Contamination des basidiomycètes (Volvariella volvacea et Termitomyces spp) des marchés abidjanais par le plomb, le cadmium, le mercure et le zinc

Le monitoring des éléments traces métalliques (ETM) de l’environnement et des réseaux trophiques a considérablement gagné du terrain durant ces dernières décennies afin de prévenir les problèmes environnementaux et de santé publique. Cette étude s’inscrit dans ce contexte de monitoring et entend évaluer le niveau de contamination de Volvariella volvacea, Termitomyces robustus et Termitomyces letestui par le plomb, le cadmium, le mercure et le zinc. Le dosage des ETM s’effectué par spectrométrie d’absorption atomique sur 77 échantillons de champignon issus des marchés abidjanais. La teneur minimale du plomb, du cadmium et du mercure est 0,01 ± 0,01 mg/kg et celle du zinc est 0,001± 0,001 mg/kg. La teneur maximale du plomb est 1,11 ± 0,01 mg/kg et a été détectée chez Termitomyces letestui. La plus grande teneur du cadmium est 0,52 ± 0,02 mg/kg et a été détectée chez Termitomyces robustus. Les teneurs maximales du mercure et du zinc sont respectivement 0,85 ± 0,04 mg/kg chez Termitomyces letestui et 0,07 ± 0,03 mg/kg chez Termitomyces robustus. Les teneurs moyennes métalliques oscillent entre 0,003 ± 0,001 mg/kg (zinc) et 0,30 ± 0,05 mg/kg (plomb). Les teneurs moyennes métalliques de ces champignons sont conformes aux standards (CE) no1881/2006 de l’Union Européenne.Mots clés : Elément trace métallique, carpophore, bioaccumulation

Contrôle des pesticides organochlorés dans le lait et produits laitiers : Bioaccumulation et risques d’exposition

La présente étude vise à déterminer les teneurs des pesticides organochlorés (POC) dans le lait de vache et du beurre élaboré traditionnellement. Ainsi, 90 échantillons de lait et 45 échantillons de beurre ont été collectés auprès des éleveurs installés dans les régionsde Buyo, Grand-lahou et Yamoussoukro. Ces échantillons ont été traités en vue de déterminer les résidus de 14 POC. Les analyses ont été menées par chromatographie en phase gazeuse sur colonne capillaire avec un détecteur à capture d'électrons (ECD). Les résultats observés révèlent une contamination générale du lait et du beurre par les POC.Ainsi, des charges moyennes en hexachlorocyclohexane (HCH) de 42,75 mg/kg et 165,94 mg/kg), en endosulfane de 31,58 et 436,80 mg/kg, en heptachlore 8,70 et 59,91 mg/kg et en Dichlorodiphenyltrichloroethane (DDT) 36,20 et 227,82 mg/kg, ont été respectivement déterminées dans le lait et dans le beurre. La teneur résiduelle moyenne des isomères HCH et des cyclodiènes (dieldrine, endosulfane et heptachlore) constitue respectivement 36,9 % et 13,2 % de la moyenne du total des POC mesurés dans le lait et respectivement 40,7 % et 28,2 % de celle mesurée dans le beurre. Le DDT et ses métabolites mesurés dans nos échantillons représentent 49,9 % du total des POC du lait et 31 % pour le beurre.Mots-clés : Pesticides organochlorés, lait de vache, bioaccumulation, écotoxicologie, lacs, Côte d’Ivoir

Contamination du lait caillé et de l’oeuf consommé en Côte d’Ivoire par des pesticides organochlorés

La présente étude vise à évaluer l’aspect sanitaire de l’alimentation humaine à travers deux produits à forte consommation en Côte d’Ivoire : le lait caillé et l’oeuf. Ainsi, 30 échantillons de lait caillé ont été achetés et 30 échantillons d’oeufs de poulet ont été collectés dans trois fermes dans la ville d’Abidjan. Ces échantillons ont été traités dans le but de déterminer les résidus de 12 POC (Pesticides OrganoChlorés). Les analyses ont été réalisées au CG sur colonne capillaire avec un détecteur à capture d'électrons. Les résultats observés révèlent une contamination du lait caillé et de l’oeuf par 5 POC. Ainsi, des charges moyennes en μg/kg des isomères hexachlorocyclohexane (HCH) allant de 0,125 à 0,997 et de 1,870 à 35,907, de l’endosulfan allant de 0,045 à 0,563 et non détecté, de la dieldrine allant de 0,025 à 0,263 et de 5,727 à 69,710 et du Dichlorodiphenyltrichloroethane (DDT) et métabolites allant de 0,133 à 0,813 et de 21,105 à 75,22, ont été respectivement déterminées dans le lait caillé et dans l’oeuf. La teneur résiduelle moyenne des isomères HCH, des cyclodiènes (dieldrine, et endosulfane) et du DDT et ses métabolites constituent respectivement 40%, 40% et 20% de la moyenne du total des POC mesurés dans le lait caillé et respectivement 20%, 20% et 60% de celle mesurée dans l’oeuf.Mots-clés: pesticides organochlorés, lait caillé, oeuf, Côte d’Ivoire. Contamination of the curdled milk and the egg consumed in Ivory Coast by organochlorinated pesticides This study aims to determine the levels of organochlorinated pesticides (OCPs) in the curdled milk and egg. Thus, 30 samples of curdled milk were purchased and 30 egg samples were collected from three farms in the area of the lagoons. These samples were processed in order to determine the residues 12 OCPs. Analyses were performed by GC capillary column with electron capture detector. The observed results indicate contamination of curdled milk and egg by 5 OCPs. Thus, average loads in μg/kg of hexachlorocyclohexane (HCH) isomers ranging from 0.125 to 0.997 and 1.870 to 35.907, endosulfan ranging from 0.045 to 0.563 and undetected, dieldrin ranging from 0.025 to 0.263 and 5.727 to 69.710 and dichlorodiphenyltrichloroethane (DDT) and metabolites ranging from 0.133 to 0.813 and 21, 105 to 75.22, respectively, were determined in the curdled milk and egg. The average residual HCH isomers, cyclodiene (dieldrin and endosulfan) and DDT and its metabolites is respectively 40%, 40% and 20% of the average total OCPs measured in curdled milk and respectively 20%, 20 % and 60% of that measured in the bud.Keywords: organochlorinated pesticides, curdled milk, egg, Ivory Coast

