ABSTRACT
The COVID-19 pandemic has had immediate and cascading impacts on global agricultural systems. In Senegal, the immediate impacts include inaccessibility of inputs due to disruption in markets and supply chains, availability of labor, and changes in crop and livestock management practices. To understand the range of impacts on the biophysical and socioeconomic dimensions of smallholder farming systems, a survey was designed to identify the risk factors, assess the impacts, and explore appropriate mitigation strategies. The survey was administered to 917 smallholder farmers in 14 regions of Senegal in collaboration with a national farmer's organization and the Senegalese Institute of Agricultural Research (ISRA). The sample was comprised of farmers (men and women) and was stratified in each region to ensure representation from all agroecological zones of the country. The survey examined variables such as access to inputs, ability to plant, impacts on yields, markets, labor, the gendered division of labor, food security, and community well-being. The survey response indicated that 77.7% of respondents experienced a reduction in access to inputs, 70.3% experienced a reduction in ability to plant crops during the planting season, 57.1% experienced a reduction in ability to rent farm machinery, and 69.2% reported a reduction in yields. Similar findings were observed for labor, market conditions, and adaptation measures to reduce the impacts on farming systems and household livelihoods. This study advances the research on characterizing risk factors, assessing the impacts, and designing mitigation strategies for strengthening smallholder farming systems resilience to future shocks.
ABSTRACT
BACKGROUND: SARS-CoV-2 infection alters various blood parameters, which may indicate disease severity and thus help in better clinical management. AIM: To study the association between various hematological parameters and disease severity of COVID-19. To analyze the effects of hypertension and diabetes on neutrophil-lymphocyte ratio and neutrophil-monocyte ratio in patients suffering from COVID-19. MATERIALS AND METHODS: The study was a cross-sectional study involving 148 laboratory-confirmed cases of SARS-CoV-2 infection. The patients were divided into three groups on the basis of disease severity. Various hematological parameters were analyzed. The effects of hypertension and diabetes on NLR and NMR in COVID-19 patients were evaluated. RESULTS: Of the 148 patients, 78.4%, 8.1% and 13.5% cases were in the mild, moderate and severe groups, respectively. Mean age was 42.63 ± 16.04 years (IQR: 29, 54.75; Range: 7-74). 58.8% patients were male while the rest (42.2%) were female. Mean TLC (cells/mm3), neutrophil (%), lymphocyte (%), monocyte (%), eosinophil (%), neutrophil-lymphocyte ratio (NLR) and neutrophil-monocyte ratio (NMR) among mild, moderate and severe COVID-19 was statistically significant (p < 0.05). Basophil (%) and lymphocyte-monocyte ratio (LMR) was statistically insignificant among the three groups. Lymphocyte (%), monocyte (%) and eosinophil (%) were negatively correlated to disease severity. Among diabetics, both NLR and NMR were statistically significant (p < 0.05). However, among hypertensive cases, only the NLR was statistically significant. CONCLUSION: Older age, higher TLC, neutrophilia, lymphopenia, eosinopenia, high NLR and high NMR are associated with severe COVID-19. High NLR and high NMR are indicative of severe disease among diabetic patients. High NLR also indicates severe disease among hypertensive patients.