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Dans la première moitié du XXème siècle, alors que la Haute-Volta (actuel Burkina Faso) subissait une terrible épidémie de maladie du sommeil, l’administration coloniale française a orchestré des déplacements massifs de populations de la Haute-Volta vers la Côte d’Ivoire, pour exploiter le territoire. Cela a conduit à la mise en place de villages de colonisation Mossi en zone forestière ivoirienne, comme ceux de Koudougou, issus de l’une des régions les plus peuplées de Haute-Volta, mais aussi l’une des plus touchées par la maladie du sommeil. Depuis 2000, au Burkina Faso, c’est dans le district sanitaire de Koudougou que sont dépistés passivement le plus grand nombre de trypanosomés en provenance de Côte d’Ivoire. Qui sont-ils ? Où habitent-ils au Burkina Faso ? D’où viennent-ils de Côte d’Ivoire ? Après avoir retracé l’histoire épidémiologique des villages de Koudougou au Burkina Faso et en Côte d’Ivoire, nous avons recherché les trypanosomés dépistés passivement depuis 2000 dans le district sanitaire de Koudougou au Burkina Faso. Au total, dix trypanosomés ont été enquêtés. Le processus de propagation de la maladie du sommeil dans l’espace ivoiro-burkinabé a été mis en évidence et des zones à risque de la maladie identifiées dans ce même espace.

L’objectif de cet article est de décrire les récentes données de surveillance médicale de la Trypanosomose Humaine Africaine (THA) au Burkina Faso et en Côte d’Ivoire afin (i) de dresser un bilan de la situation actuelle de la maladie dans ces deux pays qui entretiennent depuis plus d’un siècle des liens migratoires, économiques et épidémiologiques intimes et (ii) de définir les stratégies à mettre en place dans l’objectif d’une élimination durable. Les résultats de la surveillance active et passive ont montré que les trypanosomés dépistés au Burkina-Faso ces dernières années sont tous des cas importés provenant de Côte d’Ivoire. Cependant, la réintroduction du parasite est effective et le risque d’une reprise de la transmission existe. En Côte d’Ivoire, plusieurs foyers “historiques” toujours endémiques font craindre des phénomènes de réémergence et de propagation. Dans l’objectif d’une élimination durable de la THA dans ces deux pays, les acteurs de la lutte doivent adapter leur système de surveillance en fonction des différents contextes épidémiologiques. Les prévalences actuelles ne justifient plus, excepté des cas particuliers, l’usage systématique et très onéreux du dépistage actif par prospections médicales exhaustives. Elles tendent plutôt à privilégier des systèmes intégrés aux systèmes de santé nationaux et utiliser des méthodes permettant de cibler les zones prioritaires d’intervention à partir notamment d’un échange d’informations épidémiologiques entre les deux pays. Pour accompagner le processus d’élimination durable, les acteurs de la recherche doivent étudier le rôle respectif des réservoirs humain et animal dans le maintien de la transmission, participer au suivi sur le long terme des cas traités et des suspects sérologiques, et évaluer en termes de coût/efficacité les stratégies mises en place par les Programmes Nationaux afin de les optimiser.

Human population growth, climate change and economic development are causing major environmental modifications in Western Africa, which will have important repercussions on the epidemiology of sleeping sickness. A new initiative, the Atlas of human African trypanosomiasis (HAT), aims at assembling and geo-referencing all epidemiological data derived from both active screening activities and passive surveillance. A geographic database enables to generate up-to-date disease maps at a range of scales and of unprecedented spatial accuracy. We present preliminary results for seven West African countries (Benin, Burkina Faso, Côte d’Ivoire, Ghana, Guinea, Mali and Togo) and briefly discuss the relevance of the Atlas for future monitoring, control and research activities.

