Prevalence and risk factors to HIV-infection amongst health care workers within public and private health facilities in Cameroon.

Introduction: This study aimed at assessing the prevalence of Human Immunodeficiency Virus (HIV) among health care workers (HCWs) and to evaluate some risks factors for HCWs. Methods: We conducted a cross sectional study amongst HCWs in public and private healthcare facilities within seven regions amongst the 10 found in Cameroon. We collected data from 446 HCWs within 150 healthcare facilities. We used questionnaires for interviews and biological sampling for HIV test. Results: HIV prevalence was 2.61% (95% CI: 1.32% - 4.61%) regardless of gender and age. HCWs in private health facilities were more infected compared to those in public health facilities 5.00% vs 1.40% (p = 0.028); OR = 3.7 (95% CI: 1.01-12.90). HCWs who had never screened for HIV had a high risk of being infected OR = 7.05 (95% CI: 2.05-24.47). 44.62% of HCWs reported to have been victim of an Accidental Exposure to Blood (AEB). Amongst them, 45.80% in public HF versus 32.1% in private HF reported to have received an HIV screening and Post Exposure Prophylaxis following this incident. 4.20% of HCW victim of AEB were HIV positive, and 36.40% of HCWs had appropriate capacity training for HIV patient care. Conclusion: Though the HIV prevalence in HCWs is lower than in the general population 2.61% vs 4.3%, there is a high risk of infection as we observed a relatively high percentage of AEB amongst HCWs with an HIV prevalence of 4.20%. There is thus, a need in strengthening the capacity and provide psychosocial support to HCWs

Estimation of the lifetime distribution in presence of a censorship that can be observed after the interest event. : Application to the growth of the cocoa fruit and modeling of its risk of attack by Pod rot in Cameroon

Nous nous sommes intéressés dans cette étude à l'estimation de la loi de la durée de séjour en prenant en compte les individus sur lesquels l'évènement d'intérêt et la censure peuvent se produire dans un même intervalle et être observés. Pour cela, nous avons proposé deux approches d'estimation non paramétrique basées sur une approximation asymptotique quand la longueur de l'intervalle entre deux dates consécutives d'observation tend vers 0. La première est basée sur une relation intégrale et la deuxième est basée sur une restauration des durées de séjour. Nous nous sommes servis de ces approches pour monter un modèle de croissance des fruits du cacaoyer en fonction du climat. Nous avons également estimé la sensibilité (probabilité de pénétration et de réussite d'infection) des fruits en fonction de leur stade et le potentiel infectieux (nombre moyen de spores sur un fruit) par date. Ce potentiel infectieux nous permettrait de monter un modèle du potentiel infectieux en fonction des fruits attaqués. La connaissance du potentiel infectieux en fonction des fruits attaqués, de l'estimation de la sensibilité suivant les stades, de l'estimation du modèle de croissance permettra alors de monter un modèle dynamique du potentiel infectieux pour prédire le risque d'évolution de la pourriture brune des fruits du cacaoyerWe are interested in this study in estimating the lifetime distribution by taking into consideration individuals on which the interest event and the censorship can occur in the same intervaland both events were then observed. We proposed two nonparametric approaches based on an asymptotic approximation when the lengthbetween two consecutive observation days tends to 0. The first one was based on an integral relationship and the second one on a lifetime restoration. We used theses approaches to build a fruitgrowth model depending on climatic variables. We also estimated the susceptibility (success probability of attack by a spore on a fruit) of the fruit depending of its developmental stage and theinfectious potential of the disease over time.This infectious potential could help to build a model of infectious potential depending on infected fruits. The knowledge of the infectious potential depending on infected fruits, the estimation of the susceptibility of the fruit and the model of growth will allow to built a dynamic model of infectious potential to predict the evolution risk of disease progressio

Estimation de la loi de la durée de séjour en présence d'une censure post-évènement d'intérêt. (Application à la croissance des fruits du cacaoyer et modélisation du risque d'attaque par la pourriture brune au Cameroun)

