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Coulibaly YI, Sangare M, Dolo H, Soumaoro L, Coulibaly SY, Dicko I, Diabaté AF, Diarra L, Coulibaly ME, Doumbia SS, Diallo AA, Dembele M, Koudou BG, Bockarie MJ, Kelly‑Hope LA, Klion AD, Nutman TB. Correction to: No evidence of lymphatic filariasis transmission in Bamako urban setting after three mass drug administration rounds. Parasitol Res 2023; 122:355-356. [PMID: 36355182 PMCID: PMC9816271 DOI: 10.1007/s00436-022-07718-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Yaya Ibrahim Coulibaly
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali ,Dermatology Hospital of Bamako, Bamako, Mali
| | - Moussa Sangare
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali ,grid.28046.380000 0001 2182 2255Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5 Canada
| | - Housseini Dolo
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Lamine Soumaoro
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Siaka Yamoussa Coulibaly
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Ilo Dicko
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Abdoul Fatao Diabaté
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Lamine Diarra
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Michel Emmanuel Coulibaly
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Salif Seriba Doumbia
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Abdallah Amadou Diallo
- grid.461088.30000 0004 0567 336XMali ‑ International Center of Excellence in Research (ICER‑Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Massitan Dembele
- grid.463459.9National Lymphatic Filariasis Elimination Program, Ministry of Health and Public Hygiene, Bamako, Mali
| | - Benjamin G. Koudou
- Centre Suisse de Recherche Scientifiques en Côte d’Ivoire, 01 BP 1303 Abidjan 01 Abidjan, Côte d’Ivoire ,grid.452889.a0000 0004 0450 4820UFR Science de la Nature, Université Nangui Abrogoua, 02 BP 801 Abidjan 01 Abidjan, Côte d’Ivoire
| | - Moses John Bockarie
- grid.469452.80000 0001 0721 6195School of Community Health Sciences, Njala University, Bo, Sierra Leone
| | - Louise A. Kelly‑Hope
- grid.48004.380000 0004 1936 9764Centre for Neglected Tropical Diseases, Department of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool, UK ,grid.10025.360000 0004 1936 8470Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
| | - Amy D. Klion
- grid.419681.30000 0001 2164 9667Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD USA
| | - Thomas B. Nutman
- grid.419681.30000 0001 2164 9667Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD USA
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Diarra L, Doumbia S, Mariko M, Kalambry AC, Coulibaly M, Traoré S, Traoré S, Guindo I. [Spermiological Study Of Patients Treated For Infertility At The Medical Biology Laboratory Of Sikasso Hospital]. Mali Med 2023; 38:41-43. [PMID: 38514937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
AIM The aim of this study was to establish the spermiological profile of patients treated for infertility at Sikasso Hospital. MATERIAL AND METHODS This was a prospective descriptive cross-sectional study, which took place from January to December 2022 at Sikasso Hospital. Interpretation of spermiological parameters was based on standards established by the World Health Organization in 2010. RESULTS We enrolled 41 patients, 51.22% of whom had disturbed spermiological parameters. The abnormalities were azoospermia (21.92%), asthenooligozoospermia (12.20%), asthenozoospermia (7.32%), oligozoospermia (7.32%) and asthenonecrozoospermia (2.44%). These anomalies were mainly observed in the 34-44 age group (47.62%). CONCLUSION This study revealed significant disturbances in spermiological parameters, with azoospermia being the most frequent abnormality.
