Utilisation et vulnérabilité des espèces végétales et stratégies d'adaptation des populations riveraines de la Forêt Classée du Kou (Burkina Faso)

La problématique de la déforestation est importante dans les régions arides et semi-arides de l’Afrique. Les politiques de gestion des forêts excluant les besoins réels des populations font qu’elle persiste. Cette étude vise à améliorer la gestion participative et durable des forêts classées au Burkina Faso. Une enquête ethnobotanique impliquant 60 ménages des villages riverains de la Forêt Classée du Kou et un inventaire floristique sur 36 placettes ont été réalisés. L’indice de vulnérabilité des espèces a été calculé et des analyses statistiques multidimensionnelles ont été effectuées. Les résultats montrent que la forêt comporte 206 espèces dont 80 utilisées pour l’alimentation (100%), la médecine (96,7%), l’artisanat (88,71%), la construction (88,7%), la bioénergie (75,81%) et le fourrage (64,52%). Les produits recherchés sont : fruits (100%), feuilles (95,16%) et bois (93,55%). Le V-test et l’ACM révèlent une utilisation influencée par la profession, le sexe et le niveau académique. Des espèces utilisées, 68,75% sont vulnérables et 53,75% sont sur la liste rouge de l’UICN. Comme stratégies d’adaptation, 58,82% des enquêtés proposent l’agroforesterie et 41,18% proposent la substitution des espèces menacées. Il est indéniable que cette forêt classée couvre les besoins essentiels des populations riveraines qui doivent s’imposer une exploitation rationnelle de ses ressources. English title: Use and vulnerability of plant species and adaptation strategies of the riparian populations of the Kou Classified Forest (Burkina Faso) The problem of deforestation is important in the arid and semi-arid regions of Africa. Forest management policies that exclude the real needs of the population justify the persistence of deforestation. This study aims to improve the participatory and sustainable management of classified forests in Burkina Faso. An ethnobotanical survey involving 60 households in the villages bordering the Kou Classified Forest and a floristic inventory on 36 plots were carried out. The species vulnerability index was calculated and multivariate statistical analyses were performed. The results show that the forest contains 206 species, 80 of which are used for food (100%), medicine (96.7%), handicrafts (88.71%), construction (88.7%), fuelwood (75.81%) and fodder (64.52%). The products sought are: fruits (100%), leaves (95.16%) and wood (93.55%). The V-test and the MCA reveal a use influenced by profession, gender and academic level. Of the species used, 68.75% are vulnerable and 53.75% are on the IUCN Red List. As adaptation strategies, 58.82% of the respondents propose agroforestry and 41.18% propose the substitution of threatened species by those available. It is undeniable that this classified forest covers the essential needs of the riparian populations who must impose themselves a rational exploitation of its resources. &nbsp

Global Retinoblastoma Presentation and Analysis by National Income Level

Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4) were female. Most patients (n = 3685 84.7%) were from low-and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 62.8%), followed by strabismus (n = 429 10.2%) and proptosis (n = 309 7.4%). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 95% CI, 12.94-24.80, and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 95% CI, 4.30-7.68). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs. © 2020 American Medical Association. All rights reserved

Structure des populations de Vitellaria paradoxa C.F. Gaertn. (karité) dans les parcs agroforestiers au Burkina Faso

Description du sujet. Au Burkina Faso, le karité est une espèce hautement utilitaire conservée par les producteurs dans un système intégré d'utilisation des terres, dénommé parc agroforestier, dont la pérennité est menacée. Objectifs. Caractériser la structure des populations de karité afin de mettre en évidence les zones prioritaires pour la restauration. Méthode. Les sites d'étude, répartis selon un gradient climatique, sont au nombre de six. Des inventaires phytosociologiques ont été menés dans 10 parcelles permanentes de 2 500m² chacune par site, soit cinq parcelles dans des champs et cinq dans des jachères d'âges > 15 ans. Résultats. Il a été dénombré 41 espèces ligneuses réparties dans 30 genres et 16 familles. La structure des peuplements dans le secteur subsahélien est dégradée. Dans le secteur nord soudanien, la structure est caractérisée par une population de karité vieillissante dans les champs, alors que les jachères présentent un fort potentiel de régénération. Le sud soudanien est marqué par la prédominance des jeunes individus. Au premier stade, la régénération est importante mais elle disparait rapidement sous l'effet combiné de plusieurs facteurs mésologiques. Le secteur subsahélien et les champs dans le nord soudanien sont les sites prioritaires en termes de repeuplement des parcs à karité. Conclusions. Le karité doit faire l'objet de régénération assistée et de protection contre la coupe à l'échelle de son aire de distribution au Burkina Faso

Global Retinoblastoma Presentation and Analysis by National Income Level

This cross-sectional analysis reports the retinoblastoma stage at diagnosis across the world during a single year, investigates associations between clinical variables and national income level, and investigates risk factors for advanced disease at diagnosis. Key PointsQuestionIs the income level of a country of residence associated with the clinical stage of presentation of patients with retinoblastoma? FindingsIn this cross-sectional analysis that included 4351 patients with newly diagnosed retinoblastoma, approximately half of all new retinoblastoma cases worldwide in 2017, 49.1\% of patients from low-income countries had extraocular tumor at time of diagnosis compared with 1.5\% of patients from high-income countries. MeaningThe clinical stage of presentation of retinoblastoma, which has a major influence on survival, significantly differs among patients from low-income and high-income countries, which may warrant intervention on national and international levels. ImportanceEarly diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. ObjectivesTo report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and ParticipantsA total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and MeasuresAge at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. ResultsThe cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4\%) were female. Most patients (n=3685 {[}84.7\%]) were from low- and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n=2638 {[}62.8\%]), followed by strabismus (n=429 {[}10.2\%]) and proptosis (n=309 {[}7.4\%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5\%) patients having intraocular retinoblastoma and 2 (0.3\%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1\%) having extraocular retinoblastoma and 94 of 498 (18.9\%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 {[}95\% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 {[}95\% CI, 4.30-7.68]). Conclusions and RelevanceThis study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs