Species composition and insecticide resistance in malaria vectors in Ellibou, southern Côte d'Ivoire and first finding of; Anopheles arabiensis; in Côte d'Ivoire

Background Knowing the species composition and insecticide resistance status of the target vector population is important to guide malaria vector control. The aim of this study was to characterize the malaria vector population in terms of species composition, insecticide susceptibility status and potential underlying resistance mechanisms in Ellibou, southern Côte d'Ivoire. Methods A 1-year longitudinal entomological survey was conducted using light traps and pyrethroid spray catches to sample adult mosquitoes in combination with larval sampling. The susceptibility status of Anopheles gambiae sensu lato (s.l.) to bendiocarb, deltamethrin, DDT and malathion was assessed using the World Health Organization insecticide susceptibility test. Additionally, An. gambiae specimens were screened for knockdown (kdr) and acetylcholineesterase (ace1) target site resistance alleles, and the expression levels of eight metabolic resistance genes, including seven cytochrome P450 monooxygenases (P450s) and one glutathione S-transferase (GST), measured with reverse transcription quantitative real-time polymerase chain reaction (qPCR). Results Overall, 2383 adult mosquitoes from 12 different taxa were collected with Culex quinquefasciatus and An. gambiae being the predominant taxa. Molecular identification of An. gambiae s.l. revealed the presence of Anopheles arabiensis, Anopheles coluzzii, An. gambiae sensu stricto (s.s.) and Anopheles coluzzii/An. gambiae s.s. hybrids. Anopheles gambiae mosquitoes were resistant to all insecticides except malathion. PCR diagnostics revealed the presence of ace1-G280S and the kdr L995F, L995S and N1570Y target-site mutations. Additionally, several genes were upregulated, including five P450s (i.e., CYP6P3, CYP6M2, CYP9K1, CYP6Z1, CYP6P1) and GSTE2. Conclusion This is the first documented presence of An. arabiensis in Côte d'Ivoire. Its detection - together with a recent finding further north of the country - confirms its existence in the country, which is an early warning sign, as An. arabiensis shows a different biology than the currently documented malaria vectors. Because the local An. gambiae population was still susceptible to malathion, upregulation of P450s, conferring insecticide resistance to pyrethroids, together with the presence of ace1, suggest negative cross-resistance. Therefore, organophosphates could be an alternative insecticide class for indoor residual spraying in the Ellibou area, while additional tools against the outdoor biting An. arabiensis will have to be considered

A Trial of Early Antiretrovirals and Isoniazid Preventive Therapy in Africa

BACKGROUND: In sub-Saharan Africa, the burden of human immunodeficiency virus (HIV)-associated tuberculosis is high. We conducted a trial with a 2-by-2 factorial design to assess the benefits of early antiretroviral therapy (ART), 6-month isoniazid preventive therapy (IPT), or both among HIV-infected adults with high CD4+ cell counts in Ivory Coast. METHODS: We included participants who had HIV type 1 infection and a CD4+ count of less than 800 cells per cubic millimeter and who met no criteria for starting ART according to World Health Organization (WHO) guidelines. Participants were randomly assigned to one of four treatment groups: deferred ART (ART initiation according to WHO criteria), deferred ART plus IPT, early ART (immediate ART initiation), or early ART plus IPT. The primary end point was a composite of diseases included in the case definition of the acquired immunodeficiency syndrome (AIDS), non-AIDS-defining cancer, non-AIDS-defining invasive bacterial disease, or death from any cause at 30 months. We used Cox proportional models to compare outcomes between the deferred-ART and early-ART strategies and between the IPT and no-IPT strategies. RESULTS: A total of 2056 patients (41% with a baseline CD4+ count of ≥500 cells per cubic millimeter) were followed for 4757 patient-years. A total of 204 primary end-point events were observed (3.8 events per 100 person-years; 95% confidence interval [CI], 3.3 to 4.4), including 68 in patients with a baseline CD4+ count of at least 500 cells per cubic millimeter (3.2 events per 100 person-years; 95% CI, 2.4 to 4.0). Tuberculosis and invasive bacterial diseases accounted for 42% and 27% of primary end-point events, respectively. The risk of death or severe HIV-related illness was lower with early ART than with deferred ART (adjusted hazard ratio, 0.56; 95% CI, 0.41 to 0.76; adjusted hazard ratio among patients with a baseline CD4+ count of ≥500 cells per cubic millimeter, 0.56; 95% CI, 0.33 to 0.94) and lower with IPT than with no IPT (adjusted hazard ratio, 0.65; 95% CI, 0.48 to 0.88; adjusted hazard ratio among patients with a baseline CD4+ count of ≥500 cells per cubic millimeter, 0.61; 95% CI, 0.36 to 1.01). The 30-month probability of grade 3 or 4 adverse events did not differ significantly among the strategies. CONCLUSIONS: In this African country, immediate ART and 6 months of IPT independently led to lower rates of severe illness than did deferred ART and no IPT, both overall and among patients with CD4+ counts of at least 500 cells per cubic millimeter. (Funded by the French National Agency for Research on AIDS and Viral Hepatitis; TEMPRANO ANRS 12136 ClinicalTrials.gov number, NCT00495651.)

