil, Cambodia, Estonia, Gambia, Lithuania, and Thailand. The overall…

  2. Impact of School Readiness Program Interventions on Children's Learning in Cambodia

    ERIC Educational Resources Information Center

    Nonoyama-Tarumi, Yuko; Bredenberg, Kurt

    2009-01-01

    To reduce the high repetition rates in early years of primary school, the government of Cambodia piloted a school readiness program (SRP) in the first two months of Grade 1 of primary school. This study examines whether such intervention has effects on students' immediate acquisition of school readiness skills as well as students' longer term…

  3. Indochinese Refugee Experience. Refugees from Vietnam, Laos, and Cambodia in Nova Scotia.

    ERIC Educational Resources Information Center

    Ngo, Xuong, Comp.; Guay, Marcel, Ed.

    Firsthand accounts by refugees from Laos, Cambodia, and Vietnam, telling how they escaped from Indochina and how they are adjusting to life in Canada (and particularly Nova Scotia), form the greater part of this book. Most of the accounts are by Vietnamese. Information is also provided on the history of the Canadian refugee program, and on the…

  4. Review of the genus Chrysoscota in Cambodia (Lepidoptera, Erebidae, Arctiinae), with description of a new species.

    PubMed

    Bayarsaikhan, Ulziijargal; Bae, Yang-Seop

    2016-01-01

    The genus Chrysoscota Hampson, 1900 in Cambodia is reviewed, with description of a new species, Chrysoscota kimsuni Bayarsaikhan & Bae, sp. n. is described as new to sciences, and C. cotriangulata Holloway, 2001 is reported as new for the country. Illustrations of adults and male and female genitalia are provided for both species, with a checklist of the genus Chrysoscota. PMID:27615854

  5. Multidrug-Resistant Shigella Infections in Patients with Diarrhea, Cambodia, 2014-2015.

    PubMed

    Poramathikul, Kamonporn; Bodhidatta, Ladaporn; Chiek, Sivhour; Oransathid, Wilawan; Ruekit, Sirigade; Nobthai, Panida; Lurchachaiwong, Woradee; Serichantalergs, Oralak; Lon, Chanthap; Swierczewski, Brett

    2016-09-01

    We observed multidrug resistance in 10 (91%) of 11 Shigella isolates from a diarrheal surveillance study in Cambodia. One isolate was resistant to fluoroquinolones and cephalosporins and showed decreased susceptibility to azithromycin. We found mutations in gyrA, parC, β-lactamase, and mphA genes. Multidrug resistance increases concern about shigellosis treatment options. PMID:27532684

  6. The Ethics of Survival: Teaching the Traditional Arts to Disadvantaged Children in Post-Conflict Cambodia

    ERIC Educational Resources Information Center

    Kallio, Alexis A.; Westerlund, Heidi

    2016-01-01

    Cambodia's recent history of conflict and political instability has resulted in a recognized need to recover, regenerate, preserve and protect the nation's cultural heritage. Many education programmes catering for disadvantaged youth have implemented traditional Khmer music and dance lessons, suggesting that these programmes share the…

  7. Height, zinc and soil-transmitted helminth infections in schoolchildren: a study in Cuba and Cambodia.

    PubMed

    de Gier, Brechje; Mpabanzi, Liliane; Vereecken, Kim; van der Werff, Suzanne D; D'Haese, Patrick C; Fiorentino, Marion; Khov, Kuong; Perignon, Marlene; Chamnan, Chhoun; Berger, Jacques; Parker, Megan E; Díaz, Raquel Junco; Núñez, Fidel Angel; Rivero, Lázara Rojas; Gorbea, Mariano Bonet; Doak, Colleen M; Ponce, Maiza Campos; Wieringa, Frank T; Polman, Katja

    2015-04-20

    Soil-transmitted helminth (STH) infections and zinc deficiency are often found in low- and middle-income countries and are both known to affect child growth. However, studies combining data on zinc and STH are lacking. In two studies in schoolchildren in Cuba and Cambodia, we collected data on height, STH infection and zinc concentration in either plasma (Cambodia) or hair (Cuba). We analyzed whether STH and/or zinc were associated with height for age z-scores and whether STH and zinc were associated. In Cuba, STH prevalence was 8.4%; these were mainly Ascaris lumbricoides and Trichuris trichiura infections. In Cambodia, STH prevalence was 16.8%, mostly caused by hookworm. In Cuban children, STH infection had a strong association with height for age (aB-0.438, p = 0.001), while hair zinc was significantly associated with height for age only in STH uninfected children. In Cambodian children, plasma zinc was associated with height for age (aB-0.033, p = 0.029), but STH infection was not. Only in Cambodia, STH infection showed an association with zinc concentration (aB-0.233, p = 0.051). Factors influencing child growth differ between populations and may depend on prevalences of STH species and zinc deficiency. Further research is needed to elucidate these relationships and their underlying mechanisms.

  8. Human Sentinel Surveillance of Influenza and Other Respiratory Viral Pathogens in Border Areas of Western Cambodia.

    PubMed

    Timmermans, Ans; Melendrez, Melanie C; Se, Youry; Chuang, Ilin; Samon, Nou; Uthaimongkol, Nichapat; Klungthong, Chonticha; Manasatienkij, Wudtichai; Thaisomboonsuk, Butsaya; Tyner, Stuart D; Rith, Sareth; Horm, Viseth Srey; Jarman, Richard G; Bethell, Delia; Chanarat, Nitima; Pavlin, Julie; Wongstitwilairoong, Tippa; Saingam, Piyaporn; El, But Sam; Fukuda, Mark M; Touch, Sok; Sovann, Ly; Fernandez, Stefan; Buchy, Philippe; Chanthap, Lon; Saunders, David

    2016-01-01

    Little is known about circulation of influenza and other respiratory viruses in remote populations along the Thai-Cambodia border in western Cambodia. We screened 586 outpatients (median age 5, range 1-77) presenting with influenza-like-illness (ILI) at 4 sentinel sites in western Cambodia between May 2010 and December 2012. Real-time reverse transcriptase (rRT) PCR for influenza was performed on combined nasal and throat specimens followed by viral culture, antigenic analysis, antiviral susceptibility testing and full genome sequencing for phylogenetic analysis. ILI-specimens negative for influenza were cultured, followed by rRT-PCR for enterovirus and rhinovirus (EV/RV) and EV71. Influenza was found in 168 cases (29%) and occurred almost exclusively in the rainy season from June to November. Isolated influenza strains had close antigenic and phylogenetic relationships, matching vaccine and circulating strains found elsewhere in Cambodia. Influenza vaccination coverage was low (<20%). Western Cambodian H1N1(2009) isolate genomes were more closely related to 10 earlier Cambodia isolates (94.4% genome conservation) than to 13 Thai isolates (75.9% genome conservation), despite sharing the majority of the amino acid changes with the Thai references. Most genes showed signatures of purifying selection. Viral culture detected only adenovirus (5.7%) and parainfluenza virus (3.8%), while non-polio enteroviruses (10.3%) were detected among 164 culture-negative samples including coxsackievirus A4, A6, A8, A9, A12, B3, B4 and echovirus E6 and E9 using nested RT-PCR methods. A single specimen of EV71 was found. Despite proximity to Thailand, influenza epidemiology of these western Cambodian isolates followed patterns observed elsewhere in Cambodia, continuing to support current vaccine and treatment recommendations from the Cambodian National Influenza Center. Amino acid mutations at non-epitope sites, particularly hemagglutinin genes, require further investigation in light

  9. Human Sentinel Surveillance of Influenza and Other Respiratory Viral Pathogens in Border Areas of Western Cambodia.

    PubMed

    Timmermans, Ans; Melendrez, Melanie C; Se, Youry; Chuang, Ilin; Samon, Nou; Uthaimongkol, Nichapat; Klungthong, Chonticha; Manasatienkij, Wudtichai; Thaisomboonsuk, Butsaya; Tyner, Stuart D; Rith, Sareth; Horm, Viseth Srey; Jarman, Richard G; Bethell, Delia; Chanarat, Nitima; Pavlin, Julie; Wongstitwilairoong, Tippa; Saingam, Piyaporn; El, But Sam; Fukuda, Mark M; Touch, Sok; Sovann, Ly; Fernandez, Stefan; Buchy, Philippe; Chanthap, Lon; Saunders, David

    2016-01-01

    Little is known about circulation of influenza and other respiratory viruses in remote populations along the Thai-Cambodia border in western Cambodia. We screened 586 outpatients (median age 5, range 1-77) presenting with influenza-like-illness (ILI) at 4 sentinel sites in western Cambodia between May 2010 and December 2012. Real-time reverse transcriptase (rRT) PCR for influenza was performed on combined nasal and throat specimens followed by viral culture, antigenic analysis, antiviral susceptibility testing and full genome sequencing for phylogenetic analysis. ILI-specimens negative for influenza were cultured, followed by rRT-PCR for enterovirus and rhinovirus (EV/RV) and EV71. Influenza was found in 168 cases (29%) and occurred almost exclusively in the rainy season from June to November. Isolated influenza strains had close antigenic and phylogenetic relationships, matching vaccine and circulating strains found elsewhere in Cambodia. Influenza vaccination coverage was low (<20%). Western Cambodian H1N1(2009) isolate genomes were more closely related to 10 earlier Cambodia isolates (94.4% genome conservation) than to 13 Thai isolates (75.9% genome conservation), despite sharing the majority of the amino acid changes with the Thai references. Most genes showed signatures of purifying selection. Viral culture detected only adenovirus (5.7%) and parainfluenza virus (3.8%), while non-polio enteroviruses (10.3%) were detected among 164 culture-negative samples including coxsackievirus A4, A6, A8, A9, A12, B3, B4 and echovirus E6 and E9 using nested RT-PCR methods. A single specimen of EV71 was found. Despite proximity to Thailand, influenza epidemiology of these western Cambodian isolates followed patterns observed elsewhere in Cambodia, continuing to support current vaccine and treatment recommendations from the Cambodian National Influenza Center. Amino acid mutations at non-epitope sites, particularly hemagglutinin genes, require further investigation in light

  10. Human Sentinel Surveillance of Influenza and Other Respiratory Viral Pathogens in Border Areas of Western Cambodia

    PubMed Central

    Chuang, Ilin; Samon, Nou; Uthaimongkol, Nichapat; Klungthong, Chonticha; Manasatienkij, Wudtichai; Thaisomboonsuk, Butsaya; Tyner, Stuart D.; Rith, Sareth; Horm, Viseth Srey; Jarman, Richard G.; Bethell, Delia; Chanarat, Nitima; Pavlin, Julie; Wongstitwilairoong, Tippa; Saingam, Piyaporn; El, But Sam; Fukuda, Mark M.; Touch, Sok; Sovann, Ly; Fernandez, Stefan; Buchy, Philippe; Chanthap, Lon; Saunders, David

    2016-01-01

    Little is known about circulation of influenza and other respiratory viruses in remote populations along the Thai-Cambodia border in western Cambodia. We screened 586 outpatients (median age 5, range 1–77) presenting with influenza-like-illness (ILI) at 4 sentinel sites in western Cambodia between May 2010 and December 2012. Real-time reverse transcriptase (rRT) PCR for influenza was performed on combined nasal and throat specimens followed by viral culture, antigenic analysis, antiviral susceptibility testing and full genome sequencing for phylogenetic analysis. ILI-specimens negative for influenza were cultured, followed by rRT-PCR for enterovirus and rhinovirus (EV/RV) and EV71. Influenza was found in 168 cases (29%) and occurred almost exclusively in the rainy season from June to November. Isolated influenza strains had close antigenic and phylogenetic relationships, matching vaccine and circulating strains found elsewhere in Cambodia. Influenza vaccination coverage was low (<20%). Western Cambodian H1N1(2009) isolate genomes were more closely related to 10 earlier Cambodia isolates (94.4% genome conservation) than to 13 Thai isolates (75.9% genome conservation), despite sharing the majority of the amino acid changes with the Thai references. Most genes showed signatures of purifying selection. Viral culture detected only adenovirus (5.7%) and parainfluenza virus (3.8%), while non-polio enteroviruses (10.3%) were detected among 164 culture-negative samples including coxsackievirus A4, A6, A8, A9, A12, B3, B4 and echovirus E6 and E9 using nested RT-PCR methods. A single specimen of EV71 was found. Despite proximity to Thailand, influenza epidemiology of these western Cambodian isolates followed patterns observed elsewhere in Cambodia, continuing to support current vaccine and treatment recommendations from the Cambodian National Influenza Center. Amino acid mutations at non-epitope sites, particularly hemagglutinin genes, require further investigation in light

  11. Inequality in access to health care in Cambodia: socioeconomically disadvantaged women giving birth at home assisted by unskilled birth attendants.

    PubMed

    Hong, Rathavuth; Them, Rathnita

    2015-03-01

    Cambodia faces major challenges in its effort to provide access to health care for all. Although there is a sharp improvement in health and health care in Cambodia, 6 in 10 women still deliver at home assisted by unskilled birth attendants. This practice is associated with higher maternal and infant deaths. This article analyzes the 2005 Cambodia Demographic and Health Survey data to examine the relationship between socioeconomic inequality and deliveries at home assisted by unskilled birth attendants. It is evident that babies in poorer households are significantly more likely to be delivered at home by an unskilled birth attendant than those in wealthier households. Moreover, delivery at home by an unskilled attendant is associated with mothers who have no education, live in a rural residence, and are farmers, and with higher birth order children. Results from this analysis demonstrate that socioeconomic inequality is still a major factor contributing to ill health in Cambodia.

  12. "Almost a role model of what we would like to do everywhere": British American Tobacco in Cambodia

    PubMed Central

    MacKenzie, R; Collin, J; Sopharo, C; Sopheap, Y

    2004-01-01

    Objectives: To examine British American Tobacco's (BAT's) renewed interest in Cambodia from the early 1990s, reviewing negotiations to establish a joint venture and the subsequent conduct of BAT Cambodia (BATC). Methods: Analysis of previously confidential BAT documents relevant to the Cambodian market. Results: With the advent of comparative political stability in the early 1990s, BAT was quick to explore the possibilities for investment. The Cambodian government urgently required foreign investment, offering inducements and assistance to investors. In developing a joint venture, BAT saw a cost effective opportunity to dominate the local market and to defend its regional interests, Cambodia being viewed as strategically located to support smuggling. Given minimal advertising regulation, BATC have undertaken wide ranging promotions and sought to prevent advances in tobacco control. Conclusions: BATC is presented as a contribution to Cambodia's regeneration, but the documents highlight its exploitation of state incapacity and an escalating threat to public health. PMID:15564213

  13. Transpiration characteristics of a rubber plantation in central Cambodia.

    PubMed

    Kobayashi, Nakako; Kumagai, Tomo'omi; Miyazawa, Yoshiyuki; Matsumoto, Kazuho; Tateishi, Makiko; Lim, Tiva K; Mudd, Ryan G; Ziegler, Alan D; Giambelluca, Thomas W; Yin, Song

    2014-03-01

    The rapid and widespread expansion of rubber plantations in Southeast Asia necessitates a greater understanding of tree physiology and the impacts of water consumption on local hydrology. Sap flow measurements were used to study the intra- and inter-annual variations in transpiration rate (Et) in a rubber stand in the low-elevation plain of central Cambodia. Mean stand sap flux density (JS) indicates that rubber trees actively transpire in the rainy season, but become inactive in the dry season. A sharp, brief drop in JS occurred simultaneously with leaf shedding in the middle of the dry season in January. Although the annual maxima of JS were approximately the same in the two study years, the maximum daily stand Et of ∼2.0 mm day(-1) in 2010 increased to ∼2.4 mm day(-1) in 2011. Canopy-level stomatal response was well explained by changes in solar radiation, vapor pressure deficit, soil moisture availability, leaf area, and stem diameter. Rubber trees had a relatively small potential to transpire at the beginning of the study period, compared with average diffuse-porous species. After 2 years of growth in stem diameter, transpiration potential was comparable to other species. The sensitivity of canopy conductance (gc) to atmospheric drought indicates isohydric behavior of rubber trees. Modeling also predicted a relatively small sensitivity of gc to the soil moisture deficit and a rapid decrease in gc under extreme drought conditions. However, annual observations suggest the possibility of a change in leaf characteristics with tree maturity and/or initiation of latex tapping. The estimated annual stand Et was 469 mm year(-1) in 2010, increasing to 658 mm year(-1) in 2011. Diagnostic analysis using the derived gc model showed that inter-annual change in stand Et in the rapidly growing young rubber stand was determined mainly by tree growth rate, not by differences in air and soil variables in the surrounding environment. Future research should focus on the

  14. Radar Image with Color as Height, Sman Teng, Temple, Cambodia

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This image of Cambodia's Angkor region, taken by NASA's Airborne Synthetic Aperture Radar (AIRSAR), reveals a temple (upper-right) not depicted on early 19th Century French archeological survey maps and American topographic maps. The temple, known as 'Sman Teng,' was known to the local Khmer people, but had remained unknown to historians due to the remoteness of its location. The temple is thought to date to the 11th Century: the heyday of Angkor. It is an important indicator of the strategic and natural resource contributions of the area northwest of the capitol, to the urban center of Angkor. Sman Teng, the name designating one of the many types of rice enjoyed by the Khmer, was 'discovered' by a scientist at NASA's Jet Propulsion Laboratory, Pasadena, Calif., working in collaboration with an archaeological expert on the Angkor region. Analysis of this remote area was a true collaboration of archaeology and technology. Locating the temple of Sman Teng required the skills of scientists trained to spot the types of topographic anomalies that only radar can reveal.

    This image, with a pixel spacing of 5 meters (16.4 feet), depicts an area of approximately 5 by 4.7 kilometers (3.1 by 2.9 miles). North is at top. Image brightness is from the P-band (68 centimeters, or 26.8 inches) wavelength radar backscatter, a measure of how much energy the surface reflects back toward the radar. Color is used to represent elevation contours. One cycle of color represents 25 meters (82 feet) of elevation change, so going from blue to red to yellow to green and back to blue again corresponds to 25 meters (82 feet) of elevation change.

    AIRSAR flies aboard a NASA DC-8 based at NASA's Dryden Flight Research Center, Edwards, Calif. In the TOPSAR mode, AIRSAR collects radar interferometry data from two spatially separated antennas (2.6 meters, or 8.5 feet). Information from the two antennas is used to form radar backscatter imagery and to generate highly accurate elevation data

  15. Radar Image with Color as Height, Old Khmer Road, Cambodia

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This image shows the Old Khmer Road (Inrdratataka-Bakheng causeway) in Cambodia extending from the 9th Century A.D. capitol city of Hariharalaya in the lower right portion of the image to the later 10th Century AD capital of Yasodharapura. This was located in the vicinity of Phnom Bakheng (not shown in image). The Old Road is believed to be more than 1000 years old. Its precise role and destination within the 'new' city at Angkor is still being studied by archeologists. But wherever it ended, it not only offered an immense processional way for the King to move between old and new capitols, it also linked the two areas, widening the territorial base of the Khmer King. Finally, in the past and today, the Old Road managed the waters of the floodplain. It acted as a long barrage or dam for not only the natural streams of the area but also for the changes brought to the local hydrology by Khmer population growth.

    The image was acquired by NASA's Airborne Synthetic Aperture Radar (AIRSAR). Image brightness is from the P-band (68 cm wavelength) radar backscatter, which is a measure of how much energy the surface reflects back towards the radar. Color is used to represent elevation contours. One cycle of color represents 20 m of elevation change, that is going from blue to red to yellow to green and back to blue again corresponds to 20 m of elevation change. Image dimensions are approximately 3.4 km by 3.5 km with a pixel spacing of 5 m. North is at top.

    AIRSAR flies aboard a NASA DC-8 based at NASA's Dryden Flight Research Center, Edwards, Calif. In the TOPSAR mode, AIRSAR collects radar interferometry data from two spatially separated antennas (2.6 meters, or 8.5 feet). Information from the two antennas is used to form radar backscatter imagery and to generate highly accurate elevation data. Built, operated and managed by JPL, AIRSAR is part of NASA's Earth Science Enterprise program. JPL is a division of the California Institute of Technology in Pasadena.

  16. Transpiration characteristics of a rubber plantation in central Cambodia.

    PubMed

    Kobayashi, Nakako; Kumagai, Tomo'omi; Miyazawa, Yoshiyuki; Matsumoto, Kazuho; Tateishi, Makiko; Lim, Tiva K; Mudd, Ryan G; Ziegler, Alan D; Giambelluca, Thomas W; Yin, Song

    2014-03-01

    The rapid and widespread expansion of rubber plantations in Southeast Asia necessitates a greater understanding of tree physiology and the impacts of water consumption on local hydrology. Sap flow measurements were used to study the intra- and inter-annual variations in transpiration rate (Et) in a rubber stand in the low-elevation plain of central Cambodia. Mean stand sap flux density (JS) indicates that rubber trees actively transpire in the rainy season, but become inactive in the dry season. A sharp, brief drop in JS occurred simultaneously with leaf shedding in the middle of the dry season in January. Although the annual maxima of JS were approximately the same in the two study years, the maximum daily stand Et of ∼2.0 mm day(-1) in 2010 increased to ∼2.4 mm day(-1) in 2011. Canopy-level stomatal response was well explained by changes in solar radiation, vapor pressure deficit, soil moisture availability, leaf area, and stem diameter. Rubber trees had a relatively small potential to transpire at the beginning of the study period, compared with average diffuse-porous species. After 2 years of growth in stem diameter, transpiration potential was comparable to other species. The sensitivity of canopy conductance (gc) to atmospheric drought indicates isohydric behavior of rubber trees. Modeling also predicted a relatively small sensitivity of gc to the soil moisture deficit and a rapid decrease in gc under extreme drought conditions. However, annual observations suggest the possibility of a change in leaf characteristics with tree maturity and/or initiation of latex tapping. The estimated annual stand Et was 469 mm year(-1) in 2010, increasing to 658 mm year(-1) in 2011. Diagnostic analysis using the derived gc model showed that inter-annual change in stand Et in the rapidly growing young rubber stand was determined mainly by tree growth rate, not by differences in air and soil variables in the surrounding environment. Future research should focus on the

  17. Description of a new species and new country distribution records of Bactrocera (Diptera: Tephritidae: Dacinae) from Cambodia.

    PubMed

    Leblanc, Luc; San Jose, Michael; Rubinoff, Daniel

    2015-09-04

    Bactrocera (Bactrocera) kohkongiae Leblanc (Diptera: Tephritidae: Dacinae), from the Koh Kong Province of Cambodia, is described as new. This species belongs to the Oriental fruit fly (B. dorsalis) complex. Genetic sequences (mitochondrial COI and nuclear EF1α and Period) are deposited in GenBank. A haplotype network, based on the COI sequences for 21 specimens, shows high genetic diversity. New country records from Cambodia are included for 22 species.

  18. Water-Borne Diseases and Extreme Weather Events in Cambodia: Review of Impacts and Implications of Climate Change

    PubMed Central

    Davies, Grace I.; McIver, Lachlan; Kim, Yoonhee; Hashizume, Masahiro; Iddings, Steven; Chan, Vibol

    2014-01-01

    Cambodia is prone to extreme weather events, especially floods, droughts and typhoons. Climate change is predicted to increase the frequency and intensity of such events. The Cambodian population is highly vulnerable to the impacts of these events due to poverty; malnutrition; agricultural dependence; settlements in flood-prone areas, and public health, governance and technological limitations. Yet little is known about the health impacts of extreme weather events in Cambodia. Given the extremely low adaptive capacity of the population, this is a crucial knowledge gap. A literature review of the health impacts of floods, droughts and typhoons in Cambodia was conducted, with regional and global information reviewed where Cambodia-specific literature was lacking. Water-borne diseases are of particular concern in Cambodia, in the face of extreme weather events and climate change, due to, inter alia, a high pre-existing burden of diseases such as diarrhoeal illness and a lack of improved sanitation infrastructure in rural areas. A time-series analysis under quasi-Poisson distribution was used to evaluate the association between floods and diarrhoeal disease incidence in Cambodian children between 2001 and 2012 in 16 Cambodian provinces. Floods were significantly associated with increased diarrhoeal disease in two provinces, while the analysis conducted suggested a possible protective effect from toilets and piped water. Addressing the specific, local pre-existing vulnerabilities is vital to promoting population health resilience and strengthening adaptive capacity to extreme weather events and climate change in Cambodia. PMID:25546280

  19. Water-borne diseases and extreme weather events in Cambodia: review of impacts and implications of climate change.

    PubMed

    Davies, Grace I; McIver, Lachlan; Kim, Yoonhee; Hashizume, Masahiro; Iddings, Steven; Chan, Vibol

    2014-12-23

    Cambodia is prone to extreme weather events, especially floods, droughts and typhoons. Climate change is predicted to increase the frequency and intensity of such events. The Cambodian population is highly vulnerable to the impacts of these events due to poverty; malnutrition; agricultural dependence; settlements in flood-prone areas, and public health, governance and technological limitations. Yet little is known about the health impacts of extreme weather events in Cambodia. Given the extremely low adaptive capacity of the population, this is a crucial knowledge gap. A literature review of the health impacts of floods, droughts and typhoons in Cambodia was conducted, with regional and global information reviewed where Cambodia-specific literature was lacking. Water-borne diseases are of particular concern in Cambodia, in the face of extreme weather events and climate change, due to, inter alia, a high pre-existing burden of diseases such as diarrhoeal illness and a lack of improved sanitation infrastructure in rural areas. A time-series analysis under quasi-Poisson distribution was used to evaluate the association between floods and diarrhoeal disease incidence in Cambodian children between 2001 and 2012 in 16 Cambodian provinces. Floods were significantly associated with increased diarrhoeal disease in two provinces, while the analysis conducted suggested a possible protective effect from toilets and piped water. Addressing the specific, local pre-existing vulnerabilities is vital to promoting population health resilience and strengthening adaptive capacity to extreme weather events and climate change in Cambodia.

  20. REAP Act of 2013

    THOMAS, 113th Congress

    Rep. Gosar, Paul A. [R-AZ-4

    2013-11-20

    01/09/2014 Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  1. Rotating Responsibility Reaps Rewards.

    ERIC Educational Resources Information Center

    Wilson, Barbara; Schullery, Nancy

    2000-01-01

    Describes a process used for group assignments in a business communication course which holds all group members accountable by using a structure of rotating responsibility. Discusses selecting assignments and implementing the process, noting how this structure requires equivalent advance preparation from all members and provides opportunities for…

  2. Radar Image with Color as Height, Lovea, Cambodia

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This image of Lovea, Cambodia, was acquired by NASA's Airborne Synthetic Aperture Radar (AIRSAR). Lovea, the roughly circular feature in the middle-right of the image, rises some 5 meters (16.4 feet) above the surrounding terrain. Lovea is larger than many of the other mound sites with a diameter of greater than 300 meters (984.3 feet). However, it is one of a number highlighted by the radar imagery. The present-day village of Lovea does not occupy all of the elevated area. However, at the center of the mound is an ancient spirit post honoring the legendary founder of the village. The mound is surrounded by earthworks and has vestiges of additional curvilinear features. Today, as in the past, these harnessed water during the rainy season, and conserved it during the long dry months of the year.

    The village of Lovea located on the mound was established in pre-Khmer times, probably before 500 A.D. In the lower left portion of the image is a large trapeng and square moat. These are good examples of construction during the historical 9th to 14th Century A.D. Khmer period; construction that honored and protected earlier circular villages. This suggests a cultural and technical continuity between prehistoric circular villages and the immense urban site of Angkor. This connection is one of the significant finds generated by NASA's radar imaging of Angkor. It shows that the city of Angkor was a particularly Khmer construction. The temple forms and water management structures of Angkor were the result of pre-existing Khmer beliefs and methods of water management.

    Image dimensions are approximately 6.3 by 4.7 kilometers (3.9 by 2.9 miles). North is at top. Image brightness is from the C-band (5.6 centimeters, or 2.2 inches wavelength) radar backscatter, which is a measure of how much energy the surface reflects back toward the radar. Color is used to represent elevation contours. One cycle of color represents 20 meters (65.6 feet) of elevation change; that is, going

  3. Radar Image with Color as Height, Hariharalaya, Cambodia

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Hariharalaya, the ancient 9th Century A.D. capitol of the Khmer in Cambodia, is shown in the upper center portion of this NASA Airborne Synthetic Aperture Radar (AIRSAR) image. The image was acquired during the 1996 PACRIM mission with AIRSAR operating in the TOPSAR mode. At the center of the image is the terraced sandstone temple mountain of the King Indravarman, the Bakong. The smaller enclosed rectangular feature just to the north is Preah Ko. Further to the south are more rectangular features, temples and water reservoirs attributed to other kings in the earlier part of the 9th Century A.D. and maybe even earlier. Just visible at the top on the image is a long linear feature that forms the southern border of the immense water reservoir, at the center of which is the Lolei temple. The city was the first capitol of the Khmer after the 802 A.D. ceremony consecrating the king as 'Devaraja'. This usually translated as 'god who was king' or 'king who was god'. In the next century, the center of power shifted to the northwest, to the area known today as Angkor.

    Thus this early capital is unique both in being the first after the historical 'founding' of the Khmer Empire, and for being inhabited for a relatively short time. Although kings returned from Angkor in the 11th and 12th Centuries A.D. to build the temple known as the Lolei and to construct the tower in the center of Bakong, the city of Hariharalaya remained on the perimeter of royal power. It was revered, however, as part of a longstanding and important custom of ancestral veneration. This manifested itself in a complex set of rituals honoring one's forebears--also ensuring legitimacy for one's claim to the throne. So behind this seemingly simple patterning of rectangles on the radar image lies many layers of history, ritual and meaning for the Khmer people, past and present.

    Image dimensions are approximately 6 by 4.8 kilometers (3.7 by 3 miles) with a pixel spacing of 5 meters (16.4 feet). North is at

  4. Infectious Etiologies of Acute Febrile Illness among Patients Seeking Health Care in South-Central Cambodia

    PubMed Central

    Kasper, Matthew R.; Blair, Patrick J.; Touch, Sok; Sokhal, Buth; Yasuda, Chadwick Y.; Williams, Maya; Richards, Allen L.; Burgess, Timothy H.; Wierzba, Thomas F.; Putnam, Shannon D.

    2012-01-01

    The agents of human febrile illness can vary by region and country suggesting that diagnosis, treatment, and control programs need to be based on a methodical evaluation of area-specific etiologies. From December 2006 to December 2009, 9,997 individuals presenting with acute febrile illness at nine health care clinics in south-central Cambodia were enrolled in a study to elucidate the etiologies. Upon enrollment, respiratory specimens, whole blood, and serum were collected. Testing was performed for viral, bacterial, and parasitic pathogens. Etiologies were identified in 38.0% of patients. Influenza was the most frequent pathogen, followed by dengue, malaria, and bacterial pathogens isolated from blood culture. In addition, 3.5% of enrolled patients were infected with more than one pathogen. Our data provide the first systematic assessment of the etiologies of acute febrile illness in south-central Cambodia. Data from syndromic-based surveillance studies can help guide public health responses in developing nations. PMID:22302857

  5. Resistance, rupture and repetition: Civil society strategies against intimate partner violence in Cambodia.

    PubMed

    Lilja, Mona; Baaz, Mikael

    2016-01-01

    This paper offers a new interpretation of the 'resistance' carried out by local civil society organisations in Cambodia against intimate partner violence (IPV). In this, the paper explores the nexus between 'rupture', 'resistance' and 'repetition' and concludes that different 'repetitions' can contribute to acts of violence while simultaneously creating possibilities for resisting IPV. In regard to the latter, the concept of 'rupture' is investigated as a performative politics through which organisations try to disrupt the 'repetitions' of violent masculinities. Furthermore, it is argued that the importance of 'repetitions' and the concept of time should be acknowledged. The French criminal defence lawyer Jacques Vergès' understanding of 'rupture' and the French philosopher Gilles Deleuze's notions of 'repetition' inform the analysis. To exemplify our discussion and findings, the paper embraces stories of a number of civil society workers who facilitate various men's groups in Cambodia in order to negotiate the practice of IPV.

  6. Community and School-Based Health Education for Dengue Control in Rural Cambodia: A Process Evaluation

    PubMed Central

    Khun, Sokrin; Manderson, Lenore

    2007-01-01

    Dengue fever continues to be a major public health problem in Cambodia, with significant impact on children. Health education is a major means for prevention and control of the National Dengue Control Program (NDCP), and is delivered to communities and in schools. Drawing on data collected in 2003–2004 as part of an ethnographic study conducted in eastern Cambodia, we explore the approaches used in health education and their effectiveness to control dengue. Community health education is provided through health centre outreach activities and campaigns of the NDCP, but is not systematically evaluated, is under-funded and delivered irregularly; school-based education is restricted in terms of time and lacks follow-up in terms of practical activities for prevention and control. As a result, adherence is partial. We suggest the need for sustained routine education for dengue prevention and control, and the need for approaches to ensure the translation of knowledge into practice. PMID:18160981

  7. Burma and Cambodia: Human Rights, Social Disruption, and the Spread of HIV/AIDS.

    PubMed

    Beyrer

    1998-01-01

    The debate around the issues raised by HIV/AIDS and human rights has largely focused on the protection from rights violations of individuals or groups affected by the disease. The relationship between political and social conditions where human rights abuses are frequent and the spread of HIV infection has been less studied. Two countries in Southeast Asia, Burma and Cambodia, are currently undergoing serious and uncontrolled epidemics of HIV; both are marked by political cultures of state violence and corruption, chronic civil war and insurgency, and widespread human rights violations. This article attempts to investigate associations between rapid HIV spread and political and social crises, using Burma and Cambodia as case studies. The climate and context of rights abuses are seen as significant factors of national vulnerability to the epidemic spread of HIV/AIDS.

  8. Infectious etiologies of acute febrile illness among patients seeking health care in south-central Cambodia.

    PubMed

    Kasper, Matthew R; Blair, Patrick J; Touch, Sok; Sokhal, Buth; Yasuda, Chadwick Y; Williams, Maya; Richards, Allen L; Burgess, Timothy H; Wierzba, Thomas F; Putnam, Shannon D

    2012-02-01

    The agents of human febrile illness can vary by region and country suggesting that diagnosis, treatment, and control programs need to be based on a methodical evaluation of area-specific etiologies. From December 2006 to December 2009, 9,997 individuals presenting with acute febrile illness at nine health care clinics in south-central Cambodia were enrolled in a study to elucidate the etiologies. Upon enrollment, respiratory specimens, whole blood, and serum were collected. Testing was performed for viral, bacterial, and parasitic pathogens. Etiologies were identified in 38.0% of patients. Influenza was the most frequent pathogen, followed by dengue, malaria, and bacterial pathogens isolated from blood culture. In addition, 3.5% of enrolled patients were infected with more than one pathogen. Our data provide the first systematic assessment of the etiologies of acute febrile illness in south-central Cambodia. Data from syndromic-based surveillance studies can help guide public health responses in developing nations.

  9. Toward modeling regionally specific human security using GIS: case study Cambodia.

    PubMed

    Owen, Taylor; Slaymaker, Olav

    2005-08-01

    A new methodology for measuring human security is presented. The three stages of the methodology are: i) threat assessment, ii) data collection and organization, and iii) data visualization and analysis, using Geographic Information Systems. Results from a Cambodia case study are highlighted. The United Nations Development Program's notion of human security, which gives equal weight to economic, health, food, political, personal, and environmental factors, is used. Country-specific threats in each category are determined, and local, spatially referenced data are collected. In this paper, poverty, dengue fever, and tuberculosis are used as examples of the analytic process. Regions of Cambodia exposed to all three of these threats ("hot spots") are located, and spatial correlation between poverty, dengue fever, and tuberculosis is calculated. The methodology i) advances a broad concept of human security, ii) will potentially assist policy and decision makers, and iii) identifies research questions that cannot be resolved using single-sector analysis.

  10. The impact of a livelihood program on depressive symptoms among people living with HIV in Cambodia

    PubMed Central

    Shimizu, Mayumi; Yi, Siyan; Tuot, Sovannary; Suong, Samedy; Sron, Samrithea; Shibanuma, Akira; Jimba, Masamine

    2016-01-01

    Background Psychological and social problems are major concerns in this era of successful antiretroviral therapy. Although livelihood programs have been implemented extensively to improve the daily living conditions of people living with HIV in Cambodia, no studies have yet investigated the impacts of these programs on the mental health of this vulnerable population. Therefore, we examined the impact of a livelihood program on depressive symptoms and associated factors among people living with HIV in Cambodia. Design A quasi-experimental, nonequivalent comparison group study was conducted in six provinces of Cambodia in 2014. Data were collected from an intervention group comprising 357 people living with HIV who had participated in the livelihood program and a comparison group comprising 328 people living with HIV who had not participated in this program. Multiple logistic regression analysis was carried out to examine the association between livelihood-program participation and depressive symptoms as measured by the depressive symptoms subscale of the 25-item Cambodian version of the Hopkins Symptom Checklist. A propensity score matching was used to examine the effect of the livelihood program on depressive symptoms while controlling for selection bias. Results Overall, 56.0% and 62.7% of the participants in the intervention and comparison groups, respectively, met the Hopkins Symptom Checklist threshold for depressive symptoms. The multiple logistic regression analysis showed that the participants in the intervention group had significantly lower odds of having depressive symptoms (adjusted odds ratio 0.68, 95% confidence interval 0.52–0.88). The analysis from propensity score matching indicated that the livelihood program helped mitigate depressive symptoms among the participants in the intervention group (T=−1.99). Conclusions The livelihood program appeared to help mitigate the burden of depressive symptoms among people living with HIV in Cambodia. Thus

  11. Evidence of two distinct phylogenetic lineages of dog rabies virus circulating in Cambodia.

    PubMed

    Mey, Channa; Metlin, Artem; Duong, Veasna; Ong, Sivuth; In, Sotheary; Horwood, Paul F; Reynes, Jean-Marc; Bourhy, Hervé; Tarantola, Arnaud; Buchy, Philippe

    2016-03-01

    This first extensive retrospective study of the molecular epidemiology of dog rabies in Cambodia included 149 rabies virus (RABV) entire nucleoprotein sequences obtained from 1998-2011. The sequences were analyzed in conjunction with RABVs from other Asian countries. Phylogenetic reconstruction confirmed the South-East Asian phylogenetic clade comprising viruses from Cambodia, Vietnam, Thailand, Laos and Myanmar. The present study represents the first attempt to classify the phylogenetic lineages inside this clade, resulting in the confirmation that all the Cambodian viruses belonged to the South-East Asian (SEA) clade. Three distinct phylogenetic lineages in the region were established with the majority of viruses from Cambodia closely related to viruses from Thailand, Laos and Vietnam, forming the geographically widespread phylogenetic lineage SEA1. A South-East Asian lineage SEA2 comprised two viruses from Cambodia was identified, which shared a common ancestor with RABVs originating from Laos. Viruses from Myanmar formed separate phylogenetic lineages within the major SEA clade. Bayesian molecular clock analysis suggested that the time to most recent common ancestor (TMRCA) of all Cambodian RABVs dated to around 1950. The TMRCA of the Cambodian SEA1 lineage was around 1964 and that of the SEA2 lineage was around 1953. The results identified three phylogenetically distinct and geographically separated lineages inside the earlier identified major SEA clade, covering at least five countries in the region. A greater understanding of the molecular epidemiology of rabies in South-East Asia is an important step to monitor progress on the efforts to control canine rabies in the region.

  12. Evidence of two distinct phylogenetic lineages of dog rabies virus circulating in Cambodia.

    PubMed

    Mey, Channa; Metlin, Artem; Duong, Veasna; Ong, Sivuth; In, Sotheary; Horwood, Paul F; Reynes, Jean-Marc; Bourhy, Hervé; Tarantola, Arnaud; Buchy, Philippe

    2016-03-01

    This first extensive retrospective study of the molecular epidemiology of dog rabies in Cambodia included 149 rabies virus (RABV) entire nucleoprotein sequences obtained from 1998-2011. The sequences were analyzed in conjunction with RABVs from other Asian countries. Phylogenetic reconstruction confirmed the South-East Asian phylogenetic clade comprising viruses from Cambodia, Vietnam, Thailand, Laos and Myanmar. The present study represents the first attempt to classify the phylogenetic lineages inside this clade, resulting in the confirmation that all the Cambodian viruses belonged to the South-East Asian (SEA) clade. Three distinct phylogenetic lineages in the region were established with the majority of viruses from Cambodia closely related to viruses from Thailand, Laos and Vietnam, forming the geographically widespread phylogenetic lineage SEA1. A South-East Asian lineage SEA2 comprised two viruses from Cambodia was identified, which shared a common ancestor with RABVs originating from Laos. Viruses from Myanmar formed separate phylogenetic lineages within the major SEA clade. Bayesian molecular clock analysis suggested that the time to most recent common ancestor (TMRCA) of all Cambodian RABVs dated to around 1950. The TMRCA of the Cambodian SEA1 lineage was around 1964 and that of the SEA2 lineage was around 1953. The results identified three phylogenetically distinct and geographically separated lineages inside the earlier identified major SEA clade, covering at least five countries in the region. A greater understanding of the molecular epidemiology of rabies in South-East Asia is an important step to monitor progress on the efforts to control canine rabies in the region. PMID:26705238

  13. Parental styles in second generation effects of genocide stemming from the Khmer Rouge regime in Cambodia.

    PubMed

    Field, Nigel P; Om, Chariya; Kim, Thida; Vorn, Sin

    2011-11-01

    This study examined the impact of parental styles on second generation effects of trauma among adolescent offspring of survivors of the Khmer Rouge (KR) genocide in Cambodia. Two hundred high school students completed measures addressing their parents' trauma stemming from the KR regime, parental styles (role reversing, overprotective), depression and anxiety. Parents' role reversing parental style and mothers' overprotective parenting were shown to mediate the impact of their trauma symptoms on the child's depression and anxiety. The implications of the findings are discussed.

  14. [Mental health and cultural issues: the return of Khmers from France to Cambodia for healing purposes].

    PubMed

    Bertrand, D

    1997-01-01

    There are many kinds of traditional healers in Cambodia, mostly in the rural areas. People often seek advice from monks at the pagoda, traditional doctors (kru khmer) or mediums when they are ill, and consult medical practitioners only as a last resort. Each of these healers provides a different solution and form of care. Traditional healers are difficult to find in France and they often work in secret. Monks teach meditation rather than magic, brahmanism and superstition. There are now Khmer in Cambodia who have returned after long and complex treatments in general and psychiatric hospitals in France, seeking a release from suffering in their motherland. They seek an alternative understanding of their problems and a different kind of care, based largely on witchcraft and spiritual possession, which is not available in France. Returning to Cambodia is important because they are allowed to live according to their beliefs without being seen as insane. However, this return also involves confrontation with the lost country and the past, with war and the Killing Fields, in the same place as the trauma itself occurred. Several cases illustrate the healing nature of the return and emphasize the importance of a culturally sensitive interpretation of the patient's symptoms, which may express cultural bereavement and do not fit easily into international psychiatric categories. This requires much careful attention and listening to the patient.

  15. Nuclear security policy in the context of counter-terrorism in Cambodia

    NASA Astrophysics Data System (ADS)

    Khun, Vuthy; Wongsawaeng, Doonyapong

    2016-01-01

    The risk of nuclear or dirty bomb attack by terrorists is one of the most urgent and threatening danger. The Cambodian national strategy to combat weapons of mass destruction (WMD) depicts a layered system of preventive measures ranging from securing materials at foreign sources to interdicting weapons or nuclear or other radioactive materials at ports, border crossings, and within the Cambodian institutions dealing with the nuclear security to manage the preventive programs. The aim of this study is to formulate guidance, to identify scenario of threat and risk, and to pinpoint necessary legal frameworks on nuclear security in the context of counterterrorism based on the International Atomic Energy Agency nuclear security series. The analysis of this study is guided by theoretical review, the review of international laws and politics, by identifying and interpreting applicable rules and norms establishing the nuclear security regime and how well enforcement of the regime is carried out and, what is the likelihood of the future reform might be. This study will examine the existing national legal frameworks of Cambodia in the context of counterterrorism to prevent acts of nuclear terrorism and the threat of a terrorist nuclear attack within the Cambodia territory. It will shed light on departmental lanes of national nuclear security responsibility, and provide a holistic perspective on the needs of additional resources and emphasis regarding nuclear security policy in the context of counterterrorism in Cambodia.

  16. A survey for potentially zoonotic gastrointestinal parasites of dogs and pigs in Cambodia.

    PubMed

    Inpankaew, Tawin; Murrell, K Darwin; Pinyopanuwat, Nongnuch; Chhoun, Chamnan; Khov, Kuong; Sem, Tharin; Sorn, San; Muth, Sinuon; Dalsgaard, Anders

    2015-12-01

    There is little information available on parasites of zoonotic significance in Cambodia. In 2011, in an effort to obtain data on potentially zoonotic gastrointestinal parasites in domestic animals, 50 dogs and 30 pigs residing in 38 households located in Ang Svay Check village, Takeo province, Cambodia were examined for parasites from faecal samples. The samples were processed using the formalin-ethyl acetate concentration technique (FECT). Hookworms were the most common zoonotic parasite found in dogs (80.0%) followed by Echinostomes (18.0%). While, in pigs, Fasciolopsis buski was the most common zoonotic parasite (30.0%) followed by Ascaris suum (13.3%). This study provides baseline data on gastrointestinal parasites in dogs and pigs from Cambodia and underscores the importance of domestic animals as reservoir hosts for human parasites for Cambodian veterinary and public health agencies. Follow-up studies are required to further taxonomically characterize these dog and pig parasites and to determine their role in human parasites in this community.

  17. Correlates of household food insecurity and low dietary diversity in rural Cambodia.

    PubMed

    McDonald, Christine M; McLean, Judy; Kroeun, Hou; Talukder, Aminuzzaman; Lynd, Larry D; Green, Timothy J

    2015-01-01

    The objective of this study was to identify correlates of household food insecurity and poor dietary diversity in rural Cambodia. Trained interviewers administered a survey to 900 households in four rural districts of Prey Veng Province, Cambodia. The Household Food Insecurity Access Scale (HFIAS) and Household Dietary Diversity Score (HDDS) were used to assess household food insecurity and dietary diversity. Multivariate logistic regression models were constructed to identify independent correlates of household food insecurity and poor dietary diversity (HDDSCambodia, the prevalence of any degree of household food insecurity was very high and dietary diversity was generally low. Interventions to improve food security and dietary diversity should encompass income-generating activities and be targeted toward the poorest households.

  18. Correlates of household food insecurity and low dietary diversity in rural Cambodia.

    PubMed

    McDonald, Christine M; McLean, Judy; Kroeun, Hou; Talukder, Aminuzzaman; Lynd, Larry D; Green, Timothy J

    2015-01-01

    The objective of this study was to identify correlates of household food insecurity and poor dietary diversity in rural Cambodia. Trained interviewers administered a survey to 900 households in four rural districts of Prey Veng Province, Cambodia. The Household Food Insecurity Access Scale (HFIAS) and Household Dietary Diversity Score (HDDS) were used to assess household food insecurity and dietary diversity. Multivariate logistic regression models were constructed to identify independent correlates of household food insecurity and poor dietary diversity (HDDSCambodia, the prevalence of any degree of household food insecurity was very high and dietary diversity was generally low. Interventions to improve food security and dietary diversity should encompass income-generating activities and be targeted toward the poorest households. PMID:26693758

  19. Mental health services in Cambodia, challenges and opportunities in a post-conflict setting.

    PubMed

    Jegannathan, Bhoomikumar; Kullgren, Gunnar; Deva, Parameshvara

    2015-02-01

    Cambodia had suffered enormously due to war and internecine conflict during the latter half of the twentieth century, more so during the Vietnam War. Total collapse of education and health systems during the Pol Pot era continues to be a challenge for developing the necessary infrastructure and human resources to provide basic minimum mental health care which is compounded by the prevailing cultural belief and stigma over mental, neurological and substance abuse disorders (MNSDs). The mental health research and services in Cambodia had been predominantly 'trauma focused', a legacy of war, and there is a need to move toward epidemiologically sound public health oriented mental health policy and service development. Integrating mental health program with primary health care services with specifically stated minimum package of activities at primary level and complementary package of activities at secondary level is an opportunity to meet the needs and rights of persons with mental, neurological and substance abuse disorders (PWMNSDs) in Cambodia, provided there is mental health leadership, government commitment and political will.

  20. Mental health services in Cambodia, challenges and opportunities in a post-conflict setting.

    PubMed

    Jegannathan, Bhoomikumar; Kullgren, Gunnar; Deva, Parameshvara

    2015-02-01

    Cambodia had suffered enormously due to war and internecine conflict during the latter half of the twentieth century, more so during the Vietnam War. Total collapse of education and health systems during the Pol Pot era continues to be a challenge for developing the necessary infrastructure and human resources to provide basic minimum mental health care which is compounded by the prevailing cultural belief and stigma over mental, neurological and substance abuse disorders (MNSDs). The mental health research and services in Cambodia had been predominantly 'trauma focused', a legacy of war, and there is a need to move toward epidemiologically sound public health oriented mental health policy and service development. Integrating mental health program with primary health care services with specifically stated minimum package of activities at primary level and complementary package of activities at secondary level is an opportunity to meet the needs and rights of persons with mental, neurological and substance abuse disorders (PWMNSDs) in Cambodia, provided there is mental health leadership, government commitment and political will. PMID:25563073

  1. Development and Implementation of Cornerstone Documents to Support Nursing Practice in Cambodia.

    PubMed

    Henker, Richard; Prak, Manila; Koy, Virya

    2015-05-01

    Cornerstone, or guiding documents, for nursing and healthcare support the profession of nursing throughout the world. This article describes the impact of the civil war and instability in Cambodia that led to poverty and destruction of the healthcare system and provides a brief overview of nursing in Cambodia today. Since the 1990s, the Cambodian healthcare system has been recovering from war. Nurses have been transitioning from task oriented roles to more sophisticated roles that incorporate the nursing process. In addition to significant changes in nursing education and other advances in the healthcare system during the last five years, the Ministry of Health (MoH) has strongly encouraged the development of cornerstone documents to guide nursing practice for patient care provided in Cambodia. Standards and competencies have been developed based on the American Nurses Association (ANA) template for Scope and Standards of Practice. Cornerstone documents for nursing that have been implemented by the MoH, many at the Angkor Hospital for Children, include evidence based protocols, the nursing process framework, the Code of Ethics for Nurses and development of the Scope of Practice and Standards of Care for Cambodian Nurses. PMID:26882424

  2. Identification of multidrug resistance in previously treated tuberculosis patients: a mixed methods study in Cambodia

    PubMed Central

    Royce, S; Khann, S; Yadav, RP; Mao, ET; Cattamanchi, A; Sam, S; Handley, MA

    2014-01-01

    SUMMARY Setting Previously treated tuberculosis (TB) patients are a priority for drug susceptibility testing (DST) to identify cases with multidrug resistance (MDR). In Cambodia, a recent study found that only one-third of smear-positive previously treated patients had DST results. Objective To quantify the gaps in detecting MDR in previously treated TB patients in Cambodia, and describe health workers’ perspectives on barriers, facilitators and potential interventions. Design We analyzed case notifications in Cambodia (2004–2012) and conducted semi-structured interviews with key stakeholders Results The proportion of previously treated notifications varied significantly across provinces 2010–12, in the context of longer term trends of decreasing relapse and increasing “other” retreatment notifications. Correct classification of patients’ TB treatment history and ensuring specimens from previously-treated patients are collected and reach the laboratory could nearly double the number of detected MDR-TB cases. Identified barriers include patients’ reluctance to disclose and staff difficulty eliciting treatment history, partly due to availability of streptomycin only in hospitals. Facilitators include trained health workers, collection of sputum for DST even if previously treated patients are not taking streptomycin, streamlining sputum transportation and promptly reporting results. Conclusion Improved monitoring, supportive supervision, and correctly classifying previously treated patients are essential for improving detection of MDR-TB. PMID:25299861

  3. Hemorrhagic fever in Cambodia is caused by dengue viruses: evidence for transmission of all four serotypes.

    PubMed

    Rathavuth, H; Vaughn, D W; Minn, K; Nimmannitya, S; Nisalak, A; Raengsakulrach, B; Rorabaugh, M L; Yuvatha, K; Sophal, O

    1997-03-01

    Hemorrhagic fever (HF) has been widespread in Cambodia and thought to be due to dengue virus although laboratory confirmation has been lacking. Between 1980 and 1995, 49,420 cases of HF and 3,032 deaths were reported. Cases increased during this period; large epidemics of HF occurred every two to three years. In 1995 there were 10,208 cases of HF with 424 deaths. Over a two day period in August 1995, 40 consecutive cases were investigated at the National Pediatric Hospital in Phnom Penh, Cambodia. All 40 cases were confirmed as dengue by virus identification and/or serology. Mean age was 6.5 years. Of 39 patients with complete medical records, the diagnoses were: dengue fever (n = 3), dengue hemorrhagic fever (DHF) grade 2 (n = 21), DHF grade 3 (n = 10), and DHF grade 4 (n = 5). The serologic response was secondary in 95%. Dengue virus was identified in 13 of 40 cases. All four dengue serotypes were identified. The high frequency of secondary infections, the low mean age of admission, and identification of all four dengue serotypes support the national statistics to show that DHF is highly endemic in Cambodia.

  4. Magnitude of arsenic pollution in the Mekong and Red River Deltas--Cambodia and Vietnam.

    PubMed

    Berg, Michael; Stengel, Caroline; Pham, Thi Kim Trang; Pham, Hung Viet; Sampson, Mickey L; Leng, Moniphea; Samreth, Sopheap; Fredericks, David

    2007-01-01

    Large alluvial deltas of the Mekong River in southern Vietnam and Cambodia and the Red River in northern Vietnam have groundwaters that are exploited for drinking water by private tube-wells, which are of increasing demand since the mid-1990s. This paper presents an overview of groundwater arsenic pollution in the Mekong delta: arsenic concentrations ranged from 1-1610 microg/L in Cambodia (average 217 microg/L) and 1-845 microg/L in southern Vietnam (average 39 microg/L), respectively. It also evaluates the situation in Red River delta where groundwater arsenic concentrations vary from 1-3050 microg/L (average 159 microg/L). In addition to rural areas, the drinking water supply of the city of Hanoi has elevated arsenic concentrations. The sediments of 12-40 m deep cores from the Red River delta contain arsenic levels of 2-33 microg/g (average 7 microg/g, dry weight) and show a remarkable correlation with sediment-bound iron. In all three areas, the groundwater arsenic pollution seem to be of natural origin and caused by reductive dissolution of arsenic-bearing iron phases buried in aquifers. The population at risk of chronic arsenic poisoning is estimated to be 10 million in the Red River delta and 0.5-1 million in the Mekong delta. A subset of hair samples collected in Vietnam and Cambodia from residents drinking groundwater with arsenic levels >50 microg/L have a significantly higher arsenic content than control groups (<50 microg/L). Few cases of arsenic related health problems are recognized in the study areas compared to Bangladesh and West Bengal. This difference probably relates to arsenic contaminated tube-well water only being used substantially over the past 7 to 10 years in Vietnam and Cambodia. Because symptoms of chronic arsenic poisoning usually take more than 10 years to develop, the number of future arsenic related ailments in Cambodia and Vietnam is likely to increase. Early mitigation measures should be a high priority.

  5. What Are Effective Components of In-Service Teacher Training? A Study Examining Teacher Trainers' Perceptions of the Components of a Training Programme in Mathematics Education in Cambodia

    ERIC Educational Resources Information Center

    Courtney, Jane

    2007-01-01

    This paper describes and analyses an in-service education project, financed by the Belgium Technical Cooperation, to improve the quality of mathematics teaching in 138 primary and lower secondary schools in Cambodia. The project design drew on recent research in developing countries and prior experience of training programmes in Cambodia. The…

  6. Review of Climate Change and Water-Related Diseases in Cambodia and Findings From Stakeholder Knowledge Assessments.

    PubMed

    McIver, Lachlan J; Chan, Vibol S; Bowen, Kathyrn J; Iddings, Steven N; Hero, Kol; Raingsey, Piseth P

    2016-03-01

    This project aims to increase the resilience of Cambodian communities to the health risks posed by climate change-related impacts on water-related diseases. There are a number of water-related diseases that are present in Cambodia and are likely to be susceptible to climate change. These include diarrheal diseases, typhoid fever, leptospirosis, melioidosis, viral hepatitis, and schistosomiasis. Certain subsectors of Cambodia's population may be more vulnerable than others with respect to climate change impacts on water and health, including agricultural workers and residents of flood-and drought-prone areas. The current level of understanding on the part of health professionals and other key stakeholders in Cambodia regarding the risks posed by climate change on water-sensitive diseases is relatively low. Strategies by which this understanding might be strengthened are suggested.

  7. Reference values of hematology, biochemistry, and blood type in cynomolgus monkeys from cambodia origin

    PubMed Central

    Choi, Kangmoo; Chang, Jaejin; Lee, Min-Jae; Wang, Seungsu; In, Kimhong; Galano-tan, Wilhelm C; Jun, Sanghun; Cho, Kahee; Hwang, Yong-Hwa; Kim, Sung-Ju

    2016-01-01

    Cynomolgus monkeys as nonhuman primates are valuable animal models because they have a high level of human gene homology. There are many reference values for hematology and biochemistry of Cynomolgus monkeys that are needed for proper clinical diagnosis and biomedical research conduct. The body weight information and blood type are also key success factors in allogeneic or xenogeneic models. Moreover, the biological parameters could be different according to the origin of the Cynomolgus monkey. However, there are limited references provided, especially of Cambodia origin. In this study, we measured average body weight of 2,518 Cynomolgus monkeys and analyzed hematology and serum biochemistry using 119 males, and determined blood types in 642 monkeys with Cambodia origin. The average body weight of male Cynomolgus monkeys were 2.56±0.345 kg and female group was 2.43±0.330 kg at the age from 2 to 3 years. The male group showed relatively sharp increased average body weight from the 3 to 4 age period compared to the female group. In hematology and biochemistry, it was found that most of the data was similar when compared to other references even though some results showed differences. The ABO blood type result showed that type A, B, AB, and O was approximately 15.6, 33.3, 44.2, and 6.9%, respectively. The main blood type in this facility was B and AB. These biological background references of Cambodia origin could be used to provide important information to researchers who are using them in their biomedical research. PMID:27051442

  8. A cross-sectional investigation of the quality of selected medicines in Cambodia in 2010

    PubMed Central

    2014-01-01

    Background Access to good-quality medicines in many countries is largely hindered by the rampant circulation of spurious/falsely labeled/falsified/counterfeit (SFFC) and substandard medicines. In 2006, the Ministry of Health of Cambodia, in collaboration with Kanazawa University, Japan, initiated a project to combat SFFC medicines. Methods To assess the quality of medicines and prevalence of SFFC medicines among selected products, a cross-sectional survey was carried out in Cambodia. Cefixime, omeprazole, co-trimoxazole, clarithromycin, and sildenafil were selected as candidate medicines. These medicines were purchased from private community drug outlets in the capital, Phnom Penh, and Svay Rieng and Kandal provinces through a stratified random sampling scheme in July 2010. Results In total, 325 medicine samples were collected from 111 drug outlets. Non-licensed outlets were more commonly encountered in rural than in urban areas (p < 0.01). Of all the samples, 93.5% were registered and 80% were foreign products. Samples without registration numbers were found more frequently among foreign-manufactured products than in domestic ones (p < 0.01). According to pharmacopeial analytical results, 14.5%, 4.6%, and 24.6% of the samples were unacceptable in quantity, content uniformity, and dissolution test, respectively. All the ultimately unacceptable samples in the content uniformity tests were of foreign origin. Following authenticity investigations conducted with the respective manufacturers and medicine regulatory authorities, an unregistered product of cefixime collected from a pharmacy was confirmed as an SFFC medicine. However, the sample was acceptable in quantity, content uniformity, and dissolution test. Conclusions The results of this survey indicate that medicine counterfeiting is not limited to essential medicines in Cambodia: newer-generation medicines are also targeted. Concerted efforts by both domestic and foreign manufacturers, wholesalers

  9. Acute Undifferentiated Febrile Illness in Rural Cambodia: A 3-Year Prospective Observational Study

    PubMed Central

    Mueller, Tara C.; Siv, Sovannaroth; Khim, Nimol; Kim, Saorin; Fleischmann, Erna; Ariey, Frédéric; Buchy, Philippe; Guillard, Bertrand; González, Iveth J.; Christophel, Eva-Maria; Abdur, Rashid; von Sonnenburg, Frank; Bell, David; Menard, Didier

    2014-01-01

    In the past decade, malaria control has been successfully implemented in Cambodia, leading to a substantial decrease in reported cases. Wide-spread use of malaria rapid diagnostic tests (RDTs) has revealed a large burden of malaria-negative fever cases, for which no clinical management guidelines exist at peripheral level health facilities. As a first step towards developing such guidelines, a 3-year cross-sectional prospective observational study was designed to investigate the causes of acute malaria-negative febrile illness in Cambodia. From January 2008 to December 2010, 1193 febrile patients and 282 non-febrile individuals were recruited from three health centers in eastern and western Cambodia. Malaria RDTs and routine clinical examination were performed on site by health center staff. Venous samples and nasopharyngeal throat swabs were collected and analysed by molecular diagnostic tests. Blood cultures and blood smears were also taken from all febrile individuals. Molecular testing was applied for malaria parasites, Leptospira, Rickettsia, O. tsutsugamushi, Dengue- and Influenza virus. At least one pathogen was identified in 73.3% (874/1193) of febrile patient samples. Most frequent pathogens detected were P. vivax (33.4%), P. falciparum (26.5%), pathogenic Leptospira (9.4%), Influenza viruses (8.9%), Dengue viruses (6.3%), O. tsutsugamushi (3.9%), Rickettsia (0.2%), and P. knowlesi (0.1%). In the control group, a potential pathogen was identified in 40.4%, most commonly malaria parasites and Leptospira. Clinic-based diagnosis of malaria RDT-negative cases was poorly predictive for pathogen and appropriate treatment. Additional investigations are needed to understand their impact on clinical disease and epidemiology, and the possible role of therapies such as doxycycline, since many of these pathogens were seen in non-febrile subjects. PMID:24755844

  10. Reference values of hematology, biochemistry, and blood type in cynomolgus monkeys from cambodia origin.

    PubMed

    Choi, Kangmoo; Chang, Jaejin; Lee, Min-Jae; Wang, Seungsu; In, Kimhong; Galano-Tan, Wilhelm C; Jun, Sanghun; Cho, Kahee; Hwang, Yong-Hwa; Kim, Sung-Ju; Park, Wanje

    2016-03-01

    Cynomolgus monkeys as nonhuman primates are valuable animal models because they have a high level of human gene homology. There are many reference values for hematology and biochemistry of Cynomolgus monkeys that are needed for proper clinical diagnosis and biomedical research conduct. The body weight information and blood type are also key success factors in allogeneic or xenogeneic models. Moreover, the biological parameters could be different according to the origin of the Cynomolgus monkey. However, there are limited references provided, especially of Cambodia origin. In this study, we measured average body weight of 2,518 Cynomolgus monkeys and analyzed hematology and serum biochemistry using 119 males, and determined blood types in 642 monkeys with Cambodia origin. The average body weight of male Cynomolgus monkeys were 2.56±0.345 kg and female group was 2.43±0.330 kg at the age from 2 to 3 years. The male group showed relatively sharp increased average body weight from the 3 to 4 age period compared to the female group. In hematology and biochemistry, it was found that most of the data was similar when compared to other references even though some results showed differences. The ABO blood type result showed that type A, B, AB, and O was approximately 15.6, 33.3, 44.2, and 6.9%, respectively. The main blood type in this facility was B and AB. These biological background references of Cambodia origin could be used to provide important information to researchers who are using them in their biomedical research.

