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Background. Nurse turnover intention, defined as a measure of nurses' desire to leave their positions, is a global public health issue with a grave impact on the healthcare workforce. However, literature on it is limited in sub-Saharan Africa, an at-risk region. This study aimed to determine the predictors of turnover intention among nursing staff at a tertiary hospital in Kumasi, Ghana. Methods. This was an institution-basedcross-sectional study conducted among 226 randomly selected nurses and midwives working at a tertiary healthcare center in Kumasi, Ghana. Data were collected by using a structured questionnaire. Significant predictors of turnover intention were analyzed by using multivariate logistic regression analysis. Adjusted odds ratio (AOR) with a 95% confidence interval (CI) and p value <0.05 was used. Results. The prevalence of turnover intention among study participants was 87.2% (197/226). About two-thirds (61.5%, 139/226) of the participants were exposed to a high level of workplace hazards. Management support (AOR = 3.09, 95% CI = 1.09–8.75), salary (AOR = 0.07, 95% CI = 0.01–0.46), inadequate number of staff on duty per shift (AOR = 3.36, 95% CI = 1.08–10.47) and participants' rank (AOR = 6.81, 95% CI = 1.18–39.16) were significantly associated with turnover intention. Conclusion. Overall, the turnover intention was high. Hence, there is a need for policymakers, health administrators, and nurse managers to implement strategies such as increasing staff strength, providing adequate support, incentives, and other forms of motivation for nurses and midwives to help reduce the rate of turnover intention. [ABSTRACT FROM AUTHOR]

Objective: This study investigated the effects of temperature on the development of the immature stages of Anopheles gambiae (s.l.) mosquitoes. Methods: Mosquito eggs were obtained from laboratory established colonies and reared under eight temperature regimes (25, 28, 30, 32, 34, 36, 38 and 40°C), and 80 ± 10% relative humidity. Larvae were checked daily for development to the next stage and for mortality. Pupation success, number of adults produced and sex ratio of the newly emerged adults were recorded. Larval survival was monitored every 24 h, and data were analysed using Kaplan–Meier survival analysis. Analysis of variance was used where data followed normal distribution, and a Kruskal–Wallis test where data were not normally distributed. Larval and pupal measurements were log‐transformed and analysed using ordinary least square regression with robust standard errors. Results: Increasing the temperature from 25 to 36°C decreased the development time by 10.57 days. Larval survival (X2(6) = 5353.12, p < 0.001) and the number of adults produced (X2(5) = 28.16, p < 0.001) decreased with increasing temperature. Increasing temperatures also resulted in significantly smaller larvae and pupae (p < 0.001). At higher temperatures, disproportionately more male than female mosquitoes were produced. Conclusions: Increased temperature affected different developmental stages in the life cycle of An. gambiae (s.l.) mosquitoes, from larval to adult emergence. This study contributes to the knowledge on the relationship between temperature and Anopheles mosquitoes and provides useful information for modelling vector population dynamics in the light of climate change. [ABSTRACT FROM AUTHOR]

Tropical reservoirs are important for numerous socioeconomic and ecological reasons, including water supply, fishing and flood control. These functions are easily compromised, however, when reservoirs undergo accelerated sedimentation with increased inputs of chemical contaminants. The present study applied the concept of sediment core analysis to evaluate the sedimentation rate in Owabi Reservoir, which has served as a source of drinking water supply in Kumasi, Ghana, for nearly a century. The temporal variation of contamination from heavy metals was also assessed over this period. The sedimentation rate for Owabi Reservoir was estimated to be 6.82 mm/year, suggesting a relatively low rate of sedimentation, which is ecologically healthy in preventing a rapid loss of reservoir water volume. Heavy metal concentrations in the sediment cores taken from the reservoir reflected varying degree of contamination from the 1930s to 2010s. The concentration of iron (Fe) (1,560–1,770 mg/kg) was found to be the highest among the metals in the sediment core, while mercury (Hg) concentration (0.01–0.04 mg/kg) was the lowest. Lead (Pb) contamination peaked in the 1980s. Arsenic (As) and mercury (Hg) contamination exhibited more recent peaks in the 2000s, coinciding with recent widespread issues of artisanal and small‐scale gold mining (ASGM) in Ghana. Thus, even though ASGM activities are known to occur in remote districts, releases from such activities might eventually contaminate reservoirs designated as urban drinking water supplies. [ABSTRACT FROM AUTHOR]

