Prevalence of hepatitis A virus in patients attending a referral hospital in Bubanza Province, Northwest Burundi

Background: Viral hepatitis is a public health problem wide world. Hepatitis A, transmitted by fecal-oral route, is an infectious viral disease caused by hepatitis A virus and mainly due to poor sanitation. This study aimed to determine the prevalence of hepatitis A virus and associated factors in patients attending Mpanda referral hospital in Northwest Burundi.Methods: A cross-sectional study was done from November 2017 to January 2018 on 385 participants aged 2 years and above. Participants were recruited using a systematic random sampling technique. Data were collected using questionnaire from consented/assented participants. Five millilitres of venous blood was collected and analyzed. Anti-hepatitis A virus antibodies were screened using Enzyme Immuno Assay. Data were analyzed using Statistical Package for the Social Sciences version 16.0 software. A descriptive analysis was followed by bivariate analysis using a Chi-square test for comparison of various sub-groups with 5% statistical significance level. Odds ratio and 95% Confidence Intervals were calculated and presented.Results: The median age of the participants was 23 years and the range 72 years. The overall prevalence of Hepatitis A virus was 60.3%. There was a significant association between age [OR=7.22 (4.04-12.93), P <0.001], lack of clean water [OR=10.07 (5.63-18.01), P <0.001], traditional latrines [OR=1.86 (1.02-3.40), P=0.04] and Hepatitis A Virus seroprevalence.Conclusions: Present study shows high prevalence of HAV infection in patients attending Mpanda Referral Hospital. Younger age, lack of clean water and traditional latrines play roles in increasing prevalence of HAV infection in both rural and urban areas

Molecular Characterization of HIV-1 And Drug Resistance Among HIV-1 Infected Patients Attending Kayanza District Hospital, Burundi

This study was funded by the East Africa Public health Laboratory Network Project (EAPHLNP)/Burundi. Abstract Virological failure in management of HIV-1 infection has been reported to be between 11 to 24% after 12 months of treatment. Out of these, acquired or transmitted drug resistance mutations have been reported at 71% to 90% in Sub-Sahara Africa. In this cross-sectional study we aimed to determine virological failure and drug resistance mutations in HIV-1 infected patients on ART attending Kayanza district hospital, Burundi. Patients were recruited using a purposive sampling technique. After informed consent, 4mL of venous blood was collected from each patient. The blood was separated into plasma and cells for various laboratory assays. Plasma viral loads were quantified using the Abbott m2000rt system. Polymerase chain reaction using gene specific primers was done after extraction of nucleic acids from plasma with &gt;1000 copies/ mL, followed by sequencing of all amplified samples. Drug resistance was determined using the IAS and Stanford University database, with phylogenetic analyses done using the neighbor joining method.Two hundred patients were recruited; 13% of the respondents had virological failure associated with multiple sex partners (adjusted odds ratio (aOR, 0.154 , p =0.016) and irregularity in taking medications (aOR: 0.4 , p=0.014). Fifteen samples were successfully sequenced; 80% (12/15) were HIV-1 subtype C, 7% (1/15) subtype A, and 13% (2/15) were HIV-1 subtype A1. Of these, 87.5% had at least one mutation (NRTI or NNRTI), while 12.5 % did not carry any Drug Resistance Mutations. The most common drug resistance mutations were M183V, T215V M41L, E44D, L74I, L210W and K65R, K103N, Y188H. The prevalence of virological failure was established at 13%.Our findings showed possible gaps in the last 90% of the 90-90-90 WHO target by 2020. The results highlight the need for intense viral load and resistance testing for patients to improve overall treatment outcome. Some strategies are needed to improve adherence counselling and drug resistance mutation testing should be implemented to monitor HIV-1 patients on ART in Burundi. Keywords: HIV-1, antiretroviral therapy, Virological failure, DRMs, Burundi. DOI: 10.7176/JBAH/9-10-05 Publication date:May 31st 201

Witchweed’s Suicidal Germination: Can Slenderleaf Help?

The parasitic plant Striga hermonthica (Delile) Benth. is stimulated to germinate by biomolecules (strigolactones) produced in the roots of host and some non-host plants. Non-hosts induce Striga&rsquo;s suicidal germination and are therefore used as trap crops. Among trap crops, the Slenderleaf legume in the genus Crotalaria (Crotalaria brevidens (L.) Benth.) and (Crotalaria orchroleuca (G.) Don.) has been popularized in African smallholder farms. However, the Striga germination efficiency of these locally grown Crotalaria varieties (landraces) is unknown. Also unclear is Crotolaria&rsquo;s extent to inhibiting Striga growth, post germination. Extensive parasite penetration can expose the trap crop to secondary infections and possible phytotoxicity from Striga. We used in vitro germination assays to determine the Striga germination efficiency of 29 Crotalaria landraces. Furthermore, we determined Crotalaria&rsquo;s ability to inhibit Striga attachment and growth using histological analysis. We found that: i) Crotalaria stimulated germination of Striga seeds at frequencies ranging between 15.5% and 54.5% compared to 74.2% stimulation by the synthetic strigolactone (GR24) used a positive control; ii) Crotalaria blocked Striga entry at multiple levels and did not allow growth beyond the pericycle, effectively blocking vascular connection with the non-host. Hence, Crotalaria is suitable as a trap crop in integrated Striga management

Agro-Morphological Characterization of Kenyan Slender Leaf (Crotalaria brevidens and C. ochroleuca) Accessions

Slender leaf (Crotalaria spp) is among the indigenous and underutilized vegetables in Kenya whose production is limited to the Western and Coastal regions of the country. For a long time, this crop has been neglected in terms of research and genetic improvement. There is therefore scanty information on its morphological diversity and agronomic performance, hence the need for this study. Field experiments were carried out for two seasons in October to December 2018 and March to May 2019. The experiments were laid out in Randomized Complete Block Design with 29 accessions and replicated three times. Both qualitative and quantitative data were recorded from the accessions based on the Crotalaria descriptors. Quantitative data were subjected to analysis of variance using XLSTAT Version 2019, and accession means were separated using Student’s Newman Keuls test at 95% level of confidence. Both qualitative and quantitative data were subjected to multivariate cluster analysis, and a dendrogram was constructed using the unweighted pair-group method with arithmetic average. The principal component analysis was conducted to obtain information on the importance of the characters. Significant variation in agro-morphological traits was found within and between the two species. Cluster analysis grouped the accessions into seven major classes with a between-classes diversity of 75.13% and a within-classes diversity of 24.87%. This study sets the basis for genetic improvement of slender leaf in Kenya since the observed diversity can be exploited in selection for intraspecific and interspecific hybridization