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Material belonging to a small collection of Moroccan arachnids housed in the Institute of Biodiversity and Ecosystem Research at the Bulgarian Academy of Sciences was examined and the results are presented here. A total of 28 species belonging to 16 families from three orders of arachnids were provided, as follows: Araneae (16 species, 12 families), Scorpiones (nine species, two families) and Solifugae (three species, two families). Five spider species, Adonea cf. fimbriata (Eresidae), Plexippus cf. clemens (Salticidae), Thanatus oblongiusculus (Philodromidae), Aelurillus aeruginosus (Salticidae) and Steatoda incomposita (Theridiidae), represent new or potential new records for the fauna of Morocco. Furthermore, the latter two are new for the African continent. [ABSTRACT FROM AUTHOR]

The occurrence of the exotic Atlantic blue crab Callinectes sapidus Rathbun, 1896 (Crustacea: Decapoda: Portunidae) is reported for the first time from the Moroccan Atlantic coast. Working with local fishermen, we gathered 160 records of the Atlantic blue crab from several estuarine, coastal and marine areas, in the period between June and August 2021. These new records confirm its establishment in the Atlantic coasts of North Africa, suggesting a southern range expansion. These findings, likely exacerbated by growing populations along the Atlantic coast of Morocco and temperate coastal waters, provide new insights into the invasion dynamics of this species in the northeast Atlantic Ocean. [ABSTRACT FROM AUTHOR]

Relations were established with the state of Morocco as well as the other Islamic countries in line with Pan-Islamic policy applied when Sultan Abdulhamid II succeeded to the throne. Although various methods were used repeatedly to establish embassies between the Ottoman state and Morocco in order to hinder the colonial activities of European countries especially of France in Africa, this could not be achieved. The fact that France contemplated that Turkey was a threat against her in Northern Africa and that she prevented the Ottoman State set relations with Morocco through a close inspection were the most significant reasons that both states were not able to set up ambassy mutually. Within this context, the Ottoman State tried to develop Morocco policy by intervening in the events regardless of France by providing the support of England, Spain and finally Germany. On the other hand, during the II Constitutional Monarchy, the relations between Morocco and Ottoman State developed in the form of military mission; and the Ottoman State carried out her affairs in Morocco together with Germany. The Ottoman military officers appointed to Moroccan army undertook very crucial missions in organizing resistance activities and maintaining the struggle against French invasion. The Ottoman military officers who were removed from Moroccan army with the efforts of France did not leave Morocco, hence they not only supported the resistance of the tribes but also created public opinion in Morocco against both France and her associations, through which they maintained their struggles. [ABSTRACT FROM AUTHOR]

Multiple threats, including emerging infectious diseases, are contributing to the extinction of amphibians worldwide. One of the most devastating diseases is the fatal amphibian skin disease chytridiomycosis caused by the fungus Batrachochytrium dendrobatidis (Bd). The presence of Bd in North Africa was described in 2011 and this included the distribution range of the endemic Moroccan midwife toad (Alytes maurus). Here we report new Bd positive occurrences across several distant regions of Morocco, augment the known number of infected species, and describe the first evidence of lethal chytridiomycosis in A. maurus. Although population declines in this species were not recorded, the family Alytidae has been identified as the most susceptible taxonomic group to chytridiomycosis of the Palearctic. An environmental niche model, taking into account new records of Bd in the country, confirms the Mediterranean coast and the Rif and Middle Atlas Mountains as very favourable areas for Bd. Our results suggest that the real impact of chytridiomycosis in North Africa is poorly understood, and that this continent cannot be identified as a region less impacted by chytridiomycosis, as was previously proposed. [ABSTRACT FROM AUTHOR]

The occurrence of the exotic Atlantic blue crab Callinectes sapidus Rathbun, 1896 (Crustacea: Decapoda: Portunidae) is reported for the first time from the Moroccan Atlantic coast. Working with local fishermen, we gathered 160 records of the Atlantic blue crab from several estuarine, coastal and marine areas, in the period between June and August 2021. These new records confirm its establishment in the Atlantic coasts of North Africa, suggesting a southern range expansion. These findings, likely exacerbated by growing populations along the Atlantic coast of Morocco and temperate coastal waters, provide new insights into the invasion dynamics of this species in the northeast Atlantic Ocean. [ABSTRACT FROM AUTHOR]

