Diseases In Zambia Research Articles

"Construction Chemical Irritant Exposure Controls in Relation to Prevalence of Symptoms of Skin Diseases in Zambia"

"Construction Chemical Irritant Exposure Controls in Relation to Prevalence of Symptoms of Skin Diseases in Zambia"

Comparative analysis of tick burden, diversity, and distribution in intensively managed wildlife estates with and without prescribed burning

The connection between ticks and zoonotic diseases in Zambia remains unclear due to limited data on tick distribution in private game reserves. This study examines tick control in three ex-situ game reserves across different agro-ecological regions, Lanagani game ranch in the Chibombo district, Chaminuka game ranch in the Lusaka district, and Choma game ranch in the Choma district. The current study evaluated the burden and diversity of ticks across three different management systems concerning the use of fire as a tick control and management tool. A descriptive cross-sectional study collected 267 ticks from 36 transects across three game ranches in Central, Lusaka, and Southern provinces. These ticks were morphologically identified using the existing taxonomic keys and Olympus DF Plapo 1×4 SN5G 08128 stereomicroscope at the University of Zambia, School of Veterinary Medicine, parasitology laboratory. The Analysis of Variance (ANOVA) was used to compare means between categories and correlation coefficient to determine the strength of the relationship. The collected species included 11 Rhipicephalus species, n=6, (Rhipicephalus appendiculatus, Rhipicephalus evertsi, Rhipicephalus microplus, Rhipicephalus decoloratus, Rhipicephalus sanguineus, Rhipicephalus pulcherus, Rhipicephalus zambeziensis); Amblyomma species n=2, (Amblyomma variagatum, Amblyomma poposum), and Hyalomma species n=2 (Hyalomma Rufipes and Hyalomma truncatum). The most common species were R. evertsi (19.4 %), Amblyomma variagatum 14%, Hyalomma truncatum 11%. Significantly higher (p < 0.05) species diversity and burden were observed in the no-burn management system, whilst no significant differences (p > 0.05) were observed between late and early burning systems. These findings have unveiled, for the first time in Zambia, that employing fire as a management tool substantially reduces both tick diversity and burden in enclosed ex-situ conservancy areas. Regular prescribed burning, regardless of the burning regime, was found to remarkably reduce tick populations in game ranches, particularly in the early burning management system. These findings hold promising implications for ecological public health. Considering this, fire as a management tool effectively reduces tick diversity and burden in closed ex-situ conservancy areas. These findings have far-reaching policy implications when it comes to tick control systems that a government may wish to implement.

Epidemiological Tools in Focus: A Comprehensive Assessment of Their Role in Addressing Infectious Disease Challenges in Zambia

In the relentless pursuit of mitigating infectious diseases, this investigative study critically examines the nuanced application and effectiveness of epidemiological tools within the context of Zambia. The study meticulously navigates the landscape of infectious diseases in Zambia, considering its unique ecological and socio-economic features. Employing a rigorous methodology that integrates primary data from epidemiological reports, field observations, and laboratory analyses with insights from diverse scientific literature, the study investigates the types and applications of epidemiological tools such as spatial analysis, case-control studies, molecular epidemiology, and serological assays. Unfolding the challenges posed by resource constraints, data reliability issues, and the dynamic nature of infectious diseases in Zambia, the study offers a comprehensive assessment that extends to the implications of these tools for informed public health decision-making. This scholarly inquiry concludes by affirming the significance of ongoing refinement and adaptation of epidemiological tools, emphasizing their pivotal role in addressing infectious disease challenges within Zambia and advocating for their continued enhancement on the global public health stage.

Current knowledge of vector-borne zoonotic pathogens in Zambia: A clarion call to scaling-up "One Health" research in the wake of emerging and re-emerging infectious diseases.

