COVID-19 vaccine uptake among clinical medical students in Enugu, Nigeria

Background: The COVID-19 pandemic shook the world, claimed a lot of lives, incapacitated many, and forced majority of the world into a lockdown. Vaccination is the key strategy to tackling the virus. Objectives: To ascertain the level of vaccination and the difficulties associated with vaccination, among clinical medical students in Enugu, South-East Nigeria. Materials and Methods: A multistage sampling was used to select 160 respondents while questionnaires (hard and soft copy) were administered to the participants. The IBM Statistical Package for the Social Sciences was used for data entry and data analysis. Results: There was a poor (16.3%) knowledge, negative perception (66.3%), and poor uptake of the COVID-19 vaccine (20.6%). There were statistically significant relationships between vaccination status, knowledge of vaccine, age, and perception of the vaccine (P=0.000) as well as between level of training and vaccine perception (P=0.03). Conclusion: There was very low level of COVID-19 vaccination in the study population that may be attributable to the low knowledge of the vaccine and the high negative perception. The rush to development of the vaccine, possible side effects, and possible long-term complications may be contributory to the poor uptake of the COVID-19 vaccine among the study respondents.

Influence of climate change, overfishing and COVID19 on irregular migration in West Africa

Throughout 2020, according to the Spanish Ministry of Home Office, 23,023 irregular migrants reached the coasts of the Canary Islands in Spain, 757% more than the previous year. The migrants left from the coasts of West Africa, mainly from Senegal, trying to reach the nearest European Union (EU) territory. Apart from the migrants who arrived in the Canary Islands, nearly 1,500 stayed on the way, and 594 of them died drowned or of dehydration. Behind this migratory tragedy, there is a combination of factors, with three essential ones operating synergistically: climate change, which is affecting agriculture, fishing and exacerbating coastal erosion;overfishing, which is depleting regional fisheries;and the COVID-19 pandemic, which, in addition to the victims caused, has left the region without tourism, and with an economy in recession. This paper reviews these causal factors, highlighting his influence on migration and the responsibility of migrants receiving countries – especially those in the EU – for the causes of migration.

Coping strategies in mitigating COVID-19 pandemic's effect on farming household income in Osun State, Nigeria

Income of farming households with low socio-economic status is a task in emerging nations, rural parts of Nigeria inclusive. In connection with this, the entrance of Covid-19 pandemic posed a grave risk to the economy of the households. This study, therefore, investigate the coping strategies in mitigating Covid-19 pandemic's effect on the farming households' income. Data for the paper were collected from 150 farming household heads, through multistage sampling method, with the use of interview scheduled and analysed using appropriate statistics. The findings showed that many (57.3%) of the respondents were male. The widely practiced coping strategies during the pandemic were rationed spending (=2.63), job diversification (=2.40), reduction in hired labour (=2.36), household food rationing (=2.28) among others. There is substantial relationship between household size (r = 0.075, p = 0.003), annual income (r = 0.033, p = 0.004) and coping strategies practiced at p0.005. It was concluded that the pandemic had great effect on the income of the farming household. The study recommends formulation of necessary, effective and urgent policies for assisting and generating fresh employments and revenue producing prospects for affected households.

Special Issue: Recent learnings and development in healthcare financing: A global perspective. (Special Issue: Recent learnings and development in healthcare financing: A global perspective.)

This special issue contains 11 s that discuss recent learnings and developments in healthcare financing from a global perspective. The s cover a range of topics such as the impact of mental illness on poverty and catastrophic health expenditure in India, financing challenges in the American healthcare industry, comparative analysis of health system financing in India and Saudi Arabia, and the contribution of the Ghana National Health Insurance Scheme to inequality in healthcare utilisation. Other s explore the influence of socio-economic status on health financing choices in Jambi Province, households' willingness to pay for community-based health insurance in Bangladesh, and changes in household expenditures during the first wave of COVID-19 in India. The issue also includes discussions on managing the provider-purchaser split in India and reconsidering patient value to create better healthcare.

