BACKGROUND: The Ethiopian government has developed the multisectoral cholera elimination plan (NCP) with an aim of reducing cholera incidence and case fatality rate (CFR). To better understand and monitor the progress of this plan, a comprehensive review of national cholera epidemiology is needed.
METHODS: Reported data on cholera/acute watery diarrhea (AWD) cases in the past 20 years were extracted from the Ethiopian Public Health Institute and World Health Organization databases. Descriptive statistics, Pearson χ2, and logistic regression analyses were conducted.
RESULTS: From January 2001 to November 2023, a total of 215 205 cholera/AWD cases, 2355 deaths with a cumulative CFR of 1.10% (95% confidence interval [CI], 1.092-1.095), and a mean annual incidence rate of 8.9/100 000 (95% CI, 6.5-11.3) were reported. Two major upsurges of cholera epidemics were found in the last two decades with mean attack rate (AR) of 20.57/100 000 in 2006-2010 and 14.83/100 000 in 2016-2020. Another resurgence of outbreaks occured in 2021-2023 (mean AR, 8.63/100 000). In 2015-2023, 54.0% (53 990/99 945) of cases were aged 15-44 years. National cholera CFR (3.13% [95% CI: 2.1-4.5]) was the highest in 2022. The 2015-2023 cumulative cholera CFR was different across regions: Benishangul Gumuz (6.07%), Gambela (1.89%), Sidama (1.42%), Southern Nation, Nationalities, and Peoples\' (1.34%), Oromia (1.10%), and Amhara (1.09%). Cholera/AWD patients in older adults (≥45 years), severe dehydration, peak rainy season (June-August), and outpatients were associated with higher risk of death.
CONCLUSIONS: Cholera has been a public health problem in Ethiopia with case fatalities still above the global target. Case management needs to be improved particularly in outpatients and older populations. Outbreak preparedness should be rolled out well in advance of the typical rainy seasons. Significant investments are essential to advance the cholera surveillance system at healthcare setting and community level. Underlying factors of cholera deaths per areas should be further investigated to guide appropriate interventions to meet the NCP target by 2028.

We used European geometrid moths (>630 species) as a model group to investigate how life history traits linked to larval host plant use (i.e., diet breadth and host-plant growth form) and seasonal life cycle (i.e., voltinism, overwintering stage and caterpillar phenology) are related to adult body size in holometabolous insect herbivores. To do so, we applied phylogenetic comparative methods to account for shared evolutionary history among herbivore species. We further categorized larval diet breadth based on the phylogenetic structure of utilized host plant genera. Our results indicate that species associated with woody plants are, on average, larger than herb feeders and increase in size with increasing diet breadth. Obligatorily univoltine species are larger than multivoltine species, and attain larger sizes when their larvae occur exclusively in the early season. Furthermore, the adult body size is significantly smaller in species that overwinter in the pupal stage compared to those that overwinter as eggs or caterpillars. In summary, our results indicate that the ecological niche of holometabolous insect herbivores is strongly interrelated with body size at maturity.

Eriophyoid mites are highly host-specific, microscopic phytoparasites that primarily disperse to new hosts passively via wind. This seems paradoxical, as the likelihood of landing on an appropriate host species needed to survive appears low. Here we investigate two eriophyoids found on the Norway maple Acer platanoides: Aceria platanoidea and Shevtchenkella serrata. For 14 months, we observed mite phenotypical changes and micro-habitat distribution on host plants and their propagules. Both mite species hibernate on twigs or samaras fallen on the ground, and, in the spring, feed on buds or seedlings, respectively. This apparently novel association with plant seeds indicates that the mites can exploit the host dispersal mechanism and colonize the next generation of hosts (vertical transmission). Our seasonal and DNA sequence data also indicate that S. serrata has two distinct morphotypes that partially overlap seasonally. This work can provide new insights into the dispersal routes of eriophyoid mites and transmission patterns of plant pathogens vectored by these mites, with implications for better pest mite species control.