Au Burkina-Faso, la boucle du Mouhoun constitue un foyer historique des trypanosomoses humaines africaines (THA) et animales africaines (TAA), transmises par les glossines. Aujourd’hui, la THA semble avoir disparu de cette région après quelques soubresauts dans les années 1970, tandis que la TAA continue de sévir. Afin de mieux comprendre ces évolutions divergentes, nous avons mené une étude géographique basée sur l’analyse de photographies aériennes entre 1952 et 2007, ainsi que d’enquêtes de terrain sur les aspects médicaux, entomologiques et vétérinaires des trypanosomoses. Il apparaît que le paysage de cette région a connu en l’espace d’un siècle des modifications intenses, notamment du fait de l’augmentation des densités de population et des surfaces cultivées, qui n’ont pas été sans conséquences sur le nombre et la distribution des mouches tsé-tsé. Associée à la lutte médicale qui avait permis la stérilisation du réservoir humain de trypanosomes dans les années 1940, cette dégradation paysagère, accompagnée du développement des aménagements hydrauliques et d’évolutions des modalités de migration des hommes et des animaux, semble pouvoir expliquer ces disparités THA/TAA. La mise en évidence de ces facteurs, et leur prise en compte lors d’études ultérieures menées dans d’autres régions, devrait permettre de délimiter des zones d’intervention prioritaires contre les trypanosomoses et leurs vecteurs dans un contexte de lutte internationale contre ces pathologies.

Des enquêtes entomologiques couplées à une analyse phytosociologique ont été menées dans la zone de Folonzo au sud du Burkina Faso sur la rivière Comoé. L’étude avait pour objectif de comparer l’abondance et la diversité des espèces de glossines dans une zone protégée et une zone non protégée, grâce à des transects perpendiculaires au cours d’eau. Des pièges ont été posés le long de ces transects depuis la rivière Comoé jusqu’à la savane en passant par la galerie forestière. Une analyse diachronique de la zone entre 1980 et 2008 a également été menée par comparaison d’images satellites Landsat et à partir de l’évolution des densités de tsé-tsé. Sur chacun des transects, une description de la flore a été faite, incluant toutes les espèces situées dans un rayon de 10 m autour de chaque piège. Il existe une très grande homogénéité floristique entre les transects, particulièrement pour la forêt-galerie, en revanche la savane montre une relative hétérogénéité. L’enquête entomologique révèle la présence de quatre espèces de glossines qui sont Glossina tachinoides (74 %), G. morsitans submorsitans (20 %), G. palpalis gambiensis (4 %) et G. medicorum (2 %). Une différence nette s’observe entre la zone non protégée et la zone protégée, avec une densité moyenne de tsé-tsé quatre fois inférieure dans la première. Cette différence est particulièrement importante pour G. m. submorsitans, dont les densités sont divisées par neuf dans la zone non protégée. Cette régression s’explique par la diminution de la faune sauvage hors de la zone protégée, et ceci est extrapolable à l’ensemble du pays où cette espèce de glossine est en net recul. L’évolution du terroir de Folonzo montre une augmentation impressionnante des densités humaines et des surfaces cultivées, qui n’a pas (encore) d’impact visible sur la composition floristique des lieux d’analyse, mais qui a déjà eu comme conséquence une diminution des densités de la faune sauvage. La comparaison des densités actuelles de glossines à celles obtenues en 1980 montre une forte diminution générale incluant les densités des deux espèces riveraines, mais qui affecte moins G. palpalis gambiensis.

Guinea is the West African country which is currently the most prevalent for sleeping sickness. The littoral area is the region where most of the recent sleeping sickness cases have been described, especially the mangrove sleeping sickness foci of Dubreka and Boffa where Glossina palpalis gambiensis is the vector. Loos islands constitute a small archipelago 5 km apart from the capital, Conakry. Medical, animal, and entomological surveys were implemented in these islands in Oct-Nov 2006. No pathogenic trypanosomes were found in these surveys. The locally very high tsetse densities (up to more than 100 tsetse/trap/day) linked to pig rearing, constitute a high potential risk for humans (taking into account populations movements with neighboring active sleeping sickness foci of the Guinea littoral, and the history of sleeping sickness on these islands), and for the economically important pig rearing, as well as a danger for tourism. This situation, associated to the possibility of elimination of these tsetse populations due to low possibility of reinvasion, led the National Control Program to launch a tsetse elimination project following an “area wide” strategy for the first time in West Africa, which participates in the global objective of the PATTEC (Pan African Tsetse and Trypanosomosis Eradication Campaign).

