Search

Field and laboratory studies were conducted late 2019 in three districts of the Gambia's North Bank Region; namely, Central Badibou, Lower Badibou and Upper Badibou to ascertain the pesticide residue level in watermelon fruit, determine the insect pest control methods, types of pesticide, frequency of application, and pre-harvest interval observed. Multistage sampling technique was used in selecting the research respondents. Eightyfive (85) farmers were identified; forty-five (45) were randomly selected as research respondents. Data was collected using structured questionnaires. SPSS Software was used to analyse the questionnaires and Gas Chromatograph to determine the pesticide residue level. Data obtained were analysed and compared with the European Union Maximum Residue Limit (MRL). The results of the analysis revealed that the farmers used chemical control method in watermelon production, and applied at frequency of once in every two weeks. Furthermore, the results indicated that the chemical applied at flowering stage and the pre-harvest interval (17-21 days) ranked the highest. The pesticides residues found in the watermelon samples were Dimethoate, Profenophos, Dicofol, Cypermethrin, Lambdacyhalothrin, Permethrin and Deltamethrin and most were above the MRL. The presence of pesticides residues in the watermelon samples calls for strict regulation on the use of pesticides on watermelon. Further study is recommended in other fruits and vegetables grown in the country especially in the studied region. [ABSTRACT FROM AUTHOR]

WHO recommends that all pregnant women be screened for anaemia. In rural Africa this is often done by clinical examination which is known to have variable reliability. The recently developed WHO Haemoglobin Colour Scale may be the answer to this problem as it is simple and reliable. This study examines the training procedure recommended by WHO for the Haemoglobin Colour Scale when resources are very limited. We trained 7 laboratory technicians from the Medical Research Council Laboratories Hospital, Fajara, The Gambia and 13 Community Health Nurses (CHNs) from North Bank Division East, a rural area in The Gambia, to use the Colour Scale. The CHNs used the Scale to estimate haemoglobins on all new bookings to the antenatal clinics for a period of one month and recorded how they were managed. At the end of the study period they completed a qualitative questionnaire about the scale. Both groups of trainees were successfully trained although the WHO protocol for training was impossible to follow due to resource limitations. Eight of the 13 trained CHNs used the scale in practice and recorded 307 estimations with a mean haemoglobin of 9.1 g/dl. The results were normally distributed. Six of the 9 patients with Hb readings of < 4 g/dl were managed correctly. In response to the questionnaire the CHNs thought the scale was cheap, easy and quick to use and as good as the haemoglobinometer they had used previously. The main criticism was that it was not robust enough. The development of a low-technology, cheap, simple and reliable method for measuring haemoglobin is a welcome development. However, a simpler training procedure and a standard way of measuring observer performance are necessary. [ABSTRACT FROM AUTHOR]

To find out what proportion of Plasmodium falciparum infections are treated in rural Gambia. Subjects from four villages in the Gambia were followed over nine months through visits to village health workers. Monthly cross-sectional malaria surveys measured the prevalence of P. falciparum infection. Linked databases were searched for treatment requests. Treated cases were individuals with parasitaemia who requested treatment during narrow or extended periods (14 or 28 days, respectively) before or after a positive blood film was obtained. Parasite prevalence peaked in November 1998, when 399/653 (61%) individuals had parasitaemia. Parasite prevalence was highest throughout the study in children aged 5-10 years. Although access to treatment was better than in most of sub-Saharan Africa, only 20% of infected individuals sought medical treatment up to 14 days before or after a positive blood film. Within two months of a positive blood film, 199/726 (27%) individuals with parasitaemia requested treatment. Despite easy access to health care, less than half (42%) of those with parasite densities consistent with malaria attacks (>5000/ul) requested treatment. High parasite density and infection during October-November were associated with more frequent treatment requests. Self-treatment was infrequent in study villages: in 3/120 (2.5%) households antimalarial drugs had been used in the preceding malaria season. Many P. falciparum infections may be untreated because of their subclinical nature. Intermittent presumptive treatment may reduce morbidity and mortality. It is likely that not all untreated infections were asymptomatic. Qualitative research should explore barriers to treatment uptake, to allow educational interventions to be planned. [ABSTRACT FROM AUTHOR]