Schistosomiasis and soil-transmitted helminthiasis control in Cameroon and Côte d'Ivoire: implementing control on a limited budget

Parasitology ◽  
2009 ◽  
Vol 136 (13) ◽  
pp. 1739-1745 ◽  
Author(s):  
L. A. TCHUEM TCHUENTÉ ◽  
E. K. N'GORAN
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Public Health Problem ◽  
Effective Control ◽  
Major Public Health Problem ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Soil Transmitted Helminthiasis

SUMMARYSchistosomiasis and soil-transmitted helminthiasis occur throughout the developing world and remain a major public health problem in the poorest communities with enormous consequences for development. The extent of the problem has long been neglected because these diseases rarely kill at a young age and also because of their insidious nature. Today there exists a momentum and an unprecedented opportunity for a cost-effective control of these neglected tropical diseases. The control of these diseases has become a priority on the agenda of many governments, donors and international agencies. This paper highlights the progress made and future control activities in Cameroon and Côte d'Ivoire, where schistosomiasis and soil-transmitted helminthiasis control measures have been implemented over the past decade with limited budgets. In Cameroon, deworming activities were increased to encompass all ten regions in 2007 as a result of a co-ordinated effort of the Ministry of Health and the Ministry of Education with national and international partners. In Côte d'Ivoire, focal control activities were achieved with support from various partners. Prospects, opportunities and challenges for the control of neglected tropical diseases in these two countries are discussed.

scholarly journals Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

2019 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
YVES Thierry BAROGUI ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Skin Conditions ◽  
Health Districts

Abstract Background Neglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw three skin NTDs. Method This cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting. Results In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions. Conclusions The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

scholarly journals Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in three health districts of Côte d’Ivoire

2020 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
Yves Thierry BAROGUI ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Skin Conditions ◽  
Health Districts

Abstract Background Neglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw. Method This cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting. Results We have included in the study all patients with ‘skin signs and symptoms at the screening stage who accepted voluntarily to be screened. In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions. Conclusions The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

scholarly journals Integrated Approach in the Control and Management of Skin Neglected Tropical Diseases in Three Health Districts of Côte d’Ivoire

2020 ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
Yves Thierry BAROGUI ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Buruli Ulcer ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Skin Conditions ◽  
Health Districts

Abstract Background: Neglected tropical diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For effective and efficient control, the WHO recommends that affected countries implement integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs, remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw.Method: This cross-sectional study took place from April 2016 to March 2017 in 3 districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. The study was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting.Results: We included in the study all patients with skin signs and symptoms at the screening stage who voluntarily accepted screening.In total, 2310 persons screened had skin lesions at the screening stage. Among them, 07 cases were diagnosed with Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients identified, as well as follow-up of identified patients, including those with other skin conditions.Conclusions: The results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of staff capacity building and minimal care of identified patients.

scholarly journals Integrated approach in the control and management of skin neglected tropical diseases in three health districts of Côte d’Ivoire

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Aboa Paul Koffi ◽  
Théodore Ange Kouakou Yao ◽  
Yves Thierry Barogui ◽  
Gabriel Diez ◽  
Simplice Djakeaux ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Neglected Tropical Diseases ◽  
Integrated Approach ◽  
Tropical Diseases ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Control And Management ◽  
Health Districts

scholarly journals Nutritional Potential and Microbiological Quality of the Taro Leaves (Colocasia Esculenta) Consumed in Abidjan City (Côte d’Ivoire)

2021 ◽  
pp. 19-28
Author(s):  
Kouamé Kohi Alfred ◽  
Bouatenin Koffi Maïzan Jean-Paul ◽  
Djué Yao Fabrice ◽  
Coulibaly Karnon ◽  
Djé Koffi Marcellin
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Health Hazard ◽  
Iron Concentration ◽  
Public Health Problem ◽  
Colocasia Esculenta ◽  
Total Carbohydrate ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Nutritional Potential

