In vitro seeds germination and seedling growth of cashew (Anacardium occidentale L.)

In Côte d’Ivoire, the yield of cashew nuts is low. This situation has led to the use of improved clonal-based material for the expansion or establishment of new plantations. To obtain a mass propagation of such elite materials, application of tissue culture becomes very important. However, it is difficult to obtain viable explants derived from mature plants developing in field because of high concentrations of disinfectants required for surface sterilization. Explants excised from in vitro seedlings are therefore the most suitable for the micropropagation of cashew. The objective of this study was to identify the type of seeds suitable for in vitro germination and plantlets development. Seeds without shell with entire cotyledons (SWSEC), seeds without shells with half cotyledons (SWSHC) and the embryonic axis (EA) were placed on the basal medium of Murashige and Skoog (MS) without any plant growth regulators. The final rate of germination ranged from 75 to 95 %, the time to have 50 % germination and the average germination time were statistically identical with the three types of seeds. Higher plants (7cm) with larger numbers of leaves, which are more vigorous were obtained with SWSHC. This type of seeds is therefore more suitable provide seedling used as explant sources for themicropropagation of the cashew tree.Key words : Anacardium occidentale ; germination ; micropropagatio

Development of an Electronic Information System for the Management of Laboratory Data of Tuberculosis and Atypical Mycobacteria at the Pasteur Institute in Côte d’Ivoire

Introduction: Tuberculosis remains a public health problem despite all the efforts made to eradicate it. To strengthen the surveillance system for this condition, it is necessary to have a good data management system. Indeed, the use of electronic information systems in data management can improve the quality of data. The objective of this project was to set up a laboratory-specific electronic information system for Mycobacteria and Atypical Tuberculosis. Methods: The design of this laboratory information system required a general understanding of the workflow and the implementation processes in order to generate a realistic model. For the implementation of the system, Java technology was used to develop a web application compatible with the intranet of the company. The impact and the acceptability of the use of the system on the running of the laboratory were evaluated using Likert scale. Results: The system in place has been in operation for about 12 months, in conjunction with the paper registers. Since then, 4811 requests for examinations concerning 6083 samples have been registered. The results of analysis of 3892 patients were printed from the Laboratory information system. In order to produce tuberculosis drug resistance reports and laboratory performance reports, dashboards have been developed. Conclusion: The system has been adopted by the staff because of the time and efficiency gained in managing laboratory data. However, obtaining an optimized tool will only be done in a cycle of sustained improvement

The Chikungunya Epidemic on La Réunion Island in 2005–2006: A Cost-of-Illness Study

For a long time, studies of chikungunya virus infection have been neglected, but since its resurgence in the south-western Indian Ocean and on La Réunion Island, this disease has been paid greater amounts of attention. The economic and social impacts of chikungunya epidemics are poorly documented, including in developed countries. This study estimated the cost-of-illness associated with the 2005–2006 chikungunya epidemics on La Réunion Island, a French overseas department with an economy and health care system of a developed country. “Cost-of-illness” studies measure the amount that would have been saved in the absence of a disease. We found that the epidemic incurred substantial medical expenses estimated at €43.9 million, of which 60% were attributable to direct medical costs related, in particular, to expenditure on medical consultations (47%), hospitalization (32%) and drugs (19%). The costs related to care in ambulatory and hospitalized cases were €90 and €2000 per case, respectively. This study provides the basic inputs for conducting cost-effectiveness and cost-benefit evaluations of chikungunya prevention strategies

Chikungunya Virus Infection

Chikungunya virus (CHIKV) is an alphavirus transmitted by mosquitoes, mostly Aedes aegypti and Aedes albopictus. After half a century of focal outbreaks of acute febrile polyarthralgia in Africa and Asia, the disease unexpectedly spread in the past decade with large outbreaks in Africa and around the Indian Ocean and rare autochthonous transmission in temperate areas. This emergence brought new insights on its pathogenesis, notably the role of the A226V mutation that improved CHIKV fitness in Ae. albopictus and the possible CHIKV persistence in deep tissue sanctuaries for months after infection. Massive outbreaks also revealed new aspects of the acute stage: the high number of symptomatic cases, unexpected complications, mother-to-child transmission, and low lethality in debilitated patients. The follow-up of patients in epidemic areas has identified frequent, long-lasting, rheumatic disorders, including rare inflammatory joint destruction, and common chronic mood changes associated with quality-of-life impairment. Thus, the globalization of CHIKV exposes countries with Aedes mosquitoes both to brutal outbreaks of acute incapacitating episodes and endemic long-lasting disorders

