Tiques et hémoparasitoses du bétail au Sénégal. III. La zone Nord-soudanienne

Les auteurs rapportent les résultats d'une étude sur les tiques et les hémoparasitoses des bovins, des ovins et des caprins de la zone nord-soudanienne. Un détiquage systématique de 40 bovins, 40 moutons et 40 chèvres est effectué pendant 15 mois dans le but de déterminer la dynamique des populations et de préciser les sites préférentiels de fixation des différentes espèces. Les espèces suivantes sont récoltées sur ces animaux : Hyalomma marginatum rufipes, H. truncatum, Rhipicephalus lunulatus, Rh. e evertsi, Rh. sulcatus, Rh. senegalensis, Boophilus decoloratus. Des études sont menées simultanément sur les hémoparasitoses, par réalisation de frottis de sang et de splénectomies. Chez les bovins, sont mis en évidence : Anaplasma marginale, Ehrlichia bovis, Theileria mutans, Th. velifera, Trypanosoma congolense, T. brucei et des microfilaires de Setaria labiatopapillosa. Babesia bigemina a été observée après splénectomie. Les infections décelées chez les petits ruminants sont occasionnées par A. ovis, Th. ovis et T. vivax. Les valeurs de l'hématocrite d'animaux apparemment sains sont étudiées de même que les variations saisonnières de ce paramètre hématologique

Composition chimique et propriétés antibactériennes des huiles essentielles d’Ocimum basilicum et d’Hyptis suaveolens (L.) Poit récoltés dans la région de Dakar au Sénégal

Les huiles essentielles des feuilles d’Ocimum basilicumet d’Hyptis suaveolens, récoltées dans la région de Dakar au Sénégal ont été extraites par entraînement à la vapeur et analysées en CPG et CPG-SM. Les monoterpènes oxygénés dont l’estragol (38,78 %), le linalol (19,45 %) et le méthyl-eugénol (9,98 %) sont majoritaires dans l’huile essentielle d’O. basilicum. Ils sont suivis d’un sesquiterpène hydrocarboné: le bergamotène (8,48 %). Par contre, l’huile essentielle de H. suaveolensest essentiellement constituée de composés hydrocarbonés: le β-caryophyllène (16,63 %), le sabinène (11,30 %), le terpinolène (8,58 %), le limonène (8,45 %) et le bergamotène (5,26 %). Les propriétés antimicrobiennes des huiles essentielles de ces plantes ont été testées in vitro sur cinq souches bactériennes (Staphylococcus aureus, Bacillus sp.,Salmonella sp., Escherichia coli, Streptococcus sp.). Une activité inhibitrice des huiles sur les souches étudiées a été observée. Toutefois, celle d’O.basilicums’est révélée plus active, particulièrement contre Bacillus sp., Salmonella sp., et Escherichia coli.Mots-clés: Ocimum basilicum, Hyptis suaveolens, huiles essentielles, composition chimique, propriétés antimicrobiennes. Chemical composition and antimicrobial properties of the essential oils of Ocimum basilicum andHyptis suaveolensharvested from Dakar region in SenegalEssential oils of leaves from Ocimum basilicum and Hyptis suaveolens collected in the region of Dakar in Senegal have been extracted by steam distillation and analyzed by GC and GC-MS. The oxygenated monoterpenes which estragol (38.78%), linalool (19.45%) and methyl-eugenol (9.98%) constitute the major portion of the essential oils of O. basilicum followed by bergamotene (8.48%) which is a sesquiterpene hydrocarbon. Principal compounds of H.suaveolens essential oilsare: β-caryophyllene (16.63%), sabinene (11.30%), terpinolene (8.58%), limonene (8.45%) and bergamotene (5.26%).The antimicrobial properties of essential oils of these plants were tested in vitro against five bacterial strains (Staphylococcus aureus, Bacillussp, Salmonella sp., Escherichia coli, Streptococcus sp.). The inhibitory activity of the oils on the strains studied was observed. However, the essential oil of O. basilicum was more active, especially against Bacillus sp., Salmonella sp. and Escherichia coli.Keywords: Ocimum basilicum, Hyptis suaveolens, essential oils, chemical composition, antimicrobial properties