  11. Dietary exposure and human risk assessment of phthalate esters based on total diet study in Cambodia.

    PubMed

    Cheng, Zhang; Li, Han-Han; Wang, Hong-Sheng; Zhu, Xue-Mei; Sthiannopkao, Suthipong; Kim, Kyoung-Woong; Yasin, Mohamed Salleh Mohamed; Hashim, Jamal Hisham; Wong, Ming-Hung

    2016-10-01

    Phthalate esters are used in a wide variety of consumer products, and human exposure to this class of compounds is widespread. Nevertheless, studies on dietary exposure of human to phthalates are limited. In this study, to assess the daily intakes of phthalate esters and the possible adverse health impacts, different food samples were collected from three areas of Cambodia, one of the poorest countries in the world. The ∑phthalate ester concentrations in Kampong Cham, Kratie and Kandal provinces ranged from 0.05 to 2.34 (median 0.88) μgg(-1), 0.19-1.65 (median 0.86) μgg(-1) and 0.24-3.05 (median 0.59) μgg(-1) wet weight (ww), respectively. Di-2-Ethylhexyl phthalate (DEHP) and diisobutyl phthalate (DiBP) were the predominant compounds among all foodstuffs. The estimated daily intake (EDI) of phthalate esters for the general population in Kampong Cham, Kratie and Kandal was 34.3, 35.6 and 35.8μgkg(-1) bw d(-1), respectively. The dietary daily intake of DEHP, benzylbutyl phthalate (BBP) and di-n-butyl phthalate (DBP) in Kampong Cham, Kratie and Kandal were below the tolerable daily intakes (TDI) imposed by the European Food Safety Authority (EFSA) and reference doses (RfD) imposed by The United States Environmental Protection Agency (USEPA). Rice contributed the greatest quantity of DEHP to the daily intake in Cambodia so may deserve further exploration. To our knowledge, this is the first study to investigate the occurrence and the daily intakes of phthalate esters in Cambodia. PMID:27372065

  12. Acute undifferentiated febrile illness in rural Cambodia: a 3-year prospective observational study.

    PubMed

    Mueller, Tara C; Siv, Sovannaroth; Khim, Nimol; Kim, Saorin; Fleischmann, Erna; Ariey, Frédéric; Buchy, Philippe; Guillard, Bertrand; González, Iveth J; Christophel, Eva-Maria; Abdur, Rashid; von Sonnenburg, Frank; Bell, David; Menard, Didier

    2014-01-01

    In the past decade, malaria control has been successfully implemented in Cambodia, leading to a substantial decrease in reported cases. Wide-spread use of malaria rapid diagnostic tests (RDTs) has revealed a large burden of malaria-negative fever cases, for which no clinical management guidelines exist at peripheral level health facilities. As a first step towards developing such guidelines, a 3-year cross-sectional prospective observational study was designed to investigate the causes of acute malaria-negative febrile illness in Cambodia. From January 2008 to December 2010, 1193 febrile patients and 282 non-febrile individuals were recruited from three health centers in eastern and western Cambodia. Malaria RDTs and routine clinical examination were performed on site by health center staff. Venous samples and nasopharyngeal throat swabs were collected and analysed by molecular diagnostic tests. Blood cultures and blood smears were also taken from all febrile individuals. Molecular testing was applied for malaria parasites, Leptospira, Rickettsia, O. tsutsugamushi, Dengue- and Influenza virus. At least one pathogen was identified in 73.3% (874/1193) of febrile patient samples. Most frequent pathogens detected were P. vivax (33.4%), P. falciparum (26.5%), pathogenic Leptospira (9.4%), Influenza viruses (8.9%), Dengue viruses (6.3%), O. tsutsugamushi (3.9%), Rickettsia (0.2%), and P. knowlesi (0.1%). In the control group, a potential pathogen was identified in 40.4%, most commonly malaria parasites and Leptospira. Clinic-based diagnosis of malaria RDT-negative cases was poorly predictive for pathogen and appropriate treatment. Additional investigations are needed to understand their impact on clinical disease and epidemiology, and the possible role of therapies such as doxycycline, since many of these pathogens were seen in non-febrile subjects.

  13. Mitigating Financial Burden of Tuberculosis through Active Case Finding Targeting Household and Neighbourhood Contacts in Cambodia

    PubMed Central

    Morishita, Fukushi; Yadav, Rajendra-Prasad; Eang, Mao Tan; Saint, Saly; Nishikiori, Nobuyuki

    2016-01-01

    Background Despite free TB services available in public health facilities, TB patients often face severe financial burden due to TB. WHO set a new global target that no TB-affected families experience catastrophic costs due to TB. To monitor the progress and strategize the optimal approach to achieve the target, there is a great need to assess baseline cost data, explore potential proxy indicators for catastrophic costs, and understand what intervention mitigates financial burden. In Cambodia, nationwide active case finding (ACF) targeting household and neighbourhood contacts was implemented alongside routine passive case finding (PCF). We analyzed household cost data from ACF and PCF to determine the financial benefit of ACF, update the baseline cost data, and explore whether any dissaving patterns can be a proxy for catastrophic costs in Cambodia. Methods In this cross-sectional comparative study, structured interviews were carried out with 108 ACF patients and 100 PCF patients. Direct and indirect costs, costs before and during treatment, costs as percentage of annual household income and dissaving patterns were compared between the two groups. Results The median total costs were lower by 17% in ACF than in PCF ($240.7 [IQR 65.5–594.6] vs $290.5 [IQR 113.6–813.4], p = 0.104). The median costs before treatment were significantly lower in ACF than in PCF ($5.1 [IQR 1.5–25.8] vs $22.4 [IQR 4.4–70.8], p<0.001). Indirect costs constituted the largest portion of total costs (72.3% in ACF and 61.5% in PCF). Total costs were equivalent to 11.3% and 18.6% of annual household income in ACF and PCF, respectively. ACF patients were less likely to dissave to afford TB-related expenses. Costs as percentage of annual household income were significantly associated with an occurrence of selling property (p = 0.02 for ACF, p = 0.005 for PCF). Conclusions TB-affected households face severe financial hardship in Cambodia. ACF has the great potential to mitigate the costs

  14. Emerging infectious diseases and public health policy: insights from Cambodia, Hong Kong and Indonesia.

    PubMed

    Burgos, S; Ear, S

    2015-02-01

    Emerging infectious diseases affect the health of animal and human populations, but the impact goes beyond health as it extends to political, economic, social and environmental domains, as well as inter-state relations. Deeper understanding of these impacts aids public health authorities in their duties of protection and improvement of the health of their communities, promotion of healthy practices and research on disease, injury and threat prevention and mitigation. This empirical essay gathers insights from Cambodia, Hong Kong and Indonesia as they attempt to design and implement control and surveillance systems against avian influenza - an infectious disease.

  15. DO MARRIAGES FORGET THEIR PAST? MARITAL STABILITY IN POST–KHMER ROUGE CAMBODIA*

    PubMed Central

    HEUVELINE, PATRICK; POCH, BUNNAK

    2014-01-01

    This paper assesses the impact of three main destabilizing factors on marital stability in Cambodia: the radical reformation of marriage under the Khmers Rouges (KR); the imbalanced gender ratio among marriageable adults resulting from gendered mortality during the KR regime; and, after decades of isolation from the West, a period of rapid social change. Although there is evidence of declining marital stability in the most recent period, marriages contracted under the KR appear as stable as adjacent marriage cohorts. These findings suggest that the conditions under which spouses were initially paired matter less for marital stability than does their contemporaneous environment. PMID:16579210

  16. Plasmodium falciparum Founder Populations in Western Cambodia Have Reduced Artemisinin Sensitivity In Vitro

    PubMed Central

    Amaratunga, Chanaki; Witkowski, Benoit; Dek, Dalin; Try, Vorleak; Khim, Nimol; Miotto, Olivo

    2014-01-01

    Reduced Plasmodium falciparum sensitivity to short-course artemisinin (ART) monotherapy manifests as a long parasite clearance half-life. We recently defined three parasite founder populations with long half-lives in Pursat, western Cambodia, where reduced ART sensitivity is prevalent. Using the ring-stage survival assay, we show that these founder populations have reduced ART sensitivity in vitro at the early ring stage of parasite development and that a genetically admixed population contains subsets of parasites with normal or reduced ART sensitivity. PMID:24867977

  17. Gendered Motivations, Sociocultural Constraints, and Psychobehavioral Consequences of Transnational Partnerships in Cambodia

    PubMed Central

    Hoefinger, Heidi

    2014-01-01

    Global flows of people, information and capital have created transnational spaces in Cambodia. Within those spaces exists the formation of complex and multilayered interpersonal relationships between people attempting to capitalize on the opportunities created by these flows. The purpose of this article is to describe these transnational relationships, namely between young women employed in the entertainment sectors in Phnom Penh, and their western male partners, while highlighting the racialized and gendered motivations of the global actors, the inevitable sociocultural conflicts/constraints/ misunderstandings that arise within the partnerships, and the resulting challenges and psychobehavioral consequences experienced by the mobile and differentiated individuals involved in these postcolonial relational formations. PMID:25221438

  18. Do marriages forget their past? Marital stability in post-Khmer Rouge Cambodia.

    PubMed

    Heuveline, Patrick; Poch, Bunnak

    2006-02-01

    This paper assesses the impact of three main destabilizing factors on marital stability in Cambodia: the radical reformation of marriage under the Khmers Rouges (KR); the imbalanced gender ratio among marriageable adults resulting from gendered mortality during the KR regime; and, after decades of isolation from the West, a period of rapid social change. Although there is evidence of declining marital stability in the most recent period, marriages contracted under the KR appear as stable as adjacent marriage cohorts. Thesefindings suggest that the conditions under which spouses were initially paired matter less for marital stability than does their contemporaneous environment.

  19. Parental styles in second generation effects of genocide stemming from the Khmer Rouge regime in Cambodia.

    PubMed

    Field, Nigel P; Om, Chariya; Kim, Thida; Vorn, Sin

    2011-11-01

    This study examined the impact of parental styles on second generation effects of trauma among adolescent offspring of survivors of the Khmer Rouge (KR) genocide in Cambodia. Two hundred high school students completed measures addressing their parents' trauma stemming from the KR regime, parental styles (role reversing, overprotective), depression and anxiety. Parents' role reversing parental style and mothers' overprotective parenting were shown to mediate the impact of their trauma symptoms on the child's depression and anxiety. The implications of the findings are discussed. PMID:22011103

  20. Termitotrox venus sp. n. (Coleoptera, Scarabaeidae), a new blind, flightless termitophilous scarab from Cambodia

    PubMed Central

    Kakizoe, Showtaro; Maruyama, Munetoshi

    2015-01-01

    Abstract Termitotrox venus sp. n. is described from Cambodia and represents the second discovery of Termitotrox Reichensperger, 1915 from the Indo-Chinese subregion of the Indomalayan region. Most of the type series was collected from refuse dumps in fungus garden cells of Macrotermes cf. gilvus (Hagen, 1858). Macrotermes Holmgren, 1910 was previously an unknown host of Termitotrox species. The new species is easily distinguished from all known congeners by having wing-shaped trichomes on the elytra and the larger body size, at 2.5 mm in length. We also describe the mouthparts to complement the description of the genus Termitotrox. PMID:26257566

  1. What Makes the Difference? An Analysis of a Reading Intervention Programme Implemented in Rural Schools in Cambodia

    ERIC Educational Resources Information Center

    Courtney, Jane; Gravelle, Maggie

    2014-01-01

    This article compares the existing single-strategy approach towards the teaching of early literacy in schools in rural Cambodia with a multiple-strategy approach introduced as part of a reading intervention programme. Classroom observations, questionnaires and in-depth interviews with teachers were used to explore teachers' practices and…

  2. Distortions and Dichotomies in Inclusive Education for Children with Disabilities in Cambodia in the Context of Globalisation and International Development

    ERIC Educational Resources Information Center

    Kalyanpur, Maya

    2014-01-01

    This paper explores the consequences of transferring technical information on disability and inclusive education from the North to the South within the context of international development. Based on data from the author's experiences as a US-trained Indian international consultant in Cambodia, it analyses how problems with translation and…

  3. Issues and Techniques in Translating Scientific Terms from English to Khmer for a University-Level Text in Cambodia

    ERIC Educational Resources Information Center

    Quigley, Cassie; Oliviera, Alandeom W.; Curry, Alastair; Buck, Gayle

    2011-01-01

    Teachers and students spend much time interacting with written resources such as textbooks, tests, or worksheets during classroom instruction. What if no text is available, however, in the language of the learners? This case study describes the processes and techniques adopted by two university lecturers in Cambodia, as they translated an L1…

  4. The Killing Fields on TV: A Critical Analysis of Network Coverage of Cambodia under the Khmer Rouge.

    ERIC Educational Resources Information Center

    Smith, Ted J., III; Grassmick, David E.

    In an effort to determine the nature of American network television news coverage of the Khmer Rouge rule in Cambodia, a study examined the television evening news from April 16, 1975, the date on which the Lon Nol government first offered to capitulate to the Khmer Rouge, through January 8, 1979, when news of the fall of Phnom Penh to the…

  5. Effectiveness of Bilingual Education in Cambodia: A Longitudinal Comparative Case Study of Ethnic Minority Children in Bilingual and Monolingual Schools

    ERIC Educational Resources Information Center

    Lee, Scott; Watt, Ron; Frawley, Jack

    2015-01-01

    There is little research in the developing countries of South East Asia on the effectiveness of bilingual education programmes that use first language instruction for ethnic minority children. This study investigated the effectiveness of a bilingual education programme involving ethnic minority children in Cambodia by comparing their performance…

  6. Private Tutoring and Mass Schooling in East Asia: Reflections of Inequality in Japan, South Korea, and Cambodia

    ERIC Educational Resources Information Center

    Dawson, Walter

    2010-01-01

    This paper examines private tutoring systems in three East Asian countries (Japan, South Korea, and Cambodia) with the purpose of examining the relationship between those systems and formal education systems. The study of private tutoring systems in each nation can be used to reveal the inadequacies of the formal education system in meeting the…

  7. Report of the Training Workshop on the Evaluation of Asian Educational Credentials (Vietnam, Laos, Cambodia, Thailand, Indonesia, Korea).

    ERIC Educational Resources Information Center

    Dremuk, Richard, Ed.

    This report was planned to facilitate the task of college admissions officers of American educational institutions in the evaluation of foreign credentials. The educational systems of Cambodia, Laos, Vietnam, Indonesia, Korea, and Thailand are examined in depth and include discussions of each country's educational history and educational…

  8. Reevaluating the Relationship between Education and Child Labour Using the Capabilities Approach: Policy and Implications for Inequality in Cambodia

    ERIC Educational Resources Information Center

    Kluttz, Jenalee

    2015-01-01

    Cambodia has experienced rapid economic growth in the last two decades, improving living standards and diminishing poverty. Unfortunately, it has failed to do so evenly. Growth within the country has widened the gap between rich and poor and exacerbated the rural/urban divide. This inequality is mirrored in the school system. Inequality within the…

  9. Health seeking and access to care for children with suspected dengue in Cambodia: An ethnographic study

    PubMed Central

    Khun, Sokrin; Manderson, Lenore

    2007-01-01

    Background The continuing contribution of dengue fever to the hospitalization and deaths in hospital of infants and small children in Cambodia is associated with delays in presentation for medical attention, diagnosis and appropriate care. It is important to identify the reasons that influence these delays, in order to develop appropriate interventions to redress the impact of dengue. Methods Data on health seeking were collected during an ethnographic study conducted in two villages in the eastern province of Kampong Cham, Cambodia in 2004. Interviews were conducted with mothers whose children had been infected with suspected dengue fever, or who had been sick for other reasons, in 2003 and 2004. Results Women selected a therapeutic option based on perceptions of the severity of the child's condition, confidence in the particular modality, service or practitioner, and affordability of the therapy. While they knew what type of health care was required, poverty in combination with limited availability and perceptions of the poor quality of care at village health centers and public referral hospitals deterred them from doing so. Women initially used home remedies, then sought advice from public and private providers, shifting from one sector to another in a pragmatic response to the child's illness. Conclusion The lack of availability of financial resources for poor people and their continuing lack of confidence in the care provided by government centres combine to delay help seeking and inappropriate treatment of children sick with dengue. PMID:17892564

  10. Forest plunder in Southeast Asia: an environmental security nexus in Burma and Cambodia.

    PubMed

    Talbott, K; Brown, M

    1998-01-01

    This article discusses the cycle of conversion, consumption, and corruption that undermines the environment and civil society in Cambodia and Burma (Myanmar). In these countries, forests are declining in patterns similar to other Southeast Asian deforestation. Illegal logging, prostitution, and heroin trafficking constitute the bulk of Cambodia's shadow economy. Revenues are used to provide financial support for political causes and build the private wealth of the elite. Major political and guerilla groups and the Cambodian military have been major beneficiaries of logging revenue, supported private sector forestry in many military zones, and facilitated logging and trade. About 40% of land goes to forest concessions granted to Southeast Asian companies, and revenues bypass the regular state budget. In Burma, the cease fire agreements in the early 1990s, led to remote border area forests being opened up to large, nonsustainable commercial timber mining. Land was divided into ethnic and government controlled areas. Timber profits were funneled into a business owned by members of the new ruling force, the SLORC, and used to launder drug exports and profits. Trading partners include Thailand, and most recently, China. It is speculated that deforested areas are replanted with opium poppies, and trade routes carry timber and heroin. The unregulated logging industry and the lack of financial accounting of the timber trade undermine the structures of civil society and good governance. Forest policies appear progressive but are in reality unenforced. Politics and agreements in both countries are closely tied to deforestation issues. PMID:12321720

  11. Improving immunization equity through a public-private partnership in Cambodia.

    PubMed Central

    Schwartz, J. Brad; Bhushan, Indu

    2004-01-01

    OBJECTIVE: To examine the effects on immunization equity of the large-scale contracting of primary health-care services in rural areas of Cambodia. METHODS: Data were obtained pre-intervention and post-intervention from a large-scale quasi-experiment in contracting with nongovernmental organizations to provide primary health care in nine rural districts of Cambodia between 1999 and mid-2001. Coverage targets and equity targets for all primary health-care services, including immunization of children, were explicitly included in the contracts awarded in five of nine rural districts which together have a population of over 1.25 million people. The remaining four districts used the traditional government model for providing services and were given identical targets. FINDINGS: After the 2.5 years of the trial, bivariate and multivariate analyses of the results suggested that although there was a substantial increase in the proportion of children who were fully immunized in all districts, children in the poorest 50% of households in the districts served by contractors were more likely to be fully immunized than poor children living in similar circumstances in districts using the government's model, all other things being equal. CONCLUSION: The contracting approach described in this paper suggests a means of moving towards a more equitable distribution of immunization services in developing countries. PMID:15628203

  12. A new species of Leptolalax (Anura: Megophryidae) from Vietnam and Cambodia.

    PubMed

    Rowley, Jodi J L; Stuart, Bryan L; Neang, Thy; Hoang, Huy D; Dau, Vinh Q; Nguyen, Tao T; Emmett, David A

    2015-01-01

    We describe a new, medium-sized Leptolalax species from the Kon Tum Plateau of Vietnam and adjacent Cambodia. Leptolalax isos sp. nov. is distinguished from its congeners by a combination of an absence of distinct dark brown/black dorsolateral markings; toes with rudimentary webbing, wide lateral dermal fringes in males and weak or absent lateral dermal fringes in females; most males with wide lateral dermal fringes on Finger II, a body size of 23.7-27.9 mm in 38 adult males and 28.6-31.5 mm in 9 adult females, near immaculate white chest and belly; absence of white speckling on the dorsum; and a call consisting of 2-3 notes with a dominant frequency of 5.9-6.2 kHz (at 22.4-22.8º C). Uncorrected sequence divergences between L. isos sp. nov. and all homologous 16S rRNA sequences available are >10%. At present, the new species is known from montane evergreen forest between ~650-1100 m elevation in northeastern Cambodia and central Vietnam. Habitat within the range of the new species is threatened by deforestation and upstream hydroelectric dams. PMID:26624626

  13. Genetic diversity and lineage dynamic of dengue virus serotype 1 (DENV-1) in Cambodia.

    PubMed

    Duong, Veasna; Simmons, Cameron; Gavotte, Laurent; Viari, Alain; Ong, Sivuth; Chantha, Ngan; Lennon, Niall J; Birren, Bruce W; Vong, Sirenda; Farrar, Jeremy J; Henn, Matthew R; Deubel, Vincent; Frutos, Roger; Buchy, Philippe

    2013-04-01

    In Cambodia, dengue virus (DENV) was first isolated in 1963 and has become endemic with peak epidemic during raining season. Since 2000, the Dengue National Control Program has reported from 10,000 to 40,000 cases per year with fatality rates ranging from 0.7 to 1.7. All four dengue serotypes are found circulating in Cambodia with alternative predominance of serotypes DENV-2 and DENV-3. The DENV-1 represents from 5% to 20% of all circulating viruses, depending upon the year. In this work, 79 clinical strains of DENV-1 were isolated between 2000 and 2009 and their genome fully sequenced. Four distinct lineages with different dynamics were identified. The main evolutionary drive was negative selective pressure but each lineage was characterized by the presence of specific mutations acquired through evolution. Coexistence, extinction and replacement of lineages occurred over the 10-year period. Lineages 1, 2 and 3 were all detected since 2000-2002 and disappeared in 2003, 2004-2005 and 2007, respectively. Lineages 1 and 2 displayed different dynamics. Lineage 1 was very diverse whereas lineage 2 was very homogeneous. Lineage 4 which derived from lineage 3 in 2003 remained the only one at the end of the sampling period in 2008-2009 owing to a selective sweep. The lineages dynamic of DENV-1 viruses and consequences for molecular epidemiology are discussed.

  14. Fairness of utilizing health care facilities and out-of-pocket payment burden: evidence from Cambodia.

    PubMed

    Dalal, Koustuv; Aremu, Olatunde

    2013-05-01

    Catastrophic spending on health care through out-of-pocket payment is a huge problem in most low- and middle-income countries all over the world. The collapse of health systems and poverty have resulted in the proliferation of the private health sector in Cambodia, but very few studies have examined the fairness in ease of utilization of these services based on mode of payment. This study examined the utilization of health services for sickness or injury and identified its relationship with people's ability to pay for treatment seeking at various instances. Based on cross-sectional data from the Cambodian 2007 Demographic and Health Survey, the economic index estimated through principal component analysis and Lorenz curve was used to quantify the degree of fairness and equality in utilization and payment burden among the respondents. A distinct level of fairness was found in health care utilization and out-of-pocket payments. Specifically, use of private health care facilities and over-the-counter remedies dominate, and out-of-pocket payments cut across all socioeconomic strata. As many countries in low- and middle-income regions, and most importantly those in transition such as Cambodia, are repositioning their health systems, efforts should be made towards maintaining equitable access through adoption of finance mechanisms that make utilization of health care services fair and equitable.

  15. A new species of Leptolalax (Anura: Megophryidae) from Vietnam and Cambodia.

    PubMed

    Rowley, Jodi J L; Stuart, Bryan L; Neang, Thy; Hoang, Huy D; Dau, Vinh Q; Nguyen, Tao T; Emmett, David A

    2015-11-05

    We describe a new, medium-sized Leptolalax species from the Kon Tum Plateau of Vietnam and adjacent Cambodia. Leptolalax isos sp. nov. is distinguished from its congeners by a combination of an absence of distinct dark brown/black dorsolateral markings; toes with rudimentary webbing, wide lateral dermal fringes in males and weak or absent lateral dermal fringes in females; most males with wide lateral dermal fringes on Finger II, a body size of 23.7-27.9 mm in 38 adult males and 28.6-31.5 mm in 9 adult females, near immaculate white chest and belly; absence of white speckling on the dorsum; and a call consisting of 2-3 notes with a dominant frequency of 5.9-6.2 kHz (at 22.4-22.8º C). Uncorrected sequence divergences between L. isos sp. nov. and all homologous 16S rRNA sequences available are >10%. At present, the new species is known from montane evergreen forest between ~650-1100 m elevation in northeastern Cambodia and central Vietnam. Habitat within the range of the new species is threatened by deforestation and upstream hydroelectric dams.

  16. Long-term psychiatric consequences of exposure to trauma in Cambodia: a regional household survey.

    PubMed

    Cantor-Graae, Elizabeth; Chak, Thida; Sunbaunat, Ka; Jarl, Johan; Larsson, Charlotte A

    2014-12-01

    The long-term psychiatric consequences of exposure to war and/or mass conflict continue to be of great concern and particularly in Cambodia. The current cross-sectional study examined the relationship between history of trauma and current psychiatric and functional morbidity in 3200 randomly selected adults aged 18-60 in Cambodia. Structured interviews were conducted from November 2011 until May 2012 in two predominantly rural regions purposively selected for differing duration of exposure to the Khmer Rouge occupation. Information was also collected regarding ongoing daily stressors and intimate partner violence. Despite high prevalence rates of conflict/war-related trauma, current rates of psychiatric disorders (depression, post-traumatic stress disorder) were relatively low, suggesting that the effects of trauma and extreme hardship in civilian populations may be modified by contextual factors and/or the passage of time. Poor to fair physical health was, however, reported by nearly 60% of the sample. Daily stressors were more important for current morbidity levels than history of trauma, especially in the region with shorter Khmer Rouge occupation. The results suggest that a focus exclusively on past trauma may overlook the contribution of adverse daily life circumstances towards current levels of well-being in civilian populations affected by war and/or mass conflict.

  17. Cotinine levels among betel quid users and cigarette smokers in Cambodia.

    PubMed

    Singh, Pramil N; Natto, Zuhair; Saxena, Rituraj; Banerjee, Hiya; Yel, Daravuth; Khieng, Sothy; Job, Jayakaran S

    2013-09-01

    Smokeless tobacco use in the form of the betel quid is common in the Western Pacific Region, and yet few studies have determined the nicotine delivery of this habit. During a validation substudy, we randomly sampled 201 adults from a rural province of Cambodia and determined nonparametric (bootstrapped) confidence intervals (CIs) for salivary cotinine levels in tobacco users. We found that cotinine levels for daily betel quid use among women (95% CI = 218.6-350.0 ng/mL) were (1) similar to the levels for daily cigarette smoking in men (95% CI = 240.2-317.1 ng/mL) and (2) significantly higher than the levels for daily cigarette smoking in women (95% CI = 71.8-202.7 ng/mL). The 95% confidence range for these habits exceeded the threshold for addiction. Our findings from rural Cambodia indicate that the typical betel quid habit among women supports the same level of nicotine addiction as the typical cigarette habit in men.

  18. Accelerated deforestation driven by large-scale land acquisitions in Cambodia

    NASA Astrophysics Data System (ADS)

    Davis, Kyle Frankel; Yu, Kailiang; Rulli, Maria Cristina; Pichdara, Lonn; D'Odorico, Paolo

    2015-10-01

    Investment in agricultural land in the developing world has rapidly increased in the past two decades. In Cambodia, there has been a surge in economic land concessions, in which long-term leases are provided to foreign and domestic investors for economic development. More than two million hectares have been leased so far, sparking debate over the consequences for local communities and the environment. Here we combined official records of concession locations with a high-resolution data set of changes in forest cover to quantify the contribution of land concessions to deforestation between 2000 and 2012. We used covariate matching to control for variables other than classification as a concession that may influence forest loss. Nearly half of the area where concessions were granted between 2000 and 2012 was forested in 2000; this area then represented 12.4% of forest land cover in Cambodia. Within concessions, the annual rate of forest loss was between 29% and 105% higher than in comparable land areas outside concessions. Most of the deforestation within concessions occurred after the contract date, and whether an investor was domestic or foreign had no effect on deforestation rates. We conclude that land acquisitions can act as powerful drivers of deforestation.

  19. Molecular characterization of sympatrically distributed Neotricula aperta-like snails in the Mekong River, Kratie, Cambodia.

    PubMed

    Wang, Chennan; Saijuntha, Weerachai; Kirinoki, Masashi; Hayashi, Naoko; Chigusa, Yuichi; Muth, Sinuon; Meng, Chuor Char; Ai, Yingchun; Agatsuma, Takeshi

    2016-01-01

    Fifty-six samples of Neotricula aperta-like snails were collected from six locations in Cambodia. Their mitochondrial cytochrome c oxidase subunit 1 (cox1) sequences were examined using haplotype network and neighbor-joining (NJ) tree analysis. Twenty-seven haplotypes (H1-H27) were observed and were divided into two different groups/lineages. Of 27, 17 haplotypes (H11-H27) were clustered with the reference samples of the γ-race N. aperta. The remaining 10 haplotypes (H1-H10) were clustered in a separate group/lineage, differing from the reference samples of the α-, β-, and γ-race N. aperta, suggesting a new lineage belonging the genus Neotricula. Our results show that both the γ-race and a new lineage were sympatrically present approximately 60 km upstream of the Mekong River near the Kratie port, Cambodia. Further morphological and molecular studies are required to confirm the taxonomic status of this new, unidentified lineage.

  20. Maternal use of cigarettes, pipes, and smokeless tobacco associated with higher infant mortality rates in Cambodia.

    PubMed

    Singh, Pramil N; Eng, Carlin; Yel, Daravuth; Kheam, They; Job, Jayakaran S; Kanal, Koum

    2013-09-01

    In the Western Pacific Region, rural women use loose tobacco in betel quid chewing and pipe smoking. We examined the relation between maternal use of tobacco and infant mortality (IM) in a national sample of 24 296 birth outcomes in adult women (n = 6013) in Cambodia. We found that (1) age-adjusted odds of IM were higher for maternal use of any tobacco (odds ratio [OR] = 1.69; 95% confidence interval [CI] = 1.27-2.26); (2) age-adjusted odds of IM were higher for cigarette use (OR = 2.54; 95% CI = 1.54- 4.1), use of pipes (OR = 3.09; [95% CI = 1.86-5.11]), and betel quid chewing (OR = 1.55; 95% CI = 1.10-2.17); and (3) these associations remained after multivariable adjustment for environmental tobacco smoke, malnutrition, ethnicity, religion, marital status, education, income, occupation, and urban/rural dwelling. In addition to finding the established association with cigarettes, we also found that maternal use of smokeless tobacco and pipes was associated with higher rates of infant death in Cambodia.

  1. Cotinine Levels Among Betel Quid Users and Cigarette Smokers in Cambodia

    PubMed Central

    Singh, Pramil N.; Natto, Zuhair; Saxena, Rituraj; Bannerjee, Hiya; Yel, Daravuth; Khieng, Sothy; Job, Jayakaran S.

    2014-01-01

    Smokeless tobacco use in the form of the betel quid is common in the Western Pacific Region, and yet few studies have determined the nicotine delivery of this habit. During a validation substudy, we randomly sampled 201 adults from a rural province of Cambodia and determined nonparametric (bootstrapped) confidence intervals (CIs) for salivary cotinine levels in tobacco users. We found that cotinine levels for daily betel quid use among women (95% CI = 218.6–350.0 ng/mL) were (1) similar to the levels for daily cigarette smoking in men (95% CI = 240.2–317.1 ng/mL) and (2) significantly higher than the levels for daily cigarette smoking in women (95% CI = 71.8–202.7 ng/mL). The 95% confidence range for these habits exceeded the threshold for addiction. Our findings from rural Cambodia indicate that the typical betel quid habit among women supports the same level of nicotine addiction as the typical cigarette habit in men. PMID:24092815

  2. Female garment factory workers in Cambodia: migration, sex work and HIV/AIDS.

    PubMed

    Nishigaya, Kasumi

    2002-01-01

    Female garment factory workers in Cambodia are more exposed to HIV/AIDS than previously thought. Although HIV/AIDS epidemics are fast spreading in Cambodia, relatively little is known about the sexual health of women other than those perceived as commercial sex workers or married women of reproductive age. In-depth interviews with 20 unmarried female garment factory workers, who reported to have engaged in multi-partnered sex through direct or discretionary commercial sex occupations, demonstrate that they are exposed to HIV-risk created along the gradients of power. Low socioeconomic status (low education, meager factory wage and high dependency rate at their rural households) and obligations as daughters to provide for the family mainly determine their entry into sex work. At the location of sex work, they are subjected to physical violence, alcohol and drug use, both self-taken and forced, and receive meager wages. In a society where women are expected to be virtuous and obedient to parents and husbands, these workers are motivated to identify male sex partners in paid sex as "sweethearts" rather than "guests." These factors contribute to low consistency of condom use. This paper demonstrates the complex interrelationships between power, cultural definitions of intimacy and economic dependency, which structure sexual relationships and the risk of HIV/AIDS. PMID:12216990

  3. Reduced Artemisinin Susceptibility of Plasmodium falciparum Ring Stages in Western Cambodia

    PubMed Central

    Khim, Nimol; Chim, Pheaktra; Kim, Saorin; Ke, Sopheakvatey; Kloeung, Nimol; Chy, Sophy; Duong, Socheat; Leang, Rithea; Ringwald, Pascal; Dondorp, Arjen M.; Tripura, Rupam; Benoit-Vical, Françoise; Berry, Antoine; Gorgette, Olivier; Ariey, Frédéric; Barale, Jean-Christophe; Mercereau-Puijalon, Odile

    2013-01-01

    The declining efficacy of artemisinin derivatives against Plasmodium falciparum in western Cambodia is a major concern. The knowledge gap in the understanding of the mechanisms involved hampers designing monitoring tools. Here, we culture-adapted 20 isolates from Pailin and Ratanakiri (areas of artemisinin resistance and susceptibility in western and eastern Cambodia, respectively) and studied their in vitro response to dihydroartemisinin. No significant difference between the two sets of isolates was observed in the classical isotopic test. However, a 6-h pulse exposure to 700 nM dihydroartemisinin (ring-stage survival assay -RSA]) revealed a clear-cut geographic dichotomy. The survival rate of exposed ring-stage parasites (ring stages) was 17-fold higher in isolates from Pailin (median, 13.5%) than in those from Ratanakiri (median, 0.8%), while exposed mature stages were equally and highly susceptible (0.6% and 0.7%, respectively). Ring stages survived drug exposure by cell cycle arrest and resumed growth upon drug withdrawal. The reduced susceptibility to artemisinin in Pailin appears to be associated with an altered in vitro phenotype of ring stages from Pailin in the RSA. PMID:23208708

  4. Arsenic concentration in rice, fish, meat and vegetables in Cambodia: a preliminary risk assessment.

    PubMed

    Wang, Hong-Sheng; Sthiannopkao, Suthipong; Chen, Zhuo-Jia; Man, Yu-Bon; Du, Jun; Xing, Guang-Hua; Kim, Kyoung-Woong; Mohamed Yasin, Mohamed Salleh; Hashim, Jamal Hisham; Wong, Ming-Hung

    2013-12-01

    To assess arsenic contaminations and its possible adverse health effects, food samples were collected from Kandal, Kratie and Kampong Cham in Cambodia. The highest and the lowest concentrations were observed in fish (mean 2,832 ng g(-1), ww) collected from Kandal province and cattle stomach (1.86 ± 1.10 ng g(-1), ww) collected from Kratie, respectively. The daily intake of arsenic via food consumption was 604, 9.70 and 136 μg day(-1) in Kandal, Kratie and Kampong Cham, respectively. The arsenic dietary intake in Kandal ranked No. 1 among all the 17 compared countries or regions. Fish consumption contributed the greatest proportion of total arsenic daily intake in Kandal (about 63.0 %) and Kampong Cham (about 69.8 %). It is revealed to be a much more important exposure pathway than drinking water for residents in Kampong Cham. The results of risk assessment suggested that the residents in Cambodia, particularly for people in Kandal province, suffer high public health risks due to consuming arsenic-contaminated food.

  5. Forest plunder in Southeast Asia: an environmental security nexus in Burma and Cambodia.

    PubMed

    Talbott, K; Brown, M

    1998-01-01

    This article discusses the cycle of conversion, consumption, and corruption that undermines the environment and civil society in Cambodia and Burma (Myanmar). In these countries, forests are declining in patterns similar to other Southeast Asian deforestation. Illegal logging, prostitution, and heroin trafficking constitute the bulk of Cambodia's shadow economy. Revenues are used to provide financial support for political causes and build the private wealth of the elite. Major political and guerilla groups and the Cambodian military have been major beneficiaries of logging revenue, supported private sector forestry in many military zones, and facilitated logging and trade. About 40% of land goes to forest concessions granted to Southeast Asian companies, and revenues bypass the regular state budget. In Burma, the cease fire agreements in the early 1990s, led to remote border area forests being opened up to large, nonsustainable commercial timber mining. Land was divided into ethnic and government controlled areas. Timber profits were funneled into a business owned by members of the new ruling force, the SLORC, and used to launder drug exports and profits. Trading partners include Thailand, and most recently, China. It is speculated that deforested areas are replanted with opium poppies, and trade routes carry timber and heroin. The unregulated logging industry and the lack of financial accounting of the timber trade undermine the structures of civil society and good governance. Forest policies appear progressive but are in reality unenforced. Politics and agreements in both countries are closely tied to deforestation issues.

  6. Simulation of rainfall interception using multilayer model in evergreen broadleaf forest, Cambodia

    NASA Astrophysics Data System (ADS)

    Nobuhiro, T.; Shimizu, A.; Tanaka, K.; Kabeya, N.; Tamai, K.; Chann, S.; Keth, N.

    2006-12-01

    The proportion of forest area is relatively high in Cambodia compared with neighboring countries. Therefore forest is one of the important factors on the water cycle in this country. The rainfall interception by a tree canopy and evaporation after the rainfall event are one of the important factors for considering such a water cycle. To clarify those processes, a rainfall interception measurement plot (25 x 25 m) was constructed in the evergreen broadleaf forest area in Kampong Thom province, central part of Cambodia. We measured rainfall, through fall and stem flow in the interception plot, and then we analyzed the relationship between those components. Moreover, the simulation of rainfall interception was carried out using multilayer model. Model parameters such as canopy structure and leaf characteristics were estimated using observed interception components and meteorological elements during large rainfall event. Annual rainfall interception was reproduced using multilayer model with obtained parameters and observed meteorological elements. The simulation results were in agreement with the observed value. The rainfall interception rate in the interception plot was considered to be about 15 % against annual rainfall.

  7. Subsurface Imaging by UWB Radar: Application to Humanitarian Demining in Cambodia

    NASA Astrophysics Data System (ADS)

    Sato, Motoyuki

    Ground Penetrating Radar (GPR) has been widely used applications which include detection of subsurface facilities, concrete inspection and archaeology. Among these applications, humanitarian demining is still difficult task. Since 2002, we have developed a new hand-held land mine detection dual-sensor ALIS. ALIS is equipped with a metal detector and a GPR, and it has a sensor tracking system, which can record the GPR and Metal detector signal with its location. ALIS can process the data and is used for image re-construction by migration processing. ALIS is the only one mine detection system in the world which can visualize the GPR image by hand scanning. We found that the migration processing can reduce the clutter and gives us clear images of buried mines. After several tests of ALIS in mine affected courtiers, operation of ALIS in mine fields in Cambodia started in summer 2009. Two sets of ALIS have been operated in Cambodia and more than 77 antipersonnel mines have been detected and 137,000m2 farmland was cleaned.

  8. Deployment of dual-sensor ALIS for humanitarian demining in Cambodia

    NASA Astrophysics Data System (ADS)

    Sato, M.; Takahashi, K.

    2013-06-01

    We are in the process of developing a high-resolution landmine scanning system "ALIS" which produces horizontal slices of the shallow subsurface for visualization of buried explosives and inert clutter. As many AP mines contain minimum amounts of metal, metal detectors need to be combined with a complimentary subsurface imaging sensor. Ground Penetrating Radar (GPR) is widely accepted for subsurface sensing in the fields of geology, archaeology and utility detection. The demining application requires real-time imaging results with centimetre resolution in a highly portable package. The key requirement for sharp images of the subsurface is the precise tracking of the geophysical sensor(s) during data collection. We should also notice that GPR system is a very wide band radar system, and equivalent to UWB radar, which has recently been developed for short-range high-accuracy radar. We are testing simplified but effective signal processing for imaging mines. We are currently testing a dual sensor ALIS which is a realtime sensor tracking system based on a CCD camera and image processing. In this paper we introduce the GPR systems which we have developed for detection of buried antipersonnel mines and small size explosives. ALIS has been deployed in Cambodia since 2009 and detected more than 70 mines in mine fields, and returned more than 13ha cleaned fields to local farmers. We also report the current status of ALIS in Cambodia.

  9. Closing the irrigation deficit in Cambodia: Implications for transboundary impacts on groundwater and Mekong River flow

    NASA Astrophysics Data System (ADS)

    Erban, Laura E.; Gorelick, Steven M.

    2016-04-01

    Rice production in Cambodia, essential to food security and exports, is largely limited to the wet season. The vast majority (96%) of land planted with rice during the wet season remains fallow during the dry season. This is in large part due to lack of irrigation capacity, increases in which would entail significant consequences for Cambodia and Vietnam, located downstream on the Mekong River. Here we quantify the extent of the dry season "deficit" area in the Cambodian Mekong River catchment, using a recent agricultural survey and our analysis of MODIS satellite data. Irrigation of this land for rice production would require a volume of water up to 31% of dry season Mekong River flow to Vietnam. However, the two countries share an aquifer system in the Mekong Delta, where irrigation demand is increasingly met by groundwater. We estimate expansion rates of groundwater-irrigated land to be >10% per year in the Cambodian Delta using LANDSAT satellite data and simulate the effects of future expansion on groundwater levels over a 25-year period. If groundwater irrigation continues to expand at current rates, the water table will drop below the lift limit of suction pump wells, used for domestic supply by >1.5 million people, throughout much of the area within 15 years. Extensive groundwater irrigation jeopardizes access for shallow domestic water supply wells, raises the costs of pumping for all groundwater users, and may exacerbate arsenic contamination and land subsidence that are already widespread hazards in the region.

  10. Improving immunization coverage through budgeted microplans and sub-national performance agreements: early experience from Cambodia.

    PubMed

    Soeung, S C; Grundy, B M J; Ly, C K; Samnang, C; Boreland, M; Brooks, A; Maynard, J; Biggs, B A

    2006-01-01

    In recent years, Cambodia has demonstrated significant success in specific aspects of immunization with gains through campaign efforts in measles control and polio eradication. In contrast, routine immunization rates have failed to improve over the last five years. In response, the National Immunization Program of the Ministry of Health developed a coverage improvement planning (CIP) process. This paper describes the CIP process in Cambodia, including identified barriers to and strategies for improving coverage. Immunization coverage rose in 8 of 10 pilot districts in the year following the introduction of CIP in 2003. The mean increase in DPT3 coverage across pilot districts on an annual basis was 16%, which provides encouraging early evidence for the effectiveness of the intervention. Factors associated with success in coverage improvement included: (1) development of a needs-based micro-plan, (2) application of performance-based contracting between levels of management, (3) investment in social mobilization, (4) securing finance for health outreach programs and (5) strengthened monitoring systems. Lessons learned will guide program expansion to improve immunization coverage nationally.

  11. Seroprevalence of bovine immunodeficiency virus and bovine leukemia virus in draught animals in Cambodia.

    PubMed

    Meas, S; Ohashi, K; Tum, S; Chhin, M; Te, K; Miura, K; Sugimoto, C; Onuma, M

    2000-07-01

    Since bovine immunodeficiency virus (BIV), known as bovine lentivirus, has been detected in dairy and beef cattle in various countries around the world, a prevalence study of antibodies to BIV and bovine leukemia virus (BLV) was conducted in draught animals in five provinces in Cambodia, where protozoan parasite infections were suspected in some animals. To clarify the status of draught animals including Haryana, Brahman, mixed-breed, local breed cattle and muscle water buffaloes, a total of 544 cattle and 42 buffaloes were tested, and 26.3 and 16.7%, respectively, were found positive for anti-BIV p26 antibodies determined by Western blotting. There were 5.3% positive for anti-BLV antibodies detected by immunodiffusion test among the cattle, but no reactors among buffaloes and no dual infection for both BIV and BLV was determined in this study. Peripheral blood mononuclear cells from BIV-seropositive cattle were found to have BIV-provirus DNA, as detected by polymerase chain reaction and subsequent Southern blot hybridization. This is the first evidence for the presence of BIV and BLV infections in draught animals in tropical countries such as Cambodia. This wide distribution of BIV suggests its association with problems in animal health as reported worldwide, and that a primary BIV infection can predispose death of affected animals by other aggressive pathogens or stresses.

  12. Efficacy of dihydroartemisinin-piperaquine for treatment of uncomplicated Plasmodium falciparum and Plasmodium vivax in Cambodia, 2008 to 2010.

    PubMed

    Leang, Rithea; Barrette, Amy; Bouth, Denis Mey; Menard, Didier; Abdur, Rashid; Duong, Socheat; Ringwald, Pascal

    2013-02-01

    We describe here the results of antimalarial therapeutic efficacy studies conducted in Cambodia from 2008 to 2010. A total of 15 studies in four sentinel sites were conducted using dihydroartemisinin-piperaquine (DP) for the treatment of Plasmodium falciparum infection and chloroquine (CQ) and DP for the treatment of P. vivax infection. All studies were performed according to the standard World Health Organization protocol for the assessment of antimalarial treatment efficacy. Among the studies of DP for the treatment of P. falciparum, an increase in treatment failure was observed in the western provinces. In 2010, the PCR-corrected treatment failure rates for DP on day 42 were 25% (95% confidence interval [CI] = 10 to 51%) in Pailin and 10.7% (95% CI = 4 to 23%) in Pursat, while the therapeutic efficacy of DP remained high (100%) in Ratanakiri and Preah Vihear provinces, located in northern and eastern Cambodia. For the studies of P. vivax, the day 28 uncorrected treatment failure rate among patients treated with CQ ranged from 4.4 to 17.4%; DP remained 100% effective in all sites. Further study is required to investigate suspected P. falciparum resistance to piperaquine in western Cambodia; the results of in vitro and molecular studies were not found to support the therapeutic efficacy findings. The emergence of artemisinin resistance in this region has likely put additional pressure on piperaquine. Although DP appears to be an appropriate new first-line treatment for P. vivax in Cambodia, alternative treatments are urgently needed for P. falciparum-infected patients in western Cambodia.

  13. Sex work and HIV in Cambodia: trajectories of risk and disease in two cohorts of high-risk young women in Phnom Penh, Cambodia

    PubMed Central

    Page, Kimberly; Stein, Ellen; Sansothy, Neth; Evans, Jennifer; Couture, Marie-Claude; Sichan, Keo; Cockroft, Melissa; Mooney-Somers, Julie; Phlong, Pisith; Kaldor, John; Maher, Lisa

    2013-01-01

    Objectives HIV prevalence among Cambodian female sex workers (FSW) is among the highest in Southeast Asia. We describe HIV prevalence and associated risk exposures in FSW sampled serially in Phnom Penh, Cambodia (Young Women's Health Study (YWHS)), before and after the implementation of a new law designed to combat human trafficking and sexual exploitation. Design Cross-sectional analysis of baseline data from two prospective cohorts. Setting Community-based study in Phnom Penh, Cambodia. Participants Women aged 15–29 years, reporting ≥2 sexual partners in the last month and/or engaged in transactional sex in the last 3 months, were enrolled in the studies in 2007 (N=161; YWHS-1), and 2009 (N=220; YWHS-2) following information sessions where 285 and 345 women attended. Primary outcomes HIV prevalence, sexual risk behaviour, amphetamine-type stimulant (ATS) and alcohol use, and work-related factors were compared in the two groups, enrolled before and after implementation of the new law. Results Participants in the two cohorts were similar in age (median 25 years), but YWHS-2 women reported fewer sex partners, more alcohol use and less ATS use. A higher proportion of YWHS-2 compared with YWHS-1 women worked in entertainment-based venues (68% vs 31%, respectively). HIV prevalence was significantly lower in the more recently sampled women: 9.2% (95% CI 4.5% to 13.8%) vs 23% (95% CI 16.5% to 29.7%). Conclusions Sex work context and risk have shifted among young FSW in Phnom Penh, following implementation of anti-prostitution and anti-trafficking laws. While both cohorts were recruited using the same eligibility criteria, more recently sampled women had lower prevalence of sexual risk and HIV infection. Women engaging more directly in transactional sex have become harder to sample and access. Future prevention research and programmes need to consider how new policies and demographic changes in FSW impact HIV transmission. PMID:24022389

  14. Achieving universal access and moving towards elimination of new HIV infections in Cambodia

    PubMed Central

    Vun, Mean Chhi; Fujita, Masami; Rathavy, Tung; Eang, Mao Tang; Sopheap, Seng; Sovannarith, Samreth; Chhorvann, Chhea; Vanthy, Ly; Sopheap, Oum; Welle, Emily; Ferradini, Laurent; Sedtha, Chin; Bunna, Sok; Verbruggen, Robert

    2014-01-01

    Introduction In the mid-1990s, Cambodia faced one of the fastest growing HIV epidemics in Asia. For its achievement in reversing this trend, and achieving universal access to HIV treatment, the country received a United Nations millennium development goal award in 2010. This article reviews Cambodia’s response to HIV over the past two decades and discusses its current efforts towards elimination of new HIV infections. Methods A literature review of published and unpublished documents, including programme data and presentations, was conducted. Results and discussion Cambodia classifies its response to one of the most serious HIV epidemics in Asia into three phases. In Phase I (1991–2000), when adult HIV prevalence peaked at 1.7% and incidence exceeded 20,000 cases, a nationwide HIV prevention programme targeted brothel-based sex work. Voluntary confidential counselling and testing and home-based care were introduced, and peer support groups of people living with HIV emerged. Phase II (2001–2011) observed a steady decline in adult prevalence to 0.8% and incidence to 1600 cases by 2011, and was characterized by: expanding antiretroviral treatment (coverage reaching more than 80%) and continuum of care; linking with tuberculosis and maternal and child health services; accelerated prevention among key populations, including entertainment establishment-based sex workers, men having sex with men, transgender persons, and people who inject drugs; engagement of health workers to deliver quality services; and strengthening health service delivery systems. The third phase (2012–2020) aims to attain zero new infections by 2020 through: sharpening responses to key populations at higher risk; maximizing access to community and facility-based testing and retention in prevention and care; and accelerating the transition from vertical approaches to linked/integrated approaches. Conclusions Cambodia has tailored its prevention strategy to its own epidemic, established

  15. Determinants of Child Malnutrition and Infant and Young Child Feeding Approaches in Cambodia.

    PubMed

    Reinbott, Anika; Jordan, Irmgard

    2016-01-01

    Women's diets often decrease with regard to amounts per meal and day as well as diversity if a household's access to food is limited. The result is a monotonous diet that, in particular, negatively affects women's nutritional status during pregnancy and lactation and, thus, the infant. The infant's diet is of utmost importance, as it needs to meet the nutrient requirements especially during the first 2 years of life, a critical window for the child's healthy development. In Cambodia, infant and young child feeding (IYCF) practices are poor. Preparation of a special complementary meal in addition to breast milk feeds for children aged 6-23 months is often not a common habit. Instead, children eat watery, plain rice porridges that do not meet the nutrient requirements at this young age. A lack of adequate caring practices such as responsive feeding exacerbates the risk of malnutrition. Caregivers are often unaware of the importance of nutrition during the first 2 years of life regarding its effects on children's growth. In 2012, a randomized controlled trial (RCT) was started in two provinces of northern Cambodia: Oddar Meanchey and Preah Vihear. To contribute to reducing child mortality by addressing malnutrition among children 6-23 months of age, the Food and Agriculture Organization of the United Nations (FAO) implemented a nutrition-sensitive agriculture project with nutrition-specific actions, i.e. a nutrition education intervention was embedded in a food security project. Wealth, a child's age, and maternal education were identified as determinants of a child's dietary diversity. The older the child and/or the wealthier the household, the more diverse the child's diet. Maternal education was positively associated with the child's dietary diversity. Household dietary diversity was significantly associated with child dietary diversity in a model including group, child's age, maternal education, and wealth as confounders. The RCT also showed that a 2- to 3-month

  16. Geostatistical modelling of soil-transmitted helminth infection in Cambodia: do socioeconomic factors improve predictions?

    PubMed

    Karagiannis-Voules, Dimitrios-Alexios; Odermatt, Peter; Biedermann, Patricia; Khieu, Virak; Schär, Fabian; Muth, Sinuon; Utzinger, Jürg; Vounatsou, Penelope

    2015-01-01

    Soil-transmitted helminth infections are intimately connected with poverty. Yet, there is a paucity of using socioeconomic proxies in spatially explicit risk profiling. We compiled household-level socioeconomic data pertaining to sanitation, drinking-water, education and nutrition from readily available Demographic and Health Surveys, Multiple Indicator Cluster Surveys and World Health Surveys for Cambodia and aggregated the data at village level. We conducted a systematic review to identify parasitological surveys and made every effort possible to extract, georeference and upload the data in the open source Global Neglected Tropical Diseases database. Bayesian geostatistical models were employed to spatially align the village-aggregated socioeconomic predictors with the soil-transmitted helminth infection data. The risk of soil-transmitted helminth infection was predicted at a grid of 1×1km covering Cambodia. Additionally, two separate individual-level spatial analyses were carried out, for Takeo and Preah Vihear provinces, to assess and quantify the association between soil-transmitted helminth infection and socioeconomic indicators at an individual level. Overall, we obtained socioeconomic proxies from 1624 locations across the country. Surveys focussing on soil-transmitted helminth infections were extracted from 16 sources reporting data from 238 unique locations. We found that the risk of soil-transmitted helminth infection from 2000 onwards was considerably lower than in surveys conducted earlier. Population-adjusted prevalences for school-aged children from 2000 onwards were 28.7% for hookworm, 1.5% for Ascaris lumbricoides and 0.9% for Trichuris trichiura. Surprisingly, at the country-wide analyses, we did not find any significant association between soil-transmitted helminth infection and village-aggregated socioeconomic proxies. Based also on the individual-level analyses we conclude that socioeconomic proxies might not be good predictors at an

  17. Determinants of Child Malnutrition and Infant and Young Child Feeding Approaches in Cambodia.

    PubMed

    Reinbott, Anika; Jordan, Irmgard

    2016-01-01

    Women's diets often decrease with regard to amounts per meal and day as well as diversity if a household's access to food is limited. The result is a monotonous diet that, in particular, negatively affects women's nutritional status during pregnancy and lactation and, thus, the infant. The infant's diet is of utmost importance, as it needs to meet the nutrient requirements especially during the first 2 years of life, a critical window for the child's healthy development. In Cambodia, infant and young child feeding (IYCF) practices are poor. Preparation of a special complementary meal in addition to breast milk feeds for children aged 6-23 months is often not a common habit. Instead, children eat watery, plain rice porridges that do not meet the nutrient requirements at this young age. A lack of adequate caring practices such as responsive feeding exacerbates the risk of malnutrition. Caregivers are often unaware of the importance of nutrition during the first 2 years of life regarding its effects on children's growth. In 2012, a randomized controlled trial (RCT) was started in two provinces of northern Cambodia: Oddar Meanchey and Preah Vihear. To contribute to reducing child mortality by addressing malnutrition among children 6-23 months of age, the Food and Agriculture Organization of the United Nations (FAO) implemented a nutrition-sensitive agriculture project with nutrition-specific actions, i.e. a nutrition education intervention was embedded in a food security project. Wealth, a child's age, and maternal education were identified as determinants of a child's dietary diversity. The older the child and/or the wealthier the household, the more diverse the child's diet. Maternal education was positively associated with the child's dietary diversity. Household dietary diversity was significantly associated with child dietary diversity in a model including group, child's age, maternal education, and wealth as confounders. The RCT also showed that a 2- to 3-month

  18. Geostatistical modelling of soil-transmitted helminth infection in Cambodia: do socioeconomic factors improve predictions?

    PubMed

    Karagiannis-Voules, Dimitrios-Alexios; Odermatt, Peter; Biedermann, Patricia; Khieu, Virak; Schär, Fabian; Muth, Sinuon; Utzinger, Jürg; Vounatsou, Penelope

    2015-01-01

    Soil-transmitted helminth infections are intimately connected with poverty. Yet, there is a paucity of using socioeconomic proxies in spatially explicit risk profiling. We compiled household-level socioeconomic data pertaining to sanitation, drinking-water, education and nutrition from readily available Demographic and Health Surveys, Multiple Indicator Cluster Surveys and World Health Surveys for Cambodia and aggregated the data at village level. We conducted a systematic review to identify parasitological surveys and made every effort possible to extract, georeference and upload the data in the open source Global Neglected Tropical Diseases database. Bayesian geostatistical models were employed to spatially align the village-aggregated socioeconomic predictors with the soil-transmitted helminth infection data. The risk of soil-transmitted helminth infection was predicted at a grid of 1×1km covering Cambodia. Additionally, two separate individual-level spatial analyses were carried out, for Takeo and Preah Vihear provinces, to assess and quantify the association between soil-transmitted helminth infection and socioeconomic indicators at an individual level. Overall, we obtained socioeconomic proxies from 1624 locations across the country. Surveys focussing on soil-transmitted helminth infections were extracted from 16 sources reporting data from 238 unique locations. We found that the risk of soil-transmitted helminth infection from 2000 onwards was considerably lower than in surveys conducted earlier. Population-adjusted prevalences for school-aged children from 2000 onwards were 28.7% for hookworm, 1.5% for Ascaris lumbricoides and 0.9% for Trichuris trichiura. Surprisingly, at the country-wide analyses, we did not find any significant association between soil-transmitted helminth infection and village-aggregated socioeconomic proxies. Based also on the individual-level analyses we conclude that socioeconomic proxies might not be good predictors at an

  19. Use of a Text Message-Based Pharmacovigilance Tool in Cambodia: Pilot Study

    PubMed Central

    Baron, Sophie; Goutard, Flavie; Nguon, Kunthy

    2013-01-01

    Background There is no functional pharmacovigilance system in Cambodia to our knowledge. Mobile phone–based tools, such as short message service (SMS) text messages, are increasingly used for surveillance purposes. Objective To pilot-test the FrontlineSMS mobile phone–based tool for notification of adverse events, using Cambodia’s only International Vaccination Center at the Institut Pasteur du Cambodge as a field site. Methods People receiving vaccinations, aged over 18 years, and who owned a cell phone were recruited in the study following informed consent. The names and mobile phone numbers of the participants interviewed were entered each day into the FrontlineSMS software. Two days after being vaccinated, participants received an automatically generated SMS text message asking whether any adverse events had occurred. Their SMS reply was number-coded and exported from the software daily to an Excel spreadsheet and examined before being saved. If the participant replied with a code for a severe adverse event (8 or 9), they were automatically advised to consult the nearest doctor. Results The active surveillance study was conducted over 72 days in the spring of 2012. Patients agreed to be asked by SMS text message whether unwanted events had occurred after vaccination. Of 1331 persons aged over 18 years referred to the vaccination unit, 184 (13.8%) were asked and agreed to participate. When texted for clinical status 48 hours after vaccination, 52 (28.3%) participants did not reply, 101 (54.9%) sent an immediate SMS reply, and 31 (16.8%) sent an SMS reply after additional prompting. Of the initial 184 participants, 132 (71.7%) replied. These 132 participants received 135 vaccine doses and 109 (82.6%) reported no adverse events, whereas 23 (17.4%) reported adverse events, all benign. Conclusions Notification using an SMS-based text message system is already used in Cambodia for syndromic surveillance in health centers and reporting by health care workers

  20. Access to artemisinin combination therapy for malaria in remote areas of Cambodia

    PubMed Central

    Yeung, Shunmay; Van Damme, Wim; Socheat, Doung; White, Nicholas J; Mills, Anne

    2008-01-01

    Background Malaria-endemic countries are switching antimalarial drug policy to artemisinin combination therapies (ACTs) and the global community are considering the setting up of a global subsidy mechanism in order to make them accessible and affordable. However, specific interventions may be needed to reach remote at-risk communities and to ensure that they are used appropriately. This analysis documents the coverage with ACTs versus artemisinin monotherapies, and the effectiveness of malaria outreach teams (MOTs) and Village Malaria Workers (VMWs) in increasing access to appropriate diagnosis and treatment with ACTs in Cambodia, the first country to switch national antimalarial drug policy to an ACT of artesunate and mefloquine (A+M) in 2000. Methods A cross-sectional survey was carried out in three different types of intervention area: with VMWs, MOTs and no specific interventions. Individuals with a history of fever in the last three weeks were included in the study and completed a questionnaire on their treatment seeking and drug usage behaviour. Blood was taken for a rapid diagnostic test (RDT) and data on the household socio-economic status were also obtained. Results In areas without specific interventions, only 17% (42/251) of respondents received a biological diagnosis, 8% (17/206) of respondents who received modern drug did so from a public health facility, and only 8% of them (17/210) received A+M. Worryingly, 78% (102/131) of all artemisinin use in these areas was as a monotherapy. However, both the VMW scheme and MOT scheme significantly increased the likelihood of being seen by a trained provider (Adjusted Odds Ratios (AOR) of 148 and 4 respectively) and of receiving A+M (AORs of 2.7 and 7.7 respectively). Conclusion The coverage rates of appropriate diagnosis and treatment of malaria were disappointingly low and the use of artemisinin monotherapy alarmingly high. This reflects the fragmented nature of Cambodia's health system in remote areas and the

  1. When social networking is not working: individuals with low self-esteem recognize but do not reap the benefits of self-disclosure on Facebook.

    PubMed

    Forest, Amanda L; Wood, Joanne V

    2012-03-01

    The popular media have publicized the idea that social networking Web sites (e.g., Facebook) may enrich the interpersonal lives of people who struggle to make social connections. The opportunity that such sites provide for self-disclosure-a necessary component in the development of intimacy--could be especially beneficial for people with low self-esteem, who are normally hesitant to self-disclose and who have difficulty maintaining satisfying relationships. We suspected that posting on Facebook would reduce the perceived riskiness of self-disclosure, thus encouraging people with low self-esteem to express themselves more openly. In three studies, we examined whether such individuals see Facebook as a safe and appealing medium for self-disclosure, and whether their actual Facebook posts enabled them to reap social rewards. We found that although people with low self-esteem considered Facebook an appealing venue for self-disclosure, the low positivity and high negativity of their disclosures elicited undesirable responses from other people.

  2. When social networking is not working: individuals with low self-esteem recognize but do not reap the benefits of self-disclosure on Facebook.