On the Treatment of Airline Travelers in Mathematical Models

The global spread of infectious diseases is facilitated by the ability of infected humans to travel thousands of miles in short time spans, rapidly transporting pathogens to distant locations. Mathematical models of the actual and potential spread of specific pathogens can assist public health planning in the case of such an event. Models should generally be parsimonious, but must consider all potentially important components of the system to the greatest extent possible. We demonstrate and discuss important assumptions relative to the parameterization and structural treatment of airline travel in mathematical models. Among other findings, we show that the most common structural treatment of travelers leads to underestimation of the speed of spread and that connecting travel is critical to a realistic spread pattern. Models involving travelers can be improved significantly by relatively simple structural changes but also may require further attention to details of parameterization

Chikungunya Virus Neutralization Antigens and Direct Cell-to-Cell Transmission Are Revealed by Human Antibody-Escape Mutants

Chikungunya virus (CHIKV) is an alphavirus responsible for numerous epidemics throughout Africa and Asia, causing infectious arthritis and reportedly linked with fatal infections in newborns and elderly. Previous studies in animal models indicate that humoral immunity can protect against CHIKV infection, but despite the potential efficacy of B-cell-driven intervention strategies, there are no virus-specific vaccines or therapies currently available. In addition, CHIKV has been reported to elicit long-lasting virus-specific IgM in humans, and to establish long-term persistence in non-human primates, suggesting that the virus might evade immune defenses to establish chronic infections in man. However, the mechanisms of immune evasion potentially employed by CHIKV remain uncharacterized. We previously described two human monoclonal antibodies that potently neutralize CHIKV infection. In the current report, we have characterized CHIKV mutants that escape antibody-dependent neutralization to identify the CHIKV E2 domain B and fusion loop “groove” as the primary determinants of CHIKV interaction with these antibodies. Furthermore, for the first time, we have also demonstrated direct CHIKV cell-to-cell transmission, as a mechanism that involves the E2 domain A and that is associated with viral resistance to antibody-dependent neutralization. Identification of CHIKV sub-domains that are associated with human protective immunity, will pave the way for the development of CHIKV-specific sub-domain vaccination strategies. Moreover, the clear demonstration of CHIKV cell-to-cell transmission and its possible role in the establishment of CHIKV persistence, will also inform the development of future anti-viral interventions. These data shed new light on CHIKV-host interactions that will help to combat human CHIKV infection and inform future studies of CHIKV pathogenesis

Measuring the burden of arboviral diseases: the spectrum of morbidity and mortality from four prevalent infections

<p>Abstract</p> <p>Background</p> <p>Globally, arthropod-borne virus infections are increasingly common causes of severe febrile disease that can progress to long-term physical or cognitive impairment or result in early death. Because of the large populations at risk, it has been suggested that these outcomes represent a substantial health deficit not captured by current global disease burden assessments.</p> <p>Methods</p> <p>We reviewed newly available data on disease incidence and outcomes to critically evaluate the disease burden (as measured by disability-adjusted life years, or DALYs) caused by yellow fever virus (YFV), Japanese encephalitis virus (JEV), chikungunya virus (CHIKV), and Rift Valley fever virus (RVFV). We searched available literature and official reports on these viruses combined with the terms "outbreak(s)," "complication(s)," "disability," "quality of life," "DALY," and "QALY," focusing on reports since 2000. We screened 210 published studies, with 38 selected for inclusion. Data on average incidence, duration, age at onset, mortality, and severity of acute and chronic outcomes were used to create DALY estimates for 2005, using the approach of the current Global Burden of Disease framework.</p> <p>Results</p> <p>Given the limitations of available data, nondiscounted, unweighted DALYs attributable to YFV, JEV, CHIKV, and RVFV were estimated to fall between 300,000 and 5,000,000 for 2005. YFV was the most prevalent infection of the four viruses evaluated, although a higher proportion of the world's population lives in countries at risk for CHIKV and JEV. Early mortality and long-term, related chronic conditions provided the largest DALY components for each disease. The better known, short-term viral febrile syndromes caused by these viruses contributed relatively lower proportions of the overall DALY scores.</p> <p>Conclusions</p> <p>Limitations in health systems in endemic areas undoubtedly lead to underestimation of arbovirus incidence and related complications. However, improving diagnostics and better understanding of the late secondary results of infection now give a first approximation of the current disease burden from these widespread serious infections. Arbovirus control and prevention remains a high priority, both because of the current disease burden and the significant threat of the re-emergence of these viruses among much larger groups of susceptible populations.</p