Les évolutions démographiques (population humaine multipliée par quatre en 50 ans), les changements climatiques et le développement économique survenus en Afrique de l’Ouest depuis maintenant un siècle ont profondément modifié le peuplement humain et les paysages dans lesquels il s’inscrit. Ces évolutions ne sont pas sans conséquences sur le complexe pathogène des trypanosomoses transmises par les glossines. En l’espace d’un siècle, la limite nord des tsé-tsé s’est déplacée vers le sud, accompagnant (mais à des échelles distinctes) la descente des isohyètes et des foyers de maladie du sommeil, autrefois présents en savane et qui sont actuellement répartis en zone forestière et en zone de mangrove. On met en évidence un impact clair de la pression anthropique sur le recul des glossines du groupe morsitans, vecteurs majeurs des trypanosomoses animales. En revanche, les glossines du groupe palpalis (notamment Glossina palpalis) s’adaptent aux fortes densités humaines et se maintiennent dans les plus grands centres urbains d’Afrique de l’Ouest, posant d’ailleurs la question du développement de foyers urbains dans les années à venir, comme en témoigne l’exemple récent de Kinshasa. L’étude des facteurs humains (dynamiques de peuplement) et environnementaux (changements climatiques et leurs impacts) dans l’espace et dans le temps, corrélée à celle des trypanosomoses et de leurs vecteurs devra permettre la mise en évidence des combinaisons spatiales capables d’expliquer la présence/absence de la maladie dans le but d’orienter les zones d’intervention médicale et anti-vectorielle. Ce type d’étude pourra être étendu à d’autres pathologies transmises par des vecteurs.

This paper presents new metamodels based on artificial neural networks trained on full core 3D depletion simulations performed with APOLLO2 and CRONOS2. They are used to estimate the irradiation cycle length, discharge burn-up of each fuel assembly type and radial power factor of a PWR loaded with 30% of MOX fuels, as a function of the initial plutonium composition. They allow to explore the impact of the plutonium isotopic vector on the reactor characteristics and can be used for scenarios studied for future fuel cycle. Some exclusion domains in the plutonium isotopic vector phase space are identified as a function of the cycle length. As an example, the potentialities of such fuel management for plutonium recycling from MOX spent fuel are studied.

Scenario simulations are the main tool for studying the impact of a nuclear reactor fleet on the related fuel cycle facilities. This equilibrium preliminary study aims to present the functionalities of a new tool and to show the wide variety of reactors/cycles/strategies that can be studied in steady state conditions and validated with more details thanks to dynamic code. Different types of scenario simulation tools have been developed at CEA over the years, this study focuses on dynamic and equilibrium codes. Dynamic fuel cycle simulation code models the ingoing and outgoing material flow in all the facilities of a nuclear reactor fleet and their evolutions through the different nuclear processes over a given period of time. Equilibrium fuel cycle simulation code models advanced nuclear fuel cycles in equilibrium conditions, i.e. in conditions which stabilize selected nuclear inventories such as spent nuclear fuel constituents, plutonium or some minor actinides. The principle of this work is to analyze different nuclear reactors (PWR, AMR) and several fuel types (UOX, MOX, ERU, MIX) to simulate advanced nuclear fleet with partial and fully plutonium and uranium multi-recycling strategies at equilibrium. At this first stage, selected results are compared with COSI6 simulations in order to evaluate the precision of this new tool, showing a significant general agreement.

Nuclear scenario studies are performed to explore the impact of possible evolutions of nuclear fleets. The nuclear fuel cycle simulation tool COSI, developed by CEA, is used to model these dynamic scenarios and to evaluate them with respect to uranium and plutonium management, fuel reprocessing and waste production. In recent years, scenarios have focused on transitions from the current nuclear French fleet to a deployment of SFR. However, the French Multi-annual Energy Planning has recently postponed the deployment of this technology to the second half of the 21st century. Alternative solutions of plutonium management in PWR are investigated to stabilize total inventories of spent nuclear fuels. The MIX concept is based on homogeneous fuel assemblies where fuel rods are composed of plutonium blended with enriched uranium. In this study, a transition from the current French fleet to an EPR™ fleet is simulated. Two power capacities of the future EPR™ fleet are considered. A progressive deployment of fuel multi-recycling in the EPR™ fleet is implemented to enable stabilization of all spent fuels and plutonium inventories. Natural uranium consumption is also minimized thanks to ERU fuel batches in EPR™. Results are compared with plutonium and uranium mono-recycling in a PWR fleet.

