Objective: To estimate the direct and indirect costs of meningitis to households in the Kassena-N... more Objective: To estimate the direct and indirect costs of meningitis to households in the Kassena-Nankana District of Ghana. Methods: A Cost of illness (COI) survey was conducted between 2010 and 2011. The COI was computed from a retrospective review of 80 meningitis cases answers to questions about direct medical costs, direct non-medical costs incurred and productivity losses due to recent meningitis incident. Results: The average direct and indirect costs of treating meningitis in the district was GH¢152.55 (US$101.7) per household. This is equivalent to about two months minimum wage earned by Ghanaians in unskilled paid jobs in 2009. Households lost 29 days of work per meningitis case and thus those in minimum wage paid jobs lost a monthly minimum wage of GH¢76.85 (US$51.23) due to the illness. Patients who were insured spent an average of GH¢38.5 (US$25.67) in direct medical costs whiles the uninsured patients spent as much as GH¢177.9 (US$118.6) per case. Patients with sequelae incurred additional costs of GH¢22.63 (US$15.08) per case. The least poor were more exposed to meningitis than the poorest. Conclusion: Meningitis is a debilitating but preventable disease that affects people living in the Sahel and in poorer conditions. The cost of meningitis treatment may further lead to impoverishment for these households. Widespread mass vaccination will save households' an equivalent of GH¢175.18 (US$117) and impairment due to meningitis.
Integrating research, operations, and community engagement, a multinational and multidisciplinary... more Integrating research, operations, and community engagement, a multinational and multidisciplinary team uses relative humidity forecasts to better manage meningitis in the Sahel.
Urbanization and urban areas are profoundly altering the relationship between society and the env... more Urbanization and urban areas are profoundly altering the relationship between society and the environment, and affecting cities' sustainability and resilience in complex ways at alarming rates. Over the last decades, sustainability and resilience have become key concepts aimed at understanding existing urban dynamics and responding to the challenges of creating livable urban futures. Sustainability and resilience have also moved and are now core analytic and normative concepts for many scholars, transnational networks and urban communities of practice. Yet, even with this elevated scholarly attention, strategies for bridging between research and practice remain elusive, and efforts to understand and affect change towards more sustainable and resilient urban centers have often fallen short. This paper seeks to synthesize, from this issue's papers and other strands of literature, the knowledge, theory and practice of urban sustainability and resilience. Specifically, we focus on what capacities urban actors draw on to create sustainability and resilience and how different definitions of these concepts intersect, complement, or contradict each other. We then examine the implications of those intersections and differences in the efforts by urban actors to enhance the capacity to change unsustainable trajectories and transform themselves, their communities, and their cities toward sustainable and resilient relationships with the environment.
This study examined the association of human and environmental factors with the presence of Aedes... more This study examined the association of human and environmental factors with the presence of Aedes aegypti, the vector for dengue fever and yellow fever viruses, in a desert region in the southwest United States and northwest Mexico. Sixty-eight sites were longitudinally surveyed along the United States-Mexico border in Tucson, AZ, Nogales, AZ, and Nogales, Sonora during a 3-year period. Aedes aegypti presence or absence at each site was measured three times per year using standard oviposition traps. Maximum and minimum temperature and relative humidity were measured hourly at each site. Field inventories were conducted to measure human housing factors potentially affecting mosquito presence, such as the use of air-conditioning and evaporative coolers, outdoor vegetation cover, and access to piped water. The results showed that Ae. aegypti presence was highly variable across space and time. Aedes aegypti presence was positively associated with highly vegetated areas. Other significant variables included microclimatic differences and access to piped water. This study demonstrates the importance of microclimate and human factors in predicting Ae. aegypti distribution in an arid environment.
... Lindsey R. Barnes enXco, Denver, Colorado. David M. Schultz ... The first paper that used the... more ... Lindsey R. Barnes enXco, Denver, Colorado. David M. Schultz ... The first paper that used the term false alarm ratio and used it consistently with the currently accepted definition was published in 1983, and the second was in 1985 (McCann 1983; Tsonis and Isaac 1985). ...