Biscutella L. ser. Biscutella (5Biscutella ser. Lyratae Malin.) comprises mostly annual or short-lived perennial plants occurring in the Mediterranean basin and the Middle East, which exhibit some diagnostic floral features. Taxa in the series have considerable morphological plasticity, which is not well correlated with clear geographic or ecologic patterns. Traditional taxonomic accounts have focused on a number of vegetative and floral characters that have proved to be highly variable, a fact that contributed to taxonomic inflation mostly in northern Africa. A detailed study and re-evaluation of morphological characters, together with recent phylogenetic data based on concatenation of two plastid and one nuclear region sequence data, yielded the basis for a taxonomic reappraisal of the series. In this respect, a new comprehensive integrative taxonomic arrangement for Biscutella ser. Biscutella is presented in which 10 taxa are accepted, namely seven species and three additional varieties. The name B. eriocarpa DC. is reinterpreted and suggested to include the highest morphological variation found in northern Morocco. Its treatment here accepts two varieties, one of which is described as new (B. eriocarpa var. riphaea A. Vicente,M. A'. Alonso&M. B. Crespo). In addition, the circumscriptions of several species, such as B. boetica Boiss. & Reut., B. didyma L., B. lyrata L., and B. maritima Ten., are revisited. Nomenclatural types, synonymy, brief descriptions, cytogenetic data, conservation status, distribution maps, and identification keys are included for the accepted taxa, with seven lectotypes and one epitype being designated here. [ABSTRACT FROM AUTHOR]

This paper presents the results of inter-disciplinary work drawing on archaeobotanical and archaeometric studies to trace the agroforestry landscape and the supply economy at thevicusof Thamusida in north-west Morocco at the border of the Roman Empire. The available data indicate the self-sufficiency of the settlement in both forestry and agricultural products throughout the period investigated from the end of the 1st century BC to the beginning of the 4th century AD. Charcoal data testify to the presence of aQuercus suberforest in the close surroundings of the site and its exploitation for a variety of forestry products such as timber, fuelwood, cork, and probably also leaves and acorns to feed livestock. The overwhelming presence ofQ. suberin the archaeological layer investigated clearly indicates that this forest was under human influence prior to Roman occupation and was already partially degraded. Charred seed and fruit remains suggest that the diet of both troops and civilians was mainly based on locally grown products and that all the inhabitants of the site had access to good cereals such as barley, naked wheats and pulses with large seeds such as horse bean and pea; quality fruits, such as olive and grape, were also produced locally for fresh consumption. Organic residue analyses of the contents of ceramic vessels and plastered vats allowed archaeobotanical data to be complemented, thereby shedding light on some of the imports at Thamusida. Despite the remote location of this settlement, imported goods such as oil and wine were transported here in amphorae from different parts of the Empire. [ABSTRACT FROM PUBLISHER]

Introduction: Myiasis is an infestation of humans or animals by larval forms of brachycetes. Commonly observed locations are otolaryngological and cutaneous. Gastrointestinal localization remains exceptional. In this work, we report the observation of a Moroccan case of gastrointestinal myiasis caused by Drosophila melanogaster . Observation. The patient was a 56-year-old man living in a rural region of northwest Morocco. He was being followed at the National Oncology Institute in Rabat for pulmonary and renal adenocarcinoma and was put on neo-adjuvant chemotherapy with concomitant radiochemotherapy. The patient presented vomiting twice containing about forty small white, circular and hairless worms measuring 4 mm in length. This sample was sent to the parasitology and mycology laboratory for identification. Microscopic study of the larvae and adult flies obtained after rearing in the laboratory of parasitology allowed the diagnosis of myiasis caused by Drosophila melanogaster ., Discussion/conclusion: This observation is noteworthy for both its exceptional anatomical localization and the implicated parasite species., (Copyright © 2023 SFMTSI.)

