Botswana study links La Nina to increased diarrhoea cases
A study carried out in Botswana by the US-based Columbia University Mailman School of Public Health scientists has found that spikes in cases of life-threatening diarrhoea in young children are associated with La Niña climate conditions.
The findings published in the journal Nature Communications could provide the basis for an early-warning system that would allow public health officials to prepare for periods of increased diarrhoea cases as long as seven months ahead of time. It said in low- and middle-income countries, diarrhoea is the second leading cause of death in children younger than five years of age, with 72 percent of deaths occurring in the first two years of life.
Rates of under five diarrhoea in Africa are particularly high, with an estimated incidence of 3.3 episodes of diarrhoea per child each year and one-quarter of all child deaths caused by diarrhoea. The El Niño-Southern Oscillation (ENSO) is a coupled ocean-atmosphere system spanning the equatorial Pacific Ocean that oscillates in a 3-to-7-year cycle between two extremes, El Niño (warmer ocean temperatures) and La Niña (cooler ocean temperatures).
The ENSO cycle affects local weather patterns around the world, including temperatures, winds, and precipitation. Researchers analysed associations between ENSO and climate conditions and cases of under five diarrhea in the Chobe region in northeastern Botswana.
They found that La Niña is associated with cooler temperatures, increased rainfall, and higher flooding during the rainy season. In turn, La Niña conditions lagged 0–7 months are associated with about a 30-percent increase in incidence of under-5 diarrhea in the early rainy season from December through February.
“These findings demonstrate the potential use of the El Niño-Southern Oscillation as a long-lead prediction tool for childhood diarrhea in southern Africa,” says first author Alexandra K. Heaney, a former doctoral student in environmental health sciences at Columbia Mailman and now a postdoctoral student at the University of California, Berkeley. “Advanced stockpiling of medical supplies, preparation of hospital beds, and organisation of health care workers could dramatically improve the ability of health facilities to manage high diarrhoeal disease incidence.”
Previously, El Niño events have been linked to diarrhoea outbreaks in Peru, Bangladesh, China, and Japan, but until now studies of the effects of ENSO on diarrhoeal disease in Africa have been limited to cholera — a pathogen responsible for only a small fraction of diarrhoeal cases in Africa. Infectious diarrhoea is caused by many different pathogens (viruses, bacteria, and protozoa) and meteorological conditions can have a critical influence on pathogen exposures, in particular, those associated with waterborne transmission.
For example, extreme rainfall events may contaminate drinking water by flushing diarrhoea-causing pathogens from pastures and dwellings into drinking water supplies, and drought conditions can concentrate animal activity increasing the movement of diarrhoea – causing pathogens into surface water resources.
The researchers speculated that the centralised water disinfection processes currently used in the Chobe region may be insufficient to deal with changes in water quality brought on by extremes of wet and dry weather, although they caution that further confirmatory studies are needed. Earlier research by the Columbia Mailman researchers in the Chobe region found that cases of diarrhoea in young children spiked during extreme climate conditions, in both the wet and dry seasons.
A second study reported on a method to forecast childhood diarrhoeal disease there. Because climate conditions vary from region to region, forecasts for infectious diseases must be region-specific. In other studies, the team of scientists has created forecasts for influenza, Ebola, and West Nile Virus. During the influenza season in the United States, they publish weekly regional forecasts with predictions on whether cases are expected to rise or fall and by how much.
Research into links between climate systems and infectious disease in Botswana also provides insights into long-term changes in weather patterns coming as a result of climate change. “In Southern Africa, precipitation is projected to decrease,” says Jeffrey Shaman, professor of environmental health sciences at the Columbia Mailman School.
This change, in a hydrologically dynamic region where both wildlife and humans exploit the same surface water resources, may amplify the public health threat of waterborne illness. For this reason, there is an urgent need to develop the water sector in ways that can withstand the extremes of climate change.”
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Mascom, Letshego partner to deliver the MyZaka instant loan
Letshego Botswana has recently partnered with Mascom to launch the Mascom MyZaka Instant Loan, a customer focused mobile money microloan service designed to provide customers with swift and convenient access to funds, driven by the underlying theme of “Ithuse” meaning “help yourself”
The loan is said to have been developed through a partnership driven by a deep customer focus with the key objectives of access, convenience and flexible financial support to customers of Letshego Botswana and Mascom through instantly disbursed short-term loans from P50 to P1 500 over the period of one month.
