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New Australopithecus boisei specimens from east and west Lake Turkana, Kenya.

New specimens of Plio-Pleistocene Australopithecus boisei are described from east and west Lake Turkana in Northern Kenya. These include a cranium and partial mandible from deposits close to 2.5 Myr and two partial crania and two mandibles from later horizons. The earlier fossils enable us to decipher, for the first time, some of the in situ evolution of this species within the Turkana Basin. The following are among the important changes in the cranium through time: 1) increase in size and change in shape of the braincase, 2) changes in the meningeal vessel pattern and possibly in the venous drainage pattern, 3) increased flexion of the cranial base and decreased prognathism, and 4) changes in the temporal bone to bring about a more vertical posterior face of the petrous pyramid and the development of a strong articular eminence.

Animals↗

Morphology of Turkanapithecus kalakolensis from Kenya.

The type specimen of Turkanapithecus kalakolensis recently recovered from northern Kenya preserves a partial cranium and mandible. This specimen, together with postcranial elements that are probably associated with it, and two additional specimens are described. The collection is compared with other Miocene hominoids.

Animals↗

Morphology of Afropithecus turkanensis from Kenya.

Forty-six specimens of a large Miocene hominoid, Afropithecus turkanensis, recently recovered from northern Kenya preserve many morphological details that are described. The specimens include cranial, mandibular, and postcranial parts. They are compared briefly with other Miocene hominoids. It is suggested that Afropithecus may have affinities with Heliopithecus, Kenyapithecus, and the large hominoid from Moroto and Napak, although it is noted that the comparative material is limited in the number of common anatomical parts preserved.

Animals↗

Partial skeleton of Proconsul nyanzae from Mfangano Island, Kenya.

A partial skeleton attributed to Proconsul nyanzae (KNM-MW 13142) is described. The fossils were found at a site on Mfangano Island, Kenya, which dates to 17.9 +/- .1 million years ago. KNM-MW 13142 consists of six partial vertebrae (T12-S1), a nearly complete hipbone, most of the right femur and left femoral shaft, a fragmentary tibia and fibula, and a nearly complete talus and calcaneus. This skeleton provides the first pelvic fossil known for any East African Miocene hominoid. The new Proconsul specimen is compared to a large sample of extant anthropoids to determine its functional and phylogenetic affinities. In most aspects of its anatomy, KNM-MW 13142 closely resembles nonhominoid anthropoids. This individual had a long, flexible spine, narrow torso, and habitually pronograde posture, features characteristic of most extant monkeys. Evidence of spinal musculature suggests a generalized condition intermediate between that of cercopithecoids and hylobatids. The hindlimb of KNM-MW 13142 exhibits relatively mobile hip and ankle joints, with structural properties of the femur like those of hominoids. This mix of features implies a pattern of posture and locomotion that is unlike that of any extant primate. Many aspects of the Proconsul nyanzae locomotor skeleton may represent the primitive catarrhine condition.

Animals↗

Periodontal health in free-ranging baboons of Ethiopia and Kenya.

Frontal and lateral intraoral photographs of 19 baboons from the Awash National Park, Ethiopia and 37 baboons from Amboseli National Park, Kenya, were used to assess periodontal health. The Awash baboons, and two groups (Alto's and Hook's) at Amboseli, fed entirely from natural sources, but baboons from the third Amboseli group (Lodge) fed largely on food refuse from one of the park's lodges. Juveniles and adults were evaluated separately. Intraoral photographs were seriated based on visual appraisals of periodontal health. In both age groups, the best periodontal health was seen in Awash animals; Alto's and Hook's animals were intermediate, and the poorest health was seen in the Lodge sample. The periodontal health decreased with age in adult baboons, as reported in humans. Geochemistry, genetics, age, and diet (particularly variations in bacterial flora) were considered as factors contributing to the intergroup differences. Although it is not possible at present to exclude any of these as a contributing cause, we consider that diet in the broad sense (including food, water, and contamination by oral bacteria of human origin) probably plays a major role.

Age Factors↗

Hominid radius from the middle Pliocene of Lake Turkana, Kenya.

A nearly complete left radius, KNM-ER 20419, was recovered from middle Pliocene sediments east of Lake Turkana, Kenya in 1988. Ape-like characteristics of the fossil include an eccentrically positioned articular fovea, relatively long radial neck, wide distal metaphysis, and large brachioradialis crest. The robustness of the radial neck in proportion to the radial head, and the semilunar shape of the distal diaphysis, however, clearly distinguish KNM-ER 20419 as hominid. The distal articular surface possesses a larger area for radius-lunate articulation than for radius and scaphoid, a radiocarpal arrangement that is associated with increased wrist adduction among quadrumanous climbers. Since this morphology is also found in hylobatids, Pongo, and other early australopithecines, it is argued to be plesiomorphic for hominoids. This further supports the argument that vertical climbing was an important locomotor behavior among both early hominoids and our more immediate prebipedal ancestors.

