scholarly journals Establishing Surgical Care Sustainability in Sub-Saharan Africa for Global Child Health: Insights From Pediatric Cardiac Surgical Capacity-Building Programs in Ethiopia and Côte d'Ivoire

2022 ◽  
Vol 9 ◽  
Author(s):  
Jayoung Park ◽  
Jongho Heo ◽  
Woong-Han Kim

The global surgery research team of the JW LEE Center for Global Medicine, Seoul National University College of Medicine, introduced team-based health workforce training programs for pediatric cardiac surgery in Ethiopia and Côte d'Ivoire. A team-based collaborative capacity-building model was implemented in both countries, and details of the program design and delivery were documented. The research team shared their experiences and identified achievements, lessons, and challenges for cardiac surgical interventions in Sub-Saharan Africa. Future directions were put forward to advance and strengthen the low-and middle-income countries “Safe Surgery.”

Author(s):  
Mamadou Sanogo

Ivorian-Moroccan relations are not new because the diplomatic relations between the two countries have been established since August 16, 1962, but the interest of Morocco for Côte d'Ivoire has considerably strengthened during the royal visit of 19-21 March 2013 in Côte d'Ivoire, the first, since the beginning of his reign in 1999. Morocco is now refocusing its foreign policy on sub-Saharan Africa after the failure of Maghreb integration. This rapprochement resulted in Morocco's return to the African Union and its accession to ECOWAS.


Parasitology ◽  
2019 ◽  
Vol 147 (3) ◽  
pp. 287-294 ◽  
Author(s):  
Etienne K. Angora ◽  
Jean-François Allienne ◽  
Olivier Rey ◽  
Hervé Menan ◽  
André O. Touré ◽  
...  

AbstractSchistosomiasis is a neglected tropical disease, though it is highly prevalent in many parts of sub-Saharan Africa. While Schistosoma haematobium-bovis hybrids have been reported in West Africa, no data about Schistosoma hybrids in humans are available from Côte d'Ivoire. This study aimed to identify and quantify S. haematobium-bovis hybrids among schoolchildren in four localities of Côte d'Ivoire. Urine samples were collected and examined by filtration to detect Schistosoma eggs. Eggs were hatched and 503 miracidia were individually collected and stored on Whatman® FTA cards for molecular analysis. Individual miracidia were molecularly characterized by analysis of mitochondrial cox1 and nuclear internal transcribed spacer 2 (ITS 2) DNA regions. A mitochondrial cox1-based diagnostic polymerase chain reaction was performed on 459 miracidia, with 239 (52.1%) exhibiting the typical band for S. haematobium and 220 (47.9%) the S. bovis band. The cox1 and ITS 2 amplicons were Sanger sequenced from 40 randomly selected miracidia to confirm species and hybrids status. Among the 33 cox1 sequences analysed, we identified 15 S. haematobium sequences (45.5%) belonging to seven haplotypes and 18 S. bovis sequences (54.5%) belonging to 12 haplotypes. Of 40 ITS 2 sequences analysed, 31 (77.5%) were assigned to pure S. haematobium, four (10.0%) to pure S. bovis and five (12.5%) to S. haematobium-bovis hybrids. Our findings suggest that S. haematobium-bovis hybrids are common in Côte d'Ivoire. Hence, intense prospection of domestic and wild animals is warranted to determine whether zoonotic transmission occurs.


2019 ◽  
Vol 21 (Supplement_D) ◽  
pp. D47-D49 ◽  
Author(s):  
Kramoh Kouadio Euloge ◽  
Ekoua Daniel ◽  
Abina Audrey ◽  
Koffi Kouassi Florent ◽  
Koffi Djinguin Ben Justin ◽  
...  

1993 ◽  
Vol 31 (1) ◽  
pp. 67-92 ◽  
Author(s):  
Catherine Boone

Côte D'Ivoire retains a central place in discussions on the development of African capitalism. Dramatic increases in agricultural and industrial production in the post-colonial period, coupled with the régime's unequivocally liberal and pro-capitalist discourse, contributed to the image of the Ivoirian state as aggressively promoting the expansion of local and foreign capital. By the late 1970s, it was clear that a select stratum of Ivoirians had amassed private fortunes in the industrial sector, agro-industry, and real estate. Less clear is the significance of this fact for understanding the internal dynamics and development trajectory of Ivoirian capitalism. The idea that the Ivoirian bourgeoisie diversified from its base in agriculture to become one of the most dynamic and influential business classes in sub-Saharan Africa remains plausible, but it evokes no consensus among analysts. Indeed, students of Ivoirian capitalism have been more inclined to argue that the state itself remains the main source of private fortunes, that local capital is thoroughly subordinated to foreign capital, and that indigenous business interests are ensnared in the clientelistic networks of the régime.


2021 ◽  
Author(s):  
Etilé Augustin Anoh ◽  
Grit Schubert ◽  
Oby Wayoro ◽  
Monemo Pacôme ◽  
Essia Belarbi ◽  
...  

