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Health is profoundly influenced by several factors outside the traditional realm of healthcare. This paper employed a two-step Heckman selectivity model to examine factors influencing the decision to spend on health and the effects of economic shocks on health expenditure. The results from the first stage shows that the likelihood of spending on health increased with age, education, income, and decreases if the household is living in the northern region of Nigeria and uses mosquito bed-net. The findings from the second stage estimation show that a fall in the price of food items, an increase in the price of inputs for household enterprises and loss of job are the significant shocks that affect household health expenditure. Based on these findings, this study concluded that fall in the prices of major food items consumed within the household increased income available for health care among the farmers. Going forward, the study recommends the provision of holistic health-economic-welfare interventions for the marginalized rural populace in Nigeria.

The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with clinical manifestation cases that are almost similar to those of common respiratory viral infections. This study determined the prevalence of SARS-CoV-2 and other acute respiratory viruses among patients with flu-like symptoms in Bukavu city, Democratic Republic of Congo. We screened 1352 individuals with flu-like illnesses seeking treatment in 10 health facilities. Nasopharyngeal swab specimens were collected to detect SARS-CoV-2 using real-time reverse transcription-polymerase chain reaction (RT-PCR), and 10 common respiratory viruses were detected by multiplex reverse transcription-polymerase chain reaction assay. Overall, 13.9% (188/1352) of patients were confirmed positive for SARS-CoV-2. Influenza A 5.6% (56/1352) and Influenza B 0.9% (12/1352) were the most common respiratory viruses detected. Overall, more than two cases of the other acute respiratory viruses were detected. Frequently observed symptoms associated with SARS-CoV-2 positivity were shivering (47.8%; OR = 1.8; CI: 0.88–1.35), cough (89.6%; OR = 6.5, CI: 2.16–28.2), and myalgia and dizziness (59.7%; OR = 2.7; CI: 1.36–5.85). Moreover, coinfection was observed in 12 (11.5%) specimens. SARS-CoV-2 and influenza A were the most cooccurring infections, accounting for 33.3% of all positive cases. This study demonstrates cases of COVID-19 infections cooccurring with other acute respiratory infections in Bukavu city during the ongoing outbreak of COVID-19. Therefore, testing for respiratory viruses should be performed in all patients with flu-like symptoms for effective surveillance of the transmission patterns in the COVID-19 affected areas for optimal treatment and effective disease management.

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In this century, climate change is one of the major problems affecting livestock productivity. This study aimed at evaluating the effect of body coat color pattern and sex on heat regulation and heat stress tolerance in indigenous goat breeds exposed to solar radiation. In the experiment, 4 bucks and 4 does (8 to 9 months age) with black, white, grey and brown coat color were selected and exposed to solar radiation during 12 days during the summer period. Water and feed were served add libitum. The consumption were measured daily at 17:00 for each animal. Rectal temperature (RT) and rate pulse (PR) were measured three-time (7:00, 12:00, and 17:00) every day on each animal during the experimental period. At the end of the experiment, blood samples were collected from the jugular vein and immediately delivered to the lab to determine biochemical (serum protein: albumin and globulin), and hematological parameters. Exposing goats to temperature variation affected the physiological, hematological as well as biochemical parameters in all subjects. The female with a black body coat color was mostly affected. The heat stress induced an increase of RT and PR, an increase in water consumption while depression in food intake was observed. Blood platelets, hematocrits, red cell distribution, white blood cell and albumin were damaged in goats with black coat color compared to goats with white coat color. These variations in physiological, hematological and biochemical parameters in female black goat could affect its productive and reproductive performances in high-temperature environments.