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Affiliation(s)
- L Diarra
- Laboratoire de biologie médicale de l'hôpital de Sikasso
| | - S Doumbia
- Laboratoire de biologie médicale de l'hôpital de Sikasso
| | - M Mariko
- Laboratoire de biologie médicale de l'hôpital de Sikasso
- Pharmacie hospitalière de l'hôpital de Sikasso
| | - A C Kalambry
- Laboratoire de biologie médicale du centre hospitalier universitaire de l'hôpital du Mali
| | - M Coulibaly
- Service de gynéco-obstétrique de l'hôpital de Sikasso
| | - S Traoré
- Service de gynéco-obstétrique de l'hôpital de Sikasso
| | - S Traoré
- Service d'urologie de l'hôpital Sikasso
| | - I Guindo
- Institut national de santé publique de Bamako
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Coulibaly YI, Sangare M, Dolo H, Soumaoro L, Coulibaly SY, Dicko I, Diabaté AF, Diarra L, Coulibaly ME, Doumbia SS, Diallo AA, Dembele M, Koudou BG, Bockarie MJ, Kelly-Hope LA, Klion AD, Nutman TB. No evidence of lymphatic filariasis transmission in Bamako urban setting after three mass drug administration rounds. Parasitol Res 2022; 121:3243-3248. [PMID: 36066741 PMCID: PMC9556341 DOI: 10.1007/s00436-022-07648-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 08/30/2022] [Indexed: 11/25/2022]
Abstract
Lymphatic filariasis (LF) elimination activities started in Mali in 2005 in the most endemic areas and reached countrywide coverage in 2009. In 2004, the district of Bamako was endemic for LF with a prevalence of 1.5%. The current study was designed to determine LF endemicity level in the urban area of Bamako after three rounds of ivermectin and albendazole mass drug administration (MDA). A cross-sectional study was conducted in 2011 in Bamako city, consisting of human prevalence and entomological surveys. Volunteers aged 14 years and above were invited to participate and tested for evidence of Wuchereria bancrofti using night time blood thick smear microfilarial count and blood spots for LF antibodies using the SD BIOLINE Oncho/LF IgG4 Biplex rapid test (Ov16/Wb123). Mosquitoes were collected using CDC light and gravid traps and tested using molecular methods. Poolscreen software v2.0 was used to estimate vector transmission potential. Of the 899 volunteers, one (0.11%) was found to be positive for LF using the Oncho/LF IgG4 Biplex rapid test, and none was found to have Wuchereria bancrofti microfilariae. No mosquitoes were found infected among 6174 Culex spp. (85.2%), 16 Anopheles gambiae s.l. (An. gambiae s.l.) (0.2%), 26 Aedes spp. (0.4%), 858 Ceratopogonidae (11.8%) and 170 other insects not identified (2.3%) tested. Our data indicate that there was no active LF transmission in the low prevalence urban district of Bamako after three MDA rounds. These data helped the National LF programme move forward towards the elimination goal.
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Affiliation(s)
- Yaya Ibrahim Coulibaly
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali.,Dermatology Hospital of Bamako, Bamako, Mali
| | - Moussa Sangare
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali. .,Interdisciplinary School of Health Sciences
- Faculty of Health Sciences, University of Ottawa, Ottawa, ON, K1N 6N5, Canada.
| | - Housseini Dolo
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Lamine Soumaoro
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Siaka Yamoussa Coulibaly
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Ilo Dicko
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Abdoul Fatao Diabaté
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Lamine Diarra
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Michel Emmanuel Coulibaly
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Salif Seriba Doumbia
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Abdallah Amadou Diallo
- Mali - International Center of Excellence in Research (ICER-Mali), University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali
| | - Massitan Dembele
- National Lymphatic Filariasis Elimination Program, Ministry of Health and Public Hygiene, Bamako, Mali
| | - Benjamin G Koudou
- Centre Suisse de Recherche Scientifiques en Côte d'Ivoire, 01 BP 1303 Abidjan 01, Abidjan, Côte d'Ivoire.,UFR Science de la Nature, Université Nangui Abrogoua, 02 BP 801 Abidjan 01, Abidjan, Côte d'Ivoire
| | | | - Louise A Kelly-Hope
- Centre for Neglected Tropical Diseases, Department of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool, UK.,Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK
| | - Amy D Klion
- Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA
| | - Thomas B Nutman
- Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA
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Maïga FK, Sangare M, Dolo H, Dicko I, Diabate AF, Keita M, Diarra L, Soumaoro L, Thera S, Diallo O, Guindo I, Traoré M, Faye O, Doumbia S, Coulibaly YI. Knowledge and factors influencing schistosomiasis control interventions in the hyperendemic health district of Kalabancoro in Mali, 2020. Pan Afr Med J 2022; 43:48. [DOI: 10.11604/pamj.2022.43.48.30512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 05/28/2022] [Indexed: 11/11/2022] Open
