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  • Article libreArticleEn anglais

    Molecular genetic diversity and differentiation of Nile tilapia (Oreochromis niloticus, L. 1758) in East African natural and stocked populations

    Papius Dias Tibihika, Manuel Curto, Esayas Alemayehu, Herwig Waidbacher, Charles Masembe, Peter Akoll, Harald Meimberg

    BackgroundThe need for enhancing the productivity of fisheries in Africa triggered the introduction of non-native fish, causing dramatic changes to local species. In East Africa, the extensive translocation of Nile tilapia (Oreochromis niloticus) is one of the major factors in this respect. Using 40 microsatellite loci with SSR-GBS techniques, we amplified a total of 664 individuals to investigate the genetic structure of O. niloticus from East Africa in comparison to Ethiopian and Burkina Faso populations.ResultsAll three African regions were characterized by independent gene-pools, however, the Ethiopian population from Lake Tana was genetically more divergent (Fst = 2.1) than expected suggesting that it might be a different sub-species. In East Africa, the genetic structure was congruent with both geographical location and anthropogenic activities (Isolation By Distance for East Africa, R2 = 0.67 and Uganda, R2 = 0.24). O. niloticus from Lake Turkana (Kenya) was isolated, while in Uganda, despite populations being rather similar to each other, two main natural catchments were able to be defined. We show that these two groups contributed to the gene-pool of different non-native populations. Moreover, admixture and possible hybridization with other tilapiine species may have contributed to the genetic divergence found in some populations such as Lake Victoria. We detected other factors that might be affecting Nile tilapia genetic variation. For example, most of the populations have gone through a reduction in genetic diversity, which can be a consequence of bottleneck (G-W, < 0.5) caused by overfishing, genetic erosion due to fragmentation or founder effect resulting from stocking activities.ConclusionsThe anthropogenic activities particularly in the East African O. niloticus translocations, promoted artificial admixture among Nile Tilapia populations. Translocations may also have triggered hybridization with the native congenerics, which needs to be further studie

    Biologie cellulaire et moléculaireGénétiqueSanté publiqueLicence : Open Access http://creativecommons.org/licenses/by/4.0/ http://creativecommons.org/publicdomain/zero/1.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (), which permits unrestricted use, distribution, and reproduction in any medium, provid
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  • Article libreArticleEn anglais

    Molecular Heterogeneity of Glucose-6-Phosphate Dehydrogenase Deficiency in Burkina Faso: G-6-PD Betica Selma and Santamaria in People with Symptomatic Malaria in Ouagadougou

    Abdoul Karim Ouattara, Pouiré Yameogo, Birama Diarra, Dorcas Obiri-Yeboah, Albert Yonli, Tegwindé Rebeca Compaore, Serge Théophile Soubeiga, Florencia Wenkuuni Djigma, Jacques Simpore

    The G-6-PD deficiency has an important polymorphism with genotypic variants such as 202A/376G, 376G/542T and 376G/968T known in West African populations. It would confer protection against severe forms of malaria although there are differences between the various associations in different studies. In this study we genotyped six (06) variants of the G-6-PD gene in people with symptomatic malaria in urban areas in Burkina Faso.One hundred and eighty-two (182) patients who tested positive using rapid detection test and microscopy were included in this study. A regular PCR with the GENESPARK G6PD African kit was run followed by electrophoresis, allowing initially to genotype six SNPs (G202A, A376G, A542T, G680T, C563T and T968C). Women carrying the mutations 202A and/or 376G were further typed by real-time PCR using TaqMan probes rs1050828 and rs1050829.In the study population the G-6-PD deficiency prevalence was 9.9%. In addition of G-6-PD A- (202A/376G) variant, 376G/542T and 376G/968T variants were also detected. Hemoglobin electrophoresis revealed that 22.5% (41/182) of the individuals had HbAC compared with2.2% with HbAS and one individual had double heterozygous HbSC. There was no correlation between the G-6-PD deficiency or haemoglobinopathies and symptomatic malaria infections in this study.Our study confirms that the G-6-PD deficiency does not confer protection against Plasmodium falciparum infections. As opposed to previous genotyping studies carried out in Burkina Faso, this study shows for the first time the presence of the variant A- (376G/968C) and warrants further investigation at the national level and in specific ethnic groups.

    Biologie cellulaire et moléculaireGénétiqueBiostatistiques et épidémiologieLicence : http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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  • Article libreArticleEn anglais

    Molecular Identification of the Viruses Associated with Sweetpotato Diseases in Côte d’Ivoire

    Sweetpotato (Ipomoea batatas) is a staple crop of strategic importance in West Africa, particularly in Côte d’Ivoire. However, its productivity is increasingly under threat due to viral diseases. Given the lack of updated epidemiological data over the past three decades, a nationwide survey was conducted in September 2023 across 94 fields in 83 locations covering seven agroecological zones of the country. A total of 221 symptomatic and asymptomatic leaf samples were analyzed using PCR for DNA viruses and RT-PCR for RNA viruses. The overall viral incidence rate calculated was 65.61%, with significant regional variations (35–97.18%, p < 0.001) and notable differences in the severity of symptoms (p = 0.0095). Agroecological zone I was the most affected, while agroecological zones IV and V were the least impacted. Four viruses were identified: cucumber mosaic virus (CMV), sweet potato leaf curl virus (SPLCV), sweet potato feathery mottle virus (SPFMV), and sweet potato chlorotic stunt virus (SPCSV). No badnaviruses were found. CMV was the most common virus found in single infections (43.44%), followed by SPLCV (5.43%). SPFMV and SPCSV were only observed in mixed infections, particularly CMV/SPLCV (14.03%) and CMV/SPFMV (1.81%). Two triple infections were also detected: SPFMV/SPCSV/CMV and SPFMV/SPLCV/CMV. In total, 34 partial coat protein sequences were obtained (28 SPLCV, 4 SPFMV, 1 CMV, 1 SPCSV). Phylogenetic analysis revealed a high similarity between SPLCV isolates characterized in Côte d’Ivoire and those from Burkina Faso, Europe (Spain, Italy), and the Americas (USA, Puerto Rico) with nucleotide identity values ranging from 98% to 100%. The Côte d’Ivoire SPCSV sequence showed 97.92% nucleotide identity with European isolates, whereas SPFMV sequences exhibited greater diversity (77–89% identity) but clustered within the West African lineage. Sweetpotato viral diseases were detected mostly in mixed-cropping fields (66.85%). This work provides the first epidemiologic