In 2017, 1447 new cases of Human African Trypanosomiasis (HAT) were reported, which reflects considerable progress towards the World Health Organisation’s target of eliminating HAT as a public health problem by 2020. However, current epidemiological data are still lacking for a number of areas, including historical HAT foci. In order to update the HAT situation in the historical focus of forested Guinea, we implemented a geographically based methodology: Identification of Villages at Risk (IVR). The methodology is based on three sequential steps: Desk-based IVR (IVR-D), which selects villages at risk of HAT on the basis of HAT archives and geographical items; Field-based IVR (IVR-F), which consists in collecting additional epidemiological and geographical information in the field in villages at risk; and to be Medically surveyed IVR (IVR-M), a field data analysis through a Geographic Information System (GIS), to compile a list of the villages most at risk of HAT, suitable to guide active screening and passive surveillance. In an area of 2385 km2 with 1420,530 inhabitants distributed in 1884 settlements, 14 villages with a population of 11,236 inhabitants were identified as most at risk of HAT and selected for active screening. Although no HAT cases could be confirmed, subjects that had come into contact with Trypanosoma brucei gambiense were identified and two sentinel sites were chosen to implement passive surveillance. IVR, which could be applied to any gambiense areas where the situation needs to be clarified, could help to reach the objective of HAT elimination.

The World Health Organization (WHO) has set the goal of gambiense-Human African trypanosomiasis (HAT) elimination as a public health problem for 2020 and interruption of transmission in humans for 2030. In this context, it is crucial to monitor progress towards these targets using accurate tools to assess the level of transmission in a given area. The aim of this study was to investigate the relevance of the immune trypanolysis test (TL) as a population-based bioassay to evaluate Trypanosoma brucei gambiense transmission in various epidemiological contexts. Significant correlations were observed between HAT endemicity levels and the percentage of TL-positive individuals in the population. TL therefore appears to be a suitable population-based biomarker of the intensity of transmission. In addition to being used as a tool to assess the HAT status at an individual level, assessing the proportion of TL positive individuals in the population appears as a promising and easy alternative to monitor the elimination of gambiense HAT in a given area.

Fuel cycle simulators are used worldwide to provide scientific assessment to fuel cycle future strategies. Those tools help understanding the fuel cycle physics and determining the most impacting drivers at the cycle scale. A standard scenario calculation is usually based on a set of operational assumptions, such as reactor Burn-Up, deployment history, cooling time, etc. Scenario output is then the evolution of isotopes mass in the facilities that composes the nuclear fleet. The increase of computing capacities and the use of neutron data fast predictors provide new opportunities in nuclear scenario studies. Indeed, a very high number of calculations is possible, which allows testing a high number of operational assumptions combinations. The global sensitivity analysis (GSA) formalism is specifically well adapted for this kind of problem. In this new framework, a scenario study is based on the sampling of operational data, which become input variables. A first result of a scenario study is the highlight of relations between operational input data and outputs. Input variable subspace that satisfy optimization criteria on an output, such as plutonium incineration or stabilization, can also be determined. In this paper, a focus is made on the methodology based on GSA. This innovative methodology is presented and applied to a simple fleet simulation composed of a PWR-UOx fuel and a PWR-MOx fuel. Calculations are done with the fuel cycle simulator CLASS developed by the CNRS/IN2P3 in collaboration with IRSN. The design of experiment is built from five fuel cycle input sampled variables. Sensitivity indices have been calculated on plutonium and minor actinide (MA) production. It shows that the PWR-UOx Burn-Up and the fraction of PWR-MOx fuel are the most important input variables that explain the plutonium production. For the MA production, main drivers depend strongly on isotopes. Sensitivity analysis also reveals input variable subspace responsible of simulation crash, what led to an important improvement of the model algorithms. An equilibrium condition on the plutonium mass in the stockpile used for building MOx fuel has been applied. The solution is represented as a subspace in the PWR-UOx Burn-Up and PWR-MOx fraction input space. For instance, achieving a plutonium equilibrium in a stockpile fed by a PWR-UOx that operates at 40 GWd/t requires a PWR-MOx fraction between 9 and 14%. This study also provides data related to plutonium incineration induced by the utilization of the MOx.

