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Ouoba K, Dori D, Semdé R. Dengue epidemic in Burkina Faso: concerns about the informal use of traditional herbal remedies. Pan Afr Med J 2024; 47:71. [PMID: 38708140 PMCID: PMC11068463 DOI: 10.11604/pamj.2024.47.71.42323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 01/07/2024] [Indexed: 05/07/2024] Open
Affiliation(s)
- Kampadilemba Ouoba
- Laboratory of Drug Development, Centre for Training, Research and Expertise in Drug Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
- National Pharmaceutical Regulatory Agency, Ministry of Health and Public Hygiene, Ouagadougou, Burkina Faso
| | - Daniel Dori
- Laboratory of Drug Development, Centre for Training, Research and Expertise in Drug Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
- Public Health Laboratory, Science and Health Doctoral School, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
| | - Rasmané Semdé
- Laboratory of Drug Development, Centre for Training, Research and Expertise in Drug Sciences, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
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Ouédraogo WM, Zanré N, Rose NH, Zahouli JZB, Djogbenou LS, Viana M, Kanuka H, Weetman D, McCall PJ, Badolo A. Dengue vector habitats in Ouagadougou, Burkina Faso, 2020: an unintended consequence of the installation of public handwashing stations for COVID-19 prevention. Lancet Glob Health 2024; 12:e199-e200. [PMID: 38245111 DOI: 10.1016/s2214-109x(23)00565-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 11/13/2023] [Accepted: 11/29/2023] [Indexed: 01/22/2024]
Affiliation(s)
- Wendegoudi M Ouédraogo
- Laboratoire d'Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, 03 BP 7021 Ouagadougou, Burkina Faso; Programme National de Lutte contre les Maladies Tropicales Négligées, Ministère de la Santé, Burkina Faso
| | - Nicolas Zanré
- Laboratoire d'Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, 03 BP 7021 Ouagadougou, Burkina Faso
| | - Noah H Rose
- Department of Ecology, Behavior, and Evolution, School of Biological Sciences, University of California, San Diego, CA, USA
| | - Julien Z B Zahouli
- Centre d'Entomologie Médicale et Vétérinaire, Université Alassane Ouattara, Bouaké, Côte d'Ivoire; Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire; Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Luc S Djogbenou
- Tropical Infectious Diseases Research Centre (TIDRC), University of Abomey-Calavi, Cotonou, Benin
| | - Mafalda Viana
- School of Biodiversity, One Health and Veterinary Medicine, University of Glasgow, Glasgow, UK
| | - Hirotaka Kanuka
- Department of Tropical Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - David Weetman
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Philip J McCall
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Athanase Badolo
- Laboratoire d'Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, 03 BP 7021 Ouagadougou, Burkina Faso.
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Ouédraogo JCRP, Ilboudo S, Compaoré TR, Bado P, Nitiéma M, Ouédraogo WT, Ouédraogo S, Zeba M, Tougma A, Ouédraogo GG, Ouédraogo N, Ouédraogo S, Savadogo LGB. Determinants and prevalence of symptomatic dengue fever among adults in the Central Region of Burkina Faso: a hospital-based cross-sectional study. BMC Infect Dis 2024; 24:22. [PMID: 38166653 PMCID: PMC10763060 DOI: 10.1186/s12879-023-08932-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 12/19/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Dengue fever (DF) is a significant public health concern in Burkina Faso, particularly in the Central Region, previously endemic for malaria. However, limited research has focused on dengue prevalence and associated factors among adult febrile patients in this region. This study aimed to estimate the prevalence of symptomatic dengue fever among adults and identify the sociodemographic and clinical determinants of the disease. METHODS A seroepidemiological cross-sectional study was conducted in the Central Region of Burkina Faso, through a three-stage sampling. Five health facilities, one from each of the region five districts, were purposively selected. Febrile patients aged 16 and older, suspected of having dengue, were included in the study, after consenting. Bivariate analyses and multivariate binary logistic regression were done at a 5% confidence level. RESULTS A total of 637 patients between the ages of 16 and 90 years were included. Most of the participants were females (58.71%). Most dengue cases resided in Arrondissement 4 (59.62%), or were present in the Arrondissement 4 at daytime during the previous days (51.92%). 52.90% of the participants knew of dengue. Dengue prevalence was estimated at 8.16% (95% CI: 6.16%-10.57%). The most frequent markers for dengue were immunoglobulins M detected in 4.40% (2.94%-6.29%), followed by Antigen NS1 at 4.24% (95% CI: 2.81%-6.11%). The Antigen NS1 marker was associated with myalgia (p = 0.024), vomiting (p < 0.001), hemorrhagic manifestations (p = 0.001), and anorexia (p < 0.001). Staying at Arrondissement 4 (vs staying at Saaba) during daytime (aOR = 2.36 95% CI: 1.03-5.45; p = 0.044) significantly increased the odds of dengue. Dengue cases were about 3 times more likely to have vomited (aOR = 2.99 95% CI: 1.58-5.64; p = 0.001). Participants knowing of dengue (aOR = 0.53 95% CI: 0.29-0.98; p = 0.042) and those coinfected with malaria (aOR = 0.28 95% CI: 0.14-0.57; p < 0.001) instead had reduced odds of dengue. CONCLUSION The study revealed a relatively high prevalence of symptomatic dengue fever among adults in the Central Region of Burkina Faso in 2022. These findings emphasize the need for continuous surveillance and targeted control measures. The low coinfection of dengue and malaria warrants further investigation.
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Affiliation(s)
- Jean Claude Romaric Pingdwindé Ouédraogo
- Laboratoire de Développement de Médicament (LADME), Ecole Doctorale Sciences de La Santé, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso.
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso.
