3,831 results match your criteria: "Gabon; German Center for Infection Research[Affiliation]"

Human PapillomaVirus Vaccine Uptake: Attitudes and Practices Among Moroccan Physicians.

J Cancer Educ

December 2024

Laboratory of Research in Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, BP 555, Settat, Morocco.

Article Synopsis
  • Cervical cancer represents a significant public health issue in Morocco, with 2,165 new cases and 1,199 deaths reported in 2020; despite the availability of the HPV vaccine since 2008, awareness among physicians is low.
  • A study involving 500 physicians revealed that only 36.6% were aware of the main HPV types linked to cervical cancer, and only 16.6% actively recommended the HPV vaccine, although over 63% expressed willingness to recommend it if aware.
  • Key factors influencing vaccine recommendation included physicians' age, work sector (with public sector doctors more likely to recommend it), and awareness of HPV types, vaccine schedules, and its commercial name, underlining gaps that need addressing
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Introduction: Savannah Region witnessed a decline in measles-rubella (MR) vaccination coverage prior to the measles outbreak in 2022. This study aimed to assess contributory factors of the low routine MR vaccination coverage and proffer recommendations to improve vaccination uptake.

Methods: A cross-sectional study was conducted in two districts (Bole and Central Gonja) of Savannah Region from December 2022 to June 2023.

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Article Synopsis
  • * Analysis of data from over 1 million forest plots and thousands of tree species shows that wood density varies significantly by latitude, being up to 30% denser in tropical forests compared to boreal forests, and is influenced mainly by temperature and soil moisture.
  • * The research also finds that disturbances like human activity and fire alter wood density at local levels, affecting forest carbon stock estimates by up to 21%, emphasizing the importance of understanding environmental impacts on forest ecosystems.
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Objectives: Chronic hepatitis B virus (HBV) infection remains a major health problem worldwide. This infection is more severe when combined with hepatitis Delta virus (HDV). Moreover, () malaria infection during pregnancy can have severe consequences for the mother and the newborn.

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  • High-risk genotypes of Human Papillomavirus (HR-HPV) are linked to 90% of cervical cancer cases globally, and are prevalent among women in Gabon, with a study revealing a 26.1% overall HPV infection rate.
  • The study involved 399 women and found that the prevalence of HR-HPV was 24.8%, with the most common types including HPV-16, 18, and 52; it also reported a significant rate of multiple HPV infections at 29.8%.
  • A strong correlation was established between HPV viral load and squamous cell inflammation, highlighting the need for early screening to manage HR-HPV infections effectively.
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Article Synopsis
  • - A study was conducted to assess the risk of infectious disease transmission at the Primatology Centre in Franceville, focusing on non-human primate (NHP) conservation.
  • - Staff completed a questionnaire about risks linked to their work, and various pathogens found in NHPs were analyzed using Kiviat and Pareto diagrams.
  • - Results revealed several zoonotic pathogens present, with animal handlers being the most exposed, highlighting the need for strict biosecurity measures to prevent disease transfer between staff and animals.
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The impact of the RTS,S malaria vaccine on uncomplicated malaria: evidence from the phase IV study districts, Upper East Region, Ghana, 2020-2022.

Malar J

October 2024

Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centers, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.

Article Synopsis
  • The RTS,S malaria vaccine has been authorized for use in areas with moderate to high malaria transmission, specifically targeting children aged 12-59 months in Ghana.
  • A study conducted from 2020 to 2022 found that the vaccine reduced uncomplicated malaria cases by 33%, though the rate of malaria incidence averted showed a decline over time.
  • Researchers concluded that the vaccine effectively lowers malaria burden, but decreasing protective immunity as children age highlights the need for better vaccination uptake and malaria control strategies.
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Background: Suboptimal use of antimicrobials is a driver of antimicrobial resistance in West Africa. Clinical decision support systems (CDSSs) can facilitate access to updated and reliable recommendations.

Objective: This study aimed to assess contextual factors that could facilitate the implementation of a CDSS for antimicrobial prescribing in West Africa and Central Africa and to identify tailored implementation strategies.

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  • The Central African Republic (CAR) is experiencing a significant HIV epidemic with diverse and unique strains, particularly atypical non-M HIV-1 strains.
  • In a study analyzing over 6,000 HIV-positive samples, researchers identified six rare atypical strains, including three HIV-1 group O and three HIV-2 strains, each linked to different years and areas.
  • The findings stress that while HIV-1/M remains the most prevalent type in CAR, the presence of rare strains highlights the necessity for updated surveillance and management practices to address the challenges posed by HIV's genetic diversity.
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Safety and efficacy of praziquantel in pregnant women infected with Schistosoma haematobium in Lambaréné, Gabon - Clinical results from the randomized, single-blinded, controlled freeBILy-Gabon trial.