Letshego’s head of transformation, Molebogeng Malomo highlighted that working through agile methodologies, the partnership was able to develop and be released as what they call a Minimum Viable Product (MVP) or solution. “In keeping up with the spirit of design thinking and agile methodologies, the experiences and viewpoints of both Letshego Botswana and Mascom’s customers will be valuable to inform further enhancements to the Mascom MyZaka solution,” he said.
He further noted that the partnership and the development of the MyZaka instant loan will provide both the organizations to diversify their offering and customer base, while also offering the customer more choices and flexibility to initiate and be in control of their loan requests through the self-service mobile based application.
Mascom’s Chief Executive Officer, Dzene Makhwade-Seboni also alluded that their origins, priorities and initiatives are firmly rooted in Botswana and in the success of all Batswana, and that their strategy and intent is supported by embracing innovative problem-solving.
“The speed with which Letshego has grown over the years gives us confidence that we have partnered with the right service provider. Their expertise and most of all, innovation, a value we both share, will be beneficial to MyZaka Mobile Money for growth and for the convenience of our subscribers,” she concluded.
DCEC granted warrant to arrest Khama twins
The Directorate on Corruption and Economic Crime (DCEC) has been granted permission to apprehend the former Minister of Environment, Wildlife and Tourism, Tshekedi Khama, and his twin brother Anthony Khama.
Information gathered by this publication suggests that the DCEC is actively searching for the Khama brothers, this is in connection with events that transpired whilst Tshekedi was Minister of Environment. The duo is currently in exile in South Africa together with their elder brother, and former President Lt Gen Ian Khama.
Approximately two weeks ago, the corruption-busting agency discreetly filed for an arrest warrant that was approved by the Broadhurst Magistrate Court for the two to be taken into custody, according to a highly placed source within the government enclave.
DCEC is also said to have filed an affidavit signed by a high-ranking officer known to this publication. Reports indicate that after being presented with details of the case, the Broadhurst magistrate issued the agency an arrest warrant.
It is also believed that the agency has been conducting extensive investigations into the supposed suspects for quite some time. Furthermore, Weekend Post has it on good word that the DCEC has been looking for methods to summon the two for questioning but has been unsuccessful.
According to unconfirmed reports, DCEC met with attorney Victor Ramalepa, who refused to accept the summons, saying that he is not their attorney. Furthermore, it is believed that DCEC has enlisted the assistance of the Botswana Police Service (BPS) in flagging the suspects’ names in the International Criminal Police Organisation INTERPOL.
Responding to WeekendPost enquiries, DCEC spokesperson Lentswe Motshoganetsi said, “I am not in good position to confirm or deny the allegation,” adding that such allegations may fall within the operational purview of the DCEC.
When contacted for comment, Ramalepa briefly stated that he is unaware of the purported arrest warrant. “I know nothing about the warrant and I haven’t been served with anything,” he said.
Meanwhile, former president Lt Gen Ian Khama recently issued a statement stating that DIS is intensifying the harassment and intimidation of him, family, friends and office employees.
“It is reprehensible for state officials and agencies to abuse government resources to terrorise their own citizens for personal gain,” said the former president in a statement.
He also stated that his brother TK’s staff and security were ordered to falsely implicate him. “Their desperate tactics will never work, it only serves to motivate me more to pursue regime change and free Botswana from tyranny,” he said
This comes after the corruption busting agency wants to interview the alleged suspects as they are still hiding in South Africa since last year.
Despite the hostility between government and Khama family going unabated, last month, Masisi extended an olive branch to Khama in political rally, indicating that he hopes the two of them settle their differences, of which the former responded by welcoming the gesture.
Khama further said his brother, Tshekedi, will facilitate the reconciliation of his behalf. Many have indicated that Masisi did not say what he said in good faith, and was only scoring political brownies since he was in Khama’s territory in Shoshong.
DCEC’s Tshepo Pilane still has his mojo
Tshepo Pilane silenced his critics after being named the head of the Directorate on Corruption and Economic Crime (DCEC) in May of last year and served his opponents humble pie. Many believed he would only last for a month, but almost a year later, he is still standing.
