Publications by authors named "Emily Kainne Dokubo"

Introduction: Pretreatment drug resistance (PDR) could occur in antiretroviral treatment (ART) naïve individuals, those previously exposed to ART, or individuals re-initiating ARV after a long period of interruption. Few studies have shown its association with virological outcomes, although inconsistent. The objective of this review was to provide a synthesis of the association between PDR and virological outcomes (virological failure or suppression).

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  • Cameroon experienced significant COVID-19 impact, but the real extent of SARS-CoV-2 infections was unclear during the pandemic's first wave.
  • A seroepidemiological survey conducted from October to December 2020 tested over 10,000 people across 10 regional capitals, revealing a seroprevalence of 10.5% among participants aged 5 and older.
  • The study indicated that there were over 2 million SARS-CoV-2 infections in these capitals, vastly outnumbering the official case count, emphasizing the need for ongoing serosurveys to better understand COVID-19 spread in areas with limited testing.
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  • The text highlights the importance of expanding tuberculous preventive therapy (TPT) for people with HIV, noting that implementation has been sluggish and calling for innovative strategies, particularly in rural South Africa where TB is prevalent.* -
  • The study evaluated a community-based approach where nurses and lay workers identified and referred people with HIV for a six-month course of isoniazid, measuring adherence and treatment completion rates in this group compared to those already receiving HIV care.* -
  • Results showed that the community-based group had a significantly higher treatment completion rate (90%) compared to the clinic-based group (79.2%), with female participants and community referral being key factors in successful TPT completion.*
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The COVID-19 pandemic has highlighted the need for resilient health systems with the capacity to effectively detect and respond to disease outbreaks and ensure continuity of health service delivery. The pandemic has disproportionately affected resource-limited settings with inadequate health capacity, resulting in disruptions in health service delivery and worsened outcomes for key health indicators. As part of the US government's goal of ensuring health security, the US Centers for Disease Control and Prevention has used its scientific and technical expertise to build health capacity and address health threats globally.

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Introduction: The potential disruption in antiretroviral therapy (ART) services in Africa at the start of the COVID-19 pandemic raised concern for increased morbidity and mortality among people living with HIV (PLHIV). We describe HIV treatment trends before and during the pandemic and interventions implemented to mitigate COVID-19 impact among countries supported by the US Centers for Disease Control and Prevention (CDC) through the President's Emergency Plan for AIDS Relief (PEPFAR).

Methods: We analysed quantitative and qualitative data reported by 10,387 PEPFAR-CDC-supported ART sites in 19 African countries between October 2019 and March 2021.

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The U.S. President's Emergency Plan for AIDS Relief (PEPFAR) supports country programs in identifying persons living with HIV infection (PLHIV), providing life-saving treatment, and reducing the spread of HIV in countries around the world (1,2).

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Maternal, fetal, and neonatal health outcomes are interdependent. Designing public health strategies that link fetal and neonatal outcomes with maternal outcomes is necessary in order to successfully reduce perinatal and neonatal mortality, particularly in low- and middle- income countries. However, to date, there has been no standardized method for documenting, reporting, and reviewing facility-based stillbirths and neonatal deaths that links to maternal health outcomes would enable a more comprehensive understanding of the burden and determinants of poor fetal and neonatal outcomes.

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  • The 2014-15 Ebola outbreak in West Africa was controlled, but subsequent infections occurred, including a significant 2015 cluster in Liberia linked to a 15-year-old boy.
  • Investigations revealed that the recent cases were related to a virus lineage from the earlier outbreak, indicating possible transmission from a survivor of the 2014 outbreak who experienced viral persistence.
  • The findings emphasize the risks of future Ebola outbreaks from previously infected individuals who can carry the virus long-term and potentially spread it to others.
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Alison Galvani and colleagues describe a community-based protocol to improve cooperation with Ebola testing as well as contact tracing, quarantining, and treatment.

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Background: This systematic review focuses on antiretroviral therapy (ART) for treating human immunodeficiency virus (HIV) infection in ART-eligible pregnant women. Mother-to-child transmission (MTCT) is the primary means by which children worldwide acquire HIV infection. MTCT occurs during three major timepoints during pregnancy and the postpartum period: in utero, intrapartum, and during breastfeeding.

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