Meeting the sexual health needs of men who have sex with men in Senegal

A study conducted in Dakar, Senegal by researchers from the National AIDS Council, Cheikh Anta Diop University, and the Horizons program obtained information on the needs, behaviors, knowledge, and attitudes of men who have sex with men (MSM). This study offers important insights into the sexuality of MSM, their vulnerability to STI/HIV, and the role of violence and stigma in their lives. The results also highlight the lack of sexual health services and information available to cover the specific needs of MSM. The results of this study were summarized during a meeting held in April 2001 in Dakar and raised awareness of the importance for public health of developing non-stigmatizing interventions for MSM. The results led to the establishment of an NGO pool to develop and coordinate activities for MSM in Dakar

Same Invasion, Different Routes: Helminth Assemblages May Favor the Invasion Success of the House Mouse in Senegal

Previous field-based studies have evidenced patterns in gastrointestinal helminth (GIH) assemblages of rodent communities that are consistent with "enemy release" and "spill-back" hypotheses, suggesting a role of parasites in the ongoing invasion success of the exotic house mouse (Mus musculus domesticus) in Senegal (West Africa). However, these findings came from a single invasion route, thus preventing to ascertain that they did not result from stochastic and/or selective processes that could differ across invasion pathways. In the present study, we investigated the distribution of rodent communities and their GIH assemblages in three distinct zones of Northern Senegal, which corresponded to independent house mouse invasion fronts. Our findings first showed an unexpectedly rapid spread of the house mouse, which reached even remote areas where native species would have been expected to dominate the rodent communities. They also strengthened previous insights suggesting a role of helminths in the invasion success of the house mouse, such as: (i) low infestation rates of invading mice by the exotic nematode Aspiculuris tetraptera at invasion fronts except in a single zone where the establishment of the house mouse could be older than initially thought, which was consistent with the "enemy release" hypothesis; and (ii) higher infection rates by the local cestode Mathevotaenia symmetrica in native rodents with long co-existence history with invasive mice, bringing support to the "spill-back" hypothesis. Therefore, "enemy release" and "spill-back" mechanisms should be seriously considered when explaining the invasion success of the house mouse provided further experimental works demonstrate that involved GIHs affect rodent fitness or exert selective pressures. Next steps should also include evolutionary, immunological, and behavioral perspectives to fully capture the complexity, causes and consequences of GIH variations along these invasion routes

Uterine ruptures during labor: a study of 26 cases at Nabil Choucair Medical Center, in the suburbs of Dakar

Background: This study aims to clarify the epidemiological profile of patients and describe the diagnostic, therapeutic and prognostic aspects of uterine ruptures at Nabil Choucair Health Center, in the suburbs of Dakar.Methods: This was a retrospective and prospective, descriptive and analytical study conducted over a period of 112 months, from July 31, 2005 and March 31, 2015; it concerned all diagnosed cases with uterine rupture, managed at Nabil Health Center Choucair Dakar. Data were collected from antenatal notebooks, delivery records, surgical reports and anesthetic records. The following parameters were studied: socio-demographic characteristics (frequency, chracteristics of patient), the course of pregnancy, diagnostic, prognostic, and therapeutic aspects. Data analysis was performed using SPSS software (version 11.0).Results: During the study period, we recorded 26 uterine ruptures from a total of 34,097 deliveries, that is a frequency of 8 out of 10,000 births. The epidemiological profile of the patients was that of a 30-year old woman, on average, few previous deliveries with an average parity of 3, who received on average 3 antenatal and evacuated in 50% of cases. Uterine rupture occurred in 17 patients on a new uterus (65, 4%) and in 9 patients on a scarred uterus (34.6%). Two patients (7%) were in hemorrhagic shock. A laparotomy aimed at specifying the place of rupture and making the treatment was performed in all patients. It was 18 uterine segmento-corporeal ruptures (69.2%), 5 segmental ruptures (19.2%) and 2 corporeal ruptures (7.6%). We recorded 9 uterine ruptures with living fetus (38.5%). Twenty-three patients (88.5%) underwent conservative suture against only 3 hemostasis hysterectomy (11.5%). The postoperative courses were uneventful in 57.7% of cases. Eleven patients (42.3%) had anemia and we recorded maternal deaths, which is a maternal mortality of 3.84%.Conclusions: Uterine rupture is a serious complication that is still responsible for significant maternal and fetal mortality. Prevention is based on careful monitoring of pregnancy and delivery

