The Influence of Gestational Age on the Loss of Maternal Measles Antibodies in Newborn Infants in North-Eastern Nigeria: A Call for a Review of Measles Immunization Schedule

Background: Maternal measles antibodies (MMA) are actively transferred in mother-infant pairs during third trimester of pregnancy. Gestational age (GA) affects the levels of MMA such that longer GA may result in infants starting out with high levels of MMA.Objective: To determine the influence of GA on the loss of MMA in newborn infants in North-Eastern Nigeria.Method: A prospective study was conducted on newborn infants at Maiduguri; sera were collected at birth and at six months of age. Enzyme linked immunosorbent assay (ELISA) was used to measure MMA while GA was determined using the last menstrual period, ultrasound scan reports and the Dubowitz criteria.Results: Seventy eight newborn infants were enrolled. Seventeen (89.5 %) preterm, 43 (95.6 %) term and 14 (100 %) postterm had protective levels of MMA at birth. Two (10.5 %) preterm, nine (20.0%) term and two (14.3 %) postterm had protective MMA at six months of age. Comparison of mean MMA at birth and at six months of age was significant (p = 0.005), however, it was independent of GA of the newborn infants.Conclusion: Significant decline of mean MMA levels was seen in these infants at six months of age, which was independent of their GA. These infants may be prone to measles at an earlier age (less than six months). Therefore, the current recommendation of measles immunization to infants at nine months of age may require reconsideration

Antidiarrheal activity of some selected Nigerian plants used in traditional medicine

Context: Herbal preparations of the various parts of Vitellaria paradoxa, Neorautanenia mitis, Senna surattensis, and Hydnora abyssinica have been used in the Nigerian traditional medical practice to treat the symptoms of diarrhea in humans and animals. Aims: This study aims to validate claims of the traditional use of these plants in the treatment of diarrhea and provide a scientific basis for further studies. Materials and Methods: The median lethal dose (LD50) values of the extracts were obtained using the Limit test. Castor oil induced diarrhea and intestinal transit (motility) models in albino rats were used to determine the antidiarrheal activity. Graded doses of the extracts were administered to 3 test groups, while the positive control groups were given standard drugs (atropine and loperamide) and the negative control groups received distilled water per os. Results: The LD50 was considered higher than 2000 mg/Kg for all the extracts. In the castor oil-induced diarrhea model, the highest percentage inhibition of defecation was observed in the test groups treated with the extracts of H. abyssinica (82%) followed by S. surattensis (81%), N. mitis (66%), and V. paradoxa (32%). H. abyssinica extract significantly decreased the intestinal transit of charcoal meal compared to the other extracts. Conclusion: The antidiarrheal activities of all the extracts give credence to their traditional use. H. abyssinica comparatively had the best antidiarrheal activity and has the potential as an antidiarrheal agent. Thus, the need for further studies of this extract to investigate active fractions, isolate and characterize active compounds, and determine their activities and safety

HIV sero-positive status among clients aged ≥ 50 years that presented for care in a tertiary health facility in northeastern Nigeria.

The introduction of highly active antiretroviral therapy (HAART) has transformed HIV infection from hopeless to manageable health condition comparable to non-infectious diseases such as asthma and diabetes mellitus. This modest achievement has reduced morbidity and mortality and increased longevity and quality of life among HIV infected persons. Although reports from developing countries such as Nigeria, shows that youth within the reproductive are most affected by the scourge of HIV/AIDS. Older patients with features that may be indicative of HIV infection are often overlooked in favour of other differential diagnosis. Objective: To document HIV positive sero-status among client aged 50 years and above that necessitated HIV test as part of their clinical evaluation after voluntary counseling and testing at a tertiary health facility. Method: Record of 1674 adults participants that presented for care between January 2009- December 2013, were retrieved for this study. Results: The HIV-seropositive status among the participants was 370 (22.1%). It showed a female preponderance of 136 (26.0%) than 234 (20.0%) in males. The peak annual prevalence was observed in the year 2010, steady decline was observed thereafter. Overall, older participants between 60-70 years had higher HIV-seropositivity status. This study shows one out four males and five females with index of suspicion either based on clinical presentation or risky sexual behavior are positive for HIV infection. Conclusion: This report underscores the need to explore other risk factors that may be peculiar to older segment of the society and introduce HIV intervention strategies for the older populations. Delivery of HIV intervention measures and services to this segment of the population is expedient. Measures and interventions should take into consideration the peculiarities, specific vulnerabilities and HIV-related challenges faced by this group of clients