Vegetable production and the COVID-19 lockdown

Due to various policies measures to curtail the virus, one of which was lockdown, the occurrence of COVID-19 had a negative impact on the nation's economy, especially the rural smallholder farmers. The study looked into how Covid-19 lockdowns affected Nigerian vegetable production. Descriptive statistics, budgetary approaches, multiple regression analysis, and a Likert scale were all used for the analysis. The findings show that most of vegetable growers in the research region were married women (88.33%). About 70% of respondents have completed at least their primary education. The multiple regression analysis results disclosed that number of extensions contact, farm size, market access and transportation cost were significantly affected the level of vegetable production with positive sign while household size had a negative effect on the vegetable production. The findings also showed that after the COVID-19 lockdown, vegetable production was extremely profitable in the study area, with an average gross margin of 82,836.04 that was statistically higher than the 60,709.97 gross margin generated from vegetable production during COVID-19 and the 71,234.91 gross margin generated prior to COVID-19. The constraints faced by vegetable farmers during the covid - 19 restrictions include: high cost of transportation, price fluctuation, and high cost of input, perishability of the produce and lack of improved seeds. It was concluded that Covid 19 pandemic has greater effect on vegetable production in the study areas.

Physical activity during COVID-19 lockdown: relationship with sedentary behaviour, health-related quality of life, loneliness, and sleep quality among a sample of Nigerian adults

COVID-19 lockdown, targeted at preventing the spread of coronavirus, had deleterious effects on physical and psychosocial health. This study examined the association between physical activity (PA), sedentary behaviour, health-related quality of life (HRQoL), loneliness and quality of sleep of 507 Nigerian adults during the COVID-19 lockdown. Five hundred and seven respondents (aged 18-67 years) from 12 States completed an online survey on RedCap. Questionnaires comprising the Stages of Change scale, Pittsburgh Sleep Quality Index, International Sedentary Assessment Tool, UCLA Loneliness Questionnaire, Short Form-12 Health Survey, and International Physical Activity Questionnaire were used. Respondents were categorised based on exercise behaviour as non-exercisers, non-regular exercisers, or regular exercisers;and based on age into 18-24, 25-34, 35-44 and > 44 years categories. Descriptive and inferential statistics were used to analyse the data. About 33.1% of respondents did not meet moderate-to-vigorous PA levels. The physical component of HRQoL was positively associated with total PA (p = 0.04). Among the non-exercisers, the odds of being regular exercisers during pre-COVID-19 lockdown were significantly higher for the 35-44 (odds ratio [OR] = 3.49;95% CI = 1.44, 8.48, p = 0.01) and > 44 years age groups (OR = 2.98;95% CI: 1.16, 7.62, p = 0.02) relative to 18-24 years age category. During COVID-19 lockdown, > 44 (OR = 3.65;95% CI: 1.47, 9.07, p = 0.005), 35-44 (OR = 6.42;95% CI 2.75, 14.96, p = 0.001) and 25-34 (OR = 2.35;95% CI: 1.15, 4.80, p = 0.02) years age categories had significant higher odds of being regular exercisers compared to the 18-24 years age group. There was a high rate of physical inactivity among Nigerian adults during the COVID-19 lockdown, which was directly influenced by the physical components of HRQoL. Older age was an independent predictor of exercise behaviour before and during the COVID-19 lockdown among Nigerian adults.

Recognising the potential of neglected tropical disease programmes as a platform for pandemic preparedness: the Ascend experience.

Living in an increasingly interconnected world, epidemics and pandemics are increasingly likely to be a vista for the future. This, coupled with the likely devastating effects of climate change, means that humanitarian crises are likely to increase. Now, more than ever before, is the time to scale up investment in prevention and preparedness strategies, and to review our current approaches to delivering health services, including those that address neglected tropical diseases. The Ascend West and Central Africa programme has illustrated the importance of innovation, multisector partnerships, resilience and the opportunity for change.