    PubMed

    Forest, Amanda L; Wood, Joanne V

    2012-03-01

    The popular media have publicized the idea that social networking Web sites (e.g., Facebook) may enrich the interpersonal lives of people who struggle to make social connections. The opportunity that such sites provide for self-disclosure-a necessary component in the development of intimacy--could be especially beneficial for people with low self-esteem, who are normally hesitant to self-disclose and who have difficulty maintaining satisfying relationships. We suspected that posting on Facebook would reduce the perceived riskiness of self-disclosure, thus encouraging people with low self-esteem to express themselves more openly. In three studies, we examined whether such individuals see Facebook as a safe and appealing medium for self-disclosure, and whether their actual Facebook posts enabled them to reap social rewards. We found that although people with low self-esteem considered Facebook an appealing venue for self-disclosure, the low positivity and high negativity of their disclosures elicited undesirable responses from other people. PMID:22318997

  3. Crop Species Recognition and Discrimination Paddy-Rice from Reaped-Fields by the Radar Vegetation Index (rvi) of ALOS-2/PALSAR2

    NASA Astrophysics Data System (ADS)

    Yamada, Y.

    2016-06-01

    The Japanese ALOS-2 satellite was launched on May 24th, 2014. It has the L-band SAR, PALSAR-2. Kim,Y. and van Zyl, J.J. proposed a kind of Radar Vegetation Index (RVI) as RVI = 8 * σ0hv / (σ0hh + σ0vv + 2* σ0hv) by L-band full-polarimetric radar data. Kim, Y. and Jackson, T.J., et al. applied the equation into rice and soybean by multi-frequency polarimetric scatterometer above 4.16 meters from the ground. Their report showed the L-band was the most promising wave length for estimating LAI and NDVI from RVI. The author tried to apply the analysis to the actual paddy field areas, both Inashiki region and Miyagi region in the eastern main island, "Honshu", areas of Japan by ALOS-2/PALSAR-2 full-polarimetry data in the summer season, the main crop growing time, of 2015. Judging from conventional methods, it will be possible to discriminate paddy rice growing fields from reaped fields or the other crops growing fields by the PALSAR-2 data. But the RVI value is vaguely related to such land use or biomass at the present preliminary experiment. The continuous research by the additional PALSAR-2 full-polarimetry data should be desired.

  4. Ex vivo drug sensitivity profiles of Plasmodium falciparum field isolates from Cambodia and Thailand, 2005 to 2010, determined by a histidine-rich protein-2 assay

    PubMed Central

    2012-01-01

    Background In vitro drug susceptibility assay of Plasmodium falciparum field isolates processed “immediate ex vivo” (IEV), without culture adaption, and tested using histidine-rich protein-2 (HRP-2) detection as an assay, is an expedient way to track drug resistance. Methods From 2005 to 2010, a HRP-2 in vitro assay assessed 451 P. falciparum field isolates obtained from subjects with malaria in western and northern Cambodia, and eastern Thailand, processed IEV, for 50% inhibitory concentrations (IC50) against seven anti-malarial drugs, including artesunate (AS), dihydroartemisinin (DHA), and piperaquine. Results In western Cambodia, from 2006 to 2010, geometric mean (GM) IC50 values for chloroquine, mefloquine, quinine, AS, DHA, and lumefantrine increased. In northern Cambodia, from 2009–2010, GM IC50 values for most drugs approximated the highest western Cambodia GM IC50 values in 2009 or 2010. Conclusions Western Cambodia is associated with sustained reductions in anti-malarial drug susceptibility, including the artemisinins, with possible emergence, or spread, to northern Cambodia. This potential public health crisis supports continued in vitro drug IC50 monitoring of P. falciparum isolates at key locations in the region. PMID:22694953

  5. [Marine envenomation by box-jellyfish in a tourist in Cambodia].

    PubMed

    Bellaud, G; Epelboin, L; Henn, A; Perignon, A; Bricaire, F; Caumes, E

    2013-10-01

    We report a case of box-jellyfish related envenomation in a 40 year old tourist that occurred in Sihanoukville, Cambodia, in the Gulf of Thailand. Symptoms that appeared within a few minutes associated intense pain, hand edema and large edematous and erythematous flagellations in the stung skin areas. Antibiotics and corticosteroids were delivered. Inflammatory signs and skin lesions disappeared within 15 days followed by crusts then scars. Jellyfish at risk for humans are generally found in tropical seas and their geographic distribution seems to spread. As it is difficult to prevent this kind of accident, travelers should be aware of the first acts to perform, such as appropriate cleaning of the wound, the interest of vinegar usage, the administration of analgesics and corticosteroids in case of significant inflammatory signs. PMID:24072422

  6. Characterizing HIV epidemiology in stable couples in Cambodia, the Dominican Republic, Haiti, and India.

    PubMed

    Chemaitelly, H; Abu-Raddad, L J

    2016-01-01

    Using a set of statistical methods and HIV mathematical models applied on nationally representative Demographic and Health Survey data, we characterized HIV serodiscordancy patterns and HIV transmission dynamics in stable couples (SCs) in four countries: Cambodia, the Dominican Republic, Haiti, and India. The majority of SCs affected by HIV were serodiscordant, and about a third of HIV-infected persons had uninfected partners. Overall, nearly two-thirds of HIV infections occurred in individuals in SCs, but only about half of these infections were due to transmissions within serodiscordant couples. The majority of HIV incidence in the population occurred through extra-partner encounters in SCs. There is similarity in HIV epidemiology in SCs between these countries and countries in sub-Saharan Africa, despite the difference in scale of epidemics. It appears that HIV epidemiology in SCs may share similar patterns globally, possibly because it is a natural 'spillover' effect of HIV dynamics in high-risk populations.

  7. The tyranny of taste: the case of organic rice in Cambodia.

    PubMed

    Thavat, Maylee

    2011-01-01

    Fair-trade and organic products are often sold at price premiums justified by smaller production volumes that are associated with greater social and environmental responsibility. The consumption of these products confers on the consumer a greater sense of morality – and usually a claim to better taste. This paper tells the story of attempts to promote organic/fair-trade rice production by de facto organic Cambodian farmers for export to North American and European markets in order to assist poor farmers to trade their way out of poverty. It demonstrates that instead of promoting sustainable agriculture and fair trade between developed and developing markets, organic/fair-trade projects may impose First World consumer ideals and tastes that are out of step with the larger realities of agrarian transition in Cambodia and the wider region of developing Southeast Asia.

  8. Stakeholder management for conservation projects: a case study of Ream National Park, Cambodia.

    PubMed

    De Lopez, T T

    2001-07-01

    The paper gives an account of the development and implementation of a stakeholder management framework at Ream National Park, Cambodia. Firstly, the concept of stakeholder is reviewed in management and in conservation literatures. Secondly, the context in which the stakeholder framework was implemented is described. Thirdly, a five-step methodological framework is suggested: (1) stakeholder analysis, (2) stakeholder mapping, (3) development of generic strategies and workplan, (4) presentation of the workplan to stakeholders, and (5) implementation of the workplan. This framework classifies stakeholders according to their level of influence on the project and their potential for the conservation of natural resources. In a situation characterized by conflicting claims on natural resources, park authorities were able to successfully develop specific strategies for the management of stakeholders. The conclusion discusses the implications of the Ream experience and the generalization of the framework to other protected areas.

  9. The tyranny of taste: the case of organic rice in Cambodia.

    PubMed

    Thavat, Maylee

    2011-01-01

    Fair-trade and organic products are often sold at price premiums justified by smaller production volumes that are associated with greater social and environmental responsibility. The consumption of these products confers on the consumer a greater sense of morality – and usually a claim to better taste. This paper tells the story of attempts to promote organic/fair-trade rice production by de facto organic Cambodian farmers for export to North American and European markets in order to assist poor farmers to trade their way out of poverty. It demonstrates that instead of promoting sustainable agriculture and fair trade between developed and developing markets, organic/fair-trade projects may impose First World consumer ideals and tastes that are out of step with the larger realities of agrarian transition in Cambodia and the wider region of developing Southeast Asia. PMID:22216476

  10. Survey of smallholder beef cattle production systems in different agro-ecological zones of Cambodia.

    PubMed

    Samkol, Pok; Sath, Keo; Patel, Mikaela; Windsor, Peter Andrew; Holtenius, Kjell

    2015-10-01

    A survey was conducted to better understand the contribution of farm productivity to rural household income and identify differences in production systems, feeding practices and development constraints to smallholder beef cattle producers in the four agro-ecological zones (AEZs) of Cambodia. A semi-structured questionnaire was used to interview 360 households in the four AEZs: I, the Great Lake Floodplain; II, the Mekong Floodplain; III, the Coastal and IV, the Plateau/Mountainous. In addition, samples of common nutritional resources used for cattle feed were collected for nutrient composition analysis, plus cattle were scored for body condition. Rice farming and cattle production were the most common sources of income in all AEZs. The average cattle herd size was 3.7 (SD = 2.4), but the majority of households raised 1-3 animals. The most common cattle management system was grazing with supplementation, mainly with rice straw and 'cut-and-carry' natural grasses fed during the wet season in all AEZs. The body condition score of all cattle types was 3.2 (SD = 0.8), except for cows in lactation that were 1.8. Major constraints to cattle production in AEZs I, II and III were lack of quality feed resources, capital for cattle production and concerns on breed quality, whereas in AEZ IV, diseases were identified as the main constraint. This survey confirms the importance of cattle to smallholders in the four AEZs. Interventions including farmer education to improve husbandry skills, increase the utilisation of forages and crop residues and address disease issues are necessary to enhance cattle production and rural livelihoods in Cambodia. PMID:26055891

  11. Betel quid use in relation to infectious disease outcomes in Cambodia

    PubMed Central

    Singh, Pramil N.; Natto, Zuhair; Yel, Daravuth; Job, Jayakaran; Knutsen, Synnove

    2012-01-01

    Summary Objectives The habitual chewing of betel quid (areca nut, betel leaf, tobacco) is estimated to occur among 600 million persons in Asia and the Asia-Pacific Region. Emerging data from rural Asia indicate that the betel quid is part of traditional medicine practices that promote its use for a wide range of ailments, including infectious disease. In the present study, we examined the association between betel quid, traditional medicine, and infectious disease outcomes. Methods For the purpose of a nationwide, interviewer-administered, cross-sectional survey of tobacco use (including betel quid), we conducted a stratified three-stage cluster sampling of 13 988 adults aged 18 years and older from all provinces of Cambodia. Results We found an association between the intensity of betel quid use and HIV/AIDS (odds ratio (OR) 2.06, 95% CI 1.09–3.89), dengue fever (OR 2.40, 95% CI 1.55–2.72), tuberculosis (OR 1.50, 95% CI 0.96–2.36), and typhoid (OR 1.48, 95% CI 0.95–2.30). These associations were even stronger in women – the primary users of betel quid in Cambodia. Multivariable analyses that controlled for age, gender, income, education, urban versus rural dwelling, receiving care from traditional medicine practitioners, and cigarette smoking did not alter the betel quid–infectious disease association. Conclusions Our findings raise the possibility of a role of betel quid use in the transmission of infectious disease through pathways such as immunosuppression, oral route of entry for a pathogen (i.e., through injury to the oral mucosa), and contamination (i.e., fecal–oral) of the betel quid ingredients. PMID:22296863

  12. Assessment of hand hygiene compliance after hand hygiene education among health care workers in Cambodia

    PubMed Central

    Sansam, Sim; Yamamoto, Eiko; Srun, Sok; Sinath, Yin; Moniborin, Mey; Bun Sim, Kheang; Reyer, Joshua A.; Yoshida, Yoshitoku; Hamajima, Nobuyuki

    2016-01-01

    ABSTRACT Health care-associated infection (HCAI) is the most frequent adverse event for hospitalized patients. Hand hygiene is a simple and effective solution to protect patients from HCAI. This study aimed to introduce hand hygiene to health care workers based on the World Health Organization guideline for reducing HCAI in Cambodia and to assess their behavioral patterns on hand hygiene. All health care workers at Kampong Cham provincial hospital had lectures and practice on hand hygiene in January 2012. The surveys for hand hygiene compliance (HHC) were performed after 6 months, 1 year and 2 years, respectively. The number of surgical site infections (SSI) was counted in 2011 and 2014. Our analysis used the data of 58 workers, who were observed at all three points, although 139 workers were observed during the study period. The average of HHC at 6 months, 1 year and 2 years were 62.37%, 85.76% and 80.36%, respectively. The improved group (HHC 2 years/1 year≧1) had 32 workers, whereas the worsened group (HHC 2 years/1 year<1) had 26. There was a significant difference in departments of the two groups (P=0.011) but not in sex, age or occupations. The improved group had more workers of General (31.2% vs. 19.2%), Surgical (25.0% vs. 11.5%) and Infection (21.9% vs. 11.5%) categories compared to the worsened group. The incidence of SSI was improved from 32.26% in 2011 to 0.97% in 2014. Our results suggest that the education and the survey on hand hygiene are effective for reducing HCAI in Cambodia. PMID:27303102

  13. Assessment of hand hygiene compliance after hand hygiene education among health care workers in Cambodia.

    PubMed

    Sansam, Sim; Yamamoto, Eiko; Srun, Sok; Sinath, Yin; Moniborin, Mey; Bun Sim, Kheang; Reyer, Joshua A; Yoshida, Yoshitoku; Hamajima, Nobuyuki

    2016-05-01

    Health care-associated infection (HCAI) is the most frequent adverse event for hospitalized patients. Hand hygiene is a simple and effective solution to protect patients from HCAI. This study aimed to introduce hand hygiene to health care workers based on the World Health Organization guideline for reducing HCAI in Cambodia and to assess their behavioral patterns on hand hygiene. All health care workers at Kampong Cham provincial hospital had lectures and practice on hand hygiene in January 2012. The surveys for hand hygiene compliance (HHC) were performed after 6 months, 1 year and 2 years, respectively. The number of surgical site infections (SSI) was counted in 2011 and 2014. Our analysis used the data of 58 workers, who were observed at all three points, although 139 workers were observed during the study period. The average of HHC at 6 months, 1 year and 2 years were 62.37%, 85.76% and 80.36%, respectively. The improved group (HHC 2 years/1 year≧1) had 32 workers, whereas the worsened group (HHC 2 years/1 year<1) had 26. There was a significant difference in departments of the two groups (P=0.011) but not in sex, age or occupations. The improved group had more workers of General (31.2% vs. 19.2%), Surgical (25.0% vs. 11.5%) and Infection (21.9% vs. 11.5%) categories compared to the worsened group. The incidence of SSI was improved from 32.26% in 2011 to 0.97% in 2014. Our results suggest that the education and the survey on hand hygiene are effective for reducing HCAI in Cambodia. PMID:27303102

  14. Tobacco use among adults in Cambodia: evidence for a tobacco epidemic among women

    PubMed Central

    Yel, Daravuth; Sin, Sovann; Khieng, Sothy; Lopez, Jaime; Job, Jayakaran; Ferry, Linda; Knutsen, Synnove

    2009-01-01

    Abstract Objective To identify the demographic characteristics of current tobacco users in Cambodia, particularly women, and to explore the reasons for current tobacco use in demographic subgroups of the Cambodian population. Methods We used a stratified three-stage cluster sample of 13 988 adults aged 18 years and older from all provinces in 2005–2006. Participants completed an interviewer-administered survey that contained items on all forms of tobacco use and on health and lifestyle variables. Multivariable regression analysis was performed to identify demographic predictors of tobacco use. Findings Cigarette smoking occurred among 48.0% of men and 3.6% of women. We estimated that 560 482 women (95% confidence interval, CI: 504 783 to 616 180) currently chewed tobacco (typically as a component of betel quid) and that the prevalence more than doubles with each decade of adulthood up to the point that about half of all older women chew tobacco. Both men and women cited the influence of older relatives as their primary reason for starting to use tobacco. About one out of five rural women who used chewing tobacco started their habit for relief from morning sickness. The highest prevalence of chewing tobacco among women was seen among midwives (67.9%) and traditional healers (47.2%). High rates (66.8%) of cigarette and pipe tobacco use occurred among ethnic minorities who represent hill tribes found throughout south-east Asia. Conclusion The tobacco epidemic in Cambodia extends far beyond cigarette smoking in men. Tobacco control that focuses only on cigarettes will not address the health burden from smokeless tobacco use in women that may be an integral part of cultural, familial, and traditional medicine practices. PMID:20454481

  15. Survey of smallholder beef cattle production systems in different agro-ecological zones of Cambodia.

    PubMed

    Samkol, Pok; Sath, Keo; Patel, Mikaela; Windsor, Peter Andrew; Holtenius, Kjell

    2015-10-01

    A survey was conducted to better understand the contribution of farm productivity to rural household income and identify differences in production systems, feeding practices and development constraints to smallholder beef cattle producers in the four agro-ecological zones (AEZs) of Cambodia. A semi-structured questionnaire was used to interview 360 households in the four AEZs: I, the Great Lake Floodplain; II, the Mekong Floodplain; III, the Coastal and IV, the Plateau/Mountainous. In addition, samples of common nutritional resources used for cattle feed were collected for nutrient composition analysis, plus cattle were scored for body condition. Rice farming and cattle production were the most common sources of income in all AEZs. The average cattle herd size was 3.7 (SD = 2.4), but the majority of households raised 1-3 animals. The most common cattle management system was grazing with supplementation, mainly with rice straw and 'cut-and-carry' natural grasses fed during the wet season in all AEZs. The body condition score of all cattle types was 3.2 (SD = 0.8), except for cows in lactation that were 1.8. Major constraints to cattle production in AEZs I, II and III were lack of quality feed resources, capital for cattle production and concerns on breed quality, whereas in AEZ IV, diseases were identified as the main constraint. This survey confirms the importance of cattle to smallholders in the four AEZs. Interventions including farmer education to improve husbandry skills, increase the utilisation of forages and crop residues and address disease issues are necessary to enhance cattle production and rural livelihoods in Cambodia.

  16. Prevalence and risk factors of Strongyloides stercoralis in Takeo Province, Cambodia

    PubMed Central

    2014-01-01

    Background The threadworm Strongyloides stercoralis, the most neglected helminth, affects an estimated 30-100 million people worldwide. Information on S. stercoralis infection is scarce in tropical and sub-tropical resource poor countries, including Cambodia. We determined S. stercoralis infection prevalence and risk factors for infection in the general population in Southern Cambodia. Methods A cross-sectional study was carried out between January and April 2011 among 2,861 participants living in 60 villages of Takeo province, using Koga-agar plate culture, the Baermann technique and the Kato-Katz technique on a single stool sample. Results Eight intestinal helminth species were diagnosed. Hookworm (31.4%) and S. stercoralis (21.0%) occurred most frequently. Prevalence of S. stercoralis infection increased with age. In all age groups a higher prevalence was found among males than among females (OR: 1.7; 95% CI: 1.4 – 2.0; P < 0.001). Participants who had a latrine at home were significantly less frequently infected with S. stercoralis than those who did not (OR: 0.7; 95% CI: 0.4 – 0.8; P = 0.003). Muscle pain (OR: 1.3; 95% CI: 1.0 – 1.6; P = 0.028) and urticaria (OR: 1.4; 95% CI: 1.1 – 1.8; P = 0.001) were significantly associated with S. stercoralis infection. Conclusions S. stercoralis is highly prevalent among the general Cambodian population and should no longer be neglected. Access to adequate diagnosis and treatment is urgently needed. PMID:24886763

  17. Tropical tree water use under seasonal waterlogging and drought in central Cambodia

    NASA Astrophysics Data System (ADS)

    Miyazawa, Yoshiyuki; Tateishi, Makiko; Komatsu, Hikaru; Ma, Vuthy; Kajisa, Tsuyoshi; Sokh, Heng; Mizoue, Nobuya; Kumagai, Tomo'omi

    2014-07-01

    In central Cambodia, rapid growing non-endemic species are planted for future timber production. However, less is understood about the impact of the introduction of non-endemic species on the transpiration characteristics of the forest, which has been composed of native species that adapted to the highly seasonal environments. Sap flux of two native and one non-endemic tree species in central Cambodia was measured to reveal its seasonal trends and variability in the Monsoon Asia region. Measurements were carried out in a 10- to 15-year-old forest in the dry and rainy seasons that were defined by differing rainfall patterns. The seasonal trend in depth to water table differed from that of rainfall; groundwater table depth reached zero late in the rainy season and increased gradually after the onset of the dry season. The ratio of sap flux to an equilibrium evaporation condition of the native species, Popel (Shorea roxburghii), showed a sharp decline at the end of the dry season, whereas that of a non-endemic species, eucalyptus (Eucalyptus camaldulensis), decreased in the mid rainy season while Tbeng (Dipterocarpus obtusifolius) did not show a clear trend. The ratio of sap flux to an equilibrium evaporation was negatively correlated with the depth to water table in Popel, but was positively correlated in eucalyptus, possibly because of the negative effects of flooding. In addition to the large seasonal variation, intra-species variation in sap flux was also large and was a major controlling factor for tree-level water uptake at this young forest site in both dry and rainy seasons. In conclusion, the transpiration characteristics of this forest were species-specific and were controlled more by the fluctuating depths to groundwater rather than the onset of the rainy/dry seasons defined by rainfall events.

  18. The village/commune safety policy and HIV prevention efforts among key affected populations in Cambodia: finding a balance

    PubMed Central

    2012-01-01

    The Village/Commune Safety Policy was launched by the Ministry of Interior of the Kingdom of Cambodia in 2010 and, due to a priority focus on “cleaning the streets”, has created difficulties for HIV prevention programs attempting to implement programs that work with key affected populations including female sex workers and people who inject drugs. The implementation of the policy has forced HIV program implementers, the UN and various government counterparts to explore and develop collaborative ways of delivering HIV prevention services within this difficult environment. The following case study explores some of these efforts and highlights the promising development of a Police Community Partnership Initiative that it is hoped will find a meaningful balance between the Village/Commune Safety Policy and HIV prevention efforts with key affected populations in Cambodia. PMID:22770267

  19. A new species of wolf snake (Colubridae: Lycodon Fitzinger, 1826) from Phnom Samkos Wildlife Sanctuary, Cardamom Mountains, southwest Cambodia.

    PubMed

    Neang, Thy; Hartmann, Timo; Hun, Seiha; Souter, Nicholas J; Furey, Neil M

    2014-01-01

    A new species of the genus Lycodon Fitzinger, 1826 is described from the Cardamom Mountains of southwest Cambodia. Lycodon zoosvictoriae distinctly differs from all other species of Lycodon in Southeast Asia by a combination of its morphometric characters and unique coloration. The new species has 17 dorsal scales at midbody; 2+2 temporals; 8 supralabials; 10 infralabials; loreal separated from internasal and orbit; 213 ventrals; 85 subcaudals; pale tan brown ground color; irregular dark brown blotches on anterior part, 31 transverse blotches on posterior part of body and 26 blotches on tail. Given its submontane type locality, the new species could prove to be endemic to the Cardamom Mountains of southwest Cambodia and probably Southeast Thailand. PMID:24943413

  20. A new species of wolf snake (Colubridae: Lycodon Fitzinger, 1826) from Phnom Samkos Wildlife Sanctuary, Cardamom Mountains, southwest Cambodia.

    PubMed

    Neang, Thy; Hartmann, Timo; Hun, Seiha; Souter, Nicholas J; Furey, Neil M

    2014-06-06

    A new species of the genus Lycodon Fitzinger, 1826 is described from the Cardamom Mountains of southwest Cambodia. Lycodon zoosvictoriae distinctly differs from all other species of Lycodon in Southeast Asia by a combination of its morphometric characters and unique coloration. The new species has 17 dorsal scales at midbody; 2+2 temporals; 8 supralabials; 10 infralabials; loreal separated from internasal and orbit; 213 ventrals; 85 subcaudals; pale tan brown ground color; irregular dark brown blotches on anterior part, 31 transverse blotches on posterior part of body and 26 blotches on tail. Given its submontane type locality, the new species could prove to be endemic to the Cardamom Mountains of southwest Cambodia and probably Southeast Thailand.

  1. Point‐of‐sale promotion of breastmilk substitutes and commercially produced complementary foods in Cambodia, Nepal, Senegal and Tanzania

    PubMed Central

    Pereira, Catherine; Sweet, Lara; Khin, Mengkheang; Ndiaye Coly, Aminata; Sy Gueye, Ndeye Yaga; Adhikary, Indu; Dhungel, Shrid; Makafu, Cecilia; Zehner, Elizabeth; Huffman, Sandra L.

    2016-01-01

    Abstract In order to assess the prevalence of point‐of‐sale promotions of infant and young child feeding products in Phnom Penh, Cambodia; Kathmandu Valley, Nepal; Dakar Department, Senegal; and Dar es Salaam, Tanzania, approximately 30 retail stores per site, 121 in total, were visited. Promotional activity for breastmilk substitutes (BMS) and commercially produced complementary foods in each site were recorded. Point‐of‐sale promotion of BMS occurred in approximately one‐third of sampled stores in Phnom Penh and Dakar Department but in 3.2% and 6.7% of stores in Kathmandu Valley and Dar es Salaam, respectively. Promotion of commercially produced complementary foods was highly prevalent in Dakar Department with half of stores having at least one promotion, while promotions for these products occurred in 10% or less of stores in the other three sites. While promotion of BMS in stores is legal in Senegal, it is prohibited in Cambodia without prior permission of the Ministry of Health/Ministry of Information and prohibited in both Nepal and Tanzania. Strengthening legislation in Senegal and enforcing regulations in Cambodia could help to prevent such promotion that can negatively affect breastfeeding practices. Key messages Even in countries such as Cambodia, Nepal and Tanzania where point‐of‐sale promotion is restricted, promotions of BMS were observed (in nearly one‐third of stores in Phnom Penh and less than 10% in Dar es Salaam and Kathmandu).Limited promotion of commercially produced complementary foods was evident (less than 10% of stores had a promotion for such foods), except in Dakar Department, where promotions were found in half of stores.Efforts are needed to strengthen monitoring, regulation and enforcement of restrictions on the promotion of BMS.Manufacturers and distributors should take responsibility for compliance with national regulations and global policies pertaining to the promotion of breastmilk substitutes. PMID:27061961

  2. Median Urinary Iodine Concentrations Are Indicative of Adequate Iodine Status among Women of Reproductive Age in Prey Veng, Cambodia.

    PubMed

    Karakochuk, Crystal D; Michaux, Kristina D; Chai, Tze L; Chan, Benny B; Whitfield, Kyly C; Barr, Susan I; McLean, Judy; Talukder, Aminuzzaman; Hou, Kroeun; Ly, Sokhoing; Green, Tim J

    2016-03-01

    Iodine deficiency disorders are estimated to affect over 1.9 million people worldwide. Iodine deficiency is especially serious for women during pregnancy and lactation because of the negative consequences for both mother and infant. The aim of this cross-sectional study was to determine the median urinary iodine concentration (UIC) as a population-level indicator of iodine status among rural women farmers of reproductive age (18-45 years) in the province of Prey Veng, Cambodia. A total of 450 women provided a spot morning urine sample in 2012. Of those women, 93% (n = 420) were non-pregnant and 7% (n = 30) were pregnant at the time of collection. UIC was quantified using the Sandell-Kolthoff reaction with modifications. The median UIC of non-pregnant (139 μg/L) and pregnant women (157 μg/L) were indicative of adequate iodine status using the WHO/UNICEF/ICCIDD epidemiological criteria for both groups (median UIC between 100-199 and 150-249 μg/L, respectively). We conclude that non-pregnant and pregnant women in rural Prey Veng, Cambodia had adequate iodine status based on single spot morning urine samples collected in 2012. More research is warranted to investigate iodine status among larger and more representative populations of women in Cambodia, especially in light of recent policy changes to the national program for universal salt iodization. PMID:26950151

  3. Is importing second-hand products a good thing? The cases of computers and tires in Cambodia

    SciTech Connect

    Chanthy, Lay Nitivattananon, Vilas

    2011-04-15

    Is importing second-hand products (SHPs) good for Cambodia? To answer this question, one must seriously consider environmental and social effects. The main objective of this study is to identify and assess the economic, social, and environmental impacts of imported SHPs to determine whether or not Cambodia benefits. Imported second-hand computers (SHPCs) and second-hand tires (SHTs) were selected as cases for the study. The study used a scaling checklist to identify significant impacts of these two imported items. Significant impacts were ranked and rated into a single value (score) for integration. Integrated impact assessment showed that imported SHPCs create a very small positive impact (+ 0.1 of + 5) and imported SHTs generate a large negative impact (- 2.83 of - 5). These scores are mainly the result of environmental impact, predominantly waste issues. Thus, current imports of SHPCs and SHTs do not really benefit Cambodia, but instead cause serious environmental problems from their waste issues. The import serves as a channel to transfer waste into developing countries.

  4. Anemia in Cambodia: a cross-sectional study of anemia, socioeconomic status and other associated risk factors in rural women.

    PubMed

    Charles, Christopher V; Dewey, Cate E; Hall, Ann; Hak, Chantharith; Channary, Son; Summerlee, Alastair J S

    2015-01-01

    Iron deficiency and associated anemia are severe public health problems, which are prevalent in the developing world. We conducted a cross-sectional survey, comprised of written interview questions and laboratory analysis of blood biomarkers, in Kandal Province, Cambodia. The objective of this study is to examine possible factors that are associated with anemia in rural Cambodia. Data on socioeconomic status, water source/treatment practices, and meat consumption was also collected. Of the 297 women surveyed, 51.2% were anemic. Of those women found to be anemic, iron deficiency was implicated in 9.7% of cases (SF <15 ng/L), with an additional 18.5% reported to be borderline iron deficient (serum ferritin=15-30 ng/L). Meat consumption was very low, with nearly one-half of the women consuming meat one time per month or less. This study highlights the multi-faceted etiology of anemia in Cambodia and emphasizes the need for comprehensive nutrition surveying in order to better inform prevention and treatment programming and policy development.

  5. Infant and Young Child Feces Management and Enabling Products for Their Hygienic Collection, Transport, and Disposal in Cambodia.

    PubMed

    Miller-Petrie, Molly K; Voigt, Lindsay; McLennan, Lyn; Cairncross, Sandy; Jenkins, Marion W

    2016-02-01

    In Cambodia, children's feces are rarely disposed of in an improved sanitation facility. This study examines current practices and the role that enabling products may play in increasing hygienic management of infant and young child (IYC) feces in households with access to improved sanitation. A survey was conducted with the primary caregiver of a child under 5 years of age in 130 homes with an improved latrine in 21 villages across two provinces in Cambodia. Two focus group discussions per province were conducted after the survey to obtain caregiver feedback on new enabling products for hygienic management. Among caregivers, 63% reported child feces disposal in an improved latrine but only 36% reported doing so consistently. Besides child age, years of latrine ownership, caregiver age, consistency of adult latrine use, and presence of child feces management tools in the latrine were associated with hygienic disposal. The youngest caretakers with the newest latrines and youngest children were least likely to dispose of IYC feces hygienically, representing a key target group for interventions to improve hygienic disposal in Cambodia. Reusable diapers, child-friendly potties, and possibly latrine seats, that offer child safety, time and cost savings, and easy disposal and cleaning could potentially facilitate hygienic disposal for these ages.

  6. High Mobility and Low Use of Malaria Preventive Measures Among the Jarai Male Youth Along the Cambodia-Vietnam Border.

    PubMed

    Gryseels, Charlotte; Peeters Grietens, Koen; Dierickx, Susan; Xuan, Xa Nguyen; Uk, Sambunny; Bannister-Tyrrell, Melanie; Trienekens, Suzan; Ribera, Joan Muela; Hausmann-Muela, Susanna; Gerrets, René; D'Alessandro, Umberto; Sochantha, Tho; Coosemans, Marc; Erhart, Annette

    2015-10-01

    Malaria control along the Vietnam-Cambodia border presents a challenge for both countries' malaria elimination targets as the region is forested, inhabited by ethnic minority populations, and potentially characterized by early and outdoor malaria transmission. A mixed methods study assessed the vulnerability to malaria among the Jarai population living on both sides of the border in the provinces of Ratanakiri (Cambodia) and Gia Lai (Vietnam). A qualitative study generated preliminary hypotheses that were quantified in two surveys, one targeting youth (N = 498) and the other household leaders (N = 449). Jarai male youth, especially in Cambodia, had lower uptake of preventive measures (57.4%) and more often stayed overnight in the deep forest (35.8%) compared with the female youth and the adult population. Among male youth, a high-risk subgroup was identified that regularly slept at friends' homes or outdoors, who had fewer bed nets (32.5%) that were torn more often (77.8%). The vulnerability of Jarai youth to malaria could be attributed to the transitional character of youth itself, implying less fixed sleeping arrangements in nonpermanent spaces or non-bed sites. Additional tools such as long-lasting hammock nets could be suitable as they are in line with current practices.

  7. Median Urinary Iodine Concentrations Are Indicative of Adequate Iodine Status among Women of Reproductive Age in Prey Veng, Cambodia

    PubMed Central

    Karakochuk, Crystal D.; Michaux, Kristina D.; Chai, Tze L.; Chan, Benny B.; Whitfield, Kyly C.; Barr, Susan I.; McLean, Judy; Talukder, Aminuzzaman; Hou, Kroeun; Ly, Sokhoing; Green, Tim J.

    2016-01-01

    Iodine deficiency disorders are estimated to affect over 1.9 million people worldwide. Iodine deficiency is especially serious for women during pregnancy and lactation because of the negative consequences for both mother and infant. The aim of this cross-sectional study was to determine the median urinary iodine concentration (UIC) as a population-level indicator of iodine status among rural women farmers of reproductive age (18–45 years) in the province of Prey Veng, Cambodia. A total of 450 women provided a spot morning urine sample in 2012. Of those women, 93% (n = 420) were non-pregnant and 7% (n = 30) were pregnant at the time of collection. UIC was quantified using the Sandell-Kolthoff reaction with modifications. The median UIC of non-pregnant (139 μg/L) and pregnant women (157 μg/L) were indicative of adequate iodine status using the WHO/UNICEF/ICCIDD epidemiological criteria for both groups (median UIC between 100–199 and 150–249 μg/L, respectively). We conclude that non-pregnant and pregnant women in rural Prey Veng, Cambodia had adequate iodine status based on single spot morning urine samples collected in 2012. More research is warranted to investigate iodine status among larger and more representative populations of women in Cambodia, especially in light of recent policy changes to the national program for universal salt iodization. PMID:26950151

  8. Control of Schistosoma mekongi in Cambodia: results of eight years of control activities in the two endemic provinces.

    PubMed

    Sinuon, M; Tsuyuoka, R; Socheat, D; Odermatt, P; Ohmae, H; Matsuda, H; Montresor, A; Palmer, K

    2007-01-01

    In Cambodia, schistosomiasis is transmitted in the provinces of Kratie and Stung Treng where approximately 80000 individuals are estimated to be at risk of infection. The baseline prevalence of infection was estimated to be between 73% and 88%, and cases of severe morbidity (hepatosplenomegaly, puberty retardation) and mortality were very common. In 1994, the Ministry of Health of Cambodia started schistosomiasis control applying universal chemotherapy with praziquantel (40mg/kg). The coverage of the programme was between 62% and 86% for 8 years. This simple control measure resulted in the control of the disease: no cases were reported in 2004 and only three cases were reported in 2005. In addition, there are no longer reports of cases of severe morbidity due to schistosomiasis. Since the beginning of the control programme, a single dose of mebendazole (500mg) has been combined with praziquantel during the mass chemotherapy; as a result the prevalence of Ascaris lumbricoides and hookworms dropped from 74.5% to 10% and from 86% to 40% respectively. The experience in Cambodia demonstrates that, with political commitment, control of parasitic diseases is achievable even in a situation of minimal resources. The programme represents a successful model for other developing countries.

  9. Median Urinary Iodine Concentrations Are Indicative of Adequate Iodine Status among Women of Reproductive Age in Prey Veng, Cambodia.

    PubMed

    Karakochuk, Crystal D; Michaux, Kristina D; Chai, Tze L; Chan, Benny B; Whitfield, Kyly C; Barr, Susan I; McLean, Judy; Talukder, Aminuzzaman; Hou, Kroeun; Ly, Sokhoing; Green, Tim J

    2016-03-03

    Iodine deficiency disorders are estimated to affect over 1.9 million people worldwide. Iodine deficiency is especially serious for women during pregnancy and lactation because of the negative consequences for both mother and infant. The aim of this cross-sectional study was to determine the median urinary iodine concentration (UIC) as a population-level indicator of iodine status among rural women farmers of reproductive age (18-45 years) in the province of Prey Veng, Cambodia. A total of 450 women provided a spot morning urine sample in 2012. Of those women, 93% (n = 420) were non-pregnant and 7% (n = 30) were pregnant at the time of collection. UIC was quantified using the Sandell-Kolthoff reaction with modifications. The median UIC of non-pregnant (139 μg/L) and pregnant women (157 μg/L) were indicative of adequate iodine status using the WHO/UNICEF/ICCIDD epidemiological criteria for both groups (median UIC between 100-199 and 150-249 μg/L, respectively). We conclude that non-pregnant and pregnant women in rural Prey Veng, Cambodia had adequate iodine status based on single spot morning urine samples collected in 2012. More research is warranted to investigate iodine status among larger and more representative populations of women in Cambodia, especially in light of recent policy changes to the national program for universal salt iodization.

  10. High Mobility and Low Use of Malaria Preventive Measures Among the Jarai Male Youth Along the Cambodia-Vietnam Border.

    PubMed

    Gryseels, Charlotte; Peeters Grietens, Koen; Dierickx, Susan; Xuan, Xa Nguyen; Uk, Sambunny; Bannister-Tyrrell, Melanie; Trienekens, Suzan; Ribera, Joan Muela; Hausmann-Muela, Susanna; Gerrets, René; D'Alessandro, Umberto; Sochantha, Tho; Coosemans, Marc; Erhart, Annette

    2015-10-01

    Malaria control along the Vietnam-Cambodia border presents a challenge for both countries' malaria elimination targets as the region is forested, inhabited by ethnic minority populations, and potentially characterized by early and outdoor malaria transmission. A mixed methods study assessed the vulnerability to malaria among the Jarai population living on both sides of the border in the provinces of Ratanakiri (Cambodia) and Gia Lai (Vietnam). A qualitative study generated preliminary hypotheses that were quantified in two surveys, one targeting youth (N = 498) and the other household leaders (N = 449). Jarai male youth, especially in Cambodia, had lower uptake of preventive measures (57.4%) and more often stayed overnight in the deep forest (35.8%) compared with the female youth and the adult population. Among male youth, a high-risk subgroup was identified that regularly slept at friends' homes or outdoors, who had fewer bed nets (32.5%) that were torn more often (77.8%). The vulnerability of Jarai youth to malaria could be attributed to the transitional character of youth itself, implying less fixed sleeping arrangements in nonpermanent spaces or non-bed sites. Additional tools such as long-lasting hammock nets could be suitable as they are in line with current practices. PMID:26283747

  11. Infant and Young Child Feces Management and Enabling Products for Their Hygienic Collection, Transport, and Disposal in Cambodia

    PubMed Central

    Miller-Petrie, Molly K.; Voigt, Lindsay; McLennan, Lyn; Cairncross, Sandy; Jenkins, Marion W.

    2016-01-01

    In Cambodia, children's feces are rarely disposed of in an improved sanitation facility. This study examines current practices and the role that enabling products may play in increasing hygienic management of infant and young child (IYC) feces in households with access to improved sanitation. A survey was conducted with the primary caregiver of a child under 5 years of age in 130 homes with an improved latrine in 21 villages across two provinces in Cambodia. Two focus group discussions per province were conducted after the survey to obtain caregiver feedback on new enabling products for hygienic management. Among caregivers, 63% reported child feces disposal in an improved latrine but only 36% reported doing so consistently. Besides child age, years of latrine ownership, caregiver age, consistency of adult latrine use, and presence of child feces management tools in the latrine were associated with hygienic disposal. The youngest caretakers with the newest latrines and youngest children were least likely to dispose of IYC feces hygienically, representing a key target group for interventions to improve hygienic disposal in Cambodia. Reusable diapers, child-friendly potties, and possibly latrine seats, that offer child safety, time and cost savings, and easy disposal and cleaning could potentially facilitate hygienic disposal for these ages. PMID:26598568

  12. Human H5N1 influenza infections in Cambodia 2005–2011: case series and cost-of-illness

    PubMed Central

    2013-01-01

    Background Southeast Asia has been identified as a potential epicentre of emerging diseases with pandemic capacity, including highly pathogenic influenza. Cambodia in particular has the potential for high rates of avoidable deaths from pandemic influenza due to large gaps in health system resources. This study seeks to better understand the course and cost-of-illness for cases of highly pathogenic avian influenza in Cambodia. Methods We studied the 18 laboratory-confirmed cases of avian influenza subtype H5N1 identified in Cambodia between January 2005 and August 2011. Medical records for all patients were reviewed to extract information on patient characteristics, travel to hospital, time to admission, diagnostic testing, treatment and disease outcomes. Further data related to costs was collected through interviews with key informants at district and provincial hospitals, the Ministry of Health and non-governmental organisations. An ingredient-based approach was used to estimate the total economic cost for each study patient. Costing was conducted from a societal perspective and included both financial and opportunity costs to the patient or carer. Sensitivity analysis was undertaken to evaluate potential change or variation in the cost-of-illness. Results Of the 18 patients studied, 11 (61%) were under the age of 18 years. The majority of patients (16, 89%) died, eight (44%) within 24 hours of hospital admission. There was an average delay of seven days between symptom onset and hospitalisation with patients travelling an average of 148 kilometres (8-476 km) to the admitting hospital. Five patients were treated with oseltamivir of whom two received the recommended dose. For the 16 patients who received all their treatment in Cambodia the average per patient cost of H5N1 influenza illness was US$300 of which 85.0% comprised direct medical provider costs, including diagnostic testing (41.2%), pharmaceuticals (28.4%), hospitalisation (10.4%), oxygen (4.4%) and

  13. Health risk assessment of inorganic arsenic intake of Cambodia residents through groundwater drinking pathway.

    PubMed

    Phan, Kongkea; Sthiannopkao, Suthipong; Kim, Kyoung-Woong; Wong, Ming Hung; Sao, Vibol; Hashim, Jamal Hisham; Mohamed Yasin, Mohamed Salleh; Aljunid, Syed Mohamed

    2010-11-01

    In order to compare the magnitudes and health impacts of arsenic and other toxic trace elements in well water, groundwater and hair samples were collected from three areas with different arsenic exposure scenarios in the Mekong River basin of Cambodia. Ampil commune in Kampong Cham province was selected as an uncontaminated area, Khsarch Andaet commune in Kratie province was selected as a moderately contaminated area, and Kampong Kong commune in Kandal Province was selected as an extremely contaminated area. Results of ICP-MS analyses of the groundwater samples revealed that As, Mn, Fe and Ba concentrations were significantly different among the three study areas (Kruskal-Wallis test, p < 0.0001). Out of 46 observed wells in the Kandal province study area, 100% detected As > 50 μg L(-1) and Fe > 300 μg L(-1); 52.17% had Mn > 400 μg L(-1) and 73.91% found Ba > 700 μg L(-1). In the Kratie province study area (n = 12), 25% of wells showed elevated arsenic levels above 10 μg L(-1) and 25% had Mn > 400 μg L(-1), whereas samples from Kampong Cham province study area (n = 18) were relatively clean, with As < 10 μg L(-1). A health risk assessment model derived from the USEPA was applied to calculate individual risks resulting from drinking groundwater. Computational results indicated that residents from Kandal Province study area (n = 297) confronted significantly higher non-carcinogenic and carcinogenic risks than those in Kratie (n = 89) and Kampong Cham (n = 184) province study areas (Kruskal-Wallis test, p < 0.0001). 98.65% of respondents from the Kandal province study area were at risk for the potential non-cancer effect and an average cancer risk index was found to be 5 in 1000 exposure. The calculations also indicated that, in the Kratie province study area, 13.48% of respondents were affected by non-cancer health risks and 33.71% were threatened by cancer, whereas none of respondents in the Kampong Cham province study area appeared to have non

  14. Social cost of land mines in four countries: Afghanistan, Bosnia, Cambodia, and Mozambique.

    PubMed Central

    Andersson, N.; da Sousa, C. P.; Paredes, S.

    1995-01-01

    OBJECTIVES--To document the effects of land mines on the health and social conditions of communities in four affected countries. DESIGN--A cross design of cluster survey and rapid appraisal methods including a household questionnaire and qualitative data from key informants, institutional reviews, and focus groups of survivors of land mines from the same communities. SETTING--206 communities, 37 in Afghanistan, 66 in Bosnia, 38 in Cambodia, and 65 in Mozambique. SUBJECTS--174,489 people living in 32,904 households in the selected communities. MAIN OUTCOME MEASURES--Effects of land mines on food security, residence, livestock, and land use; risk factors: extent of individual land mine injuries; physical, psychological, social, and economic costs of injuries during medical care and rehabilitation. RESULTS--Between 25% and 87% of households had daily activities affected by land mines. Based on expected production without the mines, agricultural production could increase by 88-200% in different regions of Afghanistan, 11% in Bosnia, 135% in Cambodia, and 3.6% in Mozambique. A total of 54,554 animals was lost because of land mines, with a minimum cash value of $6.5m, or nearly $200 per household. Overall, 6% of households (1964) reported a land mine victim; a third of victims died in the blast. One in 10 of the victims was a child. The most frequent activities associated with land mine incidents were agricultural or pastoral, except in Bosnia where more than half resulted from military activities, usually during patrols. Incidences have more than doubled between 1980-3 and 1990-3, excluding the incidents in Bosnia. Some 22% of victims (455/2100) were from households reporting attempts to remove land mines; in these households there was a greatly increased risk of injury (odds ratio 4.2 and risk difference 19% across the four countries). Lethality of the mines varied; in Bosnia each blast killed an average of 0.54 people and injured 1.4, whereas in Mozambique each blast

  15. Neurobehavioral effects of arsenic exposure among secondary school children in the Kandal Province, Cambodia.

    PubMed

    Vibol, Sao; Hashim, Jamal Hisham; Sarmani, Sukiman

    2015-02-01

    The research was carried out at 3 study sites with varying groundwater arsenic (As) levels in the Kandal Province of Cambodia. Kampong Kong Commune was chosen as a highly contaminated site (300-500μg/L), Svay Romiet Commune was chosen as a moderately contaminated site (50-300μg/L) and Anlong Romiet Commune was chosen as a control site. Neurobehavioral tests on the 3 exposure groups were conducted using a modified WHO neurobehavioral core test battery. Seven neurobehavioral tests including digit symbol, digit span, Santa Ana manual dexterity, Benton visual retention, pursuit aiming, trail making and simple reaction time were applied. Children's hair samples were also collected to investigate the influence of hair As levels on the neurobehavioral test scores. The results from the inductively coupled plasma-mass spectrometry (ICP-MS) analyses of hair samples showed that hair As levels at the 3 study sites were significantly different (p<0.001), whereby hair samples from the highly contaminated site (n=157) had a median hair As level of 0.93μg/g, while the moderately contaminated site (n=151) had a median hair As level of 0.22μg/g, and the control site (n=214) had a median hair As level of 0.08μg/g. There were significant differences among the 3 study sites for all the neurobehavioral tests scores, except for digit span (backward) test. Multiple linear regression clearly shows a positive significant influence of hair As levels on all the neurobehavioral test scores, except for digit span (backward) test, after controlling for hair lead (Pb), manganese (Mn) and cadmium (Cd). Children with high hair As levels experienced 1.57-4.67 times greater risk of having lower neurobehavioral test scores compared to those with low hair As levels, after adjusting for hair Pb, Mn and Cd levels and BMI status. In conclusion, arsenic-exposed school children from the Kandal Province of Cambodia with a median hair As level of 0.93µg/g among those from the highly contaminated study

  16. Selling sex in unsafe spaces: sex work risk environments in Phnom Penh, Cambodia

    PubMed Central

    2011-01-01

    Background The risk environment framework provides a valuable but under-utilised heuristic for understanding environmental vulnerability to HIV and other sexually transmitted infections among female sex workers. Brothels have been shown to be safer than street-based sex work, with higher rates of consistent condom use and lower HIV prevalence. While entertainment venues are also assumed to be safer than street-based sex work, few studies have examined environmental influences on vulnerability to HIV in this context. Methods As part of the Young Women's Health Study, a prospective observational study of young women (15-29 years) engaged in sex work in Phnom Penh, we conducted in-depth interviews (n = 33) to explore vulnerability to HIV/STI and related harms. Interviews were conducted in Khmer by trained interviewers, transcribed and translated into English and analysed for thematic content. Results The intensification of anti-prostitution and anti-trafficking efforts in Cambodia has increased the number of women working in entertainment venues and on the street. Our results confirm that street-based sex work places women at risk of HIV/STI infection and identify significant environmental risks related to entertainment-based sex work, including limited access to condoms and alcohol-related intoxication. Our data also indicate that exposure to violence and interactions with the police are mediated by the settings in which sex is sold. In particular, transacting sex in environments such as guest houses where there is little or no oversight in the form of peer or managerial support or protection, may increase vulnerability to HIV/STI. Conclusions Entertainment venues may also provide a high risk environment for sex work. Our results indicate that strategies designed to address HIV prevention among brothel-based FSWs in Cambodia have not translated well to street and entertainment-based sex work venues in which increasing numbers of women are working. There is an urgent

  17. Neurobehavioral effects of arsenic exposure among secondary school children in the Kandal Province, Cambodia

    SciTech Connect

    Vibol, Sao; Hashim, Jamal Hisham; Sarmani, Sukiman

    2015-02-15

    The research was carried out at 3 study sites with varying groundwater arsenic (As) levels in the Kandal Province of Cambodia. Kampong Kong Commune was chosen as a highly contaminated site (300–500 μg/L), Svay Romiet Commune was chosen as a moderately contaminated site (50–300 μg/L) and Anlong Romiet Commune was chosen as a control site. Neurobehavioral tests on the 3 exposure groups were conducted using a modified WHO neurobehavioral core test battery. Seven neurobehavioral tests including digit symbol, digit span, Santa Ana manual dexterity, Benton visual retention, pursuit aiming, trail making and simple reaction time were applied. Children's hair samples were also collected to investigate the influence of hair As levels on the neurobehavioral test scores. The results from the inductively coupled plasma-mass spectrometry (ICP-MS) analyses of hair samples showed that hair As levels at the 3 study sites were significantly different (p<0.001), whereby hair samples from the highly contaminated site (n=157) had a median hair As level of 0.93 μg/g, while the moderately contaminated site (n=151) had a median hair As level of 0.22 μg/g, and the control site (n=214) had a median hair As level of 0.08 μg/g. There were significant differences among the 3 study sites for all the neurobehavioral tests scores, except for digit span (backward) test. Multiple linear regression clearly shows a positive significant influence of hair As levels on all the neurobehavioral test scores, except for digit span (backward) test, after controlling for hair lead (Pb), manganese (Mn) and cadmium (Cd). Children with high hair As levels experienced 1.57–4.67 times greater risk of having lower neurobehavioral test scores compared to those with low hair As levels, after adjusting for hair Pb, Mn and Cd levels and BMI status. In conclusion, arsenic-exposed school children from the Kandal Province of Cambodia with a median hair As level of 0.93 µg/g among those from the highly

  18. Improving government health services through contract management: a case from Cambodia.

    PubMed

    Soeters, Robert; Griffiths, Fred

    2003-03-01

    Most government health facilities in Cambodia perform poorly, due to lack of funds, inadequate management and inefficient use of resources, but mostly due to poor motivation of staff. This paper describes contracting as a possible tool for Ministries of Health to improve health service delivery more rapidly than the more traditional reform approaches. In Cambodia, the Ministry of Health started an experiment with contracting in eight districts, covering 1 million people. Health care management in five districts was sub-contracted to private sector operators, and their results were compared with three control districts. Both internal and external reviews showed that after 3 years of implementation, the utilization of health services in the contracted districts improved significantly, in comparison with the control districts. There was adequate competition in awarding the contracts. A Ministry of Health Project Co-ordinating Unit measured the performance of the contractors, and contributed pro-actively. There was no evidence of rent-seeking practices by either the contracting agency or the contractors. This paper describes in more detail the successes and failures in one of the contracted districts, where HealthNet International applied the contracting approach. Despite significantly increased official user fees, constituting 16% of recurrent costs, the utilization of services was equally increased. Patients thought the fees were reasonable because they were still lower than the fees demanded if government health workers charged informally. They also thought that the services were of better quality than in the unregulated private sector. Another important result was that combining strict monitoring with performance-based incentives demonstrates a decrease in total family health expenditure of some 40% from US dollars 18 to US dollars 11 per capita per year. Innovative and decisive management proved to be essential, which is more likely to be achieved by a contracted

  19. Removing arsenic from groundwater in Cambodia using high performance iron adsorbent.

    PubMed

    Kang, Y; Takeda, R; Nada, A; Thavarith, L; Tang, S; Nuki, K; Sakurai, K

    2014-09-01

    In Cambodia, groundwater has been contaminated with arsenic, and purification of the water is an urgent issue. From 2010 to 2012, an international collaborative project between Japan and Cambodia for developing arsenic-removing technology from well water was conducted and supported by the foundation of New Energy and Industrial Technology Development Organization, Japan. Quality of well water was surveyed in Kandal, Prey Veng, and Kampong Cham Provinces, and a monitoring trial of the arsenic removal equipment using our patented amorphous iron (hydr)oxide adsorbent was performed. Of the 37 wells surveyed, arsenic concentration of 24 exceeded the Cambodian guideline value (50 μg L(-1)), and those of 27 exceeded the WHO guideline for drinking water (10 μg L(-1)). Levels of arsenic were extremely high in some wells (>1,000-6,000 μg L(-1)), suggesting that arsenic pollution of groundwater is serious in these areas. Based on the survey results, 16 arsenic removal equipments were installed in six schools, three temples, two health centers, four private houses, and one commune office. Over 10 months of monitoring, the average arsenic concentrations of the treated water were between 0 and 10 μg L(-1) at four locations, 10-50 μg L(-1) at eight locations, and >50 μg L(-1) at four locations. The arsenic removal rate ranged in 83.1-99.7%, with an average of 93.8%, indicating that the arsenic removal equipment greatly lower the risk of arsenic exposure to the residents. Results of the field trial showed that As concentration of the treated water could be reduced to <10 µg L(-1) by managing the As removal equipment properly, suggesting that the amorphous iron (hydr)oxide adsorbent has high adsorbing capacity for As not only in the laboratory environment but also in the field condition. This is one of the succeeding As removal techniques that could reduce As concentration of water below the WHO guideline value for As in situ.

  20. Indiscriminate Fisheries: Understanding the Foodweb of the Great Tonle Sap Lake, Cambodia

    NASA Astrophysics Data System (ADS)

    Hannah, L.; Kaufman, L.

    2014-12-01

    Indiscriminate fisheries target multiple species with multiple gear types. In contrast to well-studied, industrialized single-species, single-gear fisheries, little theory and little but growing literature on practice exists for indiscriminate fisheries. Indiscriminate fisheries are disproportionately important in low-income countries, providing most of the animal protein intake in countries such as Cambodia and Bangladesh. Indiscriminate fisheries may be either freshwater or marine, but here we focus on what may be the largest freshwater indiscriminate fishery in the world. Cambodia's freshwater fishery stands out because it provides the majority of animal protein to over 3 million people living in poverty. The fishery of the Tonle Sap lake is one of the largest, if not the largest contributor to this freshwater fish take, and is perhaps the largest freshwater fishery in the world. In contrast to its importance, very little is known about the foodweb ecology of this system, or how community management which now governs the entire fishery, interacts with biological and physical factors such as climate change.The foodweb of the Tonle Sap has changed dramatically due to high fishing pressure. A system that once harbored giant catfish, barbs and stingrays is now dominated by fish under 20cm in length. The simplification of the system may not have reduced its productivity. Theory of indiscriminate fisheries suggests that r-selected species may be favored and that biomass available for harvest may be maximized, while being more sensitive to environmental fluctuations such as climate change due to food web simplification. The r-selection and size predictions of theory have been confirmed by observations of the Tonle Sap. Early model results suggest sensitivity to environmental stochasticity. The interaction of these ecological changes with social systems will be tested in the Tonle Sap. Fisheries management across the lake has been transferred to community management

  1. Improving government health services through contract management: a case from Cambodia.

    PubMed

    Soeters, Robert; Griffiths, Fred

    2003-03-01

    Most government health facilities in Cambodia perform poorly, due to lack of funds, inadequate management and inefficient use of resources, but mostly due to poor motivation of staff. This paper describes contracting as a possible tool for Ministries of Health to improve health service delivery more rapidly than the more traditional reform approaches. In Cambodia, the Ministry of Health started an experiment with contracting in eight districts, covering 1 million people. Health care management in five districts was sub-contracted to private sector operators, and their results were compared with three control districts. Both internal and external reviews showed that after 3 years of implementation, the utilization of health services in the contracted districts improved significantly, in comparison with the control districts. There was adequate competition in awarding the contracts. A Ministry of Health Project Co-ordinating Unit measured the performance of the contractors, and contributed pro-actively. There was no evidence of rent-seeking practices by either the contracting agency or the contractors. This paper describes in more detail the successes and failures in one of the contracted districts, where HealthNet International applied the contracting approach. Despite significantly increased official user fees, constituting 16% of recurrent costs, the utilization of services was equally increased. Patients thought the fees were reasonable because they were still lower than the fees demanded if government health workers charged informally. They also thought that the services were of better quality than in the unregulated private sector. Another important result was that combining strict monitoring with performance-based incentives demonstrates a decrease in total family health expenditure of some 40% from US dollars 18 to US dollars 11 per capita per year. Innovative and decisive management proved to be essential, which is more likely to be achieved by a contracted

  2. Characteristics of bedrock-alluvial anastomosed rivers: the Mekong River in Cambodia

    NASA Astrophysics Data System (ADS)

    Meshkova, Liubov. V.; Carling, Paul. A.

    2010-05-01

    The Mekong River is the 12th largest river in the world in terms of its length and mean annual discharge and yet it is poorly investigated. In the north eastern regions of Cambodia the Mekong River develops a multichannel pattern. It is characterised by a complex of intersecting bedrock channels, well vegetated alluvial and seasonally inundated islands, various types of sand bars, numerous bedrock exposures, rapids, waterfalls and deep bedrock pools which can be classified as a large mixed bedrock-alluvial anastomosed river of a tropical monsoonal climate zone. In order to complete a portrait of the river at the high level of details new data on morphology, geology and sediments were obtained during field surveys of a 120 km river section in Cambodia and combined with information from published literature and interpretation of available remote sensing images. This process has enabled to update and clarify knowledge on morphology of observed islands and floodplain, comprehensive geology and tectonic structures, hydrological regime and land cover. Complex analyses of the collected data have distinguished several geomorphological zones accordingly to frequency of morphological elements, the planview configuration of channels and vertical profile characteristics. The occurrence of each zone is a subject of variable controlling factors such as local topography, channel gradient, structural and tectonic elements and intercalating geological units. Evolution of the channel pattern has been considered at both short- and long term time scales. Historical cartographic and remote sensing materials were applied to determine planform channel changes over the last 50 years revealing the channels stability and cases of occasional, local erosion and deposition. The channel network was extracted from vector layers to examine channels and islands width and length parameters, bifurcation angles at the upstream end of islands and to obtain main channel network indices such as braiding

  3. Orthogonius species and diversity in Thailand (Coleoptera, Caraboidea, Orthogoniini), a result from the TIGER project.

    PubMed

    Tian, Mingyi; Deuve, Thierry; Felix, Ron

    2012-01-01

    The carabid genus Orthogonius MacLeay is treated, based mainly on materials collected in Thailand through the TIGER project (the Thailand Inventory Group for Entomological Research). Among 290 specimens, 20 species are identified in total, 10 of them are new species: Orthogonius taghavianaesp. n. (Nakhon Nayok: Khao Yai National Park), Orthogonius coomanioidessp. n. (Phetchabun: Thung Salaeng Luang National Park), Orthogonius similarissp. n. (Phetchabun: Thung Salaeng Luang National Park; Loei: Phu Kradueng National Park), Orthogonius setosopalpigersp. n. (Phetchabun: Thung Salaeng Luang National Park), Orthogonius gracililamellasp. n. (Loei: Phu Kradueng National Park; Chaiyaphum: Tat Tone National Park), Orthogonius pseudochaudoirisp. n. (Phetchabum: Thung Salaeng Luang National Park; Nakhon Nayok: Khao Yai National Park), Orthogonius constrictussp. n. (Phetchabum: Thung Salaeng Luang National Park), Orthogonius pinophilussp. n. (Phetchabum: Thung Salaeng Luang National Park), Orthogonius varisp. n. (Cambodia: Siem Reap; Thailand: Ubon Ratchathani: Pha Taem National Park; Phetchabun: Thung Salaeng Luang National Park) and Orthogonius variabilissp. n. (Thailand: Phetchabun: Thung Salaeng Luang National Park; Nakhon Nayok: Khao Yai National Park; Phetchabun: Nam Nao National Park; China: Yunnan). In addition, Orthogonius mouhoti Chaudoir, 1871 and Orthogonius kirirom Tian & Deuve, 2008 are recorded in Thailand for the first time. In total, 30 species of Orthogonius have been recorded from Thailand, indicating that Thailand holds one of the richest Orthogonius faunas in the world. A provisional key to all Thai species is provided. A majority of Thai Orthogonius species are endemic. Among the ten national parks in which orthogonine beetles were collected, Thung Salaeng Luang holds the richest fauna, including 16 species.

  4. Angkor site monitoring and evaluation by radar remote sensing

    NASA Astrophysics Data System (ADS)

    Chen, Fulong; Jiang, Aihui; Ishwaran, Natarajan

    2014-11-01

    Angkor, in the northern province of Siem Reap, Cambodia, is one of the most important world heritage sites of Southeast Asia. Seasonal flood and ground sinking are two representative hazards in Angkor site. Synthetic Aperture Radar (SAR) remote sensing has played an important role for the Angkor site monitoring and management. In this study, 46 scenes of TerraSAR data acquired in the span of February, 2011 to December, 2013 were used for the time series analysis and hazard evaluation; that is, two-fold classification for flood area extracting and Multi-Temporal SAR Interferometry (MT-InSAR) for ground subsidence monitoring. For the flood investigation, the original Single Look Complex (SLC) TerraSAR-X data were transferred into amplitude images. Water features in dry and flood seasons were firstly extracted using a proposed mixed-threshold approach based on the backscattering; and then for the correlation analysis between water features and the precipitation in seasonally and annually. Using the MT-InSAR method, the ground subsidence was derived with values ranging from -50 to +12 mm/yr in the observation period of February, 2011 to June, 2013. It is clear that the displacement on the Angkor site was evident, implying the necessity of continuous monitoring.

  5. World Malaria Day 2016 in the Kingdom of Cambodia: high-level governmental support embodies the WHO call for "political will to end malaria".

