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Tropical forest regions in equatorial Africa are threatened with degradation, deforestation and biodiversity loss as a result of land-cover change. We investigated historical land-cover dynamics in unprotected forested areas of the Littoral Region in south-western Cameroon during 1975–2017, to detect changes that may influence this important biodiversity and wildlife area. Processed Landsat imagery was used to map and monitor changes in land use and land cover. From 1975 to 2017 the area of high-value forest landscapes decreased by c. 420,000 ha, and increasing forest fragmentation caused a decline of c. 12% in the largest patch index. Conversely, disturbed vegetation, cleared areas and urban areas all expanded in extent, by 32% (c. 400,000 ha), 5.6% (c. 26,800 ha) and 6.6% (c. 78,631 ha), respectively. The greatest increase was in the area converted to oil palm plantations (c. 26,893 ha), followed by logging and land clearing (c. 34,838 ha), all of which were the major factors driving deforestation in the study area. Our findings highlight the increasing threats facing the wider Littoral Region, which includes Mount Nlonako and Ebo Forest, both of which are critical areas for regional conservation and the latter a proposed National Park and the only sizable area of intact forest in the region. Intact forest in the Littoral Region, and in particular at Ebo, merits urgent protection.
A biosocial model of the effects of early adolescent testosterone levels and religiosity on adolescent males' sexual attitudes and activity over a 3-year period was examined. Using panel data for approximately 100 boys who were 12·5/13·0 years old at study entry, significant additive effects of free testosterone and frequency of attendance at religious services were demonstrated on the transition to first intercourse and other aspects of sexual behaviour and attitudes. No interactive effects of the two predictors were found. Boys with higher free testosterone levels at study entry who never or infrequently attended religious services were the most sexually active and had the most permissive attitudes. Boys with lower free testosterone who attended services once a week or more were the least active and reported the least permissive attitudes. For some behaviours, differences between free testosterone/attendance groups increased over time, resulting in substantial behavioural differences by the final round of measurement 3 years later.
To describe the epidemiology, interventions, and molecular typing methods used during the investigation and control of concurrent outbreaks of Serratia marcescens and methicillin-resistant Staphylococcus aureus (MRSA) infections in a neonatal intensive-care unit (NICU).
A 206-bed women's and infants' hospital with a 48-bed NICU.
A 22-week, prospective, descriptive study of all NICU infants with S marcescens or MRSA infection or colonization. Repetitive polymerase chain reaction (rep PCR) and pulsed-field gel electrophoresis (PFGE), respectively, were applied to the typing of S marcescens and MRSA isolates.
Infants with S marcescens or MRSA infection or colonization were placed in isolation; all other infants were cohorted. A multidisciplinary task force implemented education for all hospital and medical staff regarding policies essential for outbreak control. Changes in physical setting and patient contact procedure were required to promote adherence to existing policies.
Two premature infants had S marcescens infection, and five were colonized; rep PCR verified that both invasive and three of five colonizing isolates were related genotypically. Five bacteremic and 10 MRSA-colonized infants were identified; PFGE confirmed that 12 of the isolates had similar electrophoretic patterns. S marcescens infection was eliminated from the NICU 3 weeks after interventions were initiated. MRSA infections also were eliminated, and MRSA colonization fell to below pre-outbreak rates within 8 weeks. Despite a 100% increase in NICU patient days per month during the subsequent 2 years, no further clusters of S marcescens or MRSA infection have occurred.
Concurrent outbreaks of S marcescens and MRSA in an NICU were confirmed by genotyping of strains. Control was achieved by isolation and cohorting of patients and strict adherence to NICU policies and procedures.
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