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Copyright of Africa Spectrum is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Placing attention on counter narratives from fishing communities in Dakar and Saint Louis in Senegal, we present how the climate crisis and its complex nexus with (im)mobility is instrumentalized to mask the underlying structural causes. We evidence the intertwined impacts of the climate crisis as rooted in global unequal structures, state-level fishing agreements, and global and local waste (mis)management on lives and livelihoods through the lens of mobility justice. Mimi Sheller's concept of 'mobility justice' reflects the interconnecting strands that emerge from the interdisciplinary research project ClimateOfChange on which the paper is based: the right to mobility, the right to live in a healthy environment, and the unequal access to such rights across the globe. Our aim within this paper is to deconstruct depoliticised narratives of the climate crisis, particularly those related to so-called 'climate migrants' and instead to unravel the ongoing colonial continuities underpinning the climate crisis and the structures of racial capitalism that create socio-spatial inequalities in environment and mobility. Empirical data is drawn from qualitative research conducted with local people/activists, including a one-month climate diary capturing visual perceptions of mobility (in)justice. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic highlights the importance of strong surveillance systems in detecting and responding to public health threats. We sought to evaluate attributes of Keur Massar district's existing COVID-19 surveillance system. Method: A descriptive, cross-sectional study was conducted in June 2022; desk review covered data collected from March 03, 2020 to May 31, 2022 in 18 health posts. Data were collected using a standardized questionnaire completed during a face-to-face interview and a desk review of surveillance data gathered from different notification platforms (Excel, ODK, DHIS2 aggregated, and tracker). Study was conducted in Keur Massar department, in the Dakar region. We conducted face-to-face interviews with 18 nurses in June 2022. We utilized a standardized, semi-structured questionnaire adapted from CDC guidelines for surveillance evaluation. Results: All 18 head nurses targeted, responded to the questionnaire, with an average age of 41.5 years and 63% aged between 30 and 44. The sex ratio (M/F) was 0.6, and respondents had an average of 15.1 years of experience. All nurses were involved in COVID-19 surveillance and had notified at least one suspected case. While 39% conducted COVID-19 data analysis, 55.6% received feedback from the national level. The usefulness score for the surveillance system was 77.7, with the lowest score (72.9) related to describing the pandemic's magnitude. Simplicity scored 63.3, with low scores for the availability of guidelines (0) but high scores for training and equipment (94.4). Acceptability scored 76.6, with strong support for COVID-19 surveillance but weak community involvement (48.6). While no cases were reported through the DHIS2 aggregated platform, 1327 PCR-positive SARS-CoV-2 cases were reported through the national Excel sheet and 278 PCR-positive cases were reported through the COVID-19 DHIS2 tracker during the same period. Timeliness varied, averaging 3 days using ODK and 7 days with the national Excel sheet, with a combined average of 5 days across both systems. Conclusion: The study highlights challenges in COVID-19 surveillance due to limited human resources, multiple data systems, and delays in notification. While most nurses were trained and equipped, gaps in data quality, timeliness, and community support emphasize the need for streamlined processes and increased workforce capacity. [ABSTRACT FROM AUTHOR]

Extended-spectrum β-lactamase-producing Escherichia coli (ESBL-Ec) poses a significant public health concern due to its widespread prevalence and resistance to multiple antibiotics. This study aimed to assess the prevalence, resistance profile, and carriage of ESBL-encoding genes in ESBL-Ec isolates from broilers in two markets of Dakar, Senegal. Sampling over a one-year period revealed that 61.7% of broilers carried ESBL-Ec in their cecum. Antibiotic susceptibility testing of 186 ESBL-Ec isolates showed high resistance to β-lactam antibiotics, including ampicillin, ticarcillin, and third-generation cephalosporins. Notably, all isolates were susceptible to imipenem. Multidrug resistance was frequent, with 91.4% of the isolates displaying this phenotype. Comparison between the two markets revealed variations in resistance to quinolones. PCR analysis detected blaCTX-M genes in all isolates, with blaCTX-M-1 being the most prevalent subgroup. Additionally, blaTEM and blaOXA genes were found in 26.3% and 2.7% of isolates, respectively, while no blaSHV genes were detected. Combinations of ESBL genes were common, with blaCTX-M15-blaTEM being the most frequent. These findings highlight the widespread prevalence of ESBL-Ec in broilers from Dakar markets, indicating a potential risk of transmission to humans through the food chain. Effective surveillance and intervention strategies are crucial to mitigate the spread of antimicrobial resistance in humans and animals. [ABSTRACT FROM AUTHOR]

As part of an initiative aimed at reducing maternal and child mortality, Senegal implemented a policy of free Cesarean section (C-section) since 2005. Despite the implementation, C-section rates have remained low and significant large disparities in access, particularly in major cities such as Dakar. This paper aims to assess C-section rates and examines socioeconomic inequalities in C-section use in the Dakar region between 2005 and 2019. This study incorporates data from various sources, including the health routine data within District Health Information Software 2 (DHIS2) platform, government statistics on slum areas, and data from Demographic and Health Surveys (DHS). A geospatial analysis was conducted to identify locations of Comprehensive emergency obstetric and Newborn Care (CEmONC) services using the Direction des Travaux Géographiques et Cartographiques (DTGC) databases and satellite imagery from the Google Earth platform. The analytical approach encompassed univariate, bivariate, and multivariate analyses. The C-section rate fluctuated over the years, increasing from 11.1% in 2005 to 16.4% in 2011, declined to 9.8% in 2014, and then raised to 13.3% in 2019. The wealth tertile demonstrated a positive correlation with C-sections in urban areas of the Dakar region. Geospatial analyses revealed that women residing in slum areas were less likely to undergo C-section deliveries. These findings underscore the importance of public health policies extending beyond merely providing free C-section delivery services. Strategies that improve equitable access to C-section delivery services for women across all socioeconomic strata are needed, particularly targeting the poor women and those in urban slums. [ABSTRACT FROM AUTHOR]

Food and condiment fortification programs are needed to address micronutrient deficiencies and their health, developmental, and mortality consequences; but these programs are never free. Knowing program costs and their allocation across stakeholders is essential to design and manage effective, efficient, and sustainable programs. We developed 10‐year hypothetical bouillon fortification program cost models for Nigeria, Senegal, and Burkina Faso that included start‐up and operational costs for government and industry, as well as premix costs generated by an embedded premix cost calculator to allow for alternative premix formulas in cost calculations. The main drivers of total costs were total bouillon consumption and the types and amounts of fortificants in the micronutrient premix. For a premix that meets 30% of Codex Nutrient Reference Values in 2.5 g of bouillon for vitamin A, folate, vitamin B12, zinc, and iron, the cost per metric ton of fortified bouillon was ∼$325 for all countries (∼$0.01 per 2.5 g serving). Annual start‐up costs ranged from ∼$324k (Burkina Faso) to ∼$455k (Nigeria); nonpremix annual operating costs ranged from ∼$108k (Burkina Faso) to ∼$3.9m (Nigeria); and annual premix costs varied from ∼$2.4m (Burkina Faso) to ∼$76m (Nigeria). In policy discussions, program costs should be set alongside nutritional benefits. [ABSTRACT FROM AUTHOR]

