Impact of a mass vaccination campaign against a meningitis epidemic in a refugee camp.

Serogroup A meningococcus epidemics occurred in refugee populations in Zaire in August 1994. The paper analyses the public health impact of a mass vaccination campaign implemented in a large refugee camp. We compared meningitis incidence rates from 2 similar camps. In Kibumba camp, vaccination was implemented early in the course of the epidemic whilst in the control camp (Katale), vaccination was delayed. At a threshold of 15 cases per 100 000 population per week an immunization campaign was implemented. Attack rates were 94 and 134 per 100,000 in Kibumba and Katale respectively over 2 months. In Kibumba, one week after crossing the threshold, 121,588 doses of vaccine were administered covering 76% of all refugees. Vaccination may have prevented 68 cases (30% of the expected cases). Despite its rapid institution and the high coverage achieved, the vaccination campaign had a limited impact on morbidity due to meningitis. In the early phase in refugee camps, the relative priorities of meningitis vaccination and case management need to be better defined

The Mid-Late Holocene Evolution of Southern Walland Marsh and the Origin of the ‘Midley Sand’

This paper documents new litho-, bio- and chronostratigraphic information and sedimentological data from sites at Sandyland on Broomhill Level, Midley and Lydd. These locations are situated between former tidal inlets at Romney and Rye which were instrumental in driving Foreland and Marshland environmental change during the last 2000 years. Peat formation commenced c. 4500 cal. yr BP at Sandyland and after 3700 cal. yr BP at Lydd. At Sandyland, eutrophic fen carr communities were replaced by acidic, nutrient-poor Myrica-dominated vegetation from c. 4100 cal. yr BP, a shift reported from other sites on Walland Marsh and from neighbouring areas. At Lydd, there was no local development of Myrica, probably due to the proximity of the site to tidal channels associated with an opening in the barrier at Hythe. Inundation occurred sometime after c. 2300 cal. yr BP at both sites although the upper contacts of the peat are sharp and have probably been eroded. The sedimentological investigations of the surface outcrops of ‘Midley Sand’ at Sandyland and Midley, combined with other stratigraphic and palaeogeographic evidence, are consistent with deposition in a tidal channel. The data support the existence of an open-ended channel connecting the inlets at Romney and Rye between AD 700 and the 12th century AD, which had already begun to infill and become reclaimed prior to the storms of the 13th century AD. The Wainway Channel appears to be a later feature which developed in the area after the closure of the Romney inlet and enlargement of the Rye inlet as a result of these storms

Variation of the Western Equatorial Pacific ocean, 1986-1988

Twenty one oceanographic sections made along 165°E during 1984-1988 provide a unique picture of the 1986-1987 El Nino and the subsequent La Nina in the Western Equatorial Pacific. The mean of six cruises from January 1984 throught June 1986, a relatively normal period, provides a reference with which the later sections are compared... Changes in the stratification along 165°E were corresponddingly large, reflecting both the geostrophic balance of the strong zonal currents and the changes in the volume of warm water in the Western Equatorial Pacific. The anomaly of warm water volume corresponded closely to the time integral of the warm water transport across 165°E. Local wind forcing and remotely forced waves were both important causes of the transport fluctuations. Winds, precipitation, and currents were all important factors determining the depth of the surface mixed layer and the thickness of the underlying barrier layer. The way in which these factors interact is a strong function of latitude. (D'après résumé d'auteur

The response of the Western Equatorial Pacific ocean to Westerly wind bursts during november 1989 to january 1990

Several 5 to 10 m s-1 westerly wind bursts of 10-15 days' duration occurred in the Western Equatorial Pacific during november 1989 to January 1990. The response to these wind bursts was characterized by a 400- to 600 km wide eastward jet in the upper 100-150 m along the equator between 135°E and the date line. Flow in this jet accelarated to speeds of over 100 cm s-1 within 1 week after the onset of westerly winds in november 1989 in association with super thyphoon Irma. In addition, a 20 to 40 cm s-1 westward counterflow developed between 2°N and 2°S below the surface jet separating it from the eastward flow of the Equatorial undercurrent in the thermocline. Changes in surface layer zonal volume transport in the Western Pacific due to westerly wind bursts were 25-56 Sv based on comparison of three shipboard velocity transects in november and december 1989. Although fluctuations in current speeds in the thermocline were generally smaller and less directly related to local wind forcing than those in the surface layer, the Equatorial undercurrent decelerated to less than 20 cm s-1 (i.e., less than half its speed before the onset of westerlies) by early december 1989. (D'après résumé d'auteur

