The ring vaccination trial: a novel cluster randomised controlled trial design to evaluate vaccine efficacy and effectiveness during outbreaks, with special reference to Ebola

A World Health Organization expert meeting on Ebola vaccines proposed urgent safety and efficacy studies in response to the outbreak in West Africa. One approach to communicable disease control is ring vaccination of individuals at high risk of infection due to their social or geographical connection to a known case. This paper describes the protocol for a novel cluster randomised controlled trial design which uses ring vaccination.In the Ebola ça suffit ring vaccination trial, rings are randomised 1:1 to (a) immediate vaccination of eligible adults with single dose vaccination or (b) vaccination delayed by 21 days. Vaccine efficacy against disease is assessed in participants over equivalent periods from the day of randomisation. Secondary objectives include vaccine effectiveness at the level of the ring, and incidence of serious adverse events.Ring vaccination trials are adaptive, can be run until disease elimination, allow interim analysis, and can go dormant during inter-epidemic periods.

Potential Impact of Sexual Transmission on Ebola Virus Epidemiology: Sierra Leone as a Case Study.

BACKGROUND Sexual transmission of Ebola virus disease (EVD) 6 months after onset of symptoms has been recently documented, and Ebola virus RNA has been detected in semen of survivors up to 9 months after onset of symptoms. As countries affected by the 2013-2015 epidemic in West Africa, by far the largest to date, are declared free of Ebola virus disease (EVD), it remains unclear what threat is posed by rare sexual transmission events that could arise from survivors. METHODOLOGY/PRINCIPAL FINDINGS We devised a compartmental mathematical model that includes sexual transmission from convalescent survivors: a SEICR (susceptible-exposed-infectious-convalescent-recovered) transmission model. We fitted the model to weekly incidence of EVD cases from the 2014-2015 epidemic in Sierra Leone. Sensitivity analyses and Monte Carlo simulations showed that a 0.1% per sex act transmission probability and a 3-month convalescent period (the two key unknown parameters of sexual transmission) create very few additional cases, but would extend the epidemic by 83 days [95% CI: 68-98 days] (p < 0.0001) on average. Strikingly, a 6-month convalescent period extended the average epidemic by 540 days (95% CI: 508-572 days), doubling the current length, despite an insignificant rise in the number of new cases generated. CONCLUSIONS/SIGNIFICANCE Our results show that reductions in the per sex act transmission probability via abstinence and condom use should reduce the number of sporadic sexual transmission events, but will not significantly reduce the epidemic size and may only minimally shorten the length of time the public health community must maintain response preparedness. While the number of infectious survivors is expected to greatly decline over the coming months, our results show that transmission events may still be expected for quite some time as each event results in a new potential cluster of non-sexual transmission. Precise measurement of the convalescent period is thus important for planning ongoing surveillance efforts.

XRF scanning, pollen and spores of ODP Site 108-659

Pliocene vegetation dynamics and climate variability in West Africa have been investigated through pollen and XRF-scanning records obtained from sediment cores of ODP Site 659 (18°N, 21°W). The comparison between total pollen accumulation rates and Ti/Ca ratios, which is strongly correlated with the dust input at the site, showed elevated aeolian transport of pollen during dusty periods. Comparison of the pollen records of ODP Site 659 and the nearby Site 658 resulted in a robust reconstruction of West African vegetation change since the Late Pliocene. Between 3.6 and 3.0 Ma the savannah in West Africa differed in composition from its modern counterpart and was richer in Asteraceae, in particular of the Tribus Cichorieae. Between 3.24 and 3.20 Ma a stable wet period is inferred from the Fe/K ratios, which could stand for a narrower and better specified mid-Pliocene (mid-Piacenzian) warm time slice. The northward extension of woodland and savannah, albeit fluctuating, was generally greater in the Pliocene. NE trade wind vigour increased intermittently around 2.7 and 2.6 Ma, and more or less permanently since 2.5 Ma, as inferred from increased pollen concentrations of trade wind indicators (Ephedra, Artemisia, Pinus). Our findings link the NE trade wind development with the intensification of the Northern Hemisphere glaciations (iNHG). Prior to the iNHG, little or no systematic relation could be found between sea surface temperatures of the North Atlantic with aridity and dust in West Africa.

Abrupt shifts of the Sahara-Sahel boundary during Heinrich stadials demonstrated on a sediment core transect

Relict dune fields that are found as far south as 14° N in the modern-day African Sahel are testament to equatorward expansions of the Sahara desert during the Late Pleistocene. However, the discontinuous nature of dune records means that abrupt millennial-timescale climate events are not always resolved. High-resolution marine core studies have identified Heinrich stadials as the dustiest periods of the last glacial in West Africa although the spatial evolution of dust export on millennial timescales has so far not been investigated. We use the major-element composition of four high-resolution marine sediment cores to reconstruct the spatial extent of Saharan-dust versus river-sediment input to the continental margin from West Africa over the last 60 ka. This allows us to map the position of the sediment composition corresponding to the Sahara-Sahel boundary. Our records indicate that the Sahara-Sahel boundary reached its most southerly position (13° N) during Heinrich stadials and hence suggest that these were the periods when the sand dunes formed at 14° N on the continent. Heinrich stadials are associated with cold North Atlantic sea surface temperatures which appear to have triggered abrupt increases of aridity and wind strength in the Sahel. Our study illustrates the influence of the Atlantic meridional overturning circulation on the position of the Sahara-Sahel boundary and on global atmospheric dust loading.

