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

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-14

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

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

ERIC Educational Resources Information Center

Warsame, Ali A.

2001-01-01

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

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

ERIC Educational Resources Information Center

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

2008-01-01

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

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

ERIC Educational Resources Information Center

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

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

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

Code of Federal Regulations, 2013 CFR

2013-01-01

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

A cross-sectional survey of essential surgical capacity in Somalia

PubMed Central

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

2014-01-01

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

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

PubMed

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

2014-05-07

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

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

PubMed

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

2017-01-01

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

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

PubMed Central

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

2017-01-01

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

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

PubMed

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

2015-12-01

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

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

NASA Astrophysics Data System (ADS)

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

2005-07-01

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

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

NASA Astrophysics Data System (ADS)

DeMets, C.; Merkuryev, S. A.

2015-12-01

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

48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-10-01

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

48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-10-01

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

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

PubMed

2011-08-05

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

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

DTIC Science & Technology

2002-05-31

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

48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

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

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

NASA Astrophysics Data System (ADS)

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

2003-12-01

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

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

PubMed

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

2015-12-01

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

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

DTIC Science & Technology

2013-03-01

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

Designing and implementing an electronic dashboard for disease outbreaks response - Case study of the 2013-2014 Somalia Polio outbreak response dashboard

PubMed Central

Kamadjeu, Raoul; Gathenji, Caroline

2017-01-01

In April 2013, a case of wild polio virus (WPV) was detected in the Somalia capital Mogadishu. This inaugurated what is now referred to as the 2013-2014 Horn of Africa Polio outbreak with cases reported in Somalia, Kenya and Ethiopia. By the notification of the last polio case in August 2014, 223 cases of WPV had been reported in Somalia, Kenya and Ethiopia of which 199 in Somalia alone. The outbreak response required timely exchange of information between the outbreak response coordination unit (in Nairobi) and local staff located in multiple locations inside the country. The need to track and timely respond to information requests, to satisfy the information/data needs of polio partners and to track key outbreak response performance indicators dictated the need to urgently set up an online dashboard. The Somalia Polio Room dashboard provided a graphical display of the polio outbreak data to track progress and inform decision making. The system was designed using free and open sources components and seamlessly integrated existing polio surveillance data for real time monitoring of key outbreak response performance indicators. In this article, we describe the design and operation of an electronic dashboard for disease surveillance in an outbreak situation and used the lessons learned to propose key design considerations and functional requirements for online electronic dashboards for disease outbreak response. PMID:29296157

Designing and implementing an electronic dashboard for disease outbreaks response - Case study of the 2013-2014 Somalia Polio outbreak response dashboard.

PubMed

Kamadjeu, Raoul; Gathenji, Caroline

2017-01-01

In April 2013, a case of wild polio virus (WPV) was detected in the Somalia capital Mogadishu. This inaugurated what is now referred to as the 2013-2014 Horn of Africa Polio outbreak with cases reported in Somalia, Kenya and Ethiopia. By the notification of the last polio case in August 2014, 223 cases of WPV had been reported in Somalia, Kenya and Ethiopia of which 199 in Somalia alone. The outbreak response required timely exchange of information between the outbreak response coordination unit (in Nairobi) and local staff located in multiple locations inside the country. The need to track and timely respond to information requests, to satisfy the information/data needs of polio partners and to track key outbreak response performance indicators dictated the need to urgently set up an online dashboard. The Somalia Polio Room dashboard provided a graphical display of the polio outbreak data to track progress and inform decision making. The system was designed using free and open sources components and seamlessly integrated existing polio surveillance data for real time monitoring of key outbreak response performance indicators. In this article, we describe the design and operation of an electronic dashboard for disease surveillance in an outbreak situation and used the lessons learned to propose key design considerations and functional requirements for online electronic dashboards for disease outbreak response.

American Society of Hand Therapists

MedlinePlus

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

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

NASA Astrophysics Data System (ADS)

DeMets, C.; Merkouriev, S.

2016-10-01

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

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

PubMed

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

2013-05-01

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

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

PubMed Central

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

2013-01-01

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

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

DTIC Science & Technology

2009-03-01

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

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

PubMed

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

2008-11-01

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

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

Code of Federal Regulations, 2010 CFR

2010-10-01

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

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

Code of Federal Regulations, 2011 CFR

2011-10-01

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

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

PubMed

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

2014-03-01

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

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

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-11

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

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

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-08

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

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

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-08

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

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

PubMed

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

2012-03-01

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

Disease threats in Somalia.

PubMed

Laughlin, L W; Legters, L J

1993-02-01

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

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

PubMed Central

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

2014-01-01

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

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

PubMed

Guha-Sapir, Debarati; Ratnayake, Ruwan

2009-08-01

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

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

ERIC Educational Resources Information Center

Abdulla, Ali D.

1996-01-01

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

Sailing into Troubled Waters: Predicting Piracy Off Africa

DTIC Science & Technology

2011-03-22

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

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

PubMed

Hemrich, Günter

2005-06-01

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

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

PubMed

Deria, Abdullahi

2011-12-30

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

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

PubMed

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

2016-03-01

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

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

NASA Astrophysics Data System (ADS)

Royer, J.; Gordon, R. G.

2005-05-01

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

Learning From the Disaster

ERIC Educational Resources Information Center

Di Giorgi, Umberto

1975-01-01

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

Understanding the Emergence of Alshabab in Somalia

DTIC Science & Technology

2011-12-16

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

The distribution of cancer cases in Somalia.

PubMed

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

2017-06-01

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

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

PubMed

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

2007-12-01

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

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

Code of Federal Regulations, 2012 CFR

2012-01-01

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

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

Code of Federal Regulations, 2011 CFR

2011-01-01

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

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

Code of Federal Regulations, 2013 CFR

2013-01-01

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

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

Code of Federal Regulations, 2014 CFR

2014-01-01

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

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

Code of Federal Regulations, 2010 CFR

2010-01-01

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

Operation Restore Hope: Strengthening Multilateral Operations

DTIC Science & Technology

2013-12-13

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

Disease Vector Ecology Profile: Somalia. Fourth Edition

DTIC Science & Technology

1993-09-15

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

Somalia: Country Status Report.

ERIC Educational Resources Information Center

McFerren, Margaret

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

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

PubMed

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

2008-01-01

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

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

PubMed

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

2009-03-01

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

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

PubMed Central

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

2013-01-01

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

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

ERIC Educational Resources Information Center

Kemmerer, Frances; Thiagarajan, Sivasailam

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

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

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-06

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

Multidrug-resistant tuberculosis, Somalia, 2010-2011.

PubMed

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

2013-03-01

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

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

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-11

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

Effectiveness of U.S. Policies for Al Shabaab

DTIC Science & Technology

2014-06-13

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

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

PubMed

Korzeniewski, Krzysztof

2012-01-01

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

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

PubMed Central

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

2007-01-01

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

Converging Oceaniac Internal Waves, Somalia, Africa

NASA Image and Video Library

1988-10-03

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

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

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-16

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

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

DTIC Science & Technology

2010-06-01

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

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

PubMed

2011-08-26

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

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

Code of Federal Regulations, 2014 CFR

2014-01-01

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

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

ERIC Educational Resources Information Center

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

2014-01-01

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

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

ERIC Educational Resources Information Center

Jama, Mohamed A. F.

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

A Problem-Solving Workshop on Border Conflicts in Eastern Africa

ERIC Educational Resources Information Center

Walton, Richard E.

1970-01-01

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

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

ERIC Educational Resources Information Center

Mohamed, Ibrahim Jeylani

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

Multidrug-Resistant Tuberculosis, Somalia, 2010–2011

PubMed Central

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

2013-01-01

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

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

ERIC Educational Resources Information Center

Thomas, Paul

2016-01-01

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

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

PubMed

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

2016-07-28

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

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

ERIC Educational Resources Information Center

Dirie, Mohamed Farah

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

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

ERIC Educational Resources Information Center

Abdi, Ahmed Ali

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

Community Assumes the Role of State in Education in Stateless Somalia

ERIC Educational Resources Information Center

Abdinoor, Abdullahi

2008-01-01

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

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

Code of Federal Regulations, 2011 CFR

2011-01-01

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

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

NASA Astrophysics Data System (ADS)

Warsame, Ali A.

2001-07-01

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

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

Code of Federal Regulations, 2013 CFR

2013-07-01

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

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

Code of Federal Regulations, 2010 CFR

2010-07-01

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

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

Code of Federal Regulations, 2012 CFR

2012-07-01

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

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

Code of Federal Regulations, 2011 CFR

2011-07-01

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

Polio outbreak investigation and response in Somalia, 2013.

PubMed

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

2014-11-01

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

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

PubMed

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

2016-01-01

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

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

PubMed Central

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

2016-01-01

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

Spatial prediction of Plasmodium falciparum prevalence in Somalia

PubMed Central

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

2008-01-01

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

Spatial prediction of Plasmodium falciparum prevalence in Somalia.

PubMed

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

2008-08-21

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

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

PubMed

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

2014-11-01

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

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

PubMed

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

2014-03-01

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

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

DTIC Science & Technology

1997-03-01

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

Somalia Piracy: Challenges and Solutions

DTIC Science & Technology

2013-04-01

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

Stability Operations in Somalia 1992-1993: A Case Study

DTIC Science & Technology

2016-07-01

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

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

ERIC Educational Resources Information Center

Bahar, Ismail F. S.

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

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

DTIC Science & Technology

2016-11-21

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

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

PubMed

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

2015-01-01

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

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

PubMed

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

2011-07-01

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

Area Handbook Series. Somalia: A Country Study

DTIC Science & Technology

1992-05-01

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

Somalia: Line in the Sand - Identification of MYM Vulnerabilities

DTIC Science & Technology

2010-09-01

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

Medical Dimensions of Joint Humanitarian Relief Operations

DTIC Science & Technology

1996-01-01

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

American Jihadist Terrorism: Combating a Complex Threat

DTIC Science & Technology

2010-12-07

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

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

DTIC Science & Technology

2011-12-01

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

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

ERIC Educational Resources Information Center

Ahmed, Mumina M.

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

Role of mantle flow in Nubia-Somalia plate divergence

NASA Astrophysics Data System (ADS)

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

2015-01-01

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

[Dysphagia in a young woman from Somalia].

PubMed

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

2013-01-01

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

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

PubMed

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

2013-03-27

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

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

PubMed Central

2013-01-01

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

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

NASA Astrophysics Data System (ADS)

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

2013-12-01

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

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

DTIC Science & Technology

2016-02-16

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

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

DTIC Science & Technology

2010-06-18

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

American Jihadist Terrorism: Combating a Complex Threat

DTIC Science & Technology

2010-09-20

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

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

DTIC Science & Technology

2011-01-01

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

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

PubMed Central

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

2015-01-01

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

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

PubMed

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

2011-07-15

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

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

PubMed Central

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

2012-01-01

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

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

PubMed

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

2000-09-01

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

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

DTIC Science & Technology

2015-06-12

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

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

PubMed

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

2016-03-01

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

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

DTIC Science & Technology

2006-12-01

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

Provence and dispersal of Cretaceous elastics in northeastern Africa: climatic and structural setting

NASA Astrophysics Data System (ADS)

Beauchamp, J.; Omer, M. K.; Perriaux, J.

During Cretaceous times, NE Africa was covered by clastic sediments. These sandy deposits correspond to the so-called "Nubian Sandstones" of Sudan, and the equivalent series of Egypt, Ethiopia and Somalia. In Central Sudan, the sandstone are alluvial, deposited from braided rivers under a dry tropical climate. They grade into alluvial plain and beach deposits in northern and eastern Sudan, Egypt, Ethiopia and Somalia. The source province was a north-south basement high, the Butana Massif, which extended northward into Egypt and eastward into Ethiopia and Somalia (Ethiopia-Sudan High, Harar-Nogal Swell). Nubian Sandstones were deposited in extensional tectonic framework. Old lineaments were rejuvenated as normal and strike-slip faults. Several geodynamics event could have interfered: northward drift of the African craton and downwarping of its northern margin as evidenced by Tethys transgressions, Indian Ocean opening and progressive uplift of the eastern margin of Africa, eastern updoming preceding the Red Sea and Aden Gulf opening.

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

PubMed

Grünewald, François

2012-07-01

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

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

DTIC Science & Technology

2014-09-01

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

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

DTIC Science & Technology

2009-06-12

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

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

DTIC Science & Technology

1986-04-07

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

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

DTIC Science & Technology

1992-12-31

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

Providing surgical care in Somalia: A model of task shifting

PubMed Central

2011-01-01

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

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

NASA Astrophysics Data System (ADS)

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

2014-12-01

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

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

PubMed Central

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

2016-01-01

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

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

PubMed

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

2007-10-31

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

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

PubMed

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

2016-03-09

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

Kinematics of the Danakil microplate

NASA Astrophysics Data System (ADS)

Eagles, Graeme; Gloaguen, Richard; Ebinger, Cynthia

2002-10-01

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

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

PubMed

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

2007-11-01

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

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

PubMed

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

2018-03-02

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

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

PubMed

Dieterle, R

2015-05-01

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

Reaching out to take on TB in Somalia.

PubMed

Moore, David A J; Granat, Simo M

2014-01-01

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

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

NASA Astrophysics Data System (ADS)

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

2014-09-01

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

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

PubMed

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

2014-11-01

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

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

NASA Astrophysics Data System (ADS)

Liao, Xiaomei; Zhan, Haigang; Du, Yan

2016-07-01

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

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

PubMed

Baş, Yılmaz

2018-04-11

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

An Alternative Estimate of the Motion of the Capricorn Plate

NASA Astrophysics Data System (ADS)

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

2013-12-01

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

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

PubMed Central

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

2007-01-01

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

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

PubMed

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

2009-02-01

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

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

PubMed

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

2017-04-01

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

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

PubMed

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

2015-04-01

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

Immunization Coverage

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48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

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

48 CFR 25.003 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

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

News Lists Registration

Atmospheric Science Data Center

2016-12-28

... Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South ... E-mail Address * Primary Area of Research * The satisfaction of our customers with our ...

East Africa

NASA Technical Reports Server (NTRS)

2002-01-01

This image shows the East African nations of Ethiopia, Eritrea, and Somalia, as well as portions of Kenya, Sudan, Yemen, and Saudi Arabia. Dominating the scene are the green Ethiopian Highlands. With altitudes as high as 4,620 meters (15,157 feet), the highlands pull moisture from the arid air, resulting in relatively lush vegetation. In fact, coffee-one of the world's most prized crops-originated here. To the north (above) the highlands is Eritrea, which became independent in 1993. East (right) of Ethiopia is Somalia, jutting out into the Indian Ocean. The Sea-viewing Wide Field-of-view Sensor (SeaWiFS) captured this true-color image on November 29, 2000. Provided by the SeaWiFS Project, NASA/Goddard Space Flight Center, and ORBIMAGE

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

PubMed

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

2010-07-01

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

Buruli Ulcer (Mycobacterium ulcerans Infection)

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Global Health Observatory (GHO): Life Expectancy

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Monkeypox

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Onchocerciasis

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Frequently Asked Questions and Answers on Smallpox

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

PubMed

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

2010-02-01

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

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2013-01-01

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Variations in first-time caesarean birth between Eastern African immigrants and Australian-born women in public care: A population-based investigation in Victoria.

PubMed

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

2017-06-01

Caesarean section (CS) rates are known to vary by country, migration status and social group. However, little population-based, confounder adjusted evidence exists on caesarean rate for African immigrants in Australia. To investigate disparities in first-time caesarean, mainly unplanned caesarean in labour for women born in Eritrea, Ethiopia, Somalia and Sudan relative to Australian-born women in public care. A population-based study of 237 943 Australian and 4057 Eastern African singleton births between 1999 and 2007, was conducted using Victorian Perinatal Data Collection. Descriptive and multivariable logistic regression analysis by parity, adjusting for confounders selected a priori, was performed for first-time unplanned caesarean in labour and overall caesarean. Primiparae born in each of the Eastern African countries had elevated odds of unplanned caesarean in labour: Eritrea adjusted odds ratio (OR adj ) 2.04 95% CI (1.41, 2.97), Ethiopia OR adj 2.08 95% CI (1.62, 2.68), Somalia OR adj 1.62 95% CI (1.25, 2.10) and Sudan OR adj 1.39 95% CI (1.03, 1.87). Similarly, multiparae from Eastern African countries had elevated odds of unplanned caesarean in labour: Eritrea OR adj 2.13 95%CI(1.15, 3.97), Ethiopia OR adj 2.05 95% CI (1.38, 3.03), Somalia OR adj 2.16 95% CI (1.69, 2.77) and Sudan OR adj 1.81 95% CI (1.32, 2.49). The odds of any first-time caesarean (planned or unplanned) were elevated for primiparae born in all countries except Sudan and for multiparae born in Ethiopia and Somalia. We observed substantial variations in a first-time CS between Eastern African and Australian-born women in Victoria, Australia. However, these disparities were unexplained by socio-demographic and clinical risks, suggesting the potential importance of other factors such as communication difficulties, support systems for immigrant pregnant women and possible differences in care. © 2016 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

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

PubMed

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

2015-08-01

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

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

PubMed

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

2014-11-01

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

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

PubMed Central

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

2013-01-01

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

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

PubMed

Cock, Matthew J W; Allard, Gillian B

2013-06-18

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

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

NASA Astrophysics Data System (ADS)

Hutchinson, P.

1992-05-01

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

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

PubMed

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

2017-11-01

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

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

NASA Astrophysics Data System (ADS)

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

2006-11-01

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

75 FR 34617 - Unexpected Urgent Refugee and Migration Needs Related to Somalia and Food Pipeline Breaks for...

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77 FR 25723 - Extension and Redesignation of Somalia for Temporary Protected Status

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-01

... the highest malnutrition rates in the world. According to the UN Food Security and Nutrition Analysis... about renewed food insecurity and severe malnutrition. It also endangers the ability of Somali people in...

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

Code of Federal Regulations, 2014 CFR

2014-10-01

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

Somalia

DTIC Science & Technology

2013-04-01

Full event data is available online . 2 fied assault on Al Shabaab positions outside Mogadishu, the group was already engaging in sporadic...uting to militants’ further radicalisation . In Somalia’s north -east, Al Shabaab militants have been reportedly operat- ing and establishing bases in

Social Studies for Somali Nomads.

ERIC Educational Resources Information Center

Brook, Diane L.; Brook, George A.

1993-01-01

Describes the Somalia Nomad Education Program. States that social studies is the core of the program which has a primary goal of developing national unity. Discusses successful features of the program and its vulnerability to political and economic events. (CFR)

A dipole-like SST trend in the Somalia region during the monsoon season

NASA Astrophysics Data System (ADS)

Santos, F.; Gómez-Gesteira, M.; deCastro, M.; Días, J. M.

2015-02-01

SST trends measured in the Somalia region during the southwest monsoon season over the period 1982-2013 have shown the existence of a warming-cooling dipole. The positive spot, with a warming trend on the order of 0.37°C dec-1, is centered around 5.1°N-50.3°E and the negative one, with a trend on the order of -0.43°C dec-1, around 11.1°N-52.2°E. The migration of the Great Whirl (GW) over the last three decades at a speed of -0.3°C dec-1 in longitude and -0.6°C dec-1 in latitude was considered as the possible origin of the SST dipole. The displacement of the GW produces changes in the geostrophic currents which, in turn, generate changes in the amount of advected water from and to coast.

Stabilisation and humanitarian access in a collapsed state: the Somali case.

PubMed

Menkhaus, Ken

2010-10-01

Somalia today is the site of three major threats: the world's worst humanitarian crisis; the longest-running instance of complete state collapse; and a robust jihadist movement with links to Al-Qa'ida. External state-building, counter-terrorism and humanitarian policies responding to these threats have worked at cross-purposes. State-building efforts that insist humanitarian relief be channelled through the nascent state in order to build its legitimacy and capacity undermine humanitarian neutrality when the state is a party to a civil war. Counter-terrorism policies that seek to ensure that no aid benefits terrorist groups have the net effect of criminalising relief operations in countries where poor security precludes effective accountability. This paper argues that tensions between stabilisation and humanitarian goals in contemporary Somalia reflect a long history of politicisation of humanitarian operations in the country. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.

Air medical evacuations from a developing world conflict zone.

PubMed

Low, Adam; Vadera, Bettina

2011-01-01

Somalia has been without effective government for close to two decades, with more than 1 million people internally displaced. The political unrest persists, with United Nations-backed African Union peacekeeping forces supporting the Transitional National government of Sharif Ahmed, struggling to maintain control of central Mogadishu from Islamist extremist groups, such as the reportedly Al-Qaeda-backed Al-Shabab. The African Union force of 5,000 troops is predominantly of Ugandan and Burundian origin, making up the African Mission in Somalia (AMISOM) effort. However, its mandate is limited to operations only in Mogadishu, and it is unauthorized to actively pursue insurgents. As with other ongoing high-profile conflicts, African Union troops face an enemy that blends into the civilian populace, fighting with a lethal mixture of improvised explosive devices and suicide bombers. Copyright © 2011 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

Evaluation of Borama tuberculosis control program in Somaliland, Somalia.

PubMed

Qayad, Mohamed Gedi; Tarsitani, Gianfranco

2017-02-28

The Borama TB program in Somalia lost resources for TB operations in 2003. We evaluated the impact of the loss on the program. Pre-event (2002-2003) and post-event (2007) design were used. All TB patients registered in Borama and a sample of four months from Hargeisa (comparison) TB patients in both periods were abstracted. The following TB treatment outcomes were estimated: treatment success, treatment failure, case fatality, treatment interruption and transfer rates, along with percentage of patients with sputum specimen prior to treatment, percentage of patients from neighboring countries, and monthly average patients enrolled in treatment. The pre-event to post-event outcomes and measures were compared using descriptive and multivariate analyses. In total, 3,367 TB cases were abstracted. In Borama, the TB treatment success rate increased 6% in the post-event. The treatment failure and interruption rates both declined 75%. Monthly average TB patients declined 55%. Percentage of patients smear tested prior to the initiation of the treatment declined 9%. Percentage of TB patients from neighboring countries and other parts of Somalia declined 51%. Treatment interruption/transfer rates declined significantly in the post-event, compared to the pre-event period. Treatment failure/death rate did not change in the post-event period. In Hargeisa, the treatment success, failure/death, and interruption/transfer rates were similar in both periods. The RR did not change in these measures after adjusting for age and gender. This study indicates a significant setback to the Borama TB control program in the majority of measures evaluated, except the TB success rate.

A high resolution spatial population database of Somalia for disease risk mapping.

PubMed

Linard, Catherine; Alegana, Victor A; Noor, Abdisalan M; Snow, Robert W; Tatem, Andrew J

2010-09-14

Millions of Somali have been deprived of basic health services due to the unstable political situation of their country. Attempts are being made to reconstruct the health sector, in particular to estimate the extent of infectious disease burden. However, any approach that requires the use of modelled disease rates requires reasonable information on population distribution. In a low-income country such as Somalia, population data are lacking, are of poor quality, or become outdated rapidly. Modelling methods are therefore needed for the production of contemporary and spatially detailed population data. Here land cover information derived from satellite imagery and existing settlement point datasets were used for the spatial reallocation of populations within census units. We used simple and semi-automated methods that can be implemented with free image processing software to produce an easily updatable gridded population dataset at 100 × 100 meters spatial resolution. The 2010 population dataset was matched to administrative population totals projected by the UN. Comparison tests between the new dataset and existing population datasets revealed important differences in population size distributions, and in population at risk of malaria estimates. These differences are particularly important in more densely populated areas and strongly depend on the settlement data used in the modelling approach. The results show that it is possible to produce detailed, contemporary and easily updatable settlement and population distribution datasets of Somalia using existing data. The 2010 population dataset produced is freely available as a product of the AfriPop Project and can be downloaded from: http://www.afripop.org.

Progress Toward Polio Eradication — Somalia, 1998–2013

PubMed Central

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

2015-01-01

Since the 1988 resolution of the World Health Assembly to eradicate polio, significant progress has been made toward achieving this goal, with the result that only Afghanistan, Nigeria, and Pakistan have never successfully interrupted endemic transmission of wild poliovirus. However, one of the greatest challenges of the Global Polio Eradication Initiative has been that of maintaining the polio-free status of countries in unstable regions with weak healthcare infrastructure, a challenge exemplified by Somalia, a country in the Horn of Africa region. Somalia interrupted indigenous transmission of wild poliovirus in 2002, four years after establishing its national polio eradication programme. But political instability and protracted armed conflict, with significant disruption of the healthcare system, left the country vulnerable to two subsequent imported outbreaks of wild poliovirus. The first occurred during 2005–2007, resulting in over 200 cases of paralytic polio, while the second importation in 2013 is currently ongoing. Despite immense challenges, the country has a sensitive surveillance system that has facilitated prompt detection of outbreaks, but its weak routine immunization system means that supplementary immunization activities constitute the primary strategy for reaching children with polio vaccines. Conducting vaccination campaigns in a setting of conflict has been at times hazardous but the country’s polio programme has demonstrated resilience in overcoming many obstacles to ensure that children receive life-saving polio vaccines. Regaining and maintaining Somalia’s polio-free status will, however, depend on finding innovative and lasting solutions to the challenge of administering vaccines in a setting of ongoing conflict and instability. PMID:25316833

Conflict in Somalia: impact on child undernutrition

PubMed Central

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

2017-01-01

Introduction In Somalia, protracted conflict and drought have caused population displacement and livelihood destruction. There is also widespread childhood undernutrition. We aimed to determine the independent effects of conflict on wasting and stunting among children aged 6–59 months nationwide in Somalia. Methods Data were from household surveys during 2007–2010, including 73 778 children in 1066 clusters, the Armed Conflict Location and Event Data project database and remote sensing. We used Bayesian hierarchical spatial-temporal regression to examine the effects of conflict on wasting and stunting. Models included individual, household and environmental covariates and recent (<3 months) or longer term (3–12 months) conflict events. Results 15 355 (21%) and 22 739 (31%) observations were from wasted and stunted children, respectively. The conflict was associated with undernutrition independently of the individual, household and environmental factors, and its inclusion improved model performance. Recent conflict was associated with wasting (OR 1.37, 95% credible interval (CrI): (1.33, 1.42) and attributable fraction (AF) 7.6%)) and stunting (OR 1.21, 95% CrI (1.15, 1.28), AF 6.9%). Longer term conflict had greater effects on wasting (OR 1.76, 95% CrI (1.71, 1.81), AF 6.0%) and stunting (OR 1.88, 95% CrI = (1.83, 1.94), AF 7.4%). After controlling for conflict, the harmful effect of internal displacement and protective effects of rainfall and vegetation cover on undernutrition were enhanced. Conclusion Conflict and internal displacement have large effects on undernutrition in ways not fully captured by simply measuring individual, household and environmental factors or drought. PMID:28966793

A high resolution spatial population database of Somalia for disease risk mapping

PubMed Central

2010-01-01

Background Millions of Somali have been deprived of basic health services due to the unstable political situation of their country. Attempts are being made to reconstruct the health sector, in particular to estimate the extent of infectious disease burden. However, any approach that requires the use of modelled disease rates requires reasonable information on population distribution. In a low-income country such as Somalia, population data are lacking, are of poor quality, or become outdated rapidly. Modelling methods are therefore needed for the production of contemporary and spatially detailed population data. Results Here land cover information derived from satellite imagery and existing settlement point datasets were used for the spatial reallocation of populations within census units. We used simple and semi-automated methods that can be implemented with free image processing software to produce an easily updatable gridded population dataset at 100 × 100 meters spatial resolution. The 2010 population dataset was matched to administrative population totals projected by the UN. Comparison tests between the new dataset and existing population datasets revealed important differences in population size distributions, and in population at risk of malaria estimates. These differences are particularly important in more densely populated areas and strongly depend on the settlement data used in the modelling approach. Conclusions The results show that it is possible to produce detailed, contemporary and easily updatable settlement and population distribution datasets of Somalia using existing data. The 2010 population dataset produced is freely available as a product of the AfriPop Project and can be downloaded from: http://www.afripop.org. PMID:20840751

Uptake of postabortion care services and acceptance of postabortion contraception in Puntland, Somalia.

PubMed

Chukwumalu, Kingsley; Gallagher, Meghan C; Baunach, Sabine; Cannon, Amy

2017-11-01

Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabortion care (PAC) services to address the issue of high maternal morbidity and mortality due to unsafe abortion. Abortion is explicitly permitted by Somali law to save the life of a woman, but remains a sensitive topic due to religious and social conservatism that exists in the region. Using a multipronged approach focusing on capacity building, assurance of supplies and infrastructure, and community collaboration and mobilisation, the demand for PAC services increased as did the proportion of women who adopted a method of family planning post-abortion. From January 2013 to December 2015, a total of 1111 clients received PAC services at the four SCI-supported health facilities. The number of PAC clients increased from a monthly average of 20 in 2013 to 38 in 2015. During the same period, 98% (1090) of PAC clients were counselled for postabortion contraception, of which 955 (88%) accepted a contraceptive method before leaving the facility, with 30% opting for long-acting reversible contraception. These results show that comprehensive PAC services can be implemented in politically unstable, culturally conservative settings where abortion and modern contraception are sensitive and stigmatised matters among communities, health workers, and policy makers. However, like all humanitarian settings, large unmet needs exist for PAC services in Somalia.

Space-time mapping of wasting among children under the age of five years in Somalia from 2007 to 2010.

PubMed

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

2016-02-01

To determine the sub-national seasonal prevalence and trends in wasting from 2007 to 2010 among children aged 6-59 months in Somalia using remote sensing and household survey data from nutritional surveys. Bayesian hierarchical space-time model was implemented using a stochastic partial differential equation (SPDE) approach in integrated nested Laplace approximations (INLA) to produce risk maps of wasting at 1 × 1 km(2) spatial resolution and predict to seasons in each year of study from 2007 to 2010. The prevalence of wasting was generally at critical levels throughout the country, with most of the areas remaining in the upper classes of critical and very critical levels. There was minimal variation in wasting from year-to-year, but a well-defined seasonal variation was observed. The mean difference of the prevalence of wasting between the dry and wet season ranges from 0% to 5%. The risks of wasting in the South Central zone were highest in the Gedo (37%) and Bay (32%) regions. In North East zone the risk was highest in Nugaal (25%) and in the North West zone the risk was high in Awdal and Woqooyi Galbeed regions with 23%. There was a clear seasonal variation in wasting with minimal year-to-year variability from 2007 to 2010 in Somalia. The prevalence was high during the long dry season, which affects the prevalence in the preceding long rainy season. Understanding the seasonal fluctuations of wasting in different locations and at different times is important to inform timely interventions. Copyright © 2016. Published by Elsevier Ltd.

