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Neisseria meningitis serogroup X outbreak in Burkina Faso,2009-2010

Open Journal of Internal Medicine 2012年第2期2卷 41-49页

作者： Seydou Yaro Aly Drabo Soumeya Ouangraoua Fati Kirakoya-Samadoulougou Judith Mueller Oumar Sanou Haoua Tall Phillip Jaillard berthe-marie njanpop-lafourcade Jean Macq Annie Robert Jean Bosco Ouedraogo Centre Muraz Bobo-DioulassoBurkina Faso Pole Epidémiologie et Biostatistique Institut de Recherche Experimentale et Clinique(IREC)Faculte de Sante Publique(FSP)Universite Catholique de Louvain(UCL)LouvainBelgique Agence de Médecine Préventive(AMP) ParisFrance Institut de Recherche Sante et Societe(IRSS) Faculte de Sante Publique(FSP)Universite Catholique de Louvain(UCL)LouvainBelgique

Background: Centre MURAZ of Bobo-Dioulasso (Burkina Faso) organized in 2009 and 2010 a system of Cerobro-Spinal Fluid (CSF) collection in eight pilot Districts as an initial step for the future Ministry of Health’s led strategy of individual surveillance in a context of meningococcal conjugate A vaccine introduction. Methods: CSF samples were analyzed with Polymerase Chain Reaction (PCR). This allowed for meningitis etiologies dynamics studies in the pilot Districts. Results: Because of geographical difficulties and lack of means, less than 40% of suspected cases had their CSF analyzed at PCR reference laboratory. In 2009, among confirmed cases at reference laboratory, Sp (Streptococcus pneumonia), NmA (Neisseria meningitis A) and Hib (Hemophilus influenzae b) were responsible respectively for 90%, 6.6% and 4.4% of cases. In 2010, serogroup distribution among confirmed cases was: Sp 62.7%, NmX 32.2% and NmA 5.1%. Sp which was continuously present in Burkina Faso takes more significant proportions, just as serogroup X which until there was sporadically encountered. The attack rates of NmX were tree to twelve times higher than for NmA in the two Districts where NmX has been notified. Conclusion: As a consequence of such results, efforts must be maintained in epidemiologic surveillance field and in reinforcement of laboratory capacities. Fast care should be guaranteed to patients with adequate antibiotics according to country national guideline and chemoprophylaxis measures should be undertaken among contacts of patients to prevent secondary cases. A plea must be made on one hand for pneumococcal vaccine introduction in Burkina Faso and on other hand towards manufacturers for taking into account serogroup X into meningococcal polyvalent vaccine composition. With this polyvalent vaccine including serougruop X, we suggested to conduct periodically mass campaign vaccination of people before the beginning of meningitis epidemiological season.

关键词： Epidemiologic Surveillance Pneumococcal NmX Emergence Meningitis Burkina Faso

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Temporo-spatial dynamics and behavioural patterns of 2012 cholera epidemic in the African mega-city of Conakry,Guinea

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Infectious Diseases of Poverty 2018年第1期7卷 145-154页

作者： Alexandre Blake Veronique Sarr Keita Delphine Sauvageot Mamadou Saliou berthe marie njanpop Fode Sory Bertrand Sudre Koivogui Lamine Martin Mengel Bradford DGessner Keita Sakoba Agence de Medecine Préventive ParisFrance Division Prevention et Lutte contre la Maladie(DPLM) Ministere de la santéPublique et de l’Hygiene Publique ConakryConakryGuinea Institut National de Sante Publique(INSP) ConakryGuinea Franche-Comtéuniversity(UMR 6249 chrono-environnement) BesançonFrance.

Background:Cholera is endemic in Guinea,having suffered consecutive outbreaks from 2004 to 2008 followed by a lull until the 2012 *** we describe the temporal-spatial and behavioural characteristics of cholera cases in Conakry during a three-year period,including the large-scale 2012 ***:We used the national and African Cholera Surveillance Network(Africhol)surveillance data collected from every cholera treatment centre in Conakry city from August 2011 to December *** prevalence of suspect and confirmed cholera cases,the case fatality ratio(CFR),and the factors associated with suspected cholera were described according to three periods:pre-epidemic(A),epidemic 2012(B)and post epidemic(C).Weekly attack rates and temporal-spatial clustering were calculated at municipality level for period *** was confirmed by culture at the cholera national reference ***:A total of 4559 suspect cases were reported:66,4437,and 66 suspect cases in periods A,B and C,*** the 204 suspect cases with culture results available,6%,60%,and 70%were confirmed in periods A,B,and C,*** 0.3%,the CFR was significantly lower in period B than in periods A(7.6%)and C(7.1%).The overall attack rate was 0.28%in period B,ranging from 0.17%to 0.31%across ***,a cluster of cases was identified in two districts in the northern part of *** 14%,rice water stools were less frequent in period A than in period B and C(78%and 84%).Dehydration(31%vs 94%and 89%)and coma(0.4%vs 3.1%and 2.9%)were lower during period B than in periods A and *** treatment of drinking water was less frequent in period A,while there were more reports of recent travel in period ***:The epidemic dynamic and the sociological description of suspect cases before,during,and after the large-scale epidemic revealed that the Vibrio cholerae was already present before the ***,it appeared that infected individuals react