Maintenance haemodialysis with low dialysate flow rates in Senegal

Introduction: The objective of the study reported here was to demonstrate that maintenance haemodialysis using a reduced dialysate flow rate of 300 mL/min (RQD) is not inferior to haemodialysis using the standard flow rate of 500 mL/min (SQD) in respect of the delivered dose of dialysis. Methods: A prospective, single-centre, sequential study was performed at the haemodialysis  centre of Pikine Hospital in Dakar. Twenty patients were included. During the first week, three haemodialysis sessions were performed with SQD and during the second week three haemodialysis  sessions were conducted with RQD for each patient. Results: For SQD, the mean eKt/V was 1.38 ± 0.58. There were 38 (63%) sessions with eKt/V greater than 1.2 and 16 patients (80%) had adequate dialysis, based on the average eKt/V. For RQD, the mean eKt/V was 1.2 ± 0.43 with 25 sessions (42%) having an eKt/V greater than 1.2. There were 11 patients (55%) with adequate dialysis. The dialysis dose was higher with the SQD prescription (P < 0.001). Ten patients with dry weight ≤60 kg had adequate dialysis with RQD. Cases of hypokalaemia were significantly higher with the SQD (P = 0.001). Conclusions: RQD appears to be inferior in terms of dialysis dose. However, for patients with dry weight ≤60 kg, adequate dialysis could be delivered with RQD, consequently allowing substantial saving of water in haemodialysis

The potential for quality assurance systems to save costs and lives:the case of early infant diagnosis of HIV

OBJECTIVES: Scaling up of point-of-care testing (POCT) for early infant diagnosis of HIV (EID) could reduce the large gap in infant testing. However, suboptimal POCT EID could have limited impact and potentially high avoidable costs. This study models the cost-effectiveness of a quality assurance system to address testing performance and screening interruptions, due to, for example, supply stockouts, in Kenya, Senegal, South Africa, Uganda and Zimbabwe, with varying HIV epidemics and different health systems. METHODS: We modelled a quality assurance system-raised EID quality from suboptimal levels: that is, from misdiagnosis rates of 5%, 10% and 20% and EID testing interruptions in months, to uninterrupted optimal performance (98.5% sensitivity, 99.9% specificity). For each country, we estimated the 1-year impact and cost-effectiveness (US$/DALY averted) of improved scenarios in averting missed HIV infections and unneeded HIV treatment costs for false-positive diagnoses. RESULTS: The modelled 1-year costs of a national POCT quality assurance system range from US$ 69 359 in South Africa to US$334 341 in Zimbabwe. At the country level, quality assurance systems could potentially avert between 36 and 711 missed infections (i.e. false negatives) per year and unneeded treatment costs between US$ 5808 and US$ 739 030. CONCLUSIONS: The model estimates adding effective quality assurance systems are cost-saving in four of the five countries within the first year. Starting EQA requires an initial investment but will provide a positive return on investment within five years by averting the costs of misdiagnoses and would be even more efficient if implemented across multiple applications of POCT

Principles of International Law Relevant for Consideration in the Design and Implementation of Trade-Related Climate Measures and Policies. Report of an International Legal Expert Group.

The report offers independent guidance for governments and stakeholders by eminent legal experts on principles of international law relevant for consideration in the design and implementation of trade-related climate measures and policies. The report reviews a set of recognized principles of international law that the expert group deems especially relevant for consideration including: Sovereignty; Prevention; Cooperation; Prohibition of Arbitrary & Unjustifiable Discrimination; Sustainable Development, Equity, & CBDR-RC; and Transparency & Consultation. The vision driving this report is that shared understandings on such principles could help foster dialogue and international cooperation on the design and implementation of trade-related climate measures and policies in the context of sustainable development priorities. According to the expert group, trade-related climate measures and policies should be approached as legal hybrids. Their rationale, design, and the debates about them draw from different areas of international law relating to the environment, climate, international trade and general international law. The principles are analysed in a way that presents them as cumulative and simultaneously applicable, in a mutually supportive and coherent manner, giving full effect to all relevant parts of international law, insofar as possible