    PubMed

    Canavati, Sara E; Quintero, Cesia E; Bou, Thavrin; Khieu, Virak; Leang, Rithea; Lek, Dysoley; Ly, Po; Muth, Sinuon; Lim, Kim Seng; Tuseo, Luciano; Yok, Sovann; Yung, Kunthearith; Richards, Jack S; Rekol, Huy

    2016-01-01

    On World Malaria Day 2016, The Kingdom of Cambodia's National celebrations served as a prime of example of how political will is currently being exercised in Cambodia through high-level governmental support for malaria elimination. The main country event was well-planned and coordinated by the National Programme for Parasitology, Entomology and Malaria Control (CNM), and included key contributions from high-ranking political figures, such as His Excellency (H.E) Mam Bun Heng (Minister of Health), and H.E. Keut Sothea (Governor of Pailin Province). There were more than 1000 attendees, ranging from Village Malaria Workers and high school students to CNM's director and other officials in Pailin Province, Western Cambodia. A strong inter-sectoral participation included attendances from the Ministry of Education and high-level representatives of the Cambodian Armed Forces, as well as Malaria Partners like the World Health Organization.

  6. A comprehensive archaeological map of the world's largest preindustrial settlement complex at Angkor, Cambodia

    PubMed Central

    Evans, Damian; Pottier, Christophe; Fletcher, Roland; Hensley, Scott; Tapley, Ian; Milne, Anthony; Barbetti, Michael

    2007-01-01

    The great medieval settlement of Angkor in Cambodia [9th–16th centuries Common Era (CE)] has for many years been understood as a “hydraulic city,” an urban complex defined, sustained, and ultimately overwhelmed by a complex water management network. Since the 1980s that view has been disputed, but the debate has remained unresolved because of insufficient data on the landscape beyond the great temples: the broader context of the monumental remains was only partially understood and had not been adequately mapped. Since the 1990s, French, Australian, and Cambodian teams have sought to address this empirical deficit through archaeological mapping projects by using traditional methods such as ground survey in conjunction with advanced radar remote-sensing applications in partnership with the National Aeronautics and Space Administration (NASA)/Jet Propulsion Laboratory (JPL). Here we present a major outcome of that research: a comprehensive archaeological map of greater Angkor, covering nearly 3,000 km2, prepared by the Greater Angkor Project (GAP). The map reveals a vast, low-density settlement landscape integrated by an elaborate water management network covering >1,000 km2, the most extensive urban complex of the preindustrial world. It is now clear that anthropogenic changes to the landscape were both extensive and substantial enough to have created grave challenges to the long-term viability of the settlement. PMID:17717084

  7. Parental styles in the intergenerational transmission of trauma stemming from the Khmer Rouge regime in Cambodia.

    PubMed

    Field, Nigel P; Muong, Sophear; Sochanvimean, Vannavuth

    2013-10-01

    The impact of parental styles in intergenerational transmission of trauma among mothers who survived the Khmer Rouge regime in Cambodia, in power from 1975 to 1979, and their teenaged children was examined in 2 studies. In Study 1, 46 Cambodian female high school students and their mothers were recruited. Each daughter completed anxiety and depression measures as well as assessment of her mother's role-reversing, overprotective, and rejecting parental styles, whereas the mothers completed measures of their trauma exposure during the Khmer Rouge regime and PTSD symptoms. In support of trauma transmission, the mother's PTSD symptoms were predictive of her daughter's anxiety. Moreover, the mother's role-reversing parental style was shown to mediate the relationship between her own and her daughter's symptoms. In support of their generalizability, the results were replicated in Study 2 in a Cambodian-American refugee sample comparing 15 mental health treatment-seeking mothers and their teenaged children with 17 nontreatment-seeking mother-child pairs. The implications of the findings within the larger literature on intergenerational trauma transmission stemming from genocide are discussed.

  8. Microbiological effectiveness of locally produced ceramic filters for drinking water treatment in Cambodia.

    PubMed

    Brown, Joe; Sobsey, Mark D

    2010-03-01

    Low-cost options for the treatment of drinking water at the household level are being explored by the Cambodian government and non-governmental organizations (NGOs) working in Cambodia, where many lack access to improved drinking water sources and diarrhoeal diseases are the most prevalent cause of death in children under 5 years of age. The ceramic water purifier (CWP), a locally produced, low-cost ceramic filter, is now being implemented by several NGOs, and an estimated 100,000+households in the country now use them for drinking water treatment. Two candidate filters were tested for the reduction of bacterial and viral surrogates for waterborne pathogens using representative Cambodian drinking water sources (rainwater and surface water) spiked with Escherichia coli and bacteriophage MS2. Results indicate that filters were capable of reducing key microbes in the laboratory with mean reductions of E. coli of approximately 99% and mean reduction of bacteriophages of 90-99% over >600 litres throughput. Increased effectiveness was not observed in filters with an AgNO3 amendment. At under US$10 per filter, locally produced ceramic filters may be a promising option for drinking water treatment and safe storage at the household level. PMID:20009242

  9. Building the capacity of nursing professionals in Cambodia: Insights from a bridging programme for faculty development.

    PubMed

    Koto-Shimada, Kyoko; Yanagisawa, Satoko; Boonyanurak, Puangrat; Fujita, Noriko

    2016-04-01

    To upgrade nursing instruction capacity in Cambodia, two bridging programmes were opened for the Bachelor of Science in Nursing simultaneously in-country and out-of-country (Thailand). A descriptive qualitative study was conducted to assess effectiveness of both programmes jointly and to explore needs concerning the further development of nursing education. This study included interviews with 34 current or previous programme participants (nursing instructors or hospital preceptors) and 10 managers of collaborating institutions. New learning content, personal outcomes, challenges and obstacles and future needs were qualitatively coded to create categories and subcategories of data. Findings show that programme participants were most influenced by the new content areas (e.g. nursing theory and professionalism), active teaching-learning strategies and the full-time educational immersion afforded by the out-of-country programme. Programme participants who had returned to their workplaces also identified on-going needs for employing new active teaching-learning approaches, curriculum revision, national standardization of nursing curricula and improvements in the teaching-learning infrastructure. Another outcome of this study is the development of a theoretical model for Nursing Capacity Building in Developing Countries that describes the need for intermediate and long-term planning as well as using both Bottom-Up and Edge-Pulling strategies. PMID:27184699

  10. Persistent Inequalities in Child Undernutrition in Cambodia from 2000 until Today.

    PubMed

    Greffeuille, Valérie; Sophonneary, Prak; Laillou, Arnaud; Gauthier, Ludovic; Hong, Rathmony; Hong, Rathavuth; Poirot, Etienne; Dijkhuizen, Marjoleine; Wieringa, Frank; Berger, Jacques

    2016-01-01

    The study assessed the trends of nutritional status of children under age five in Cambodia over four DHS surveys from 2000 to 2014 and the contribution of socioeconomic and demographic factors to its changes. Undernutrition was a public health problem in all surveys. Despite consistent improvement over the years, stunting still affected 32.5% of children in 2014. Wasting prevalence did not improve since 2005 and affected 9.6% of children under five in 2014. Low wealth and mother education; and rural residence contributed to undernutrition. In 2014; wealth status was the main socioeconomic factor associated with undernutrition and the nutritional status of children was strongly related to that of their mothers. Anemia prevalence was high and after a decrease between 2000 and 2005 remained at 45%. The prevalence of overweight was less than 10% and did not change over the years despite an increasing trend in the richest households of urban areas. Persistent inequalities in child undernutrition call for action, giving priority to the most vulnerable households to ensure availability and access to nutrient-rich foods for women and children through nutrition-sensitive and nutrition-specific programs. The recent increase of overweight in the richest populations must also be considered in Cambodian health policies. PMID:27196924

  11. Biodiversity conservation and resource tenure regimes: a case study from northeast Cambodia.

    PubMed

    Baird, Ian G; Dearden, Philip

    2003-11-01

    The management of tropical protected areas is a contentious issue in resource management and often leads to an unproductive polarization of viewpoints supporting either "protectionist" or "sustainable development" paradigms. This paper argues for a context-driven approach whereby effective management requires inputs from both paradigms in different situations. A key element of context is understanding long-practiced resource tenures and their ability to meet future conservation and livelihood goals. Different types of tenure arrangements are often required for different resources. This approach is illustrated by analysis of Virachey National Park in NE Cambodia. This park encompasses part of the ancestral territory of ethnic Brao people, who rely upon swidden agriculture, fish, terrestrial wildlife, and various nontimber forest products (NTFPs) for their livelihoods. These people have developed a mix of resource tenure regimes to promote sustainable use and to maximize local benefits. In the face of contemporary pressures, some of these traditional approaches are effective, while others are not. The paper suggests avenues for building on long-established management practices of the Brao to achieve park management goals while enhancing the welfare of the Brao people. A mix of private ownership, common property management, and central government involvement may be required to maximize benefits to local people and ensure long-term protection of biodiversity. PMID:15015693

  12. Municipal solid waste management in Phnom Penh, capital city of Cambodia.

    PubMed

    Seng, Bunrith; Kaneko, Hidehiro; Hirayama, Kimiaki; Katayama-Hirayama, Keiko

    2011-05-01

    This paper presents an overview of municipal solid waste management (MSWM) for both technical and regulatory arrangements in the municipality of Phnom Penh (MPP), Cambodia. Problems with the current MSWM are identified, and challenges and recommendations for future improvement are also given in this paper. MPP is a small city with a total area of approximately 374 km(2) and an urban population of about 1.3 million in 2008. For the last 14 years, average annual municipal solid waste (MSW) generated in MPP has increased rapidly from 0.136 million tons in 1995 to 0.361 million tons in 2008. The gross generation rate of MSW per capita was 0.74 kg day(-1). However, the per capita household waste generation was 0.487 kg day(- 1). At 63.3%, food waste is the predominant portion of generated waste, followed by plastics (15.5%), grass and wood (6.8%), and paper and cardboard (6.4%). The remaining waste, including metals, glass, rubber/leather, textiles, and ceramic/ stone, accounted for less than 3%. Waste recycling through informal sectors is very active; recycled waste accounted for about 9.3% of all waste generated in 2003. Currently, the overall technical arrangement, including storage and discharge, collection and transport, and disposal, is still in poor condition, which leads to environmental and health risks. These problems should be solved by improving legislation, environmental education, solid waste management facilities, and management of the waste scavengers.

  13. Poverty, economic growth, deprivation, and water: the cases of Cambodia and Vietnam.

    PubMed

    Varis, Olli

    2008-05-01

    Poverty reduction decorates all development agendas, but the complexity of the poverty issue is too often hidden behind simplistic indicators and development goals. Here, a closer look is taken at the concepts of "deprivation" and "vulnerability" as outcomes of poverty. Deprivation leads typically to social exclusion and marginalization; such groups are particularly weak in getting themselves out of poverty by "self-help," and economic growth does not trickle down to these people. When looking at the connections between poverty reduction and economic growth, special emphasis should be put on the differences between modern and more traditional sectors: development of the modern sector should not marginalize and exclude those dependent on more traditional livelihoods. Two case studies--The Tonle Sap area, Cambodia, and the Mekong Delta, Vietnam--reveal that investment in education, empowerment of small-scale entrepreneurship and other means of microeconomic environment, along with good governance, infrastructure, and income distribution can ensure that economic growth includes the poorer echelons of society.

  14. Municipal solid waste management in Phnom Penh, capital city of Cambodia.

    PubMed

    Seng, Bunrith; Kaneko, Hidehiro; Hirayama, Kimiaki; Katayama-Hirayama, Keiko

    2011-05-01

    This paper presents an overview of municipal solid waste management (MSWM) for both technical and regulatory arrangements in the municipality of Phnom Penh (MPP), Cambodia. Problems with the current MSWM are identified, and challenges and recommendations for future improvement are also given in this paper. MPP is a small city with a total area of approximately 374 km(2) and an urban population of about 1.3 million in 2008. For the last 14 years, average annual municipal solid waste (MSW) generated in MPP has increased rapidly from 0.136 million tons in 1995 to 0.361 million tons in 2008. The gross generation rate of MSW per capita was 0.74 kg day(-1). However, the per capita household waste generation was 0.487 kg day(- 1). At 63.3%, food waste is the predominant portion of generated waste, followed by plastics (15.5%), grass and wood (6.8%), and paper and cardboard (6.4%). The remaining waste, including metals, glass, rubber/leather, textiles, and ceramic/ stone, accounted for less than 3%. Waste recycling through informal sectors is very active; recycled waste accounted for about 9.3% of all waste generated in 2003. Currently, the overall technical arrangement, including storage and discharge, collection and transport, and disposal, is still in poor condition, which leads to environmental and health risks. These problems should be solved by improving legislation, environmental education, solid waste management facilities, and management of the waste scavengers. PMID:20813763

  15. Using social network analysis to evaluate health-related adaptation decision-making in Cambodia.

    PubMed

    Bowen, Kathryn J; Alexander, Damon; Miller, Fiona; Dany, Va

    2014-01-30

    Climate change adaptation in the health sector requires decisions across sectors, levels of government, and organisations. The networks that link these different institutions, and the relationships among people within these networks, are therefore critical influences on the nature of adaptive responses to climate change in the health sector. This study uses social network research to identify key organisational players engaged in developing health-related adaptation activities in Cambodia. It finds that strong partnerships are reported as developing across sectors and different types of organisations in relation to the health risks from climate change. Government ministries are influential organisations, whereas donors, development banks and non-government organisations do not appear to be as influential in the development of adaptation policy in the health sector. Finally, the study highlights the importance of informal partnerships (or 'shadow networks') in the context of climate change adaptation policy and activities. The health governance 'map' in relation to health and climate change adaptation that is developed in this paper is a novel way of identifying organisations that are perceived as key agents in the decision-making process, and it holds substantial benefits for both understanding and intervening in a broad range of climate change-related policy problems where collaboration is paramount for successful outcomes.

  16. Characterizing Types of Human Mobility to Inform Differential and Targeted Malaria Elimination Strategies in Northeast Cambodia.

    PubMed

    Peeters Grietens, Koen; Gryseels, Charlotte; Dierickx, Susan; Bannister-Tyrrell, Melanie; Trienekens, Suzan; Uk, Sambunny; Phoeuk, Pisen; Suon, Sokha; Set, Srun; Gerrets, René; Hoibak, Sarah; Muela Ribera, Joan; Hausmann-Muela, Susanna; Tho, Sochantha; Durnez, Lies; Sluydts, Vincent; d'Alessandro, Umberto; Coosemans, Marc; Erhart, Annette

    2015-11-23

    Human population movements currently challenge malaria elimination in low transmission foci in the Greater Mekong Subregion. Using a mixed-methods design, combining ethnography (n = 410 interviews), malariometric data (n = 4996) and population surveys (n = 824 indigenous populations; n = 704 Khmer migrants) malaria vulnerability among different types of mobile populations was researched in the remote province of Ratanakiri, Cambodia. Different structural types of human mobility were identified, showing differential risk and vulnerability. Among local indigenous populations, access to malaria testing and treatment through the VMW-system and LLIN coverage was high but control strategies failed to account for forest farmers' prolonged stays at forest farms/fields (61% during rainy season), increasing their exposure (p = 0.002). The Khmer migrants, with low acquired immunity, active on plantations and mines, represented a fundamentally different group not reached by LLIN-distribution campaigns since they were largely unregistered (79%) and unaware of the local VMW-system (95%) due to poor social integration. Khmer migrants therefore require control strategies including active detection, registration and immediate access to malaria prevention and control tools from which they are currently excluded. In conclusion, different types of mobility require different malaria elimination strategies. Targeting mobility without an in-depth understanding of malaria risk in each group challenges further progress towards elimination.

  17. Pygidiopsis cambodiensis n. sp. (Digenea: Heterophyidae) from experimental hamsters infected with metacercariae in mullets from Cambodia.

    PubMed

    Sohn, Woon-Mok; Kim, Deok-Gyu; Jung, Bong-Kwang; Cho, Jaeeun; Chai, Jong-Yil

    2016-01-01

    Pygidiopsis cambodiensis n. sp. is described based on adult flukes recovered from Syrian golden hamsters experimentally infected with metacercariae from mullets (Liza macrolepis) purchased at a local fish market in Phnom Penh, Cambodia. The specimens were examined by light and scanning electron microscopy. Among the 13 species so far assigned to Pygidiopsis, the new species belongs to the summa-type (including Pygidiopsis pelecani, Pygidiopsis phalacrocoracis, Pygidiopsis piclaumoreli, Pygidiopsis plana, and Pygidiopsis summa) which lack circumoral spines and have vitelline follicles extending posteriorly from the level of the ovary some distance into the post-testicular space and the uterus not exceeding the acetabulum anteriorly. The new species differs from the other five species of the summa-type particularly in the morphology of the ventrogenital complex, including the genital sac, gonotyl, and gonotyl spines (= rodlets). The genital sac is well developed, sucker-like, slightly larger than the ventral sucker, muscular, and equipped with two gonotyls on the ventral side of the sac. Gonotyls are protruding pad-like, and the number of rodlets on the left gonotyl is four to five and that on the right gonotyl is 10-11 in two rows. This is the fifth Pygidiopsis species reported in Asia, following P. summa (Japan, Korea, and Vietnam), P. phalacrocorasis (Japan), P. pelecani (China), and Pygidiopsis marivillai (Philippines).

  18. Safety of packaged water distribution limited by household recontamination in rural Cambodia.

    PubMed

    Holman, Emily J; Brown, Joe

    2014-06-01

    Packaged water treatment schemes represent a growing model for providing safer water in low-income settings, yet post-distribution recontamination of treated water may limit this approach. This study evaluates drinking water quality and household water handling practices in a floating village in Tonlé Sap Lake, Cambodia, through a pilot cross-sectional study of 108 households, approximately half of which used packaged water as the main household drinking water source. We hypothesized that households purchasing drinking water from local packaged water treatment plants would have microbiologically improved drinking water at the point of consumption. We found no meaningful difference in microbiological drinking water quality between households using packaged, treated water and those collecting water from other sources, including untreated surface water, however. Households' water storage and handling practices and home hygiene may have contributed to recontamination of drinking water. Further measures to protect water quality at the point-of-use may be required even if water is treated and packaged in narrow-mouthed containers.

  19. Rehabilitating health services in Cambodia: the challenge of coordination in chronic political emergencies.

    PubMed

    Lanjouw, S; Macrae, J; Zwi, A B

    1999-09-01

    The end of the Cold War brought with it opportunities to resolve a number of conflicts around the world, including those in Angola, Cambodia, El Salvador and Mozambique. International political efforts to negotiate peace in these countries were accompanied by significant aid programmes ostensibly designed to redress the worst effects of conflict and to contribute to the consolidation of peace. Such periods of political transition, and associated aid inflows, constitute an opportunity to improve health services in countries whose health indicators have been among the worst in the world and where access to basic health services is significantly diminished by war. This paper analyzes the particular constraints to effective coordination of health sector aid in situations of 'post'-conflict transition. These include: the uncertain legitimacy and competence of state structures; donor choice of implementing channels; and actions by national and international political actors which served to undermine coordination mechanisms in order to further their respective agendas. These obstacles hindered efforts by health professionals to establish an effective coordination regime, for example, through NGO mapping and the establishment of aid coordinating committees at national and provincial levels. These technical measures were unable to address the basic constitutional question of who had the authority to determine the distribution of scarce resources during a period of transition in political authority. The peculiar difficulties of establishing effective coordination mechanisms are important to address if the long-term effectiveness of rehabilitation aid is to be enhanced. PMID:10621240

  20. The Epidemiology of Pediatric Bone and Joint Infections in Cambodia, 2007–11

    PubMed Central

    Pocock, Joanna; Moore, Catrin E.; Soeng, Sona; Hor, PutChhat; Sar, Poda; Limmathurotsakul, Direk; Day, Nicholas; Kumar, Varun; Khan, Sophy; Sar, Vuthy; Parry, Christopher M.

    2013-01-01

    There are limited data on osteoarticular infections from resource-limited settings in Asia. A retrospective study of patients presenting to the Angkor Hospital for Children, Cambodia, January 2007–July 2011, identified 81 cases (28% monoarticular septic arthritis, 51% single-limb osteomyelitis and 15% multisite infections). The incidence was 13.8/100 000 hospital attendances. The median age was 7.3 years, with a male/female ratio of 1.9:1; 35% presented within 5 days of symptom onset (median 7 days). Staphylococcus aureus was cultured in 29 (36%) cases (52% of culture-positive cases); one isolate was methicillin-resistant (MRSA). Median duration of antimicrobial treatment was 29 days (interquartile range 21–43); rates of surgical intervention were 96%, and 46% of children had sequelae, with one fatality. In this setting osteoarticular infections are relatively common with high rates of surgical intervention and sequelae. Staphylococcus aureus is the commonest culturable cause, but methicillin-resistant S. aureus is not a major problem, unlike in other Asian centers. PMID:22977206

  1. Intravaginal Practices in Female Sex Workers in Cambodia: A Qualitative Study.

    PubMed

    Bui, Thanh Cong; Tran, Ly Thi-Hai; Hor, Leng Bun; Scheurer, Michael E; Vidrine, Damon J; Markham, Christine M

    2016-05-01

    Intravaginal practices (IVPs) are associated with several adverse health outcomes, including HIV infection. However, few studies have examined this topic in Asian cultures, particularly in female sex workers (FSWs). This theory-based qualitative study aimed to describe the IVPs and to identify salient determinants of these practices in FSWs in Phnom Penh, Cambodia. We conducted in-depth interviews using open-ended questions with 30 FSWs in July-August 2014. We analyzed data using thematic content analysis, with thematic codes based on the constructs of the theory of planned behavior. The results showed that the most common IVP was a combination of intravaginal washing and wiping, to which we refer as intravaginal cleansing. There was a clear and close connection between IVP and sex work. Perceived benefits of intravaginal cleansing were numerous, while the perceived risks were few. As a result, the attitude toward intravaginal cleansing was favorable. A common misperception of benefit was that intravaginal cleansing could prevent sexually transmitted infections. Local physicians considerably influenced the subjective norm related to IVP. Intention to quit IVPs was suboptimal. In conclusion, the psychological factors associated with IVPs in FSWs were somewhat different from those in the general population of Cambodian women and women in other countries. Behavioral beliefs, attitude, and subjective norms appeared salient and important factors in IVPs. Interventions aimed at reducing IVPs should target these constructs as well as the sex-work-associated economic motives. Local physicians may be an agent to change IVP and an effective channel to deliver interventions.

  2. Mixed impact of Xpert® MTB/RIF on tuberculosis diagnosis in Cambodia

    PubMed Central

    Moore, B. K.; Kyle, R. P.; Eng, B.; Nong, K.; Pevzner, E. S.; Eam, K. K.; Eang, M. T.; Killam, W. P.

    2016-01-01

    Setting: National Tuberculosis (TB) Program sites in northwest Cambodia. Objective: To evaluate the impact of Xpert® MTB/RIF at point of care (POC) as compared to non-POC sites on the diagnostic evaluation of people living with the human immunodeficiency virus (PLHIV) with TB symptoms and patients with possible multidrug-resistant (MDR) TB. Design: Observational cohort of patients undergoing routine diagnostic evaluation for TB following the rollout of Xpert. Results: Between October 2011 and June 2013, 431 of 822 (52%) PLHIV with TB symptoms and 240/493 (49%) patients with possible MDR-TB underwent Xpert. Xpert was more likely to be performed when available as POC. A smaller proportion of PLHIV at POC sites were diagnosed with TB than at non-POC sites; however, at POC sites, a higher proportion of those diagnosed with TB were bacteriologically positive. There was poor agreement between Xpert and other tests such as smear microscopy and culture. Overall, the evaluation of patients with possible MDR-TB increased following Xpert rollout, yet for patients confirmed as having drug resistance on drug susceptibility testing, only 46% had rifampin resistance that would be identified with Xpert. Conclusion: Although utilization of Xpert was low, it may have contributed to an increase in evaluations for possible MDR-TB and a decline in empiric treatment for PLHIV when available as POC. PMID:27358807

  3. Community Reaction to Older-age Parental AIDS Caregivers and their Families: Evidence from Cambodia.

    PubMed

    Knodel, John; Williams, Nathalie; Kim, Sovan Kiry; Puch, Sina; Saengtienchai, Chanpen

    2010-01-01

    Accounts of community reaction to persons with HIV/AIDS and their families typically focus only on negative reactions stemming from stigmatization with little acknowledgement of variation over time and across settings. To usefully guide local interventions, a broader view is needed that also encompasses attitudes and actions stemming from sympathy and friendship. We examine community reaction in Cambodia to families from the perspective of parents of adults who died of AIDS or currently receive antiretroviral therapy. Survey evidence and open-ended interviews reveal a mixture of reactions with respect to social relations, interactions with local officials, gossip, business patronage, funeral participation, and orphaned grandchildren. Positive support is often dominant and reactions typically improve substantially over time. Misplaced fears of contagion through casual contact underlie most negative reactions. Moral condemnation or blame is not evident as a source of negative reactions. Overall a sufficiently supportive atmosphere likely exists in many localities to facilitate community based efforts to mitigate the epidemic's impact on affected families. PMID:20161630

  4. Persistent Inequalities in Child Undernutrition in Cambodia from 2000 until Today.

    PubMed

    Greffeuille, Valérie; Sophonneary, Prak; Laillou, Arnaud; Gauthier, Ludovic; Hong, Rathmony; Hong, Rathavuth; Poirot, Etienne; Dijkhuizen, Marjoleine; Wieringa, Frank; Berger, Jacques

    2016-05-16

    The study assessed the trends of nutritional status of children under age five in Cambodia over four DHS surveys from 2000 to 2014 and the contribution of socioeconomic and demographic factors to its changes. Undernutrition was a public health problem in all surveys. Despite consistent improvement over the years, stunting still affected 32.5% of children in 2014. Wasting prevalence did not improve since 2005 and affected 9.6% of children under five in 2014. Low wealth and mother education; and rural residence contributed to undernutrition. In 2014; wealth status was the main socioeconomic factor associated with undernutrition and the nutritional status of children was strongly related to that of their mothers. Anemia prevalence was high and after a decrease between 2000 and 2005 remained at 45%. The prevalence of overweight was less than 10% and did not change over the years despite an increasing trend in the richest households of urban areas. Persistent inequalities in child undernutrition call for action, giving priority to the most vulnerable households to ensure availability and access to nutrient-rich foods for women and children through nutrition-sensitive and nutrition-specific programs. The recent increase of overweight in the richest populations must also be considered in Cambodian health policies.

  5. Risk aversion, time preference and health production: theory and empirical evidence from Cambodia.

    PubMed

    Rieger, Matthias

    2015-04-01

    This paper quantifies the relationship between risk aversion and discount rates on the one hand and height and weight on the other. It studies this link in the context of poor households in Cambodia. Evidence is based on an original dataset that contains both experimental measures of risk taking and impatience along with anthropometric measurements of children and adults. The aim of the paper is to (i) explore the importance of risk and time preferences in explaining undernutrition and (ii) compare the evidence stemming from poor households to strikingly similar findings from industrialized countries. It uses an inter-generational approach to explain observed correlations in adults and children that is inspired by the height premium on labor markets. Parents can invest in the health capital of their child to increase future earnings and their consumption when old: better nutrition during infancy translates into better human capital and better wages, and ultimately better financial means to take care of elderly parents. However this investment is subject to considerable uncertainty, since parents neither perfectly foresee economic conditions when the child starts earning nor fully observe the ability to transform nutritional investments into long-term health capital. As a result, risk taking households have taller and heavier children. Conversely, impatience does not affect child health. In the case of adults, only weight and the body mass index (BMI), but not height, are positively and moderately correlated with risk taking and impatience. PMID:25589376

  6. Bartonella spp. infections in rodents of Cambodia, Lao PDR, and Thailand: identifying risky habitats.

    PubMed

    Jiyipong, Tawisa; Morand, Serge; Jittapalapong, Sathaporn; Rolain, Jean-Marc

    2015-01-01

    This study investigated the type of environmental habitat that may explain the infection of 1176 individuals from 17 rodent species by Bartonella species in seven sites in Cambodia, Lao PDR, and Thailand. No effects of host sex and host maturity on the level of individual infection by all Bartonella spp., but significant effects of locality, season, and host species were observed. The patterns differed when investigating the three more prevalent Bartonella species. For B. rattimassiliensis, season and habitat appeared to be significant factors explaining host infection, with higher levels of infection in wet season and lower levels of infection in rain-fed field, dry field, and human settlement habitats compared to forest habitat. The infection by B. queenslandensis was found to vary, although not significantly, with season and locality, and Bartonella n. sp. (a species mostly associated with Mus spp.) was found to be more prevalent in the wet season and dry field habitat compared to forest habitat. We discuss these results in relation to rodent habitat specificity.

  7. Boiling as household water treatment in Cambodia: a longitudinal study of boiling practice and microbiological effectiveness.

    PubMed

    Brown, Joseph; Sobsey, Mark D

    2012-09-01

    This paper focuses on the consistency of use and microbiological effectiveness of boiling as it is practiced in one study site in peri-urban Cambodia. We followed 60 randomly selected households in Kandal Province over 6 months to collect longitudinal data on water boiling practices and effectiveness in reducing Escherichia coli in household drinking water. Despite > 90% of households reporting that they used boiling as a means of drinking water treatment, an average of only 31% of households had boiled water on hand at follow-up visits, suggesting that actual use may be lower than self-reported use. We collected 369 matched untreated and boiled water samples. Mean reduction of E. coli was 98.5%; 162 samples (44%) of boiled samples were free of E. coli (< 1 colony-forming unit [cfu]/100 mL), and 270 samples (73%) had < 10 cfu/100 mL. Storing boiled water in a covered container was associated with safer product water than storage in an uncovered container.

  8. Using social network analysis to evaluate health-related adaptation decision-making in Cambodia.

    PubMed

    Bowen, Kathryn J; Alexander, Damon; Miller, Fiona; Dany, Va

    2014-02-01

    Climate change adaptation in the health sector requires decisions across sectors, levels of government, and organisations. The networks that link these different institutions, and the relationships among people within these networks, are therefore critical influences on the nature of adaptive responses to climate change in the health sector. This study uses social network research to identify key organisational players engaged in developing health-related adaptation activities in Cambodia. It finds that strong partnerships are reported as developing across sectors and different types of organisations in relation to the health risks from climate change. Government ministries are influential organisations, whereas donors, development banks and non-government organisations do not appear to be as influential in the development of adaptation policy in the health sector. Finally, the study highlights the importance of informal partnerships (or 'shadow networks') in the context of climate change adaptation policy and activities. The health governance 'map' in relation to health and climate change adaptation that is developed in this paper is a novel way of identifying organisations that are perceived as key agents in the decision-making process, and it holds substantial benefits for both understanding and intervening in a broad range of climate change-related policy problems where collaboration is paramount for successful outcomes. PMID:24487452

  9. Holocene Monsoon Changes Inferred from Lake Sediment Pollen and Carbonate Records, Northeastern Cambodia

    NASA Astrophysics Data System (ADS)

    Maxwell, Andrew Lee

    2001-11-01

    Major Holocene monsoon changes in continental Southeast Asia are reconstructed from analysis of 14C-dated changes in pollen and organic/inorganic carbon in sediment cores taken from permanent, closed-basin, volcanic lakes in Ratanakiri Province, northeastern Cambodia. Analysis focuses on the nature and timing of monsoon changes, inferred from changes in vegetation and lake conditions. These data provide the first well-dated palynological record, covering most of the Holocene and continuous up to the present, from a terrestrial site in mainland Southeast Asia. The record from a 15-m core retrieved from Kara Lake, representing the last 9300 years, shows that the late Glacial conditions ended about 8500 14C yr B.P., more than 1000 years later than sites in southwest China. Summer monsoon intensity increased over the period ca. 8400-5300 14C yr B.P., similar to most other sites in the Asian monsoon region. A subsequent expansion of secondary forests at the expense of dense semievergreen forests suggest a drier climate leading to more frequent fire disturbance. After ca. 3500 14C yr B.P. disturbance frequency may have increased further with increasing seasonality. From ca. 2500 14C yr B.P. to the present, dense forest has recovered in a mosaic with annually burned dry forest, but climate may not be the main control on local vegetation dynamics in the late Holocene.

  10. Biodiversity conservation and resource tenure regimes: a case study from northeast Cambodia.

    PubMed

    Baird, Ian G; Dearden, Philip

    2003-11-01

    The management of tropical protected areas is a contentious issue in resource management and often leads to an unproductive polarization of viewpoints supporting either "protectionist" or "sustainable development" paradigms. This paper argues for a context-driven approach whereby effective management requires inputs from both paradigms in different situations. A key element of context is understanding long-practiced resource tenures and their ability to meet future conservation and livelihood goals. Different types of tenure arrangements are often required for different resources. This approach is illustrated by analysis of Virachey National Park in NE Cambodia. This park encompasses part of the ancestral territory of ethnic Brao people, who rely upon swidden agriculture, fish, terrestrial wildlife, and various nontimber forest products (NTFPs) for their livelihoods. These people have developed a mix of resource tenure regimes to promote sustainable use and to maximize local benefits. In the face of contemporary pressures, some of these traditional approaches are effective, while others are not. The paper suggests avenues for building on long-established management practices of the Brao to achieve park management goals while enhancing the welfare of the Brao people. A mix of private ownership, common property management, and central government involvement may be required to maximize benefits to local people and ensure long-term protection of biodiversity.

  11. Leaf gas exchange traits of domestic and exotic tree species in Cambodia

    NASA Astrophysics Data System (ADS)

    Miyazawa, Y.; Tateishi, M.; Kumagai, T.; Otsuki, K.

    2009-12-01

    In forests under the management by community villagers, exotic tree species with rapid growth rate are introduced in wide range of Cambodia. To evaluate the influence of the introduction on the forest gas exchange and water budget, we investigated the leaf gas exchange traits of two domestic (Dipterocarpus obtusifolius and Shorea roxburghii) and exotic tree species (Acasia auriculiformis and Eucalyptus camadilansis). We sampled shoots of each species and measured the leaf gas exchange traits (photosynthetic rates under different CO2 concentrations, transpiration rate and stomatal conductance) (6 leaves x 3 trees x 4 species). We carried out this measurement at 2 months intervals for a year from the beginning of rainy season and compared the obtained traits among species. Light saturated rate of net photosynthesis was higher in E. camadilansis but did not differ among other species both in rainy and dry seasons. Seasonal patter in photosynthetic traits was not obvious. Each species changed stomatal conductance in response to changes in environmental conditions. The response was more sensitive than reported values. In this presentation, we show details about the basic information about the leaf-level gas exchange traits, which are required to run soil- vegetation - atmosphere transfer model.

  12. Treatment coverage survey after a school-based mass distribution of mebendazole: Kampot Province, Cambodia.

    PubMed

    Chesnaye, Nicholas; Sinuon, Muth; Socheat, Duong; Koporc, Kim; Mathieu, Els

    2011-04-01

    In efforts to reduce the global burden of soil transmitted helminth (STH) infections in school age children (SAC, 6-14 years old), Children Without Worms donates mebendazole to 8 countries with high prevalence of STH infections. Cambodia's national deworming program currently targets SAC through bi-annual school-based distributions of a single dose of mebendazole. A 30-cluster household survey was conducted in the rural province Kampot, to validate mebendazole treatment coverage in SAC and to assess the level of improved water supply and sanitation. Bi-annual primary school-based distributions proved to be an effective strategy in reaching school attending SAC, with treatment coverage rates between 84.1% and 88.8%. However, significantly lower rates (23.3-48.8%) were seen among SAC not enrolled in primary schools. Often members of the most marginalized families of the community, they are particularly at risk of STH infection. Methods to reach these children need to be explored to avoid treatment inequities.

  13. The evaluation test of hand-held dual-sensor ALIS in Croatia and Cambodia

    NASA Astrophysics Data System (ADS)

    Sato, Motoyuki; Takahashi, Kazunori

    2007-04-01

    We are developing a new hand-held land mine detection dual-sensor (ALIS) which is equipped with a metal detector and a GPR. ALIS is equipped with a sensor tracking system, which can record the GPR and Metal detector signal with its location. It makes possible to process the data after the data was acquired, including migration. The migration processing drastically increases the quality of the images of the buried objects. Evaluation test of ALIS has been conducted in several test sites. In February 2006, a one-month evaluation test was conducted in Croatia, and in October- December 2006, a two-month evaluation test was conducted in Croatia. Since the dual-sensor is a new landmine detection sensor, and the conventional evaluation procedure developed for metal detectors cannot directly be applied for the dual sensor. In Croatia, the detection probability was comparable to that by a metal detector operated by local deminers. In addition, we showed that ALIS provides image of buried objects by GPR, which can be used for identification. Therefore, their performances were sufficiently high. Then the test was also conducted in Cambodia. The test was carried out by 2 local deminers independently, which allows studying the influence of different operators and increases the statistical value of the results.

  14. Arsenic Concentrations in Rice and Associated Health Risks Along the Upper Mekong Delta, Cambodia

    NASA Astrophysics Data System (ADS)

    Barragan, L.; Seyfferth, A.; Fendorf, S.

    2011-12-01

    The consumption of arsenic contaminated food, such as rice, can be a significant portion of daily arsenic exposure, even for populations already exposed through drinking water. While arsenic contamination of rice grains has been documented in parts of Southern Asia, (e.g. Bangladesh), little research has been conducted on arsenic contamination of Cambodian-grown rice. We collected rice plant samples at various locations within the upper Mekong River Delta near Phnom Penh, Cambodia, and we analyzed total arsenic concentrations in plant digests of grains, husk, and straw. In addition, we used CaCl2-, DTPA-, and oxalate-extractable arsenic to define plant-available soil pools. We found variability of arsenic concentration in the plants, with grain arsenic ranging from 0.046 to 0.214 μg g-1; other researchers have shown that concentrations higher than 0.1 μg g-1 could be a concern for human health. Although more extensive sampling is needed to assess the risk of arsenic exposure from rice consumption on a country-wide basis, our work clearly illustrates the risk within regions of the Mekong Delta.

  15. Parental styles in the intergenerational transmission of trauma stemming from the Khmer Rouge regime in Cambodia.

    PubMed

    Field, Nigel P; Muong, Sophear; Sochanvimean, Vannavuth

    2013-10-01

    The impact of parental styles in intergenerational transmission of trauma among mothers who survived the Khmer Rouge regime in Cambodia, in power from 1975 to 1979, and their teenaged children was examined in 2 studies. In Study 1, 46 Cambodian female high school students and their mothers were recruited. Each daughter completed anxiety and depression measures as well as assessment of her mother's role-reversing, overprotective, and rejecting parental styles, whereas the mothers completed measures of their trauma exposure during the Khmer Rouge regime and PTSD symptoms. In support of trauma transmission, the mother's PTSD symptoms were predictive of her daughter's anxiety. Moreover, the mother's role-reversing parental style was shown to mediate the relationship between her own and her daughter's symptoms. In support of their generalizability, the results were replicated in Study 2 in a Cambodian-American refugee sample comparing 15 mental health treatment-seeking mothers and their teenaged children with 17 nontreatment-seeking mother-child pairs. The implications of the findings within the larger literature on intergenerational trauma transmission stemming from genocide are discussed. PMID:24164520

  16. Boiling as Household Water Treatment in Cambodia: A Longitudinal Study of Boiling Practice and Microbiological Effectiveness

    PubMed Central

    Brown, Joseph; Sobsey, Mark D.

    2012-01-01

    This paper focuses on the consistency of use and microbiological effectiveness of boiling as it is practiced in one study site in peri-urban Cambodia. We followed 60 randomly selected households in Kandal Province over 6 months to collect longitudinal data on water boiling practices and effectiveness in reducing Escherichia coli in household drinking water. Despite > 90% of households reporting that they used boiling as a means of drinking water treatment, an average of only 31% of households had boiled water on hand at follow-up visits, suggesting that actual use may be lower than self-reported use. We collected 369 matched untreated and boiled water samples. Mean reduction of E. coli was 98.5%; 162 samples (44%) of boiled samples were free of E. coli (< 1 colony-forming unit [cfu]/100 mL), and 270 samples (73%) had < 10 cfu/100 mL. Storing boiled water in a covered container was associated with safer product water than storage in an uncovered container. PMID:22826487

  17. Characterizing Types of Human Mobility to Inform Differential and Targeted Malaria Elimination Strategies in Northeast Cambodia

    PubMed Central

    Peeters Grietens, Koen; Gryseels, Charlotte; Dierickx, Susan; Bannister-Tyrrell, Melanie; Trienekens, Suzan; Uk, Sambunny; Phoeuk, Pisen; Suon, Sokha; Set, Srun; Gerrets, René; Hoibak, Sarah; Muela Ribera, Joan; Hausmann-Muela, Susanna; Tho, Sochantha; Durnez, Lies; Sluydts, Vincent; d’Alessandro, Umberto; Coosemans, Marc; Erhart, Annette

    2015-01-01

    Human population movements currently challenge malaria elimination in low transmission foci in the Greater Mekong Subregion. Using a mixed-methods design, combining ethnography (n = 410 interviews), malariometric data (n = 4996) and population surveys (n = 824 indigenous populations; n = 704 Khmer migrants) malaria vulnerability among different types of mobile populations was researched in the remote province of Ratanakiri, Cambodia. Different structural types of human mobility were identified, showing differential risk and vulnerability. Among local indigenous populations, access to malaria testing and treatment through the VMW-system and LLIN coverage was high but control strategies failed to account for forest farmers’ prolonged stays at forest farms/fields (61% during rainy season), increasing their exposure (p = 0.002). The Khmer migrants, with low acquired immunity, active on plantations and mines, represented a fundamentally different group not reached by LLIN-distribution campaigns since they were largely unregistered (79%) and unaware of the local VMW-system (95%) due to poor social integration. Khmer migrants therefore require control strategies including active detection, registration and immediate access to malaria prevention and control tools from which they are currently excluded. In conclusion, different types of mobility require different malaria elimination strategies. Targeting mobility without an in-depth understanding of malaria risk in each group challenges further progress towards elimination. PMID:26593245

  18. Persistent Inequalities in Child Undernutrition in Cambodia from 2000 until Today

    PubMed Central

    Greffeuille, Valérie; Sophonneary, Prak; Laillou, Arnaud; Gauthier, Ludovic; Hong, Rathmony; Hong, Rathavuth; Poirot, Etienne; Dijkhuizen, Marjoleine; Wieringa, Frank; Berger, Jacques

    2016-01-01

    The study assessed the trends of nutritional status of children under age five in Cambodia over four DHS surveys from 2000 to 2014 and the contribution of socioeconomic and demographic factors to its changes. Undernutrition was a public health problem in all surveys. Despite consistent improvement over the years, stunting still affected 32.5% of children in 2014. Wasting prevalence did not improve since 2005 and affected 9.6% of children under five in 2014. Low wealth and mother education; and rural residence contributed to undernutrition. In 2014; wealth status was the main socioeconomic factor associated with undernutrition and the nutritional status of children was strongly related to that of their mothers. Anemia prevalence was high and after a decrease between 2000 and 2005 remained at 45%. The prevalence of overweight was less than 10% and did not change over the years despite an increasing trend in the richest households of urban areas. Persistent inequalities in child undernutrition call for action, giving priority to the most vulnerable households to ensure availability and access to nutrient-rich foods for women and children through nutrition-sensitive and nutrition-specific programs. The recent increase of overweight in the richest populations must also be considered in Cambodian health policies. PMID:27196924

  19. Poverty, economic growth, deprivation, and water: the cases of Cambodia and Vietnam.

    PubMed

    Varis, Olli

    2008-05-01

    Poverty reduction decorates all development agendas, but the complexity of the poverty issue is too often hidden behind simplistic indicators and development goals. Here, a closer look is taken at the concepts of "deprivation" and "vulnerability" as outcomes of poverty. Deprivation leads typically to social exclusion and marginalization; such groups are particularly weak in getting themselves out of poverty by "self-help," and economic growth does not trickle down to these people. When looking at the connections between poverty reduction and economic growth, special emphasis should be put on the differences between modern and more traditional sectors: development of the modern sector should not marginalize and exclude those dependent on more traditional livelihoods. Two case studies--The Tonle Sap area, Cambodia, and the Mekong Delta, Vietnam--reveal that investment in education, empowerment of small-scale entrepreneurship and other means of microeconomic environment, along with good governance, infrastructure, and income distribution can ensure that economic growth includes the poorer echelons of society. PMID:18595279

  20. Social network analysis of cattle movement in Kampong Cham, Kampong Speu and Takeo, Cambodia.

    PubMed

    Poolkhet, C; Kasemsuwan, S; Seng, S; Keartha, C; Sokmao, C; Shin, M; Kalpravidh, W; Hinrichs, J

    2016-07-01

    The aim of this study is to provide insight the network of cattle movement in Kampong Cham, Kampong Speu and Takeo, Cambodia. A cross-sectional study was carried out from July 2014 to August 2014, using questionnaires. It was implemented with 435 interviewees (24.4%, 24.6% and 51.0% from Kampong Cham, Kampong Speu and Takeo, respectively) using one-step snowball sampling. The findings suggest that the key players in all three provinces are producers who raise their cattle as backyard animals. In all three provinces the key players in spreading disease are probably the middlemen, collectors, brokers or traders. The network of cattle movement is presented as a strong component of varying size in each location. In this network we found three cut-points in both Kampong Cham and Kampong Speu. The network in each province indicates a random pattern of node distribution. The results of our study are useful to relevant authorities and researchers to understand the spread of infectious diseases into different areas. The middlemen, collectors, brokers and traders need to be controlled as first priority in order to reduce the magnitude of the spread of disease. PMID:27012718

  1. Biodiversity Monitoring at the Tonle Sap Lake of Cambodia: A Comparative Assessment of Local Methods

    NASA Astrophysics Data System (ADS)

    Seak, Sophat; Schmidt-Vogt, Dietrich; Thapa, Gopal B.

    2012-10-01

    This paper assesses local biodiversity monitoring methods practiced in the Tonle Sap Lake of Cambodia. For the assessment we used the following criteria: methodological rigor, perceived cost, ease of use (user friendliness), compatibility with existing activities, and effectiveness of intervention. Constraints and opportunities for execution of the methods were also considered. Information was collected by use of: (1) key informant interview, (2) focus group discussion, and (3) researcher's observation. The monitoring methods for fish, birds, reptiles, mammals and vegetation practiced in the research area have their unique characteristics of generating data on biodiversity and biological resources. Most of the methods, however, serve the purpose of monitoring biological resources rather than biodiversity. There is potential that the information gained through local monitoring methods can provide input for long-term management and strategic planning. In order to realize this potential, the local monitoring methods should be better integrated with each other, adjusted to existing norms and regulations, and institutionalized within community-based organization structures.

  2. Microbiological effectiveness of locally produced ceramic filters for drinking water treatment in Cambodia.

    PubMed

    Brown, Joe; Sobsey, Mark D

    2010-03-01

    Low-cost options for the treatment of drinking water at the household level are being explored by the Cambodian government and non-governmental organizations (NGOs) working in Cambodia, where many lack access to improved drinking water sources and diarrhoeal diseases are the most prevalent cause of death in children under 5 years of age. The ceramic water purifier (CWP), a locally produced, low-cost ceramic filter, is now being implemented by several NGOs, and an estimated 100,000+households in the country now use them for drinking water treatment. Two candidate filters were tested for the reduction of bacterial and viral surrogates for waterborne pathogens using representative Cambodian drinking water sources (rainwater and surface water) spiked with Escherichia coli and bacteriophage MS2. Results indicate that filters were capable of reducing key microbes in the laboratory with mean reductions of E. coli of approximately 99% and mean reduction of bacteriophages of 90-99% over >600 litres throughput. Increased effectiveness was not observed in filters with an AgNO3 amendment. At under US$10 per filter, locally produced ceramic filters may be a promising option for drinking water treatment and safe storage at the household level.

  3. Using Social Network Analysis to Evaluate Health-Related Adaptation Decision-Making in Cambodia

    PubMed Central

    Bowen, Kathryn J.; Alexander, Damon; Miller, Fiona; Dany, Va

    2014-01-01

    Climate change adaptation in the health sector requires decisions across sectors, levels of government, and organisations. The networks that link these different institutions, and the relationships among people within these networks, are therefore critical influences on the nature of adaptive responses to climate change in the health sector. This study uses social network research to identify key organisational players engaged in developing health-related adaptation activities in Cambodia. It finds that strong partnerships are reported as developing across sectors and different types of organisations in relation to the health risks from climate change. Government ministries are influential organisations, whereas donors, development banks and non-government organisations do not appear to be as influential in the development of adaptation policy in the health sector. Finally, the study highlights the importance of informal partnerships (or ‘shadow networks’) in the context of climate change adaptation policy and activities. The health governance ‘map’ in relation to health and climate change adaptation that is developed in this paper is a novel way of identifying organisations that are perceived as key agents in the decision-making process, and it holds substantial benefits for both understanding and intervening in a broad range of climate change-related policy problems where collaboration is paramount for successful outcomes. PMID:24487452

  4. Effect of a mobile phone-based intervention on post-abortion contraception: a randomized controlled trial in Cambodia

    PubMed Central

    Ngo, Thoai D; Gold, Judy; Edwards, Phil; Vannak, Uk; Sokhey, Ly; Machiyama, Kazuyo; Slaymaker, Emma; Warnock, Ruby; McCarthy, Ona; Free, Caroline

    2015-01-01

    Abstract Objective To assess the effect of a mobile phone-based intervention (mHealth) on post-abortion contraception use by women in Cambodia. Methods The Mobile Technology for Improved Family Planning (MOTIF) study involved women who sought safe abortion services at four Marie Stopes International clinics in Cambodia. We randomly allocated 249 women to a mobile phone-based intervention, which comprised six automated, interactive voice messages with counsellor phone support, as required, whereas 251 women were allocated to a control group receiving standard care. The primary outcome was the self-reported use of an effective contraceptive method, 4 and 12 months after an abortion. Findings Data on effective contraceptive use were available for 431 (86%) participants at 4 months and 328 (66%) at 12 months. Significantly more women in the intervention than the control group reported effective contraception use at 4 months (64% versus 46%, respectively; relative risk, RR: 1.39; 95% confidence interval, CI: 1.17–1.66) but not at 12 months (50% versus 43%, respectively; RR: 1.16; 95% CI: 0.92–1.47). However, significantly more women in the intervention group reported using a long-acting contraceptive method at both follow-up times. There was no significant difference between the groups in repeat pregnancies or abortions at 4 or 12 months. Conclusion Adding a mobile phone-based intervention to abortion care services in Cambodia had a short-term effect on the overall use of any effective contraception, while the use of long-acting contraceptive methods lasted throughout the study period. PMID:26668436

  5. DETECTION OF PUTATIVE ANTIMALARIAL-RESISTANT PLASMODIUM VIVAX IN ANOPHELES VECTORS AT THAILAND-CAMBODIA AND THAILAND-MYANMAR BORDERS.

    PubMed

    Rattaprasert, Pongruj; Chaksangchaichot, Panee; Wihokhoen, Benchawan; Suparach, Nutjaree; Sorosjinda-Nunthawarasilp, Prapa

    2016-03-01

    Monitoring of multidrug-resistant (MDR)falciparum and vivax malaria has recently been included in the Global Plan for Artemisinin Resistance Containment (GPARC) of the Greater Mekong Sub-region, particularly at the Thailand-Cambodia and Thailand-Myanmar borders. In parallel to GPARC, monitoring MDR malaria parasites in anopheline vectors is an ideal augment to entomological surveillance. Employing Plasmodium- and species-specific nested PCR techniques, only P. vivax was detected in 3/109 salivary gland DNA extracts of anopheline vectors collected during a rainy season between 24-26 August 2009 and 22-24 September 2009 and a dry season between 29-31 December 2009 and 16-18 January 2010. Indoor and out- door resting mosquitoes were collected in Thong Pha Phum District, Kanchanaburi Province (border of Thailand-Myanmar) and Bo Rai District, Trat Province (border of Thailand-Cambodia): one sample from Anopheles dirus at the Thailand-Cambodia border and two samples from An. aconitus from Thailand-Myanmar border isolate. Nucleotide sequencing of dihydrofolate reductase gene revealed the presence in all three samples of four mutations known to cause high resistance to antifolate pyrimethamine, but no mutations were found in multidrug resistance transporter 1 gene that are associated with (falciparum) resistance to quinoline antimalarials. Such findings indicate the potential usefulness of this approach in monitoring the prevalence of drug-resistant malaria parasites in geographically regions prone to the development of drug resistance and where screening of human population at risk poses logistical and ethical problems. Keywords: Anopheles spp, Plasmodium vivax, antimalarial resistance, Greater Mekong Sub-region, nested PCR, vector surveillance

  6. Stellantchasmus falcatus (Digenea: Heterophyidae) in Cambodia: Discovery of Metacercariae in Mullets and Recovery of Adult Flukes in an Experimental Hamster

    PubMed Central

    Chai, Jong-Yil; Sohn, Woon-Mok; Na, Byoung-Kuk; Jeoung, Hoo-Gn; Sinuon, Muth; Socheat, Duong

    2016-01-01

    Stellantchasmus falcatus (Digenea: Heterophyidae) is first reported from Cambodia through recovery of the metacercariae from mullet fish and adult flukes from an experimentally infected hamster. We purchased 7 mullets, Chelon macrolepis, in a local market of Phnom Penh, Cambodia, and each of them was examined by the artificial digestion method on May 2010. The metacercariae of S. falcatus were detected in all mullets (100%) examined, and their average density was 177 per fish. They were elliptical, 220×168 μm in average size. They were orally infected to an hamster to obtain adult flukes. Adults recovered at day 10 post infection were observed with a light microscope and a scanning electron microscope (SEM). They were small, 450×237 μm in average size, had a small oral sucker (41×50 μm), subglobular pharynx (29×21 μm), slender esophagus (57 μm), long and thick-walled expulsor (119×32 μm), spherical ovary (58×69 μm), and 2 ovoid testes (right: 117×74 μm; left: 114×63 μm). Eggs were small, yellow, and 23×12 μm in average size. In SEM observations, tegumental spines were densely distributed on the whole tegument, and single small type I sensory papillae were distributed around the lip of oral sucker. The small ventral sucker was dextrally located and had 8 type I sensory papillae on the left margin. It has been first confirmed in the present study that the mullet, C. macrolepis, is playing the role of a second intermediate host of S. falcatus in Cambodia. PMID:27658608

  7. Stellantchasmus falcatus (Digenea: Heterophyidae) in Cambodia: Discovery of Metacercariae in Mullets and Recovery of Adult Flukes in an Experimental Hamster.

    PubMed

    Chai, Jong-Yil; Sohn, Woon-Mok; Na, Byoung-Kuk; Jeoung, Hoo-Gn; Sinuon, Muth; Socheat, Duong

    2016-08-01

    Stellantchasmus falcatus (Digenea: Heterophyidae) is first reported from Cambodia through recovery of the metacercariae from mullet fish and adult flukes from an experimentally infected hamster. We purchased 7 mullets, Chelon macrolepis, in a local market of Phnom Penh, Cambodia, and each of them was examined by the artificial digestion method on May 2010. The metacercariae of S. falcatus were detected in all mullets (100%) examined, and their average density was 177 per fish. They were elliptical, 220×168 μm in average size. They were orally infected to an hamster to obtain adult flukes. Adults recovered at day 10 post infection were observed with a light microscope and a scanning electron microscope (SEM). They were small, 450×237 μm in average size, had a small oral sucker (41×50 μm), subglobular pharynx (29×21 μm), slender esophagus (57 μm), long and thick-walled expulsor (119×32 μm), spherical ovary (58×69 μm), and 2 ovoid testes (right: 117×74 μm; left: 114×63 μm). Eggs were small, yellow, and 23×12 μm in average size. In SEM observations, tegumental spines were densely distributed on the whole tegument, and single small type I sensory papillae were distributed around the lip of oral sucker. The small ventral sucker was dextrally located and had 8 type I sensory papillae on the left margin. It has been first confirmed in the present study that the mullet, C. macrolepis, is playing the role of a second intermediate host of S. falcatus in Cambodia. PMID:27658608

  8. The Cambodia Research Consortium: expediting research for malaria elimination with the emergency response to artemisinin resistance framework.

    PubMed

    Canavati, Sara E; Lawford, Harriet L S; Fatunmbi, Bayo S; Lek, Dysoley; Leang, Rithea; Top Samphor, Narann; Dondorp, Arjen M; Huy, Rekol; Kazadi, Walter M

    2016-01-04

    This commentary offers insight into how to best address barriers that may hinder the translation of malaria research findings into policy. It also proposes viable methods of implementing these policies in Cambodia. Currently, a wide range of malaria research is being conducted by in-country stakeholders, including Cambodia's National Programme for Parasitology, Entomology and Malaria Control's (CNM), non-governmental organizations, and academic institutions. Coordinating research amongst these partners, as well as within the Ministry of Health, is a challenge. Results are rarely disseminated widely and seldom inform programme and policy decisions. CNM and its research partners have severely limited access to each other's databases. This lack of accessibility, timeliness, engagement and cooperation between CNM and its partners greatly impacts overall research efficiency in this field, and is stifling innovation both within and beyond CNM. Cambodia has set a goal to eradicate all forms of malaria by 2030. As countries approach the elimination phase, there is a greater need for sharing research-generated evidence amongst partners, in order to ensure that appropriate and impactful activities are conducted. The Cambodian Research Consortium was established to serve as a framework for partners, stakeholders and researchers to share research projects, information and results, and to promote the goals of CNM. The sharing of malaria research results will help to inform prevention, control and elimination activities in the country. It will also determine and address the country's operational research needs, and could potentially become a framework model to be used in other countries aiming to transition from malaria control to elimination.

  9. DETECTION OF PUTATIVE ANTIMALARIAL-RESISTANT PLASMODIUM VIVAX IN ANOPHELES VECTORS AT THAILAND-CAMBODIA AND THAILAND-MYANMAR BORDERS.

    PubMed

    Rattaprasert, Pongruj; Chaksangchaichot, Panee; Wihokhoen, Benchawan; Suparach, Nutjaree; Sorosjinda-Nunthawarasilp, Prapa

    2016-03-01

    Monitoring of multidrug-resistant (MDR)falciparum and vivax malaria has recently been included in the Global Plan for Artemisinin Resistance Containment (GPARC) of the Greater Mekong Sub-region, particularly at the Thailand-Cambodia and Thailand-Myanmar borders. In parallel to GPARC, monitoring MDR malaria parasites in anopheline vectors is an ideal augment to entomological surveillance. Employing Plasmodium- and species-specific nested PCR techniques, only P. vivax was detected in 3/109 salivary gland DNA extracts of anopheline vectors collected during a rainy season between 24-26 August 2009 and 22-24 September 2009 and a dry season between 29-31 December 2009 and 16-18 January 2010. Indoor and out- door resting mosquitoes were collected in Thong Pha Phum District, Kanchanaburi Province (border of Thailand-Myanmar) and Bo Rai District, Trat Province (border of Thailand-Cambodia): one sample from Anopheles dirus at the Thailand-Cambodia border and two samples from An. aconitus from Thailand-Myanmar border isolate. Nucleotide sequencing of dihydrofolate reductase gene revealed the presence in all three samples of four mutations known to cause high resistance to antifolate pyrimethamine, but no mutations were found in multidrug resistance transporter 1 gene that are associated with (falciparum) resistance to quinoline antimalarials. Such findings indicate the potential usefulness of this approach in monitoring the prevalence of drug-resistant malaria parasites in geographically regions prone to the development of drug resistance and where screening of human population at risk poses logistical and ethical problems. Keywords: Anopheles spp, Plasmodium vivax, antimalarial resistance, Greater Mekong Sub-region, nested PCR, vector surveillance PMID:27244954

  10. Combining Statistical Tools and Ecological Assessments in the Study of Biodeterioration Patterns of Stone Temples in Angkor (Cambodia).

    PubMed

    Caneva, G; Bartoli, F; Savo, V; Futagami, Y; Strona, G

    2016-01-01

    Biodeterioration is a major problem for the conservation of cultural heritage materials. We provide a new and original approach to analyzing changes in patterns of colonization (Biodeterioration patterns, BPs) by biological agents responsible for the deterioration of outdoor stone materials. Here we analyzed BPs of four Khmer temples in Angkor (Cambodia) exposed to variable environmental conditions, using qualitative ecological assessments and statistical approaches. The statistical analyses supported the findings obtained with the qualitative approach. Both approaches provided additional information not otherwise available using one single method. Our results indicate that studies on biodeterioration can benefit from integrating diverse methods so that conservation efforts might become more precise and effective. PMID:27597658

  11. Combining Statistical Tools and Ecological Assessments in the Study of Biodeterioration Patterns of Stone Temples in Angkor (Cambodia)

    NASA Astrophysics Data System (ADS)

    Caneva, G.; Bartoli, F.; Savo, V.; Futagami, Y.; Strona, G.

    2016-09-01

    Biodeterioration is a major problem for the conservation of cultural heritage materials. We provide a new and original approach to analyzing changes in patterns of colonization (Biodeterioration patterns, BPs) by biological agents responsible for the deterioration of outdoor stone materials. Here we analyzed BPs of four Khmer temples in Angkor (Cambodia) exposed to variable environmental conditions, using qualitative ecological assessments and statistical approaches. The statistical analyses supported the findings obtained with the qualitative approach. Both approaches provided additional information not otherwise available using one single method. Our results indicate that studies on biodeterioration can benefit from integrating diverse methods so that conservation efforts might become more precise and effective.

  12. Combining Statistical Tools and Ecological Assessments in the Study of Biodeterioration Patterns of Stone Temples in Angkor (Cambodia)

    PubMed Central

    Caneva, G.; Bartoli, F.; Savo, V.; Futagami, Y.; Strona, G.