The present and future system for measuring the Atlantic meridional overturning circulation and heat transport

of the global combined atmosphere-ocean heat flux and so is important for the mean climate of the Atlantic sector of the Northern Hemisphere. This meridional heat flux is accomplished by both the Atlantic Meridional Overturning Circulation (AMOC) and by basin-wide horizontal gyre circulations. In the North Atlantic subtropical latitudes the AMOC dominates the meridional heat flux, while in subpolar latitudes and in the subtropical South Atlantic the gyre circulations are also important. Climate models suggest the AMOC will slow over the coming decades as the earth warms, causing widespread cooling in the Northern hemisphere and additional sea-level rise. Monitoring systems for selected components of the AMOC have been in place in some areas for decades, nevertheless the present observational network provides only a partial view of the AMOC, and does not unambiguously resolve the full variability of the circulation. Additional observations, building on existing measurements, are required to more completely quantify the Atlantic meridional heat transport. A basin-wide monitoring array along 26.5°N has been continuously measuring the strength and vertical structure of the AMOC and meridional heat transport since March 31, 2004. The array has demonstrated its ability to observe the AMOC variability at that latitude and also a variety of surprising variability that will require substantially longer time series to understand fully. Here we propose monitoring the Atlantic meridional heat transport throughout the Atlantic at selected critical latitudes that have already been identified as regions of interest for the study of deep water formation and the strength of the subpolar gyre, transport variability of the Deep Western Boundary Current (DWBC) as well as the upper limb of the AMOC, and inter-ocean and intrabasin exchanges with the ultimate goal of determining regional and global controls for the AMOC in the North and South Atlantic Oceans. These new arrays will continuously measure the full depth, basin-wide or choke-point circulation and heat transport at a number of latitudes, to establish the dynamics and variability at each latitude and then their meridional connectivity. Modeling studies indicate that adaptations of the 26.5°N type of array may provide successful AMOC monitoring at other latitudes. However, further analysis and the development of new technologies will be needed to optimize cost effective systems for providing long term monitoring and data recovery at climate time scales. These arrays will provide benchmark observations of the AMOC that are fundamental for assimilation, initialization, and the verification of coupled hindcast/forecast climate models

Preventing the Selection of "Deaf Embryos" Under the Human Fertilisation and Embryology Act 2008:Problematizing Disability?

Section 14(4) of the Human Fertilisation and Embryology Act 2008 imposes – within the general licensing conditions listed in the Human Fertilisation and Embryology Act 1990 – a prohibition to prevent the selection and implantation of embryos for the purpose of creating a child who will be born with a “serious disability.” This article offers a perspective that demonstrates the problematic nature of the consultation, review, and legislative reform process surrounding s 14(4). The term “serious disability” is not defined within the legislation, but we highlight the fact that s 14(4) was passed with the case of selecting deaf children in mind. We consider some of the literature on the topic of disability and deafness, which, we think, casts some doubt on the view that deafness is a “serious disability.” The main position we advance is that the lack of serious engagement with alternative viewpoints during the legislative process was unsatisfactory. We argue that the contested nature of deafness necessitates a more robust consultation process and a clearer explanation and defence of the normative position that underpins s 14(4)

Proceedings of US - PRC international TOGA symposium

A series of 12 meridional transect along longitude 165°E in the Western Equatorial Pacific ocean were made between mid-1986 and mi-1988 : a time interval spanning an El Nino/Southern Oscillation (ENSO) event. Data collected on these cruises provide a detailed (albeit temporally sparse) view of the oceanic changes which occur in the Western Pacific during an ENSO event. The present work focuses on the evolution of the upper ocean thermohaline and zona velocity fields as revealed by high resolution hydrographic casts and direct near surface velocity measurements. (D'après résumé d'auteur

Alien Registration- Toole, Marilyn E. (Portland, Cumberland County)

https://digitalmaine.com/alien_docs/21496/thumbnail.jp

Alien Registration- Toole, Marilyn E. (Portland, Cumberland County)

https://digitalmaine.com/alien_docs/21496/thumbnail.jp

Alien Registration- Toole, Marilyn E. (Portland, Cumberland County)

https://digitalmaine.com/alien_docs/21496/thumbnail.jp