This article zooms in on the ways in which forced migration articulates with labor migration in urban West Africa. Precisely, it reflects on how the refugee crisis contributes to labor migration and, inversely, how labor migration is used as a strategy to respond to the predicament induced by the adverse and often deeply humiliating living conditions of exile. To this end, we situate the article within broader scholarly debates on migration categories. We use the notion "exile" to refer to the social conditions induced by political persecution-related relocations from Mali to Niger and Senegal. Our discussion draws on data collected from freeborn Tuareg from Mali in Niamey and former Malian students who fled the dictatorship of Moussa Traoré. The results prompt a reflection that prioritizes the empirical connections between forced and labor migrations over their differences, something that is often taken for granted in the academic literature and in political narratives. [ABSTRACT FROM AUTHOR]

Anaemia among pregnant women remains a public health concern globally. One major cause of this persistent problem is iron deficiency, which may be the result of limited iron intake in the diet. Using the extended version of the theory of planned behaviour (eTPB), this study aims to develop and validate a questionnaire assessing psychosocial and environmental factors that could influence the consumption of iron‐rich foods (IRFs) among Senegalese pregnant women. A three‐step procedure was used. Six focus group discussions (FGDs) were held with 10 pregnant women each from a different region to identify salient beliefs related to each of the four constructs of the eTPB using a structured guide. Information from FGDs was used to develop a questionnaire, which was administered to the first group (n = 200) of pregnant women. Principal component analyses and exploratory factorial analyses were performed on the first set of data to identify latent factors for each construct namely the attitude, subjective norm and perceived behavioural control. A revised and shorter version of the questionnaire was administered to a second sample of pregnant women (n = 226) and confirmatory factorial analyses were conducted using this second set of data. Hancock and Muller's H reliability index was computed on the final model. The final questionnaire included 44 items. Most criteria for fit indices were met and H values were satisfactory. This study proposes a tool that could be used to explore determinants of the consumption of IRF among pregnant women. Further validation is still warranted in other contexts. Key messages: Limited iron intake from the diet is one of the major causes of iron deficiency anaemia among pregnant women, which may have deleterious impacts on the mother and her baby.Getting a better knowledge of factors that may restrict the consumption of iron‐rich foods (IRF) could help tailor contextually adapted nutrition programmes for women. Yet, to do so, a validated tool to adequately assess factors that influence the consumption of IRF is essential.This study offers a tool that could be used to investigate factors underlying the consumption of IRF among pregnant women. [ABSTRACT FROM AUTHOR]

Objective: We propose a life course theoretical framework for understanding variation in family life courses between birth cohorts (historical time), societies (place), and social groups (social location). Building on the life course paradigm, we explain how key predictors on different levels of analysis can reinforce, precondition, counteract, preclude, or alter each other's influence on family life courses in specific contexts. The proposed framework re‐organizes and extends core principles of the life course paradigm into family life course predictors and outcomes on the individual, relational, and population levels. Background: The life course approach is a well‐recognized interdisciplinary paradigm in family research but often remains too abstract to guide hypotheses about family life course variation. Method: We demonstrate the utility of the proposed framework with a qualitative case study on family life courses in Senegal and a quantitative case study on family life course change between Baby Boomer and Millennial cohorts in the United States using sequence analysis. Results: Findings of the two example applications support that fertility decline in Senegal was primarily driven by material considerations and not by ideational change and that family life course de‐standardization was greater between White Baby Boomers and Millennials compared to Black Boomers and Millennials. Conclusion: Developing narrower mid‐range theories that fill the basic life course principles with substantive content and target specific fields of application, such as family life courses, is promising to advance life course theory. [ABSTRACT FROM AUTHOR]

Despite decades of influenza surveillance in many African countries, little is known about the evolutionary dynamics of seasonal influenza viruses. This study aimed to characterize the epidemiological, genetic and antigenic profiles of A/H3N2 viruses in Senegal from 2010 to 2022. A/H3N2 infection was confirmed using reverse transcription‐polymerase chain reaction. Subsequently, a representative of A/H3N2 isolates was selected for genome sequencing. Predicted vaccine efficacy was measured using the Pepitope model. During the study period, 22638 samples were tested and influenza was detected in 31.8%, among which type A was confirmed in 78.1%. Of the Influenza A cases, the H3N2 subtype was detected in 29.8%, peaking at expected times during the rainy season. Genome sequencing of 123A/H3N2 isolates yielded 24 complete and 99 partial genomic sequences. Phylogenetic analysis revealed the circulation of multiple clades of A/H3N2 in Senegal, including 2a.3, 3C.2 and 3C.3a. A/H3N2 isolates were mainly susceptible to the influenza antiviral drugs oseltamivir and zanamivir, but the primary adamantine‐resistance marker, S31N was encountered in all isolates. At least nine potential N‐linked glycosylation sites were predicted among A/H3N2 strains, six of which (at positions 24, 38, 79, 181, 262 and 301) remains conserved among all isolates. Antigenic distances between circulating strains and vaccine viruses indicated varying vaccine efficacies, from suboptimal to moderate protection. The findings emphasize the need to enhance local genomic and antigenic surveillance and further research on influenza epidemiology and genetic evolution in sub‐Saharan Africa. [ABSTRACT FROM AUTHOR]

Mycetoma can be caused either by fungi or aerobic Actinomycetes. A precise identification of the causal agents is critical for the therapeutic outcome. Thus, this study aimed to identify the pathogens of mycetoma using 16S/ITS rRNA gene polymerase chain reaction (PCR) followed by Sanger sequencing directly on grains. In sum, 32 samples including 15 black grains, 12 red grains, and five white/yellow grains collected from patients with mycetoma at the Aristide Le Dantec University Hospital in Dakar, Senegal, between October 2014 and September 2020 were submitted to PCR/sequencing. For black grain eumycetoma, the ITS rRNA region was targeted. Similarly, the 16S rRNA gene was targeted for red grain actinomycetoma. These two regions were targeted in parallel for white/yellow grains, which could be of either bacterial or fungal origin. The age of the patients ranged from 14 to 72 years with a mean age of 36 ± 14 years. Thirteen (86%) of the 15 samples with black grains, were successfully sequenced with only one established eumycetoma pathogen, Madurella mycetomatis identified in 11 (73%). Cladosporium sphaerospermum was identified in one sample. For the 16S rRNA sequencing of red grains, a 58.3% (7/12) success rate was obtained with Actinomadura pelletieri identified in six samples. Among the five samples sequenced twice, the 16S rRNA allowed us to identify the causative agent in 2 cases, A. madurae in one, and A. geliboluensis in the other. The ITS rRNA identified 3 fungi, of which none was a mycetoma agent. Overall, direct 16S/ITS rRNA sequencing of the grains for detecting and identifying mycetoma pathogens was successful in 59.4% of cases. Fungi, led by M. mycetomatis, were the predominant pathogens identified. Two probable new mycetoma agents, C. sphaerospermum, and A. geliboluensis were identified and both deserve to be confirmed in further studies. [ABSTRACT FROM AUTHOR]

