12 research outputs found
Marburg virus disease outbreak in Guinea: a SPIN framework of its transmission and control measures for an exemplary response pattern in West Africa
Responding to highly infectious diseases relies on a thorough understanding of transmission epidemiology. With the recent outbreak of Marburg Virus Disease (MVD) in Guinea, we saw the need to shed some technical light based on published literature and our field experiences. We reviewed 14 previous MVD outbreaks globally. Coupled with core one - health approaches, we propose a Socio-environmental context, Possible transmission routes, Informing and guiding public health action, Needs in terms of control measures (SPIN) framework as a guiding tool for response teams to appropriately approach future infectious disease outbreaks
COVID-19 pandemic : implementing control measures in Africa using the 'SHEF2' model
The COVID-19 Pandemic in Africa is a severe
reminder of the brunt of emerging and re-emerging
infectious pathogens and the need for simple,
context-oriented, and sustainable health models to
combat them when the need arises. In this
commentary, an analytical discursive approach was
chosen to owe to Africa's unique situation of weak
health systems, with most of its member states
showing an initial reluctance to deal openly with the
COVID-19 situation. This paper discusses five major
control measures doped the SHEF2 Model i.e.
("SHEF2"- S: Social distancing, H: Hands, E: Elbows,
F: Face, F: Feel) of COVID-19 implemented in Africa.
We also review the issues related to implementing
SHEF2 control measures in Africa. The measures
being taken in Asia, Europe, and North America
such as social distancing and regular hand washing
are a particular challenge for African countries with
dense populations, unequal access to water, and
limited social safety nets. COVID-19 is challenging the public health and socio-political systems of all
affected African countries. The burden of COVID-19
demands rapid and decisive action to be taken, yet the comparison shows how difficult it is was for an
unknown new coronavirus disease. In line with the
steps being taken across the globe to control and
contain COVID-19 pandemic, African countries are
preparing for the great effects of this pandemic and
ensuing deep recession thus the reason we assert,
the greater hope for African countries is
implementing an aggressive SHEF2 model strategy.
The spread of the pandemic will eventually stop,
and the international system will find a balance, but
most of the damage will be felt particularly by
Africa.http://www.panafrican-med-journal.comam2021School of Health Systems and Public Health (SHSPH
Giant ovarian cyst masquerading as a massive ascites: a case report
Abstract Background Giant ovarian cysts are tumours of the ovary presenting with diameters greater than 10Â cm. Giant ovarian cysts have become rare in recent days as they are diagnosed and managed early due to the availability of good imaging modalities. The aim of this case report is to show how a huge cystic ovarian mass can mislead the diagnosis of ascites in a postmenopausal woman. Factors associated with late presentation of giant ovarian cysts in sub-Saharan Africa have also been discussed. Case presentation We present the case of a 65-year-old grand multiparous woman who was referred to our centre with a grossly distended abdomen misdiagnosed as a massive ascites. Abdominopelvic ultrasound scan revealed a right giant multiloculated ovarian cyst. She benefited from a cystectomy with an uneventful postoperative stay. Histopathology revealed mucinous cystadenoma. Conclusion Large cystic ovarian tumours can present masquerading as massive ascites and misleading diagnosis as in this case report. We report this case to increase the suspicion index of a large ovarian cyst in all women presenting with massive ascites
Multidrug resistant Proteus mirabilis and Escherichia coli causing fulminant necrotising fasciitis: a case report
Abstract Background Necrotizing fasciitis is a rare soft tissue infection characterized by rapid progressive necrosis with relative sparing of underlying muscles. This case is reported to highlight the emergence of multidrug resistant microbes in recent days which limits the use of empiric antibiotic therapy and necessitates early cultures and sensitivity enabling targeted antibiotic therapy. Factors that lead to antimicrobial resistance especially in sub-Saharan Africa have also been discussed. Case presentation We report the case of a 52-year-old black man who was referred to our centre for the management of cellulitis and suppurating ulcers of the right leg which had progressed to a wet gangrene. Following physical examination and work-up, a diagnosis of fulminant necrotizing fasciitis of the right leg caused by multidrug resistant Proteus mirabilis and Escherichia coli was made. Despite the broad-spectrum empiric antibiotic therapy and aggressive multiple surgical debridement, necrosis progressed leading to an above-knee amputation. Conclusion Necrotizing fasciitis is a surgical emergency that requires prompt diagnosis and aggressive surgical debridement in order to reduce morbidity and mortality. The emergence of multidrug resistant organisms in recent days have limited the use of empiric antibiotic therapy, necessitating early culture and sensitivity and the use of susceptibility-guided antibiotic therapy. Timely action to control the use of antibiotics in sub-Saharan Africa will reduce multidrug resistance and delay the arrival of post-antibiotics era
MOESM1 of Ten years analysis of stillbirth in a tertiary hospital in sub-Sahara Africa: a case control study
Additional file 1. Case report form
Trends and patterns of family planning methods used among women attending family planning clinic in a rural setting in sub-Sahara Africa: the case of Mbalmayo District Hospital, Cameroon
Abstract Objective Family planning enables women to prevent unwanted pregnancies and control family sizes. Provision of family planning services is an essential human right. This study aimed to describe the trends and patterns of contraceptive use in a family planning clinic in a rural district hospital setting. Results A total 313 participants who used contraceptives between March 2016 and August 2017 were included this study given a. Their mean age was 32.4 ± 1.8 years with an age range of 18–48 years. The index study estimates the rate of contraceptive use at 17.4 contraceptives per month. The most commonly used contraceptive methods were implants and IUD in 29.4 and 28.4% of the participants respectively while the least used was condoms in 8.3% of the participants. Contraceptive used are highest among those 21–40 years (83.1%) and least among adolescents less than 20 years (6.7%)