Background: The use of mosquito coils has gained widespread patronage in malaria-endemic countries, even though it is not a recommended preventive measure for avoiding mosquitoes. Mosquito coils contain insecticides, which are expected to vaporize slowly once the coil is lit, to provide protection against the mosquito. The mosquito coil base material contains a variety of compounds capable of burning slowly to gradually release the insecticide. The mosquito coil smoke, however, is potentially a source of indoor air pollution with implications for acute respiratory infections (ARI) and other illnesses. The present study investigated the application of mosquito coils and associated self-reported health issues in Ghana. Methods: A cross-sectional study was undertaken in which questionnaires were randomly administered to 480 households across four districts in Ghana. Respondents who exclusively applied mosquito coils were grouped as test cohort, while those who did not apply any mosquito repellency method constituted a control cohort. Results: The test group that applied mosquito coils reported malaria incidence rate of 86.3 %. The control group that did not apply any mosquito repellency method reported an incidence rate of malaria at 72.4 %. Chi square analysis suggested that the observed difference was statistically significant (x² = 4.25; p = 0.04). The number of respondents who reported symptoms of cough from mosquito coil application (52.6 % incidence rate) was marginally greater than their counterparts who did not apply coils (46.1 % incidence rate). It was also found that respondents with shortage of breath, which was used as a proxy for ARI, were more likely to have applied mosquito coil. Conclusions: The application of mosquito coils did not necessarily reduce the incidence of malaria in the study communities. It however presented a potential respiratory risk factor, which should be further investigated by critically examining exposure to particulate matter emissions from burning coils. [ABSTRACT FROM AUTHOR]

A nationwide monitoring of atmospheric POPs (persistent organic pollutants) was conducted in Ghana between May and July 2010, applying polyurethane foam (PUF) disk passive air samplers (PAS). Reported here are preliminary findings on PCNs, an industrial organic contaminant currently under review for possible listing under the global chemical treaty. The present results constitute the first set of nationwide data on air PCNs from a West African country. Contrary to expectation, air PCNs levels were quite high in Ghana, at an average of 49 ± 5.4 pg/m³. The coastal (southern) zone of Ghana appeared the most impacted, with crude open burning of waste, industrial emissions, and the harbor environment identified among possible emission factors. Tri- and tetra-CNs (the lowly chlorinated homologues) predominated in the atmosphere, altogether constituting approximately 90% of total PCN homologues composition. Increased volatilization under tropical conditions was presumed a key factor that contributed to this high atmospheric input of lowly chlorinated homologues. We further observed a significant level of fractionation of PCN homologues across the breadth of the country. The percentage composition of the lowly chlorinated homologues increased northwards, probably because of their transportation in the direction of prevailing winds. From congener profile analysis, PCN-45/36 is proposed as a possible source marker for emissions preempted by uncontrolled waste burning activities. Dioxin-like toxicity of air PCNs in Ghana was estimated to range 0.49-5.6 fg TEQ/m³. This study brought to the fore the emerging problems of nonagricultural organohalogens that covertly might be confronting the environment in African nations like Ghana. [ABSTRACT FROM AUTHOR]

Bacteria play an important role in soil ecosystems and their activities are crucial in nutrient composition and recycling. Pesticides are extensively used in agriculture to control pests and improve yield. However, increased use of pesticides on agricultural lands results in soil contamination, which could have adverse effect on its bacterial communities. Here, we investigated the effect of pesticides commonly used on irrigated rice fields on bacterial abundance and diversity. Irrigated soil samples collected from unexposed, pesticide-exposed, and residual exposure areas were cultured under aerobic and anaerobic conditions. DNA was extracted and analysed by 16S rRNA sequencing. The results showed overall decrease in bacterial abundance and diversity in areas exposed to pesticides. Operational taxonomic units of the genera Enterobacter, Aeromonas, Comamonas, Stenotrophomonas, Bordetella, and Staphylococcus decreased in areas exposed to pesticides. Conversely, Domibacillus, Acinetobacter, Pseudomonas, and Bacillus increased in abundance in pesticide-exposed areas. Simpson and Shannon diversity indices and canonical correspondence analysis demonstrated a decrease in bacterial diversity and composition in areas exposed to pesticides. These results suggest bacteria genera unaffected by pesticides that could be further evaluated to identify species for bioremediation. Moreover, there is a need for alternative ways of improving agricultural productivity and to educate farmers to adopt innovative integrated pest management strategies to reduce deleterious impacts of pesticides on soil ecosystems. [ABSTRACT FROM AUTHOR]