Int J Infect Dis

December 2024

Centre de Recherches Médicales de Lambaréné (CERMEL), B.P. 242 Lambaréné, Gabon; Institut für Tropenmedizin, Universität Tübingen, Wilhelmstraße 27, 72074 Tübingen, Germany; Leiden University Center for Infectious Diseases (LUCID), Leiden University Medical Center (LUMC), Department of Parasitology, Albinusdreef 2, 2333 ZA Leiden, The Netherlands; Fondation pour la Recherche Scientifique (FORS), BP:88 ISBA Cotonou, Benin; German Center for Infection Research (DZIF), Partner Site Tübingen, Braunschweig, Germany.

Objectives: Despite evidence of praziquantel's (PZQ) safety for treating schistosomiasis in pregnancy, many countries withhold treatment. Only two randomized controlled trials have investigated PZQ in pregnancy, none involving Schistosoma haematobium.

Methods: Pregnant women during the second trimester in Lambaréné (Gabon) were screened for S.

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  • Ghana switched from the 2-dose Rotarix to the 3-dose Rotavac rotavirus vaccine in 2020 to improve cost-efficiency and reduce cold chain requirements in childhood immunization programs.
  • A study analyzed vaccination and diarrhea data from 2018 to 2022, finding that the uptake of rotavirus vaccines remained stable and there were no significant differences in vaccination coverage or outpatient department visits for diarrhea before and after the switch.
  • The transition to Rotavac provided expected benefits without negative impact, suggesting that such vaccine switches can be beneficial for other immunizations to lower costs and maintain health outcomes.
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PfSPZ Vaccine induces focused humoral immune response in HIV positive and negative Tanzanian adults.

EBioMedicine

October 2024

Institute of Tropical Medicine, University of Tübingen, Tübingen, Germany; German Center for Infection Research (DZIF), Partner Site Tübingen, Tübingen, Germany; Centre de Recherches Médicales de Lambaréné, Lambaréné, Gabon. Electronic address:

Article Synopsis
  • The PfSPZ Vaccine shows promise as a malaria vaccine, effectively providing sterile protection in both malaria-naïve and exposed adults, relying on immune responses to early liver-stage parasites.
  • A study involving 21 Tanzanian adults analyzed their immune responses to the vaccine and subsequent malaria infection, revealing robust IgG and IgM reactions to specific protein targets, regardless of HIV infection status.
  • The findings highlight PfMSP5 as a significant target for vaccine-induced immunity, indicating that protecting against malaria might be possible without interference from HIV, and underscoring the need for further exploration of this immunogen.
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Vector control in the Bijagós Archipelago of Guinea-Bissau currently relies on pyrethroid insecticide-treated nets. However, data on insecticide resistance in Guinea-Bissau is limited. This study identified deltamethrin resistance in the Anopheles gambiae sensu lato complex on Bubaque island using WHO tube tests in November 2022.

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Tick-borne febrile illnesses caused by pathogens like spp., spp., spp.

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Dissemination and outcome reporting bias in clinical malaria intervention trials: a cross-sectional analysis.

Malar J

September 2024

Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands.

Background: Dissemination and outcome reporting biases are a significant problem in clinical research, with far-reaching implications for both scientific understanding and clinical decision-making. This study investigates the prevalence of dissemination- and outcome reporting biases in registered interventional malaria research.

Methods: All malaria interventional trials registered on ClinicalTrials.

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Article Synopsis
  • * A study in Vietnam involving 330 patients compared the BioFire FilmArray Meningitis/Encephalitis (FAME) Panel to traditional diagnostic methods, with FAME showing an 87% agreement rate and detecting 19% of specimens.
  • * While FAME offers rapid pathogen detection, it's not a complete replacement for traditional methods and should be tailored to local disease patterns to improve healthcare outcomes.
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  • The study evaluated the effectiveness and tolerability of the antimalarial drug ganaplacide in combination with lumefantrine solid dispersion (LUM-SDF) for treating uncomplicated falciparum malaria across various age groups in a Phase II clinical trial.
  • The trial consisted of three parts: a run-in phase assessing pharmacokinetic interactions, a regimen comparison in adults and adolescents, and a dosage assessment in children aged 2 to under 12 years.
  • Results indicated that co-administration of ganaplacide and LUM-SDF did not significantly alter drug exposure levels, with both drugs showing adequate exposure for efficacy across different age and weight groups, despite some variability.
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An assessment of Ghana's pilot of the RTS,S malaria vaccine implementation programme; 2019-2021: a retrospective study.