Parasites and invasions: changes in gastrointestinal helminth assemblages in invasive and native rodents in Senegal

Understanding why some exotic species become widespread and abundant in their colonised range is a fundamental issue that still needs to be addressed. Among many hypotheses, newly established host populations may benefit from a parasite loss ("enemy release" hypothesis) through impoverishment of their original parasite communities or reduced infection levels. Moreover, the fitness of competing native hosts may be negatively affected by the acquisition of exotic taxa from invaders ("parasite spillover") and/or by an increased transmission risk of native parasites due to their amplification by invaders ("parasite spillback"). We focused on gastrointestinal helminth communities to determine whether these predictions could explain the ongoing invasion success of the commensal house mouse (Mus musculus domesticus) and black rat (Rattus rattus), as well as the associated decrease in native Mastomys spp., in Senegal. For both invasive species, our results were consistent with the predictions of the enemy release hypothesis. A decrease in overall gastrointestinal helminth prevalence and infracommunity species richness was observed along the invasion gradients as well as lower specific prevalence/abundance (Aspiculuris tetraptera in Mus musculus domesticus, Hymenolepis diminuta in Rattus rattus) on the invasion fronts. Conversely, we did not find strong evidence of GIH spillover or spillback in invasion fronts, where native and invasive rodents co-occurred. Further experimental research is needed to determine whether and how the loss of gastrointestinal helminths and reduced infection levels along invasion routes may result in any advantageous effects on invader fitness and competitive advantage

Evaluation of Two Strategies for Community-Based Safety Monitoring during Seasonal Malaria Chemoprevention Campaigns in Senegal, Compared with the National Spontaneous Reporting System.

BACKGROUND: Seasonal malaria chemoprevention (SMC) using sulfadoxine-pyrimethamine plus amodiaquine has been introduced in 12 African countries. Additional strategies for safety monitoring are needed to supplement national systems of spontaneous reporting that are known to under represent the incidence of adverse reactions. OBJECTIVES: This study aimed to determine if adverse event (AE) reporting could be improved using a smartphone application provided to village health workers, or by active follow-up using a symptom card provided to caregivers. METHODS: Two strategies to improve reporting of AEs during SMC campaigns were evaluated, in comparison with the national system of spontaneous reporting, in 11 health post areas in Senegal. In each health post, an average of approximately 4000 children under 10 years of age received SMC treatment each month for 3 months during the 2015 malaria transmission season-a total of 134,000 treatments. In three health posts (serving approximately 14,000 children), caregivers were encouraged to report any adverse reactions to the nurse at the health post or to a community health worker (CHW) in their village, who had been trained to use a smartphone application to report the event (enhanced spontaneous reporting). In two health posts (approximately 10,000 children), active follow-up of children at home was organized after each SMC campaign to ask about AEs that caregivers had been asked to record on a symptom card (active surveillance). Six health posts (approximately 23,000 children) followed the national system of spontaneous reporting using the national reporting (yellow) form. Each AE report was assessed by a panel to determine likely association with SMC drugs. RESULTS: The incidence of reported AEs was 2.4, 30.6, and 21.6 per 1000 children treated per month, using the national system, enhanced spontaneous reporting, and active surveillance, respectively. The most commonly reported symptoms were vomiting, fever, and abdominal pain. The incidence of vomiting, known to be caused by amodiaquine, was similar using both innovative methods (10/1000 in the first month, decreasing to 2.5/1000 in the third month). Despite increased surveillance, no serious adverse drug reactions were detected. CONCLUSION: Training CHWs in each village and health facility staff to report AEs using a mobile phone application led to much higher reporting rates than through the national system. This approach is feasible and acceptable, and could be further improved by strengthening laboratory investigation and the collection of control data immediately prior to SMC campaigns

Multimammate rat (<i>Mastomys erythroleucus</i>) capture‐mark‐recapture data in Bandia (Senegal) between 1984 and 2012