Prevalence of Nematodes of Domesticated Guinea Fowl in Maiduguri, Nigeria

Abstract:A study was conducted to investigate the prevalence of nematodes of domesticated guinea fowls slaughtered at the Maiduguri central market. Postmortem examinations of 100 samples each of trachea and gastrointestinal tracts revealed an overall prevalence of 90%. Male guinea fowls had a higher prevalence of infection 35.6% compared to the females 64.4% (p >0.05). Parasites identified were Heterakis gallinarum with 20%, Ascaridia galli 6.7%, Subulura brumpti 13.3% Strongyloides avium 11.1% and Capillaria bursata 2.2%. Mixed infections were those by Ascaridia galli and S. avium 15. 6%, H. gallinarum and S. avium 15.6%, H. gallinarum and Subulura brumpti 6.6%, A. galli and H. gallinarum 6.6 % and S. avium and Sub. brumpti and A. galli and Syngamus trachea with 2.2%. These findings indicate that guinea fowls harbor nematodes that are parasitic, and the effect of these parasites on the productivity of the guinea fowls is discussed. Some factors of these parasites are also considered

Ethnobotanical survey of medicinal plants used in the treatment of animal diarrhoea in Plateau State, Nigeria

<p>Abstract</p> <p>Background</p> <p>The use of medicinal plants in the treatment of diseases has generated renewed interest in recent times, as herbal preparations are increasingly being used in both human and animal healthcare systems. Diarrhoea is one of the common clinical signs of gastrointestinal disorders caused by both infectious and non-infectious agents and an important livestock debilitating condition. Plateau State is rich in savannah and forest vegetations and home to a vast collection of plants upheld in folklore as having useful medicinal applications. There is however scarcity of documented information on the medicinal plants used in the treatment of animal diarrhoea in the state, thus the need for this survey. Ten (10) out of 17 Local Government Areas (LGAs), spread across the three senatorial zones were selected. Farmers were interviewed using well structured, open-ended questionnaire and guided dialogue techniques between October and December 2010. Medicinal plants reported to be effective in diarrhoea management were collected using the guided field-walk method for identification and authentication.</p> <p>Results</p> <p>A total of 248 questionnaires were completed, out of which 207 respondents (83.47%) acknowledged the use of herbs in diarrhoea management, while 41 (16.53%) do not use herbs or apply other traditional methods in the treatment of diarrhoea in their animals. Medicinal plants cited as beneficial in the treatment of animal diarrhoea numbered 132, from which 57(43.18%) were scientifically identified and classified into 25 plant families with the families Fabaceae (21%) and Combretaceae (14.04%) having the highest occurrence. The plant parts mostly used in antidiarrhoeal herbal preparations are the leaves (43.86%) followed by the stem bark (29.82%). The herbal preparations are usually administered orally.</p> <p>Conclusion</p> <p>Rural communities in Plateau State are a rich source of information on medicinal plants as revealed in this survey. There is need to scientifically ascertain the authenticity of the claimed antidiarrhoeal properties of these plants and perhaps develop more readily available alternatives in the treatment of diarrhoea.</p

Isolation of CFTR and TMEM16A inhibitors from Neorautanenia mitis (A. Rich) Verdcourt: Potential lead compounds for treatment of secretory diarrhea

