Abstract
Background
Open defecation (OD) remains an important public health challenge in Haiti. The practice poses a significantly high risk of disease transmission. Considering these negative health ...consequences, this paper aims to identify socio-economic and demographic factors that influence OD practice among households in Haiti.
Methods
The study used secondary data from 13,405 households from the Haiti Demographic and Health Survey 2016-2017. Descriptive statistics and bivariate analysis were used to find the preliminary results. Further, multivariate analysis was performed to confirm the findings.
Results
Around one quarter (25.3%) of Haitian households still defecate in the open, almost 10% in urban areas, and nearly 36% in rural areas. Multivariate analysis revealed that the age and sex of the household head, household size, number of children aged 1-14 years old in the household, education level, wealth index, access to mass media, place of residence, and region were significant predictors of OD practice among households in Haiti.
Conclusion
To accelerate the elimination of OD by 2030 and therefore achieve sustainable open defecation-free status, the government of Haiti and its partners should consider wealth disparities among regions and mobilize mass media and community-based networks to raise awareness and promote education about sane sanitation practices. Furthermore, because the possibilities to build toilets differ between rural and urban areas, specific interventions must be spearheaded for each of these regions. The public program can subsidize individual toilets in rural areas with room to collect dry excreta for the preparation of fertilizers, while in urban areas collective toilets can be built in slums. Interventions should also prioritize households headed by women and young people, two underpriviledged socioeconomic groups in Haiti.
Although tobacco has harmful effects on the physical and mental health of individuals, its use remains significant, according to the World Health Organization. To understand this phenomenon, studies ...have been carried out in many countries around the world, while in Haiti where more than 5,000 people die each year due to tobacco use, little is known about the use of this substance. The aim of this study was to examine the prevalence and the factors associated with tobacco use in Haiti.
We used data from the 2016/17 Haitian Demographic Health Survey. Both descriptive and multivariate analyses were conducted using STATA 16.0 software to assess the prevalence and identify factors associated with tobacco use. Results were reported as adjusted odds ratios with 95% confidence intervals. Statistical significance was declared at p < 0.05.
The prevalence of tobacco use was estimated at 9.8% (95% CI: 9.2-10.4) among men and 1.7% (95% CI: 1.5-1.9) among women. Although the prevalence of tobacco use was low among young people, it increased with age. Respondents aged 35 and above, with no formal education, non-Christians, divorced/separated/widowed, from poorest households, rural areas, "Aire Métropolitaine de Port-au-Prince" region, with high media exposure had a higher likelihood of tobacco use.
The low prevalence of tobacco use among Haitian women and youth represents a public policy opportunity to prevent these vulnerable groups from starting smoking. Adult male smokers should also be targeted by appropriate policy to reduce the different health burdens associated with tobacco, both for the smokers and other people they may expose to passive smoking. Government and health sector stakeholders, along with community leaders, should create and enforce awareness strategies and rules to control advertisements that encourage irresponsible and health-risky consumption behaviors.
Vetiver roots have been utilized for the preparation of activated carbon (AC) by chemical activation with different impregnation ratios of phosphoric acid,
X
P (g
H
3PO
4/g precursor): 0.5:1; 1:1 and ...1.5:1. Textural characterization, determined by nitrogen adsorption at 77
K shows that mixed microporous and mesoporous structures activated carbons (ACs) with high surface area (>1000
m
2/g) and high pore volume (up to 1.19
cm
3/g) can be obtained. The surface chemical properties of these ACs were investigated by X-ray photoelectron spectroscopy (XPS) and Boehm titration. Their textural and chemical characteristics were compared to those of an AC sample obtained by steam activation of vetiver roots. Classical molecules used for characterizing liquid phase adsorption, phenol and methylene blue (MB), were used. Adsorption kinetics of MB and phenol have been studied using commonly used kinetic models, i.e., the pseudo-first-order model, the pseudo-second-order model, the intraparticle diffusion model and as well the fractal, BWS (
Brouers, Weron and Sotolongo) kinetic equation. The correlation coefficients (
R
2) and the normalized standard deviation Δ
q (%) were determined showing globally, that the recently derived fractal kinetic equation could best describe the adsorption kinetics for the adsorbates tested here, indicating a complex adsorption mechanism. The experimental adsorption isotherms of these molecules on the activated carbon were as well analysed using four isotherms: the classical Freundlich, Langmuir, Redlich–Peterson equations, but as well the newly published deformed Weibull Brouers–Sotolongo isotherm. The results obtained from the application of the equations show that the best fits were achieved with the Brouers–Sotolongo equation and with the Redlich–Peterson equation. Influence of surface functional groups towards MB adsorption is as well studied using various ACs prepared from vetiver roots and sugar cane bagasse. Opposite effects governing MB and phenol adsorption mechanism on ACs are demonstrated. The various effects involved in adsorption mechanisms of each molecule are demonstrated.
