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- Frostad, J. J., et al.
(författare)
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Mapping development and health effects of cooking with solid fuels in low-income and middle-income countries, 2000-18: a geospatial modelling study
- 2022
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Ingår i: Lancet Global Health. - 2214-109X. ; 10:10
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Tidskriftsartikel (refereegranskat)abstract
- Background More than 3 billion people do not have access to clean energy and primarily use solid fuels to cook. Use of solid fuels generates household air pollution, which was associated with more than 2 million deaths in 2019. Although local patterns in cooking vary systematically, subnational trends in use of solid fuels have yet to be comprehensively analysed. We estimated the prevalence of solid-fuel use with high spatial resolution to explore subnational inequalities, assess local progress, and assess the effects on health in low-income and middle-income countries (LMICs) without universal access to clean fuels. Methods We did a geospatial modelling study to map the prevalence of solid-fuel use for cooking at a 5 km x 5 km resolution in 98 LMICs based on 2.1 million household observations of the primary cooking fuel used from 663 population-based household surveys over the years 2000 to 2018. We use observed temporal patterns to forecast household air pollution in 2030 and to assess the probability of attaining the Sustainable Development Goal (SDG) target indicator for clean cooking. We aligned our estimates of household air pollution to geospatial estimates of ambient air pollution to establish the risk transition occurring in LMICs. Finally, we quantified the effect of residual primary solid-fuel use for cooking on child health by doing a counterfactual risk assessment to estimate the proportion of deaths from lower respiratory tract infections in children younger than 5 years that could be associated with household air pollution. Findings Although primary reliance on solid-fuel use for cooking has declined globally, it remains widespread. 593 million people live in districts where the prevalence of solid-fuel use for cooking exceeds 95%. 66% of people in LMICs live in districts that are not on track to meet the SDG target for universal access to clean energy by 2030. Household air pollution continues to be a major contributor to particulate exposure in LMICs, and rising ambient air pollution is undermining potential gains from reductions in the prevalence of solid-fuel use for cooking in many countries. We estimated that, in 2018, 205000 (95% uncertainty interval 147000-257000) children younger than 5 years died from lower respiratory tract infections that could be attributed to household air pollution. Interpretation Efforts to accelerate the adoption of clean cooking fuels need to be substantially increased and recalibrated to account for subnational inequalities, because there are substantial opportunities to improve air quality and avert child mortality associated with household air pollution. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.
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- Sbarra, AN, et al.
(författare)
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Mapping routine measles vaccination in low- and middle-income countries
- 2021
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 1476-4687 .- 0028-0836. ; 589:7842, s. 415-
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Tidskriftsartikel (refereegranskat)abstract
- The safe, highly effective measles vaccine has been recommended globally since 1974, yet in 2017 there were more than 17 million cases of measles and 83,400 deaths in children under 5 years old, and more than 99% of both occurred in low- and middle-income countries (LMICs)1–4. Globally comparable, annual, local estimates of routine first-dose measles-containing vaccine (MCV1) coverage are critical for understanding geographically precise immunity patterns, progress towards the targets of the Global Vaccine Action Plan (GVAP), and high-risk areas amid disruptions to vaccination programmes caused by coronavirus disease 2019 (COVID-19)5–8. Here we generated annual estimates of routine childhood MCV1 coverage at 5 × 5-km2pixel and second administrative levels from 2000 to 2019 in 101 LMICs, quantified geographical inequality and assessed vaccination status by geographical remoteness. After widespread MCV1 gains from 2000 to 2010, coverage regressed in more than half of the districts between 2010 and 2019, leaving many LMICs far from the GVAP goal of 80% coverage in all districts by 2019. MCV1 coverage was lower in rural than in urban locations, although a larger proportion of unvaccinated children overall lived in urban locations; strategies to provide essential vaccination services should address both geographical contexts. These results provide a tool for decision-makers to strengthen routine MCV1 immunization programmes and provide equitable disease protection for all children.
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- Abbafati, Cristiana, et al.
(författare)
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- 2020
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Tidskriftsartikel (refereegranskat)
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- Hosseini, M., et al.
(författare)
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ISFET immunosensor improvement using amine-modified polystyrene nanobeads
- 2018
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Ingår i: Journal of Solid State Electrochemistry. - : Springer New York LLC. - 1432-8488 .- 1433-0768. ; 22:10, s. 3161-3169
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Tidskriftsartikel (refereegranskat)abstract
- Antigen-based sensing is recognized as a rapid and sensitive analysis among bioresearch groups. The potential of “on-site” analysis in such devices has been accompanied by some problems. Fabrication of silicon compatible and highly sensitive biosensors has been the center of excessive research within the past few years. In this paper, we report fabrication of two types of sensitive liquid oxide semiconductor (LOS) biosensors using nanostructures. These devices have been manufactured and characterized as immunosensors. These two types of sensors have been produced using different platforms for immobilization of proteins; one based on a functionalized silicon dioxide surface by 3-aminopropyltriethoxysilane (APTES) and another on the basis of using 50-nm amine-modified polystyrene nanobeads. The polystyrene platform not only benefits from its nanosize and high surface to volume ratio but also does not need any new protocol than what is already used for traditional immunosensing system. These sensors measure the change of threshold voltage of the semiconductor inversion inside the capacitor due to the bonding of antibodies to the linked peptides on the surface. Measurements showed that the sensitivity of 50-nm polystyrene-based sensor is much more than the oxide-based one. The nanobeads were then chosen to cover the gate of the ISFET for the amplified sensing. The ISFET devices were biased in a subthreshold region to demonstrate the maximum sensitivity to the accumulated charge on the gate. Repeatable results after different stress tests were obtained, which proves the suitability and reliability of the polystyrene nanobead platform for this application. Finally, a calibration curve has been derived that can be used for real sample measurements. The detection limit of 1.0152 μg/ml was calculated for the fabricated sensor. [Figure not available: see fulltext.].
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