The data and related documentation that support the findings of this study are openly available in DataSuds repository (IRD, France) at https://doi.org/10.23708/YEA5AR. Data reuse is granted under CC-BY license.The data is also available in JaLTER MetaCat at http://db.cger.nies.go.jp/JaLTER/metacat/metacat/ERDP-2024-05.1/jalter-en.International audienceLong-term ecological data are of paramount importance to document the effects of global changes on biodiversity and dynamics of populations and communities. The site of Bandia, 70 km southeast of Dakar in western Senegal, has been the scene of numerous ecological studies since the 1970s. In the frame of projects led by researchers of the Institut de Recherche pour le Développement (IRD), rodent populations were monitored at various periods using capture-mark-recapture (CMR) protocols on trapping grids that yielded important data-sets on population dynamics and ecology of the main species present. Among them, the Guinea Multimammate Rat Mastomys erythroleucus proved to represent the dominant species. Thus, CMR data were collected on M. erythroleucus between (i) November 1975–March 1981, (ii) January 1983–October 1986, (iii) January 1997–April 2001, and (iv) June 2007–June 2012. Raw data from the 1975–1981 period were not available, but those from the three other periods are now in the IRD data repository DataSuds at https://doi.org/10.23708/YEA5AR. They represent 2556 (re)captures of 1296 M. erythroleucus individuals. They include the identity of each animal captured with some biological attributes (sex, weight at first capture, and reproductive activity), exact date and point of capture (via a trap-specific code) at each trapping occasion, and additional comments that may help to interpret the data. This dataset concerning one of the most widespread rodent species of the Sahelo-Sudanian bioclimatic belt provides information that can be used to address various questions such as outbreak prediction or effects of climate change. The complete data set for this abstract published in the Data Article section of the journal is also available in electronic format in MetaCat in JaLTER at http://db.cger.nies.go.jp/JaLTER/metacat/metacat/ERDP-2024-05.1/jalter-en

\u27It\u27s raining stones\u27: Stigma, violence and HIV vulnerability among men who have sex with men in Dakar, Senegal

Research in many countries has highlighted the vulnerability of men who have sex with men to HIV and other sexually transmitted infections (STIs). Yet in Africa, such men have received little attention in HIV/AIDS programming and service delivery because of the widespread denial and stigmatization of male homosexual behaviour. In Dakar, Senegal, a study conducted by researchers from Cheikh Anta Diop University, the Senegal National Council Against AIDS, and the Horizons Program elicited quantitative and qualitative data about the needs, behaviours, knowledge, and attitudes of men who have sex with men. Findings reveal that respondents have distinct identities and social roles that go beyond sexual practices, that sex with men is driven by many reasons, including love, pleasure, and economic exchange, and that respondents\u27 lives are often characterized by stigma, violence and rejection. The data also highlight that many men are at risk of HIV because of unprotected sex with other men, a history of STI symptoms, and poor knowledge of STIs. The study underscores the need for non-stigmatizing, sexual health information and services

The diet of commensal Crocidura olivieri (Soricomorpha: Soricidae): predation on co-existing invasive Mus musculus suggested by DNA metabarcoding data

Fieldwork was carried out under the framework agreements established between the Institut de Recherche pour le Développement and the Republic of Senegal. An administrative authorization (no. 0360, dated 24 October 2012) was given by the Senegalese Ministry of Health and Social Action following the ethical and scientific opinion of the National Ethics Committee for Health Research, for the captures realized between 2012 and 2015. Small mammal sampling in Dakar was conducted with the agreement of the Ministry of Health and Social Action (letter no. 01536 of February 12th, 2016. Handling procedures were performed under the CBGP agreement for experiments on wild animals (no. D-34-169-1, prefectural order no. 12 XIX 077 of the 25/07/2012 from the Hérault department prefect), and follow the official guidelines of the American Society of Mammalogists (Sikes and Gannon 2011).International audienceCrocidura olivieri is a large-sized shrew species showing a clear trend towards commensalism in West Africa, where it co-occurs and interacts with a number of rodent species in indoor small mammal communities. Among the rodents present is the house mouse Mus musculus, a major invasive species worldwide. We here test the hypothesis that M. musculus could be part of the diet of C. olivieri in a number of localities of Senegal where the two species are known to coexist. We use a metabarcoding approach based on the high-throughput sequencing of a 133 bp fragment of the COI gene, on DNA extracted from digestive tracts and faeces of a sample of 108 shrews. Beside insects of various groups (ants, beetles and cockroaches especially) representing usual items of shrew’s diet, and traces of domestic mammals and poultry that were probably scavenged, several species of rodents were evidenced. Among them, M. musculus was by far the best represented species, found in 17 of the 54 shrews where at least one prey taxon was identified. This finding tends to confirm the potential role of C. olivieri as predator of house mice, while highlighting the capacity of this species to adapt its diet to environmental conditions