© 2020 Elsevier Ltd A phytochemical study on the root extracts of Neorautanenia mitis, a Nigerian medicinal plant used in the management of diarrhea, led to the isolation of one new and 19 known natural products. These compounds and crude extracts were evaluated for Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) Cl− channel and calcium-activated Cl− channel (TMEM16A) inhibitory activities in T84 and Calu-3 cells, respectively. Four compounds namely dolineon, neodulin, pachyrrhizine, and neotenone inhibited cAMP-induced Cl− secretion across T84 cell monolayers with IC50 values of ~0.81 μM, ~2.42 μM, ~2.87 μM, and ~4.66 μM, respectively. Dolineon having the highest inhibitory activity also inhibited a Ca + activated Cl− channel (TMEM16A) with an IC50 value of ~4.38 μM. The in vitro antidiarrheal activity of dolineon was evaluated on cholera toxin (CT) induced chloride secretion in T84 cells, where it inhibited CT-induced chloride secretion by \u3e70% at 100 μM. Dolineon also inhibited CT-induced fluid secretion by ~70% in an in vivo mouse closed loop model at a dose of 16.9 μg/loop. The cytotoxicity of the extracts and compounds was evaluated on KB, Vero and BHK21 cells, dolineon showed low cytotoxicity of \u3e29.6 μM and 57.30 + 6.77 μM against Vero and BHK21 cells, respectively. Our study revealed that several compounds isolated from N. mitis showed antidiarrheal activity. The most active compound dolineon can potentially serve as a lead compound towards the development of CFTR and TMEM16A inhibitors as future therapeutics for secretory diarrhea

Dengue virus and malaria concurrent infection among febrile subjects within Ilorin metropolis, Nigeria

Dengue is a mosquito-borne disease of public health importance. It is caused by four serotypes of Dengue virus (i.e, DENV-1, -2, -3, and -4). As a result of practices that are conducive for mosquito breading, its vector is widespread in Nigeria and this could result to possible DENV outbreaks in Nigeria and beyond. This study aimed to assess the recency of DENV infection as well as occurrence of DENV and Malaria co-infections within Ilorin, Nigeria. Blood samples were obtained from 176 febrile subjects and analyzed using Enzyme Linked Immunosorbent Assay (ELISA) for the presence of DENV antibodies. Malaria infection was detected using a rapid diagnostic test kit for malaria parasites. Malaria and DENV (IgM positive) co-infected samples were further subjected to RT-qPCR analysis. A seroprevalence of 46.0% was recorded for anti-DENV IgM antibodies and 2.84% for concurrent Dengue and malaria infections. Out of 95 IgM negative samples, 48 were found to be positive for DENV IgG antibodies. Eleven (6.25%) samples were confirmed DENV positive following RT-qPCR. The CT values of the amplicons were between 19.0 and 20.0. DENV serotype 2 dominated the study, while serotype 3 and 4 were equally distributed. Based on the high seroprevalence of DENV obtained in this study, there is a high possibility of experiencing Dengue virus outbreak in Ilorin, Nigeria, not neglecting the fast geographical spread of the vector. Therefore, surveillance and intensive vector control program should be instituted

Seroprevalence of some sexually transmitted infections among antenatal attendees in university of Maiduguri teaching hospital, Maiduguri-Nigeria

Seroprevalence of Immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and Syphilis infections among pregnant women have been reported to be more common in Africa and Asia. This present retrospective study reports the seroprevalence of HIV, HBV, HCV and Syphilis among antenatal attendees in UMTH, Maiduguri-Nigeria. A total of 1105 pregnant women were tested for HIV, HBV, HCV and Syphilis. Eightythree of them (7.5%) were positive for HIV, this was followed by HBsAg with 76(6.9%) while the least was syphilis with 5(0.5%). The highest percentage prevalence for HIV infection was found in the age group 15-20years with 17(12.4%) while for HBV was found in age group 21-25years with 31(1.7%). HCV highest percentage positivity was found in 31-35years age group with 5(2.6%). The elderly pregnant women aged 46 – 50years were the lowest with no cases for any of the infections. Of the 1105 pregnant women tested, 11 (0.01%) had multiple infections. Of the 11 multiple infection, 9 (0.8%) were infected with HIV and HBV while 0.2% were infected with HIV and HCV. There was no co-infection of HBV and HCV, syphilis and HIV, HBV, HCV. Our study showed that it is very imperative for all pregnant women to be requested to test for HBV HCV alongside the conventional syphilis and HIV, infections to prevent them from infecting their unborn babies