| | - Sylvain Ilboudo
- Laboratoire de Développement de Médicament (LADME), Ecole Doctorale Sciences de La Santé, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
| | - Tegwindé Rebeca Compaoré
- Laboratoire de Recherche en Maladies Infectieuses Et Parasitaires (LR/MIP), Institut de Recherche en Sciences de La Santé (IRSS/CNRST), Ouagadougou, Burkina Faso
| | - Prosper Bado
- Centre de Recherche Biomoléculaire Pietro Annigoni (CERBA), Ouagadougou, Burkina Faso
| | - Mathieu Nitiéma
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
| | | | - Salfo Ouédraogo
- Direction Régionale de la Santé du Centre, Ouagadougou, Burkina Faso
| | - Mohamadi Zeba
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
- Laboratoire de Recherche Sur Le Patrimoine Et Le Développement Durable (LR/PDD), Institut Des Sciences Des Sociétés (INSS/CNRST), Ouagadougou, Burkina Faso
| | - Alix Tougma
- Université Joseph KI-ZERBO/Centre Universitaire de Ziniaré, Ziniaré, Burkina Faso
| | - Geoffroy Gueswindé Ouédraogo
- Laboratoire de Développement de Médicament (LADME), Ecole Doctorale Sciences de La Santé, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
| | - Noufou Ouédraogo
- Laboratoire de Développement de Médicament (LADME), Ecole Doctorale Sciences de La Santé, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
| | - Sylvin Ouédraogo
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
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Ouédraogo JCRP, Ilboudo S, Ouédraogo E, Ouédraogo WT, Ouédraogo S, Samadoulougou BC, Kaboré M, Savadogo LGB. Setting Dengue Fever Epidemic Thresholds Between 2016 and 2021 in the Central Health Region, Burkina Faso: An Ecological Study. J Epidemiol Glob Health 2023; 13:557-565. [PMID: 37434033 PMCID: PMC10469138 DOI: 10.1007/s44197-023-00137-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 06/25/2023] [Indexed: 07/13/2023] Open
Abstract
BACKGROUND Dengue fever (DF) is endemic in Burkina Faso, with 70% of its burden supported by the Central Health Region. Then, a single confirmed case can no longer mean an epidemic. This study aimed at describing trends and setting epidemic thresholds of DF in the Central Health Region. DATA AND METHODS An ecological study was conducted using monthly data from DF surveillance between 2016 and 2021. Three methods were applied to set alert and intervention thresholds of DF monthly incidence rate: mean [mean + 2 SD], median [3rd quartile] and cumulative sum (C-sum) [C-sum + 1.96 SD]. These thresholds were plotted with the monthly incidence rates for 2021. RESULTS In total, 54,429 cases were reported between 2016 and 2021. Dengue cases increased biannually. The median annual incidence rate did not vary significantly across years [Kruskal-Wallis: χ2(5) = 9.825; p = 0.0803]. Within a year, the monthly incidence rate fell under 48.91 cases per 100,000 inhabitants between January and September and peaked in October or November. With the mean and C-sum methods, the 2021 monthly incidence rate remained below the intervention thresholds (Mean + 2 SD and C-sum + 1.96 SD). With the median method, the incidence rate exceeded the alert and intervention thresholds in July-September 2021. CONCLUSIONS If the DF incidence varied within a year due to the seasons, it was relatively stable between 2016 and 2021. The mean and C-sum methods based on the mean were subject to extreme values, giving high thresholds. The median method seemed better for capturing the abnormal increase in dengue incidence.
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Affiliation(s)
- Jean Claude Romaric Pingdwindé Ouédraogo
- Laboratoire de Développement de Médicament, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.
- Laboratoire de Recherche-Développement de Phytomédicaments et Médicaments (LR-D/PM), Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso.
- International Research Laboratory, Environnement, Santé et Sociétés (IRL 3189, ESS), CNRST, Ouagadougou, Burkina Faso.
| | - Sylvain Ilboudo
- Laboratoire de Développement de Médicament, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Laboratoire de Recherche-Développement de Phytomédicaments et Médicaments (LR-D/PM), Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso
- International Research Laboratory, Environnement, Santé et Sociétés (IRL 3189, ESS), CNRST, Ouagadougou, Burkina Faso
| | - Espérance Ouédraogo
- Laboratoire de Recherche-Développement de Phytomédicaments et Médicaments (LR-D/PM), Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso
| | | | - Salfo Ouédraogo
- Direction Régionale de la Santé (DRS) du Centre, Ouagadougou, Burkina Faso
| | - Benoit Césaire Samadoulougou
- Country Coordinating Mechanism of Global Fund to Fight Against AIDS, Tuberculosis and Malaria, Ouagadougou, Burkina Faso
| | - Mikaila Kaboré
- Centre Hospitalier Régional de Ziniaré, Ziniaré, Burkina Faso
| | - Léon G Blaise Savadogo
- Institut Supérieur des Sciences de la Santé, Université NAZI BONI, Bobo-Dioulasso, Burkina Faso
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Massengo NRB, Tinto B, Simonin Y. One Health Approach to Arbovirus Control in Africa: Interests, Challenges, and Difficulties. Microorganisms 2023; 11:1496. [PMID: 37374998 DOI: 10.3390/microorganisms11061496] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 05/25/2023] [Accepted: 06/04/2023] [Indexed: 06/29/2023] Open
Abstract
The "One Health" concept considers that human and animal health, and ecosystems are closely related and aims to make a link between ecology and human and veterinary medicine. Due to the explosion in population growth along with the geographic and climatic conditions (equatorial and/or tropical climate), Africa is becoming a major hotspot for various socio-health issues associated with infectious diseases, including arboviruses. The incontestable advantages of a One Health approach in Africa lie in the fight against pathogens, such as arboviruses, and in the preservation of environmental, animal, and human health to ensure that the increasing high needs of this population are met as well as their protection against potential epidemics. The One Health strategy gives us a glimpse of the difficulties and challenges that the African continent faces. The importance of this approach in Africa is to establish guidelines and strategies for effective solutions and changes in behavior and harmful activities. Overall, the establishment of high-quality global health policies in the framework of the global health standards program would provide healthy and sustainable human-animal-environmental interactions for the welfare of all.
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Affiliation(s)
- Norvi Rigobert Bienvenu Massengo
- Formation Doctorale de Santé et Biologie Humaine, Faculté des Sciences de la Santé, Université Marien NGOUABI, Brazzaville BP69, Congo
| | - Bachirou Tinto
- Centre MURAZ, Institut National de Santé Publique (INSP), Bobo-Dioulasso 01, Burkina Faso
| | - Yannick Simonin
- Pathogenesis and Control of Chronic and Emerging Infections, INSERM, University of Montpellier, Etablissement Français du Sang, 34394 Montpellier, France
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Abdulai A, Owusu-Asenso CM, Akosah-Brempong G, Mohammed AR, Sraku IK, Attah SK, Forson AO, Weetman D, Afrane YA. Insecticide resistance status of Aedes aegypti in southern and northern Ghana. Parasit Vectors 2023; 16:135. [PMID: 37072865 PMCID: PMC10111668 DOI: 10.1186/s13071-023-05752-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 03/21/2023] [Indexed: 04/20/2023] Open
Abstract
BACKGROUND Outbreaks of Aedes-borne arboviral diseases are becoming rampant in Africa. In Ghana, there is no organized arboviral control programme with interventions restricted to mitigate outbreaks. Insecticide application is a crucial part of outbreak responses and future preventative control measures. Thus, knowledge of the resistance status and underlying mechanisms of Aedes populations is required to ensure optimal insecticide choices. The present study assessed the insecticide resistance status of Aedes aegypti populations from southern Ghana (Accra, Tema and Ada Foah) and northern Ghana (Navrongo) respectively. METHODS Phenotypic resistance was determined with WHO susceptibility tests using Ae. aegypti collected as larvae and reared into adults. Knockdown resistance (kdr) mutations were detected using allele-specific PCR. Synergist assays were performed with piperonyl butoxide (PBO) to investigate the possible involvement of metabolic mechanisms in resistance phenotypes. RESULTS Resistance to DDT was moderate to high across sites (11.3 to 75.8%) and, for the pyrethroids deltamethrin and permethrin, moderate resistance was detected (62.5 to 88.8%). The 1534C kdr and 1016I kdr alleles were common in all sites (0.65 to 1) and may be on a trajectory toward fixation. In addition, a third kdr mutant, V410L, was detected at lower frequencies (0.03 to 0.31). Pre-exposure to PBO significantly increased the susceptibility of Ae. aegypti to deltamethrin and permethrin (P < 0.001). This indicates that in addition to kdr mutants, metabolic enzymes (monooxygenases) may be involved in the resistance phenotypes observed in the Ae. aegypti populations in these sites. CONCLUSION Insecticide resistance underpinned by multiple mechanisms in Ae. aegypti indicates the need for surveillance to assist in developing appropriate vector control strategies for arboviral disease control in Ghana.