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

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2013-10-01

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Health service providers in Somalia: their readiness to provide malaria case-management

PubMed Central

Noor, Abdisalan M; Rage, Ismail A; Moonen, Bruno; Snow, Robert W

2009-01-01

Background Studies have highlighted the inadequacies of the public health sector in sub-Saharan African countries in providing appropriate malaria case management. The readiness of the public health sector to provide malaria case-management in Somalia, a country where there has been no functioning central government for almost two decades, was investigated. Methods Three districts were purposively sampled in each of the two self-declared states of Puntland and Somaliland and the south-central region of Somalia, in April-November 2007. A survey and mapping of all public and private health service providers was undertaken. Information was recorded on services provided, types of anti-malarial drugs used and stock, numbers and qualifications of staff, sources of financial support and presence of malaria diagnostic services, new treatment guidelines and job aides for malaria case-management. All settlements were mapped and a semi-quantitative approach was used to estimate their population size. Distances from settlements to public health services were computed. Results There were 45 public health facilities, 227 public health professionals, and 194 private pharmacies for approximately 0.6 million people in the three districts. The median distance to public health facilities was 6 km. 62.3% of public health facilities prescribed the nationally recommended anti-malarial drug and 37.7% prescribed chloroquine as first-line therapy. 66.7% of public facilities did not have in stock the recommended first-line malaria therapy. Diagnosis of malaria using rapid diagnostic tests (RDT) or microscopy was performed routinely in over 90% of the recommended public facilities but only 50% of these had RDT in stock at the time of survey. National treatment guidelines were available in 31.3% of public health facilities recommended by the national strategy. Only 8.8% of the private pharmacies prescribed artesunate plus sulphadoxine/pyrimethamine, while 53.1% prescribed chloroquine as first-line therapy. 31.4% of private pharmacies also provided malaria diagnosis using RDT or microscopy. Conclusion Geographic access to public health sector is relatively low and there were major shortages of appropriate guidelines, anti-malarials and diagnostic tests required for appropriate malaria case management. Efforts to strengthen the readiness of the health sector in Somalia to provide malaria case management should improve availability of drugs and diagnostic kits; provide appropriate information and training; and engage and regulate the private sector to scale up malaria control. PMID:19439097

Health service providers in Somalia: their readiness to provide malaria case-management.

PubMed

Noor, Abdisalan M; Rage, Ismail A; Moonen, Bruno; Snow, Robert W

2009-05-13

Studies have highlighted the inadequacies of the public health sector in sub-Saharan African countries in providing appropriate malaria case management. The readiness of the public health sector to provide malaria case-management in Somalia, a country where there has been no functioning central government for almost two decades, was investigated. Three districts were purposively sampled in each of the two self-declared states of Puntland and Somaliland and the south-central region of Somalia, in April-November 2007. A survey and mapping of all public and private health service providers was undertaken. Information was recorded on services provided, types of anti-malarial drugs used and stock, numbers and qualifications of staff, sources of financial support and presence of malaria diagnostic services, new treatment guidelines and job aides for malaria case-management. All settlements were mapped and a semi-quantitative approach was used to estimate their population size. Distances from settlements to public health services were computed. There were 45 public health facilities, 227 public health professionals, and 194 private pharmacies for approximately 0.6 million people in the three districts. The median distance to public health facilities was 6 km. 62.3% of public health facilities prescribed the nationally recommended anti-malarial drug and 37.7% prescribed chloroquine as first-line therapy. 66.7% of public facilities did not have in stock the recommended first-line malaria therapy. Diagnosis of malaria using rapid diagnostic tests (RDT) or microscopy was performed routinely in over 90% of the recommended public facilities but only 50% of these had RDT in stock at the time of survey. National treatment guidelines were available in 31.3% of public health facilities recommended by the national strategy. Only 8.8% of the private pharmacies prescribed artesunate plus sulphadoxine/pyrimethamine, while 53.1% prescribed chloroquine as first-line therapy. 31.4% of private pharmacies also provided malaria diagnosis using RDT or microscopy. Geographic access to public health sector is relatively low and there were major shortages of appropriate guidelines, anti-malarials and diagnostic tests required for appropriate malaria case management. Efforts to strengthen the readiness of the health sector in Somalia to provide malaria case management should improve availability of drugs and diagnostic kits; provide appropriate information and training; and engage and regulate the private sector to scale up malaria control.

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

NASA Astrophysics Data System (ADS)

Williams, Martin

2014-05-01

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

Somali Proverbs and Poems as Acculturation Indices

ERIC Educational Resources Information Center

Doob, Leonard W.; Hurreh,Ismael M.

1970-01-01

Hypothesizes that proverbs and poems among nonliterate peoples vary inversely with the user's degree of Westernization. Suggests that the oral tradition in Somalia, East Africa serves different functions for the different social groups such as nomads, semi-nomads, and students. (MB)

Literacy in Somali: Linguistic Consequences.

ERIC Educational Resources Information Center

Biber, Douglas; Hared, Mohamed

1991-01-01

Linguistic consequences of literacy in Somalia are examined in a review of the literature and through a study of five dimensions of variation among Somali registers and the expansion of linguistic variation in Somali resulting from the introduction of written registers. (36 references) (LB)

76 FR 47647 - Additional Designation of Person Whose Property and Interests in Property Are Blocked Pursuant to...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-05

... 10 Apr 1979; POB Garissa, Kenya; nationality Kenya; Kenyan ID No. 23446085 (Kenya); Passport A1180173 (Kenya) expires 20 Aug 2017; (INDIVIDUAL) [SOMALIA] Dated: July 29, 2011. Barbara C. Hammerle, Acting...

Identity in Africa's Internal Conflicts.

ERIC Educational Resources Information Center

Deng, Francis M.

1996-01-01

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

31 CFR 551.401 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false [Reserved] 551.401 Section 551.401 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Interpretations § 551.401...

76 FR 47646 - Additional Designation of Person Whose Property and Interests in Property Are Blocked Pursuant to...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-05

... is featured in an Al-Shabaab video in which militia members are shown training and explicitly stating... organizing a suicide bombing attack carried out by a Somali-American from Minnesota who traveled to Somalia...

Evolving Service Poles in Presence Missions.

DTIC Science & Technology

1995-08-01

were trained, equipped, deployed and re-deployed t-.hrough FMF; e.g., Morocco in Somalia and S*n* ga , Nigeria, Ghana, Siarra Leone. Uganda, and TanzarH...Mongolia, Nopal , and Bangladesh, military outraach programs, including parsonnsl exchanges and multinational conferences, provide some of our basic

Female circumcision and child mortality in urban Somalia.

PubMed

Mohamud, O A

1991-01-01

In Somalia, a demographer analyzed urban data obtained from the Family Health Survey to examine the effect female circumcision has on child mortality and the mechanism of that effect. Girls undergo female circumcision between 5-12 years old in Somalia. Since sunni circumcision (removal of the clitoral prepuce and tip of the clitoris) and clitoridectomy (removal of the entire clitoris) did not affect child mortality, he used them as the reference group. Infibulation (entire removal of the clitoris and of the labia minora and majora with the remains of the labia majora being sewn together allowing only a small opening for passage of urine) did affect child mortality. Female children who underwent infibulation and whose mothers most likely also underwent infibulation experienced higher mortality (13-72%) than those from other circumcised mothers. Female mortality exceeded male mortality indicating possible son preference. Mothers with clitoridectomy or infibulation had significantly higher infant mortality than those with sunni circumcision with the strongest effects during the neonatal period (95% and 42% higher mortality, respectively; p=.01). The effect of female circumcision on child mortality decreased with increased child's age. This higher than expected mortality among women with clitoridectomy may have been because women with infibulation had more stillbirths which were not counted as births. The exposed vagina of clitoridectomized women is more likely to be infected resulting in high risk of stillbirths and premature births than the closed vagina of infibulated women. The researcher suggested that the policies promoting education and consciousness raising may eventually eradicate female circumcision. This longterm campaign should use mass media, senior women of high status, and respected religious leaders. Legislation prohibiting this practice would only drive it underground under unsanitary conditions. Demographers should no longer ignore female circumcision's effect on mortality and other demographic variables.

Space–time mapping of wasting among children under the age of five years in Somalia from 2007 to 2010

PubMed Central

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

2016-01-01

Objective To determine the sub-national seasonal prevalence and trends in wasting from 2007 to 2010 among children aged 6–59 months in Somalia using remote sensing and household survey data from nutritional surveys. Methods Bayesian hierarchical space–time model was implemented using a stochastic partial differential equation (SPDE) approach in integrated nested Laplace approximations (INLA) to produce risk maps of wasting at 1 × 1 km2 spatial resolution and predict to seasons in each year of study from 2007 to 2010. Results The prevalence of wasting was generally at critical levels throughout the country, with most of the areas remaining in the upper classes of critical and very critical levels. There was minimal variation in wasting from year-to-year, but a well-defined seasonal variation was observed. The mean difference of the prevalence of wasting between the dry and wet season ranges from 0% to 5%. The risks of wasting in the South Central zone were highest in the Gedo (37%) and Bay (32%) regions. In North East zone the risk was highest in Nugaal (25%) and in the North West zone the risk was high in Awdal and Woqooyi Galbeed regions with 23%. Conclusion There was a clear seasonal variation in wasting with minimal year-to-year variability from 2007 to 2010 in Somalia. The prevalence was high during the long dry season, which affects the prevalence in the preceding long rainy season. Understanding the seasonal fluctuations of wasting in different locations and at different times is important to inform timely interventions. PMID:26919757

Assessing the impact of mass rape on the incidence of HIV in conflict-affected countries

PubMed Central

Virginie, Supervie; Yasmin, Halima; Sally, Blower

2010-01-01

Objectives To quantify the potential impact of mass rape on HIV incidence in seven conflict-afflicted-countries (CACs), with severe HIV epidemics, in Sub-Saharan Africa. Design Uncertainty analysis of a risk equation model. Methods A mathematical model was used to evaluate the potential impact of mass rape on increasing HIV incidence in women and girls in: Burundi, Democratic Republic of Congo (DRC), Rwanda, Sierra Leone, Somalia, southern Sudan and Uganda. The model was parameterized with data from UNAIDS/WHO and the US Census Bureau’s International Data Base. Incidence data from UNAIDS/WHO were used for calibration. Results Mass rape could cause ~five HIV infections per 100,000 females per year in the DRC, Sudan, Somalia and Sierra Leone, double that in Burundi and Rwanda, and quadruple that in Uganda. The number of females infected per year due to mass rape is likely to be relatively low in Somalia and Sierra Leone, 127 (median: Inter-Quartile-Range (IQR) 55–254) and 156 (median: IQR 69–305), respectively. Numbers could be high in the DRC and Uganda: 1,120 (median: IQR 527–2,360) and 2,172 (median: IQR 1,031–4,668), respectively. In Burundi, Rwanda and Sudan numbers are likely to be intermediate. Under extreme conditions 10,000 women and girls could be infected per year in the DRC, and 20,000 women and girls in Uganda. Mass rape could increase annual incidence by ~ 7% (median: IQR 3–15). Conclusions Interventions and treatment targeted to rape survivors during armed conflicts could reduce HIV incidence. Support should be provided both on the basis of human rights and public health. PMID:20859191

Concordance study and population frequencies for 16 autosomal STRs analyzed with PowerPlex® ESI 17 and AmpFℓSTR® NGM SElect™ in Somalis, Danes and Greenlanders.

PubMed

Tomas, C; Mogensen, H S; Friis, S L; Hallenberg, C; Stene, M C; Morling, N

2014-07-01

A concordance study of the results of PowerPlex(®) ESI 17 and AmpFℓSTR(®) NGM SElect™ kits obtained from 591 individuals from Somalia (N=198), Denmark (N=199) and Greenland (N=194) was performed. Among 9456 STR types, seven discordant results were found with the two kits: one observed in the D19S433 system in an individual from Denmark and six in the SE33 system in six individuals from Somalia. Sequencing of SE33 in the six samples with discordant results showed G>A transition 15bp downstream of the repeat unit in three of the individuals, and G>A transition 68bp downstream of the repeat unit in the other three individuals. Population data for 16 autosomal STR systems analyzed in 989 individuals from Somalia, Denmark and Greenland are also presented. The highest mean heterozygosity was observed in Danes (82.5%). With the exception of D8S1179 in Danes, no significant deviations from Hardy-Weinberg expectations were observed. Only one pair of systems (D12S391 and D18S51) showed significant allelic association in Greenlanders (after Holm-Šidák correction). A MDS plot drawn from pairwise FST values calculated between 21 populations showed a clear displacement of the Greenlandic population versus the other ones included in the analyses. The highest combined chance of exclusion and power of discrimination was observed for Danes reaching values of 99.9999987% and 1 in 1.8×10(21), respectively. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

From diagnosis to health: a cross-cultural interview study with immigrants from Somalia.

PubMed

Wallin, Anne-Marie; Ahlström, Gerd

2010-06-01

Being diagnosed as having a chronic disease gives rise to emotions. Beliefs about health are culturally constructed and affect people's decisions regarding treatment. No studies have been reported that focus on the health beliefs of immigrants of Somalian origin with diabetes and how these people experiences the diagnosis. Therefore the aim of the present study was to investigate how immigrants from Somalia living in Sweden experienced receiving the diagnosis and describe their beliefs about health. The sample consisted of 19 adults with diabetes born in Somalia and now living in Sweden who were interviewed with the aid of an interpreter. The interviews were subjected to qualitative content analysis. From the analysis of what the participants said about their experiences of the diagnosis there emerged three themes: 'Existential brooding', 'Avoiding the diagnosis' and 'Accepting what is fated'. Three themes also emerged from the analysis of what they said about beliefs about health: 'Health as absence of disease', 'Health as general well-being' and 'Fated by a higher power'. A major finding was that women when they communicated their experiences regarding the diagnosis and health beliefs made more use of supernatural beliefs than men did. The participants, irrespective of gender, did not immediately respond with shock or other strong emotion when they received the diagnosis. The study provides health-care staff with knowledge concerning a minority group's experiences of being diagnosed as having diabetes and their beliefs about health. The findings indicate that men and women differ in how they experiences the diagnosis and how they described their health beliefs. The quality improvement of health education and nursing for patients with diabetes calls for consideration of the variation of beliefs related to cultural background and gender.

Practicing medicine without borders: tele-consultations and tele-mentoring for improving paediatric care in a conflict setting in Somalia?

PubMed

Zachariah, R; Bienvenue, B; Ayada, L; Manzi, M; Maalim, A; Engy, E; Jemmy, J P; Ibrahim Said, A; Hassan, A; Abdulrahaman, F; Abdulrahman, O; Bseiso, J; Amin, H; Michalski, D; Oberreit, J; Draguez, B; Stokes, C; Reid, T; Harries, A D

2012-09-01

In a district hospital in conflict-torn Somalia, we assessed (i) the impact of introducing telemedicine on the quality of paediatric care, and (ii) the added value as perceived by local clinicians. A 'real-time' audio-visual exchange of information on paediatric cases (Audiosoft Technologies, Quebec, Canada) took place between clinicians in Somalia and a paediatrician in Nairobi. The study involved a retrospective analysis of programme data, and a perception study among the local clinicians. Of 3920 paediatric admissions, 346 (9%) were referred for telemedicine. In 222 (64%) children, a significant change was made to initial case management, while in 88 (25%), a life-threatening condition was detected that had been initially missed. There was a progressive improvement in the capacity of clinicians to manage complicated cases as demonstrated by a significant linear decrease in changes to initial case management for meningitis and convulsions (92-29%, P = 0.001), lower respiratory tract infection (75-45%, P = 0.02) and complicated malnutrition (86-40%, P = 0.002). Adverse outcomes (deaths and lost to follow-up) fell from 7.6% in 2010 (without telemedicine) to 5.4% in 2011 with telemedicine (30% reduction, odds ratio 0.70, 95% CI: 0.57-0.88, P = -0.001). The number needed to be treated through telemedicine to prevent one adverse outcome was 45. All seven clinicians involved with telemedicine rated it to be of high added value. The introduction of telemedicine significantly improved quality of paediatric care in a remote conflict setting and was of high added value to distant clinicians. © 2012 Blackwell Publishing Ltd.

Efficacy of artesunate + sulphadoxine/pyrimethamine and artemether + lumefantrine and dhfr and dhps mutations in Somalia: evidence for updating the malaria treatment policy.

PubMed

Warsame, Marian; Hassan, Abdikarim Hussein; Hassan, Abdillahi Mohamed; Arale, Abdulkadir Mohamed; Jibril, Ali Mohamed; Mohamud, Said Abdulkadir; Barrette, Amy; Muse, Abdikarim Yusuf; Yusuf, Fahmi Essa; Nada, Rania A; Amran, Jamal Ghilan Hefzullah

2017-04-01

To determine the therapeutic efficacy of artesunate + sulphadoxine/pyrimethamine (AS + SP) and artemether + lumefantrine (AL), and to investigate the presence of molecular mutations associated with resistance, to inform national malaria treatment policy. One-arm prospective studies were conducted in three study sites in Somalia in 2013 and 2015 to evaluate the efficacy of AS + SP and AL among patients with uncomplicated falciparum malaria. Outcomes included clinical and parasitological response over 28 days, and the presence of dihydrofolate reductase (dfhr) and dihydropteroate synthase (dhps) and mutations. Among patients treated with AS + SP, the PCR-corrected treatment failure rate was 12.3%. The majority of patients (89%) carried either the quintuple mutations (51I/108N + 437G/540E/581G or 51I/59R/108N + 437G/540E) or the quadruple mutation (51I/108N + 437G/540E). All patients who failed treatment with AS + SP carried the quintuple mutation (51I/108N + 437G/540E/581G). In the studies of AL, the PCR-corrected treatment failure rate was <6%. All patients in both treatment groups cleared their parasitaemia by day 3. The findings demonstrate a failing first-line treatment (AS + SP), with a failure rate above the threshold (10%) for policy change, and a high prevalence of quintuple mutations. In contrast, AL was highly efficacious. Based on these findings and the results from a previous AS + SP study, AL was selected to replace AS + SP as the first-line treatment for uncomplicated malaria in Somalia in 2016. Dihydroartemisinin + piperaquine (DHA + PPQ) has been recommended as the second-line treatment. Routine monitoring of recommended ACTs should continue to inform treatment policy. © 2017 John Wiley & Sons Ltd.

Reconciling geodetic and geological estimates of recent plate motion across the Southwest Indian Ridge

NASA Astrophysics Data System (ADS)

DeMets, C.; Calais, E.; Merkouriev, S.

2017-01-01

We use recently published, high-resolution reconstructions of the Southwest Indian Ridge to test whether a previously described systematic difference between Global Positioning System (GPS) and 3.16-Myr-average estimates of seafloor spreading rates between Antarctica and Africa is evidence for a recent slowdown in Southwest Indian Ridge seafloor spreading rates. Along the Nubia-Antarctic segment of the ridge, seafloor opening rates that are estimated with the new, high-resolution reconstructions and corrected for outward displacement agree well with geodetic rate estimates and reduce previously reported, highly significant non-closure of the Nubia-Antarctic-Sur plate circuit. The observations are inconsistent with a slowdown in spreading rates and instead indicate that Nubia-Antarctic plate motion has been steady since at least 5.2 Ma. Lwandle-Antarctic seafloor spreading rates that are estimated from the new high-resolution reconstructions differ insignificantly from a GPS estimate, thereby implying steady Lwandle-Antarctic plate motion since 5.2 Ma. Between the Somalia and Antarctic plates, the new Southwest Indian Ridge reconstructions eliminate roughly half of the systematic difference between the GPS and MORVEL spreading rate estimates.We interpret the available observations as evidence that Somalia-Antarctic spreading rates have been steady since at least 5.2 Ma and postulate that the remaining difference is attributable to random and/or systematic errors in the plate kinematic estimates and the combined effects of insufficient geodetic sampling of undeforming areas of the Somalia plate, glacial isostatic adjustment in Antarctica and transient deformation triggered by the 1998 Mw = 8.2 Antarctic earthquake, the 2004 Mw = 9.3 Sumatra earthquake, or possibly other large historic earthquakes.

31 CFR 551.303 - Entity.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Entity. 551.303 Section 551.303 Money... CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.303 Entity. The term entity means a partnership, association, trust, joint venture, corporation, group, subgroup...

31 CFR 551.303 - Entity.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Entity. 551.303 Section 551.303 Money... CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.303 Entity. The term entity means a partnership, association, trust, joint venture, corporation, group, subgroup...

Piracy Off the Horn of Africa

DTIC Science & Technology

2009-09-28

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

75 FR 24394 - Somalia Sanctions Regulations

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-05

... reference books, photocopies, credit reports, transcripts of statements, registered mail, insurance... alia, the International Emergency Economic Powers Act (50 U.S.C. 1701- 1706), the National Emergencies... section. Note 2 to Sec. 551.201: Section 203 of the International Emergency Economic Powers Act (50 U.S.C...

31 CFR 551.801 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false [Reserved] 551.801 Section 551.801 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Procedures § 551.801 [Reserved] ...

31 CFR 551.405 - Setoffs prohibited.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Setoffs prohibited. 551.405 Section 551.405 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Interpretations § 551.405...

31 CFR 551.308 - Transfer.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Transfer. 551.308 Section 551.308 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.308...

31 CFR 551.304 - Interest.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Interest. 551.304 Section 551.304 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.304...

31 CFR 551.301 - Blocked account; blocked property.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Blocked account; blocked property. 551.301 Section 551.301 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS...

31 CFR 551.306 - Person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Person. 551.306 Section 551.306 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551.306 Person...

The Elusive Goal of World Literacy.

ERIC Educational Resources Information Center

Bhola, H. S.; And Others

1980-01-01

This issue is devoted to discussions of world literacy and national programs which comparative studies indicate may be used as models for future UNESCO international campaigns. Individual articles explore economic incentives for literacy motivation, radio learning projects, media programs in Jamaica, literacy improvement in Somalia, and a…

31 CFR 551.302 - Effective date.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Effective date. 551.302 Section 551.302 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General Definitions § 551...

Unemployed Youth: Alternative Approaches to an African Crisis.

ERIC Educational Resources Information Center

Livingstone, Ian

1989-01-01

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

31 CFR 551.503 - Exclusion from licenses.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Exclusion from licenses. 551.503 Section 551.503 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Licenses...

Law and Anarchy in Somalia

DTIC Science & Technology

1993-01-01

incapacitating spray, such as Mace, could be an answer to the problem of theft from moving vehicles. Commercially produced cayenne pepper spray would work...reviewed at higher headquarters. When the cayenne pepper spray was finally approved in April 1993, it proved to be highly effective." Detention of

Fever prevalence and management among three rural communities in the North West Zone, Somalia.

PubMed

Youssef, R M; Alegana, V A; Amran, J; Noor, A M; Snow, R W

2010-06-01

Between March and August 2008 we undertook 2 cross-sectional surveys among 1375 residents of 3 randomly selected villages in the district of Gebiley in the North-West Zone, Somalia. We investigated for the presence of malaria infection and the period prevalence of self-reported fever 14 days prior to both surveys. All blood samples examined were negative for both species of Plasmodium. The period prevalence of 14-day fevers was 4.8% in March and 0.6% in August; the majority of fevers (84.4%) were associated with other symptoms including cough, running nose and sore throat; 48/64 cases had resolved by the day of interview (mean duration 5.4 days). Only 18 (37.5%) fever cases were managed at a formal health care facility: 7 within 24 hours and 10 within 24-72 hours of onset. None of the fevers were investigated for malaria; they were treated with antibiotics, antipyretics and vitamins.

STS-56 Earth observation of a sun-glinted ocean along the coast of Somalia

NASA Technical Reports Server (NTRS)

1993-01-01

STS-56 Earth observation taken aboard Discovery, Orbiter Vehicle (OV) 103, is of a sun-glinted ocean along the northeastern coast of Somalia. The small island of Xaafuun is connected to the mainland by a well-developed double tombolo-two sand bars. Between the two toombolos a lagoon is formed which gradually fills with sediment and becomes a flat sand bar. Better known double tombolos include those of Gibraltar, the now-partially submerged giant tombolos forming Adam's Bridge (Palk Strait) connecting Sri Lanka to India, Monte Argentario in Italy, and Long Island, New York. Such tombolos usually indicate a constant sediment source and a strong unidirectional or bi-directional (monsoonal) long shore current. In this case, sediment is provided by the plumes of the major African rivers debauching into the Mozambique Channel. The sediment is carried predominately to the northeast along the coast by the swiftly moving monsoonal Agulhas Current. Visible in this scene are internal waves, shear

Serologic Markers for Detecting Malaria in Areas of Low Endemicity, Somalia, 2008

PubMed Central

Youssef, Randa M.; Cook, Jackie; Cox, Jonathan; Alegana, Victor A.; Amran, Jamal; Noor, Abdisalan M.; Snow, Robert W.; Drakeley, Chris

2010-01-01

Areas in which malaria is not highly endemic are suitable for malaria elimination, but assessing transmission is difficult because of lack of sensitivity of commonly used methods. We evaluated serologic markers for detecting variation in malaria exposure in Somalia. Plasmodium falciparum or P. vivax was not detected by microscopy in cross-sectional surveys of samples from persons during the dry (0/1,178) and wet (0/1,128) seasons. Antibody responses against P. falciparum or P. vivax were detected in 17.9% (179/1,001) and 19.3% (202/1,044) of persons tested. Reactivity against P. falciparum was significantly different between 3 villages (p<0.001); clusters of seroreactivity were present. Distance to the nearest seasonal river was negatively associated with P. falciparum (p = 0.028) and P. vivax seroreactivity (p = 0.016). Serologic markers are a promising tool for detecting spatial variation in malaria exposure and evaluating malaria control efforts in areas where transmission has decreased to levels below the detection limit of microscopy. PMID:20202412

Is Active Tectonics on Madagascar Consistent with Somalian Plate Kinematics?

NASA Astrophysics Data System (ADS)

Stamps, D. S.; Kreemer, C.; Rajaonarison, T. A.

2017-12-01

The East African Rift System (EARS) actively breaks apart the Nubian and Somalian tectonic plates. Madagascar finds itself at the easternmost boundary of the EARS, between the Rovuma block, Lwandle plate, and the Somalian plate. Earthquake focal mechanisms and N-S oriented fault structures on the continental island suggest that Madagascar is experiencing east-west oriented extension. However, some previous plate kinematic studies indicate minor compressional strains across Madagascar. This inconsistency may be due to uncertainties in Somalian plate rotation. Past estimates of the rotation of the Somalian plate suffered from a poor coverage of GPS stations, but some important new stations are now available for a re-evaluation. In this work, we revise the kinematics of the Somalian plate. We first calculate a new GPS velocity solution and perform block kinematic modeling to evaluate the Somalian plate rotation. We then estimate new Somalia-Rovuma and Somalia-Lwandle relative motions across Madagascar and evaluate whether they are consistent with GPS measurements made on the island itself, as well as with other kinematic indicators.

Mapping cattle trade routes in southern Somalia: a method for mobile livestock keeping systems.

PubMed

Tempia, S; Braidotti, F; Aden, H H; Abdulle, M H; Costagli, R; Otieno, F T

2010-12-01

The Somali economy is the only one in the world in which more than half the population is dependent on nomadic pastoralism. Trade typically involves drovers trekking animals over long distances to markets. A pilot approach for mapping trade routes was undertaken, using the Afmadow to Garissa routes in southern Somalia. The methodology included conducting a workshop with traders to gather preliminary information about the most-used routes and general husbandry practices and training selected drovers to collect data about key features along the routes, using hand-held global positioning system (GPS) devices, radio collar GPS and pictorial data forms. Collected data were then integrated into geographic information systems for analysis. The resultant spatial maps describe the Afmadow to Garissa routes, the speed of livestock movement along these routes and relevant environmental and social features affecting this speed. These data are useful for identifying critical control points for health screening along the routes, which may enable the establishment of a livestock certification system in nomadic pastoral environments.

Fever prevalence and management among three rural communities in the North West Zone, Somalia

PubMed Central

Youssef, R.M.; Alegana, V.A.; Amran, J.; Noor, A.M.; Snow, R.W.

2010-01-01

Between March and August 2008 we undertook 2 cross-sectional surveys among 1375 residents of 3 randomly selected villages in the district of Gebiley in the North-West Zone, Somalia. We investigated for the presence of malaria infection and the period prevalence of self-reported fever 14 days prior to both surveys. All blood samples examined were negative for both species of Plasmodium. The period prevalence of 14-day fevers was 4.8% in March and 0.6% in August; the majority of fevers (84.4%) were associated with other symptoms including cough, running nose and sore throat; 48/64 cases had resolved by the day of interview (mean duration 5.4 days). Only 18 (37.5%) fever cases were managed at a formal health care facility: 7 within 24 hours and 10 within 24–72 hours of onset. None of the fevers were investigated for malaria; they were treated with antibiotics, antipyretics and vitamins. PMID:20799585

Serologic markers for detecting malaria in areas of low endemicity, Somalia, 2008.

PubMed

Bousema, Teun; Youssef, Randa M; Cook, Jackie; Cox, Jonathan; Alegana, Victor A; Amran, Jamal; Noor, Abdisalan M; Snow, Robert W; Drakeley, Chris

2010-03-01

Areas in which malaria is not highly endemic are suitable for malaria elimination, but assessing transmission is difficult because of lack of sensitivity of commonly used methods. We evaluated serologic markers for detecting variation in malaria exposure in Somalia. Plasmodium falciparum or P. vivax was not detected by microscopy in cross-sectional surveys of samples from persons during the dry (0/1,178) and wet (0/1,128) seasons. Antibody responses against P. falciparum or P. vivax were detected in 17.9% (179/1,001) and 19.3% (202/1,044) of persons tested. Reactivity against P. falciparum was significantly different between 3 villages (p<0.001); clusters of seroreactivity were present. Distance to the nearest seasonal river was negatively associated with P. falciparum (p = 0.028) and P. vivax seroreactivity (p = 0.016). Serologic markers are a promising tool for detecting spatial variation in malaria exposure and evaluating malaria control efforts in areas where transmission has decreased to levels below the detection limit of microscopy.

Between protest, revenge and material interests: a phenomenological analysis of looting in the Somali war.

PubMed

Bakonyi, Jutta

2010-04-01

This paper examines practices of looting in the Somali war. Rather than being inspired primarily by economic objectives, lootings are complex and ambiguous social activities, which are embedded in daily practices and the political rhetoric of the war. In Somalia, looting activities have been driven by a broad range of motives, including military-strategic considerations and/or desire to revenge past atrocities and (perceived) injustices, as well as economic interests. Furthermore, the organisational structure, the performance of actions and the main targets of looters have differed widely. Based on an empirical analysis of different waves and phases of looting in the context of war and state decay in Somalia, the paper identifies five types of looting. Beyond a state-centred conceptualisation of order, the study reveals that looting is not an expression of political chaos, but rather is patterned by and rooted in local moral universes, which have been fundamentally transformed during the course of the violent conflicts in the country since the end of the 1970s.

Cirolana bambang, a distinctive new species of Cirolana Leach, 1818 (Crustacea: Isopoda: Cirolanidae) from Bitung, Indonesia.

PubMed

Sidabalok, Conni M; Bruce, Niel L

2018-01-25

Cirolana bambang sp. nov. from Bitung, North Sulawesi, Indonesia is described. The species can be recognised by generally smooth body with small, acute, submedian nodules on pleonites 4-5 and the anterior dorsal surface of the pleotelson together with a flat, pentagonal frontal lamina, linguiform and sexually dimorphic pleotelson with the dorsal surface covered by short setae in males, deeply bifid uropod apices, and a conspicuously large robust seta on the superodistal angle of pereopod 1 ischium. Cirolana bambang sp. nov. appears to belong to a group of Indo-West Pacific Cirolana with prominent penial process, a large robust seta on the superodistal angle of pereopod 1 ischium and the presence of setae on dorsal surface of pleotelson and or uropod in males. The most similar species are Cirolana comata Keable, 2001; Cirolana dissimilis Keable, 2001; Cirolana aldabrensis Schotte Kensley, 2005; and Cirolana somalia Schotte Kensley, 2005. Cirolana kiliani Müller, 1993 and C. somalia are found not to belong to the Cirolana'parva-group'.

Piracy off the Horn of Africa

DTIC Science & Technology

2009-04-21

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

31 CFR 551.305 - Licenses; general and specific.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Licenses; general and specific. 551.305 Section 551.305 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS General...

31 CFR 551.402 - Effect of amendment.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Effect of amendment. 551.402 Section 551.402 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Interpretations § 551.402...

31 CFR 551.901 - Paperwork Reduction Act notice.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Paperwork Reduction Act notice. 551.901 Section 551.901 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Paperwork...