Significant efforts to control human African trypanosomiasis (HAT) over the three past decades have resulted in drastic reductions of disease prevalence in Côte d’Ivoire. In this context, the costly and labor-intensive active mass screening strategy is no longer efficient. In addition to a more cost-effective passive surveillance system being implemented in this low-prevalence context, our aim was to develop an alternative targeted active screening strategy. In 2012, we carried out a targeted door-to-door (TDD) survey focused on the immediate vicinities of former HAT patients detected in the HAT focus of Bonon and compared the results to those obtained during classical active mass screening (AMS) surveys conducted from 2000 to 2012 in the same area. The TDD that provides a friendlier environment, inviting inhabitants to participate and gain awareness of the disease, detected significantly more HAT cases than the AMS. These results suggest that the TDD is an efficient and useful strategy in low-prevalence settings where very localized transmission cycles may persist and, in combination with passive surveillance, could help in eliminating HAT.

Abstract Background The tsetse fly Glossina palpalis gambiensis is the main vector of sleeping sickness (Human African Trypanosomiasis - HAT) in West Africa, in particular in littoral Guinea where this disease is currently very active. The Loos islands constitute a small archipelago some 5 km from mainland Guinea, where G. p. gambiensis is well known as a nuisance and potential disease vector by inhabitants of the three main islands, Fotoba, Room, and Kassa. The National Control Program against HAT of Guinea has decided to eradicate tsetse in Loos islands in order to sustainably protect humans and economic activities. After baseline data collection, tsetse control began on the islands in 2006. On each of the three islands a specific combination of control methods was implemented according to the entomological situation found. Results Starting densities before control operations were 10, 3 and 1 tsetse/trap/day in Kassa, Room and Fotoba respectively, but by July 2010, tsetse were no longer caught in any of the sentinel traps used for monitoring. The reduction rate was faster where several control methods were implemented as a combination (impregnated traps and targets ITT, selective groundspraying, epicutaneous insecticide treatment of pigs, and impregnated fences around pig pens), whereas it was slower when ITT were used as the only control method. Conclusions This 100% suppression is a promising step in the eradication process, but G. p. gambiensis may still occur at very low, undetectable, densities on the archipelago. Next step will consist in assessing a 0.05 probability of tsetse absence to ascertain a provisional eradication status. Throughout these operations, a key factor has been the involvement of local teams and local communities without whom such results would be impossible to obtain. Work will continue thanks to the partners involved until total eradication of the tsetse on Loos islands can be declared.

Abstract Background Following World Health Assembly resolutions 50.36 in 1997 and 56.7 in 2003, the World Health Organization (WHO) committed itself to supporting human African trypanosomiasis (HAT)-endemic countries in their efforts to remove the disease as a public health problem. Mapping the distribution of HAT in time and space has a pivotal role to play if this objective is to be met. For this reason WHO launched the HAT Atlas initiative, jointly implemented with the Food and Agriculture Organization of the United Nations, in the framework of the Programme Against African Trypanosomosis. Results The distribution of HAT is presented for 23 out of 25 sub-Saharan countries having reported on the status of sleeping sickness in the period 2000 - 2009. For the two remaining countries, i.e. Angola and the Democratic Republic of the Congo, data processing is ongoing. Reports by National Sleeping Sickness Control Programmes (NSSCPs), Non-Governmental Organizations (NGOs) and Research Institutes were collated and the relevant epidemiological data were entered in a database, thus incorporating (i) the results of active screening of over 2.2 million people, and (ii) cases detected in health care facilities engaged in passive surveillance. A total of over 42 000 cases of HAT and 6 000 different localities were included in the database. Various sources of geographic coordinates were used to locate the villages of epidemiological interest. The resulting average mapping accuracy is estimated at 900 m. Conclusions Full involvement of NSSCPs, NGOs and Research Institutes in building the Atlas of HAT contributes to the efficiency of the mapping process and it assures both the quality of the collated information and the accuracy of the outputs. Although efforts are still needed to reduce the number of undetected and unreported cases, the comprehensive, village-level mapping of HAT control activities over a ten-year period ensures a detailed and reliable representation of the known geographic distribution of the disease. Not only does the Atlas serve research and advocacy, but, more importantly, it provides crucial evidence and a valuable tool for making informed decisions to plan and monitor the control of sleeping sickness.

