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

Author(s):  
Alberto Prieto Patron ◽  
Magalie Sabatier ◽  
Zsuzsa Hutton ◽  
Giovanni Fattore ◽  
Patrick Detzel

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.

Author(s):  
Alberto Prieto-Patron ◽  
Zsuzsa V. Hutton ◽  
Giovanni Fattore ◽  
Magalie Sabatier ◽  
Patrick Detzel

2021 ◽  
Author(s):  
Matthew Cock

Abstract Writing about Zophopetes cerymica (which they considered more common) and P. laufella combined, Mariau and Morin (1974) state that attacks can be on palms of all ages, including young palms recently planted out. At this age, defoliation of the plants delays their subsequent development. Outbreaks on older trees are rarer, and the damage often less important; these attacks are generally localized at the edge of plantations. Mariau et al. (1981) add that the highest fronds are the most often damaged. Herder et al. (1994) refer to regular outbreaks of P. laufella on oil palm in southern Côte d'Ivoire. There are no more substantive reports on the impact of the feeding damage by these hesperiids.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Hounsa ◽  
D Yao ◽  
A R Attia ◽  
M Gokpéya ◽  
K J Sackou ◽  
...  

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.


2019 ◽  
Vol 665 ◽  
pp. 1158-1167 ◽  
Author(s):  
Robert P. Mason ◽  
Zofia Baumann ◽  
Gunnar Hansen ◽  
Koffi Marcellin Yao ◽  
Mariame Coulibaly ◽  
...  

2007 ◽  
Vol 97 (5) ◽  
pp. 970-976 ◽  
Author(s):  
Fabian Rohner ◽  
Michael B. Zimmermann ◽  
Rita Wegmueller ◽  
Andreas B. Tschannen ◽  
Richard F. Hurrell

There are few data on the prevalence of riboflavin deficiency in sub-Saharan Africa, and it remains unclear whether riboflavin status influences the risk for anaemia. The aims of this study were to: (1) measure the prevalence of riboflavin deficiency in children in south-central Côte d'Ivoire; (2) estimate the riboflavin content of the local diet; and (3) determine if riboflavin deficiency predicts anaemia and/or iron deficiency. In 5- to 15-year-old children (n281), height, weight, haemoglobin (Hb), whole blood zinc protoporphyrin (ZPP), erythrocyte glutathione reductase activity coefficient (EGRAC), serum retinol, C-reactive protein (CRP) and prevalence ofPlasmodiumspp. (asymptomatic malaria) andSchistosoma haematobium(bilharziosis) infections were measured. Three-day weighed food records were kept in twenty-four households. Prevalence of anaemia in the sample was 52 %; 59 % were iron-deficient based on an elevated ZPP concentration, and 36 % suffered from iron deficiency anaemia.Plasmodiumparasitaemia was found in 49 % of the children. Nineteen percent of the children were infected withS. haematobium. Median riboflavin intake in 5- to 15-year-old children from the food records was 0·42 mg/d, ~47 % of the estimated average requirement for this age group. Prevalence of riboflavin deficiency was 65 %, as defined by an EGRAC value >1·2. Age, elevated CRP and iron deficiency were significant predictors of Hb. Riboflavin-deficient children free of malaria were more likely to be iron deficient (odds ratio; 3·07; 95 % CI 1·12, 8·41). In conclusion, nearly two-thirds of school-age children in south-central Côte d'Ivoire are mildly riboflavin deficient. Riboflavin deficiency did not predict Hb and/or anaemia, but did predict iron deficiency among children free of malaria.


Plant Disease ◽  
2001 ◽  
Vol 85 (1) ◽  
pp. 59-64 ◽  
Author(s):  
P. N'Guessan ◽  
A. Pinel ◽  
A. A. Sy ◽  
A. Ghesquière ◽  
D. Fargette

In Côte d'Ivoire, the S2 strain of Rice yellow mottle virus (RYMV) predominated in the forested zones, including the “rice belt” to the west, in each of the cropping systems where rice was grown. The S1 strain occurred more frequently in the northern Guinean savanna, and only S1 isolates were found further north in the Sahelo-Soudanian zones. In mixed infection, S2 dominated over S1 both in viral capsid and RNA contents under temperature regimes encompassing those observed in savanna and forested zones of Côte d'Ivoire. There was no evidence of interactions in virus accumulation between the West African strains S1 or S2 with the more distantly related East African strain S4. Field trials emphasized the impact of RYMV, which induced yield losses of 40 to 60% in several widely grown cultivars of Oryza sativa indica and O. sativa japonica. We report the high resistance of the O. indica cv. Gigante under field conditions which was apparent with all the S1 and S2 isolates tested. Responses to RYMV infection of several cultivars were isolate dependent. With most differential cultivars, responses were not strain specific, with the exception of the O. japonica cv. Idsa6, in which the S2 isolates always induced higher yield losses than the S1 isolates.


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