Hepatitis B Care and Treatment in Zanzibar, Tanzania: A Demonstration Project Following 2015 WHO Treatment Guidelines, 2017-2021.

Zanzibar, a low-resource semiautonomous region of Tanzania, has an estimated prevalence of hepatitis B virus (HBV) infections of 3.6%. To assess the feasibility of care and treatment, a 5-year hepatitis B demonstration project was implemented in Zanzibar during January 2017-December 2021, following the 2015 WHO HBV care and treatment guidelines.

Assessment of heavy metal concentrations, environmental risks and human health implications in marine sediments along the coastal ecosystems of the Republic of Congo.

The aim of this study is to assess the level of heavy metals (HMs) in surface sediments along the coastal estuaries of the Republic of Congo. A variety of approaches were employed, integrating elemental analysis (Atomique Absorption Spectroscopy), environmental, ecological, health risk assessment, and source identification techniques to evaluate the distribution, origin, environmental, ecological and health risks of potentially toxic element (PTE) contamination in sediments. The ascending mean concentration (mg/kg) of Cd (0.

The prescription and monitoring of conventional synthetic disease-modifying anti-rheumatic drugs: British Society for Rheumatology guideline scope.

This guideline will provide up-to-date, evidence-based recommendations on the safe use of non-biologic DMARDs, also called conventional synthetic DMARDs (csDMARD), across the full spectrum of autoimmune rheumatic diseases. The guideline will update the guideline published in 2017 and will be expanded to include people of all ages. Updated information on the monitoring of DMARDs and vaccinations will be included.

Pellagra in Zanzibar: a rare diagnosis.

Background: Pellagra is a nutritional disease resulting from a deficiency of vitamin B3 (niacin) primarily due to corn consumption, especially in developing countries, but in developed countries, it can occur secondarily as a consequence of chronic alcoholism, malabsorption, certain drugs, and bariatric surgery.

Results: We present a case of a 32-year-old woman from a rural area in Zanzibar who was a heavy alcohol consumer and came in with features suggestive of pellagra.

Conclusion: Our therapeutic approach consisted of niacin 500 mg once daily and betamethasone + salicylic acid ointment twice a day until lesions resolved and showed noticeable improvement.