31 CFR 551.501-551.502 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false [Reserved] 551.501-551.502 Section 551.501-551.502 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS Licenses...

Rethinking Ethnic Conflict: Somalia and Fiji.

ERIC Educational Resources Information Center

McFerson, Hazel M.

1996-01-01

Compares and contrasts the recent years of ethnic conflict in Somali and Fiji. The widely divergent reactions of both populations dispels the belief that ethnic pluralism is both a necessary and sufficient condition for violent conflict in a society. Provides succinct portraits of both societies and their cultures. (MJP)

31 CFR 551.507 - Authorization of emergency medical services.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Authorization of emergency medical services. 551.507 Section 551.507 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS...

USDA, ARS, ABDRL Research on Countermeasures for Rift Valley Fever Virus

USDA-ARS?s Scientific Manuscript database

The United State Department of Agriculture, Agriculture Research Service has recently established research program to address countermeasures for of Rift Valley fever (RVF) virus (RVFV). The recent outbreak in Kenya, Tanzania and Somalia demonstrates the impact this virus can have on human and live...

Needs Assessment of International Students at Eastern Oregon State College.

ERIC Educational Resources Information Center

Eid, Mamoud Taha; Jordan-Domschot, Theresa

The purpose of the research project was to assess the needs, satisfaction, and concerns of international students attending Eastern Oregon State College. The international student population consisted of students from Micronesia, Netherlands, Somalia, Saudi Arabia, Jordan, Iran, Japan, Thailand, Zimbabwe, Belgium, Canada, Nigeria, China,…

Public Affairs - Brochures Available

Science.gov Websites

Go About Fermilab What is Fermilab? Contributions to Science and Society Virtual Tour Research at Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Tome (Sao Tome) & Principe Sudan National Accelerator Laboratory Office of Science/U.S. Department of Energy Managed by Fermi Research

Epidemic of Febrile Disease in Berbera, Somalia

DTIC Science & Technology

1993-10-01

situated on the Gulf all negative by Widal tests. In July 1989, of Aden, adjacent to the Indian Ocean , is a a U.S. Navy team administered a coastal town...A. (1976): Microplate enzyme linked immunosorbent assay antibody immunoassays for the immunodiagnosis response to C. burnetii in experimentally of

31 CFR 551.201 - Prohibited transactions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Assets Control's Specially Designated Nationals and Blocked Persons List (“SDN List”) with the identifier “[SOMALIA].” The SDN List is accessible through the following page on the Office of Foreign Assets Control's Web site: http://www.treasury.gov/sdn. Additional information pertaining to the SDN List can be found...

31 CFR 551.201 - Prohibited transactions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Nationals and Blocked Persons List (“SDN” list) (which is accessible via the Office of Foreign Assets... with the identifier “[SOMALIA].” See § 551.406 concerning entities that may not be listed on the SDN... are blocked pending investigation pursuant to this part also are published on the SDN list, published...

31 CFR 551.201 - Prohibited transactions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Assets Control's Specially Designated Nationals and Blocked Persons List (“SDN List”) with the identifier “[SOMALIA].” The SDN List is accessible through the following page on the Office of Foreign Assets Control's Web site: http://www.treasury.gov/sdn. Additional information pertaining to the SDN List can be found...

31 CFR 551.201 - Prohibited transactions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Assets Control's Specially Designated Nationals and Blocked Persons List (“SDN List”) with the identifier “[SOMALIA].” The SDN List is accessible through the following page on the Office of Foreign Assets Control's Web site: http://www.treasury.gov/sdn. Additional information pertaining to the SDN List can be found...

31 CFR 551.201 - Prohibited transactions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Assets Control's Specially Designated Nationals and Blocked Persons List (“SDN List”) with the identifier “[SOMALIA].” The SDN List is accessible through the following page on the Office of Foreign Assets Control's Web site: http://www.treasury.gov/sdn. Additional information pertaining to the SDN List can be found...

Trends in Innovation: Basic Education in Africa.

ERIC Educational Resources Information Center

Bartels, Francis L.

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

CULTURAL FRONTIERS OF THE PEACE CORPS.

ERIC Educational Resources Information Center

TEXTOR, ROBERT B., ED.

THE PRESENT WORK CONTAINS ANALYSES OF PEACE CORPS PROGRAMS IN SELECTED HOST COUNTRIES (THE PHILIPPINES, MALAYA, THAILAND, PERU, BOLIVIA, AFGHANISTAN, SOMALIA, NIGERIA, TANGANYIKA, SIERRA LEONE, TUNISIA, MOROCCO, AND JAMAICA) WRITTEN BY AN AUTHORITY ON EACH COUNTRY. COVERAGE OF DOMESTIC OPERATIONS OF THE PEACE CORPS IS STRICTLY LIMITED TO WHAT IS…

75 FR 67383 - Extension of the Designation of Somalia for Temporary Protected Status

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-02

... DEPARTMENT OF HOMELAND SECURITY U.S. Citizenship and Immigration Services [CIS No. 2497-99; DHS... Status AGENCY: U.S. Citizenship and Immigration Services, Department of Homeland Security (DHS). ACTION... extension of their employment authorization documents (EADs) with U.S. Citizenship and Immigration Services...

Could Lessons Learned in Somalia be beneficial to Africa Command (AFRICOM)

DTIC Science & Technology

2008-01-01

OPERATIONS L FORCES , . -H’MCS PRESE’RVE’R"l HMASTOBRUK INS SUKANYA , ITS GRECALE ITS SA GIORGIO ITS VESUVIO ~ I _"’ ’_""_""’"~"’ __’J" __’’’_’ UK..C130

78 FR 65690 - Extension of the Designation of Somalia for Temporary Protected Status

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-01

... DEPARTMENT OF HOMELAND SECURITY U.S. Citizenship and Immigration Services [CIS No. 2538-13; DHS... Status AGENCY: U.S. Citizenship and Immigration Services, Department of Homeland Security. ACTION: Notice.... Citizenship and Immigration Services (USCIS). Re-registration is limited to persons who have previously...

A resolution urging the development of a comprehensive strategy to ensure stability in Somalia, and for other purposes.

THOMAS, 111th Congress

Sen. Feingold, Russell D. [D-WI

2010-06-29

Senate - 09/29/2010 Resolution agreed to in Senate with an amendment and an amended preamble by Unanimous Consent. (All Actions) Tracker: This bill has the status Agreed to in SenateHere are the steps for Status of Legislation:

31 CFR 551.506 - Provision of certain legal services authorized.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Provision of certain legal services authorized. 551.506 Section 551.506 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS...

31 CFR 551.404 - Transactions ordinarily incident to a licensed transaction authorized.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Transactions ordinarily incident to a licensed transaction authorized. 551.404 Section 551.404 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA...

31 CFR 551.802 - Delegation by the Secretary of the Treasury.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Delegation by the Secretary of the Treasury. 551.802 Section 551.802 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS REGULATIONS...

The Rearmament of Japan: Increased Regional Stability in the Western Pacific or Unnecessary Increase in Tensions

DTIC Science & Technology

2011-05-04

not view themselves as allies. Although the 21 Onishi , Norimitsu. "Japan to Deploy Anti-Piracy...www.financialsense.com/node/350. 17 Onishi , Norimitsu. "Japan to Deploy Anti-Piracy Naval Mission to Somalia Waters." New York Times, February 8, 2009

15 CFR 746.1 - Introduction.

Code of Federal Regulations, 2014 CFR

2014-01-01

... (Iraq) and 746.4 (North Korea). (2) The countries subject to United Nations Security Council arms..., Liberia, Libya, North Korea, Somalia, and Sudan. (3) A license is required to export or reexport items... paragraph does not apply to Iraq, which is governed by § 746.3(c) of this part; North Korea, which is...

Potential for North American Mosquitoes to Transmit Rift Valley Fever Virus

USDA-ARS?s Scientific Manuscript database

The recent outbreaks of disease caused by Rift Valley fever virus (RVFV) in Kenya, Mauritania, Yemen, Tanzania, Somalia, and Madagascar indicate the potential for RVFV to cause severe disease in both humans and domestic animals and its potential to be introduced into new areas, including North Ameri...

Potential for North American mosquitoes to transmit Rift Valley fever virus

USDA-ARS?s Scientific Manuscript database

The recent outbreaks of disease caused by Rift Valley fever virus (RVFV) in Kenya, Mauritania, Yemen, Tanzania, Somalia, and Madagascar indicate the potential for RVFV to cause severe disease in both humans and domestic animals and its potential to be introduced into new areas, possibly even North A...

Somalia: Current Conditions and Prospects for a Lasting Peace

DTIC Science & Technology

2011-04-20

hijacked. In 2009, the Ukrainian-owned ship, MV Faina, which was carrying 33 T-72 tanks and other weapons and a Japanese -owned ship, MV Chemstar, were...characterized as extremist and jihadist. The ICU was accused of shutting down cinemas and prohibiting women from working. Some of these measures were

Somalia: Current Conditions and Prospects for a Lasting Peace

DTIC Science & Technology

2010-12-16

tanks and other weapons and a Japanese -owned ship, MV Chemstar, were released. In February 2010, a Libyan-owned cargo ship, reportedly flying a North... cinemas and prohibiting women from working. Some of these measures were taken by the Courts, although for reasons other than the Courts’ alleged

Somalia: Current Conditions and Prospects for a Lasting Peace

DTIC Science & Technology

2010-02-04

weapons and a Japanese -owned ship, MV Chemstar, were released. The pirates have reportedly earned more than $120 million in ransom payments, and have...shutting down cinemas and prohibiting women from working. Some of these measures were taken by the Courts, although for different reasons and not because

Somalia: Current Conditions and Prospects for a Lasting Peace

DTIC Science & Technology

2010-08-06

Ukrainian-owned ship, MV Faina, which was carrying 33 T-72 tanks and other weapons and a Japanese -owned ship, MV Chemstar, were released. In February...and jihadist. The ICU was accused of shutting down cinemas and prohibiting women from working. Some of these measures were taken by the Courts

Somalia: Current Conditions and Prospects for a Lasting Peace

DTIC Science & Technology

2009-05-21

February 2009, Somali pirates released several ships, including a Japanese -owned ship, MV Chemstar, and the MV Faina. The pirates have reportedly earned...extremist and jihadist. The ICU was accused of shutting down cinemas and prohibiting women from working. Some of these measures were taken by the Courts

Meeting Peace Operations’ Requirements While Maintaining MTW Readiness

DTIC Science & Technology

1998-01-01

in Somalia were issued cayenne pepper spray as an effective means of proportionate force against low-level threats... In one instance, a Somali...called for, but the Marines saw cayenne pepper spray as a substitute for deadly force, instead of as a complement.26 To better train his junior

The Dilemmas of Explaining Africa

ERIC Educational Resources Information Center

Ochonu, Moses

2008-01-01

African professors are often asked by Americans at academic gatherings, campus events, and informal social gatherings what they think of the never-ending civil war in the Democratic Republic of the Congo, the genocide in Sudan, anarchy in Somalia, last year's disastrous elections in Nigeria, the Kenyan political crisis, and other problems. Whether…

Education Data Quality in the Third World: A Five Country Study.

ERIC Educational Resources Information Center

Chapman, David W.

1991-01-01

Reports findings from a study of the confidence expressed by ministry-level decision makers in five developing countries (i.e., Somalia, Botswana, Liberia, Yemen, and Nepal) about the quality of the national-level education data available to them and reasons for the perceived 16-40 percent error rate. (DMM)

Blackbeard: Politician, Pirate or Jihadi - The Relationship Between State Failure and Piracy in Somalia

DTIC Science & Technology

2011-12-01

political stability and piracy. To prove these hypotheses this paper examines two related topics. Firstly, it reviews the conditions that led to the...networks prefer a weak state to a failed state and that there is a relationship between political stability and piracy. The first section investigated the

76 FR 23830 - Removing Designated Countries From the National Security Entry-Exit Registration System (NSEERS)

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-28

..., Syria, Tunisia, United Arab Emirates, and Yemen. Over the past six years, the Department of Homeland... Arabia, Somalia, Sudan, Syria, Tunisia, United Arab Emirates, and Yemen. See, e.g., 67 FR 67766 (Nov. 6... establishment in 2003, DHS has developed substantial infrastructure and adopted more universally applicable...

Critical Pedagogy, Rituals of Distinction, and True Professionalism

ERIC Educational Resources Information Center

Nodoushan, Mohammad Ali Salmani; Pashapour, Arezou

2016-01-01

The current study sought to critically address the practice of rituals of distinction in nation-wide educational milieus to see if such practices can produce generations of underdeveloped and deprived learners. Data were collected over a course of two years from North Korea, Pakistan, Zimbabwe, Venezuela, and Somalia. A total of 419 teachers,…

31 CFR 551.101 - Relation of this part to other laws and regulations.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Relation of this part to other laws and regulations. 551.101 Section 551.101 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS...

31 CFR 551.101 - Relation of this part to other laws and regulations.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Relation of this part to other laws and regulations. 551.101 Section 551.101 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS...

31 CFR 551.101 - Relation of this part to other laws and regulations.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Relation of this part to other laws and regulations. 551.101 Section 551.101 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS...

31 CFR 551.101 - Relation of this part to other laws and regulations.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Relation of this part to other laws and regulations. 551.101 Section 551.101 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS...

31 CFR 551.101 - Relation of this part to other laws and regulations.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Relation of this part to other laws and regulations. 551.101 Section 551.101 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS...

Naval War College Review. Volume 63, Number 2, Spring 2010

DTIC Science & Technology

2010-01-01

coast of Somalia is a result of the absence of gover - nance on land projected out to sea, the unremedied collapse of the Somali state will be an...vis its own internal security issues. With lucrative foreign investments, a tourism industry shaken by electoral violence two years ago, and almost

Deontic Introduction: A Theory of Inference from Is to Ought

ERIC Educational Resources Information Center

Elqayam, Shira; Thompson, Valerie A.; Wilkinson, Meredith R.; Evans, Jonathan St. B. T.; Over, David E.

2015-01-01

Humans have a unique ability to generate novel norms. Faced with the knowledge that there are hungry children in Somalia, we easily and naturally infer that we ought to donate to famine relief charities. Although a contentious and lively issue in metaethics, such inference from "is" to "ought" has not been systematically…

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

ERIC Educational Resources Information Center

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

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

31 CFR 551.403 - Termination and acquisition of an interest in blocked property.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Termination and acquisition of an interest in blocked property. 551.403 Section 551.403 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA...

Reconceptualising Childhood: Children's Rights and Youth Participation in Schools

ERIC Educational Resources Information Center

Johnny, Leanne

2006-01-01

Article 12 of the United Nations Convention on the Rights of the Child holds that young people have a right to participate in matters affecting them. While all members of the United Nations have ratified the Convention (with the exception of the United States and Somalia), there are numerous challenges associated with implementing the…

Somali. Materials Status Report.

ERIC Educational Resources Information Center

Center for Applied Linguistics, Washington, DC. Language/Area Reference Center.

The materials status report for Somali, the official language of Somalia, is one of a series intended to provide the nonspecialist with a picture of the availability and quality of texts for teaching various languages to English speakers. The report consists of: (1) a brief narrative description of Somali, the areas where it is spoken, its major…

31 CFR 551.202 - Effect of transfers violating the provisions of this part.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Effect of transfers violating the provisions of this part. 551.202 Section 551.202 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY SOMALIA SANCTIONS...

The Education of Refugees in Africa: The Role of Distance and Open Learning.

ERIC Educational Resources Information Center

Dodds, Tony

1988-01-01

Description of education services to refugees in Africa focuses on three case studies: Institute of In-Service Teacher Training (IITT) in Somalia; Sudan Extension Unit (SEU); and Namibian Extension Unit (NEU) in Angola and Zambia. Highlights include refugee problems, the relevance of distance and open learning approaches, and international…

Factors Affecting the Ability of American Mosquitoes to Transmit Rift Valley Fever Virus

USDA-ARS?s Scientific Manuscript database

The recent outbreaks of disease caused by Rift Valley fever virus (RVFV) in Kenya, Mauritania, Yemen, Tanzania, Somalia, and Madagascar indicate the potential for RVFV to cause severe disease in both humans and domestic animals and its potential to be introduced into new areas, including North Ameri...

Somalia: Current Conditions and Prospects for a Lasting Peace

DTIC Science & Technology

2010-10-08

ship, MV Faina, which was carrying 33 T-72 tanks and other weapons and a Japanese -owned ship, MV Chemstar, were released. In February 2010, a Libyan...The ICU was accused of shutting down cinemas and prohibiting women from working. Some of these measures were taken by the Courts, although for

31 CFR 551.203 - Holding of funds in interest-bearing accounts; investment and reinvestment.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Holding of funds in interest-bearing accounts; investment and reinvestment. 551.203 Section 551.203 Money and Finance: Treasury Regulations... SOMALIA SANCTIONS REGULATIONS Prohibitions § 551.203 Holding of funds in interest-bearing accounts...

Crisis to Catalyst: The Strategic Effects of the Somalia Affair on the Canadian Armed Forces

DTIC Science & Technology

adversely impacted the professional autonomy of the military, and forced an unprecedented evolution of the Canadian officer corps. Following a detailed...effects. Focus subsequently turns to the principle strategic effects and their continued impact on the CAF and the society it serves. In conclusion, several implications are discussed.

A Longitudinal Analysis of PTSD Symptom Course: Delayed-Onset PTSD in Somalia Peacekeepers

ERIC Educational Resources Information Center

Gray, Matt J.; Bolton, Elisa E.; Litz, Brett T.

2004-01-01

Posttraumatic stress disorder (PTSD) typically follows an acute to chronic course. However, some trauma victims do not report significant symptoms until a period of time has elapsed after the event. Although originally dismissed as an artifact of retrospective methodologies, recent prospective studies document apparent instances of delayed-onset…

Psychiatric symptomatology associated with contemporary peacekeeping: an examination of post-mission functioning among peacekeepers in Somalia.

PubMed

Orsillo, S M; Roemer, L; Litz, B T; Ehlich, P; Friedman, M J

1998-10-01

Contemporary peacekeepers frequently confront complex stressors including the need to directly enforce peace between warring factions, to deliver humanitarian aid in the midst of political-social devastation, and to balance shifting rules of engagement. As such, it is proposed that participants may be at increased risk for the development of psychiatric distress. The present study examined the types of stressors encountered by 3,461 peacekeepers in Somalia, their current psychiatric functioning as measured by the Brief Symptom Inventory, and the relationship between exposure to various stressors and adjustment. Over one third of participants met criteria for psychiatric caseness. The most commonly reported symptoms included hostility, psychoticism, depression, and paranoid ideation. The best predictors of current functioning were found to be exposure to traditional war-zone-related stressors and general military pride and cohesion. These findings highlight the mental health consequences that service in a peacekeeping mission may have for United States solidiers. Further research is needed to investigate potential mechanisms that could serve as buffers to the stress associated with peacekeeping service.

Monitoring and reporting attacks on education in the Democratic Republic of the Congo and Somalia.

PubMed

Bennouna, Cyril; van Boetzelaer, Elburg; Rojas, Lina; Richard, Kinyera; Karume, Gang; Nshombo, Marius; Roberts, Leslie; Boothby, Neil

2018-04-01

The United Nations' Monitoring and Reporting Mechanism is charged with documenting six grave violations against children in a time of conflict, including attacks on schools. Many of these incidents, however, remain unreported across the globe. This study explores whether or not a local knowledge base of education and child protection actors in North and South Kivu Provinces, Democratic Republic of the Congo, and in Mogadishu, Somalia, could contribute to a more complete record of attacks on education in those areas. Hundreds of semi-structured interviews were conducted with key informants across the three settings, and in total 432 attacks on education were documented. Purposive samples of these reports were verified and a large majority was confirmed. Local non-governmental organisations and education institutions were most knowledgeable about these incidents, but most never reported them to a monitoring authority. The study concludes that attack surveillance and response were largely insufficient, and recommends investing in mechanisms that utilise local knowledge to address these shortcomings. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

Current Plate Motion Across the Southwest Indian Ridge: Implications for the Diffuse Oceanic Plate Boundary Between Nubia and Somalia

NASA Astrophysics Data System (ADS)

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

2001-12-01

Prior studies of plate motion data along the Southwest Indian Ridge (SWIR) have produced results that conflict in detail. Chu & Gordon [1999], from an analysis of 59 spreading rates averaged over 3 Myr and of the azimuths of active transform faults, found that the data are most consistent with a diffuse Nubia-Somalia plate boundary where it intersects the SWIR. When they solve for the best-fitting hypothetical narrow boundary, they find that it lies near 37° E, east of the Prince Edward fracture zone. They find a Nubia-Somalia pole of rotation near the east coast of South Africa. In contrast, Lemaux, Gordon, and Royer [2001], from an analysis of 237 crossings of marine magnetic anomaly 5 (11 Ma), find that most of the motion is accommodated in a narrow zone, most likely along the ``inactive'' trace of the Andrew Bain fracture zone complex (ABFZC), which intersects the SWIR near 32° E. They find a pole well to the west of, and probably to the southwest of, the pole of rotation found by Chu & Gordon. Their pole indicates mainly strike-slip motion along the ``inactive'' ABFZC. To resolve these conflicting results, we determined a new greatly expanded and spatially much denser set of 243 spreading rates and analyzed available bathymetric data of active transform faults along the SWIR. The data show that the African oceanic lithosphere spreading away from the SWIR cannot simply be two plates divided by a single narrow boundary. Our interpretation of the data is as follows. Near the SWIR, there is a diffuse boundary with a western limit near the ABFZC and an eastern limit near 63.5° E. Slip is partitioned in this wide boundary. Somewhere near the ABFZC (most likely the ABFZC itself) is a concentrated locus of right-lateral shearing parallel to the ABFZC whereas contraction perpendicular to the ABFZC is accommodated east of the ABFZC, perhaps over a very broad zone.

The Use of Mosquito Nets and the Prevalence of Plasmodium falciparum Infection in Rural South Central Somalia

PubMed Central

Noor, Abdisalan M.; Moloney, Grainne; Borle, Mohamed; Fegan, Greg W.; Shewchuk, Tanya; Snow, Robert W.

2008-01-01

Background There have been resurgent efforts in Africa to estimate the public health impact of malaria control interventions such as insecticide treated nets (ITNs) following substantial investments in scaling-up coverage in the last five years. Little is known, however, on the effectiveness of ITN in areas of Africa that support low transmission. This hinders the accurate estimation of impact of ITN use on disease burden and its cost-effectiveness in low transmission settings. Methods and Principal Findings Using a stratified two-stage cluster sample design, four cross-sectional studies were undertaken between March-June 2007 across three livelihood groups in an area of low intensity malaria transmission in South Central Somalia. Information on bed net use; age; and sex of all participants were recorded. A finger prick blood sample was taken from participants to examine for parasitaemia. Mantel-Haenzel methods were used to measure the effect of net use on parasitaemia adjusting for livelihood; age; and sex. A total of 10,587 individuals of all ages were seen of which 10,359 provided full information. Overall net use and parasite prevalence were 12.4% and 15.7% respectively. Age-specific protective effectiveness (PE) of bed net ranged from 39% among <5 years to 72% among 5–14 years old. Overall PE of bed nets was 54% (95% confidence interval 44%–63%) after adjusting for livelihood; sex; and age. Conclusions and Significance Bed nets confer high protection against parasite infection in South Central Somalia. In such areas where baseline transmission is low, however, the absolute reductions in parasitaemia due to wide-scale net use will be relatively small raising questions on the cost-effectiveness of covering millions of people living in such settings in Africa with nets. Further understanding of the progress of disease upon infection against the cost of averting its consequent burden in low transmission areas of Africa is therefore required. PMID:18461178

The use of mosquito nets and the prevalence of Plasmodium falciparum infection in rural South Central Somalia.

PubMed

Noor, Abdisalan M; Moloney, Grainne; Borle, Mohamed; Fegan, Greg W; Shewchuk, Tanya; Snow, Robert W

2008-05-07

There have been resurgent efforts in Africa to estimate the public health impact of malaria control interventions such as insecticide treated nets (ITNs) following substantial investments in scaling-up coverage in the last five years. Little is known, however, on the effectiveness of ITN in areas of Africa that support low transmission. This hinders the accurate estimation of impact of ITN use on disease burden and its cost-effectiveness in low transmission settings. Using a stratified two-stage cluster sample design, four cross-sectional studies were undertaken between March-June 2007 across three livelihood groups in an area of low intensity malaria transmission in South Central Somalia. Information on bed net use; age; and sex of all participants were recorded. A finger prick blood sample was taken from participants to examine for parasitaemia. Mantel-Haenzel methods were used to measure the effect of net use on parasitaemia adjusting for livelihood; age; and sex. A total of 10,587 individuals of all ages were seen of which 10,359 provided full information. Overall net use and parasite prevalence were 12.4% and 15.7% respectively. Age-specific protective effectiveness (PE) of bed net ranged from 39% among <5 years to 72% among 5-14 years old. Overall PE of bed nets was 54% (95% confidence interval 44%-63%) after adjusting for livelihood; sex; and age. Bed nets confer high protection against parasite infection in South Central Somalia. In such areas where baseline transmission is low, however, the absolute reductions in parasitaemia due to wide-scale net use will be relatively small raising questions on the cost-effectiveness of covering millions of people living in such settings in Africa with nets. Further understanding of the progress of disease upon infection against the cost of averting its consequent burden in low transmission areas of Africa is therefore required.

Maternal care and birth outcomes among ethnic minority women in Finland

PubMed Central

Malin, Maili; Gissler, Mika

2009-01-01

Background Care during pregnancy and labour is of great importance in every culture. Studies show that people of migrant origin have barriers to obtaining accessible and good quality care compared to people in the host society. The aim of this study is to compare the access to and use of maternity services, and their outcomes among ethnic minority women having a singleton birth in Finland. Methods The study is based on data from the Finnish Medical Birth Register in 1999–2001 linked with the information of Statistics Finland on woman's country of birth, citizenship and mother tongue. Our study data included 6,532 women of foreign origin (3.9% of all singletons) giving singleton birth in Finland during 1999–2001 (compared to 158,469 Finnish origin singletons). Results Most women have migrated during the last fifteen years, mainly from Russia, Baltic countries, Somalia and East Europe. Migrant origin women participated substantially in prenatal care. Interventions performed or needed during pregnancy and childbirth varied between ethnic groups. Women of African and Somali origin had most health problems resulted in the highest perinatal mortality rates. Women from East Europe, the Middle East, North Africa and Somalia had a significant risk of low birth weight and small for gestational age newborns. Most premature newborns were found among women from the Middle East, North Africa and South Asia. Primiparous women from Africa, Somalia and Latin America and Caribbean had most caesarean sections while newborns of Latin American origin had more interventions after birth. Conclusion Despite good general coverage of maternal care among migrant origin women, there were clear variations in the type of treatment given to them or needed by them. African origin women had the most health problems during pregnancy and childbirth and the worst perinatal outcomes indicating the urgent need of targeted preventive and special care. These study results do not confirm either healthy migrant effect or epidemiological paradox according to which migrant origin women have considerable good birth outcomes. PMID:19298682

High-resolution estimates of Southwest Indian Ridge plate motions, 20 Ma to present

NASA Astrophysics Data System (ADS)

DeMets, C.; Merkouriev, S.; Sauter, D.

2015-12-01

We present the first estimates of Southwest Indian Ridge (SWIR) plate motions at high temporal resolution during the Quaternary and Neogene based on nearly 5000 crossings of 21 magnetic reversals out to C6no (19.72 Ma) and the digitized traces of 17 fracture zones and transform faults. Our reconstructions of this slow-spreading mid-ocean ridge reveal several unexpected results with notable implications for regional and global plate reconstructions since 20 Ma. Extrapolations of seafloor opening distances to zero-age seafloor based on reconstructions of reversals C1n (0.78 Ma) through C3n.4 (5.2 Ma) reveal evidence for surprisingly large outward displacement of 5 ± 1 km west of 32°E, where motion between the Nubia and Antarctic plates occurs, but 2 ± 1 km east of 32°E, more typical of most mid-ocean ridges. Newly estimated SWIR seafloor spreading rates are up to 15 per cent slower everywhere along the ridge than previous estimates. Reconstructions of the numerous observations for times back to 11 Ma confirm the existence of the hypothesized Lwandle plate at high confidence level and indicate that the Lwandle plate's western and eastern boundaries respectively intersect the ridge near the Andrew Bain transform fault complex at 32°E and between ˜45°E and 52°E, in accord with previous results. The Nubia-Antarctic, Lwandle-Antarctic and Somalia-Antarctic rotation sequences that best fit many magnetic reversal, fracture zone and transform fault crossings define previously unknown changes in the Neogene motions of all three plate pairs, consisting of ˜20 per cent slowdowns in their spreading rates at 7.2^{+0.9 }_{ -1.4} Ma if we enforce a simultaneous change in motion everywhere along the SWIR and gradual 3°-7° anticlockwise rotations of the relative slip directions. We apply trans-dimensional Bayesian analysis to our noisy, best-fitting rotation sequences in order to estimate less-noisy rotation sequences suitable for use in future global plate reconstructions and geodynamic studies. Notably, our new Nubia-Antarctic reconstruction of C5n.2 (11.0 Ma) predicts 20 per cent less opening than do two previous estimates, with important implications for motion that is estimated between the Nubia and Somalia plates. A Nubia-Somalia rotation determined from our Nubia-Antarctic and Somalia-Antarctic plate rotations for C5n.2 (11.0 Ma) predicts cumulative opening of 45 ± 4 km (95 per cent uncertainty) across the northernmost East Africa rift since 11.0 Ma, 70 per cent less than a recent 129 ± 62 km opening estimate based on a now-superseded interpretation of Anomaly 5 along the western portion of the SWIR.

Combating Transnational Terrorism in the East African Region: The Role of the African Union Mission in Somalia

DTIC Science & Technology

2017-06-01

four main groups : prevention; disruption; prosecution; and coordination and information sharing. Under prevention, counterterrorism forces are... group has transformed into small active units capable of conducting assassinations, kidnapping, planting improvised explosive devices, and attacking...remaining challenges and highlights 1 International Crisis Group , “Working to Prevent Conflict Worldwide

Understanding Africa: A Geographic Approach

DTIC Science & Technology

2009-01-01

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

The Role of Education and Training in Enhancing Labour Productivity in Arab Countries in Africa

ERIC Educational Resources Information Center

ElObeidy, Ahmed A.

2016-01-01

Labour productivity in Arab countries is low by international standards and this problem occurs in Arab countries both inside and outside Africa. There are 10 Arab countries in Africa: Egypt, Libya, Tunisia, Algeria, Morocco, Mauritania, Sudan, Somalia, Djibouti and Comoros. Enhancing labour productivity is a major challenge for Arab countries.…

iss012e23442

NASA Image and Video Library

2005-12-02

ISS012-E-23442 (2 Dec. 2005) --- The coastal region in Somalia, south of the capital of Mogadishu (out of frame), is featured in this image photographed during normal conditions by an Expedition 12 crewmember on the International Space Station. An image captured during the Expedition 14 mission (ISS014-E-13848) shows the same coastal region with contrasting wet conditions.

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

ERIC Educational Resources Information Center

Ross, D. H.

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

Supporting Civil Society in Somalia: International Assistance that Promotes Democracy and Stability

DTIC Science & Technology

2012-06-08

during six months of Islamic rule. In 2006 the Islamic Courts Union ( ICU ) defeated pro-government forces and became the first political entity since the...power diminishing with the ICU in control. The warlords then declared the ICU terrorists to gain support from the U.S.43 Six months after the ICU

78 FR 22761 - Delegation of Functions Under Sections 404 and 406 of Public Law 112-208

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-16

... Vol. 78 Tuesday, No. 73 April 16, 2013 Part IV The President Memorandum of April 5, 2013--Delegation of Functions Under Sections 404 and 406 of Public Law 112-208 Presidential Determination No. 2013-07 of April 8, 2013--Presidential Determination on Eligibility of the Federal Republic of Somalia To...