Effect of isoniazid preventive therapy on risk of death in west African, HIV-infected adults with high CD4 cell counts: long-term follow-up of the Temprano ANRS 12136 trial.

BACKGROUND: Temprano ANRS 12136 was a factorial 2 × 2 trial that assessed the benefits of early antiretroviral therapy (ART; ie, in patients who had not reached the CD4 cell count threshold used to recommend starting ART, as per the WHO guidelines that were the standard during the study period) and 6-month isoniazid preventive therapy (IPT) in HIV-infected adults in Côte d'Ivoire. Early ART and IPT were shown to independently reduce the risk of severe morbidity at 30 months. Here, we present the efficacy of IPT in reducing mortality from the long-term follow-up of Temprano. METHODS: For Temprano, participants were randomly assigned to four groups (deferred ART, deferred ART plus IPT, early ART, or early ART plus IPT). Participants who completed the trial follow-up were invited to participate in a post-trial phase. The primary post-trial phase endpoint was death, as analysed by the intention-to-treat principle. We used Cox proportional models to compare all-cause mortality between the IPT and no IPT strategies from inclusion in Temprano to the end of the follow-up period. FINDINGS: Between March 18, 2008, and Jan 5, 2015, 2056 patients (mean baseline CD4 count 477 cells per μL) were followed up for 9404 patient-years (Temprano 4757; post-trial phase 4647). The median follow-up time was 4·9 years (IQR 3·3-5·8). 86 deaths were recorded (Temprano 47 deaths; post-trial phase 39 deaths), of which 34 were in patients randomly assigned IPT (6-year probability 4·1%, 95% CI 2·9-5·7) and 52 were in those randomly assigned no IPT (6·9%, 5·1-9·2). The hazard ratio of death in patients who had IPT compared with those who did not have IPT was 0·63 (95% CI, 0·41 to 0·97) after adjusting for the ART strategy (early vs deferred), and 0·61 (0·39-0·94) after adjustment for the ART strategy, baseline CD4 cell count, and other key characteristics. There was no evidence for statistical interaction between IPT and ART (pinteraction=0·77) or between IPT and time (pinteraction=0·94) on mortality. INTERPRETATION: In Côte d'Ivoire, where the incidence of tuberculosis was last reported as 159 per 100 000 people, 6 months of IPT has a durable protective effect in reducing mortality in HIV-infected people, even in people with high CD4 cell counts and who have started ART. FUNDING: National Research Agency on AIDS and Viral Hepatitis (ANRS)