Pilane, a trained soldier whose appointment surprised both the general public and some officers within the DCEC walls, has never glanced back in his duty to steer the DCEC ship forward.
It is alleged that immediately after his appointment the man embarked on a nation-wide trip touring the DCEC offices across the country in order to confirm and reaffirm the DCEC’s mandate. Sources from inside the DCEC claim that Pilane won the hearts of many DCEC employees due to his humility and plain message; “people at the top of the DCEC will come and go but the mandate of the DCEC remains relevant and unchanged.”
Pilane was appointed the Acting DCEC Director General at a time when the organisation was undergoing turbulence through court proceedings in which the suspended Director General Tymon Katlholo had interdicted the Directorate of Intelligence and Security (DIS) from accessing the DCEC premises. At the time, the DIS had raided the DCEC offices in the absence of Katlholo claiming to be looking for high profile corruption cases allegedly held by Katlholo.
At the time Pilane was Head of the DCEC Intelligence Division holding the position of Senior Assistant Director General reporting directly to the Deputy Director General Operations Ms Priscilla Israel. Contrary to his detractors, Pilane who is a reserved and humble person by nature won the support and backing of many DCEC officers due to his unassuming nature.
In a recent questionnaire sent to the DCEC regarding Pilane’s term in office, the DCEC was resolute on its commitment towards the fight against corruption. When quizzed on allegations of rife corruption since he took over, Pilane through his Public Relations (PR) office stated that the corruption landscape in Botswana remains unchanged as the DCEC continues to receive reports on allegations of corruption with sectors such as procurement (tenders and supplies), Transport (licensing and certificates), and land (dubious allocation and collusion) still leading issues reported. This trend has been consistence in the DCEC database for more than 10 years.
When further quizzed on accusations that suggest that due to the infighting at the agency, particularly at the top management, Investigations of cases has dropped significantly the DCEC claimed ignorance to the matter, stating that they are not aware of any “infights” at the DCEC “at the top management”, further stating that, investigations of cases has increased significantly, contrary to the allegations raised. “The DCEC is currently seeking new ways of expediting the investigations in order to fast track its enforcement role,” said the DCEC Head of Public Relations Lentswe Motshoganetsi. He further stated that the DCEC is in pursuit of high profile cases involving money and assets valued over P900 million. Three companies are involved in the scandal and two cases have already been committed to court while on one, investigations are about to be completed.
When WeekendPost inquired about Pilane’s roadmap, the DCEC stated that in the past, anti-corruption interventions were reactive, particularly in dealing with national projects that involve large sums of money. It was further started that in most instances investigating such matters takes a long time and in most instances, the money looted form Government in never recovered. As a result, the DCEC has taken a deliberate stance to attach its officers from the Corruption Prevention Division to be part of the implementation of these projects before, during, and after implementation.
The DCEC cited the Economic Stimulus Programme which, although meant to grow the economy and uplift Batswana from poverty, yielded incidents of corruption and poor workmanship. To date, the DCEC is still grappling with cases as some projects were not done, or were completed with defects beyond repair. Currently the DCEC is involved at the Ministry of Education conducting project risk management in the Multiple Path Ways Program at Moeng College and Maun Senior School. This intervention will spread to other sectors of the economy as part of the DCEC’s corruption prevention strategy.
Of recent, the DCEC has been in the media for all the wrong reasons following leakage of high profile cases and allegations claiming that the executive management is at war with each other more particularly with some within the agency harbouring ambitions to dethrone Pilane from the Directorship.
Although the infighting was denied by Pilane’s Office, he acknowledged that leakage of information is a problem across Government and stated that it is a pain at the DCEC. He however stated that Staff has been cautioned against leakage of investigation information and that they have roped in the Botswana Police to assist in investigating incidents of leakage. He further stated that they have increased continuous vetting and lifestyle audits for DCEC employees in order to enforce discipline.
Pilane’s term comes to an end in May 2023 after serving the DCEC for a year on acting basis. It will be in the public interest to see who will be given the baton to continue the anti-corruption journey if Pilane’s contract is not renewed. The DCEC has seen arrival and departure of Director Generals having alternated the top seat five times in less than seven years.