Seroprevalence of Dengue Viral Infection among Adults Attending the University of Cape Coast Hospital

Introduction: Most febrile illnesses in Ghana are often misdiagnosed and presumptively treated as malaria. This situation may be due to the inappropriate diagnostic tool, clinical oversight and lack of awareness of some of the disease conditions that might have been present in the country. This study sought to investigate the seroprevalence of dengue virus, geographical location of participants with circulating antibodies and finally evaluate the diagnostic accuracy of a Rapid diagnostic kit (RDT) using Enzyme Linked Immuno-Sorbent Assay (ELISA) as a gold standard for confirmation. Method: A hospital-based cross-sectional study was conducted among adults (≥18) attending the University of Cape Coast Hospital. From each participant, 3 - 4 ml of venous blood was drawn and serum was tested for IgG and IgM using RDT methods. Positive samples were selected for ELISA confirmation. Statistical analysis was performed using SPSS (v.20) and STATA (v.14) software. Results: A total of 270 participants were enrolled in the study. The geometric mean age was 32 years. Overall, Dengue virus (DENV) IgG seroprevalence by RDT was 10 (3.7%). Seroprevalence of IgG and IgM by the ELISA method was 34 (12.6%) and 6 (2.2%) respectively. Females recorded a high seroprevalence (7.4%) than males (5.2%) in terms of past exposure (IgG). On current exposure (IgM), females recorded a high seroprevalence (1.5%) than males (0.7%). Seroprevalence of individuals with dual positivity ((IgG + IgM+) (acute secondary infection) was 1.9%. Those with primary and recent infection (IgM+ only) were 0.4% whiles those with past and probably secondary infection (IgG+ only) were 10.7%. The odds of dengue exposure were significantly high among participants with ages 50 - 59 as compared to their other counterparts (AOR = 3.5, p = 0.03). Diagnostic accuracy of RDT kit was poor (Kappa value = 0.373 and 0.0001). Elmina was noted to record the highest seroprevalence values for both anti-dengue IgG (3.3%) and IgM (1.85%). Conclusion: The seroprevalence of anti-dengue IgG and IgM among participants suggests that dengue virus is in circulation in Cape Coast Metropolis and Komenda Edina Eguafo Abirem Municipality.

Fungal contaminations of indoor and outdoor air of buildings of the University of Cape Coast,Ghana

The presence of microscopic spores in the air affects the quality of air inhaled by animals including humans.Microbial contamination of air impacts the well-being of occupants of an indoor environment,sometimes with dire consequences.The study investigated fungal contaminations of indoor and outdoor air of the Hospital,Library and Senior Common Room(SCR)of the University of Cape Coast,Ghana.Indoor and outdoor air was sampled using the Koch’s sedimentation method.Colony forming units per cubic meter of air(cfu/m^(3))were determined with the Omeliansky formula.The isolated fungi were identified based on morphological and growth characteristics.For indoor air,the least colony counts were recorded in the SCR for both morning and afternoon samples,whilst the Hospital air had the highest colony counts.For outdoor air,the colony counts were lower in SCR and the Library for both morning and afternoon samples compared to the Hospital.The results further indicated that indoor concentrations of fungi,for morning and afternoon,ranged between 4.0x10^(4) and 2.1x10^(5) cfu/m^(3),whereas outdoor concentrations of fungi ranged between 1.1x105 and 3.0x10^(5) cfu/m^(3),revealing an overall higher levels of contamination of outdoor air than indoor air at all the three buildings.Consequently,estimated indoor/outdoor(I/O)concentration ratios of fungi revealed an exogenous source of indoor contaminations at all the three buildings sampled.Fungi isolated from indoor and outdoor air were of the genera Aspergillus,Curvularia,Cylindrocarpon,Fusarium,Mucor,Neurospora,Penicillium and Rhodotorula.We conclude that indoor and outdoor air of the buildings sampled were contaminated with airborne fungi;however,based on estimated I/O ratios,the indoor ambient conditions of the buildings were good.The implication of findings of this study is that the presence of airborne fungal contaminants of indoor and outdoor workplace environment may pose serious occupational health consequences,hence low productivity.