Animals↗

Growth of nomadic and settled Turkana infants of northwest Kenya.

Turkana tribespeople reside in a semi-arid savanna ecosystem in northwest Kenya. For over a decade, Ngisonyoka Turkana nomads have been studied within a multidisciplinary framework that embraces ecology, anthropology, and human population biology. Original research objectives of the South Turkana Ecosystem Project were to study nomads longitudinally and within the context of the dry savanna ecosystem. These objectives have been expanded to incorporate settled Turkana who were nomads in the recent past, but who, for a variety of reasons, have taken up a life of sedentary cultivation. The research described here focused on comparisons of growth patterns of nomadic and settled infants from birth to 24 months of age. Infants were measured (recumbent length, weight, head circumference, arm and calf circumference, and selected skinfolds) in 1989 and 1990. Settled infants were slightly longer, but nomadic infants were heavier and fatter. Head circumferences were the same. Some variation was observed by season and year of measurement (from comparative surveys). Both groups showed pronounced weight faltering after 6 months of age when compared with U.S. NCHS reference values. Head circumference faltering was moderate and recumbent length faltering was only slight after 12 months of age. Comparisons of Turkana infant growth in the two populations can contribute indirectly to a better understanding of infant nutritional status, probable morbidity, and other factors, some of which may be linked to female reproduction.

Anthropometry↗

Hominid fossil sample from Kanjera, Kenya: description, provenance, and implications of new and earlier discoveries.

Anatomically modern hominids were first collected from Kanjera, Kenya, by L.S.B. Leakey in the 1930s. Their apparent association with an archaic fauna was quickly challenged, throwing their age into doubt. Further unpublished hominid fragments were collected in 1974, 1975, 1981, and 1987. We review the context and morphology of the entire hominid sample. A minimum number of five individuals is represented by both cranial and postcranial elements. Several individuals have thickened cranial vaults, a characteristic originally thought to reflect their great antiquity. Vault thickening resulted from diploic expansion and may have been a response to acquired or inherited anemia. The entire hominid sample postdates the Kanjera Formation, deposited from the early into the middle Pleistocene. Most of the sample was derived from the black cotton soil capping the stratigraphic column. The morphology and context of the Kanjera hominids is consistent with human skeletal remains from nearby Holocene sites. Hominid 3 was probably an intrusive burial into an early Pleistocene bed.

Animals↗

Childhood malnutrition and growth in a rural area of Western Kenya.

An anthropometric survey was carried out on 1,383 school students aged 5-17 years in Suba district (a rural area of western Kenya). Body size and proportion were computed from height, weight, sitting height, arm circumference, and skinfolds. The aim of the study was to evaluate patterns of growth and nutritional status of the Luo population by assessment of the prevalence and trends of malnutrition among children and adolescents. Very few age-groups show significant sex differences for height, body weight, and arm muscle area. However, there are several differences in skinfold thicknesses and arm circumference, always with higher mean values in girls. Analysis of the nutritional status (weight-for-age, height-for-age, and BMI-for-age) shows significant differences among the age-groups in both sexes. Boys present lower Z-scores than girls and there are higher percentages of malnourished subjects (stunted and underweight) among the males. The Luo data were compared with those of other African populations. Their body dimensions, nutritional status, and growth are similar to those of the other sub-Saharan samples. In conclusion, the Luo children are generally undernourished at the older ages: adolescents (11-16 years of age) show the most severe undernutrition and the highest percentages of undernourished subjects. In addition to the higher risk of undernutrition in teenagers, an emerging problem of over-nutrition is evident among the younger age-groups, with a higher prevalence in females. These findings are discussed in light of sexual dimorphism in sensitivity to adverse environmental conditions.

Adolescent↗

Virtual study of the endocranial morphology of the matrix-filled cranium from Eliye Springs, Kenya.

This paper provides the first endocranial description of the matrix-filled archaic Homo sapiens cranium from Eliye Springs, Kenya. Using CT-based 3D reconstruction, the virtually cleaned endocranial surface allowed for the assessment of more than 30 metrical and nonmetrical features, most of which are considered of phylogenetic importance. The VOXEL-MAN program used was most valuable in describing and analyzing the morphological conditions. Since many of the features have not been widely or virtually studied, a small sample of late Pleistocene/early Holocene skulls from East Africa was similarly analyzed for insight into recent variation. The comparisons between Eliye Springs and the modern African specimens showed that the endocranial morphology of this probably later Middle Pleistocene hominid falls into, or close to, the modern ranges of variation for most features. This study also addresses the problems of variation and phylogenetic significance of many of the features, and highlights the need for basic studies on the variability and relevance of such endocranial traits in human evolution.

