Toxoplasmosis prevalence in cats of Kingabwa and Limete résidentiel districts in Kinshasa

During seven months, 150 fecal samples were collected in cats of Kingabwa and residential Limete in Kinshasa. Coprological analysis by quantitative flotation gave a crude prevalence of 14.5 %, with 20 % prevalence at Kingabwa and 8.6 % for residential Limete in terms of neighborhoods (p<0.05), 13.3 % for males and 16 % for females (p<0,05) and 16 % of cats aged one year or more and 13.3 % in those with less than a year (p<0,05). Cats play an important role in the high prevalence of human toxoplasmosis observed in Kinshasa. Veterinarians should integrate, in addition to deworming, the administration of pyriméthamine and sulfadiazine at the time of anti-rabies vaccination of cats in order to fight against feline toxoplasmosis

Toxoplasmosis prevalence in cats of Kingabwa and Limete résidentiel districts in Kinshasa

Durant sept mois, 150 échantillons de selles ont été collectés chez les chats des quartiers Kingabwa et Limete résidentiel à Kinshasa. Les analyses coprologiques par flottaison quantitative ont donné une prévalence brute de toxoplasmose de 14,7 %, à raison de 20 % à Kingabwa et de 8,6 % à Limete résidentiel pour ce qui est des quartiers (p? 0,05), de 13,3 % chez les mâles et de 16 % chez les femelles (p?0,05) concernant le sexe et de 16 % chez les chats âgés d’une année et plus et de 13,3 % chez ceux ayant moins d’une année (p?0,05) pour ce qui est de l’âge. Les chats joueraient un rôle important dans la forte prévalence de la toxoplasmose humaine observée à Kinshasa. Les médecins vétérinaires devront intégrer en plus du vermifugeage, l’administration de la pyriméthamine et de la sulfadiazine lors de la vaccination antirabique chez les chats afin de lutter contre la toxoplasmose féline. Mots-clés: Prévalence, Toxoplasmose, chats, Kingabwa, Limete résidentiel, Kinshasa.During seven months, 150 fecal samples were collected in cats of Kingabwa and residential Limete in Kinshasa. Coprological analysis by quantitative flotation gave a crude prevalence of 14.5 %, with 20 % prevalence at Kingabwa and 8.6 % for residential Limete in terms of neighborhoods (p?0.05), 13.3 % for males and 16 % for females (p?0,05) and 16 % of cats aged one year or more and 13.3 % in those with less than a year (p?0,05). Cats play an important role in the high prevalence of human toxoplasmosis observed in Kinshasa. Veterinarians should integrate, in addition to deworming, the administration of pyriméthamine and sulfadiazine at the time of anti-rabies vaccination of cats in order to fight against feline toxoplasmosis. Keywords: Prevalence, Toxoplasmosis, cats, Kingabwa, Limete residential, Kinshasa

Effectiveness and Acceptability of a Mobile Phone Text Messaging Intervention to Improve Blood Pressure Control (TEXT4BP) among Patients with Hypertension in Nepal: A Feasibility Randomised Controlled Trial

Background: Uncontrolled blood pressure (BP) is the leading cause of preventable deaths in low- and middle-income countries. mHealth interventions, such as mobile phone text messaging, are a promising tool to improve BP control, but research on feasibility and effectiveness in resource-limited settings remains limited. Objective: This feasibility study assessed the effectiveness and acceptability of a mobile phone text messaging intervention (TEXT4BP) to improve BP control and treatment adherence among patients with hypertension in Nepal. Methods: The TEXT4BP study was a two-arm, parallel-group, unblinded, randomised controlled pilot trial that included 200 participants (1:1) (mean age: 50.5 years, 44.5% women) with hypertension at a tertiary referral hospital in Kathmandu, Nepal. Patients in the intervention arm (n = 100) received text messages three times per week for three months. The control arm (n = 100) received standard care. The COM-B model informed contextual co-designed text messages. Primary outcomes were change in BP and medication adherence at three months. Secondary outcomes included BP control, medication adherence self-efficacy and knowledge of hypertension. A nested qualitative study assessed the acceptability of the intervention. Results: At three months, the intervention group had greater reductions in systolic and diastolic BP vs usual care [-7.09/-5.86 (p ≤ 0.003) vs -0.77/-1.35 (p ≥ 0.28) mmHg] [adjusted difference: systolic β = -6.50 (95% CI, -12.6; -0.33) and diastolic BP β = -4.60 (95% CI, -8.16; -1.04)], coupled with a greater proportion achieving target BP (70% vs 48%, p = 0.006). The intervention arm showed an improvement in compliance to antihypertensive therapy (p < 0.001), medication adherence (p < 0.001), medication adherence self-efficacy (p = 0.023) and knowledge on hypertension and its treatment (p = 0.013). Participants expressed a high rate of acceptability and desire to continue the TEXT4BP intervention. Conclusion: The TEXT4BP study provides promising evidence that text messaging intervention is feasible, acceptable, and effective to improve BP control in low-resource settings

Ursu. II, Reste avec les tiens ! : récit / Buna Valamu ; illustrations de Pierre Joubert

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