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Affiliation(s)
- Anisa Abdulai
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Christopher Mfum Owusu-Asenso
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Gabriel Akosah-Brempong
- African Regional Postgraduate Program in Insect Science, University of Ghana, Legon, Accra, Ghana
| | - Abdul Rahim Mohammed
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Isaac Kwame Sraku
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Simon Kwaku Attah
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
| | - Akua Obeng Forson
- Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
| | - David Weetman
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Yaw Asare Afrane
- Department of Medical Microbiology, Centre for Vector-Borne Disease Research, University of Ghana Medical School, University of Ghana, Accra, Ghana
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Gossner CM, Hallmaier-Wacker L, Briet O, Haussig JM, de Valk H, Wijermans A, Bakonyi T, Madubuko T, Frank C, Noel H, Abdulaziz M. Arthropod-borne diseases among travellers arriving in Europe from Africa, 2015 to 2019. Euro Surveill 2023; 28:2200270. [PMID: 36795503 PMCID: PMC9936595 DOI: 10.2807/1560-7917.es.2023.28.7.2200270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
BackgroundTravellers are generally considered good sentinels for infectious disease surveillance.AimTo investigate whether health data from travellers arriving from Africa to Europe could provide evidence to support surveillance systems in Africa.MethodsWe examined disease occurrence and estimated risk of infection among travellers arriving from Africa to Europe from 2015 to 2019 using surveillance data of arthropod-borne disease cases collected through The European Surveillance System (TESSy) and flight passenger volumes from the International Air Transport Association.ResultsMalaria was the most common arthropod-borne disease reported among travellers from Africa, with 34,235 cases. The malaria travellers' infection rate (TIR) was 28.8 cases per 100,000 travellers, which is 36 and 144 times higher than the TIR for dengue and chikungunya, respectively. The malaria TIR was highest among travellers arriving from Central and Western Africa. There were 956 and 161 diagnosed imported cases of dengue and chikungunya, respectively. The highest TIR was among travellers arriving from Central, Eastern and Western Africa for dengue and from Central Africa for chikungunya in this period. Limited numbers of cases of Zika virus disease, West Nile virus infection, Rift Valley fever and yellow fever were reported.ConclusionsDespite some limitations, travellers' health data can efficiently complement local surveillance data in Africa, particularly when the country or region has a sub-optimal surveillance system. The sharing of anonymised traveller health data between regions/continents should be encouraged.
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Affiliation(s)
- Céline M Gossner
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | | | - Olivier Briet
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | - Joana M Haussig
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | | | - Ariana Wijermans
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | - Tamas Bakonyi
- European Centre for Disease Prevention and Control, Stockholm, Sweden
| | - Theresa Madubuko
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
| | | | - Harold Noel
- Santé publique France, Saint Maurice, France
| | - Mohammed Abdulaziz
- Africa Centres for Disease Control and Prevention, Addis Ababa, Ethiopia
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Ouédraogo WM, Toé KH, Sombié A, Viana M, Bougouma C, Sanon A, Weetman D, McCall PJ, Kanuka H, Badolo A. Impact of physicochemical parameters of Aedes aegypti breeding habitats on mosquito productivity and the size of emerged adult mosquitoes in Ouagadougou City, Burkina Faso. Parasit Vectors 2022; 15:478. [PMID: 36539816 PMCID: PMC9768987 DOI: 10.1186/s13071-022-05558-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Accepted: 10/14/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Outbreaks of dengue fever caused by viruses transmitted by Aedes aegypti mosquitoes are repeated occurrences in West Africa. In recent years, Burkina Faso has experienced major dengue outbreaks, most notably in 2016 and 2017 when 80% of cases were recorded in Ouagadougou City (Central Health Region). In order to better understand the ecology of this vector and to provide information for use in developing control measures, a study on the characteristics of Aedes container breeding sites and the productivity of such sites, as measured by the abundance of immature stages and resultant adult body size, was undertaken in three health districts (Baskuy, Bogodogo and Nongremassom) of Ouagadougou. METHODS Adult mosquitoes were collected indoors and outdoors in 643 households during the rainy season from August to October 2018. The presence of water containers was systematically recorded and the containers examined for the presence or absence of larvae. Characteristics of the container breeding sites, including size of the container and temperature, pH and conductivity of the water contained within, were recorded as well as the volume of water. Traditional Stegomyia indices were calculated as quantitative indicators of the risk of dengue outbreaks; generalised mixed models were fitted to larval and pupal densities, and the contribution of each covariate to the model was evaluated by the Z-value and associated P-value. RESULTS A total of 1061 container breeding sites were inspected, of which 760 contained immature stages of Ae. aegypti ('positive' containers). The most frequent container breeding sites found in each health district were tyres and both medium (buckets/cans/pots) and large (bins/barrels/drums) containers; these containers were also the most productive larval habitats and the types that most frequently tested positive. Of the Stegomyia indices, the Breteau, House and Container indices exceeded WHO dengue risk thresholds. Generalised linear mixed models showed that larval and pupal abundances were associated with container type, physicochemical characteristics of the water and collection month, but there were significant differences among container types and among health districts. Aedes aegypti body size was positively associated with type and diameter of the container, as well as with electrical conductivity of the water, and negatively associated with pH and temperature of the water and with the level of exposure of the container to sunlight. CONCLUSION This study provides data on putative determinants of the productivity of habitats regarding Ae. aegypti immature stages. These data are useful to better understand Ae. aegypti proliferation. The results suggest that identifying and targeting the most productive container breeding sites could contribute to dengue vector control strategies in Burkina Faso.
