
News, Events and Blog Postings

Multi-Institutional Collaboration at its best
The Epidemiology Ecology and Social-Economics of Disease emergence in Nairobi (ESEI) project has hosted a variety of studies each with different study designs since its conception. MSc students, Mercy Gichuyia, James Macharia and I had the opportunity to work within an aspect of this wider project which involved a cross-sectional study among livestock keeping house-holds in Korogocho and Viwandani informal settlements of Nairobi. We sampled blood and faeces from humans and different livestock species kept in the area and from the faecal samples, identified the prevalence and antimicrobial susceptibility patterns of Salmonella, Campylobacter and E.coli. This article will focus on the interaction with the different team members and partners during our field sample collection. The science we undertook is currently being prepared for publication.

Urban Zoo Team-Breaking the barriers
Proper planning and efficient communication has been the key to ensuring that everything is well coordinated. Team leaders (management or PI’s) from all the collaborating institutions hold fort-nightly teleconferences to update, consult and agree on a unified way of moving forward. It is a common practice for staff to communicate through emails, phone calls, skype and one on one talks with each other. The group has a “WhatsApp group chat” that is used to share updates/progress including photos of both the labs and fieldwork. It is also the easiest and simplest way of sharing information with the entire group. Our active website www.zoonotic-diseases.org and the quarterly newsletters, publications and scientific conference presentations are some of the effective means used to ensure that the public is informed of the projects progress and findings.

Co PI’s Letter: Planning and Policy Thread
In our work we have also sought to build on the decade-long efforts of APHRC in gathering a rich array of primary information on health in informal settlements. We also found that not much attention has been paid in the literature to the planning, policy and structural issues that would appear to play a significant role in reproducing and entrenching endemic pathogenic environmental conditions, conditions that make disease (including zoonoses) prevalent in these settlements. Part of our work has involved outlining the institutions, actors, norms, practices, interactions, their (in) adequacy and complexities around the provision of infrastructure (water, sanitation and solid waste management) that promotes and perpetuates such pathogenic conditions in many parts of Nairobi. We have also sought to examine how legal, policy and institutional realities have influenced urban and peri-urban land use in Nairobi, and how such practices and interventions help shape livestock keeping and farming activities.

Endemic infectious diseases: the next 15 years
I have recently returned from the International AIDS Conference in Durban, South Africa. It was, as many have noted, a landmark event: a chance to celebrate the remarkable success of the HIV response over the past 15 years. But it was also a stark wake-up call....

Sampling Kibera chickens-a look at urban farming in its most innovative form
Under the Urban Zoo umbrella, we have been sampling chicken farms as well as chicken meat retailers in Kibera, Nairobi, in order to investigate the prevalence of a food-borne pathogen, Campylobacter. Kibera, said to be the largest urban slum in Africa, is a surprising, challenging and rewarding environment to work in. The constantly evolving environment illustrates urban farming in its most inventive form. Densely populated and very low-income, the urban landscape goes from shiny newly-built roads, public toilets and other community spaces, often sponsored by donors, to muddy alleyways with open sewers and precarious living spaces.

Human, Food and Environmental data collection
Human, food and environmental data are among the wide range of data collected within the 99 households. The data are often collected by Clinical Officers. Human sampling involves among others, individual consenting to participate, questionnaire interviews administration, general physical examination and anthropometric measurements, biological data collection and offering feedback and health education on the outcome of the laboratory based investigations. Two sets of structured questionnaires are administered; a general household and individual participant questionnaires. Biological data that is collected includes fecal samples and nasal swabs. Fecal samples are assessed for E. coli and campylobacter bacteria while nasal swabs are assessed for antimicrobial resistance. Collection and transportation of human samples from the field to laboratories involves sterile techniques.

Update: 99 Households study: wildlife component
As we approach the final quarter of the 99 household study, it is a pleasure to be asked to reflect on the wildlife sampling component of this study. The wildlife sampling team has come a long way since its inception in September 2015, when we were all relative...

Update: 99 Household study update
Well, time has flown since we sampled the first household in the 99 households study. On 7th June we visited our 66th household, meaning that after 8 months we are now two thirds of the way through. The project is taking us to all parts of Nairobi, as the maps illustrate. The field teams normally spend Monday to Wednesday collecting data, then use Thursdays and Fridays to recruit new households to the study, meet with local chiefs and county officials, give feedback to participants and keep on top of all the other jobs, such as vehicle maintenance, stock-keeping, accounting and paperwork. The wildlife team regularly go out on evenings and weekends to set and check traps for rodents and bats (who inconveniently refuse to venture out during normal working hours!) In some areas it has occasionally been necessary to conduct the study interviews in the evening, when participants return from work. Having to be flexible to fit around our human and animal participants’ needs, plus the perennial problem of Nairobi traffic, means early starts and long days.

Letter from the Co-PI: Public health and demography and economic threads
Epidemiology Ecology and Social-Economics of Disease emergence in Nairobi (ESEI) is a project that has been implemented in Nairobi city for the last five years. In this newsletter I would like to review the public health and demography and economic threads of the...


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