    Biologie cellulaire et moléculaireGénétiqueBiostatistiques et épidémiologieLicence : https://creativecommons.org/licenses/by/4.0/ Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ().
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  • Article libreArticleEn anglais

    Molecular surveillance of Plasmodium falciparum resistance to sulfadoxine-pyrimethamine among pregnant women attending antenatal clinics in Bobo-Dioulasso, Burkina Faso

    Mamoudou Cissé, Alamissa Soulama, Edmond W. Silga, Michel K. Gomgnimbou

    This study aimed to assess the prevalence and risk factors of molecular markers of Plasmodium (P.) falciparum resistance to sulfadoxine-pyrimethamine (SP) among pregnant women in Bobo-Dioulasso, and to examine their association with maternal anaemia. This cross-sectional study was conducted between October and December 2022 among 288 SP-naïve pregnant women attending antenatal care at the Centre Médical Urbain of Lafiabougou. Dried blood spots were collected, and P. falciparum infection was detected using quantitative polymerase chain reaction (qPCR) targeting the varATS gene. Positive samples were genotyped for mutations in the Pfdhfr and Pfdhps genes using a nested PCR approach followed by restriction fragment length polymorphism analysis. Multivariable logistic regression models were used to identify predictors of resistance markers and maternal anaemia. Among the 172 qPCR-confirmed P. falciparum–positive samples, the Pfdhfr triple mutant haplotype (N51I, C59R, S108N) was detected in 33.7% of cases, while the Pfdhps A437G mutation was present in 82.7%. No Pfdhfr I164L or Pfdhps K540E mutations were observed. Gestational age was independently associated with carriage of the triple Pfdhfr mutation (adjusted OR = 2.2, 95% CI: 1.1–4.5). Both gestational age (adjusted OR = 2.5, 95% CI: 1.2–4.9) and infection with parasites carrying the triple Pfdhfr mutation (adjusted OR = 3.9, 95% CI: 1.8–8.3) were significant predictors of maternal anaemia. The relatively high prevalence of SP resistance markers indicates sustained drug pressure in this setting. Although SP appears to remain effective for intermittent preventive treatment in pregnancy, continued molecular surveillance is warranted to inform malaria control policies.

    Biologie cellulaire et moléculaireGénétiqueBiostatistiques et épidémiologieLicence : https://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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  • Article libreArticleEn anglais

    Molecular xenomonitoring highlights post-MDA surveillance priorities for sustained Wuchereria bancrofti elimination in Burkina Faso

    Schawanya K. Rattanapitoon, Patpicha Arunsan, Chutharat Thanchonnang, Nathkapach K. Rattanapitoon

    The study by Nikièma et al. demonstrates the absence of Wuchereria bancrofti infection in Anopheles mosquitoes a decade after cessation of mass drug administration (MDA) in Burkina Faso. This rare longitudinal evidence underscores the utility of molecular xenomonitoring (MX) as a sensitive early-warning tool that complements traditional transmission assessment surveys (TAS). MX enables detection of recrudescence earlier than human-based diagnostics, particularly in low-prevalence settings, and offers opportunities for integration with malaria vector surveillance. Ethical and operational challenges associated with human landing catches highlight the need for alternative trapping methods to maintain MX sensitivity safely. Sustaining lymphatic filariasis elimination globally will depend on institutionalizing MX alongside TAS, ensuring robust surveillance, and safeguarding long-term programmatic gains.

    Biostatistiques et épidémiologieParasitologie et mycologiePharmacologieLicence : Open Access http://creativecommons.org/licenses/by/4.0/ This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original autho
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  • Article libreArticle

    Molluscum contagiosum multiples de l'enfant

    Hayat Bourra, Badreddine Hassam

    ImmunologiePédiatrieLicence : The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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  • Article libreArticle

    Molluscum contagiosum palpébral: à propos d’un cas

    Moulay Omar Moustaine, Bouchra Allali, Loubna El Maaloum, Asmaa El Kettani, Khalid Zaghloul

    Les Molluscums contagiosum (MC) sont des lésions cutanées bénignes causées par Molluscipoxvirus, ils affectent principalement les enfants et les adultes jeunes et intéressent surtout la peau et rarement les muqueuses. Le diagnostic clinique est facile, confirmé par l'analyse histologique de la lésion, cependant il n'existe pas de consensus concernant la prise en charge thérapeutique. La localisation palpébrale de MC est rare, elle pose un problème d'ordre diagnostic différentiel surtout lorsqu'elle est isolée et un problème thérapeutique vu la proximité du globe oculaire. Nous rapportons le cas d'une fille de 7 ans ayant présenté une lésion palpébrale isolée dont l'exérèse avec étude anatomopathologique a révélé un MC. A la lumière de cette observation nous décrivons les particularités cliniques, thérapeutiques, et évolutives de cette localisation rare du molluscum contagiosum.

