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Human cytochrome P450 2B6 (CYP2B6) is fortified with the biotransformation of the antimalarial, artemisinin combination therapy (ACT). Owing to emerging reports of Plasmodium species resistance to ACT in other climes, CYP2B6*6 genotype significantly alters ACT metabolism. In North-Central Nigeria, the distribution of the CYP2B6*6 variant is poorly documented. This study investigated the distribution of CYP2B6 c.516G>T variants and its relationship with certain malaria pathogenesis among a cohort of clinical-malaria outpatients in Ilorin, Nigeria.

Recent ethnomedicinal studies on Bridelia ferruginea Benth (family Phyllanthaceae) as an antiplasmodial remedy have established its potency as a strong prophylactic and chemosuppressive agent. Human consumption of medicinal herbs without adequate evaluation of its efficacy and safety can result in grave physiological and pathological consequences. Therefore, this study assessed the antiplasmodial bioactivity, biochemical, hematological, histopathological and toxicity profile of the ethanolic stem bark extract of B. ferruginea in mice. Ethanolic stem bark extract of B. ferruginea (200, 400 and 800 mg/kg) were orally administered to Plasmodium berghei-infected mice in models and were subsequently observed for mortality, behavioral changes and signs of toxicity. Acute evaluation was experimented at 1,000 mg/kg for 28 days. Occult blood obtained from the euthanized mice were subjected to biochemical and hematological assays. A comprehensive assessment of the histology of the liver and kidney was also ascertained. The median lethal dose (LD50) was determined and extrapolated using the regression equation obtained from the plot of the probits of mortalities (y) and the log of doses (log10C). Different concentrations of the phytochemical secondary metabolites were revealed. Antiplasmodial bioactivity was established at the 200, 400 and 800 mg/kg of the herbal extract with a dearth in parasitemia at different days post-treatment. The 800 mg/kg group responded by exhibiting a dose-dependent decrease in parasitemia comparable with the chloroquine bi-phosphate group. Significant alterations in the histology of the liver and kidney of the 1,000 mg/kg group was documented. There was a reduction in the titers of LDH, ALT, AST, and urea in the treated group when compared with the control (p < 0.05). Antioxidant profiles were also highly significant with elevation in SOD, GPx, and CAT, but a reduction in MDA. LD50 was established at 424 mg/kg. B. ferruginea Benth (family Phyllanthaceae) is a potent antiplasmodial, antioxidant, regenerative and ameliorative herbal remedy if administered in controlled dosage. [ABSTRACT FROM AUTHOR]

Objective: Archived malaria rapid diagnostic test strips (mRDTs) serves as an important source of plasmodium Deoxyribose Nucleic Acid (DNA) in epidemiological studies. The presence of Plasmodium falciparum DNA (PfDNA) in mRDTs (yr. 2016-2017) and newly used ones (yr. 2018) were enumerated with a view to establish the parasite's optimum genomic DNA volume. Methods: A retrospective study to determine the yield and purity of used mRDTs was carried out on randomly selected mRDTs (2016 - 2018). Both positive and negative mRDTs samples were analyzed with nested Polymerase chain reaction (nPCR). Dried blood spots (DBS) were obtained from study enrolments and analyzed molecularly. nPCR and Agarose gel electrophoresis were used to determine P. falciparum DNA. Results: Agarose gel electrophoresis results showed that only 26 out of the 50 samples eligible for screening were PCR positive for P. falciparum. The following was observed; yrs.: 2016 - 17(34%) with 2.06 X 103 yield, 1.7235 purity; 2017 - 16(32%) with 1.03 X 103 yield, 1.7619 purity and 2018 - 17(34%) with 1.42 X 103 yield, 1.6194 purity. Molecular analysis (P.f. 18Ss rRNA) was determined to ascertain positive result that appeared negative using mRDTs or microscopy. The DNA yield of the DBS for 2018 was 1.66 X 103 and a purity (Optical Density 260/280) of 1.69. The purity was higher than that of the mRDTs with a DNA yield of 1.42 X 103 and 1.62 purity. Conclusion: PfDNA extraction is an important process for malaria PCR screening and the reliability is dependent on pureness and concentration. [ABSTRACT FROM AUTHOR]

