Project description:Diarrhoeal disease is considered an important cause of morbidity and mortality in developing areas, and a large contributor to the burden of disease in children younger than five years of age. This study investigated the prevalence and genogroups of human sapovirus (SV) in children ≤5 years of age in rural communities of Vhembe district, South Africa. Between 2017 and 2020, a total of 284 stool samples were collected from children suffering with diarrhoea (n = 228) and from children without diarrhoea (n = 56). RNA extraction using Boom extraction method, and screening for SV using real-time PCR were done in the lab. Positive samples were subjected to conventional RT-PCR targeting the capsid fragment. Positive sample isolates were genotyped using Sanger sequencing. Overall SV were detected in 14.1% (40/284) of the stool samples (16.7% (38/228) of diarrhoeal and 3.6% (2/56) of non-diarrhoeal samples). Significant correlation between SV positive cases and water sources was noted. Genogroup-I was identified as the most prevalent strain comprising 81.3% (13/16), followed by SV-GII 12.5% (2/16) and SV-GIV 6.2% (1/16). This study provides valuable data on prevalence of SV amongst outpatients in rural and underdeveloped communities, and highlights the necessity for further monitoring of SV circulating strains as potential emerging strains.
Project description:BACKGROUND:Skin-related diseases affect every individual irrespective of age, gender or social status. Since time immemorial, humans have explored natural resources from their environment for the maintenance of the skin. This explorative survey was conducted to document the natural resources (plant and non-plant materials) used for folk cosmeceuticals by rural communities in Vhembe district municipality, Limpopo province, South Africa. METHODS:The research was conducted in six communities namely: Tshakuma, Shigalo, Tshamutilikwa, Luvhimbi (Masikhwa), Khakhanwa, and Folovhodwe in Vhembe district. Random and convenient sampling was used to access the target population. Semi-structured questionnaires were used to interview 71 participants that comprised traditional practitioners, herbalists and laypeople from the study area. Collected data were analysed using both quantitative (for e.g. frequency, use-value and relative frequency of citation) and qualitative (thematic) analytical methods. RESULTS:A total of 52 plants from 27 families and 22 non-plant materials were used as folk cosmeceuticals in the study area. The most cited plants included Dicerocaryum zanguebarium (Pedaliaceae), Ricinus communis (Euphorbiaceae) and Helinus integrifolius (Rhamnaceae). Trees and shrubs were the most common plant-life form while leaves were the most popular plant part. Pig fats, red ochre (Luvhundi soil) and ashes were the most cited non-plant materials. These documented natural resources are frequently prepared by crushing and mostly used to heal wounds. CONCLUSION:Traditional knowledge concerning folk cosmeceuticals is mostly held by elders. The high number of natural resources documented is an indication that Vhembe district is rich in ethnopharmacological knowledge. Scientific investigation of the efficacies and safety of these natural resources is highly recommended as a drive aimed at innovations with benefits to the rural communities who are the custodians of this valuable knowledge.
Project description:Edible insects are an important natural commodity in rural areas that is used for household consumption and to generate income through trade. As a result, edible-insect trading is a profitable business that provides employment and improves the livelihoods of impoverished rural people. This study aimed at determining the socioeconomic benefits of and reasons for trading insects, and to assess if edible insects are included in economic development strategies in the Vhembe district of Limpopo province, South Africa. We conducted 72 questionnaire interviews targeting traders in 5 towns across the district. Five insect groups belonging to four insect orders are traded in informal markets of the district. Mopane worms (Gonimbrasia belina) were the most traded (42%) edible insects. Unemployment (45%) and the demand for edible insects (34%) were the major reasons for trading insects. Insect trading has numerous benefits; however, the provision of income (60%) and financial support (35%) were stated as the primary benefits. Despite several benefits associated with trading in insects, there are many challenges such as insect spoilage and a decline in the availability of edible insects in the wild. Edible insects play an important role in food security and the rural economy by generating employment opportunities for unemployed traders. Trading in insects is a traditional practice based on indigenous knowledge, which has persisted as an economic practice that improves rural livelihoods by reducing poverty and increases the human dignity of rural citizens. Only four governmental organisations in Limpopo included edible insects in economic development strategies. Trading insects is primarily an informal activity. The government could stimulate the activity and broaden and deepen the community benefits by providing infrastructure, access to harvest areas, financial support, and business training as part of a rural empowerment strategy to end hunger and poverty while creating employment opportunities in rural areas.
