34 research outputs found

    Genetic Diversity of Simulium damnosum complex Onchocerciasis Vector and its Influence on Entomological Monitoring in the West of CĂŽte d'Ivoire

    Get PDF
    In West Africa, Onchocerca volvulus, the causative pathogen of human onchocerciasis, is transmitted by sibling species of the Simulium damnosum complex. Little is known about blackfly intraspecific variability and its consequences on vectorial capacity in CĂŽte d’Ivoire. This study reports the use of microsatellite markers to study the genetic profile and evaluate the gene flow between populations of S. damnosum s.l from three (3) different epidemiological facies in western CĂŽte d’Ivoire, fifteen years after the end of onchocerciasis control program. Adult flies were collected on human attractants from 07 : 00 to 18 : 00 hours for three consecutive days by site, from December 2016 to October 2017. Four (4) microsatellite loci were used to characterize individuals from these populations. The four (4) loci were polymorphic with 13.25 alleles per locus. Two (2) specific alleles (190 bp and 290 bp), were reveal abundant with respective frequencies of 0.46 % and 0.58 %. Asignificant heterozygosity deficiency and low genetic differentiation (FST = 0.046, P = 0.024) have been observed for all the populations. The genetic analysis showed significant deviation from Hardy-Weinberg and significant heterozygosity deficiencies. Then, the great interspecific variability would be a general characteristic in S. damnosum s.l. At last, a probable evolution of the invasive strains of S. damnosum would have occurred in these localities. This study has shown significant deviation from Hardy-Weinberg and significant heterozygosity deficiencies in the populations of the three localities. The loci give independent estimate genetic parameters. The H3-4 locus to a low genetic differentiation between the populations. &nbsp

    Apport des moyens endoscopiques dans la dilatation des stĂ©noses caustiques de l’oesophage

    Get PDF
    Introduction: The aim of this work was to present the contribution of the endoscopy in the management of esophageal dilatation for caustic esophageal stenosis (CES). Methods: This was a descriptive and prospective study in the thoracic surgery department at the Hospital of Mali. A total of 46 cases of CES is recorded and divided into 4 groups according to the topography of the esophageal lesions. For the different methods of dilatation the number of performed endoscopic support was determined to understand the contribution of endoscopic means in the success of dilatation for CES. The outcome, complications and mortality in the two methods were compared. Results: Fibroscopy was used in 41.30% of patients with Savary Guillard dilators and in 47.82% of patients with Lerut dilators. Video laryngoscopy was used in 58.69% of patients who underwent dilatation with Lerut dilators. The passage of the guide wire was performed in 39.13% under video laryngoscopy and 58.68% under fibroscopy. In comparison of the two methods, there is a significant difference in the occurrence of complications (p = 0.04075), general anesthesia (p = 0.02287), accessibility (p = 0.04805) and mortality (p = 0.00402). Conclusion: The CES is a serious disease and under evaluated in Mali. The endoscopies contribute significantly to the success of esophageal dilatation for caustic stenosis in the different methods we used.Keywords: Esophagus, caustic stenosis, dilatation, endoscopicPan African Medical Journal 2016; 2

    A comprehensive analysis of drug resistance molecular markers and Plasmodium falciparum genetic diversity in two malaria endemic sites in Mali.

    Get PDF
    BACKGROUND: Drug resistance is one of the greatest challenges of malaria control programme in Mali. Recent advances in next-generation sequencing (NGS) technologies provide new and effective ways of tracking drug-resistant malaria parasites in Africa. The diversity and the prevalence of Plasmodium falciparum drug-resistance molecular markers were assessed in Dangassa and Nioro-du-Sahel in Mali, two sites with distinct malaria transmission patterns. Dangassa has an intense seasonal malaria transmission, whereas Nioro-du-Sahel has an unstable and short seasonal malaria transmission. METHODS: Up to 270 dried blood spot samples (214 in Dangassa and 56 in Nioro-du-Sahel) were collected from P. falciparum positive patients in 2016. Samples were analysed on the Agena MassARRAY¼ iPLEX platform. Specific codons were targeted in Pfcrt, Pfmdr1, Pfdhfr, and Pfdhps, Pfarps10, Pfferredoxin, Pfexonuclease and Pfmdr2 genes. The Sanger's 101-SNPs-barcode method was used to assess the genetic diversity of P. falciparum and to determine the parasite species. RESULTS: The Pfcrt_76T chloroquine-resistance genotype was found at a rate of 64.4% in Dangassa and 45.2% in Nioro-du-Sahel (p = 0.025). The Pfdhfr_51I-59R-108N pyrimethamine-resistance genotype was 14.1% and 19.6%, respectively in Dangassa and Nioro-du-Sahel. Mutations in the Pfdhps_S436-A437-K540-A581-613A sulfadoxine-resistance gene was significantly more prevalent in Dangassa as compared to Nioro-du-Sahel (p = 0.035). Up to 17.8% of the isolates from Dangassa vs 7% from Nioro-du-Sahel harboured at least two codon substitutions in this haplotype. The amodiaquine-resistance Pfmdr1_N86Y mutation was identified in only three samples (two in Dangassa and one in Nioro-du-Sahel). The lumefantrine-reduced susceptibility Pfmdr1_Y184F mutation was found in 39.9% and 48.2% of samples in Dangassa and Nioro-du-Sahel, respectively. One piperaquine-resistance Exo_E415G mutation was found in Dangassa, while no artemisinin resistance genetic-background were identified. A high P. falciparum diversity was observed, but no clear genetic aggregation was found at either study sites. Higher multiplicity of infection was observed in Dangassa with both COIL (p = 0.04) and Real McCOIL (p = 0.02) methods relative to Nioro-du-Sahel. CONCLUSIONS: This study reveals high prevalence of chloroquine and pyrimethamine-resistance markers as well as high codon substitution rate in the sulfadoxine-resistance gene. High genetic diversity of P. falciparum was observed. These observations suggest that the use of artemisinins is relevant in both Dangassa and Nioro-du-Sahel