Effects of Natural Processes on Sea Level Change along the West African Coastline

Coastal hazards induced by meteo-marine forcing are exacerbated by sea level change along the West African coastline. Changes in sea level are induced by ocean processes such as ocean heat content and river discharge. However, although these processes control largely change in sea level, they remain poorly understood. This study analyzes changes in ocean heat content, river discharge, and sea level and establishes an interconnection between these parameters using several statistical methods over the 1993-2021 period. Results showed a significant correlation between sea level and ocean heat content at 2000 m depth. The yearly minimum value appears in July from Cote d’Ivoire to Benin, whilst this value appears in June in Nigeria. The temporal variability of ocean heat content, river discharge and sea level along the West African coastline exhibits three or four periods interrupted by some breakpoints with unequal duration. The results indicate that the 1993-2000 period was dominated by an increasing ocean heat content along the coastline, while the period after the 2000s exhibits mostly a decreasing trend. Positive and negative trends characterized river discharge and sea level along this coastline. The result of multiple linear regression between sea level, river discharge and ocean heat content is a good approximation of sea level trend along the West African coastline. The results of this study could be used to predict future sea level trends along the coast.

Factors Influencing the Patronage of Coconut Fruit Case Study： Cape Coast Metropolis Ghana

Majority （80%） of people worldwide may not be aware of the numerous invaluable benefits of＂the tree of life＂： the coconut palm especially the fruit. Some benefits include： its juice for weight loss, cure of hung-over, diarrhoea, balance of body＇s pH level, among others. None-the-less, its availability and continuity to support life is hindered by the Cape St. Paul disease. To buttress government＇s efforts, this paper seeks to find out whether people are aware of some of the benefits of the coconut palm and the disease that attacks it. The survey revealed that, although awareness level of respondents＇ on some facts about the coconut fruit was moderate （40%-69%）, majority （97%） of respondents consumed both the meat and juice. Respondents （70%） patronized coconut fruit weekly. Consumers＇ patronage of coconut fruit was influenced by three factors： health benefits, availability and packaging. The development of the CPS （coconut patronage scale） was a major contribution.

Seroprevalence and Risk Factors of Syphilis Infection among Antiretroviral Therapy Naive HIV Patients at the Cape Coast Teaching Hospital, Ghana

Diagnosis of sexually transmitted infections is very important considering the spread of HIV and the extensive use of highly active antiretroviral therapy worldwide. This will assist in planning of treatment schedule in controlling these infections. The study therefore aimed at determining the prevalence of syphilis in HIV positive antiretroviral therapy naive patients in Cape Coast and the associated risk factors involved in infection. A cross-sectional study was carried out using initial HIV rapid and confirmation tests, and then Venereal Disease Research Laboratory test with the Ultra Rapid Test Kits for syphilis. Demographic data, risky sexual behaviours capable of co-transmission of both HIV and Syphilis, were also collected through the use of questionnaires. In all, 150 HIV positive antiretroviral naive subjects were studied and 15 (10%) were positive for VDRL test, with females (6.00%) and males (4.00%), who were mainly within the age group of 20 - 39 years. A significant number of males (p = 0.019) and females (p = 0.015) participants were not smoking with a fewer number of the females (p = 0.002) having multiple sexual partners. Also a smaller number of those who were infected with the bacteria (p = 0.004) did not support the control of sexually transmitted infection (p = 0.022). The result showed that co-infection of Syphilis in HIV positive antiretroviral therapy naive patients persists in the Cape Coast Metropolis, which is an indication of prominence of STIs that require further study on a larger scale to ascertain the extent of co-infection and to formulate policy for treatment to help minimize the rate of infection.

