Met hulp van de Treub Maatschappij heeft Prof. Tinde van Andel in 2019 veldwerk kunnen doen in Kameroen bij de Baka Pygmeeën, samen met de Franse postdoc Sandrine Gallois. Deze laatste heeft voor dit onderzoek de tweede prijs gewonnen in de L’Oreal for women in science competitie. Een verslag is hier te vinden.
Dr. S.E.T. van der Meij and S. Bähr (GELIFES, University of Groningen , Groningen, The Netherlands)
Bonaire, Dutch Caribbean – 26 July – 17 August 2019
Coral reefs encompass the highest biodiversity of any marine ecosystem. Stony corals provide a large number of habitats that are home to various invertebrate species, many of which live in a close symbiotic relationship with a specific host coral. In an environment that is teeming with symbiotic relationships the minute and easily overlooked coral-dwelling gall crabs of the family Cryptochiridae represent a prime example of obligate symbiosis. These crabs are named after their close relationship with their coral hosts; they cause the development of a gall by modifying their hosts’ tissue.
The reefs along Bonaire’s coast are amongst the healthiest reefs in the Caribbean, however they are relatively understudied compared to nearby Curaçao and other islands with a strong research infrastructure. In this study we aimed to collect occurrence data of three Atlantic gall crab species (Fig. 1) over depth intervals along the Bonaire coast, to better understand the distribution of symbiotic species on coral reefs. In combination with coral cover measurements the results of this study provided us with baseline data about the status of Bonaire’s reef. Moreover, using the same approach as a similar study carried out on the reefs off Curaçao in 2015, it allows us to compare the results between the two islands.
We studied 25 dive sites along the west coast of Bonaire and around Klein Bonaire using 5-m2 belt transects (10m x 0.5m) at three different depths (8m, 12m, 18m), resulting in a surveyed area of 375 m2. Within each transect we measured the diameter of all corals known to host gall crabs, and counted the number of dwellings on each individual colony.
Our observations of the crabs Troglocarcinus corallicola and Kroppcarcinus siderastreicola represent new species records for Bonaire. Direct comparisons of coral cover data and gall crab density between Curaçao and Bonaire provides interesting insights in the status of the two reef systems. On Bonaire 19 out of 22 known host corals were observed in the transects, compared to 15 out of 22 of Curaçao. Strikingly, the number of examined coral colonies on Bonaire was with 4023 more than twice as high as the number of colonies examined on Curaçao (1874 colonies). The crab density of Opecarcinus hypostegus was with 6,3 crabs per m2, however, exactly the same at both localities. Troglocarcinus corallicola had with 5,22 crabs/m2 a slightly higher density on Bonaire than on the reefs off Curaçao (4,02 crabs/m2). Unfortunately the dwelling data for K. siderastreicola had to be excluded from the analyses due to some misidentifications of their dwellings in part of the study.
Our results suggest that Bonaire’s reef system has a significantly higher coral cover than the reefs on Curaçao. Using further statistical analyses we will check for significant species level differences between the two islands, as well as between the various dive sites off Bonaire. Certain sites are heavily impacted by divers or industry (e.g. cruise ships, salines), whereas others are further away from human activities or rarely visited by divers – and we are keen to see if this impacts the distribution of the symbiotic gall crabs.
Dr. J.J. Beltman and drs. M. de Fouw (Leids Universitair Medisch Centrum, Leiden, The Netherlands)
In Sub-Saharan Africa where life expectancy is short, supportive and palliative care for severely ill patients are hardly available. Ethiopia is one of the countries where lack of access to pain relief and palliative care are apparent. In our study we assessed palliative care and support programs for women, mostly affected by cervical cancer and breast cancer. Breast and cervical cancer are the leading cancers among women in Ethiopia, with 15244 and 6294 new cases each year.
Most women identified with cervical and breast cancer present in advanced stage where curative treatment is no longer an option. Comprehensive palliative care services are needed but scarce, strong analgesics like morphine are hardly available and knowledge of palliative services in health facilities is limited.
We aimed to understand the current practices of palliative care, and the needs and preferences of both patients and their caregivers. We conducted in-depth interviews with terminally ill women (34) and their caregivers (27), and key informant interviews (16) with community leaders, religious leaders, health care professionals and policy makers.
