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DAVID LIVINGSTONE. Symptoms, Even When the Quinine Is I
THE BRITIS t 5u4 MIEDICAL JOURNAL J DAVID LIVINGSTONE. [MARCI 15, 1913. a qualification Livingstone showed that same determina- DAVID LIVINGSTONE. tion to achieve his purpose of which his life in Africa BORN MARCH 19TH, 1813. gave so many evidences. It is told of him that as a boy he not only climbed to a higher point in the ruins of ON March 19th, 1813, David Livingstone was born in a Bothwell Castle than any other, but also carved his name house in Shuttle Row, in the village of Blantyre, on the up there. he had some stiff climbing to do in Africa, alnd banks of the Clyde, in north-west Lanarkshire, Scotland; he left his name cut out there too. he died on May 1st, 1873, in a hastily built hut, in During all the many years he spent in the heart of the Chitambo's village, in the country of Ilala, to the south Dark Cointinent, making the discovery of the lakes Ngam-ii, of Lake Bangweolo, Central Africa; and in these sixty Shirwa, Nyassa, and Bangweolo, and of much else, lhe years he had literally, and without any exaggeration, never forgot that he was a doctor as well as a missionary. opened up the Dark Continent to the light of miedicine, His writings are full of his medical experiences, and onie of civilization, and of Christianity. He was great as an must admire the extraordinary accuracy and insight of explorer and geographer, for he travelled twenty-nine many of his observations. Even in the twentieth centuLry thousand miles and explored a million square miles of his name is constantly cropping up in bocks on Africa. -
DRONES in INTERNATIONAL DEVELOPMENT Innovating the Supply Chain to Reach Patients in Remote Areas
DRONES IN INTERNATIONAL DEVELOPMENT Innovating the Supply Chain to Reach Patients in Remote Areas AUTHORS: SCOTT DUBIN, ASHLEY GREVE, RYAN TRICHE DISCLAIMER: This activity was funded by the U.S. President's Emergency Plan for AIDS Relief, through the U.S. Agency for International Development. The views and opinions of authors expressed herein are our own and do not necessarily state or reflect those of the U.S. Government. TABLE OF CONTENTS INTRODUCTION 1 EXECUTIVE SUMMARY 2 KEY RECOMMENDATIONS FOR SUCCESS 2 SECTION I: PLANNING 9 ACTIVITY OVERVIEW AND OBJECTIVES 9 SELECTING THE RIGHT DRONE 11 INITIAL INVESTIGATIONS AND SCOPING VISITS 12 VALIDATION OF USE CASES 13 ACTIVITY DESIGN 14 CONTRACTING WITH DRONE SERVICE PROVIDERS 17 SECTION II: IMPLEMENTATION 19 FLIGHT OPERATIONS APPROVALS 19 COMMUNITY SENSITIZATION 20 START-UP 20 PHASE 1: JUNE-JULY 2019 21 PHASE 2: AUGUST-OCTOBER 2019 23 PHASE 3: NOVEMBER 2019-FEBRUARY 2020 23 STAKEHOLDER AND PARTNERSHIP MANAGEMENT 25 INCIDENT MANAGEMENT 27 SECTION III: ASSESSING AND COMMUNICATING VALUE 29 HEALTH IMPACT ANALYSIS 30 CARGO DATA 33 SAMPLE TURNAROUND TIME 34 SAMPLE COLLECTIONS 35 COMMUNICATING VALUE 36 COST CONSIDERATIONS 37 ACKNOWLEDGEMENTS 39 ANNEX 1. RESULTS FRAMEWORK 40 ANNEX 2. FLIGHT DATA REQUIREMENTS 42 ANNEX 3. UAV PROCUREMENT GUIDE 43 ANNEX 4. MEDICINE DELIVERIES MISSION NOTES 48 ANNEX 5. SAMPLE INITIAL SCOPE OF WORK FOR DRONE SERVICE PROVIDER 49 INTRODUCTION The USAID Global Health Supply Chain Program-Procurement and Supply Management (USAID GHSC- PSM) project works to ensure an uninterrupted supply of public health commodities. Through procurement and delivery of medicines and in-country technical assistance, the project strengthens health supply chains for HIV/AIDS, malaria, family planning, and maternal, newborn, and child health. -
(Malawi National Assembly) to Kawiya Congregation, Thipura Church, Bandawe Sunday 17 March 2013
VISIT OF THE HON. ALEX FERGUSSON MSP (SCOTTISH PARLIAMENT) AND HON. REV. PROF. DAVID MPHANDE MP (MALAWI NATIONAL ASSEMBLY) TO KAWIYA CONGREGATION, THIPURA CHURCH, BANDAWE SUNDAY 17 MARCH 2013 SPEECH BY SESSION CLERK ON THE ESTABLISHMENT OF THE LIVINGSTONIA MISSION – CAPE MACLEAR, BANDAWE, LIVINGSTONIA When the Livingstonia Mission first came to Malawi in 1875 they settled at Cape Maclear mainly because they had the steamship called Llala with them and needed to stay beside the Lake. Within a short time, however, two problems arose. First the climate was unhealthy and several missionaries (both black and white) died; secondly, the population was very dispersed around