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Affiliation(s)
- Wendegoudi Mathias Ouédraogo
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso ,grid.491199.dProgramme National de Lutte Contre Les Maladies Tropicales Négligées, Ministère de la Santé, Ouagadougou, Burkina Faso
| | - Kobié Hyacinthe Toé
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso ,grid.507461.10000 0004 0413 3193Institut National de Santé Publique, Centre National de Recherche et de Formation sur le Paludisme, Ouagadougou, Burkina Faso
| | - Aboubacar Sombié
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Mafalda Viana
- grid.8756.c0000 0001 2193 314XSchool of Biodiversity, One Health and Veterinary Medicine, University of Glasgow, Glasgow, UK
| | - Clarisse Bougouma
- grid.491199.dProgramme National de Lutte Contre Les Maladies Tropicales Négligées, Ministère de la Santé, Ouagadougou, Burkina Faso
| | - Antoine Sanon
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - David Weetman
- grid.48004.380000 0004 1936 9764Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Philip J. McCall
- grid.48004.380000 0004 1936 9764Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Hirotaka Kanuka
- grid.411898.d0000 0001 0661 2073Department of Tropical Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Athanase Badolo
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
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Agboli E, Tomazatos A, Maiga-Ascofaré O, May J, Lühken R, Schmidt-Chanasit J, Jöst H. Arbovirus Epidemiology: The Mystery of Unnoticed Epidemics in Ghana, West Africa. Microorganisms 2022; 10:1914. [PMID: 36296190 PMCID: PMC9610185 DOI: 10.3390/microorganisms10101914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 09/20/2022] [Accepted: 09/21/2022] [Indexed: 11/29/2022] Open
Abstract
It is evident that all the countries surrounding Ghana have experienced epidemics of key arboviruses of medical importance, such as the recent dengue fever epidemic in Burkina Faso. Therefore, Ghana is considered a ripe zone for epidemics of arboviruses, mainly dengue. Surprisingly, Ghana never experienced the propounded deadly dengue epidemic. Indeed, it is mysterious because the mosquito vectors capable of transmitting the dengue virus, such as Aedes aegypti, were identified in Ghana through entomological investigations. Additionally, cases may be missed, as the diagnostic and surveillance capacities of the country are weak. Therefore, we review the arbovirus situation and outline probable reasons for the epidemic mystery in the country. Most of the recorded cases of arbovirus infections were usually investigated via serology by detecting IgM and IgG immunoglobulins in clinical samples, which is indicative of prior exposure but not an active case. This led to the identification of yellow fever virus and dengue virus as the main circulating arboviruses among the Ghanaian population. However, major yellow fever epidemics were reported for over a decade. It is important to note that the reviewed arboviruses were not frequently detected in the vectors. The data highlight the necessity of strengthening the diagnostics and the need for continuous arbovirus and vector surveillance to provide an early warning system for future arbovirus epidemics.
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Affiliation(s)
- Eric Agboli
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
- University of Health and Allied Sciences, Ho PMB 31, Ghana
| | - Alexandru Tomazatos
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
| | - Oumou Maiga-Ascofaré
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
- Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, PMB, Kumasi 039-5028, Ghana
| | - Jürgen May
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
| | - Renke Lühken
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
| | - Jonas Schmidt-Chanasit
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
- Faculty of Mathematics, Informatics and Natural Sciences, Universität Hamburg, 20359 Hamburg, Germany
| | - Hanna Jöst
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
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Toé HK, Zongo S, Guelbeogo MW, Kamgang B, Viana M, Tapsoba M, Sanou A, Traoré A, McCall PJ, Sagnon N. Multiple insecticide resistance and first evidence of V410L kdr mutation in Aedes (Stegomyia) aegypti (Linnaeus) from Burkina Faso. MEDICAL AND VETERINARY ENTOMOLOGY 2022; 36:309-319. [PMID: 35869781 DOI: 10.1111/mve.12602] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 07/01/2022] [Indexed: 05/02/2023]
Abstract
The response to recent dengue outbreaks in Burkina Faso was insecticide-based, despite poor knowledge of the vector population's susceptibility to the insecticides used. Here, we report on the susceptibility to the main insecticide classes and identify important underlying mechanisms in Aedes aegypti populations in Ouagadougou and Banfora, in 2019 and 2020. Wild Ae. aegypti were tested as adults in WHO bioassays and then screened in real time melting curve qPCR analyses to genotype the F1534C, V1016I, and V410L Aedes kdr mutations. Ae. aegypti showed moderate resistance to 0.1% bendiocarb (80-95% survival post-exposure), 0.8% Malathion (60-100%), 0.21% pirimiphos-methyl (75% - 97%), and high resistance to 0.03% deltamethrin (20-70%). PBO pre-exposure partially restored pyrethroid susceptibility. Genotyping detected high frequency of 1534C allele (0.92) and moderate 1016I (0.1-0.32). The V410L mutation was detected in Burkina Faso for the first time (frequency 0.1-0.36). Mosquitoes surviving 4 h exposure to 0.03% deltamethrin had significantly higher frequencies of the F1534C mutation than dead mosquitoes (0.70 vs. 0.96, p < 0.0001) and mosquitoes surviving 2 - 4 h exposure had a significantly reduced life span. Ae. aegypti from Burkina Faso are resistant to multiple insecticide classes with multiple mechanisms involved, demonstrating the essential role of insecticide resistance monitoring within national dengue control programmes.
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Affiliation(s)
- Hyacinthe K Toé
- Laboratoire de recherche, Centre National de Recherche et de Formation sur le Paludisme (CNRFP), Ouagadougou, Burkina Faso
- Laboratoire d'Entomologie Fondamentale et Appliquée, Université Joseph Ki-ZERBO, Ouagadougou, Burkina Faso
| | - Soumanaba Zongo
- Laboratoire de recherche, Centre National de Recherche et de Formation sur le Paludisme (CNRFP), Ouagadougou, Burkina Faso
| | - Moussa W Guelbeogo
- Laboratoire de recherche, Centre National de Recherche et de Formation sur le Paludisme (CNRFP), Ouagadougou, Burkina Faso
| | - Basile Kamgang
- Department of Medical Entomology, Centre for Research in Infectious Diseases, Yaoundé, Cameroon
| | - Mafalda Viana
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, UK
| | - Madou Tapsoba
- Laboratoire de recherche, Centre National de Recherche et de Formation sur le Paludisme (CNRFP), Ouagadougou, Burkina Faso
| | - Antoine Sanou
- Laboratoire de recherche, Centre National de Recherche et de Formation sur le Paludisme (CNRFP), Ouagadougou, Burkina Faso
| | - Alphonse Traoré
- Laboratoire de recherche, Centre National de Recherche et de Formation sur le Paludisme (CNRFP), Ouagadougou, Burkina Faso
| | - Philip J McCall
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK
| | - N'Falé Sagnon
- Laboratoire de recherche, Centre National de Recherche et de Formation sur le Paludisme (CNRFP), Ouagadougou, Burkina Faso
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Djiappi-Tchamen B, Nana-Ndjangwo MS, Nchoutpouen E, Makoudjou I, Ngangue-Siewe IN, Talipouo A, Mayi MPA, Awono-Ambene P, Wondji C, Tchuinkam T, Antonio-Nkondjio C. Aedes Mosquito Surveillance Using Ovitraps, Sweep Nets, and Biogent Traps in the City of Yaoundé, Cameroon. INSECTS 2022; 13:793. [PMID: 36135494 PMCID: PMC9500714 DOI: 10.3390/insects13090793] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 08/27/2022] [Accepted: 08/29/2022] [Indexed: 05/07/2023]
Abstract
Arbovirus diseases represent a significant public health problem in Cameroon and vector surveillance is a key component of prevention strategies. However, there is still not enough evidence of the efficacy of different sampling methods used to monitor Aedes mosquito population dynamic in different epidemiological settings. The present study provides data on the evaluation of ovitraps and different adult sampling methods in the city of Yaoundé and its close vicinity. Entomological surveys were carried out from February 2020 to March 2021 in two urban (Obili, Mvan), two peri-urban (Simbock, Ahala), and two rural (Lendom, Elig-essomballa) sites in the city of Yaoundé. The efficacy of three sampling methods, namely ovitraps, Biogent Sentinel trap, and sweep nets, was evaluated. Different ovitrap indices were used to assess the infestation levels across study sites; a general linear model was used to determine if there are statistical differences between positive ovitraps across ecological zones. A total of 16,264 Aedes mosquitoes were collected during entomological surveys. Ovitraps provided the highest mosquito abundance (15,323; 91.14%) and the highest species diversity. Of the five Aedes species collected, Aedes albopictus (59.74%) was the most commonly recorded in both urban and rural settings. Different Aedes species were collected in the same ovitrap. The ovitrap positivity index was high in all sites and varied from 58.3% in Obili in the urban area to 86.08% in Lendom in the rural area. The egg density index varied from 6.42 in Mvan (urban site) to 13.70 in Lendom (rural area). Adult sampling methods recorded mostly Aedes albopictus. The present study supports high infestation of Aedes species in the city of Yaoundé. Ovitraps were highly efficient in detecting Aedes distribution across study sites. The situation calls for regular surveillance and control of Aedes population to prevent sudden occurrence of outbreaks.