Incidence of Human Immunodeficiency Virus in Sickle Cell Patients in the Cape Coast Metropolis, Ghana

Context: Human immunodeficiency virus (HIV) is a well-known pathogen that causes acquired immunodeficiency syndrome (AIDS). The course of HIV infection and progression may be influenced by sickle cell traits. Objectives: The aim of this study was to determine the incidence of HIV among sickle cell patients in the Cape Coast metropolis. Methods: A cross sectional study was conducted among patients who visited the Central Regional Hospital, Cape Coast. About 2 ml of blood sample was drawn from each participant for sickle cell test using sodium metabisulphite solution. Sickle cell positive samples were selected and tested for the presence of HIV using Alere DetermineTM?HIV-1/2. Results: A total of 75 patients made up of 25 males and 50 females were enrolled. Their age ranges between 4 to 59 years (27, 1 - 15 years;24, 16 - 30 years;17, 31 - 45 years;7, 46 - 60 years). Fifteen (15) (20%) had received at least a single blood transfusion while the remaining 60 (80%) had never received blood transfusion before the study. Thirty-six patients (48.0%) were married and the other 39 patients (52.0%) were single. Five patients (6.7%) had antibodies to HIV whereas 70 patients (93.3%) were not with the virus. Conclusion: The incidence rate of HIV among sickle cell trait children and the youths of Cape Coast metropolis were found to be 6.7%. This may suggest that sickle cell traits in children and the youth may be associated with HIV transmission.

Scatter Radiation Dose Assessment in the Radiology Department of Cape Coast Teaching Hospital-Ghana

During the operation of an X-ray machine, if the radiation protection of X-ray room is insufficient, not only the patient but also clinical staffs as well as public are exposed to high X-ray exposures. In this research work, leakage and scattered radiations were measured from X-ray machine in the radiology department of Cape Coast Teaching hospital in the Cape Coast Municipality of Ghana. The scattered radiation exposures of X-rays in some selected areas within the facility were measured. The X-ray machine was operated for a range of kilo voltage peaks of kVp 77, 70, 63 and 66 with intensities 20, 6.3 and 8.0 mAs, which represents the main technique factors of some body parts such as chest, lumbar spine and extremities during radiographic examinations. The measurements were performed using a RADOS-120 Universal survey meter. The radiation doses rates measured in the various locations in the Radiology Department of Cape Coast Teaching Hospital of Ghana were in the range of 0.10 μSv/hr to 0.12 μSv/hr. These values were all within the background measurement of 0.10 μSv/hr. Moreover, there were no risks of high radiation doses to patients, staffs and people visiting the X-ray department. The results obtained indicated that within the radiology department of the Hospital, all the selected locations were very safe to patients, occupational workers and the general public which could be attributed to adequate shielding in the facility.

Possible Effect of COVID-19 Vaccines on Menstruation in Cape Coast, Ghana, West Africa: Case Series Report

Covid-19 was declared a global pandemic by the World Health Organization;it has caused more than 4,697,099 deaths worldwide. Since the discovery of Vaccines, the rate of infections and deaths are declining in countries that were able to conduct mass vaccination, making the vaccines the most effect tool in the fight against Covid-19. However, there is still vaccination skepticism. The side effects of vaccines could fuel more skepticism. There are emerging possible new side effects such as abnormal uterine bleeding post Covid-19 vaccination, for which health care providers and the population should be aware. In this paper, we are reporting three (3) cases of abnormal uterine bleeding which seems to be linked to Covid-19 vaccines. We reported two incidents of heavy menstrual bleeding and one incident of inter-menstrual bleeding which are likely associated with COVID 19 vaccination, even though the causality could not be confirmed. Also both types of vaccines, Messenger RNA and Adenovirus vector could possibly be associated with abnormal uterine bleeding. As research is still ongoing, more knowledge would be available, meanwhile, healthcare providers and the population should be made aware of the new possible side effects of Covid-19 vaccines.