L’etat des lieux de l’abandon des consultations prenatales dans les espaces ruraux du District Sanitaire de Bouake Sud dans un contexte de gratuite ciblee des soins en Cote d’Ivoire

Cette étude vise à faire l’état des lieux de l’abandon des consultations prénatales dans les espaces ruraux du District Sanitaire de Bouaké Sud dans un contexte de gratuité ciblé des soins en Côte d’Ivoire. Elle est de type rétrospectif, transversal, descriptif et analytique de l’effet de la gratuité ciblée des soins sur l’abandon des soins prénatals dans les aires sanitaires. Celle-ci repose sur l’exploitation des annuaires des statistiques sanitaires et des rapports annuels de la situation sanitaire ainsi que des rapports d’activités de 2014 du District Sanitaire de Bouaké Sud et d’une enquête transversale qui a eu lieu durant la période allant de Juin à Août 2016 auprès de 210 enquêtés dont 140 femmes, 63 chefs de ménages et 7 personnels de santé en charge de la santé maternelle et infantile dans les aires sanitaires. Malgré la gratuité des soins en faveur des femmes enceintes, le taux d’abandon des consultations prénatales est estimé 57,55%. Les abandons des consultations prénatales sont significativement liés à l’incapacité de décision des femmes enceintes, à l’influence de la médecine traditionnelle et de l’âge.Mots clés: Abandon, Consultation prénatale, Espaces ruraux, Gratuité ciblée des soins, District Sanitaire de Bouaké SudEnglish Title: The situation of the abandonment of prenatal consultations in the rural areas of the Health District of Bouaké Sud in the context of targeted free care in Ivory CoastEnglish AbstractThis study aims to assess the situation of antenatal consultations in the rural areas of the South Bouake Health District in the context of free targeted care in Côte d'Ivoire. It is a retrospective, cross-sectional, descriptive and analytical type of the effect of targeted free care on the abandonment of prenatal care in the health areas. This is based on the use of the health statistics yearbooks and the annual health situation reports and the 2014 activity reports of the South Bouake Health District and a cross-sectional survey that took place during the period From June to August 2016 with 210 respondents including 140 women, 63 heads of households and 7 health personnel in charge of maternal and child health in the health zones. Despite the free care for pregnant women, the rate of abandonment of prenatal consultations is estimated at 57.55%. Abandonment of prenatal consultations is significantly related to the inability of pregnant women to make decisions, the influence of traditional medicine and age.Keywords: Abandonment, Prenatal consultation, Rural areas, Targeted care free, South Bouake Health Distric

Characterization of the Environmental Risk of Cysticercosis Induced Epilepsy in the City of Abidjan

International audienceThe objective of this study was to identify areas at risk of infestation by Taenia solium larva in the Abidjan agglomeration. For this purpose, environmental data were collected within the residence areas of patients enrolled during a study on cysticercosis conducted among patients attending hospitals for epilepsy.The methodological approach was based on the construction of a composite index based on both environmental and anthropogenic data collected in the living environment of these epileptic patients. Based on a spatial grid of 1,164 tiles of 500 m side, presence or absence of an environmental element at risk (wild discharge of garbage, stagnant water, clogged gutters, wastewater spillways in the streets) or anthropogenic one (pigsty, pigmeat salep) was respectively noted as one (1) zero (0). Therefore, for each tile the sum of the items accounted in the tile was used as composite index. Then, the values of these indices were spatialized in order to determine the environmental risk ofeach area of residence.The results show that only 20% of the area of the the study’s territory is subject to an environmental and anthropogenic risk of infestation by the larva of Tænia solium. Indeed, areas of low and medium levels of risk were found as the most extensively contaminated. However, areas covered by high or very high risk represent only 2.28% and 0.59% of the living space of epileptic patients respectively.In conclusion, one fifth of the total area of residence is impacted by a relatively moderate level of environmental ris