RECRUDESCENCE OF ONCHOCERCIASIS IN THE COMOÉ VALLEY IN SOUTHWEST BURKINA FASO.

: Onchocerciasis control by vector control was instigated in southwest Burkina Faso in January 1969 by ORSTOM/OCCGE, and continued until operations were taken over by the WHO Onchocerciasis Control Programme (OCP) in February 1975, which itself ceased operations in the area in 1989 when onchocerciasis was judged to have been reduced to insignificant levels. Initially (1969-1975) vector immigration maintained unacceptably high levels of transmission, but OCP was much larger than the preceding campaign and in 1975 the Annual Transmission Potential (ATP) dropped below 100 at all sites in the Comoé river valley except Folonzo, which continued to be subject to reinvasion, along with the whole of the Léraba river valley. However, after the southern extension of the OCP in 1979, ATPs dropped below 100 everywhere in the Comoé basin (including the Léraba valley), and further dropped to insignificant levels after the western extension of the OCP in 1985. Thus transmission dropped more quickly in the Comoé river valley than the Léraba river valley (which had been subject to vector reinvasion), and this was also reflected in prevalence of microfilaraemia in the human population. After 1986 prevalence was less than 5% in all villages in the Comoé river valley (except for two, which subsequently dropped to 0% and 3.7% by 1999). However, in 2001 (12 years after the cessation of vector control) the prevalence in one village in the Comoé river valley had increased to 39.6%, and two more had increased above 5% by 2007. New epidemiological surveys in 2011 and 2012 showed that in 13 out of 30 villages in the Comoé river valley prevalence of microfilaraemia was above 5%, although this was not observed in the Léraba river valley where prevalence remained low. This is the first documented case of recrudescence of onchocerciasis in the old OCP area, and the reasons are not clear. It is possible that there has been immigration of parasites with humans or vectors from areas where there has been a shorter period of control, or that control has been less effective. It is possible that in spite of very low levels of transmission the local parasite population was never reduced to a level below the transmission breakpoint, or that there has been a local recrudescence due to stochastic population effects. In any case it is clear that the distribution of ivermectin against lymphatic filariasis in the area since 2004 has failed to prevent the recrudescence of onchocerciasis, and the Burkina Faso Programme National de Lutte contre l'Onchocercose (PNLO - Ministere de la Santé) has instigated a programme of Community Directed Treatment with Ivermectin specifically aimed at onchocerciasis in accordance with the strategy developed by APOC and recommended to governments by OCP when it was dissolved in 2002.<br/

Biological status and dietary intakes ofiIron, zinc and vitamin A among women and preschool children in rural Burkina Faso

Background Food-based approaches such as biofortification are meant to sustainably address micronutrient deficiencies in poor settings. Knowing more about micronutrient intakes and deficiencies is a prerequisite to designing and evaluating interventions. Objective The objectives of the study were to assess biological status and dietary intakes of iron, zinc and vitamin A among women and children aged 36-59 months in rural Burkina Faso and to study relationships between intake and status to better inform future food-based interventions. Design A cross-sectional survey was carried out in two rural provinces of Burkina Faso on a random cluster sample of 480 mother-child pairs. Dietary data was obtained by 24-hour recalls repeated on a random sub-selection of 37.5% of subjects to allow calculation of nutrient's probability of adequacy (PA). Biomarkers were measured on a sub-sample of 180 mother-child pairs. Blood samples were analyzed for hemoglobin, serum ferritin, soluble transferrin receptors (sTfR), C-reactive protein, alpha-1-glycoprotein, serum zinc concentration (SZnC) and retinol. For each micronutrient the relationship between biomarker and dietary intake was investigated by multiple linear regression models accounting for inflammatory biomarkers. Results Mean PA for iron, zinc and vitamin A was 0.49, 0.87 and 0.21 among women and 0.61, 0.95 and 0.33 among children, respectively. Prevalence of anemia, corrected low serum ferritin and high sTfR was 37.6%, 4.0% and 77.5% among women and 72.1%, 1.5% and 87.6% among children, respectively. Prevalence of low SZnC and corrected low serum retinol was 39.4% and 12.0% among women and 63.7% and 24.8% among children, respectively. There was a tendency for a positive relationship between vitamin A intakes and serum retinol among women (beta = 0.0003, P = 0.06). Otherwise, no link was found between micronutrients biomarkers and intakes. Conclusion Our study depicted different images of micronutrient deficiencies when based on dietary intakes or biomarkers results, thus highlighting the need for more suitable biomarkers and more precise measures of absorbable micronutrient intakes at the individual level. It thus points to challenges in the design and evaluation of future biofortification or other food-based interventions in rural areas of Burkina Faso

Agroforestry parkland species diversity : uses and management in semi-arid West-Africa (Burkina Faso)