Pollen analysis and age model of sediment core GIK-15856-2

Pollen and spores from a deep-sea core located west of the Niger Delta record an uninterrupted area of lowland rain forest in West Africa from Guinea to Cameroon during the last Interglacial and the early Holocene. During other periods of the last 150 ka, a savanna corridor between the western - Guinean - and the eastern - Congolian - part of the African lowland rain forest existed. This so-called Dahomey Gap had its largest extension during Glacial Stages 6, 4, 3, and 2. Reduced surface salinity in the eastern Gulf of Guinea as recorded by dinoflagellate cysts indicates sufficient precipitation for extensive forest growth during Stages 5 and 1. The large modern extension of dry forest and savanna in West Africa cannot be solely explained by climatic factors. Mangrove expansion in and west of the Niger Delta was largest during the phases of sea-level rise of Stages 5 and 1. During Stages 6, 4, 3, and 2, shelf areas were exposed and the area of the mangrove swamps was minimal.

Tropical climate and vegetation simulations during the Heinrich event 1 using an Earth System Model of Intermediate Complexity (EMIC) - the University of Victoria Earth System-Climate Model (UVic ESCM)

Abrupt climate changes from 18 to 15 thousand years before present (kyr BP) associated with Heinrich Event 1 (HE1) had a strong impact on vegetation patterns not only at high latitudes of the Northern Hemisphere, but also in the tropical regions around the Atlantic Ocean. To gain a better understanding of the linkage between high and low latitudes, we used the University of Victoria (UVic) Earth System-Climate Model (ESCM) with dynamical vegetation and land surface components to simulate four scenarios of climate-vegetation interaction: the pre-industrial era, the Last Glacial Maximum (LGM), and a Heinrich-like event with two different climate backgrounds (interglacial and glacial). We calculated mega-biomes from the plant-functional types (PFTs) generated by the model to allow for a direct comparison between model results and palynological vegetation reconstructions. Our calculated mega-biomes for the pre-industrial period and the LGM corresponded well with biome reconstructions of the modern and LGM time slices, respectively, except that our pre-industrial simulation predicted the dominance of grassland in southern Europe and our LGM simulation resulted in more forest cover in tropical and sub-tropical South America. The HE1-like simulation with a glacial climate background produced sea-surface temperature patterns and enhanced inter-hemispheric thermal gradients in accordance with the "bipolar seesaw" hypothesis. We found that the cooling of the Northern Hemisphere caused a southward shift of those PFTs that are indicative of an increased desertification and a retreat of broadleaf forests in West Africa and northern South America. The mega-biomes from our HE1 simulation agreed well with paleovegetation data from tropical Africa and northern South America. Thus, according to our model-data comparison, the reconstructed vegetation changes for the tropical regions around the Atlantic Ocean were physically consistent with the remote effects of a Heinrich event under a glacial climate background.

Unilever as a "multi-local" multinational 1945-1979

Explores the opportunities and threats to Unilever's global business in 1978 based on the commercial and political challenges faced by three of its subsidiaries, Lever Brothers in the United States, Hindustan Lever in India, and United Africa Company in West Africa. Management faced several problems: criticism of multinational companies, anti-trust legislation, expropriations, and rising competition from international and local rivals. Focuses on developing a new global strategy for a company that placed a premium on a consensual management style and local autonomy.

The New Transatlantic Bonanza: Cocaine on Highway 10.

The 10th Parallel marine and aerial routes linking South America and West Africa harbor a long history of trade between the two continents. More recently, these routes have become one of the preferred routes used by Latin American traffickers for shipping multi-tons of cocaine destined for the growing European market. The Parallel’s growing importance in cocaine trafficking has made it known as cocaine “Highway 10” among law enforcement. Latin American cocaine trafficking organizations, particularly the Colombian ones, have established stable bases in West Africa, controlling and developing the route. West African facilitators, Nigerians as well as an increasing number of nationals from all countries where shipments are stocked, have developed a stronger capacity for taking over more ambitious and lucrative role in the business as transporters, partners, and final buyers. In one case (Guinea), the West African partner had already started developing his own trafficking and manufacturing capacity, reproducing the patterns that made Colombia the business model of the drug industry. In this reshaped context, of particular concern is the role played by the Colombian FARC (Fuerzas Armadas Revolucionarias de Colombia) as provider of cocaine shipments to West African cocaine entrepreneurs, as well as the impact of drug trafficking money on the financing of terrorist and rebel groups operating in the Sahel-Saharan belt.