Animals↗

Tumor necrosis factor-alpha promoter variant 2 (TNF2) is associated with pre-term delivery, infant mortality, and malaria morbidity in western Kenya: Asembo Bay Cohort Project IX.

A polymorphism in the promoter region of the tumor necrosis factor-alpha (TNF-alpha) gene, with a guanine to adenine nucleotide change at position -308, TNF2 is associated with increased TNF-alpha production. TNF2 homozygotes have a higher risk of severe disease and/or death due to cerebral malaria and other infectious diseases. We investigated the impact of this allele on malaria morbidity and mortality in young children who participated in an immuno-epidemiologic cohort study of malaria in an area of intense perennial Plasmodium falciparum transmission in western Kenya. A total of 1,048 children were genotyped. Poisson regression and Cox proportional hazards models were used to determine the relationship between TNF-308 variants and morbidity and mortality. The gene frequencies of the TNF1 and TNF2 alleles were 0.90 and 0.10, respectively. TNF2 homozygosity was associated with pre-term birth when compared with TNF1 homozygotes [relative risk (RR) 7.3, 95% CI, 2.85-18.9, P = 0.002) and heterozygotes (RR 6.7, 95% CI 2.0-23.0, P = 0.008). Among children born prematurely, the TNF2 allele was significantly associated with a higher risk of death in infancy compared with TNF1 (RR 7.47, 95% CI 2.36-23.6). The risk of death was higher among TNF2 homozygotes than among heterozygotes. The TNF2 allele was significantly associated with high density P. falciparum parasitemia (RR 1.11, 95% CI 1.0-1.24). Among low birth weight children, the TNF2 allele was associated with severe anemia (RR 2.16, 95% CI 1.17-4.01) and showed a trend toward a risk for severe malaria anemia (RR 1.99, 95% CI 0.89-4.46). These data suggest that TNF2 is a risk factor for pre-term birth and early childhood mortality and malaria morbidity in children in this region. Further understanding of the pathogenic mechanisms underlying this association is required.

Alleles↗

Understanding referral from primary care clinics in rural Kenya: using health information systems to prioritize health services.

This study analyses the referral patterns of patients, over time, from primary care to secondary or tertiary level facilities in rural Africa. The data come from a health information system of a non-governmental organization with a decade of experience in health services delivery in Samburu District, Kenya. The differential referral patterns from two communities are examined in some detail to shed more light on the meaning of a 'referral rate' in this context. First, referral rates over time for two clinics are calculated and compared. These quantitative data, obtained from monthly reports from 1989 to 1997, are interpreted in the light of qualitative data obtained from interviews with community health workers, nurses and members of the communities. The main differences in referral between these ostensibly similar communities are for malaria, trauma and anaemia. Social, environmental and specific health services factors are used to explain these differences. We demonstrate that basic information from health information systems, which tell us little on their own because referral in this context is a rare event, can be combined with local knowledge from the community to provide evidence for health managers to set priorities for public health and clinical interventions.

Health Care Rationing↗

Spatial clustering of endemic Burkitt's lymphoma in high-risk regions of Kenya.

Endemic Burkitt's lymphoma (eBL), the most common childhood cancer in sub-Saharan Africa, occurs at a high incidence in western Kenya, a region that also experiences holoendemic malaria. Holoendemic malaria has been identified as a co-factor in the etiology of this cancer. We hypothesized that eBL may cluster spatially within this region. Medical records for all eBL cases diagnosed from 1999 through 2004 at Nyanza Provincial General Hospital were reviewed for case residential information to examine this hypothesis. Two cluster detection methods, Anselin's Local Moran test for spatial autocorrelation and a spatial scan test statistic, were applied to this residential data to determine whether statistically significant high- and low-risk areas were present in the Province. During the 6-year study period, 272 children were diagnosed with eBL, with an average annual incidence of 2.15 cases per 100,000 children. Using Empirical Bayes smoothed rates, the Local Moran test identified 1 large multi-centered area of low eBL risk (p-values < 0.01) and 2 significant multi-centered clusters of high eBL risk (p-values < 0.001). The spatial scan detected 3 small independent low-risk areas (p-values < 0.02) and 2 high-risk clusters (p-values = 0.001), both similar in location to those identified from the Local Moran analysis. Significant spatial clustering of elevated eBL risk in high-malaria transmission regions and of reduced incidence where malaria is infrequent suggests that malaria plays a role in the complex eBL etiology, but that additional factors are also likely involved.