The Theory of the Mass Literacy Campaign.

ERIC Educational Resources Information Center

Bhola, H. S.

After an analysis of eight mass literacy campaigns (USSR 1919-39; Vietnam, 1945-77; China, 1950-58; Cuba, 1961; Burma, 1960-1981; Brazil, 1967-80; Tanzania, 1971-81; and Somalia, 1973-75), a campaign strategy for a mass literacy campaign is proposed. A potentially successful mass literacy campaign has to be both an educational and a political…

Determinants of Second Language Proficiency among Refugees in the Netherlands

ERIC Educational Resources Information Center

van Tubergen, Frank

2010-01-01

Little is known about the language acquisition of refugees in Western countries. This study examines how pre- and post-migration characteristics of refugees are related to their second language proficiency. Data are from a survey of 3,500 refugees, who were born in Afghanistan, Iran, Iraq, former Yugoslavia and Somalia, and who resided in the…

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

ERIC Educational Resources Information Center

Shaw, Ibrahim Seaga

2007-01-01

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

Sequential Rift Valley Fever Outbreaks in Kenya, Somalia, and Tanzania in 2006-2007 Associated with Multiple Lineages of the Virus

USDA-ARS?s Scientific Manuscript database

Routine testing for Campylobacter spp. in the food chain is primarily directed toward detection of C. jejuni and C. coli, thus the presence of novel Campylobacter spp., and their relative contribution to human illness, is not well understood. A survey to determine the presence of Campylobacter spp....

STS-61A earth observations

NASA Image and Video Library

2009-06-25

61A-200-003 (30 Oct 1985) --- A large format Linhof camera onboard the Space Shuttle Columbia provided this coastal view of Somalia. The perspective is looking north from Muqdisho (foreground) to Raas Xaafuun at the horizon. Cumulus clouds cover the Somali Desert. The elongated, thinner steak of clouds follows a topographically depressed area, a wash know as Webi Shibeli.

A "Responsibility to Speak Out": Perspectives on Writing from Black African-Born Male Youth with Limited or Disrupted Formal Education

ERIC Educational Resources Information Center

Ripley Crandall, Bryan

2012-01-01

This ethnographic case study uses life history and qualitative methodologies to offer biographical profiles that highlight perspectives on writing of eight Black African-born male youth with limited and disrupted formal education enrolled at a secondary school in northeastern United States. Participants from Liberia, Sudan, and Somalia relocated…

78 FR 10000 - Unblocking of Five (5) Individuals as Specially Designated Global Terrorists Pursuant to...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-12

... following individuals are removed from the SDN List: Individuals 1. ALI, Abbas Abdi, Mogadishu, Somalia.... MSALAM, Fahad Ally; a.k.a. MSALAM, Fahid Mohammed Ali; a.k.a. MSALAM, Mohammed Ally; a.k.a. MUSALAAM, Fahid Mohammed Ali; a.k.a. SALEM, Fahid Muhamad Ali); DOB 19 Feb 1976; POB Mombasa, Kenya; citizen Kenya...

Meteorological Conditions Affecting Electromagnetic Propagation on the Arabian Peninsula.

DTIC Science & Technology

1984-09-01

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

The Somalis: Their History and Culture. CAL Refugee Fact Sheet Series, No. 9.

ERIC Educational Resources Information Center

Putman, Diana Briton; Noor, Mohamood Cabdi

This booklet is a basic introduction to the people, history, and culture of Somalia. It is designed primarily for service providers and others assisting Somali refugees in their new communities in the United States. Somalis have a long tradition of going abroad to work or study, and today, about 1 million Somalis live scattered around the world.…

15 CFR Supplement No. 1 to Part 740 - Country Groups

Code of Federal Regulations, 2014 CFR

2014-01-01

... Zealand 1 X X X X Norway X X X X X Poland X X X X Portugal X X X X X Romania X X X Russia X X Singapore X... Pakistan X X X Qatar X X Russia X X Saudi Arabia X X Somalia X Sri Lanka X Sudan X Syria X X X Taiwan X...

Children of the World. A Series of Nine Television Programs for Elementary Students.

ERIC Educational Resources Information Center

Larson, Jo Ann

This is a guide to nine, thirty-minute video tape programs that try to develop in elementary school children an awareness of a true family of man. Brazil, Guatemala, Dahomey, Somalia, Nepal, Thailand, Chile, Peru, and Jamaica are the countries in which a child's life, showing the similarities and differences that exist for all humans, is the…

The Multilayered Character of Newcomers' Academic Identities: Somali Female High-School Students in a US School

ERIC Educational Resources Information Center

Oikonomidoy, Eleni

2009-01-01

Drawing from the findings of a qualitative study with female refugee high school students from Somalia in the US, this paper attempts to provide a window to understanding the multilayered character of newcomer students' academic identity construction. The students' micro-level processes of creating spaces for belonging at school are linked to…

Vector Control During Operation Restore Hope - Somalia

DTIC Science & Technology

2008-11-16

Restore Hope, focusing primarily on pest battalion provided services including and vector control operations. Much of identification of the preventive...and usable arthropod Identification larval mosquito surveys were conducted, materials (i.e., keys) were nonexistent. but only in areas that were...bait would be mosquitoes. The pesticide used for placed adjacent to but away from troop mosquito control ( malathion - ULV) was areas, attracting flies

In Harm's Way: When Should We Risk American Lives in World Conflicts? A Study Circle Program.

ERIC Educational Resources Information Center

Lord, Mary, Ed.; McCoy, Martha L., Ed.

This four-session discussion guide, intended for use by teachers, students, and the community at large, explores the ethics of intervening or not intervening in conflicts abroad. Inserts provide current information on conflicts in Bosnia, Haiti, North Korea, and Somalia where U.S. military involvement is at issue, but the flexibility of the guide…

Notes on Teaching 9/11. Footnotes. Volume 16, Number 09

ERIC Educational Resources Information Center

Luxenberg, Alan

2011-01-01

As today's high school students ranged in age from four to eight that fateful Tuesday morning, for many of them 9/11 is ancient history even though they live with the consequences of 9/11--namely, two wars (Afghanistan, Iraq), at least two low-level wars using special forces or drones (Yemen, Somalia), smaller-scale terrorist incidents (Fort…

The Dilemma of Porous Borders: Uganda’s Experience in Combating Terrorism

DTIC Science & Technology

2017-01-10

34 c. The Anti- money Laundering Act, 2013 ............................36 d. Anti-terrorism Amendment Bill, 2015...ALIR Liberation Army of Rwanda AMISOM African Mission to Somalia AMLA Anti- Money Laundering Act AU Africa Union AUPSC African Union Peace Security...of transnational crimes, including proliferation of weapons, money laundering , corruption and drug trafficking, all of which have reinforced the

Reappraisal of the Arabia-India-Somalia triple junction kinematics

NASA Astrophysics Data System (ADS)

Fournier, Marc; Patriat, Philippe; Leroy, Sylvie

2001-07-01

We propose alternative kinematics for the Arabia-India-Somalia triple junction based on a re-interpretation of seismological and magnetic data. The new triple junction of the ridge-ridge-ridge type is located at the bend of the Sheba Ridge in the eastern gulf of Aden at 14.5°N and 56.4°E. The Owen fracture zone (Arabia-India boundary) is connected to the Sheba Ridge by an ultra-slow divergent boundary trending N80°E±10° marked by diffuse seismicity. The location of the Arabia-India rotation pole is constrained at 14.1°N and 71.2°E by fitting the active part of the Owen fracture zone with a small circle. The finite kinematics of the triple junction is inferred from the present-day kinematics. Since the inception of the accretion 15-18 Ma ago, the Sheba Ridge has probably receded ∼300 km at the expense of the Carlsberg Ridge which propagated northwestward in the gulf of Aden, while an ultra-slow divergent plate boundary developed between the Arabian and Indian plates. The overall geometry of the new triple junction is very similar to that of the Azores triple junction.

Late Neogene changes in North America and Antarctica absolute plate motions inferred from the Mid-Atlantic and Southwest Indian Ridges spreading histories

NASA Astrophysics Data System (ADS)

Iaffaldano, Giampiero; DeMets, Charles

2017-04-01

Reconstructions of absolute plate motions underpin our understanding of the plate torque balance, but are challenging due to difficulties in inferring well-dated rates and directions of plate movements from hot spot tracks. Useful information about plate dynamics can be inferred from rapid absolute plate motion changes, as these are linked only to the torque(s) that changed. Here we infer late Neogene changes in the absolute motions of North America and possibly Antarctica from changes in the easier-to-determine relative plate motions recorded along the Arctic, northern Mid-Atlantic and Southwest Indian Ridges. We show that Eurasia/North America and Nubia/North America motions changed by the same amount between 8 and 5 Ma, as may have Nubia/Antarctica and Somalia/Antarctica plate motions. By considering additional, independent constraints on Somalia/India plate motion, we argue that a scenario in which North America and Antarctica absolute motions changed is the simplest one that explains the observed changes in relative motions. We speculate that these changes are linked to the late Neogene dynamics of the Pacific plate.

Late Neogene changes in North America and Antarctica absolute plate motions inferred from the Mid-Atlantic and Southwest Indian Ridges spreading histories

NASA Astrophysics Data System (ADS)

Iaffaldano, G.; DeMets, C.

2016-08-01

Reconstructions of absolute plate motions underpin our understanding of the plate torque balance, but are challenging due to difficulties in inferring well-dated rates and directions of plate movements from hot spot tracks. Useful information about plate dynamics can be inferred from rapid absolute plate motion changes, as these are linked only to the torque(s) that changed. Here we infer late Neogene changes in the absolute motions of North America and possibly Antarctica from changes in the easier-to-determine relative plate motions recorded along the Arctic, northern Mid-Atlantic and Southwest Indian Ridges. We show that Eurasia/North America and Nubia/North America motions changed by the same amount between 8 and 5 Ma, as may have Nubia/Antarctica and Somalia/Antarctica plate motions. By considering additional, independent constraints on Somalia/India plate motion, we argue that a scenario in which North America and Antarctica absolute motions changed is the simplest one that explains the observed changes in relative motions. We speculate that these changes are linked to the late Neogene dynamics of the Pacific plate.

Expedited Citizenship Through Military Service: Current Law, Policy and Issues

DTIC Science & Technology

2009-02-25

benefits specifically for immediate relatives of such personnel. The reported deaths in action of noncitizen soldiers drew attention to the immigration...benefits of aliens serving in the military. The reported deaths in action of noncitizen soldiers drew attention to provisions of the Immigration and...decision, President Clinton revoked the earlier Grenada designation.18 Military actions in Somalia, Bosnia, Kosovo, Haiti, and Panama have not been

Clan and Islamic Identities in Somali Society

DTIC Science & Technology

2011-11-01

governmental and non-governmental contacts as far away as Australia, South Africa , Kenya, Israel, and all over Europe and North America. Government of...9] Africa Watch Committee (1990). Somalia – a government at war with its own people: Testimonies about the killings and conflict in the North . New...Nairobi/Brussels. [118] International Crisis Group (2005a). Understanding Islamism. Middle East/ North Africa Report no.37. Cairo/Brussels. [119

Somalia: A Country Study.

DTIC Science & Technology

1981-10-01

in the inheri- tance of valued property (camels or land). Few girls were sent to school and even fewer continued beyond the elementary level...of 1978, was the Multipurpose Cooperative Society, encompassing two to four villages. Property (land, equipment, and livestock) remained in...October 1975 the country’s first major land tenure law declared that all land was state property , in effect nationalizing all holdings. This concept

A Somalia mission experience.

PubMed

Mahomed, Zeyn; Moolla, Muhammad; Motara, Feroza; Laher, Abdullah

2012-06-28

Reports about The Horn of Africa Famine Crisis in 2011 flooded our news bulletins and newspapers. Yet the nations of the world failed to respond and alleviate the unfolding disaster. In August 2011, the Gift of the Givers Foundation mobilised what was to become the largest humanitarian mission ever conducted by an African organisation. Almost a year later, the effort continues, changing the face of disaster medicine as we know it.

L'Insegnamento della Lingua Straniera per Scopi Speciali: Proposte per un Syllabus Funzionale (Teaching a Foreign Language for Specific Purposes: Ideas for a Functional Syllabus).

ERIC Educational Resources Information Center

Bertocchi, Daniela; Lugarini, Edoardo

1982-01-01

The authors stress the importance of using a "science-oriented" syllabus when teaching a second language for specific purposes and identify the linguistic concepts which must be incorporated into such a syllabus. They discuss their experience in teaching Italian for specific Purposes at the National University in Somalia. (CFM)

Challenges to Improving Combat Casualty Survivability on the Battlefield

DTIC Science & Technology

2015-01-01

Rescue Medic in Mogadishu , Somalia, and Special Forces battalion surgeon during Operation Enduring Freedom. He is currently the Director of the Military...the CoTCCC, an organization born outside the traditional military medical establishment, exposes a void in ownership and expertise in battle - field...serve as bat- talion surgeons responsible for the resuscitation of battle casualties in the battalion aid station. This is reminiscent of how

Looking at Racial Segregation: An Exploratory Case Study of a Predominately Somali Charter School

ERIC Educational Resources Information Center

Courtney, Robert H.

2015-01-01

In 2005, a group of concerned parents who had arrived in the United States as refugees from war-torn Somalia received approval from their local school district to establish the Iftin Charter School (ICS). The K-8 school continues to engender hope and intellectual strength in its students and parents. ICS finds itself uniquely equipped to meet the…

High resolution reconstructions of Southwest Indian Ridge plate motions during the Neogene: Comparison to GPS estimates and implications for global plate motion estimates

NASA Astrophysics Data System (ADS)

DeMets, C.; Merkouriev, S.; Sauter, D.; Calais, E.

2013-12-01

Plate kinematic data from the slow-spreading Southwest Indian Ridge (SWIR) are the primary source of information about relative movements between Antarctica and Africa over geologic time and are critical for linking the movements of plates in the Atlantic and Indian Ocean basins. We describe the first high-resolution model of SWIR plate kinematics from the present to 20 Ma, consisting of rotations based on 21 magnetic reversals with ~1 million-year spacing. The new rotations, which are derived from 4822 identifications of magnetic reversals C1n to C6no and 6000 crossings of 21 fracture zones and transform faults, describe in detail the ultra-slow motions of the Nubia, Lwandle, and Somalia plates north of the SWIR relative to the Antarctic plate. A search for the Nubia-Lwandle-Antarctic triple junction with all data since C5n.2 (11.0 Ma) gives a best location at the Andrew Bain transform fault (~32E), in accord with previous work. Plate kinematic data from the SWIR east of the Andrew Bain fracture zone support the existence of the previously proposed Lwandle plate at high confidence level. The likely diffuse Lwandle-Somalia plate boundary north of the SWIR is however only loosely constrained to 45E-52E. After calibrating the new rotations for the biasing effects of finite-width magnetic polarity transition zones (i.e. outward displacement), the new rotations reveal that SWIR plate motion has remained steady from the present back to 7.5 Ma, but was modestly faster (~25%) from 19.6 Ma to 7.5 Ma. GPS estimates of present SWIR plate motions based on more than 100 continuous GPS sites on the Antarctic, Nubia, and Somalia plates are remarkably consistent with SWIR velocities determined with the new geological reconstructions. The superb agreement between the two independent plate motion estimates validates both sets of estimates and our calibration for outward displacement. Implications of the new estimates, including evidence for anomalously wide outward displacement across parts of the SWIR, will be discussed

Differences in primary health care use among sub-Saharan African immigrants in Norway: a register-based study.

PubMed

Diaz, Esperanza; Mbanya, Vivian N; Gele, Abdi A; Kumar, Bernadette

2017-07-28

Immigrants' utilization of primary health care (PHC) services differs from that of the host populations. However, immigrants are often classified in broad groups by continent of origin, and the heterogeneity within the same continent may hide variation in use among immigrant groups at a national level. Differences in utilization of PHC between sub-Saharan African immigrants have not received much attention. Registry-based study using merged data from the National Population Register and the Norwegian Health Economics Administration. African immigrants and their descendants registered in Norway in 2008 (36,366 persons) where included in this study. Using χ 2 test and logistic regression models, we assessed the differences in the use of PHC, including general practitioner (GP) and emergency room (ER) services, and the distribution of morbidity burden for immigrants from Somalia, Ethiopia, Eritrea, and Gambia. For the analyses, we used the number of visits and medical diagnoses from each consultation registered by the physician. Among the total studied population, 66.1% visited PHC within 1 year. The diagnoses registered were similar for all four immigrants groups, regardless of country of origin. Compared to immigrants from Somalia, the age and sex adjusted odds ratios (OR) for use of GP were significantly lower for Ethiopians (OR 0.91; 0.86-0.97), Eritreans (OR 0.85; 0.79-0.91), and Gambians (OR 0.88; 0.80-0.97). Similarly, we also observed lower use of ER among Ethiopians (OR 0.88; 0.81-0.95), Eritreans (OR 0.56; 0.51-0.62) and Gambians (OR 0.81; 0.71-0.92). However, immigrants from Somalia reduced their use of PHC with longer duration of stay in Norway. Differences between groups persisted after further adjustment for employment status. Despite the similarities in diagnoses among the sub-Saharan African immigrant groups in Norway, their use of PHC services differs by country of origin and length of stay. It is important to assess the reasons for the differences in these groups to identify barriers and facilitators to access to healthcare for future interventions.

Subsidence history, crustal structure and evolution of the Nogal Rift, Northern Somalia

NASA Astrophysics Data System (ADS)

Ali, M. Y.; Watts, A. B.

2013-12-01

Seismic reflection profile, gravity anomaly, and biostratigraphic data from deep exploration wells have been used to determine the tectonic subsidence, structure and evolution of the Nogal basin, Northern Somalia, one of a number of ENE-WSW trending early Mesozoic rifts that formed prior to opening of the Gulf of Aden. Backstripping of biostratigraphic data at the Nogal-1 and Kali-1 wells provides new constraints on the age of rifting, and the amount of crustal and mantle extension. The tectonic subsidence and uplift history at the wells can be generally explained as a consequence of two, possibly three, major rifting events. The first event initiated in the Late Jurassic (~156 Ma) and lasted for ~10 Myr. We interpret the rift as a late stage event associated with the break-up of Gondwana and the separation of Africa and Madagascar. The second event initiated in the Late Cretaceous (~80 Ma) and lasted for ~20 Myr. This event probably correlates with a rapid increase in spreading rate on the ridges separating the African and Indian and African and Antarctica plates and a contemporaneous slowing down of Africa's plate motion. The backstripped tectonic subsidence data can be explained by a multi-rift extensional model with a stretching factor, β, in the range 1.17-1.38. The third and most recent event occurred in the Oligocene (~32 Ma) and lasted for ~10 Myr. This rift only developed at the centre of the basin close to Nogal-1 well, and is related to the opening of the Gulf of Aden. The amount of crustal thinning inferred at the Kali-1 well is consistent with the results of Process-Oriented Gravity and Flexure (POGM) modelling, assuming an elastic thickness of ~30 km. The thinning at the Nogal-1 well, however, is greater by ~ 7 km than predicted suggesting that the basin may be locally underplated by magmatic material. Irrespective, POGM suggests the transition between thick crust beneath Northern Somalia to thin crust beneath the Indian Ocean forms a ~500 km wide zone which begins beneath the Kali-1 and Nogal-1 wells and ends beneath the upper continental rise.

New geodetic measurements in central Afar constraining the Arabia-Somalia-Nubia triple junction kinematics

NASA Astrophysics Data System (ADS)

Doubre, C.; Deprez, A.; Masson, F.; Socquet, A.; Lewi, E.; Grandin, R.; Calais, E.; Wright, T. J.; Bendick, R. O.; Pagli, C.; Peltzer, G.; de Chabalier, J. B.; Ibrahim Ahmed, S.

2014-12-01

The Afar Depression is an extraordinary submerged laboratory where the crustal mechanisms involved in the active rifting process can be studied. But the crustal movements at the regional scale are complicated by being the locus of the meeting of three divergent plate boundaries: the oceanic spreading ridges of the Red Sea and the Aden Ridge and the intra-continental East-African Rift (EAR). We present here the first GPS measurements conducted in a new network in Central Afar, complementing existing networks in Eritrea, around the Manda-Harraro 2005-2010 active segment, in the Northern part of the EAR and in Djibouti. Even if InSAR data were appropriate for mapping the deformation field, the results are difficult to interpret for analyzing the regional kinematics because of the atmospheric conditions, the lack of complete data catalogue, the acquisition configuration and the small velocity variations. Therefore, our measurements in the new sites are crucial to obtain an accurate velocity field over the whole depression, and focus specifically on the spatial organization of the deformation to characterize the tripe junction. These first results show that a small part of the motion of the Somalia plate with respect to the Nubia plate or the Arabia plate (2-3 mm/yr) occurs south of the Tadjura Gulf and East of the Adda-do segment in Southern Afar. The complex kinematic pattern involves a clockwise rotation of this Southeastern part of the Afar rift and can be related to the significant seismic activity regularly recorded in the region of Jigjiga (northern Somalia-Ethiopia border). The western continuation of the Aden Ridge into Afar extends West of the Asal rift segment and does not reach the young active segment of Manda-Inakir (MI). A slow gradient of velocity is observed across the Dobi Graben and across the large systems of faults between Lake Abhe and the MI rift segment. A striking change of the velocity direction occurs in the region of Assaïta, west of Lake Abhe, suggesting that this area represents the most probable location for the triple junction.

Economic evaluation of a Child Health Days strategy to deliver multiple maternal and child health interventions in Somalia.

PubMed

Vijayaraghavan, Maya; Wallace, Aaron; Mirza, Imran Raza; Kamadjeu, Raoul; Nandy, Robin; Durry, Elias; Everard, Marthe

2012-03-01

Child Health Days (CHDs) are increasingly used by countries to periodically deliver multiple maternal and child health interventions as time-limited events, particularly to populations not reached by routine health services. In countries with a weak health infrastructure, this strategy could be used to reach many underserved populations with an integrated package of services. In this study, we estimate the incremental costs, impact, cost-effectiveness, and return on investment of 2 rounds of CHDs that were conducted in Somalia in 2009 and 2010. We use program costs and population estimates reported by the World Health Organization and United Nations Children's Fund to estimate the average cost per beneficiary for each of 9 interventions delivered during 2 rounds of CHDs implemented during the periods of December 2008 to May 2009 and August 2009 to April 2010. Because unstable areas were unreachable, we calculated costs for targeted and accessible beneficiaries. We model the impact of the CHDs on child mortality using the Lives Saved Tool, convert these estimates of mortality reduction to life years saved, and derive the cost-effectiveness ratio and the return on investment. The estimated average incremental cost per intervention for each targeted beneficiary was $0.63, with the cost increasing to $0.77 per accessible beneficiary. The CHDs were estimated to save the lives of at least 10,000, or 500,000 life years for both rounds combined. The CHDs were cost-effective at $34.00/life year saved. For every $1 million invested in the strategy, an estimated 615 children's lives, or 29,500 life years, were saved. If the pentavalent vaccine had been delivered during the CHDs instead of diphtheria-pertussis-tetanus vaccine, an additional 5000 children's lives could have been saved. Despite high operational costs, CHDs are a very cost-effective service delivery strategy for addressing the leading causes of child mortality in a conflict setting like Somalia and compare favorably with other interventions rated as health sector "best buys" in sub-Saharan Africa.

Beneficiaries of conflict: a qualitative study of people's trust in the private health care system in Mogadishu, Somalia.

PubMed

Gele, Abdi A; Ahmed, Mohamed Yusuf; Kour, Prabhjot; Moallim, Sadiyo Ali; Salad, Abdulwahab Moallim; Kumar, Bernadette

2017-01-01

In 2005, the World Health Conference called for all nations to move toward universal health coverage, which is defined as "access to adequate health care for all at an affordable price". Despite this, an estimated 90% of Somalia's largely impoverished population use private health care. Therefore, considering that the private health care system is the dominant health care system in Mogadishu, Somalia, exploring the accessibility to, as well as people's trust in, the private sector is essential to help contribute an equitable and affordable health care system in the country. A qualitative study using unstructured interviews was conducted in Mogadishu from August to November of 2016. A purposive sampling approach was used to recruit 23 participants, including seven medical doctors who own private health centers, eight patients, five medical students and three senior officials who work for the Ministry of Health. Data were analyzed using a thematic analysis. Our findings show that the private health care system in Mogadishu is not only unregulated but also expensive, with the cost of health care often unaffordable for the majority of the country's citizens. There is evidence of prescription of inappropriate treatment, tendency to conduct unnecessary laboratory tests, excessive use of higher diagnostic technologies and overcharging - including the widespread practice of further appointments for follow-up - which inflates the costs. The study also found poor patient-provider relationship and widespread distrust of the private health care system. The study findings underline the need for the Somali government to develop regulatory mechanisms and guidelines with the potential to guide the private health care sector to provide equitable and affordable health care to people in Mogadishu. The doctor-patient relationship has been - and remains - a keystone of care; thus, there is an urgent need for guidelines for private health care providers to treat their patients with dignity and respect. The education system, particularly the syllabus used by medical faculties, should be reviewed and improved to provide medical students with necessary knowledge, skills and attitudes to maintain patient dignity and rights.

Theoretical Approaches to Dealing with Somalia

DTIC Science & Technology

2012-05-17

because of a lack of assistance from the international community. 67 To use Thomas Friedman’s term, in The World Is Flat, Kaplan champions glocalization ...and board games. Wal-Mart makes the global local: glocalization . 69 Russett, Grasping the Democratic Peace : Principles for a Post-Cold War World...30-31. Russett presents, as fact, democracies do not war against each other. 26 Seth Kaplan calls his version of glocalization an enmeshing

The Endemic Infectious Diseases of Somalia

DTIC Science & Technology

1993-01-01

addition, mosquito breeding Sites Should be eliminated they reach 9 months of age 114]. Fever , respiratory tract in- through application oflar% icide. Adult... fever and dengue. t’e is a genuis of urban dtimestic mosquitoes. Arhmoiral IDisev~cs Ilite female is a day-biter with a silent flight and unnoticed...Conigo hemorrhagic fevers ) have yielded negative results in propiriate aninial mlodlel III which to test thle attenutated vaic- Sonialia and lDjiboutit

The New NATO Policy Guidelines on Counterterrorism: Analysis, Assessments, and Actions

DTIC Science & Technology

2013-02-01

Policy Guidelines on Counter-terrorism— Aware, Capable and Engaged for a Safer Future (May 21, 2012) ...............27 Appendix B. Overview of...operations are increasingly dependent on local “ franchises ,” such as in Yemen, Somalia, the Middle East, and North Africa.4 While potentially...attacks. Conversely, one of the destabilizing aims of terrorist actions is to un- dermine national sovereignty, seen as the government’s ability to

Humanitarian Relief Capabilities in the Horn of Africa.

DTIC Science & Technology

2014-06-13

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

Preparing Peacekeepers: An Analysis of the African Contingency Operations, Training, and Assistance Program Command and Staff Operational Skills Course

ERIC Educational Resources Information Center

Karis, Daniel Gerald

2010-01-01

The United States (U.S.) response to events in Africa in the 1990s--warlords in Somalia, the genocide in Rwanda, the crisis in Burundi, and the destruction of the U.S. embassies in Kenya and Tanzania--was the development of the African Crisis Response Initiative (ACRI) followed by the African Contingency Operations Training and Assistance (ACOTA)…

The Geology of Somalia: A Selected Bibliography of Somalian Geology, Geography and Earth Science

DTIC Science & Technology

2007-02-01

31, Issue 6, Pages 302-307. Descriptors: Child, Preschool; Developing Countries; English Abstract; Humans; Nutritional Status; Primary Health Care...much smaller figures than had been reported previously. Data on the nutritional status of all children under 5 was collected at the vaccination places...gypsum beds underlying the compact sedimentary formations capping the hills. ISSN: 0365-7477. Centers for Disease Control (CDC). 1989. “ Nutritional

Case Study of European Union Antipiracy Operation Naval Force Somalia: Successes, Failures and Lessons Learned for the Hellenic Navy

DTIC Science & Technology

2012-09-01

and food supplies, Waste and laundry , Accommodation, Communication, Medical services and Fuel and lubricants. That was something that caused a lot of...for reducing this burden, to Washington headquarters Services , Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway...53 5. Establish a Data Base with the Contractors and the Prices of the Goods and Services

Conflict in Time, Petrified in Space: Kenya-Somalia Border Geopolitical Conflicts

DTIC Science & Technology

2017-06-01

The colony’s government in Kenya was based in Nairobi, Kenya’s capital, which is more than 400 miles (more than 10 hours road travel time ) from...NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release. Distribution is unlimited. CONFLICT IN TIME , PETRIFIED IN...of information is estimated to average 1 hour per response, including the time for reviewing instruction, searching existing data sources, gathering

Serological Evidence of Dengue Fever Among Refugees, Hargeysa, Somalia

DTIC Science & Technology

1989-01-01

fever, Sindbis, Chikungunya, yellow HISTORY OF THE DISEASE IN THE fever, and Zika viruses . However, antibody reac- DAM CAMP tive to dengue 2 virus was...fever, Crimean-Congo hemorrhagic fever, Sindbis, Chikungunya, yellow fever, and Zika viruses . However, antibody reactive to dengue 2 virus was detected... ZIKA ) viruses . Further testing of sera for evidence of dengue S Barbera S , MOGAISCIO . viral infection was done by the enzyme immunoassay " (EIA

CHINA Report, Political, Sociological and Military Affairs

DTIC Science & Technology

1985-03-18

Women Meet for Spring Festival (XINHUA, 17 Feb 85) 25 PRC-Aided Farm in Somalia Reaps Good Harvest (XINHUA, 18 Feb 85) 26 WESTERN HEMISPHERE...Service, 16 Feb 85) 68 Anhui Extends Spring Festival Greetings to PLA, Others (Anhui Provincial Service, 14 Feb 85) 69 Huang Addresses Anhui...Spring Festival Party (Anhui Provincial Service, 16 Feb 85) 70 Jiangxi’s Bai Dongcai Greets Retired Cadres (Jiangxi Provincial Service, 14 Feb 85

"I See Myself as a Different Person Who [Has] Acquired a Lot ...": Somali Female Students' Journeys to Belonging

ERIC Educational Resources Information Center

Oikonomidoy, Eleni

2007-01-01

How do refugee students construct their lives in school in their host country? What are some difficulties that they face and how do they respond to those? Findings of a qualitative study conducted with female refugee students from Somalia indicate that students are to varying degrees active agents in the construction of their lives in a US urban…

Veicolarita e linguaggio scientifico--analisi del primo "Progetto italiano per studenti universitari somali" (Languages for Special Purposes and Scientific Usage--An Analysis of the First "Italian Project for Somali University Students").