Although vector-borne zoonotic diseases are a major public health threat globally, they are usually neglected, especially among resource-constrained countries, including those in sub-Saharan Africa. This scoping review examined the current knowledge and identified research gaps of vector-borne zoonotic pathogens in Zambia. Major scientific databases (Web of Science, PubMed, Scopus, Google Scholar, CABI, Scientific Information Database (SID)) were searched for articles describing vector-borne (mosquitoes, ticks, fleas and tsetse flies) zoonotic pathogens in Zambia. Several mosquito-borne arboviruses have been reported including Yellow fever, Ntaya, Mayaro, Dengue, Zika, West Nile, Chikungunya, Sindbis, and Rift Valley fever viruses. Flea-borne zoonotic pathogens reported include Yersinia pestis and Rickettsia felis. Trypanosoma sp. was the only tsetse fly-borne pathogen identified. Further, tick-borne zoonotic pathogens reported included Crimean-Congo Haemorrhagic fever virus, Rickettsia sp., Anaplasma sp., Ehrlichia sp., Borrelia sp., and Coxiella burnetii. This study revealed the presence of many vector-borne zoonotic pathogens circulating in vectors and animals in Zambia. Though reports of human clinical cases were limited, several serological studies provided considerable evidence of zoonotic transmission of vector-borne pathogens in humans. However, the disease burden in humans attributable to vector-borne zoonotic infections could not be ascertained from the available reports and this precludes the formulation of national policies that could help in the control and mitigation of the impact of these diseases in Zambia. Therefore, there is an urgent need to scale-up "One Health" research in emerging and re-emerging infectious diseases to enable the country to prepare for future epidemics, including pandemics.

Policy and Linkages in the Application of a One Health System for Reporting and Controlling African Trypanosomiasis and Other Zoonotic Diseases in Zambia.

The capacity to detect, control and manage emerging and re-emerging zoonotic diseases in Africa has been limited by a lack of utilisation of available reporting structures and policies to support programmes at national and local levels. This study explored the impact of the Zambian government policies on animal and human disease reporting and management and on One Health opportunities. An in-depth review and analysis of strengths, weaknesses, opportunities, and threats in the existing policies and reporting structures in the departments responsible for Veterinary Services, Health, and Wildlife, was conducted. According to our findings, sub-optimal implementation of existing policies related to the control of zoonotic diseases was impacting disease reporting, and reporting structures play an important role in effective and sustainable reporting of zoonotic diseases. Further, the study explored capacities and strategies in trypanosomiasis control as a case study that could prompt effective adoption of a One Health approach, and as such, the study suggests measures that could help to assess the performance of a One Health system in the control of African trypanosomiasis and other zoonotic diseases.

Seropositivity rates of zoonotic pathogens in small ruminants and associated public health risks at informal urban markets in Zambia

Informal livestock markets are an important source of animal-derived proteins for growing urban populations in countries such as Zambia. In parallel, they can also constitute pathways of zoonotic pathogen transmission to humans. This risk is aggravated by limited disease monitoring and poor control systems with regards to biosecurity and public health. The aim of this study was to investigate the risks for spread of zoonotic diseases in Zambia's two largest informal small ruminant markets, located in Lusaka and Kasumbalesa, through combining seroepidemiology with interviews and observations. In April, May and September 2018, serum samples (n = 237) were collected and analysed for antibodies for the zoonotic pathogens Brucella spp., Coxiella (C.) burnetii and Rift Valley fever virus (RVFV), using commercially available enzyme linked immunosorbent assays (ELISA). In addition, slaughterhouse activities were observed and semi-structured interviews and focus group discussions held with slaughterhouse workers and small ruminant traders, focusing on the handling of animals and meat, and the perceptions of zoonotic disease risks at slaughter and consumption. The study found seropositivity rates of 10.1% (95% confidence interval [CI] 6.60–14.7) for Brucella spp., 5.9% (95% CI 3.27–9.71) for C. burnetii, and 0.8% (95% CI 0.10–3.01) for RVFV. Interviews with value chain members and observations at the slaughterhouse revealed unsanitary procedures and multiple occupational hazards for slaughterhouse workers. This study showed that the Zambian informal small ruminant trade system poses risks to public health, and that these risks are exacerbated by a lack of information about food-borne diseases and how associated risks can be mitigated amongst value chain actors. The results of this study can be used to formulate preventive measures to improve informal meat markets and reduce the risks to public health.

Scale-up Zinc Sulphate Use for Management of Childhood Diarrheal Diseases in Zambia Through Community Health Workers and Women’s Support Groups

Scale-up Zinc Sulphate Use for Management of Childhood Diarrheal Diseases in Zambia Through Community Health Workers and Women’s Support Groups

Breastfeeding and common childhood diseases in Zambia: does breastfeeding have a protective effect against diarrhea, fever and acute respiratory infections among children in Zambia?