Local perception of the current state and threat factors of a critically endangered species, Celtis toka (Forssk.) Hepper & JRI Wood, in Burkina Faso: implications for species conservation

Celtis toka, the only species of the genus Celtis (family Cannabaceae) encountered in the flora of Burkina Faso, is critically endangered in the country. To engage the public for the future conservation and domestication of the species, knowledge of the factors threatening Celtis toka survival is necessary. Thus, the study objective was to identify the perceptions of local people concerning the current state and conservation strategies of Celtis toka in Burkina Faso. To investigate potential solutions to the threats posed to Celtis toka, we randomly surveyed 405 consenting participants using a selected semi-structured interview. Moreover, field observations were performed to assess the threat drivers cited by local people of the Sudanian and Sudano-Sahelian climatic zones. Descriptive analyses (relative frequency and fidelity level) and generalized linear models (GLMs) were used to highlight the impact of sociodemographic factors and climate zones on the current state, threat drivers, and potential solutions. The chi-square test was used to assess whether to plant C. toka. GLM analyses revealed that local knowledge about the current state, threat factors and potential solution to the threat as related to natural stand varied significantly according to ethnolinguistic group (P < 0.000), sex (P = 0.01) and age (P = 0.01). Rural people had varying perceptions of the current state of C. toka. Sixty-eight percent reported a decrease in population, ten percent reported scarcity, and five percent reported extinction. The views of local people were that the factors affecting C. toka were pruning (25%), climate change (14%), deforestation (10%), ageing (10%), debarking (9%), and agriculture (7%). Potential solutions included planting (45%), conservation of C. toka and its habitat (27%), sustainable use of Celtis toka (14%), promotion of education and awareness about Celtis toka (10%) and tree/crop association (5%). The study concluded that the ethnobotanical knowledge of Celtis toka may play an important role in its conservation and domestication in Burkina Faso. Furthermore, its incorporation into reforestation and restoration programs is critical to species survival.

Perceived Health Impacts, Sources of Information and Individual Actions to Address Air Quality in Two Cities in Nigeria

Poor air quality (PAQ) has serious effects on the environment, climate change, and human health. This study investigated the perceived health impacts of PAQ in two cities in Nigeria (Abuja and Enugu), including whether PAQ may have an interaction with COVID-19 infection and intensity. A recent report published in the Lancet has pointed to the complexity of the health care system in Nigeria and a lack of data on disease burden, so the research in this paper took a self-reporting (perceptual) approach to exploring the health impacts of PAQ. The research also sought to explore the main sources of information used by people to inform them about air quality (AQ) and the actions they are likely to take to address PAQ. The results imply that many of the respondents in the two cities perceived their health to be adversely affected by PAQ and that PAQ worsens both the chances of infection and the intensity of COVID-19. Unsurprisingly, older people were found to be more vulnerable to the health impacts of PAQ. Most respondents, especially younger ones, obtained their information on AQ via electronic media (internet, social media) rather than printed media. Respondents considered that the primary action to address PAQ is proper waste management. Paying the government to address PAQ was regarded as the least likely action, although the government was acknowledged as having a key responsibility. © 2023 by the authors.

Comparative assessment of three storage methods for preserving maize grain to enhance food security post COVID-19. (Special Issue: Technology and innovation for a post COVID recovery and growth: the contribution of industry and academia.)