    PédiatrieLicence : The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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  • Article libreArticle

    Molluscum pendulum géant de la vulve chez une multipare

    Mamadou Gassama, Madou Sissoko

    Giant molluscum pendulums of the vulva are benign tumors, usually small in size. Larger lesions are rare and probably due to proliferation of mesenchymal cells within the hormone-sensitive subepithelial stromal layer of the lower genital tract. The size of the lesion represents an important functional and aesthetic prejudice. This rare discrete swelling deserves to be known because of its functional impact and/or uncertain evolution. We report a case of a 38-years-old female patient, multiparous G4P4V4 whose last child is 1-year-old, she consulted on 05th December 2018 for a large evolving mass in the left inguinal fold for 11 years. The interrogation did not find any particular medical-surgical history. Physical examination revealed a 20/10 cm mass at the base of the left labia majora, soft in consistency, painless, mobile in relation to the deep plane, and dotted with a hypochromic cicatricial macule (A and B). Endoanal examination found non reducible hemorrhoidal packets (B). The hypothesis of giant molluscum pendulum was evoked. The hypothesis of giant molluscum pendulum was evoked. The preoperative blood test showed a positive blood group B, HIV serology was negative, the hemoglobin level was 13.2 g/l, the feasible hemostasis test (TS-TC) was normal. We performed surgical excision of the tumor under general anesthesia. The specimen weighed 2500g (C). Histology showed edematous, myxoid, and richly vascularized connective tissue without cytonuclear atypia (D). We referred the patient to hepato-gastroenterology for management of the hemorrhoid.

    ImmunologieHématologieMaladies infectieuses et tropicalesLicence : https://creativecommons.org/licenses/by/4.0/ The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (), which permits unrestricted use, distribution, and reproduction in any medium, p
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  • Article libreArticleEn anglais

    Monitoring Insecticide Susceptibility in Aedes Aegypti Populations from the Two Biggest Cities, Ouagadougou and Bobo-Dioulasso, in Burkina Faso: Implication of Metabolic Resistance

    Moussa Namountougou, Dieudonné Diloma Soma, Mahamoudou Balboné, Didier Alexandre Kaboré, Mahamadi Kientega, Aristide Hien, Ahmed Coulibaly, Parfait Eric Ouattara, Benson Georges Meda, Samuel Drabo, Lassane Koala, Charles Nignan, Thérèse Kagoné, Abdoulaye Diabaté, Florence Fournet, Olivier Gnankiné, Roch Kounbobr Dabiré

    In West Africa, Aedes aegypti remains the major vector of dengue virus. Since 2013, dengue fever has been reemerging in Burkina Faso with annual outbreaks, thus becoming a major public health problem. Its control relies on vector control, which is unfortunately facing the problem of insecticide resistance. At the time of this study, although data on phenotypic resistance were available, information related to the metabolic resistance in Aedes populations from Burkina Faso remained very scarce. Here, we assessed the phenotypic and the metabolic resistance of Ae. aegypti populations sampled from the two main urban areas (Ouagadougou and Bobo-Dioulasso) of Burkina Faso. Insecticide susceptibility bioassays to chlorpyriphos-methyl 0.4%, bendiocarb 0.1% and deltamethrin 0.05% were performed on natural populations of Ae. aegypti using the WHO protocol. The activity of enzymes involved in the rapid detoxification of insecticides, especially non-specific esterases, oxidases (cytochrome P450) and glutathione-S-transferases, was measured on individual mosquitos. The mortality rates for deltamethrin 0.05% were low and ranged from 20.72% to 89.62% in the Bobo-Dioulasso and Ouagadougou sites, respectively. When bendiocarb 0.1% was tested, the mortality rates ranged from 7.73% to 71.23%. Interestingly, in the two urban areas, mosquitoes were found to be fully susceptible to chlorpyriphos-methyl 0.4%. Elevated activity of non-specific esterases and glutathione-S-transferases was reported, suggesting multiple resistance mechanisms involved in Ae. aegypti populations from Bobo-Dioulasso and Ouagadougou (including cytochrome P450). This update to the insecticide resistance status within Ae. aegypti populations in the two biggest cities is important to better plan dengue vectors control in the country and provides valuable information for improving vector control strategies in Burkina Faso, West Africa.

    Microbiologie (bactériologie, virologie)PharmacologieSanté publiqueLicence : http://creativecommons.org/licenses/by/4.0/ Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ().
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  • Article libreArticleEn anglais

    Monitoring the elimination of gambiense human African trypanosomiasis in the historical focus of Batié, South–West Burkina Faso

    Charlie Franck Alfred Compaoré, Jacques Kaboré, Hamidou Ilboudo, Lian Francesca Thomas, Laura Cristina Falzon, Mohamed Bamba, Hassane Sakande, Minayégninrin Koné, Dramane Kaba, Clarisse Bougouma, Ilboudo Adama, Ouedraogo Amathe, Adrien Marie Gaston Belem, Eric Maurice Fèvre, Philippe Büscher, Veerle Lejon, Vincent Jamonneau

    The World Health Organisation has targeted the elimination of human African trypanosomiasis (HAT) as zero transmission by 2030. Continued surveillance needs to be in place for early detection of re-emergent cases. In this context, the performance of diagnostic tests and testing algorithms for detection of the re-emergence of Trypanosoma brucei gambiense HAT remains to be assessed. We carried out a door-to-door active medical survey for HAT in the historical focus of Batié, South–West Burkina Faso. Screening was done using three rapid diagnostic tests (RDTs). Two laboratory tests (ELISA/T. b. gambiense and immune trypanolysis) and parasitological examination were performed on RDT positives only. In total, 5883 participants were screened, among which 842 (14%) tested positive in at least one RDT. Blood from 519 RDT positives was examined microscopically but no trypanosomes were observed. The HAT Sero-K-Set test showed the lowest specificity of 89%, while the specificities of SD Bioline HAT and rHAT Sero-Strip were 92% and 99%, respectively. The specificity of ELISA/T. b. gambiense and trypanolysis was 99% (98–99%) and 100% (99–100%), respectively. Our results suggest that T. b. gambiense is no longer circulating in the study area and that zero transmission has probably been attained. While a least cost analysis is still required, our study showed that RDT preselection followed by trypanolysis may be a useful strategy for post-elimination surveillance in Burkina Faso.