We utilized Global Adult Tobacco Survey data to examine singlestick purchases and related demographic characteristics in 10 African countries (Botswana, Cameroon, Ethiopia, Kenya, Nigeria, Mauritania, Senegal, South Africa, Uganda and Tanzania). Results show the weighted percentages and prevalence ratios with predicted marginal means to evaluate significant differences between groups (P  < 0.05). The prevalence of singlestick purchases among the 10 African countries ranged from 48.4% in South Africa to 92.0% in Tanzania. Across countries, the incidence of singlestick purchases was higher in urban areas than rural areas in Kenya; among those aged 15–24 years versus those aged 45 years and older in Botswana, Ethiopia, Mauritania, Nigeria and South Africa; and among those aged 25–44 years versus those aged 45 years and older in Botswana, South Africa and Tanzania. The incidence in Botswana was higher among adults with no formal or primary education than among those with secondary or higher education. In South Africa, the incidence was higher among adults in the middle or lower wealth index than among those in the high or highest wealth index. The findings suggest opportunities for strengthening efforts to prevent singlestick purchases through effective legislation and enforcement in line with Article 16 of the World Health Organization Framework Convention on Tobacco Control. [ABSTRACT FROM AUTHOR]

Purpose: Rice is the main cereal in Senegal. Despite efforts to improve the sector, consumers still prefer imported rice. Only one previous study conducted by the authors analyzed these preferences using a sensory analysis approach (Mané et al., 2021). This initial study showed that local rice can compete with imported rice if processing is improved. Based on these results, this study aims to identify the physicochemical parameters responsible for the sensory quality identified in Senegalese consumers. Design/methodology/approach: In this context, the physicochemical and cooking properties of 12 rice samples were analyzed and the correlations between these physicochemical and sensory properties were studied. Findings: The results showed that imported rice had a higher 1000-kernel weight, grain length and transparency values, whereas local rice had higher water uptake, swelling ratios, gelatinization temperature and iron and magnesium contents. Correlations have shown that positive descriptors such as "beautiful," "white color," "good taste," "fragrant," "fine grains," "typical rice odor," well-cooked" and "scattered" were correlated with varietal and technological criteria such as high 1000-grain weight, grain length, whiteness, transparency and absence of impurities in rice. In contrast, negative sensory descriptors such as "pasty" and "sticky texture" were associated with water uptake ratio, gelatinization temperature, rice breakage and cooking time. Originality/value: These results show how to improve the quality of new rice varieties in the country based on the physicochemical parameters associated with the positive sensory properties cited above by consumers. [ABSTRACT FROM AUTHOR]

Youth unemployment is major policy concern in Senegal. The country has in recent years, implemented several programs to combat unemployment and the precariousness of youth employment in the labor market. However, the results of these programs are to date hardly perceptible. The objective of this work is to assess the impact of employment support programs on the quality of youth employment. We provide empirical evidence of the effect of the apprenticeship program implemented by the National State‐Employer Convention in facilitating youth access to quality employment. Job quality is determined using an index that captures multiple wage and non‐wage dimensions of job quality. Using survey data on the improvement of employment policies from 2746 individuals, we use the endogenous switching regression method and the propensity score matching method to assess and compare the impact of the apprenticeship program on the quality of jobs held by young men and women. The results show that the apprenticeship program has a positive and significant impact on job quality. Indeed, we find that the quality of employment is better for young men and women who benefited from the internship program than for those who did not. We find, however, that there is a difference in job quality between males and females who received the program. The differences in job quality are explained more by differences in job characteristics but are not directly related to gender or age. [ABSTRACT FROM AUTHOR]

The paper addresses the often-neglected economic impacts associated with the supply of hydraulic infrastructure in rural and under-serviced communities in developing countries. We rely on a rich panel dataset including 1319 Senegalese rural households collected in 2016 and 2020, during the deployment of the first phase of the Emergency Program for Community Development (PUDC). By combining propensity score matching (PSM), inverse probability weighting, difference-in-differences, and quantile regression, we find that access to piped water improves employment in the agricultural sector but has no significant impact on household expenditures. After controlling for attrition, through PSM, we find that the employment effect operates through access to a greater quantity of water and a reduction in the time women devote to water fetching chores. Moreover, when bundled with complementary infrastructure interventions such as the construction of rural roads, we find that access to water services generates an even higher impact. The quantile analysis shows that non-poor households seem to benefit more from the provided water supply infrastructure compared to poor households. Finally, when comparing the welfare effect of government-led PUDC water supply with that of community-led initiatives, our findings advocate for the widespread implementation of the former for reasons of cost-effectiveness. [ABSTRACT FROM AUTHOR]

Climate change and variability pose significant threats to agricultural production, particularly in regions heavily dependent on rainfed agriculture like Senegal. The problem addressed in this study revolves around the impact of climate-related risks on agricultural yields in the Senegalese Groundnut Basin as a key agricultural region. Daily rainfall, temperatures, and yield over 1991–2020 were used. The data were analyzed using multiple regression, trend analysis, and correlation approaches. The results indicate that the overall seasonal precipitation increases over time (98 mm in the north and 103 mm in the south). However, we found that the south Groundnut Basin has a much slower seasonal precipitation rate than the northern zone. Our results also show that the northern zone exhibits a more consistent and predictable growing season, with onset and offset, in contrast with the southern zone, which shows higher variability. The analysis further reveals that both the northern and southern zones are experiencing a warming trend, with the southern zone showing a more pronounced increase in maximum temperatures (+0.7 °C) than to the northern zone (+0.4 °C). Estimates from the regression analysis revealed that total seasonal precipitation and maximum temperature positively and significantly influence groundnut, millet, and maize yields in the northern and southern zones. All the other weather-related parameters have different influences depending on the zone. These findings highlight the heterogeneous nature of the study area and the significant role climatic factors play in crop yield variability in the Groundnut Basin. Understanding these influences is crucial for developing targeted agricultural strategies and climate adaptation measures to mitigate risks and enhance regional productivity. The study provides valuable insights for policymakers and farmers aiming to improve crop resilience and sustain agricultural outputs amidst changing climatic conditions. [ABSTRACT FROM AUTHOR]