Project description:BackgroundHuman Norovirus (NoV) is recognized as a major etiological agent of sporadic acute gastroenteritis worldwide.ObjectivesThis study describes the clinical features associated with Human NoV occurrence in children and determines the prevalence and estimated viral burden of NoV in symptomatic and asymptomatic children in rural South Africa.Study designBetween July 2014 and April 2015, outpatient children under 5 years of age from rural communities of Vhembe district, South Africa, were enrolled for the study. A total of 303 stool specimens were collected from those with diarrhea (n=253) and without (n=50) diarrhea. NoVs were identified using real-time one-step RT-PCR.ResultsOne hundred and four (41.1%) NoVs were detected (62[59.6%] GII, 16[15.4%] GI, and 26[25%] mixed GI/GII) in cases and 18 (36%) including 9(50%) GII, 2(11.1%) GI and 7(38.9%) mixed GI/GII in controls. NoV detection rates in symptomatic and asymptomatic children (OR=1.24; 95% CI 0.662.33) were not significantly different. Comparison of the median CT values for NoV in symptomatic and asymptomatic children revealed significant statistical difference of estimated GII viral load from both groups, with a much higher viral burden in symptomatic children.ConclusionsThough not proven predictive of diarrhea disease in this study, the high detection rate of NoV reflects the substantial exposure of children from rural communities to enteric pathogens possibly due to poor sanitation and hygiene practices. The results suggest that the difference between asymptomatic and symptomatic children with NoV may be at the level of the viral load of NoV genogroups involved.
Project description:Biogas is a clean and renewable form of energy available to low-income households through anaerobic digestion of readily available organic waste. A biodigester converts fermentable organic matter into a combustible gas and organic manure. Anaerobic digestion is a process of subjecting the material to microbial decomposition in the absence of air, yielding finally, methane, carbon dioxide, and water inside the biodigester. In the recent years, biogas has attracted wide attention in view of the fuel crisis and the environmental pollution associated with the fossil fuel, and its importance as an efficient and non-polluting energy source is now well appreciated. The objectives of this desktop study are to investigate the relevance of biogas technology use for substitution of solid fuels in rural areas of Vhembe district, the subsequent health co-benefits, and the constraints to adoption of domestic biogas technology in South Africa. The correlating factors influencing decisions in the sustainable adoption and utilisation of biogas technology in Vhembe district of Limpopo Province in South Africa are examined. In this study, the sampled households involved 72 biogas users and 128 non-users. The sampling techniques was purposive and simple random. The study was based on primary data that was elicited using open and closed-ended questionnaires. The logistic regression model was employed for data analysis. The energy demand of low-income South African households for cooking with fuelwood was found to be 27 MJ/day and the total energy demand 68 MJ/day. Approximately 625 000 households in Vhembe district can potentially benefit from bio-digester fed with cattle and pig waste, on the basis of livestock numbers. Most governments worldwide are now considering locally accessible, available, and renewable substitute energy options.
Project description:Background: Worldwide, type 1 diabetes mellitus disease is a devastating health condition for both the diagnosed children and caregivers taking care of them. These challenges were drastically affecting caregivers in rendering the required homecare service for their patients. Caring for a child with diabetes mellitus often hurts the caregivers and other family members. Aim: This study aimed to explore the challenges experienced by caregivers during the provision of care to type 1 diabetic children. Setting: The study was conducted in selected health facility of Vhembe District, South Africa. Methods: A qualitative design that was both descriptive and exploratory was used. Non-probability purposive sampling was used to select the caregivers who were taking care of children with type 1 diabetes mellitus at their homes. Semi-structured interviews were conducted with 15 participants from the Vhembe district of Limpopo province. Results: Caregivers experienced various challenges related to re-admission, poor understanding of medication, low level of literacy, committed mistakes, poor adherence, and fear of giving an injection. Conclusion: It is imperative to educate the caregivers on the care of children with type 1 diabetes mellitus for them to be competent and knowledgeable in assisting their diabetic children at home.
