Patrick Van Damme

Comparison of health conditions treated with traditional and biomedical health care in a Quechua community in rural Bolivia

BackgroundThe objective of the present study was to reveal patterns in the treatment of health conditions in a Quechua-speaking community in the Bolivian Andes based on plant use data from traditional healers and patient data from a primary health care (PHC) service, and to demonstrate similarities and differences between the type of illnesses treated with traditional and biomedical health care, respectively.MethodsA secondary analysis of plant use data from semi-structured interviews with eight healers was conducted and diagnostic data was collected from 324 patients in the community PHC service. Health conditions were ranked according to: (A) the percentage of patients in the PHC service diagnosed with these conditions; and (B) the citation frequency of plant use reports to treat these conditions by healers. Healers were also queried about the payment modalities they offer to their patients.ResultsPlant use reports from healers yielded 1166 responses about 181 medicinal plant species, which are used to treat 67 different health conditions, ranging from general symptoms (e.g. fever and body pain), to more specific ailments, such as arthritis, biliary colic and pneumonia. The results show that treatment offered by traditional medicine overlaps with biomedical health care in the case of respiratory infections, wounds and bruises, fever and biliary colic/cholecystitis. Furthermore, traditional health care appears to be complementary to biomedical health care for chronic illnesses, especially arthritis, and for folk illnesses that are particularly relevant within the local cultural context. Payment from patients to healers included flexible, outcome contingent and non-monetary options.ConclusionTraditional medicine in the study area is adaptive because it corresponds well with local patterns of morbidity, health care needs in relation to chronic illnesses, cultural perceptions of health conditions and socio-economic aspects of health care. The quantitative analysis of plant use reports and patient data represents a novel approach to compare the contribution of traditional and biomedical health care to treatment of particular health conditions.

Cultural significance of medicinal plant families and species among Quechua farmers in Apillapampa, Bolivia

ETHNOPHARMACOLOGICAL RELEVANCE Medicinal plant use was investigated in Apillapampa, a community of subsistence farmers located in the semi-arid Bolivian Andes. AIM OF THE STUDY The main objectives were to identify the culturally most significant medicinal plant families and species in Apillapampa. MATERIALS AND METHODS A total of 341 medicinal plant species was inventoried during guided fieldtrips and transect sampling. Data on medicinal uses were obtained from fifteen local Quechua participants, eight of them being traditional healers. RESULTS Contingency table and binomial analyses of medicinal plants used versus the total number of inventoried species per family showed that Solanaceae is significantly overused in traditional medicine, whereas Poaceae is underused. Also plants with a shrubby habitat are significantly overrepresented in the medicinal plant inventory, which most likely relates to their year-round availability to people as compared to most annual plants that disappear in the dry season. Our ranking of medicinal species according to cultural importance is based upon the Quality Use Agreement Value (QUAV) index we developed. This index takes into account (1) the average number of medicinal uses reported for each plant species by participants; (2) the perceived quality of those medicinal uses; and (3) participant consensus. CONCLUSIONS According to the results, the QUAV index provides an easily derived and valid appraisal of a medicinal plants cultural significance.

Ethnomedicinal study of plants used for human ailments in Ankober District, North Shewa Zone, Amhara Region, Ethiopia.

BackgroundAnkober District has long been inhabited by people who have a long tradition of using medicinal plants to treat human ailments. Overexploitation of medicinal plants coupled with an ever-increasing population growth, deforestation and agricultural land expansion threatens plants in the area. Hence, this study aimed at documenting and analyzing the plant-based ethnomedicinal knowledge of the people in order to preserve the dwindling indigenous knowledge.MethodsEthnobotanical data were collected using semi-structured interviews, focus group discussions, participant observation and walk-in-the-woods. Quantitative approaches were used to determine Informant Consensus Factor (ICF) and Fidelity level (FL) values. Statistical tests were used to compare the indigenous knowledge on medicinal plants among different informant categories.ResultsA total of 135 medicinal plant species belonging to 128 genera and 71 botanical families were reported to treat human diseases in the District. Families Asteraceae (12 species, 9%) and Fabaceae (10, 7.4%) were found to be best represented in the area. About 44% of preparations were reported to be obtained from roots. Significant difference (P < 0.05) was observed on the mean number of medicinal plants reported by groups of respondents compared within age, literacy level and experience parameters. Highest ICF values were recorded for gastro-intestinal & parasitic and dermatological disease categories (0.70 each) indicating best agreement among informants knowledge on medicinal plants used to treat aliments in these categories. Highest fidelity level values were recorded for Zehneria scabra (95%) and Hagenia abyssinica (93.75%) showing conformity of knowledge on species of best healing potential. Podocarpus falcatus was ranked first in a direct matrix ranking exercise of multipurpose medicinal plants. The output of preference ranking exercise indicated that Olea europaea subsp. cuspidata was the most preferred species to treat atopic eczema.ConclusionThe study revealed that Ankober District is rich in medicinal plant diversity and associated indigenous knowledge. However, anthropogenic factors coupled with acculturation and very poor conservation efforts threaten medicinal plant survival in the area. Promoting a complementary in situ and ex situ conservation strategy for medicinal plants of the District is highly recommended.