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Sangare M, Berthe A, Dolo H, Diabaté AF, Konipo FDN, Soumaoro L, Doumbia SS, Coulibaly ME, Diarra L, Sanogo Y, Atsou KM, Diallo AA, Coulibaly SY, Keita M, Doumbia S, Coulibaly YI. Evaluation of mass drug administration for schistosomiasis and soil-transmitted helminths in school-aged children in Bankass, Mali. Int J Infect Dis 2021; 112:196-201. [PMID: 34481965 DOI: 10.1016/j.ijid.2021.08.063] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 08/20/2021] [Accepted: 08/26/2021] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND In 2004, Mali implemented mass drug administration (MDA) aimed at controlling schistosomiasis and soil-transmitted helminths. Despite several rounds of MDA, the health district of Bankass reported low coverage (64.8%) for praziquantel and albendazole in 2017, meaning that this district was still facing challenges in accomplishing the targeted 75% coverage. This study aimed to explore the barriers and gaps that hindered MDA implementation in Bankass. METHODS A cross-sectional study was performed. Questionnaires were administrated to all school-aged children in randomly selected villages. Technical directors of community health centers and community drug distributors in the selected villages were included in the interviews. RESULTS A total of 2128 children and 52 health workers were interviewed. Coverage rates were 93.51% (1990/2128) for praziquantel and 95.25% (2027/2128) for albendazole. Among the untreated children, 31.63% (31/98) reported being unaware of the campaign and 26.53% (26/98) were unable to reach the distribution points. Most of the health workers suggested increasing incentives. CONCLUSION The data showed satisfactory coverage >90%, in contrast with lower rates initially reported by the district health information system. These results raise concerns about the reliability of programmatic data and highlight the importance of population-based surveys for the evaluation of control interventions.
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Affiliation(s)
- Moussa Sangare
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali.
| | - Adama Berthe
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Housseini Dolo
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Abdoul Fatao Diabaté
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Fatoumata Dite Nènè Konipo
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Lamine Soumaoro
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Salif Seriba Doumbia
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Michel Emmanuel Coulibaly
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Lamine Diarra
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Yacouba Sanogo
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Kueshivi Midodji Atsou
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Abdallah Amadou Diallo
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Siaka Yamoussa Coulibaly
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | | | - Seydou Doumbia
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali
| | - Yaya Ibrahim Coulibaly
- International Center for Excellence in Research Mali (ICER-Mali), University of Sciences, Techniques, and Technologies of Bamako (USTTB), Bamako, Mali; Dermatology Hospital of Bamako, Bamako, Mali
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Bengaly B, Traoré D, Togola B, Sanogo S, Coulibaly M, Dembélé S, Ouattara D, Coulibaly B, Ba B, Diarra L, Ongoiba N. [Surgical site infections at surgery service B of Point "G" hospital]. Mali Med 2020; 35:29-34. [PMID: 37978755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
BACKGROUND Surgical site infections (SSI) complicate most operations in developing countries. A variety of germs is responsible for it. The purpose of this study was to determine the incidence of surgical site infections and the bacteriological profile. PATIENTS AND METHODS We conducted a prospective study for descriptive purposes. The included patients were treated between August 2016 and July 2017 in the Surgery B department of the University Hospital Center Point G. The study population consisted of all patients operated on and hospitalized for at least 72 hours. Patients who had an infection of the operative site were retained. The incidence of ISOs, the different bacterial strains and their susceptibility to antibiotics were studied. Data was analyzed on SPSS 12.0. RESULTS The incidence of surgical site infections was 4.7%. The median age of the patients was 29.5 ± 4.34, the sex ratio was 1.66. The average time to onset of infections was 7.33 days. Of the samples taken, 4 bacterial strains were identified: Escherichia coli, Staphylococcus aureus, Acinobacter baumanii and Enterobacter spp. Isolated strains of Escherichia coli and Staphylococcus aureus were sensitive to Cefotaxim, Amikacin, Nitrofurantoin, but resistant to Ceftriaxon, Amoxicillin + Clavulanic acid. The species of Acinobacter baumanii and Enterococcus spp. Were sensitive to Colistin, but resistant to Ceftriaxone, Amoxicillin + clavulanic acid. CONCLUSION Escherichia coli and Staphylococcus aureus are the main germs of the generally antibiotic-resistant ISOs commonly used in the service.