The increase in flood events observed in West African countries, and often in specific river basins, can be influenced by several factors, including anthropogenic land use and land-cover changes. However, the potential contribution of land cover changes to flood events still needs to be explored, especially in West Africa. Here, the fully coupled atmosphere-hydrology WRF-Hydro system, which comprises an atmospheric model and additionally incorporates the surface, subsurface, overland flow, and channel routing, is used to investigate the potential impact of a land cover change scenario on flood events in the Senegal River basin. The simulation was performed from 2010 to 2020, with a calibration period spanning from 2011 to 2012 and a validation period from 2013 to 2020. Several skill scores, including Nash-Sutcliffe Efficiency (NSE), BIAS, and Kling-Gupta Efficiency (KGE), were utilized to assess the calibration and validation performances. Additionally, two planetary boundary layer schemes (PBL5 and PBL7) were used to determine their associated uncertainty. Our results show that the best calibration results (NSE = 0.70; KGE = 0.83; PBIAS = -7% and BE = 0.67) in the Senegal River basin are obtained with PBL5 when the calibration is performed with a SLOPE parameter 0.03. A similar good performance was also obtained for the validation with NSE = 0.74, KGE = 0.84, and PBIAS = -8%. Likewise, our findings indicate that converting savanna to woody savannas can elevate water resources, with a 2% rise in precipitation and a 4% increase in runoff. This transition also correlates with an increase in moderate flood events (3500-4000 m3/s), a decrease in severe floods (4000-5000 m3/s), and their associated occurrence of extreme floods (>5000 m3/s) in the Senegal River basin. [ABSTRACT FROM AUTHOR]

Marriage offers one of the few routes for Senegalese migrants to enter Europe and settle there legally, and it is often assumed that migrants marry just for a residence permit. "Marriage migration" is highly scrutinized by state actors, whose admission practices and their consequences have been the focus of much research. Less, however, is known about the perspectives of migrants who left Europe in response to these practices. Drawing on one year of ethnographic fieldwork, we show how male Senegalese returnees and deportees challenge the idea that men want to marry a European resident at all costs. These men are spatially excluded from Europe but they discursively regain their dignity by returning to Senegal. Their return also challenges gendered and racialized European narratives about dangerous and hypersexual black Muslim males, and at the same time reinforces their positioning in moral hierarchies about love and marriage. [ABSTRACT FROM AUTHOR]

This article presents the findings of a study conducted in Senegal on the recognition and treatment of abdominal pain in horses. The study found that early detection is crucial for positive outcomes in both foals and adult horses, and there is a need for improved education and awareness among horse owners to ensure timely detection and treatment. The study also highlights the importance of effective communication and awareness-raising. However, the study acknowledges limitations in terms of data collection and assessing owner experience. Overall, the research emphasizes the need for prompt recognition and appropriate interventions for abdominal pain management in horses. [Extracted from the article]

Introduction: Studying surgical services and the workforce in sub-Saharan Africa is crucial for enhancing access to quality surgical care in the region. Despite many recommendations to produce evidence based on reliable data on this subject to guide policymakers, there is still a knowledge gap on this topic. The aim of this nationwide survey was to describe the organization of abdominal emergency surgical care across healthcare services in Senegal. Methodology: This was a cross-sectional nationwide survey. The study period was between October 1st, 2023, and January 20th, 2024. The target population included all registered healthcare facilities in Senegal offering emergency surgical services. A structured questionnaire was designed to gather infrastructure-related data, surgical activities, and human resources. Results: All 33 identified healthcare facilities responded to the survey (100%). Emergency abdominal surgery services were available for 96.7% of the surveyed structures. The teams were mainly composed of surgeons and residents (45.2%) or surgeons and medical trainees (48.8%). The average bed capacity of the services was 21.9, with a standard deviation of 13.9. The absence of a dedicated hospitalization section for patients requiring special monitoring was found in 69.6% of the facilities. Operating rooms dedicated to emergency abdominal digestive surgery were present in 54.6% of the services. On average, the services performed 17.6 scheduled surgical interventions with a standard deviation of 11.5 and 29.7 emergency surgical interventions with a standard deviation of 16.8 per month. Morbidity and mortality conferences were not routinely held in the majority of departments (only 27.3%). Professional development programmes were present only in 24.2% of departments. Most of the departments did not have adequate human resources (69.6%). A total of 70 surgeons were identified, resulting in a national ratio of 0.39 general surgeons per 100,000 inhabitants. The strategies employed to address staff shortages included additional working hour by staff (54.5%), temporary workers (30.3%) or the use of trainee doctors or nurses (12.1%). Conclusion: This research shows that significant deficiencies are present in the essential physical and human resources needed to conduct fundamental life-saving surgical procedures. These findings suggest potential areas for improvement in the delivery of emergency surgical care in the region. [ABSTRACT FROM AUTHOR]

Starting from the vantage point that animal geographies remain primarily concerned with present animals, what might we learn from an attentiveness to the absence(s) of animals in the context of human-nonhuman relations as approached by the subdiscipline? This prompt is addressed in this commentary by placing (the absences of) West African sardinellas – small pelagic fish – in Senegal on the animal geographies map. Focusing on a derivative of sardinellas, keccax (artisanally smoked and dried fish), and its traces in fish-processing infrastructures in one fishing town on the Senegalese seaboard, the following remarks address twofold absences of the fish: sardinellas' absence in the animal geographies literature; and sardinellas' absence in certain locales in Senegal at the current moment. Against these absences, I argue that animal geographies would significantly benefit, both empirically and theoretically, from more deliberate inquiries into how humans experience animals as absent, across their life and death cycle. Such an attentiveness to animal absences, their diverse and always situated manifestations, and the ways they are being experienced by humans entangled in transforming more-than-human political economies, affords inquiring into ways of remaining 'afloat' in such post-colonial geographies of protracted extractivism as the one presented in this intervention. [ABSTRACT FROM AUTHOR]

Purpose: This paper analyzes the consumption of fruits and vegetables (FV) in Senegal by: (1) urban and rural areas; (2) FV types (African-indigenous vs non-indigenous); (3) sources of FV (imports, purchases and own-production). Design/methodology/approach: The authors undertake descriptive and regression analyses on consumption of FV sourced from purchases, own-production and gifts. The data come from primary surveys in 2017/2018 of 6,328 rural and urban households in Senegal. Findings: The analysis showed that FV are important in urban and rural food consumption. A stunning 76% of rural FV consumption is from purchases, showing the importance of FV supply chains even into and among rural areas. Only 12% of national FV consumption is from imports. Most FV consumption in rural and urban areas is now of non-indigenous FV; African-indigenous FV have a minor share. Research limitations/implications: A limitation of this paper is that it uses a cross-sectional dataset. Originality/value: There are few national survey-based studies of FV consumption in Africa. This is the first to disaggregate FV consumption between primary versus secondary cities and rural towns, and rural areas close to and far from cities, in such detail regarding types and sources of FV as outlined in the findings. The regressions contribute by including determinants beyond income, including gender, employment, spatiality and education. [ABSTRACT FROM AUTHOR]

This paper focuses on the application of the Verhulst logistic equation to model in retrospect the total COVID-19 cases in Senegal during the period from April 2022 to April 2023. Our predictions for April 2023 are compared with the real COVID-19 data for April 2023 to assess the accuracy of the model. The data analysis is conducted using Python programming language, which allows for efficient data processing and prediction generation. [ABSTRACT FROM AUTHOR]

Copyright of Journal of African Cultural Studies is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper investigates linkage to care following community‐based screening for hepatitis B virus (HBV) in rural Senegal. HBV‐positive participants who completed a biological and clinical examination to assess liver disease and treatment eligibility were referred to a regional hospital (if eligible for treatment), invited to join the Sen‐B research cohort study (adults with detectable viral load) or referred to their local health centre (all others). Logistic regressions were conducted to investigate factors associated with (i) uptake of the scheduled post‐screening examination, and (ii) HBV management initiation. Obstacles to HBV management were identified using thematic analysis of in‐depth patient interviews. Of the 206 HBV‐positive participants, 163 (79.1%) underwent the examination; 47 of the 163 (28.8%) initiated HBV management. Women, people not migrating for >6 months/year, individuals living in households with more agricultural and monetary resources, with other HBV‐positive participants, and beneficiaries of the national cash transfer program, were all more likely to undergo the examination. The likelihood of joining the Sen‐B cohort increased with household monetary resources, but decreased with agricultural resources. Initiation of HBV management in local health centre was higher among participants with a non‐agricultural economic activity. Individuals reported wariness and confusion about HBV management content and rationale at various stages of the care continuum, in particular with respect to venous blood sampling and management without treatment. In conclusion, HBV community‐based test‐and‐treat strategies are feasible, but early loss to follow‐up must be addressed through simplified, affordable management and community support and sensitization. [ABSTRACT FROM AUTHOR]

Objective: Crimean‐Congo haemorrhagic fever (CCHF) is a severe zoonotic arboviral disease that occurs widely in Eastern and Western Europe, Asia and Africa. The disease is becoming of growing public health importance in Senegal. However, analysis of tick infestation, CCHF virus (CCHFV) circulation extent and risk factors during ongoing outbreak are scarce. A thorough outbreak investigation was carried out during a CCHF outbreak in Podor (Northern Senegal) in August 2022. Methods: Ticks and blood samples were collected from animals (cattle, goats and sheep) randomly selected from confirmed CCHF human cases houses, neighbourhoods and surrounding villages. Blood samples were tested for CCHFV antibodies using a commercial enzyme‐linked immunosorbent assay (ELISA) test. Tick samples were screened for CCHFV RNA by RT‐PCR. Results: Overall, tick infestation rate (TIR) and CCHFV seroprevalence of livestock were 52.12% (95% confidence interval (CI): 45.54%–58.64%) and 43.28% (95% CI: 36.33%–50.44%), respectively. The TIRs were 87.7% in cattle, 57.6% in sheep and 20.0% in goats. These rates were significantly associated with location, host species and tick control (p < 0.001) but not with animal age and sex (p > 0.7). CCHFV seroprevalence was 80.4% (95% CI: 67.57%–89.77%) in cattle, 35.4% (95% CI: 25.00%–47.01%) in sheep and 21.2% (95% CI: 12.11%–33.02%) in goats. Age, sex, location, animal host and presence of ticks were significantly associated to the presence of antibodies. The 950 ticks collected included among other species, Hyalomma impeltatum (48.84%) and H. rufipes (10.21%). Five pools of Hyalomma ssp. were found CCHFV RT‐PCR positive. These infected ticks included 0.86% (4/464) of H. impeltatum collected on cattle and sheep and 1.03% (1/97) of H. rufipes collected on a sheep. Conclusions: To our knowledge, this is the first report on the extend of tick infestation and CCHFV infection in livestock during an outbreak in Senegal. The results highlight the risk of human infections and the importance of strengthening vector, animal and human surveillance as well as tick control measures in this area to prevent CCHF infections in humans. [ABSTRACT FROM AUTHOR]

In the context of the Covid-19 pandemic, projects involving field research were largely restricted or modified due to the increasing complexity of their methodological and ethical realization. Despite the slowly increasing debates on the (im)possibility of field research during that time, the relational dynamics of field research activities during the pandemic have not yet been discussed in detail. I address this gap by using CLARKE's (2005) situational analysis to reflect on a seven-month field research stay in Senegal during the Covid-19 pandemic. By conceiving of the pandemic and myself as the researcher to be an integral part of the research situation, I analyze how the research situation was characterized by relational dynamics which were shaped by different lived realities of the pandemic (politics). Building on this, I show how the encounter of different pandemic-related experiences was accompanied by irritations, uncertainties and joking practices, but also politicized as conflictual dynamics in the research situation. These insights are crucial for understanding the relational dynamics of conducting field research during a global pandemic that was experienced locally. Furthermore, I provide insights into the analytical potential of using situational analysis for a reflexive engagement with field research. [ABSTRACT FROM AUTHOR]

Background/aim: The evolution of sickle cell disease (SCD) is marked by the occurrence of painful episodes linked to the obstruction of microvessels by sickle cells, known as vaso-occlusive crisis (VOC). The aim of this work was to report the practical aspects of the management of acute pain in adults with SCD. Recommendations based on these practices are also provided. Materials and methods: This prospective, cross-sectional, descriptive, and analytical study was conducted over a four-month period of all sickle cell patients admitted to emergency departments for VOC. The parameters studied were sociodemographic, clinicobiological, therapeutic, and evolutionary. Results: There were 118 cases of VOC identified, representing a prevalence of 78.14% of sickle cell emergencies. The mean age of the patients was 28.41 years. The SS sickle cell phenotype accounted for 86.61% of the cases. Osteoarticular pain was the reason for admission for 88.39% of the patients; it was located in the lower limbs in 39.08% and in the spine in 27.1%. Pain intensity was moderate in 6.25% of the patients, intense in 31.25%, and unbearable in 55.55%. Multimodal analgesia was the most commonly used treatment method, combining those of levels one and two (74.31%) and levels one and three (8.25%). The mean dose of morphine administered was 17.14 mg when morphine alone was prescribed for titration, 13.57 mg when paracetamol and morphine were combined, and 15.83 mg when nefopam and morphine were combined. Clinical outcome was favorable in 68.87% of the cases. Conclusion: Wide variability was observed in the modalities of analgesic treatment of sickle cell VOC. These variations reflect different views on the appropriateness of opioids. This study highlights the efficacy of multimodal analgesia in the management of acute pain in patients with SCD, particularly in regard to morphine sparing. Context-specific recommendations will be needed to harmonize practices. [ABSTRACT FROM AUTHOR]

Coastal erosion has posed significant challenges to sustainability and socio-economic stability along Senegal's coastline, leading to substantial infrastructure losses. Using GIS multi-criteria decision analysis (MCDA), two sub-indices were derived for Senegal's coastal departments: the physical susceptibility (PSI) and the social-economic vulnerability (SVI) to coastal erosion. The integrated coastal erosion vulnerability (ICER) model was derived by their aggregation. A total of 26 criteria were used, 18 for PSI and 8 for SVI. The criteria weighting coefficients of the sub-indices were determined using the analytic hierarchy process (AHP). Validation of the model accuracy was performed using receiver operating characteristic (ROC) curves that were calculated based on a created coastal erosion cadaster and true positive (TP) sites and manually acquired true negative (TN) sites. The accuracy assessment confirmed the consistency of the physical susceptibility model (PSI) and proved that existing coastal erosion sites are within (5) very high susceptibility areas. Through the generated ICER, the coastal departments were divided into areas of (1) very low, (2) low, (3) medium, (4) high and (5) very high vulnerability to coastal erosion. Very high (5) and high (4) classes cover around 31% of the coastal departments, mostly encompassing a narrow coastal strip and low river valleys and mouths. The presented coastal susceptibility and vulnerability maps, with a spatial resolution of 30 m, identified problematic areas in Senegal's coastal departments and can help decision-makers in the construction of effective coastal zone management and sustainable development. [ABSTRACT FROM AUTHOR]