Project description:Waste stabilization ponds (WSPs) are widely used for wastewater management owing to the simplicity of their design, low cost and the use of low-skilled operators. This study was carried out to assess the efficiency of a WSP system in reducing the levels of contaminants in hospital wastewater in a rural area of South Africa and to evaluate the current management of the WSP system. Sampling was conducted monthly from January to June 2014. Physicochemical and microbiological parameters were monitored using standard methods. The microbiological parameters (Escherichia coli and enterococci) in the effluent were higher than those in the influent in some sampling months. Also, low pathogen removal efficiency (<1 log reduction) was recorded. The chemical oxygen demand (COD) in the effluent (82-200 mg/L) exceeded the South African Department of Water Affairs for wastewater discharge guideline value of 75 mg/L although reduction efficiencies of 7.7%, 49.1% and 31.1% were observed for the months of February, April and June, respectively. The WSP system did not show a general trend of contaminant reduction except for Zn (5.5-94.8%). The Siloam WSP is not functioning properly and is releasing effluent of poor quality into the receiving river. It is recommended that the WSP system be expanded to cater for the extra load of wastewater it receives, also desludging should be performed as recommended for such systems. Continuous monitoring of the system for compliance to regulatory guideline should be routinely performed.
Project description:Pathogenic food-borne bacteria have been associated with severe morbidity and mortality in humans and animals. This study was aimed at determining the prevalence of Staphylococcus aureus, Salmonella spp., and Escherichia coli present in cattle and pigs slaughtered in selected abattoirs in Vhembe District and at determining the susceptibility of the isolates to antibiotics. A total of 176 swab samples (28 cattle and 16 pigs) of the rump, flank, brisket, and neck of the animals were analyzed using standard microbiological methods. E. coli isolates were genotyped to detect pathogenic strains. Of the 176 samples, 104 (67.5%) were positive for E. coli and 50 (32.5%) for S. aureus. There was no statistically significant difference (P > 0.05) in the isolation rate from the different animal parts or abattoirs. Overall, 14/104 (13.46%) of the E. coli isolates were pathogenic strains which included enteropathogenic E. coli (EPEC) (bfpA) 1.9%, enterotoxigenic E. coli (ETEC) (LT) 3.8%, and enteroaggregative E. coli (EAEC) (aaiC) 7.6%. E. coli isolates were resistant (100%) to vancomycin and bacitracin. S. aureus (100%) were resistant to oxacillin and nalidixic acid. The presence of resistant strains of these bacteria in food of animal origin could serve as important vehicles transmitting these bacteria to humans. This finding is of epidemiological significance.
Project description:In settings where humans and animals closely coexist, the introduction of faecal material into unprotected water sources significantly increases the risk of contracting diarrhoeal and zoonotic waterborne diseases. The data were gathered from a survey conducted through interviews at randomly sampled villages; additionally, water samples were collected in randomly selected households and their associated feeder catchments. Molecular techniques were used, specifically qPCR, to run host-specific Bacteroides microbial source tracking (MST) assays for human, cattle, pig, chicken and dog faecal contamination. Unexpectedly, the qPCR assays revealed dogs to be the most prevalent (40.65%) depositor of faecal matter in unprotected surface water, followed by humans (40.63%); this finding was contradictory to survey findings indicating cattle as the leading source. At the household level, dogs (16.67%) and chickens (15.28%) played prominent roles, as was expected. Reflecting on some of the basic daily practices in households, nearly 89.00% of the population was found to store water due to erratic supply, in contrast to 93.23% using an improved water source. Additionally, a significant association was found between water, sanitation and hygiene (WASH) variables and the occurrence of MST markers after performing a bivariate linear regression. However, the inconsistency between the MST results and household surveys suggests pervasive sanitation issues, even in households without domesticated animals.