scholarly journals Asymptomatic malaria: building bridges with communities through patients in Côte d’Ivoire

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Hounsa ◽  
D Yao ◽  
A R Attia ◽  
M Gokpéya ◽  
K J Sackou ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Control Strategies ◽  
Clinical Signs ◽  
Domestic Animals ◽  
Asymptomatic Malaria ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Household Members

Abstract Background In malaria-endemic areas, asymptomatic carriers are a reservoir of parasites that contribue to the persistence of malaria transmission. In Côte d’Ivoire, this situation is poorly documented. The objective of our study was to assess the frequency and socio-environmental factors associated with asymptomatic malaria in the town of Assuefry, located in the northeast of Côte d’Ivoire, a region where malaria prevalence remains high. Methods A cross-sectional study in two stages was conducted from October to December 2018, first at the Urban Health Center (UHC) in Assuefry and then in the households. The sample size calculated for patients was 162 extrapolated to 201 people. All persons received at the CSU who had clinical symptoms of malaria and a positive Rapid Diagnostic Test (RDT) were included. In the households of these index subjects, a follow-up survey allowed active RDT screening for malaria among all household members with no clinical signs of malaria. The socio-environmental factors taken into account were: the area of residence (urban or peri-urban), domestic animals husbandry, water storage at home, nearby garbage dump, wastewater collection and disposal system, type of housing and number of people in the household. Results The frequency of asymptomatic malaria was 341 (38.8%) out of 879 household members visited. Both female and male gender was concerned (51% vs. 49%). The 5 to 25 years old group concentrated nearly 82% of all cases. Only domestic animals husbandry was associated with asymptomatic malaria at the household level (p = 0.021). Conclusions The high frequency of asymptomatic malaria found in this study is a challenge for the National Malaria Control Program in Côte d’Ivoire. This should be taken into account while organizing control strategies. Key messages The frequency of asymptomatic malaria in Côte d’Ivoire is high. Control strategies must take into account in the guidelines the challenges of detecting and treating asymptomatic malaria. For the judicious use of antimalarial drugs, any subject with a positive RDT without clinical signs of malaria should receive a ‘Drop - Thick’ before treatment.

scholarly journals Factors Influencing the Transborder Transmission of Brucellosis in Cattle Between Côte d'Ivoire and Mali: Evidence From Literature and Current Key Stakeholders

2021 ◽  
Vol 8 ◽  
Author(s):  
Wilfried Délé Oyetola ◽  
Kanny Diallo ◽  
Katharina Kreppel ◽  
Philippe Soumahoro Kone ◽  
Esther Schelling ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Control Strategies ◽  
Regional Scale ◽  
Small Ruminants ◽  
Border Control ◽  
Cote D’Ivoire ◽  
Factors Influencing ◽  
Côte D'ivoire ◽  
Key Stakeholders

Brucellosis is one of the main zoonoses affecting ruminants. Cattle and small ruminants are involved in transhumance and trade between Côte d'Ivoire and Mali. The endemic nature of the disease in both countries, connected through transhumance, poses unique challenges and requires more information to facilitate disease surveillance and the development of integrated control strategies. This study aimed to assess the main factors influencing the historical and current transborder transmission of brucellosis between Côte d'Ivoire and Mali. A literature review was conducted and data collection was performed through a participatory, transdisciplinary process by holding focus group discussions and interviews with key stakeholders. Cattle breeders, herdsmen, professionals of animal and human health, border control agents and experts took part. The data was analyzed to generate essential new knowledge for transborder brucellosis transmission factors and control strategies. From the literature, the seroprevalence of brucellosis in both countries varied from 11% (1987) to 20% (2013) and 15% (1972–1973) to 5% (2012–2014) in Mali and Côte d'Ivoire, respectively. The reduction of seroprevalence in Côte d'Ivoire was the result of the annual vaccination campaigns which lowered it from 28% (1978) to 14% (1984) after an increase due to livestock policy implemented in 1976. The meta-analysis and interviews jointly showed that the cross-border mobility was associated with the livestock development policy in Côte d'Ivoire as well as the ECOWAS act on the free movement of people and goods. This act supported the seasonal transhumance of livestock for access to pasture land in southern humid zones in Côte d'Ivoire. The seasonal mobility for grazing and trade was the main risk factor for the spread of brucellosis between pastoral zones of both countries. The existing legal health framework and border control mechanism do not achieve transborder surveillance to control brucellosis. Existing sanitary regulations should be adapted at regional scale to integrate a joint surveillance of high priority zoonotic diseases like brucellosis at border controls.

