Lassa fever in children in Sierra Leone, West Africa

Author(s):  
P.A. Webb ◽  
J.B. McCormick ◽  
I.J. King ◽  
I. Bosman ◽  
K.M. Johnson ◽  
...  
Keyword(s):  
Biology ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 26 ◽  
Author(s):  
Ayodeji Olayemi ◽  
Adetunji Samuel Adesina ◽  
Thomas Strecker ◽  
N’Faly Magassouba ◽  
Elisabeth Fichet-Calvet

Lassa fever is a viral hemorrhagic illness responsible for thousands of human deaths in West Africa yearly. Rodents are known as natural reservoirs of the causative Lassa mammarenavirus (LASV) while humans are regarded as incidental, spill-over hosts. Analysis of genetic sequences continues to add to our understanding of the evolutionary history, emergence patterns, and the epidemiology of LASV. Hitherto, the source of data in such investigations has mainly comprised human clinical samples. Presently, a rise in the quantity of virus strains accessed through ecological studies over the last 15 years now allows us to explore how LASV sequences obtained from rodents might affect phylogenetic patterns. In this study, we phylogenetically compared LASV sequences obtained from both rodents and humans across West Africa, including those from two localities highly endemic for the disease: Ekpoma in Nigeria and Kenema in Sierra Leone. We performed a time-calibrated phylogeny, using a Bayesian analysis on 198 taxa, including 102 sequences from rodents and 96 from humans. Contrary to expectation, our results show that LASV strains detected in humans within these localities, even those sampled recently, are consistently ancient to those circulating in rodents in the same area. We discuss the possibilities connected to this preliminary outcome. We also propose modalities to guide more comprehensive comparisons of human and rodent data in LASV molecular epidemiological studies.


2020 ◽  
Vol 94 (12) ◽  
Author(s):  
Saori Sakabe ◽  
Jessica N. Hartnett ◽  
Nhi Ngo ◽  
Augustine Goba ◽  
Mambu Momoh ◽  
...  

ABSTRACT Early and robust T cell responses have been associated with survival from Lassa fever (LF), but the Lassa virus-specific memory responses have not been well characterized. Regions within the virus surface glycoprotein (GPC) and nucleoprotein (NP) are the main targets of the Lassa virus-specific T cell responses, but, to date, only a few T cell epitopes within these proteins have been identified. We identified GPC and NP regions containing T cell epitopes and HLA haplotypes from LF survivors and used predictive HLA-binding algorithms to identify putative epitopes, which were then experimentally tested using autologous survivor samples. We identified 12 CD8-positive (CD8+) T cell epitopes, including epitopes common to both Nigerian and Sierra Leonean survivors. These data should be useful for the identification of dominant Lassa virus-specific T cell responses in Lassa fever survivors and vaccinated individuals as well as for designing vaccines that elicit cell-mediated immunity. IMPORTANCE The high morbidity and mortality associated with clinical cases of Lassa fever, together with the lack of licensed vaccines and limited and partially effective interventions, make Lassa virus (LASV) an important health concern in its regions of endemicity in West Africa. Previous infection with LASV protects from disease after subsequent exposure, providing a framework for designing vaccines to elicit similar protective immunity. Multiple major lineages of LASV circulate in West Africa, and therefore, ideal vaccine candidates should elicit immunity to all lineages. We therefore sought to identify common T cell epitopes between Lassa fever survivors from Sierra Leone and Nigeria, where distinct lineages circulate. We identified three such epitopes derived from highly conserved regions within LASV proteins. In this process, we also identified nine other T cell epitopes. These data should help in the design of an effective pan-LASV vaccine.


2019 ◽  
Author(s):  
Jia Bainga Kangbai ◽  
Fatima Kinto Kamara ◽  
Rosaline Chukwu Lahai ◽  
Fatmata Gebeh