ERIC Educational Resources Information Center

Amato, Antonio

1979-01-01

The development of an intensive Italian course for science students attending Somalia's National University is described. The historical background for this project, sponsored by the Italian Government and staffed by Italian teachers, is outlined. Course objectives, methods, and organization are illustrated by samples of instructional materials,…

Combating Terrorism, Rebel Groups, and Armed Militias in the Face of Economic Prosperity Opportunities

DTIC Science & Technology

2012-05-04

FINAL 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Combatting Terrorism, Rebel Groups , and Armed...facing many security threats. Al-Shabaab in Somalia, armed rebel groups , and armed militia in South Sudan pose the greatest security challenges to the...these groups . 15. SUBJECT TERMS United States Africa Command, Al-Shabaab, Lamu Oil Pipeline, Security. 16. SECURITY CLASSIFICATION OF: 17

State Collapse, Insurgency, and Counterinsurgency: Lessons from Somalia

DTIC Science & Technology

2013-11-01

the “Somali model” that might be applicable to similar situations , both in Afri- ca and beyond, where weak governments face Islamist insurgents...that might have more realistic applicability to other insurgency and conflict situations in Africa. Identity and Legitimacy among the Somali. Somali...The United States Army War College U.S. ARMY WAR COLLEGE CENTER for STRATEGIC LEADERSHIP and DEVELOPMENT The United States Army War College educates

Combating Terrorism: U.S. Government Should Improve Its Reporting on Terrorist Safe Havens

DTIC Science & Technology

2011-06-01

Ecuador , Panama, Peru, and Venezuela) Trans-Sahara (Algeria, Mali, Mauritania, and Niger) Somalia Southern Philippines Yemen Northern Iraq...the east.” Colombia Border Region (Venezuela, Ecuador , Peru, Panama, and Brazil) “Columbia’s borders with Venezuela, Ecuador , Peru, Panama, and...assistance. This appeared to be less so in Brazil and Peru where potential safe havens were addressed by stronger government responses. Ecuador and Panama

Reserve Component Programs, Fiscal Year 1987.

DTIC Science & Technology

1987-01-01

would fight. War- time missions are executed with United States and foreign forces, just as would occur &WV ft Ra RDdNemv cowei hr ~u~, FY M87 Exwutdm...Luxembourg Somalia Bermuda Greece Madagascar South Korea Bolivia Greenland Malaysia Spain Brazil Grenada Marshall Islands Sweden Cameroon Guam Mexico...Major Dell M. Dempsey, USMCR Ecuadoran Military attache in Panama 0 Colonel James V. Dugar, ANGUS * Young, Colonel Ralph R. (USAR) 0 Colonel

Bythaelurus vivaldii, a new deep-water catshark (Carcharhiniformes, Scyliorhinidae) from the northwestern Indian Ocean off Somalia.

PubMed

Weigmann, Simon; Kaschner, Carina Julia

2017-05-08

A new very small deep-water catshark, Bythaelurus vivaldii, is described based on two female specimens caught off Somalia in the northwestern Indian Ocean during the German 'Valdivia' expedition in 1899. It is morphologically closest to the recently described B. bachi, which is the only other Bythaelurus species in the western Indian Ocean that shares a stout body of large specimens and the presence of oral papillae. It further resembles B. vivaldii in the broad mouth and broad posterior head, but differs in the presence of composite oral papillae and a higher diversity in dermal denticle morphology. Additionally, the new species differs from all congeners in the western Indian Ocean in a larger pre-second dorsal fin length, a longer head, a larger interdorsal space, a larger intergill length, a longer pectoral-fin posterior margin, a shorter caudal fin, an intermediate caudal fin preventral margin, and a larger internarial width. Furthermore, the second dorsal fin of the new species is smaller than in its congeners in the western Indian Ocean except for B. lutarius, which is easily distinguished by the slender body and virtual absence of oral papillae, as well as the aforementioned further characters. An updated key to all valid species of Bythaelurus is provided.

Modeling along-axis variations in fault architecture in the Main Ethiopian Rift: Implications for Nubia-Somalia kinematics

NASA Astrophysics Data System (ADS)

Erbello, Asfaw; Corti, Giacomo; Agostini, Andrea; Sani, Federico; Kidane, Tesfaye; Buccianti, Antonella

2016-12-01

In this contribution, analogue modeling is used to provide new insights into the Nubia-Somalia kinematics responsible for development and evolution of the Main Ethiopian Rift (MER), at the northern termination of the East African Rift system. In particular, we performed new crustal-scale, brittle models to analyze the along-strike variations in fault architecture in the MER and their relations with the rift trend, plate motion and the resulting Miocene-recent kinematics of rifting. The models reproduced the overall geometry of the ∼600 km-long MER with its along-strike variation in orientation to test different hypothesis proposed to explain rift evolution. Analysis of model results in terms of statistics of fault length and orientation, as well as deformation architecture, and its comparison with the MER suggest that models of two-phase rifting (with a first phase of NW-SE extension followed by E-W rifting) or constant NW-SE extension, as well as models of constant ENE-WSW rifting are not able to reproduce the fault architecture observed in nature. Model results suggest instead that the rift has likely developed under a constant, post-11 Ma extension oriented roughly ESE-WNW (N97.5°E), consistent with recent plate kinematics models.

Structure and management of tuberculosis control programs in fragile states--Afghanistan, DR Congo, Haiti, Somalia.

PubMed

Mauch, Verena; Weil, Diana; Munim, Aayid; Boillot, Francois; Coninx, Rudi; Huseynova, Sevil; Powell, Clydette; Seita, Akihiro; Wembanyama, Henriette; van den Hof, Susan

2010-07-01

Health care delivery is particularly problematic in fragile states often connected with increased incidence of communicable diseases, among them tuberculosis. This article draws upon experiences in tuberculosis control in four fragile states from which four lessons learned were derived. A structured inventory to extract common themes specific for TB control in fragile states was conducted among twelve providers of technical assistance who have worked in fragile states. The themes were applied to the TB control programs of Afghanistan, DR Congo, Haiti and Somalia during the years 2000-2006. Case notifications and treatment outcomes have increased in all four countries since 2003 (treatment success rates 81-90%). Access to care and case detection however have remained insufficient (case detection rates 39-62%); There are four lessons learned: 1. TB control programs can function in fragile states. 2. National program leadership and stewardship are essential for quality and sustained TB control. 3. Partnerships with non-governmental providers are vital for continuous service delivery; 4. TB control programs in fragile states require consistent donor support. Despite challenges in management, coordination, security, logistics and funding, TB control programs can function in fragile states, but face considerable problems in access to diagnosis and treatment and therefore case detection. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.

TB treatment in a chronic complex emergency: treatment outcomes and experiences in Somalia.

PubMed

Liddle, Karin Fischer; Elema, Riekje; Thi, Sein Sein; Greig, Jane; Venis, Sarah

2013-11-01

Médecins Sans Frontières (MSF) provides TB treatment in Galkayo and Marere in Somalia. MSF international supervisory staff withdrew in 2008 owing to insecurity but maintained daily communication with Somali staff. In this paper, we aimed to assess the feasibility of treating TB in a complex emergency setting and describe the programme adaptations implemented to facilitate acceptable treatment outcomes. Routinely collected treatment data from 2005-2012 were retrospectively analysed. In multivariate analyses, factors associated with successful outcome (cure or completion versus failure, death and default) were assessed, including the presence of international supervisory staff. Informal interviews were conducted with Somali staff regarding programmatic factors affecting patient management and perceived reasons for default. In total, 6167 patients were admitted (34.8% female; median age 24.0 years [IQR 13.0-38.0 years]). Treatment success was 79% (programme range 69-87%). Presence of international staff did not improve outcomes (adjusted OR 0.85, 95% CI 0.66-1.09; p=0.27). Perceived reasons for default included being away from family, nomadic group, insecurity, travel cost, need to return to grazing land or feeling better. Despite the challenges, a high percentage of patients were successfully treated. Treatment outcomes were not adversely affected by withdrawal of international supervisory staff.

Somalia ... From the Sea

DTIC Science & Technology

2009-07-01

Arthur tasked LaPlante with planning the NEO and proposing a contingency task force to execute the mission. LaPlante sum- moned Moser to a meeting on...evacuations, although the shortage of staff to operate the ECC severely hindered the process. Security remained marginal , despite arrival of the Navy and...augmentation of the evacuation force had been denied, Oates utilized not only some of McAleer’s Marines but members of the embassy staff to provide

My Clan Against the World: US and Coalition Forces in Somalia, 1992-1994

DTIC Science & Technology

2003-01-01

PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Combat Studies Institute Press,Fort Leavenworth...KS,66027 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S) 11...and bewildering ascent along the spectrum of violence. What started as an apparently straightforward quest to assist humanitarian relief organizations

Nations Hospitable to Organized Crime and Terrorism

DTIC Science & Technology

2003-10-01

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

Future Foreign Perceptions of Chemical Weapons Utility

DTIC Science & Technology

2010-10-01

Iraq’s and Syria’s nuclear weapons programs, and the specter of such action may have precipitated Libya to abandon its program. North Korea and Iran ...declared as such. Today, only seven states have not acceded to the CWC: Angola, Egypt, Israel, Myanmar , North Korea , Somalia, and Syria.1 Of those...seven, Syria and North Korea most evidently maintain active offensive CW programs. Of CWC state par- ties, the United States has expressed compliance

A resolution commending Captain Richard Phillips, the crew of the "Maersk Alabama", and the United States Armed Forces, recognizing the growing problem of piracy off Somalia's coast, and urging the development of a comprehensive strategy to address piracy and its root causes.

THOMAS, 111th Congress

Sen. Leahy, Patrick J. [D-VT

2009-04-22

Senate - 04/22/2009 Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent. (All Actions) Tracker: This bill has the status Agreed to in SenateHere are the steps for Status of Legislation:

FY2007 Supplemental Appropriations for Defense, Foreign Affairs, and Other Purposes

DTIC Science & Technology

2007-03-28

of restrictions Congress has considered since 1970 in efforts to reduce or terminate U.S. military operations in Southeast Asia , Somalia and the...CAPs, and CSP (community stabilization program); $100 million for ag reform, priv sec reform; $718 million for Ministerial Capacity Development ( MCD ... Asia , Europe and Africa over the winter with indications that the virus continues to CRS-55 76 Prepared by Susan B. Epstein, Specialist in Foreign

United Nations-Led Disarmament, Demobilization and Reintegration (DDR) in the Eastern Democratic Republic of Congo

DTIC Science & Technology

2011-12-01

absorb rebel units into the national army failed to deconstruct previous personal and ideological allegiances to the former rebel movement and thus...victors our outside interveners, such as India in Sri Lanka, the U.S. in Somalia and Haiti, and UN interventions in Albania and Haiti.30 Nevertheless...Reconstructing Masculinities : The Disarmament, Demobilization, and Reintegration of Former Combatants in Colombia.” Human Rights Quarterly, Vol.31

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

DTIC Science & Technology

2014-11-24

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

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

NASA Technical Reports Server (NTRS)

Bannert, D.

1972-01-01

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

Competition and Cooperation in the Southwestern Indian Ocean: The View From the Islands

DTIC Science & Technology

1993-04-01

in each country sees benefits only when facilities are the exploitation of sea- based resources, especially located on its own...of the Gulf War, Operation Restore Hope Introduction in Somalia, the continued international controversy over Diego Garcia, and the persisting need...books and likely to intersect during the 1990s? articles condemned or extolled the United States In order to attempt an answer to these questions, base

Counterterrorism and Counterinsurgency in Somalia: Assessing the Campaign Against Al Shabaab

DTIC Science & Technology

2016-01-01

establishment of Islam.”11 Research Design In an effort to better understand al Shabaab and U.S. efforts to degrade it, this study asks three sets of questions...and International Studies , July 2011; Ken Menkhaus, “Al-Shabab’s Capabilities Post -Westgate,” CTC Sentinel, March 24, 2014; United Nations (UN...representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited

The Next Lightweight Fighter: Not Your Grandfather’s Combat Aircraft

DTIC Science & Technology

2013-08-01

devastat- ing Arabian quake in Somalia, which has almost no infrastructure and suffers from ongoing clan warfare. The United States deployed forces to...Kassim, which the quake had virtually leveled. A joint task force based in Djibouti stood up to direct the relief effort, exercising airborne com- mand...the earth prevent low-altitude or dis- tant aircraft from looking into “the next valley” directly. Consequently, many a reconnaissance mission or

The Weakening of America: An Examination of National Resolve

DTIC Science & Technology

1997-03-01

three categories, core, intermediate, and peripheral.6 Core interests are those interests that concern the physical survival of a nation. Magyar states...6 Karl P. Magyar, “Conflict in the Postcontainment Era,” War & Conflict AY97 Coursebook (1996): 14. 7 Ibid. 8 Ibid. 9 Ibid. 10 Ibid. 11 Donald...Postcontainment Era.” War & Conflict AY97 Coursebook (1996): 1 -16. Maren, Michael. “The Pentagon quits Somalia: Spinning Dunkirk.” The New Republic

Peacekeeping: A Selected Bibliography

DTIC Science & Technology

2009-07-01

Rwanda. New York: Carroll & Graf, 2005. 562pp. (DT450.435 .D14 2005) Dawson, Grant. “Here Is Hell”: Canada‟ s Engagement in Somalia. Vancouver: UBC...5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) Jeanette Moyer 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME... S ) AND ADDRESS(ES) U.S. Army War College ,122 Forbes Ave.,Carlisle,PA,17013-5220 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING

CTC Sentinel. Volume 7, Issue 2, February 2014

DTIC Science & Technology

2014-02-01

restaurants and hotels. It is the principal source of insecurity in most of Somalia, including the northern state of Puntland. Penetrating and...outdoor restaurant at Nairobi’s Jomo Kenyatta International Airport. See “Four Somalis Charged over Kenya ‘Light Bulb’ Airport Attack,” Agence...it was commonly known as “Boko Haram.” Shekau pledged loyalty to “the amir of al-Qa`ida in the Islamic Maghreb,” Usama bin Ladin, Ayman al

Use of emergency care services by immigrants—a survey of walk-in patients who attended the Oslo Accident and Emergency Outpatient Clinic.

PubMed

Ruud, Sven Eirik; Aga, Ruth; Natvig, Bård; Hjortdahl, Per

2015-10-07

The Oslo Accident and Emergency Outpatient Clinic (OAEOC) experienced a 5-6% annual increase in patient visits between 2005 and 2011, which was significantly higher than the 2-3% annual increase among registered Oslo residents. This study explored immigrant walk-in patients' use of both the general emergency and trauma clinics of the OAEOC and their concomitant use of regular general practitioners (RGPs) in Oslo. A cross-sectional survey of walk-in patients attending the OAEOC during 2 weeks in September 2009. We analysed demographic data, patients' self-reported affiliation with the RGP scheme, self-reported number of OAEOC and RGP consultations during the preceding 12 months. The first approach used Poisson regression models to study visit frequency. The second approach compared the proportions of first- and second-generation immigrants and those from the four most frequently represented countries (Sweden, Pakistan, Somalia and Poland) among the patient population, with their respective proportions within the general Oslo population. The analysis included 3864 patients: 1821 attended the Department of Emergency General Practice ("general emergency clinic"); 2043 attended the Section for Orthopaedic Emergency ("trauma clinic"). Both first- and second-generation immigrants reported a significantly higher OAEOC visit frequency compared with Norwegians. Norwegians, representing 73% of the city population accounted for 65% of OAEOC visits. In contrast, first- and second-generation immigrants made up 27% of the city population but accounted for 35% of OAEOC visits. This proportional increase in use was primarily observed in the general emergency clinic (42% of visits). Their proportional use of the trauma clinic (29%) was similar to their proportion in the city. Among first-generation immigrants only 71% were affiliated with the RGP system, in contrast to 96% of Norwegians. Similar finding were obtained when immigrants were grouped by nationality. Compared to Norwegians, immigrants from Sweden, Pakistan and Somalia reported using the OAEOC significantly more often. Immigrants from Sweden, Poland and Somalia were over-represented at both clinics. The least frequent RGP affiliation was among immigrants from Sweden (32%) and Poland (65%). In Norway, immigrant subgroups use emergency health care services in different ways. Understanding these patterns of health-seeking behaviour may be important when designing emergency health services.

GPS Velocity Field at the Western Tip of the Aden Ridge ; Implications for Rifting and the Arabia-Somalia-Nubia Triple Junction Dynamics

NASA Astrophysics Data System (ADS)

Doubre, C.; Socquet, A.; Masson, F.; Cressot, C.; Mohamed, K.; Vigny, C.; Ruegg, J.

2010-12-01

Due to the presence of magma and a complex thermal structure, the dynamics of divergent plate boundaries are complicated, with microseismicity (ML<4) contributing very little to the total moment release. For the last 35 years several geodetic campaigns have been conducted at the western tip of the Aden Ridge propagating on land into Afar (Republic of Djibouti). The first segment above water, the Asal Rift, experienced a seismo-volcanic event in 1978, which was the first rifting episode, along with the 1978-1985 Icelandic Krafla event, to be monitored by terrestrial geodetic measurements. These measurements revealed the opening of two 1-2 m-wide dykes in the rift inner floor. Since then, terrestrial and spatial geodetic monitoring shows that the rift kept opening, during the post-rifting period, at a rate largely exceeding the plates’ motions. This significant opening rate is decreasing with time to tend, three decades after the rifting event, to the far-field opening rate. We present here the results of the GPS measurements of a 45 site network covering the Tadjoura-Asal Rift System, previously made every two years from 1995 to 2003, and repeated in 2010. The calculated 1999-2010 horizontal velocity field is very homogeneous with a quasi-constant N045° direction with respect to Somalia and a regular increase from the southern to the northern margin of the Asal Rift clearly controlled by a few normal faults, and reaching a maximum of 12.5 mm/yr. A non-negligible part of the Arabia-Somalia divergent movement (1 to 2 mm/yr) is observed south of this rift, which sheds light on the role of the active normal faults bounding the asymmetrical Gaggadé Basin and therefore brings important constraints on the location of the Red Sea Ridge-Aden Ridge-East African Rift triple junction. Since the last 2003 campaign, the lack of micro-seismicity within the Asal Rift seems to be associated with a ˜2 mm/yr decrease of the opening rate deduced from the GPS time series analysis. These results confirm the importance of non-steady state behavior of the Asal volcano-tectonic rift segment, and the role of geothermal/volcanic activity on the occurrence of transients, as suggested by InSAR results.

Low-cost sensors to monitor groundwater drought in Somalia

NASA Astrophysics Data System (ADS)

Buytaert, W.; Ochoa-Tocachi, B. F.; Caniglia, D.; Haibe, K.; Butler, A. P.

2017-12-01

Somalia is one of the poorest countries in the world, devastated by conflict and suffering from the most severe droughts in living memory. Over 6 million people are in need of assistance, and about 3 million are threatened with famine. In April 2017, the WHO estimated that more than 25,000 people have been struck by cholera or acute watery diarrhoea and this number is rising quickly. About half a million Somalis have been displaced internally, many of which in search of water. Some 3 million pastoralists have lost 70% of livestock as a result of the drought. Humanitarian organisations and government agencies invest large amounts of resources to alleviate these conditions. It is paramount to inform the design, focus, and optimisation of these interventions by monitoring and quantifying water resources. Yet, regions such as Somalia are extremely sparsely gauged as a result of a combination of lack of resources and technical expertise, as well as the harsh geographical and geopolitical conditions. Low-cost, robust, and reliable sensors may provide a potential solution to this problem. We present the results of a research project that aimed to leverage new developments in sensor, logger, and data transmission technologies to develop low-cost water level sensors to monitor hand-dug groundwater wells in real time. We tested 3 types of sensor types, i.e. pressure transducers, ultrasound-based distance sensors, and lidar, which were coupled to low-cost logging systems. The different designs were tested both in laboratory conditions, and in-situ in hand-dug wells in Somaliland. Our results show that it is technically possible to build sensors with a total cost of around US$250 each, which are fit-for-purpose for the required application. In-situ deployment over a period of 2 months highlights their robustness despite severe logistical and practical challenges, though further tests are required to understand their long-term reliability. Operating the sensors at one-minute resolution makes it possible to record ground water levels, but also to estimate precise timing and volumes of water use. The sensors, in combination with other upcoming technologies such as remote sensing and wireless transmission, hold promise for improved knowledge generation to optimise the intervention of development and humanitarian organisations.

Evidence for the Inhibition of Dengue Virus Binding in the Presence of Silver Nanoparticles

DTIC Science & Technology

2015-03-26

Methods, vol. 193, no. 2, pp. 470–477, 2013. [46] J. R. Furr, A. D. Russell, T. D. Turner, and A. Andrews, “ Antibacterial activity of Actisorb Plus...by means of the cognate (DENV-recognizing) receptors. However, the circulating antibodies only weakly activate the cellular defenses 4 and the...the 1990s, dengue infections were seen often in US servicemembers in Vietnam, the Philippines , Somalia, and Haiti. In 1942, a dengue outbreak

The Next Step in Somalia: Exploiting Victory Post-Mogadishu

DTIC Science & Technology

2012-01-23

Nigeria (oil, and 25% of Africa’s human capital). Interruption in the flow of these resources could disrupt commodities markets and jeopardize the...plight of Al Shabab thus reinforcing the theme of Somalia’s invasion by “African Crusaders.” 44 The propaganda strategy worked. Islamic charities...United States. The force was also provided a complete array of equipment to include weapons, body armor and the R21 MkII “Casper” armoured vehicle.47

Countering Piracy off the Horn of Africa

DTIC Science & Technology

2011-01-26

rate high and local communities focusing on survival. With agriculture limited more or less to self-sustainment, and the waters overfished by...the last two decades. The reason behind this is the failure of the international community to focus on the hub of the region’s piracy: The failed state...decades. The reason behind this is the failure of the international community to focus on the hub of the region‟s piracy: The failed state of Somalia

Decisions in Operations Other Than War: The United States Intervention in Somalia

DTIC Science & Technology

1994-06-03

primary school enrollment increased 100% from 1970 to 1971, and the incidence of malaria, tuberculosis , and other endemic diseases was sharply...reported between Jess and Adn Nur "Gabiyu". Somali Salvation Democratic Front (SSDF). The SSDF was formed in 1979 by members of the Majerteen sub-clan (of...forces. This disarmament agreement took years to forge as well - A U.N. brokered peace agreement was signed in Mexico in January 1992 that began the

Breaking Barriers: A Case Sudy of UNITAF and NGO Cooperation During Operation Restore Hope, 1992-1993

DTIC Science & Technology

2012-04-04

that the United States Military forces must be prepared to effectively respond to humanitarian crises around the world.1 The JP acknowledges that the...international community. This thesis will then explore how NGOs and the military broke through cultural barriers to effectively work together. Finally it...world. In September 1992, Audrey Hepburn traveled to Somalia and returned home to tell of the horrors she witnessed. President George H.W. Bush was

The United Nations Convention on the Rights of the Child as Policy and Strategy for Social Work Action in Child Welfare in the United States

ERIC Educational Resources Information Center

Scherrer, James L.

2012-01-01

The United States and Somalia are the only two countries in the world that have not ratified the United Nations Convention on the Rights of the Child (CRC). Opposition in the United States stems from the CRC's demand for a cultural change in how a society cares for children and a political hesitancy to become involved in binding international…

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

DTIC Science & Technology

2009-12-01

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

Why the U.S. Navy Should Not Be Fighting Piracy Off Somalia

DTIC Science & Technology

2009-05-04

International Chamber of Commerce (ICC) established in 1981 to serve as the world’s focal point in matters related to maritime crime, there were 293...International Chamber of Commerce , “IMB Reports a Cluster of Pirate Attacks Off the East Coast of Africa.” 3 U.S. National Security Council, Countering Piracy...Counter-Piracy and Combined Task Force 151.” 17 International Chamber of Commerce – International Maritime Bureau, Piracy and Armed Robbery Against

Countering the al-Shabaab Insurgency in Somalia: Lessons for U.S. Special Operations Forces

DTIC Science & Technology

2014-02-01

comply with a collection of information if it does not display a currently valid OMB control number. 1. REPORT DATE FEB 2014 2. REPORT TYPE 3...and analysis, publishing on a broad range of issues important to the Special Operations community . A prolific author, Dr. Tur- biville researched and...the enabler, or students from a wide spectrum of disciplines will find the work insightful and informative . Kenneth H. Poole, Ed.D. Director, JSOU

Organizing Chaos: Restructuring Counter-Piracy Forces Off the Coast of Somalia

DTIC Science & Technology

2011-05-04

the Maersk Alabama cargo ship. Prior to these attacks, most Americans were likely to associate a pirate with Hollywood’s mascara-wearing Johnny Depp...However, the approach to countering Somali pirates is disorganized. The international community attempts to achieve unity of effort by relying heavily...conducting counter-piracy as ―a good model not only for the Gulf of Aden and the Somali bases, but also for future such endeavors.‖ 12 Mr. Countryman

Soviet Foreign Policy in Guinea and Somalia, Implications for American Policy Toward Africa

DTIC Science & Technology

1980-06-01

membership base, and gave both women and youth active roles in party affairs. This organizing effort to make the PDG representative of all Guineans was...to accept a certain degree of indigenous private enterprise, it has instituted a policy which excludes the entreprenuers from holding party posts...mobilize the nation’s youth 37 and women . To accomplish the first task the PDG leadership made Diallo Saifoulaye (a Foulah) Vice President of the

Massachusetts Institute of Technology Defense & Arms Control Studies Program

DTIC Science & Technology

1996-01-01

can we offer those in government who formulate national policy? For what wars should American forces prepare? How should defense firms think about their...Haitis or was our withdrawal from Somalia the start of a trend toward isolationism? How big should the defense budget be and what should be its...and I are often asked to identify the strategy the United States should adopt now that the Cold War has become a fast fading memory. What guidance

Nationalist To Transnational Insurgency: State Repression And Violent Extremist Scale Shift

DTIC Science & Technology

2016-05-26

International Foundation CE Caucasus Emirate ChRI Chechen Republic of Ichkeria COW Correlates of War FGS Federal Government of Somalia FM Field Manual FSB...literature provides a typology of conflict that can be a useful addition to US military doctrine. The Correlates of War ( COW ) typology, first presented by...wars to the COW typology in 1982 to describe wars within a state.7 Sarkees contributed to changes in the COW typology in 2000 with conflicts

Somalia Background Information for Operation Restore Hope 1992-93

DTIC Science & Technology

1992-12-01

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

United States and Soviet Military Aid to Somalia: A Comparative Analysis of Security Assistance.

DTIC Science & Technology

1985-04-01

Army Infantry School. TheK author has had two articles published, both in In(Aanry magazine. The first * was in the January- February 1982 issue and...Mohamed Siad Barre became the head of the government; thus beginning the fourth period of Somali history. Barre instituted " scientific socialism" as a...on Armed Services; Hearinns before the Subcommittee on Military Constrution Washington; U.S. Government Printing Office; 1982. "U.S. Reassesses Need

Earth Observations taken by the Expedition 27 Crew

NASA Image and Video Library

2011-03-31

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

Cesarean section among immigrants in Norway.

PubMed

Vangen, S; Stoltenberg, C; Skrondal, A; Magnus, P; Stray-Pedersen, B

2000-07-01

We studied prevalences and risk factors for cesarean section among different groups of immigrants from countries outside Western Europe and North America in comparison to ethnic Norwegians. The study is population based using data from the Medical Birth Registry of Norway. A total of 553,491 live births during the period 1986-1995 were studied, including 17,891 births to immigrant mothers. The prevalences of cesarean section ranged from 10.1% among women from Vietnam to 25.8% in the group of Filipino origin. The use of abdominal delivery was also high in the groups from Sri Lanka/India (21.3%), Somalia/Eritrea/Ethiopia (20.5%) and Chile/Brazil (24.3%), while the frequency among women from Turkey/Morocco (12.6%) and Pakistan (13.2%) was approximately the same as among ethnic Norwegians (12.4%). Feto-pelvic disproportion, fetal distress and prolonged labor were the most important diagnoses associated with the high prevalences, but the significance of these diagnoses differed among the groups. Other unknown factors come into play, particularly among women from Somalia/Eritrea/Ethiopia and Chile/Brazil. There was substantial variation in the use of cesarean section among ethnic groups in Norway. The diagnoses feto-pelvic disproportion, fetal distress and prolonged labor may be confounded by a number of factors including maternal request for cesarean section and difficulties in handling the delivery. Further research is needed to explain the observed differences.

Volcanic outcrops of southeast Ethiopia and the Ogaden Dyke Swarm

NASA Astrophysics Data System (ADS)

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

2013-04-01

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

Present-day kinematics of the East African Rift

NASA Astrophysics Data System (ADS)

Saria, E.; Calais, E.; Stamps, D. S.; Delvaux, D.; Hartnady, C. J. H.

2014-04-01

The East African Rift (EAR) is a type locale for investigating the processes that drive continental rifting and breakup. The current kinematics of this 5000 km long divergent plate boundary between the Nubia and Somalia plates is starting to be unraveled thanks to a recent augmentation of space geodetic data in Africa. Here we use a new data set combining episodic GPS measurements with continuous measurements on the Nubian, Somalian, and Antarctic plates, together with earthquake slip vector directions and geologic indicators along the Southwest Indian Ridge to update the present-day kinematics of the EAR. We use geological and seismological data to determine the main rift faults and solve for rigid block rotations while accounting for elastic strain accumulation on locked active faults. We find that the data are best fit with a model that includes three microplates embedded within the EAR, between Nubia and Somalia (Victoria, Rovuma, and Lwandle), consistent with previous findings but with slower extension rates. We find that earthquake slip vectors provide information that is consistent with the GPS velocities and helps to significantly reduce uncertainties of plate angular velocity estimates. We also find that 3.16 Myr MORVEL average spreading rates along the Southwest Indian Ridge are systematically faster than prediction from GPS data alone. This likely indicates that outward displacement along the SWIR is larger than the default value used in the MORVEL plate motion model.

Improved resiliency and well-being among military personnel in a Swedish Naval Force after a counter-piracy operation off the coast of Somalia.

PubMed

Bäccman, Charlotte; Hjärthag, Fredrik; Almqvist, Kjerstin

2016-08-01

The aim of this study was to explore: (1) how the psychological health of the members of the first European Union Naval Force (ME01) was affected by international deployment off the coast of Somalia; and (2) if and how organizational and personal factors (e.g., type of personnel category, previous experiences, and resilience) affected their psychological health and well-being post-deployment. The study had an exploratory longitudinal design, where the participants were assessed both before and after deployment (i.e., T1 and T2). The participants (n = 129, 120 men, 9 women) were equally distributed between officers (n = 68; 64 men, 4 women) and sailors (n = 61; 56 men, 5 women). The members' average age was 31 years, ranging from 20 to 61. For the majority (78%) ME01 was their first international deployment and officers were, in general, more experienced than sailors. The overall results showed that the members' reported a positive experience with improved resilience and well-being (e.g., sense of coherence). However, the result also showed that type of personnel category (i.e., officer or sailor) affected their psychological health. Why and how these differences among military personnel arise is discussed, but deserves further attention. © 2016 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

[Imbalance of distribution of physicians in the Arab world].

PubMed

el Matri, A

1990-01-01

The Arab world, as a whole, now has 8.5 medical doctors per 10,000 population. This average covers a great diversity of national situations; for example 0.6 doctors per 10,000 population in Somalia, and 17.5 doctors per 10,000 population in Qatar. From the viewpoint of medical staffing, the Arab countries can be grouped into four categories: (i) Countries with low medical density: their national staff is scarce, they do not have a long academic tradition, and they have to rely on foreign physicians (Yemen, Djibouti, Somalia, Mauritania). (ii) Countries with acceptable medical density: they have strengthened their medical training system during the last decades, their production of medical graduates is now fairly high, and there is seemingly a threat of oversupply (Algeria, Tunisia, Syria, Iraq). (iii) Countries with relatively high medical density: their medical staffing is below that of developed countries, but their economic possibilities are reduced, which leads to an oversupply; these countries are exporters of medical manpower (Egypt, Jordan). (iv) Countries that import medical manpower although their own medical density is quite high: their medical training is recent or non-existent and their health system relies to a great extent on foreign doctors (Saudi Arabia, Bahrain, Qatar, United Arab Emirates, Libya, Kuwait). They are all oil producers. In brief, a shortage and an oversupply of medical doctors coexist in the Arab world, and concerted action is required.