the station. The Mission Committee in Scotland therefore encouraged Dr Robert Laws to begin looking for an alternative place as the headquarters of the Mission. In December 1887, Bandawe in Chimbano Village about four miles from Chief Malengamzoma Village was set up as an experimental station to test whether it was suitable before the Mission moved there. The first missionary to work at Bandawe was Mr James Stewart (civil engineer) a cousin of Dr James Stewart of Lovedale who had first suggested the establishment of the Livingstonia Mission. He was helped by some of the senior pupils from Cape Maclear including Fred Zarakuti. After exploring various possibilities, and funding nowhere more suitable, the mission moved its headquarters to Bandawe in 1881 and a lot of the missionaries from Cape Maclear, including Dr Robert Laws, moved to Bandawe. It was here that the first convert, Albert Namalambe, was baptized later in 1881. Establishment of new Bandawe at Thipura In 1893 Rev Alexander Gillon MacAlpine had arrived as a missionary at Bandawe and once Dr Laws moved to the new headquarters of the mission at Livingstonia in 1894 MacAlpine became the main missionary at Bandawe; becoming an expert on Tonga language and culture. -
Schistosomiasis in Lake Malaŵi and the Potential Use of Indigenous Fish for Biological Control
6 Schistosomiasis in Lake Malaŵi and the Potential Use of Indigenous Fish for Biological Control Jay R. Stauffer, Jr.1 and Henry Madsen2 1School of Forest Resources, Penn State University, University Park, PA 2DBL Centre for Health Research and Development, Faculty of Life Sciences, University of Copenhagen, Frederiksberg 1USA 2Denmark 1. Introduction Schistosomiasis is a parasitic disease of major public health importance in many countries in Africa, Asia, and South America, with an estimated 200 million people infected worldwide (World Health Organization, 2002). The disease is caused by trematodes of the genus Schistosoma that require specific freshwater snail species to complete their life cycles (Fig. 1). People contract schistosomiasis when they come in contact with water containing the infective larval stage (cercariae) of the trematode. Fig. 1. Life cycle of schistosomes (Source: CDC/Alexander J. da Silva, PhD/Melanie Moser) www.intechopen.com 120 Schistosomiasis Schistosome transmission, Schistosoma haematobium, is a major public health concern in the Cape Maclear area of Lake Malaŵi (Fig. 2), because the disease poses a great problem for local people and reduces revenue from tourism. Until the mid-1980’s, the open shores of Lake Malaŵi were considered free from human schistosomes (Evans, 1975; Stauffer et al., 1997); thus, only within relatively protected areas of the lake or tributaries would transmission take place. These areas were suitable habitat of intermediate host snail, Bulinus globosus. During mid-1980’s, reports indicated that transmission also occurred along open shorelines. It is now evident that in the southern part of the lake, especially Cape Maclear on Nankumba Peninsula, transmission occurs along exposed shorelines with sandy sediment devoid of aquatic plants via another intermediate host, Bulinus nyassanus (Madsen et al., 2001, 2004). -
Impact of Indoor Residual Spraying with Lambda-Cyhalothrin On
Am. J. Trop. Med. Hyg., 86(6), 2012, pp. 997–1004 doi:10.4269/ajtmh.2012.11-0621 Copyright © 2012 by The American Society of Tropical Medicine and Hygiene Impact of Indoor Residual Spraying with Lambda-Cyhalothrin on Malaria Parasitemia and Anemia Prevalence among Children Less than Five Years of Age in an Area of Intense, Year-Round Transmission in Malawi Jacek Skarbinski,* Dyson Mwandama, Adam Wolkon, Madalitso Luka, James Jafali, Alison Smith, Themba Mzilahowa, John Gimnig, Carl Campbell, John Chiphwanya, Doreen Ali, and Don P. Mathanga Malaria Branch, and Entomology Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia; Malaria Alert Centre, and Department of Community Health, College of Medicine, Blantyre, Malawi; Center for Tropical and Global Emerging Diseases, University of Georgia, Athens, Georgia; National Malaria Control Programme, Ministry of Health, Lilongwe, Malawi Abstract. Little is known about the impact of indoor residual spraying (IRS) in areas with intense malaria transmis- sion such as sub-Saharan Africa. In