Simplified antibiotic regimens for young infants with possible serious bacterial infection when the referral is not feasible in the Democratic Republic of the Congo

Introduction Neonates with serious bacterial infections should be treated with injectable antibiotics after hospitalization, which may not be feasible in many low resource settings. In 2015, the World Health Organization (WHO) launched a guideline for the management of young infants (0–59 days old) with possible serious bacterial infection (PSBI) when referral for hospital treatment is not feasible. We evaluated the feasibility of the WHO guideline implementation in the Democratic Republic of the Congo (DRC) to achieve high coverage of PSBI treatment. Methods From April 2016 to March 2017, in a longitudinal, descriptive, mixed methods implementation research study, we implemented WHO PSBI guideline for sick young infants (0–59 dyas of age) in the public health programme setting in five health areas of North and South Ubangi Provinces with an overall population of about 60,000. We conducted policy dialogue with national and sub-national level government planners, decision-makers, academics and other stakeholders. We established a Technical Support Unit to provide implementation support. We built the capacity of health workers and managers and ensured the availability of necessary medicines and commodities. We followed infants with PSBI signs up to 14 days. The research team systematically collected data on adherence to treatment and outcomes. Results We identified 3050 live births and 285 (9.3%) young infants with signs of PSBI in the study area, of whom 256 were treated. Published data have reported 10% PSBI incidence rate in young infants. Therefore, the estimated coverage of treatment was 83.9% (256/305). Another 426 from outside the study catchment area were also identified with PSBI signs by the nurses of a health centre within the study area. Thus, a total of 711 young infants with PSBI were identified, 285 (40%) 7–59 days old infants had fast breathing (pneumonia), 141 (20%) 0–6 days old had fast breathing (severe pneumonia), 233 (33%) had signs of clinical severe infection (CSI), and 52 (7%) had signs of critical illness. Referral to a hospital was advised to 426 (60%) infants with CSI, critical illness or severe pneumonia. The referral was refused by 282 families who accepted simplified antibiotic treatment on an outpatient basis at the health centres. Treatment failure among those who received outpatient treatment occurred in 10/128 (8%) with severe pneumonia, 25/147 (17%) with CSI, including one death, and 2/7 (29%) young infants with a critical illness. Among 285 infants with pneumonia, 257 (90%) received oral amoxicillin treatment, and 8 (3%) failed treatment. Adherence to outpatient treatment was 98% to 100% for various PSBI sub-categories. Among 144 infants treated in a hospital, 8% (1/13) with severe pneumonia, 23% (20/86) with CSI and 40% (18/45) with critical illness died. Conclusion Implementation of the WHO PSBI guideline when a referral was not possible was feasible in our context with high coverage. Without financial and technical input to strengthen the health system at all levels, including the community and the referral level, it may not be possible to achieve and sustain the same high treatment coverage

Occurrence and Distribution of Banana bunchy top virus Related Agro-Ecosystem in South Western, Democratic Republic of Congo

Banana bunchy top virus (BBTV) is one of the most severe and widespread virus limiting produc- tion and distribution of planting material of banana (Musa spp.) crops in the world. In Democratic Republic of Congo (DRC), these crops play a major role in daily life of almost 70% of citizen. Many factors influence banana production negatively such as Banana bunchy top disease. Epidemiol- ogical survey was conducted in experimental stations and farmers’ fields for two consecutive sea- sons covering 72 sites in five provinces of south western of RDC. The objective of this study was to evaluate the presence and distribution of the Banana bunchy top virus in five provinces of South Western of DRC, with emphasis on the agro-ecological factors. A total of 174 Musa spp. leaves samples were collected and analyzed by PCR. The results revealed the presence of BBTV in all provinces investigated. The frequency of BBTV was 6.3% in Bandundu, 12.1% in Kasaï Oriental, 17.8% Bas Congo, 1.1% in Katanga and 7.5% Kinshasa Urban and Peri-urban. Results also re- vealed that BBTV occurred in experimental station and farmers’ fields, both having all cooking and dessert bananas. The high prevalence of BBTV seemed to be linked to multiple introductions of planting materials in the Bas Congo province during 1990 and 2002. However, the province of Katanga had not experienced the introduction of planting material. This factor would explain the lowest prevalence of Banana bunchy top virus in this province. The results indicated that there was a real need to facilitate access to genetically improved and healthy certified planting material in these provinces