Why have the majority of recent polio cases occurred in countries affected by Islamist militancy? A historical comparative analysis of the political determinants of polio in Nigeria, Somalia, Pakistan, Afghanistan and Syria.

PubMed

Kennedy, Jonathan

2016-01-01

This article aims to understand why the last few areas where polio remains are affected by armed conflicts involving militant organizations that use Islam to legitimize their activities. The first section critically analyses the argument that Muslims' animosity towards polio vaccination programmes is a consequence of their irrational, backward, anti-Western theology. This argument is depoliticizing, ahistorical and orientalist. Moreover, it does not explain why Islamist militant groups' attitudes to polio vaccination campaigns vary between countries. The second section analyses official documents, newspaper articles, interviews and historical and ethnographic accounts to understand the relationship between Islamist militant groups and polio in five countries - Nigeria, Somalia, Pakistan, Afghanistan and Syria - that account for 95% of the world's polio cases since 2012. I demonstrate that specific political grievances related to the postcolonial state and/or foreign military intervention help to explain variations in militant groups' attitudes to polio vaccination programmes. The paper concludes by considering the policy implications of the analysis. Improved access for polio vaccinators is not predicated on military victory against the militants but securing support of de facto political leaders. This can be achieved by developing a better understanding of the specific sociopolitical contexts in which immunization programmes operate.

Ungoverned Spaces and the Survival of Terrorist Groups in Africa: A Case Study of the Lords Resistance Army

DTIC Science & Technology

2015-12-01

example a World Bank report in 2011 indicated that “54.7 percent of the nation’s population was lives in abject poverty.”230 Unemployment and...AIAI Al- Itihad Al-Islami AIS Islamic Salvation Army AMISOM African Union Mission in Somalia AQAP Al Qaeda in the Arabian Peninsula AQIM Al... unemployment of young populations, porous borders, religious extremism and bad governance, among other factors, are always at play in the growth and survival of

The Interagency and Counterinsurgency Warfare: Stability, Security, Transition, and Reconstruction Roles

DTIC Science & Technology

2007-12-01

The final post-Somalia, but pre-PDD-56, interagency planning effort that had an impact on the publication of PDD-56 was never executed but proved...understanding of who produced the specific outcomes achieved, there would clearly be no impact on the perceptions of the intended audience. Ibid. p. IV-27...armed forces and helped end the early 20th-century military operations there. However, the media’s daily impact on today’s operations has no precedent

Chaplaincy at a Crossroads: Fundamentalist Chaplains in a Pluralistic Army

DTIC Science & Technology

2011-03-03

chaplain recalled witnessing “handwringing sessions when our most orthodox brethren [sic] have lamented the possibility of Buddhist, Baha ‟ i , Hare...their religious humanism, how shall they ever deal with chaplains who worship Buddha, Baha ‟u‟llah, or the Guru Maharaji?‟ he asked.”44 Chaplain...46 As a junior chaplain on active duty, I had an eye-opening experience when I deployed with 62nd Medical Group to Somalia in 1993. Early in the

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

DTIC Science & Technology

2013-03-01

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

Fortresses and Icebergs: The Evolution of the Transatlantic Defense Market and the Implications for U.S. National Security Policy. Volume 2: Country Studies

DTIC Science & Technology

2009-01-01

CHILE ECUADOR PARAGUAY URUGUAY FALKLAND ISLANDS SOUTH GEORGIA ISLAND KENYA ETHIOPIA ERITREA SUDAN EGYPT NIGER MAURITANIA MALI NIGERIA SOMALIA NAMIBIA...painful economic reforms also began to bear fruit. The currency stabilized and budget deficits were brought under control as the country moved toward...the criteria of the Maastricht Treaty to adopt the single European currency in place of the zloty, but entry into the Euro- zone is scheduled for 2012

Piracy in the Horn of Africa: The Role of Somalia’s Fishermen

DTIC Science & Technology

2010-12-01

37 Catherine Zara Raymond, “Piracy and Armed Robbery in the Malacca Strait: a Problem Solved?” Naval War College review, summer 2009, 62:3, 37. 38...302 Catherine Zara Raymond, “Piracy in Southeast Asia: new trends, Issues and Responses,” Institute of Defense and strategic Studies Singapore...search.aspx?query=pirates%20threaten%20ship%20traffic %20in%20gulf%20of%20aden (accessed October 4, 2010). Raymond, Catherine Zara . “Piracy and

The challenge of civil-military relations in international peace operations.

PubMed

Pugh, M

2001-12-01

The relationship between military and civilian humanitarian organisations has developed in an increasingly integrative way. Military initiatives to institutionalise the relationship, since the interventions in Somalia and the Balkans, entail a dilution of humanitarian independence as was manifested in practice in Kosovo. Further, the state-centric foundations of military intervention run counter to the potential for humanitarian organisations to foster a cosmopolitan ethos that would not only preserve humanitarian principles but also contest statist assumptions about conflict, development and power.

The Indian Ocean Naval Arms Limitation Talks: From a Zone of Peace to the Arc of Crisis.

DTIC Science & Technology

1984-03-01

242-255. "Work Continues on Diego Garcia." The New York Times, December 26, 1975, p. 8:1. Wren , Christopher S. "Somalia Barbaining with U.S. on Bases...little reflection in the present arms control approach. . . . Arms control must again address the dominant security concerns. -- Christoph Bertram (1980...Minister of Mauritius, Sir Seewoosagor Ramgoolam to raise the issue again. Alexi Kosygin, in a speech during this visit, 10. U.S., Department of

Somali Piracy: An Age-Old Solution to a Modern Day Problem

DTIC Science & Technology

2010-05-19

the British-flagged Asian Glory was seized off Somalia and the twenty-thousand ton Singaporean-flagged chemical tanker M /V Pramoni was seized in the...rival clans . h b’ bl I’ 129agaInst one anot er may e a VIa e so utIon. Another option is to leverage some of the influential Somali "entrepreneurs...ofInternational Affairs, 2005: 236­ 239. Raymond, Catherine Zara . "Piracy in Southeast Asia: New Trends, Issues, and Responses." Harvard Asia Quarterly

Trading Nets for Guns: The Impact of Illegal Fishing on Piracy in Somalia

DTIC Science & Technology

2010-09-01

Reconsidering the Letter of Marque,” Public Contract Law Journal 39, no. 3 (Spring 2010): 412–464; Katie Stuhldreher, “To Turn the Tide on Piracy in...18 Ibid; Theodore Richard, “Reconsidering the Letter of Marque,” Public Contract Law Journal 39, no. 3 (Spring 2010): 412–464; Martin Murphy...the Letter of Marque,” Public Contract Law Journal 39, no. 3 (Spring 2010): 412–464. 38 Richey, Warren. “Where will captured Somali pirate get

Strategic Planning for Comprehensive Security in the European Union’s Military Operations: EUFOR RD Congo, EUFOR Tchad/RCA, and EUNAVFOR Somalia

DTIC Science & Technology

2010-06-01

Globalization and Environmental Challenges: Reconceptualizing Security in the 21st Century, 947. 11 Marco A. Ferroni and Ashoka Mody, International Public...Security and Defence Policy, 67–70; Howorth, Security and Defence Policy in the European Union, 152–154. 47 Hubert Zimmermann, “Security Exporters...consilium.europa.eu/showPage.aspx?id=1519&lang=en (accessed 12 March 2010). Ferroni, Marco A. and Ashoka Mody. International Public Goods: Incentives

Hard Day’s Night: A Retrospective on the American Intervention in Somalia

DTIC Science & Technology

2009-01-01

weapons storage areas, a Pakistani unit was badly mauled. In a lengthy firefight, Aideed’s militia killed 23 and wounded 59. UNOSOM II’s Malaysian ...Regiment (SOAR), equipped with MH60 Black Hawk utility helicopters and MH6 and AH6 “Little Bird ” light helicopters. Small numbers of communicators...Americans through the night. By most accounts, only the dauntless actions of the AH6 Little Bird pilots, flying all night long, kept the besieged

How to Stabilize Failing States: The Good, the Bad and the Ugly of International Intervention

DTIC Science & Technology

2011-12-01

confusion and later to enmity, thus resulting in a confrontation amongst the clans.98 Somalia is comprised of two main clans: Sab and Samale . The Sab clan...includes two clan-families who live in the agricultural areas of the south: Digil and Rahanweyn. The Samale clan is made up of four clan families...Darod, Hawiye, Isaq, and Dir, and mostly inhabit the North. The Sab clans are mostly sedentary farmers and the Samales are mostly nomadic pastorals

The Importance of the United States Security Assistance Program for Somalia’s National Security

DTIC Science & Technology

1990-02-01

NUMBERS Carlisle Barracks, PA 17013 II . CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT DATE 1 February 1990 Same 13. NUMBER OF PAGES 14. MONITORING AGENCY...So it is a cycle--no aid, the Somali army grows weaker, the Somalian ii *ieeie& get more boll. the enemies e,:ourage ir.Lrser.: in--urgeraie3 cause...APPENDIX II - SOMALI HISTORY ..... .............. II -i iv INTRODUCT ION Tli_ paper will introduce the origins and development of U. S. sEiurity

Counter Piracy Off Somalia; A Case for Applying the Comprehensive Approach Strategy

DTIC Science & Technology

2011-01-03

operations conducted by HDMS ABSALON 15 comprise the threat of being captured , trialed and jailed for many years in another country. Finally a pirate...The first wave secured the open deck of the ship and the second wave breached into the bridge and took over control of the ship manoeuvres. In the...at this stage not able to take command of his own ship. The chock and stress he had been through had obviously had an impact on him. But after a

A preliminary evaluation of the nonfuel mineral potential of Somalia

USGS Publications Warehouse

Greenwood, W.R.

1982-01-01

Additional exploration in Somalia is warranted for a wide variety of metallic and nonmetallic deposits. In Precambrian rocks, deposit types favorable for exploration include: a banded iron formation; platinum-bearing mafic-ultramafic complexes; tin-bearing quartz veins; phosphorite; stratabound base-metal deposits; uranium associated with Precambrian(?) syenite; apatite, molybdenum, and alumina in alkalic rocks; Jurassic and Cretaceous black shales; possible bedded-barite and massive base- and precious-metal sulfide deposits; vein barite in Tertiary rocks in fault zones; sepiolite and bentonite for drilling muds and other industrial uses; celestite; possible Tertiary zeolite; and uranium deposits. Several of these deposit types could be Jointly developed and integrated into domestic industries; for example, phosphate and gypsum, or bentonite for pelletized iron from the banded iron deposits. Other deposits such as barite and sepiolite are of value because of their proximity to major drilling operations in the Arabian Gulf. Still other deposits, such as alumina and banded iron, might be marketable because of proximity to aluminum and iron-refining industries now being constructed in Saudi Arabia. Some deposits, such as celestite, can be developed with little capital investment; others, such as the iron deposits, would require large capital commitments. Exploration and evaluation for many of these deposits can be accomplished by Somali geologists with a few advisors. Most of the deposits require feasibility studies conducted by teams of economic geologists, extractive metallurgists, and economists. Some marginal deposits could be exploited if cooperative development schemes could be negotiated with governments in nearby countries.

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

PubMed

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

2010-12-01

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

Torque exerted on the side of crustal blocks controls the kinematics of Ethiopian Rift

NASA Astrophysics Data System (ADS)

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

2016-04-01

Plate tectonic stress at active plate boundary can arises from 1) a torque applied on the side of lithospheric blocks and 2) a torque at the base of the lithosphere due to the flow of the underlying mantle. In this paper we use a simple force balance analysis to compare side and basal shear stresses and their contribution in driving kinematics and deformation in the Ethiopian Rift (ER), in the northern part of the East African Rift System (EARS). Assuming the constraints of the ER given by the dimension of the lithospheric blocks, the strain rate, the viscosity of the low velocity zone (LVZ) and the depth of the brittle-ductile transition zone, the lateral torque is several orders of magnitude higher than the basal torque. The minor contribution of basal torque might be due to low viscosity in the LVZ. Both Africa and Somalia plates are moving to the ;west; relative to the mantle and there are not slabs that can justify this pull and consequent motion. Therefore, we invoke that westerly oriented tidal torque on Africa and Somalia plates in providing the necessary side torque in the region. This plate motion predicts significant sinistral transtension along the ER and rift parallel strike-slip faulting similar to the estimated angular velocity vector for tectonic blocks and GPS observations. Vertical axis block rotations are observed in areas where the lithospheric mantle is removed and strain is widely distributed.

A pilot study on community-based outpatient treatment for patients with chronic psychotic disorders in Somalia: Change in symptoms, functioning and co-morbid khat use

PubMed Central

2012-01-01

Background In Low and Middle Income Countries, mental health services are often poorly developed due to the lack of resources and trained personnel. In order to overcome these challenges, new ways of care have been suggested such as a focus on community-based services. In Somalia, the consumption of the natural stimulant khat is highly prevalent, aggravating mental illness. At the same time, mental health care is largely unavailable to the vast majority of the population. In a pilot project, we tested possibilities for effective measures in community-based out-patient mental health care. Methods Thirty-five male patients with chronic psychotic disorders and their carers were involved in a 10-months follow-up study. All of them abused khat. Seventeen outpatients experiencing acute psychotic episodes were recruited from the community and received an intensive six week home-based treatment package. Additionally eighteen patients with chronic psychotic disorders in remission were recruited either following hospital discharge or from the community. In a second phase of the study, both groups received community-based relapse prevention that differed in the degree of the family’s responsibility for the treatment. The treatment package was comprised of psycho-education, low-dose neuroleptic treatment, monthly home visits and counseling. The Brief Psychiatric Rating Scale (BPRS) was applied three times. Additionally, we assessed functioning, khat use and other outcomes. Results Of the 35 patients enrolled in the study, 33 participated in the 10-month follow-up. Outpatients improved significantly in the first six weeks of treatment and did not differ from remitted patients at the start of the second treatment phase. In the preventive treatment phase, we find heterogeneous outcomes that diverge between symptom and functioning domains. With the exception of depressive symptoms, symptoms in all patients tended to worsen. The outpatient group had higher BPRS positive and negative symptom scores compared to the remitted group. Levels of functioning in 20 out of 33 patients significantly improved, with small differences between groups. Most patients experienced improvements in basic functioning, such as communication, self-care etc. Khat use could only be reduced in the group of outpatients. Conclusions Community-based out-patient mental health treatment for chronic psychotic disorders has demonstrated positive effects in Somalia and is both feasible and practical, despite facing formidable challenges, e.g. controlling khat intake. PMID:22747911

The Challenge of Violent Drug-Trafficking Organizations: An Assessment of Mexican Security Based on Existing RAND Research on Urban Unrest, Insurgency, and Defense-Sector Reform

DTIC Science & Technology

2011-01-01

Bad Factors Outcome Afghanistan (post-Soviet) 0 10 –10 Loss Somalia 1 10 –9 Loss Chechnya I 2 10 –8 Loss Rwanda 2 10 –8 Loss Zaire (anti-Mobutu) 0...most of Baha California (Norte/Sur), Sonora, Chihuahua, Durango, Sinaloa, Nayarit, Jalisco, Colima, Quintana Roo, Yucatan, Campeche, Zacatecas...Sources of Success in Counterinsurgency and Victory Has a Thousand Fathers: Detailed Counterinsurgency Case Stud- ies . For that study, the research

Louse-borne relapsing fever (Borrelia recurrentis) diagnosed in 15 refugees from northeast Africa: epidemiology and preventive control measures, Bavaria, Germany, July to October 2015.

PubMed

Hoch, Martin; Wieser, Andreas; Löscher, Thomas; Margos, Gabriele; Pürner, Friedrich; Zühl, Jürgen; Seilmaier, Michael; Balzer, Lukas; Guggemos, Wolfgang; Rack-Hoch, Anita; von Both, Ulrich; Hauptvogel, Katja; Schönberger, Katharina; Hautmann, Wolfgang; Sing, Andreas; Fingerle, Volker

2015-01-01

We report 15 imported louse-borne relapsing fever (LBRF) cases in refugees in Bavaria, Germany. One patient died. Epidemiological findings confirmed that all were young males from the Horn of Africa (12 from Somalia), who had similar migration routes converging in Sudan continuing through Libya and Italy. The majority likely acquired their infection during migration. Healthcare workers should be aware of LBRF in refugees passing through north Africa to ensure correct treatment and preventive measures.

Screening for Posttraumatic Stress Disorder among Somali ex-combatants: A validation study

PubMed Central

Odenwald, Michael; Lingenfelder, Birke; Schauer, Maggie; Neuner, Frank; Rockstroh, Brigitte; Hinkel, Harald; Elbert, Thomas

2007-01-01

Background In Somalia, a large number of active and former combatants are affected by psychological problems such as Posttraumatic Stress Disorder (PTSD). This disorder impairs their ability to re-integrate into civilian life. However, many screening instruments for Posttraumatic Stress Disorder used in post-conflict settings have limited validity. Here we report on development and validation of a screening tool for PTSD in Somali language with a sample of ex-combatants. Methods We adapted the Posttraumatic Diagnostic Scale (PDS) to reflect linguistic and cultural differences within the Somali community so that local interviewers could be trained to administer the scale. For validation purposes, a randomly selected group of 135 Somali ex-combatants was screened by trained local interviewers; 64 of them were then re-assessed by trained clinical psychologists using the Composite International Diagnostic Interview (CIDI) and the Self-Report Questionnaire (SRQ-20). Results The screening instrument showed good internal consistency (Cronbach's α = .86), convergent validity with the CIDI (sensitivity = .90; specificity = .90) as well as concurrent validity: positive cases showed higher SRQ-20 scores, higher prevalence of psychotic symptoms, and higher levels of intake of the local stimulant drug khat. Compared to a single cut-off score, the multi-criteria scoring, in keeping with the DSM-IV, produced more diagnostic specificity. Conclusion The results provide evidence that our screening instrument is a reliable and valid method to detect PTSD among Somali ex-combatants. A future Disarmament, Demobilization and Reintegration Program in Somalia is recommended to screen for PTSD in order to identify ex-combatants with special psycho-social needs. PMID:17822562

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

PubMed

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

2014-03-21

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

Immigrants' utilization of specialist mental healthcare according to age, country of origin, and migration history: a nation-wide register study in Norway.

PubMed

Abebe, Dawit Shawel; Lien, Lars; Elstad, Jon Ivar

2017-06-01

As the immigrant population rises in Norway, it becomes ever more important to consider the responsiveness of health services to the specific needs of these immigrants. It has been questioned whether access to mental healthcare is adequate among all groups of immigrants. This study aims to examine the use of specialist mental healthcare services among ethnic Norwegians and specific immigrants groups. Register data were used from the Norwegian Patient Registry and Statistics Norway. The sample (age 0-59) consisted of 3.3 million ethnic Norwegians and 200,000 immigrants from 11 countries. Poisson regression models were applied to examine variations in the use of specialist mental healthcare during 2008-2011 according to country of origin, age group, reason for immigration, and length of stay. Immigrant children and adolescents had overall significantly lower use of specialist mental healthcare than ethnic Norwegians of the same age. A distinct exception was the high utilization rate among children and youth from Iran. Among adult immigrants, utilization rates were generally lower than among ethnic Norwegians, particularly those from Poland, Somalia, Sri Lanka, and Vietnam. Adult immigrants from Iraq and Iran, however, had high utilization rates. Refugees had high utilization rates of specialist mental healthcare, while labour immigrants had low use. Utilization rates of specialist mental healthcare are lower among immigrants than Norwegians. Immigrants from Poland, Somalia, Sri Lanka, and Vietnam, had generally quite low rates, while immigrants from Iran had high utilization rates. The findings suggest that specialist mental healthcare in Norway is underutilized among considerable parts of the immigrant population.

Prediction of adaptation difficulties by country of origin, cumulate psychosocial stressors and attitude toward integrating: A Swedish study of first-generation immigrants from Somalia, Vietnam and China

PubMed Central

Zolkowska, Krystyna; McNeil, Thomas F

2015-01-01

Background: Different types of accumulated stress have been found to have negative consequences for immigrants’ capacity to adapt to the new environment. It remains unclear which factors have the greatest influence. Aims: The study investigated whether immigrants’ experience of great difficulty in adapting to a new country could best be explained by (1) country of origin, (2) exposure to accumulated stressors before arrival or (3) after arrival in the new country and/or (4) reserved attitude toward integrating into the new society. Methods: The 119 first-generation immigrants from Somalia, Vietnam and China, living in Malmö, Sweden, were interviewed in a standardized manner. Results: Experiencing great difficulty in adapting to Sweden was independent of length of residence, but significantly related to all four influences, studied one at a time. Country of origin was also related to stressors and attitude. When the effects of the other influences were mutually controlled for, only exposure to accumulated stressors in Sweden (and especially experiencing discrimination/xenophobia/racism) accounted for great adaptation difficulty. Stressors in Sweden had a greater effect if the immigrant had been exposed to stressors earlier. Conclusions: Immigrants’ long-term experiences of great difficulty in adapting to a new country were explained primarily by exposure to accumulated stressors while moving to and living in the new country, rather than by their backgrounds or attitudes toward integrating. This suggests promoting strategies to avoid discrimination and other stressors in the host country. PMID:24927925

Qualitative study of pregnancy and childbirth experiences in Somalian women resident in Sweden.

PubMed

Essén, B; Johnsdotter, S; Hovelius, B; Gudmundsson, S; Sjöberg, N O; Friedman, J; Ostergren, P O

2000-12-01

To explore the attitudes, strategies and habits of Somalian immigrant women related to pregnancy and childbirth, in order to gain an understanding as to how cultural factors might affect perinatal outcome. Interpreter assisted qualitative in depth interviews around topics such as attitudes and strategies regarding childbirth. Fifteen women from the Somalian community in a city in Sweden, between the ages of 20 and 55 years with delivery experience in Somalia and Sweden. The interviews describe how the women themselves perceived their experiences of childbirth in the migrant situation. Many voluntarily decreased food intake in order to have a smaller fetus, an easier delivery and to avoid caesarean section. The participants considered a safe delivery to be the same as a normal vaginal delivery They reduced food intake in order to diminish the growth of the fetus, thereby avoiding caesarean section and mortality. The practice of food intake reduction, while rational for the participants when in Somalia, was found less rational in Sweden and may lead to suboptimal obstetric surveillance. Somalian women have childbirth strategies that differ from those of Swedish women. These strategies should be seen as 'survival behaviours' related to their background in an environment with high maternal mortality. The hypothesis generated is that there is a relationship between the strategies during pregnancy and adverse perinatal outcome among Somalian immigrants. Considering the strong association of the habits to safe birth, it seems doubtful whether the women will change their habits as long as health care providers are unaware of their motives. We suggest a more culturally sensitive perinatal surveillance.

Prediction of adaptation difficulties by country of origin, cumulate psychosocial stressors and attitude toward integrating: a Swedish study of first-generation immigrants from Somalia, Vietnam and China.

PubMed

Johnsson, Ewa; Zolkowska, Krystyna; McNeil, Thomas F

2015-03-01

Different types of accumulated stress have been found to have negative consequences for immigrants' capacity to adapt to the new environment. It remains unclear which factors have the greatest influence. The study investigated whether immigrants' experience of great difficulty in adapting to a new country could best be explained by (1) country of origin, (2) exposure to accumulated stressors before arrival or (3) after arrival in the new country and/or (4) reserved attitude toward integrating into the new society. The 119 first-generation immigrants from Somalia, Vietnam and China, living in Malmö, Sweden, were interviewed in a standardized manner. Experiencing great difficulty in adapting to Sweden was independent of length of residence, but significantly related to all four influences, studied one at a time. Country of origin was also related to stressors and attitude. When the effects of the other influences were mutually controlled for, only exposure to accumulated stressors in Sweden (and especially experiencing discrimination/xenophobia/racism) accounted for great adaptation difficulty. Stressors in Sweden had a greater effect if the immigrant had been exposed to stressors earlier. Immigrants' long-term experiences of great difficulty in adapting to a new country were explained primarily by exposure to accumulated stressors while moving to and living in the new country, rather than by their backgrounds or attitudes toward integrating. This suggests promoting strategies to avoid discrimination and other stressors in the host country. © The Author(s) 2014.

The obstetric performance of United Kingdom asylum seekers from Somalia: a case-control study and literature review.

PubMed

Yoong, W; Kolhe, S; Karoshi, Mahantesh; Ullah, M; Nauta, M

2005-01-01

Little published research exists regarding obstetric performance of immigrant women in the United Kingdom. The aim of this study was to evaluate the obstetric performance and fetal outcomes of Somalian women who received prenatal care and requested to deliver at a teaching hospital in North London. This is a case-control study in which consecutive Somalian women were identified as index cases and the subsequent British-born Caucasian women listed in the delivery book served as controls. 69 index and 69 control cases were analyzed. Fifty-five percent of the Somalian women spoke little or no English. Half (50%) had undergone circumcision, the majority being type I WHO classification of female genital circumcision, which did not require significant surgical intervention prior to labor; 13% had cesarean sections, 13% instrumental vaginal deliveries, and 74% had vaginal deliveries. The Somalian women had higher parity (2.35 vs. 1.18) and were more likely to be grand multiparous (9/69 vs. 1/69) compared to controls. Epidural use was less frequent in Somalian women, but otherwise there were no significant differences between the two groups with regard to maternal age, rates of induction of labor, cesarean sections, duration of labor, premature deliveries, instrumental deliveries, and birth weights. The demographic characteristics of the Somalian female population appear to exert minimal effect on obstetric and fetal outcomes. This may be due to the increased vigilance exercised by health professionals as well as to the fact that recent arrivals are from more urban and westernized areas in Somalia.

Maritime Security on the Horn of Africa: Threading the Needle at a Seam of Responsibility

DTIC Science & Technology

2007-11-06

Chamber of Commerce International Maritime Bureau. “Weekly Piracy Report 13-28 OCT 2007”. http://www.icc-ccs.org/prc/piracyreport.php (accessed 30 October 2007) 2 quarter of 2007 jumped by 37% when compared to the second quarter of 2006.2 The smuggling of refugees across the Gulf of Aden from Somalia to Yemen is also approaching record levels and reflects growing instability in the region. Piracy and human smuggling are motivated by profit and are predominantly criminal enterprises. Although both pirate and terrorist networks exist in

Development and human resources in the Islamic world: a study of selected countries.

PubMed

Duza, M B

1987-01-01

"The present paper attempts to provide an analytical profile of development and human resources in [12] selected [Islamic] countries." The countries--Bangladesh, Somalia, Pakistan, Indonesia, Egypt, Turkey, Malaysia, Algeria, Iraq, Saudi Arabia, Kuwait, and United Arab Emirates--vary in income levels from low to high and in population size from 1 million to 159 million. Using data from the World Bank and the Population Council, comparisons are made on the basis of mortality and fertility levels, family size, income, urbanization, labor force size and growth, education, nutrition, and health. Governmental policy changes and future directions are discussed. excerpt

Louse-borne relapsing fever in Finland in two asylum seekers from Somalia.

PubMed

Hytönen, Jukka; Khawaja, Tamim; Grönroos, Juha O; Jalava, Anna; Meri, Seppo; Oksi, Jarmo

2017-01-01

We report two cases of louse-borne relapsing fever (LBRF) in young Somali asylum seekers having recently arrived to Finland. They had sought medical attention for a febrile illness. Blood smears were examined for suspected malaria, but instead, spirochete shaped bacteria were observed. The bacteria were confirmed as Borrelia recurrentis by PCR and sequencing. The patients survived, but their treatment was complicated by Jarisch-Herxheimer reaction. We conclude that LBRF must be considered as a diagnostic option in febrile refugees also in the northernmost parts of Europe. © 2016 APMIS. Published by John Wiley & Sons Ltd.

Navy Dental Corps: ninety years ... and forward.

PubMed

Woofter, Dennis D; Peters, Andrew; Kvaska, Greg; Turner, Carol I; Peters, Robert J; Shaffer, Richard G; Sobocinski, Andre B

2003-01-01

The Navy Dental Corps is responsible for ensuring the readiness of America's sailors and marines and optimizing their oral health. This article traces the history from the 1912 Act of Congress authorizing thirty "assistant dental surgeons" as the first Navy Dental Corps through service around the world. Navy dentists have seen service in every war and action in the past ninety years, reaching a peak of seven thousand officers and eleven thousand technicians in World War II. The Navy Dental Corps has served in the Korean and Vietnam Wars, Beirut, Somalia, Haiti, 9/11, Desert Storm, Desert Shield, and Operation Iraqi Freedom.

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

NASA Astrophysics Data System (ADS)

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

2017-12-01

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

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

USGS Publications Warehouse

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

2012-01-01

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

Factors associated with tuberculosis treatment outcomes among tuberculosis patients attending tuberculosis treatment centres in 2016-2017 in Mogadishu, Somalia.

PubMed

Ali, Marian Khalif; Karanja, Simon; Karama, Mohammed

2017-01-01

World Health Organization (WHO) reported that tuberculosis (TB) was a major health problem and the second leading cause of mortality globally. An estimated 1.8 million TB deaths were reported in 2015. In Somalia, the average TB incidence was 274 cases per 100,000 people in 2014; prevalence was 513 per 100,000 population; and mortality rate excluding human immune deficiency virus (HIV)/TB co-infection was 64/100,000. In addition, the prevalence rates of multi-drug resistant (MDR)-TB are still high, 5.2% among new cases and 40.7% for retreatment cases. The objective of this study was to determine individual and institutional level factors associated with TB treatment outcomes (TB-TOs) among patients attending TBTCs in Mogadishu. The study design was cross-sectional, using quantitative and qualitative methods. Data was collected using interviewer administered semi-structured questionnaires and key in-depth interviews in 2016/2017. Qualitative data was coded using NVIVO8 and quantitative data analyzed using descriptive and inferential statistics at 95% confidence interval using SPSS20 software. The study used a sample of 385 TB patients. There were 315(81.8%) successful TB-TOs. Individual level factors-marital status, education level, HIV status, treatment category and knowledge on TB influenced TB-TOs (p-value < 0.05). Being married, educated, HIV-negative, new treatment case and knowledgeable on TB increased odds of successful TB-TOs (OR > 0, p value < 0.05) compared to other patients. TBTCs factors did not influence TB-TOs (p-value > 0.05). TB-TOs were mainly affected by patient individual factors. There was need for patient education on TB management and treatment; and improved patient-health provider relationship.

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

NASA Astrophysics Data System (ADS)

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

2006-02-01

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

The Lamu Basin deepwater fold-and-thrust belt: An example of a margin-scale, gravity-driven thrust belt along the continental passive margin of East Africa

NASA Astrophysics Data System (ADS)

Cruciani, Francesco; Barchi, Massimiliano R.

2016-03-01

In recent decades, advances in seismic processing and acquisition of new data sets have revealed the presence of many deepwater fold-and-thrust belts (DW-FTBs), often developing along continental passive margins. These kinds of tectonic features have been intensively studied, due to their substantial interest. This work presents a regional-scale study of the poorly explored Lamu Basin DW-FTB, a margin-scale, gravity-driven system extending for more than 450 km along the continental passive margin of Kenya and southern Somalia (East Africa). A 2-D seismic data set was analyzed, consisting of both recently acquired high-quality data and old reprocessed seismic profiles, for the first detailed structural and stratigraphic interpretation of this DW-FTB. The system originated over an Early to mid-Cretaceous shale detachment due to a mainly gravity-spreading mechanism. Analysis of synkinematic strata indicates that the DW-FTB was active from the Late Cretaceous to the Early Miocene, but almost all of the deformation occurred before the Late Paleocene. The fold-and-thrust system displays a marked N-S variation in width, the northern portion being more than 150 km wide and the southern portion only a few dozen kilometers wide; this along-strike variation is thought to be related to the complex tectonosedimentary evolution of the continental margin at the Somalia-Kenya boundary, also reflected in the present-day bathymetry. Locally, a series of volcanic edifices stopped the basinward propagation of the DW-FTB. A landward change in the dominant structural style, from asymmetric imbricate thrust sheets to pseudo-symmetric detachment folds, is generally observed, related to the landward thickening of the detached shales.