Ethnoveterinary knowledge in pastoral Karamoja, Uganda.

ETHNOPHARMACOLOGICAL RELEVANCE The people of Karamoja of northern Uganda chiefly rely on ethnoveterinary knowledge (EVK) to control common livestock health problems. In spite of cattles central role in Karamojong culture and livelihoods, there has been no systematic recording of their ethnoveterinary plant-based cures to date. AIM OF STUDY To document the remedies used to treat livestock diseases, their preparation and administration. METHODS Data were collected using semi-structured interviews, guided questionnaires, group discussions, direct observations and collection trips. RESULTS We present information on 209 plant species and 18 non-plant materials. Plant species are distributed over 116 genera and 54 families. The most common medicinal use was treatment against anaplasmosis. Balanites aegyptiacus, Carissa spinarum, Warburgia salutaris and Harrisonia abyssinica had the most uses of all species. All different plant parts were used; bark and underground parts were exploited more frequently than other plant parts. Most remedies listed used a single ingredient, typically soaked in water; only 12.8% remedies used multiple plants. The route of administration was primarily oral followed by topical applications. Almost all plants are collected from the wild; none of the few cultivated plants used had been planted for medicinal purposes. CONCLUSIONS The pastoralists in the study site possess a wealth of EVK which they use to maintain animal health. Their rich knowledge and high diversity of plants were recorded here for the first time.

What works in the field? : a comparison of different interviewing methods in ethnobotany with special reference to the use of photographs

Ethnobotanists use a variety of interview techniques to collect ethnobotanical data. Drawing upon the results from a quantitative ethnobotanical study in five Yuracaré and Trinitario communities in the Bolivian Amazon, the pros and cons of the following methods are evaluated: (1) interviews in situ during transects, walk-in-the-woods, and homegarden sampling; and (2) interviews ex situ with fresh plant material, voucher specimens, or plant photographs as reference tools. Although the systematic use of plant photographs for ethnobotanical interviews is poorly documented in literature, the results show that indigenoùs participants in our study recognize significantly more plant species from photographs than from voucher specimens. It is argued that, especially in remote and isolated study sites, photographs might be advantageous over voucher specimens.

Advances in domestication of indigenous fruit trees in the West African Sahel

Fruit trees play an important nutritional role for livelihoods of rural people in the West African Sahel through provision of energy and nutrients such as vitamins, minerals, and proteins. Research on the domestication of local fruit trees has started recently through projects concentrating on some of the most important indigenous species of dry West Africa, i.e. Adansonia digitata, Parkia biglobosa, Tamarindus indica, Vitellaria paradoxa and Ziziphus mauritiana. We present a status of finalised and ongoing domestication research with the aim of defining research gaps that would need to be covered by future research activities to obtain higher yields and better quality fruits. Germplasm collection in central West Africa has been intense compared to elsewhere in the species’ distribution areas, but conservation status of the material is poor since it is only planted in few trials. Knowledge of genetic parameters, especially for fruit traits, is almost absent, but characterisation of genotypes is underway for some of the species. Mating systems and patterns are still unknown for many species. Efficient vegetative propagation based on simple techniques was shown to be possible for all species except P. biglobosa. In order to secure immediate as well as long term gains, we recommend combining clonal propagation of selected plus individuals with recombination and breeding of selected genotypes. We discuss whether local institutions in the Sahel have the financial capacity to carry out long term breeding programmes, and suggest that efforts should be made to find new ways of disseminating improved germplasm.

Eating from the wild: Turumbu, Mbole and Bali traditional knowledge on non-cultivated edible plants, District Tshopo, DRCongo

