Effectiveness of community forest user groups (CFUGs) in responding to the 2015 earthquakes and COVID-19 in Nepal
Ontology highlight
ABSTRACT:
SUBMITTER: Gentle P
PROVIDER: S-EPMC7564119 | biostudies-literature | 2020 Oct
REPOSITORIES: biostudies-literature
Similar Datasets
Project description:IntroductionNatural disasters pose a great challenge to the health systems and individual health facilities. In low-resource settings, disaster preparedness systems are often limited and not been well described. Two devastating earthquakes hit Nepal within a 17-days period in 2015. This study aims to describe the burden and distribution of emergency cases to a local hospital.MethodsThis is a prospective observational study of patients presenting to a local hospital for a period of 21 days following the earthquake on April 25, 2015. Demographic and clinical information was prospectively registered for all patients in the systematic emergency registry. Systematic telephone interviews were conducted in a random sample of the patients 90 days after admission to the hospital.ResultsA total of 2,003 emergency patients were registered during the period. The average daily number of emergency patients during the first five days was almost five times higher (n = 150) than the pre-incident daily average (n = 35). The majority of injuries were fractures (58%), 348 (56%) in the lower extremities. A total of 345 surgical procedures were performed and the hospital treated 111 patients with severe injuries related to the earthquake (compartment syndrome, crush injury, and internal injury). Among those with follow-up interviews, over 90% reported that they had been severely affected by the earthquakes; complete house damage, living in temporary shelter, or loss of close family member.ConclusionThe hospital experienced a very high caseload during the first days, and the majority of patients needed orthopaedic services. The proportion of severely injured and in-hospital deaths were relatively low, probably indicating that the most severely injured did not reach the hospital in time. The experiences underline the need for robust and easily available local health services that can respond to disasters.
| S-EPMC5796718 | biostudies-literature
Project description:Improved governance of natural resource use is critical to the sustainability and maintenance of environmental quality. In western Nepal, unsustainable resource extraction is seen by the local community as a major threat to forest sustainability. While most respondents to a survey of 243 households inside and outside a protected area (PA) thought the laws for managing resource use were adequate and appropriate, a far smaller proportion thought they were achieving their objectives. Disenchantment with the existing governance regime was strongest outside the PA, probably because there was greater investment in community engagement within the PA. The most likely reason for this failure is the deeply embedded corruption within the forest governance system. Devolution of power to local communities by increasing governance participation is one of the most likely means of containing corruption. It was therefore not surprising that governance participation was rated as the most important governance principle by respondents in a best-worst scaling experiment. Respondents also regarded effectiveness, accountability and transparency as important governance principle to improve management of forest resource extraction from red panda habitat.
| S-EPMC9110619 | biostudies-literature
Project description:We conducted a study to examine the effect of seasonal variations and the disruptive effects of the 2015 Nepal earthquake on microbial communities associated with drinking water sources. We first characterized the microbial communities of water samples in two Nepali regions (Kathmandu and Jhapa) to understand the stability of microbial communities in water samples collected in 2014. We analyzed additional water samples from the same sources collected from May to August 2015, allowing the comparison of samples from dry-to-dry season and from dry-to-monsoon seasons. Emphasis was placed on microbes responsible for maintaining the geobiochemical characteristics of water (e.g., ammonia-oxidizing and nitrite-oxidizing bacteria and archaea and sulfate-reducing bacteria) and opportunistic pathogens often found in water (Acinetobacter). When examining samples from Jhapa, we identified that most geobiochemical microbe populations remained similar. When examining samples from Kathmandu, the abundance of microbial genera responsible for maintaining the geobiochemical characteristics of water increased immediately after the earthquake and decreased 8 months later (December 2015). In addition, microbial source tracking was used to monitor human fecal contamination and revealed deteriorated water quality in some specific sampling sites in Kathmandu post-earthquake. This study highlights a disruption of the environmental microbiome after an earthquake and the restoration of these microbial communities as a function of time and sanitation practices.