Factors associated with tuberculosis treatment outcomes among tuberculosis patients attending tuberculosis treatment centres in 2016-2017 in Mogadishu, Somalia

PubMed Central

Ali, Marian Khalif; Karanja, Simon; Karama, Mohammed

2017-01-01

Introduction World Health Organization (WHO) reported that tuberculosis (TB) was a major health problem and the second leading cause of mortality globally. An estimated 1.8 million TB deaths were reported in 2015. In Somalia, the average TB incidence was 274 cases per 100,000 people in 2014; prevalence was 513 per 100,000 population; and mortality rate excluding human immune deficiency virus (HIV)/TB co-infection was 64/100,000. In addition, the prevalence rates of multi-drug resistant (MDR)-TB are still high, 5.2% among new cases and 40.7% for retreatment cases. The objective of this study was to determine individual and institutional level factors associated with TB treatment outcomes (TB-TOs) among patients attending TBTCs in Mogadishu. Methods The study design was cross-sectional, using quantitative and qualitative methods. Data was collected using interviewer administered semi-structured questionnaires and key in-depth interviews in 2016/2017. Qualitative data was coded using NVIVO8 and quantitative data analyzed using descriptive and inferential statistics at 95% confidence interval using SPSS20 software. Results The study used a sample of 385 TB patients. There were 315(81.8%) successful TB-TOs. Individual level factors-marital status, education level, HIV status, treatment category and knowledge on TB influenced TB-TOs (p-value < 0.05). Being married, educated, HIV-negative, new treatment case and knowledgeable on TB increased odds of successful TB-TOs (OR > 0, p value < 0.05) compared to other patients. TBTCs factors did not influence TB-TOs (p-value > 0.05). Conclusion TB-TOs were mainly affected by patient individual factors. There was need for patient education on TB management and treatment; and improved patient-health provider relationship. PMID:29610635

Burden of Diarrhea in the Eastern Mediterranean Region, 1990–2013: Findings from the Global Burden of Disease Study 2013

PubMed Central

Khalil, Ibrahim; Colombara, Danny V.; Forouzanfar, Mohammad Hossein; Troeger, Christopher; Daoud, Farah; Moradi-Lakeh, Maziar; El Bcheraoui, Charbel; Rao, Puja C.; Afshin, Ashkan; Charara, Raghid; Abate, Kalkidan Hassen; El Razek, Mohammed Magdy Abd; Abd-Allah, Foad; Abu-Elyazeed, Remon; Kiadaliri, Aliasghar Ahmad; Akanda, Ali Shafqat; Akseer, Nadia; Alam, Khurshid; Alasfoor, Deena; Ali, Raghib; AlMazroa, Mohammad A.; Alomari, Mahmoud A.; Al-Raddadi, Rajaa Mohammad Salem; Alsharif, Ubai; Alsowaidi, Shirina; Altirkawi, Khalid A.; Alvis-Guzman, Nelson; Ammar, Walid; Antonio, Carl Abelardo T.; Asayesh, Hamid; Asghar, Rana Jawad; Atique, Suleman; Awasthi, Ashish; Bacha, Umar; Badawi, Alaa; Barac, Aleksandra; Bedi, Neeraj; Bekele, Tolesa; Bensenor, Isabela M.; Betsu, Balem Demtsu; Bhutta, Zulfiqar; Bin Abdulhak, Aref A.; Butt, Zahid A.; Danawi, Hadi; Dubey, Manisha; Endries, Aman Yesuf; Faghmous, Imad D. A.; Farid, Talha; Farvid, Maryam S.; Farzadfar, Farshad; Fereshtehnejad, Seyed-Mohammad; Fischer, Florian; Fitchett, Joseph Robert Anderson; Gibney, Katherine B.; Ginawi, Ibrahim Abdelmageem Mohamed; Gishu, Melkamu Dedefo; Gugnani, Harish Chander; Gupta, Rahul; Hailu, Gessessew Bugssa; Hamadeh, Randah Ribhi; Hamidi, Samer; Harb, Hilda L.; Hedayati, Mohammad T.; Hsairi, Mohamed; Husseini, Abdullatif; Jahanmehr, Nader; Javanbakht, Mehdi; Jibat, Tariku; Jonas, Jost B.; Kasaeian, Amir; Khader, Yousef Saleh; Khan, Abdur Rahman; Khan, Ejaz Ahmad; Khan, Gulfaraz; Khoja, Tawfik Ahmed Muthafer; Kinfu, Yohannes; Kissoon, Niranjan; Koyanagi, Ai; Lal, Aparna; Latif, Asma Abdul Abdul; Lunevicius, Raimundas; El Razek, Hassan Magdy Abd; Majeed, Azeem; Malekzadeh, Reza; Mehari, Alem; Mekonnen, Alemayehu B.; Melaku, Yohannes Adama; Memish, Ziad A.; Mendoza, Walter; Misganaw, Awoke; Mohamed, Layla Abdalla Ibrahim; Nachega, Jean B.; Le Nguyen, Quyen; Nisar, Muhammad Imran; Peprah, Emmanuel Kwame; Platts-Mills, James A.; Pourmalek, Farshad; Qorbani, Mostafa; Rafay, Anwar; Rahimi-Movaghar, Vafa; Ur Rahman, Sajjad; Rai, Rajesh Kumar; Rana, Saleem M.; Ranabhat, Chhabi L.; Rao, Sowmya R.; Refaat, Amany H.; Riddle, Mark; Roshandel, Gholamreza; Ruhago, George Mugambage; Saleh, Muhammad Muhammad; Sanabria, Juan R.; Sawhney, Monika; Sepanlou, Sadaf G.; Setegn, Tesfaye; Sliwa, Karen; Sreeramareddy, Chandrashekhar T.; Sykes, Bryan L.; Tavakkoli, Mohammad; Tedla, Bemnet Amare; Terkawi, Abdullah S.; Ukwaja, Kingsley; Uthman, Olalekan A.; Westerman, Ronny; Wubshet, Mamo; Yenesew, Muluken A.; Yonemoto, Naohiro; Younis, Mustafa Z.; Zaidi, Zoubida; Zaki, Maysaa El Sayed; Al Rabeeah, Abdullah A.; Wang, Haidong; Naghavi, Mohsen; Vos, Theo; Lopez, Alan D.; Murray, Christopher J. L.; Mokdad, Ali H.

2016-01-01

Diarrheal diseases (DD) are leading causes of disease burden, death, and disability, especially in children in low-income settings. DD can also impact a child's potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease Study, we estimated DD burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2013. For both sexes and all ages, we calculated disability-adjusted life years (DALYs), which are the sum of years of life lost and years lived with disability. We estimate that over 125,000 deaths (3.6% of total deaths) were due to DD in the EMR in 2013, with a greater burden of DD in low- and middle-income countries. Diarrhea deaths per 100,000 children under 5 years of age ranged from one (95% uncertainty interval [UI] = 0–1) in Bahrain and Oman to 471 (95% UI = 245–763) in Somalia. The pattern for diarrhea DALYs among those under 5 years of age closely followed that for diarrheal deaths. DALYs per 100,000 ranged from 739 (95% UI = 520–989) in Syria to 40,869 (95% UI = 21,540–65,823) in Somalia. Our results highlighted a highly inequitable burden of DD in EMR, mainly driven by the lack of access to proper resources such as water and sanitation. Our findings will guide preventive and treatment interventions which are based on evidence and which follow the ultimate goal of reducing the DD burden. PMID:27928080

Murug, Waali, and Gini: Expressions of Distress in Refugees From Somalia

PubMed Central

Carroll, Jennifer K.

2004-01-01

Objective: To study how mental illness is understood, expressed, and treated among Somali refugees and how these factors influence use of health services for mental problems. Method: Seventeen adult Somali refugees (9 women, 8 men) were recruited by mail or by word-of-mouth to participate in the study. The study setting was an urban community health center in Rochester, N.Y., that provides family practice patient care to local Somali refugees. A qualitative design was used that incorporated a combination of methods, chiefly semistructured interviews. Interviews focused on the ways in which sadness, depression, and anxiety are expressed and on the participants' understanding of the origins of and treatment strategies for these problems. Interview transcripts were analyzed to identify recurrent themes. Results: Nearly all participants felt that mental illness was a new problem for their community that did not exist to the same extent in prewar Somalia. Themes that emerged to explain the causes of mental illness included the shock and devastation of war; dead, missing, or separated family members; and spirit possession or a curse. Three major types of mental problems were identified that were associated with specific behaviors and treatment strategies: murug (sadness or suffering), gini (craziness due to spirit possession), and waali (craziness due to severe trauma). Rather than seek help from a clinician, participants preferred to first use family support, prayer, or traditional therapies for most situations. Conclusion: Somali refugees have distinct ways of conceptualizing, expressing, and treating commonly understood mental problems. Participants differed in their opinions about whether they would consult a doctor to discuss feelings of sadness or craziness. Effective mental health care of refugees should address culture-specific belief systems in diagnosis and treatment. PMID:15361926

Introduction of Inactivated Polio Vaccine, Withdrawal of Type 2 Oral Polio Vaccine, and Routine Immunization Strengthening in the Eastern Mediterranean Region.

PubMed

Fahmy, Kamal; Hampton, Lee M; Langar, Houda; Patel, Manish; Mir, Tahir; Soloman, Chandrasegarar; Hasman, Andreas; Yusuf, Nasir; Teleb, Nadia

2017-07-01

The Global Polio Eradication Initiative has reduced the global incidence of polio by 99% and the number of countries with endemic polio from 125 to 3 countries. The Polio Eradication and Endgame Strategic Plan 2013-2018 (Endgame Plan) was developed to end polio disease. Key elements of the endgame plan include strengthening immunization systems using polio assets, introducing inactivated polio vaccine (IPV), and replacing trivalent oral polio vaccine with bivalent oral polio vaccine ("the switch"). Although coverage in the Eastern Mediterranean Region (EMR) with the third dose of a vaccine containing diphtheria, tetanus, and pertussis antigens (DTP3) was ≥90% in 14 countries in 2015, DTP3 coverage in EMR dropped from 86% in 2010 to 80% in 2015 due to civil disorder in multiple countries. To strengthen their immunization systems, Pakistan, Afghanistan, and Somalia developed draft plans to integrate Polio Eradication Initiative assets, staff, structure, and activities with their Expanded Programmes on Immunization, particularly in high-risk districts and regions. Between 2014 and 2016, 11 EMR countries introduced IPV in their routine immunization program, including all of the countries at highest risk for polio transmission (Afghanistan, Pakistan, Somalia, and Yemen). As a result, by the end of 2016 all EMR countries were using IPV except Egypt, where introduction of IPV was delayed by a global shortage. The switch was successfully implemented in EMR due to the motivation, engagement, and cooperation of immunization staff and decision makers across all national levels. Moreover, the switch succeeded because of the ability of even the immunization systems operating under hardship conditions of conflict to absorb the switch activities. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

Burden of Diarrhea in the Eastern Mediterranean Region, 1990-2013: Findings from the Global Burden of Disease Study 2013.

PubMed

Khalil, Ibrahim; Colombara, Danny V; Forouzanfar, Mohammad Hossein; Troeger, Christopher; Daoud, Farah; Moradi-Lakeh, Maziar; Bcheraoui, Charbel El; Rao, Puja C; Afshin, Ashkan; Charara, Raghid; Abate, Kalkidan Hassen; Razek, Mohammed Magdy Abd El; Abd-Allah, Foad; Abu-Elyazeed, Remon; Kiadaliri, Aliasghar Ahmad; Akanda, Ali Shafqat; Akseer, Nadia; Alam, Khurshid; Alasfoor, Deena; Ali, Raghib; AlMazroa, Mohammad A; Alomari, Mahmoud A; Al-Raddadi, Rajaa Mohammad Salem; Alsharif, Ubai; Alsowaidi, Shirina; Altirkawi, Khalid A; Alvis-Guzman, Nelson; Ammar, Walid; Antonio, Carl Abelardo T; Asayesh, Hamid; Asghar, Rana Jawad; Atique, Suleman; Awasthi, Ashish; Bacha, Umar; Badawi, Alaa; Barac, Aleksandra; Bedi, Neeraj; Bekele, Tolesa; Bensenor, Isabela M; Betsu, Balem Demtsu; Bhutta, Zulfiqar; Abdulhak, Aref A Bin; Butt, Zahid A; Danawi, Hadi; Dubey, Manisha; Endries, Aman Yesuf; Faghmous, Imad D A; Farid, Talha; Farvid, Maryam S; Farzadfar, Farshad; Fereshtehnejad, Seyed-Mohammad; Fischer, Florian; Fitchett, Joseph Robert Anderson; Gibney, Katherine B; Ginawi, Ibrahim Abdelmageem Mohamed; Gishu, Melkamu Dedefo; Gugnani, Harish Chander; Gupta, Rahul; Hailu, Gessessew Bugssa; Hamadeh, Randah Ribhi; Hamidi, Samer; Harb, Hilda L; Hedayati, Mohammad T; Hsairi, Mohamed; Husseini, Abdullatif; Jahanmehr, Nader; Javanbakht, Mehdi; Jibat, Tariku; Jonas, Jost B; Kasaeian, Amir; Khader, Yousef Saleh; Khan, Abdur Rahman; Khan, Ejaz Ahmad; Khan, Gulfaraz; Khoja, Tawfik Ahmed Muthafer; Kinfu, Yohannes; Kissoon, Niranjan; Koyanagi, Ai; Lal, Aparna; Latif, Asma Abdul Abdul; Lunevicius, Raimundas; Razek, Hassan Magdy Abd El; Majeed, Azeem; Malekzadeh, Reza; Mehari, Alem; Mekonnen, Alemayehu B; Melaku, Yohannes Adama; Memish, Ziad A; Mendoza, Walter; Misganaw, Awoke; Mohamed, Layla Abdalla Ibrahim; Nachega, Jean B; Nguyen, Quyen Le; Nisar, Muhammad Imran; Peprah, Emmanuel Kwame; Platts-Mills, James A; Pourmalek, Farshad; Qorbani, Mostafa; Rafay, Anwar; Rahimi-Movaghar, Vafa; Rahman, Sajjad Ur; Rai, Rajesh Kumar; Rana, Saleem M; Ranabhat, Chhabi L; Rao, Sowmya R; Refaat, Amany H; Riddle, Mark; Roshandel, Gholamreza; Ruhago, George Mugambage; Saleh, Muhammad Muhammad; Sanabria, Juan R; Sawhney, Monika; Sepanlou, Sadaf G; Setegn, Tesfaye; Sliwa, Karen; Sreeramareddy, Chandrashekhar T; Sykes, Bryan L; Tavakkoli, Mohammad; Tedla, Bemnet Amare; Terkawi, Abdullah S; Ukwaja, Kingsley; Uthman, Olalekan A; Westerman, Ronny; Wubshet, Mamo; Yenesew, Muluken A; Yonemoto, Naohiro; Younis, Mustafa Z; Zaidi, Zoubida; Zaki, Maysaa El Sayed; Rabeeah, Abdullah A Al; Wang, Haidong; Naghavi, Mohsen; Vos, Theo; Lopez, Alan D; Murray, Christopher J L; Mokdad, Ali H

2016-12-07

Diarrheal diseases (DD) are leading causes of disease burden, death, and disability, especially in children in low-income settings. DD can also impact a child's potential livelihood through stunted physical growth, cognitive impairment, and other sequelae. As part of the Global Burden of Disease Study, we estimated DD burden, and the burden attributable to specific risk factors and particular etiologies, in the Eastern Mediterranean Region (EMR) between 1990 and 2013. For both sexes and all ages, we calculated disability-adjusted life years (DALYs), which are the sum of years of life lost and years lived with disability. We estimate that over 125,000 deaths (3.6% of total deaths) were due to DD in the EMR in 2013, with a greater burden of DD in low- and middle-income countries. Diarrhea deaths per 100,000 children under 5 years of age ranged from one (95% uncertainty interval [UI] = 0-1) in Bahrain and Oman to 471 (95% UI = 245-763) in Somalia. The pattern for diarrhea DALYs among those under 5 years of age closely followed that for diarrheal deaths. DALYs per 100,000 ranged from 739 (95% UI = 520-989) in Syria to 40,869 (95% UI = 21,540-65,823) in Somalia. Our results highlighted a highly inequitable burden of DD in EMR, mainly driven by the lack of access to proper resources such as water and sanitation. Our findings will guide preventive and treatment interventions which are based on evidence and which follow the ultimate goal of reducing the DD burden. © The American Society of Tropical Medicine and Hygiene.

The mother's card: a simplified aid for primary health workers.

PubMed

Shah, K P; Shah, P M

1981-02-01

The Mother's Card and its use are described. The card is filled out by the health worker and provides data on the mother concerning family planning, menstrual cycles, pregnancy period (including whether at risk, state of nutrition, immunization against tetanus, and expected date of birth), and breastfeeding. The card is kept by the mother, and the health worker keeps a copy. Each card has space for 10 years and up to 4 pregnancies. The cards have been used successfully in India since 1976 and in Somalia since early 1980, and were useful in strengthening family planning programs as well as identifying pregnancies at risk for special attention.

Gender and access in the African school

NASA Astrophysics Data System (ADS)

Adams, Milton N.; Kruppenbach, Susan E.

1987-12-01

The educational system in major parts of Africa, where post-primary enrolment rates are the lowest in the world, is treated in this article. In particular, female access patterns to formal education in Botswana, Liberia, Niger and Somalia are compared. One primary conclusion reached by the authors is that enrolment levels are linked with general economic development. Factors leading to the comparatively high rate of females having gained access to a primary level of education on the one hand, and a very low rate of post-primary enrolment on the other, are discussed and the following issues are touched on: the marginal link between school expansion policies and actual female enrolment, and their predominance in the urban sector.

Dengue and US military operations from the Spanish-American War through today.

PubMed

Gibbons, Robert V; Streitz, Matthew; Babina, Tatyana; Fried, Jessica R

2012-04-01

Dengue is a major cause of illness among travelers and a threat to military troops operating in areas to which it is endemic. Before and during World War II, dengue frequently occurred in US military personnel in Asia and the South Pacific. From the 1960s into the 1990s, dengue often occurred in US troops in Vietnam, the Philippines, Somalia, and Haiti. We found attack rates as high as 80% and periods of convalescence up to 3-1/2 weeks beyond the acute illness. The increase in dengue throughout the world suggests that it will remain a problem for military personnel until an effective vaccine is licensed.

Peace umbrella, a vague policy and checkered past. Research report

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

Biszak, G.A.

1997-03-01

With the break-up of the former Soviet Union, the United Nations Security Council enjoyed a greater consensus among its members in confronting aggression and participation in humanitarian and peace operations. Deploying significant military forces under the peace umbrella at the beginning of this decade was highly unlikely. However, since 1990, 25 deployments have been conducted with the majority falling under the peace umbrella. This paper analyzes current national and military strategy in regards to the peace umbrella, specifically peace enforcement, military doctrine, and the case of Somalia. In addition, this paper looks at doctrine and directives that currently guide deploymentmore » of forces and the potential for future peace operations.« less

An examination of pharmaceutical systems in severely disrupted countries

PubMed Central

2012-01-01

This research assesses informal markets that dominate pharmaceutical systems in severely disrupted countries and identifies areas for further investigation. Findings are based on recent academic papers, policy and grey literature, and field studies in Somalia, Afghanistan, the Democratic Republic of Congo and Haiti. The public sector in the studied countries is characterized in part by weak Ministries of Health and low donor coordination. Informal markets, where medicines are regularly sold in market stalls and unregulated pharmacies, often accompanied by unqualified medical advice, have proliferated. Counterfeit and sub-standard medicines trade networks have also developed. To help increase medicine availability for citizens, informal markets should be integrated into existing access to medicines initiatives. PMID:23217184

Family functioning and trait emotional intelligence among youth.

PubMed

Alavi, Masoumeh; Mehrinezhad, Seyed Abolghasem; Amini, Mansour; Parthaman Singh, Minder Kaur A/P

2017-01-01

This study explored the relationship between family functioning and trait emotional intelligence among 547 respondents, between the age of 16 and 24 years from Malaysia, Iran, China, Sudan, Somalia, Morocco, the United Kingdom, Germany and the Netherlands. The questionnaires were Family Adaptability and Cohesion Evaluation Scale III and Trait Emotional Intelligence Questionnaire Short Form. Pearson correlation analysis revealed a significant relationship between family functioning and trait emotional intelligence. The higher the family functioning, the higher the trait emotional intelligence among youths. The findings provide a deeper understanding in the field of family functioning and trait emotional intelligence and have implications for parents, administrators and child relationships dealing with trait emotional intelligence.

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

USGS Publications Warehouse

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

2016-01-01

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

Traditional livestock breeding practices of men and women Somali pastoralists: trait preferences and selection of breeding animals.

PubMed

Marshall, K; Mtimet, N; Wanyoike, F; Ndiwa, N; Ghebremariam, H; Mugunieri, L; Costagli, R

2016-12-01

Somalia, one of the world's poorest countries, has livestock as the mainstay of the economy, with an estimated 65% of the population engaged in the livestock sector. This paper presents a gendered study on the traditional livestock breeding practices of Somali pastoralists for camels, cattle, sheep and goats, with a focus on documenting livestock traits of importance, the criteria used to select male breeding animals and the criteria used to cull female breeding animals. Data for the study were obtained by performing participatory rural appraisals (PRAs) with separate male and female pastoral groups from 20 settlements of the Tog-Dheer region of Somaliland (in north-western Somalia). In total, more than 500 pastoralists were involved. In terms of livestock ownership, goats were the most common species kept (97% of all households), followed by sheep (64%), camels (37%) and cattle (9%), with considerable herd size variation across households. Traits of key importance to the pastoralists varied by species and gender of the PRA group, but included adaptedness to harsh environmental conditions, high market value/high meat production and high milk production. The pastoralists practised sensible criteria for the selection of male breeding animals for all species, capturing aspects of productivity (milk yield, reproduction), adaptedness (good hardiness) and marketability (body size and conformation). Similarly, they practised sensible criteria for culling of female breeding animals, with females removed from the herd primarily for poor performance, but also to meet the livelihood needs of the family. Differences in the selection and culling criteria were noted by species, as well as gender of the pastoralists. On the whole, there was strong alignment between the livestock selection criteria used by the Somali pastoralists, their reasons for keeping livestock and the market requirements. This is not surprising given the intimate and long-standing relationship between Somali pastoralists and their livestock. © 2016 The Authors. Journal of Animal Breeding and Genetics published by Blackwell Verlag GmbH.

Prevalence of type 2 diabetes in the Arab world: impact of GDP and energy consumption.

PubMed

Meo, S A; Usmani, A M; Qalbani, E

2017-03-01

Diabetes Mellitus (DM) is a rapidly growing and most challenging health issue of the 21st century. This study aimed to investigate the prevalence of type-2 DM and its association with Gross Domestic Product (GDP) and energy consumption in the Arab world countries. We identified 88 articles through systematic searches including Institute of Scientific Information (ISI) Web of Science, PubMed and EMBASE databases published between 1980-2015. The related literature was searched by using the keywords including diabetes mellitus, prevalence, incidence, epidemiology of type-2 diabetes mellitus (T2DM), and names of the individual Arab world countries. The articles were selected and investigated for the prevalence of T2DM. No limitations were imposed in the design of the study or publication language. Finally, 50 peer-reviewed publications were included and the rest were excluded. Arab world countries with the highest prevalence of T2DM are: Kingdom of Saudi Arabia 31.6%, Oman 29%, Kuwait 25.4%, Bahrain 25.0% and United Arab Emirates 25.0%. The lowest prevalence was found in Mauritania (4.7%) and Somalia (3.9%). The highest prevalence was observed in Gulf Cooperation Council (GCC) countries (25.45%) whilst non-GCC countries had the lowest prevalence (12.69%). The combined mean prevalence of T2DM in both GCC and Non-GCC Arab countries was 16.17%. The prevalence of T2DM was found to be significantly associated with higher Gross Domestic Product (GDP) (p=0.020) and energy consumption (p=0.017). In the Arab world, the countries with the highest prevalence of type 2 diabetes mellitus are: Saudi Arabia, Oman, Kuwait, Bahrain and UAE, whilst the countries with the lowest prevalence are Mauritania and Somalia. This prevalence was significantly associated with high GDP per capita and energy consumption. Arab states must incorporate diabetes preventive policies on a war-footing basis to minimize the burden of the disease.

Evaluation of the Field Performance of ImmunoCard STAT!® Rapid Diagnostic Test for Rotavirus in Dadaab Refugee Camp and at the Kenya–Somalia Border

PubMed Central

Ope, Maurice; Nyoka, Raymond; Unshur, Ahmed; Oyier, Fredrick O.; Mowlid, Shafe A.; Owino, Brian; Ochieng, Steve B.; Okello, Charles I.; Montgomery, Joel M.; Wagacha, Burton; Galev, Aleksandar; Abdow, Abdikadir; Esona, Mathew D.; Tate, Jacqueline; Fitter, David; Cookson, Susan T.; Arunmozhi, Balajee; Marano, Nina

2017-01-01

Rotavirus commonly causes diarrhea in children, leading to hospitalization and even death. Rapid diagnostic tests are feasible alternatives for determining rotavirus outbreaks in refugee camps that have inadequate laboratory capacity. We evaluated the field performance of ImmunoCard STAT!® Rotavirus (ICS-RV) in Dadaab Refugee Camp and at the Kenya–Somalia border. From May to December 2014, we prospectively enrolled children aged < 5 years hospitalized with acute diarrhea, defined as ≥ 3 episodes of loose stool in 24 hours for < 7 days. Stool samples were collected and tested by trained surveillance clerks using ICS-RV per manufacturer's instructions. The field performance characteristics of ICS-RV were evaluated against the gold standard test, Premier™ Rotaclone® enzyme immunoassay. The operational characteristics were evaluated using World Health Organization (WHO) ASSURED criteria to determine whether ICS-RV is appropriate as a point-of-care test by administering a standard questionnaire and observing surveillance clerks performing the test. We enrolled 213 patients with a median age of 10 months (range = 1–48); 58.2% were male. A total of 71 (33.3%) and 60 (28.2%) patients tested positive for rotavirus infection by immunoassay and ICS-RV, respectively. The sensitivity, specificity, and positive and negative predictive values of ICS-RV compared with the immunoassay were 83.1% (95% confidence interval [CI] = 72.3–91.0), 99.3% (95% CI = 96.1–100), 98.3% (95% CI = 91.1–100), and 92.1% (95% CI = 86.6–95.5), respectively. The ICS-RV fulfilled the WHO ASSURED criteria for point-of-care testing. ICS-RV is a field-ready point-of-care test with good field performance and operational characteristics. It can be useful in determining rotavirus outbreaks in resource-limited settings. PMID:28719278

Louse-Borne Relapsing Fever with Meningeal Involvement in an Immigrant from Somalia to Italy, October 2015.

PubMed

Zammarchi, Lorenzo; Antonelli, Alberto; Bartolini, Laura; Pecile, Patrizia; Trotta, Michele; Rogasi, Pier Giorgio; Santini, Maria Grazia; Dilaghi, Beatrice; Grifoni, Stefano; Rossolini, Gian Maria; Bartoloni, Alessandro

2016-05-01

Borrelia recurrentis, transmitted by Pediculus humanus humanus, is the etiological agent of louse-borne relapsing fever (LBRF). Currently the main focus of endemicity of LBRF is localized in East African countries. From July 2015 to October 2015, 36 cases of LBRF have been diagnosed in Europe in immigrants from the Horn of Africa. Here we report a case of LBRF with meningitis diagnosed in Florence, Italy, in an immigrant arrived from Somalia. In October 2015, a 19-year-old Somali male presented to the emergency department of the Azienda Ospedaliero Universitaria Careggi, Florence, Italy, with a 3-day history of high fever. The patient had disembarked in Sicily 10 days before admission after a long migration trip from his country of origin. On clinical examination, neck stiffness was found. Main laboratory findings were thrombocytopenia, increased procalcitonin, and increased polymorphonucleates in the cerebrospinal fluid. Suspecting a possible meningitis, the patient was treated with ceftriaxone, pending results of laboratory testing for malaria, and developed severe hypotension that was treated with fluid resuscitation and hydrocortisone. Hemoscopic testing revealed the presence of spirochetes and no malaria parasites. The patient rapidly improved with doxycycline for 7 days and ceftriaxone for 11 days, then was lost to follow-up. Total DNA from blood was extracted, and amplification and sequencing with universal 16S rDNA primers D88 and E94 revealed a 100% identity with B. recurrentis A1. LBRF is a rare but emerging infectious disease among vulnerable displaced immigrants from the Horn of Africa. Since immigrants from endemic areas can carry the vector with them, the infection should be suspected even in subjects with compatible clinical features living in the same place where new arrival immigrants are hosted. Healthcare providers should be aware of this condition to implement adequate diagnostic, therapeutic, and public health measures.

Early warning by near-real time disturbance monitoring (Invited)

NASA Astrophysics Data System (ADS)

Verbesselt, J.; Zeileis, A.; Herold, M.

2013-12-01

Near real-time monitoring of ecosystem disturbances is critical for rapidly assessing and addressing impacts on carbon dynamics, biodiversity, and socio-ecological processes. Satellite remote sensing enables cost-effective and accurate monitoring at frequent time steps over large areas. Yet, generic methods to detect disturbances within newly captured satellite images are lacking. We propose a multi-purpose time-series-based disturbance detection approach that identifies and models stable historical variation to enable change detection within newly acquired data. Satellite image time series of vegetation greenness provide a global record of terrestrial vegetation productivity over the past decades. Here, we assess and demonstrate the method by applying it to (1) real-world satellite greenness image time series between February 2000 and July 2011 covering Somalia to detect drought-related vegetation disturbances (2) landsat image time series to detect forest disturbances. First, results illustrate that disturbances are successfully detected in near real-time while being robust to seasonality and noise. Second, major drought-related disturbance corresponding with most drought-stressed regions in Somalia are detected from mid-2010 onwards. Third, the method can be applied to landsat image time series having a lower temporal data density. Furthermore the method can analyze in-situ or satellite data time series of biophysical indicators from local to global scale since it is fast, does not depend on thresholds and does not require time series gap filling. While the data and methods used are appropriate for proof-of-concept development of global scale disturbance monitoring, specific applications (e.g., drought or deforestation monitoring) mandates integration within an operational monitoring framework. Furthermore, the real-time monitoring method is implemented in open-source environment and is freely available in the BFAST package for R software. Information illustrating how to apply the method on satellite image time series are available at http://bfast.R-Forge.R-project.org/ and the example section of the bfastmonitor() function within the BFAST package.

Evaluation of the Field Performance of ImmunoCard STAT!® Rapid Diagnostic Test for Rotavirus in Dadaab Refugee Camp and at the Kenya-Somalia Border.