Effect of NPK Fertilization on Cassava Mosaic Disease (CMD) Expression in a Sub-Saharan African Region

 The influence of NPK fertilizer on the incidence, severity and gravity of cassava mosaic disease (CMD) was investigated using eight genetically improved cassava varieties and eight local farmer’s varieties. The study was carried out in a savannah region (Gandajika) in D.R. Congo at two locations. The varieties were planted with and without NPK fertilization. Application of NPK fertilizer significantly (P<0.05) increased CMD incidence, severity (AUDPC) and gravity overtime compared to the trials without fertilizers for all the improved cassava varieties evaluated. The CMD incidence remained below 30% of infected plants for improved cassava varieties and reached 100% of plants for local varieties during the six months trial. The same trend was observed for CMD gravity (number of infected leaves per plant) that was below 50% for improved varieties while reaching 100% for all the local varieties at 6 MAP. High incidence and gravity of CMD were observed on local varieties just one month after planting. NPK fertilizers increased significantly the CMD incidence and gravity compared to control site during the first month after plantation. Thereafter, the effect of NPK fertilizer on CMD symptom expression was not noticeable since all the plants from local varieties were infected regardless of the fertilization regimen

Analysis of the Stability and Yield Performance of Biofortified Common Bean (Phaseolus vulgaris L.) Genotypes under Low Altitude Conditions

The supply of biofortified material to areas affected by malnutrition or micronutrient deficiency remains one of the major concerns of breeders. Nevertheless, this material must be efficient and stable. The evaluation of this performance and stability requires statistical indices. Biofortified genotypes are evaluated for the first time by these indices. The objective of this work is to analyze the performance and stability of biofortified common bean genotypes under low altitude conditions in the Democratic Republic of Congo. The present contribution uses the evaluation of twenty-six genotypes of biofortified common beans over six crop years using parametric (Wᵢ², σ²ᵢ, s²dᵢ, bi, CVi, θ₍ᵢ₎, θᵢ) and non-parametric (S(1), S(2), S(3), S(6), NP(1), NP(2), NP(3), NP(4), KR, AR) indices for the identification of successful and stable genotypes. The results indicate the presence of the genotype x year interaction. Principal Component Analysis (PCA) shows similarities between the indices. Mean sum rank (AR) identifies NYIRAMUHONDO, G59/1-2, CODMLV 086, MBC 23, NABE 4, and K 131 as performing and stable genotypes. In the end, the best genotypes are those that are both efficient and stable. However, where stability is much more desired in relation to performance, the use of ecovalence (Wi) is more appropriate in the stability calculation

Developing core collections to optimize the management and the exploitation of diversity of the coffee Coffea canephora

The management of diversity for conservation and breeding is of great importance for all plant species and is particularly true in perennial species, such as the coffee Coffea canephora. This species exhibits a large genetic and phenotypic diversity with six different diversity groups. Large field collections are available in the Ivory Coast, Uganda and other Asian, American and African countries but are very expensive and time consuming to establish and maintain in large areas. We propose to improve coffee germplasm management through the construction of genetic core collections derived from a set of 565 accessions that are characterized with 13 microsatellite markers. Core collections of 12, 24 and 48 accessions were defined using two methods aimed to maximize the allelic diversity (Maximization strategy) or genetic distance (Maximum-Length Sub-Tree method). A composite core collection of 77 accessions is proposed for both objectives of an optimal management of diversity and breeding. This core collection presents a gene diversity value of 0.8 and exhibits the totality of the major alleles (i.e., 184) that are present in the initial set. The seven proposed core collections constitute a valuable tool for diversity management and a foundation for breeding programs. The use of these collections for collection management in research centers and breeding perspectives for coffee improvement are discussed

Evaluating the effects of manual hoeing and selective herbicides on maize (Zea mays L.) productivity and profitability

