Global warming has become one of the major challenges in maintaining global food security. This paper reviews the impacts of climate change on fourteen strategic crops for eight sub-Saharan Africa countries. Climate change is projected to increase median temperature by 1.4-5.5°C and median precipitation by −2% to 20% by the end of the 21st century. However, large levels of uncertainty exist with temporal and spatial variability of rainfall events. The impact of climate change on crop yields in the region is largely negative. Among the grain crops, wheat is reported as the most vulnerable crop, for which up to 72% of the current yield is projected to decline. For other grain crops, such as maize, rice and soybean, up to 45% yield reductions are expected by the end of this century. Two grain crops, millet and sorghum, are more resilient to climate change for which projected impacts on crop yields are <20%. Root crops, such as sweet potato, potato and cassava are projected to be less affected than the grain crops with changes to crop yields ranging from about −15% to 10%. For the two major export crops, tea and coffee, up to 40% yield loss is expected due to the reduction in suitable areas caused by temperature increase. Similar loss of suitable areas is also expected for banana and sugarcane production, however, this reduction is due to rainfall variability in lowland areas. Other crops such as cotton and sugarcane are projected to be more susceptible to precipitation variation that will vary signifi cantly in the region. In order to mitigate the long-term impacts of climate change on agricultural sectors, the development of small-scale irrigation systems and water harvesting structures seems promising, however, affordability of such measures remains a key issue. 111
Middle Eastern respiratory syndrome, an emerging viral infection with a global case fatality rate of 35.5%, caused major outbreaks first in 2012 and 2015, though new cases are continuously reported around the world. Transmission is believed to mainly occur in healthcare settings through aerosolized particles. This study uses Quantitative Microbial Risk Assessment to develop a generalizable model that can assist with interpreting reported outbreak data or predict risk of infection with or without the recommended strategies. The exposure scenario includes a single index patient emitting virus-containing aerosols into the air by coughing, leading to short-and long-range airborne exposures for other patients in the same room, nurses, healthcare workers, and family visitors. Aerosol transport modeling was coupled with Monte Carlo simulation to evaluate the risk of MERS illness for the exposed population. Results from a typical scenario show the daily mean risk of infection to be the highest for the nurses and healthcare workers (8.49 × 10 −4 and 7.91 × 10 −4 , respectively), and the lowest for family visitors and patients staying in the same room (3.12 × 10 −4 and 1.29 × 10 −4 , respectively). Sensitivity analysis indicates that more than 90% of the uncertainty in the risk characterization is due to the viral concentration in saliva. Assessment of risk interventions showed that respiratory masks were found to have a greater effect in reducing the risks for all the groups evaluated (>90% risk reduction), while increasing the air exchange was effective for the other patients in the same room only (up to 58% risk reduction).
In order to determine the relationship between an exposure dose of Staphylococcus aureus (S. aureus) on the skin and the risk of infection, an understanding of the bacterial growth and decay kinetics is very important. Models are essential tools for understanding and predicting bacterial kinetics and are necessary to predict the dose of organisms post-exposure that results in a skin infection. One of the challenges in modeling bacterial kinetics is the estimation of model parameters, which can be addressed using an inverse problem approach. The objective of this study is to construct a microbial kinetic model of S. aureus on human skin and use the model to predict concentrations of S. aureus that result in human infection. In order to model the growth and decay of S. aureus on skin, a Gompertz inactivation model was coupled with a Gompertz growth model. A series of analyses, including ordinary least squares regression, scaled sensitivity coefficient analysis, residual analysis, and parameter correlation analysis were conducted to estimate the parameters and to describe the model uncertainty. Based on these analyses, the proposed model parameters were estimated with high accuracy. The model was then used to develop a new dose-response model for S. aureus using the exponential dose-response model. The new S. aureus model has an optimized k parameter equivalent to 8.05 × 10 −8 with 95 th percentile confidence intervals between 6.46 × 10 −8 and 1.00 × 10 −7 . their nose persistently, while another 20% to 30% carry intermittently [14]. The typical transmission route of S. aureus is from the nose to the hand of a person [15], then to a surface (e.g., a door knob), and/or via the hand to the nose of a second person [16,17]. Activities involving close physical contact and the risk of minor injuries are positively correlated with S. aureus spread and acquisition [18]. Even a brief contact of fingers with a S. aureus contaminated surface may cause the transfer of a large amount of organisms resulting in a potential infection hazard [19]. The transfer rate is higher from moist contaminated surfaces than dry surfaces [20,21].S. aureus can survive on dry surfaces between 2 and 4 days, and then can be easily transferred to hands and foods [22]. Other experiments showed more than a day of survival in hospital fabrics (cotton, terry, blend, and polyester) to over 90 days of survival in polyethylene [23]. These long survival times indicate a potential high risk of transmission of S. aureus through the surface-to-hand pathway. Once S. aureus is in the human body, it is believed to form biofilms, which makes the pathogen less vulnerable to host immune responses and allows them to cause colonization and local infections [14].S. aureus is an opportunistic pathogen and does not usually pose a fatal risk to humans even if it colonizes human mucosa or skin [14]. However, in some cases, S. aureus can cause severe or fatal infections. S. aureus infections progress in five stages: colonization, local infection, systematic dissemination, me...
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