    Biostatistiques et épidémiologieParasitologie et mycologieImmunologieLicence : https://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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  • Article libreArticleEn anglais

    Monitoring the elimination of human African trypanosomiasis at continental and country level: Update to 2018

    BackgroundIn 2012 human African trypanosomiasis (HAT), also known as sleeping sickness, was targeted for elimination as a public health problem, set to be achieved by 2020. The World Health Organization (WHO) provides here the 2018 update on the progress made toward that objective. Global indicators are reviewed, in particular the number of reported cases and the areas at risk. Recently developed indicators for the validation of HAT elimination at the national level are also presented.Methodology/Principal FindingsWith 977 cases reported in 2018, down from 2,164 in 2016, the main global indicator of elimination is already well within the 2020 target (i.e. 2,000 cases). Areas at moderate or higher risk (i.e. ≥ 1 case/10,000 people/year) are also steadily shrinking (less than 200,000 km2 in the period 2014–2018), thus nearing the 2020 target [i.e. 90% reduction (638,000 km2) from the 2000–2004 baseline (709,000 km2)]. Health facilities providing diagnosis and treatment of gambiense HAT continued to increase (+7% since the previous survey), with a better coverage of at-risk populations. By contrast, rhodesiense HAT health facilities decreased in number (-10.5%) and coverage. At the national level, eight countries meet the requirements to request validation of gambiense HAT elimination as a public health problem (i.e. Benin, Burkina Faso, Cameroon, Côte d’Ivoire, Ghana, Mali, Rwanda, and Togo), while for other endemic countries more efforts are needed in surveillance, control, or both.Conclusions/SignificanceThe 2020 goal of HAT elimination as a public health problem is within grasp, and eligible countries are encouraged to request validation of their elimination status. Beyond 2020, the HAT community must gear up for the elimination of gambiense HAT transmission (2030 goal), by preparing for both the expected challenges (e.g. funding, coordination, integration of HAT control into regular health systems, development of more adapted tools, cryptic trypanosome reservoirs,

    Biostatistiques et épidémiologieSanté publiqueLicence : Creative Commons Attribution License This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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  • Article libreArticleEn anglais

    Monitoring the performance of the Expanded Program on Immunization: the case of Burkina Faso

    Abel Bicaba, Slim Haddad, Moussa Kabore, Emile Taminy, Marta Feletto, Pierre Fournier

    BackgroundThe greatest challenge facing expanded programs on immunization in general, and in Burkina Faso in particular, lies in their capacity to achieve and sustain levels of immunization coverage that will ensure effective protection of children. This article aims to demonstrate that full immunization coverage of children, which is the primary indicator for monitoring national immunization programs, is sufficient neither to evaluate their performance adequately, nor to help identify the broad strategies that must be implemented to improve their performance. Other dimensions of performance, notably adherence to the vaccination schedule and the efficacy of the approaches used to reach all the children (targeting) must also be considered.MethodsThe study was carried out using data from surveys carried out in Burkina Faso: the 1993, 1998 and 2003 Demographic and Health Surveys and the 2003 national Survey of Immunization Coverage. Essentially, we described levels of immunization coverage and their trends according to the indicators considered. Performance differences are illustrated by amplitudes and maximum/minimum ratios.ResultsThe health regions' performances vary according to whether they are evaluated on the basis of full immunization coverage or vaccination status of children who have not completed their vaccinations. The health regions encompass a variety of realities, and efforts of substantially different intensity would be required to reach all the target populations.ConclusionDecision-making can be improved by integrating a tripartite view of performance that includes full immunization coverage, adherence to the vaccination schedule (timely coverage), and the status of children who are not fully vaccinated. With such an approach, interventions can be better targeted. It provides information on the quality and timeliness of vaccination and identifies the efforts required to meet the objectives of full immunization coverage.Abstract in FrenchSee the full art

    Biostatistiques et épidémiologieImmunologiePédiatrieLicence : http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (), which permits unrestricted use, distribution, and reproduction in aided the original work is properly cited.
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  • Article libreArticle

    Monoarthrite du genou révélatrice d’une arthropathie tabétique

    Zeineb Alaya, Walid Osman

    Licence : The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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  • Article libreArticleEn anglais

    Monthly measurement of child lengths between 6 and 27 months of age in Burkina Faso reveals both chronic and episodic growth faltering

    Ilana R Cliffer, William A Masters, Nandita Perumal, Elena N Naumova, Augustin N Zeba, Franck Garanet, Beatrice L Rogers

