Publications by authors named "Issiaka Soulama"

Background: Shifts in dietary patterns during lifestyle transitions are integral components of the dynamic interactions between humans and their environments. Investigating the link between dietary diversity, the composition of the human lipidome and infection is key to understanding the interplay between diet and susceptibility to pathogens.

Methods: Here we address this question by performing a comparative study of two ethnic groups with divergent dietary patterns: Fulani, who are nomad pastoralists with a dairy-centric diet, and Mossi, who are farmers with a plant-based diet.

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PAVON has developed a malaria microscopy competency training scheme to augment competency in malaria microscopy. Here, data accrued from training activities between 2020 and 2023 in Botswana are presented. Three trainings were done for 37 central and peripheral level technicians for a two-week period.

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Introduction: the diversity of Plasmodium falciparum genotypes affects the dynamics of malaria transmission and is thought to be one of the factors hampering malaria control efforts. This study aimed to investigate the relationship between Plasmodium falciparum genetic diversity and chloroquine and sulfadoxine-pyrimethamine resistance markers in malaria endemic areas of Burkina Faso.

Methods: in a cross-sectional study, populations residing in Nouna health district were randomly recruited.

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Background: The majority of Plasmodium spp infections in endemic countries are asymptomatic and a source of onward transmission to mosquitoes. We aimed to examine whether Plasmodium falciparum transmission and malaria burden could be reduced by improving early detection and treatment of infections with active screening approaches.

Methods: In this 18-month cluster randomised study in Sapone, Burkina Faso, households were enrolled and randomly assigned (1:1:1) to one of three groups: group 1 (control) received standard of care only, group 2 received active weekly, at home, fever screening by a community health worker regardless of symptoms, participants with a fever received a rapid diagnostic test (RDT) and treatment if RDT positive, and group 3 received active weekly fever screening (as in group 2) plus a monthly RDT regardless of symptoms, and treatment if RDT positive.

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Background: Plasmodium blood-stage parasites balance asexual multiplication with gametocyte development. Few studies link these dynamics with parasite genetic markers in vivo; even fewer in longitudinally monitored infections. Environmental influences on gametocyte formation, such as mosquito exposure, may influence the parasite's investment in gametocyte production.

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Introduction: Seasonal malaria chemoprevention (SMC) involves repeated administrations of sulfadoxine-pyrimethamine plus amodiaquine to children below the age of 5 years during the peak transmission season in areas of seasonal malaria transmission. While highly impactful in reducing malaria burden in controlled research settings, the impact of SMC on infection prevalence is moderate in real-life settings. It remains unclear what drives this efficacy decay.

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Article Synopsis
  • - Malaria remains a major global health issue, with 249 million cases and 608,000 deaths reported in 2022, and drug resistance is complicating control efforts.
  • - A study conducted from June to October 2021 and 2022 in Burkina Faso analyzed 150 samples for various resistance genes, notably finding a high prevalence of specific mutations associated with drug resistance.
  • - The study underscores the importance of ongoing surveillance of resistance markers to improve malaria control and elimination strategies.
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Schistosomiasis is a common neglected helminthic disease in the tropics and sub-tropics particularly in sub-Saharan countries including Burkina Faso. It is the second world parasitic endemic disease after malaria. The two prevalent species infecting human in Burkina Faso are are Schistosoma haematobium and Schistosoma mansoni which cause respectively the urogenital schistosomiasis and the intestinal schistosomiasis.

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  • BK-SE36/CpG is a malaria vaccine candidate that was tested for safety and immune response in healthy, malaria-exposed participants in Burkina Faso.
  • In a clinical trial involving 135 participants across different age groups, the vaccine was well tolerated with no severe adverse events linked to it, although mild to moderate side effects like pain and fever were noted.
  • The vaccine elicited stronger immune responses in younger age groups, with participants showing higher antibody levels after the final dose compared to earlier doses.
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  • Intermittent preventive treatment with sulfadoxine-pyrimethamine for malaria in pregnant women is crucial in Burkina Faso, but resistance to the drug needs further investigation due to insufficient data on genetic mutations.
  • A study conducted from April 2019 to March 2020 analyzed placentas from postpartum women in Ouagadougou to assess genetic diversity and mutation prevalence in malaria-causing parasites.
  • Findings revealed high rates of PCR-positive samples, widespread allelic families, and certain genetic mutations, indicating potential early warning signs for increasing resistance to sulfadoxine-pyrimethamine in the population.
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  • * The study developed a testing pipeline using direct membrane feeding assays (DMFA) to assess the effectiveness of various marketed and experimental drugs against gametocytes from field isolates, focusing on their transmission-blocking capabilities.
  • * Results showed that several compounds, particularly methylene-blue, MMV693183, DDD107498, atovaquone, and P218, demonstrated strong transmission-blocking activity, establishing a robust method for future evaluations of antimalarial drug effectiveness in blocking transmission.
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The regulation of immune cell responses to infection is a complex process that involves various molecular mechanisms, including epigenetic regulation. DNA methylation has been shown to play central roles in regulating gene expression and modulating cell response during infection. However, the nature and extent to which DNA methylation is involved in the host immune response in human malaria remains largely unknown.