Background: Large numbers of young people worldwide, especially in the Global South, wish to migrate but lack the capacity to do so, with potentially detrimental consequences for their well-being and mental health. Termed 'involuntary immobility', this phenomenon is numerically larger than migration, but remains for now a largely underexplored area of research. Focusing on young Senegalese living in Casamance, this paper contributes to the limited literature on the implications of immobility for subjective well-being. It does so by (i) considering different degrees and types of involuntary immobility and their intersections, (ii) laying out the implications of (interacting) social and spatial immobilities for well-being with particular attention to youth's agency in navigating a lack of capabilities, and (iii) by accounting for heterogenous experiences taking a gendered approach. Methods: For this study, 35 semi-structured interviews were conducted with 18- to 39-year-olds in Ziguinchor region, recruited through purposive and snowball sampling. Thematic analysis was employed on verbatim transcriptions of audio-recorded interviews. Results: Our study reveals a nuanced reality where aspirations to (temporarily) move abroad coexist with aspirations to stay in Casamance. Participants' life aspirations and overarching projects clash, however, both with a lack of capabilities to move abroad and to enact these locally. This pervasive immobility decreases life satisfaction and generates negative emotions, such as stress, anxiety, discouragement, and distress. Despite these obstacles, our findings also underscore the agency and resourcefulness displayed by the youth as they navigate their limited control over life choices and paths. Conclusions: Involuntary spatial immobility exacerbates the dominant experience of social immobility, magnifying its effect on youth's well-being, revealing a previously unacknowledged phenomenon. Our findings further emphasize the pressing need for a more cohesive alignment between migration policies and information campaigns on one hand and the real experiences and challenges encountered by their intended audience on the other. [ABSTRACT FROM AUTHOR]

This paper assesses the value of agroecological farm schools by analyzing 4 Senegalese cases. Pedagogical quality is measured by: (1) feedback from former learners, (2) acquisition of fundamental knowledge, and (3) professionalization. Beyond globally positive opinions about training, our results show that farm schools display distinct performances. Developing a systemic perspective is not an easy task, but having trainers with more advanced agroecological expertise is an asset. Effective training builds on active pedagogy. Post-training business establishment is facilitated when farm schools create networks in agroecology and/or offer a consequent starter kit. Farm schools could thus contribute to agroecological transitions. [ABSTRACT FROM AUTHOR]

In December 2023, we observed through hospital-based surveillance a severe outbreak of enterovirus D68 infection in pediatric inpatients in Dakar, Senegal. Molecular characterization revealed that subclade B3, the dominant lineage in outbreaks worldwide, was responsible for the outbreak. Enhanced surveillance in inpatient settings, including among patients with neurologic illnesses, is needed. [ABSTRACT FROM AUTHOR]

This article examines the complex relationship between climate change and migration in Africa, with a specific focus on Senegal—a West African nation increasingly vulnerable to climate threats such as drought, rising sea levels, floods, and salinisation. As a significant origin country for irregular migration to the European Union (EU), Senegal presents a compelling case study to explore how extreme climatic conditions interact with other migration drivers. This article does not aim to quantify or measure the extent to which climatic factors and variability contributed to migration decisions. Instead, building on original empirical material, it seeks to map and explore how climate variability interacts with other migration drivers, either by amplifying them or acting in synergy with them, thereby offering a fresh perspective of the complex dynamics at play. Additionally, this article investigates the extent to which the EU addresses and integrates climate considerations into its policy responses to address migratory flows and people's vulnerability in countries of origin. This analysis reveals that the integration of climate factors as an amplifier and a synergist is a 'missing link' in the EU approach in the case of Senegal, with significant implications in terms of the effectiveness and long-term sustainability of EU action. [ABSTRACT FROM AUTHOR]

Crimean-Congo hemorrhagic fever (CCHF) and Rift Valley fever (RVF) are among the list of emerging zoonotic diseases that require special attention and priority. RVF is one of the six priority diseases selected by the Senegalese government. Repeated epidemic episodes and sporadic cases of CCHF and RVF in Senegal motivated this study, involving a national cross-sectional serological survey to assess the distribution of the two diseases in this country throughout the small ruminant population. A total of 2127 sera from small ruminants (goat and sheep) were collected in all regions of Senegal. The overall seroprevalence of CCHF and RVF was 14.1% (IC 95%: 12.5–15.5) and 4.4% (95% CI: 3.5–5.3), respectively. The regions of Saint-Louis (38.4%; 95% CI: 30.4–46.2), Kolda (28.3%; 95% CI: 20.9–35.7), Tambacounda (22.2%; 95% CI: 15.8–28.6) and Kédougou (20.9%; 95% CI: 14.4–27.4) were the most affected areas. The risk factors identified during this study show that the age, species and sex of the animals are key factors in determining exposure to these two viruses. This study confirms the active circulation of CCHF in Senegal and provides important and consistent data that can be used to improve the surveillance strategy of a two-in-one health approach to zoonoses. [ABSTRACT FROM AUTHOR]

Acute respiratory tract infections are one of the leading causes of morbidity and mortality worldwide. More data are needed on circulating respiratory microorganisms in different geographical areas and ecosystems. We analyzed nasopharyngeal swabs from 500 febrile patients living in the Niakhar area (Senegal), using FTDTM multiplex qPCR and simplex qPCR to target a panel of 25 microorganisms. We detected at least one microorganism for 366/500 patients (73.2%), at least one virus for 193/500 (38.6%), and at least one bacterium for 324/500 (64.8%). The most frequently detected microorganisms were Streptococcus pneumoniae (36.8%), Haemophilus influenzae (35.8%), adenovirus (11.8%), influenza viruses (6.4%), rhinovirus (5.0%), SARS-CoV-2 (4.0%), and RSV (4.0%). The main microorganisms significantly associated with respiratory symptoms, with a p-value ≤ 0.05, were influenza virus (11.9% in patients with respiratory symptoms versus 2.9% in patients without), RSV (6.5% versus 2.6%), metapneumovirus (5.4% versus 1.3%), HPIVs (7.6% versus 1.0%), S. pneumoniae (51.9% versus 28.0%), and H. influenzae (54.6% versus 24.5%). Co-infections were significantly associated with respiratory symptoms (65.4% versus 32.9%). All the epidemiological data show a high level of circulation of respiratory pathogens among febrile patients, including those preventable by vaccination such as S. pneumoniae, raising the question of the serotypes currently circulating. Furthermore, the availability of affordable real-time etiological diagnostic tools would enable management to be adapted as effectively as possible. [ABSTRACT FROM AUTHOR]