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Affiliation(s)
- Borel Djiappi-Tchamen
- Vector Borne Diseases Laboratory of the Research Unit Biology and Applied Ecology (VBID-RUBAE), Department of Animal Biology, Faculty of Science, University of Dschang, Dschang P.O. Box 067, Cameroon
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), Yaoundé P.O. Box 288, Cameroon
| | - Mariette Stella Nana-Ndjangwo
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), Yaoundé P.O. Box 288, Cameroon
- Laboratory of Parasitology and Ecology, Department of Animal Physiology and Biology, Faculty of Science, University of Yaoundé I, Yaoundé P.O. Box 337, Cameroon
| | - Elysée Nchoutpouen
- Centre for Research in Infectious Disease (CRID), Yaoundé P.O. Box 13591, Cameroon
| | - Idene Makoudjou
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), Yaoundé P.O. Box 288, Cameroon
- Laboratory of Parasitology and Ecology, Department of Animal Physiology and Biology, Faculty of Science, University of Yaoundé I, Yaoundé P.O. Box 337, Cameroon
| | - Idriss Nasser Ngangue-Siewe
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), Yaoundé P.O. Box 288, Cameroon
- Laboratory of Biology and Physiology of Animal Organisms, Faculty of Sciences, University of Douala, Douala P.O. Box 24157, Cameroon
| | - Abdou Talipouo
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), Yaoundé P.O. Box 288, Cameroon
- Laboratory of Parasitology and Ecology, Department of Animal Physiology and Biology, Faculty of Science, University of Yaoundé I, Yaoundé P.O. Box 337, Cameroon
| | - Marie Paul Audrey Mayi
- Vector Borne Diseases Laboratory of the Research Unit Biology and Applied Ecology (VBID-RUBAE), Department of Animal Biology, Faculty of Science, University of Dschang, Dschang P.O. Box 067, Cameroon
| | - Parfait Awono-Ambene
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), Yaoundé P.O. Box 288, Cameroon
| | - Charles Wondji
- Centre for Research in Infectious Disease (CRID), Yaoundé P.O. Box 13591, Cameroon
- Vector Biology Liverpool School of Tropical Medicine Pembroke Place, Liverpool L3 5QA, UK
| | - Timoléon Tchuinkam
- Vector Borne Diseases Laboratory of the Research Unit Biology and Applied Ecology (VBID-RUBAE), Department of Animal Biology, Faculty of Science, University of Dschang, Dschang P.O. Box 067, Cameroon
| | - Christophe Antonio-Nkondjio
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), Yaoundé P.O. Box 288, Cameroon
- Vector Biology Liverpool School of Tropical Medicine Pembroke Place, Liverpool L3 5QA, UK
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Ouattara CA, Traore S, Sangare I, Traore TI, Meda ZC, Savadogo LGB. Spatiotemporal analysis of dengue fever in Burkina Faso from 2016 to 2019. BMC Public Health 2022; 22:462. [PMID: 35255865 PMCID: PMC8903647 DOI: 10.1186/s12889-022-12820-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 02/21/2022] [Indexed: 11/10/2022] Open
Abstract
Background Burkina Faso experienced an epidemic resurgence of dengue in 2016, which led to the implementation of several control strategies. In order to allow a better adaptation of these strategies, we studied the spatio-temporal distribution of dengue. Methods Monthly dengue cases from 2016 to 2019, aggregated at the health district level, were used to map the crude incidence, excess risk, and smoothed incidence of dengue in Burkina Faso with GeoDa software. A Kulldoff scan on Satscan software was then used to identify spatio-temporal clustering of cases. Results The results show that the distribution of dengue fever across the health districts of Burkina Faso is heterogeneous. Dengue was considered non-endemic in 9 out of the 70 health districts, minimally endemic in 45 districts (< 10 incidences), moderately endemic (10-100 incidences) in 12 districts, and highly endemic (> 100 incidences) in 4 districts. The main cluster covered the health districts of Baskuy, Nongr-massom, Sig-noghin, Boulmiougou, and Bogodogo. The months of October and November corresponded to the peak of cases and a significant temporal cluster in 2017. Conclusion This study identified the spatial and temporal clustering of dengue cases in Burkina Faso. These results may help to develop better preventive strategies. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-12820-x.
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Affiliation(s)
- Cheick Ahmed Ouattara
- NAZI BONI University, Centre Hospitalier Universitaire Souro Sanou, Bobo-Dioulasso, Burkina Faso.
| | - Seydou Traore
- Centre Hospitalier Universitaire Souro Sanou, Bobo-Dioulasso, Burkina Faso
| | | | | | - Ziemlé Clément Meda
- NAZI BONI University, Centre Hospitalier Universitaire Souro Sanou, Bobo-Dioulasso, Burkina Faso
| | - Léon G Blaise Savadogo
- NAZI BONI University, Centre Hospitalier Universitaire Souro Sanou, Bobo-Dioulasso, Burkina Faso
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Uncovering the Burden of Dengue in Africa: Considerations on Magnitude, Misdiagnosis, and Ancestry. Viruses 2022; 14:v14020233. [PMID: 35215827 PMCID: PMC8877195 DOI: 10.3390/v14020233] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 01/15/2022] [Accepted: 01/18/2022] [Indexed: 01/27/2023] Open
Abstract
Dengue is a re-emerging neglected disease of major public health importance. This review highlights important considerations for dengue disease in Africa, including epidemiology and underestimation of disease burden in African countries, issues with malaria misdiagnosis and co-infections, and potential evidence of genetic protection from severe dengue disease in populations of African descent. The findings indicate that dengue virus prevalence in African countries and populations may be more widespread than reported data suggests, and that the Aedes mosquito vectors appear to be increasing in dissemination and number. Changes in climate, population, and plastic pollution are expected to worsen the dengue situation in Africa. Dengue misdiagnosis is also a problem in Africa, especially due to the typical non-specific clinical presentation of dengue leading to misdiagnosis as malaria. Finally, research suggests that a protective genetic component against severe dengue exists in African descent populations, but further studies should be conducted to strengthen this association in various populations, taking into consideration socioeconomic factors that may contribute to these findings. The main takeaway is that Africa should not be overlooked when it comes to dengue, and more attention and resources should be devoted to this disease in Africa.