    2016-01-01

    Biodeterioration is a major problem for the conservation of cultural heritage materials. We provide a new and original approach to analyzing changes in patterns of colonization (Biodeterioration patterns, BPs) by biological agents responsible for the deterioration of outdoor stone materials. Here we analyzed BPs of four Khmer temples in Angkor (Cambodia) exposed to variable environmental conditions, using qualitative ecological assessments and statistical approaches. The statistical analyses supported the findings obtained with the qualitative approach. Both approaches provided additional information not otherwise available using one single method. Our results indicate that studies on biodeterioration can benefit from integrating diverse methods so that conservation efforts might become more precise and effective. PMID:27597658

  13. First Direct Dating for the Construction and Modification of the Baphuon Temple Mountain in Angkor, Cambodia.

    PubMed

    Leroy, Stéphanie; Hendrickson, Mitch; Delqué-Kolic, Emmanuelle; Vega, Enrique; Dillmann, Philippe

    2015-01-01

    Architecture represents key evidence of dynastic practice and change in the archaeological world. Chronologies for many important buildings and sequences, including the iconic temples of medieval Angkor in Cambodia, are based solely on indirect associations from inscriptions and architectural styles. The Baphuon temple, one of the last major buildings in Angkor without textual or scientifically-derived chronological evidence, is crucial both for the context and date of its construction and the period when its western façade was modified into a unique, gigantic Reclining Buddha. Its construction was part of a major dynastic change and florescence of the Hindu-Mahayana Buddhist state and the modification is the key evidence of Theravada Buddhist power after Angkor's decline in the 15th century. Using a newly-developed approach based on AMS radiocarbon dating to directly date four iron crampons integrated into the structure we present the first direct evidence for the history of the Baphuon. Comprehensive study of ferrous elements shows that both construction and modification were critically earlier than expected. The Baphuon can now be considered as the major temple associated with the imperial reformations and territorial consolidation of Suryavarman I (1010-1050 AD) for whom no previous building to legitimize his reign could be identified. The Theravada Buddhist modification is a hundred years prior to the conventional 16th century estimation and is not associated with renewed use of Angkor. Instead it relates to the enigmatic Ayutthayan occupation of Angkor in the 1430s and 40s during a major period of climatic instability. Accurately dating iron with relatively low carbon content is a decisive step to test long-standing assumptions about architectural histories and political processes for states that incorporated iron into buildings (e.g., Ancient Greece, medieval India). Furthermore, this new approach has the potential to revise chronologies related to iron

  14. First Direct Dating for the Construction and Modification of the Baphuon Temple Mountain in Angkor, Cambodia

    PubMed Central

    Leroy, Stéphanie; Hendrickson, Mitch; Delqué-Kolic, Emmanuelle; Vega, Enrique; Dillmann, Philippe

    2015-01-01

    Architecture represents key evidence of dynastic practice and change in the archaeological world. Chronologies for many important buildings and sequences, including the iconic temples of medieval Angkor in Cambodia, are based solely on indirect associations from inscriptions and architectural styles. The Baphuon temple, one of the last major buildings in Angkor without textual or scientifically-derived chronological evidence, is crucial both for the context and date of its construction and the period when its western façade was modified into a unique, gigantic Reclining Buddha. Its construction was part of a major dynastic change and florescence of the Hindu-Mahayana Buddhist state and the modification is the key evidence of Theravada Buddhist power after Angkor's decline in the 15th century. Using a newly-developed approach based on AMS radiocarbon dating to directly date four iron crampons integrated into the structure we present the first direct evidence for the history of the Baphuon. Comprehensive study of ferrous elements shows that both construction and modification were critically earlier than expected. The Baphuon can now be considered as the major temple associated with the imperial reformations and territorial consolidation of Suryavarman I (1010–1050 AD) for whom no previous building to legitimize his reign could be identified. The Theravada Buddhist modification is a hundred years prior to the conventional 16th century estimation and is not associated with renewed use of Angkor. Instead it relates to the enigmatic Ayutthayan occupation of Angkor in the 1430s and 40s during a major period of climatic instability. Accurately dating iron with relatively low carbon content is a decisive step to test long-standing assumptions about architectural histories and political processes for states that incorporated iron into buildings (e.g., Ancient Greece, medieval India). Furthermore, this new approach has the potential to revise chronologies related to iron

  15. Dyslipidemias and Elevated Cardiovascular Risk on Lopinavir-Based Antiretroviral Therapy in Cambodia

    PubMed Central

    Ly, Sowath; Ouk, Vara; Chanroeurn, Hak; Thavary, Saem; Boroath, Ban; Canestri, Ana; Viretto, Gérald; Delfraissy, Jean-François; Ségéral, Olivier

    2016-01-01

    Background Lopinavir/ritonavir (LPV/r) is widely used in Cambodia with high efficacy but scarce data exist on long-term metabolic toxicity. Methods We carried out a cross-sectional and retrospective study evaluating metabolic disorders and cardiovascular risk in Cambodian patients on LPV/r-based antiretroviral therapy (ART) for > 1 year followed in Calmette Hospital, Phnom Penh. Data collected included cardiovascular risk factors, fasting blood lipids and glucose, and retrospective collection of bioclinical data. We estimated the 10-year risks of coronary heart disease with the Framingham, Ramathibodi-Electricity Generating Authority of Thailand (Rama-EGAT), and the Data Collection on Adverse Effects of Anti-HIV Drugs (D:A:D) risk equations. We identified patients with LDL above targets defined by the French expert group on HIV and by the HIV Medicine Association of the Infectious Disease Society of America and the Adult AIDS Clinical Trials Group (IDSA-AACTG). Results Of 115 patients enrolled—mean age 40.9 years, 69.2% male, mean time on LPV/r 3.8 years—40 (34.8%) had hypercholesterolemia (> 2.40 g/L), and 69 (60.0%) had low HDL cholesterol (< 0.40 g/L). Twelve (10.5%), 28 (24%) and 9 (7.7%) patients had a 10-year risk of coronary heart disease ≥ 10% according to the Framingham, D:A:D, and Rama-EGAT score, respectively. Fifty one (44.4%) and 36 (31.3%) patients had not reached their LDL target according to IDSA-AACTG and French recommendations, respectively. Conclusion Prevalence of dyslipidemia was high in this cohort of HIV-infected Cambodian patients on LPV/r. Roughly one third had high LDL levels requiring specific intervention. PMID:27579612

  16. Assessment of Flood Disaster Impacts in Cambodia: Implications for Rapid Disaster Response

    NASA Astrophysics Data System (ADS)

    Ahamed, Aakash; Bolten, John; Doyle, Colin

    2016-04-01

    Disaster monitoring systems can provide near real time estimates of population and infrastructure affected by sudden onset natural hazards. This information is useful to decision makers allocating lifesaving resources following disaster events. Floods are the world's most common and devastating disasters (UN, 2004; Doocy et al., 2013), and are particularly frequent and severe in the developing countries of Southeast Asia (Long and Trong, 2001; Jonkman, 2005; Kahn, 2005; Stromberg, 2007; Kirsch et al., 2012). Climate change, a strong regional monsoon, and widespread hydropower construction contribute to a complex and unpredictable regional hydrodynamic regime. As such, there is a critical need for novel techniques to assess flood impacts to population and infrastructure with haste during and following flood events in order to enable governments and agencies to optimize response efforts following disasters. Here, we build on methods to determine regional flood extent in near real time and develop systems that automatically quantify the socioeconomic impacts of flooding in Cambodia. Software developed on cloud based, distributed processing Geographic Information Systems (GIS) is used to demonstrate spatial and numerical estimates of population, households, roadways, schools, hospitals, airports, agriculture and fish catch affected by severe monsoon flooding occurring in the Cambodian portion of Lower Mekong River Basin in 2011. Results show modest agreement with government and agency estimates. Maps and statistics generated from the system are intended to complement on the ground efforts and bridge information gaps to decision makers. The system is open source, flexible, and can be applied to other disasters (e.g. earthquakes, droughts, landslides) in various geographic regions.

  17. Scenario analysis of the benefit of municipal organic-waste composting over landfill, Cambodia.

    PubMed

    Seng, Bunrith; Hirayama, Kimiaki; Katayama-Hirayama, Keiko; Ochiai, Satoru; Kaneko, Hidehiro

    2013-01-15

    This paper presents insight into the benefits of organic waste recycling through composting over landfill, in terms of landfill life extension, compost product, and mitigation of greenhouse gases (GHGs). Future waste generation from 2003 to 2020 was forecast, and five scenarios of organic waste recycling in the municipality of Phnom Penh (MPP), Cambodia, were carried out. Organic waste-specifically food and garden waste-was used for composting, and the remaining waste was landfilled. The recycling scenarios were set based on organic waste generated from difference sources: households, restaurants, shops, markets, schools, hotels, offices, and street sweeping. Through the five scenarios, the minimum volume reductions of waste disposal were about 56, 123, and 219 m(3) d(-1) in 2003, 2012, and 2020, respectively, whereas the maximum volume reductions in these years were about 325, 643, and 1025 m(3) d(-1). These volume reductions reflect a landfill life extension of a minimum of half a year and a maximum of about four years. Compost product could be produced at a minimum of 14, 30, and 54 tons d(-1) in 2003, 2012, and 2020, respectively, and at a maximum in those years of about 80, 158, and 252 tons d(-1). At the same time benefit is gained in compost product, GHG emissions could be reduced by a minimum of 12.8% and a maximum of 65.0% from 2003 to 2020. This means about 3.23 (minimum) and 5.79 million tons CO(2)eq (maximum) contributed to GHG mitigation. In this regard, it is strongly recommended that MPP should try to initiate an organic-waste recycling strategy in a best fit scenario.

  18. The Socioeconomic Impacts of Clinically Diagnosed Haemorrhagic Septicaemia on Smallholder Large Ruminant Farmers in Cambodia.

    PubMed

    Kawasaki, M; Young, J R; Suon, S; Bush, R D; Windsor, P A

    2015-10-01

    Haemorrhagic septicaemia (HS) is an acute fatal infectious disease of mainly cattle and buffalo and outbreaks occur commonly in Cambodia. Disease outbreak reports were examined to select five villages from three provinces for a retrospective investigation of HS epidemiology and socioeconomic impact on smallholders, with an aim of identifying potential benefits from improving disease prevention through biosecurity and vaccination. The Village Animal Health Worker (VAHW) or Chief in each village and 66 affected smallholders were surveyed. At the village level, 24% of all households were affected with an estimated mean village herd morbidity of 10.1% and mortality of 28.8%. Affected farmers reported HS disease morbidity and mortality at 42.7% and 63.6% respectively. Buffalo had a higher morbidity (OR = 2.3; P = 0.003) and mortality (OR = 6.9; P < 0.001) compared with cattle, and unvaccinated large ruminants a higher morbidity (OR = 2.9; P = 0.001). The financial impact varied depending on whether the animal survived, provision of treatment, draught replacement and lost secondary income. The mean cost per affected household was USD 952.50 based on ownership of five large ruminants. The impact per affected animal was USD 375.00, reducing the pre-disease value by 66.1%. A partial budget revealed an overwhelming incentive for farmers to practice biannual vaccination, with a net benefit of USD 951.58 per household based on an annual disease incidence rate of 1. Sensitivity analysis showed that a net benefit of USD 32.42 remained based on an outbreak every 20 years. This study indicates HS can cause a catastrophic financial shock to smallholders and remains a critical constraint to improving large ruminant productivity and profitability. Addressing HS disease control requires a focus on improving smallholder farmer knowledge of biosecurity and vaccination and should be priority to stakeholders interested in addressing regional food insecurity and poverty reduction.

  19. Can vouchers deliver? An evaluation of subsidies for maternal health care in Cambodia

    PubMed Central

    Flores, Gabriela; Ir, Por; O’Donnell, Owen; Van Doorslaer, Eddy

    2014-01-01

    Abstract Objective To evaluate the effect of vouchers for maternity care in public health-care facilities on the utilization of maternal health-care services in Cambodia. Methods The study involved data from the 2010 Cambodian Demographic and Health Survey, which covered births between 2005 and 2010. The effect of voucher schemes, first implemented in 2007, on the utilization of maternal health-care services was quantified using a difference-in-differences method that compared changes in utilization in districts with voucher schemes with changes in districts without them. Findings Overall, voucher schemes were associated with an increase of 10.1 percentage points (pp) in the probability of delivery in a public health-care facility; among women from the poorest 40% of households, the increase was 15.6 pp. Vouchers were responsible for about one fifth of the increase observed in institutional deliveries in districts with schemes. Universal voucher schemes had a larger effect on the probability of delivery in a public facility than schemes targeting the poorest women. Both types of schemes increased the probability of receiving postnatal care, but the increase was significant only for non-poor women. Universal, but not targeted, voucher schemes significantly increased the probability of receiving antenatal care. Conclusion Voucher schemes increased deliveries in health centres and, to a lesser extent, improved antenatal and postnatal care. However, schemes that targeted poorer women did not appear to be efficient since these women were more likely than less poor women to be encouraged to give birth in a public health-care facility, even with universal voucher schemes. PMID:24839322

  20. Nesting phenology and clutch characteristics of captive Siamese crocodiles (Crocodylus siamensis) in Cambodia.

    PubMed

    Platt, Steven G; Monyrath, Vuthy; Sovannara, Heng; Kheng, Long; Rainwater, Thomas R

    2012-01-01

    The Siamese crocodile (Crocodylus siamensis) is considered one of the least studied and most critically endangered crocodilians in the world. Although few wild populations remain, more than 700,000 C. siamensis are held on commercial crocodile farms in Southeast Asia. Despite conservation concerns, many aspects of C. siamensis life history remain poorly known, particularly with regards to its reproductive biology. We studied nesting phenology, clutch characteristics, and other aspects of C. siamensis reproductive biology on crocodile farms in Cambodia during 2000 and 2001. Oviposition among captive crocodiles began in February and continued into early June. The mean (±1 SD) oviposition date based on pooled data from 2000 and 2001 was 5 April ± 24 days. Mean oviposition date differed significantly between 2000 and 2001, possibly as a result of annual variability among nesting cues. The mean incubation period was 72 ± 3 days and eggs hatched from 5 May to 18 August. Mean clutch size (25.0 ± 8.8 eggs; n = 183) differed significantly between years, possibly resulting from the >2.5-fold increase in sample size during 2001. There was no correlation between clutch size and oviposition date during either 2000 or 2001. A single female produced two clutches during 2001, complimenting previous reports of double-clutching among C. siamensis. The mean length and width of 515 eggs were 78.2 ± 4.9 and 48.1 ± 2.5 mm, respectively; mean egg mass was 90.8 ± 16.5 g (n = 471). One unpipped egg contained a set of twins.

  1. Water-supply options in arsenic-affected regions in Cambodia: targeting the bottom income quintiles.

    PubMed

    Chamberlain, Jim F; Sabatini, David A

    2014-08-01

    In arsenic-affected regions of Cambodia, rural water committees and planners can choose to promote various arsenic-avoidance and/or arsenic-removal water supply systems. Each of these has different costs of providing water, subsequently born by the consumer in order to be sustainable. On a volumetric basis ($/m3-yr) and of the arsenic-avoidance options considered, small-scale public water supply - e.g., treated water provided to a central tap stand - is the most expensive option on a life-cycle cost basis. Rainwater harvesting, protected hand dug wells, and vendor-supplied water are the cheapest with a normalized present worth value, ranging from $2 to $10 per cubic meter per year of water delivered. Subsidization of capital costs is needed to make even these options affordable to the lowest (Q5) quintile. The range of arsenic-removal systems considered here, using adsorptive media, is competitive with large-scale public water supply and deep tube well systems. Both community level and household-scale systems are in a range that is affordable to the Q4 quintile, though more research and field trials are needed. At a target cost of $5.00/m3, arsenic removal systems will compete with the OpEx costs for most of the arsenic-safe water systems that are currently available. The life-cycle cost approach is a valuable method for comparing alternatives and for assessing current water supply practices as these relate to equity and the ability to pay.

  2. Quaternary Morphodynamics for two large rivers: the Fly River, PNG, and the Mekong River, Cambodia.

    NASA Astrophysics Data System (ADS)

    Aalto, R. E.; Lauer, J. W.; Darby, S. E.; Goni, M. A.; Dietrich, W. E.

    2014-12-01

    During glacial marine transgressions, sediment & carbon are deposited due to the infilling of lowland fluvial systems, material that is then largely removed during ensuing regressions. Measuring & modelling these processes would help quantify the amount, timing, & preservation of these materials, providing insight into the morphodynamics of lowland fluvial systems in response to sea level change. We investigated the infilling dynamics of the Fly and Strickland Rivers, Papua New Guinea. Field data include: 14C dated deep cores recording base level evolution over the Holocene, sonar imaging of floodbasin stratigraphy, and the observations of blocked valley lakes and weathered erosional remnants from LGM conditions. Similar research was conducted on the Mekong River, Cambodia, where we have imaged basin fill stratigraphy and recorded the extent of blocked valley lakes. Such field data provide tantalizing empirical glimpses into the landscapes & flux buffering exhibited by large tropical rivers during glacial-interglacial transitions. We upscale our observations by modelling river system evolution, employing a GpU Lowland Landscape Evolution Model (GULLEM) to predict the evolution of the entire basin. A novel & powerful (>10 Tflops on an inexpensive computer) simulator, GULLEM models morphodynamics and estimates the accommodation space subsequently infilled during marine transgressions by representing a range of geomorphic processes, including: river & tributary incision, non-linear diffusion, sea level and isostatic change, hydraulic geometry, tectonic deformation, sediment production, transport & deposition, & tracking of the resulting stratigraphy. GULLEM's vectorized approach allows for massively parallel operation on GPUs (Graphics Processing Unit), making it practical to model coupled fluvial-landscape evolution for complex lowland river systems over large temporal and spatial scales. Our combined approach affords estimates for the timing and budgets of sediment

  3. An Efficient Acoustic Density Estimation Method with Human Detectors Applied to Gibbons in Cambodia

    PubMed Central

    Kidney, Darren; Rawson, Benjamin M.; Borchers, David L.; Stevenson, Ben C.; Marques, Tiago A.; Thomas, Len

    2016-01-01

    Some animal species are hard to see but easy to hear. Standard visual methods for estimating population density for such species are often ineffective or inefficient, but methods based on passive acoustics show more promise. We develop spatially explicit capture-recapture (SECR) methods for territorial vocalising species, in which humans act as an acoustic detector array. We use SECR and estimated bearing data from a single-occasion acoustic survey of a gibbon population in northeastern Cambodia to estimate the density of calling groups. The properties of the estimator are assessed using a simulation study, in which a variety of survey designs are also investigated. We then present a new form of the SECR likelihood for multi-occasion data which accounts for the stochastic availability of animals. In the context of gibbon surveys this allows model-based estimation of the proportion of groups that produce territorial vocalisations on a given day, thereby enabling the density of groups, instead of the density of calling groups, to be estimated. We illustrate the performance of this new estimator by simulation. We show that it is possible to estimate density reliably from human acoustic detections of visually cryptic species using SECR methods. For gibbon surveys we also show that incorporating observers’ estimates of bearings to detected groups substantially improves estimator performance. Using the new form of the SECR likelihood we demonstrate that estimates of availability, in addition to population density and detection function parameters, can be obtained from multi-occasion data, and that the detection function parameters are not confounded with the availability parameter. This acoustic SECR method provides a means of obtaining reliable density estimates for territorial vocalising species. It is also efficient in terms of data requirements since since it only requires routine survey data. We anticipate that the low-tech field requirements will make this method

  4. What Explains Cambodia's Success in Reducing Child Stunting-2000-2014?

    PubMed

    Zanello, Giacomo; Srinivasan, C S; Shankar, Bhavani

    2016-01-01

    In many developing countries, high levels of child undernutrition persist alongside rapid economic growth. There is considerable interest in the study of countries that have made rapid progress in child nutrition to uncover the driving forces behind these improvements. Cambodia is often cited as a success case having reduced the incidence of child stunting from 51% to 34% over the period 2000 to 2014. To what extent is this success driven by improvements in the underlying determinants of nutrition, such as wealth and education, ("covariate effects") and to what extent by changes in the strengths of association between these determinants and nutrition outcomes ("coefficient effects")? Using determinants derived from the widely-applied UNICEF framework for the analysis of child nutrition and data from four Demographic and Health Surveys datasets, we apply quantile regression based decomposition methods to quantify the covariate and coefficient effect contributions to this improvement in child nutrition. The method used in the study allows the covariate and coefficient effects to vary across the entire distribution of child nutrition outcomes. There are important differences in the drivers of improvements in child nutrition between severely stunted and moderately stunted children and between rural and urban areas. The translation of improvements in household endowments, characteristics and practices into improvements in child nutrition (the coefficient effects) may be influenced by macroeconomic shocks or other events such as natural calamities or civil disturbance and may vary substantially over different time periods. Our analysis also highlights the need to explicitly examine the contribution of targeted child health and nutrition interventions to improvements in child nutrition in developing countries. PMID:27649080

  5. Prediction of contamination potential of groundwater arsenic in Cambodia, Laos, and Thailand using artificial neural network.

    PubMed

    Cho, Kyung Hwa; Sthiannopkao, Suthipong; Pachepsky, Yakov A; Kim, Kyoung-Woong; Kim, Joon Ha

    2011-11-01

    The arsenic (As) contamination of groundwater has increasingly been recognized as a major global issue of concern. As groundwater resources are one of most important freshwater sources for water supplies in Southeast Asian countries, it is important to investigate the spatial distribution of As contamination and evaluate the health risk of As for these countries. The detection of As contamination in groundwater resources, however, can create a substantial labor and cost burden for Southeast Asian countries. Therefore, modeling approaches for As concentration using conventional on-site measurement data can be an alternative to quantify the As contamination. The objective of this study is to evaluate the predictive performance of four different models; specifically, multiple linear regression (MLR), principal component regression (PCR), artificial neural network (ANN), and the combination of principal components and an artificial neural network (PC-ANN) in the prediction of As concentration, and to provide assessment tools for Southeast Asian countries including Cambodia, Laos, and Thailand. The modeling results show that the prediction accuracy of PC-ANN (Nash-Sutcliffe model efficiency coefficients: 0.98 (traning step) and 0.71 (validation step)) is superior among the four different models. This finding can be explained by the fact that the PC-ANN not only solves the problem of collinearity of input variables, but also reflects the presence of high variability in observed As concentrations. We expect that the model developed in this work can be used to predict As concentrations using conventional water quality data obtained from on-site measurements, and can further provide reliable and predictive information for public health management policies.

  6. Quality of pharmaceutical items available from drugstores in Phnom Penh, Cambodia.

    PubMed

    Yang, Daravuth; Plianbangchang, Pinyupa; Visavarungroj, Nuwat; Rujivipat, Soravoot

    2004-09-01

    Drugstores and drug outlets are the main sources of care for the majority of Cambodian citizens because of the availability of drugs, short waiting time, and ability to control the cost of treatment. Unfortunately, no enforcement of pharmacy regulations and little consumer and drugstore personnel education contribute to a potential harmful unregulated drug market resulting in high costs and prolonged illness. No study has looked at the quality of over-the-counter drugs, which would have the highest impact on the people. In this study, we were interested in exploring the quality of commonly used pharmaceutical items available from drugstores in Phnom Penh, Cambodia, using uncoated aspirin tablets as a case study. Factors relating to quality of the drug were also examined. This study was conducted by means of drug fishing method to obtain uncoated aspirin tablet samples from 96 drugstores in Phnom Penh. The quality of the samples was examined in six aspects: percent label amount, weight variation, hardness, percent friability, disintegration time, and dissolution rate. We found that only seven (7.3%) of the total 96 samples passed all six quality criteria. Dissolution test appeared to be the most critical step in determining aspirin quality. Factors that were statistically related to the quality of the sample were type of packaging. All the drugs that passed the six criteria were in bottles. Source of the medications was also significantly related to their quality. Among seven samples that passed the test, six were from Vietnam. Our study revealed that the quality of uncoated aspirin tablets was a serious problem. The vast majority of the samples did not meet the standard requirements. Type of packaging and source of medications were related to the quality of samples. This study has important implications for the Cambodian government regarding the control of the quality of pharmaceutical items available in drugstores. PMID:15689098

  7. Using microfinance to facilitate household investment in sanitation in rural Cambodia.

    PubMed

    Geissler, Kimberley H; Goldberg, Jeffrey; Leatherman, Sheila

    2016-11-01

    Improved sanitation access is extremely low in rural Cambodia. Non-governmental organizations have helped build local supply side latrine markets to promote household latrine purchase and use, but households cite inability to pay as a key barrier to purchase. To examine the extent to which microfinance can be used to facilitate household investment in sanitation, we applied a two-pronged assessment: (1) to address the gap between interest in and use of microfinance, we conducted a pilot study to assess microfinance demand and feasibility of integration with a sanitation marketing program and (2) using a household survey (n = 935) at latrine sales events in two rural provinces, we assessed attitudes about microfinance and financing for sanitation. We found substantial stated intent to use a microfinance institution (MFI) loan to purchase a latrine (27%). Five percent of current owners used an MFI loan for latrine purchase. Credit officers attended 159 events, with 4761 individuals attending. Actual loan applications were low, with 4% of sales events attendees applying for a loan immediately following the event (mean = 1.7 loans per event). Ongoing coordination was challenging, requiring management commitment from the sanitation marketing program and commitment to social responsibility from the MFI. Given the importance of improving sanitation coverage and concomitant health impacts, linking functional sanitation markets to already operational finance markets has the potential to give individuals and households more financial flexibility. Further product research and better integration of private vendors and financing modalities are necessary to create a scalable microfinance option for sanitation markets. PMID:27198981

  8. First Direct Dating for the Construction and Modification of the Baphuon Temple Mountain in Angkor, Cambodia.

    PubMed

    Leroy, Stéphanie; Hendrickson, Mitch; Delqué-Kolic, Emmanuelle; Vega, Enrique; Dillmann, Philippe

    2015-01-01

    Architecture represents key evidence of dynastic practice and change in the archaeological world. Chronologies for many important buildings and sequences, including the iconic temples of medieval Angkor in Cambodia, are based solely on indirect associations from inscriptions and architectural styles. The Baphuon temple, one of the last major buildings in Angkor without textual or scientifically-derived chronological evidence, is crucial both for the context and date of its construction and the period when its western façade was modified into a unique, gigantic Reclining Buddha. Its construction was part of a major dynastic change and florescence of the Hindu-Mahayana Buddhist state and the modification is the key evidence of Theravada Buddhist power after Angkor's decline in the 15th century. Using a newly-developed approach based on AMS radiocarbon dating to directly date four iron crampons integrated into the structure we present the first direct evidence for the history of the Baphuon. Comprehensive study of ferrous elements shows that both construction and modification were critically earlier than expected. The Baphuon can now be considered as the major temple associated with the imperial reformations and territorial consolidation of Suryavarman I (1010-1050 AD) for whom no previous building to legitimize his reign could be identified. The Theravada Buddhist modification is a hundred years prior to the conventional 16th century estimation and is not associated with renewed use of Angkor. Instead it relates to the enigmatic Ayutthayan occupation of Angkor in the 1430s and 40s during a major period of climatic instability. Accurately dating iron with relatively low carbon content is a decisive step to test long-standing assumptions about architectural histories and political processes for states that incorporated iron into buildings (e.g., Ancient Greece, medieval India). Furthermore, this new approach has the potential to revise chronologies related to iron

  9. Monitoring of biophysical parameters of cashew plants in Cambodia using ALOS/PALSAR data.

    PubMed

    Avtar, Ram; Takeuchi, Wataru; Sawada, Haruo

    2013-02-01

    An accurate estimation of a plant's age is required for the prediction of yield and management practices. This study demonstrates the relationship between backscattering properties (σ°) of Phased Array type L-band Synthetic Aperture Radar (PALSAR) dual polarimetric data with cashew plants' biophysical parameters (height, age, crown diameter, diameter at breast height, basal area, tree density, and biomass) in Cambodia. PALSAR σ° has shown a positive correlation with the biophysical parameters of cashew plants. The value of σ° increases with the age of cashew plants. At a young stage, the cashew plants show a higher rate of an increase in σ° compared to that at the mature stage. The σ° horizontal polarization transmitted and vertical received (HV) shows higher sensitivity to the plant's growth than σ° horizontal polarization transmitted and received (HH). High backscattering and low variations were observed at mature stage (8-12 years) of cashew plantation. Saturation in backscattering has shown from the age of about 13 years. The validation results indicate strong coefficient of determination (R(2) = 0.86 and 0.88) for PALSAR-predicted age and biomass of cashew plants with root mean square error = 1.8 years and 16.3 t/ha for age and biomass, respectively. The correlations of σ° (HH) with biophysical parameters observed in the dry season were better than those of the rainy season because soil moisture interferes with backscattering in the rainy season. Biomass accumulation rate of cashew plants has been predicted that would be useful for selection of plants species to enhance carbon sequestration. This study provides an insight to use PALSAR for the monitoring of growth stages of plants at the regional level.

  10. Redeeming qualities: exploring factors that affect women’s use of reproductive health vouchers in Cambodia

    PubMed Central

    2013-01-01

    Background One approach to delivering healthcare in developing countries is through voucher programs, where vouchers are distributed to a specific population for free or subsidized health care. Recent evaluations suggest that vouchers have the potential to extend coverage of priority health services to the poor in developing countries. In Cambodia, a reproductive health voucher program was implemented in January 2011. This study aims to explore women’s early experiences accessing health services with their vouchers at accredited clinics. Methods This qualitative exploratory study used focus group methodology to gather information from five groups of older (>25 years) and four groups of younger (18–25 years) women who were eligible for the voucher program in three rural provinces. Focus groups were digitally recorded, transcribed and translated from Khmer into English. Data analysis was an iterative process, which comprised of open coding to find commonalities that reflected categories or themes and axial coding to relate initial themes to each other. Next, a basic framework for analysis was formed by integrating the themes into the framework. Results Two overarching themes were identified in the data: 1) factors that facilitate voucher use and 2) factors that inhibit voucher use. Within each of these themes, three subthemes were identified: 1) pre-existing factors, 2) distribution factors, and 3) redemption factors. Overall, women expressed positive feelings towards the voucher program, while several areas for program improvement were identified including the importance of addressing pre-existing demand-side barriers to using reproductive health services, the need for more comprehensive counselling during voucher distribution, and the persistent cost of unofficial payments expected by midwives after delivery irrespective of voucher use. Conclusions Early information from program beneficiaries can lead to timely and responsive changes that can help to maximize

  11. Where mother knows best. In Cambodia's highlands, women play a key role.

    PubMed

    1993-09-22

    Phnom Penh businessmen wanted to convert a hillside near Ban Lung, the provincial capital of Ratanakiri in northeast Cambodia, into a resort for senior government officials and businessmen. The resort was to lead treks into the hills so the men could stare at the topless women of the Khmer Loeu tribes. The tribes' views on marriage, sex, birth control, abortion, and courtship are quite progressive. Until just recently, unmarried daughters lived in small houses connected to the family house so they could have sexual relationships with prospective mates. The custom stopped because many of the women conceived before marriage and many of the fathers were married men. Nevertheless, young women still have as much sexual freedom as do young men. Neither punishment nor disgrace befall unmarried pregnant women. If a married man impregnates a woman, he pays her family with 4 buffalo, some pigs, a few chickens, and rice wine. If the man is single and does not want to marry the pregnant woman, he reimburses her and attends to her throughout the pregnancy. Childbirth ends his obligation. Women may divorce an abusive husband. Any man that abuses a woman, married or not, is severely punished. Only women can make decisions about childbirth. They often induce abortion after having 4-5 children, generally using herbs. Women are spiritual healers. Priestesses are the only medium through which ancestral spirits impart blessings and messages to tribe members. these powers affect male and female relations greatly. Women rise at 4 am to do chores. They usually make breakfast and clean the house before boys awake. Women and the tribe value men, largely because few survived the Khmer Rouge massacres. Khmer Loeu women are beginning to want to be like other women, such as wearing shirts. These modern attitudes are more likely to change the tribe's culture than did the widespread killing by the Khmer Rouge in the 1970s.

  12. Using microfinance to facilitate household investment in sanitation in rural Cambodia.

    PubMed

    Geissler, Kimberley H; Goldberg, Jeffrey; Leatherman, Sheila

    2016-11-01

    Improved sanitation access is extremely low in rural Cambodia. Non-governmental organizations have helped build local supply side latrine markets to promote household latrine purchase and use, but households cite inability to pay as a key barrier to purchase. To examine the extent to which microfinance can be used to facilitate household investment in sanitation, we applied a two-pronged assessment: (1) to address the gap between interest in and use of microfinance, we conducted a pilot study to assess microfinance demand and feasibility of integration with a sanitation marketing program and (2) using a household survey (n = 935) at latrine sales events in two rural provinces, we assessed attitudes about microfinance and financing for sanitation. We found substantial stated intent to use a microfinance institution (MFI) loan to purchase a latrine (27%). Five percent of current owners used an MFI loan for latrine purchase. Credit officers attended 159 events, with 4761 individuals attending. Actual loan applications were low, with 4% of sales events attendees applying for a loan immediately following the event (mean = 1.7 loans per event). Ongoing coordination was challenging, requiring management commitment from the sanitation marketing program and commitment to social responsibility from the MFI. Given the importance of improving sanitation coverage and concomitant health impacts, linking functional sanitation markets to already operational finance markets has the potential to give individuals and households more financial flexibility. Further product research and better integration of private vendors and financing modalities are necessary to create a scalable microfinance option for sanitation markets.

  13. Reconstruction of the past flow channels in the early Holocene at Lake Tonle Sap, Cambodia

    NASA Astrophysics Data System (ADS)

    Haraguchi, T.; Yonenobu, H.; Tokunaga, T.; Shimoda, I.

    2013-05-01

    Lake Tonle Sap is located at the central part of Cambodia, South-East Asia. In rainy season, the water body swells with the water depth accordingly increasing from 1 up to 10 meters due to a pulsive intrusion from the Mekong River. The lake is therefore a vital reservoir that protects the region from flooding. It is paleolimnologically important to better understand how the lake has gained the function controlling water balance of this region. We undertook an extensive echo-sounding exploration at the lake in order to clarify the subsurface structure of Lake Tonle Sap. The survey was conducted in rainy seasons from 2009 to 2012. Sediment cores were collected at three sites at the middle part of the lake. Echo sounding was undertaken over the whole part of the lake using a single-channel sub-bottom profiling system (Stratabox, SyQwest Inc.). A prominent sound frequency of 10 KHz was selected in order to observe structure of reflectance planes up to the 40-m depth. In consequence, we discovered deposited valleys forming a complex network of past flow channels. The subsurface structure of the lake bed was mostly complacent showing a strongly reflecting plane observed at the depth of 1-2 meters; the sediments mainly consisted of mud. A number of valley-shaped reflecting planes were observed at the depth of 10-14 meters. Radiocarbon dates of carbonaceous materials collected at the vally bottom were around 10 ka calBP. A 3-D reconstruction presented a complex network of deposited flow channels.

  14. TOBACCO AND ALCOHOL USE AMONG CHRONIC DISEASE PATIENTS IN CAMBODIA, MYANMAR AND VIETNAM.

    PubMed

    Peltzer, Karl; Pengpid, Supa

    2016-05-01

    The aim of this study was to explore the prevalence of tobacco and alcohol use and to determine the factors associated with tobacco and alcohol use among chronic disease patients in Cambodia, Myanmar and Vietnam. A cross-sectional survey was conducted among 4,803 adult chronic disease patients (mean age 49.3 years; SD=16.5) recruited systematically from health facilities. Fifteen point five percent of those studied were current smokers, 14.5% current smokeless tobacco users, 20.7% daily tobacco users (smokers or smokeless tobacco), 9.3% problem drinkers and 4.1% both daily tobacco users and problem drinkers. Having been diagnosed with hypertension, chronic obstructive pulmonary disease (COPD), liver disease, and dyslipidemia were positively associated with daily tobacco use; liver disease, gout and other musculoskeletal conditions, kidney disease, and dyslipidemia were positively associated with problem drinking. On multivariate logistic regression analysis, socio-demographics (being male, older age, lower education, coming from Myanmar, being single, divorced or widowed, rural residence and part-time employed), problem drinking and having two or more chronic health conditions were associated with daily tobacco use. Socio-demographics (being male, younger age, coming from Vietnam, being married or cohabiting), daily tobacco use and not having depressive symptoms were found to be associated with problem drinking. High prevalences of daily tobacco use and problem drinking were found among chronic disease patients and several socio-demographic, disease specific, and other health risk behavior factors were identified which can guide substance use intervention programs for this population. PMID:27405138

  15. National Malaria Prevalence in Cambodia: Microscopy Versus Polymerase Chain Reaction Estimates.

    PubMed

    Lek, Dysoley; Popovici, Jean; Ariey, Frederic; Vinjamuri, Seshu Babu; Meek, Sylvia; Bruce, Jan; Taylor, Walter R J; Socheat, Duong; Menard, Didier; Rogers, William O

    2016-09-01

    Accurate information regarding malaria prevalence at national level is required to design and assess malaria control/elimination efforts. Although many comparisons of microscopy and polymerase chain reaction (PCR)-based methods have been conducted, there is little published literature covering such comparisons in southeast Asia especially at the national level. Both microscopic examination and PCR detection were performed on blood films and dried blood spots samples collected from 8,067 individuals enrolled in a nationwide, stratified, multistage, cluster sampling malaria prevalence survey conducted in Cambodia in 2007. The overall malaria prevalence and prevalence rates of Plasmodium falciparum, Plasmodium vivax, and Plasmodium malariae infections estimated by microscopy (N = 8,067) were 2.74% (95% confidence interval [CI]: 2.39-3.12%), 1.81% (95% CI: 1.53-2.13%), 1.14% (95% CI: 0.92-1.40%), and 0.01% (95% CI: 0.003-0.07%), respectively. The overall malaria prevalence based on PCR detection (N = 7,718) was almost 2.5-fold higher (6.31%, 95% CI: 5.76-6.89%, P < 0.00001). This difference was significantly more pronounced for P. falciparum (4.40%, 95% CI: 3.95-4.90%, P < 0.00001) compared with P. vivax (1.89%, 95% CI: 1.60-2.22%, P < 0.001) and P. malariae infections (0.22%, 95% CI: 0.13-0.35%, P < 0.0001). The significant proportion of microscopy-negative but PCR-positive individuals (289/7,491, 3.85%) suggest microscopic examination frequently underestimated malaria infections and that active case detection based on microscopy may miss a significant reservoir of infection, especially in low-transmission settings. PMID:27402511

  16. Intravaginal Practices in Female Sex Workers in Cambodia: A Qualitative Study.

    PubMed

    Bui, Thanh Cong; Tran, Ly Thi-Hai; Hor, Leng Bun; Scheurer, Michael E; Vidrine, Damon J; Markham, Christine M

    2016-05-01

    Intravaginal practices (IVPs) are associated with several adverse health outcomes, including HIV infection. However, few studies have examined this topic in Asian cultures, particularly in female sex workers (FSWs). This theory-based qualitative study aimed to describe the IVPs and to identify salient determinants of these practices in FSWs in Phnom Penh, Cambodia. We conducted in-depth interviews using open-ended questions with 30 FSWs in July-August 2014. We analyzed data using thematic content analysis, with thematic codes based on the constructs of the theory of planned behavior. The results showed that the most common IVP was a combination of intravaginal washing and wiping, to which we refer as intravaginal cleansing. There was a clear and close connection between IVP and sex work. Perceived benefits of intravaginal cleansing were numerous, while the perceived risks were few. As a result, the attitude toward intravaginal cleansing was favorable. A common misperception of benefit was that intravaginal cleansing could prevent sexually transmitted infections. Local physicians considerably influenced the subjective norm related to IVP. Intention to quit IVPs was suboptimal. In conclusion, the psychological factors associated with IVPs in FSWs were somewhat different from those in the general population of Cambodian women and women in other countries. Behavioral beliefs, attitude, and subjective norms appeared salient and important factors in IVPs. Interventions aimed at reducing IVPs should target these constructs as well as the sex-work-associated economic motives. Local physicians may be an agent to change IVP and an effective channel to deliver interventions. PMID:26742508

  17. High Prevalence of Antimicrobial-resistant Gram-negative Colonization in Hospitalized Cambodian Infants

    PubMed Central

    Pol, Sreymom; Soeng, Sona; Sar, Poda; Neou, Leakhena; Chea, Phal; Day, Nicholas PJ; Cooper, Ben S.; Turner, Claudia

    2016-01-01

    Background: Antimicrobial-resistant Gram-negative infections are a significant cause of mortality in young infants. We aimed to determine characteristics of, and risk factors for, colonization and invasive infection caused by 3rd generation cephalosporin (3GC) or carbapenem-resistant organisms in outborn infants admitted to a neonatal unit (NU) in Cambodia. Methods: During the first year of operation, patients admitted to the Angkor Hospital for Children NU, Siem Reap, Cambodia, underwent rectal swabbing on admission and twice weekly until discharge. Swabs were taken also from 7 environmental sites. Swabs were cultured to identify 3GC or carbapenem-resistant Acinetobacter sp., Escherichia coli, Klebsiella pneumoniae and Pseudomonas aeruginosa. Results: The study included 333 infants with a median age at NU admission of 10 days (range, 0–43). Colonization by ≥1 3GC-resistant organism was detected in 85.9% (286/333). Admission swabs were collected in 289 infants: 61.9% were colonized by a 3GC-resistant organism at the time of admission, and a further 23.2% were colonized during hospitalization, at a median of 4 days [95% confidence interval: 3–5]. Probiotic treatment (hazard ratio: 0.58; 95% confidence interval: 0.35–0.98) was associated with delayed colonization. Colonization by a carbapenem-resistant organism occurred in 25 (7.5%) infants. Six infants had NU-associated K. pneumoniae bacteremia; phenotypically identical colonizing strains were found in 3 infants. Environmental colonization occurred early. Conclusions: Colonization by antimicrobial-resistant Gram-negative organisms occurred early in hospitalized Cambodian infants and was associated with subsequent invasive infection. Trials of potential interventions such as probiotics are needed. PMID:27124686

  18. Characterisation of Invasive Streptococcus pneumoniae Isolated from Cambodian Children between 2007 – 2012

    PubMed Central

    Giess, Adam; Soeng, Sona; Sar, Poda; Kumar, Varun; Nhoung, Pheakdey; Bousfield, Rachel; Turner, Paul; Stoesser, Nicole; Day, Nicholas P. J.; Parry, Christopher M.

    2016-01-01

    Background The 13-valent pneumococcal vaccine (PCV13) was introduced in Cambodia in January 2015. There are limited data concerning the common serotypes causing invasive pneumococcal disease (IPD). Knowledge of the circulating pneumococcal serotypes is important to monitor epidemiological changes before and after vaccine implementation. Methods All episodes of IPD defined by the isolation of Streptococcus pneumoniae from blood, cerebrospinal fluid or other sterile site in Cambodian children admitted to the Angkor Hospital for Children in Siem Reap, Northwestern Cambodia, between 1st January 2007 and 1st July 2012 were retrospectively studied. Streptococcus pneumoniae isolates that could be retrieved underwent phenotypic typing and whole genome sequencing. Results There were 90 Cambodian children hospitalized with IPD with a median (IQR) age of 2.3 years (0.9–6.2). The case fatality was 15.6% (95% CI 8–23). Of 50 Streptococcus pneumoniae isolates available for further testing, 46% were penicillin non-susceptible and 8% were ceftriaxone non-susceptible, 78% were cotrimoxazole resistant, 30% were erythromycin resistant and 30% chloramphenicol resistant. There were no significant changes in resistance levels over the five-year period. The most common serotypes were 1 (11/50; 22%), 23F (8/50; 16%), 14 (6/50; 12%), 5 (5/50; 10%) and 19A (3/50; 6%). Coverage by PCV7, PCV10 and PCV13 was 44%, 76% and 92% respectively. We identified novel multilocus sequence types and resistotypes using whole genome sequencing. Conclusions This study suggests IPD is an important disease in Cambodian children and can have a significant mortality. PCV13 coverage of the serotypes determined in studied strains was high and consistent with another recent study. The phenotypic resistance patterns observed were similar to other regional studies. The use of whole genome sequencing in the present study provides additional typing and resistance information together with the description of novel

  19. Whole-Genome Sequencing Confirms that Burkholderia pseudomallei Multilocus Sequence Types Common to Both Cambodia and Australia Are Due to Homoplasy

    PubMed Central

    De Smet, Birgit; Mayo, Mark; Theobald, Vanessa; Kham, Chun; Heng, Seiha; Thong, Phe; Holden, Matthew T. G.; Peacock, Sharon J.; Spratt, Brian G.; Jacobs, Jan A.; Vandamme, Peter; Currie, Bart J.

    2014-01-01

    Burkholderia pseudomallei isolates with shared multilocus sequence types (STs) have not been isolated from different continents. We identified two STs shared between Australia and Cambodia. Whole-genome analysis revealed substantial diversity within STs, correctly identified the Asian or Australian origin, and confirmed that these shared STs were due to homoplasy. PMID:25392354

  20. Whose Education Policies in Aid-Receiving Countries? A Critical Discourse Analysis of Quality and Normative Transfer through Cambodia and Laos

    ERIC Educational Resources Information Center

    McCormick, Alexandra

    2012-01-01

    Critical discourse analysis of policy contexts and documents has been employed in this research to analyze the role of language in promoting normative positions affecting the quality of education in Cambodia and Laos. The article examines the ways institutional normative influences at multiple levels within the Education for All (EFA) program have…

  1. Pathways of Thriving and Resilience: Growth Responses to Adversity and Trauma in Two Cambodian Communities: A Comparative Study between Lowell, Massachusetts and Phnom Penh, Cambodia.

    ERIC Educational Resources Information Center

    West, Cheryl D.

    This qualitative study investigated individual, contextual, and cultural factors that promote trauma-related resilience and positive growth among Cambodian survivors of the Pol Pot regime who reside in Phnom Penh, Cambodia and Lowell, Massachusetts. A thriving paradigm framed semi-structured interviews that were conducted with 21 Cambodians in…

  2. Situation Report--Australia, Burundi, Cambodia, Mexico, Montserrat, Nicaragua, Papua & New Guinea, Republic of Vietnam, Sabah, Sarawak, Sierra Leone, Tahiti, Tonga.

    ERIC Educational Resources Information Center

    International Planned Parenthood Federation, London (England).

    Data relating to population and family planning in fourteen foreign countries are presented in these situation reports. Countries included are Australia, Burundi, Cambodia, Mexico, Montserrat, Nicaragua, Papua and New Guines, Republic of Vietnam, Sabah, Sarawak, Sierra Leone, Tahiti (French Polynesia), and Tonga. Information is provided under two…

  3. Exposure, metabolism, and health effects of arsenic in residents from arsenic-contaminated groundwater areas of Vietnam and Cambodia: a review.

    PubMed

    Agusa, Tetsuro; Kunito, Takashi; Kubota, Reiji; Inoue, Suguru; Fujihara, Junko; Minh, Tu Binh; Ha, Nguyen Ngoc; Tu, Nguyen Phuc Cam; Trang, Pham Thi Kim; Chamnan, Chhoun; Takeshita, Haruo; Iwata, Hisato; Tuyen, Bui Cach; Viet, Pham Hung; Tana, Touch Seang; Tanabe, Shinsuke

    2010-01-01

    In this review, we summarize the current knowledge on exposure, metabolism, and health effects of arsenic (As) in residents from As-contaminated groundwater areas of Vietnam and Cambodia based on our findings from 2000 and other studies. The health effects of As in humans include severe gastrointestinal disorders, hepatic and renal failure, cardiovascular disturbances, skin pigmentation, hyperkeratosis, and cancers in the lung, bladder, liver, kidney, and skin. Arsenic contamination in groundwater is widely present at Vietnam and Cambodia and the highest As levels are frequently found in groundwater from Cambodia. Sand filter system can reduce As concentration in raw groundwater. The results of hair and urine analyses indicate that residents from these As-contaminated areas are exposed to As. In general, sex, age, body mass index, and As exposure level are significantly associated with As metabolism. Genetic polymorphisms in arsenic (+III) methyltransferase and glutathione-S-transferase isoforms may be influenced As metabolism and accumulation in a Vietnamese population. It is suggested oxidative DNA damage is caused by exposure to As in groundwater from residents in Cambodia. An epidemiologic study on an association of As exposure with human health effects is required in these areas. PMID:21038756

  4. Exposure, metabolism, and health effects of arsenic in residents from arsenic-contaminated groundwater areas of Vietnam and Cambodia: a review.

    PubMed

    Agusa, Tetsuro; Kunito, Takashi; Kubota, Reiji; Inoue, Suguru; Fujihara, Junko; Minh, Tu Binh; Ha, Nguyen Ngoc; Tu, Nguyen Phuc Cam; Trang, Pham Thi Kim; Chamnan, Chhoun; Takeshita, Haruo; Iwata, Hisato; Tuyen, Bui Cach; Viet, Pham Hung; Tana, Touch Seang; Tanabe, Shinsuke

    2010-01-01

    In this review, we summarize the current knowledge on exposure, metabolism, and health effects of arsenic (As) in residents from As-contaminated groundwater areas of Vietnam and Cambodia based on our findings from 2000 and other studies. The health effects of As in humans include severe gastrointestinal disorders, hepatic and renal failure, cardiovascular disturbances, skin pigmentation, hyperkeratosis, and cancers in the lung, bladder, liver, kidney, and skin. Arsenic contamination in groundwater is widely present at Vietnam and Cambodia and the highest As levels are frequently found in groundwater from Cambodia. Sand filter system can reduce As concentration in raw groundwater. The results of hair and urine analyses indicate that residents from these As-contaminated areas are exposed to As. In general, sex, age, body mass index, and As exposure level are significantly associated with As metabolism. Genetic polymorphisms in arsenic (+III) methyltransferase and glutathione-S-transferase isoforms may be influenced As metabolism and accumulation in a Vietnamese population. It is suggested oxidative DNA damage is caused by exposure to As in groundwater from residents in Cambodia. An epidemiologic study on an association of As exposure with human health effects is required in these areas.

  5. Rebirth of the Learning Tradition: A Case Study on the Achievements of Education for All in Cambodia. Mid-Decade Review of Progress towards Education for All.

    ERIC Educational Resources Information Center

    Prasertsri, Supote

    This report describes and analyzes the efforts and achievements made in Cambodia during the past 16 years with a special focus on developments after the United Nations organized election in 1993. During this process UNESCO played a small but important part in the reconstruction of education, freedom of expression (through the training of…

  6. Testimony ceremonies in Asia: integrating spirituality in testimonial therapy for torture survivors in India, Sri Lanka, Cambodia, and the Philippines.

    PubMed

    Agger, Inger; Igreja, Victor; Kiehle, Rachel; Polatin, Peter

    2012-07-01

    This study explores the therapeutic implications of including culturally adapted spiritual ceremonies in the process of testimonial therapy for torture survivors in India, Sri Lanka, Cambodia, and the Philippines. Data were collected through an action research process with Asian mental health and human rights organizations, during which the testimonial method was reconceptualized and modified to include four sessions. In the first two sessions, community workers assist survivors in the writing of their testimony, which is their narrative about the human rights violations they have suffered. In the third session, survivors participate in an honour ceremony in which they are presented with their testimony documents. In the fourth session, the community workers meet with the survivors for a reevaluation of their well-being. The honour ceremonies developed during the action research process came to employ different kinds of symbolic language at each site: human rights (India), religious/Catholic (Sri Lanka), religious/Buddhist (Cambodia), and religious/Moslem (Philippines). They all used embodied spirituality in various forms, incorporating singing, dancing, and religious purification rituals in a collective gathering. We suggest that these types of ceremonies may facilitate an individual's capacity to contain and integrate traumatic memories, promote restorative self-awareness, and engage community support. Additional research is needed to determine the method's applicability in other sociopolitical contexts governed by more Western-oriented medical traditions.

  7. Evaluation of real-time PCR for Strongyloides stercoralis and hookworm as diagnostic tool in asymptomatic schoolchildren in Cambodia.

    PubMed

    Schär, Fabian; Odermatt, Peter; Khieu, Virak; Panning, Marcus; Duong, Socheat; Muth, Sinuon; Marti, Hanspeter; Kramme, Stefanie

    2013-05-01

    Diagnosis of soil-transmitted helminths such as Strongyloides stercoralis and hookworms (Ancylostoma duodenale and Necator americanus) is challenging due to irregular larval and egg output in infected individuals and insensitive conventional diagnostic procedures. Sensitive novel real-time PCR assays have been developed. Our study aimed to evaluate the real-time PCR assays as a diagnostic tool for detection of Strongyloides spp. and hookworms in a random stool sample of 218 asymptomatic schoolchildren in Cambodia. Overall prevalence of 17.4% (38/218) and 34.9% (76/218) were determined by real-time PCR for S. stercoralis and hookworms, respectively. Sensitivity and specificity of S. stercoralis specific real-time PCR as compared to the combination of Baermann/Koga Agar as gold standard were 88.9% and 92.7%, respectively. For hookworm specific real-time PCR a sensitivity of 78.9% and specificity of 78.9% were calculated. Co-infections were detectable by PCR in 12.8% (28/218) of individuals. S. stercoralis real-time PCR applied in asymptomatic cases showed a lower sensitivity compared to studies undertaken with symptomatic patients with the same molecular tool, yet it proved to be a valid supplement in the diagnosis of STH infection in Cambodia.

  8. The Economic Burden of Malnutrition in Pregnant Women and Children under 5 Years of Age in Cambodia.

    PubMed

    Moench-Pfanner, Regina; Silo, Sok; Laillou, Arnaud; Wieringa, Frank; Hong, Rathamony; Hong, Rathavuth; Poirot, Etienne; Bagriansky, Jack

    2016-01-01

    Malnutrition is locked in a vicious cycle of increased mortality, poor health, impaired cognitive development, slow physical growth, reduced learning capacity, inferior performance, and ultimately lower adult work performance and productivity. The consensus of global scientific evidence indicates that lowering the rates of malnutrition will be an indispensable component of any successful program to raise the quality of human capital and resources. This study used a "consequence model" to apply the coefficient risk-deficit on economic losses, established in the global scientific literature, to Cambodian health, demographic, and economic data to develop a national estimate of the value of economic losses due to malnutrition. The impact of the indicators of malnutrition analyzed represent a burden to the national economy of Cambodia estimated at 266 million USD annually (1.7% of GDP). Stunting is reducing the Cambodian economic output by more than 120 million USD, and iodine deficiency disorders alone by 57 million USD. This economic burden is too high in view of Cambodia's efforts to drive economic development. The government should rapidly expand a range of low-cost effective nutrition interventions to break the current cycle of increased mortality, poor health and ultimately lower work performance, productivity, and earnings. PMID:27187462

  9. Cytogenetic, cross-mating and molecular evidence of four cytological races of Anopheles crawfordi (Diptera: Culicidae) in Thailand and Cambodia.

    PubMed

    Saeung, Atiporn; Baimai, Visut; Thongsahuan, Sorawat; Otsuka, Yasushi; Srisuka, Wichai; Taai, Kritsana; Somboon, Pradya; Suwonkerd, Wannapa; Sochanta, Tho; Choochote, Wej

    2014-11-01

    Twenty-nine isolines of Anopheles crawfordi were established from wild-caught females collected from cow-baited traps in Thailand and Cambodia. Three types of X (X1, X2, X3) and four types of Y (Y1, Y2, Y3, and Y4) chromosomes were identified, according to differing amounts of extra heterochromatin. These sex chromosomes represent four metaphase karyotypes, i.e., Forms A (X1, X2, X3, Y1), B (X1, X2, X3, Y2), C (X2, Y3) and D (X2, Y4). Forms C and D are novel metaphase karyotypes confined to Thailand, whereas forms A and B appear to be common in both Thailand and Cambodia. Cross-mating experiments between the four karyotypic forms indicated genetic compatibility in yielding viable progenies and synaptic salivary gland polytene chromosomes. The results suggest that the forms are conspecific and A. crawfordi comprises four cytological races, which is further supported by very low intraspecific variation (mean genetic distance=0.000-0.018) of the nucleotide sequences in ribosomal DNA (ITS2) and mitochondrial DNA sequences (COI, COII). PMID:25444706

  10. PALSAR 50 m Mosaic Data Based National Level Biomass Estimation in Cambodia for Implementation of REDD+ Mechanism

    PubMed Central

    Avtar, Ram; Suzuki, Rikie; Takeuchi, Wataru; Sawada, Haruo

    2013-01-01

    Tropical countries like Cambodia require information about forest biomass for successful implementation of climate change mitigation mechanism related to Reducing Emissions from Deforestation and forest Degradation (REDD+). This study investigated the potential of Phased Array-type L-band Synthetic Aperture Radar Fine Beam Dual (PALSAR FBD) 50 m mosaic data to estimate Above Ground Biomass (AGB) in Cambodia. AGB was estimated using a bottom-up approach based on field measured biomass and backscattering (σo) properties of PALSAR data. The relationship between the PALSAR σo HV and HH/HV with field measured biomass was strong with R2 = 0.67 and 0.56, respectively. PALSAR estimated AGB show good results in deciduous forests because of less saturation as compared to dense evergreen forests. The validation results showed a high coefficient of determination R2 = 0.61 with RMSE  = 21 Mg/ha using values up to 200 Mg/ha biomass. There were some uncertainties because of the uncertainty in the field based measurement and saturation of PALSAR data. AGB map of Cambodian forests could be useful for the implementation of forest management practices for REDD+ assessment and policies implementation at the national level. PMID:24116012

  11. Testimony ceremonies in Asia: Integrating spirituality in testimonial therapy for torture survivors in India, Sri Lanka, Cambodia, and the Philippines

    PubMed Central

    Agger, Inger; Igreja, Victor; Kiehle, Rachel; Polatin, Peter

    2012-01-01

    This study explores the therapeutic implications of including culturally adapted spiritual ceremonies in the process of testimonial therapy for torture survivors in India, Sri Lanka, Cambodia, and the Philippines. Data were collected through an action research process with Asian mental health and human rights organizations, during which the testimonial method was reconceptualized and modified to include four sessions. In the first two sessions, community workers assist survivors in the writing of their testimony, which is their narrative about the human rights violations they have suffered. In the third session, survivors participate in an honour ceremony in which they are presented with their testimony documents. In the fourth session, the community workers meet with the survivors for a reevaluation of their well-being. The honour ceremonies developed during the action research process came to employ different kinds of symbolic language at each site: human rights (India), religious/Catholic (Sri Lanka), religious/Buddhist (Cambodia), and religious/Moslem (Philippines). They all used embodied spirituality in various forms, incorporating singing, dancing, and religious purification rituals in a collective gathering. We suggest that these types of ceremonies may facilitate an individual’s capacity to contain and integrate traumatic memories, promote restorative self-awareness, and engage community support. Additional research is needed to determine the method’s applicability in other sociopolitical contexts governed by more Western-oriented medical traditions. PMID:22637721

  12. Arsenic concentrations in paddy soil and rice and health implications for major rice-growing regions of Cambodia.

    PubMed

    Seyfferth, Angelia L; McCurdy, Sarah; Schaefer, Michael V; Fendorf, Scott

    2014-05-01

    Despite the global importance of As in rice, research has primarily focused on Bangladesh, India, China, and the United States with limited attention given to other countries. Owing to both indigenous As within the soil and the possible increases arising from the onset of irrigation with groundwater, an assessment of As in rice within Cambodia is needed, which offers a "base-case" comparison against sediments of similar origin that comprise rice paddy soils where As-contaminated water is used for irrigation (e.g., Bangladesh). Here, we evaluated the As content of rice from five provinces (Kandal, Prey Veng, Battambang, Banteay Meanchey, and Kampong Thom) in the rice-growing regions of Cambodia and coupled that data to soil-chemical factors based on extractions of paddy soil collected and processed under anoxic conditions. At total soil As concentrations ranging 0.8 to 18 μg g(-1), total grain As concentrations averaged 0.2 μg g(-1) and ranged from 0.1 to 0.37 with Banteay Meanchey rice having significantly higher values than Prey Veng rice. Overall, soil-extractable concentrations of As, Fe, P, and Si and total As were poor predictors of grain As concentrations. While biogeochemical factors leading to reduction of As(V)-bearing Fe(III) oxides are likely most important for predicting plant-available As, husk and straw As concentrations were the most significant predictors of grain-As levels among our measured parameters. PMID:24712677

  13. PALSAR 50 m mosaic data based national level biomass estimation in Cambodia for implementation of REDD+ mechanism.

    PubMed

    Avtar, Ram; Suzuki, Rikie; Takeuchi, Wataru; Sawada, Haruo

    2013-01-01

    Tropical countries like Cambodia require information about forest biomass for successful implementation of climate change mitigation mechanism related to Reducing Emissions from Deforestation and forest Degradation (REDD+). This study investigated the potential of Phased Array-type L-band Synthetic Aperture Radar Fine Beam Dual (PALSAR FBD) 50 m mosaic data to estimate Above Ground Biomass (AGB) in Cambodia. AGB was estimated using a bottom-up approach based on field measured biomass and backscattering (σ(o)) properties of PALSAR data. The relationship between the PALSAR σ(o) HV and HH/HV with field measured biomass was strong with R(2) = 0.67 and 0.56, respectively. PALSAR estimated AGB show good results in deciduous forests because of less saturation as compared to dense evergreen forests. The validation results showed a high coefficient of determination R(2) = 0.61 with RMSE  = 21 Mg/ha using values up to 200 Mg/ha biomass. There were some uncertainties because of the uncertainty in the field based measurement and saturation of PALSAR data. AGB map of Cambodian forests could be useful for the implementation of forest management practices for REDD+ assessment and policies implementation at the national level.

  14. Cluster of HIV Infections Attributed to Unsafe Injection Practices--Cambodia, December 1, 2014-February 28, 2015.

    PubMed

    Vun, Mean Chhi; Galang, Romeo R; Fujita, Masami; Killam, William; Gokhale, Runa; Pitman, John; Selenic, Dejana; Mam, Sovatha; Mom, Chandara; Fontenille, Didier; Rouet, Francois; Vonthanak, Saphonn

    2016-02-19

    In December 2014, local health authorities in Battambang province in northwest Cambodia reported 30 cases of human immunodeficiency virus (HIV) infection in a rural commune (district subdivision) where only four cases had been reported during the preceding year. The majority of cases occurred in residents of Roka commune. The Cambodian National Center for HIV/AIDS (acquired immunodeficiency syndrome), Dermatology and Sexually Transmitted Diseases (NCHADS) investigated the outbreak in collaboration with the University of Health Sciences in Phnom Penh and members of the Roka Cluster Investigation Team. By February 28, 2015, NCHADS had confirmed 242 cases of HIV infection among the 8,893 commune residents, an infection rate of 2.7%. Molecular investigation of the HIV strains present in this outbreak indicated that the majority of cases were linked to a single HIV strain that spread quickly within this community. An NCHADS case-control study identified medical injections and infusions as the most likely modes of transmission. In response to this outbreak, the Government of Cambodia has taken measures to encourage safe injection practices by licensed medical professionals, ban unlicensed medical practitioners, increase local capacity for HIV testing and counseling, and expand access to HIV treatment in Battambang province. Measures to reduce the demand for unnecessary medical injections and the provision of unsafe injections are needed. Estimates of national HIV incidence and prevalence might need to be adjusted to account for unsafe injection as a risk exposure. PMID:26890340

  15. Trends and barriers to HIV testing among tuberculosis patients in Prey Kabas operational district, Takeo province, Cambodia.

    PubMed

    Samrith, Wannak; Rahman, Mahbubur; Harun-Or-Rashid, Md; Sakamoto, Junichi

    2015-03-01

    Data for this study were obtained from 2375 tuberculosis (TB) patients registered during 2007-2009 and 43 health providers to examine the trend of TB patient referral for HIV (human immunodeficiency virus) testing and to investigate provider-associated barriers to the referral in Prey Kabas operational district, Takeo province, Cambodia. Referral rate for HIV testing was 4.4% (30/684) in 2007, 15.4% (116/751) in 2008, and 30.1% (283/940) in 2009, with a significant upward trend over the period of time (P = .009). The main barriers perceived by health providers were poor knowledge about TB/HIV, lack of communication skills, absence of any target plan for TB patient referral for HIV testing, and fear associated with informing positive test results to the TB patients and the associated stigma. Strategies to raise awareness about HIV/AIDS/TB among TB patients and their providers may improve the current state of low referral and its barriers in Cambodia.