Eurasian wild boar ( Sus scrofa) is widespread in the northern third of Morocco, Northern Africa. We aimed to investigate the presence of Mycobacterium bovis infection in wild boar and to generate information on the possible host status in this region. M. bovis was isolated in six of 43 wild boars. Culture-positive samples yielded spoligotype number SB1627. Sixty percent of lung tissue specimens or tracheobronchial lymph node samples yielded positive culture. Two thirds (64 %) of the wild boar submitted for histopathology revealed tuberculosis-compatible lesions. These lesions were particularly frequent in lymph nodes (63 %) and in lung tissue samples (43 %). Ziehl-Neelsen staining did not identify acid-fast bacilli, indicating paucibacillary infections. Our results confirm the presence of Mycobacterium tuberculosis complex (MTC) infection in Moroccan wild boar. Regarding the host status of wild boar in this region, the often generalized lesion pattern suggests a possible role of wild boar as a component of the MTC maintenance host community. However, our information was limited to 43 wild boars from one specific region. Thus, further research is needed to assess the host status of wild boar in Morocco. [ABSTRACT FROM AUTHOR]

The bioaccumulation of trace metals Cd, Cr, Cu and Zn in soft tissues of the mussel Mytilus galloprovincialis was studied seasonally along the Atlantic coast of northwestern Morocco. Average concentrations (μg g−1 dry weight) decreased in the following order: Zn (141.61 ± 78.06) > Cr (22.57 ± 15.47) > Cu (18.95 ± 20.01) > Cd (16.33 ± 19.01), with higher amounts during wet seasons. The " Metal Pollution Index " and " Individual Multimetal Bioaccumulation Index " suggested a higher mussel contamination in industrialized areas. Moreover, Cd and Cr concentrations were above the permissible guidelines' limits. The related risks to human health associated with mussel consumption were also assessed. The " Target Hazard Quotient " for Cd and Cr revealed a threat to children when mussels originated from polluted stations, while the " Hazard Index " indicated a hazard to them in all stations. Regarding the " Maximum Safe Consumption ", children should not consume mussels, even in low quantities. This study represents the first datum in Morocco to assess such a risk to human health. [Display omitted] • Human health risk assessment of trace metals in mussels was investigated in Morocco. • This result contributes to a database regarding the safety of mussel consumption. • Cd and Cr have potential health risks, especially for children. • The overall risk from exposure to multiple metals in mussel should be of concern. • Consumption rate of mussels should be limited to minimize the metal health risks. [ABSTRACT FROM AUTHOR]

Introduction: Myiasis is the infestation of living bodies of animals and humans with fly larvae or maggots. These accidental or obligatory parasites grow in three stages in the host while feeding on his tissues. Myiasis in a hospital area is a rare situation when flies accidentally lay their eggs on patients, mostly in open wounds or cavities. Case presentation. We report a case of a 72-year-old patient admitted to a general surgery department for peritonitis, then to an intensive care unit (ICU) for septic shock where he was intubated. Some maggots were seen moving in his nasal cavity a few days after his admission and were sent to our laboratory for examination. The larvae were identified as the third larval stage of Lucilia sp. They were removed entirely after intense nasal washing. A checking examination of his nasal cavities revealed no evidence of further infestation. After nasal washing, no other larvae were seen but unfortunately, the patient died of septic shock a few days later., Discussion: Few cases of nasal myiasis in hospitalized patients were reported. ICU myiasis, extremely rare, is caused by the patient's inability to fend off the flies because of their conscious state, presence of blood or odors caused by infections, and the warm humid environment., Conclusion: Myiasis in intensive care unit is a delicate situation that might be underreported. Preventing this infection is directly related to the control of the flies., (Copyright © 2022 SFMTSI.)

Introduction: Hydatidosis is a zoonosis caused by Echinococcus granulosus . It's a real public health problem in Morocco. Muscle localization is unusual, even in endemic countries. We report a rarely described case of a hydatid cyst of the psoas muscle diagnosed in our laboratory., Case Report: The patient was a 32-year-old male, living in a rural area. He reported a contact with dogs. He was admitted in vascular surgery department for left hypochondrium pain, with heaviness of the left lower limb and appearance of varicose veins. Clinical examination has found a huge painful and hard mass of the left flank arriving to the hypogastrium with varicose veins of the left leg. An injected CT scan of the pelvic region showed a 189 x 137 mm cystic mass of the left psoas muscle reflowing left iliac vessels. This suggested hydatid cyst. No other localization was found. Hydatid serology was positive with an ELISA test and an indirect hemagglutination test. The patient underwent surgery to remove the mass. Several white vesicles of a few centimeters were found in the cyst and were sent to the parasitology laboratory. Microscopic examination has confirmed the presence of viable Echinococcus granulosus . The patient received albendazole 400 mg twice daily for only a month and was not seen for follow-up. One year after surgery, he showed the same symptoms of abdominal pain and heaviness. Recurrence of hydatid cysts in the same localization was diagnosed with ultrasound showing two hydatid cysts type 3 according to Gharbi classification., Discussion: Diagnosis of all hydatidosis localizations is based on epidemiological, clinical, and radiological data and confirmed by serology and parasitological examination of the surgical specimen. Surgery is then a diagnostic and therapeutic tool that cannot be bypassed since it allows the definitive elimination of the parasite and eviction of recurrence if it's well done. Conservative methods are related to recurrent cysts., Conclusion: Muscle hydatidosis is extremely rare but should not be forgotten when radiological and epidemiological data suggest it. It's a benign infection but can be severe and deadly if not appropriately treated., (Copyright © 2022 SFMTSI.)

Introduction: Syphilis is a sexually transmitted disease. All organs might be affected, but ocular syphilis occurs only in 0.6 percent of patients. A resurgence of syphilis cases has been observed for several years in many countries, especially in HIV-infected subjects. These patients often present with concomitant primary and secondary lesions or extensive presentations of syphilis., Case Reports: We report 2 patients with syphilitic uveitis diagnosed and treated at the department of infectious diseases at the University hospital of Marrakech. Ocular involvement was inaugural in both HIV patients. Each had a specific treatment, but none had a complete recovery of visual function; the first patient was treated by ceftriaxone and the second one was treated by penicillin., Conclusion: Syphilis must be discussed in all patients diagnosed with uveitis or papillitis. The diagnosis should be suspected in cases of eye inflammation even in the absence of favourable clinical presentation or anamnesis. Search for HIV co-infection should be systematic. Although not evidence-based, prompt therapy may lead to functional recovery. Ceftriaxone could be a suitable alternative to penicillin in the treatment of early syphilis in HIV-infected patients. This treatment has a concomitant effectiveness even for asymptomatic forms of neurosyphilis. Ocular syphilis is a form of neurosyphilis and requires neurosyphilis therapy regardless of when it develops after primary infection.Conventional syphilis staging is of little use in understanding ocular syphilis. Co-infection between HIV and ocular syphilis is common, but does not affect response to a neurosyphilis regimen of penicillin in the short term., (Copyright © 2022 SFMTSI.)

An assemblage of abundant and well-preserved tetrapod footprints has been discovered in the Tanamert Member (T3) of the Triassic Timezgadiouine Formation (Argana basin, western High Atlas, Morocco). It is the first fossil record from T3. Surfaces from different localities show a uniform tetrapod ichnofauna that consists of chirotherian and small lacertoid forms. The chirotherians are assigned to the plexus Protochirotherium—Synaptichnium, their trackmakers interpreted as basal archosaurs. The lacertoid imprints show close affinities with Rhynchosauroides and may reflect archosauromorphs or lepidosauromorphs. Protochirotherium—Synaptichnium assemblages are characteristic of the Early Triassic and were known previously only from units of this age in central Europe. Biostratigraphically, the European record implies a wide-spread pre-Anisian Protochirotherium—Synaptichnium dominated assemblage preceding the first appearance of Chirotherium barthii near the Olenekian-Anisian boundary. The stratigraphic position of T3 between Late Permian (uppermost T2) and Middle Triassic (T4) and the European correlatives suggest an Early Triassic age of this unit. It is the first record of Early Triassic continental deposits in Morocco. The surfaces from T3 open up perspectives for further contributions to ecology, biogeography and locomotion of early archosaurs. Furthermore, excellent outcrops and quality of footprint preservation in the Argana basin offer a potential for clarification of ichnotaxonomic and biostratigraphic issues. [ABSTRACT FROM AUTHOR]

The catalogue of the epiphytic bryophyte flora of the Rif Mountains includes a total of 72 taxa, of which 66 are mosses and six are liverworts. Some new records are provided: Hypnum resupinatum and Tortula israelis, new to northern Africa, Antitrichia curtipendula and Cryphaea heteromalla, new to Morocco, and Dicranoweisia cirrata, Isothecium alopecuroides and Orthotrichum macrocephalum, new to the Rif Mountains. Epiphytic communities in the different forest types have been analysed, with the conclusion that altitude and humidity are the main factors that determine their composition. The epiphytic stratum is best developed at the highest altitudes on the Principal chain and Tazzeka Mountain, where taxa of the genus Orthotrichum dominate or co-dominate the epiphytic communities: O. lyellii and Antitrichia californica co-dominate in the montane zones, while O. speciosum var. brevisetum and Pterigynandrum filiforme co-dominate at the highest altitudes. In lower areas, the abundance of epiphytic bryophytes depends on humidity conditions and the presence of a forest canopy. The best preserved forests, where exposed to oceanic winds, are dominated by hygrophilous taxa, such as Neckera pumila, Cryphaea heteromalla and Frullania dilatata , whereas the dry ones are dominated by thermophilous taxa, such as Orthotrichum tenellum. Finally, ubiquitous species, such as Orthotrichum diaphanum and Bryum capillare, are abundant in disturbed forests. [ABSTRACT FROM AUTHOR]

The epiphytic bryoflora of Jbel Bouhalla, a mountain sited in the Rif range (northern Morocco), is catalogued, resulting in a list of 48 taxa (45 mosses and 3 liverworts). One new variety, Orthotrichum speciosum var. brevisetum, is described, and some new records are reported: Orthotrichum shawii and O. pallens are new to northern Africa, while Habrodon perpusillus and O. speciosum var. speciosum are new to Morocco. [ABSTRACT FROM AUTHOR]

Burkitt lymphoma in HIV-infected patients is seldom seen in the oral cavity, and they are rarely reported in the literature. The clinical manifestations may suggest other tumors or gingival infections, which delays diagnosis and management. Spinal cord involvement is exceptional and only a few cases are reported. We report a case of Burkitt lymphoma in the oral cavity and spinal cord, revealing HIV infection in a 44-year-old patient, who responded well to chemotherapy and antiretroviral treatment and is on remission., (Copyright © 2022 SFMTSI.)

Objective: To determine the costs of non-antiretroviral drugs and to identify the factors associated with their prescription in HIV-1 patients on antiretroviral therapy in Morocco., Methods: Retrospective study of a cohort of 264 patients living with HIV-1 who were given antiretroviral therapy in the Venerology Dermatology Department at the Mohamed V Military Training Hospital of Rabat during the period from January 1st, 2014, December 31st, 2018. The costs retained were those of the hospital pharmacy for essential drugs, otherwise they were the costs in the private pharmacies. The logistic regression model was used to analyze the factors associated with prescription., Results: Of the 264 patients included, the male predominance was 75%. The median age of patients was 49 [41-57]. At the onset, 21.2% of patients were already in the AIDS stage. After a mean duration of 11.1 ± 6.8 months of antiretroviral therapy, 71.6% of patients received at least one prescription for a non-antiretroviral drug. Over the entire follow-up period, the mean cost per patient was 24.2 €, and the mean cost supported per patient was 22.1 €. After cotrimoxazole (30.7% of patients), the most frequently prescribed drugs were iron (29.2% of patients), antibiotics (20.8% of patients), hypolipemics (20.1% of patients) and general antimycosics (16.3% of patients). Age (RR: 1.01; 95% CI: 1.00-1.07), AIDS stage (RR: 2.15; 95% CI: 1.61-4.19), anemia (RR: 2.02; 95% CI: 2.10-5.41) and number of comorbidities (RR: 2.45; 95% CI: 2.10-5.41) were significantly associated with the prescription of non-antiretroviral drugs., Conclusion: Our work highlights the high frequency of prescription of non-antiretroviral drugs in patients living with HIV in Morocco; especially those who are older, anemic at the onset and those who are already at the AIDS stage., (Copyright © 2022 SFMTSI.)

