Recent data on the prevalence of intestinal parasites in N’Djamena, Chad Republic

This cross sectional study assessed the prevalence of intestinal protozoan and helminth infections in N’Djamena, Chad Republic, and determined the main  epidemiological transmission factors of these pathogens in order to develop efficient control strategies of intestinal parasites. Four hundred and sixty two  randomly selected persons, from eight quarters (administrative districts), of age less than one year to seventy six years old of both sexes, were examined in  N’Djamena town. Out of the 462 samples, 235 (51%) were found to harbour at least one parasite species. The prevalences of the eight (8) parasite species detected were: Entamoeba histolytica (30%), Hymenolepis nana (13%), Ascaris  lumbricoides (10%), Trichomonas hominis (6%), Giardia intestinalis (3%),  hookworm (0.5%), and Schistosoma mansoni (0.2%). These pathogens appeared mostly in single infections. The quarters with higher infection indices were those that experienced floods (Abena and Chagoua) and where people do not use latrines (Naga and Goudji). The population customs and the environmental conditions in N’Djamena still favour high faecal- oral transmission of intestinal parasites.Key words: Prevalence, Intestinal Parasites, Protozoans, Helminths, N’Djamena, Chad

Effect of wearing a helmet on the occurrence of head injuries in motorcycle riders in Benin: a case-control study

BACKGROUND: In Benin, motorcycles are the main means of transport for road users and are involved in more than half of crashes. This study aims to determine the effect of wearing a helmet on reducing head injuries in road crashes in Benin. METHODS: This case-control study took place in 2020 and focused on road trauma victims. The sample, consisting of 242 cases (trauma victims with head injuries) for 484 controls (without head injuries), was drawn from a database of traffic crash victims recruited from five hospitals across the country from July 2019 to January 2020. Four groups of independent variables were studied: socio-demographic and economic variables, history, behavioural variables including helmet use and road-related and environmental variables. To assess the shape of the association between the independent variables and the dependent variable, a descending step-by-step binary logistic regression model was performed using an explanatory approach. RESULTS: Fewer of the subjects with a head injury were wearing a helmet at the time of the crash 69.8% (95% CI = 63.6-75.6) compared to those without a head injury 90.3% (95% CI = 87.3-92.8). Adjusting for the other variables, subjects not wearing helmets were at greater risk of head injuries (OR = 3.8, 95% CI (2.5-5.7)); the head injury rating was 1.9 (95% CI = 1.2-3.3) times higher in subjects who were fatigued during the crash than among those who were not and 2.0 (95% CI = 1.2-3.3) times higher in subjects with no medical history. CONCLUSION: Failure to wear a helmet exposes motorcyclists to the risk of head injuries during crashes. It is important to increase awareness and better target such initiatives at the subjects most at risk