| S-EPMC5724148 | biostudies-literature
Project description:The largest (M8+) known earthquakes in the Himalaya have ruptured the upper locked section of the Main Himalayan Thrust zone, offsetting the ground surface along the Main Frontal Thrust at the range front. However, out-of-sequence active structures have received less attention. One of the most impressive examples of such faults is the active fault that generally follows the surface trace of the Main Boundary Thrust (MBT). This fault has generated a clear geomorphological signature of recent deformation in eastern and western Nepal, as well as further west in India. We focus on western Nepal, between the municipalities of Surkhet and Gorahi where this fault is well expressed. Although the fault system as a whole is accommodating contraction, across most of its length, this particular fault appears geomorphologically as a normal fault, indicating crustal extension in the hanging wall of the MHT. We focus this study on the reactivation of the MBT along the Surkhet-Gorahi segment of the surface trace of the newly named Reactivated Boundary Fault, which is ~ 120 km long. We first generate a high-resolution Digital Elevation Model from triplets of high-resolution Pleiades images and use this to map the fault scarp and its geomorphological lateral variation. For most of its length, normal motion slip is observed with a dip varying between 20° and 60° and a maximum cumulative vertical offset of 27 m. We then present evidence for recent normal faulting in a trench located in the village of Sukhetal. Radiocarbon dating of detrital charcoals sampled in the hanging wall of the fault, including the main colluvial wedge and overlying sedimentary layers, suggest that the last event occurred in the early sixteenth century. This period saw the devastating 1505 earthquake, which produced ~ 23 m of slip on the Main Frontal Thrust. Linked or not, the ruptures on the MFT and MBT happened within a short time period compared to the centuries of quiescence of the faults that followed. We suggest that episodic normal-sense activity of the MBT could be related to large earthquakes rupturing the MFT, given its proximity, the sense of motion, and the large distance that separates the MBT from the downdip end of the locked fault zone of the MHT fault system. We discuss these results and their implications for the frontal Himalayan thrust system.
| S-EPMC8563945 | biostudies-literature
Project description:Background and objectivesAge-friendly community initiatives (AFCIs) strive to make localities better for long and healthy lives by fostering improvements across social, physical, and service environments. Despite the heightened need for community supports during the COVID-19 pandemic, very little research has addressed the work of AFCIs in the context of this crisis. We aimed to develop theory on how AFCI core groups have contributed to community responses during the pandemic, as well as what contexts have influenced the initiatives' ability to contribute.Research design and methodsAs part of a multi-year, community-partnered study on the development of philanthropically supported initiatives in northern New Jersey, we conducted qualitative interviews with eight AFCI core groups during the winter of 2020-2021. The interviews focused on the leaders' efforts at that time, with probing questions concerning enabling factors of their community responses. We analyzed the data using an inductive coding process encompassing open, axial, and subcoding.ResultsThe analysis indicated four distinct roles of AFC core groups: good community partner, creator, advocate, and communications broker. We further found that AFC leaders primarily drew on three types of capital-human, social, and tangible-to enact these roles, oftentimes in cumulative ways.Discussion and implicationsWe interpret our study's findings and their implications by integrating insights from theories of social impact. We further highlight the importance of continued research on community-centered approaches to promote aging in community during times of societal crisis, and otherwise.
| S-EPMC9384139 | biostudies-literature
Project description:According to paleoseismological studies, the last earthquake that ruptured the Main Frontal Thrust in western Nepal occurred in 1505 AD. No evidence of large earthquakes has been documented since, giving rise to the concept of a seismic gap in the central Himalaya. Here, we report on a new record of earthquake-triggered turbidites from Lake Rara, western Nepal. Our lake-sediment record contains eight possibly moderate-to-large earthquake-triggered turbidites during the last 800 years, three of which overlap in age with previously reported Mw ≥ 7 events in western Nepal. Shaking intensity modelling, together with instrumental records, suggests that near-field earthquakes (≤15 km) should have a minimum Mw 5.6, and regional earthquakes (≤80 km) a Mw > ~ 6.5, to trigger turbidites. We present a likely scenario that western Nepal may be as seismically active as central Nepal; however, more data are needed to revaluate the seismic risk in the central Himalaya.
| S-EPMC6529449 | biostudies-literature
Project description:Introduction: Nepal suffered from major earthquakes in April 2015 resulting in great damage to the society. The objective of the current study is to describe the earthquake exposure, the impact on family's daily life and the symptoms of post-traumatic stress disorder (PTSD) and their association in Nepalese mothers 20 months following the earthquakes. Methods: In a clinical trial in Bhaktapur, Nepal, 558 mothers responded to an inventory on earthquake exposure and the Impact of Event Scale - Revised (IES-R) 20 months after the earthquakes. In multiple linear regression models, we estimated the associations between the earthquake exposure and the impact on the families' life and the IES-R score. Results: Over 60% reported that the earthquakes had a great deal of negative impact on their family's life. In 4.7%, close family members died, and in 10.5%, family members were injured. 24% had IES-R scores indicating PTSD symptoms within clinical concern or a possible diagnosis. Lower levels of education were associated with higher scores on the total IES-R. Mothers who report that the earthquakes had a great deal of negative impact had higher total IES-R scores [9.8, 95% CI (5.9, 13.6)] compared to mothers that reported no such negative impact. Mothers with family members who were killed had higher IES-R scores [3.6, 95% CI (1.6, 5.5)] than those with no family members who died. Mothers assisting in rescue efforts had lower IES-R scores [2.8, 95% CI (0.8, 4.8)] than those not assisting. Conclusion: Our study demonstrates high levels of exposure to traumatic events, large negative impact on the everyday life of the families, and a high level of PTSD symptoms. There was a consistent and graded association between the exposure variables and PTSD symptoms. The large impact of the earthquakes on these Nepalese mothers underscore the importance of awareness of mental disorders following major natural catastrophes for marginalized families.