Adolescent↗

Cancer of asians in kenya.

The frequency of various cancers among Indian immigrants in Kenya was compared to corresponding data among native Africans and Indians in the regions of India from which most of the studied population originally migrated. The Kenyan Indians do not have the cancer pattern of their home country nor do they have the cancer pattern of indigenous Africans. They have instead, like Europeans and North Americans, a higher risk of cancer of the lung, breast and the large intestine. It is suggested that this is related to enbironmental factors and variations in living habits.

Female↗

Regional variation in prevalence of antibody against human T-lymphotropic virus types I and III in Kenya, East Africa.

The prevalence of antibodies against HTLV-III and -I was studied among populations of 6 distinctly different regions of Kenya, an equatorial African country in which AIDS has rarely been observed. Overall, 21% of subjects had ELISA reactions suggesting the presence of antibody against HTLV-III. The frequency of HTLV-III antibodies was highest among the Turkana people (50%) and lowest among the Masai (8%). Prevalence increased with age but was not related to sex. The pattern of ELISA-detected antibody against HTLV-I was similar. The specificity of these antibodies was supported by Western blot analysis of a subset of sera with high and low ELISA ratios, in which 66% and 73% of those with ELISA ratios considered positive (= greater than 5.0 in this study) also had a profile of bands consistent with HTLV-III and HTLV-I respectively. The antibodies detected were not cross-reactive between HTLV-III and HTLV-I on Western blot analysis. In a series of subjects with various parasitic and infectious diseases, patients with idiopathic splenomegaly and with schistosomiasis had a high proportion of antibodies against both HTLV-III and HTLV-I. This survey shows that reactivity in the ELISA HTLV-III and HTLV-I assays are common among Kenyans but vary considerably by region.

Adolescent↗

The isolation of a Bwamba virus variant from man in Western Kenya.

A bwamba group virus was isolated from the blood of a febrile child on the Kano Plain, Kenya. The isolate (NY-45), closely resembling Bwamba, established infection in both Anopheles gambiae and Mansonia uniformis. Neither the Bwamba nor the Pongola prototype strains grew in both species. In gel-diffusion tests NY-45 virus passaged through mosquitoes exhibited a line of identity with Pongola antiserum. In contrast no cross-reaction was observed with NY-45 virus which had not previously been passaged through mosquitoes.

Adult↗

Aetiology of acute sporadic hepatitis in adults in Kenya.

Markers for acute hepatitis A virus (HAV), hepatitis B virus (HBV), and hepatitis non-A, non-B (HNANB) infections were examined in the sera of 94 patients presenting with acute hepatitis in Kenya. Hepatitis B virus was responsible for 70% of cases, HNANB for 18%, and HAV for only 12%. The use of an IgM anti-HBc assay increased the rate of diagnosis of acute HBV infection, thereby reducing the proportion of cases designated as NANB.

Acute Disease↗

High rate of prostate symptoms among Ariaal men from Northern Kenya.

BACKGROUND: To determine the prevalence and possible determinates of symptomatic benign prostate hyperplasia (BPH) in a subsistence population, the International Prostate Symptom Score (IPSS) was administered to men among the Ariaal, a group of pastoral nomads in Northern Kenya. MATERIALS AND METHODS: Subjects were 56 nomadic and 62 settled men with estimated ages between 22 and 96. Anthropometric measures included height, percentage body fat, waist circumference, and six skinfolds. Saliva samples for the assay of testosterone were also obtained, as was information about common health complaints. RESULTS: Rates of lower urinary tract symptoms (LUTS) were extremely high compared to those reported in industrialized societies with 49% of the men classified as having moderate to severe symptoms. The level of LUTS was higher among nomads compared to settled males, and increased with age in both sub-populations. Multivariate logistic regression revealed that suprailliac and trunk skinfold thickness, and report of fever and chest cough were significant and positive predictors of moderate to severe LUTS. When controlled for suprailliac skinfold thickness and other health symptoms, height was also a significant and negative predictor of moderate to severe LUTS. Salivary testosterone was not a predictor of LUTS. Prostate quality of life was strongly related to LUTS, with presence of chest cough as an additional predictor. CONCLUSIONS: These results suggest that rates of BPH may be high in subsistence populations, as a function of poor nutritional status, both short term and long term. As such, they support a role for energetic balance in the development of BPH, though the potential effects of diet or immune function cannot be ruled out.

Adult↗