Cold storage is expensive for smallholder farmers and seed processors in developing countries. Smallholder farmers continue to resort to traditional storage methods such as polypropylene (PP) bags for maize grain storage. They often dose the grains with chemicals to preserve them. However, hermetic bags have proven to provide superior protection to grains during storage without chemical treatment. With the advent of the COVID-19 virus which distorted many food systems across continents, stakeholders in the grain industry need to adopt better systems to reduce post-harvest food loss and improve food security. In this study, maize grain quality, nutritional content and viability were compared under three storage methods (PP bags with Phostoxin treatment, cold storage, and hermetic bag) over a storage period of four months. The results showed that the hermetic bag maintained the moisture content (MC) of the stored grains with 0.40% variations from the initial MC of 13% at the end of the storage period compared to 0.70% and 1.10% for grains stored under cold storage and in PP bags, respectively. Grain damage after the 4th month of storage in the hermetic bag had only increased by 0.40% from an initial 13.3% before storage compared to an increase of 6% for cold storage, which was attributed to unstable power during the storage period, and 4.30% for grains stored in the PP bag. Carbon dioxide concentration in the hermetic bag was maintained at about 11% throughout the storage period indicating low microbial activity. The hermetic bag technology was identified as the best option for quality preservation during storage of maize grain over the other methods, and its adoption by smallholder farmers in Ghana should be considered.

On COVID-19 vaccination in Nigeria: an empirical study

This study assessed the knowledge and perception of Nigerians about COVID-19 vaccination. A cross-sectional survey was conducted comprising Health and Non-health workers in Nigeria. The knowledge, attitude, and perception of respondents on COVID-19 vaccination in Nigeria was obtained through an online. Logistic regression was employed to determine which factor imparted on COVID-19 vaccination decision. The study showed a significant relationship between COVID-19 vaccination and immigration requirements. The survey showed that 74.07% of the health workers had been vaccinated, while 47.06% of non-Health Workers had been vaccinated. This study recommends that Governments at all levels should create more awareness of the importance of COVID-19 vaccination to increase the number of vaccinated individuals.

Covid‐19 outbreak and stocks return on the West African Economic and Monetary Union's stock market: An empirical analysis of the relationship through the event study approach

This study uses the Wilcoxon's signed ranks test to identify the effect of the Covid‐19 outbreak on the stocks returns of companies listed on the West African Economic and Monetary Union's (WAEMU) stock market by considering two event dates (January 23, 2020 and March 2, 2020). To account for the temporal volatility in the event approach, the study resort to a GARCH model. Empirical findings suggest that January 23, 2020 event (first case of death due to Covid‐19 in China) have had a minor impact on the WAEMU stock market while the event on March 2, 2020 (first case of Covid‐19 in the WAEMU) strongly affected the financial market. This negative impact is much more pronounced for the distribution sectors (−34.16%). Robustness analysis reveals that the main information leading to disruption on the market is the weekly death cases and not the confirmed cases. In addition, government anti‐Covid‐19 measures such as social distancing and governance positively affect the stock return whereas lockdown, public health measures and movement restrictions contribute to a decline in the stock's price.

Evaluation of the effect of COVID-19 pandemic lockdown on food security among urban households in Jos, Plateau State, Nigeria

Food security is one of the targets of Sustainable Development Goals where it focuses explicitly on food by seeking to end hunger, achieve food security, improved nutrition and promote sustainable agriculture. However, the COVID-19 pandemic lockdown distorted the food system and affected households' capacity to meet its nutritional needs. This study evaluated the effect of COVID-19 pandemic lockdown on households in Jos Metropolis, Plateau State, Nigeria. A multistage sampling technique was used to select 265 households. Data was collected using well-structured questionnaire. The analytical techniques were;Descriptive statistics, FDT Food security index and Z-Statistics Test. The findings indicated that 53% of the household heads were female while 47% were male. The mean age of the respondents was 34 years;the mean Household size was 4 persons. Most of the household heads (68%) were not members of cooperative societies. The result indicated that cereals, legumes/grains, oils/fat, roots and tubers, sugar and honey and meats were the most common food consumed by the households daily before and after the COVID-19 pandemic lockdown. Result of food security status indicated that households consumed an average daily calorie intake of 5860.52 which is higher than the estimate of 1707.88 calorie consumed by the food insecure households. Covid-19 pandemic had effect (p<0.001) on the food security status of households. Food secure households showed higher sensitivity to Covid-19 pandemic compared to 0.807 in food insecure households. The minimum and maximum daily calorie intake of 679.67kcal and 2246.79kcal for food insecure in this study is above the minimum and maximum recommended threshold of 587.58 and 2200 kilocalories for households. The study concludes that the understanding of the effect of the COVID-19 pandemic lockdown on food security status of households is important in developing policy measures such as social safety nets, home feeding program, the school feeding program, conditional cash transfers schemes and improved marketing channels that will help mitigate against households falling into food insecurity during similar pandemic in the future.