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Adam A, Jassoy C. Epidemiology and Laboratory Diagnostics of Dengue, Yellow Fever, Zika, and Chikungunya Virus Infections in Africa. Pathogens 2021; 10:pathogens10101324. [PMID: 34684274 PMCID: PMC8541377 DOI: 10.3390/pathogens10101324] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 10/01/2021] [Accepted: 10/05/2021] [Indexed: 11/30/2022] Open
Abstract
Arbovirus infections are widespread, and their disease burden has increased in the past decade. In Africa, arbovirus infections and fever with unknown etiology are common. Due to the lack of well-established epidemiologic surveillance systems and accurate differential diagnosis in most African countries, little is known about the prevalence of human arbovirus infections in Africa. The aim of this review is to summarize the available epidemiological data and diagnostic laboratory tools of infections with dengue, yellow fever, Zika, and chikungunya viruses, all transmitted by Aedes mosquitoes. Studies indicate that these arboviral infections are endemic in most of Africa. Surveillance of the incidence and prevalence of the infections would enable medical doctors to improve the diagnostic accuracy in patients with typical symptoms. If possible, arboviral diagnostic tests should be added to the routine healthcare systems. Healthcare providers should be informed about the prevalent arboviral diseases to identify possible cases.
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Affiliation(s)
- Awadalkareem Adam
- Correspondence: (A.A.); (C.J.); Tel.: +49-341-9714314 (C.J.); Fax: +49-341-9714309 (C.J.)
| | - Christian Jassoy
- Correspondence: (A.A.); (C.J.); Tel.: +49-341-9714314 (C.J.); Fax: +49-341-9714309 (C.J.)
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Djiappi-Tchamen B, Nana-Ndjangwo MS, Mavridis K, Talipouo A, Nchoutpouen E, Makoudjou I, Bamou R, Mayi AMP, Awono-Ambene P, Tchuinkam T, Vontas J, Antonio-Nkondjio C. Analyses of Insecticide Resistance Genes in Aedes aegypti and Aedes albopictus Mosquito Populations from Cameroon. Genes (Basel) 2021; 12:genes12060828. [PMID: 34071214 PMCID: PMC8229692 DOI: 10.3390/genes12060828] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 05/03/2021] [Accepted: 05/05/2021] [Indexed: 01/13/2023] Open
Abstract
The emergence of insecticide resistance in Aedes mosquitoes could pose major challenges for arboviral-borne disease control. In this paper, insecticide susceptibility level and resistance mechanisms were assessed in Aedes aegypti (Linnaeus, 1762) and Aedes albopictus (Skuse, 1894) from urban settings of Cameroon. The F1 progeny of Aedes aegypti and Aedes albopictus collected in Douala, Yaoundé and Dschang from August to December 2020 was tested using WHO tube assays with four insecticides: deltamethrin 0.05%, permethrin 0.75%, DDT 4% and bendiocarb 0.1%. TaqMan, qPCR and RT-qPCR assays were used to detect kdr mutations and the expression profiles of eight detoxification genes. Aedes aegypti mosquitoes from Douala were found to be resistant to DDT, permethrin and deltamethrin. Three kdr mutations, F1534C, V1016G and V1016I were detected in Aedes aegypti populations from Douala and Dschang. The kdr allele F1534C was predominant (90%) in Aedes aegypti and was detected for the first time in Aedes albopictus (2.08%). P450s genes, Cyp9J28 (2.23-7.03 folds), Cyp9M6 (1.49-2.59 folds), Cyp9J32 (1.29-3.75 folds) and GSTD4 (1.34-55.3 folds) were found overexpressed in the Douala and Yaoundé Aedes aegypti populations. The emergence of insecticide resistance in Aedes aegypti and Aedes albopictus calls for alternative strategies towards the control and prevention of arboviral vector-borne diseases in Cameroon.
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Affiliation(s)
- Borel Djiappi-Tchamen
- Vector Borne Diseases Laboratory of the Applied Biology and Ecology Research Unit (VBID-URBEA), Department of Animal Biology, Faculty of Science, University of Dschang, P.O. Box 067 Dschang, Cameroon; (R.B.); (A.M.P.M.); (T.T.)
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), P.O. Box 288 Yaoundé, Cameroon; (M.S.N.-N.); (A.T.); (E.N.); (I.M.); (P.A.-A.)
- Correspondence: (B.D.-T.); (C.A.-N.)
| | - Mariette Stella Nana-Ndjangwo
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), P.O. Box 288 Yaoundé, Cameroon; (M.S.N.-N.); (A.T.); (E.N.); (I.M.); (P.A.-A.)
- Department of Animal Physiology and Biology, Faculty of Science, University of Yaoundé I, P.O. Box 337 Yaoundé, Cameroon
| | - Konstantinos Mavridis
- Institute of Molecular Biology and Biotechnology, Foundation for Research and Technology-Hellas, 70013 Heraklion, Greece; (K.M.); (J.V.)
| | - Abdou Talipouo
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), P.O. Box 288 Yaoundé, Cameroon; (M.S.N.-N.); (A.T.); (E.N.); (I.M.); (P.A.-A.)
- Department of Animal Physiology and Biology, Faculty of Science, University of Yaoundé I, P.O. Box 337 Yaoundé, Cameroon
| | - Elysée Nchoutpouen
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), P.O. Box 288 Yaoundé, Cameroon; (M.S.N.-N.); (A.T.); (E.N.); (I.M.); (P.A.-A.)
| | - Idene Makoudjou
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), P.O. Box 288 Yaoundé, Cameroon; (M.S.N.-N.); (A.T.); (E.N.); (I.M.); (P.A.-A.)
- Department of Animal Physiology and Biology, Faculty of Science, University of Yaoundé I, P.O. Box 337 Yaoundé, Cameroon
| | - Roland Bamou
- Vector Borne Diseases Laboratory of the Applied Biology and Ecology Research Unit (VBID-URBEA), Department of Animal Biology, Faculty of Science, University of Dschang, P.O. Box 067 Dschang, Cameroon; (R.B.); (A.M.P.M.); (T.T.)
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), P.O. Box 288 Yaoundé, Cameroon; (M.S.N.-N.); (A.T.); (E.N.); (I.M.); (P.A.-A.)
| | - Audrey Marie Paul Mayi
- Vector Borne Diseases Laboratory of the Applied Biology and Ecology Research Unit (VBID-URBEA), Department of Animal Biology, Faculty of Science, University of Dschang, P.O. Box 067 Dschang, Cameroon; (R.B.); (A.M.P.M.); (T.T.)
| | - Parfait Awono-Ambene
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), P.O. Box 288 Yaoundé, Cameroon; (M.S.N.-N.); (A.T.); (E.N.); (I.M.); (P.A.-A.)
| | - Timoléon Tchuinkam
- Vector Borne Diseases Laboratory of the Applied Biology and Ecology Research Unit (VBID-URBEA), Department of Animal Biology, Faculty of Science, University of Dschang, P.O. Box 067 Dschang, Cameroon; (R.B.); (A.M.P.M.); (T.T.)
| | - John Vontas
- Institute of Molecular Biology and Biotechnology, Foundation for Research and Technology-Hellas, 70013 Heraklion, Greece; (K.M.); (J.V.)