Validation of xMAP SARS-CoV-2 Multi-Antigen IgG assay in Nigeria

Objective: There is a need for reliable serological assays to determine accurate estimates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) seroprevalence. Most single target antigen assays have shown some limitations in Africa. To assess the performance of a multi-antigen assay, we evaluated a commercially available SARS-CoV-2 Multi-Antigen IgG assay for human coronavirus disease 2019 (COVID-19) in Nigeria. / Methods: Validation of the xMAP SARS-CoV-2 Multi-Antigen IgG assay was carried out using well-characterized SARS-CoV-2 reverse transcription polymerase chain reactive positive (97) and pre-COVID-19 pandemic (86) plasma panels. Cross-reactivity was assessed using pre-COVID-19 pandemic plasma specimens (213) from the 2018 Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS). / Results: The overall sensitivity of the xMAP SARS-CoV-2 Multi-Antigen IgG assay was 75.3% [95% CI: 65.8%– 82.8%] and specificity was 99.0% [95% CI: 96.8%– 99.7%]. The sensitivity estimate increased to 83.3% [95% CI: 70.4%– 91.3%] for specimens >14 days post-confirmation of diagnosis. However, using the NAIIS pre-pandemic specimens, the false positivity rate was 1.4% (3/213). / Conclusions: Our results showed overall lower sensitivity and a comparable specificity with the manufacturer’s validation. There appears to be less cross-reactivity with NAIIS pre-pandemic COVID-19 specimens using the xMAP SARS-CoV-2 Multi-Antigen IgG assay. In-country SARS-CoV-2 serology assay validation can help guide the best choice of assays in Africa

Phytochemical and Biological Studies of Selected Nigerian Traditional Medicinal Plants Used in the Treatment of Diarrhea

The medicinal plants, Vitellaria paradoxa, Neorautanenia mitis, Hydnora abyssinica and Senna surattensis, are used by Nigerian traditional medical practioners (TMP) to treat the symptoms of diarrhea in animals and humans. This study aims to validate claims of the traditional use of these plants in the treatment of diarrhea and provide a scientific basis for further studies. The crude aqueous extracts of these plants were evaluated for their antidiarrheal activity in a castor oil (CO) induced diarrhea model and in the gastrointestinal transit of charcoal model in albino rats, their acute toxicities were also determined in albino rats. There was no mortality recorded in the rats at the dose 2000 mg/kg, therefore the LD₅₀ in rats was considered higher than 2000 mg/kg for all the extracts. In the CO induced diarrhea model, the highest percentage inhibition of defecation was observed in the test groups treated with the extracts of H. abyssinica (82%) followed by S. surattensis (81%), N. mitis (66%), and V. paradoxa (32%). The H. abyssinica extract also decreased the intestinal transit of charcoal meal significantly compared to the other extracts. The antidiarrheal activities of the crude extracts give credence to their traditional use. Further studies on N. mitis led to the isolation of one new and 19 known natural product compounds, eight of these were isolated for the first time from N. mitis. These compounds were screened for CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) inhibitory activity and four of these compounds inhibited cAMP-induced Cl− secretion across T84 cell monolayers; dolineone (10), neodulin (2), pachyrrhizine (6) and neotenone (7) with IC₅₀ values of 0.81, 2.42, 2.87 and 4.66 µM, respectively. Compound 7 also showed reduction in defecation by 65% in CO induced diarrhea, while compound 2 showed pronounced relaxation of jejunum contraction in a concentration dependent manner, giving a complete relaxation at 194.7 µM in the isolated rabbit jejunum model