Malar J

September 2024

Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centers, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.

Background: In May 2019, Ghana piloted the introduction of RTS,S malaria vaccine into routine immunization in 42 districts of seven of the 16 regions. The RTS,S malaria vaccine implementation programme (MVIP) post-introduction evaluation (PIE) conducted in Ghana, assessed the immunization system as well as healthcare worker and caregiver experiences during the phase-one rollout but was less expressive on quantitative grading of the respective thematic areas of the vaccine introduction plan. Given the utility of summary statistics in programme evaluation and communication, this follow-up study aimed to provide an overall rating of the country's performance regarding the MVIP .

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Article Synopsis
  • - The study examines how intimate partner violence (IPV) affects childhood health outcomes, highlighting its significant role in child morbidity and mortality in sub-Saharan Africa.
  • - Analyzing data from 37 countries, findings reveal that children under 5 years old with mothers exposed to various forms of IPV had notably higher odds of developing health issues like undernutrition, diarrhoeal disease, and acute respiratory infections.
  • - The results emphasize the importance of addressing IPV as a means to improve child health and survival rates, indicating that maternal experiences of violence lead to detrimental health impacts on their children.
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Primate males normally protect reproductive females, genetic offspring, and other relatives from external threats. Nevertheless, male protection of group members other than the above individuals is widely reported. Here, we show qualitative data on a silverback's charging behaviors toward human observers (predator surrogates) to protect group members having various age-sex and kinship traits in a group of wild western gorillas containing one reproductive male.

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Comparison of diagnostic tools to assess the feasibility of programmatic use of rapid diagnostic tests for onchocerciasis: A dataset from Gabon.

Data Brief

December 2024

MRC Centre for Global Infectious Disease Analysis and London Centre for Neglected Tropical Disease Research, School of Public Health, Imperial College London, London, UK.

Article Synopsis
  • The shift in onchocerciasis intervention aims from control to elimination of transmission has highlighted the need for better diagnostic tools in low-prevalence settings, a focus area not previously addressed in large-scale ivermectin mass drug administrations (MDA).
  • A comprehensive study in Gabon in 2015 involved 5,829 participants, gathering data through skin-snip and blood tests to assess the presence of microfilariae and IgG4 antibodies against the Ov16 antigen.
  • Results showed varying detection rates across diagnostics: skin-snip microscopy (8%), Ov16 RDT (9%), and Ov16 ELISA (12%), providing valuable data for policymakers and test manufacturers to evaluate community-level transmission status and improve MDA strategies
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  • Anopheles melas, a lesser-known malaria-carrying mosquito, was studied for its population genetics in the Bijagós Archipelago, with the first whole-genome sequencing of this species in the area.
  • A total of 30 individual mosquitoes were sequenced, revealing no insecticide resistance mutations commonly found in other malaria mosquitoes, but some structural variations in relevant genes.
  • The findings also indicated two distinct genetic groups among the An. melas populations based on mitochondrial DNA, highlighting the need for further research to clarify their role in malaria transmission.
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Mapping of schistosome hybrids of the group in West and Central Africa.

J Helminthol

September 2024

Department of Epidemiology of Infectious Diseases, Faculty of Pharmacy, University of Sciences, Techniques and Technologies of Bamako.

Hybridization of parasitic species is an emerging health problem in the evolutionary profile of infectious disease, particularly within trematodes of the genus Because the consequences of this hybridization are still relatively unknown, further studies are needed to clarify the epidemiology of the disease and the biology of hybrid schistosomes. In this article, we provide a detailed review of published results on schistosome hybrids of the group. Using a mapping approach, this review describes studies that have investigated hybridization in human (, and ) and animal ( and ) schistosome species in West Africa (Niger, Mali, Senegal, Côte d'Ivoire, Benin, Nigeria) and in Central Africa (Cameroon, Gabon, Democratic Republic of Congo), as well as their limitations linked to the underestimation of their distribution in Africa.

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Cervical cancer related to high-risk human papillomavirus (HR-HPV) is the second female cancer in Mauritania (Northwest Sahelian Africa). We assessed the distribution of HPV genotypes in Mauritanian women with high-grade cervical intraepithelial neoplasia (CIN2/3) or invasive cervical cancer (ICC). A prospective study was conducted in the Centre Hospitalier National, Nouakchott, Mauritania, to collect cervical biopsies among women suspected of CIN2/3 or cancer.

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