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(1) Background: Effective malaria case management relies on World Health Organization (WHO) recommended artemisinin-based combination therapies (ACTs), but partial resistance to artemisinin has emerged and is spreading, threatening malaria control and elimination efforts. The strategy of deploying multiple first-line therapies (MFT) may help mitigate this threat and extend the therapeutic life of current ACTs. (2) Methods: A district-wide pilot quasi-experimental study was conducted, deploying three different ACTs at the public health facility (PHF) level for uncomplicated malaria treatment from December 2019 to December 2020 in the health district (HD) of Kaya, Burkina Faso.

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Plasmodium malariae, a neglected human malaria parasite, contributes up to 10% of malaria infections in sub-Saharan Africa (sSA). Though P. malariae infection is considered clinically benign, it presents mostly as coinfections with the dominant P.

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Background: A blood-stage vaccine targeting the erythrocytic-stages of the malaria parasite could play a role to protect against clinical disease. Antibodies against the serine repeat antigen 5 (SE47 and SE36 domains) correlate well with the absence of clinical symptoms in sero-epidemiological studies. A previous phase Ib trial of the recombinant SE36 antigen formulated with aluminum hydroxyl gel (BK-SE36) was promising.

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Article Synopsis
  • Seasonal Malaria Chemoprevention (SMC), which uses a combination of amodiaquine and sulfadoxine-pyrimethamine, is endorsed by the WHO as a method to reduce malaria cases in areas with intense seasonal transmission, especially among children under 5.
  • Despite its potential benefits, there are ongoing debates around its effectiveness due to issues like developing malaria-specific immunity, growing resistance to antimalarial drugs, and limited delivery to children.
  • The review highlights the need to evaluate the SMC's impact on malaria morbidity and resistance, and aims to identify factors affecting the success of the strategy to enhance malaria control in affected regions.
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Malaria remains the most common parasitic disease on the planet, with 229 million cases and 409,000 deaths worldwide in 2019, including 274,030 children under the age of 5. It is one of the most important infectious diseases in the world and its control is compromised by the spread of the parasite's resistance to antimalarial drugs. This study aims to review the literature of resistant Plasmodium falciparum genes over the past twenty years.

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Article Synopsis
  • Malaria is the leading cause of medical visits and hospitalizations in Burkina Faso, prompting the implementation of a pilot program using multiple first-line therapies (MFTs) to combat drug resistance.
  • Stakeholders, including health workers and community members, were interviewed to assess their perceptions of the MFT strategy, using semi-structured methods for comprehensive feedback.
  • Overall, stakeholders had a positive view of the MFT program but expressed concerns about the effectiveness and side effects of the newly introduced anti-malarial drugs.
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Background: Malaria case management relies on World Health Organization (WHO)-recommended artemisinin-based combination therapy (ACT), and a continuous understanding of local community knowledge, attitudes, and practices may be a great support for the success of malaria disease control efforts. In this context, this study aimed to identify potential facilitators or barriers at the community level to inform a health district-wide implementation of multiple first-line therapies (MFT) as a new strategy for uncomplicated malaria case management.

Methods: A community-based cross-sectional study using a mixed-method design was carried out from November 2018 to February 2019, in the health district (HD) of Kaya in Burkina Faso.

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Burkina Faso has one of the highest malaria burdens in sub-Saharan Africa despite the mass deployment of insecticide-treated nets (ITNs) and use of seasonal malaria chemoprevention (SMC) in children aged up to 5 years. Identification of risk factors for Plasmodium falciparum infection in rural Burkina Faso could help to identify and target malaria control measures. A cross-sectional survey of 1,199 children and adults was conducted during the peak malaria transmission season in the Cascades Region of south-west Burkina Faso in 2017.

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The recent World Malaria report shows that progress in malaria elimination has stalled. Current data acquisition by NMCPs depend on passive case detection and clinical reports focused mainly on Plasmodium falciparum (Pf). In recent times, several countries in sub-Saharan Africa have reported cases of Plasmodium vivax (Pv) with a considerable number being Duffy negative.

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Article Synopsis
  • Malaria infection causes different immune responses in children, largely due to metabolic changes that are not fully understood.
  • In a study of children from two ethnic groups in West Africa, researchers discovered specific metabolites associated with malaria that influence the immune system.
  • The findings highlight how steroids produced during infection can suppress immune function, pointing to new possibilities for malaria treatment strategies.
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Objectives: In 2017, the World Health Organisation (WHO) pre-qualified a single-dose typhoid conjugate vaccine (TCV) and identified TCV co-administration studies as a research priority. Accordingly, we tested co-administration of Typbar TCV® (Bharat Biotech International) with measles-rubella (MR) and yellow fever (YF) vaccines.

Methods: We conducted a randomized, double-blind, and controlled, phase 2 trial in Ouagadougou, Burkina Faso.

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A recent randomized controlled trial, the WANECAM (West African Network for Clinical Trials of Antimalarial Drugs) trial, conducted at seven centers in West Africa, found that artemether-lumefantrine, artesunate-amodiaquine, pyronaridine-artesunate, and dihydroartemisinin-piperaquine all displayed good efficacy. However, artemether-lumefantrine was associated with a shorter interval between clinical episodes than the other regimens. In a further comparison of these therapies, we identified cases of persisting submicroscopic parasitemia by quantitative PCR (qPCR) at 72 h posttreatment among WANECAM participants from 5 sites in Mali and Burkina Faso, and we compared treatment outcomes for this group to those with complete parasite clearance by 72 h.

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