Perception of Nursing and Midwifery Trainees towards Clinical Environment at Cape Coast in the Central Region of Ghana

Purpose: The purpose of this study was to investigate the perception of students’ nurses in the nurses training colleges towards clinical environment. Methodology: A cross-sectional survey approach was used. Nursing and Midwifery trainees at Cape Coast were the respondents. Simple random sampling was used to select 605 respondents for the study. Descriptive and inferential statistics were employed to analyze the data. Results: The majority of the respondents were female, Christians, singled and attended Cape Coast Nursing and Midwifery Training College (CCNMTC). The staff were helpful, friendly and considerate. There were repetition of student’s tasks in every shift but new and different ways of teaching were used. The students had positive perception of clinical learning environment. There were statistically significant differences in perception towards clinical learning environment among students based on academic class (levels). Conclusion: It was recommended that the staff nurses should assign students with varied task depending on their level.

Investigation of Acoustomagnetoelectric Effect in Bandgap Graphene by the Boltzmann Transport Equation

We study the acoustomagnetoelectric (AME) effect in two-dimensional graphene with an energy bandgap using the semiclassical Boltzmann transport equation within the hypersound regime, (where represents the acoustic wavenumber and is the mean free path of the electron). The Boltzmann transport equation and other relevant equations were solved analytically to obtain an expression for the AME current density, consisting of longitudinal and Hall components. Our numerical results indicate that both components of the AME current densities display oscillatory behaviour. Furthermore, geometric resonances and Weiss oscillations were each defined using the relationship between the current density and Surface Acoustic Wave (SAW) frequency and the inverse of the applied magnetic field, respectively. Our results show that the AME current density of bandgap graphene, which can be controlled to suit a particular electronic device application, is smaller than that of (gapless) graphene and is therefore, more suited for nanophotonic device applications.

Hourly Wage and the Likelihood of Stealing an Item

Researchers have extensively explored the impact of wages on individuals’ decisions to engage in property crimes. While most of these studies in the past have relied on macro-level data to investigate the relationship between crime rates and hourly wages, this paper takes a novel approach by utilizing micro-level data to examine the influence of hourly wages on the likelihood of stealing an item valued at least $50. The results obtained from the estimations reveal that an increase in hourly wage leads to a decrease in the probability of theft, all other factors being held constant. Further estimation by gender revealed that hourly wages given to both male and female have no bearing on the decision to steal. Additionally, the analysis of the differences in theft probabilities across gender and race demonstrates that males consistently exhibit a higher likelihood of engaging in theft when compared to females across various racial groups.

DNA Barcoding of Insects and Its Direct Application for Plant Protection

The introduction of invasive insect pests across national borders has become a major concern in crop production. Accordingly, national plant protection organizations are challenge to reinforce their monitoring strategies, which are hampered by the weight and size of inspection equipment, as well as the taxonomic extensiveness of interrupted species. Moreover, some insect pests that impede farmer productivity and profitability are difficult for researchers to address on time due to a lack of appropriate plant protection measures. Farmers’ reliance on synthetic pesticides and biocontrol agents has resulted in major economic and environmental ramifications. DNA barcoding is a novel technology that has the potential to improve Integrated Pest Management decision-making, which is dependent on the ability to correctly identify pest and beneficial organisms. This is due to some natural traits such as phenology or pesticide susceptibility browbeaten by IPM strategies to avert pest establishment. Specifically, Deoxyribonucleic acid (DNA) sequence information was applied effectively for the identification of some micro-organisms. This technology, DNA barcoding, allows for the identification of insect species by using short, standardized gene sequences. DNA barcoding is basically based on repeatable and accessible technique that allows for the mechanisation or automation of species discrimination. This technique bridges the taxonomic bio-security gap and meets the International Plant Protection Convention diagnostic standards for insect identification. This review therefore discusses DNA barcoding as a technique for insect pests’ identification and its potential application for crop protection.