Wild Edible Plant (WEP) knowledge is very important for the survival of many African communities and may constitute a genetic resource pool for the development of novel food products. Only very limited and general information on WEPs of the Tshopo District, DRCongo, is available in international literature. Ethnobotanical research was carried out in 3 ethnic groups, Turumbu, Mbole and Bali, in 3 different territories of the Tshopo District. In 3 villages per ethnic group, WEPs were inventoried and their properties discussed in focus groups. Via ‘walks-in-the-woods’ with key informants all WEPs were collected to constitute a reference herbarium. Preferences in taste, commercial, nutritional and cultural value, were discussed during participatory ranking exercises. A total of 166 WEPs (165 species and 2 varieties) in 71 families, together with their uses, preparation methods, availability and commercialization possibilities were documented. Comparisons between the 3 ethnic groups showed that the use and knowledge of WEPs is clearly culturally defined with high diversity between ethnic groups. Therefore, we should make a difference between species with regional importance and ethnospecific species when it comes to priority setting for further study and participatory domestication. Based upon the preference ranking exercises, Anonidium mannii, Landolphia owariensis and Megaphrynium macrostachyum are some of the species with regional importance. Participatory domestication aims at ameliorating nutrition security and diversifying and increasing local farmers’ income whilst protecting the tropical rainforest from overexploitation.

Construction of core collections suitable for association mapping to optimize use of Mediterranean olive (Olea europaea L.) genetic resources.

Phenotypic characterisation of germplasm collections is a decisive step towards association mapping analyses, but it is particularly expensive and tedious for woody perennial plant species. Characterisation could be more efficient if focused on a reasonably sized subset of accessions, or so-called core collection (CC), reflecting the geographic origin and variability of the germplasm. The questions that arise concern the sample size to use and genetic parameters that should be optimized in a core collection to make it suitable for association mapping. Here we investigated these questions in olive (Olea europaea L.), a perennial fruit species. By testing different sampling methods and sizes in a worldwide olive germplasm bank (OWGB Marrakech, Morocco) containing 502 unique genotypes characterized by nuclear and plastid loci, a two-step sampling method was proposed. The Shannon-Weaver diversity index was found to be the best criterion to be maximized in the first step using the Core Hunter program. A primary core collection of 50 entries (CC50) was defined that captured more than 80% of the diversity. This latter was subsequently used as a kernel with the Mstrat program to capture the remaining diversity. 200 core collections of 94 entries (CC94) were thus built for flexibility in the choice of varieties to be studied. Most entries of both core collections (CC50 and CC94) were revealed to be unrelated due to the low kinship coefficient, whereas a genetic structure spanning the eastern and western/central Mediterranean regions was noted. Linkage disequilibrium was observed in CC94 which was mainly explained by a genetic structure effect as noted for OWGB Marrakech. Since they reflect the geographic origin and diversity of olive germplasm and are of reasonable size, both core collections will be of major interest to develop long-term association studies and thus enhance genomic selection in olive species.

Spatial genetic structuring of baobab (Adansonia digitata, Malvaceae) in the traditional agroforestry systems of West Africa.

This study evaluates the spatial genetic structure of baobab (Adansonia digitata) populations from West African agroforestry systems at different geographical scales using AFLP fingerprints. Eleven populations from four countries (Benin, Ghana, Burkina Faso, and Senegal) had comparable levels of genetic diversity, although the two populations in the extreme west (Senegal) had less diversity. Pairwise F(ST) ranged from 0.02 to 0.28 and increased with geographic distance, even at a regional scale. Gene pools detected by Bayesian clustering seem to be a byproduct of the isolation-by-distance pattern rather than representing actual discrete entities. The organization of genetic diversity appears to result essentially from spatially restricted gene flow, with some influences of human seed exchange. Despite the potential for relatively long-distance pollen and seed dispersal by bats within populations, statistically significant spatial genetic structuring within populations (SGS) was detected and gave a mean indirect estimate of neighborhood size of ca. 45. This study demonstrated that relatively high levels of genetic structuring are present in baobab at both large and within-population level, which was unexpected in regard to its dispersal by bats and the influence of human exchange of seeds. Implications of these results for the conservation of baobab populations are discussed.

A systematic review on the contributions of edible plant and animal biodiversity to human diets.

The sustainable use of natural and agricultural biodiversity in the diet can be instrumental to preserve existing food biodiversity, address malnutrition, and mitigate adverse effects of dietary changes worldwide. This systematic review of literature summarizes the current evidence on the contribution of plant and animal biodiversity to human diets in terms of energy intake, micronutrient intake, and dietary diversification. Peer-reviewed studies were searched in ten databases using pre-defined search terms. Only original studies assessing food biodiversity and dietary intake were included, resulting in a total of 34 studies. 7, 14, and 17 studies reported information in relation to energy intake, micronutrient intake, and dietary diversification, respectively. In general, locally available foods were found to be important sources of energy, micronutrients, and dietary diversification in the diet of particularly rural and forest communities of highly biodiverse ecosystems. The current evidence shows local food biodiversity as important contributor of nutritious diets. Findings are, however, limited to populations living in highly biodiverse areas. Research on the contribution of biodiversity in diets of industrialized and urban settings needs more attention. Instruments are needed that would more appropriately measure the dietary contribution of local biodiversity.