Background: This paper aimed at answering two specific questions: does breastfeeding reduce the occurrence of ARIs, Fever and Diarrhea in children who are breastfeeding; and is the occurrence of these common childhood diseases affected by duration (period) of breastfeeding? Data source and Method: Secondary analysis of the 2013 Zambia Demographic and Health Survey (ZDHS) was applied by using the children recode dataset (ZMKR61FL). Analysis was done at three levels: Descriptive, bivariate and multivariate (Binary and Multinomial Logistics regressions). Results: Results in this paper show that breastfeeding does not protect children against Diarrhea (OR 1.3; 1.1-1.4) but does so against Fever and ARIs (OR 0.9; 0.8-1.0). Children whose mothers were employed were more likely to suffer from all the three disease outcomes compared to those not employed (OR Diarrhea 1.2; Fever 1.5; ARIs 1.2). Conclusion: Diarrhea seems to be more pronounced in children who are breastfeeding than those not breastfeeding, especially those breastfed beyond 6 months.

Responding to non-communicable diseases in Zambia: a policy analysis

BackgroundNon-communicable diseases (NCDs) are an emerging global health concern. Reports have shown that, in Zambia, NCDs are also an emerging problem and the government has begun initiating a policy response. The present study explores the policy response to NCDs by the Ministry of Health in Zambia using the policy triangle framework of Walt and Gilson.MethodsA qualitative approach was used for the study. Data collected through key informant interviews with stakeholders who were involved in the NCD health policy development process as well as review of key planning and policy documents were analysed using thematic analysis.ResultsThe government’s policy response was as a result of international strategies from WHO, evidence of increasing disease burden from NCDs and pressure from interest groups. The government developed the NCD strategic plan based on the WHO Global Action Plan for NCDs 2013–2030. Development of the NCD strategic plan was driven by the government through the Ministry of Health, who set the agenda and adopted the final document. Stakeholders participated in the fine tuning of the draft document from the Ministry of Health. The policy development process was lengthy and this affected consistency in composition of the stakeholders and policy development momentum. Lack of representative research evidence for some prioritised NCDs and use of generic targets and indicators resulted in the NCD strategic plan being inadequate for the Zambian context. The interventions in the strategic plan also underutilised the potential of preventing NCDs through health education. Recent government pronouncements were also seen to be conflicting the risk factor reduction strategies outlined in the NCD strategic plan.ConclusionThe content of the NCD strategic plan inadequately covered all the major NCDs in Zambia. Although contextual factors like international strategies and commitments are crucial catalysts to policy development, there is need for domestication of international guidelines and frameworks to match the disease burden, resources and capacities in the local context if policy measures are to be comprehensive, relevant and measurable. Such domestication should be guided by representative local research evidence.

The prevalence of HIV among adults with pulmonary TB at a population level in Zambia

BackgroundTuberculosis and HIV co-infection is one of the main drivers of poor outcome for both diseases in Zambia. HIV infection has been found to predict TB infection/disease and TB has been reported as a major cause of death among individuals with HIV. Improving case detection of TB/HIV co-infection has the potential to lead to early treatment of both conditions and can impact positively on treatment outcomes. This study was conducted in order to determine the HIV prevalence among adults with tuberculosis in a national prevalence survey setting in Zambia, 2013–2014.MethodsA countrywide cross sectional survey was conducted in 2013/2014 using stratified cluster sampling, proportional to population size for rural and urban populations. Each of the 66 countrywide clusters represented one census supervisory area with cluster size averaging 825 individuals. Socio-demographic characteristics were collected during a household visit by trained survey staff. A standard symptom-screening questionnaire was administered to 46,099 eligible individuals across all clusters, followed by chest x-ray reading for all eligible. Those symptomatic or with x-ray abnormalities were confirmed or ruled out as TB case by either liquid culture or Xpert MTBRif performed at the three central reference laboratories. HIV testing was offered to all participants at the survey site following the national testing algorithm with rapid tests. The prevalence was expressed as the proportion of HIV among TB cases with 95% confidence limits.ResultsA total of 265/6123 (4.3%) participants were confirmed of having tuberculosis. Thirty-six of 151 TB survey cases who accepted HIV testing were HIV-seropositive (23.8%; 95% CI 17.2–31.4). The mean age of the TB/HIV cases was 37.6 years (range 24–70). The majority of the TB/HIV cases had some chest x-ray abnormality (88.9%); were smear positive (50.0%), and/or had a positive culture result (94.4%). None of the 36 detected TB/HIV cases were already on TB treatment, and 5/36 (13.9%) had a previous history of TB treatment. The proportion of TB/HIV was higher in urban than in the rural clusters. The HIV status was unknown for 114/265 (43.0%) of the TB cases.ConclusionsThe TB/HIV prevalence in the general population was found to be lower than what is routinely reported as incident TB/HIV cases at facility level. However; the TB/HIV co-infection was higher in areas with higher TB prevalence. Innovative and effective strategies for ensuring TB/HIV co-infected individuals are detected and treated early are required.