Harmful algal blooms (HABs) are recurrent in the NW Patagonia fjords system and their frequency has increased over the last few decades. Outbreaks of HAB species such as Alexandrium catenella, a causal agent of paralytic shellfish poisoning, and Protoceratium reticulatum, a yessotoxins producer, have raised considerable concern due to their adverse socioeconomic consequences. Monitoring programs have mainly focused on their planktonic stages, but since these species produce benthic resting cysts, the factors influencing cyst distributions are increasingly gaining recognition as potentially important to HAB recurrence in some regions. Still, a holistic understanding of the physico-chemical conditions influencing cyst distribution in this region is lacking, especially as it relates to seasonal changes in drivers of cyst distributions, as the characteristics that favor cyst preservation in the sediment may change through the seasons. In this study, we analyzed the physico-chemical properties of the sediment (temperature, pH, redox potential) and measured the bottom dissolved oxygen levels in a \"hotspot\" area of southern Chile, sampling during the spring and summer as well as the fall and winter, to determine the role these factors may play as modulators of dinoflagellate cyst distribution, and specifically for the cysts of A. catenella and P. reticulatum. A permutational analysis of variance (PERMANOVA) showed the significant effect of sediment redox conditions in explaining the differences in the cyst assemblages between spring-summer and fall-winter periods (seasonality). In a generalized linear model (GLM), sediment redox potential and pH were associated with the highest abundances of A. catenella resting cysts in the spring-summer, however it was sediment temperature that most explained the distribution of A. catenella in the fall-winter. For P. reticulatum, only spring-summer sediment redox potential and temperature explained the variation in cyst abundances. The implications of environmental (physico-chemical) seasonality for the resting cysts dynamics of both species are discussed.

Historical temperature records reveal that the boreal forest has been subjected to a significant lengthening of the thermal growing season since the middle of the last century, and climate models predict that this lengthening will continue in the future. Nevertheless, the potential phenological response of trees to changes in growing season length remains relatively undocumented, particularly for evergreen boreal tree species growing in cold environments. Here, we used the recently defined zero growth (ZG) concept to extract and characterize the metrics of seasonal radial growth dynamics for 12 balsam fir trees subjected to a 12-year soil warming experiment using high resolution radius dendrometer measurements. The ZG concept provides an accurate determination of growth seasonality (onset, cessation, duration, growth rates, and total growth) for these slow-growing trees characterized by significant shrinkage in tree diameter due to dehydration in the winter. Our analysis revealed that, on average, growth onset starts at day 152 ± 7 (±1 SE, 31 May-1 June) and ceases at day 244 ± 27 (31 August-1 September), for a growing season duration of about 3 months (93 ± 26 days) over a 12-year period. Growing season duration is mainly determined by growth cessation, while growth onset varies little between years. A large part (80%) of the total growth occurs in the first 50 days of the growing season. Given the dynamics of growth, early growth cessation (shorter growing season) results in a higher average seasonal growth rate, meaning that longer growing seasons are not necessarily associated with greater tree growth. Soil warming induces earlier growth cessation, but increases the mean tree growth rate by 18.1% and the total annual growth by 9.1%, on average, as compared to the control trees. Our results suggest that a higher soil temperature for warmed trees contributes to providing better growth conditions and higher growth rates in the early growing season, when the soil temperature is low and the soil water content is elevated because of snowmelt. Attaining a critical soil temperature earlier, coupled with lower soil water content, may have contributed to the earlier growth cessation and shorter growing season of warmed trees.

Season of birth correlates to a wide range of health conditions throughout life measured by anthropometrics. This study explores whether the month of birth and weather during gestation influence male adult height, based on Spain\'s rural population before the end of the modernization process.
The database of heights (N = 16.266) is composed of conscripts who reached the age of 21 between 1908 and 1985 (birth cohorts 1886-1965). The population sample has been taken from a municipality in inner Spain: Hellín, in the region of Castilla-La Mancha, mainly an agrarian area, with poor resources and low income until the 1970 s/1980 s. Two different methodologies have been implemented: a harmonic regression using sinusoidal covariables and a random forest model.
we find that being born at the end of the summer and during the autumn was favorable to height. The birth month with the highest statures is September, with heights 0.5 cm above the annual average and 0.9 cm above February, the birth month with the lowest average height. Furthermore, we can observe that rainfall and temperature during gestation had little additional influence due to a substitution effect with the birth month variable.
Our results suggest that the seasonal effects on height can be significant and that it can be partially affected by environmental factors during early life. Our findings could be of interest for low-income populations and developing rural societies.

Conflict management in PAs (Protected Areas) is becoming increasingly important in the context of the rapid development of nature-based tourism. Literature proposes the Index of Conflict tendency between Tourism development and ecological Protection (ICTP) to analyze the tendency of conflict from a spatial perspective, but this index does not consider the factor of seasonality which is important in tourism. The current study considers seasonality and proposes the CVD (Coverage- Variation- Duration) framework to conduct a spatio-temporal analysis of the ICTP. The applied research based on the case of China\'s V-PAs (a specific category of PAs) reflects that the CVD framework can describe the spatial distribution of the ICTP from a seasonal perspective. The study finds that, among V-PAs in China, 42.16% of the areas with high ICTP of V-PAs have obvious seasonal variations, which shows that PAs conflict management must incorporate the factor of seasonality. The study also shows that 8.98% of V-PAs have large-scale coverage of areas with high ICTP, revealing priorities for conflict management. 3.96% of V-PAs have large-scale coverage of areas with high ICTP showing seasonal changes. Management in these areas should pay attention to seasonal changes to become more effective. The CVD framework proposed in this paper is operable and extendable and can provide analytical tools for PAs conflict management, and promote ecological protection and more sustainable tourism development in PAs.

