Predictors of childhood severe malaria in a densely populated area: Douala, Cameroon

The physiopathology of malaria is complex. More understanding would be useful for a better management of the disease. This study was undertaken to describe clinical presentation and some biochemical parameters in childhood malaria in order to identify some factors of disease severity. Eighty six (86) children (0 to 15 years old) were recruited in Douala, clinical data recorded and blood sample collected. Thirty one (31) healthy children were also targeted to serve as control. Blood glucose, hemoglobin, transaminases and nitric oxide were determined by spectrophotometry. C reactive protein (CRP) was also investigated. The results confirmed that severe malaria significantly affects children under 5 years. Severe malaria was associated with hyperpyrexia and prostration. Coma, convulsions and unconsciousness were more indicative of cerebral malaria. Hemoglobin and blood glucose levels decreased significantly in severe malaria patients compared with uncomplicated malaria patients or controls (P < 0.001). On the contrary, blood transaminases and CRP levels increased significantly in malaria patients compared to controls (P < 0.001). From these results, it is clear that childhood severe malaria is associated with prostration, coma, unconsciousness, convulsions and hyperpyrexia. Low levels of haemoglobin and glycemia, as well as high levels of transaminases and CRP has been identified as predictor of malaria severity.Keywords: Childhood malaria, clinical presentation, physiopatholog

Varietal impact on women's labour, workload and related drudgery in processing root, tuber and banana crops. Focus on cassava in sub-Saharan Africa

Open Access ArticleRoots, tubers and cooking bananas are bulky and highly perishable. In Africa, except for yams, their consumption is mainly after transport, peeling and cooking in the form of boiled pieces or dough, a few days after harvest. To stabilize, better preserve the products and, in the case of cassava, release toxic cyanogenic glucosides, a range of intermediate products have been developed, mainly for cassava, related to fermentation and drying after numerous processing operations. This review highlights, for the first time, the impact of genotypes on labour requirements, productivity, and the associated drudgery in processing operations primarily carried out by women processors. Peeling, soaking/grinding/fermentation, dewatering, sieving, and toasting steps were evaluated on a wide range of new hybrids and traditional landraces. The review highlights case studies of gari production from cassava. Results show that, depending on the genotypes used, women's required labour can be more than doubled and even the sum of the weights transported along the process can be up to four times higher for the same quantity of end product. Productivity and loads carried between each processing operation are highly influenced by root shape, ease of peeling, dry matter content and/or fiber content. Productivity and the often related experienced drudgery are key factors to be considered for a better acceptance of new genotypes by actors in the value-addition chain, leading to enhanced adoption, and ultimately to improved livelihoods for women processors

Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon

BACKGROUND: Undernutrition is a leading cause of child mortality in developing countries, especially in sub-Saharan Africa. We examine the household and community level socioeconomic and environmental factors associated with child nutritional status in Cameroon, and changes in the effects of these factors during the 1990s economic crisis. We further consider age-specific effects of household economic status on child nutrition. METHODS: Child nutritional status was measured by weight-for-age (WAZ) and height-for-age (HAZ) z-scores. Data were from Demographic and Health Surveys conducted in 1991 and 1998. We used analysis of variance to assess the bivariate association between the explanatory factors and nutritional status. Multivariate, multilevel analyses were undertaken to estimate the net effects of both household and community factors. RESULTS: Average WAZ and HAZ declined respectively from -0.70 standard deviations (SD), i.e. 0.70 SD below the reference median, to -0.83 SD (p = 0.006) and from -1.03 SD to -1.14 SD (p = 0.026) between 1991 and 1998. These declines occurred mostly among boys, children over 12 months of age, and those of low socioeconomic status. Maternal education and maternal health seeking behavior were associated with better child nutrition. Household economic status had an overall positive effect that increased during the crisis, but it had little effect in children under 6 months of age. Improved household (water, sanitation and cooking fuel) and community environment had positive effects. Children living in the driest regions of the country were consistently worst off, and those in the largest cities were best off. CONCLUSION: Both household and community factors have significant impact on child health in Cameroon. Understanding these relationships can facilitate design of age- and community-specific intervention programs

Temperature-based phenology model to predict the development, survival, and reproduction of the oriental fruit fly Bactrocera dorsalis

Published online: 25 Feb 2021The oriental fruit fly Bactrocera dorsalis (Diptera: Tephritidae) is a major pest of fruit and vegetable production systems on several continents. The pest has invaded many countries, causing considerable impact on fruit production systems and commercialization. In this study we determined the relationship between temperature and development, survival and reproductive parameters of B. dorsalis on an artificial diet under laboratory conditions under 7 constant temperatures (10, 15, 20, 25, 30, 33 and 35 °C) with 70 ± 10% relative humidity and a photoperiod of L12:D12. We validated the laboratory results with a full life table analysis under semi-natural conditions in a screenhouse. We used the Insect Life Cycle Modeling (ILCYM) software for all mathematical models and simulations applied to all life history parameters. Bactrocera dorsalis completed its development at temperatures ranging between 15 and 33 °C with the mean developmental time of egg, larva, and pupa ranging between 1.46 and 4.31 days, 7.14–25.67 days, and 7.18–31.50 respectively. The models predicted temperatures ranging between 20 and 30 °C as favorable for development and survival, and 20 to 25 °C for optimal fecundity of B. dorsalis. Life table parameters showed the highest gross reproductive rate (GRR), net reproductive rate (Ro), intrinsic rate of increase (rm), and finite rate of increase (λ) between 25 and 31 ᵒC while generation time (T) and doubling time (Dt) were low at this interval. The effects of future climate change on B. dorsalis life history parameters were further investigated and the outcome from this study will help in the management of B. dorsalis in different agroecologies in the context of ongoing climate change

Predictors of childhood severe malaria in a densely populated area: Douala, Cameroon

The physiopathology of malaria is complex. More understanding would be useful for a better management of the disease. This study was undertaken to describe clinical presentation and some biochemical parameters in childhood malaria in order to identify some factors of disease severity. Eighty six (86) children (0 to 15 years old) were recruited in Douala, clinical data recorded and blood sample collected. Thirty one (31) healthy children were also targeted to serve as control. Blood glucose, hemoglobin, transaminases and nitric oxide were determined by spectrophotometry. C reactive protein (CRP) was also investigated. The results confirmed that severe malaria significantly affects children under 5 years. Severe malaria was associated with hyperpyrexia and prostration. Coma, convulsions and unconsciousness were more indicative of cerebral malaria. Hemoglobin and blood glucose levels decreased significantly in severe malaria patients compared with uncomplicated malaria patients or controls (P < 0.001). On the contrary, blood transaminases and CRP levels increased significantly in malaria patients compared to controls (P < 0.001). From these results, it is clear that childhood severe malaria is associated with prostration, coma, unconsciousness, convulsions and hyperpyrexia. Low levels of haemoglobin and glycemia, as well as high levels of transaminases and CRP has been identified as predictor of malaria severity