To fight malnutrition, which is a public health problem in the world, it is to use local foods as a cost-effective strategy to improve health. The aim of this study was to characterize taro (Colocasia esculenta) leaves for their valorization in human food. Sampling took place in the city of Abidjan (Côte d'Ivoire) and the collection of fresh taro (Colocasia esculenta) leaf samples was done in 10 fields in the commune of Abobo, 6 fields in Akeikoi and 4 fields in N'dotré, in October 2020. Three samples were taken in each field. To do so, physicochemical, nutritional and microbiological analyses of dried fresh leaves and dried cooked leaves were performed. The analysis of the biochemical composition allowed to characterize the taro leaves. Thus, the results showed that the crude protein and fat contents of the fresh dried taro leaves were respectively 4.95 ± 0.005% and 0.07 ± 0.001% against 3.75 ± 0.001% and 0.06 ± 0.001% for the boiled and dried taro leaves. The total carbohydrate content was 93.97± 0.02% for the dried cooked leaves and 91.24 ± 0.04% for the fresh dried leaves. The iron concentration for the dried fresh leaves (3.33 ± 0.57 mg) was higher than that for the boiled and dried leaves (1.33 ± 0.57 mg). Zinc content ranged from 385.66 ± 5.13 mg for fresh dried leaves to 196.66 ± 5.77 mg for boiled and dried taro leaves. Magnesium was present in taro leaves with higher contents in fresh dried leaves (45.66 ± 1.52 mg) than in cooked dried leaves (38.66 ± 1.52 mg). In addition, the presence of mesophilic aerobic germs, notably Staphylococcus aureus and Bacillus sporulates, was observed in the dried cooked leaves. It appears that the cooked taro leaves consumed in Abidjan have a good nutritional potential but could present a health hazard at the microbiological level for the consumer.

scholarly journals Anopheles bionomics, insecticide resistance mechanisms, and malaria transmission in the Korhogo area, northern Côte d’Ivoire: a pre-intervention study

Parasite ◽  
2019 ◽  
Vol 26 ◽  
pp. 40 ◽  
Author(s):  
Barnabas Zogo ◽  
Dieudonné Diloma Soma ◽  
Bertin N’Cho Tchiekoi ◽  
Anthony Somé ◽  
Ludovic P. Ahoua Alou ◽  
...  
Keyword(s):  
Insecticide Resistance ◽  
Anopheles Gambiae ◽  
Malaria Transmission ◽  
Cote D'ivoire ◽  
Rainy Season ◽  
Côte D’Ivoire ◽  
Resistance Mechanisms ◽  
Effective Control ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

A better understanding of malaria transmission at a local scale is essential for developing and implementing effective control strategies. In the framework of a randomized controlled trial (RCT), we aimed to provide an updated description of malaria transmission in the Korhogo area, northern Côte d’Ivoire, and to obtain baseline data for the trial. We performed human landing collections (HLCs) in 26 villages in the Korhogo area during the rainy season (September–October 2016, April–May 2017) and the dry season (November–December 2016, February–March 2017). We used PCR techniques to ascertain the species of the Anopheles gambiae complex, Plasmodium falciparum sporozoite infection, and insecticide resistance mechanisms in a subset of Anopheles vectors. Anopheles gambiae s.l. was the predominant malaria vector in the Korhogo area. Overall, more vectors were collected outdoors than indoors (p < 0.001). Of the 774 An. gambiae s.l. tested in the laboratory, 89.65% were An. gambiae s.s. and 10.35% were An. coluzzii. The frequencies of the kdr allele were very high in An. gambiae s.s. but the ace-1 allele was found at moderate frequencies. An unprotected individual living in the Korhogo area received an average of 9.04, 0.63, 0.06 and 0.12 infected bites per night in September–October, November–December, February–March, and April–May, respectively. These results demonstrate that the intensity of malaria transmission is extremely high in the Korhogo area, especially during the rainy season. Malaria control in highly endemic areas such as Korhogo needs to be strengthened with complementary tools in order to reduce the burden of the disease.

scholarly journals Schistosomiasis, Soil-Transmitted Helminthiasis, and Sociodemographic Factors Influence Quality of Life of Adults in Côte d'Ivoire