scholarly journals Emergence in Western African Countries of MDR-TB, Focus on Côte d’Ivoire

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Euloge Ekaza ◽  
Raymond Kouassi N’Guessan ◽  
Adèle Kacou-N’Douba ◽  
N’Guetta Aka ◽  
Jacquemin Kouakou ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Control Strategies ◽  
Political Conflict ◽  
Prevention Strategies ◽  
African Countries ◽  
Cote D’Ivoire ◽  
Vaccination Programs ◽  
Treatment And Prevention ◽  
Côte D'ivoire

Tuberculosis (TB) is responsible for a high mortality rate (2.5%) worldwide, mainly in developing countries with a high prevalence of human immunodeficiency virus (HIV). The emergence of multiresistant strains of TB poses an extreme risk for TB outbreaks and highlights the need for global TB control strategies. Among Western African countries, Côte d’Ivoire (CI) represents a specific example of a country with great potential to prevent TB. Specifically, CI has a promising healthcare system for monitoring diseases, including vaccination programs. However, military and political conflict in CI favors the spread of infectious diseases, TB being among the most devastating. Compilation of the studies identifying common causes of TB would be extremely beneficial for the development of treatment and prevention strategies. Therefore, the purpose of this comprehensive review is to evaluate the epidemiology of TB in CI, describe the factors involved in pathogenesis, and suggest simple and applicable prevention strategies.

scholarly journals Dengue fever in Morocco: result of surveillance during the year 2017 and first imported cases

2018 ◽  
Vol 6 (3) ◽  
pp. 1029 ◽  
Author(s):  
Tahar Bajjou ◽  
Youssef Akhouad ◽  
Farida Hilali ◽  
Safae Elkochri ◽  
Abdelilah Laraqui ◽  
...  
Keyword(s):  
Dengue Virus ◽  
Dengue Fever ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Clinical Signs ◽  
Denv Infection ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Imported Cases ◽  
The Town

Dengue is a significant mosquito-borne infection in humans, and its worldwide prevalence is rapidly increasing. The vector aedes albopictus has been revealed recently in the town of Rabat. Morocco established a program of active surveillance of dengue fever comprising many hospitals and laboratories across the kingdom. The purpose of this work is to describe the result of the surveillance of the dengue virus (DENV) infection during the year of 2017 among Moroccans and tourists who presented in our hospital with clinical signs of infection and to report the first confirmed positive cases of Dengue.From 20 December 2016 to 20 December 2017, 21 patients were hospitalized for suspicion of DENV infection. Half of them were returning from Côte d’Ivoire which is a popular tourist and business country for Moroccans and where an outbreak of DENV was confirmed on July 2017. Fever, headache, arthralgia-myalgia and malaise in addition to the notion of return from an endemic country justify in clinicians the demand for analysis of detection of dengue virus by RT-PCR.Dengue infection was confirmed in two patient both coming from Côte d’Ivoire, a Moroccan and an Ivorian who were staying in Abidjan during the period of the outbreak of 2017.

ASSOCIATION OF HOUSEHOLD DEMOGRAPHIC VARIABLES WITH CHILD MORTALITY IN CÔTE D’IVOIRE

2006 ◽  
Vol 39 (2) ◽  
pp. 257-265 ◽  
Author(s):  
SAMUEL Y. ANDOH ◽  
MASAHIRO UMEZAKI ◽  
KEIKO NAKAMURA ◽  
MASASHI KIZUKI ◽  
TAKEHITO TAKANO
Keyword(s):  
Child Mortality ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Child Survival ◽  
Demographic Variables ◽  
African Countries ◽  
Cote D’Ivoire ◽  
Survival Status ◽  
Côte D'ivoire ◽  
Household Members

Summary.The associations between household demographic variables and mortality of children aged less than five years were investigated using data from the 1998 Demographic and Health Survey (DHS) of the Republic of Côte d’Ivoire, Western Africa. Of the total of 1992 children born to women included in the study population during the 5-year period preceding the survey, 260 (13%) had died and 1732 (87%) were alive at the time of the survey. Logistic regression analyses used to compare biosocial variables between the deceased and living children showed that the sex of the child, birth interval and mother’s occupation were associated with child’s survival status. After adjusting for their effects, household demographic variables (i.e. number of household members, number of household members under 5 years [HM−5Y], number of household members 5 years or older [HM+5Y], the proportion of HM−5Y among all household members, and the ratio of HM−5Y to HM+5Y) were shown to be associated with the child’s survival status. This study provided insight into the effects of intra-household competition among children and availability of care-givers as potential determinants of child survival. The results indicate that improvement of the childcare environment and reproductive intervention are necessary to reduce child mortality in West African countries.