Abstract Background Lassa fever (LF) is a zoonotic acute viral illness mainly found in West Africa. The disease is endemic in some parts of West Africa including Sierra Leone, Liberia, Guinea and Nigeria; while other neighboring countries at high risk of its outbreak since the animal vectors are distributed throughout the region.Methods This is a retrospective mixed cohort study that analysed the treatment history containing the sociodemographic and clinical characteristics of 52 laboratory-confirmed LF cases that were admitted to the Kenema Government Hospital Lassa Fever Ward (KGHLFW) during 2016 to 2018; i.e. during the post Ebola outbreak in Sierra Leone. The LF patients whose treatment history we analysed came from either within or outside Kenema district were the KGHLFW is located.Results Majority (59.6%, n = 31/52) of the LF cases recorded during the period under review were adults; females (65.4%, n = 34/52). 2016 recorded more (40.4%, n = 21/52) LF cases; 2017 (28.8%, n = 15/52) and 2018(30.8%, n = 16/52).Conclusions We highlighted the significance of LF preventive and control measures that can target its seasonal epidemics. These measures could include strategies that can reduce human contact with the rodent vector as well as raise sensitization and awareness about LF among local residents especially those residing along the LF belt in eastern Sierra Leone.


2003 ◽  
Vol 7 (6) ◽  
Author(s):  

A case of Lassa fever has been confirmed in a British soldier returned from Sierra Leone, West Africa, it is reported in a press release issued today by the Royal Free Hampstead Hospital in London (1). The man, who became ill on 30 January, is being cared for at a high security infectious diseases unit in London and is in a stable condition.


2019 ◽  
Vol 2 (3) ◽  
pp. 128-140
Author(s):  
Alhaji Bakar Kamara

The focus of this research is to investigate the influence of wharfs on school children. Therefore it will report the findings of the result on the influences of wharfs on school children with specific case on Portee Wharf in Freetown, Sierra Leone in West Africa. In this regard, the introduction describes the research area, stating the statement of the problem, the overall goal and specific objectives that will be attained in this study, justification for selecting the topic, problems to be encountered during the course of carrying out this research and major influences. Besides, an indication of the methods used to investigate the topic will also be highlighted. Moreover, the studies will analyze the actual responses of the respondents of the activities of the wharf on school-going children. It will address the questionnaire in accordance with the following: Background information of respondents, this investigated areas such as sex, age, religion, occupation and tribe; It enquires about the activities of the wharfs, reasons and consequences of children engaged in wharfs and strategies to control problems that may emanate from the wharf. The paper will show the findings, gives the summary, conclusion and recommendations of problems identified while carrying out the research.


Biology ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 28
Author(s):  
Umaru Bangura ◽  
Jacob Buanie ◽  
Joyce Lamin ◽  
Christopher Davis ◽  
Gédéon Ngiala Bongo ◽  
...  

Lassa fever is a viral hemorrhagic fever caused by the Lassa virus LASV, which was first isolated in the rodent Mastomys natalensis in 1974 in Kenema, Sierra Leone. As little is known about the abundance and the presence of LASV in rodents living in the Bo area, we carried out a small mammal longitudinal population survey. A standardized trapping session was performed in various habitats and seasons in six villages over two years (2014–2016) and samples collected were tested for arenavirus IgG and LASV. A Bayesian phylogenetic analysis was performed on sequences identified by PCR. A total of 1490 small mammals were collected, and 16 rodent species were identified, with M. natalensis (355, 24%) found to be the most prevalent species. Forty-one (2.8%) samples were IgG positive, and 31 of these were trapped in homes and 10 in surrounding vegetation. Twenty-nine of 41 seropositive rodents were M. natalensis. We detected four LASV by PCR in two villages, all found in M. natalensis. Phylogenetic analysis showed that the sequences were distributed within the Sierra Leonean clade within lineage IV, distinguishing a Bo sub-clade older than a Kenema sub-clade. Compared to other settings, we found a low abundance of M. natalensis and a low circulation of LASV in rodents in villages around Bo district.


Africa ◽  
1987 ◽  
Vol 57 (4) ◽  
pp. 411-421 ◽  
Author(s):  
Christopher Fyfe

Opening ParagraphSeen in the widest perspective, 1787 is only one date among the uncounted tens, perhaps hundreds, of thousands of years during which the present Sierra Leone has been inhabited. Archaeologists have done disappointingly little work there. But it is clear from their findings (and by implication from findings in the rest of forest-belt West Africa) that people have lived there a very long time. Though traditional historiography always tends to present the peoples of Sierra Leone as immigrants from somewhere else, the language pattern suggests continuous occupation over a very long period. As Paul Hair (1967) has shown, there has been a striking linguistic continuity in coastal West Africa since the fifteenth century. Nor is there evidence to suggest that before that period stability and continuity were not the norm.


Sign in / Sign up

Export Citation Format

Share Document