Browsing by Author "Gaber El-Saber, Batiha"

Now showing 1 - 2 of 2
  • Thumbnail Image
    ItemOpen Access
    An analysis of heavy metals contamination and estimating the daily intakes of vegetables from Uganda
    (Toxicology Research and Application, 2021) Keneth Iceland, Kasozi; Eric Oloya, Otim; Herbert Izo, Ninsiima; Gerald, Zirintunda; Andrew, Tamale; Justin, Ekou; Grace Henry, Musoke; Robert, Muyinda; Kevin, Matama; Regan, Mujinya; Henry, Matovu; Fred, Ssempijja; Ejike, Daniel Eze; Mauryn, Atino; Bede, Udechukwu; Ronald, Kayima; Patrick, Etiang; Emmanuel Tiyo, Ayikobua; Stellamaris, Kembabazi; Ibe Michael, Usman; Sheu Oluwadare, Sulaiman; Phyllis Candy, Natabo; Grace Nambatya, Kyeyune; Gaber El-Saber, Batiha; Ochan, Otim
    Environmental contamination with elevated levels of copper (Cu), cobalt (Co), iron (Fe), zinc (Zn), lead (Pb), chromium (Cr 6þ), cadmium (Cd), and nickel (Ni)—all states of which are found in Uganda—raises health risk to the public. Pb, Cr 6þ, Cd, and Ni for instance are generally considered nonessential to cellular functions, notwithstanding the importance of the oxidative state of the metals in bioavailability. As such, we aimed in this study (i) to evaluate heavy metal concentrations in four vegetables from a typical open-air market in Uganda, (ii) to assess the safety of consuming these vegetables against the World Health Organization (WHO) recommended limits of heavy metals consumption, and (iii) to formulate a model of estimated daily intake (EDI) among consumers in the country. Methods: This was a cross-sectional study conducted in five georeferenced markets of Bushenyi district in January 2020. Amaranthus, cabbages, scarlet eggplants, and tomatoes were collected from open markets, processed, and analyzed by atomic absorption spectrometry. Modeled EDI, principal component (PCA) and cluster analysis (CA) were conducted to identify relationships in the samples. Results: The levels of essential elements in the four vegetables were found to fall from Co > Cu > Fe > Zn. Those of non-essential metals were significantly higher and followed the pattern Cd > Cr > Pb > Ni. The highest EDI values were those of Cu in scarlet eggplants, Zn in amaranthus, Fe in amaranthus, Co in amaranthus, Pb in cabbages, total Cr in scarlet eggplant, Cd in cabbages and tomatoes, and Ni in cabbages. In comparison to international limits, EDIs for Zn, Cu, Co and Fe were low while Ni in cabbages were high. PCA showed high variations in scarlet eggplant and amaranthus. The study vegetables were found to be related with each other, not according to the location of the markets from where they were obtained, but according to their species by CA. Conclusion: The presence of non-essential elements above WHO limits raises policy challenges for the consumption and marketing of vegetables in the study area. Furthermore, low EDIs of essential elements in the vegetables create demand for nutritious foods to promote healthy communities
  • Thumbnail Image
    ItemOpen Access
    A Descriptive-Multivariate Analysis of Community Knowledge, Confidence, and Trust in COVID-19 Clinical Trials among Healthcare Workers in Uganda
    (MDPI., 2021-03-12) Keneth Iceland, Kasozi; Anne, Laudisoit; Lawrence Obado, Osuwat; Gaber El-Saber, Batiha; Naif E. Al, Omairi; Eric, Aigbogun; Herbert Izo, Ninsiima; Ibe Michael, Usman; Lisa M., DeTora; Ewan Thomas, MacLeod; Halima, Nalugo; Francis P., Crawley; Barbara E., Bierer; Daniel Chans, Mwandah; Charles Drago, Kato; Kenedy, Kiyimba; Emmanuel Tiyo, Ayikobua; Linda, Lillian; Kevin, Matama; Shui Ching, Nelly Mak; David, Onanyang; Theophilus, Pius; Linda, Lillian; Kevin, Matama; Shui Ching, Nelly Mak; David, Onanyang; Theophilus, Pius; David Paul, Nalumenya; Robinson, Ssebuufu; Nina Olivia, Rugambwa; Grace Henry, Musoke; Kevin, Bardosh; Juma John, Ochieng; Fred, Ssempijja; Patrick, Kyamanywa; Gabriel, Tumwine; Khalid J., Alzahrani; Susan Christina, Welburn
    Background—misinformation and mistrust often undermines community vaccine uptake, yet information in rural communities, especially of developing countries, is scarce. This study aimed to identify major challenges associated with coronavirus disease 2019 (COVID-19) vaccine clinical trials among healthcare workers and staff in Uganda. Methods—a rapid exploratory survey was conducted over 5 weeks among 260 respondents (66% male) from healthcare centers across the country using an online questionnaire. Twenty-seven questions assessed knowledge, confidence, and trust scores on COVID-19 vaccine clinical trials from participants in 46 districts in Uganda. Results—we found low levels of knowledge (i.e., confusing COVID-19 with Ebola) with males being more informed than females (OR = 1.5, 95% CI: 0.7–3.0), and mistrust associated with policy decisions to promote herbal treatments in Uganda and the rushed international clinical trials, highlighting challenges for the upcoming Oxford–AstraZeneca vaccinations. Knowledge, confidence and trust scores were higher among the least educated (certificate vs. bachelor degree holders). We also found a high level of skepticism and possible community resistance to DNA recombinant vaccines, such as the Oxford–AstraZeneca vaccine. Preference for herbal treatments (38/260; 14.6%, 95% CI: 10.7–19.3) currently being promoted by the Ugandan government raises major policy concerns. High fear and mistrust for COVID-19 vaccine clinical trials was more common among wealthier participants and more affluent regions of the country. Conclusion—our study found that knowledge, confidence, and trust in COVID-19 vaccines was low among healthcare workers in Uganda, especially those with higher wealth and educational status. There is a need to increase transparency and inclusive participation to address these issues before new trials of COVID-19 vaccines are initiated