BackgroundNon-communicable lifestyle diseases are a growing public health concern globally. Obesity is a risk factor for premature mortality from cardiovascular diseases and diabetes as well as all-cause mortality. The objective of the study was to estimate the prevalence and associated factors for obesity among Zambian adults in Lusaka district.MethodsA community-based study was done among adults in Zambia. Descriptive and co-relational analyses were conducted to estimate the prevalence of being obese as well as identify associated factors.ResultsA total of 1,928 individuals participated in the survey, of which 33.0% were males. About half of the participants were aged 25–34 years (53.2%), and about two-thirds had attended at least secondary level of education (63.9%). Overall, 14.2% of the participants (5.1% of males, and 18.6% of females) were obese. Significant factors associated with obesity were sex, age, education, cigarette smoking and blood pressure. Male participants were 55% (AOR = 0.45; 95% CI [0.29, 0.69]) less likely to be obese compared to female participants. Compared to participants who were of age 45 years or older, participants of age 25–34 years were 61% (AOR = 0.39 (95% CI [0.23, 0.67]) less likely to be obese. Compared to participants who attained college or university level of education, participants who had no formal education were 63% (AOR = 0.37; 95% CI [0.15, 0.91]) less likely to be obese; and participants who had attained secondary level of education were 2.22 (95% CI [1.21, 4.07]) times more likely to be obese. Participants who smoked cigarettes were 67% (AOR = 0.33; 95% CI [0.12, 0.95]) less likely to be obese compared to participants who did not smoke cigarettes. Compared to participants who had severe hypertension, participants who had moderate hypertension were 3.46 (95% CI [1.34, 8.95]) times more likely to be obese.ConclusionsThe findings from this study indicate that Zambian women are more at risk of being obese. Prevention and control measures are needed to address high prevalence and gender inequalities in risks for non-communicable diseases in Zambia. Such measures should include policies that support gender specific approaches for the promotion of health behavior changes.

Introduction: Climate change may worsen existing indoor air problems and create new problems by altering outdoor conditions that affect indoor conditions. Since climate change is due to both natural variability and human-induced contributions, public health professionals through their expertise in health promotion and behavior change can play a vital role in promoting lifestyle choices that will decrease greenhouse gas emissions. This study, therefore, aims at presenting the health effects of indoor air pollutants from biomass use. Methods: A cross sectional study involving 1,170 consenting women was conducted in Masaiti and Ndola districts of Zambia. Data collection tools included a structured questionnaire; foobot (indoor air quality monitoring device) and spirometer (lung function test device). Data was analyzed using SPSS version 16 and analyses were done at Univariate, bivariate and multivariate level at 5% statistical significant level. Results: Population using biomass as cooking fuel was 69.2%. Indoor particulate (PM2.5) overall median (Q1, Q2) distribution during cooking period was 501(411, 686) μg/m3 and daily average was 393(303,578) μg/m3 while VOC daily average was 343(320, 363) ppb. The proportion of women with respiratory symptoms and impaired lung functions was higher in households with high levels of indoor pollutants. There was a statistically significant association between mean indoor particulate concentration levels and the number of maternal respiratory symptoms. There was a significant association between indoor VOC and forced vital capacity (p=0.011). Conclusion: The results contribute to the growing evidence regarding the effect of biomass use on indoor air quality and consequent adverse respiratory health outcomes.

Background:North-Western and Western provinces of Zambia were reclassified as low-risk areas for yellow fever (YF). However, the current potential for YF transmission in these areas is unclear.Aims:To determine the current potential risk of YF infection.Setting and Design:A cross sectional study was conducted in North-Western and Western provinces of Zambia.Materials and Methods:Samples were tested for both YF virus-specific IgG and IgM antibodies by the ELISA and YF virus confirmation was done using Plaque Reduction Neutralization Test. The samples were also tested for IgG and IgM antibodies against other flaviviruses.Results:Out of the 3625 respondents who participated in the survey, 46.7% were males and 9.4% were aged less than 5 years. Overall, 58.1% of the participants slept under an impregnated insecticide-treated net and 20.6% reported indoor residual spraying of insecticides. A total of 616 (17.0%) samples were presumptive YF positive. The prevalence for YF was 0.3% for long-term infection and 0.2% for recent YF infection. None of the YF confirmed cases had received YF vaccine. Prevalence rates for other flaviviruses were 149 (4.1%) for Dengue, 370 (10.2%) for West Nile and 217 (6.0%) for Zika.Conclusion:There is evidence of past and recent infection of YF in both provinces. Hence, they are at a low risk for YF infection. Yellow fever vaccination should be included in the EPI program in the two provinces and strengthen surveillance with laboratory confirmation.