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Affiliation(s)
- B Bengaly
- Service de chirurgie B, CHU du Point G ; Faculté de médecine et d'odontostomatologie /USTTB
- Hôpital de Koutiala
| | - D Traoré
- Service de chirurgie B, CHU du Point G ; Faculté de médecine et d'odontostomatologie /USTTB
- Hôpital de Koutiala
| | - B Togola
- Service de chirurgie B, CHU du Point G ; Faculté de médecine et d'odontostomatologie /USTTB
- Hôpital de Koutiala
| | - S Sanogo
- Service de chirurgie B, CHU du Point G ; Faculté de médecine et d'odontostomatologie /USTTB
| | | | - S Dembélé
- Centre national de lutte contre la maladie
| | - D Ouattara
- Service de chirurgie B, CHU du Point G ; Faculté de médecine et d'odontostomatologie /USTTB
| | - B Coulibaly
- Service de chirurgie B, CHU du Point G ; Faculté de médecine et d'odontostomatologie /USTTB
- Hôpital de Koutiala
| | - Babou Ba
- Service de chirurgie B, CHU du Point G ; Faculté de médecine et d'odontostomatologie /USTTB
- Hôpital de Koutiala
| | | | - N Ongoiba
- Service de chirurgie B, CHU du Point G ; Faculté de médecine et d'odontostomatologie /USTTB
- Hôpital de Koutiala
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Koty Z, Bicki A, Koné Y, Diarra L, Tounkara K, Diallo FS, Levitz L, Aboubacar B, Rochas M, Dao S, De Groot A. Evaluating short-term patient outcomes after HIV care interventions in a low resource setting: preparing for an HIV vaccine trial site in Bamako, Mali. Retrovirology 2012. [PMCID: PMC3441620 DOI: 10.1186/1742-4690-9-s2-p128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Dodet B, Adjogoua E, Aguemon AR, Baba B, Bara Adda S, Boumandouki P, Bourhy H, Brahimi M, Briggs D, Diallo M, Diarra L, Diop B, Diop S, Fesriry B, Gosseye S, Kharmachi H, Le Roux K, Nakoune Yandoko E, Nel L, Ngome JM, Nzengue E, Ramahefalalao E, Ratsitorahina M, Rich H, Simpore L, Soufi A, Tejiokem M, Thiombiano R, Tiembre I, Traore A, Wateba M, Yahaye H, Zaouia I. Lutte contre la rage en Afrique: du constat à l’action. ACTA ACUST UNITED AC 2010; 103:51-9. [DOI: 10.1007/s13149-009-0034-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2009] [Accepted: 07/28/2009] [Indexed: 11/24/2022]
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Dodet B, Adjogoua EV, Aguemon AR, Amadou OH, Atipo AL, Baba BA, Ada SB, Boumandouki P, Bourhy H, Diallo MK, Diarra L, Diop BM, Diop SA, Fesriry B, Gosseye S, Hassar M, Kingé T, Kombila Nzamba TE, Yandoko EN, Nzengué E, Ramahefalalao EF, Ratsitorahina M, Simpore L, Soufi A, Tejiokem M, Thiombano R, Tiembré I, Traoré AK, Wateba MI. Fighting rabies in Africa: the Africa Rabies Expert Bureau (AfroREB). Vaccine 2008; 26:6295-8. [PMID: 18617294 DOI: 10.1016/j.vaccine.2008.04.087] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2008] [Accepted: 04/24/2008] [Indexed: 10/22/2022]
Abstract
Rabies experts from 14 francophone African countries met in Grand Bassam (Côte d'Ivoire), 10-13 March 2008. They presented the situation in their respective countries, acknowledging the lack of rabies awareness among the population, health care workers and health authorities. They recognized that infrastructure for the management of rabies exposure is scarce, modern vaccines are in limited quantity and immunoglobulins are lacking in most of their countries. They defined as a priority the need to have reliable figures on the disease burden, which is necessary for informed decision making and priority setting, and for applying for aid in controlling the disease. This meeting sealed the establishment of the Africa Rabies Expert Bureau (AfroREB).