BACKGROUND: Despite having a high mortality rate, Asian studies about the characteristics of adult listeriosis are limited. We investigated the incidence of listeriosis per admissions, associated factors, and rate of mortality in listeriosis, compared with non-listeriosis.
METHODS: We recorded the incidence of listeriosis per 10,000 admissions and conducted a case-control study from January 1, 2010, to December 31, 2019, at Tokyo Medical University Hospital (TMUH) in Japan. Cases were defined as adult with listeriosis that was bacteremia due to L. monocytogenes. Controls, defined as adult with non-listeriosis bacteremia due to other pathogens, were matched by age and clinical department to cases. We analyzed differences in seasonality, including warm season (defined as the period from May to October), medication including steroids, laboratory findings, and mortality. The odds ratio and p value between the cases group and control group were calculated using a chi-square test and Fisher\'s exact test.
RESULTS: The incidence of listeriosis per 10,000 admissions to TMUH was 0.51. Eleven patients, excluding one neonate, were included in the case group. Twenty-six patients, excluding one patient because of contamination and one patient because of insufficient medical record, were included in the control group. Listeriosis onset was associated with the warm season (90.9% vs. 53.8%; p = 0.033), steroid use (54.5% vs. 19.2%; p = 0.042), and a lower ratio of neutrophils to lymphocytes (9.46 vs. 18.44; p = 0.015). The 30-day mortality rate of listeriosis was similar to non-listeriosis (18.3% vs. 19.2%; p = 0.619).
CONCLUSIONS: The incidence of listeriosis per admissions in this study was similar to that in other Asian countries. Factors associated with listeriosis were the warm season, steroid use, and a lower ratio of neutrophils to lymphocytes. Additionally, the 30-day mortality rate was similarly high in both the listeriosis and non-listeriosis groups.

Land use plays a significant role in determining the spatial patterns of water quality in the Johor River Basin (JRB), Malaysia. In the recent years, there have been several occurrences of pollution in these rivers, which has generated concerns over the long-term sustainability of the water resources in the JRB. Specifically, this water resource is a shared commodity between two states, namely, Johor state of Malaysia and Singapore, a neighbouring country adjacent to Malaysia. Prior to this study, few research on the influence of land use configuration on water quality have been conducted in Johor. In addition, it is also unclear how water quality varies under different seasonality in the presence of point sources. In this study, we investigated the influence of land use and point sources from wastewater treatment plants (WWTPs) on the water quality in the JRB. Two statistical techniques - Multivariate Linear Regression (MLR) and Redundancy Analysis (RA) were undertaken to analyse the relationships between river water quality and land use configuration, as well as point sources from WWTPs under different seasonality. Water samples were collected from 49 sites within the JRB from March to December in 2019. Results showed that influence from WWTPs on water quality was greater during the dry season and less significant during the wet season. In particular, point source was highly positively correlated with ammoniacal‑nitrogen (NH3-N). On the other hand, land use influence was greater than point source influence during the wet season. Residential and urban land use were important predictors for nutrients and organic matter (chemical oxygen demand); and forest land use were important sinks for heavy metals but a significant source of manganese.

OBJECTIVE: Otoacariasis is a parasitic otopathy reported in many parts of the world. This study presents the seasonal pattern, risk factors, and case notes on human otoacariasis in two climatically different districts: Anuradhapura and Kandy in the Dry and Wet/Intermediate zone of Sri Lanka, respectively.
METHODS: Ticks removed from the ear canal of patients were collected. Risk factors of otoacarisis were determined by a case/control follow-up study.
RESULTS: Nymphal Dermacentor auratus (90.8%) was the main tick species associated otoacariasis. In the Kandy District, infestation was year-round, while in the Anuradhapura District, it was seasonal with a peak in December-February. Children < 10 years were a risk group in both districts. Females were a risk group in the Kandy District. Engagement in outdoor activities was a risk factor in both districts. In addition, the presence of wildlife and domesticated animals were risk factors in the Kandy and Anuradhapura districts, respectively. The treatment protocols in the two hospitals were different. An infant with otoacariasis from the Anuradhapura District developed rickettsia.
CONCLUSIONS: Although the tick species was the same, seasonality, risk groups, and risk factors in the two districts were different which could be due to the establishment and persistence of tick populations influenced by biotic and abiotic factors.