| S-EPMC6454014 | biostudies-literature
Project description:IntroductionThe COVID-19 pandemic has tested the resilience capacities of health systems worldwide and highlighted the need to understand the concept, pathways, and elements of resilience in different country contexts. In this study, we assessed the health system response to COVID-19 in Nepal and examined the processes of policy formulation, communication, and implementation at the three tiers of government, including the dynamic interactions between tiers. Nepal was experiencing the early stages of federalization reform when COVID-19 pandemic hit the country, and clarity in roles and capacity to implement functions were the prevailing challenges, especially among the subnational governments.MethodsWe adopted a cross-sectional exploratory design, using mixed methods. We conducted a desk-based review of all policy documents introduced in response to COVID-19 from January to December 2020, and collected qualitative data through 22 key informant interviews at three tiers of government, during January-March 2021. Two municipalities were purposively selected for data collection in Lumbini province. Our analysis is based on a resilience framework that has been developed by our research project, ReBUILD for Resilience, which helps to understand pathways to health system resilience through absorption, adaptation and transformation.ResultsIn the newly established federal structure, the existing emergency response structure and plans were utilized, which were yet to be tested in the decentralized system. The federal government effectively led the policy formulation process, but with minimal engagement of sub-national governments. Local governments could not demonstrate resilience capacities due to the novelty of the federal system and their consequent lack of experience, confusion on roles, insufficient management capacity and governance structures at local level, which was further aggravated by the limited availability of human, technical and financial resources.ConclusionsThe study findings emphasize the importance of strong and flexible governance structures and strengthened capacity of subnational governments to effectively manage pandemics. The study elaborates on the key areas and pathways that contribute to the resilience capacities of health systems from the experience of Nepal. We draw out lessons that can be applied to other fragile and shock-prone settings.
| S-EPMC10996157 | biostudies-literature
Project description:The global rise in nature-based recreation increases the need for research on visitor activity use and interaction especially for multi-use trail systems. Conflict often arises during negatively perceived physical encounters (i.e., direct observation) of different user groups. Our study addresses these encounters on a winter multi-use refuge in Fairbanks, Alaska. Our goal was to develop a method that generates spatially and temporally explicit estimates of trail occupancy and encounter probabilities among different user groups. We used trail cameras with optic alteration to protect individual identity. We monitored winter recreational activity from November 2019 to April 2020 (n = 133 days) and sorted users into three user groups: 1) motor-powered, 2) dog-powered, and 3) human-powered. We calculated the total number of occurrences and proportion of activity across all user groups at each camera location. We identified hotspots of activity overlap (e.g., near trail access points), and peak times (14:01-15:00), days (Saturdays and Sundays), and months (December, February, and March) that may have had higher potential for physical encounters and conflict. We used multiplication and addition probability rules to estimate two probabilities: 1) the probability of user groups occupying individual trail segments, and 2) the probability of encounter between different user groups. We scaled up these probability estimates both temporally (hourly and daily) and spatially (refuge quadrant and refuge-wide). Researchers can adapt our novel method to any recreational trail system to identify locations with potential for congestion and conflict. This method can help inform management that improves visitor experience and overall trail user satisfaction.Management implicationsWe provide managers of recreational trail systems with a quantitative, objective, and noninvasive method to monitor activity among trail user groups. This method can be altered both spatially and temporally to fit any recreational trail system's research questions. These questions may involve congestion, trail carrying capacity, or user group and wildlife encounters. Our method advances current knowledge of trail use dynamics by quantifying the extent of activity overlap between different user groups that may be prone to conflict. Managers can use this information to incorporate relevant management strategies to mitigate congestion and conflict for their own recreational trail system.
| S-EPMC10215815 | biostudies-literature
Project description:Japanese encephalitis (JE) is a major public health problem in Nepal. For the effective management and surveillance of JE, a clear understanding of its epidemiology is essential. Therefore, we conducted descriptive and spatial analyses to understand the spatio-temporal distribution of JE in human in Nepal. From 2007 to 2015, 1,823 JE cases were reported with a cumulative mean incidence of 0.735/100,000 population and a case fatality rate of 6.6%. The death rate in the up-to-24 years of age group was 74%. The JE cases were most commonly reported in the age group of 1-14 years. There is a strong seasonal pattern of JE occurrence in Nepal which peaked in August and declined by October each year, which corresponds to the monsoon season. The JE cases were reported in 63 of 75 districts (84%), expanding in the mountain and hill regions. There was a strong clustering of JE incidence in the south-western and south-eastern Terai region, which is endemic for JE. Therefore, the JE surveillance system should be improved to better understand the drivers of disease expansion in Nepal for instituting a control program.
| S-EPMC5528891 | biostudies-other