PubMed

Ope, Maurice; Nyoka, Raymond; Unshur, Ahmed; Oyier, Fredrick O; Mowlid, Shafe A; Owino, Brian; Ochieng, Steve B; Okello, Charles I; Montgomery, Joel M; Wagacha, Burton; Galev, Aleksandar; Abdow, Abdikadir; Esona, Mathew D; Tate, Jacqueline; Fitter, David; Cookson, Susan T; Arunmozhi, Balajee; Marano, Nina

2017-06-01

AbstractRotavirus commonly causes diarrhea in children, leading to hospitalization and even death. Rapid diagnostic tests are feasible alternatives for determining rotavirus outbreaks in refugee camps that have inadequate laboratory capacity. We evaluated the field performance of ImmunoCard STAT! ® Rotavirus (ICS-RV) in Dadaab Refugee Camp and at the Kenya-Somalia border. From May to December 2014, we prospectively enrolled children aged < 5 years hospitalized with acute diarrhea, defined as ≥ 3 episodes of loose stool in 24 hours for < 7 days. Stool samples were collected and tested by trained surveillance clerks using ICS-RV per manufacturer's instructions. The field performance characteristics of ICS-RV were evaluated against the gold standard test, Premier ™ Rotaclone ® enzyme immunoassay. The operational characteristics were evaluated using World Health Organization (WHO) ASSURED criteria to determine whether ICS-RV is appropriate as a point-of-care test by administering a standard questionnaire and observing surveillance clerks performing the test. We enrolled 213 patients with a median age of 10 months (range = 1-48); 58.2% were male. A total of 71 (33.3%) and 60 (28.2%) patients tested positive for rotavirus infection by immunoassay and ICS-RV, respectively. The sensitivity, specificity, and positive and negative predictive values of ICS-RV compared with the immunoassay were 83.1% (95% confidence interval [CI] = 72.3-91.0), 99.3% (95% CI = 96.1-100), 98.3% (95% CI = 91.1-100), and 92.1% (95% CI = 86.6-95.5), respectively. The ICS-RV fulfilled the WHO ASSURED criteria for point-of-care testing. ICS-RV is a field-ready point-of-care test with good field performance and operational characteristics. It can be useful in determining rotavirus outbreaks in resource-limited settings.

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

PubMed

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

2009-01-01

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

Health changes of refugees from Afghanistan, Iran and Somalia: the role of residence status and experienced living difficulties in the resettlement process.

PubMed

Lamkaddem, Majda; Essink-Bot, Marie-Louise; Devillé, Walter; Gerritsen, Annette; Stronks, Karien

2015-12-01

Worldwide, refugees show a poorer mental and physical health than the populations among which they resettle. Little is known about the factors influencing health after resettlement. We examined the development of mental and physical health of refugees. As experienced living difficulties might decrease with obtaining a residence permit, we expected this to play a central role in health improvement after resettlement. A two-wave study conducted in the Netherlands among a cohort of 172 recent (n = 68) and longstanding (n = 104) permit holders from Afghanistan, Iran and Somalia between 2003 and 2011. Multivariate mediation analyses were conducted for the effect of changes in living difficulties on the association between change in status and changes in health. Health outcomes were self-reported general health, number of chronic conditions, PTSD and anxiety/depression. Recent permit holders had larger decreases in PTSD score (-0.402, CI -0.612; -0.192) and anxiety/depression score (-0.298, CI -0.464; -0.132), and larger improvements in self-rated general health between T1 and T2 (0.566, CI 0.183; 0.949) than longstanding permit holders. This association was not significant for changes in number of chronic conditions. Mediation analyses showed that the effect of getting a residence permit on health improvements transited through an improvement in living conditions, in particular employment and the presence of family/social support. These results suggest that change in residence permit is beneficial for health mainly because of the change in living difficulties. These results add up to the evidence on the role of social circumstances for refugees upon resettlement, and point at labour participation and social support as key mechanisms for health improvements. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Kinematics and dynamics of Nubia-Somalia divergence along the East African rift

NASA Astrophysics Data System (ADS)

Stamps, Dorothy Sarah

Continental rifting is fundamental to the theory of plate tectonics, yet the force balance driving Earth's largest continental rift system, the East African Rift (EAR), remains debated. The EAR actively diverges the Nubian and Somalian plates spanning ˜5000 km N-S from the Red Sea to the Southwest Indian Ridge and ˜3000 km NW-SE from eastern Congo to eastern Madagascar. Previous studies suggest either lithospheric buoyancy forces or horizontal tractions dominate the force balance acting to rupture East Africa. In this work, we investigate the large-scale dynamics of Nubia-Somalia divergence along the EAR driving present-day kinematics. Because Africa is largely surrounded by spreading ridges, we assume plate-plate interactions are minimal and that the major driving forces are gradients in gravitational potential energy (GPE), which includes the effect of vertical mantle tractions, and horizontal basal tractions arising from viscous coupling to horizontal mantle flow. We quantify a continuous strain rate and velocity field based on kinematic models, an updated GPS velocity solution, and the style of earthquake focal mechanisms, which we use as an observational constraint on surface deformation. We solve the 3D force balance equations and calculate vertically averaged deviatoric stress for a 100 km thick lithosphere constrained by the CRUST2.0 crustal density and thickness model. By comparing vertically integrated deviatoric stress with integrated lithospheric strength we demonstrate forces arising from gradients in gravitational potential energy are insufficient to rupture strong lithosphere, hence weakening mechanisms are required to initiate continental rupture. The next step involves inverting for a stress field boundary condition that is the long-wavelength minimum energy deviatoric stress field required to best-fit the style of our continuous strain rate field in addition to deviatoric stress from gradients in GPE. We infer the stress field boundary condition is an estimate of basal shear stress from viscous coupling to horizontal mantle flow. The stress field boundary condition is small (˜1.6 MPa) compared to deviatoric stress from GPE gradients (8-20 MPa) and does not improve the fit to surface deformation indicators more than 8% when combined with deviatoric stress from GPE gradients. Hence we suggest the style of deformation across the EAR can be explained by forces derived from gradients in GPE. We then calculate dynamic velocities using two types of forward models to solve the instantaneous momentum equations. One method is regional and requires vertically averaged effective viscosity to define lithospheric structure with velocity boundary conditions and a free-slip basal boundary condition. The second is a global model that accounts for a brittle upper crust and viscous mantle lithosphere with velocity boundary conditions imposed at the base of the lithosphere from 5 mantle flow models. With both methods we find deformation driven by internal lithospheric buoyancy forces provides the best-fit to GPS observations of surface velocities on the Somalian plate. We find that any additional contribution from horizontal tractions results in overpredicting surface velocities. This work indicates horizontal mantle flow plays a minimal role in Nubia-Somalia divergence and the EAR is driven largely by gradients in GPE.

Type II Diabetes Mellitus in Arabic-Speaking Countries

PubMed Central

Badran, Mohammad; Laher, Ismail

2012-01-01

The global epidemic of diabetes has not spared the Arabic-speaking countries, which have some of the highest prevalence of type II diabetes. This is particularly true of the Arab Gulf, a conglomerate of high income, oil-producing countries where prevalence rates are the highest. The prevalence rates among adults of the Arabic speaking countries as a whole range between 4%–21%, with the lowest being in Somalia and the highest in Kuwait. As economic growth has accelerated, so has the movement of the populations to urban centers where people are more likely to adopt lifestyles that embrace increased high-calorie food consumption and sedentary lifestyles. These factors likely contribute to the increased prevalence of obesity and diabetes in the Arabic speaking countries. PMID:22851968

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

USGS Publications Warehouse

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

2014-01-01

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

Logistics in smallpox: the legacy.

PubMed

Wickett, John; Carrasco, Peter

2011-12-30

Logistics, defined as "the time-related positioning of resources" was critical to the implementation of the smallpox eradication strategy of surveillance and containment. Logistical challenges in the smallpox programme included vaccine delivery, supplies, staffing, vehicle maintenance, and financing. Ensuring mobility was essential as health workers had to travel to outbreaks to contain them. Three examples illustrate a range of logistic challenges which required imagination and innovation. Standard price lists were developed to expedite vehicle maintenance and repair in Bihar, India. Innovative staffing ensured an adequate infrastructure for vehicle maintenance in Bangladesh. The use of disaster relief mechanisms in Somalia provided airlifts, vehicles and funding within 27 days of their initiation. In contrast the Expanded Programme on Immunization (EPI) faces more complex logistical challenges. Copyright © 2011 Elsevier Ltd. All rights reserved.

Style of extensional tectonism during rifting, Red Sea and Gulf of Aden

USGS Publications Warehouse

Bohannon, R.G.

1989-01-01

Geologic and geophysical studies from the Arabian continental margin in the southern Red Sea and LANDSAT analysis of the northern Somalia margin in the Gulf of Aden suggest that the early continental rifts were long narrow features that formed by extension on closely spaced normal faults above moderate- to shallow-dipping detachments with break-away zones defining one rift flank and root zones under the opposing rift flank. The rift flanks presently form the opposing continental margins across each ocean basin. The detachment on the Arabian margin dips gently to the west, with a breakaway zone now eroded above the deeply dissected terrain of the Arabian escarpment. A model is proposed in which upper crustal breakup occurs on large detachment faults that have a distinct polarity. -from Author

Immigrants’ use of emergency primary health care in Norway: a registry-based observational study

PubMed Central

2012-01-01

Background Emigrants are often a selected sample and in good health, but migration can have deleterious effects on health. Many immigrant groups report poor health and increased use of health services, and it is often claimed that they tend to use emergency primary health care (EPHC) services for non-urgent purposes. The aim of the present study was to analyse immigrants’ use of EPHC, and to analyse variations according to country of origin, reason for immigration, and length of stay in Norway. Methods We conducted a registry based study of all immigrants to Norway, and a subsample of immigrants from Poland, Germany, Iraq and Somalia, and compared them with native Norwegians. The material comprised all electronic compensation claims for EPHC in Norway during 2008. We calculated total contact rates, contact rates for selected diagnostic groups and for services given during consultations. Adjustments for a series of socio-demographic and socio-economic variables were done by multiple logistic regression analyses. Results Immigrants as a whole had a lower contact rate than native Norwegians (23.7% versus 27.4%). Total contact rates for Polish and German immigrants (mostly work immigrants) were 11.9% and 7.0%, but for Somalis and Iraqis (mostly asylum seekers) 31.8% and 33.6%. Half of all contacts for Somalis and Iraqis were for non-specific pain, and they had relatively more of their contacts during night than other groups. Immigrants’ rates of psychiatric diagnoses were low, but increased with length of stay in Norway. Work immigrants suffered less from respiratory and gastrointestinal infections, but had more injuries and higher need for sickness certification. All immigrant groups, except Germans, were more often given a sickness certificate than native Norwegians. Use of interpreter was reduced with increasing length of stay. All immigrant groups had an increased need for long consultations, while laboratory tests were most often used for Somalis and Iraqis. Conclusions Immigrants use EPHC services less than native Norwegians, but there are large variations among immigrant groups. Work immigrants from Germany and Poland use EPHC considerably less, while asylum seekers from Somalia and Iraq use these services more than native Norwegians. PMID:22958343

Beneficiaries of conflict: a qualitative study of people’s trust in the private health care system in Mogadishu, Somalia

PubMed Central

Gele, Abdi A; Ahmed, Mohamed Yusuf; Kour, Prabhjot; Moallim, Sadiyo Ali; Salad, Abdulwahab Moallim; Kumar, Bernadette

2017-01-01

Background In 2005, the World Health Conference called for all nations to move toward universal health coverage, which is defined as “access to adequate health care for all at an affordable price”. Despite this, an estimated 90% of Somalia’s largely impoverished population use private health care. Therefore, considering that the private health care system is the dominant health care system in Mogadishu, Somalia, exploring the accessibility to, as well as people’s trust in, the private sector is essential to help contribute an equitable and affordable health care system in the country. Methods A qualitative study using unstructured interviews was conducted in Mogadishu from August to November of 2016. A purposive sampling approach was used to recruit 23 participants, including seven medical doctors who own private health centers, eight patients, five medical students and three senior officials who work for the Ministry of Health. Data were analyzed using a thematic analysis. Results Our findings show that the private health care system in Mogadishu is not only unregulated but also expensive, with the cost of health care often unaffordable for the majority of the country’s citizens. There is evidence of prescription of inappropriate treatment, tendency to conduct unnecessary laboratory tests, excessive use of higher diagnostic technologies and overcharging – including the widespread practice of further appointments for follow-up – which inflates the costs. The study also found poor patient–provider relationship and widespread distrust of the private health care system. Conclusion The study findings underline the need for the Somali government to develop regulatory mechanisms and guidelines with the potential to guide the private health care sector to provide equitable and affordable health care to people in Mogadishu. The doctor–patient relationship has been – and remains – a keystone of care; thus, there is an urgent need for guidelines for private health care providers to treat their patients with dignity and respect. The education system, particularly the syllabus used by medical faculties, should be reviewed and improved to provide medical students with necessary knowledge, skills and attitudes to maintain patient dignity and rights. PMID:28831275

Continental Break-up Above A Mantle Plume: Opening of The Southern Red Sea

NASA Astrophysics Data System (ADS)

Ebinger, C.; Eagles, G.; Elders, C.; Gloaguen, R.; McClay, K.; Tiberi, C.; Wolfenden, E.

Initial rifting in the Red Sea occurred concurrent with, or soon after flood basaltic mag- matism at~31 Ma in the Ethiopia-Yemen plume province. Yet, the development of the ca. 400 km-wide extensional province of the southern Red Sea between 31 Ma and the onset of seafloor spreading at ~4 Ma has been poorly understood, in large part owing to inaccessibility in the Afar depression. The Afar depression is a diffuse extensional province marking a triple point zone between plate boundaries in the Red Sea (Arabia Nubia), the Gulf of Aden (Arabia Somalia); and the Main Ethiopian Rift (Somalia Nu- bia). Complicating this setting, the Danakil horst is a microplate lying between oceanic provinces in the southernmost Red Sea and incipient seafloor spreading in the northern Afar depression. We have integrated exploration seismic, gravity, well, and magnetic data from offshore regions with remote sensing, geological and geophysical data from Ethiopia, Eritrea, and Yemen to evaluate models for continental break-up above mantle plumes. Plate kinematic reconstructions using a pole of rotation within the error ellipse of the Chu and Gordon (1999) pole predict real features in remote sensing and gravity data; these reconstructions provide a general framework for our interpretations. Field and geochronology studies along the western margin of Afar show a southward prop- agation of rifting since about 25 Ma when extension commenced offshore Red Sea and in Yemen. We also see an eastward migration of strain from the western border fault to narrow zones of primarily basaltic magmatism since mid-Miocene time. These magmatic sequences, where not onlapped by Pliocene-Recent sedimentary strata, dip steeply seaward and define a regional eastward flexure into transitional oceanic crust, as suggested by gravity models constrained by existing seismic data. Our synthesis suggests that the southern Afar depression, assumed to be most proximal to the plume, was the site of incipient seafloor spreading in Miocene time, but that this has ceased or stalled during plate reorganisation as the Aden rift propagated into Afar to make the Danakil a microplate.

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

NASA Astrophysics Data System (ADS)

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

2007-06-01

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

Magnetic Anomaly Lineations in the Gulf of Aden

NASA Astrophysics Data System (ADS)

Noguchi, Y.; Nakanishi, M.; Tamaki, K.; Fujimoto, H.; Huchon, P.; Leroy, S. D.; Styles, P.

2014-12-01

We present the magnetic anomaly lineations in the Gulf of Aden. The Gulf of Aden has slow spreading ridges between the Arabia Plate and Somalia Plate. The Arabian plate moves away from Somalia Plate in an NE direction, at a rate of about 2 cm/yr. Previous works indicates that seafloor spreading started about 20 Ma in the eastern part of the Gulf of Aden and propagated westward. The spreading axis has a E-W trend west of 46 E and that east of 46 E has a N60 W trend. We examined magnetic data acquired in the cruises by R/V L'Atalante in 1995, R/V Hakuho-maru from 2000 to 2001, R/V Maurice Ewing in 2001, and Shackleton in 1975 and 1979. We also used data obtained from National Geophysical Data Center, NOAA. We calculated magnetic anomalies using the latest Internation Geomagnetic Reference Field. Elongated negative magnetic anomalies, which amplitude are more than 500 nT, observed over the spreading centers. Most of the elongated anomalies are parallel with the spreading centers. The elongated magnetic anomalies west of 46 30'E have an E-W trend around the spreading centers. Several discontinuities in the magnetic anomaly contour map illustrate the position of the fracture zones concealed by sediments. We identified magnetic lineations from 43 E to 52 E. Most of magnetic lineations west and east of 46 30'E have N-E and N60-65 W strikes, respectively. The oldest lineations are C3r (5.48~5.74 Ma) between 43 10'E and 44 E and C5Ar (12.4~12.7 Ma) east of 44 E. Our identification of magnetic anomaly lineations indicates a symmetric seafloor spreading with a spreading rate of about 1.0 cm/yr, although Leroy et al. (2004) showed an asymmetric seafloor spreading of the Sheba Ridge, east of our study area. The kinematics of the Arabia plate changed about 5 Ma, but our results did not show any coeval change in spreading rates of the spreading system in the Gulf of Aden.

Lithospheric Decoupling and Rotations: Hints from Ethiopian Rift

NASA Astrophysics Data System (ADS)

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

2014-12-01

Plates move relative to the mantle because some torques are acting on them. The shear in the low-velocity zone (LVZ) at the base of the lithosphere is the expression of these torques. The decoupling is allowed by the low viscosity in the LVZ, which is likely few orders of magnitudes lower than previously estimated. The viscosity value in the LVZ controls the degree of coupling/decoupling between the lithosphere and the underlying mantle. Lateral variations in viscosity within the LVZ may explain the velocity gradient among tectonic plates as the one determining the Ethiopian Rift (ER) separating Africa from Somalia. While it remains not fully understood the mechanisms of the torques acting on the lithosphere (thermally driven mantle convection or the combination of mantle convection with astronomical forces such as the Earth's rotation and tidal drag), the stresses are transmitted across the different mechanical layers (e.g., the brittle upper crust, down to the viscous-plastic ductile lower crust and upper mantle). Differential basal shear traction at the base of the lithosphere beneath the two sides of the East African Rift System (EARS) is assumed to drive and sustain rifting. In our analysis, the differential torques acting on the lithospheric/crustal blocks drive kinematics and block rotations. Since, ER involves the whole lithosphere, we do not expect large amount of rotation. Rotation can be the result of the whole plate motion on the sphere moving along the tectonic equator, or the second order sub-rotation of a single plate. Further rotation may occur along oblique plate boundaries (e.g., left lateral transtensional setting at the ER). Small amount of vertical axis rotation of blocks in northern ER could be related to the presence of local, shallower decollement layers. Shallow brittle-ductile transition (BDT) zone and differential tilting of crustal blocks in the northern ER could hint a possibility of detachment surface between the flow in the lower crust relative to the brittle crust above. Our study suggests that kinematics of crustal blocks in the ER is controlled by Africa and Somalia plates interaction at different scale and layers.

Human resources for health in six healthcare arenas under stress: a qualitative study.

PubMed

Durham, Jo; Pavignani, Enrico; Beesley, Mark; Hill, Peter S

2015-03-29

Research on "human resources for health" (HRH) typically focuses on the public health subsector, despite the World Health Organization's inclusive definition to the contrary. This qualitative research examines the profile of HRH in six conflict-affected contexts where the public health subsector does not dominate healthcare service provision and HRH is a less coherent and cohesive entity: Afghanistan, the Central African Republic (CAR), the Democratic Republic of Congo (DR Congo), Haiti, the Occupied Palestinian Territories and Somalia. The study uses a multiple-country qualitative research design including documentary analysis and key informant interviews undertaken between 2010 and 2012. The documentary analysis included peer-reviewed articles, books, unpublished research and evaluations and donor and non-government organisation reviews. A common thematic guide, informed by this analysis, was used to undertake key informant interviews. Informants thought able to provide some insight into the research questions were identified from ministry of health organograms, and from listings of donors and non-government organisations. Local informants outside the familiar structures were also contacted. In CAR, 74 were interviewed; in Somalia 25; . in Haiti, 45; in Afghanistan, 41; in DR Congo, 32; and in the Occupied Palestinian Territories, 30. In addition, peer review was sought on the initial country reports. The study discovered, in each healthcare arena investigated, a crowded HRH space with a wide range of public, private, formal and informal providers of varying levels of competence and a diverse richness of initiatives, shaped by the easy commodification of health and an unregulated market. The weak regulatory framework and capacity to regulate, combined with limited information regarding those not on the state payroll, allowed non-state providers to flourish, if not materially then at least numerically. When examining HRH, a reliance on information provided by the state health sector can only provide a partial and inadequate representation of reality. For policy-makers and planners in disrupted contexts to begin to appreciate fully current and potential HRH, there is a need to study the workforce using conceptual tools that reflect the situation on the ground, rather than idealised patterns generated by incomplete inventories and unrealistic standards.

Normal-Faulting in Madagascar: Another Round of Continental Rifting?

NASA Astrophysics Data System (ADS)

Wysession, M. E.; Pratt, M. J.; Tsiriandrimanana, R.; Andriampenomanana Ny Ony, F. S. T.; Nyblade, A.; Durrheim, R. J.; Tilmann, F. J.; Rumpker, G.; Rambolamanana, G.; Aleqabi, G. I.; Shore, P.

2017-12-01

Analyses of seismicity and seismic structure within Madagascar suggest the current occurrence of crustal extension, which may be related to continental rifting associated with a diffuse boundary between the Somalia and Lwandle tectonic plates. Madagascar has participated in two major rifting events as part of the break-up of Gondwana: the break-away of Greater India (Madagascar, India, the Seychelles) away from mainland Africa during the Jurassic and the break-away of India from Madagascar during the Cretaceous. Seismic activity and the structures obtained from it, using data from the 2-year (2011-2013) MACOMO project, suggest that this break-up may not be finished, and that continental rifts may be developing again. There are fairly high levels of intraplate seismicity within Madagascar: over 800 events located during the 22 months of the deployment. For comparison, a 2-year deployment of seismometers within the upper Midwest of the U.S. yielded just 12 intraplate earthquakes. While the Madagascar seismicity occurs across the island, it is strongly concentrated in the central region, where Cenozoic volcanism has occurred through the Holocene, and earthquakes align along N-S-trending lineations associated with N-S-trending pull-apart graben structures. The thickness of the crust is still >40 km in this region, but it is underlain by a large low-velocity structure within the lithosphere and asthenosphere that is observed in our studies of surface-wave, body-wave, and Pn-phase tomography. Normal faulting is not observed everywhere on the island, however; seismicity in the north is largely strike-slip, and seismicity in the south appears to be largely reverse faulting. Several studies have suggested that the diffuse boundary between the Somalia and Lwandle plates runs roughly E-W across Madagascar. Extensional faulting seems to predominate only within central Madagascar, likely associated with the current volcanic activity, which also appears to be associated with the delamination of the northern half of Madagascar's subcrustal lithosphere. If so, it may be that the volcanism, seismicity, and extension are all occurring syntectonically, and that we may be witnessing the development of another continental rift involving Madagascar.

Femoral vessel injuries in modern warfare since Vietnam.

PubMed

Pearl, Jonathan P; McNally, Michael P; Perdue, Philip W

2003-09-01

The incidence of lower extremity injuries is high in modern warfare; however the mortality rate from these injuries is low. Despite the overall low mortality of lower extremity injuries, many deaths in modern conflicts are due to femoral vessel injury. The modern warfare literature was reviewed. In Somalia, 1 of the 14 reported deaths was due to a laceration of the superficial femoral artery. In the Persian Gulf, three deaths were reported in an Army field hospital, one resulted from uncontrolled hemorrhage from a profunda femoris artery wound and two others resulted from traumatic amputations with consequent major arterial injury. Despite the advances in modern body armor, the groin is left unprotected. A strategy to help minimize U.S. casualties in modern warfare may be a method of field hemostasis specifically designed for femoral vessel injury.

Environmental influences on the occurrences of sepiolite and palygorskite: a brief review

USGS Publications Warehouse

Jones, Blair F.; Conko, Kathryn M.

2011-01-01

Sepiolite is a hydrous magnesium silicate formed by precipitation of near-surface brackish or saline waters, under semi-arid climatic conditions. Four major influences on the distribution of sepiolite are source materials, climate, physical parameters and associated phase relations. Two major pathways governing the occurrence of sepiolite and palygorskite are direct precipitation from solution, and the transformation of precursor phases by dissolution–precipitation. Sepiolite is most commonly found as a result of the former process, whereas palygorskite is often characterized as a product of the latter. Thus, sepiolite typically occurs in lacustrine, often saline, strata, while palygorskite is commonly found in conjunction with soils, alluvium, or most abundantly, calcretes. Here, we review briefly some examples of sepiolite deposits in Spain, Turkey, Argentina, USA, and the African countries of Kenya, Morocco, Tunisia, Senegal, Somalia and South Africa.

Relationship of climate, geography, and geology to the incidence of Rift Valley fever in Kenya during the 2006-2007 outbreak.

PubMed

Hightower, Allen; Kinkade, Carl; Nguku, Patrick M; Anyangu, Amwayi; Mutonga, David; Omolo, Jared; Njenga, M Kariuki; Feikin, Daniel R; Schnabel, David; Ombok, Maurice; Breiman, Robert F

2012-02-01

We estimated Rift Valley fever (RVF) incidence as a function of geological, geographical, and climatological factors during the 2006-2007 RVF epidemic in Kenya. Location information was obtained for 214 of 340 (63%) confirmed and probable RVF cases that occurred during an outbreak from November 1, 2006 to February 28, 2007. Locations with subtypes of solonetz, calcisols, solonchaks, and planosols soil types were highly associated with RVF occurrence during the outbreak period. Increased rainfall and higher greenness measures before the outbreak were associated with increased risk. RVF was more likely to occur on plains, in densely bushed areas, at lower elevations, and in the Somalia acacia ecological zone. Cases occurred in three spatial temporal clusters that differed by the date of associated rainfall, soil type, and land usage.

Rebuilding research capacity in fragile states: the case of a Somali–Swedish global health initiative

PubMed Central

Dalmar, Abdirisak Ahmed; Hussein, Abdullahi Sheik; Walhad, Said Ahmed; Ibrahim, Abdirashid Omer; Abdi, Abshir Ali; Ali, Mohamed Khalid; Ereg, Derie Ismail; Egal, Khadra Ali; Shirwa, Abdulkadir Mohamed; Aden, Mohamed Hussain; Yusuf, Marian Warsame; Abdi, Yakoub Aden; Freij, Lennart; Johansson, Annika; Mohamud, Khalif Bile; Abdulkadir, Yusuf; Emmelin, Maria; Eriksen, Jaran; Erlandsson, Kerstin; Gustafsson, Lars L; Ivarsson, Anneli; Klingberg-Allvin, Marie; Kinsman, John; Källestål, Carina; Målqvist, Mats; Osman, Fatumo; Persson, Lars-Åke; Sahlén, Klas-Göran; Wall, Stig

2017-01-01

ABSTRACT This paper presents an initiative to revive the previous Somali–Swedish Research Cooperation, which started in 1981 and was cut short by the civil war in Somalia. A programme focusing on research capacity building in the health sector is currently underway through the work of an alliance of three partner groups: six new Somali universities, five Swedish universities, and Somali diaspora professionals. Somali ownership is key to the sustainability of the programme, as is close collaboration with Somali health ministries. The programme aims to develop a model for working collaboratively across regions and cultural barriers within fragile states, with the goal of creating hope and energy. It is based on the conviction that health research has a key role in rebuilding national health services and trusted institutions. PMID:28799463

Relationship of Climate, Geography, and Geology to the Incidence of Rift Valley Fever in Kenya during the 2006–2007 Outbreak

PubMed Central

Hightower, Allen; Kinkade, Carl; Nguku, Patrick M.; Anyangu, Amwayi; Mutonga, David; Omolo, Jared; Njenga, M. Kariuki; Feikin, Daniel R.; Schnabel, David; Ombok, Maurice; Breiman, Robert F.

2012-01-01

We estimated Rift Valley fever (RVF) incidence as a function of geological, geographical, and climatological factors during the 2006–2007 RVF epidemic in Kenya. Location information was obtained for 214 of 340 (63%) confirmed and probable RVF cases that occurred during an outbreak from November 1, 2006 to February 28, 2007. Locations with subtypes of solonetz, calcisols, solonchaks, and planosols soil types were highly associated with RVF occurrence during the outbreak period. Increased rainfall and higher greenness measures before the outbreak were associated with increased risk. RVF was more likely to occur on plains, in densely bushed areas, at lower elevations, and in the Somalia acacia ecological zone. Cases occurred in three spatial temporal clusters that differed by the date of associated rainfall, soil type, and land usage. PMID:22302875

The First Prediction of a Rift Valley Fever Outbreak

NASA Technical Reports Server (NTRS)

Anyamba, Assaf; Chretien, Jean-Paul; Small, Jennifer; Tucker, Compton J.; Formenty, Pierre; Richardson, Jason H.; Britch, Seth C.; Schnabel, David C.; Erickson, Ralph L.; Linthicum, Kenneth J.

2009-01-01

El Nino/Southern Oscillation (ENSO) related anomalies were analyzed using a combination of satellite measurements of elevated sea surface temperatures, and subsequent elevated rainfall and satellite derived normalized difference vegetation index data. A Rift Valley fever risk mapping model using these climate data predicted areas where outbreaks of Rift Valley fever in humans and animals were expected and occurred in the Horn of Africa from December 2006 to May 2007. The predictions were subsequently confirmed by entomological and epidemiological field investigations of virus activity in the areas identified as at risk. Accurate spatial and temporal predictions of disease activity, as it occurred first in southern Somalia and then through much of Kenya before affecting northern Tanzania, provided a 2 to 6 week period of warning for the Horn of Africa that facilitated disease outbreak response and mitigation activities. This is the first prospective prediction of a Rift Valley fever outbreak.

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

PubMed

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

2018-04-01

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

The Impact of Acculturation Style and Acculturative Hassles on the Mental Health of Somali Adolescent Refugees.

PubMed

Lincoln, Alisa K; Lazarevic, Vanja; White, Matthew T; Ellis, B Heidi

2016-08-01

Refugee adolescents often immigrate to a new society because of experiences of persecution and trauma, which can have profound effects on their mental health. Once they immigrate, many refugees experience stressors related to resettlement and acculturation in the new society. The current study examined relationships among acculturation styles and hassles and the well-being of young refugees as well as the role of gender. Data were collected from 135 young refugees (M age = 15.39, SD = 2.2; 62 % male) from Somalia resettled in the United States The findings from our study indicate that in addition to trauma history, acculturative hassles and acculturation style impact the wellbeing of Somali refugee adolescents. These findings indicate the need to understand both past experiences as well as current challenges. Potential areas for intervention are discussed.

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

PubMed

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

2015-04-01

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

Brief communication: Drought likelihood for East Africa

NASA Astrophysics Data System (ADS)

Yang, Hui; Huntingford, Chris

2018-02-01

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

Regional 3D Numerical Modeling of the Lithosphere-Mantle System: Implications for Continental Rift-Parallel Surface Velocities

NASA Astrophysics Data System (ADS)

Stamps, S.; Bangerth, W.; Hager, B. H.

2014-12-01

The East African Rift System (EARS) is an active divergent plate boundary with slow, approximately E-W extension rates ranging from <1-6 mm/yr. Previous work using thin-sheet modeling indicates lithospheric buoyancy dominates the force balance driving large-scale Nubia-Somalia divergence, however GPS observations within the Western Branch of the EARS show along-rift motions that contradict this simple model. Here, we test the role of mantle flow at the rift-scale using our new, regional 3D numerical model based on the open-source code ASPECT. We define a thermal lithosphere with thicknesses that are systematically changed for generic models or based on geophysical constraints in the Western branch (e.g. melting depths, xenoliths, seismic tomography). Preliminary results suggest existing variations in lithospheric thicknesses along-rift in the Western Branch can drive upper mantle flow that is consistent with geodetic observations.