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Air pollution is the leading environmental cause of death globally, and most mortality occurs in resource-limited settings such as sub-Saharan Africa. The African continent experiences some of the worst ambient air pollution in the world, yet there are relatively little African data characterizing ambient pollutant levels and source admixtures. In Uganda, ambient PM levels exceed international health standards. However, most studies focus only on urban environments and do not characterize pollutant sources. We measured daily ambient PM concentrations and sources in Mbarara, Uganda from May 2018 through February 2019 using Harvard impactors fitted with size-selective inlets. We compared our estimates to publicly available levels in Kampala, and to World Health Organization (WHO) air quality guidelines. We characterized the leading PM sources in Mbarara using x-ray fluorescence and positive matrix factorization. Daily PM concentrations were 26.7 μg m and 59.4 μg m in Mbarara and Kampala, respectively (p<0.001). PM concentrations exceeded WHO guidelines on 58% of days in Mbarara and 99% of days in Kampala. In Mbarara, PM was higher in the dry as compared to the rainy season (30.8 vs 21.3, p<0.001), while seasonal variation was not observed in Kampala. PM concentrations did not vary on weekdays versus weekends in either city. In Mbarara, the six main ambient PM sources identified included (in order of abundance): traffic-related, biomass and secondary aerosols, industry and metallurgy, heavy oil and fuel combustion, fine soil, and salt aerosol. Our findings confirm that air quality in southwestern Uganda is unsafe and that mitigation efforts are urgently needed. Ongoing work focused on improving air quality in the region may have the greatest impact if focused on traffic and biomass-related sources.
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http://dx.doi.org/10.4209/aaqr.230203 | DOI Listing |
Front Med (Lausanne)
August 2025
Department of Ophthalmology and Visual Sciences, Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, United States.
Ocular trauma disproportionately impacts low- and middle-income countries (LMICs) and contributes significantly to blindness and disability in these settings. While numerous publications address the epidemiology of ocular trauma in limited-resource settings, there are no systematic reviews, meta-analyses, or large-scale review articles investigating this topic further. In this article, the authors summarize, compare, and contrast the extant literature on ocular trauma in LMICs.
View Article and Find Full Text PDFCureus
August 2025
Department of Community Health, Mbarara University of Science and Technology, Mbarara, UGA.
Introduction Efforts to reduce maternal and newborn deaths, especially in sub-Saharan Africa, have not been sufficient to achieve Sustainable Development Goal (SDG) 3 for 2030. The quality of care around childbirth is critical for both mothers and newborns, and the use of evidence-based practices (EBPs) is vital in ensuring optimal outcomes. However, there is a paucity of recent research on the use of evidence-based practices in childbirth health facilities.
View Article and Find Full Text PDFAfr J Emerg Med
December 2025
University of Southern California, United States.
Introduction: Emergency medicine simulation is an effective training modality in both high and low resource settings. We describe the authors' experiences conducting a four-week interdisciplinary, , simulation training series at an emergency centre in Burundi.
Methods: Training emphasized effective closed loop communication, early airway, breathing, and circulation assessment, as well as time to vital signs, IV placement, and oxygen administration when appropriate.
Lancet HIV
September 2025
Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK; Botswana Harvard Health Partnership, Gaborone, Botswana.
Background: HIV-associated cryptococcal meningitis case fatality remains greater than 25%. Co-prevalent infections might contribute to poor outcomes. We aimed to ascertain the prevalence and the clinical significance of Epstein-Barr virus (EBV) and cytomegalovirus co-infections in patients with cryptococcal meningitis to guide potential therapeutic interventions.
View Article and Find Full Text PDFBMC Health Serv Res
September 2025
Rakai Health Sciences Program, P.O. Box 279, Kalisizo, Uganda.
Background: Hemoglobin estimation (Hb) is the most requested hematology test, especially among pregnant/postnatal women and people living with HIV (PLHIV). In Uganda, several point-of-care (POC) Hb testing devices are currently used and performance may be affected by multiple factors. This study evaluated the diagnostic and analytic performance of four Hb POC devices.
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