  16. Cluster of HIV Infections Attributed to Unsafe Injection Practices--Cambodia, December 1, 2014-February 28, 2015.

    PubMed

    Vun, Mean Chhi; Galang, Romeo R; Fujita, Masami; Killam, William; Gokhale, Runa; Pitman, John; Selenic, Dejana; Mam, Sovatha; Mom, Chandara; Fontenille, Didier; Rouet, Francois; Vonthanak, Saphonn

    2016-02-19

    In December 2014, local health authorities in Battambang province in northwest Cambodia reported 30 cases of human immunodeficiency virus (HIV) infection in a rural commune (district subdivision) where only four cases had been reported during the preceding year. The majority of cases occurred in residents of Roka commune. The Cambodian National Center for HIV/AIDS (acquired immunodeficiency syndrome), Dermatology and Sexually Transmitted Diseases (NCHADS) investigated the outbreak in collaboration with the University of Health Sciences in Phnom Penh and members of the Roka Cluster Investigation Team. By February 28, 2015, NCHADS had confirmed 242 cases of HIV infection among the 8,893 commune residents, an infection rate of 2.7%. Molecular investigation of the HIV strains present in this outbreak indicated that the majority of cases were linked to a single HIV strain that spread quickly within this community. An NCHADS case-control study identified medical injections and infusions as the most likely modes of transmission. In response to this outbreak, the Government of Cambodia has taken measures to encourage safe injection practices by licensed medical professionals, ban unlicensed medical practitioners, increase local capacity for HIV testing and counseling, and expand access to HIV treatment in Battambang province. Measures to reduce the demand for unnecessary medical injections and the provision of unsafe injections are needed. Estimates of national HIV incidence and prevalence might need to be adjusted to account for unsafe injection as a risk exposure.

  17. Effects of logging and recruitment on community phylogenetic structure in 32 permanent forest plots of Kampong Thom, Cambodia.

    PubMed

    Toyama, Hironori; Kajisa, Tsuyoshi; Tagane, Shuichiro; Mase, Keiko; Chhang, Phourin; Samreth, Vanna; Ma, Vuthy; Sokh, Heng; Ichihashi, Ryuji; Onoda, Yusuke; Mizoue, Nobuya; Yahara, Tetsukazu

    2015-02-19

    Ecological communities including tropical rainforest are rapidly changing under various disturbances caused by increasing human activities. Recently in Cambodia, illegal logging and clear-felling for agriculture have been increasing. Here, we study the effects of logging, mortality and recruitment of plot trees on phylogenetic community structure in 32 plots in Kampong Thom, Cambodia. Each plot was 0.25 ha; 28 plots were established in primary evergreen forests and four were established in secondary dry deciduous forests. Measurements were made in 1998, 2000, 2004 and 2010, and logging, recruitment and mortality of each tree were recorded. We estimated phylogeny using rbcL and matK gene sequences and quantified phylogenetic α and β diversity. Within communities, logging decreased phylogenetic diversity, and increased overall phylogenetic clustering and terminal phylogenetic evenness. Between communities, logging increased phylogenetic similarity between evergreen and deciduous plots. On the other hand, recruitment had opposite effects both within and between communities. The observed patterns can be explained by environmental homogenization under logging. Logging is biased to particular species and larger diameter at breast height, and forest patrol has been effective in decreasing logging.

  18. Mortality in Cambodia: an 18-month prospective community-based surveillance of all-age deaths using verbal autopsies.

    PubMed

    Goyet, Sophie; Rammaert, Blandine; McCarron, Margaret; Khieu, Virak; Fournier, Isabelle; Kitsutani, Paul; Ly, Sowath; Mounts, Anthony; Letson, William G; Buchy, Philippe; Vong, Sirenda

    2015-03-01

    To estimate the 2009-2010 death rates, causes, and patterns of mortality in rural Cambodia, we conducted active, population-based death surveillance in 25 rural villages of Cambodia from March 2009 to August 2010. Among the population of 28,053 under surveillance, 280 deaths were reported and explored by physician-certified verbal autopsies, using the International Classification of Diseases 10, yielding an overall mortality rate (MR) of 6.7/1000 persons-year (95% CI 5.74-7.68). The MR was 39.1/1000 live births for those younger than 5 years old. Infants accounted for 5.4% of all deaths. In children younger than 5 years, infectious and parasitic diseases were the leading causes of death. In children 5 to 14 years, 3 out of 4 deaths were due to injuries. Adult deaths were mainly attributed to noncommunicable diseases (52%). We conclude that this rural population is facing a substantial burden of noncommunicable diseases while still struggling with infectious diseases, respiratory diseases in particular.

  19. Effects of logging and recruitment on community phylogenetic structure in 32 permanent forest plots of Kampong Thom, Cambodia

    PubMed Central

    Toyama, Hironori; Kajisa, Tsuyoshi; Tagane, Shuichiro; Mase, Keiko; Chhang, Phourin; Samreth, Vanna; Ma, Vuthy; Sokh, Heng; Ichihashi, Ryuji; Onoda, Yusuke; Mizoue, Nobuya; Yahara, Tetsukazu

    2015-01-01

    Ecological communities including tropical rainforest are rapidly changing under various disturbances caused by increasing human activities. Recently in Cambodia, illegal logging and clear-felling for agriculture have been increasing. Here, we study the effects of logging, mortality and recruitment of plot trees on phylogenetic community structure in 32 plots in Kampong Thom, Cambodia. Each plot was 0.25 ha; 28 plots were established in primary evergreen forests and four were established in secondary dry deciduous forests. Measurements were made in 1998, 2000, 2004 and 2010, and logging, recruitment and mortality of each tree were recorded. We estimated phylogeny using rbcL and matK gene sequences and quantified phylogenetic α and β diversity. Within communities, logging decreased phylogenetic diversity, and increased overall phylogenetic clustering and terminal phylogenetic evenness. Between communities, logging increased phylogenetic similarity between evergreen and deciduous plots. On the other hand, recruitment had opposite effects both within and between communities. The observed patterns can be explained by environmental homogenization under logging. Logging is biased to particular species and larger diameter at breast height, and forest patrol has been effective in decreasing logging. PMID:25561669

  20. Arsenic concentrations in paddy soil and rice and health implications for major rice-growing regions of Cambodia.

    PubMed

    Seyfferth, Angelia L; McCurdy, Sarah; Schaefer, Michael V; Fendorf, Scott

    2014-05-01

    Despite the global importance of As in rice, research has primarily focused on Bangladesh, India, China, and the United States with limited attention given to other countries. Owing to both indigenous As within the soil and the possible increases arising from the onset of irrigation with groundwater, an assessment of As in rice within Cambodia is needed, which offers a "base-case" comparison against sediments of similar origin that comprise rice paddy soils where As-contaminated water is used for irrigation (e.g., Bangladesh). Here, we evaluated the As content of rice from five provinces (Kandal, Prey Veng, Battambang, Banteay Meanchey, and Kampong Thom) in the rice-growing regions of Cambodia and coupled that data to soil-chemical factors based on extractions of paddy soil collected and processed under anoxic conditions. At total soil As concentrations ranging 0.8 to 18 μg g(-1), total grain As concentrations averaged 0.2 μg g(-1) and ranged from 0.1 to 0.37 with Banteay Meanchey rice having significantly higher values than Prey Veng rice. Overall, soil-extractable concentrations of As, Fe, P, and Si and total As were poor predictors of grain As concentrations. While biogeochemical factors leading to reduction of As(V)-bearing Fe(III) oxides are likely most important for predicting plant-available As, husk and straw As concentrations were the most significant predictors of grain-As levels among our measured parameters.

  1. Tetanus Immunity among Women Aged 15 to 39 Years in Cambodia: a National Population-Based Serosurvey, 2012.

    PubMed

    Scobie, Heather M; Mao, Bunsoth; Buth, Sokhal; Wannemuehler, Kathleen A; Sørensen, Charlotte; Kannarath, Chheng; Jenks, M Harley; Moss, Delynn M; Priest, Jeffrey W; Soeung, Sann Chan; Deming, Michael S; Lammie, Patrick J; Gregory, Christopher J

    2016-07-01

    To monitor progress toward maternal and neonatal tetanus elimination (MNTE) in Cambodia, we conducted a nationwide serosurvey of tetanus immunity in 2012. Multistage cluster sampling was used to select 2,154 women aged 15 to 39 years. Tetanus toxoid antibodies in serum samples were measured by gold-standard double-antigen enzyme-linked immunosorbent assay (DAE) and a novel multiplex bead assay (MBA). Antibody concentrations of ≥0.01 IU/ml by DAE or the equivalent for MBA were considered seroprotective. Estimated tetanus seroprotection was 88% (95% confidence interval [CI], 86 to 89%); 64% (95% CI, 61 to 67%) of women had antibody levels of ≥1.0 IU/ml. Seroprotection was significantly lower (P < 0.001) among women aged 15 to 19 years (63%) and 20 to 24 years (87%) than among those aged ≥25 years (96%), among nulliparous women than among parous women (71 versus 97%), and among those living in the western region than among those living in other regions (82 versus 89%). The MBA showed high sensitivity (99% [95% CI, 98 to 99%]) and specificity (92% [95% CI, 88 to 95%]) compared with DAE. Findings were compatible with MNTE in Cambodia (≥80% protection). Tetanus immunity gaps should be addressed through strengthened routine immunization and targeted vaccination campaigns. Incorporating tetanus testing in national serosurveys using MBAs, which can measure immunity to multiple pathogens simultaneously, may be beneficial for monitoring MNTE. PMID:27053629

  2. Issues in access to safe drinking water and basic hygiene for persons with physical disabilities in rural Cambodia.

    PubMed

    MacLeod, Marin; Pann, Mala; Cantwell, Ray; Moore, Spencer

    2014-12-01

    An estimated 1.6 million people die from diarrheal diseases each year due to lack of access to safe water and sanitation, and persons with physical disabilities face additional barriers. In Cambodia, approximately 5% of the population is disabled, presenting substantial obstacles in accessing these basic services. The purpose of this study was twofold: first, to identify the challenges facing persons with physical disabilities in accessing safe household water and basic hygiene in rural Cambodia; and, second, to use these results to generate policy and practice recommendations for the water and sanitation hygiene sector implementing water treatment system interventions in rural settings. Fifteen field interviews were conducted with persons with physical disabilities. Thematic analysis was used to identify six main themes. The results indicated that environmental barriers to access were greater in the workplace than household settings and those persons with disabilities had greater awareness about safe drinking water compared to basic hygiene. Additionally, lack of physical strength, distance to water, and lack of financial means were noted as common access barriers. The findings support ongoing research and offer insight into the particular challenges facing persons with physical disabilities in rural areas in accessing safe drinking water and basic hygiene.

  3. The Economic Burden of Malnutrition in Pregnant Women and Children under 5 Years of Age in Cambodia.

    PubMed

    Moench-Pfanner, Regina; Silo, Sok; Laillou, Arnaud; Wieringa, Frank; Hong, Rathamony; Hong, Rathavuth; Poirot, Etienne; Bagriansky, Jack

    2016-05-14

    Malnutrition is locked in a vicious cycle of increased mortality, poor health, impaired cognitive development, slow physical growth, reduced learning capacity, inferior performance, and ultimately lower adult work performance and productivity. The consensus of global scientific evidence indicates that lowering the rates of malnutrition will be an indispensable component of any successful program to raise the quality of human capital and resources. This study used a "consequence model" to apply the coefficient risk-deficit on economic losses, established in the global scientific literature, to Cambodian health, demographic, and economic data to develop a national estimate of the value of economic losses due to malnutrition. The impact of the indicators of malnutrition analyzed represent a burden to the national economy of Cambodia estimated at 266 million USD annually (1.7% of GDP). Stunting is reducing the Cambodian economic output by more than 120 million USD, and iodine deficiency disorders alone by 57 million USD. This economic burden is too high in view of Cambodia's efforts to drive economic development. The government should rapidly expand a range of low-cost effective nutrition interventions to break the current cycle of increased mortality, poor health and ultimately lower work performance, productivity, and earnings.

  4. Ivermectin Treatment and Sanitation Effectively Reduce Strongyloides stercoralis Infection Risk in Rural Communities in Cambodia

    PubMed Central

    Forrer, Armelle; Khieu, Virak; Schindler, Christian; Schär, Fabian; Marti, Hanspeter; Char, Meng Chuor; Muth, Sinuon; Odermatt, Peter

    2016-01-01

    Background Strongyloides stercoralis is the only soil-transmitted helminth with the ability to replicate within its host, leading to long-lasting and potentially fatal infections. It is ubiquitous and its worldwide prevalence has recently been estimated to be at least half that of hookworm. Information on the epidemiology of S. stercoralis remains scarce and modalities for its large-scale control are yet to be determined. Methodology/Principal Findings A community-based two-year cohort study was conducted among the general population in a rural province in North Cambodia. At each survey, participants infected with S. stercoralis were treated with a single oral dose of ivermectin (200μg/kg BW). Diagnosis was performed using a combination of the Baermann method and Koga agar plate culture on two stool samples. The cohort included participants from eight villages who were either positive or negative for S. stercoralis at baseline. Mixed logistic regression models were employed to assess risk factors for S. stercoralis infection at baseline and re-infection at follow-up. A total of 3,096 participants were examined at baseline, revealing a S. stercoralis prevalence of 33.1%. Of these participants, 1,269 were followed-up over two years. Re-infection and infection rates among positive and negative participants at baseline were 14.4% and 9.6% at the first and 11.0% and 11.5% at the second follow-up, respectively. At follow-up, all age groups were at similar risk of acquiring an infection, while infection risk significantly decreased with increasing village sanitation coverage. Conclusions/Significance Chemotherapy-based control of S. stercoralis is feasible and highly beneficial, particularly in combination with improved sanitation. The impact of community-based ivermectin treatment on S. stercoralis was high, with over 85% of villagers remaining negative one year after treatment. The integration of S. stercoralis into existing STH control programs should be considered

  5. Seasonal Influences on Ground-Surface Water Interactions in an Arsenic-Affected Aquifer in Cambodia

    NASA Astrophysics Data System (ADS)

    Richards, L. A.; Magnone, D.; Van Dongen, B.; Bryant, C.; Boyce, A.; Ballentine, C. J.; Polya, D. A.

    2015-12-01

    Millions of people in South and Southeast Asia consume drinking water daily which contains dangerous levels of arsenic exceeding health-based recommendations [1]. A key control on arsenic mobilization in aquifers in these areas has been controversially identified as the interaction of 'labile' organic matter contained in surface waters with groundwaters and sediments at depth [2-4], which may trigger the release of arsenic from the solid- to aqueous-phase via reductive dissolution of iron-(hyr)oxide minerals [5]. In a field site in Kandal Province, Cambodia, which is an arsenic-affected area typical to others in the region, there are strong seasonal patterns in groundwater flow direction, which are closely related to monsoonal rains [6] and may contribute to arsenic release in this aquifer. The aim of this study is to explore the implications of the high susceptibility of this aquifer system to seasonal changes on potential ground-surface water interactions. The main objectives are to (i) identify key zones where there are likely ground-surface water interactions, (ii) assess the seasonal impact of such interactions and (iii) quantify the influence of interactions using geochemical parameters (such as As, Fe, NO3, NH4, 14C, 3T/3He, δ18O, δ2H). Identifying the zones, magnitude and seasonal influence of ground-surface water interactions elucidates new information regarding potential locations/pathways of arsenic mobilization and/or transport in affected aquifers and may be important for water management strategies in affected areas. This research is supported by NERC (NE/J023833/1) to DP, BvD and CJB and a NERC PhD studentship (NE/L501591/1) to DM. References: [1] World Health Organization, 2008. [2] Charlet & Polya (2006), Elements, 2, 91-96. [3] Harvey et al. (2002), Science, 298, 1602-1606. [4] Lawson et al. (2013), Env. Sci. Technol. 47, 7085 - 7094. [5] Islam et al. (2004), Nature, 430, 68-71. [6] Benner et al. (2008) Appl. Geochem. 23(11), 3072 - 3087.

  6. How Do Rubber (Hevea brasiliensis) Plantations Cope with Seasonal Drought in Northern Thailand and Central Cambodia?

    NASA Astrophysics Data System (ADS)

    Kumagai, T.; Giambelluca, T. W.

    2014-12-01

    Rubber (Hevea brasiliensis Müll. Arg.) plantaitons are rapidly expanding throughout mainland Southeast Asia, potentially changing the partitioning of water, energy, and carbon at multiple scales, compared with the traditional land covers they are replacing. We have conducted eddy flux measurements in two rubber plantation sites: Som Sanuk (SS), located northern Thailand; and Cambodian Rubber Research Institute (CRRI), central Cambodia. We used combination of actual evapotranspiration (ET) flux measurements and an inversed version of a simple 2-layer ET model for estimating the mean canopy stomatal conductances (gs), which is among the most effective measures for describing the exchange characteristics. It is demonstrated how each studied rubber plantation copes with each strong seasonal drought via tree water use strategies. Potential tree water use deficit (precipitation (P) - potential evaporation (ET_POT)) for each season (i.e., December-February: DJF, March-May: MAM, June-August: JJA, and September-November: SON) revealed in which season and how the water use should be controlled. We found that in the season when actual tree water use deficit (P - ET) was negative (DJF and MAM), the deficit was compensated with soil water from the previous season at a depth of 0-2 m at the Thailand site, and from a depth of 0-3 m at CRRI. Two ecophysiological parameters, the reference value of gs (gsref) and the sensitivity of gs to atmospheric demand (m), as well as their proportionality (m/gsref), were derived from the logarithmic response curve of gs to vapor pressure deficit (D) for each season and each site. In both sites, gsref and m appeared to be less in DJF and MAM than each in the other three month periods (seasons). On average in a whole year, m/gsref was less than 0.6 at SS and almost 0.6 at the CRRI site, suggesting that there was less sufficient stomatal regulation at SS, where there might be little risk of water stress-induced hydraulic failure because of much

  7. Patterns of Ecosystem Metabolism in the Tonle Sap Lake, Cambodia with Links to Capture Fisheries

    PubMed Central

    Holtgrieve, Gordon W.; Arias, Mauricio E.; Irvine, Kim N.; Lamberts, Dirk; Ward, Eric J.; Kummu, Matti; Koponen, Jorma; Sarkkula, Juha; Richey, Jeffrey E.

    2013-01-01

    The Tonle Sap Lake in Cambodia is a dynamic flood-pulsed ecosystem that annually increases its surface area from roughly 2,500 km2 to over 12,500 km2 driven by seasonal flooding from the Mekong River. This flooding is thought to structure many of the critical ecological processes, including aquatic primary and secondary productivity. The lake also has a large fishery that supports the livelihoods of nearly 2 million people. We used a state-space oxygen mass balance model and continuous dissolved oxygen measurements from four locations to provide the first estimates of gross primary productivity (GPP) and ecosystem respiration (ER) for the Tonle Sap. GPP averaged 4.1±2.3 g O2 m−3 d−1 with minimal differences among sites. There was a negative correlation between monthly GPP and lake level (r = 0.45) and positive correlation with turbidity (r = 0.65). ER averaged 24.9±20.0 g O2 m−3 d−1 but had greater than six-fold variation among sites and minimal seasonal change. Repeated hypoxia was observed at most sampling sites along with persistent net heterotrophy (GPP

  8. Increased Case Notification through Active Case Finding of Tuberculosis among Household and Neighbourhood Contacts in Cambodia

    PubMed Central

    Morishita, Fukushi; Eang, Mao Tan; Nishikiori, Nobuyuki; Yadav, Rajendra-Prasad

    2016-01-01

    Background Globally, there has been growing evidence that suggests the effectiveness of active case finding (ACF) for tuberculosis (TB) in high-risk populations. However, the evidence is still insufficient as to whether ACF increases case notification beyond what is reported in the routine passive case finding (PCF). In Cambodia, National TB Control Programme has conducted nationwide ACF with Xpert MTB/RIF that retrospectively targeted household and neighbourhood contacts alongside routine PCF. This study aims to investigate the impact of ACF on case notifications during and after the intervention period. Methods Using a quasi-experimental cluster randomized design with intervention and control arms, we compared TB case notification during the one-year intervention period with historical baseline cases and trend-adjusted expected cases, and estimated additional cases notified during the intervention period (separately for Year 1 and Year 2 implementation). The proportion of change in case notification was compared between intervention and control districts for Year 1. The quarterly case notification data from all intervention districts were consolidated, aligning different implementation quarters, and separately analysed to explore the additionality. The effect of the intervention on the subsequent case notification during the post-intervention period was also assessed. Results In Year 1, as compared to expected cases, 1467 cases of all forms (18.5%) and 330 bacteriologically-confirmed cases (9.6%) were additionally notified in intervention districts, whereas case notification in control districts decreased by 2.4% and 2.3%, respectively. In Year 2, 2737 cases of all forms (44.3%) and 793 bacteriologically-confirmed cases (38%) were additionally notified as compared to expected cases. The proportions of increase in case notifications from baseline cases and expected cases to intervention period cases were consistently higher in intervention group than in control

  9. Hydrogeologic reconnaissance of the Mekong Delta in South Vietnam and Cambodia

    USGS Publications Warehouse

    Anderson, Henry R.

    1978-01-01

    The present report describes the results of a hydrogeologic reconnaissance in the Mekong Delta region by the writer, a hydrogeologist of the U.S. Geological Survey, while on assignment as an adviser to the Vietnamese Directorate of Water Supply from October 1968 to April 1970 under the auspices of the U.s. Agency for International Development. The delta of the Mekong River, comprising an area of about 70,000 square kilometres in South Vietnam and Cambodia, is an almost featureless plain rising gradually from sea level to about 5 metres above sea level at its apex 300 kilometres inland. Most of the shallow ground water in the Holocene Alluvium of the delta in Vietnam is brackish or saline down to depths of 50 to 100 metres. Moreover, in the Dong Thap Mu?oi (Plain of Reeds) the shallow ground water is alum-bearing. Locally, however, perched bodies of fresh ground water occur in ancient beach and dune ridges and are tapped by shallow dug wells or pits for village and domestic water supply. The Old Alluvium beneath the lower delta contains freshwater in some areas, notably in the Ca Mau Peninsula and adjacent areas, in the viciniy of Bau Xau near Saigon, and in the Tinh Long An area. Elsewhere in the lower delta both the Holocene and Old Alluvium may contain brackish or saline water from the land surface to depths of as much as 568 metres, as for example in Tinh Vinh Binh. Ground water in the outcrop area of Old Alluvium northwest of Saigon is generally fresh and potable, but high iron and low pH are locally troublesome. Although considerable exploratory drilling for ground water down to depths of as much as 568 metres has already been completed, large areas of the delta remain yet to be explored before full development of the ground-water potential can be realized. With careful development and controlled management to avoid saltwater contamination, however, it is estimated that freshwater aquifers could provide approximately 80 percent of existing needs for village

  10. Transpiration by trees under seasonal water logging and drought in monsoon central Cambodia

    NASA Astrophysics Data System (ADS)

    Miyazawa, Y.; Tateishi, M.; Kajisa, T.; Ma, V.; Heng, S.; Kumagai, T.; Mizoue, N.

    2012-04-01

    Cambodia is situated in the center of Indochina Peninsula and experiences severe drought for 5 months of dry season and subsequent rainy season. Around the Tonlesap Lake where both natural and secondary forests exist without intensive destruction by human activity, forest hydrology is characterized by seasonal water logging in mid rainy season. Tree- and stand-scale transpiration is thought to be influenced by the changing soil water conditions and trees' site-specific adaptation to the environment, but less is measured about transpiration and leaf ecophysiological traits in this region. The objectives of this study is to reveal the ecophysiology of the two native (Dipterocarpus obtusifolius and Shorea roxburghii) and two exotic species (Acacia auriculiformis and Eucalyptus camaldulensis) and to detect the effects of soil water conditions on day to week scale transpiration in mid rainy and dry season. Seasonal leaf-level photosynthesis measurements suggested that photosynthetic capacity (Vcmax25) showed no clear seasonal change in each species without clear interspecific variation. Two native species had stomatal control in response to the environment different from previous studies and showed stomatal conductance higher than most woody species in other seasonal tropical forests, suggesting the species- and site-specific adaptation to the easy access to the ground water. Sap flow rate per leaf area was expressed in two parameters: measured transpiration rate based on the continuous sap flow measurements (Esap) and modeled transpiration rate (Emod) using a multilayer model based on the measured data of atmospheric environments, radiation and the leaf ecophysiological traits. Esap was lower in rainy season than those in dry season, with short but pronounced drop near the end of the dry season, although Emod was higher in rainy season than in dry season. In dry season, Emod well fit the diurnal and day to day trend of Esap, suggesting that soil drought did not limit

  11. Patterns of ecosystem metabolism in the Tonle Sap Lake, Cambodia with links to capture fisheries.

    PubMed

    Holtgrieve, Gordon W; Arias, Mauricio E; Irvine, Kim N; Lamberts, Dirk; Ward, Eric J; Kummu, Matti; Koponen, Jorma; Sarkkula, Juha; Richey, Jeffrey E

    2013-01-01

    The Tonle Sap Lake in Cambodia is a dynamic flood-pulsed ecosystem that annually increases its surface area from roughly 2,500 km(2) to over 12,500 km(2) driven by seasonal flooding from the Mekong River. This flooding is thought to structure many of the critical ecological processes, including aquatic primary and secondary productivity. The lake also has a large fishery that supports the livelihoods of nearly 2 million people. We used a state-space oxygen mass balance model and continuous dissolved oxygen measurements from four locations to provide the first estimates of gross primary productivity (GPP) and ecosystem respiration (ER) for the Tonle Sap. GPP averaged 4.1±2.3 g O2 m(-3) d(-1) with minimal differences among sites. There was a negative correlation between monthly GPP and lake level (r = 0.45) and positive correlation with turbidity (r = 0.65). ER averaged 24.9±20.0 g O2 m(-3) d(-1) but had greater than six-fold variation among sites and minimal seasonal change. Repeated hypoxia was observed at most sampling sites along with persistent net heterotrophy (GPP

  12. Community action for preventing HIV in Cambodia: evaluation of a 3-year project.

    PubMed

    Sopheab, Heng; Fylkesnes, Knut; Lim, Yi; Godwin, Peter

    2008-07-01

    The 'Community Action for Preventing HIV/AIDS Project' was implemented in four provinces in Cambodia (2001-04) to support a comprehensive set of HIV prevention efforts. Implementation was strictly monitored in terms of inputs, outputs and outcomes. We examine changes in these variables during the project period to assess the extent to which they were related to the project. Inputs and outputs were monitored regularly by supervision and quarterly project reports. Baseline and follow-up surveys were conducted on 10 target groups to measure changes in outcome indicators related to sexual risk behaviours, uses of HIV voluntary counselling and testing (VCT), self-reported sexually transmitted infections (STIs) and other indicators. The analyses use data from surveys and from project monitoring. Spending on HIV-related work at provincial level increased markedly, including investments in VCT, STI facilities and staff training. Yearly expenditure increased about 7-fold compared with years immediately preceding the project. VCT centres increased from 3 to 12, numbers of counsellors from 10 to 27, and numbers of client visits more than doubled. STI laboratory facilities increased from 0 to 6 with coverage of STI check-ups among sex workers increasing from 70% to 93% and a decline in men attending STI clinics. The survey results indicate significant changes in a number of major outcome indicators such as consistent condom use related to sex work (>80%), HIV testing and counselling after HIV tests, especially among police (42 to 72%, P < 0.001) and brothel-based sex workers (48 to 89%, P < 0.001). Self-reported STIs declined in most groups. Finally, the programmatic systems for planning, managing and monitoring implementation of activities at both central and provincial level, as well as technical guidelines, developed under the project have become the standard for the national programme. In conclusion, the project appears to have been comprehensive and a number of favourable

  13. Factors associated with sex work among at-risk female youth in Cambodia: a cross-sectional study.

    PubMed

    Brody, Carinne; Tuot, Sovannary; Chhea, Chhorvann; Saphonn, Vonthanak; Yi, Siyan

    2016-01-01

    In Cambodia, despite great achievements in reducing the prevalence of HIV in the general population, reducing new HIV infections among young at-risk women remains a challenge. This study was designed to examine the prevalence of risky behaviors of sexually active female youth in Cambodia and to explore risk factors associated with engagement in transactional sex. We surveyed sexually active female youth aged 10-24 enrolled at risk "hotspots" in eight provinces in Cambodia. We collected data on demographic factors, sexual behavior, and factors hypothesized to be associated with transactional sex. Multivariable logistic regression was used to identify associations between demographic and sexual behavior and transactional sex. Of the 280 respondents, the mean age was 21.2, and 48.1% had been paid for sex in the past year. After adjustment, at-risk females who were never have been married (adjusted odds ratio (AOR) 3.40, 95% confidence interval (CI) = 1.65-6.97), have completed less than 6 years of school (AOR 3.26, 95% CI = 1.60-6.66), have 1 or more parents who had died (AOR 4.34, 95% CI = 2.00-9.38), be a heavy alcohol drinker (AOR 3.58, 95% CI = 1.78-7.18), have used a condom with their boyfriend during last sexual encounter (AOR 3.50, 95% CI = 1.68-7.32), and have ever had an HIV test (AOR 3.51, 95% CI = 1.68-7.32) were more likely to engage in sex work. Our findings suggest that prevention strategies for female youth at risk of engagement in sex work should include upstream structural interventions that aim to encourage girls' education and empowerment. In addition, tailored sex education and behavior change messaging about the risks of heavy drinking, condom use with romantic partners, and the importance of frequent HIV testing for at-risk youth and sex workers should be designed and delivered to youth currently engaging in sex work. PMID:26477781

  14. Factors associated with sex work among at-risk female youth in Cambodia: a cross-sectional study.

    PubMed

    Brody, Carinne; Tuot, Sovannary; Chhea, Chhorvann; Saphonn, Vonthanak; Yi, Siyan

    2016-01-01

    In Cambodia, despite great achievements in reducing the prevalence of HIV in the general population, reducing new HIV infections among young at-risk women remains a challenge. This study was designed to examine the prevalence of risky behaviors of sexually active female youth in Cambodia and to explore risk factors associated with engagement in transactional sex. We surveyed sexually active female youth aged 10-24 enrolled at risk "hotspots" in eight provinces in Cambodia. We collected data on demographic factors, sexual behavior, and factors hypothesized to be associated with transactional sex. Multivariable logistic regression was used to identify associations between demographic and sexual behavior and transactional sex. Of the 280 respondents, the mean age was 21.2, and 48.1% had been paid for sex in the past year. After adjustment, at-risk females who were never have been married (adjusted odds ratio (AOR) 3.40, 95% confidence interval (CI) = 1.65-6.97), have completed less than 6 years of school (AOR 3.26, 95% CI = 1.60-6.66), have 1 or more parents who had died (AOR 4.34, 95% CI = 2.00-9.38), be a heavy alcohol drinker (AOR 3.58, 95% CI = 1.78-7.18), have used a condom with their boyfriend during last sexual encounter (AOR 3.50, 95% CI = 1.68-7.32), and have ever had an HIV test (AOR 3.51, 95% CI = 1.68-7.32) were more likely to engage in sex work. Our findings suggest that prevention strategies for female youth at risk of engagement in sex work should include upstream structural interventions that aim to encourage girls' education and empowerment. In addition, tailored sex education and behavior change messaging about the risks of heavy drinking, condom use with romantic partners, and the importance of frequent HIV testing for at-risk youth and sex workers should be designed and delivered to youth currently engaging in sex work.

  15. From subjects to relations: Bioethics and the articulation of postcolonial politics in the Cambodia Pre-Exposure Prophylaxis trial.

    PubMed

    Grant, Jenna M

    2016-04-01

    Controversies about global clinical trials, particularly HIV trials, tend to be framed in terms of ethics. In this article, I explore debates about ethics in the Cambodia Pre-Exposure Prophylaxis trial, which was designed to test the safety and efficacy of tenofovir as a prevention for HIV infection. Bringing together studies of public participation in science with studies of bioethics, I show how activists around the Cambodian Pre-Exposure Prophylaxis trial circulated and provoked debates about standards of research ethics, as opposed to research methodology. This postcolonial bioethics was configured through the circulation of and debate about ethics guidelines, and historically and culturally specific relations of vulnerability and responsibility between foreigners and Cambodians and between Cambodian leaders and Cambodian subjects. I argue that this shift in the object of ethical concern, from the experimental human subject to the relation between subjects and researchers, illustrates how a postcolonial field of articulation reformulates classical bioethics.

  16. Migrant beer promoters' experiences accessing reproductive health care in Cambodia, Laos, Thailand, and Vietnam: lessons for planners and providers.

    PubMed

    Webber, Gail C; Spitzer, Denise L; Somrongthong, Ratana; Dat, Truong Cong; Kounnavongsa, Somphone

    2015-03-01

    Migrant beer promoters in Cambodia, Laos, Thailand, and Vietnam were surveyed to determine their experiences in accessing reproductive health care services in the cities of Phnom Penh, Vientiane, Bangkok, and Hanoi. A total of 7 health care institutions were chosen as popular with migrant beer promoters. Staff at these institutions provided information on the institution, and 390 beer promoters were surveyed about their experiences while accessing services. There were discrepancies between findings from the staff interviews and the experiences of the beer promoters. In general, the migrant women were satisfied with the cost, location, friendliness of the health care providers, and knowledge and skills of the providers. They were less positive about confidentiality and waiting times, though many still agreed that these were not an issue. Health care planners and providers should take note of the issues affecting access to reproductive health care services for migrant women when they design and implement services.

  17. Quality of antimalarials at the epicenter of antimalarial drug resistance: results from an overt and mystery client survey in Cambodia.

    PubMed

    Yeung, Shunmay; Lawford, Harriet L S; Tabernero, Patricia; Nguon, Chea; van Wyk, Albert; Malik, Naiela; DeSousa, Mikhael; Rada, Ouk; Boravann, Mam; Dwivedi, Prabha; Hostetler, Dana M; Swamidoss, Isabel; Green, Michael D; Fernandez, Facundo M; Kaur, Harparkash

    2015-06-01

    Widespread availability of monotherapies and falsified antimalarials is thought to have contributed to the historical development of multidrug-resistant malaria in Cambodia. This study aimed to document the quality of artemisinin-containing antimalarials (ACAs) and to compare two methods of collecting antimalarials from drug outlets: through open surveyors and mystery clients (MCs). Few oral artemisinin-based monotherapies and no suspected falsified medicines were found. All 291 samples contained the stated active pharmaceutical ingredient (API) of which 69% were considered good quality by chemical analysis. Overall, medicine quality did not differ by collection method, although open surveyors were less likely to obtain oral artemisinin-based monotherapies than MCs. The results are an encouraging indication of the positive impact of the country's efforts to tackle falsified antimalarials and artemisinin-based monotherapies. However, poor-quality medicines remain an ongoing challenge that demands sustained political will and investment of human and financial resources.

  18. Genetic diversity of human rhinoviruses in Cambodia during a three-year period reveals novel genetic types.

    PubMed

    Naughtin, Monica; Sareth, Rith; Sentilhes, Anne-Charlotte; Vong, Sirenda; Joffret, Marie-Line; Cornillot, Emmanuel; Deubel, Vincent; Delpeyroux, Francis; Frutos, Roger; Buchy, Philippe

    2015-10-01

    Acute respiratory viral infections are a major cause of morbidity during early childhood in developing countries. Human rhinoviruses are the most frequent cause of upper respiratory tract infections in humans, which can range in severity from asymptomatic to clinically severe disease. In this study we collected 4170 nasopharyngeal swabs from patients hospitalised with influenza-like illness in two Cambodian provincial hospitals between 2007 and 2010. Samples were screened for 18 respiratory viruses using 5 multiplex PCRs. A total of 11.2% of samples tested positive for human rhinoviruses (HRV). VP4/2 and VP1 regions were amplified and sequenced to study the distribution of rhinoviruses genotypes and species in Cambodia during this three-year period. Five novel genotypes, 2 species A, 2 species B and 1 species C were identified based on VP1 sequences. Co-infections with other viruses were demonstrated.

  19. Simulation of a rubber plantation productivity in central Cambodia using the individual-based dynamic vegetation model SEIB-DGVM

    NASA Astrophysics Data System (ADS)

    Kumagai, T.; SATO, H.; Shinjiro, Ph. D., F.

    2013-12-01

    To provide a useful tool for building strategy of forest plantation management, we developed the Spatially Explicit Individual-Based (SEIB) Dynamic Global Vegetation Model (DGVM) applicable to simulate productivity of tree plantations (SEIB-PP). Rubber (Hevea brasiliensis Müll. Arg.) plantations, which are rapidly expanding into both climatically optimal and sub-optimal environments throughout mainland Southeast Asia, potentially change the partitioning of water, energy, and carbon at multiple scales, compared with traditional land covers that are being replaced. Describing both primary and latex productivities in rubber plantations via SEIB-PP is, therefore, important to understanding the climatic impacts on productive processes. Model results are compared with measurements collected at a field site in central Cambodia, and here, we show some examples of projections: the rubber plantation production under future climate change conditions.

  20. Pervasive promotion of breastmilk substitutes in Phnom Penh, Cambodia, and high usage by mothers for infant and young child feeding

    PubMed Central

    Huffman, Sandra L.; Mengkheang, Khin; Kroeun, Hou; Champeny, Mary; Roberts, Margarette; Zehner, Elizabeth

    2016-01-01

    Abstract In 2005, Cambodia passed the Sub‐Decree on Marketing of Products for Infant and Young Child Feeding (no. 133) to regulate promotion of commercial infant and young child food products, including breastmilk substitutes. Helen Keller International assessed mothers' exposure to commercial promotions for breastmilk substitutes and use of these products through a cross‐sectional survey among 294 mothers of children less than 24 months of age. Eighty‐six per cent of mothers reported observing commercial promotions for breastmilk substitutes, 19.0% reported observing infant and young child food product brands/logos on health facility equipment and 18.4% reported receiving a recommendation from a health professional to use a breastmilk substitute. Consumption of breastmilk substitutes was high, occurring among 43.1% of children 0–5 months and 29.3% of children 6–23 months of age. Findings also indicated a need to improve breastfeeding practices among Phnom Penh mothers. Only 36.1% of infants 0–5 months of age were exclusively breastfed, and 12.5% of children 20–23 months of age were still breastfed. Children that received a breastmilk substitute as a prelacteal feed were 3.9 times more likely to be currently consuming a breastmilk substitute than those who did not. Despite restriction of commercial promotions for breastmilk substitutes without government approval, occurrence of promotions is high and use is common among Phnom Penh mothers. In a country with high rates of child malnutrition and pervasive promotions in spite of restrictive national law, full implementation of Cambodia's Sub‐Decree 133 is necessary, as are policies and interventions to support exclusive and continued breastfeeding. Key messages Despite prohibition without specific approval by the national government, companies are pervasively promoting breast‐milk substitutes in Phnom Penh, particularly on television and at points of sale.Strengthened implementation and enforcement

  1. Treatment of lower extremity injuries due to antipersonnel mines: blast resuscitation and victim assistance team experiences in Cambodia.

    PubMed

    Parr, Reagan R; Providence, Bertram C; Burkhalter, William E; Smith, Allan C

    2003-07-01

    The two teams comprising the fiscal year 2001 Blast Resuscitation and Victim Assistance mission had the opportunity to learn from and practice mine injury treatment principles with experienced local and international war surgeons in Cambodia. Treatment principles were modifications of International Committee of the Red Cross recommendations. A total of 14 acute lower extremity mine injuries were treated. Surgery generally consisted of an open amputation or thorough irrigation and debridement using equipment readily available in any U.S. military field hospital. The surgical techniques will be described in detail. Delayed primary closure occurred 5 days later followed by prosthesis fitting (for amputees) in an International Committee of the Red Cross facility 12 weeks later. Other options and techniques will be discussed with an emphasis on applicability to U.S. military field surgery. PMID:12901462

  2. Border Malaria Associated with Multidrug Resistance on Thailand-Myanmar and Thailand-Cambodia Borders: Transmission Dynamic, Vulnerability, and Surveillance

    PubMed Central

    Bhumiratana, Adisak; Intarapuk, Apiradee; Sorosjinda-Nunthawarasilp, Prapa; Maneekan, Pannamas; Koyadun, Surachart

    2013-01-01

    This systematic review elaborates the concepts and impacts of border malaria, particularly on the emergence and spread of Plasmodium falciparum and Plasmodium vivax multidrug resistance (MDR) malaria on Thailand-Myanmar and Thailand-Cambodia borders. Border malaria encompasses any complex epidemiological settings of forest-related and forest fringe-related malaria, both regularly occurring in certain transmission areas and manifesting a trend of increased incidence in transmission prone areas along these borders, as the result of interconnections of human settlements and movement activities, cross-border population migrations, ecological changes, vector population dynamics, and multidrug resistance. For regional and global perspectives, this review analyzes and synthesizes the rationales pertaining to transmission dynamics and the vulnerabilities of border malaria that constrain surveillance and control of the world's most MDR falciparum and vivax malaria on these chaotic borders. PMID:23865048

  3. Assessing mixed trace elements in groundwater and their health risk of residents living in the Mekong River basin of Cambodia.

    PubMed

    Phan, Kongkea; Phan, Samrach; Huoy, Laingshun; Suy, Bunseang; Wong, Ming Hung; Hashim, Jamal Hisham; Mohamed Yasin, Mohamed Salleh; Aljunid, Syed Mohamed; Sthiannopkao, Suthipong; Kim, Kyoung-Woong

    2013-11-01

    We investigated the potential contamination of trace elements in shallow Cambodian groundwater. Groundwater and hair samples were collected from three provinces in the Mekong River basin of Cambodia and analyzed by ICP-MS. Groundwater from Kandal (n = 46) and Kraite (n = 12) were enriched in As, Mn, Ba and Fe whereas none of tube wells in Kampong Cham (n = 18) had trace elements higher than Cambodian permissible limits. Risk computations indicated that 98.7% and 12.4% of residents in the study areas of Kandal (n = 297) and Kratie (n = 89) were at risk of non-carcinogenic effects from exposure to multiple elements, yet none were at risk in Kampong Cham (n = 184). Arsenic contributed 99.5%, 60.3% and 84.2% of the aggregate risk in Kandal, Kratie and Kampong Cham, respectively. Sustainable and appropriate treatment technologies must therefore be implemented in order for Cambodian groundwater to be used as potable water.

  4. [Multiple and successive treatment failures in a patient infected by Plasmodium falciparum in Cambodia and treated by dihydroartemisinin-piperaquine].

    PubMed

    Witkowski, B; Khim, N; Kim, S; Domergue, A; Duru, V; Menard, D

    2016-05-01

    Cases of treatment failures following administration of artemisinin-based combination therapies (ACT) remain rare in malaria endemic areas. In Cambodia, however, failures of these treatments are now commonly observed. Usually, these post-treatment recurrences occur only once and a second course of the same treatment is sufficient to cure patients.We describe here an atypical case of a Plasmodium falciparum-infected patient manifesting several malaria recrudescence episodes following dihydroartemisinin-piperaquine (Eurartesim®) treatment. This case report illustrates the current issue of resistance to the latest generation of antimalarial drugs in Southeast Asia and highlights the difficulty in efficaciously fighting malaria in this region if new therapy remains unimplemented. PMID:27100863

  5. The prevalence and psychological costs of household violence by family members against women with disabilities in Cambodia.

    PubMed

    Astbury, Jill; Walji, Fareen

    2014-11-01

    Women with disabilities (WWDs) are at triple jeopardy due to the combined risks associated with gender, disability, and violence. Not only are WWDs marginalized socially but the violence against them in their own homes is largely neglected in domestic violence research. Evidence from developing countries is particularly sparse. A cross-sectional survey conducted in Cambodia found rates of violence by household members besides intimate partners were significantly higher among WWDs than non-disabled women. This violence engendered increased levels of psychological distress and higher rates of physical injury but low rates of disclosure to health workers and other formal sources of potential support. Community-based strategies are recommended to radically change social and cultural attitudes, beliefs, and responses to WWDs who are victims of household violence to reduce negative social reactions toward them and to make it safer for them to disclose and receive psychosocial, legal, and other necessary support for this underreported type of violence.

  6. Alcohol Use Disorder and Heavy Episodic Drinking in Rural Communities in Cambodia: Risk Factors and Community-Perceived Strategies.

    PubMed

    Yeung, Wesley; Leong, Wei-Yee; Khoun, Kimsong; Ong, Warren; Sambi, Sundesh; Lim, Su-Min; Bieber, Bill; Wilder-Smith, Annelies

    2015-11-01

    Alcohol misuse is increasing in Southeast Asia. We investigated the extent of and risk factors for alcohol use disorder (AUD) and heavy episodic drinking (HED) in a rural community in Cambodia. We also attempted to explore the communities' perception of alcohol misuse and elicited potential community-based strategies to address the alcohol problem. A mixed-methods study design was used, combining a cross-sectional questionnaire survey with qualitative interviews (focus group discussions and key informant interviews). AUD and HED were measured using the AUDs Identification Test Alcohol Consumption questionnaire. The prevalence of AUD and HED was high: 25% and 31%, respectively. Male sex, younger age, and increasing income were significant risk factors. The communities were well aware of the harmful effects of alcohol, expressed the importance of implementing community-based measures, and proposed various community-led solutions. Evidence-based strategies that are culturally appropriate, accepted, and driven by communities are urgently needed.

  7. Genetic diversity of human rhinoviruses in Cambodia during a three-year period reveals novel genetic types.

    PubMed

    Naughtin, Monica; Sareth, Rith; Sentilhes, Anne-Charlotte; Vong, Sirenda; Joffret, Marie-Line; Cornillot, Emmanuel; Deubel, Vincent; Delpeyroux, Francis; Frutos, Roger; Buchy, Philippe

    2015-10-01

    Acute respiratory viral infections are a major cause of morbidity during early childhood in developing countries. Human rhinoviruses are the most frequent cause of upper respiratory tract infections in humans, which can range in severity from asymptomatic to clinically severe disease. In this study we collected 4170 nasopharyngeal swabs from patients hospitalised with influenza-like illness in two Cambodian provincial hospitals between 2007 and 2010. Samples were screened for 18 respiratory viruses using 5 multiplex PCRs. A total of 11.2% of samples tested positive for human rhinoviruses (HRV). VP4/2 and VP1 regions were amplified and sequenced to study the distribution of rhinoviruses genotypes and species in Cambodia during this three-year period. Five novel genotypes, 2 species A, 2 species B and 1 species C were identified based on VP1 sequences. Co-infections with other viruses were demonstrated. PMID:26231720

  8. Weekly iron and folic acid supplementation as a tool to reduce anemia among primary school children in Cambodia.

    PubMed

    Longfils, Philippe; Heang, Ung Kim; Soeng, Hay; Sinuon, Muth

    2005-12-01

    The prevalence of anemia decreased from 62% to 12% and from 57% to 26% in children 5 to 11 years of age in two rural primary schools in Kampot Province, Cambodia, after oral weekly supplementation with iron-folic acid tablets for 20 weeks and with vitamin A and mebendazole twice per year. In 12- to 15-year-old children, success was less marked. The prevalence of hookworm infestation did not change, but the number of eggs in the stool decreased drastically. The intervention had no significant influence on stunting and wasting. An integrated community approach including mass deworming, health education, and multi-micronutrient supplementation was very effective in reducing anemia in Cambodian schoolchildren and should be adopted on a larger scale. PMID:16466090

  9. Quality of Antimalarials at the Epicenter of Antimalarial Drug Resistance: Results from an Overt and Mystery Client Survey in Cambodia

    PubMed Central

    Yeung, Shunmay; Lawford, Harriet L. S.; Tabernero, Patricia; Nguon, Chea; van Wyk, Albert; Malik, Naiela; DeSousa, Mikhael; Rada, Ouk; Boravann, Mam; Dwivedi, Prabha; Hostetler, Dana M.; Swamidoss, Isabel; Green, Michael D.; Fernandez, Facundo M.; Kaur, Harparkash

    2015-01-01

    Widespread availability of monotherapies and falsified antimalarials is thought to have contributed to the historical development of multidrug-resistant malaria in Cambodia. This study aimed to document the quality of artemisinin-containing antimalarials (ACAs) and to compare two methods of collecting antimalarials from drug outlets: through open surveyors and mystery clients (MCs). Few oral artemisinin-based monotherapies and no suspected falsified medicines were found. All 291 samples contained the stated active pharmaceutical ingredient (API) of which 69% were considered good quality by chemical analysis. Overall, medicine quality did not differ by collection method, although open surveyors were less likely to obtain oral artemisinin-based monotherapies than MCs. The results are an encouraging indication of the positive impact of the country's efforts to tackle falsified antimalarials and artemisinin-based monotherapies. However, poor-quality medicines remain an ongoing challenge that demands sustained political will and investment of human and financial resources. PMID:25897063

  10. Mapping and characterizing selected canopy tree species at the Angkor World Heritage site in Cambodia using aerial data.

    PubMed

    Singh, Minerva; Evans, Damian; Tan, Boun Suy; Nin, Chan Samean

    2015-01-01

    At present, there is very limited information on the ecology, distribution, and structure of Cambodia's tree species to warrant suitable conservation measures. The aim of this study was to assess various methods of analysis of aerial imagery for characterization of the forest mensuration variables (i.e., tree height and crown width) of selected tree species found in the forested region around the temples of Angkor Thom, Cambodia. Object-based image analysis (OBIA) was used (using multiresolution segmentation) to delineate individual tree crowns from very-high-resolution (VHR) aerial imagery and light detection and ranging (LiDAR) data. Crown width and tree height values that were extracted using multiresolution segmentation showed a high level of congruence with field-measured values of the trees (Spearman's rho 0.782 and 0.589, respectively). Individual tree crowns that were delineated from aerial imagery using multiresolution segmentation had a high level of segmentation accuracy (69.22%), whereas tree crowns delineated using watershed segmentation underestimated the field-measured tree crown widths. Both spectral angle mapper (SAM) and maximum likelihood (ML) classifications were applied to the aerial imagery for mapping of selected tree species. The latter was found to be more suitable for tree species classification. Individual tree species were identified with high accuracy. Inclusion of textural information further improved species identification, albeit marginally. Our findings suggest that VHR aerial imagery, in conjunction with OBIA-based segmentation methods (such as multiresolution segmentation) and supervised classification techniques are useful for tree species mapping and for studies of the forest mensuration variables. PMID:25902148

  11. Arsenic contamination in the food chain and its risk assessment of populations residing in the Mekong River basin of Cambodia.

    PubMed

    Phan, Kongkea; Sthiannopkao, Suthipong; Heng, Savoeun; Phan, Samrach; Huoy, Laingshun; Wong, Ming Hung; Kim, Kyoung-Woong

    2013-11-15

    In the present study, we investigated the potential arsenic exposure of Cambodian residents from their daily food consumption. Environmental and ecological samples such as paddy soils, paddy rice (unhusked), staple rice (uncooked and cooked), fish and vegetables were collected from Kandal, Kratie and Kampong Cham provinces in the Mekong River basin of Cambodia. After acid-digestion, digestates were chemically analyzed by inductively coupled plasma mass spectrometry. Results revealed that the means of total arsenic concentration ([As]tot) in paddy soils and paddy rice from Kandal were significantly higher than those from Kampong Cham province (t-test, p<0.05). Moreover, a significant positive correlation between the [As]tot in paddy soils and paddy rice was found (r(14) = 0.826, p<0.01). Calculations of arsenic intake from food consumption indicated that the upper end of the range of the daily dose of inorganic arsenic for Kandal residents (0.089-8.386 μg d(-1) kg(-1) body wt.) was greater than the lower limits on the benchmark dose for a 0.5% increased incidence of lung cancer (BMDL0.5 is equal to 3.0 μg d(-1) kg(-1) body wt.). The present study suggests that the residents in Kandal are at risk of arsenic intake from their daily food consumption. However, the residents in Kratie and Kampong Cham provinces are less likely to be exposed to arsenic through their daily dietary intake. To the best of our knowledge, this is the first report estimating the daily intake and daily dose of inorganic arsenic from food consumption in the Mekong River basin of Cambodia. PMID:22818591

  12. Identifying conservation successes, failures and future opportunities; assessing recovery potential of wild ungulates and tigers in Eastern Cambodia.

    PubMed

    O'Kelly, Hannah J; Evans, Tom D; Stokes, Emma J; Clements, Tom J; Dara, An; Gately, Mark; Menghor, Nut; Pollard, Edward H B; Soriyun, Men; Walston, Joe

    2012-01-01

    Conservation investment, particularly for charismatic and wide-ranging large mammal species, needs to be evidence-based. Despite the prevalence of this theme within the literature, examples of robust data being generated to guide conservation policy and funding decisions are rare. We present the first published case-study of tiger conservation in Indochina, from a site where an evidence-based approach has been implemented for this iconic predator and its prey. Despite the persistence of extensive areas of habitat, Indochina's tiger and ungulate prey populations are widely supposed to have precipitously declined in recent decades. The Seima Protection Forest (SPF), and broader Eastern Plains Landscape, was identified in 2000 as representing Cambodia's best hope for tiger recovery; reflected in its designation as a Global Priority Tiger Conservation Landscape. Since 2005 distance sampling, camera-trapping and detection-dog surveys have been employed to assess the recovery potential of ungulate and tiger populations in SPF. Our results show that while conservation efforts have ensured that small but regionally significant populations of larger ungulates persist, and density trends in smaller ungulates are stable, overall ungulate populations remain well below theoretical carrying capacity. Extensive field surveys failed to yield any evidence of tiger, and we contend that there is no longer a resident population within the SPF. This local extirpation is believed to be primarily attributable to two decades of intensive hunting; but importantly, prey densities are also currently below the level necessary to support a viable tiger population. Based on these results and similar findings from neighbouring sites, Eastern Cambodia does not currently constitute a Tiger Source Site nor meet the criteria of a Global Priority Tiger Landscape. However, SPF retains global importance for many other elements of biodiversity. It retains high regional importance for ungulate

  13. Identifying conservation successes, failures and future opportunities; assessing recovery potential of wild ungulates and tigers in Eastern Cambodia.

    PubMed

    O'Kelly, Hannah J; Evans, Tom D; Stokes, Emma J; Clements, Tom J; Dara, An; Gately, Mark; Menghor, Nut; Pollard, Edward H B; Soriyun, Men; Walston, Joe

    2012-01-01

    Conservation investment, particularly for charismatic and wide-ranging large mammal species, needs to be evidence-based. Despite the prevalence of this theme within the literature, examples of robust data being generated to guide conservation policy and funding decisions are rare. We present the first published case-study of tiger conservation in Indochina, from a site where an evidence-based approach has been implemented for this iconic predator and its prey. Despite the persistence of extensive areas of habitat, Indochina's tiger and ungulate prey populations are widely supposed to have precipitously declined in recent decades. The Seima Protection Forest (SPF), and broader Eastern Plains Landscape, was identified in 2000 as representing Cambodia's best hope for tiger recovery; reflected in its designation as a Global Priority Tiger Conservation Landscape. Since 2005 distance sampling, camera-trapping and detection-dog surveys have been employed to assess the recovery potential of ungulate and tiger populations in SPF. Our results show that while conservation efforts have ensured that small but regionally significant populations of larger ungulates persist, and density trends in smaller ungulates are stable, overall ungulate populations remain well below theoretical carrying capacity. Extensive field surveys failed to yield any evidence of tiger, and we contend that there is no longer a resident population within the SPF. This local extirpation is believed to be primarily attributable to two decades of intensive hunting; but importantly, prey densities are also currently below the level necessary to support a viable tiger population. Based on these results and similar findings from neighbouring sites, Eastern Cambodia does not currently constitute a Tiger Source Site nor meet the criteria of a Global Priority Tiger Landscape. However, SPF retains global importance for many other elements of biodiversity. It retains high regional importance for ungulate

  14. Estimating the Burden of Leptospirosis among Febrile Subjects Aged below 20 Years in Kampong Cham Communities, Cambodia, 2007-2009

    PubMed Central

    Hem, Sopheak; Ly, Sowath; Votsi, Irene; Vogt, Florian; Asgari, Nima; Buchy, Philippe; Heng, Seiha; Picardeau, Mathieu; Sok, Touch; Ly, Sovann; Huy, Rekol; Guillard, Bertrand; Cauchemez, Simon; Tarantola, Arnaud

    2016-01-01

    Background Leptospirosis is an emerging but neglected public health challenge in the Asia/Pacific Region with an annual incidence estimated at 10–100 per 100,000 population. No accurate data, however, are available for at-risk rural Cambodian communities. Method We conducted anonymous, unlinked testing for IgM antibodies to Leptospira spp. on paired sera of Cambodian patients <20 years of age between 2007–2009 collected through active, community-based surveillance for febrile illnesses in a convenience sample of 27 rural and semi-rural villages in four districts of Kampong Cham province, Cambodia. Leptospirosis testing was done on paired serological samples negative for Dengue, Japanese encephalitis and Chikungunya viruses after random selection. Convalescent samples found positive while initial samples were negative were considered as proof of acute infection. We then applied a mathematical model to estimate the risk of fever caused by leptospirosis, dengue or other causes in rural Cambodia. Results A total of 630 samples are coming from a randomly selected subset of 2358 samples. IgM positive were found on the convalescent serum sample, among which 100 (15.8%) samples were IgM negative on an earlier sample. Seventeen of these 100 seroconversions were confirmed using a Microagglutination Test. We estimated the probability of having a fever due to leptospirosis at 1. 03% (95% Credible Interval CI: 0. 95%–1. 22%) per semester. In comparison, this probability was 2. 61% (95% CI: 2. 55%, 2. 83%) for dengue and 17. 65% (95% CI: 17. 49%, 18. 08%) for other causes. Conclusion Our data from febrile cases aged below 20 years suggest that the burden of leptospirosis is high in rural Cambodian communities. This is especially true during the rainy season, even in the absence of identified epidemics. PMID:27043016

  15. Mapping and characterizing selected canopy tree species at the Angkor World Heritage site in Cambodia using aerial data.

    PubMed

    Singh, Minerva; Evans, Damian; Tan, Boun Suy; Nin, Chan Samean

    2015-01-01

    At present, there is very limited information on the ecology, distribution, and structure of Cambodia's tree species to warrant suitable conservation measures. The aim of this study was to assess various methods of analysis of aerial imagery for characterization of the forest mensuration variables (i.e., tree height and crown width) of selected tree species found in the forested region around the temples of Angkor Thom, Cambodia. Object-based image analysis (OBIA) was used (using multiresolution segmentation) to delineate individual tree crowns from very-high-resolution (VHR) aerial imagery and light detection and ranging (LiDAR) data. Crown width and tree height values that were extracted using multiresolution segmentation showed a high level of congruence with field-measured values of the trees (Spearman's rho 0.782 and 0.589, respectively). Individual tree crowns that were delineated from aerial imagery using multiresolution segmentation had a high level of segmentation accuracy (69.22%), whereas tree crowns delineated using watershed segmentation underestimated the field-measured tree crown widths. Both spectral angle mapper (SAM) and maximum likelihood (ML) classifications were applied to the aerial imagery for mapping of selected tree species. The latter was found to be more suitable for tree species classification. Individual tree species were identified with high accuracy. Inclusion of textural information further improved species identification, albeit marginally. Our findings suggest that VHR aerial imagery, in conjunction with OBIA-based segmentation methods (such as multiresolution segmentation) and supervised classification techniques are useful for tree species mapping and for studies of the forest mensuration variables.

  16. Access to Treatment for Diabetes and Hypertension in Rural Cambodia: Performance of Existing Social Health Protection Schemes

    PubMed Central

    Bigdeli, Maryam; Jacobs, Bart; Men, Chean Rithy; Nilsen, Kristine; Van Damme, Wim

    2016-01-01

    Background Non-communicable diseases (NCD) pose challenges to Cambodia’s health system. Medicines for NCD are on the National Essential Medicines List but no clinical guidelines support their utilization. Two social health protection schemes aimed at the informal sector population exist (Health Equity Funds and Insurance) together with two disease-specific interventions (a Peer Educator Network and Chronic Diseases Clinics) targeted at NCD patients. This study examines performance of these various schemes in relation to NCD. Methods Cross-sectional household survey among 709 individuals self-reporting diabetes and/or hypertension in three geographical locations in rural Cambodia using a structured questionnaire investigating diagnostic and treatment pathways, health seeking behaviour, health expenditures, and financial coping mechanisms. Results Two third of respondents with NCD were female and 55% did not belong to any scheme. The majority (59%) were diagnosed in the private sector and only 56% were on allopathic treatment that was mainly sought in the private sector (49%). Outpatient treatment cost was higher in the private sector and when using multiple providers of care. The majority were indebted, 11% due to health-related expenses. Contrary to social health protection schemes, disease-specific interventions offered better access to allopathic treatment and provided medicines in accordance with NEML. Conclusion The benefit packages of existing social health protection schemes and services in the public health sector should be adjusted to cater for the needs of people living with NCD in rural Cambodia. Initiatives that offer active disease management strategies and promote patients and community participation appear more successful in increasing treatment adherence and decreasing the risk of financial hardship. PMID:26815916

  17. Advanced HIV Disease at Enrolment in HIV Care: Trends and Associated Factors over a Ten Year Period in Cambodia

    PubMed Central

    Pe, Reaksmey; Chim, Bopha; Thai, Sopheak; Lynen, Lutgarde; van Griensven, Johan

    2015-01-01

    Background Early HIV diagnosis and enrolment in care is needed to achieve early antiretroviral treatment (ART) initiation. Studies on HIV disease stage at enrolment in care from Asian countries are limited. We evaluated trends in and factors associated with late HIV disease presentation over a ten-year period in the largest ART center in Cambodia. Methods We conducted a retrospective analysis of program data including all ARV-naïve adults (> 18 years old) enrolling into HIV care from March 2003-December 2013 in a non-governmental hospital in Phnom Penh, Cambodia. We calculated the proportion presenting with advanced stage HIV disease (WHO clinical stage IV or CD4 cell count <100 cells/μL) and the probability of ART initiation by six months after enrolment. Factors associated with late presentation were determined using multivariate logistic regression. Results From 2003–2013, a total of 5642 HIV-infected patients enrolled in HIV care. The proportion of late presenters decreased from 67% in 2003 to 44% in 2009 and 41% in 2013; a temporary increase to 52% occurred in 2011 coinciding with logistical/budgetary constraints at the national program level. Median CD4 counts increased from 32 cells/μL (IQR 11–127) in 2003 to 239 cells/μL (IQR 63–291) in 2013. Older age and male sex were associated with late presentation across the ten-year period. The probability of ART initiation by six months after enrolment increased from 22.6% in 2003–2006 to 79.9% in 2011–2013. Conclusion Although a gradual improvement was observed over time, a large proportion of patients still enroll late, particularly older or male patients. Interventions to achieve early HIV testing and efficient linkage to care are warranted. PMID:26606057

  18. Intakes from non-breastmilk foods for stunted toddlers living in poor urban villages of Phnom Penh, Cambodia, are inadequate.