    ABSTRACTBackgroundLinear growth faltering is determined primarily by attained heights in infancy, but available data consist mainly of cross-sectional heights at each age.ObjectivesThis study used longitudinal data to test whether faltering occurs episodically in a few months of very low growth, which could potentially be prevented by timely intervention, or is a chronic condition with slower growth in every month of infancy and early childhood.MethodsUsing anthropometric data collected monthly between August 2014 and December 2016, we investigated individual growth curves of 5039 children ages 6–27 mo in Burkina Faso (108,580 observations). We evaluated growth-curve smoothness by level of attained length at ∼27 mo by analyzing variation in changes in monthly growth rates and using 2-stage regressions: 1) regressing each child's length on their age and extracting R2 to represent curve smoothness, initial length, and average velocity by age; and 2) regressing extracted parameters on individual-level attained length.ResultsShort children started smaller and remained on their initial trajectories, continuously growing slower than taller children. Growth between 9 and 11 mo was the most influential on attained length; for each 1-cm/mo increase in growth velocity during this period, attained length increased by 6.71 cm (95% CI: 6.59, 6.83 cm). Furthermore, a 0.01 increase in R2 from individual regression of length on age was associated with a 3.10-cm higher attained length (95% CI: 2.80, 3.41 cm), and having 2 consecutive months of slow growth (<15th centile relative to the sample) was associated with 1.7-cm lower attained length (95% CI: −1.80, −1.59 cm), with larger effects in younger children, suggesting that smoother growth patterns were also associated with higher attained length.ConclusionsChildren who experience extreme growth faltering are likely less resilient to systematic growth-limiting conditions as well as episodic insults to their growth.This trial was reg

    PédiatrieSanté publiqueLicence : https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
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  • Article libreArticleEn anglais

    Monthly sulfadoxine/pyrimethamine-amodiaquine or dihydroartemisinin-piperaquine as malaria chemoprevention in young Kenyan children with sickle cell anemia: A randomized controlled trial

    BackgroundChildren with sickle cell anemia (SCA) in areas of Africa with endemic malaria transmission are commonly prescribed malaria chemoprevention. Chemoprevention regimens vary between countries, and the comparative efficacy of prevention regimens is largely unknown.Methods and findingsWe enrolled Kenyan children aged 1 to 10 years with homozygous hemoglobin S (HbSS) in a randomized, open-label trial conducted between January 23, 2018, and December 15, 2020, in Homa Bay, Kenya. Children were assigned 1:1:1 to daily Proguanil (the standard of care), monthly sulfadoxine/pyrimethamine-amodiaquine (SP-AQ), or monthly dihydroartemisinin-piperaquine (DP) and followed monthly for 12 months. The primary outcome was the cumulative incidence of clinical malaria at 12 months, and the main secondary outcome was the cumulative incidence of painful events by self-report. Secondary outcomes included other parasitologic, hematologic, and general events. Negative binomial models were used to estimate incidence rate ratios (IRRs) per patient-year (PPY) at risk relative to Proguanil. The primary analytic population was the As-Treated population. A total of 246 children were randomized to daily Proguanil (n = 81), monthly SP-AQ (n = 83), or monthly DP (n = 82). Overall, 53.3% (n = 131) were boys and the mean age was 4.6 ± 2.5 years. The clinical malaria incidence was 0.04 episodes/PPY; relative to the daily Proguanil group, incidence rates were not significantly different in the monthly SP-AQ (IRR: 3.05, 95% confidence interval [CI]: 0.36 to 26.14; p = 0.39) and DP (IRR: 1.36, 95% CI: 0.21 to 8.85; p = 0.90) groups. Among secondary outcomes, relative to the daily Proguanil group, the incidence of painful events was not significantly different in the monthly SP-AQ and DP groups, while monthly DP was associated with a reduced rate of dactylitis (IRR: 0.47; 95% CI: 0.23 to 0.96; p = 0.038). The incidence of Plasmodium falciparum infection relative to daily Proguanil was similar in the

    Parasitologie et mycologieHématologieMaladies infectieuses et tropicalesLicence : Creative Commons Attribution License This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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  • Article libreArticle

    Moodle, une pédagogie alternative crédible d’enseignement de la médecine en milieu tropical pour répondre aux grands nombres et aux situations de pandémie?

    A. Koama, S.L.C. Yaméogo, B.P. Yaméogo, M. Windsouri, A. Djiguemdé, N. Zongo, A. Aubrège

    RésuméIntroductionMoodle est une plateforme interactive d’enseignement en ligne, un véritable amphithéâtre virtuel, supprimant les barrières géographiques et d’espaces, capable d’offrir un enseignement continu même en période de guerre ou de pandémie.Butmontrer la contribution possible de Moodle dans l’enseignement de la médecine en milieu tropical pour répondre aux grands nombres et aux situations de pandémie.MéthodologieIl s’est agi d’une enquête transversale et descriptive. Elle a été menée en juin 2019 à l’Université Joseph KI-ZERBO de Ouagadougou au Burkina Faso. Elle a consisté en un questionnaire soumis aux étudiants de master 1 de médecine et à des enseignants. L’enquête portait sur les solutions que les étudiants proposeraient pour améliorer leurs conditions d’apprentissage, au rôle que Moodle pourrait jouer dans l’amélioration de leur apprentissage, ainsi qu’aux préalables à résoudre avant l’adoption de Moodle. Le taux de répondant était de 75,6 % de l’ensemble de la promotion.RésultatsPour les étudiants Moodle est une bonne alternative à l’enseignement classique. Cependant des conditions préalables sont à remplir telles que le don d’ordinateur portable à chaque étudiant (90,3 %), la disponibilisation d’une bonne connexion à l’internet pour tous (96 %), leur formation préalable à l’utilisation de Moodle. Les étudiants ne trouvaient pas d’inconvénient pour leur évaluation en ligne via Moodle à condition qu’elle soit fiable et vérifiable en cas de besoin. Les enseignants dans 38 % souhaitaient que l’enseignement reste classique, présentiel contre 62 % qui préconisaient les nouvelles méthodes d’enseignement comme Moodle, pour peu que les conditions propices soient mises en place.ConclusionMoodle est un e-learning crédible pouvant faciliter la gestion des grands nombres et assurer la continuité des enseignements en situation de pandémie malgré les besoins de confinement. Cependant, il doit être une technique maîtrisée, appliquée sur un terrain préparé.