Étude des effets indésirables lies à l’administration de Sulfadoxine-Pyrimethamine et Amodiaquine lors de la chimio prévention du paludisme saisonnier au Mali

Objectif : L’objectif de notre étude était d’étudier les effets indésirables liés à l’administration de la Sulfadoxine-Pyrimethamine et Amodiaquine lors de la Chimioprévention du paludisme saisonnier (CPS) de 2015 à 2016, dans dix districts sanitaires du Mali. Population et Méthode : Notre démarche méthodologique était basée sur la collecte des données des effets indésirables à travers une fiche de notification après l’administration des molécules de la Chimio prévention du paludisme saisonnier (Sulfadoxine-Pyrimethamine et Amodiaquine) aux enfants de moins de cinq ans. Les données ont été collectées dans les districts sanitaires de : Nioro du sahel, Nara, Ouelessebougou, Bougouni, Kadiolo, Barouéli, Bla, Ségou, Koro, Tenenkou. Résultats : Durant notre étude, nous avons enregistré 131 cas d’effets indésirables présentés par 104 enfants. Le district sanitaire de Tenenkou a enregistré plus de cas de notification (50%), suivi par Nioro du sahel (13%). Les troubles digestifs étaient les plus représentés soit 83,2%. L’évolution de l’ensemble des effets indésirables étaient favorables pour tous les enfants. Conclusion : Le renforcement du système de pharmacovigilance au Mali à travers la formation continue des personnels sanitaires en vue d’une notification continue des effets indésirables pourrait améliorer la prise en charge des effets indésirables liés aux médicaments de la chimio prévention du paludisme saisonnier

Diagnostic and prognostic utility of an inexpensive rapid on site malaria diagnostic test (ParaHIT f) among ethnic tribal population in areas of high, low and no transmission in central India

BACKGROUND: Malaria presents a diagnostic challenge in most tropical countries. Rapid detection of the malaria parasite and early treatment of infection still remain the most important goals of disease management. Therefore, performance characteristics of the new indigenous ParaHIT f test (Span diagnostic Ltd, Surat, India) was determined among ethnic tribal population in four districts of different transmission potential in central India to assess whether this rapid diagnostic test (RDT) could be widely applied as a diagnostic tool to control malaria. Beyond diagnosis, the logical utilization of RDTs is to monitor treatment outcome. METHODS: A finger prick blood sample was collected from each clinically suspected case of malaria to prepare blood smear and for testing with the RDT after taking informed consent. The blood smears were read by an experienced technician blinded to the RDT results and clinical status of the subjects. The figures for specificity, sensitivity, accuracy and predictive values were calculated using microscopy as gold standard. RESULTS: The prevalence of malaria infection estimated by RDT in parallel with microscopy provide evidence of the type of high, low or no transmission in the study area. Analysis revealed (pooled data of all four epidemiological settings) that overall sensitivity, specificity and accuracy of the RDT were >90% in areas of different endemicity. While, RDT is useful to confirm the diagnosis of new symptomatic cases of suspected P. falciparum infection, the persistence of parasite antigen leading to false positives even after clearance of asexual parasitaemia has limited its utility as a prognostic tool. CONCLUSION: The study showed that the ParaHIT f test was easy to use, reliable and cheap. Thus this RDT is an appropriate test for the use in the field by paramedical staff when laboratory facilities are not available and thus likely to contribute greatly to an effective control of malaria in resource poor countries

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.)