    PubMed

    Anderson, Victoria P; Cornwall, Janet; Jack, Susan; Gibson, Rosalind S

    2008-04-01

    In Cambodia, the energy and nutrient densities of the traditional rice-based complementary diets used for infant feeding are very low. Whether the adequacy improves after the first year of life is uncertain. Therefore, we examined the feeding practices and the energy and nutrient intakes from non-breastmilk foods (NBMFs) of two groups: partially breastfed (PBF) (n = 41) and non-breastfed (NBF) (n = 210) stunted toddlers aged 12-42 months from poor villages in Phnom Penh, Cambodia. Intakes of NBMFs were estimated from 24-h recalls and a specially constructed Cambodian food composition table. All the toddlers were breastfed initially, but more than 50% received complementary foods before 6 months of age (mainly rice porridge). Many PBF toddlers received mixed feeding and were often bottle-fed diluted sweetened condensed milk. Unresponsive feeding was widespread. Inappropriate snacks, such as crisps, were the major source of energy, calcium, iron, zinc and vitamin A from NBMFs for the PBF group, and energy and iron for the NBF group. The snacks were often purchased and consumed without any adult supervision. For both groups, intakes of energy, calcium, iron and zinc were consistently below recommendations, as a result of the low micronutrient density of NBMFs and the small amounts fed per feeding. Increasing intakes of animal-source foods and dark-green and yellow fruits and vegetables would enhance micronutrient densities, although this may be neither feasible nor sufficient to overcome the existing deficits. Instead, the feasibility of micronutrient fortification of the rice-based diets of Cambodian toddlers should be explored. PMID:18336647

  19. Arsenic contamination in the food chain and its risk assessment of populations residing in the Mekong River basin of Cambodia.

    PubMed

    Phan, Kongkea; Sthiannopkao, Suthipong; Heng, Savoeun; Phan, Samrach; Huoy, Laingshun; Wong, Ming Hung; Kim, Kyoung-Woong

    2013-11-15

    In the present study, we investigated the potential arsenic exposure of Cambodian residents from their daily food consumption. Environmental and ecological samples such as paddy soils, paddy rice (unhusked), staple rice (uncooked and cooked), fish and vegetables were collected from Kandal, Kratie and Kampong Cham provinces in the Mekong River basin of Cambodia. After acid-digestion, digestates were chemically analyzed by inductively coupled plasma mass spectrometry. Results revealed that the means of total arsenic concentration ([As]tot) in paddy soils and paddy rice from Kandal were significantly higher than those from Kampong Cham province (t-test, p<0.05). Moreover, a significant positive correlation between the [As]tot in paddy soils and paddy rice was found (r(14) = 0.826, p<0.01). Calculations of arsenic intake from food consumption indicated that the upper end of the range of the daily dose of inorganic arsenic for Kandal residents (0.089-8.386 μg d(-1) kg(-1) body wt.) was greater than the lower limits on the benchmark dose for a 0.5% increased incidence of lung cancer (BMDL0.5 is equal to 3.0 μg d(-1) kg(-1) body wt.). The present study suggests that the residents in Kandal are at risk of arsenic intake from their daily food consumption. However, the residents in Kratie and Kampong Cham provinces are less likely to be exposed to arsenic through their daily dietary intake. To the best of our knowledge, this is the first report estimating the daily intake and daily dose of inorganic arsenic from food consumption in the Mekong River basin of Cambodia.

  20. Validation of satellite precipitation product GSMaP/NRT with ground rain gauges in Cambodia

    NASA Astrophysics Data System (ADS)

    Tsujimoto, Kumiko; Ohta, Tetsu; Koike, Toshio

    2014-05-01

    The Global Satellite Mapping of Precipitation Near Real Time data (GSMaP/NRT) is one of the satellite precipitation datasets which is produced by Japan Aerospace Exploration Agency with time resolution of 1 hour and spatial resolution of 0.1 degrees. Since it is published approximately 4 hours after the observation, it is expected to contribute to the early warning of floods and water resource management in developing countries as well which have poor ground observation network. Our target area, Cambodia in the Indochina Peninsula, is one of such countries. However, there had been few ground rain gauges so that it had been impossible to validate GSMaP/NRT. Thus, the accuracy of GSMaP/NRT in this area had been unclear. One of the major characteristics of this area is that it has a vast lake area with water surface temperature of more than 30 degrees all year round. With this lake surface, it has been relieved that a unique local atmospheric circulation and its associated precipitation occur in this area. In order to validate the rainfall amount in this area, we rehabilitated and newly installed rain gauges. As a result, we have 34 automatic rain-gauges now and data is available from September 2009. Using this data as well as hourly rainfall amount from GSMaP/NRT and brightness temperature (TB) from Multi-functional Transport Satellite Infrared 1 channel (MTSAT/IR1), we analyzed the error tendency of the GSMaP/NRT product. The analysis showed that the relationship between rain gauges and GSMaP/NRT were very poor. Especially, strong rainfall events in full-monsoon season over land with 208K < TB < 253K and those in post-monsoon season over the lake with TB < 208K were very much underestimated by GSMaP/NRT. The results suggest that it is still difficult to use GSMaP/NRT data for hydrological applications to get soil moisture distribution and river discharge in this area, especially at small river basins. In addition, although many rainfall events were produced by GSMa

  1. Unsafe abortion as a birth control method: maternal mortality risks among unmarried cambodian migrant women on the Thai-Cambodia border.

    PubMed

    Hegde, Shalika; Hoban, Elizabeth; Nevill, Annemarie

    2012-11-01

    Reproductive health research and policies in Cambodia focus on safe motherhood programs particularly for married women, ignoring comprehensive fertility regulation programs for unmarried migrant women of reproductive age. Maternal mortality risks arising due to unsafe abortion methods practiced by unmarried Cambodian women, across the Thai-Cambodia border, can be considered as a public health emergency. Since Thailand has restrictive abortion laws, Cambodian migrant women who have irregular migration status in Thailand experimented with unsafe abortion methods that allowed them to terminate their pregnancies surreptitiously. Unmarried migrant women choose abortion as a preferred birth control method seeking repeat "unsafe" abortions instead of preventing conception. Drawing on the data collected through surveys, in-depth interviews, and document analysis in Chup Commune (pseudonym), Phnom Penh, and Bangkok, the authors describe the public health dimensions of maternal mortality risks faced by unmarried Cambodian migrant women due to various unsafe abortion methods employed as birth control methods.

  2. Angiostrongylus cantonensis and A. malaysiensis Broadly Overlap in Thailand, Lao PDR, Cambodia and Myanmar: A Molecular Survey of Larvae in Land Snails.

    PubMed

    Rodpai, Rutchanee; Intapan, Pewpan M; Thanchomnang, Tongjit; Sanpool, Oranuch; Sadaow, Lakkhana; Laymanivong, Sakhone; Aung, Win Papa; Phosuk, Issarapong; Laummaunwai, Porntip; Maleewong, Wanchai

    2016-01-01

    Angiostrongylus cantonensis is a zoonotic nematode parasite causing human eosinophilic meningitis (or meningoencephalitis) worldwide. A closely related species, Angiostrongylus malaysiensis, might also be a human pathogen. Larvae were obtained from land snails in Lao PDR, Cambodia, Myanmar and Thailand. We sequenced two nuclear gene regions (nuclear ribosomal ITS2 and SSU rRNA) and a portion of one mitochondrial gene (COI) from these larvae. Angiostrongylus cantonensis and A. malaysiensis were identified. This is the first report of the molecular identification of the two Angiostrongylus species in Lao PDR, Cambodia and Myanmar. The regional distributions of the two species broadly overlap. Phylogenetic relationships were inferred including data from Angiostrongylus species deposited in public databases. All the gene regions we sequenced have potential value in distinguishing between species of Angiostrongylus. The COI gene exhibited the greatest intraspecific variation in the study region (five haplotypes in A. cantonensis and four in A. malaysiensis) and might be suitable for more detailed phylogeographic studies.

  3. Angiostrongylus cantonensis and A. malaysiensis Broadly Overlap in Thailand, Lao PDR, Cambodia and Myanmar: A Molecular Survey of Larvae in Land Snails.

    PubMed

    Rodpai, Rutchanee; Intapan, Pewpan M; Thanchomnang, Tongjit; Sanpool, Oranuch; Sadaow, Lakkhana; Laymanivong, Sakhone; Aung, Win Papa; Phosuk, Issarapong; Laummaunwai, Porntip; Maleewong, Wanchai

    2016-01-01

    Angiostrongylus cantonensis is a zoonotic nematode parasite causing human eosinophilic meningitis (or meningoencephalitis) worldwide. A closely related species, Angiostrongylus malaysiensis, might also be a human pathogen. Larvae were obtained from land snails in Lao PDR, Cambodia, Myanmar and Thailand. We sequenced two nuclear gene regions (nuclear ribosomal ITS2 and SSU rRNA) and a portion of one mitochondrial gene (COI) from these larvae. Angiostrongylus cantonensis and A. malaysiensis were identified. This is the first report of the molecular identification of the two Angiostrongylus species in Lao PDR, Cambodia and Myanmar. The regional distributions of the two species broadly overlap. Phylogenetic relationships were inferred including data from Angiostrongylus species deposited in public databases. All the gene regions we sequenced have potential value in distinguishing between species of Angiostrongylus. The COI gene exhibited the greatest intraspecific variation in the study region (five haplotypes in A. cantonensis and four in A. malaysiensis) and might be suitable for more detailed phylogeographic studies. PMID:27513930

  4. Angiostrongylus cantonensis and A. malaysiensis Broadly Overlap in Thailand, Lao PDR, Cambodia and Myanmar: A Molecular Survey of Larvae in Land Snails

    PubMed Central

    Rodpai, Rutchanee; Intapan, Pewpan M.; Thanchomnang, Tongjit; Sanpool, Oranuch; Sadaow, Lakkhana; Laymanivong, Sakhone; Aung, Win Papa; Phosuk, Issarapong; Laummaunwai, Porntip

    2016-01-01

    Angiostrongylus cantonensis is a zoonotic nematode parasite causing human eosinophilic meningitis (or meningoencephalitis) worldwide. A closely related species, Angiostrongylus malaysiensis, might also be a human pathogen. Larvae were obtained from land snails in Lao PDR, Cambodia, Myanmar and Thailand. We sequenced two nuclear gene regions (nuclear ribosomal ITS2 and SSU rRNA) and a portion of one mitochondrial gene (COI) from these larvae. Angiostrongylus cantonensis and A. malaysiensis were identified. This is the first report of the molecular identification of the two Angiostrongylus species in Lao PDR, Cambodia and Myanmar. The regional distributions of the two species broadly overlap. Phylogenetic relationships were inferred including data from Angiostrongylus species deposited in public databases. All the gene regions we sequenced have potential value in distinguishing between species of Angiostrongylus. The COI gene exhibited the greatest intraspecific variation in the study region (five haplotypes in A. cantonensis and four in A. malaysiensis) and might be suitable for more detailed phylogeographic studies. PMID:27513930

  5. Evidence of Plasmodium falciparum Malaria Multidrug Resistance to Artemisinin and Piperaquine in Western Cambodia: Dihydroartemisinin-Piperaquine Open-Label Multicenter Clinical Assessment.

    PubMed

    Leang, Rithea; Taylor, Walter R J; Bouth, Denis Mey; Song, Lijiang; Tarning, Joel; Char, Meng Chuor; Kim, Saorin; Witkowski, Benoit; Duru, Valentine; Domergue, Anais; Khim, Nimol; Ringwald, Pascal; Menard, Didier

    2015-08-01

    Western Cambodia is recognized as the epicenter of Plasmodium falciparum multidrug resistance. Recent reports of the efficacy of dihydroartemisinin (DHA)-piperaquine (PP), the latest of the artemisinin-based combination therapies (ACTs) recommended by the WHO, have prompted further investigations. The clinical efficacy of dihydroartemisinin-piperaquine in uncomplicated falciparum malaria was assessed in western and eastern Cambodia over 42 days. Day 7 plasma piperaquine concentrations were measured and day 0 isolates tested for in vitro susceptibilities to piperaquine and mefloquine, polymorphisms in the K13 gene, and the copy number of the Pfmdr-1 gene. A total of 425 patients were recruited in 2011 to 2013. The proportion of patients with recrudescent infections was significantly higher in western (15.4%) than in eastern (2.5%) Cambodia (P <10(-3)). Day 7 plasma PP concentrations and median 50% inhibitory concentrations (IC50) of PP were independent of treatment outcomes, in contrast to median mefloquine IC50, which were found to be lower for isolates from patients with recrudescent infections (18.7 versus 39.7 nM; P = 0.005). The most significant risk factor associated with DHA-PP treatment failure was infection by parasites carrying the K13 mutant allele (odds ratio [OR], 17.5; 95% confidence interval [CI], 1 to 308; P = 0.04). Our data show evidence of P. falciparum resistance to PP in western Cambodia, an area of widespread artemisinin resistance. New therapeutic strategies, such as the use of triple ACTs, are urgently needed and must be tested. (This study has been registered at the Australian New Zealand Clinical Trials Registry under registration no. ACTRN12614000344695.). PMID:26014949

  6. Evidence of Plasmodium falciparum Malaria Multidrug Resistance to Artemisinin and Piperaquine in Western Cambodia: Dihydroartemisinin-Piperaquine Open-Label Multicenter Clinical Assessment

    PubMed Central

    Leang, Rithea; Taylor, Walter R. J.; Bouth, Denis Mey; Song, Lijiang; Tarning, Joel; Char, Meng Chuor; Kim, Saorin; Witkowski, Benoit; Duru, Valentine; Domergue, Anais; Khim, Nimol

    2015-01-01

    Western Cambodia is recognized as the epicenter of Plasmodium falciparum multidrug resistance. Recent reports of the efficacy of dihydroartemisinin (DHA)-piperaquine (PP), the latest of the artemisinin-based combination therapies (ACTs) recommended by the WHO, have prompted further investigations. The clinical efficacy of dihydroartemisinin-piperaquine in uncomplicated falciparum malaria was assessed in western and eastern Cambodia over 42 days. Day 7 plasma piperaquine concentrations were measured and day 0 isolates tested for in vitro susceptibilities to piperaquine and mefloquine, polymorphisms in the K13 gene, and the copy number of the Pfmdr-1 gene. A total of 425 patients were recruited in 2011 to 2013. The proportion of patients with recrudescent infections was significantly higher in western (15.4%) than in eastern (2.5%) Cambodia (P <10−3). Day 7 plasma PP concentrations and median 50% inhibitory concentrations (IC50) of PP were independent of treatment outcomes, in contrast to median mefloquine IC50, which were found to be lower for isolates from patients with recrudescent infections (18.7 versus 39.7 nM; P = 0.005). The most significant risk factor associated with DHA-PP treatment failure was infection by parasites carrying the K13 mutant allele (odds ratio [OR], 17.5; 95% confidence interval [CI], 1 to 308; P = 0.04). Our data show evidence of P. falciparum resistance to PP in western Cambodia, an area of widespread artemisinin resistance. New therapeutic strategies, such as the use of triple ACTs, are urgently needed and must be tested. (This study has been registered at the Australian New Zealand Clinical Trials Registry under registration no. ACTRN12614000344695.) PMID:26014949

  7. Evidence of Plasmodium falciparum Malaria Multidrug Resistance to Artemisinin and Piperaquine in Western Cambodia: Dihydroartemisinin-Piperaquine Open-Label Multicenter Clinical Assessment.

    PubMed

    Leang, Rithea; Taylor, Walter R J; Bouth, Denis Mey; Song, Lijiang; Tarning, Joel; Char, Meng Chuor; Kim, Saorin; Witkowski, Benoit; Duru, Valentine; Domergue, Anais; Khim, Nimol; Ringwald, Pascal; Menard, Didier

    2015-08-01

    Western Cambodia is recognized as the epicenter of Plasmodium falciparum multidrug resistance. Recent reports of the efficacy of dihydroartemisinin (DHA)-piperaquine (PP), the latest of the artemisinin-based combination therapies (ACTs) recommended by the WHO, have prompted further investigations. The clinical efficacy of dihydroartemisinin-piperaquine in uncomplicated falciparum malaria was assessed in western and eastern Cambodia over 42 days. Day 7 plasma piperaquine concentrations were measured and day 0 isolates tested for in vitro susceptibilities to piperaquine and mefloquine, polymorphisms in the K13 gene, and the copy number of the Pfmdr-1 gene. A total of 425 patients were recruited in 2011 to 2013. The proportion of patients with recrudescent infections was significantly higher in western (15.4%) than in eastern (2.5%) Cambodia (P <10(-3)). Day 7 plasma PP concentrations and median 50% inhibitory concentrations (IC50) of PP were independent of treatment outcomes, in contrast to median mefloquine IC50, which were found to be lower for isolates from patients with recrudescent infections (18.7 versus 39.7 nM; P = 0.005). The most significant risk factor associated with DHA-PP treatment failure was infection by parasites carrying the K13 mutant allele (odds ratio [OR], 17.5; 95% confidence interval [CI], 1 to 308; P = 0.04). Our data show evidence of P. falciparum resistance to PP in western Cambodia, an area of widespread artemisinin resistance. New therapeutic strategies, such as the use of triple ACTs, are urgently needed and must be tested. (This study has been registered at the Australian New Zealand Clinical Trials Registry under registration no. ACTRN12614000344695.).

  8. Quantitative assessment of a spatial multicriteria model for highly pathogenic avian influenza H5N1 in Thailand, and application in Cambodia

    PubMed Central

    Paul, Mathilde C.; Goutard, Flavie L.; Roulleau, Floriane; Holl, Davun; Thanapongtharm, Weerapong; Roger, François L.; Tran, Annelise

    2016-01-01

    The Highly Pathogenic Avian Influenza H5N1 (HPAI) virus is now considered endemic in several Asian countries. In Cambodia, the virus has been circulating in the poultry population since 2004, with a dramatic effect on farmers’ livelihoods and public health. In Thailand, surveillance and control are still important to prevent any new H5N1 incursion. Risk mapping can contribute effectively to disease surveillance and control systems, but is a very challenging task in the absence of reliable disease data. In this work, we used spatial multicriteria decision analysis (MCDA) to produce risk maps for HPAI H5N1 in poultry. We aimed to i) evaluate the performance of the MCDA approach to predict areas suitable for H5N1 based on a dataset from Thailand, comparing the predictive capacities of two sources of a priori knowledge (literature and experts), and ii) apply the best method to produce a risk map for H5N1 in poultry in Cambodia. Our results showed that the expert-based model had a very high predictive capacity in Thailand (AUC = 0.97). Applied in Cambodia, MCDA mapping made it possible to identify hotspots suitable for HPAI H5N1 in the Tonlé Sap watershed, around the cities of Battambang and Kampong Cham, and along the Vietnamese border. PMID:27489997

  9. Elusive retributive justice in post-Khmer Rouge Cambodia: Challenges of using ECCC Victim Information Forms as a victim participatory rights mechanism.

    PubMed

    Nou, Leakhena

    2015-01-01

    This paper focuses on the procedural challenges of using the Victim Information Forms (VIFs) to analyze survivors' experiences with the Extraordinary Chambers in the Courts of Cambodia (ECCC), commonly known as the Khmer Rouge Tribunal. The paper takes a systematic public/medical sociology approach to examining the VIF as a participatory rights mechanism for victims wishing to pursue justice for themselves and their loved ones who experienced the Khmer Rouge atrocities, torture, forced relocation, starvation, forced labor, rape, robbery, and other physical and psychological torment, firsthand. It provides the first comparative, critical analysis of both the original VIF and the revised form issued midway through the submission period; both forms appear as appendices to the paper. Conclusions are drawn and suggestions made by the researcher based on the firsthand collection and submission of the largest group of VIFs from any single source around the world (outside of Cambodia itself), as well as on support work with victims/survivors during the ECCC proceedings in Phnom Penh, Cambodia in 2013.

  10. Quantitative assessment of a spatial multicriteria model for highly pathogenic avian influenza H5N1 in Thailand, and application in Cambodia.

    PubMed

    Paul, Mathilde C; Goutard, Flavie L; Roulleau, Floriane; Holl, Davun; Thanapongtharm, Weerapong; Roger, François L; Tran, Annelise

    2016-01-01

    The Highly Pathogenic Avian Influenza H5N1 (HPAI) virus is now considered endemic in several Asian countries. In Cambodia, the virus has been circulating in the poultry population since 2004, with a dramatic effect on farmers' livelihoods and public health. In Thailand, surveillance and control are still important to prevent any new H5N1 incursion. Risk mapping can contribute effectively to disease surveillance and control systems, but is a very challenging task in the absence of reliable disease data. In this work, we used spatial multicriteria decision analysis (MCDA) to produce risk maps for HPAI H5N1 in poultry. We aimed to i) evaluate the performance of the MCDA approach to predict areas suitable for H5N1 based on a dataset from Thailand, comparing the predictive capacities of two sources of a priori knowledge (literature and experts), and ii) apply the best method to produce a risk map for H5N1 in poultry in Cambodia. Our results showed that the expert-based model had a very high predictive capacity in Thailand (AUC = 0.97). Applied in Cambodia, MCDA mapping made it possible to identify hotspots suitable for HPAI H5N1 in the Tonlé Sap watershed, around the cities of Battambang and Kampong Cham, and along the Vietnamese border. PMID:27489997

  11. Frequency and patterns of contact with domestic poultry and potential risk of H5N1 transmission to humans living in rural Cambodia

    PubMed Central

    Van Kerkhove, Maria D.; Ly, Sowath; Holl, Davun; Guitian, Javier; Mangtani, Punam; Ghani, Azra C.; Vong, Sirenda

    2008-01-01

    Background  Since 2004, H5N1 outbreaks have been recurrent in domestic poultry and humans in Cambodia. To date, seven human cases (100% CFR) and 22 outbreaks in poultry have been confirmed. Household ownership of backyard poultry (FAO Sector 4 poultry production) in rural Cambodia is high. An understanding of the extent and frequency of poultry handing behaviors in these settings is necessary to assess the risk associated with different practices and to formulate sensible recommendations to mitigate this risk. We collected new data from six geographic regions to examine patterns of human contact with poultry among rural farmers in Cambodia and identify populations with the highest potential exposure to H5N1. Methods and Findings  A cross‐sectional survey was undertaken in which 3,600 backyard poultry owners from 115 randomly selected villages in six provinces throughout Cambodia were interviewed. Using risk assessment methods, patterns of contact with poultry as surrogate measures of exposure to H5N1 were used to generate risk indices of potential H5N1 transmission to different populations in contact with poultry. Estimates of human exposure risk for each study participant (n = 3600) were obtained by multiplying each reported practice with a transmission risk‐weighting factor and summing these over all practices reported by each individual. Exposure risk estimates were then examined stratified by age and gender. Subjects reported high contact with domestic poultry (chickens and ducks) through the daily care and food preparation practices, however contact patterns varied by gender and age. Males between the ages of 26‐40 reported practices of contact with poultry that give rise to the highest H5N1 transmission risk potential, followed closely by males between the ages of 16‐25. Overall, males had a higher exposure risk potential than females across all age groups (p < 0·001). Conclusions  Our results demonstrate that most of the population in

  12. Socially-marketed rapid diagnostic tests and ACT in the private sector: ten years of experience in Cambodia

    PubMed Central

    2011-01-01

    Whilst some populations have recently experienced dramatic declines in malaria, the majority of those most at risk of Plasmodium falciparum malaria still lack access to effective treatment with artemisinin combination therapy (ACT) and others are already facing parasites resistant to artemisinins. In this context, there is a crucial need to improve both access to and targeting of ACT through greater availability of good quality ACT and parasitological diagnosis. This is an issue of increasing urgency notably in the private commercial sector, which, in many countries, plays an important role in the provision of malaria treatment. The Affordable Medicines Facility for malaria (AMFm) is a recent initiative that aims to increase the provision of affordable ACT in public, private and NGO sectors through a manufacturer-level subsidy. However, to date, there is little documented experience in the programmatic implementation of subsidized ACT in the private sector. Cambodia is in the unique position of having more than 10 years of experience not only in implementing subsidized ACT, but also rapid diagnostic tests (RDT) as part of a nationwide social marketing programme. The programme includes behaviour change communication and the training of private providers as well as the sale and distribution of Malarine, the recommended ACT, and Malacheck, the RDT. This paper describes and evaluates this experience by drawing on the results of household and provider surveys conducted since the start of the programme. The available evidence suggests that providers' and consumers' awareness of Malarine increased rapidly, but that of Malacheck much less so. In addition, improvements in ACT and RDT availability and uptake were relatively slow, particularly in more remote areas. The lack of standardization in the survey methods and the gaps in the data highlight the importance of establishing a clear system for monitoring and evaluation for similar initiatives. Despite these limitations, a

  13. Evaluation of the impact of the voucher and accreditation approach on improving reproductive behaviors and status in Cambodia

    PubMed Central

    2011-01-01

    Background Cost of delivering reproductive health services to low income populations will always require total or partial subsidization by government and/or development partners. Broadly termed "demand-side financing" or "output-based aid", these strategies include a range of interventions that channel government or donor subsidies to the user rather than the service provider. Initial pilot assessments of reproductive health voucher programs suggest that they can increase access, reduce inequities, and enhance program efficiency and service quality. However, there is a paucity of evidence describing how these programs function in different settings for various reproductive health services. Methods/Design Population Council, funded by the Bill and Melinda Gates Foundation, intends to generate evidence around the "voucher and accreditation" approaches to improving the reproductive health of low-income women in Cambodia. The study comprises of four populations: facilities, providers, women of reproductive age using facilities, and women and men who have been pregnant and/or used family planning within the previous 12 months. The study will be carried out in a sample of 20 health facilities that are accredited to provide maternal and newborn health and family planning services to women holding vouchers from operational districts in three provinces: Kampong Thom, Kampot and Prey Veng and a matched sample of non-accredited facilities in three other provinces. Health facility assessments will be conducted at baseline and endline to track temporal changes in quality-of-care, client out-of-pocket costs, and utilization. Facility inventories, structured observations, and client exit interviews will be used to collect comparable data across facilities. Health providers will also be interviewed and observed providing care. A population survey of about 3000 respondents will also be conducted in areas where vouchers are distributed and similar non-voucher locations. Discussion A

  14. Determining barriers to creating an enabling environment in Cambodia: results from a baseline study with key populations and police

    PubMed Central

    Schneiders, Mira L; Weissman, Amy

    2016-01-01

    Introduction Cambodian law enforcement's limited acceptance of harm reduction has hindered HIV program effectiveness. With funding from the Australian Department of Foreign Affairs and Trade, FHI 360 supported the Ministry of Interior to implement the Police Community Partnership Initiative (PCPI) in Cambodia's capital Phnom Penh. To guide this, FHI 360 conducted a baseline study examining police and key populations’ attitudes and practices towards one another, including fear and occurrence of arrest. Methods Between December 2012 and January 2013, a cross-sectional survey of 199 police post officers, 199 people who use drugs (PWUD) including people who inject drugs (PWID), 199 men who have sex with men (MSM), 200 transgender women (TGW) and 200 female entertainment workers (FEW) was conducted in five Phnom Penh districts. Eligible participants were ≥18 years, members of a key population from selected hotspots or police officers, deputy chiefs or chiefs. Results Key populations’ median age was 25 years (IQR: 22–30); 40% had completed only primary school. Police were male (99.5%), with median age 43 years (IQR: 30 to 47), and 45 and 25% high school and university completion rates, respectively. Key populations feared arrest for carrying needles and syringes (67%), condoms (23%) and 19% felt afraid to access health services. Close to 75% of police reported body searching and 58% arresting key populations in the past six months for using drugs (64%), selling or distributing drugs (36%) or being violent (13%). Self-reported arrests (23% PWUD, 6% MSM, 6% TGW, 12% FEW; p<0.05), being verbally threatened (45% PWUD, 21% MSM, 25% TGW, 27% FEW; p<0.001) and body searched (44% PWUD, 28% MSM, 23% TGW, 8% FEW; p<0.001) was significantly higher among PWUD than other key populations. The majority (94%) of police believed arrest was an appropriate solution to reduce HIV and drug use and reported selling sex (88%) and carrying needles and syringes (55%) as valid reasons for

  15. Local drinking water filters reduce diarrheal disease in Cambodia: a randomized, controlled trial of the ceramic water purifier.

    PubMed

    Brown, Joe; Sobsey, Mark D; Loomis, Dana

    2008-09-01

    A randomized, controlled intervention trial of two household-scale drinking water filters was conducted in a rural village in Cambodia. After collecting four weeks of baseline data on household water quality, diarrheal disease, and other data related to water use and handling practices, households were randomly assigned to one of three groups of 60 households: those receiving a ceramic water purifier (CWP), those receiving a second filter employing an iron-rich ceramic (CWP-Fe), and a control group receiving no intervention. Households were followed for 18 weeks post-baseline with biweekly follow-up. Households using either filter reported significantly less diarrheal disease during the study compared with a control group of households without filters as indicated by longitudinal prevalence ratios CWP: 0.51 (95% confidence interval [CI]: 0.41-0.63); CWP-Fe: 0.58 (95% CI: 0.47-0.71), an effect that was observed in all age groups and both sexes after controlling for clustering within households and within individuals over time. PMID:18784232

  16. Comparing the microbial risks associated with household drinking water supplies used in peri-urban communities of Phnom Penh, Cambodia.

    PubMed

    Thomas, K; McBean, E; Shantz, A; Murphy, H M

    2015-03-01

    Most Cambodians lack access to a safe source of drinking water. Piped distribution systems are typically limited to major urban centers in Cambodia, and the remaining population relies on a variety of surface, rain, and groundwater sources. This study examines the household water supplies available to Phnom Penh's resettled peri-urban residents through a case-study approach of two communities. A quantitative microbial risk assessment is performed to assess the level of diarrheal disease risk faced by community members due to microbial contamination of drinking water. Risk levels found in this study exceed those associated with households consuming piped water. Filtered and boiled rain and tank water stored in a kettle, bucket/cooler, bucket with spigot or a 500 mL bottle were found to provide risk levels within one order-of-magnitude to the piped water available in Phnom Penh. Two primary concerns identified are the negation of the risk reductions gained by boiling due to prevailing poor storage practices and the use of highly contaminated source water.

  17. A matter of good taste: Investigating preferences for in-house water treatment in peri-urban communities in Cambodia

    NASA Astrophysics Data System (ADS)

    Jeuland, M. A.; Orgill, J.; Brown, J.; Shaheed, A.

    2012-12-01

    It is commonly argued that low demand for in-house water treatment technologies is not simply due to their cost, but also results from their other unfavorable features, notably distaste or convenience problems. This research considers household preferences for in-house water treatment in two peri-urban communes around Phnom Penh, Cambodia, with a particular focus on taste. In an effort to measure sensitivity to taste problems, respondents from more than 900 households were given water samples treated with randomly assigned levels of chlorine, as well as a bottled water placebo, and were asked to compare their favorite samples with their existing drinking water source. Households were also asked to complete a series of conjoint tasks in which they selected their preferred drinking water alternative among options that varied in terms of cost, taste, effectiveness against diarrheal disease and quantity of water treated. Our findings suggest that households do perceive distaste for water treated with chlorine products, and that taste is an important feature of their selection of water treatment alternatives. Better understanding of the taste preferences of households in communities without access to safe water is thus critical to interventions seeking to promote in-house water treatment.

  18. Public urged to apply for land ownership. [Directive No. 03 of 3 May 1989 from Cambodia Council of Ministers].

    PubMed

    1990-06-01

    This Cambodian Directive implements a decision on the tenure and use of land adopted by the Second National Conference of party cadres in April 1989. The decision provides the following: "All land in the State of Cambodia is state property. The State shall take measures to effectively improve land ownership and its usage by allotting land to people for dwelling and utilization. On the granting of rights to ownership of land, the State shall reallocate land occupied since liberation day on 7 January 1979 in conformity with the cadastral regulations. Land will be divided into four categories, namely land for building houses, farm land for production and exploitation, land for forest reserves and agriculture, and land kept for state use. The State prohibits the appropriation of all categories of unoccupied land for which taxes have been paid for future sale or rent." The Directive adds that no one may claim ownership of land before 1979; land newly reclaimed or about to be cleared must first be examined by the Agriculture Minister; and each family has a right to own 3 categories of land. The State will issue temporary land ownership certificates upon application by the public through the district People's Committee. Applications should be submitted by 30 June 1990. PMID:12285790

  19. Condom negotiation across different relationship types by young women engaged in sex work in Phnom Penh, Cambodia

    PubMed Central

    Maher, Lisa; Mooney-Somers, Julie; Phlong, Pisith; Couture, Marie-Claude; Kien, Serey Phal; Stein, Ellen; Bates, Anna Juong; Sansothy, Neth; Page, Kimberly

    2013-01-01

    Cambodia's 100% Condom Use Programme is credited with an increase in consistent condom use in commercial sexual interactions and a decrease in HIV prevalence among female sex workers (FSWs). There has been little improvement in condom use between FSWs and non-commercial partners, prompting calls for more innovative approaches to increasing condom use in these relationships. To understand why condoms are used or not used in sexual interactions involving FSWs, we examined condom negotiation across different types of relationships. We conducted 33 in-depth interviews with young (15 to 29 years) women engaged in sex work in Phnom Penh. There was an important interplay between the meanings of condom use and the meanings of women's relationships. Commercial relationships were characterised as inherently risky and necessitated condom use. Despite a similar lack of sexual fidelity, sweetheart relationships were rarely construed as risky and typically did not involve condom use. Husbands and wives constructed their sexual interactions with each other differently, making agreement on condom use difficult. The lack of improvement in condom use in FSWs' non-commercial sexual relationships needs to be understood in relation to both sex work and the broader Cambodian sexual culture within which these relationships are embedded. PMID:23432108

  20. High use of commercial food products among infants and young children and promotions for these products in Cambodia

    PubMed Central

    Huffman, Sandra L.; Mengkheang, Khin; Kroeun, Hou; Champeny, Mary; Roberts, Margarette; Zehner, Elizabeth

    2016-01-01

    Abstract Despite national improvements in child survival, 40% of Cambodian children less than 5 years of age are stunted. Commercially produced complementary foods could be nutritionally beneficial for young children in Cambodia if fortified and of optimal nutrient composition. However, other nutrient‐poor commercially produced snack foods may be detrimental to young child feeding by displacing consumption of other nutritious foods. This study assessed consumption of commercial food products among infants and young children and their mothers' exposure to promotions for these products. A cross‐sectional survey was conducted among 294 mothers of children less than 24 months of age living in Phnom Penh. Of children 6‐23 months of age, 55.0% consumed a commercially produced snack food product on the prior day, and 80.6% had consumed one in the prior week. Only 12 (5.4%) children 6‐23 months of age had consumed a commercially produced complementary food. Almost all mothers (96.9%) had observed a promotion for a commercially produced snack food product, and 29.3% reported observation of a promotion for a commercial complementary food. Only one‐third (32.9%) of children 6‐23 months of age achieved a minimum acceptable diet. Findings indicate that there is a need to improve infant and young child feeding practices among children less than 24 months of age living in Phnom Penh. Nutritious options should be promoted, and consumption of unhealthy commercially produced snack food products should be discouraged. PMID:27061956

  1. Estimating Suicide Rates in Developing Nations: A Low-Cost Newspaper Capture-Recapture Approach in Cambodia.

    PubMed

    Harris, Keith M; Thandrayen, Joanne; Samphoas, Chien; Se, Pros; Lewchalermwongse, Boontriga; Ratanashevorn, Rattanakorn; Perry, Megan L; Britts, Choloe

    2016-04-01

    This study tested a low-cost method for estimating suicide rates in developing nations that lack adequate statistics. Data comprised reported suicides from Cambodia's 2 largest newspapers. Capture-recapture modeling estimated a suicide rate of 3.8/100 000 (95% CI = 2.5-6.7) for 2012. That compares to World Health Organization estimates of 1.3 to 9.4/100 000 and a Cambodian government estimate of 3.5/100 000. Suicide rates of males were twice that of females, and rates of those <40 years were twice that of those ≥40 years. Capture-recapture modeling with newspaper reports proved a reasonable method for estimating suicide rates for countries with inadequate official data. These methods are low-cost and can be applied to regions with at least 2 newspapers with overlapping reports. Means to further improve this approach are discussed. These methods are applicable to both recent and historical data, which can benefit epidemiological work, and may also be applicable to homicides and other statistics. PMID:26969636

  2. Incorporating Canopy Cover for Airborne-Derived Assessments of Forest Biomass in the Tropical Forests of Cambodia

    PubMed Central

    Singh, Minerva; Evans, Damian; Coomes, David A.; Friess, Daniel A.; Suy Tan, Boun; Samean Nin, Chan

    2016-01-01

    This research examines the role of canopy cover in influencing above ground biomass (AGB) dynamics of an open canopied forest and evaluates the efficacy of individual-based and plot-scale height metrics in predicting AGB variation in the tropical forests of Angkor Thom, Cambodia. The AGB was modeled by including canopy cover from aerial imagery alongside with the two different canopy vertical height metrics derived from LiDAR; the plot average of maximum tree height (Max_CH) of individual trees, and the top of the canopy height (TCH). Two different statistical approaches, log-log ordinary least squares (OLS) and support vector regression (SVR), were used to model AGB variation in the study area. Ten different AGB models were developed using different combinations of airborne predictor variables. It was discovered that the inclusion of canopy cover estimates considerably improved the performance of AGB models for our study area. The most robust model was log-log OLS model comprising of canopy cover only (r = 0.87; RMSE = 42.8 Mg/ha). Other models that approximated field AGB closely included both Max_CH and canopy cover (r = 0.86, RMSE = 44.2 Mg/ha for SVR; and, r = 0.84, RMSE = 47.7 Mg/ha for log-log OLS). Hence, canopy cover should be included when modeling the AGB of open-canopied tropical forests. PMID:27176218

  3. Prevalence and Associated Risk Factors of Toxocara vitulorum Infections in Buffalo and Cattle Calves in Three Provinces of Central Cambodia.

    PubMed

    Dorny, Pierre; Devleesschauwer, Brecht; Stoliaroff, Valérie; Sothy, Meas; Chea, Rortana; Chea, Bunthon; Sourloing, Hor; Samuth, Sum; Kong, Seth; Nguong, Koemseang; Sorn, San; Holl, Davun; Vercruysse, Jozef

    2015-04-01

    The prevalence and associated risk factors of Toxocara vitulorum infection in buffalo and cattle calves was studied in 3 provinces in central Cambodia. Fecal samples were collected from 517 calves between the age of 1-15 weeks and processed for nematode egg counts by a modified McMaster method. A total of 64 calves were found to excrete T. vitulorum eggs in their feces (12.4%; 95% exact CI: 9.7-15.5). The mean fecal egg count was 2,798 EPG (SD=16,351; range=0-224,400). A multivariable generalized linear mixed model showed higher odds of T. vitulorum infection for buffalo versus cattle, for animals aged 4-8 weeks versus younger and older ones, and for animals with strongyle infection. There was no association with fecal consistency. Farmers should be aware of the potential impact of T. vitulorum , and treat their calves at the age of 2-3 weeks with anthelmintics such as benzimidazoles or pyrantel.

  4. Microbial Community Analysis of Fresh and Old Microbial Biofilms on Bayon Temple Sandstone of Angkor Thom, Cambodia

    PubMed Central

    Lan, Wensheng; Li, Hui; Wang, Wei-Dong; Katayama, Yoko

    2010-01-01

    The temples of Angkor monuments including Angkor Thom and Bayon in Cambodia and surrounding countries were exclusively constructed using sandstone. They are severely threatened by biodeterioration caused by active growth of different microorganisms on the sandstone surfaces, but knowledge on the microbial community and composition of the biofilms on the sandstone is not available from this region. This study investigated the microbial community diversity by examining the fresh and old biofilms of the biodeteriorated bas-relief wall surfaces of the Bayon Temple by analysis of 16S and 18S rRNA gene sequences. The results showed that the retrieved sequences were clustered in 11 bacterial, 11 eukaryotic and two archaeal divisions with disparate communities (Acidobacteria, Actinobacteria, Bacteroidetes, Cyanobacteria, Proteobacteria; Alveolata, Fungi, Metazoa, Viridiplantae; Crenarchaeote, and Euyarchaeota). A comparison of the microbial communities between the fresh and old biofilms revealed that the bacterial community of old biofilm was very similar to the newly formed fresh biofilm in terms of bacterial composition, but the eukaryotic communities were distinctly different between these two. This information has important implications for understanding the formation process and development of the microbial diversity on the sandstone surfaces, and furthermore to the relationship between the extent of biodeterioration and succession of microbial communities on sandstone in tropic region. Electronic supplementary material The online version of this article (doi:10.1007/s00248-010-9707-5) contains supplementary material, which is available to authorized users. PMID:20593173

  5. Impact of Performance-Based Financing in a Low-Resource Setting: A Decade of Experience in Cambodia.

    PubMed

    Van de Poel, Ellen; Flores, Gabriela; Ir, Por; O'Donnell, Owen

    2016-06-01

    This paper exploits the geographic expansion of performance-based financing (PBF) in Cambodia over a decade to estimate its effect on the utilization of maternal and child health services. PBF is estimated to raise the proportion of births occurring in incentivized public health facilities by 7.5 percentage points (25%). A substantial part of this effect arises from switching the location of institutional births from private to public facilities; there is no significant impact on deliveries supervised by a skilled birth attendant, nor is there any significant effect on neonatal mortality, antenatal care and vaccination rates. The impact on births in public facilities is much greater if PBF is accompanied by maternity vouchers that cover user fees, but there is no significant effect among the poorest women. Heterogeneous effects across schemes differing in design suggest that maintaining management authority within a health district while giving explicit service targets to facilities is more effective in raising utilization than contracting management to a non-governmental organization while denying it full autonomy and leaving financial penalties vague. Copyright © 2015 John Wiley & Sons, Ltd.

  6. High use of commercial food products among infants and young children and promotions for these products in Cambodia.

    PubMed

    Pries, Alissa M; Huffman, Sandra L; Mengkheang, Khin; Kroeun, Hou; Champeny, Mary; Roberts, Margarette; Zehner, Elizabeth

    2016-04-01

    Despite national improvements in child survival, 40% of Cambodian children less than 5 years of age are stunted. Commercially produced complementary foods could be nutritionally beneficial for young children in Cambodia if fortified and of optimal nutrient composition. However, other nutrient-poor commercially produced snack foods may be detrimental to young child feeding by displacing consumption of other nutritious foods. This study assessed consumption of commercial food products among infants and young children and their mothers' exposure to promotions for these products. A cross-sectional survey was conducted among 294 mothers of children less than 24 months of age living in Phnom Penh. Of children 6-23 months of age, 55.0% consumed a commercially produced snack food product on the prior day, and 80.6% had consumed one in the prior week. Only 12 (5.4%) children 6-23 months of age had consumed a commercially produced complementary food. Almost all mothers (96.9%) had observed a promotion for a commercially produced snack food product, and 29.3% reported observation of a promotion for a commercial complementary food. Only one-third (32.9%) of children 6-23 months of age achieved a minimum acceptable diet. Findings indicate that there is a need to improve infant and young child feeding practices among children less than 24 months of age living in Phnom Penh. Nutritious options should be promoted, and consumption of unhealthy commercially produced snack food products should be discouraged. PMID:27061956

  7. Estimating Suicide Rates in Developing Nations: A Low-Cost Newspaper Capture-Recapture Approach in Cambodia.

    PubMed

    Harris, Keith M; Thandrayen, Joanne; Samphoas, Chien; Se, Pros; Lewchalermwongse, Boontriga; Ratanashevorn, Rattanakorn; Perry, Megan L; Britts, Choloe

    2016-04-01

    This study tested a low-cost method for estimating suicide rates in developing nations that lack adequate statistics. Data comprised reported suicides from Cambodia's 2 largest newspapers. Capture-recapture modeling estimated a suicide rate of 3.8/100 000 (95% CI = 2.5-6.7) for 2012. That compares to World Health Organization estimates of 1.3 to 9.4/100 000 and a Cambodian government estimate of 3.5/100 000. Suicide rates of males were twice that of females, and rates of those <40 years were twice that of those ≥40 years. Capture-recapture modeling with newspaper reports proved a reasonable method for estimating suicide rates for countries with inadequate official data. These methods are low-cost and can be applied to regions with at least 2 newspapers with overlapping reports. Means to further improve this approach are discussed. These methods are applicable to both recent and historical data, which can benefit epidemiological work, and may also be applicable to homicides and other statistics.

  8. Arsenic and manganese contamination of drinking water resources in Cambodia: coincidence of risk areas with low relief topography.

    PubMed

    Buschmann, Johanna; Berg, Michael; Stengel, Caroline; Sampson, Mickey L

    2007-04-01

    Arsenic contamination of groundwater has been identified in Cambodia, where some 100,000 family-based wells are used for drinking water needs. We conducted a comprehensive groundwater survey in the Mekong River floodplain, comprising an area of 3700 km(2) (131 samples, 30 parameters). Seasonal fluctuations were also studied. Arsenic ranged from 1 to 1340 microg L(-1) (average 163 microg L(-1)), with 48% exceeding 10 microg L(-1). Elevated manganese levels (57% >0.4 mg L(-1)) are posing an additional health threat to the 1.2 million people living in this area. With 350 people km(-2) potentially exposed to chronic arsenic poisoning, the magnitude is similar to that of Bangladesh (200 km(-2)). Elevated arsenic levels are sharply restricted to the Bassac and Mekong River banks and the alluvium braided by these rivers (Kandal Province). Arsenic in this province averaged 233 microg L(-1) (median 100 microg L(-1)), while concentrations to the west and east of the rivers were <10 microg L(-1). Arsenic release from Holocene sediments between the rivers is most likely caused by reductive dissolution of metal oxides. Regions exhibiting low and elevated arsenic levels are co-incident with the present low relief topography featuring gently increasing elevation to the west and east of a shallow valley-understood as a relict of pre-Holocene topography. The full georeferenced database of groundwater analysis is provided as Supporting Information.

  9. Probing the biogeochemistry of arsenic: response of two contrasting aquifer sediments from Cambodia to stimulation by arsenate and ferric iron.

    PubMed

    Pederick, R L; Gault, A G; Charnock, J M; Polya, D A; Lloyd, J R

    2007-10-01

    Many millions of people worldwide are at risk of severe poisoning through exposure to groundwater contaminated with sediment-derived arsenic. An ever-increasing body of work is reinforcing the link between microbially-mediated redox cycling in aquifer sediments and the mobilisation of sorbed As(V) into groundwaters as the potentially more mobile and toxic As(III) anion. However, to date, few studies have examined the biogeochemical cycling of Fe and As species by microbes indigenous to Cambodian sediments. In this study two contrasting sediments, taken from a shallow As-rich reducing aquifer in the Kien Svay district of Cambodia, were used in a laboratory microcosm study. We present evidence to show that microbes present in these sediments are able to reduce Fe(III) and As(V) when provided with an electron donor, and that the two sediments respond differently to stimulation with Fe(III) and As(V). Shifts in the community composition of the two sediments after stimulation with As(V) suggest a potential role for members of the beta-Proteobacteria in As(V) reduction, a phylogenetic grouping known to contain microorganisms capable of As(III) oxidation, but not previously implicated in As(V) reduction. PCR-based analysis of the sediment microbial DNA using primers specific to the arrA gene, (a gene essential for microbial As(V) respiration), indicates the presence of microorganisms capable of dissimilatory As(V) reduction.

  10. Public urged to apply for land ownership. [Directive No. 03 of 3 May 1989 from Cambodia Council of Ministers].

    PubMed

    1990-06-01

    This Cambodian Directive implements a decision on the tenure and use of land adopted by the Second National Conference of party cadres in April 1989. The decision provides the following: "All land in the State of Cambodia is state property. The State shall take measures to effectively improve land ownership and its usage by allotting land to people for dwelling and utilization. On the granting of rights to ownership of land, the State shall reallocate land occupied since liberation day on 7 January 1979 in conformity with the cadastral regulations. Land will be divided into four categories, namely land for building houses, farm land for production and exploitation, land for forest reserves and agriculture, and land kept for state use. The State prohibits the appropriation of all categories of unoccupied land for which taxes have been paid for future sale or rent." The Directive adds that no one may claim ownership of land before 1979; land newly reclaimed or about to be cleared must first be examined by the Agriculture Minister; and each family has a right to own 3 categories of land. The State will issue temporary land ownership certificates upon application by the public through the district People's Committee. Applications should be submitted by 30 June 1990.

  11. Microbial community analysis of fresh and old microbial biofilms on Bayon temple sandstone of Angkor Thom, Cambodia.

    PubMed

    Lan, Wensheng; Li, Hui; Wang, Wei-Dong; Katayama, Yoko; Gu, Ji-Dong

    2010-07-01

    The temples of Angkor monuments including Angkor Thom and Bayon in Cambodia and surrounding countries were exclusively constructed using sandstone. They are severely threatened by biodeterioration caused by active growth of different microorganisms on the sandstone surfaces, but knowledge on the microbial community and composition of the biofilms on the sandstone is not available from this region. This study investigated the microbial community diversity by examining the fresh and old biofilms of the biodeteriorated bas-relief wall surfaces of the Bayon Temple by analysis of 16S and 18S rRNA gene sequences. The results showed that the retrieved sequences were clustered in 11 bacterial, 11 eukaryotic and two archaeal divisions with disparate communities (Acidobacteria, Actinobacteria, Bacteroidetes, Cyanobacteria, Proteobacteria; Alveolata, Fungi, Metazoa, Viridiplantae; Crenarchaeote, and Euyarchaeota). A comparison of the microbial communities between the fresh and old biofilms revealed that the bacterial community of old biofilm was very similar to the newly formed fresh biofilm in terms of bacterial composition, but the eukaryotic communities were distinctly different between these two. This information has important implications for understanding the formation process and development of the microbial diversity on the sandstone surfaces, and furthermore to the relationship between the extent of biodeterioration and succession of microbial communities on sandstone in tropic region.

  12. Impact of Performance-Based Financing in a Low-Resource Setting: A Decade of Experience in Cambodia.

    PubMed

    Van de Poel, Ellen; Flores, Gabriela; Ir, Por; O'Donnell, Owen

    2016-06-01

    This paper exploits the geographic expansion of performance-based financing (PBF) in Cambodia over a decade to estimate its effect on the utilization of maternal and child health services. PBF is estimated to raise the proportion of births occurring in incentivized public health facilities by 7.5 percentage points (25%). A substantial part of this effect arises from switching the location of institutional births from private to public facilities; there is no significant impact on deliveries supervised by a skilled birth attendant, nor is there any significant effect on neonatal mortality, antenatal care and vaccination rates. The impact on births in public facilities is much greater if PBF is accompanied by maternity vouchers that cover user fees, but there is no significant effect among the poorest women. Heterogeneous effects across schemes differing in design suggest that maintaining management authority within a health district while giving explicit service targets to facilities is more effective in raising utilization than contracting management to a non-governmental organization while denying it full autonomy and leaving financial penalties vague. Copyright © 2015 John Wiley & Sons, Ltd. PMID:26224021

  13. 'Plue plun' male, 'kath klei' female: gender differences in suicidal behavior as expressed by young people in Cambodia.

    PubMed

    Jegannathan, Bhoomikumar; Dahlblom, Kjerstin; Kullgren, Gunnar

    2014-09-01

    Few studies from low- and middle-income countries use qualitative methodology to explore suicidal behavior among young people. In Cambodia, young people face the challenge of rapidly changing times and are vulnerable for suicidal behavior as revealed by research in transitional economies. This study seeks to gain a deeper understanding of the suicidal phenomena from a gender, psychosocial and cultural perspective. Six focus-group discussions were conducted among boys and girls, aged 15-19 years, in two secondary schools in a suburban area close to Phnom Penh, the capital city. The data was analyzed using thematic analysis approach. The participants highlighted the gender difference in suicidal behavior by describing the suicide-prone, acting-out male as 'plue plun', while suicide-prone females were described as caught in constricted, tunneled-thinking behavior, expressed as 'kath klei'. Parental attitude and family environment were also pointed out as the chief causes of discontent and there was a strong wish on the part of young people to find space for modern values within the traditional family. The young people's awareness of their challenges in everyday life suggests that school-based programs to prevent suicidal behavior ought to be gender-sensitive and peer-focused.

  14. High use of commercial food products among infants and young children and promotions for these products in Cambodia.

    PubMed

    Pries, Alissa M; Huffman, Sandra L; Mengkheang, Khin; Kroeun, Hou; Champeny, Mary; Roberts, Margarette; Zehner, Elizabeth

    2016-04-01

    Despite national improvements in child survival, 40% of Cambodian children less than 5 years of age are stunted. Commercially produced complementary foods could be nutritionally beneficial for young children in Cambodia if fortified and of optimal nutrient composition. However, other nutrient-poor commercially produced snack foods may be detrimental to young child feeding by displacing consumption of other nutritious foods. This study assessed consumption of commercial food products among infants and young children and their mothers' exposure to promotions for these products. A cross-sectional survey was conducted among 294 mothers of children less than 24 months of age living in Phnom Penh. Of children 6-23 months of age, 55.0% consumed a commercially produced snack food product on the prior day, and 80.6% had consumed one in the prior week. Only 12 (5.4%) children 6-23 months of age had consumed a commercially produced complementary food. Almost all mothers (96.9%) had observed a promotion for a commercially produced snack food product, and 29.3% reported observation of a promotion for a commercial complementary food. Only one-third (32.9%) of children 6-23 months of age achieved a minimum acceptable diet. Findings indicate that there is a need to improve infant and young child feeding practices among children less than 24 months of age living in Phnom Penh. Nutritious options should be promoted, and consumption of unhealthy commercially produced snack food products should be discouraged.

  15. Incorporating Canopy Cover for Airborne-Derived Assessments of Forest Biomass in the Tropical Forests of Cambodia.

    PubMed

    Singh, Minerva; Evans, Damian; Coomes, David A; Friess, Daniel A; Suy Tan, Boun; Samean Nin, Chan

    2016-01-01

    This research examines the role of canopy cover in influencing above ground biomass (AGB) dynamics of an open canopied forest and evaluates the efficacy of individual-based and plot-scale height metrics in predicting AGB variation in the tropical forests of Angkor Thom, Cambodia. The AGB was modeled by including canopy cover from aerial imagery alongside with the two different canopy vertical height metrics derived from LiDAR; the plot average of maximum tree height (Max_CH) of individual trees, and the top of the canopy height (TCH). Two different statistical approaches, log-log ordinary least squares (OLS) and support vector regression (SVR), were used to model AGB variation in the study area. Ten different AGB models were developed using different combinations of airborne predictor variables. It was discovered that the inclusion of canopy cover estimates considerably improved the performance of AGB models for our study area. The most robust model was log-log OLS model comprising of canopy cover only (r = 0.87; RMSE = 42.8 Mg/ha). Other models that approximated field AGB closely included both Max_CH and canopy cover (r = 0.86, RMSE = 44.2 Mg/ha for SVR; and, r = 0.84, RMSE = 47.7 Mg/ha for log-log OLS). Hence, canopy cover should be included when modeling the AGB of open-canopied tropical forests.

  16. The Economic Burden of Malnutrition in Pregnant Women and Children under 5 Years of Age in Cambodia

    PubMed Central

    Moench-Pfanner, Regina; Silo, Sok; Laillou, Arnaud; Wieringa, Frank; Hong, Rathamony; Hong, Rathavuth; Poirot, Etienne; Bagriansky, Jack

    2016-01-01

    Malnutrition is locked in a vicious cycle of increased mortality, poor health, impaired cognitive development, slow physical growth, reduced learning capacity, inferior performance, and ultimately lower adult work performance and productivity. The consensus of global scientific evidence indicates that lowering the rates of malnutrition will be an indispensable component of any successful program to raise the quality of human capital and resources. This study used a “consequence model” to apply the coefficient risk-deficit on economic losses, established in the global scientific literature, to Cambodian health, demographic, and economic data to develop a national estimate of the value of economic losses due to malnutrition. The impact of the indicators of malnutrition analyzed represent a burden to the national economy of Cambodia estimated at 266 million USD annually (1.7% of GDP). Stunting is reducing the Cambodian economic output by more than 120 million USD, and iodine deficiency disorders alone by 57 million USD. This economic burden is too high in view of Cambodia’s efforts to drive economic development. The government should rapidly expand a range of low-cost effective nutrition interventions to break the current cycle of increased mortality, poor health and ultimately lower work performance, productivity, and earnings. PMID:27187462

  17. Injections, Cocktails and Diviners: Therapeutic Flexibility in the Context of Malaria Elimination and Drug Resistance in Northeast Cambodia

    PubMed Central

    Gryseels, Charlotte; Uk, Sambunny; Erhart, Annette; Gerrets, René; Sluydts, Vincent; Durnez, Lies; Muela Ribera, Joan; Hausmann Muela, Susanna; Menard, Didier; Heng, Somony; Sochantha, Tho; D’Alessandro, Umberto; Coosemans, Marc; Peeters Grietens, Koen

    2013-01-01

    Background Adherence to effective malaria medication is extremely important in the context of Cambodia’s elimination targets and drug resistance containment. Although the public sector health facilities are accessible to the local ethnic minorities of Ratanakiri province (Northeast Cambodia), their illness itineraries often lead them to private pharmacies selling “cocktails” and artemether injections, or to local diviners prescribing animal sacrifices to appease the spirits. Methods The research design consisted of a mixed methods study, combining qualitative (in-depth interviews and participant observation) and quantitative methods (household and cross-sectional survey). Results Three broad options for malaria treatment were identified: i) the public sector; ii) the private sector; iii) traditional treatment based on divination and ceremonial sacrifice. Treatment choice was influenced by the availability of treatment and provider, perceived side effects and efficacy of treatments, perceived etiology of symptoms, and patient-health provider encounters. Moreover, treatment paths proved to be highly flexible, changing mostly in relation to the perceived efficacy of a chosen treatment. Conclusions Despite good availability of anti-malarial treatment in the public health sector, attendance remained low due to both structural and human behavioral factors. The common use and under-dosage of anti-malaria monotherapy in the private sector (single-dose injections, single-day drug cocktails) represents a threat not only for individual case management, but also for the regional plan of drug resistance containment and malaria elimination. PMID:24244678

  18. Incorporating Canopy Cover for Airborne-Derived Assessments of Forest Biomass in the Tropical Forests of Cambodia.

    PubMed

    Singh, Minerva; Evans, Damian; Coomes, David A; Friess, Daniel A; Suy Tan, Boun; Samean Nin, Chan

    2016-01-01

    This research examines the role of canopy cover in influencing above ground biomass (AGB) dynamics of an open canopied forest and evaluates the efficacy of individual-based and plot-scale height metrics in predicting AGB variation in the tropical forests of Angkor Thom, Cambodia. The AGB was modeled by including canopy cover from aerial imagery alongside with the two different canopy vertical height metrics derived from LiDAR; the plot average of maximum tree height (Max_CH) of individual trees, and the top of the canopy height (TCH). Two different statistical approaches, log-log ordinary least squares (OLS) and support vector regression (SVR), were used to model AGB variation in the study area. Ten different AGB models were developed using different combinations of airborne predictor variables. It was discovered that the inclusion of canopy cover estimates considerably improved the performance of AGB models for our study area. The most robust model was log-log OLS model comprising of canopy cover only (r = 0.87; RMSE = 42.8 Mg/ha). Other models that approximated field AGB closely included both Max_CH and canopy cover (r = 0.86, RMSE = 44.2 Mg/ha for SVR; and, r = 0.84, RMSE = 47.7 Mg/ha for log-log OLS). Hence, canopy cover should be included when modeling the AGB of open-canopied tropical forests. PMID:27176218

  19. Bacterial communities in pigmented biofilms formed on the sandstone bas-relief walls of the Bayon Temple, Angkor Thom, Cambodia.

    PubMed

    Kusumi, Asako; Li, Xianshu; Osuga, Yu; Kawashima, Arata; Gu, Ji-Dong; Nasu, Masao; Katayama, Yoko

    2013-01-01

    The Bayon temple in Angkor Thom, Cambodia has shown serious deterioration and is subject to the formation of various pigmented biofilms. Because biofilms are damaging the bas-reliefs, low reliefs engraved on the surface of sandstone, information about the microbial community within them is indispensable to control biofilm colonization. PCR-denaturing gradient gel electrophoresis (DGGE) analysis of biofilm samples from the pigmented sandstone surfaces showed that the bacterial community members in the biofilms differed clearly from those in the air and had low sequence similarity to database sequences. Non-destructive sampling of biofilm revealed novel bacterial groups of predominantly Rubrobacter in salmon pink biofilm, Cyanobacteria in chrome green biofilm, Cyanobacteria and Chloroflexi in signal violet biofilm, Chloroflexi in black gray biofilm, and Deinococcus-Thermus, Cyanobacteria, and Rubrobacter in blue green biofilm. Serial peeling-off of a thick biofilm by layers with adhesive sheets revealed a stratified structure: the blue-green biofilm, around which there was serious deterioration, was very rich in Cyanobacteria near the surface and Chloroflexi in deep layer below. Nitrate ion concentrations were high in the blue-green biofilm. The characteristic distribution of bacteria at different biofilm depths provides valuable information on not only the biofilm formation process but also the sandstone weathering process in the tropics.

  20. Arsenic in groundwater and its influence on exposure risks through traditionally cooked rice in Prey Vêng Province, Cambodia.

    PubMed

    O'Neill, A; Phillips, D H; Kok, S; Chea, E; Seng, B; Sen Gupta, B

    2013-11-15

    Arsenic (As) contamination of communal tubewells in Prey Vêng, Cambodia, has been observed since 2000. Many of these wells exceed the WHO As in drinking water standard of 10 μg/L by a factor of 100. The aim of this study was to assess how cooking water source impacts dietary As intake in a rural community in Prey Vêng. This aim was fulfilled by (1) using geostatistical analysis techniques to examine the extent of As contaminated groundwater in Prey Vêng and identify a suitable study site, (2) conducting an on-site study in two villages to measure As content in cooked rice prepared with water collected from tubewells and locally harvested rainwater, and (3) determining the dietary intake of As from consuming this rice. Geostatistical analysis indicated that high risk tubewells (>50 μg As/L) are concentrated along the Mekong River's east bank. Participants using high risk tubewells are consuming up to 24 times more inorganic As daily than recommended by the previous FAO/WHO provisional tolerable daily intake value (2.1 μg/kg BW/day). However, As content in rice cooked in rainwater was significantly reduced, therefore, it is considered to be a safer and more sustainable option for this region.

  1. Bacterial Communities in Pigmented Biofilms Formed on the Sandstone Bas-Relief Walls of the Bayon Temple, Angkor Thom, Cambodia

    PubMed Central

    Kusumi, Asako; Li, Xianshu; Osuga, Yu; Kawashima, Arata; Gu, Ji-Dong; Nasu, Masao; Katayama, Yoko

    2013-01-01

    The Bayon temple in Angkor Thom, Cambodia has shown serious deterioration and is subject to the formation of various pigmented biofilms. Because biofilms are damaging the bas-reliefs, low reliefs engraved on the surface of sandstone, information about the microbial community within them is indispensable to control biofilm colonization. PCR-denaturing gradient gel electrophoresis (DGGE) analysis of biofilm samples from the pigmented sandstone surfaces showed that the bacterial community members in the biofilms differed clearly from those in the air and had low sequence similarity to database sequences. Non-destructive sampling of biofilm revealed novel bacterial groups of predominantly Rubrobacter in salmon pink biofilm, Cyanobacteria in chrome green biofilm, Cyanobacteria and Chloroflexi in signal violet biofilm, Chloroflexi in black gray biofilm, and Deinococcus-Thermus, Cyanobacteria, and Rubrobacter in blue green biofilm. Serial peeling-off of a thick biofilm by layers with adhesive sheets revealed a stratified structure: the blue–green biofilm, around which there was serious deterioration, was very rich in Cyanobacteria near the surface and Chloroflexi in deep layer below. Nitrate ion concentrations were high in the blue–green biofilm. The characteristic distribution of bacteria at different biofilm depths provides valuable information on not only the biofilm formation process but also the sandstone weathering process in the tropics. PMID:24334526

  2. Linking Organic Matter Deposition And Iron Mineral Transformations to Groundwater Arsenic Levels in the Mekong Delta, Cambodia

    SciTech Connect

    Quicksall, A.N.; Bostick, B.C.; Sampson, M.L.

