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Macroinvertebrates and physicochemical parameters were assessed at 15 sites along five rivers in Kilimanjaro region, Tanzania, with the aim of understanding their ecological status and setting a base to the development of a biological index for tropical regions. Investigated rivers that occur within Pangani basin include Karanga, Rau, Lumbanga, Sere, and Umbwe. Sampling sites were categorized according to the level of water and habitat quality as follows: reference or least impacted (4 sites), moderately impacted (5 sites), and highly impacted (6 sites) sites. A total of 12,527 macroinvertebrates belonging to 13 orders and 48 families were recorded. The highest total abundance of 4,110 individuals per m2 was found in Karanga river, while Umbwe river had the lowest with 1,203 individuals per m2. Chironomidae was the most abundant family (2,588 individuals per m2) and the least were Hydridae and Thiaridae, each having 5 individuals per m2. High numbers of taxa were noted among the orders: Ephemeroptera (8), Odonata (8), Diptera (7), and Trichoptera (6). In conclusion, orders with greater diversity of macroinvertebrate families offer a wide range of tolerance to pollution and, thus can potentially be used to develop a biomonitoring index for evaluating pollution in tropical African rivers.

A total of 12 soil samples from four different sites across the United Republic of Tanzania (URT) were collected and analysed for heavy metals (metalloids) (V, Cr, Ni, Cu, Zn, As, Cd, Hg and Pb) concentration.The technique used was Energy Dispersive XRay Fluorescence (EDXRF). Results show that the concentrations of 77.8% of the analysed heavy metals (V, Cr, Ni, Cu, Zn, Pb and Hg) were above the phytotoxicity limits while the rest, 22.3%, (As and Cd) were belo w the limits. The fact that 77.8% of the analysed heavy metals have concentrations above phytotoxicity limits raises a genuine concern on the favourability of these soils for agricultural purposes.

Background The type of sprayable surface impacts on residual efficacy of insecticide used in indoor residual spraying (IRS). However, there is limited data on common types of wall surfaces sprayed in Zanzibar and mainland Tanzania where IRS began in 2006 and 2007 respectively. The study investigated residual efficacy of micro-encapsulated lambda-cyhalothrin sprayed on common surfaces of human dwellings and domestic animal shelters in Zanzibar and mainland Tanzania. Methods An experimental hut was constructed with different types of materials simulating common sprayable surfaces in Zanzibar and mainland Tanzania. Surfaces included cement plastered wall, mud-daub, white-wash, wood, palm-thatch, galvanized iron-sheets, burnt-bricks, limestone and oil-paint. The World Health Organization (WHO) procedure for IRS was used to spray lambda-cyhalothrin on surfaces at the dose of 20–25 mg/m2. Residual efficacy of insecticide was monitored through cone bioassay using laboratory-reared mosquitoes; Kisumu strain (R–70) of Anopheles gambiae ss. Cone bioassay was done every fortnight for a period of 152 days. The WHO Pesticide Evaluation Scheme (WHOPES) threshold (80% mortality) was used as cut-off point for acceptable residual efficacy. Results A total of 5,800 mosquitoes were subjected to contact cone bioassay to test residual efficacy of lambda-cyhalothrin. There was a statistically significant variation in residual efficacy between the different types of wall surfaces (r = 0.24; p 20% of sprayable structures, two rounds of IRS using lambda-cyhalothrin should be considered. Further studies are required to investigate the impact of sprayable surfaces on residual efficacy of other insecticides commonly used for IRS in Zanzibar and mainland Tanzania.

Africa bears more than 90% of the entire global malaria disease burden. Surprisingly, even with the current renewed interest in malaria prevention and control and the enabling environment resulting from the Roll Back Malaria initiative and the political commitment made by the African Presidents at the Abuja Summit, there are still no significant initiatives for strengthening capacity for malaria control through training within the African continent itself. The Center for Enhancement of Effective Malaria Interventions (CEEMI) has been established in Dar es Salaam, Tanzania for results-oriented training. It is intended to provide the needed skills for identifying and solving malaria control problems and providing incentives to malaria control workers in their work performance. The intention is to produce implementers with leadership skills for planning and managing malaria control activities and who can use strategic thinking in improving their work performance. To sustain political commitment and support and to sensitize the community on malaria issues, the CEEMI, in collaboration with the Ministry of Health (National Malaria Control Program), the Institute of Journalism and Mass Communication of the University of Dar es Salaam, and the Commonwealth Broadcasting Association have already conducted malaria seminars for Tanzanian Members of Parliament and journalists from Kenya, Malawi, Tanzania, and Uganda. Additionally, a diploma course in health communication is being developed for journalists and for the same purpose. Also being developed is a training module for "Council Malaria Focal Person." This is aimed at complementing the Roll Back Malaria initiative to meet the Abuja targets of reducing morbidity and mortality due to malaria by 50% by 2010.

Background A study of health facility (HF) data on women receiving sulphadoxine-pyrimethamine (SP) for intermittent preventive treatment of malaria during pregnancy (IPTp) was carried out at antenatal care clinics in Mkuranga and Mufindi districts. Methods A review of health management information system (HMIS) registers, interviews with health-care workers (HWs) and district and national level malaria control program managers corroborated by inter-temporal assessment through observations at HF levels. Statistical data were analyzed in Excel and interpreted in triangulation with qualitative data from interviews and observations. Results Data indicated that IPTp doses administered to women were inadequate and partly inconsistent. HMIS registers lacked space for IPT records, forcing HWs to manipulate their record-keeping. The proportion/number of IPTp recipients in related to the supply of SP for free delivery, to women’s attendance behaviours, showed variation by quarter and year of reporting. Conclusion It is impossible to achieve rational health service planning when the HMIS is weak. Whilst it is acknowledged that the HMIS is already overloaded, concerted measures are urgently needed to accommodate data on new interventions and other vertical programs if malaria programs are to achieve their goals.