The creation of global research partnerships is critical to produce shared knowledge for the implementation of the UN 2030 Agenda for Sustainable Development. Sustainability science promotes the ...coproduction of inter- and transdisciplinary knowledge, with the expectation that studies will be carried out through groups and truly collaborative networks. As a consequence, sustainability research, in particular that published in high impact journals, should lead the way in terms of ethical partnership in scientific collaboration. Here, we examined this issue through a quantitative analysis of the articles published in Nature Sustainability (300 papers by 2135 authors) and Nature (2994 papers by 46,817 authors) from January 2018 to February 2021. Focusing on these journals allowed us to test whether research published under the banner of sustainability science favoured a more equitable involvement of authors from countries belonging to different income categories, by using the journal Nature as a control. While the findings provide evidence of still insufficient involvement of Low-and-Low-Middle-Income-Countries (LLMICs) in Nature Sustainability publications, they also point to promising improvements in the involvement of such authors. Proportionally, there were 4.6 times more authors from LLMICs in Nature Sustainability than in Nature articles, and 68.8-100% of local Global South studies were conducted with host country scientists (reflecting the discouragement of parachute research practices), with local scientists participating in key research steps. We therefore provide evidence of the promising, yet still insufficient, involvement of low-income countries in top sustainability science publications and discuss ongoing initiatives to improve this.
This study aims to reconstruct the hydro-climatic variations over the last 1000 years in Haiti using mineralogical and geochemical composition of well dated lacustrine sediment core retrieved from ...Lake Azuei. The results show changes in sedimentological processes linked to environmental and climatic variations. The general pattern suggests a wetter Medieval Climate Anomaly (MCA), drier Little Ice Age (LIA), high climate variability during the MCA-LIA transition and more anthropogenic impacts that dominate natural climate during the Current Warm Period (CWP). The MCA period (~1000–1100 CE) thus appears marked by increase sedimentation rate supported by higher terrigenous input linked to erosive events particularly increases in precipitation. During the LIA, particularly from ~1450 to 1600 CE, there is a great variation toward a decrease of terrigenous input, which is related to a decrease on sedimentation rate and increase Mg-calcite precipitation, suggesting less precipitation and high evaporation respectively during dry climate conditions. The MCA-LIA transition (~1200–1400 CE) is characterized by variations between terrigenous input, Mg-calcite formation and organic matter deposition, which indicate succession of dry and humid conditions. The CWP (1800–2000 CE) shows a progressive increase on sedimentation rate and decrease of gray level, which indicate more organic matter sedimentation as consequence of anthropogenic activities in the surrounding basin of the lake. High-resolution gray level analysis, which reflects principally variations in terrigenous input, carbonate mineral formation and organic matter deposition, shows that the AMO, NAO, PDO and ENSO are the principal modes affecting the hydro-climatic changes in Haiti during the last millennium. In addition, temporal correlation of other Caribbean paleoclimate records with our geochemical and mineralogical data, suggests that trends observed in Lake Azuei were controlled by regional climate, likely associated with shifts in the position of the ITCZ.