scholarly journals Socio-Environmental Factors Associated with the Risk of Contracting Buruli Ulcer in Tiassalé, South Côte d’Ivoire: A Case-Control Study

2016 ◽  
Vol 10 (1) ◽  
pp. e0004327 ◽  
Author(s):  
Raymond T. A. S. N’krumah ◽  
Brama Koné ◽  
Issaka Tiembre ◽  
Guéladio Cissé ◽  
Gerd Pluschke ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Case Control Study ◽  
Buruli Ulcer ◽  
Case Control ◽  
Cote D’Ivoire ◽  
Factors Associated ◽  
Côte D'ivoire ◽  
Control Study

Biology of two larval morphological phenotypes ofAedes aegyptiin Abidjan, Côte d'Ivoire

2017 ◽  
Vol 108 (4) ◽  
pp. 540-546
Author(s):  
N. Guindo-Coulibaly ◽  
N.R. Diakite ◽  
A.M. Adja ◽  
J.T. Coulibaly ◽  
K.F. Bassa ◽  
...  
Keyword(s):  
Life Cycle ◽  
Yellow Fever ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Control Strategies ◽  
Economic Capital ◽  
Biological Parameters ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
The City

AbstractSince 2008, several outbreaks of yellow fever and dengue occurred in Abidjan, the economic capital of Côte d'Ivoire. A better knowledge of the biology ofAedes aegyptipopulations, the main vector of yellow fever and dengue viruses, is necessary to tailor vector control strategies implemented in the city. This study was designed to determine some biological parameters, occurring during the life cycle of two morphological phenotypes ofAe. aegyptilarvae. Mosquitoes were sampled in a suburb of Abidjan (Treichville) using the WHO layer-traps technique. Biological parameters were studied in laboratory under standard conditions of temperature (27°C ± 2°C) and relative humidity (80% ± 10%). Our results indicated that the mean eggs laid by females from ‘brown larvae’ (BL) (85.95, 95% confidence interval (CI 95%) 78.87–93.02) was higher than those from ‘white larvae’ (WL) (64.40%, CI 95% 55.27–73.54). The gonotrophic cycle was 3 and 4 days in females from BL and WL, respectively. The overall yield of breeding mosquitoes from BL (63.88%, CI 95% 62.61–65.14) was higher compared with those of mosquitoes from WL (59.73%, CI 95% 58.35–61.12). The sex ratio (male/female) was 0.95 and 1.68 inAe. aegyptipopulations from BL and WL, respectively. Females from BL lived slightly longer than those from WL (t= −2.332;P= 0.021). This study shows thatAe. Aegyptipopulations from BL and WL present different biological parameters during their life cycle. This could have an implication on their ability to transmit human disease viruses such as dengue and yellow fever. Further molecular studies are needed to determine genetic divergence between theseAe. aegyptipopulations.

scholarly journals Reducing the Burden of Iron Deficiency Anemia in Cote D’Ivoire through fortification

2019 ◽  
Author(s):  
Alberto Prieto Patron ◽  
Magalie Sabatier ◽  
Zsuzsa Hutton ◽  
Giovanni Fattore ◽  
Patrick Detzel
Keyword(s):  
Iron Deficiency ◽  
Environmental Factors ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Deficiency Anemia ◽  
Iron Fortification ◽  
Cote D’Ivoire ◽  
Policy Makers ◽  
Côte D'ivoire ◽  
The Impact

Iron deficiency anemia (IDA) is highly prevalent in the Cote d’Ivoire, and has severe health and economic consequences. In this paper, we apply a health economic model to quantify the burden of IDA, and the contribution of nation-wide mandatory iron fortification of wheat flour and voluntary iron fortification of condiments to the reduction of this burden. The analysis for the population from six months to 64 years builds on published reviews and publicly available datasets, and is stratified by age-groups and socio-economic strata. Without the impact of these fortification strategies, the annual burden of IDA is estimated at 242,100 disability adjusted life years (DALYs) and 978.1 million USD. Wheat flour and condiment fortification contributed to a reduction of the IDA burden by approximately 5% each. In places with high prevalence of malaria and environmental factors, such as the Côte D’Ivoire, policy makers should combine nutritional intervention with infectious disease prevention and environmental factors. The findings of this study provide additional input for policy makers about the magnitude of the impact and can support the conception of future fortification strategies.

Sign in / Sign up

Export Citation Format

Share Document