Prevalence and correlates of obesity among Lusaka residents, Zambia: a population-based survey

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.

Bacteria isolations from broiler and layer chicks in zambia.

Chick mortality (CM) is one of the major constraints to the expansion of the poultry industry in Zambia. Of the 2,829 avian disease cases submitted to the national diagnostic laboratory based at the Central Veterinary Research Institute in Lusaka between 1995 and 2007, 34.39% (973/2,829) were from CM cases. The disease accounted for 40.2% (218,787/544,903) mortality in the affected flocks with 89.6% (196,112/218,787) of the affected birds dying within seven days. Major bacteria species involved were Escherichia coli, Salmonella gallinarum, and Proteus species being isolated from 84.58%, 46.15%, and 26.93% of the reported CM cases (n = 973), respectively. Detection of Salmonella typhimurium, Salmonella enteritidis, and Salmonella dublin indicates that poultry has the potential of transmitting zoonotic pathogenic bacteria to humans. The proportion of Salmonella gallinarum reactors in the adult breeding stock was generally low (<0.5%) throughout the study period although its prevalence in CM cases was correlated (r = 0.68, P < 0.011) with seroprevalence of the same pathogen in the adult breeding stock. Given that the disease accounts for a large proportion of the avian diseases in Zambia as shown in the present study (34.39%, n = 2,829), it is imperative that an effective disease control strategy aimed at reducing its occurrence should be developed.

Epidemiological analysis of tick-borne diseases in Zambia

Tick-borne diseases are a constraint to livestock production in many developing countries as they cause high morbidity and mortality, which results in decreased production of meat, milk and other livestock by-products. The most important tick-borne diseases of livestock in sub-Saharan Africa are East Coast fever (caused by Theileria parva), babesiosis (caused by Babesia bigemina and B. bovis), anaplasmosis (caused by Anaplasma marginale) and heartwater (caused by Ehrlichia ruminantium). Despite their economic importance, information on the epidemiology of these diseases in many countries, including Zambia, is often inadequate, making rational disease control strategies difficult to implement. In this study 18S and 16S rRNA gene PCR assays were used for a comprehensive epidemiological analysis of tick-borne disease of cattle in three provinces of Zambia (Lusaka, Central and Eastern). All the disease pathogens under study (T. parva, T. mutans, T. taurotragi, B. bovis, B. bigemina, Anaplasma spp and E. ruminantium) were prevalent in each of the provinces surveyed. However, variation was observed in prevalence between regions and seasons. There was no association between live vaccination against East Coast fever and being PCR positive for T. parva. A number of risk factors were shown to be associated with (a) the occurrence of tick-borne pathogens in cattle and (b) cattle tick burdens in the wet season. A negative association was observed between the number of co-infecting pathogens and the erythrocyte packed cell volume (PCV) of carrier cattle.

Plantation forestry diseases in Zambia: Contributing factors and management options

• Plantation forestry in Zambia is based mainly on non-native Eucalyptus and Pinus species and constitutes an important component of the country's economy. The productivity of these plantations is, however, threatened by several factors, including fungal pathogens that reduce timber quality and cause tree mortality.• In this paper we present a review of diseases affecting plantation forestry and highlight factors that may favour their development and severity in the country.• Plantation health management in the country is seriously hampered by a general lack of information on pests and diseases affecting these plantations. In this regard, most research has been done more than 30 years ago, and very few pathogens have been identified to species level using modern identification techniques.• Recent surveys identified several previously unknown diseases of Eucalyptus spp. in the country, emphasizing the importance of renewed research on this topic. The impact of diseases associated with these pathogens has been exacerbated by poor plantation management, insufficient financial resources and lack of human capacity to deal with them.• Successful plantation management in Zambia will require increased and improved training of foresters regarding tree health issues, more effective quarantine, silvicultural practices, and importantly, the establishment of sound breeding and selection programmes. These will require considerable commitment from Government, commercial companies and research and educational organizations in the country.