2012 ◽  
Vol 6 (10) ◽  
pp. e1855 ◽  
Author(s):  
Thomas Fürst ◽  
Kigbafori D. Silué ◽  
Mamadou Ouattara ◽  
Dje N. N'Goran ◽  
Lukas G. Adiossan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Sociodemographic Factors ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Soil Transmitted Helminthiasis

scholarly journals Prevalence of Schistosoma mono- and co-infections with multiple common parasites and associated risk factors and morbidity profile among adults in the Taabo health and demographic surveillance system, South-Central Côte d’Ivoire

2022 ◽  
Vol 11 (1) ◽  
Author(s):  
Fidèle K. Bassa ◽  
Ikenna C. Eze ◽  
Rufin K. Assaré ◽  
Clémence Essé ◽  
Siaka Koné ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Public Health Problem ◽  
Urine Samples ◽  
Health Examination ◽  
Important Public Health Problem ◽  
Cote D’Ivoire ◽  
South Central ◽  
Côte D'ivoire

Abstract Background Schistosomiasis remains an important public health problem, also among adults, and infected individuals not treated serve as a reservoir for continued transmission. Despite this fact, evidence on the epidemiology of schistosomiasis in adults in Côte d’Ivoire is scanty. This study aimed to determine the prevalence and risk factors of Schistosoma infection and co-infection with other helminth species and Plasmodium among adults in the Taabo region in the south-central part of Côte d’Ivoire. Methods A cross-sectional survey was carried out in April and May 2017 in the frame of the “Côte d’Ivoire Dual Burden of Disease Study” (CoDuBu). A total of 901 randomly selected individuals, aged 18–90 years, provided blood, stool and urine samples for the diagnosis of malaria and helminth infections. Stool samples were subjected to the Kato-Katz technique for detection of Schistosoma mansoni and soil-transmitted helminth eggs, while urine samples were examined for eggs of Schistosoma haematobium and circulating cathodic antigen of S. mansoni. Risk factors and morbidity profiles were assessed using health examination and questionnaires. Multinomial logistic regressions were employed to identify risk factors and morbidity patterns associated with S. mansoni mono- and co-infections. Results The prevalence of S. mansoni and S. haematobium was 23.2% and 1.0%, respectively. Most S. mansoni were mono-infections (81.3%). Independent determinants of S. mansoni infection were young age, low socioeconomic status (mono- and co-infection) and poor hygiene practices (co-infection) (P < 0.05). S. mansoni infection was independently associated with higher pain and symptom scores (mono-infection), poor self-rated health and low healthcare use (co-infection) (P < 0.05). Conclusions This study showed that adults represent a substantial reservoir of S. mansoni. To sustain schistosomiasis control and improve people’s wellbeing, it is important to expand preventive chemotherapy from school-aged children to adults, coupled with hygiene and health education.

scholarly journals Itineraires Therapeutiques Des Malades De L’ulcere De Buruli Et Difficultes De Prise En Charge Hospitaliere A Djekanou (Cote d’Ivoire)

2017 ◽  
Vol 13 (3) ◽  
pp. 197
Author(s):  
Adjet A. Abel
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Health Workers ◽  
Care Center ◽  
Significant Proportion ◽  
Public Health Problem ◽  
Prise En Charge ◽  
Cote D’Ivoire ◽  
Awareness Campaigns ◽  
Côte D'ivoire

Among the neglected tropical disease, Buruli ulcer (BU) is a real public health problem in Côte d'Ivoire. Facing this pathology, international and national institutions to combat advocate for people in endemic areas early detection and immediate use of support centers at the first signs. However, patients continue to attend late care centers with large ulcerative lesions. Therefore, healing requires a long-term hospitalization that requires medical and surgical treatment. The main objective of this study is to analyze the factors that change the therapeutic route of BU patients and constraints socio - economic issues related to their hospitalisation. This is a qualitative and quantitative study. We used the technique of reasoned choice. It covered 55 patients met at the Djekanou care center in the Toumodi Health District. Data were collected through structured and semi - structured interviews based on questionnaires, individual interview guides and focus groups. A significant proportion of patients with BU are children and adolescents. The sick are accompanied by a parent who takes care of them. Awareness campaigns, community health workers, television and radio did not really help to change the therapeutic itinerary of patients. The patients encountered testify to the ineffectiveness of traditional care. The hospitalization of patients is marked by difficulties of several kinds.

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