Browsing by Author "Bumbangi, Flavien N."

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A Deterministic Risk Assessment of the Human Exposure to Cadmium, Lead and Chromium Through the Consumption of Well and Bottled Water in Lusaka District, Zambia
(2023-2-28) Banda, Mkuzi; Muma, John B.; Bumbangi, Flavien N.; M'kandawire, Ethel; Mukuma, Mercy; Munyeme, Musso; Musawa, Grace; Ndaki, Enock M; Benhard, Vistorina; Mumba, Chisoni
The United Nations Sustainable Development Goal number six is to ‘Ensure availability and sustainable management of water and sanitation for all, which is an essential component for human survival. Access to safe drinking water is essential for health, a basic human right and a component of effective policy for health protection. Safe drinking water implies that the water does not represent any significant risk to health over a lifetime of consumption, including different sensitivities that may occur between life stages. However, water is prone to contamination with heavy metals through natural and anthropogenic sources, making it unsuitable for human consumption due to the cumulative potential risks associated with the presence of heavy metals. This study was conducted to assess the non-carcinogenic and carcinogenic risk of human exposure to cadmium, lead and chromium through the consumption of well and bottled water in Lusaka district of Zambia. Secondary data was used to determine the mean concentrations of heavy metals in well and bottled water in Lusaka district as well as to calculate the hazard index (non-carcinogenic risk) and cancer risk for the metals under study. The results revealed that a hazard index for cadmium, lead and chromium in both well and bottled water was higher than 1, indicating adverse effects on human health over a lifetime of consumption. Similarly, the total cancer risk through exposure to cadmium and chromium in well and bottled water was 1.2 x 10-1 and 2.25 x 10-1, respectively, higher than the safe threshold limit set by the United States Environmental Protection Agency (USEPA) of 1 × 10−4. The study concludes that there is a possible non-carcinogenic risk of exposure to cadmium, lead and chromium through the consumption of well and bottled water in Lusaka district. Further, the study concludes that there is a possible carcinogenic risk of exposure to cadmium and chromium through the consumption of both well and bottled water. Owing to the proportion of both well and bottled water samples that exceeded the Zambia Bureau of Standards threshold limit, cadmium poses the greatest concern and requires intervention to reduce exposure. Therefore, it is recommended that heavy metal concentrations in drinking water should be periodically monitored to minimize health risks to consumers.
Drivers of antimicrobial resistance in layer poultry farming: Evidence from high prevalence of multidrug-resistant
(2023-Sep) Mudenda, Steward; Bumbangi, Flavien N.; Yamba, Kaunda; Munyeme, Musso; Malama, Sydney; Mukosha, Moses; Hadunka, Mwendalubi A.; Daka, Victor; Matafwali, Scott K.; Siluchali, Godfrey; Mainda, Geoffrey; Mukuma, Mercy; Hang'ombe, Bernard M.; Muma, John B.
BACKGROUND AND AIM: Inappropriate use of antimicrobials exacerbates antimicrobial resistance (AMR) in the poultry sector. Information on factors driving AMR in the layer poultry sector is scarce in Zambia. This study examined the drivers of AMR in the layer poultry sector in the Lusaka and Copperbelt Provinces of Zambia. MATERIALS AND METHODS: This cross-sectional study employed a structured questionnaire in 77 layer poultry farms in the provinces of Lusaka and Copperbelt, Zambia, from September 2020 to April 2021. Data analysis was conducted using Stata version 16.1. Antimicrobial resistance was defined as the presence of multidrug resistance (MDR) isolates. Multivariable regression analysis was used to identify drivers of AMR. RESULTS: In total, 365 samples were collected, from which 339 (92.9%) CONCLUSION: This study found a high prevalence of AMR in layer poultry farming linked to the type of farm management practices and lack of AMR awareness. Evidence of high MDR in our study is of public health concern and requires urgent attention. Educational interventions must increase AMR awareness, especially among small- and medium-scale poultry farmers.
Ecological Niche Modeling of Aedes and Culex Mosquitoes: A Risk Map for Chikungunya and West Nile Viruses in Zambia
(2023-Sep-08) Velu, Rachel M.; Kwenda, Geoffrey; Bosomprah, Samuel; Chisola, Moses N.; Simunyandi, Michelo; Chisenga, Caroline C.; Bumbangi, Flavien N.; Sande, Nicholus C.; Simubali, Limonty; Mburu, Monicah M.; Tembo, John; Bates, Matthew; Simuunza, Martin C.; Chilengi, Roma; Orba, Yasuko; Sawa, Hirofumi ; Simulundu, Edgar
The circulation of both West Nile Virus (WNV) and Chikungunya Virus (CHIKV) in humans and animals, coupled with a favorable tropical climate for mosquito proliferation in Zambia, call for the need for a better understanding of the ecological and epidemiological factors that govern their transmission dynamics in this region. This study aimed to examine the contribution of climatic variables to the distribution of
Factors Associated with Occurrence of Antibiotic Resistance in Broiler Chickens in Selected Districts, Zambia
(2025-1-3) Mirisho, Robert; Mukuma, Mercy; Mainda, Geoffrey; Bumbangi, Flavien N.; Mudenda, Steward; Silwamba, Isaac; Phiri, Nelson; Muonga, Elizabeth M.; Mwansa, Mwaba; Munyeme, Musso; M’kandawire, Ethel; Muma, John B.