Basic considerations in the dermatokinetics of topical formulations

Assessing the bioavailability of drug molecules at the site of action provides better insight into the efficiency of a dosage form. However, determining drug concentration in the skin layers following topical application of dermatological formulations is a great challenge. The protocols followed in oral formulations could not be applied for topical dosage forms. The regulatory agencies are considering several possible approaches such as tape stripping, microdialysis etc. On the other hand, the skin bioavailability assessment of xenobiotics is equally important for topical formulations in order to evaluate the toxicity. It is always possible that drug molecules applied on the skin surface may transport thorough the skin and reaches systemic circulation. Thus the real time measurement of molecules in the skin layer has become obligatory. In the last two decades, quite a few investigations have been carried out to assess the skin bioavailability and toxicity of topical/dermatological products. This review provides current understanding on the basics of dermatokinetics, drug depot formation, skin metabolism and clearance of drug molecules from the skin layers following application of topical formulations

La pisciculture continentale dans la région du Gontougo (Côte d'Ivoire): Caractérisation et aspects socio-économiques

Continental Fish Farming in the Gontougo Area (Ivory Coast): Characterization and Socio-economic Aspects. This study aims at identifying the current state of fish farming in the area of Gontougo. It was carried out from May to September 2013 using a questionnaire and individual interview with fish farmers. The results showed that all producers practiced artisanal fish farming and this activity played an important socio-economic role. Fish farming is exclusively carried out by local people belonging mainly to the Abron ethnic group (77.8%). This activity is mainly practiced by people aged 45 years and over (77.8%). It was observed that 41.7% of the ponds are in derivation while 58.3% are barrage ponds. Oreochromis niloticus Linné, 1758 and Heterobranchus longifilis Valenciennes, 1840 are the most reared fish species. The total fish production in 2012 was estimated to 3,552.5 kg in 68 ponds. The produced quantities vary from a fish farmer to another, with an average production of 592.1±635.9 kg/fish farmer/year. All fish farmers (100%) feed the fish with agricultural by-products. They have difficulties to feed them properly. They didn't receive funding, coaching and training. Some fish farmers (33.3%) faced water problem. All these factors are an obstacle to sustainable management of fish farming in this area

Season affects fire behavior in annually burned humid savanna of West Africa

Background: Fire is important for the maintenance of African savanna ecosystems, particularly humid savanna. Despite the importance of fire behavior to our understanding of fire's ecological effects, few studies have documented fire behavior and its determinants in humid West African savannas and, in particular, whether fire behavior depends on season of the year. We analyzed fire behavior in the Guinean savanna of Lamto (Ivory Coast) during a 4-year field experiment. The fire regimes tested consisted of three different burning seasons: early-season fire, mid-season fire, and late-season fire. Nine 0.5 ha plots were burned annually to determine the rate of spread and fire intensity. Fuel characteristics and weather conditions were measured to assess their impact on fire behavior. Results: Understory grass height, total fresh fuel load, and moisture content had greater values in early-season fire than in mid-season and late-season fire. The rate of spread and intensity of both mid-season fire (0.14 +/- 0.03 m s(-1) and 3920 +/- 740 kW m(-1), respectively) and of late-season fire (0.12 +/- 0.02 m s(-1) and 3134 +/- 482 kW m(-1), respectively) were significantly greater than those of early-season fire (0.04 +/- 0.01 m s(-1) and 1416 +/- 252 kW m(-1), respectively). The best predictors of fire behavior were fuel moisture content and air humidity; these two explanatory variables were the sole significant predictors for fire intensity, rate of fire spread, and flame height. Conclusions: Given that there is no difference between intensity of mid-season and late-season fire, we suggest that the generally reported higher impact of late-season fire on trees in the West African humid savannas is due not to fire intensity per se, but rather to a more sensitive phenological stage of trees (e.g., leafless in mid-season), and to a longer time of exposure to lethal temperatures (> 60 degrees C) in the late dry season. These data provide important insights into fire behavior in the Guinean savanna-forest mosaic ecoregion, informing fire management

Short-term changes in the structure of ant assemblages in a Guinean savanna under differing fire regimes at Lamto Scientific Reserve, Cote d'Ivoire