- Pesticide Science Laboratory, Department of Crop Science, Agricultural University of Athens, 11855 Athens, Greece
| | - Christophe Antonio-Nkondjio
- Institut de Recherche de Yaoundé (IRY), Organisation de Coordination pour la lutte Contre les Endémies en Afrique Centrale (OCEAC), P.O. Box 288 Yaoundé, Cameroon; (M.S.N.-N.); (A.T.); (E.N.); (I.M.); (P.A.-A.)
- Department of Vector Biology, Liverpool School of Tropical medicine, Pembroke Place, Liverpool L3 5QA, UK
- Correspondence: (B.D.-T.); (C.A.-N.)
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Agboli E, Zahouli JBZ, Badolo A, Jöst H. Mosquito-Associated Viruses and Their Related Mosquitoes in West Africa. Viruses 2021; 13:v13050891. [PMID: 34065928 PMCID: PMC8151702 DOI: 10.3390/v13050891] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 05/05/2021] [Accepted: 05/06/2021] [Indexed: 12/13/2022] Open
Abstract
Mosquito-associated viruses (MAVs), including mosquito-specific viruses (MSVs) and mosquito-borne (arbo)viruses (MBVs), are an increasing public, veterinary, and global health concern, and West Africa is projected to be the next front for arboviral diseases. As in-depth knowledge of the ecologies of both western African MAVs and related mosquitoes is still limited, we review available and comprehensive data on their diversity, abundance, and distribution. Data on MAVs’ occurrence and related mosquitoes were extracted from peer-reviewed publications. Data on MSVs, and mosquito and vertebrate host ranges are sparse. However, more data are available on MBVs (i.e., dengue, yellow fever, chikungunya, Zika, and Rift Valley fever viruses), detected in wild and domestic animals, and humans, with infections more concentrated in urban areas and areas affected by strong anthropogenic changes. Aedes aegypti, Culex quinquefasciatus, and Aedes albopictus are incriminated as key arbovirus vectors. These findings outline MAV, related mosquitoes, key knowledge gaps, and future research areas. Additionally, these data highlight the need to increase our understanding of MAVs and their impact on host mosquito ecology, to improve our knowledge of arbovirus transmission, and to develop specific strategies and capacities for arboviral disease surveillance, diagnostic, prevention, control, and outbreak responses in West Africa.
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Affiliation(s)
- Eric Agboli
- Molecular Biology and Immunology Department, Bernhard Nocht Institute for Tropical Medicine, 20359 Hamburg, Germany;
- Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho PMB 31, Ghana
| | - Julien B. Z. Zahouli
- Centre d’Entomologie Médicale et Vétérinaire, Université Alassane Ouattara, Bouake, 27 BP 529 Abidjan 27, Cote D’Ivoire;
- Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Département de Recherche et Développement, 01 BP 1303 Abidjan 01, Cote D’Ivoire
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, 4051 Basel, Switzerland
| | - Athanase Badolo
- Laboratory of Fundamental and Applied Entomology, Universitée Joseph Ki-Zerbo, Ouagadougou 03 BP 7021, Burkina Faso;
| | - Hanna Jöst
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Hemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
- Correspondence:
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Lokossou VK, Bunyoga D, Sombie I, Okolo S. Coexistence and management of COVID-19 pandemic with other epidemics in West Africa: lessons learnt and policy implications. Pan Afr Med J 2021; 38:341. [PMID: 34367420 PMCID: PMC8308858 DOI: 10.11604/pamj.2021.38.341.27901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Accepted: 04/07/2021] [Indexed: 11/14/2022] Open
Abstract
Since the beginning of the COVID-19 pandemic in West Africa, the region has faced a coexistence of epidemics raising questions about the management of the coexistence between COVID-19 and other epidemic prone diseases. We undertook a cross-sectional study covering the period from February to August 2020 in which an extensive desk review was completed and questionnaire was submitted to National Public Health Institutes. In addition, we conducted online interviews with 10 West African countries to discuss in-depth the strategies and challenges in managing the coexistence of epidemics. Eight epidemics coexisted with COVID-19 in West Africa. These epidemics were yellow fever and measles in five countries; meningitis in 4 countries; vaccine derived poliomyelitis and dengue fever in two countries; Lassa fever, Crimean Congo Hemorrhagic fever and hepatitis E virus in one country. COVID-19 pandemic has brought both positive and negative effects to the management of other epidemics. The management of coexistence was similar in most ECOWAS countries with different incident management systems set up to manage separate outbreaks. The experience in managing the coexistence of epidemics led ECOWAS Regional Center for Surveillance and Disease Control to recommend to member states that they should reinforce regular disease surveillance for seasonal outbreaks and country specific epidemiological diseases profile while not forgetting other emerging and remerging infectious diseases.
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Affiliation(s)
- Virgil Kuassi Lokossou
- Economic Community of West African States (ECOWAS), Regional Center for Surveillance and Disease Control, Abuja, Nigeria.,West African Health Organization, Bobo-Dioulasso, Burkina Faso
| | - Denis Bunyoga
- Africa Center for Disease Control and Prevention, Addis Ababa, Ethiopia
| | - Issiaka Sombie
- West African Health Organization, Bobo-Dioulasso, Burkina Faso
| | - Stanley Okolo
- West African Health Organization, Bobo-Dioulasso, Burkina Faso
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Mwanyika GO, Mboera LEG, Rugarabamu S, Ngingo B, Sindato C, Lutwama JJ, Paweska JT, Misinzo G. Dengue Virus Infection and Associated Risk Factors in Africa: A Systematic Review and Meta-Analysis. Viruses 2021; 13:v13040536. [PMID: 33804839 PMCID: PMC8063827 DOI: 10.3390/v13040536] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 03/03/2021] [Accepted: 03/04/2021] [Indexed: 01/09/2023] Open
Abstract
Dengue contributes a significant burden on global public health and economies. In Africa, the burden of dengue virus (DENV) infection is not well described. This review was undertaken to determine the prevalence of dengue and associated risk factors. A literature search was done on PubMed/MEDLINE, Scopus, Embase, and Google Scholar databases to identify articles published between 1960 and 2020. Meta-analysis was performed using a random-effect model at a 95% confidence interval, followed by subgroup meta-analysis to determine the overall prevalence. Between 1960 and 2020, 45 outbreaks were identified, of which 17 and 16 occurred in East and West Africa, respectively. Dengue virus serotype 1 (DENV-1) and DENV-2 were the dominant serotypes contributing to 60% of the epidemics. Of 2211 cases reported between 2009 and 2020; 1954 (88.4%) were reported during outbreaks. Overall, the prevalence of dengue was 29% (95% CI: 20–39%) and 3% (95% CI: 1–5%) during the outbreak and non-outbreak periods, respectively. Old age (6/21 studies), lack of mosquito control (6/21), urban residence (4/21), climate change (3/21), and recent history of travel (3/21) were the leading risk factors. This review reports a high burden of dengue and increased risk of severe disease in Africa. Our findings provide useful information for clinical practice and health policy decisions to implement effective interventions.
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Affiliation(s)
- Gaspary O. Mwanyika
- SACIDS Africa Centre of Excellence for Infectious Diseases, Sokoine University of Agriculture, P.O. Box 3297 Morogoro, Tanzania; (G.O.M.); (L.E.G.M.); (S.R.); (B.N.); (C.S.)