Reservoir catchments in Ghana have undergone significant changes in recent years with major implications for socio-economic development and local livelihoods. We studied land use and land cover changes and their impacts on livelihoods in the Owabi reservoir catchment from 1970 to 2014 using Landsat, ERDAS Imagine and Arc Geographic Information System (ArcGIS 10.2) software supplemented with participatory approaches including focus group discussions, key informant interviews and questionnaire surveys with 400 households. Our results showed that, since 1970, 24.6% of high-density forests and 15.8% of sparse forests have disappeared, while the built-up area has increased from 9.8% to 56.6%. Additionally, the proportion of bare soil (areas that do not have vegetation cover due to forest clearing and other anthropogenic activities) has increased, while the areas of waterbodies have declined. We identified urbanisation and lack of community involvement in catchment management as the key factors driving the land cover changes that have adversely affected the livelihoods of the local fringe communities. This study highlights the threats from urbanisation to land cover changes and identifies the key drivers of land use change. For effective and sustainable management of natural resources, the local communities should be more actively involved in the decision-making process regarding the management of their individual catchments. [ABSTRACT FROM AUTHOR]

Despite the fact that several cases of unsafe pesticide use among farmers in different parts of Africa have been documented, there is limited evidence regarding which specific interventions are effective in reducing pesticide exposure and associated risks to human health and ecology. The overall goal of the African Pesticide Intervention Project (APsent) study is to better understand ongoing research and public health activities related to interventions in Africa through the implementation of suitable target-specific situations or use contexts. A systematic review of the scientific literature on pesticide intervention studies with a focus on Africa was conducted. This was followed by a qualitative survey among stakeholders involved in pesticide research or management in the African region to learn about barriers to and promoters of successful interventions. The project was concluded with an international workshop in November 2021, where a broad range of topics relevant to occupational and environmental health risks were discussed such as acute poisoning, street pesticides, switching to alternatives, or disposal of empty pesticide containers. Key areas of improvement identified were training on pesticide usage techniques, research on the effectiveness of interventions targeted at exposure reduction and/or behavioral changes, awareness raising, implementation of adequate policies, and enforcement of regulations and processes.

Higher temperatures expected in a future warmer climate could adversely affect the growth and development of mosquitoes. This study investigated the effects of elevated temperatures on longevity, gonotrophic cycle length, biting rate, fecundity, and body size of Anopheles gambiae (s.l.) (Diptera: Culicidae) mosquitoes. Anopheles gambiae (s.l.) eggs obtained from laboratory established colonies were reared under eight temperature regimes (25, 28, 30, 32, 34, 36, 38, and 40°C), and 80 ± 10% RH. All adults were allowed to feed on a 10% sugar solution soaked in cotton wool; however, some mosquitoes were provided blood meal using guinea pig. Longevity was estimated for both blood-fed and non-blood-fed mosquitoes and analyzed using the Kaplan-Meier survival analysis. One-way ANOVA was used to test the effect of temperature on gonotrophic cycle length, biting rate, and fecundity. Adult measurement data were log-transformed and analyzed using ordinary least square regression with robust standard errors. Increasing temperature significantly decreased the longevity of both blood-fed (Log-rank test; X2(4) = 904.15, P < 0.001) and non-blood-fed (Log-rank test; X2(4) = 1163.60, P < 0.001) mosquitoes. In addition, the fecundity of mosquitoes decreased significantly (ANOVA; F(2,57) = 3.46, P = 0.038) with an increase in temperature. Body size (β = 0.14, 95% CI, 0.16, 0.12, P < 0.001) and proboscis length (β = 0.13, 95% CI, 0.17, 0.09, P < 0.001) significantly decreased with increasing temperature from 25 to 34°C. Increased temperatures expected in a future warmer climate could cause some unexpected effects on mosquitoes by directly influencing population dynamics and malaria transmission., (© The Author(s) 2022. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)