Isolation of non-tuberculous mycobacteria at three rural settings in Zambia; a pilot study

To assess the role of non-tuberculous mycobacteria (NTM) as a cause of tuberculosis-like diseases in Zambia, 167 chronically ill patients, hospitalized in three rural hospitals in Katete, Sesheke and Chilonga, were examined by microscopy and liquid culture for the presence of NTM. The percentages of patients with a positive culture for Mycobacterium tuberculosis complex were similar in the three geographical locations (19-25%). In contrast, the percentage of NTM ranged from 78% in Katete and 65% in Sesheke to 21% in Chilonga. Furthermore, the distribution of NTM species was different at the three geographical sites. In seven patients, true NTM-associated disease was suspected: five with Mycobacterium lentiflavum and two with Mycobacterium intracellulare. Analysis of possible risk factors indicated that the OR for NTM culture-positive sputum was significantly higher for patients living in Katete and Sesheke. Female gender and chest X-ray appearances of tuberculosis were independently associated with NTM culture-positive sputum. NTM colonization and disease in hospitalized, chronically ill patients in rural Zambia appear to be common.

Nontuberculous Mycobacteria, Zambia

Clinical relevance of nontuberculous mycobacteria (NTM) isolated from 180 chronically ill patients and 385 healthy controls in Zambia was evaluated to examine the contribution of these isolates to tuberculosis (TB)-like disease. The proportion of NTM-positive sputum samples was significantly higher in the patient group than in controls; 11% and 6%, respectively (p<0.05). NTM-associated lung disease was diagnosed for 1 patient, and a probable diagnosis was made for 3 patients. NTM-positive patients and controls were more likely to report vomiting and diarrhea and were more frequently underweight than the NTM-negative patients and controls. Chest radiographs of NTM-positive patients showed deviations consistent with TB more frequently than those of controls. The most frequently isolated NTM was Mycobacterium avium complex. Multiple, not previously identified mycobacteria (55 of 171 NTM) were isolated from both groups. NTM probably play an important role in the etiology of TB-like diseases in Zambia.

Harmful lifestyles' clustering among sexually active in-school adolescents in Zambia

BackgroundHIV is a leading cause of morbidity and mortality in Zambia. Like many other African nations with high HIV burden, heterosexual intercourse is the commonest mode of HIV spread. The estimation of prevalence and factors associated with sexual intercourse among in-school adolescents has potential to inform public health interventions aimed at reducing the burden of sex-related diseases in Zambia.MethodsWe carried out secondary analysis of the Zambia Global School-Based Health Survey (GSHS) 2004; a cross sectional survey that aims to study health-related behaviors among in-school adolescents. We estimated frequencies of relevant socio-demographic variables. The associations between selected explanatory variables and self-reported history of sexual intercourse within the last 12 months were assessed using logistic regression analysis.ResultsData from 2136 in-school adolescents who participated in the Zambia Global School-Based Health Survey of 2004 were available for analysis. Out of these respondents, 13.4% reported that they had sexual intercourse in the past 12 months prior to the survey; 16.4% and 9.7% among males and females respectively. In multivariable logistic regression analysis, with age less than 15 years as the referent the adjusted odds ratio (AOR) of having engaged in sexual intercourse in adolescents of age 15 years, and those aged 16 years or more were 1.06 (95% CI 1.03–1.10) and 1.74 (95% 1.70–1.79) respectively. Compared to adolescents who had no close friends, adolescents who had one close friend were more likely to have had sexual intercourse, AOR = 1.28 (95% CI 1.24–1.32). Compared to adolescents who were not supervised by their parents, adolescents who were rarely or sometimes supervised by their parents were likely to have had sexual intercourse, and adolescents who were most of the time/always supervised by their parents were less likely to have had sexual intercourse; AORs 1.26 (95% CI 1.23–1.26) and 0.92 (95% CI 0.90–0.95) respectively. Compared to adolescents who did not smoke dagga, adolescents who smoked dagga 1 or 2 times, and those who smoked dagga 3 or more times in their lifetime were 70% and 25% more likely to have had sexual intercourse, respectively. Adolescents who drank alcohol in 1 or 2 days, and those who took alcohol in 3 or more days in a month preceding the survey were 12% and 9% more likely to have had sexual intercourse, respectively, compared to adolescents who did not drink alcohol in the 30 days prior to the survey. Furthermore, adolescents who had been drunk 1 or 2 times, and who had been drunk 3 or more times in a life time were 14% and 13% more likely to have had sexual intercourse compared to those who have never been drunk in their lifetime.ConclusionWe identified a constellation of potentially harmful behaviours among adolescents in Zambia. Public health interventions aimed at reducing prevalence of sexual intercourse may be designed and implemented in a broader sense having recognized that sexually active adolescents may also be exposed to other problem behaviours.

