Recours À L’avortement Provoqué Chez Les Femmes En Union Des Quartiers Précaires De Yopougon À Abidjan

In Côte d’Ivoire, 15 % of maternal deaths are related to illegal abortions. Despite the known consequences, abortion practice is increasing more and more in a restrictive legislative context. Few formal studies and national statistics on the phenomenon exist, much less at the level of precarious slums of Abidjan. This article is a contribution to the understanding of abortion practice in the unprivileged urban context of Yopougon in Abidjan. It aims to analyze the logics and conditions of abortion in the precarious slums of Yopougon. A survey of a sample of 309 women aged 15 to 49 years, living in union in six precarious slums and, an investigation in three public health facilities and five private clinics and among traditional healers were conducted. Results indicate an overall prevalence of 11%. Women who aborted are generally young (85.3%), with no education (35.30%) or primary level of education (32.35%). Proportion of women who aborted increase with parity up to three children and decreases from the fourth child. The lack of financial resources (79.41%) and the fear and stigma (47.05%) are the main reasons of abortion. The majority of abortions took place in private clinics (58.82%)

Production Et Consommation Du Tchapalo À Abidjan : Typologie Des Brasseuses Et Des Consommateurs

The tchapalo, traditional Ivorian beer, formerly produced in northern Côte d'Ivoire, has overflowed the geographical limits of its production. Its consumption is becoming more momentum in Abidjan. For a better knowledge of actors and a valorization of this beverage, this work was conducted through a survey of 385 brewers and 77 tchapalo consumers selected in 3 areas of Abidjan. Results showed that tchapalo is produced exclusively by Burkinabe women (45.5%) and the Ivorian women came from northern part of Côte d'Ivoire (53.2%), mainly women of the Lobi ethnic group (90.2%). Tchapalo production was a significant source of income for these women. The biggest consumers of tchapalo came from the Akan ethnic group which represented 52.5% of respondents. Because of its financial accessibility (300 CFA francs per liter), tchapalo is consumed by all socio-economic and professional groups, particularly foremen (41%) and laborers (31.7%). Consumers who found therapeutic principles to the tchapalo represented 54.3% of respondents. Furthermore, over 95% of respondents preferred to consume into tchapalo production area to meet friends and also to maintain fraternity links with brewers. However, 25.7% of consumers chose to consume in a specific tchapalo production area for the taste of the beverage and 25.5% due to welcome that their reserves the producer. Favorite consumption moments were afternoons and evenings

Field experiments of Anopheles gambiae attraction to local fruits/seedpods and flowering plants in Mali to optimize strategies for malaria vector control in Africa using attractive toxic sugar bait methods

<p>Abstract</p> <p>Background</p> <p>Based on recent studies in Israel demonstrating that attractive toxic sugar bait (ATSB) methods can be used to decimate local anopheline and culicine mosquito populations, an important consideration is whether the same methods can be adapted and improved to attract and kill malaria vectors in Africa. The ATSB approach uses fruit or flower scent as an attractant, sugar solution as a feeding stimulant, and an oral toxin. The ATSB solutions are either sprayed on vegetation or suspended in simple bait stations, and the mosquitoes ingesting the toxic solutions are killed. As such, this approach targets sugar-feeding female and male mosquitoes. This study examines the attractiveness of African malaria vectors to local fruits/seedpods and flowering plants, key biological elements of the ATSB approach for mosquito control.</p> <p>Methods</p> <p>Three field experiments were conducted at sites in Mali. The attraction of <it>Anopheles gambiae </it>s.l. to 26 different local fruits and seedpods was determined at a site in the semi-arid Bandiagara District of Mali. Wire mesh glue traps with fruits/seedpods suspended on skewers inside were set along a seasonal lagoon. Seven replicates of each fruit/seedpod species were tested, with a water-soaked sponge and a sugar-soaked sponge as controls. The attraction of <it>An. gambiae </it>s.l. to 26 different types of flowering plants was determined at a site near Mopti in Mali. The flowering plants held in a water-filled buried container were tested using the same glue traps, with controls including water only and sugar solution. Six replicates of each selected plant type were tested on transects between rice paddies. Additional studies using CDC light traps were done to determine the relative densities and periodicity of <it>An. gambiae </it>s.l. attraction to branches of the most highly attractive flowering plant, branches without flowers, human odor, and candescent light.</p> <p>Results</p> <p>Of the 26 fruits and seedpods tested, 6 were attractive to <it>An. gambiae </it>s.l. females and males, respectively. Guava (<it>Psidium guajava</it>) and honey melon (<it>Cucumis melo</it>) were the two most attractive fruits for both females and males. Of the 26 flowering plants tested, 9 were significantly attractive for females, and 8 were attractive for males. <it>Acacia macrostachya </it>was the most attractive flowering plant. Periodicity studies using this plant showed peaks of <it>An. gambiae </it>s.l. attraction between 1930 and 2200 h and 0400-0500 h, which differed considerably from the response to human odors, which expectedly peaked at around midnight.</p> <p>Conclusion</p> <p>These field experiments in Mali highlight that female and male <it>An. gambiae </it>s.l. have pronounced differences in attraction for diverse types of indigenous fruits/seedpods and flowering plants. The identification of attractive fruits and seedpods shows that a variety of indigenous and locally abundant natural products could potentially be used as juices to make ATSB solution for mosquito control. As well, the simple methods used to identify the most attractive flowering plants provide valuable insights into the natural history of sugar feeding for <it>An. gambiae </it>s.l. These observations can be used to guide future strategies for employing ATSB methods for malaria vector control in Africa. They also provide a basis for subsequent chemical analysis and development of attractive baits for mosquito control.</p