Impact of COVID-19 on breast cancer stage at discovery and time to treatment in Cote d'Or, France

State of the matterDue to the COVID-19 pandemic, and the resulting bottlenecks in the French healthcare system, the management of patients with COVID-19 has been prioritized over that of patients with other pathologies, in particular chronic diseases. The objective of this study was to investigate the impact of COVID-19 on the discovery stage of cancers diagnosed in an organized breast cancer screening program, as well as the impact on the time to supported. Material and methodsAll women aged 50 to 74 for whom cancer has been diagnosed in Cote d'Or as part of the national organized breast cancer screening program (first or second reading) from January 1, 2019 to December 31, 2020 have were included in this study. Using data from pathological anatomy laboratories, clinical centers, and the breast and gynecological cancer registry in Cote d'Or, France, we collected sociodemographic, clinical, and treatment data from all patients. We compared data from the year 2019 (pre-COVID) with that of the year 2020 (COVID). ResultsIn this study, we did not observe any change in the stage of discovery of the cancer at the time of diagnosis, nor any change in the therapeutic strategy. However, we observed a significant increase in infiltrated tumors, a decrease in in situ tumors, and the finding of larger clinical size of in situ tumors after the COVID pandemic. ConclusionWhile these results are reassuring, continued monitoring is needed to determine post-pandemic effects.

COVID-19 pandemic, household income and coping strategies in Nigeria

This study analyzed the effects of the COVID-19 pandemic on household income and the determinants of coping strategies in Nigeria, using the combination of the COVID-19 National Longitudinal Phone Survey data and the fourth wave of the General Household Survey, Panel 2018-2019. The fourth wave of General Household Survey, Panel 2018-2019 data is part of the World Bank's Living Standards Measurement Study-Integrated Surveys on Agriculture (LSMS-ISA) and the National Bureau of Statistics of Nigeria collected the data in collaboration with the World Bank and funded by the Federal Government of Nigeria and the Bill and Melinda Gates Foundation. The COVID-19 National Longitudinal Phone Survey 2020, Baseline was implemented by the National Bureau of Statistics in collaboration with the World Bank. The analyses were based on multinomial logistic and multivariate probit models. Multinomial logit regression analysis shows that households that consider the pandemic a substantial threat and households with older heads were more likely to have decreased income while households that received transfer income and self-employed were more likely to have increased income. Several household characteristics exhibited different levels of influence on the choice of coping strategies during the lockdown. Therefore, policy options and support facilities should be developed to foster meaningful (wage/self) employment and coping strategies to achieve optimal results in response to the pandemic.

Effect of Coronavirus on students' food security status: a case of University of Cape Coast, Ghana