When a young woman named Alinesitoué Diatta received her first vision from the Jola divine entity, Emitai, Senegal was in the midst of the Second World War. Its colonial government was under Vichy French rule, West African men were forcibly conscripted into the French military, and their crops filled the army's coffers. Amid these global and regional pressures, Alinesitoué's prophetic teachings inspired rebellion among Senegalese Casamance communities, and in 1943 the French exiled her to Timbuktu. This study examines the response to Alinesitoué's influence by the French, who used her as a scapegoat to quell rebellion in Senegal and, in so doing, showed how colonial anxiety had been amplified to new levels during the Second World War. By analyzing newly declassified documents, this study examines the tensions between the official and confidential narratives that circulated about Alinesitoué and confirms what scholars have long suspected: Alinesitoué was not the singular rebel that the French made her out to be, and in exiling her, they endowed her with discursive and symbolic power. [ABSTRACT FROM AUTHOR]

Understanding and identifying appropriate adaptation optons for cropping systems and management practices at spatial and temporal scales is an important prerequisite for scaling. Pearl millet (Pennisetum glaucum (L) R. Br.) could be regarded as a risk-reducing measure crop under climate change when coupled with tactical agronomic management practices. In this study, we assess the impacts of adaptation strategies such as cultivar type, planting windows, and fertilizer strategies on pearl millet production under rainfed farming systems over Nigeria and Senegal using the Agricultural Production Systems Simulator (APSIM) model. The impact of climate change on millet yield was evaluated using a validated APSIM-millet module that utilized yield data collected through participatory research and extension approach (PREA) in contrasting environments. The climate model projections for the mid-century period (2040-2069) were compared against a baseline period of 1980-2009 for both locations. During the simulation, two millet varieties (improved local and dualpurpose) with two sowing regimes were considered comparing traditional farmers' sowing window (dry sowing) and agronomic sowing window (planting based on the onset of the rainfall) at three different fertilizer levels [low (23 kg N ha-1), medium (40.5 kg N ha-1), and high (68.5 kg N ha-1) respectively]. The performance of the APSIM-millet module was found to be satisfactory as indicated by the low Root Means Square Error (RMSE) and Normalized Root Mean Square Error (NRMSE) values. The range for grain yield was between 17.7% and 25.8%, while for AGB it was between 18.6% and 21.4%. The results showed that farmers' sowing window simulated slightly higher grain yield than the agronomic sowing window for improved local millet cultivar indicating yield increased by 8-12%. However, the projected changes in the mid-century (2040- 2069) resulted in a decline in yield against baseline climate for both varieties and sowing windows, indicating the negative impact of climate change (CC) on yield productivity. The comparison between dual-purpose millet and improved local millet indicates that disseminating the improved millet variety and implementing early sowing could be an effective adaptation strategy in reducing risks and losses caused by climate change. Similarly, low magnitude impacts simulated on grain yield (< -8% in Nigeria compared to > -8% in Senegal) even though both locations are in the same agroecological zone. [ABSTRACT FROM AUTHOR]

Usutu virus (USUV), an arbovirus from the Flaviviridae family, genus Flavivirus, has recently gained increasing attention because of its potential for emergence. After his discovery in South Africa, USUV spread to other African countries, then emerged in Europe where it was responsible for epizootics. The virus has recently been found in Asia. USUV infection in humans is considered to be most often asymptomatic or to cause mild clinical signs. However, a few cases of neurological complications such as encephalitis or meningo-encephalitis have been reported in both immunocompromised and immunocompetent patients. USUV natural life cycle involves Culex mosquitoes as its main vector, and multiple bird species as natural viral reservoirs or amplifying hosts, humans and horses can be incidental hosts. Phylogenetic studies carried out showed eight lineages, showing an increasing genetic diversity for USUV. This work describes the development and validation of a novel whole-genome amplicon-based sequencing approach to Usutu virus. This study was carried out on different strains from Senegal and Italy. The new approach showed good coverage using samples derived from several vertebrate hosts and may be valuable for Usutu virus genomic surveillance to better understand the dynamics of evolution and transmission of the virus. [ABSTRACT FROM AUTHOR]

Background: The Corona Virus Disease 2019 (COVID-19) pandemic overwhelmed health systems and disrupted the delivery of health services globally. Community Health Workers (CHWs) play a critical role in linking communities to health systems, supporting the prevention and control of diseases in many low- and middle-income countries. However, their roles, barriers, and facilitators in the response and control of the COVID-19 pandemic have not been well documented. We described the roles of CHWs in the COVID-19 response, including the barriers and facilitators. Methods: A cross-sectional study design was used to assess the COVID-19 response in the Democratic Republic of Congo (DRC), Nigeria, Senegal, and Uganda. This involved 110 key informant interviews with policymakers, health facility managers, district health managers, and CHWs to understand the role of CHWs in the COVID 19 response, selected purposively. The total sample size was based on information saturation in each of the countries. A document review on the COVID-19 response was also conducted. We searched Google, Google Scholar, and PubMed for published and grey literature. Data from the selected documents were extracted into a Google master matrix in MS Excel and analyzed thematically. Results: In COVID-19 Control, CHWs supported community-based surveillance, contact tracing, risk communication, community mobilization, and home-based care. To support the continuity of other non-COVID-19 services, the CHWs conducted community mobilization, sensitizations, outreaches, referrals, and patient follow-ups. CHWs were challenged by movement restrictions, especially in the initial stages of the lockdown, inadequate PPE, increased workload, low allowances, and motivation. CHW were facilitated by trainings, the development of guidelines, development partners' support/funding, and the provision of personal protective equipment (PPE) and tools. Conclusion: CHWs supported both the COVID-19 control and continuity of non-COVID-19 health care during the COVID-19 pandemic. CHWs are a critical resource that must be adequately supported to build resilient health systems. [ABSTRACT FROM AUTHOR]

Background: This study was carried out in Linguere department, Louga region of Senegal. Its objective was to explore the socio-economic factors that influence small ruminant producers’ decisions on vaccination against peste des petits ruminants. Methods: We carried out a willingness to vaccinate and willingness to pay for vaccination using a choice experiment approach with 200 small ruminant producers. Results: Results showed that the key factors that influence willingness to vaccinate, include perceived benefits of vaccination (98, 95%CI: 96–100%), the type of vaccinator (91, 95%CI: 87–95%), the access to information (86, 95%CI: 81–91%), the vaccine availability (80, 95%CI: 74–86%), and the possession of a vaccination certificate by the producer (76, 95%CI: 70–82%). Preferences of producers leaned toward home vaccination (preference weight = 0.74, p = 1%), individual herd vaccination (preference weight = 0.45, p = 1%), elective participation to vaccination (preference weight = 0.33, p = 0.01), and low-cost services (preference weight = −0.004, p = 0.1). Producers expressed a willingness to pay for vaccination per animal of XOF 184 (USD 0.3), XOF 113 (USD 0.18), and XOF 82 (USD 0.13) for home, individual herd, and elective vaccination, respectively. Conclusion: The findings underscore the importance of targeted awareness campaigns and bringing vaccination services closer to the producers. [ABSTRACT FROM AUTHOR]