Une Infestation a Bilharziose Medullaire Mimant une Tumeur

Un adolescent T.A âgé de 12 ans a présenté un déficit moteur des membres inférieurs d’installation progressive sur deux semaines, associé à des troubles génito-sphinctériens. A noter qu’il s’était baigné à plusieurs reprises en eau douce, suivie d’une hématurie en 2019. A l’examen, il présentait un syndrome de compression médullaire lent avec un niveau sensitif à T8. L’IRM médullaire dorsale montrait deux infiltrations médullaires en regard des vertèbres T8 à T7 et de T5 à T2 simulant une tumeur. La sérologie bilharzienne était positive (titre =320 UI/L). La coprologie parasitaire a mis en évidence la présence d’œufs de Schistosoma mansoni. Nous avons obtenu une récupération de la motricité au bout d’un délai de 6 mois, après traitement. &nbsp; A 12-year-old T.A adolescent presented with a motor deficit of the lower limbs that gradually developed over two weeks, associated with genito-sphincter disorders. Note that he had bathed several times in fresh water, followed by hematuria in 2019. On examination, he presented with slow spinal cord compression syndrome with a sensory level at T8. The dorsal spinal cord MRI showed two spinal cord infiltrations next to the vertebrae T 8 to T7 and T5 to T2 simulating a tumor. Bilharzial serology was positive (titer = 320 IU/L). Parasitic coprology revealed the presence of Schistosoma mansoni eggs. We obtained recovery of motor skills after a period of 6 months, after treatment

Une Infestation a Bilharziose Medullaire Mimant une Tumeur

Un adolescent T.A âgé de 12 ans a présenté un déficit moteur des membres inférieurs d’installation progressive sur deux semaines, associé à des troubles génito-sphinctériens. A noter qu’il s’était baigné à plusieurs reprises en eau douce, suivie d’une hématurie en 2019. A l’examen, il présentait un syndrome de compression médullaire lent avec un niveau sensitif à T8. L’IRM médullaire dorsale montrait deux infiltrations médullaires en regard des vertèbres T8 à T7 et de T5 à T2 simulant une tumeur. La sérologie bilharzienne était positive (titre =320 UI/L). La coprologie parasitaire a mis en évidence la présence d’œufs de Schistosoma mansoni. Nous avons obtenu une récupération de la motricité au bout d’un délai de 6 mois, après traitement. &nbsp; A 12-year-old T.A adolescent presented with a motor deficit of the lower limbs that gradually developed over two weeks, associated with genito-sphincter disorders. Note that he had bathed several times in fresh water, followed by hematuria in 2019. On examination, he presented with slow spinal cord compression syndrome with a sensory level at T8. The dorsal spinal cord MRI showed two spinal cord infiltrations next to the vertebrae T 8 to T7 and T5 to T2 simulating a tumor. Bilharzial serology was positive (titer = 320 IU/L). Parasitic coprology revealed the presence of Schistosoma mansoni eggs. We obtained recovery of motor skills after a period of 6 months, after treatment

Infection Medullaire A Schistosoma Mansoni Mimant Une Tumeur

Introduction&nbsp;: La bilharziose médullaire est la manifestation neurologique de l'infection intramédullaire par le Schistosoma. L’objectif est d’attirer l’attention du clinicien sur ce mode présentation de la bilharziose dans les zones endémiques. Observation&nbsp;: Nous rapportons le cas d’enfant de 12 ans, admis pour un déficit moteur des deux membres inférieurs d’installation progressive en deux semaines associé à une rétention aiguë des urines, de constipation et une dorsalgie hyperalgique. Les explorations paracliniques nous ont conduits à une infestation médullaire à shistososma mansoni. &nbsp;Conclusion&nbsp;: Ce cas clinique nous interroge sur l’espèce du schistosoma. Est-ce une hybridation&nbsp;? Est-ce une coinfection à schistosoma mansoni et haematobium&nbsp;? Enfin est-ce un passage accidentel du schistosoma mansoni dans les voies urinaires à travers les plexus veineux ? D’où l’intérêt de pousser les explorations avec la polymerase chain reaction ou le génotypage de schistosoma. Mais cette technique est d’accessibilité difficile dans notre contexte de travail. &nbsp; Introduction: Bone marrow bilharzia is the neurological manifestation of intramedullary infection by Schistosoma. The objective is to draw the attention of the clinician to this mode of presentation of bilharzia in endemic areas. Observation: We report the case of a 12-year-old child, admitted for a motor deficit in both lower limbs that gradually developed over two weeks and was associated with acute retention of urine, constipation, and hyperalgesic back pain. Paraclinical explorations led us to a bone marrow infestation with shhistososma mansoni. Conclusion: This clinical case raises questions about the species of schistosoma. Is this a hybridization? Is it a coinfection with Schistosoma Mansoni and haematobium? Finally, is it an accidental passage of Schistosoma Mansoni into the urinary tract through the venous plexus? Hence the interest in further explorations with polymerase chain reaction or Schistosoma genotyping. But this technique is difficult to access in our work context

Unexpected Rift Valley Fever Outbreak, Northern Mauritania

During September–October 2010, an unprecedented outbreak of Rift Valley fever was reported in the northern Sahelian region of Mauritania after exceptionally heavy rainfall. Camels probably played a central role in the local amplification of the virus. We describe the main clinical signs (hemorrhagic fever, icterus, and nervous symptoms) observed during the outbreak