    Brucellosis in Sub-Saharan Africa:Current challenges for management, diagnosis and control

    Get PDF
    Brucellosis is a highly contagious zoonosis caused by bacteria of the genus Brucella and affecting domestic and wild mammals. In this paper, the bacteriological and serological evidence of brucellosis in Sub-Saharan Africa (SSA) and its epidemiological characteristics are discussed. The tools available for the diagnosis and treatment of human brucellosis and for the diagnosis and control of animal brucellosis and their applicability in the context of SSA are presented and gaps identified. These gaps concern mostly the need for simpler and more affordable antimicrobial treatments against human brucellosis, the development of a B. melitensis vaccine that could circumvent the drawbacks of the currently available Rev 1 vaccine, and the investigation of serological diagnostic tests for camel brucellosis and wildlife. Strategies for the implementation of animal vaccination are also discussed.Publishe

    Diagnostic path of a genetic disease : a case of Williams-Beuren syndrome in Burkina Faso

    No full text
    Williams-Beuren syndrome (WBS) is a rare neurodevelopmental disorder characterized by a set of somatic, psychological, and behavioral abnormalities, which is caused by a deletion of several genes. Herein we report a 6 year-old boy, who presented with mental retardation and psychological disorders. The result of the first clinical examination was poor, since it didn’t detect any dysmorphic feature which is a major component for the clinical diagnosis of WBS. Despite the multidisciplinary and the multicenter approaches used, the diagnosis of WBS (deletion of chromosome band 7q11. 23) was established more than 3 years after the first medical consultation. Rare partial forms of WBS have been recently described and they are both clinically and genetically difficult to diagnose. Unfortunately, this disorder is still little known by health professionals

    Study of Temperature Fields and Heavy Metal Content in the Ash and Flue Gas Produced by the Combustion of Briquettes Coming from Paper and Cardboard Waste

    No full text
    The present study focused on the combustion of four types of briquettes made from paper and cardboard waste produced in Ouagadougou (Burkina Faso). Rotary and tubular kilns were used to study the combustion. The combustion mean temperatures, nitrogen, phosphorus and potassium (NPK) content in the ash and heavy metals content in the ash and the flue gas were analyzed. The combustion steady phase mean temperatures ranged from 950 °C to 750 °C were obtained according to briquettes type. The temperature favored the transfer of the heavy metal in the flue gas comparatively to the ash mainly for Hg, Cd and Pb. The Pb, Hg and Mn content in flue gas and the ash are higher than their content in the parent wood used for paper production due to the additive during the manufacturing process. The results showed a high content of heavy metal in flue gas produced by combustion of briquette made with office paper and in the ash for the briquette made of corrugated cardboard. Furthermore, the low heavy metal contain in the ash allow their use for soil amendment. However, ash contained a low proportion of NPK (less than 2%) which does not allow their usage as fertilizer alone

    Experimental study of the co-gasification of wood and polyethylene in a two-stage gasifier

    No full text
    Co‐gasification of wood mixed with 20% (mass fraction) of polyethylene (PE) in a two‐stage NOTAR¼ fixed‐bed gasifier was studied in the present paper. The ratio of air flow injected in the pyrolyzer and air flow injected in the oxidation zone is called the air ratio (AR). The AR of 0.35, 0.43, and 0.49 were used for test runs. Mass and energy balances were established. The study showed the feasibility of co‐gasification of wood mixed with 20% of PE in the two‐stage gasifier. However, considerable quantity of residues rich in fixed carbon content (17% of the fuel mass and 69% of fixed carbon content) was produced due to a low reactivity of the charcoal obtained after the pyrolysis. AR increasing reduces the gas CO content due to overconsumption of char at the pyrolysis stage. H2 and CH4 highest values are obtained for the intermediate AR = 0.43 which maximized the LHV, energy efficiency, and carbon conversion with respectively 4674 kJ/Nm3, 64.35%, and 74.52%. Low reactivity and carbon content of the pyrolysis char likely lead to lower performance of co‐gasification of PE mixed with wood compared to wood gasification
    corecore