Coronavirus is a novel virus that hit the world starting from developed countries to under-developed countries. Ghana is amongst the countries in Africa that observed some level of confinement by their government leading to the shutdown of various institutions including schools. The resulting impact of the policy saw students being more vulnerable to food insecurity and related issues. This paper examines the effect of Coronavirus on students' food insecurity status at the University of Cape Coast. The research design adopted for this study was the cross-sectional survey design with the University of Cape Coast, Ghana being the study area. A total of 291 students were randomly selected to participate in the study. Structured questionnaire was used for data collection. The findings of the study show that socioeconomic characteristics of students and food insecurity status showed no association. Students rated the extent of the effect of the pandemic as moderate and the major area of academic life affected was the change in the academic calendar. Class attendance was the most perceived effect of the pandemic. Students also reported that they were rarely food insecure. The study further found out that the best predictors of students' food insecurity were age, current level, insurance and employment status. The major challenge faced by students during Coronavirus was difficulties in their academics. This led students to adopt mitigation strategies such as online studies, paying heel to Coronavirus protocols, and self-support to mitigate the pandemic's impact. The study concluded that the academic activities of students of the University of Cape Coast were affected moderately by the pandemic and therefore recommends that the University of Cape Coast should improve its information and communication technology infrastructure to make online classes easier and the school should increase funding opportunity to less privilege students.

Pandemic-induced shocks and shifts in forest-based livelihood strategies: learning from COVID-19 in the Bia West District of Ghana

The COVID-19 pandemic has reshaped societies and will continue to do so. Despite its salience, micro-scale evidence on how this pandemic reshapes the livelihood strategies of forest communities in sub-Saharan Africa are lacking. To bridge this lacuna, this paper analyses the dynamics around forest-based livelihood strategies in the context of the COVID-19 pandemic in the Bia West District of Ghana. Key informant interviews (n = 8) and a survey of forest-dependent households (n = 100) were conducted to generate relevant data. The study identified fuelwood harvesting, medicinal plants extraction, fruit-gathering and beekeeping as the four livelihood activities that were predominantly practised in the study communities during the COVID-19 pandemic. The analysis established an increase in the number of households that diversified into fuelwood harvesting. Regarding medicinal plants collection as a livelihood strategy, less than 10% of households either diversified or intensified this practice with similar charges recorded in fruit-gathering and beekeeping. The logistic regression disclosed gender, household size, education and income, as the socioeconomic variables that significantly predict livelihood diversification and intensification during the COVID-19 pandemic. Additionally, the financial, social and physical asset base of households significantly shaped livelihood diversification. Diversification into fuelwood collection, medicinal plants extraction and beekeeping were the strategies that showed a significant positive correlation with the well-being outcomes of forest-based households. While this paper provides fresh evidence to inform the vulnerability dimension of the sustainable livelihoods framework, it further calls for policy interventions to build pandemic-resilient livelihood strategies around forest communities.

Performance of the PanbioTM COVID-19 Ag rapid test in a health care setting in Ouagadougou, Burkina Faso

This study aimed to evaluate the performance of the PanbioTM Covid-19 Ag Rapid Test (Abbott) in a medical center in Ouagadougou. The PanbioTM COVID-19 Ag test was evaluated from January 26 to March 31, 2021 in symptomatic and asymptomatic patients in the medical Centre of Kossodo. A total of 268 individuals were tested by both SARS-CoV-2 RT-PCR, and antigen RDT. Of these 268 individuals, 52 were positive and 216 were negative for COVID-19 RT-PCR. The performance parameters of the test and its Kappa agreement with the RT-PCR were calculated according to the presence or absence of symptoms in the patients on one hand, and according to the time onset of symptoms on the other hand. The sensitivity of the PanbioTM COVID-19 Ag Rapid Test ranged from 29.63% (95% CI: 13.75 to 50.18) among COVID-19 asymptomatic patients, to 87.5% (95% CI: 52.91 to97.76) among symptomatic patients with symptom onset time of 1-5 days. Similarly, the PanbioTM COVID-19 Ag Rapid Test specificity was 97.3% (95% CI: 90.58 to 99.67) and 96.4% (95% CI: 91.81 to 98.82) in symptomatic and asymptomatic RT PCR negative patients. The PanbioTM COVID-19 Ag Rapid Test shows good performance in detecting COVID-19 cases in patients with a symptom onset time of less than seven (7) days. This performance is even better when the symptom onset is reduced to five (5) days. The results show that the antigen RDT is not suitable for COVID-19 detection among asymptomatic patients.