The objective of this study was to evaluate maize production and the economic profitability of weed management techniques. Field trials were conducted at the Kasapa farm during the 2021/22 growing seasons using a split-plot design with three repetitions. The main factor was the herbicides applied in pre-emergence alone (2L ha−1: acetochlor, bentazon, imazethapyr and 60 g ha−1 chlorimuron-ethyl), then mixed (1L ha−1: acetochlor plus bentazon plus imazethapyr plus 30g ha−1chlorimuron-ethyl), manual hoeing (3-5WAS) including the non-weeding. The secondary factor: maize varieties (GV672A, GV673A, GV664A and Sam4vita). The highest maize dry grain yield (7.66 t ha−1) was associated with imazethapyr, while those of acetochlor and chlorimuron-ethyl (6.86 and 6.92 t ha−1) compared to manual hoeing (7.62 t ha−1, respectively) were low, but much higher than no weeding (1.21 t ha−1). The yields of varieties GV672A and GV664A were higher (6.87 and 6.77 t ha−1), compared to Sam4vita (5.64 t ha−1). The total dry weight of weeds was negatively correlated with all crop parameters, with its maximum value (127.56 g m−2) characterizing non-weeding, and the minimum for manual hoeing (18.83 g m−2). The Ratio Cost Value showed that all treatments were profitable: imazethapyr > bentazon > chlorimuron-ethyl > combination > acetochlor > manual hoeing. However, imazethapyr was economically more profitable and could replace manual hoeing when the field to be weeded increases and labor is scarce

Current status of occurrence, genetic diversity and epidemiology of Banana (Musa spp.) viruses in Democratic Republic of Congo

Viruses are major constraints to the production and exchange of banana and plantain (Musa spp.) germplasm in the world. Several viruses are recognized to affect Musa spp: Banana bunchy top virus (BBTV), Banana streak GF virus (BSGFV), Banana streak OL virus (BSOLV), Banana streak IM virus (BSIMV), Banana streak MY virus (BSMYV), Cucumber mosaic virus (CMV), Banana bract mosaic virus, (BBrMV). To date, in Democratic Republic of Congo (DRC), except BBTV, others banana viruses are not yet reported. The main aim of this work was to elucidate the epidemiological situation, genetic variability and origin of Musa spp. viruses in DRC

Low genetic diversity of Banana bunchy top virus, with a subregional pattern of variation, in Democratic Republic of Congo

Banana bunchy top virus (BBTV), belonging to the genus Babuvirus, is the most devastating and widespread banana virus. Banana and plantain are major crops in terms of household income and food security in Democratic Republic of Congo (DRC). Despite the large area under banana and plantain cultivation in the country, before this study, the genetic characterization of BBTV isolates had only been undertaken for two provinces. In the study presented here, genetic variation in BBTV was assessed from 52 BBTV isolates collected in five out of 11 provinces in DRC (Bandundu, Bas-Congo, Katanga, Kinshasa and Kasaï Oriental) and in two provinces using sequences previously described in databases. Full genome sequencing of DNA-R components was performed, revealing low genetic variation (98–100 % nucleotide identity) among the BBTV isolates detected. The phylogenetic analyses showed that all the DRC isolates were clustered in the South Pacific clade of BBTV. Based on the coding region for the replication initiator protein, haplotype diversity was estimated to be 0.944 ± 0.013, with 30 haplotypes from 68 isolates in DRC. Such diversity shows a haplotype distribution mainly at the sub-regional level in DRC. In addition, the sequence determination from the whole genome of selected isolates confirmed low genetic variation among isolates from seven DRC provinces (97–100 % nucleotide identity). This study strengthened the hypothesis of a single BBTV introduction some time ago, followed by the spread of the virus in the country

Current status of occurrence, genetic diversity and epidemiology of Banana (Musa spp.) viruses in Democratic Republic of Congo

Viruses are major constraints to the production and exchange of banana and plantain (Musa spp.) germplasm in the world. Several viruses are recognized to affect Musa spp: Banana bunchy top virus (BBTV), Banana streak GF virus (BSGFV), Banana streak OL virus (BSOLV), Banana streak IM virus (BSIMV), Banana streak MY virus (BSMYV), Cucumber mosaic virus (CMV), Banana bract mosaic virus, (BBrMV). To date, in Democratic Republic of Congo (DRC), except BBTV, others banana viruses are not yet reported. The main aim of this work was to elucidate the epidemiological situation, genetic variability and origin of Musa spp. viruses in DRC