SARS-CoV-2 variants of concern (VOC) and variants of interest (VOI) are heavily altering the COVID-19 pandemic's course due to their increased transmissibility, virulence and immune escape abilities. Data on their spread in western sub-Saharan Africa is however still scarce. We therefore sequenced viral genomes from SARS-CoV-2 cases identified in central and northern Côte d'Ivoire between May 2020 and March 2021. We report the introduction of VOC B.1.1.7 as early as mid-January 2021, followed by detection of a single case of VOC B.1.351, as well as VOI B.1.525. Since early 2021 VOC/VOI are gradually dominating the SARS-CoV-2 virus pool in Côte d'Ivoire, as seen in other regions of the world. Intriguingly, we also find that another lineage, A.27, has also been on the rise over the same period. In sum, this study highlights again the extremely rapid local diffusion of VOC, VOI and possibly A.27, and the importance of further reinforcing capacities for genomic surveillance on the African continent.


Author(s):  
Hermann Yao ◽  
Arnaud Ekou ◽  
Thierry Niamkey ◽  
Sandra Hounhoui Gan ◽  
Isabelle Kouamé ◽  
...  

Background Data in the literature on acute coronary syndrome in sub‐Saharan Africa are scarce. Methods and Results We conducted a systematic review of the MEDLINE (PubMed) database of observational studies of acute coronary syndrome in sub‐Saharan Africa from January 1, 2010 to June 30, 2020. Acute coronary syndrome was defined according to current definitions. Abstracts and then the full texts of the selected articles were independently screened by 2 blinded investigators. This systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta‐Analyses standards. We identified 784 articles with our research strategy, and 27 were taken into account for the final analysis. Ten studies report a prevalence of acute coronary syndrome among patients admitted for cardiovascular disease ranging from 0.21% to 22.3%. Patients were younger, with a minimum age of 52 years in South Africa and Djibouti. There was a significant male predominance. Hypertension was the main risk factor (50%–55% of cases). Time to admission tended to be long, with the longest times in Tanzania (6.6 days) and Burkina Faso (4.3 days). Very few patients were admitted by medicalized transport, particularly in Côte d'Ivoire (only 34% including 8% by emergency medical service). The clinical presentation is dominated by ST–elevation sudden cardiac arrest. Percutaneous coronary intervention is not widely available but was performed in South Africa, Kenya, Côte d'Ivoire, Sudan, and Mauritania. Fibrinolysis was the most accessible means of revascularization, with streptokinase as the molecule of choice. Hospital mortality was highly variable between 1.2% and 24.5% depending on the study populations and the revascularization procedures performed. Mortality at follow‐up varied from 7.8% to 43.3%. Some studies identified factors predictive of mortality. Conclusions The significant disparities in our results underscore the need for a multicenter registry for acute coronary syndrome in sub‐Saharan Africa in order to develop consensus‐based strategies, propose and evaluate tailored interventions, and identify prognostic factors.


Zootaxa ◽  
2010 ◽  
Vol 2402 (1) ◽  
pp. 1 ◽  
Author(s):  
DEREK A. LOTT

Types of Acylophorus delphinus Fauvel from Madagascar and Acylophorus species found in continental sub-Saharan Africa are revised. Lectotypes are designated for the following species: A. orientalis Fauvel, A. picipennis Bernhauer, A. densipennis Bernhauer, A. antennalis Cameron, A. tenuiceps Bernhauer, A. collarti Cameron, A. congoensis Cameron, A. mareei Bernhauer, A. trigonocephalus Cameron and A. grandis Bernhauer. Type material for A. rufipennis Cameron could not be located and the name is considered to be a nomen dubium. The following new synonymies are established: A. orientalis Fauvel = A. picipennis Bernhauer syn. n., = A. marginalis Cameron syn. n.; A. antennalis Cameron = A. tenuiceps Bernhauer syn. n.; A. trigonocephalus Cameron = A. lomaensis Bordoni syn. n. Seven new species are described: A. nitens sp. n. from Sudan, A. tshuapensis sp. n. from Congo, A. makhoreae sp. n. from Ethiopia, A. micans sp. n. from Côte d’Ivoire and Gabon, A. salifi sp. n. from Burkina Faso, A. minor sp. n. from Côte d’Ivoire and Nigeria, and A. setiger sp. n. from Bioko (Equatorial Guinea). A key is given to species groups defined by easily observed characters. Comparative diagnoses are given for species, their distributions mapped and their bionomics detailed where data are available. Forebodies, terminal segments of the maxillary palpi, antennae and aedeagi are figured for all species, except those represented by material with these parts missing. Mandibles and secondary sexual characters are figured for selected species.


2018 ◽  
Vol 10 (12) ◽  
pp. 4611 ◽  
Author(s):  
Symphorien Ongolo ◽  
Sylvestre Kouamé Kouassi ◽  
Sadia Chérif ◽  
Lukas Giessen

Tropical countries are often blamed for not managing their natural resources sustainably. But what if overexploitation is inherent in political structures and policies—rooted in foreign colonial order—and is consistently detrimental in the contemporary use of forestlands? This article argues that post-colonial land development policies and related political interests seriously impede the sustainability of forest ecosystems in Côte d’Ivoire. Methodologically, the study builds on a historic contextualisation of forestland use policies in Sub-Saharan Africa, with Côte d’Ivoire serving as a case study. The results indicate that the increasing development of so-called rent crops clearly follows the historical dynamics of ‘land grabbing’ and a post-colonial agrarian model. This situation benefits agribusiness entrepreneurs and, more recently, sustainability standards. The study discusses the findings based on recent literature and empirical evidence. In conclusion, the post-colonial heritage and the manipulation of the related patterns by elites and policy-makers largely explains the present-day unsustainable forestland conversions in Côte d’Ivoire.


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