    2009-05-21

    Enriched As in drinking water wells in south and Southeast Asia has increased the risk of cancer for nearly 100 million people. This enrichment is generally attributed to the reductive dissolution of Fe oxides; however, the complex expression of As enrichment in these areas is not yet well understood. Here, the coupled sedimentological and geochemical factors that contribute to the extent and spatial distribution of groundwater As concentrations in the Mekong River delta, Cambodia in an avulsed scroll bar sequence are examined. X-Ray absorption spectroscopy (XAS) was used to determine Fe and As speciation in redox preserved sediment collected from drilled cores. Dissolved As, Fe and S solution concentrations in existing and newly drilled wells (cores) differed considerably depending on their source sedimentology. The rapid burial of organic matter in the scroll bar sequence facilitated the development of extensive Fe-reducing conditions, and As release into the aquifer. In older features organic C levels are high enough to sustain extensive Fe reduction and provide ample SO{sub 4} which is reduced to sulfide. This S reduction impacts As levels; As is sequestered in sulfide minerals outside of the scrollbar sequence, decreasing pore water concentrations. In contrast, As is depleted in sediments from the scroll sequence, and associated with elevated pore water aqueous concentrations. The concentration and form of organic C in the scrollbar sequence is related to depositional environment, and can facilitate Fe and S mineral transformations, distinct sedimentary environments explain a portion of the inherent heterogeneity of aquifer As concentrations.

  3. Ex Vivo Drug Susceptibility Testing and Molecular Profiling of Clinical Plasmodium falciparum Isolates from Cambodia from 2008 to 2013 Suggest Emerging Piperaquine Resistance.

    PubMed

    Chaorattanakawee, Suwanna; Saunders, David L; Sea, Darapiseth; Chanarat, Nitima; Yingyuen, Kritsanai; Sundrakes, Siratchana; Saingam, Piyaporn; Buathong, Nillawan; Sriwichai, Sabaithip; Chann, Soklyda; Se, Youry; Yom, You; Heng, Thay Kheng; Kong, Nareth; Kuntawunginn, Worachet; Tangthongchaiwiriya, Kuntida; Jacob, Christopher; Takala-Harrison, Shannon; Plowe, Christopher; Lin, Jessica T; Chuor, Char Meng; Prom, Satharath; Tyner, Stuart D; Gosi, Panita; Teja-Isavadharm, Paktiya; Lon, Chanthap; Lanteri, Charlotte A

    2015-08-01

    Cambodia's first-line artemisinin combination therapy, dihydroartemisinin-piperaquine (DHA-PPQ), is no longer sufficiently curative against multidrug-resistant Plasmodium falciparum malaria at some Thai-Cambodian border regions. We report recent (2008 to 2013) drug resistance trends in 753 isolates from northern, western, and southern Cambodia by surveying for ex vivo drug susceptibility and molecular drug resistance markers to guide the selection of an effective alternative to DHA-PPQ. Over the last 3 study years, PPQ susceptibility declined dramatically (geomean 50% inhibitory concentration [IC50] increased from 12.8 to 29.6 nM), while mefloquine (MQ) sensitivity doubled (67.1 to 26 nM) in northern Cambodia. These changes in drug susceptibility were significantly associated with a decreased prevalence of P. falciparum multidrug resistance 1 gene (Pfmdr1) multiple copy isolates and coincided with the timing of replacing artesunate-mefloquine (AS-MQ) with DHA-PPQ as the first-line therapy. Widespread chloroquine resistance was suggested by all isolates being of the P. falciparum chloroquine resistance transporter gene CVIET haplotype. Nearly all isolates collected from the most recent years had P. falciparum kelch13 mutations, indicative of artemisinin resistance. Ex vivo bioassay measurements of antimalarial activity in plasma indicated 20% of patients recently took antimalarials, and their plasma had activity (median of 49.8 nM DHA equivalents) suggestive of substantial in vivo drug pressure. Overall, our findings suggest DHA-PPQ failures are associated with emerging PPQ resistance in a background of artemisinin resistance. The observed connection between drug policy changes and significant reduction in PPQ susceptibility with mitigation of MQ resistance supports reintroduction of AS-MQ, in conjunction with monitoring of the P. falciparum mdr1 copy number, as a stop-gap measure in areas of DHA-PPQ failure.

  4. Ex Vivo Drug Susceptibility Testing and Molecular Profiling of Clinical Plasmodium falciparum Isolates from Cambodia from 2008 to 2013 Suggest Emerging Piperaquine Resistance.

    PubMed

    Chaorattanakawee, Suwanna; Saunders, David L; Sea, Darapiseth; Chanarat, Nitima; Yingyuen, Kritsanai; Sundrakes, Siratchana; Saingam, Piyaporn; Buathong, Nillawan; Sriwichai, Sabaithip; Chann, Soklyda; Se, Youry; Yom, You; Heng, Thay Kheng; Kong, Nareth; Kuntawunginn, Worachet; Tangthongchaiwiriya, Kuntida; Jacob, Christopher; Takala-Harrison, Shannon; Plowe, Christopher; Lin, Jessica T; Chuor, Char Meng; Prom, Satharath; Tyner, Stuart D; Gosi, Panita; Teja-Isavadharm, Paktiya; Lon, Chanthap; Lanteri, Charlotte A

    2015-08-01

    Cambodia's first-line artemisinin combination therapy, dihydroartemisinin-piperaquine (DHA-PPQ), is no longer sufficiently curative against multidrug-resistant Plasmodium falciparum malaria at some Thai-Cambodian border regions. We report recent (2008 to 2013) drug resistance trends in 753 isolates from northern, western, and southern Cambodia by surveying for ex vivo drug susceptibility and molecular drug resistance markers to guide the selection of an effective alternative to DHA-PPQ. Over the last 3 study years, PPQ susceptibility declined dramatically (geomean 50% inhibitory concentration [IC50] increased from 12.8 to 29.6 nM), while mefloquine (MQ) sensitivity doubled (67.1 to 26 nM) in northern Cambodia. These changes in drug susceptibility were significantly associated with a decreased prevalence of P. falciparum multidrug resistance 1 gene (Pfmdr1) multiple copy isolates and coincided with the timing of replacing artesunate-mefloquine (AS-MQ) with DHA-PPQ as the first-line therapy. Widespread chloroquine resistance was suggested by all isolates being of the P. falciparum chloroquine resistance transporter gene CVIET haplotype. Nearly all isolates collected from the most recent years had P. falciparum kelch13 mutations, indicative of artemisinin resistance. Ex vivo bioassay measurements of antimalarial activity in plasma indicated 20% of patients recently took antimalarials, and their plasma had activity (median of 49.8 nM DHA equivalents) suggestive of substantial in vivo drug pressure. Overall, our findings suggest DHA-PPQ failures are associated with emerging PPQ resistance in a background of artemisinin resistance. The observed connection between drug policy changes and significant reduction in PPQ susceptibility with mitigation of MQ resistance supports reintroduction of AS-MQ, in conjunction with monitoring of the P. falciparum mdr1 copy number, as a stop-gap measure in areas of DHA-PPQ failure. PMID:26014942

  5. Ex Vivo Drug Susceptibility Testing and Molecular Profiling of Clinical Plasmodium falciparum Isolates from Cambodia from 2008 to 2013 Suggest Emerging Piperaquine Resistance

    PubMed Central

    Chaorattanakawee, Suwanna; Saunders, David L.; Sea, Darapiseth; Chanarat, Nitima; Yingyuen, Kritsanai; Sundrakes, Siratchana; Saingam, Piyaporn; Buathong, Nillawan; Sriwichai, Sabaithip; Chann, Soklyda; Se, Youry; Yom, You; Heng, Thay Kheng; Kong, Nareth; Kuntawunginn, Worachet; Tangthongchaiwiriya, Kuntida; Jacob, Christopher; Takala-Harrison, Shannon; Plowe, Christopher; Lin, Jessica T.; Chuor, Char Meng; Prom, Satharath; Tyner, Stuart D.; Gosi, Panita; Teja-Isavadharm, Paktiya; Lon, Chanthap

    2015-01-01

    Cambodia's first-line artemisinin combination therapy, dihydroartemisinin-piperaquine (DHA-PPQ), is no longer sufficiently curative against multidrug-resistant Plasmodium falciparum malaria at some Thai-Cambodian border regions. We report recent (2008 to 2013) drug resistance trends in 753 isolates from northern, western, and southern Cambodia by surveying for ex vivo drug susceptibility and molecular drug resistance markers to guide the selection of an effective alternative to DHA-PPQ. Over the last 3 study years, PPQ susceptibility declined dramatically (geomean 50% inhibitory concentration [IC50] increased from 12.8 to 29.6 nM), while mefloquine (MQ) sensitivity doubled (67.1 to 26 nM) in northern Cambodia. These changes in drug susceptibility were significantly associated with a decreased prevalence of P. falciparum multidrug resistance 1 gene (Pfmdr1) multiple copy isolates and coincided with the timing of replacing artesunate-mefloquine (AS-MQ) with DHA-PPQ as the first-line therapy. Widespread chloroquine resistance was suggested by all isolates being of the P. falciparum chloroquine resistance transporter gene CVIET haplotype. Nearly all isolates collected from the most recent years had P. falciparum kelch13 mutations, indicative of artemisinin resistance. Ex vivo bioassay measurements of antimalarial activity in plasma indicated 20% of patients recently took antimalarials, and their plasma had activity (median of 49.8 nM DHA equivalents) suggestive of substantial in vivo drug pressure. Overall, our findings suggest DHA-PPQ failures are associated with emerging PPQ resistance in a background of artemisinin resistance. The observed connection between drug policy changes and significant reduction in PPQ susceptibility with mitigation of MQ resistance supports reintroduction of AS-MQ, in conjunction with monitoring of the P. falciparum mdr1 copy number, as a stop-gap measure in areas of DHA-PPQ failure. PMID:26014942

  6. Cost of dengue and other febrile illnesses to households in rural Cambodia: a prospective community-based case-control study

    PubMed Central

    Huy, Rekol; Wichmann, Ole; Beatty, Mark; Ngan, Chantha; Duong, Socheat; Margolis, Harold S; Vong, Sirenda

    2009-01-01

    Background The average annual reported dengue incidence in Cambodia is 3.3/1,000 among children < 15 years of age (2002–2007). To estimate the economic burden of dengue, accurate cost-of-illness data are essential. We conducted a prospective, community-based, matched case-control study to assess the cost and impact of an episode of dengue fever and other febrile illness on households in rural Cambodia. Methods In 2006, active fever surveillance was conducted among a cohort of 6,694 children aged ≤ 15 years in 16 villages in Kampong Cham province, Cambodia. Subsequently, a case-control study was performed by individually assigning one non-dengue febrile control from the cohort to each laboratory-confirmed dengue case. Parents of cases and controls were interviewed using a standardized questionnaire to determine household-level, illness-related expenditures for medical and non-medical costs, and estimated income loss (see Additional file 1). The household socio-economic status was determined and its possible association with health seeking behaviour and the ability to pay for the costs of a febrile illness. Results Between September and November 2006, a total of 60 household heads were interviewed: 30 with dengue-positive and 30 with dengue-negative febrile children. Mean total dengue-related costs did not differ from those of other febrile illnesses (31.5 vs. 27.2 US$, p = 0.44). Hospitalization almost tripled the costs of dengue (from 14.3 to 40.1 US$) and doubled the costs of other febrile illnesses (from 17.0 to 36.2 US$). To finance the cost of a febrile illness, 67% of households incurred an average debt of 23.5 US$ and higher debt was associated with hospitalization compared to outpatient treatment (US$ 23.1 vs. US$ 4.5, p < 0.001). These costs compared to an average one-week expenditure on food of US$ 9.5 per household (range 2.5–21.3). In multivariate analysis, higher socio-economic status (odds ratio [OR] 4.4; 95% confidence interval [CI] 1.4–13

  7. Description and DNA barcoding of Crematogaster fraxatrix Forel, 1911 and two new closely related species from Cambodia and Indonesia (Hymenoptera, Formicidae)

    PubMed Central

    Hosoishi, Shingo; Ogata, Kazuo

    2014-01-01

    Abstract Crematogaster fraxatrix Forel, 1911 and two new species, C. chhangi sp. n. and C. simboloni sp. n., are described from Cambodia and Indonesia, respectively. DNA sequences were generated for C. fraxarix and the two newly described species using 3 amplications of two regions of the mitochondrial gene COI with a total of 1129 bp. The mean interspecific divergences are 9.4% and 23.5% for C. fraxatrix vs. C. chhangi, C. simboloni, respectively. DNA sequences reveal that C. simboloni is found to be genetically distinct from the other two species, but C. chhangi is not distinct from C. fraxatrix. PMID:24493965

  8. Prevalence and distribution of beta-lactamase coding genes in third-generation cephalosporin-resistant Enterobacteriaceae from bloodstream infections in Cambodia.

    PubMed

    Vlieghe, E R; Huang, T-D; Phe, T; Bogaerts, P; Berhin, C; De Smet, B; Peetermans, W E; Jacobs, J A; Glupczynski, Y

    2015-06-01

    Resistance to third-generation cephalosporins in Gram-negative bacteria is emerging in Asia. We report the prevalence and distribution of extended-spectrum beta-lactamase (ESBL), AmpC beta-lactamase and carbapenemase-coding genes in cefotaxime-resistant Enterobacteriaceae isolates from bloodstream infections (BSI) in Cambodia. All Enterobacteriaceae isolated from BSI in adult patients at Sihanouk Hospital Centre of HOPE, Phnom Penh, Cambodia (2007-2010) were assessed. Antimicrobial susceptibility testing was carried out by disc diffusion and MicroScan according to Clinical and Laboratory Standards Institute (CLSI) guidelines. Screening for ESBL, plasmidic AmpC and carbapenemase-coding genes was performed by multiplex polymerase chain reaction (PCR) sequencing assays. Identification of the ST131 clone was performed in all CTX-M-positive Escherichia coli, using PCR targeting the papB gene. Out of 183 Enterobacteriaceae, 91 (49.7 %) isolates (84 BSI episodes) were cefotaxime-resistant: E. coli (n = 68), Klebsiella pneumoniae (n = 17) and Enterobacter spp. (n = 6). Most episodes were community-acquired (66/84; 78.3 %). ESBLs were present in 89/91 (97.8 %) cefotaxime-resistant isolates: 86 (96.6 %) were CTX-M, mainly CTX-M-15 (n = 41) and CTX-M-14 (n = 21). CTX-M of group 1 were frequently associated with TEM and/or OXA-1/30 coding genes and with phenotypic combined resistance to ciprofloxacin, sulphamethoxazole-trimethoprim and gentamicin (39/50, 78.0 %). Plasmidic AmpC (CMY-2 and DHA-1 types) were found alone (n = 2) or in combination with ESBL (n = 4). Eighteen E. coli isolates were identified as B2-ST131-O25B: 11 (61.1 %) carried CTX-M-14. No carbapenemase-coding genes were detected. ESBL among Enterobacteriaceae from BSI in Cambodia is common, mainly associated with CTX-M-15 and CTX-M-14. These findings warrant urgent action for the containment of antibiotic resistance in Cambodia.

  9. Mapping and Characterizing Selected Canopy Tree Species at the Angkor World Heritage Site in Cambodia Using Aerial Data

    PubMed Central

    Singh, Minerva; Evans, Damian; Tan, Boun Suy; Nin, Chan Samean

    2015-01-01

    At present, there is very limited information on the ecology, distribution, and structure of Cambodia’s tree species to warrant suitable conservation measures. The aim of this study was to assess various methods of analysis of aerial imagery for characterization of the forest mensuration variables (i.e., tree height and crown width) of selected tree species found in the forested region around the temples of Angkor Thom, Cambodia. Object-based image analysis (OBIA) was used (using multiresolution segmentation) to delineate individual tree crowns from very-high-resolution (VHR) aerial imagery and light detection and ranging (LiDAR) data. Crown width and tree height values that were extracted using multiresolution segmentation showed a high level of congruence with field-measured values of the trees (Spearman’s rho 0.782 and 0.589, respectively). Individual tree crowns that were delineated from aerial imagery using multiresolution segmentation had a high level of segmentation accuracy (69.22%), whereas tree crowns delineated using watershed segmentation underestimated the field-measured tree crown widths. Both spectral angle mapper (SAM) and maximum likelihood (ML) classifications were applied to the aerial imagery for mapping of selected tree species. The latter was found to be more suitable for tree species classification. Individual tree species were identified with high accuracy. Inclusion of textural information further improved species identification, albeit marginally. Our findings suggest that VHR aerial imagery, in conjunction with OBIA-based segmentation methods (such as multiresolution segmentation) and supervised classification techniques are useful for tree species mapping and for studies of the forest mensuration variables. PMID:25902148

  10. Impact of payments for environmental services and protected areas on local livelihoods and forest conservation in northern Cambodia.

    PubMed

    Clements, Tom; Milner-Gulland, E J

    2015-02-01

    The potential impacts of payments for environmental services (PES) and protected areas (PAs) on environmental outcomes and local livelihoods in developing countries are contentious and have been widely debated. The available evidence is sparse, with few rigorous evaluations of the environmental and social impacts of PAs and particularly of PES. We measured the impacts on forests and human well-being of three different PES programs instituted within two PAs in northern Cambodia, using a panel of intervention villages and matched controls. Both PES and PAs delivered additional environmental outcomes relative to the counterfactual: reducing deforestation rates significantly relative to controls. PAs increased security of access to land and forest resources for local households, benefiting forest resource users but restricting households' ability to expand and diversify their agriculture. The impacts of PES on household well-being were related to the magnitude of the payments provided. The two higher paying market-linked PES programs had significant positive impacts, whereas a lower paying program that targeted biodiversity protection had no detectable effect on livelihoods, despite its positive environmental outcomes. Households that signed up for the higher paying PES programs, however, typically needed more capital assets; hence, they were less poor and more food secure than other villagers. Therefore, whereas the impacts of PAs on household well-being were limited overall and varied between livelihood strategies, the PES programs had significant positive impacts on livelihoods for those that could afford to participate. Our results are consistent with theories that PES, when designed appropriately, can be a powerful new tool for delivering conservation goals whilst benefiting local people. PMID:25492724

  11. Impacts on rural livelihoods in Cambodia following adoption of best practice health and husbandry interventions by smallholder cattle farmers.

    PubMed

    Young, J R; O'Reilly, R A; Ashley, K; Suon, S; Leoung, I V; Windsor, P A; Bush, R D

    2014-08-01

    To better understand how smallholder farmers whom own the majority of Cambodian cattle can contribute to efforts to address food security needs in the Mekong region, a five-year research project investigating methods to improve cattle health and husbandry practices was conducted. Cattle production in Cambodia is constrained by transboundary animal diseases (TADs) including foot-and-mouth disease (FMD) and haemorrhagic septicaemia (HS) plus poor nutrition, reproduction and marketing knowledge. The project worked in six villages in Kandal, Takeo and Kampong Cham province during 2007-12. Farmers from three 'high intervention' (HI) villages incrementally received a participatory extension programme that included FMD and HS vaccination, forage development and husbandry training. Evaluation of project impacts on livelihoods was facilitated by comparison with three 'low intervention' (LI) villages where farmers received vaccinations only. Results of knowledge, attitude and practice (KAP) and socio-economic surveys conducted in 2012 of 120 participating farmers identified that farmer knowledge in the HI project sites exceeded LI sites on the topics of biosecurity, internal parasites, nutrition and reproduction. HI farmers adopted biosecurity practices including a willingness to vaccinate for FMD and HS at their own cost, separate sick from healthy cattle, grow and feed forages and displayed awareness of the benefits of building fattening pens. HI farmers that grew forages observed time savings exceeding two hours per day each for men, women and children, enabling expansion of farm enterprises, secondary employment and children's schooling. Logistic regression analysis revealed that farmers in the HI group significantly increased annual household income (P < 0.001), with 53% reporting an increase of 100% or more. We conclude that improving smallholder KAP of cattle health and production can lead to improved livelihoods. This strategy should be of interest to policymakers

  12. How to reach the poor? Surveillance in low-income countries, lessons from experiences in Cambodia and Madagascar.

    PubMed

    Goutard, F L; Binot, A; Duboz, R; Rasamoelina-Andriamanivo, H; Pedrono, M; Holl, D; Peyre, M I; Cappelle, J; Chevalier, V; Figuié, M; Molia, S; Roger, F L

    2015-06-01

    Surveillance of animal diseases in developing countries faces many constraints. Innovative tools and methods to enhance surveillance in remote and neglected areas should be defined, assessed and applied in close connection with local farmers, national stakeholders and international agencies. The authors performed a narrative synthesis of their own publications about surveillance in Madagascar and Cambodia. They analysed the data in light of their fieldwork experiences in the two countries' very challenging environments. The burden of animal and zoonotic diseases (e.g. avian influenza, African swine fever, Newcastle disease, Rift Valley fever) is huge in both countries which are among the poorest in the world. Being poor countries implies a lack of human and financial means to ensure effective surveillance of emerging and endemic diseases. Several recent projects have shown that new approaches can be proposed and tested in the field. Several advanced participatory approaches are promising and could be part of an innovative method for improving the dialogue among different actors in a surveillance system. Thus, participatory modelling, developed for natural resources management involving local stakeholders, could be applied to health management, including surveillance. Data transmission could benefit from the large mobile-phone coverage in these countries. Ecological studies and advances in the field of livestock surveillance should guide methods for enhancing wildlife monitoring and surveillance. Under the umbrella of the One Health paradigm, and in the framework of a risk-based surveillance concept, a combination of participatory methods and modern technologies could help to overcome the constraints present in low-income countries. These unconventional approaches should be merged in order to optimise surveillance of emerging and endemic diseases in challenging environments.

  13. Mid- to Late Holocene (5-3 ka) Origin of the Modern Tonle Sap Lake System, Cambodia

    NASA Astrophysics Data System (ADS)

    Day, M.; Hodell, D. A.; Brenner, M.; Curtis, J. H.; Kamenov, G. D.; Peterson, L. C.; Guilderson, T. P.; Kolata, A. L.

    2008-12-01

    As Southeast Asia's largest lake, Tonle Sap plays a crucial role in Cambodia's culture and ecology. The lake provides a habitat for >500 fish species and is one of the most productive inland fisheries in the world. It is a vital protein source that nourishes Cambodians today and helped to sustain the ancient Angkorian Empire. The Mekong River plays a key role in driving the productivity of Tonle Sap by injecting nutrients into the lake during the annual flood pulse. The Mekong is linked to the lake today by the Tonle Sap River, which provides a pathway for monsoon floodwaters to flow into the lake during the region's rainy monsoon season. During the dry season, flow through the Tonle Sap River reverses, and the lake drains back into the Mekong. The history of the connection between the Tonle Sap and Mekong River remains uncertain. In order to determine the provenance of sediments in the Tonle Sap lake basin, we measured Sr and Nd isotope ratios (87Sr/86Sr and ɛNd respectively) of a sediment core taken from the southeastern end of the lake. An upcore increase in 87Sr/86Sr and decrease in ɛNd towards isotopic values indicative of sediment input from the Mekong River suggests that the link between Tonle Sap and the Mekong River was established ~5-3 14C yr BP. The paleolimnological record may provide insight into the environmental conditions of Lake Tonle Sap Lake prior to its connection with the Mekong. The ancient lake may serve as an analog for a future Tonle Sap ecosystem in which the annual flood pulse, and associated nutrient input, is dampened or eliminated by damming of the Mekong River.

  14. The geomorphological characteristics of the Mekong River in northern Cambodia: A mixed bedrock-alluvial multi-channel network

    NASA Astrophysics Data System (ADS)

    Meshkova, Liubov V.; Carling, Paul A.

    2012-04-01

    The controls on the development of channel morphology of bedrock-constrained rivers are poorly known. The relative importance of lithological and structural control on channel alignment and character in comparison with the role of hydraulic erosion of the substratum is unclear. In addition, bedrock rivers often have a variable sediment fill and can be described as mixed bedrock-alluvial systems. The Mekong River in northern Cambodia is an anastomosed mixed bedrock-alluvial channel, but little and poorly researched. In this paper information has been gathered from diverse literature sources; digital data sets showing topography, hydrology, geology and land cover; past aerial photographs; and maps. Such data, together with field survey, provide a clear picture of the Mekong River in this region. The channels may be classified into three types: primary, secondary, cross channels. The varying characteristics of these three help towards understanding the evolution of the modern Mekong. Similarly the two-fold classification of the islands reveals the relationship between island inundation characteristics and the annual monsoon flood cycle. The associated riparian vegetation ecotones include a rare and unusual seasonally-inundated forest. Spatial variations in lithology and structure, when combined with maps of river networks, reveals that the channel alignments locally reflect the geological factors that cause the regional topographical gradient. Fault-line constraints on the local slopes of the channel may induce backwater effects and consequent sedimentation patterns (alluvial overprints) or alternatively, steepening of the channels with concomitant reduction in sedimentation. These structural constraints, taken together, lead to the identification of a mixed bedrock-alluvial five-fold geomorphological zonation within the study area. The general absence of paleochannels, and terraces close to the modern river, indicates that the Mekong is laterally stable with a

  15. Inter- and intra-annual variations of transpiration at a rubber stand in lowland of central Cambodia

    NASA Astrophysics Data System (ADS)

    Kobayashi, Nakako; Kumagai, Tomo'omi; Miyazawa, Yoshiyuki; Matsumoto, Kazuho; Tateishi, Makiko; Tiva, Lim Khan; Mudd, Ryan; Giambelluca, Thomas; Song, Yin

    2013-04-01

    In Southeast Asia, rubber plantation is rapidly expanding, and thus understanding the level of water consumption and tree physiology is a matter of importance to know the impacts on the local hydrology. Intra- and inter-annual variations in transpiration rate (Et) at a rubber stand, growing in lowland of central Cambodia, were examined during two years based on sap flow measurements. As for seasonality, Et was generally large in the rainy season and small in the dry season, showing sharp short-time drop in synchronization with the shedding in late January. Daily stand Et was ~ 2.0 mm day-1 in 2010 and ~ 2.4 mm day-1 in 2011 at the maximum. An analysis of non-linear multiple regression for the canopy conductance (gc) in the two years showed that the stomatal response of rubber trees was well explained by the changes in solar radiation, vapour pressure deficit, soil moisture availability, leaf area, and tree diameter. Sensitivity of gc to the atmospheric drought indicates isohydric behavior of rubber trees, while the same analysis for each year showed possibility of change in leaf characteristics due to tree maturity and/or initiation of latex tapping. The best fit model also predicted relatively small sensitivity of gc to the soil moisture deficit and rapid decrease in gc under extreme drought conditions. Annual stand Et estimated with the gc obtained in the present analysis was 469 mm yr-1 in 2010, while it increased up to 658 mm yr-1 in 2011. To find out the most important environmental variables, we examined the effect of each variable by keeping the others unchanged. This hypothesis analysis showed that in the young rubber stand which were growing very rapidly, inter-annual change of stand Et was determined mainly by the tree growth rate, not by the change of surrounding environments in the air and the soil.

  16. Impact of payments for environmental services and protected areas on local livelihoods and forest conservation in northern Cambodia.

    PubMed

    Clements, Tom; Milner-Gulland, E J

    2015-02-01

    The potential impacts of payments for environmental services (PES) and protected areas (PAs) on environmental outcomes and local livelihoods in developing countries are contentious and have been widely debated. The available evidence is sparse, with few rigorous evaluations of the environmental and social impacts of PAs and particularly of PES. We measured the impacts on forests and human well-being of three different PES programs instituted within two PAs in northern Cambodia, using a panel of intervention villages and matched controls. Both PES and PAs delivered additional environmental outcomes relative to the counterfactual: reducing deforestation rates significantly relative to controls. PAs increased security of access to land and forest resources for local households, benefiting forest resource users but restricting households' ability to expand and diversify their agriculture. The impacts of PES on household well-being were related to the magnitude of the payments provided. The two higher paying market-linked PES programs had significant positive impacts, whereas a lower paying program that targeted biodiversity protection had no detectable effect on livelihoods, despite its positive environmental outcomes. Households that signed up for the higher paying PES programs, however, typically needed more capital assets; hence, they were less poor and more food secure than other villagers. Therefore, whereas the impacts of PAs on household well-being were limited overall and varied between livelihood strategies, the PES programs had significant positive impacts on livelihoods for those that could afford to participate. Our results are consistent with theories that PES, when designed appropriately, can be a powerful new tool for delivering conservation goals whilst benefiting local people.

  17. How to reach the poor? Surveillance in low-income countries, lessons from experiences in Cambodia and Madagascar.

    PubMed

    Goutard, F L; Binot, A; Duboz, R; Rasamoelina-Andriamanivo, H; Pedrono, M; Holl, D; Peyre, M I; Cappelle, J; Chevalier, V; Figuié, M; Molia, S; Roger, F L

    2015-06-01

    Surveillance of animal diseases in developing countries faces many constraints. Innovative tools and methods to enhance surveillance in remote and neglected areas should be defined, assessed and applied in close connection with local farmers, national stakeholders and international agencies. The authors performed a narrative synthesis of their own publications about surveillance in Madagascar and Cambodia. They analysed the data in light of their fieldwork experiences in the two countries' very challenging environments. The burden of animal and zoonotic diseases (e.g. avian influenza, African swine fever, Newcastle disease, Rift Valley fever) is huge in both countries which are among the poorest in the world. Being poor countries implies a lack of human and financial means to ensure effective surveillance of emerging and endemic diseases. Several recent projects have shown that new approaches can be proposed and tested in the field. Several advanced participatory approaches are promising and could be part of an innovative method for improving the dialogue among different actors in a surveillance system. Thus, participatory modelling, developed for natural resources management involving local stakeholders, could be applied to health management, including surveillance. Data transmission could benefit from the large mobile-phone coverage in these countries. Ecological studies and advances in the field of livestock surveillance should guide methods for enhancing wildlife monitoring and surveillance. Under the umbrella of the One Health paradigm, and in the framework of a risk-based surveillance concept, a combination of participatory methods and modern technologies could help to overcome the constraints present in low-income countries. These unconventional approaches should be merged in order to optimise surveillance of emerging and endemic diseases in challenging environments. PMID:25842000

  18. Immunity to polio, measles and rubella in women of child-bearing age and estimated congenital rubella syndrome incidence, Cambodia, 2012.

    PubMed

    Mao, B; Chheng, K; Wannemuehler, K; Vynnycky, E; Buth, S; Soeung, S C; Reef, S; Weldon, W; Quick, L; Gregory, C J

    2015-07-01

    Significant gaps in immunity to polio, measles, and rubella may exist in adults in Cambodia and threaten vaccine-preventable disease (VPD) elimination and control goals, despite high childhood vaccination coverage. We conducted a nationwide serological survey during November-December 2012 of 2154 women aged 15-39 years to assess immunity to polio, measles, and rubella and to estimate congenital rubella syndrome (CRS) incidence. Measles and rubella antibodies were detected by IgG ELISA and polio antibodies by microneutralization testing. Age-structured catalytic models were fitted to rubella serological data to predict CRS cases. Overall, 29.8% of women lacked immunity to at least one poliovirus (PV); seroprevalence to PV1, PV2 and PV3 was 85.9%, 93.4% and 83.3%, respectively. Rubella and measles antibody seroprevalence was 73.3% and 95.9%, respectively. In the 15-19 years age group, 48.2% [95% confidence interval (CI) 42.4-54.1] were susceptible to either PV1 or PV3, and 40.3% (95% CI 33.0-47.5) to rubella virus. Based on rubella antibody seroprevalence, we estimate that >600 infants are born with CRS in Cambodia annually. Significant numbers of Cambodian women are still susceptible to polio and rubella, especially those aged 15-19 years, emphasizing the need to include adults in VPD surveillance and a potential role for vaccination strategies targeted at adults.

  19. Immunity to polio, measles and rubella in women of child-bearing age and estimated congenital rubella syndrome incidence, Cambodia, 2012.

    PubMed

    Mao, B; Chheng, K; Wannemuehler, K; Vynnycky, E; Buth, S; Soeung, S C; Reef, S; Weldon, W; Quick, L; Gregory, C J

    2015-07-01

    Significant gaps in immunity to polio, measles, and rubella may exist in adults in Cambodia and threaten vaccine-preventable disease (VPD) elimination and control goals, despite high childhood vaccination coverage. We conducted a nationwide serological survey during November-December 2012 of 2154 women aged 15-39 years to assess immunity to polio, measles, and rubella and to estimate congenital rubella syndrome (CRS) incidence. Measles and rubella antibodies were detected by IgG ELISA and polio antibodies by microneutralization testing. Age-structured catalytic models were fitted to rubella serological data to predict CRS cases. Overall, 29.8% of women lacked immunity to at least one poliovirus (PV); seroprevalence to PV1, PV2 and PV3 was 85.9%, 93.4% and 83.3%, respectively. Rubella and measles antibody seroprevalence was 73.3% and 95.9%, respectively. In the 15-19 years age group, 48.2% [95% confidence interval (CI) 42.4-54.1] were susceptible to either PV1 or PV3, and 40.3% (95% CI 33.0-47.5) to rubella virus. Based on rubella antibody seroprevalence, we estimate that >600 infants are born with CRS in Cambodia annually. Significant numbers of Cambodian women are still susceptible to polio and rubella, especially those aged 15-19 years, emphasizing the need to include adults in VPD surveillance and a potential role for vaccination strategies targeted at adults. PMID:25373419

  20. Gamma-rays attenuation of zircons from Cambodia and South Africa at different energies: A new technique for identifying the origin of gemstone

    NASA Astrophysics Data System (ADS)

    Limkitjaroenporn, P.; Kaewkhao, J.

    2014-10-01

    In this work, the gamma-rays interaction properties of zircons from Cambodia and South Africa have been studied. The densities of Cambodian and South African's zircons are 4.6716±0.0040 g/cm3 and 4.5505±0.0018 g/cm3, respectively. The mass attenuation coefficient and the effective atomic number of gemstones were measured with the gamma-ray in energies range 223-662 keV using the Compton scattering technique. The mass attenuation coefficients of both zircons decreased with the increasing of gamma-rays energies. The different mass attenuation coefficients between the two zircons observed at gamma-ray energies below 400 keV are attributed to the differences in the photoelectric interaction. The effective atomic number of zircons was decreased with the increasing of gamma-ray energies and showed totally different values between the Cambodia and South Africa sources. The origins of the two zircons could be successfully identified by the method based on gamma-rays interaction with matter with advantage of being a non-destructive testing.

  1. Precise Visualization Method for Cultural Heritage-The Case of High-Resolution Read Relief Image Map Used for Study of Royal City of Angkor Thom, Cambodia

    NASA Astrophysics Data System (ADS)

    Chiba, T.; Shimoda, I.; Haraguchi, T.; Shimoda, M.

    2016-06-01

    To precisely visualize the Royal City of Angkor Thom, Cambodia, we used a new method in field of cultural heritage study. Read Relief Image Map (RRIM, Chiba et al., 2008) is a powerful method which has been used for geomorphological studies. In this study, using the LiDAR data conducted at the Angkor Archaeological Park in Cambodia in April 2012 (Evans et al., 2013), we visualized the Royal City of Angkor Thom and its vicinity (Shimoda et al., 2016). The RRIM provided a new visualization method of localizing, minute topographical changes in regions with large undulations over a wide area. It has proved to be effective in mapping, on a single wide-area map, the numerous buried remains that exist as comparable height differences or minute undulations measuring less than 1 meter in height, and provides a unique aerial view of their widespread distribution. Based on the RRIM map, past archaeological studies were referenced to reconstruct the layout of the water channel network system. Past studies revealed that a large number of ponds had been dug inside Angkor Thom. The RRIM expanded the investigation and revealed the existence of many ponds outside the royal capital indicating that a residential community had flourished outside the moat surrounded capital city.

  2. High compliance randomized controlled field trial of solar disinfection of drinking water and its impact on childhood diarrhea in rural Cambodia.

    PubMed

    McGuigan, Kevin G; Samaiyar, Priyajit; du Preez, Martella; Conroy, Ronán M

    2011-09-15

    Recent solar disinfection (SODIS) studies in Bolivia and South Africa have reported compliance rates below 35% resulting in no overall statistically significant benefit associated with disease rates. In this study, we report the results of a 1 year randomized controlled trial investigating the effect of SODIS of drinking water on the incidence of dysentery and nondysentery diarrhea among children of age 6 months to 5 years living in rural communities in Cambodia. We compared 426 children in 375 households using SODIS with 502 children in 407 households with no intervention. Study compliance was greater than 90% with only 5% of children having less than 10 months of follow-up and 2.3% having less than 6 months. Adjusted for water source type, children in the SODIS group had a reduced incidence of dysentery, with an incidence rate ratio (IRR) of 0.50 (95% CI 0.27-0.93, p = 0.029). SODIS also had a protective effect against nondysentery diarrhea, with an IRR of 0.37 (95% CI 0.29-0.48, p < 0.001). This study suggests strongly that SODIS is an effective and culturally acceptable point-of-use water treatment method in the culture of rural Cambodia and may be of benefit among similar communities in neighboring South East Asian countries.

  3. Conflicting Rights: How the Prohibition of Human Trafficking and Sexual Exploitation Infringes the Right to Health of Female Sex Workers in Phnom Penh, Cambodia.

    PubMed

    Maher, Lisa; Dixon, Thomas; Phlong, Pisith; Mooney-Somers, Julie; Stein, Ellen; Page, Kimberly

    2015-01-01

    While repressive laws and policies in relation to sex work have the potential to undermine HIV prevention efforts, empirical research on their interface has been lacking. In 2008, Cambodia introduced antitrafficking legislation ostensibly designed to suppress human trafficking and sexual exploitation. Based on empirical research with female sex workers, this article examines the impact of the new law on vulnerability to HIV and other adverse health outcomes. Following the introduction of the law, sex workers reported being displaced to streets and guesthouses, impacting their ability to negotiate safe sex and increasing exposure to violence. Disruption of peer networks and associated mobility also reduced access to outreach, condoms, and health care. Our results are consistent with a growing body of research which associates the violation of sex workers' human rights with adverse public health outcomes. Despite the successes of the last decade, Cambodia's AIDS epidemic remains volatile and the current legal environment has the potential to undermine prevention efforts by promoting stigma and discrimination, impeding prevention uptake and coverage, and increasing infections. Legal and policy responses which seek to protect the rights of the sexually exploited should not infringe the right to health of sex workers. PMID:26204575

  4. What health service support do families need for optimal breastfeeding? An in-depth exploration of young infant feeding practices in Cambodia

    PubMed Central

    Bazzano, Alessandra N; Oberhelman, Richard A; Potts, Kaitlin Storck; Taub, Leah D; Var, Chivorn

    2015-01-01

    Background Appropriate and timely breastfeeding practices markedly improve lifelong health outcomes for newborns, children, and mothers. Exclusive breastfeeding is reported to be widely practiced in Cambodia, and important progress has been made toward achieving improved child health outcomes, but newborn mortality has been slow to reduce and breastfeeding practices remain suboptimal. Methods Formative research was conducted in Takeo province, Cambodia to describe the practical, cultural, and social factors underlying current breastfeeding behaviors to inform the design of a newborn survival intervention that may improve breastfeeding. In-depth interviews, observations, a collection of visual media, and focus groups were employed to gather qualitative data. Results The results revealed knowledge and practice gaps in behavior that likely contribute to breastfeeding barriers, particularly in the areas of infant latch, milk production, feeding frequency, and the use of breast milk substitutes. The predominant theme identified in the research was a dearth of detailed information, advice, and counseling for mothers beyond the message to exclusively breastfeed for 6 months. Conclusion Future newborn survival interventions and postnatal care counseling in this area must go beyond the exclusive breastfeeding message. To achieve further impact, it will be necessary to disseminate comprehensive and locally appropriate information on breastfeeding and to improve counseling in order to support successful breastfeeding and to contribute to population-level health gains. PMID:25733931

  5. Toward a typology of health-related informal credit: an exploration of borrowing practices for paying for health care by the poor in Cambodia

    PubMed Central

    2012-01-01

    Background Borrowing money is a common strategy to cope with health care costs. The impact of borrowing on households can be severe, leading to indebtedness and further impoverishment. However, the available literature on borrowing practices for health is limited. We explore borrowing practices for paying for health care by the poor in Cambodia and provide a typology, associated conditions, and the extent of the phenomenon. Methods In addition to a semi-structured literature review, in-depth interviews were conducted with representatives of 47 households with health-related debt and 19 managers of formal or informal credit schemes. Results A large proportion of Cambodians, especially the poor, resort to borrowing to meet the cost of health care. Because of limited cash flow and access to formal creditors, the majority take out loans with high interest rates from informal money lenders. The most common type of informal credit is locally known as Changkar and consists of five kinds of loans: short-term loans, medium-term loans, seasonal loans, loans for an unspecified period, and loans with repayment in labour, each with different lending and repayment conditions and interest rates. Conclusion This study suggests the importance of informal credit for coping with the cost of treatment and its potentially negative impact on the livelihood of Cambodian people. We provide directions for further studies on financial protection interventions to mitigate harmful borrowing practices to pay for health care in Cambodia. PMID:23134845

  6. Renewable Energy Applied Partnerships (REAP) Act

    THOMAS, 112th Congress

    Rep. Hirono, Mazie K. [D-HI-2

    2011-01-12

    02/25/2011 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  7. Molten metal processes reap profit from waste

    SciTech Connect

    Mather, R.; Steckler, D.; Kimmel, S.; Tanner, A.

    1996-05-01

    Over the past few years, a new tool has been added to the waste-processing arsenal. The use of a reactor filled with molten metal has been proven for dissociating a wide range of organic, organometallic, metallic and inorganic wastes into their constituent elements. Such reactors allow users to manipulate the solution chemistry and operating conditions inside, to reconfigure the dissociated elements into useful products, such as synthesis gas (hydrogen and carbon monoxide), HCl, metal alloys and ceramics, while ensuring high levels of environmental performance. A commercial-scale, molten metal processing unit is being constructed at Hoechst Celanese Corp.`s Bay City, Tex., chemical manufacturing plant. The unit with an estimated capital cost of $25 million, will be constructed, owned and operated by Molten Metal Technology, Inc., and will use MMT`s Catalytic Extraction processing. Once online, the facility will process wastes from Hoechst Celanese`s Gulf Coast plants and from other nearby chemical manufacturers. In addition to processing wastes, the facility will generate a syngas product that will be used onsite as a raw material during chemical manufacturing. Presented are the results of commercial-scale demonstrations using a prototype molten metal reactor for a wide range of industrial waste streams.

  8. Rigor and Vigor: Three Schools Reap Results.

    ERIC Educational Resources Information Center

    Roberts, Marnie

    1999-01-01

    Describes the challenging, award-winning programs at high schools: Sussex Technical High School in Georgetown, Delaware; William H. Turner Technical Arts High School in Miami; and Michael E. DeBakey High School for the Health Professions in Houston. Explains how they combine rigorous academic coursework with career and technical education. (JOW)

  9. Perioperative antibiotic process improvement reaps rewards.

    PubMed

    Fahy, Brenda G; Bowe, Edwin A; Conigliaro, Joseph

    2011-01-01

    Recent health care improvement initiatives have linked financial payments to compliance with predetermined performance measures. This article reports the effect of a unique prophylactic antibiotic use program on compliance rates and costs. The Departments of Surgery, Infection Control, and Anesthesiology collaborated on a prophylactic preoperative antibiotic protocol, whereby Anesthesiology assumed responsibility for timely antibiotic prophylaxis (TAP) before surgical incision. Data from January 1, 2008, to December 31, 2008, were compared (z test) with the 12-month period before this change. χ(2) Analysis identified factors associated with TAP. Return on investment (ROI) was calculated. TAP compliance rates increased from 75.1% to 89.3% (P < .001) following program implementation. Factors associated with TAP failure included >60 minutes from anesthesia induction to surgical incision (P < .001), surgical procedure (P < .001), specific antibiotic administered (P < .001), and individual anesthesia provider (P < .001). The ROI was 2.2. TAP compliance rates increased after Anesthesiology assumed responsibility, with anesthesia providers being a significant factor.

  10. Local Area Networks: Reaping the Benefits.

    ERIC Educational Resources Information Center

    Raymond, Chadwick; Anderson, Charles

    1987-01-01

    Description of the planning and implementation of a microcomputer-based local area network in the Northbrook (Illinois) Public Library highlights: (1) applying for a grant; (2) network design; (3) the bidding process; (4) installation; (5) implementing the network; and (6) problems and cautions. (MES)

  11. Pressure instrument calibration reaps SPC benefits

    SciTech Connect

    Kegel, T.M.

    1995-12-01

    Calibration laboratories are faced with the need to become accredited or registered to one or more quality standards. One requirement common to all of these standards is the need to have in place a measurement assurance program. What is a measurement assurance program? Brian Belanger, in Measurement Assurance Programs: Part 1, describes it as a {open_quotes}quality assurance program for a measurement process that quantifies the total uncertainty of the measurements (both random and systematic components of error) with respect to national or designated standards and demonstrates that the total uncertainty is sufficiently small to meet the user`s requirements.{close_quotes} Rolf Schumacher is more specific in Measurement Assurance in Your Own Laboratory. He states, {open_quotes}Measurement assurance is the application of broad quality control principles to measurements of calibrations.{close_quotes} Here, the focus is on one important part of any measurement assurance program: implementation of statistical process control (SPC). Paraphrasing Juran`s Quality Control Handbook, a process is in statistical control if the only observed variations are those that can be attributed to random causes. Conversely, a process that exhibits variations due to assignable causes is not in a state of statistical control. Finally, Carrol Croarkin states, {open_quotes}In the measurement assurance context the measurement algorithm including instrumentation, reference standards and operator interactions is the process that is to be controlled, and its direct product is the measurement per se. The measurements are assumed to be valid if the measurement algorithm is operating in a state of control.{close_quotes} Implicit in this statement is the important fact that an out-of-control process cannot produce valid measurements. 7 figs.

  12. [Do reproductive health care practices create a risk of HIV, HVB, and HVC transmission? Case studies in Cambodia].

    PubMed

    Petitet, Pascale Hancart

    2010-01-01

    The processes involved in nosocomial transmission of HIV, HBV, and HCV nosocomial transmission have not been studied at a global level; little is known about them or about the underlying social and cultural logic that contributes to this transmission. Hospital hygiene has mainly been studied from a biological perspective until now. However, hospital hygiene is shaped by norms and sociocultural representations, and the increase or limitation of disease transmission always takes place within social relations. We need to analyse the practices related to hygiene from a cultural perspective, especially since norms are interpreted at the local level according to social and symbolic logic. Our paper aims to investigate these issues in the context of reproductive health care practices in Cambodia. We describe various perceptions, attitudes and roles of both medical and non-medical caregivers and show how they determine practices, as well as how sanitary, social and institutional contexts shape practices. Since 1995, public health institutions have provided contraceptive methods (condoms, oral or injectable contraceptives, contraceptive implants, intrauterine devices, and emergency contraception). Except for the free distribution of condoms, particularly by NGOs as part of HIV prevention programs, access to contraception is not free. Private clinics and local and international NGOs provide many of these services. Many women in both urban and rural areas seek reproductive health care in the informal sector, from caregivers who may or may not be trained. We thus wonder if these practices, as implemented in the formal and informal care sectors, create a risk for the transmission of HIV, HVB, and HVC. We analyse those issues in considering especially the injection of Depo-Provera, insertion of intrauterine devices, vaginal cleaning practices, and surgical abortion. This investigation of the sociocultural dimension of hygiene in the field of reproductive health care underlines

  13. Field Trial Evaluation of the Performances of Point-of-Care Tests for Screening G6PD Deficiency in Cambodia

    PubMed Central

    Roca-Feltrer, Arantxa; Khim, Nimol; Kim, Saorin; Chy, Sophy; Canier, Lydie; Kerleguer, Alexandra; Tor, Pety; Chuor, Char Meng; Kheng, Sim; Siv, Sovannaroth; Kachur, Patrick S.; Taylor, Walter R. J.; Hwang, Jimee; Menard, Didier

    2014-01-01

    Background User-friendly, accurate, point-of-care rapid tests to detect glucose-6-phosphate dehydrogenase deficiency (G6PDd) are urgently needed at peripheral level to safely recommend primaquine for malaria elimination. Methods The CareStart G6PD RDT (AccessBio, New Jersey, USA), a novel rapid diagnostic test and the most commonly used test, the fluorescent spot test (FST) were assessed against the quantitatively measured G6PD enzyme activity for detecting G6PDd. Subjects were healthy males and non-pregnant females aged 18 years or older residing in six villages in Pailin Province, western Cambodia. Findings Of the 938 subjects recruited, 74 (7.9%) were severe and moderately severe G6PD deficient (enzyme activity <30%), mostly in male population; population median G6PD activity was 12.0 UI/g Hb. The performances of the CareStart G6PD RDT and the FST, according to different cut-off values used to define G6PDd were very similar. For the detection of severe and moderately severe G6PDd (enzyme activity <30%, <3.6 UI/g Hb) in males and females, sensitivity and negative (normal status) predictive value were 100% for both point-of-care tools. When the G6PDd cut-off value increased (from <40% to <60%), the sensitivity for both PoCs decreased: 93.3% to 71.7% (CareStart G6PD RDT, p = 10−6) and 95.5% to 73.2% (FST, p = 10−6) while the specificity for both PoCs remained similar: 97.4% to 98.3% (CareStart G6PD RDT, p = 0.23) and 98.7% to 99.6% (FST, p = 0.06). The cut-off values for classifying individuals as normal were 4.0 UI/g Hb and 4.3 UI/g Hb for the CareStart G6PD RDT and the FST, respectively. Conclusions The CareStart G6PD RDT reliably detected moderate and severe G6PD deficient individuals (enzyme activity <30%), suggesting that this novel point-of-care is a promising tool for tailoring appropriate primaquine treatment for malaria elimination by excluding individuals with severe G6PDd for primaquine treatment. PMID:25541721

  14. Cervical human papillomavirus infection among young women engaged in sex work in Phnom Penh, Cambodia: prevalence, genotypes, risk factors and association with HIV infection

    PubMed Central

    2012-01-01

    Background Although cervical cancer is the leading cancer in Cambodia, most women receive no routine screening for cervical cancer and few treatment options exist. Moreover, nothing is known regarding the prevalence of cervical HPV or the genotypes present among women in the country. Young sexually active women, especially those with multiple sex partners are at highest risk of HPV infection. We examine the prevalence and genotypes of cervical HPV, as well as the associated risk factors among young women engaged in sex work in Phnom Penh, Cambodia. Methods We conducted a cross-sectional study among 220 young women (15–29 years) engaged in sex work in different venues including brothels or entertainment establishments, and on a freelance basis in streets, parks and private apartments. Cervical specimens were collected using standard cytobrush technique. HPV DNA was tested for by polymerase chain reaction (PCR) and genotyping using type-specific probes for 29 individual HPV types, as well as for a mixture of 10 less common HPV types. All participants were also screened for HIV status using blood samples. Multivariate logistic regression analyses were conducted to assess risk factors for any or multiple HPV infection. Results The prevalence of cervical HPV 41.1%. HPV 51 and 70 were the most common (5.0%), followed by 16 (4.6%), 71 (4.1%) and 81 (3.7%). Thirty-six women (16.4%) were infected with multiple genotypes and 23.3% were infected with at least one oncogenic HPV type. In multivariate analyses, having HIV infection and a higher number of sexual partners were associated with cervical HPV infection. Risk factors for infection with multiple genotypes included working as freelance female sex workers (FSW) or in brothels, recent binge use of drugs, high number of sexual partners, and HIV infection. Conclusions This is the first Cambodian study on cervical HPV prevalence and genotypes. We found that HPV infection was common among young FSW, especially among women

  15. “Souls of the ancestor that knock us out” and other tales. A qualitative study to identify demand-side factors influencing malaria case management in Cambodia

    PubMed Central

    2012-01-01

    Background Appropriate case management of suspected malaria in Cambodia is critical given anti-malarial drug resistance in the region. Improving diagnosis and the use of recommended malarial treatments is a challenge in Cambodia where self-treatment and usage of drug cocktails is widespread, a notable difference from malaria treatment seeking in other countries. This qualitative study adds to the limited evidence base on Cambodian practices, aiming to understand the demand-side factors influencing treatment-seeking behaviour, including the types of home treatments, perceptions of cocktail medicines and reasons for diagnostic testing. The findings may help guide intervention design. Methods The study used in-depth interviews (IDIs) (N = 16) and focus group discussions (FGDs) (N = 12) with Cambodian adults from malaria-endemic areas who had experienced malaria fever in the previous two weeks. Data were analysed using NVivo software. Results Findings suggest that Cambodians initially treat suspected malaria at home with home remedies and traditional medicines. When seeking treatment outside the home, respondents frequently reported receiving a cocktail of medicines from trusted providers. Cocktails are perceived as less expensive and more effective than full-course, pre-packaged medicines. Barriers to diagnostic testing include a belief in the ability to self-diagnose based on symptoms, cost and reliance on providers to recommend a test. Factors that facilitate testing include recommendation by trusted providers and a belief that anti-malarial treatment for illnesses other than malaria can be harmful. Conclusions Treatment-seeking behaviour for malaria in Cambodia is complex, driven by cultural norms, practicalities and episode-related factors. Effective malaria treatment programmes will benefit from interventions and communication materials that leverage these demand-side factors, promoting prompt visits to facilities for suspected malaria and challenging

  16. Poultry movement networks in Cambodia: implications for surveillance and control of highly pathogenic avian influenza (HPAI/H5N1).

    PubMed

    Van Kerkhove, Maria D; Vong, Sirenda; Guitian, Javier; Holl, Davun; Mangtani, Punam; San, Sorn; Ghani, Azra C

    2009-10-23

    Movement of poultry through markets is potentially important in the circulation and spread of highly pathogenic avian influenza. However little is understood about poultry market chains in Cambodia. We conducted a cross-sectional survey of 715 rural villagers, 123 rural, peri-urban and urban market sellers and 139 middlemen from six provinces and Phnom Penh, to evaluate live poultry movement and trading practices. Direct trade links with Thailand and Vietnam were identified via middlemen and market sellers. Most poultry movement occurs via middlemen into Phnom Penh making live bird wet markets in Phnom Penh a potential hub for the spread of H5N1 and ideal for surveillance and control. PMID:19840671

  17. Molecular epidemiology of human enterovirus 71 at the origin of an epidemic of fatal hand, foot and mouth disease cases in Cambodia.

    PubMed

    Duong, Veasna; Mey, Channa; Eloit, Marc; Zhu, Huachen; Danet, Lucie; Huang, Zhong; Zou, Gang; Tarantola, Arnaud; Cheval, Justine; Perot, Philippe; Laurent, Denis; Richner, Beat; Ky, Santy; Heng, Sothy; Touch, Sok; Sovann, Ly; van Doorn, Rogier; Tan Tran, Thanh; Farrar, Jeremy J; Wentworth, David E; Das, Suman R; Stockwell, Timothy B; Manuguerra, Jean-Claude; Delpeyroux, Francis; Guan, Yi; Altmeyer, Ralf; Buchy, Philippe

    2016-01-01

    Human enterovirus 71 (EV-A71) causes hand, foot and mouth disease (HFMD). EV-A71 circulates in many countries and has caused large epidemics, especially in the Asia-Pacific region, since 1997. In April 2012, an undiagnosed fatal disease with neurological involvement and respiratory distress occurred in young children admitted to the Kantha Bopha Children's Hospital in Phnom Penh, Cambodia. Most died within a day of hospital admission, causing public panic and international concern. In this study, we describe the enterovirus (EV) genotypes that were isolated during the outbreak in 2012 and the following year. From June 2012 to November 2013, 312 specimens were collected from hospitalized and ambulatory patients and tested by generic EV and specific EV-A71 reverse transcription PCR. EV-A71 was detected in 208 clinical specimens while other EVs were found in 32 patients. The VP1 gene and/or the complete genome were generated. Our phylogenetic sequencing analysis demonstrated that 80 EV-A71 strains belonged to the C4a subgenotype and 3 EV-A71 strains belonged to the B5 genotype. Furthermore, some lineages of EV-A71 were found to have appeared in Cambodia following separate introductions from neighboring countries. Nineteen EV A (CV-A6 and CV-A16), 9 EV B (EV-B83, CV-B3, CV-B2, CV-A9, E-31, E-2 and EV-B80) and 4 EV C (EV-C116, EV-C96, CV-A20 and Vaccine-related PV-3) strains were also detected. We found no molecular markers of disease severity. We report here that EV-A71 genotype C4 was the main etiological agent of a large outbreak of HFMD and particularly of severe forms associated with central nervous system infections. The role played by other EVs in the epidemic could not be clearly established. PMID:27651091

  18. Focused Screening and Treatment (FSAT): A PCR-Based Strategy to Detect Malaria Parasite Carriers and Contain Drug Resistant P. falciparum, Pailin, Cambodia

    PubMed Central

    Hoyer, Stefan; Nguon, Sokomar; Kim, Saorin; Habib, Najibullah; Khim, Nimol; Sum, Sarorn; Christophel, Eva-Maria; Bjorge, Steven; Thomson, Andrew; Kheng, Sim; Chea, Nguon; Yok, Sovann; Top, Samphornarann; Ros, Seyha; Sophal, Uth; Thompson, Michelle M.; Mellor, Steve; Ariey, Frédéric; Witkowski, Benoit; Yeang, Chhiang; Yeung, Shunmay; Duong, Socheat; Newman, Robert D.; Menard, Didier

    2012-01-01

    Recent studies have shown that Plasmodium falciparum malaria parasites in Pailin province, along the border between Thailand and Cambodia, have become resistant to artemisinin derivatives. To better define the epidemiology of P. falciparum populations and to assess the risk of the possible spread of these parasites outside Pailin, a new epidemiological tool named “Focused Screening and Treatment” (FSAT), based on active molecular detection of asymptomatic parasite carriers was introduced in 2010. Cross-sectional malariometric surveys using PCR were carried out in 20 out of 109 villages in Pailin province. Individuals detected as P. falciparum carriers were treated with atovaquone-proguanil combination plus a single dose of primaquine if the patient was non-G6PD deficient. Interviews were conducted to elicit history of cross-border travel that might contribute to the spread of artemisinin-resistant parasites. After directly observed treatment, patients were followed up and re-examined on day 7 and day 28. Among 6931 individuals screened, prevalence of P. falciparum carriers was less than 1%, of whom 96% were asymptomatic. Only 1.6% of the individuals had a travel history or plans to go outside Cambodia, with none of those tested being positive for P. falciparum. Retrospective analysis, using 2010 routine surveillance data, showed significant differences in the prevalence of asymptomatic carriers discovered by FSAT between villages classified as “high risk” and “low risk” based on malaria incidence data. All positive individuals treated and followed-up until day 28 were cured. No mutant-type allele related to atovaquone resistance was found. FSAT is a potentially useful tool to detect, treat and track clusters of asymptomatic carriers of P. falciparum along with providing valuable epidemiological information regarding cross-border movements of potential malaria parasite carriers and parasite gene flow. PMID:23049687

  19. Severe malaria in Battambang Referral Hospital, an area of multidrug resistance in Western-Cambodia: a retrospective analysis of cases from 2006–2009

    PubMed Central

    2013-01-01

    Background Despite recent malaria containment and control efforts leading to reduced incidence, Cambodia remains endemic for both Plasmodium vivax and multidrug-resistant Plasmodium falciparum malaria. Little has been reported in the peer-reviewed literature regarding the burden of severe malaria (SM) in Cambodia. Methods Medical records for all patients admitted to the Battambang Referral Hospital (BRH) with an admitting or discharge diagnosis of SM from 2006 to 2009 (suspected SM cases) were reviewed. Those meeting the case definition of SM according to retrospective chart review and investigator assessment of probable cases, based on published national guidelines available at the time, were analysed for trends in demographics, mortality and referral patterns. Results Of the 537 suspected SM cases at BRH during the study period, 393 (73%) met published WHO criteria for SM infection. Despite limited diagnostic and treatment facilities, overall mortality was 14%, with 7% mortality in children 14 and under, but 19% in adults (60% of cases). Cerebral malaria with coma was relatively rare (17%), but mortality was disproportionately high at 35%. Mean time to hospital presentation was five days (range one to 30 days) after onset of symptoms. While patients with delays in presentation had worse outcomes, there was no excess mortality based on treatment referral times, distance travelled or residence in artemisinin-resistance containment (ARC) Zone 1 compared to Zone 2. Conclusions Despite limitations in diagnosis and treatment, and multiple confounding co-morbidities, mortality rates at BRH were similar to reports from other countries in the region. Interventions to improve access to early diagnosis and effective treatment, combined with modest improvements in intensive care, are likely to reduce mortality further. Patients referred from Zone 1 did not have excess mortality compared to Zone 2 ARC areas. A steep decrease in SM cases and deaths observed in the first half

  20. New outbreaks of H5N1 highly pathogenic avian influenza in domestic poultry and wild birds in Cambodia in 2011.

    PubMed

    Theary, Ren; San, Sorn; Davun, Holl; Allal, Lotfi; Lu, Huaguang

    2012-12-01

    Five outbreaks of H5N1 highly pathogenic avian influenza (HPAI) have been diagnosed in domestic poultry and wild birds in Cambodia from January to November of 2011. Of the five outbreaks, one occurred in a village backyard flock in Kandal province in January; two occurred in native Cambodian chickens and ducks in Banteay Meanchey province in July and August, respectively; one was seen in wild birds in Phnom Tamao Zoo in Kandal Province in July; and one outbreak occurred in commercial broilers at Opong Moan in Battambang province in northwestern Cambodia in early November. Clinically, HPAI-infected broilers and native chickens showed sudden death, severe depression, ruffled feathers, edema of heads and necks, swollen and cyanotic combs and wattles, and swollen and congested conjunctiva, with occasional hemorrhage, paralysis, and other neurologic signs. In ducks, significantly swollen sinuses and eyes, cloudy corneas, difficulty standing, or paralysis were commonly seen. Some affected ducks showed sudden death without obvious clinical symptoms. Necropsy lesions showed congestion and necrotic debris within sinuses and severe hemorrhages in gizzards, livers, and lungs in both affected native chickens and ducks during the new outbreaks in 2011. All five outbreaks were diagnosed as H5N1 HPAI by virus isolation and real-time reverse transcription-PCR tests. Once a backyard flock in a village or a poultry farm was diagnosed as positive for H5N1 HPAI; the whole village backyard poultry and all farm flocks were culled immediately by Cambodian provincial and central authorities as per the strategies adopted for the control of HPAI. PMID:23402105