    Biostatistiques et épidémiologieSanté publiqueLicence : https://creativecommons.org/licenses/by/4.0/ Cet article en libre accès est distribué selon les termes de la licence Creative Commons CC BY 4.0 ().
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    Morbi-mortalité de la varicelle en milieu hospitalier: à propos de 19 cas colligés au Centre Hospitalier Universitaire Yalgado Ouédraogo, Burkina Faso

    Jean Claude Romaric Pingdwindé Ouédraogo, Serge Ouoba, Mamoudou Savadogo, Moussa Sawadogo, Edmond Nikiema, Hamadé Ouédraogo, Emmanuel Sawadogo, Panba Sama, Issouf Yaméogo, Flora Coulibaly, Dieu-Donné Ouédraogo

    La varicelle est une virose dont l'épidémiologie est mal connue au Burkina Faso. Cette étude s'est donnée pour objectif de décrire le profil hospitalier de la pathologie dans le service des maladies infectieuses du Centre Hospitalier Universitaire Yalgado Ouedraogo (CHU-YO). Il s'est agi d'une série de 19 patients hospitalisés entre le 1er janvier 2005 et le 31 décembre 2014. Ont été inclus, tous les patients avec un dossier complet et exploitable, dont le diagnostic positif de varicelle a été fait. La proportion périodique de varicelle était de 6,2% et a représenté 14,6% des éruptions fébriles. Elle était plus fréquente en 2011, de janvier à mars. L'âge médian était de 19 ans, et la moitié des patients avaient entre 6 et 30 ans. Les comorbidités étaient dominées par l'infection à VIH et l'herpès. Sur le plan clinique, la fièvre et le prurit étaient les symptômes communs et la vésicule la principale éruption. A l'admission, les principales complications étaient pulmonaires, hématologiques et cutanées. La durée médiane d'hospitalisation était de 5 jours, avec des extrêmes de 0 et 13 jours. Les principaux traitements étaient antiviral dans 9 cas, antipyrétique dans 19 cas, local dans 17 cas et antihistaminique dans 11 cas. Sur 19 cas de varicelle, 14 ont guéri et deux sont décédés, dont un adulte sur 10 et 1 enfant sur 9. Si la varicelle est une affection habituellement bénigne, elle peut être fatale chez l'adulte et l'enfant en cas de complications graves.

    Biostatistiques et épidémiologieImmunologieMaladies infectieuses et tropicalesLicence : The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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    Morbidité et facteurs de risque de mortalité néonatale dans un hôpital de référence de Douala

    Danielle Christiane Kedy Koum, Noel Emmanuel Essomba, Guy Pascal Ngaba, Sintat Sintat, Paul Koki Ndombo, Yves Coppieters

    IntroductionCette étude avait pour but d’étudier la mortalité néonatale hospitalière et les facteurs associés, dans un hôpital de référence de la ville de Douala au Cameroun.MéthodesIl s'agit d'une étude de cohorte prospective qui s'est déroulée du 1er janvier au 31 avril 2014 dans l'unité de néonatologie de l'hôpital Laquintinie de Douala. Les nouveau-nés de 0 à 28 jours étaient concernés. Les données sociodémographiques, cliniques et l’évolution hospitalière ont été enregistrées. La durée moyenne d'hospitalisation était de 9,9± 6,9. Les tests du Chi2, de Student et une analyse bivariée ont permis de mesurer les associations entre variables. A l'aide de la régression multivariée les facteurs associés à la mortalité ont été déterminés. Le taux de significativité était de 0,05.RésultatsAu total,350 nouveau-nés ont été inclus, avec un taux de mortalité de 20,3%. L'hyperthermie était le principal motif de consultation avec 102 (29%) patients. Les principales affections associées au décès étaient: les infections 39 (54,9%) (p = 0,0001), la prématurité 31 (43,6%) (p < 0,05), les troubles de l'adaptation 23 (32,4%) (p < 0,005), les encéphalopathies 5 (7%) (p < 0,005) et le paludisme 5 (7%) (p = 0,03). L'on notait comme facteurs associés à cette mortalité, la naissance hors de l'hôpital 51(71,8%) (p< 0,005), la présentation de siège (p = 0,02), l’âge gestationnel < 0,005), l’âge < 1500g (p < 0,005).ConclusionLe contrôle des facteurs associés à la mortalité peut conduire à une réduction de la mortalité néonatale.

    Biostatistiques et épidémiologieParasitologie et mycologieMaladies infectieuses et tropicalesLicence : The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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    Morbidité et mortalité des nouveau-nés hospitalisés sur 10 années à la Clinique El Fateh-Suka (Ouagadougou, Burkina Faso)