Agroforestry parkland in semi-arid West Africa is a rural land use system, which allows farmers to grow annual crops in combination with useful trees. In addition to cereals, tree products such as vegetables, fruits, vegetable oil, firewood, fodder, and medicines are obtained from the parklands. However the multiple function of the parkland system can only be fulfilled if parkland species diversity is adequately managed.This thesis is focused on assessing the woody species diversity in the parklands, the important uses and threats linked to these species and the opportunities that rural and urban markets offer to justify farmers' investment in better agroforestry parkland diversity management.Results on woody species composition showed that the parkland system in south-central Burkina, in the Sudanian eco-zone, has fewer species than the protected forest, while the opposite figure is observed in the Sahelian eco-zone of north-central Burkina. Common dominant species recorded in the parklands are Vitellaria paradoxa, Balanites aegyptiaca, Sclerocarya birrea, Bombax costatum, Lannea microcarpa, Sterculia setigera, and Parkia biglobosa.The physiognomy of the parklands is at present quite alarming because of lack of regeneration, which is explained by the shortening or suppression of the fallow period. This change in the land use system over time is likely to persist along with a growing population pressure on agricultural land, and therefore requires urgent attention. . Conservation and management of the parklands therefore needs a new approach which can turn some of the threats into sustainable management opportunities.The investigation on livestock parkland interaction showed that some species are preferred fodder for cows and or sheep and goats. It is therefore proposed that quality fodder species are planted in the parklands. Non Wood Forest Products (NWFFs) are sold in local and urban markets and the result of the survey conducted in Zoundweogo local markets and urban markets in Ouagadougou suggest that management of parklands should integrate the promotion of income generating species at farmer' s level as well as at rural landscape level.Bush fire as a management tool used in the rural areas was studied to identify the suitable period for the fires to be lighted and identify the vulnerable species, which need special attention.As an example it is finally proposed in a synthesis table, how each species should be evaluated for subsequent management actions in the parklands

Potential for agronomical enhancement of millet yield via Jatropha curcas oilcake fertilizer amendment using placed application technique

This study carried out at the ICRISAT research station of Sador&#233; in Niger aimed at determining the impact of placed application technique of Jatropha oilcake on millet agronomic parameters. The experimental design was a randomised blocs including five treatments and four replicates. Control was plots without fertilizer while J_100 g, J_200 g, and J_300 gwere plots receiving 100 g , 200 g and 300 g of Jatropha oilcake respectively per seed hole and the plots NPK_6 g were receiving 6 g of NPK (15, 15, 15) per seed hole. ANOVA test was used for data analyses. Only the Control had significantly low number of tillers. At the end of the vegetative period J_300 g has the highest plants. J_300 g induced 196% increase of grain yield compared to the Control. The substitution of NPK (15,15,15) by 100 g, 200 g and 300 g of Jatropha oilcake per seed hole induced 79 - 52.93%, 92 &#8211; 72.23% and 152 &#8211; 100.65% increase of grain yield respectively compared to the Control in 2009 and 2010. With regard to the grain yield in 2009 and 2010, 100 g of Jatropha cake per seed hole can replace the current 6 g (NPK) per seed hole.Keywords: Jatropha oilcake, NPK (15, 15, 15), millet (H.K.P), placed application, fertilizer, Sador&#233; &#8211;Nige

Are Library and Information Science Educators Teaching Accessibility? Content Analysis of Syllabi

Library and information science (LIS) graduates are expected to serve patrons from diverse backgrounds, including disabled patrons. While serving patrons with disabilities is a core value of librarianship, graduates often feel unprepared to serve disabled patrons, suggesting that programs inadequately train students to design accessible services. This study’s authors analyzed hundreds of course descriptions and 73 syllabi from 20 North American LIS programs to determine how often accessibility and disability topics are covered and how educators teach accessibility. Findings indicate that accessibility and disability topics are mostly covered in electives, meaning students may never develop accessibility competencies during their programs. Additionally, a lack of disability-focused assessments may create the impression that serving disabled patrons is less important to LIS than addressing the needs of other underserved communities. Recommendations for educators include creating or revising learning objectives and assessments to prioritize accessibility education and support disabled patrons

Pest damage on Jatropha curcas (Euphorbiaceae): the effect of seedling irrigation in Sahelian Niger

Herbivory by insects and mites on physic nut (Jatropha curcas L.) seedlings was investigated and compared with irrigation in the semi-arid Sahelian Niger, utilizing a randomized complete block design experiment. Three water treatment protocols were applied and the types of damage were recorded. Less than 5% of the seedlings died during the 10-month trial period with sap suckers causing the most damage on the surviving plants. Plants with high production of biomass and leaf cover (foliage) were most strongly positively correlated with irrigation and were also the plants that endured the highest degree of herbivory. The low dieback may indicate that defence mechanisms counteract seedling herbivory and that drought-stressed plants invest more in their defence mechanism system than vital plants