Background Integrated vector management (IVM) for malaria control requires ecological skills that are very scarce and rarely applied in Africa today. Partnerships between communities and academic ecologists can address this capacity deficit, modernize the evidence base for such approaches and enable future scale up. Methods Community-based IVM programmes were initiated in two contrasting settings. On Rusinga Island, Western Kenya, community outreach to a marginalized rural community was achieved by University of Nairobi through a community-based organization. In Dar es Salaam, Tanzania, Ilala Municipality established an IVM programme at grassroots level, which was subsequently upgraded and expanded into a pilot scale Urban Malaria Control Programme with support from national academic institutes. Results Both programmes now access relevant expertise, funding and policy makers while the academic partners benefit from direct experience of community-based implementation and operational research opportunities. The communities now access up-to-date malaria-related knowledge and skills for translation into local action. Similarly, the academic partners have acquired better understanding of community needs and how to address them. Conclusion Until sufficient evidence is provided, community-based IVM remains an operational research activity. Researchers can never directly support every community in Africa so community-based IVM strategies and tactics will need to be incorporated into undergraduate teaching programmes to generate sufficient numbers of practitioners for national scale programmes. Academic ecologists at African institutions are uniquely positioned to enable the application of practical environmental and entomological skills for malaria control by communities at grassroots level and should be supported to fulfil this neglected role.

Background Intermittent preventive treatment of malaria during pregnancy (IPTp) is a key intervention in the national strategy for malaria control in Tanzania. SP, the current drug of choice, is recommended to be administered in the second and third trimesters of pregnancy during antenatal care (ANC) visits. To allow for a proper design of planned scaling up of IPT services in Tanzania it is useful to understand the IPTp strategy's acceptability to health managers, ANC service providers and pregnant women. This study assesses the knowledge, attitudes and practices of these groups in relation to malaria control with emphasis on IPTp services. Methods The study was conducted in February 2004, in Korogwe District, Tanzania. It involved in-depth interviews with the district medical officer (DMO), district hospital medical officer in charge and relevant health service staff at two peripheral dispensaries, and separate focus group discussions (FGDs) with district Council Health Management Team members at district level and pregnant women at dispensary and community levels. Results Knowledge of malaria risks during pregnancy was high among pregnant women although some women did not associate coma and convulsions with malaria. Contacting traditional healers and self-medication with local herbs for malaria management was reported to be common. Pregnant women and ANC staff were generally aware of SP as the drug recommended for IPTp, albeit some nurses and the majority of pregnant women expressed concern about the use of SP during pregnancy. Some pregnant women testified that sometimes ANC staff allow the women to swallow SP tablets at home which gives a room for some women to throw away SP tablets after leaving the clinic. The DMO was sceptical about health workers' compliance with the direct observed therapy in administering SP for IPTp due to a shortage of clean water and cups at ANC clinics. Intensified sensitization of pregnant women about the benefits of IPTp was suggested by the study participants as an important approach for improving IPTp compliance. Conclusion The successful implementation of the IPTp strategy in Tanzania depends on the proper planning of, and support to, the training of health staff and sustained sensitization of pregnant women at health facility and community levels about the benefits of IPTp for the women and their unborn babies.

Availability of suitable water is one of the most important limiting factors for development of sustainable aquaculture in the urban areas. As a consequence, the use of wastewater effluents for aquaculture is on the rise in developing countries, Tanzania being one of the implementing country; quality of fish from such environments becomes questionable for human consumption. Clarius gariepinus were raised in selected Wastewater Stabilization Ponds (WSPs) at Moshi Municipal (Maturation two (M 2), four (M 4), six (M 6), fish pond (FP) and Lake Duluti (LD as Control site) for ninety days to investigate fish contamination (heavy metals and microbial) and body composition. Among all seven selected heavy metals (Hg, Cd, Mo, Cr, As, Zn and Pb) only four (Hg, Cd, Cr and Zn) were detected in analyzed fish and water samples, while (Pb, Mo and As) was below detection limits of X-Ray Fluorescence (Spectro xepos –EDXRF) analyzer. The results revealed that fish sample had higher concentration of detected metals than water samples from all treatments except for Hg of water sample from M2 and M4 was higher than fish sample and above the permissible limits by WHO. There was variation in crude protein and crude fat in analyzed fish samples from all treatments site. The fish reared in M4 contain higher percentage of crude protein (81.36) and crude fat (18.45) than other treatments. Escherichia coli and Staphylococcus aureus were detected in fish samples from all treatments with number of counts was within standards, while Salmonella spp was only present in M2. Results from this study reveals that with proper management, maturation ponds can be used for fish production but maturation two should be abandoned for fish farming due to high metals and microbial contamination. Public awareness on the dangers to which fish consumers from the site are exposed is highly suggested and purposeful mitigation measures of stopping all fishing activities in these sites is needed until further study on quality of indigenous fish accomplished.