Geographical Distribution of Arboviruses, Aedes aegypti and Aedes albopictus Vectors and Their Resistance to Insecticides in Africa: A Systematic Review

Background & Objectives: Epidemics of arboviruses such as Dengue, Chikungunya and Zika have been recorded in recent years indicating that Aedes aegypti and Aedes albopictus are both important and very active vectors in Africa. For vector control, insecticides are on the front line, unfortunately, reported resistance jeopardizes the effectiveness of this strategy. The objective of this review was to determine the geographical distribution and insecticide resistance mechanisms of Ae. aegypti and Ae. Albopictus in Africa. Methods: A systematic review of the literature in scientific databases (PubMed, Google Scholar, ScienceDirect, Hinari) allowed us to identify relevant articles on the geographical distribution of Aedes aegypti, Aedes albopictus and arboviral diseases. On the other hand, studies related to insecticides used in vector control against Aedes, associated resistances and their molecular and metabolic mechanisms. Results: A total of 94 studies met the inclusion criteria for this search. Aedes aegypti is reported in most of Africa, and Aedes albopictus in part. There is a re-emergence and outbreak of Arbovirus epidemics in West and Central Africa. The insecticides used were organochlorines, carbamates, organophosphates and pyrethroids. In Aedes, target site insensitivity and metabolic resistance would be the 2 main mechanisms of resistance to these insecticides. Interpretation & Conclusion: Resistance has been recorded in all four major classes of insecticides recommended by WHO for vector control and eradication. New vector control methods such as the use of plant extracts with larvicidal and adulticidal activities, advanced modern biotechnology techniques, and nanobiotechnology need to be developed.

Mapping and Floristic Diversity of the Nakpadjouak Community Forest, Tami Canton, Togo (West Africa)

Since 2015, community forests have been promoted in Togo as an alternative to protect areas from degradation and as a means of contributing to forest landscape restoration. The study focuses on the Nakpadjouak Community Forest (NCF) in Tami (Togo, West Africa) which contributes to community forests sustainable management. It aims in (i) mapping forest ecosystems and analysing their dynamic and (ii) characterizing the floristic diversity of the NCF. The ecosystems were mapped and their dynamic was evaluated based on Google Earth images of 2014 and 2020. Floristic and forestry inventories were carried out using the transect technique in a sample of 20 plots of 50 m × 20 m. The NCF was made up mainly by wooded/shrub savannahs (95.37%) and croplands/fallow (4.63%) in 2014. These two land use types undergone changes over the 6 years prior to 2020. By 2020, the NCF had 3 land use types: wooded/shrub savannahs (77.59%), open forest/wooded savannahs (22.23%), and croplands/fallows (0.18%). A total of 89 plant species belonging to 70 genera and 28 families were recorded within the NCF. The dominant species are: Heteropogon contortus (L.) P.Beauv. and Combretum collinum Fresen. followed by Pteleopsissuberosa Engl. & Diels, Annona senegalensis Pers. The most common species are: Lannea acida A.Rich. s.l., A. senegalensis, Vitellaria paradoxa C.F.Gaertner subsp. paradoxa, C. collinum and Acacia dudgeonii Craib ex Holland. Due to its small area of just 40 hectares and its diverse plant life, this community forest of Savannahs Region is a significant biodiversity hotspot and warrants conservation efforts.

Anthropogenic Threats to Degraded Forest Land in the Savannahs’ Region of Togo from 1984 to 2020, West Africa

This study focuses on the landscape dynamics of the savannahs’ region in the far north of Togo. Based on a literature review and satellite images analysis using GIS and remote sensing, the study aims to ascertain the effects of anthropogenic threats on the forest coverage of the Savannahs’ Region between 1984 to 2020. The objective is to clarify the dynamics of land use in the region from 1984 to 2000 and from 2000 to 2020. The findings indicate a significant decline in forest coverage within the region from 1984 to 2020, a trend attributed to land use patterns. Dry forests in the Savannah region are largely converted to farmlands, housing, dry savannahs or agroforestry parks, leading to a steady reduction in forest areas.

