Profile of patients with HPV infection at the regional hospital of Saint-Louis, Senegal

Background: Objectives of current study was to define the sociodemographic characteristics of patients, to determine the frequency of HPV infection at the CHRSL and to describe factors associated with HPV infection. Methods: This was a prospective cross-sectional study conducted in the gynecology-obstetrics department of the Saint Louis Regional Hospital Center from November 11, 2019 to November 11, 2021, a period of 24 months. We studied sociodemographic, clinical and test results characteristics. Samples were taken from patients in the gynaecological position using a dedicated kit (cytobrush and tube). Viral research was carried out using the Atila Biosystems device for amplification and detection of viral DNA. This test genotypes HPV 16, 18 and 45, and detects 12 other HR HPVs (31, 33, 35, 39, 51, 52, 56, 58, 59, 66 and 68) simultaneously using three probes labelled with different fluorophores. Analysis was performed using Epi-Info software and Excel 2010. Results: The study population comprised 128 patients. The mean age of the patients was 41.95 years, with extremes of 23 and 70 years. They were married (92.97%) and housewives (46.88%). Almost all patients (77.34%) were genitally active. The average age at marriage was 21.78 years, and polygamous households predominated (53.91%). The average age at first intercourse was 20.05 years. The average age at first pregnancy was 21.78. Over (57.81%) of patients had at least two partners. Incense was used in 97.66% of cases. The viral HPV test was positive in (38.28%) of patients. High-risk papillomaviruses were the most common, at 63.27%. Colposcopy was performed in 17.19%; normal and satisfactory in (63.64%) of patients, with 22.27% of cervical biopsies, and histology showed one CIN2 and two CIN3. Therapeutically, one thermoablation and two hysterectomies were performed. Conclusions: HPV viral typing in primary screening for cervical cancer offers opportunities and remains realistic and feasible in less developed countries such as Senegal, despite modest resources

Low and seasonal malaria transmission in the middle Senegal River basin: identification and characteristics of Anopheles vectors

<p>Abstract</p> <p>Background</p> <p>During the last decades two dams were constructed along the Senegal River. These intensified the practice of agriculture along the river valley basin. We conducted a study to assess malaria vector diversity, dynamics and malaria transmission in the area.</p> <p>Methods</p> <p>A cross-sectional entomological study was performed in September 2008 in 20 villages of the middle Senegal River valley to evaluate the variations of <it>Anopheles </it>density according to local environment. A longitudinal study was performed, from October 2008 to January 2010, in 5 selected villages, to study seasonal variations of malaria transmission.</p> <p>Results</p> <p>Among malaria vectors, 72.34% of specimens collected were <it>An. arabiensis</it>, 5.28% <it>An. gambiae </it>of the S molecular form, 3.26% M form, 12.90% <it>An. pharoensis</it>, 4.70% <it>An. ziemanni</it>, 1.48% <it>An. funestus </it>and 0.04% <it>An. wellcomei</it>. <it>Anopheles </it>density varied according to village location. It ranged from 0 to 21.4 <it>Anopheles</it>/room/day and was significantly correlated with the distance to the nearest ditch water but not to the river.</p> <p>Seasonal variations of <it>Anopheles </it>density and variety were observed with higher human biting rates during the rainy season (8.28 and 7.55 <it>Anopheles </it>bite/man/night in October 2008 and 2009 respectively). Transmission was low and limited to the rainy season (0.05 and 0.06 infected bite/man/night in October 2008 and 2009 respectively). During the rainy season, the endophagous rate was lower, the anthropophagic rate higher and L1014F kdr frequency higher.</p> <p>Conclusions</p> <p>Malaria vectors are present at low-moderate density in the middle Senegal River basin with <it>An. arabiensis </it>as the predominant species. Other potential vectors are <it>An. gambiae </it>M and S form and <it>An. funestus</it>. Nonetheless, malaria transmission was extremely low and seasonal.</p

Resistance to DDT and Pyrethroids and Increased kdr Mutation Frequency in An. gambiae after the Implementation of Permethrin-Treated Nets in Senegal

Introduction: The aim of this study was to evaluate the susceptibility to insecticides of An. gambiae mosquitoes sampled in Dielmo (Senegal), in 2010, 2 years after the implementation of Long Lasting Insecticide-treated Nets (LLINs) and to report the evolution of kdr mutation frequency from 2006 to 2010. Methods: WHO bioassay susceptibility tests to 6 insecticides were performed on adults F0, issuing from immature stages of An. gambiae s.l., sampled in August 2010. Species and molecular forms as well as the presence of L1014F and L1014S kd