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Analysis of the Screening of Contact Subjects of People Living with HIV at the Antivenereal Health Center of the National Institute of Public Hygiene of Treichville, Abidjan/Côte d’Ivoire from January 2009 to December 2018

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World Journal of AIDS 2022年第3期12卷 169-181页

作者： djoman christiane antoinette Gakoué Zadi Désiré Douba Alfred Ayekoé Adou Ignace Akani Bangaman Christian Akpro Loes Cynthia Marie-Dominique Tiembré Issaka UFR Medical Sciences University Felix Houphou&#235 t Boigny de Cocody Abidjan C&#244 te d’Ivoire Institut National d’H ygiène Publique (INHP) Abidjan C&#244 te d’Ivoire

Introduction: In C?te d’Ivoire, people living with HIV are estimated to 460,000 with about 290,000 who know their HIV status. Index testing is a strategy for screening unidentified HIV carriers. This study aimed at analyzing the screening of contact subjects of people living with HIV at the anti-venereal health center of Treichville in Abidjan. Methods: We carried out a cross-sectional study from January 2009 to December 2018. The target population was index patients and their sexual partners. After giving their consent, index patients and their sexual partners were interviewed during their medical visit. Data were analyzed using Epi info 3.5.4. The khi2 test was performed at 5% significance level. Results: A total of 114 index patients have been included in the study. The majority of sexual partners were men (sex ratio M/F = 1.5) with an average age of 43 years (±9.77). 87.7% of index patients lived in pairs. The analysis showed that 87.7% of index patients had disclosed their HIV status to their sexual partners and 94.3% of index patients invited their sexual partners to be tested. 85.8% of sexual partners had been tested. 19.8% of sexual partners who have been tested were HIV positive. All the 8 children of female index patients were HIV negative. HIV test acceptability was statistically associated with living in pairs (P Conclusion: Screening sexual partners from index patients has been an effective way to detect HIV carriers who did not know their status.

关键词： HIV Sexual Partners Antivenereal Health Center Abidjan Côte d’Ivoire

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Analysis of Epidemiological Investigations and Responses to Human Rabies Deaths in Côte d’Ivoire, 2021

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Modern Plastic Surgery 2023年第3期13卷 208-217页

作者： Issaka Tiembre Tetchi Sopi Malthide Akani Bangama christiane djoman Joseph Benié Bi Training and Research Unit (UFR) Medical Sciences of Abidjan Université Felix Houphou&#235t Boigny Abidjan C&#244te d’Ivoire Institut National d’Hygiène Publique Abidjan C&#244te d’Ivoire

Rabies is an infectious disease that almost always leads to death as soon as the first signs appear, and is still endemic in several regions, including Côte d’Ivoire. Epidemiological investigations are carried out and response measures implemented in the event of any death from human rabies. However, the quality of these investigations does not always allow the adoption of response measures. The aim of this work was to evaluate the reports of epidemiological investigations and response actions carried out during the occurrence of human rabies deaths from 2016 to 2018. This was a cross-sectional study that took place from April to September 2021 at the National Institute of Public Hygiene and focused on human rabies deaths notified from 206 to 2018. Of sixty-one (61) human rabies deaths recorded, sixty (60) were investigated, among which fifty-nine (59) deaths had been subject to response. Most deaths occurred in rural areas (75%), and the main vector was the dog (98%). Several shortcomings were noted: response actions were not carried out promptly;joint interventions bringing together human and animal health professionals were rare, there was little communication about rabies to communities (36%), and very little vaccination of the vector, the source of the disease (12%);an almost total absence of capacity-building for local players (7%);the health districts of Abobo-Ouest, Bondoukou, Divo and Fresco, which had regularly recorded human rabies deaths, had not benefited from dog vaccination, which is supposed to break the circulation of the virus. The persistence of rabies deaths in the health districts could probably be linked to these shortcomings. Faced with these realities, it is essential to strengthen the epidemiological investigation capacities of the players involved, in order to improve the quality of investigations and ensure an effective response.

关键词： Epidemiological Investigations Response Human Rabies Côte d’Ivoire

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Epidemiological Facies of Human Rabies Deaths in Côte d’Ivoire from 2016 to 2022

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Open Journal of Epidemiology 2023年第4期13卷 372-384页

作者： Tiembré Issaka Tetchi Sopi Malthide Coulibaly Adama christiane djoman Dagnan N’cho Simplice Dosso Mireille Félix Houphouë t Boigny University Abidjan C&#244te d’Ivoire National Institute of Public Hygiene Abidjan C&#244te d’Ivoire National Institute of Public Hygiene Adzopé C&#244te d’Ivoire Pasteur Institute of Cô te d’Ivoire Laboratory Abidjan C&#244te d’Ivoire

Introduction: Rabies is a highly fatal viral disease outside the post-exposure prophylaxis (PEP). Data from previous studies and reports from the rabies center show that cases of death from human rabies are regularly reported, despite training measures for health workers, awareness-raising and communities, and the availability of vaccines. Objectives: The aim of this study was to analyse the determinants of human rabies deaths in Côte d’Ivoire from 2016 to 2022. Method: A retrospective cross-sectional qualitative study was carried out from January to August 2023 on all the records of patients who died of human rabies at the Treichville Rabies Center from 2016 to 2022. An analysis of the rabies center’s annual activity reports from 2016 to 2022 was also carried out in order to complete the information gathered from the files. Results: The socio-demographic characteristics showed that out of 148 deaths, children accounted for 47.97% (71) and 66.22% (98) of rabies deaths were male, with an M/F sex ratio of 1.96. In terms of clinical characteristics, in 97.30% (144) of cases, the deceased had presented with furious rabies, and analysis by the Pasteur Institute of Côte d’Ivoire laboratory confirmed 101 cases (92.66%) of human rabies. Geographical distribution showed that cases of human rabies were recorded in 56 health district, and 64% (94) of the deceased lived in rural areas. The main causes of the occurrence of rabies were essentially non-use of post-exposure prophylaxis (PEP) and missed vaccination due to ignorance. Conclusion: In view of these results, control strategies and interventions need to be adapted to the epidemiological characteristics of the disease, using a community-based approach with a view to eliminating dog-transmitted rabies by 2030.

关键词： Epidemiological Facies Post-Exposure Prophylaxis Rabies Deaths Côte d’Ivoire

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