The composition and diversity of natural regeneration of tree species in gaps under different intensities of forest disturbance

The positive ecological interaction between gap formation and natural regeneration has been examined but little research has been carried out on the effects of gaps on natural regeneration in forests under different intensities of disturbance.This study evaluates the composition,diversity,regeneration density and abundance of natural regeneration of tree species in gaps in undisturbed,intermittently disturbed,and disturbed forest sites.Bia Tano Forest Reserve in Ghana was the study area and three gaps each were selected in the three forest site categories.Ten circular subsampling areas of 1 m2 were delineated at 2 m spacing along north,south,east,and west transects within individual gaps.Data on natural regeneration<350 cm height were gathered.The results show that the intensity of disturbance was disproportional to gap size.Species diversity differed significantly between undisturbed and disturbed sites and,also between intermittently disturbed and disturbed sites for Simpson’s(1-D),Equitability(J),and Berger-Parker(B-P)indices.However,there was no significant difference among forest sites for Shannon diversity(H)and Margalef richness(MI)indices.Tree species composition on the sites differed.Regeneration density on the disturbed site was significantly higher than on the two other sites.Greater abundance and density of shade-dependent species on all sites identified them as opportunistic replacements of gap-dependent pioneers.Pioneer species giving way to shade tolerant species is a natural process,thus make them worst variant in gap regeneration.

Metabolic derivatives of alcohol and the molecular culpritsof fibro-hepatocarcinogenesis:Allies or enemies?

Chronic intake of alcohol undoubtedly overwhelms the structural and functional capacity of the liver by initiating complex pathological events characterized by steatosis,steatohepatitis,hepatic fibrosis and cirrhosis.Subsequently,these initial pathological events are sustained and ushered into a more complex and progressive liver disease,increasing the risk of fibrohepatocarcinogenesis.These coordinated pathological events mainly result from buildup of toxic metabolic derivatives of alcohol including but not limited to acetaldehyde(AA),malondialdehyde(MDA),CYP2E1-generated reactive oxygen species,alcohol-induced gut-derived lipopolysaccharide,AA/MDA protein and DNA adducts.The metabolic derivatives of alcohol together with other comorbidity factors,including hepatitis B and C viral infections,dysregulated iron metabolism,abuse of antibiotics,schistosomiasis,toxic drug metabolites,autoimmune disease and other non-specific factors,have been shown to underlie liver diseases.In view of the multiple etiology of liver diseases,attempts to delineate the mechanism by which each etiological factor causes liver disease has always proved cumbersome if not impossible.In the case of alcoholic liver disease(ALD),it is even more cumbersome and complicated as a result of the many toxic metabolic derivatives of alcohol with their varying liver-specific toxicities.In spite of all these hurdles,researchers and experts in hepatology have strived to expand knowledge and scientific discourse,particularly on ALD and its associated complications through the medium of scientific research,reviews and commentaries.Nonetheless,the molecularmechanisms underpinning ALD,particularly those underlying toxic effects of metabolic derivatives of alcohol on parenchymal and non-parenchymal hepatic cells leading to increased risk of alcohol-induced fibrohepatocarcinogenesis,are still incompletely elucidated.In this review,we examined published scientific findings on how alcohol and its metabolic derivatives mount cellular attack on each hepatic cell and the underlying molecular mechanisms leading to disruption of core hepatic homeostatic functions which probably set the stage for the initiation and progression of ALD to fibro-hepatocarcinogenesis.We also brought to sharp focus,the complex and integrative role of transforming growth factor beta/small mothers against decapentaplegic/plasminogen activator inhibitor-1 and the mitogen activated protein kinase signaling nexus as well as their cross-signaling with toll-like receptormediated gut-dependent signaling pathways implicated in ALD and fibro-hepatocarcinogenesis.Looking into the future,it is hoped that these deliberations may stimulate new research directions on this topic and shape not only therapeutic approaches but also models for studying ALD and fibro-hepatocarcinogenesis.