A cross-sectional study was conducted in five districts of Zambia. The study aimed to investigate the risk factors associated with antimicrobial resistance (AMR) in broiler chickens in Zambia. A total of 109 broiler farms were included in the study, of which 104 were small-scale farms, two were medium-scale, and three were commercial-scale. A semi-structured questionnaire was administered alongside the collection of cloacal swabs and litter samples to determine the risk factors associated with the occurrence of AMR of food pathogen microorganisms on the selected broiler farms. Data collected was analysed using STATA version 12. The broiler farm-level AMR prevalence was 84.4% (n= 109). Gender, marital status, administration of drugs by veterinary personnel or the farmer and the poultry house drainage destination were among the predictors of AMR on broiler chicken farms. The high prevalence of AMR in broiler chicken farms suggests a high dependence on antimicrobials in poultry production in Zambia. In addition, socio-demographics such as gender and age, as well as farm characteristics and management practices, may primarily contribute to the high prevalence of antibiotic resistance. This study has demonstrated the association between the AMR of foodborne pathogens and the risk factors for AMR during poultry production. It is, therefore, necessary for risk management measures such as biosecurity to be put in place to target the identified AMR predictor variables. There is also a need to strengthen AMR surveillance to ensure intervention strategies are appropriate to the existing risk.
Prevalence and predictors of virological failure in pediatric patients on HAART in sub-Saharan Africa: a systematic review and meta-analysis.
(2023) Machila, Nchimunya; Libonda, Liyali ; Habineza, Paul; Velu, Rachel M.; Kamboyi, Harvey K.; Ndhlovu, Jacob; Wamunyima, Inonge; Sinadambwe, Monahani M.; Mudenda, Steward; Zyambo, Cosmas; Bumbangi, Flavien N.
Antiretroviral treatment failure has emerged as a challenge in the management of pediatric human immunodeficiency virus (HIV) patients, especially in resource-limited countries despite accessibility to Highly Active Antiretroviral Therapy (HAART). A systematic review and meta-analysis was conducted to synthesize virological failure (VF) prevalence and ascertain its predictors in children in sub-Saharan Africa. An electronic database search strategy was conducted from January to September 2021 on PubMed, EMBASE, SCOPUS, HINARI, and CINAHL. Further, manual searching was conducted on non-indexed journals. Utilizing the JASP© version 0.17.2 (2023) statistical software, a meta-analysis of pooled prevalence of VF was estimated using the standardized mean differences. Further, selection models were used to assess the risk of bias and heterogeneity. The pooled odds ratios were estimated for the respective studies reporting on predictors of VF. The overall pooled estimate of the prevalence of VF in sub-Saharan Africa among the sampled population was 29% (95% CI: 27.0-32.0; p<0.001). Predictors of VF were drug resistance (OR: 1.68; 95% CI: 0.88-2.49; p < 0.001), poor adherence (OR: 5.35; 95% CI: 5.26-5.45; p < 0.001), nevirapine (NVP)-based regimen (OR: 5.11; 95% CI: 4.66-5.56; p < 0.001), non-usage of cotrimoxazole prophylaxis (OR: 4.30; 95% CI: 4.13-4.47; p < 0.001), higher viral load at the initiation of antiretroviral therapy (ART) (OR: 244.32; 95% CI: 244.2-244.47; p <0.001), exposure to the prevention of mother to child transmission (PMTCT) (OR: 8.02; 95%CI: 7.58-8.46; p < 0.001), increased age/older age (OR: 3.37; 95% CI: 2.70-4.04; p < 0.001), advanced World Health Organization (WHO) stage (OR: 6.57; 95% CI: 6.17-6.98; p < 0.001), not having both parents as primary caregivers (OR: 3.01; 95% CI: 2.50-3.53; p < 0.001), and tuberclosis (TB) treatment (OR: 4.22; 95% CI: 3.68-4.76; p <0.001). The mean VF prevalence documented is at variance with studies in other developing countries outside the sub-Saharan region. The high prevalence of HIV cases contrasting with the limited expertise in the management of pediatric ART patients could explain this variance.