In spite of their zoonotic potentials, ectoparasites of domestic animals are less studied in many part of Nigeria. This study therefore investigated the seasonal distribution and common management practices of dogs' ectoparasites in Ilorin, North-Central Nigeria. Information on dog's bio-data, activities and control measures adopted by owners were obtained using structured questionnaire. Dogs were examined for ectoparasites using standard parasitological method. Out of the 164(48.9 %) male and 170 (51.1 %) female dogs examined, a total of 52.0 % harbored at least one of five species of ectoparasites identified in the study: ticks (Rhipicephalus sanguineus, 70.3 %, Haemaphysalis leachii, 29.4 % and Amblyomma variegatum, 4.5 %), Flea (Ctenocephalides canis, 63.7 %) and lice (Heterodoxus spiniger, 30.0 %). Infestation was higher in males (60.7 %) than females (43.5 %). Multiple infestation particularly combination of tick and flea (34.7 %) were more frequent. Puppies of ≤ 6 months and dogs with short hair (86.5 %) were significantly infested (p<0.05). Analysis of seasonal distribution showed that ectoparasites were more abundant during the rainy season than the dry. The practice of allowing dogs to associate with other dogs; defecate and roam around the premises was significantly associated with increased infestation (p<0.05). Bathing of dogs with locally formulated chemicals significantly reduced infestation; however, they were not recommended acaricides. Some dog owners still employ handpicking, removal by brush or application of kerosene as best practices for controlling ectoparasites; hence, adequate knowledge on safe and reliable methods of control is exigent. [ABSTRACT FROM AUTHOR]

Background: The National Malaria Eradication Program and international agencies are keen on scaling up the use of malaria rapid diagnostic tests (mRDTs) and artemisinin-based combination therapies (ACTs) for effective diagnosis and treatment of the disease. However, poor diagnostic skills and inappropriate treatment are limiting the efforts. In Nigeria, a large proportion of infected patients self-diagnose and treat while many others seek care from informal drug attendants and voluntary health workers. Aims: This study describes the impact of training voluntary health workers, drug shop attendants, and mothers on effective case detection and treatment of malaria in Lagos, Nigeria. METHODS: We trained mothers accessing antenatal care, drug shop attendants, and voluntary health workers selected from the three districts of Lagos, on the use of histidine-rich protein-2-based mRDTs and ACTs. Pre- and post-training assessments, focus group discussions (FGDs), and in-depth interviews (IDIs) were carried out. Results: The knowledge, attitude, and skill of the participants to achieve the goal of "test, treat, and track" using mRDT and ACTs were low (11%–55%). There was a low awareness of other non-malaria fevers among mothers. Self-medication was widely practiced (31.3%). FGDs and IDIs revealed that health-care providers administered antimalarials without diagnosis. Training significantly improved participants' knowledge and expertise on the use of mRDTs and ACTs (P = 0.02). The participants' field performance on mRDT use was significantly correlated with their category (bivariate r = 0.51, P = 0.001). There was no statistically significant association between the participants' level of education or previous field experience and their field performance on mRDT (r = 0.12, P = 0.9; χ2 = 38, df = 2 and P = 0.49). Conclusion: These findings suggest that training of stakeholders in malaria control improves diagnosis and treatment of malaria. However, a broader scope of training in other settings may be required for an effective malaria control in Nigeria. [ABSTRACT FROM AUTHOR]

A cross sectional study was conducted to investigate the prevalence and intensity of gastrointestinal helminths in confined pigs in Ogbomoso, South-west Nigeria. A total of 345 pigs (124 (35.9%) males and 221(64.1%) females) were enrolled. Faecal samples were examined with floatation and sedimentation techniques and McMaster-counting chamber was used for egg count/gram. Our result revealed that 159 (46.0) of the examined pigs were infected with at least one helminth species of Ascarops strongylina (57.4%), Physocepahlus sexalatus (32.2%), Trichuris suis (68.7%), Ascaris suum (31.3%), Hyostrongylus rubidus (23.5%), Strongyloides ransomi (53.0%) and Taenia solium (55.7%). The infection was statistically significant (P<0.001) with sex and highest prevalence was recorded among female pigs. Mean egg count for all the identified gastrointestinal helminths were age dependent except with A. suum and S. ransomi (1742.21 ± 185.15; 95%CI 1374 - 2109.83; P<0.001). Infection in adults and growers were not comparable (36.2%) but comparable with piglets (27.5%) at P<0.001. Pigs raised in cemented floor recorded low prevalence (45.2%) compared to uncemented floor (54.8%), (P<0.001). Pigs housed on plain floor showed striking increase in parasite egg intensities when compared to pigs' house on cemented floors. There is a risk of zoonotic infections. Stakeholders can mitigate morbidity and transmission by regular visits, awareness and drug interventions. [ABSTRACT FROM AUTHOR]