关键词： Cholera Space-time clustering Guinea

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The Epidemiological, Clinical, Paraclinical and Prognostic Aspects of Severe Malaria at the Regional Hospital of Thies

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Advances in Infectious Diseases 2018年第3期8卷 162-171页

作者： Agbogbenkou Tévi Déla-dem Lawson Madoky Magatte Diop Viviane marie Pierre Cisse Stéphanie Akanni Adama berthe Papa Souleymane Toure Bernard Marcel Diop Mamadou Mourtalla Ka Department of Health Thies University Thies Senegal Internal Medicine Department Thies Regional Hospital Center Thies Senegal Infectious and Tropical Diseases Department Fann Teaching University Hospital Dakar Senegal

Introduction: Malaria, the first parasitical endemic disease in the world, is a serious disease with 407,000 deaths in Africa in 2016. It is the main cause of morbidity and mortality in Senegal [1] [2]. Methods: Our retrospective study carried out from 1st January 2010 to 31 December 2013, at the department of internal medicine in the regional hospital of Thies was aimed at studying the epidemiological, clinical, paraclinical and prognostic profile of severe malaria in the autochthonous adults with 15 years and more. Results: Over this 3-year period, 57 patients were hospitalized in 1275 patients due to severe malaria that is to say a hospital prevalence of 4.47%. The average age was 64.21. A clear male predominance has been observed, around 61% (34/57) against 39% (23/57) with a sex ratio of 1.6. The highest malarial infestation rate was found at the end of the rainy season and at the beginning of the dry season (September to November). The clinical picture which predominates is the neurological affection which represented 33.3% of the cases. The different aspects of this neurological affection were of coma type, convulsion and prostration in 87%;21.7% and 8.6% respectively. The cerebral malaria was associated or not with other symptoms of severity that are anemia in 41.6%;icterus was represented in 21% of the cases, cardio-vascular collapse in 15.8% and hypoglycemia in 5.5% of the cases. The complications were observed during the hospitalization in 73.6% of the cases with the type of bacterial pneumonia (47.6%) and urinary infections (26.2%). The curative treatment was based on quinine salts through intravenous track in 100% of the case with a shift to the Artemisinin combination therapy (ACT) associated with intense care measures. In our study the whole lethality is 17%. Conclusion: The results of our study shows that the severe forms of malaria are still affecting our tropical endemic area, in spite of the prevention efforts made to fight against this plague. Th

关键词： Malaria Severe Malaria Quinine ACT

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The Psychological Experience of the Nursing Staff of the Medical Oncology Department in Cameroon: Case of the YaoundéGeneral Hospital

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Journal of Cancer Therapy 2023年第1期14卷 50-58页

作者： berthe Sabine Esson Mapoko Esther Dina Bell Mbassi Véronique Mboua Batoum marie Josiane Ntsama Essomba Lionel Tabola Fossa Lionel Bala Etienne Atenguena Okobalemba Ruth Rosine Meka’h Mapenya Anne Juliette Flora Sango Anne Marthe Maison Mayeh Sidonie Ananga Noa Ambroise Ntama Zacharie Sando Paul Ndom Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Faculty of Health Sciences University of Buea Buea Cameroon

Background: The world of cancer care is an emotional place, given the severity of the disease being treated, the heavy workload, the suffering of patients, and the high number of deaths. The nursing staff who work there may be exposed to constant stress from these factors. This study aimed to explore the psychological experience of the nursing staff of the Medical Oncology Department of the Yaoundé General Hospital. Methods: We carried out a cross-sectional study, in June 2017, involving the nursing staff of the Medical Oncology Department of the Yaoundé General Hospital. Results: Sixteen out of 18 nurses were interviewed. All had worked in at least one other department prior to Oncology. The number of years of experience in Oncology ranged from less than one year to 13 years. The choice of the Oncology department was involuntary for 100% of the staff;of these, 62% had intentions of changing departments. Twenty-five percent had applied for a change of department, which was unsuccessful. Stress was expressed by 94% of the staff;93% thought that there was a solution to the stress experienced on a daily basis in the Oncology department. The main solutions proposed to manage this stress were: support for the staff, provision of work materials, and staff training. Conclusion: The nursing staff of the Medical Oncology Department of the Yaoundé General Hospital experiences a high level of stress and are in need of solutions.

关键词： Psychological Experience Nursing Staff Medical Oncology Department Ya-oundé General Hospital

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