Sodium hypochlorite (NaOCl) is often used for disinfecting hospital wastewater in order to prevent the spread of pathogenic microorganisms, causal agents of nosocomial infectious diseases. Chlorine ...disinfectants in wastewater react with organic matters, giving rise to organic chlorine compounds such as AOX (halogenated organic compounds adsorbable on activated carbon), which are toxic for aquatic organisms and are persistent environmental contaminants. The aim of this study was to evaluate the toxicity on aquatic organisms of hospital wastewater from services using NaOCl in pre-chlorination. Wastewater samples from the infectious and tropical diseases department of a hospital of a large city in southeast of France were collected. Three samples per day were collected in the connecting well department at 9 a.m., 1 p.m. and 5 p.m. during 8 days from 13 March to 22 March 2001, and a mixture was made at 6 p.m. with the three samples in order to obtain a representative sample for the day. The toxicity test comprised the 24-h EC
50 on
Daphnia magna and a bioluminescence assay using
Vibrio fischeri photobacteria. Fecal coliforms and physicochemical analyses such as total organic carbon (TOC), chloride, AOX, total suspended solids (TSS) and chemical oxygen demand (COD) were carried out. Wastewater samples highlighted considerable acute toxicity on
D. magna and
V. fischeri photobacteria. However, low most probable numbers (MPN), ranging from <3 to 2400 for 100 ml, were detected for fecal coliforms. Statistical analysis, with a confidence interval of 95%, gave a strong linear regression assessed with
r=0.98 between AOX concentrations and EC
50 (TU) on daphnia. The identification of an ideal concentration of NaOCl in disinfecting hospital wastewater, i.e. its non-observed effect concentration (NOEC) on algae and
D. magna, seems to be a research issue that could facilitate the control of AOX toxicity effects on aquatic organisms. Therefore, it would be necessary to monitor the biocide properties of NaOCl on fecal coliforms at various doses and its toxicity effects on aquatic organisms.
This study investigates the relationship between Major Climatic Events (MCE) and Stress among 33 climate displaced people in Nan Orèl, a popular neighbourhood in the North-Western Department of ...Haiti, to determine their Major Life Stressor (MLS). This population is constantly exposed to flooding due to the extreme climatic conditions of its area of residence facing alteration and anthropic phenomena which intensify the erosion and soil washing processes. The study was conducted using a standard association and evocation questionnaire, inspired by the structural approach of Social Representations, to identify common constructs of stress among the respondents. The results reveal that i) 97% of the population had experienced symptoms similar to post-traumatic stress; ii) 100% of the population said that they had suffered psychosomatic symptoms reflecting the usual stress experienced after natural disasters. Moreover, 67% of the population stated that stress is characterized by intrusive thinking that can lead to sickness and is not related to the ECM. Consequently, for this population (82%), the Major Life Stressor is more likely to be their children’s illness.
Glutaraldehyde (GA), an aliphatic dialdehyde disinfectant, and surfactants, one of the major components of detergents, are widely used in hospitals in order to eliminate pathogenic organisms causing ...nosocomial infectious diseases. After their use, disinfectants and surfactants reach the wastewater network together. The discharge of chemical compounds from hospital activities into wastewater is also a well-known problem, causing pollution of water resources and constituting an ecological risk for aquatic organisms. In this study, the chemistry and toxicology of GA and surfactant mixtures were reviewed in order to estimate their fate in aquatic ecosystems. Furthermore, their joint effects on aquatic organisms were experimentally assessed in the laboratory. A simple model of the additive joint action of toxicants was used to determine combined acute toxicity effects on the bacteria luminescence and
Daphnia mobility of three mixtures containing GA at 1.5×EC
50 24 h in mg/L on
Daphnia and anionic, cationic and nonionic surfactants at twice their critical micellar concentration (CMC). The mixture of GA and a cationic surfactant gave an EC
50 30 min on
Vibrio fischeri of 0.158%, with a concentration of 0.04 mg GA/L and 1.04 mg CTAB/L, which provided an additive action. The interaction between GA and an anionic surfactant on
V. fischeri produced an antagonistic joint action with an EC
50 30 min of 3.95%, containing 1.06 mg GA/L and 33.2 mg SDS/L. A synergistic action with an EC
50 30 min of 8.4% on
V. fischeri was observed for the mixture containing GA and a nonionic surfactant. Antagonistic interactions were observed for the joint action between GA and the surfactants studied on
Daphnia. The mixture of GA and CTAB was more toxic (EC
50 24 h=0.02%) than the two other mixtures (EC
50 24 h GA+SDS=6%; EC
50 24 h GA+TX 100=10%). This study provides new data on the toxicity of certain hospital pollutants entering the aquatic environment and detected in surface and groundwaters. It is necessary to study the joint effects of GA and surfactant mixtures following chronic and sublethal standard bioassays in order to estimate the contribution of the additive joint action models in assessing the environmental risk of hospital wastewater (HW).