    Kisito Nagalo, Fousséni Dao, François Housséini Tall, Diarra Yé

    IntroductionLa mortalité néonatale demeure un problème majeur de santé publique dans les pays en développement. Notre étude avait pour but de déterminer la morbidité et la mortalité des nouveau-nés à Ouagadougou, Burkina Faso.MéthodesUne étude rétrospective sur 10 années a permis d'inclure tous les nouveau-nés admis dans l'Unité de Néonatologie de la Clinique El Fateh-Suka.RésultatsAu total, 697 nouveau-nés étaient hospitalisés sur la période d'étude. Les principaux diagnostics étaient les infections néonatales (23.5%), les anomalies liées à la durée de la gestation et à la croissance du fætus (17.9%) et le paludisme congénital (15.1%). Les 91 (13.1%) décès étaient dus aux anomalies liées à la durée de la grossesse et à la croissance du fætus (46.1%), à l'hypoxie intra-utérine et à l'asphyxie obstétricale (20,9%) et aux infections néonatales (17.6%). Ces décès survenaient dans 81.3% dans les 72 heures, dans 93.4% des cas dans la première semaine d'hospitalisation. Le facteur de risque associé à ces décès était la voie basse d'accouchement (p = 0.02).ConclusionCette étude a identifié des pathologies évitables déjà décrites comme les principales causes d'hospitalisations et de décès néonatals. La voie basse d'accouchement était le facteur de risque associé à ces décès, ce qui n'avait pas encore été rapporté. Les efforts pour améliorer la qualité des services de soins périnatals doivent être intensifiés afin de réduire la mortalité néonatale dans les pays en développement.

    Parasitologie et mycologieMaladies infectieuses et tropicalesPédiatrieLicence : The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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    Morbidité et mortalité hospitalière des maladies cardiovasculaires en milieu tropical: exemple d'un centre hospitalier à Lomé (Togo)

    Findibe Damorou, Soodougoua Baragou, Machihuede Pio, Yaovi M Afassinou, N'kenon W N'da, Soulemane Pessinaba, Tchaa Tchérou, Halé Attiogbé, Koffi Ehlan, Edem Goeh-Akue, Komlavi Yayehd

    IntroductionLes maladies cardiovasculaires (MCV) occupent une place importante dans la mortalité en Afrique, situation inquiétante traduisant une transition épidémiologique rapide. La connaissance des groupes nosologiques les plus mortelles devrait aider à l’élaboration de politiques en matière de traitement et de prévention.MéthodesIl's agit d une étude rétrospective du 1er janvier 2006 au 31 décembre 2010, ayant inclus les patients hospitalisés pour une MCV selon la classification Internationale des maladies (CIM-10).RésultatsLa fréquentation hospitalière pour maladie MCV a augmenté au fil du temps; les maladies hypertensives étaient le premier motif d hospitalisation (66.8%). Les autres pathologies fréquentes étaient la maladie thromboembolique (9.1%), les syndromes coronaires aigus (SCA) (7.3%), l'insuffisance cardiaque (5.5%), les cardiomyopathies (5.3%). La majorité des sujets étaient jeunes (âge moyen: 55.1 ans) et il n'y avait pas de corrélation entre la durée d'hospitalisation et l’âge: r = + 0.024, p = 0.09. La mortalité globale était élevée (11%) et les taux de létalité élevés dans le SCA (27.9%), l'embolie pulmonaire (25%) et la péricardite (25%).ConclusionLes MCV sont responsables d'une hospitalisation croissante dans nos hôpitaux. L'absence d unité de soins intensifs cardiologiques et des méthodes de revascularisation coronaire, le manque de personnels qualifiés associés l'inexistence de sécurité sociale expliquent une mortalité élevée dans nos pays en voie de développement qui sans avoir achevé leur transition démographique entre en pleine transition épidémiologique.

    Biostatistiques et épidémiologieMédecine interne (cardiologie, endocrinologie, néphrologie…)Santé publiqueLicence : The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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  • Article libreArticleEn anglais

    Morbidity from Malaria in Children in the Year after They Had Received Intermittent Preventive Treatment of Malaria: A Randomised Trial

    BackgroundInterventions that reduce exposure to malaria infection may lead to delayed malaria morbidity and mortality. We investigated whether intermittent preventive treatment of malaria in children (IPTc) was associated with an increase in the incidence of malaria after cessation of the intervention.MethodsAn individually randomised, trial of IPTc, comparing three courses of sulphadoxine pyrimethamine (SP) plus amodiaquine (AQ) with placebos was implemented in children aged 3–59 months during the 2008 malaria transmission season in Burkina Faso. All children in the trial were given a long lasting insecticide treated net; 1509 children received SP+AQ and 1505 received placebos. Passive surveillance for malaria was maintained until the end of the subsequent malaria transmission season in 2009, and active surveillance for malaria infection, anaemia and malnutrition was conducted.ResultsOn thousand, four hundred and sixteen children (93.8%) and 1399 children (93.0%) initially enrolled in the intervention and control arms of the trial respectively were followed during the 2009 malaria transmission season. During the period July 2009 to November 2009, incidence rates of clinical malaria were 3.84 (95%CI; 3.67–4.02) and 3.45 (95%CI; 3.29–3.62) episodes per child during the follow up period in children who had previously received IPT or placebos, indicating a small increase in risk for children in the former intervention arm (IRR = 1.12; 95%CI 1.04–1.20) (P = 0.003). Children who had received SP+AQ had a lower prevalence of malaria infection (adjusted PR: 0.88 95%CI: 0.79–0.98) (P = 0.04) but they had a higher parasite density (P = 0.001) if they were infected. There was no evidence that the risks of moderately severe anaemia (Hb<8 g/dL), wasting, stunting, or of being underweight in children differed between treatment arms.ConclusionIPT with SP+AQ was associated with a small increase in the incidence of clinical malaria in the subsequent malaria transmission season.Trial

    Biostatistiques et épidémiologieParasitologie et mycologieMaladies infectieuses et tropicalesLicence : This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
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    Morbimortalité périnatale dans les grossesses gémellaires dans une maternité marocaine de niveau 3