Comparative evaluation of automated KingFisher Flex Purification System 96 (ThermoFisher Scientific) and manual QIAamp Viral RNA Mini Kit (Qiagen) extraction methods for SARS-CoV-2

Background: The extraction step of the viral material of the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) influences the quality of reverse transcriptase-polymerase chain reaction (RT-PCR) results in diagnosis of coronavirus disease 2019 (COVID-19). The purpose of this cross-sectional study was to evaluate the diagnostic performance of the automated extraction system "KingFisher Flex Purification System 96 (ThermoFisher)" compared to the manual method with the "QIAamp Viral RNA Mini Kit (Qiagen)". Methodology: From October to December 2020, comparative diagnostic evaluation of two methods of SARSCoV-2 RNA extraction methods was conducted on 159 fresh and 120 frozen nasopharyngeal and oropharyngeal specimens collected from travellers and suspected cases or contacts of COVID-19 patients in Burkina Faso. The FastPlexTM Triplex 1-Step COVID 19 Detection Kit (RT-PCR, RNA extraction free) (Precigenome LLC) was used to amplify on the same PCR plate, RNA extracts from manual QIAamp Viral RNA Mini Kit and automated KingFisher Flex Purification System 96 (ThermoFisher) using the QuantStudio5 thermal cycler (Applied Biosystems). Analysis of the diagnostic performance of the SARS-CoV-2 RT-PCR assay following RNA extraction by the two methods was done using an online OpenEpi software. Results: For fresh samples, the study found a slightly higher RT-PCR positivity rate following manual extraction (12.6%) than automated extraction (9.4%). For frozen samples, the positivity rate was far higher for manual (38.33%) than automated extraction method (20.83%). The results show that the performance of the automated extraction was inferior when compared to the manual extraction for both fresh samples (sensitivity 35%, specificity 94.2%) and frozen samples (sensitivity 43.5%, specificity 93.2%). However, using McNemar Chi-square with Yates correction, there was no significant difference in positivity rate of RT-PCR (x2=0.76, p=0.38) between the two extraction methods for the fresh samples, but there was a significant difference (x2=12.9, p= 0.0003) in the extraction of the frozen samples. Conclusion: The results of this study showed that KingFisher Flex Purification System 96 (ThermoFisher) automatic extraction method was less sensitive and specific than QIAamp Viral RNA Mini Kit (Qiagen) manual extraction method. This information can serve as guide to laboratories in the choice of RNA extraction methods to use for RT-PCR detection of SARS-CoV-2

The effect of dose on the antimalarial efficacy of artemether-lumefantrine: a systematic review and pooled analysis of individual patient data

Background: Artemether-lumefantrine is the most widely used artemisinin-based combination therapy for malaria, although treatment failures occur in some regions. We investigated the effect of dosing strategy on efficacy in a pooled analysis from trials done in a wide range of malaria-endemic settings. Methods: We searched PubMed for clinical trials that enrolled and treated patients with artemether-lumefantrine and were published from 1960 to December, 2012. We merged individual patient data from these trials by use of standardised methods. The primary endpoint was the PCR-adjusted risk of Plasmodium falciparum recrudescence by day 28. Secondary endpoints consisted of the PCR-adjusted risk of P falciparum recurrence by day 42, PCR-unadjusted risk of P falciparum recurrence by day 42, early parasite clearance, and gametocyte carriage. Risk factors for PCR-adjusted recrudescence were identified using Cox's regression model with frailty shared across the study sites. Findings: We included 61 studies done between January, 1998, and December, 2012, and included 14 327 patients in our analyses. The PCR-adjusted therapeutic efficacy was 97·6% (95% CI 97·4-97·9) at day 28 and 96·0% (95·6-96·5) at day 42. After controlling for age and parasitaemia, patients prescribed a higher dose of artemether had a lower risk of having parasitaemia on day 1 (adjusted odds ratio [OR] 0·92, 95% CI 0·86-0·99 for every 1 mg/kg increase in daily artemether dose; p=0·024), but not on day 2 (p=0·69) or day 3 (0·087). In Asia, children weighing 10-15 kg who received a total lumefantrine dose less than 60 mg/kg had the lowest PCR-adjusted efficacy (91·7%, 95% CI 86·5-96·9). In Africa, the risk of treatment failure was greatest in malnourished children aged 1-3 years (PCR-adjusted efficacy 94·3%, 95% CI 92·3-96·3). A higher artemether dose was associated with a lower gametocyte presence within 14 days of treatment (adjusted OR 0·92, 95% CI 0·85-0·99; p=0·037 for every 1 mg/kg increase in total artemether dose). Interpretation: The recommended dose of artemether-lumefantrine provides reliable efficacy in most patients with uncomplicated malaria. However, therapeutic efficacy was lowest in young children from Asia and young underweight children from Africa; a higher dose regimen should be assessed in these groups. Funding: Bill and Melinda Gates Foundation