Malawi, IRS with lambda-cyhalothrin has been applied annually in an area of intense year-long transmission since 2007. We evaluated the impact of IRS on parasitemia and anemia prevalence in children less than five years of age by using a cross-sectional household survey conducted in 2009, six months after the second IRS spray round. We measured malaria parasitemia and anemia (hemoglobin level < 11 g/dL) in 899 children less than five years of age and used binomial regression to assess the impact of IRS by comparing children living in a household sprayed with IRS (direct IRS) with those in a household not sprayed with IRS, but in an IRS area (indirect IRS) and those living in a household not sprayed with IRS and not in an IRS area (no IRS). -
The Structure of Sexual Networks and the Spread of HIV in Sub-Saharan Africa: Evidence from Likoma Island (Malawi)
The structure of sexual networks and the spread of HIV in Sub-Saharan Africa: evidence from Likoma island (Malawi) Stéphane Helleringer Hans-Peter Kohler Department of Sociology Population Studies Center University of Pennsylvania It is widely believed that the HIV epidemic in Sub-Saharan Africa (SSA) is driven by transmission during unprotected heterosexual intercourse. In particular, infection with HIV in SSA is thought to be fueled by repeated contacts with sex workers or other highly sexually active group, and subsequently diffused to the general population through links of marriage or other stable types of partnerships. Such a theoretical model of sexual mixing has informed many policy simulations of interventions to stem the spread of the disease (see Oster 2005). However, empirical evidence for this diffusion process (i.e. from a group of highly active individuals to a low activity “periphery”) is somewhat scarce as epidemiological studies have generally reported weaker than expected relations between measures of such sexual behavior and risk/prevalence of HIV infection. At the individual level, differences in the rate of sexual partner acquisition only marginally predict an increased risk of infection for both prevalent (e.g. Gregson et al. 2002) and incident cases (e.g. Quigley et al. 2000). Similarly, at the population level, several comparative studies of the factors of HIV infection have found that differences in the prevalence of risky behaviors (high rate of partner change, contacts with sex workers etc.) could not explain the “uneven spread” of HIV across regions of SSA (Boerma et al. 2003). These discrepancies between indicators of sexual activity and prevalence/risk of HIV have been primarily attributed to two factors: reporting bias and differential mortality of HIV- infected individuals. -
The Spatial Spread of HIV in Malawi: an Individual-Based Mathematical Model
medRxiv preprint doi: https://doi.org/10.1101/2020.12.23.20248757; this version posted March 16, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license . The spatial spread of HIV in Malawi: An individual-based mathematical model Running head: The spatial spread of HIV in Malawi Janne ESTILL1,2, Wingston NG’AMBI3, Liudmila ROZANOVA1, Olivia KEISER1 1Institute of Global Health, University of Geneva, Geneva, Switzerland 2Institute of Mathematical Statistics and Actuarial Science, University of Bern, Bern, Switzerland 3College of Medicine, Health Economics and Policy Unit, University of Malawi, Lilongwe, Malawi Abstract 250 words, main text 3499 words, 1 table, 4 figures, and a Supplemental Digital Content file with 4 supplementary tables and 1 supplementary figure. Correspondence to: Janne Estill University of Geneva, Institute of Global Health 9 Chemin des Mines, 1202 Geneva, Switzerland [email protected] +41 (0)31 631 88 18 This work was supported by the Swiss National Science Foundation (grant 163878). 1 NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice. medRxiv preprint doi: https://doi.org/10.1101/2020.12.23.20248757; this version posted March 16, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. -
The Church of Central Africa Presbyterian (Ccap) in Zambia 1882 – 2004