Immunogenicity of Fractional Doses of Tetravalent A/C/Y/W135 Meningococcal Polysaccharide Vaccine: Results from a Randomized Non-Inferiority Controlled Trial in Uganda

Meningitis are infections of the lining of the brain and spinal cord and can cause high fever, blood poisoning, and brain damage, as well as result in death in up to 10% of cases. Epidemics of meningitis occur almost every year in parts of sub-Saharan Africa, throughout a high-burden area spanning Senegal to Ethiopia dubbed the “Meningitis Belt.” Most epidemics in Africa are caused by Neisseria meningitidis (mostly serogroup A and W135). Mass vaccination campaigns attempt to control epidemics by administering meningococcal vaccines targeted against these serogroups, among others. However, global shortages of these vaccines are currently seen. We studied the use of fractional (1/5 and 1/10) doses of a licensed vaccine to assess its non-inferiority compared with the normal full dose. In a randomized trial in Uganda, we found that immune response and safety using a 1/5 dose were comparable to full dose for three serogroups (A, Y, W135), though not a fourth (C). In light of current shortages of meningococcal vaccines and their importance in fighting meningitis epidemics around the world, we suggest fractional doses be taken under consideration in mass vaccination campaigns

Antigen-Specific B Memory Cell Responses to Plasmodium falciparum Malaria Antigens and Schistosoma haematobium Antigens in Co-Infected Malian Children

Polyparasitism is common in the developing world. We have previously demonstrated that schistosomiasis-positive (SP) Malian children have age-dependent protection from malaria compared to matched schistosomiasis-negative (SN) children. Evidence of durable immunologic memory to malaria antigens is conflicting, particularly in young children and the effect of concomitant schistomiasis upon acquisition of memory is unknown. We examined antigen-specific B memory cell (MBC) frequencies (expressed as percentage of total number of IgG-secreting cells) in 84 Malian children aged 4–14 to malaria blood-stage antigens, apical membrane antigen 1 (AMA-1) and merozoite surface protein 1 (MSP-1) and to schistosomal antigens, Soluble Worm Antigenic Preparation (SWAP) and Schistosoma Egg Antigen (SEA), at a time point during the malaria transmission season and a follow-up dry season visit. We demonstrate, for the first time, MBC responses to S. haematobium antigens in Malian children with urinary egg excretion and provide evidence of seasonal acquisition of immunologic memory, age-associated differences in MBC acquisition, and correlation with circulating S. haematobium antibody. Moreover, the presence of a parasitic co-infection resulted in older children, aged 9–14 years, with underlying S. haematobium infection having significantly more MBC response to malaria antigens (AMA1 and MSP1) than their age-matched SN counterparts. We conclude that detectable MBC response can be measured against both malaria and schistosomal antigens and that the presence of S. haematobium may be associated with enhanced MBC induction in an age-specific manner

Parasite Burden and CD36-Mediated Sequestration Are Determinants of Acute Lung Injury in an Experimental Malaria Model

Although acute lung injury (ALI) is a common complication of severe malaria, little is known about the underlying molecular basis of lung dysfunction. Animal models have provided powerful insights into the pathogenesis of severe malaria syndromes such as cerebral malaria (CM); however, no model of malaria-induced lung injury has been definitively established. This study used bronchoalveolar lavage (BAL), histopathology and gene expression analysis to examine the development of ALI in mice infected with Plasmodium berghei ANKA (PbA). BAL fluid of PbA-infected C57BL/6 mice revealed a significant increase in IgM and total protein prior to the development of CM, indicating disruption of the alveolar–capillary membrane barrier—the physiological hallmark of ALI. In contrast to sepsis-induced ALI, BAL fluid cell counts remained constant with no infiltration of neutrophils. Histopathology showed septal inflammation without cellular transmigration into the alveolar spaces. Microarray analysis of lung tissue from PbA-infected mice identified a significant up-regulation of expressed genes associated with the gene ontology categories of defense and immune response. Severity of malaria-induced ALI varied in a panel of inbred mouse strains, and development of ALI correlated with peripheral parasite burden but not CM susceptibility. Cd36−/− mice, which have decreased parasite lung sequestration, were relatively protected from ALI. In summary, parasite burden and CD36-mediated sequestration in the lung are primary determinants of ALI in experimental murine malaria. Furthermore, differential susceptibility of mouse strains to malaria-induced ALI and CM suggests that distinct genetic determinants may regulate susceptibility to these two important causes of malaria-associated morbidity and mortality

Sequestration and Tissue Accumulation of Human Malaria Parasites: Can We Learn Anything from Rodent Models of Malaria?

The sequestration of Plasmodium falciparum–infected red blood cells (irbcs) in the microvasculature of organs is associated with severe disease; correspondingly, the molecular basis of irbc adherence is an active area of study. In contrast to P. falciparum, much less is known about sequestration in other Plasmodium parasites, including those species that are used as models to study severe malaria. Here, we review the cytoadherence properties of irbcs of the rodent parasite Plasmodium berghei ANKA, where schizonts demonstrate a clear sequestration phenotype. Real-time in vivo imaging of transgenic P. berghei parasites in rodents has revealed a CD36-dependent sequestration in lungs and adipose tissue. In the absence of direct orthologs of the P. falciparum proteins that mediate binding to human CD36, the P. berghei proteins and/or mechanisms of rodent CD36 binding are as yet unknown. In addition to CD36-dependent schizont sequestration, irbcs accumulate during severe disease in different tissues, including the brain. The role of sequestration is discussed in the context of disease as are the general (dis)similarities of P. berghei and P. falciparum sequestration