To maintain savanna vegetation, mid-seasonal fire has been applied since 1961 in the Lamto Savanna (Cote d'Ivoire). However, this prescribed fire has not impeded tree encroachment during recent years, nor have its effects on insect assemblages been documented. Also the impact of tree intrusion on insect assemblages is poorly studied in savanna. To prevent tree density increasing, a change in fire regime might be a solution. In this study, we examined the effect of different fire regimes (early, mid-seasonal and late fires) on leaf-litter ant assemblages in order to suggest appropriate measures for preventing tree invasion without having an effect on insect communities. Sampling was implemented by combining pitfall trapping and leaf-litter sampling before and after three different fire regimes, early, mid-seasonal and late fires. While the ant species richness declined after the passage of early and mid-seasonal fires, significantly more species were found in the burnt savanna after the late fire. However, the losses or gains of species due to different fire regimes did not cause severe changes in the ant species composition. Of the functional groups identified, only the generalists and specialist predators were respectively strongly affected by the early and mid-seasonal fires, certainly due to micro-habitat modification. Based on the trends observed in the present study, we suggest sampling other invertebrate fauna in similar savanna plots to find out if other insect groups have similar reactions to the applied fire regimes

Changes in soil quality after subsequent establishment of Chromolaena odorata fallows in humid savannahs, Ivory Coast

In the buffer zone of the Lamto Reserve, a protected area located in the forest-savannah transitional zone in central Ivory Coast, the exotic shrub Chromolaena odorata has invaded abandoned fields and degraded forests. As a result, they have turned into thickets that are used by local farmers as natural fallows to enhance soil fertility for food production. However, information about their impact on soil is scanty and investigations focusing exclusively on baseline data on C odorata fallows in humid savannahs are still lacking. This study was designed to assess changes in soil physical, chemical and biological properties after the establishment of C. odorata fallows in humid savannahs of Ivory Coast. Sampling sites were selected such that a portion of C odorata fallow was located next to the shrub savannah, the most common natural ecosystem in the area. Results revealed a rise of soil organic carbon (+27.9%), total nitrogen (+36.7%), total phosphorus (+56.8%), extractable calcium (+68.3) and magnesium (+1403%) in the first 10 cm of soil beneath the C odorata fallow relative to the savannah. Furthermore, the fallow was associated with high N-mineral pool as N-NO3- and N-NH4+ content increased at +72.5% and +71.5%, respectively. The infiltration capacity of water under C odorata-based fallow was markedly high and soil macroinvertebrates, mainly earthworms, showed significant increases in density and biomass. The large quantity of good quality standing biomass produced by C odorata is likely the main factor controlling the improvement of soil quality. The results suggest that there are merits for the integration of C odorata fallow in a cropping system for sustainable food production in the buffer zone of Lamto Reserve. This can also help to reduce pressure on forest islands

Carbon and nutrient losses through biomass burning, and links with soil fertility and yam (Dioscorea alata) production

Biomass burning has links with a number of global concerns including soil health, food security and climate change. In central Cote d'Ivoire (West Africa), we conducted a field study to compare nutrient losses, soil fertility and yam yield in slash-and-burn versus slash-and-mulch agriculture. Trials involved five sites established in the dominant Chromolaena odorata fallows of the region, each consisting of paired plots: slash and burnt biomass (SB) versus slashed and unburnt biomass, but left to serve as mulch (SM). Carbon and five elemental nutrients were assessed in the aboveground biomass prior to burning and in ash after fires; losses were assessed by subtraction. The greatest proportions of loss occurred with C (95%), N (95%) and K (74%), corresponding to losses into the atmosphere of 3532 +/- 408, 200 +/- 36, 132 +/- 36 kg ha(-1). Six weeks after the fire, soil properties were assessed: soil organic C, total N and Mg2+ were higher in SM than in SB sites. At final harvest, yam tuber yield was twice as large in SM as in SB (18 +/- 4 vs. 9 +/- 2 Mg ha(-1)) with soil C, total N and K+ as the main influential soil parameters. The key finding was that the elements lost in greatest proportion during burning were those mostly influencing yam yields. Because a clear negative relationship between biomass burning and yam production has been established the promotion of the more productive, alternate slash-and-mulch system compared to slash-and-burn system, is warranted. The findings of our research can be used in support of developing a sustainable yam production system in the region and in West Africa more generally

Propriétés thermiques et optiques des verres du système Sb2S3-As2S3-Sb2Te3.

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