The false alarm rate (FAR) measures the fraction of forecasted events that did not occur, and it ... more The false alarm rate (FAR) measures the fraction of forecasted events that did not occur, and it remains one of the key metrics for verifying National Weather Service (NWS) weather warnings. The national FAR for tornado warnings in 2003 was 0.76, indicating that only one in four tornado warnings was verified. The NWS's goal for 2010 is to reduce this
This article critically examines how programs for the prevention and control of dengue fever have... more This article critically examines how programs for the prevention and control of dengue fever have been conducted in the absence of an integrated approach, and considers the social and ecological factors influencing their effectiveness. Despite recognition of dengue fever as the most important arboviral disease affecting humans, and in spite of a greater emphasis on community-based control approaches, the burden placed on the communities, countries, and regions affected by this disease continues to rise. In considering historical experience in the Americas and the Asia-Pacific region, as well as the global forces that are exerting new pressures, the important elements of successful control programs are identified as community ownership, partnership with government, leadership, scalability, and control of immature mosquitoes. The key barriers to the exchange of knowledge and the transdisciplinary cooperation necessary for sustainable dengue control are rooted in differences in values among policy-makers, citizens, and scientists and are repeatedly expressed in technical, economic, cultural, geographic, and political dimensions. Through consideration of case studies in Cuba, Guatemala, Singapore, Thailand, Indonesia, and Vietnam, the limitations of control approaches that fail to take into account the complexities of ecological and social systems are presented. Bridges to effective control are identified as the basis for adaptability, both of control programs to the mosquito vector’s changing behavior and of education programs to public, regional and local particularities, as well as transdisciplinarity, community empowerment, the ability to scale local experiences up to the macro-level, and the capacity to learn from experience to achieve sustainability.
Objective: To estimate the direct and indirect costs of meningitis to households in the Kassena-N... more Objective: To estimate the direct and indirect costs of meningitis to households in the Kassena-Nankana District of Ghana. Methods: A Cost of illness (COI) survey was conducted between 2010 and 2011. The COI was computed from a retrospective review of 80 meningitis cases answers to questions about direct medical costs, direct non-medical costs incurred and productivity losses due to recent meningitis incident. Results: The average direct and indirect costs of treating meningitis in the district was GH¢152.55 (US$101.7) per household. This is equivalent to about two months minimum wage earned by Ghanaians in unskilled paid jobs in 2009. Households lost 29 days of work per meningitis case and thus those in minimum wage paid jobs lost a monthly minimum wage of GH¢76.85 (US$51.23) due to the illness. Patients who were insured spent an average of GH¢38.5 (US$25.67) in direct medical costs whiles the uninsured patients spent as much as GH¢177.9 (US$118.6) per case. Patients with sequelae incurred additional costs of GH¢22.63 (US$15.08) per case. The least poor were more exposed to meningitis than the poorest. Conclusion: Meningitis is a debilitating but preventable disease that affects people living in the Sahel and in poorer conditions. The cost of meningitis treatment may further lead to impoverishment for these households. Widespread mass vaccination will save households' an equivalent of GH¢175.18 (US$117) and impairment due to meningitis.
Integrating research, operations, and community engagement, a multinational and multidisciplinary... more Integrating research, operations, and community engagement, a multinational and multidisciplinary team uses relative humidity forecasts to better manage meningitis in the Sahel.