Financial innovation and its governance:Cases of two major innovations in the financial sector

The power of financial innovations to affect societies on global and intergenerational levels compels us to ask how we can ensure their responsible emergence in society.This requires an understanding of how innovation occurs and how it is governed in practice.Despite this,there is little research on the process and governance of financial innovation.The few studies conducted in this area have focused on the‘backend’of the innovation process.Therefore,using data from secondary sources,this study investigates how two major financial innovations occurred and were governed,and it discusses the findings in relation to those in the literature.This approach revealed that innovation processes fall within a continuum ranging from structured to unstructured.Moreover,lead times are potentially longer for innovations that are significantly disruptive,new to the market,and technological in nature.Finally,innovation processes can involve multiple stakeholders who use both statutory regulation and self-regulation for innovation governance.This paper concludes that innovation processes and their governance can vary significantly according to different areas of the financial landscape and associated innovation contexts.Thus,there is a need for more empirical work to understand such variability and practices in the sector as a whole.

Co-application of compost or inorganic NPK fertilizer with biochar influences soil quality,grain yield and net income of rice

Most agricultural soils in sub-Saharan Africa are degraded,compromising the grain yield of rice and farmers return on investment.A 3-year field study was undertaken to explore the effect of the application of compost or inorganic NPK fertilizer applied alone or in combination with biochar on soil quality,grain yield of rice and net income.The five treatments were laid out using a randomized complete block design with four replications.The treatments were applied to supply approximately 75 kg N ha–1.The best fertilizer input was compost+biochar which resulted in the greatest improvement in soil physico-chemical properties by reducing bulk density and increasing porosity and moisture retention,organic matter content,percent nitrogen,available phosphorus and cation exchange capacity.Apart from treatment with inorganic fertilizer alone,treated soils showed a decrease in pH.Bacterial and fungal counts and basal respiration decreased in soils in the following order:compost+biochar>compost only>inorganic NPK fertilizer+biochar>inorganic NPK fertilizer>control.The increase in pooled grain yield and net income in response to treatment followed the order:compost+biochar>NPK+biochar>NPK>compost>control.The findings suggest that the use of compost or NPK alone might improve soil quality and increase grain yield and net income,but it is greatly recommended to co-apply these fertilisers with biochar.

Assessment of anti mosquito measures in households and resistance status of Culex species in urban areas in southern Ghana:Implications for the sustainability of ITN use

Objective:To determine resistance status of Culex species to different class of insecticides and assess the major anti-mosquito strategies employed by urban households and their possible effects on malaria acquisition.Methods:Structured questionnaires were randomly administered to obtain information on demographic characteristics,measures that people use to prevent mosquito bites and their perception of where mosquitoes breed in their communities.Adult susceptibility assays were also carried out using WHO discriminating dosages of four insecticides from different chemical classes against Culex species.Results:Majority of respondents(54.75%) preferred the use of domestic insecticides in the form of aerosols and coils.Among households that used domestic insecticides,the use of coil was most frequent(62.9%) with a mean(95%CI) of 9.18(8.99,9.37) coils per week.Strong level of pyrethroid-resistance and multiple insecticide resistance in Culex species were also detected in some of the study sites.Conclusions:The excessive use of domestic insecticides and high level of resistance in Culex species observed in the study area has implications for the ITN component of the nation's malaria control program in more subtle ways.People will lose interest in the use of ITN when it fails to protect users from bites of resistant Culex species.Excessive use of domestic insecticides may also select resistance in both malaria vectors and Culex species.On this account we recommend that nuisance mosquitoes must be controlled as part of malaria control programs to improve acceptance and utilization of ITN.