THE ORIGIN AND DEVELOPMENT OF THE CHURCH OF CENTRAL AFRICA PRESBYTERIAN (CCAP) IN ZAMBIA 1882 – 2004 BY VICTOR CHILENJE DISSERTATION PRESENTED FOR THE DEGREE OF DOCTOR OF THEOLOGY (ECCLESIOLOGY) AT THE UNIVERSITY OF STELLENBOSCH (SOUTH AFRICA) PROMOTER: PROFESSOR P. COERTZEN CO-PROMOTER: DR. JURIE J. VAN WYK DECEMBER 2007 DECLARATION I, the undersigned, hereby declare that the work contained in this dissertation is my own original work and that I have not previously in its entirety or in part submitted it at any University for a degree. Victor Chilenje: ……………………………. Date: …………………… ii ABSTRACT This study deals with the origin and developments leading to the formation of the CCAP Synod in Zambia 1882 to 2004. Above all, it is an in-depth ecclesiological analysis and evaluation of the Livingstonia Mission from 1882-2004. The study was motivated by the need to contribute to the Church a proper historical record of the CCAP in Zambia. Historiographically, as far as I could establish, this is the first attempt to examine, scrutinise and chronologically write about the Livingstonia Mission’s activities in Zambia from a holistic point of view up to the birth of the CCAP Synod of Zambia in 1984. It needs to be noted that between 1884 - 1956 the Livingstonia Mission of the Free Church of Scotland carried out an extensive missionary work in Northern Rhodesia (Zambia), especially in the Eastern, Northern, Central and Copperbelt Provinces of Zambia. From 1956- 1984 the Livingstonia Mission work was continued in Zambia by the CCAP Synod of Livingstonia, a product of the Livingstonia Mission and the local Zambian people. -
Nkwichi Lodge, on the Mozambique Side, Where We Would Spend Our First Two Nights
By Peter Browne. Published in Condé Nast Traveller 10th September 2012. KAFUE NATIONAL PARK, ZAMBIA Zambia and Malawi are a wild new twist on the classic bush-to-beach double- hit. Peter Browne revisits the southern Africa of his childhood and finds he is still in frontier territory in a vast and empty Africa. In bed on my first night in Zambia, blanketed by warm, sweet-scented air, I could hear the intermittent roars of lion and the baritone laughter of hippo. At dawn I watched the first rays of sunlight lick the grassland; all around me, puku and lechwe antelope grazed on the vast flood plains, ears twitching, the horizon a silver shimmy of mist. Kafue National Park is Zambia's largest and least-visited protected area. Although it has existed since 1950, there is very little infrastructure in the park: successive governments have never had the resources or inclination to invest in such high- class concerns as wildlife management. Surrounded by far more profitable big- game hunting reserves, the government-owned park has until recently remained one of Africa's most intriguing forgotten wildernesses. This is real wild-frontier stuff, especially in the north, where the Busanga flood plains emerge from the water for just three months of the year, exposing immense, open grasslands - an utterly pristine region unexplored and unknown, vast and unfathomable. Pictured: the plains of Kafue National Park, Zambia Michel Figuet BUSANGA PLAINS As I set off on the first game drive with my guide, John D Muleka, the heat of the sun was already dissipating the rosewater shades of dawn; soon any subtleties in the landscape would be lost to the pin-sharp clarity of southern Africa's late- September light; by noon the temperature would reach 38˚C or 40˚C. -
Inventory Acc.9220 Correspondence of Robert Laws, Missionary In
Acc.9220 March 2008 Inventory Acc.9220 Correspondence of Robert Laws, Missionary in Livingstonia National Library of Scotland Manuscripts Division George IV Bridge Edinburgh EH1 1EW Tel: 0131-466 2812 Fax: 0131-466 2811 E-mail: [email protected] © Trustees of the National Library of Scotland GB0233 Acc.9220 Robert Laws, Missionary, Livingstonia 1878-1890 2 boxes (11 folders) Robert Laws (1851-1934) Robert Laws was born in Mannofield, Aberdeen. He trained as both a minister and a doctor, studying divinity at the United Presbyterian Theological Hall, Edinburgh, while taking medical classes at Glasgow University and Anderson College, Glasgow, qualifying in both disciplines in 1875. In the same year, he was ordained by the United Presbyterian Presbytery of Aberdeen, and was appointed as a medical officer, second in command of the Free Church of Scotland mission, Livingstonia, Nyasaland (now Malawi). Laws became head of the mission in 1877, a post he was to hold until his retirement in 1927. Throughout his missionary career, Laws developed a Christian community of over 60,000, which was centred on education. Laws founded over 700 schools as well as the Overtoun Institution, where he developed a technical college, a teacher training college, a theological school, and a hospital. In addition to this, Laws personally tutored a number of distinguished local people, some of whom went on to become significant figures in African history. After retirement, Laws returned to Edinburgh where he continued to serve the now United Free Church of Scotland by writing and speaking about mission. He died in August 1934 and was buried in Aberdeen. -