The current status of major tick borne diseases in Zambia.

Tick-borne diseases occurring in Zambia are assuming more importance as they continue to be a major economic problem not only in Zambia, but in many parts of Eastern, Southern and Central Africa. The current control methods, which include the use of toxic acaricides to kill ticks, and the virulent sporozoite infection and treatment method have limitations. Recombinant vaccines, currently in their experimental stages, offer hope for the future. The use of acaricides is hampered by the development of acaricide resistance and live vaccines are dependent on cold chain facilities, which are a formidable obstacle in the poorly developed infrastructure in parts of Zambia where the vaccine is most needed. Amidst these drawbacks are the results of the recent research on parasites and vector recombinant vaccines which promise to circumvent these problems. The history, current status and attitudes regarding the control of these diseases, taking into account their complexity, are reviewed. The establishment of the well-designed Central Veterinary Research Institute (CVRI) and Japanese International Cooperation Agency (JICA) sponsored veterinary school, both have a potential for high quality research, with access to a wealth of specimens a veritable goldmine of research material. It is thus hoped that this review will stimulate the desire to maximize the value of the tick and tick-borne disease research in both Zambia and the international research community.

Managing the water quality of the Kafue River

Most vital surface water bodies in developing countries are under serious threat of degradation resulting from constant discharge of polluted effluents stemming from industrial, agricultural, mining and domestic/sewage activities. The most affected river systems are those traversing cities and towns in urban areas. The Kafue River in Zambia is one such river system that is threatened with serious degradation and probable loss of biodiversity. Kafue River cuts across the country in a North–South direction, stretches for about 1576 km before draining into the Zambezi River. It covers an area of 152,000 km 2 and generates a mean annual runoff of 350 m 3/s which represents about 12% of the Zambezi’s mean annual runoff at the confluence [Water Resources Development and Vector-borne Diseases in Zambia: Report of a National Seminar held at Kafue Gorge, Zambia, WHO, Geneva, 1995]. The area coverage of the Kafue River Basin (KRB) is approximately 20% of Zambia’s land area (743,000 km 2) and approximately 17% of the Zambezi Basin [Water Resources Use in the Zambezi Basin: Proceedings of a Workshop held at Kasane, Botswana, IUCN, 1993]. More than half of Zambia’s population live in the KRB, of which about 65% are in urban while 35% are in rural areas. Over the years, however, the Kafue River has been receiving all sorts of pollutant and effluents from all sectors of economical development in Zambia that include mining, industrial and agricultural. The continuous discharge of pollutants into the Kafue river has led to the deterioration of the river water quality. The consequences have been heightened eutrophic conditions, increased heavy metal concentration in the river sediments and aquatic life, increased suspended solids, etc. leading to proliferation of Salvinia molesta in some sections of the river, decreased fish catch and fish size and objectionable taste of the Kafue River water. Fishermen along the Chanyanya–Kafue Gorge stretch of the Kafue River have complained about the alleged loss of taste and the decrease in both the fish catch and size in these areas of the Kafue River. The communities along the same stretch have also complained about the objectionable taste of the river water [Report of the Proceedings of the First Multi-sectoral Workshop on the Effects of Environmental Pollution and Degradation on the Kafue River Basin (KRB) on the Community in the Kafue Town Area, AREZ, 2001]. This paper reviews the water quality of the Kafue River resulting from anthropogenic activities and proposes the framework for the sustainable management of river water quality.

The pattern of surgical thyroid diseases in Zambia.

The pattern of surgical thyroid diseases in Zambia.