La relación entre el texto original y su traducción: extranjerización de V. Nabokov y domesticación de M. Tsvetaeva

La traducción ha atraído a profesionales, escritores y aficionados desde tiempos remotos. Desde el primer momento se encendieron los debates sobre la técnica de la traducción, desde Cicerón y Horacio, en los tiempos de Bayt al-hikma y San Jerónimo, hasta el siglo XX, los trabajos de L. Venuti, las teorías filosóficas o la traducción audiovisual. En este artículo intentaremos acercarnos a un asunto tan interesante como la relación entre el texto original y su traducción. Como modelos para este estudio tomaremos los ejemplos de las traducciones llevadas a cabo por V. Nabokov y M. Tsvetaeva. Analizaremos la evolución de la doctrina de traducción de V. Nabokov y las causas que influyeron en la decisión de M. Tsvetaeva de domesticar un texto original.masculino.

New records of the olive ridley sea turtle Lepidochelys olivacea (Eschscholtz, 1829) from the Cape Verde Islands

[ES] The olive ridley sea turtle Lepidochelys olivacea has been recorded in the Cape Verde Islands, but the most recent published data (1998-2000) are of stranded ndividuals and remains only. This article presents new data on olive ridleys recorded during the years 2001-2011 on Boavista and Sal islands. The presence of his species does not appear to be related to nesting activity. The possible geographical origin of these turtles is discussed. In addition, we propose some studies that could help to reinforce the conservation of sea turtles in West Africa.

Agents actifs toxiques dans les produits éclaircissants et leurs impacts sur le microbiome cutané humain

Les produits cosmétiques sont des substances utilisées pour entretenir ou modifier l'aspect des parties superficielles du corps humain (telles que la peau, les ongles ou les cheveux). Dans de nombreux pays d’Afrique et d’Asie et dans certaines communautés africaines immigrantes, plusieurs femmes et parfois des hommes utilisent des produits contenant des agents actifs tels que le mercure, l’hydroquinone et le propionate de clobétasol pour éclaircir leur peau. Ces principaux agents sont toxiques et leur présence dans les cosmétiques est règlementée, voire interdite, dans plusieurs pays. Dans notre étude, nous avons déterminé les concentrations de ces ingrédients dans plusieurs produits utilisés en Afrique de l’Ouest et au Canada. Nous avons également exploré l’effet de ces produits sur le microbiome cutané. Nos résultats révèlent que 68 à 84% des crèmes et 7.5 à 65% des savons dépassent les normes lorsqu’on considère l’interdiction de mercure, d’hydroquinone et de propionate de clobétasol et les concentrations déclarées sur les étiquettes ne sont pas souvent fiables. Selon la diversité de Shannon, il semble y avoir plus d’équitabilité, et donc moins de dominance dans le groupe des femmes utilisant les crèmes éclaircissantes que dans le groupe des femmes qui ne les utilisent pas. Par ailleurs, nous n’avons pas trouvé de différences significatives au niveau du microbiome cutané du groupe avec crèmes et sans crèmes au niveau du phylum et du genre. Cependant, d’autres méthodes plus approfondies avec plus d’échantillonnage pourraient révéler à des échelles plus fines (espèces, souches, etc.) l’effet de ces produits sur le microbiome cutané.

Agents actifs toxiques dans les produits éclaircissants et leurs impacts sur le microbiome cutané humain

Les produits cosmétiques sont des substances utilisées pour entretenir ou modifier l'aspect des parties superficielles du corps humain (telles que la peau, les ongles ou les cheveux). Dans de nombreux pays d’Afrique et d’Asie et dans certaines communautés africaines immigrantes, plusieurs femmes et parfois des hommes utilisent des produits contenant des agents actifs tels que le mercure, l’hydroquinone et le propionate de clobétasol pour éclaircir leur peau. Ces principaux agents sont toxiques et leur présence dans les cosmétiques est règlementée, voire interdite, dans plusieurs pays. Dans notre étude, nous avons déterminé les concentrations de ces ingrédients dans plusieurs produits utilisés en Afrique de l’Ouest et au Canada. Nous avons également exploré l’effet de ces produits sur le microbiome cutané. Nos résultats révèlent que 68 à 84% des crèmes et 7.5 à 65% des savons dépassent les normes lorsqu’on considère l’interdiction de mercure, d’hydroquinone et de propionate de clobétasol et les concentrations déclarées sur les étiquettes ne sont pas souvent fiables. Selon la diversité de Shannon, il semble y avoir plus d’équitabilité, et donc moins de dominance dans le groupe des femmes utilisant les crèmes éclaircissantes que dans le groupe des femmes qui ne les utilisent pas. Par ailleurs, nous n’avons pas trouvé de différences significatives au niveau du microbiome cutané du groupe avec crèmes et sans crèmes au niveau du phylum et du genre. Cependant, d’autres méthodes plus approfondies avec plus d’échantillonnage pourraient révéler à des échelles plus fines (espèces, souches, etc.) l’effet de ces produits sur le microbiome cutané.