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Affiliation(s)
- Betty Dodet
- Dodet Bioscience, 66 cours Charlemagne, 69002 Lyon, France.
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Lewis R, Nathan N, Communier A, Varaine F, Fermon F, Chabalier FD, Rosenstein N, Djingarey M, Diarra L, Yada A, Tikhomirov E, Santamaria M, Hardiman M, Leg D. [Detection of meningococcal meningitis epidemics in Africa: a new recommendation]. Sante 2001; 11:251-5. [PMID: 11861202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
In sub-Saharan Africa, the control of meningococcal meningitis epidemics relies on early epidemic detection and mass vaccination. However, experience shows that interventions are often initiated too late to have a significant impact on the epidemic. A new recommendation drafted by participants of a consensus meeting proposes an alert threshold and an epidemic threshold based on the weekly number or incidence of meningitis cases, according to the population size and the epidemic risk, resulting in indicators with high sensitivity and specificity for the detection of an emerging epidemic. Meningitis outbreak investigations must include an assessment of the quality of epidemiologic surveillance. The new recommendation is published in English and French in the Weekly Epidemiologic Record [12]. The success of this consensus meeting shows the value of integrating results from surveillance, field experience and operational research for designing new health strategies.
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Affiliation(s)
- R Lewis
- Epicentre, 8, rue Saint-Sabin, 75011 Paris, France.
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Abstract
BACKGROUND Epidemics of meningococcal disease in Africa are commonly detected too late to prevent many cases. We assessed weekly meningitis incidence as a tool to detect epidemics in time to implement mass vaccination. METHODS Meningitis incidence for 41 subdistricts in Mali was determined from cases recorded in health centres (1989-98) and from surveillance data (1996-98). For incidence thresholds of 5 to 20 cases per 100000 inhabitants per week, we calculated sensitivity and specificity for detecting epidemics, and determined the time lapse between threshold and epidemic peak. FINDINGS We recorded 9084 meningitis cases. Clinic-based weekly incidence of 5 and 10 cases per 100000 inhabitants detected all meningitis epidemics (sensitivity 100%, 95% CI 93-100), with median threshold-to-peak time of 5 and 3 weeks. Under-reporting reduced sensitivity: only surveillance thresholds of 5 or 7 cases per 100000 inhabitants per week detected all epidemics. Crossing the lower threshold before the 10th calendar week doubled epidemic risk relative to crossing it later (relative risk 2.1, 95% CI 1.4-3.2). At 10 cases per 100000 inhabitants per week, specificity for outbreak prediction was 88%, 95% CI 83-91). For populations under 30000, 3 to 5 cases in one or two weeks predicted epidemics with 85% to 97% specificity. INTERPRETATION Low meningitis thresholds improve timely detection of epidemics. Ten cases per 100000 inhabitants per week in one area confirm epidemic activity in a region, with few false alarms. An alert threshold of 5 cases per 100000 inhabitants per week allows time to investigate, prepare for an epidemic, and initiate mass vaccination where appropriate. For populations under 30000, the alert threshold is two cases in a week. High quality surveillance is essential.
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Affiliation(s)
- R Lewis
- Epicentre, 8 rue Saint-Sabin, 75011, Paris, France.
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