- Department of Veterinary Microbiology, Parasitology and Biotechnology, Sokoine University of Agriculture, P.O. Box 3015 Morogoro, Tanzania
- Department of Health Science and Technology, Mbeya University of Science and Technology, P.O. Box 131 Mbeya, Tanzania
| | - Leonard E. G. Mboera
- SACIDS Africa Centre of Excellence for Infectious Diseases, Sokoine University of Agriculture, P.O. Box 3297 Morogoro, Tanzania; (G.O.M.); (L.E.G.M.); (S.R.); (B.N.); (C.S.)
| | - Sima Rugarabamu
- SACIDS Africa Centre of Excellence for Infectious Diseases, Sokoine University of Agriculture, P.O. Box 3297 Morogoro, Tanzania; (G.O.M.); (L.E.G.M.); (S.R.); (B.N.); (C.S.)
- Department of Veterinary Microbiology, Parasitology and Biotechnology, Sokoine University of Agriculture, P.O. Box 3015 Morogoro, Tanzania
- Department of Microbiology and Immunology, Muhimbili University of Health and Allied Sciences, P.O. Box 65595 Dar es Salaam, Tanzania
| | - Baraka Ngingo
- SACIDS Africa Centre of Excellence for Infectious Diseases, Sokoine University of Agriculture, P.O. Box 3297 Morogoro, Tanzania; (G.O.M.); (L.E.G.M.); (S.R.); (B.N.); (C.S.)
- Biology Department, St. John’s University of Tanzania, P.O. Box 47 Dodoma, Tanzania
| | - Calvin Sindato
- SACIDS Africa Centre of Excellence for Infectious Diseases, Sokoine University of Agriculture, P.O. Box 3297 Morogoro, Tanzania; (G.O.M.); (L.E.G.M.); (S.R.); (B.N.); (C.S.)
- Tabora Research Centre, National Institute for Medical Research, P.O. Box 482 Tabora, Tanzania
| | - Julius J. Lutwama
- Department of Arbovirology, Emerging and Re-emerging Infectious Diseases, Uganda Virus Research Institute, P.O. Box 49 Entebbe, Uganda;
| | - Janusz T. Paweska
- National Health Laboratory Service, National Institute for Communicable Diseases, Sandringham, 2192 Johannesburg, South Africa;
| | - Gerald Misinzo
- SACIDS Africa Centre of Excellence for Infectious Diseases, Sokoine University of Agriculture, P.O. Box 3297 Morogoro, Tanzania; (G.O.M.); (L.E.G.M.); (S.R.); (B.N.); (C.S.)
- Department of Veterinary Microbiology, Parasitology and Biotechnology, Sokoine University of Agriculture, P.O. Box 3015 Morogoro, Tanzania
- Correspondence:
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19
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Huth PFB, Addo M, Daniel T, Groendahl B, Hokororo A, Koliopoulos P, Mshana S, Pretsch L, Schmidt C, Zuechner A, Gehring S, Kayange N. Extensive Antibiotic and Antimalarial Prescription Rate among Children with Acute Febrile Diseases in the Lake Victoria Region, Tanzania. J Trop Pediatr 2021; 67:6133215. [PMID: 33575804 DOI: 10.1093/tropej/fmaa135] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
OBJECTIVES Acute mosquito-borne febrile diseases pose a threat to children in the Sub-Saharan-Africa with ∼272 000 children dying worldwide from malaria in 2018. Although the awareness for malaria in this area has increased due to improved health education, the apparent decline of actual malaria cases has not affected clinical practice significantly. This study collected clinical and epidemiologic data of children presenting with acute febrile diseases in order delineate their diagnostic and therapeutic management. METHODS A hospital-based cross-sectional clinical study was conducted at the Sekou Toure Regional Referral Hospital in Tanzania. Children between 1 month and 12 years of age with an axillary temperature ≥ 37.5°C were recruited from August 2016 to December 2016. Children received full clinical examination. In addition, file data about diagnostics and treatment were collected and malaria rapid diagnostic tests (mRDTs) were performed. Confirmatory malaria polymerase chain reaction was performed from dry blood spots. RESULTS From 1381 children presented in the pediatric outpatient department, 133 met the inclusion criteria. Out of 133 febrile children, 10.5% were malaria positive. Treatment data indicate the prescription of antimalarials in 35.3% and antibiotics in 63.9% of the children with an overlap of 24.1% receiving both. Despite a negative mRDT, 36 patients received antimalarials. CONCLUSIONS The findings of this study confirm a significant decline of malaria cases in the Lake Victoria region. The discrepancy between the valuable results provided by mRDTs and the high prescription rates of antibiotics and antimalarials call for an enforced diagnostic and therapeutic algorithm. LAY SUMMARY The aim of the study was to take a closer look at reported cases of febrile diseases in the Lake Victoria region and assess the relationship between clinical as well as diagnostic findings and the resulting therapeutic concept. Based on these findings the prescription rate of antimalarial and antibiotic drugs was analyzed. The results showed an overall high prescription rate of antimalarials and antibiotics in both diagnosed malaria cases and cases with diagnosed bacterial infections.Not only with regards to the possible side effects of these medications but also keeping in mind the apparent misuse of resources this practice poses a serious burden to the health care system in this low resource country.
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Affiliation(s)
- Philipp Florian Brixius Huth
- Department of Infectiology and Tropical Medicine, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany
| | - Marylyn Addo
- Department of Infectiology and Tropical Medicine, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany
| | - Tim Daniel
- Center of Pediatric and Adolescent Medicine, Johannes Gutenberg-University Medical Center, 55131 Mainz, Germany
| | - Britta Groendahl
- Center of Pediatric and Adolescent Medicine, Johannes Gutenberg-University Medical Center, 55131 Mainz, Germany
| | - Adolfine Hokororo
- Department of Pediatric and Child Health, Bugando Medical Centre/Catholic University of Health and Allied Sciences, P.o. Box 1370 Mwanza, Tanzania
| | - Philip Koliopoulos
- Center of Pediatric and Adolescent Medicine, Johannes Gutenberg-University Medical Center, 55131 Mainz, Germany
| | - Stephen Mshana
- Department of Microbiology and Immunology, Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences (CUHAS), Mwanza, Tanzania
| | - Leah Pretsch
- Center of Pediatric and Adolescent Medicine, Johannes Gutenberg-University Medical Center, 55131 Mainz, Germany
| | - Christian Schmidt
- Department of Pediatric and Adolescent Medicine, 46535 Dinslaken, Germany
| | - Antke Zuechner
- Department of Pediatric and Child Health, Bugando Medical Centre/Catholic University of Health and Allied Sciences, P.o. Box 1370 Mwanza, Tanzania
| | - Stephan Gehring
- Center of Pediatric and Adolescent Medicine, Johannes Gutenberg-University Medical Center, 55131 Mainz, Germany
| | - Neema Kayange
- Department of Pediatric and Child Health, Bugando Medical Centre/Catholic University of Health and Allied Sciences, P.o. Box 1370 Mwanza, Tanzania
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