Nous nous sommes intéressés dans cette étude à l'estimation de la loi de la durée de séjour en prenant en compte les individus sur lesquels l'évènement d'intérêt et la censure peuvent se produire dans un même intervalle et être observés. Pour cela, nous avons proposé deux approches d'estimation non paramétrique basées sur une approximation asymptotique quand la longueur de l'intervalle entre deux dates consécutives d'observation tend vers 0. La première est basée sur une relation intégrale et la deuxième est basée sur une restauration des durées de séjour. Nous nous sommes servis de ces approches pour monter un modèle de croissance des fruits du cacaoyer en fonction du climat. Nous avons également estimé la sensibilité (probabilité de pénétration et de réussite d'infection) des fruits en fonction de leur stade et le potentiel infectieux (nombre moyen de spores sur un fruit) par date. Ce potentiel infectieux nous permettrait de monter un modèle du potentiel infectieux en fonction des fruits attaqués. La connaissance du potentiel infectieux en fonction des fruits attaqués, de l'estimation de la sensibilité suivant les stades, de l'estimation du modèle de croissance permettra alors de monter un modèle dynamique du potentiel infectieux pour prédire le risque d'évolution de la pourriture brune des fruits du cacaoyerWe are interested in this study in estimating the lifetime distribution by taking into consideration individuals on which the interest event and the censorship can occur in the same intervaland both events were then observed. We proposed two nonparametric approaches based on an asymptotic approximation when the lengthbetween two consecutive observation days tends to 0. The first one was based on an integral relationship and the second one on a lifetime restoration. We used theses approaches to build a fruitgrowth model depending on climatic variables. We also estimated the susceptibility (success probability of attack by a spore on a fruit) of the fruit depending of its developmental stage and theinfectious potential of the disease over time.This infectious potential could help to build a model of infectious potential depending on infected fruits. The knowledge of the infectious potential depending on infected fruits, the estimation of the susceptibility of the fruit and the model of growth will allow to built a dynamic model of infectious potential to predict the evolution risk of disease progressionMONTPELLIER-BU Sciences (341722106) / SudocSudocFranceF

Fitness Costs of the Glutathione <i>S</i>-Transferase Epsilon 2 (L119F-GSTe2) Mediated Metabolic Resistance to Insecticides in the Major African Malaria Vector <i>Anopheles Funestus</i>

Metabolic resistance to insecticides threatens malaria control. However, little is known about its fitness cost in field populations of malaria vectors, thus limiting the design of suitable resistance management strategies. Here, we assessed the association between the glutathione S-transferase GSTe2-mediated metabolic resistance and life-traits of natural populations of Anopheles funestus. A total of 1200 indoor resting blood-fed female An. funestus (F0) were collected in Mibellon, Cameroon (2016/2017), and allowed to lay eggs individually. Genotyping of F1 mosquitoes for the L119F-GSTE2 mutation revealed that L/L119-homozygote susceptible (SS) mosquitoes significantly laid more eggs than heterozygotes L119F-RS (odds ratio (OR) = 2.06; p &lt; 0.0001) and homozygote resistant 119F/F-RR (OR = 2.93; p &lt; 0.0001). L/L119-SS susceptible mosquitoes also showed the higher ability for oviposition than 119F/F-RR resistant (OR = 2.68; p = 0.0002) indicating a reduced fecundity in resistant mosquitoes. Furthermore, L119F-RS larvae developed faster (nine days) than L119F-RR and L119F-SS (11 days) (X2 = 11.052; degree of freedom (df) = 4; p = 0.02) suggesting a heterozygote advantage effect for larval development. Interestingly, L/L119-SS developed faster than 119F/F-RR (OR = 5.3; p &lt; 0.0001) revealing an increased developmental time in resistant mosquitoes. However, genotyping and sequencing revealed that L119F-RR mosquitoes exhibited a higher adult longevity compared to RS (OR &gt; 2.2; p &lt; 0.05) and SS (OR &gt; 2.1; p &lt; 0.05) with an increased frequency of GSTe2-resistant haplotypes in mosquitoes of D30 after adult emergence. Additionally, comparison of the expression of GSTe2 revealed a significantly increased expression from D1-D30 after emergence of adults (Anova test (F) = 8; df= 3; p = 0.008). The negative association between GSTe2 and some life traits of An. funestus could facilitate new resistance management strategies. However, the increased longevity of GSTe2-resistant mosquitoes suggests that an increase in resistance could exacerbate malaria transmission