Abstract Background This study aimed at identifying factors influencing the development of Human African Trypanosomosis (HAT, or sleeping sickness) in the focus of Bonon, located in the mesophile forest of Côte d'Ivoire. A previous study mapping the main daytime activity sites of 96 patients revealed an important disparity between the area south of the town- where all the patients lived- and the area north of the town, apparently free of disease. In order to explain this disparity, we carried out a spatial analysis of the key components of the pathogenic system, i.e. the human host, the tsetse vector and the trypanosomes in their environment using a geographic information system (GIS). Results This approach at the scale of a HAT focus enabled us to identify spatial patterns which linked to the transmission and the dissemination of this disease. The history of human settlement (with the rural northern area exploited much earlier than the southern one) appears to be a major factor which determines the land use pattern, which itself may account for differences found in vector densities (tsetse were found six times more abundant in the southern rural area than in the northern). Vector density, according to the human and environmental context in which it is found (here an intense mobility between the town of Bonon and the rural areas), may explain the observed spatial differences in HAT prevalence. Conclusion This work demonstrates the role of GIS analyses of key components of the pathogenic system in providing a better understanding of transmission and dissemination of HAT. Moreover, following the identification of the most active transmission areas, and of an area unfavourable to HAT transmission, this study more precisely delineates the boundaries of the Bonon focus. As a follow-up, targeted tsetse control activities starting north of Bonon (with few chances of reinvasion due to very low densities) going south, and additional medical surveys in the south will be proposed to the Ivoirian HAT control program to enhance the control of the disease in this focus. This work also shows the evolution of HAT regarding time and environment, and the methodology used may be able to predict possible sleeping sickness development/extinction in areas with similar history and space organization.

Dynamics of Settlement and Landscaped Modification in the National Park of Marahoue (Côte d'Ivoire). In Ivory Coast, the population grew from 8.3 inh;/km² in 1950 to 71.4 inh;/km² in 2015. This increase of density of population, especially in forest area, caused land saturation that has oriented the last pioneering fronts of coffee-cocoa to the protected areas, as is the case of the National Park of Marahoué (NPM). In this park, an questionnaire survey and a mapping of the territory with the Global Positioning System were realized in order to count the population, to locate the settlements and to trace tracks. At the same time, a diachronic analysis of the land use inside the NPM was made. The results show that the dynamics of populating in the NPM was characterized since 1955 by a progressive but slow settlement of localities, which abruptly accelerated from 2000 onwards. In 2015, 53651 persons (52,15 inh./km ²) lived in this park, dispatched in 174 localities. Due to this pressure of population on the natural space, the forest disappeared for the benefit of cultures. Their area increased from 82281 hectares in 1974 to 00 hectares in 2015.

Anthropogenic Pressure and Landscape Dynamics in the Ivoirian Forest Area in the Meagui Region. In Ivory Coast, population density increased from 8 inhabitants/km² in 1950 to 71 inhabitants/km² in 2014. The population growth impulse strong dynamics of settlement and generated an increase of the cultivated surfaces. To visualize these dynamics in the area of Meagui, a diachronic study was realized on settlement and landscape on a transect from Meagui town (East) to National Park of Taï (West), covering a surface of 233 km². The combination of field information and analysis of LANDSAT satellite imagery taken at different dates (1986, 2002 and 2014) allowed to discriminate settlement dynamics and land-use patterns. From 6 units of settlements, identified in the eastern part of the zone in the early 1975s, the number was increased to 489 in 2016. In the same time, the forest, which occupied 40% of the area studied in 1986, had almost disappeared in 2014, in favor of perennial crops (more than 90%). The total population density is estimated at 416 inhabitants/km², i.e 6 times most important than the national density. These results show how important the population/resource problem is in Ivory Coast.

Dynamics of Settlement and Landscape Modifications in the Southern Rural Area of the Bonon City (Marahoué Region, Côte d'Ivoire). Estimated at 15 million of hectares at the beginning of the 20th century, the surface of ​​dense forests in Ivory Coast was estimated at 2.7 million hectares at the end of the same century. Strong anthropic pressure led to a reduction of forest surface in this country. This is the case in the Bonon area, a sub-prefecture in Marahoué region, where cash crops were developed in the early 1970s. Field data collected in 2000 on settlement and landscape were compared with those from 2015. Changes in population density, spatial organization of the territory and rural communications were described. Within 15 years, the rural population density has increased from 75 inhabitants / km² in 2000 to 134 inhabitants / km² in 2015. This increase in human population densities, despite the socio-political crisis from 2002 to 2011, has profoundly changed the landscape in this area. The analysis of the landscape shows a considerable increase in cultivation surface. Agricultural surface have risen from 3818 hectares in 2000 to 5250 hectares in 2015, so an increase of 31% over 15 years. The original forest has almost disappeared.