All patients received support from the palliative care programs, but stated that it was insufficient to meet their needs. Most women (4 out of 5) suffered from moderate to severe pain, half of the women frequently experienced moderate to severe difficulties with sleeping or eating.
“She (the volunteer provider) has been caring. However, I am not happy and lose hope when my pain comes back. I then feel uncertain about my life. I feel like am dying. It is bad to live under uncertainty, losing my ability to make decisions about myself. The volunteer at times fails to help under such circumstances” (42 years old female patient)
Besides pain, and difficulties with sleeping or eating women suffered from other complaints like cough and vaginal bleeding, that strongly limited their daily activities.
“I bleed every time. It clots and clots and brought offensive smell since I do not have support to clean it and of course no one comes closer. I got weaker and weaker. Only recently volunteers came to help me – thank God.” (38 year old female patient)
Women felt very worried about their situation, and did not often talk about their worries and concerns with their caregivers. Religion did support women in feeling more hopeful about their situation.
Caregivers were often related to the patients, in half of the cases a daughter or son cared for their own mother. Neighbours and other community members supported less than 1 in 4 patients. Most caregivers experienced sad feelings while providing support to terminally ill women and experienced the work as consuming. At the same time, they felt confident about the care they were providing although they missed information on the diagnosis, signs and symptoms.
Health care professionals, community leaders, religious leaders and policy makers recognized the existing gap in palliative care provision and lack of knowledge on palliative care services. They pointed out the lack of organization of care, lack of skilled providers, lack of budget and low priority that is given to palliative care services.
During our study we found that only a selected group of women was included in the support programs, although the programs define palliative care in a broad definition including chronic illnesses like diabetes and hypertension. Considering the population size in the areas where the programs are active, many women with palliative care needs are not identified.
Our study demonstrates that there is an unmet need for palliative care services, that palliative care services should focus more on pain and symptom relief including training of related caregivers, and palliative care services should be integrated with existing community networks, religious structures and local and national health systems.
Prof. Dr. Tinde van Andel (Naturalis Biodiversity Center)
The Baka (Pygmies) are former hunter-gatherers, living in the tropical rainforest near Lomie, southeastern Cameroon. The goal of the van Andel et al. expedition (1 April-25 April 2019) was to collect botanical vouchers for the edible forest plants that were reported earlier during interviews by postdoc Dr. Sandrine Gallois on wild food collection and dietary preferences among Baka in the village of Le Bosquet. The fieldwork has been completed: we collected 104 botanical vouchers of wild edible plants from secondary and primary forest. We matched all Baka names mentioned during the previously conducted interviews, with the exception of four species. These are collected at the moment by Gallois herself, after she received field training in the collection, documentation and preservation of ethnobotanical specimens by the applicant.
We (van Andel, student Heger and Gallois) also collected several edible species that were not in the preliminary database. A total of 11 different wild yams were collected, and eight different Irvingia species. Our results show that the Baka make ingenious use of the Central African rainforest, characterized by large-fruited trees adapted to dispersal by large, ground-dwelling mammals (elephant, chimpanzees, gorilla’s, etc.). Many of these large fruit species, some with unpalatable flesh, are cut open to obtain the seed kernels, which can only be consumed by humans after long and complicated detoxification techniques, such as roasting, soaking in running water, smoke-drying, etc. These seed kernels are rich in proteins and fats, and form an important component in the Baka diet.
We made sure to include field assistants of different age, gender and specializations (e.g., healers, hunters, grandmothers), which allowed us to document several types of ritual food: specific plant species only eaten by elephant hunters, post-menopausal women or small boys after their circumcision ceremony. Most of the wild food species are collected in primary forest, and we documented several edible species that have not been previously documented as eaten by humans in the literature (e.g., roots of Palisota barteri, stems of Anchomanes difformis and seven species of edible ferns). As all Baka are now somehow involved in agriculture, we could not make a distinction in wild plants use between farmers and true hunter-gatherers. However, the botanical variety of wild-gathered food plants remains very high, even though people now also spend time in cultivating cassava and bananas. Unfortunately, illegal logging of Baillonella toxisperma (Sapotaceae) and Diospyros (Ebenaceae) in the area deprives the Baka of some of their most valuable sources of edible fruits and oil. The Baka villagers requested our help in writing a book on their wild food plants, to which we agreed.