    Mohamed El-Mahdi Boubkraoui, Hassan Aguenaou, Mustapha Mrabet, Amina Barkat

    IntroductionLes grossesses gémellaires sont associées à un risque de morbimortalité périnatale plus élevé que les grossesses simples. Le but de cette étude était d’évaluer la morbimortalité périnatale dans les grossesses gémellaires dans une maternité marocaine de niveau 3.MéthodesIl s'agit d'une étude transversale comparative de la morbimortalité périnatale des nouveau-nés issus de grossesses gémellaires versus grossesses simples ayant accouché à la maternité Souissi de Rabat du 1 janvier au 28 février 2014.RésultatsIl y a eu 3297 naissances issues de 65 grossesses gémellaires et 3167 grossesses simples. Les grossesses gémellaires étaient associées à des taux plus élevés de prééclampsie et d’éclampsie (P = 0,046), de HELLP syndrome (P= 0,030), de rupture prématurée des membranes (P < 0,001), de présentation dystocique (P < 0,001), de prématurité (P < 0,001), d'hypotrophie chez les nouveau-nés à terme (P < 0,001), de détresse respiratoire néonatale (P < 0,001), de malformations congénitales (P = 0,015), d'hospitalisation en période néonatale (P = 0,001) et de mortalité périnatale (P = 0,001) par rapport aux grossesses simples. Les jumeaux monochoriaux présentaient des taux plus élevés d'hypotrophie en cas de grossesse menée à terme (P = 0,016) et de mortalité périnatale (P = 0,017) par rapport aux jumeaux bichoriaux.ConclusionLes grossesses gémellaires étaient à risque plus élevé de morbimortalité périnatale par rapport aux grossesses simples en exposant notamment à la prématurité. Les grossesses gémellaires monochoriales étaient plus à risque en exposant notamment à l'hypotrophie chez les nouveau-nés à terme.

    PédiatrieGynécologie-obstétriqueLicence : The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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    Morphological and Genetic Heterogeneity in Aedes aegypti (Diptera: Culicidae) Populations Across Diverse Landscapes in West Africa

    Eric Agboli, Julien Z. B. Zahouli, Felix Gregor Sauer, Aboubacar Sombie, Yasmine N. Biré, Claver N. Adjobi, Daniel Cadar, Balázs Horváth, Alexandru Tomazatos, Jonas Schmidt‐Chanasit, Renke Lühken, Gábor Endre Tóth, Athanase Badolo, Hanna Jöst

    ABSTRACTNative to sub‐Saharan Africa, Aedes aegypti (Linnaeus, 1762) has spread across the globe and is now one of the most significant vectors of arboviruses worldwide. However, data on the ranges of its populations remain sparse, and the genetic variability and ecological adaptability in West Africa are still poorly understood. In this study, we characterized the morphological and genetic diversity of Ae. aegypti across four landscape types (urban, peri‐urban, rural, and sylvatic sites) in three West African countries (Burkina Faso, Côte d'Ivoire, and Ghana). The population exhibited significant variation in abdominal scaling patterns across countries and landscape types, with the sylvatic and urban populations in Burkina Faso displaying the highest proportions of white scales (> 50% white scales), while black scales predominated among those from Côte d'Ivoire and Ghana (> 80% black scales). Wing shape displayed limited differentiation between the countries, landscape types, and genetic clusters. Bayesian analysis indicated high gene flow among populations, with notable outliers observed in sylvatic sites from Burkina Faso and admixture patterns suggesting possible human‐mediated dispersal. Additionally, two major mitochondrial lineages, clades A and B, were identified. Most samples were categorized under clade B, showing no evidence of clustering by country or landscape type. In contrast, clade A comprised primarily sylvatic specimens from Burkina Faso and a single urban individual from Côte d'Ivoire. These findings highlight the complex interplay of genetic, environmental, and ecological factors shaping the variations in Ae. aegypti populations in West Africa. They provide insights into the phenotypic and genetic diversity of Ae. aegypti, offering valuable implications for understanding arbovirus transmission dynamics and formulating targeted interventions against arboviral diseases. The phylogeny of protein‐coding genes revealed the presence of two major mitoch

    Biologie cellulaire et moléculaireGénétiqueSanté publiqueLicence : http://creativecommons.org/licenses/by/4.0/ This is an open access article under the terms of theLicense, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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    Morphological and Molecular Characterization of Zanthoxylum zanthoxyloides (Rutaceae) from Burkina Faso

    Lassané Ouédraogo, Dominik Fuchs, Hanno Schaefer, Martin Kiendrebeogo

    Zanthoxylum zanthoxyloides is a West African forest tree that is used for example against malaria and sickle cell anemia in Burkina Faso. The goal of this study was to analyze the genetic and morphological diversity of the species within wild populations in Burkina Faso, where it is potentially under threat due to the uncontrolled harvesting of its roots. Seventy-two trees from three different sites in Southwestern Burkina Faso were analyzed. Each tree was characterized by 12 traits specifying the period of flowering and maturity as well as morphological characteristics of the stem, leaves, and seeds. The molecular analysis was performed using two plastid DNA regions (psbA-trnH and trnL-trnF) and two nuclear regions (GBSSI and ITS) to identify the genetic diversity of the species for further development of a management plan for ex situ reproduction and in situ conservation. We found variability in morphological traits correlating with the geographic distance of the study sites. The molecular analysis, in contrast, revealed hardly any genetic variability among the tested trees and no population structure. Whether the differences in morphological traits are caused by different environmental conditions or by genetic variability in genes linked to morphological traits needs further testing. The apparent lack of genetic differentiation suggests that germplasm throughout the study region is suitable for planting in conservation actions. Efficient conservation management should involve local communities, especially those interested in traditional medicine.

    Biologie cellulaire et moléculaireGénétiqueParasitologie et mycologieLicence : http://creativecommons.org/licenses/by/4.0/ Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ().
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