A Planning Survey of the Northern Region, Malawi
A PLANNING SURVEY OF THE NORTHERN REGION, MALAWI Leo de Haan Jan de Jong Jan Sterkenburg Department of Geography of Developing Countries University of Utrecht, The Netherlands February, 1975 INTRODUCTION This regional planning survey of the Northern Region has been written at the request of the Town Planning Department of the Ministry of Works and Supplies. Initially, it was intended to restrict the sur- vey to the physical aspects of planning, the aspects of settlements, services, service centres and infrastructure in particular. Under an agreement between the Town Planning Department and the University of Utrecht, the authors were assigned the task of surveying the existing pattern of resources of the Northern Region of Malawi with a view to making recommendations for the improved Organisation of physical de- velopment through plans and policies aimed at securing greater co- ordination of development effort, at strengthening and relationalizing infrastructural services, at identifying rural-urban relationships and generally at providing a basic framework for integral planning of the region's land uses. Regional physical planning is, however, closely related to the economie and social development of an area. For the Northern Region agriculture is the basis of the economy and the source of employment for more than 90 % of its population. Consequently, aspects of physi- cal planning cannot be dealt with without paying adequate attention to the agricultural sector, the existing constraints for raising productivity and the attempts of the Malawi government to improve this sector. An expanding agricultural sector earns foreign exchange, provides food for the non-agricultural population, and may increase rural incomes and provide a growing market for manufactured products. -
Pyrethroid Resistance in Southern African Anopheles Funestus Extends to Likoma Island in Lake Malawi RH Hunt1,2, M Edwardes3, M Coetzee1,2*
Hunt et al. Parasites & Vectors 2010, 3:122 http://www.parasitesandvectors.com/content/3/1/122 RESEARCH Open Access Pyrethroid resistance in southern African Anopheles funestus extends to Likoma Island in Lake Malawi RH Hunt1,2, M Edwardes3, M Coetzee1,2* Abstract Background: A mosquito survey was carried out on the island of Likoma in Lake Malawi with a view to collecting baseline data to determine the feasibility of implementing an integrated malaria vector control programme. No vector control interventions are currently being applied on the island apart from the sporadic use of treated and untreated bed nets. Results: Large numbers of Anopheles funestus were found resting inside houses. WHO susceptibility tests were carried out on wild caught females and 1-5 day old F-1 female progeny. Wild caught females were tested on deltamethrin (77.8% mortality) and bendiocarb (56.4% mortality). Female progeny were tested on deltamethrin (41.4% mortality), permethrin (40.4%), bendiocarb (52.5%), propoxur (7.4%), malathion, fenitrothion, DDT, dieldrin (all 100%) and pirimiphos-methyl (98.9%). The malaria parasite rate was 4.9%. A small number of Anopheles arabiensis were also collected. Conclusion: This locality is 1,500 km north of the currently known distribution of pyrethroid resistant An. funestus in southern Africa. The susceptibility results mirror those found in southern Mozambique and South African populations, but are markedly different to An. funestus populations in Uganda, indicating that the Malawi resistance has spread from the south. Background parasite rate in An. funestus was 5.4% and the mosquitoes Anopheles funestus is the major malaria vector in south- were found to be resistant to both pyrethroids and ern Africa.