Urbanization and urban areas are profoundly altering the relationship between society and the env... more Urbanization and urban areas are profoundly altering the relationship between society and the environment, and affecting cities' sustainability and resilience in complex ways at alarming rates. Over the last decades, sustainability and resilience have become key concepts aimed at understanding existing urban dynamics and responding to the challenges of creating livable urban futures. Sustainability and resilience have also moved and are now core analytic and normative concepts for many scholars, transnational networks and urban communities of practice. Yet, even with this elevated scholarly attention, strategies for bridging between research and practice remain elusive, and efforts to understand and affect change towards more sustainable and resilient urban centers have often fallen short. This paper seeks to synthesize, from this issue's papers and other strands of literature, the knowledge, theory and practice of urban sustainability and resilience. Specifically, we focus on what capacities urban actors draw on to create sustainability and resilience and how different definitions of these concepts intersect, complement, or contradict each other. We then examine the implications of those intersections and differences in the efforts by urban actors to enhance the capacity to change unsustainable trajectories and transform themselves, their communities, and their cities toward sustainable and resilient relationships with the environment.
This study examined the association of human and environmental factors with the presence of Aedes... more This study examined the association of human and environmental factors with the presence of Aedes aegypti, the vector for dengue fever and yellow fever viruses, in a desert region in the southwest United States and northwest Mexico. Sixty-eight sites were longitudinally surveyed along the United States-Mexico border in Tucson, AZ, Nogales, AZ, and Nogales, Sonora during a 3-year period. Aedes aegypti presence or absence at each site was measured three times per year using standard oviposition traps. Maximum and minimum temperature and relative humidity were measured hourly at each site. Field inventories were conducted to measure human housing factors potentially affecting mosquito presence, such as the use of air-conditioning and evaporative coolers, outdoor vegetation cover, and access to piped water. The results showed that Ae. aegypti presence was highly variable across space and time. Aedes aegypti presence was positively associated with highly vegetated areas. Other significant variables included microclimatic differences and access to piped water. This study demonstrates the importance of microclimate and human factors in predicting Ae. aegypti distribution in an arid environment.
... Lindsey R. Barnes enXco, Denver, Colorado. David M. Schultz ... The first paper that used the... more ... Lindsey R. Barnes enXco, Denver, Colorado. David M. Schultz ... The first paper that used the term false alarm ratio and used it consistently with the currently accepted definition was published in 1983, and the second was in 1985 (McCann 1983; Tsonis and Isaac 1985). ...
The false alarm rate (FAR) measures the fraction of forecasted events that did not occur, and it ... more The false alarm rate (FAR) measures the fraction of forecasted events that did not occur, and it remains one of the key metrics for verifying National Weather Service (NWS) weather warnings. The national FAR for tornado warnings in 2003 was 0.76, indicating that only one in four tornado warnings was verified. The NWS's goal for 2010 is to reduce this
This article critically examines how programs for the prevention and control of dengue fever have... more This article critically examines how programs for the prevention and control of dengue fever have been conducted in the absence of an integrated approach, and considers the social and ecological factors influencing their effectiveness. Despite recognition of dengue fever as the most important arboviral disease affecting humans, and in spite of a greater emphasis on community-based control approaches, the burden placed on the communities, countries, and regions affected by this disease continues to rise. In considering historical experience in the Americas and the Asia-Pacific region, as well as the global forces that are exerting new pressures, the important elements of successful control programs are identified as community ownership, partnership with government, leadership, scalability, and control of immature mosquitoes. The key barriers to the exchange of knowledge and the transdisciplinary cooperation necessary for sustainable dengue control are rooted in differences in values among policy-makers, citizens, and scientists and are repeatedly expressed in technical, economic, cultural, geographic, and political dimensions. Through consideration of case studies in Cuba, Guatemala, Singapore, Thailand, Indonesia, and Vietnam, the limitations of control approaches that fail to take into account the complexities of ecological and social systems are presented. Bridges to effective control are identified as the basis for adaptability, both of control programs to the mosquito vector’s changing behavior and of education programs to public, regional and local particularities, as well as transdisciplinarity, community empowerment, the ability to scale local experiences up to the macro-level, and the capacity to learn from experience to achieve sustainability.
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Papers by Mary Hayden