Background: Schistosomiasis remains a public health concern worldwide. It is responsible for more than 240 million cases in 78 countries, 40 million of whom are women of childbearing age. In the Senegal River basin, both Schistosoma haematobium and Schistosoma mansoni are very prevalent in school-age children. However, there is a lack of information on the burden of schistosomiasis in pregnant women, which can cause complications in the pregnancy outcome. This study aimed to determine the prevalence and associated factors of schistosomiasis in pregnant women. Methods: We conducted a prospective cross-sectional study of pregnant women attending antenatal clinics at the health center of the Senegalese Sugar Company and at the hospital of Richard Toll between August and December 2021. The urine and stool samples collected were examined using microscopy techniques and quantitative polymerase chain reaction (qPCR) to detect the presence of S. haematobium and S. mansoni. The urines were previously tested using urine reagent strips to detect hematuria and proteinuria. Socio-demographical, clinical, and diagnostically data were recorded by the midwife and the gynaecologist. The data were analyzed using a logistic regression model. Results: Among the 298 women examined for the infection by microscopic, 65 (21.81%) were infected with urogenital schistosomiasis, 10 (3.36%) with intestinal schistosomiasis, and 4 (1.34%) were co-infected with both types of schistosomiasis. Out of the 288 samples tested by qPCR, 146 (48.99%) were positive for S. haematobium, 49 (35.51%) for S. mansoni and 22 (15.94%) for both species (co-infection). Pregnant women having microscopic haematuria and proteinuria were significantly more infected (p < 0.05). Conclusion: This study has revealed a high prevalence of schistosomiasis in pregnant women in Senegal. The qPCR allowed us to detect more cases compared to the microscopy. There is a need to conduct more studies to understand the real burden of the disease and to set up a surveillance system to prevent pregnancy-related complications. [ABSTRACT FROM AUTHOR]

Le Dantec virus (LDV), assigned to the species Ledantevirus ledantec, genus Ledantevirus, family Rhabdoviridae has been associated with human disease but has gone undetected since the 1970s. We describe the detection of LDV in a human case of undifferentiated fever in Uganda by metagenomic sequencing and demonstrate a serological response using ELISA and pseudotype neutralisation. By screening 997 individuals sampled in 2016, we show frequent exposure to ledanteviruses with 76% of individuals seropositive in Western Uganda, but lower seroprevalence in other areas. Serological cross-reactivity as measured by pseudotype-based neutralisation was confined to ledanteviruses, indicating population seropositivity may represent either exposure to LDV or related ledanteviruses. We also describe the discovery of a closely related ledantevirus in blood from the synanthropic rodent Mastomys erythroleucus. Ledantevirus infection is common in Uganda but is geographically heterogenous. Further surveys of patients presenting with acute fever are required to determine the contribution of these emerging viruses to febrile illness in Uganda. Author summary: Understanding the viruses capable of human infection is important for outbreak prevention and early intervention in viral epidemics. Le Dantec virus (LDV) is a member of the viral genus Ledantevirus (Rhabodoviridae) and has previously been isolated only once previously in a child with febrile illness in Senegal in 1965. We detected the genome of LDV in blood sampled from a patient presenting with febrile illness in Western Uganda in 2012. To estimate the extent to which LDV may be causing human infection in the region, we tested stored blood samples collected in 2016 for evidence of antibodies to LDV, revealing that up to 76% of Ugandans in some areas had previously been exposed to either to LDV or a closely related virus. Seroprevalence was highest in Western Uganda, an area of high biodiversity where several other ledanteviruses have been isolated in association with ectoparasites of bats. To investigate potential ecological reservoirs of zoonotic viruses we tested blood from wild rodents inhabiting areas close to human settlements. We detected a new ledantevirus, closely related to LDV, in blood from a wild rodent Mastomys erythroleucus. Our work shows that ledanteviruses are a common cause of human infection in Uganda. [ABSTRACT FROM AUTHOR]

Background: Drug resistance in Plasmodium falciparum is a major threat to malaria control efforts. Pathogen genomic surveillance could be invaluable for monitoring current and emerging parasite drug resistance. Methods: Data from two decades (2000–2020) of continuous molecular surveillance of P. falciparum parasites from Senegal were retrospectively examined to assess historical changes in malaria drug resistance mutations. Several known drug resistance markers and their surrounding haplotypes were profiled using a combination of single nucleotide polymorphism (SNP) molecular surveillance and whole genome sequence based population genomics. Results: This dataset was used to track temporal changes in drug resistance markers whose timing correspond to historically significant events such as the withdrawal of chloroquine (CQ) and the introduction of sulfadoxine-pyrimethamine (SP) in 2003. Changes in the mutation frequency at Pfcrt K76T and Pfdhps A437G coinciding with the 2014 introduction of seasonal malaria chemoprevention (SMC) in Senegal were observed. In 2014, the frequency of Pfcrt K76T increased while the frequency of Pfdhps A437G declined. Haplotype-based analyses of Pfcrt K76T showed that this rapid increase was due to a recent selective sweep that started after 2014. Discussion (Conclusion): The rapid increase in Pfcrt K76T is troubling and could be a sign of emerging amodiaquine (AQ) resistance in Senegal. Emerging AQ resistance may threaten the future clinical efficacy of artesunate-amodiaquine (ASAQ) and AQ-dependent SMC chemoprevention. These results highlight the potential of molecular surveillance for detecting rapid changes in parasite populations and stress the need to monitor the effectiveness of AQ as a partner drug for artemisinin-based combination therapy (ACT) and for chemoprevention. [ABSTRACT FROM AUTHOR]

In Senegal, there are disparities in access to drinking water at several levels. There are major differences between urban and rural areas. In rural areas, poverty, the abundance or scarcity of water infrastructure, and the distance between the place of residence and the place of supply are, to some extent, factors in the disparity in rates of access to drinking water from one village to another and, within the same village, from one household to another. Determining the sources of variance between villages and households regarding access to drinking water is based on the identification of several explanatory variables, both at the aggregate level (village level) and at the individual level (household level). Multilevel analysis has shown that differences in household access to drinking water are due to several factors that can be grouped into two categories: contextual variables that vary from one village to another, and individual characteristics that differ from one household to another. The aim of this article is to analyze the factors that explain the disparity in access to drinking water in rural communes in the south of the Kaffrine region. The usefulness of multilevel analysis lies in its ability to solidify causal inference in the associations between the infrastructural levels of villages, in terms of water facilities, and their impact on the level of access to drinking water of rural households as reported (Bringe and Golaz in Manuel pratique d'analyse multiniveau, Ined Éditions, Aubervilliers, 2017), as reported (Diane et al., in Analyse multiniveau pour expliquer la prévalence d'impacts sanitaires néfastes autorapportés et l'adaptation lorsqu'il fait très chaud et humide en été dans les secteurs les plus défavorisés des neuf villes les plus populeuses du Québec en 2011, 2015). [ABSTRACT FROM AUTHOR]

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