Objective: As part of the prevention of vector-borne diseases in central Morocco, a study of the seasonal fluctuation of Culicidian biodiversity was conducted from November 2015 to November 2016 on four breeding sites located in the city of Fez in central Morocco (Jnan El Alami, Lgaâda dam, Awinat Elhajaj, Douwar Lhandiya Source). The study aimed to improve the knowledge of seasonal dynamics and activity period of Culicidian mosquitoes, in order to target the period of control., Methods: Larvae were collected by dipping method at a 15-day interval at least once a month. Statistical analyses were performed using version 3.6.1 of the statistical processing software., Results: During this study, nine species were found with high monthly and seasonal variations in numbers of each species and from site to site. Predominant species are vectors of disease: Culex pipiens, Cx. perexiguus, Cx. theileri , known vectors of West Nile virus, followed by Anopheles maculipennis s. l. and An. sergentii that are the main vectors of malaria in Morocco. Cx. pipiens and Cx. perexiguus reached the highest density in September, while Cx. theileri was found in large numbers in February and can therefore emerge in late winter and mid-spring. The lowest number of An. sergentii was collected in November, but increased in September, October and December. An. maculipennis s. l. occurred in June, with recurrences in March and July. Culiseta longiareolata was found in spring and summer and in abundance in June. However, Uranotaenia unguiculata was only present in September and October. Both An. cinereus and Cx. hortensis were present in November and February., Conclusion: The results obtained will be an important tool for management and monitoring Culicidae proliferation and can be used to improve the efficiency of control management., Competing Interests: Les auteurs ne déclarent aucun conflit d'intérêts., (Copyright © 2021 SFMTSI.)

The assemblage structure and spatial distribution patterns of macrobenthic communities according to environmental conditions were analysed through five samplings carried out at 14 intertidal soft sediment stations in the Oualidia lagoon (NW Morocco). A total of 89 macrobenthic taxa were collected, amounting to 55.188 specimens. Molluscs, polychaetes and arthropods were the most species‐rich groups. The snail Peringia ulvae was the most dominant species, especially abundant in the mid‐ and upper lagoon sections (nearly 64% of the total specimens gathered), followed by the mollusc Scrobicularia plana (10%). Diversity values were generally low (<3 bit) pointing out the high dominance by few species. Multivariate analyses clearly distinguished three distinct macrobenthic assemblages, successively distributed from lagoon inlets towards inner parts. Nevertheless, each assemblage was found in particular habitat types and had a specific species composition in response to different environmental characteristics. (a) The Scolelepis fuliginosa community occupied sandy substrates at the lower section of the lagoon with stronger marine influence and, (b) the P. ulvae community lived in sandy‐muddy substrates, including two sub‐communities dominated, respectively, by Cerastoderma edule, S. plana and Tritia pfeffeiri inhabiting the middle section and S. plana the upper section. The combination of salinity, temperature, pH and silt content was identified as the major environmental variable subset with the highest correlation with the observed macrofaunal patterns and silt fraction as the single best correlated variable. The results demonstrated significant spatial differences in macrobenthic assemblage structure and composition along environmental gradients in spite of the absence of direct freshwater river inflow. [ABSTRACT FROM AUTHOR]

Mosquitoes occupy a major health problem, as a potential vector for the transmission of many pathogens, the most important of which in Morocco are Plasmodium parasites and West Nile fever virus. Acquiring knowledge about the biotypology of these mosquitoes is an essential step in any control strategy. Thus, the objective of this study is to draw up an inventory of the culicidian fauna in the Fez region (North-central part of Morocco) and to determine the physicochemical parameters influencing the production of mosquito larvae of aquatic habitats in this area. Mosquito larvae of the extant biotopes were sampled every two months between November 2015 and December 2016, by means of the "dipping" method. The physicochemical parameters of the various larval biotopes were collected six times during the year of follow-up. Mosquito species were identified using morphological criteria. The results were analyzed using ecological indices and the generalized linear model (Poisson model) on R software. The identification of the 1,122 mosquito larvae collected from the various studied breeding areas revealed the presence of 11 species belonging to two subfamilies (Culicinae and Anophelinae) and five genera (Anopheles, Culex, Culiseta, Aedes, and Uranotaenia). Anopheles were observed in small numbers in permanent, stagnant, and shallow habitats. The larvae of An. maculipennis s. l. (major vector of malaria in Morocco) were collected. Culex larvae, especially Cx . pipiens (the main vector of WNV in Morocco), were collected in the majority of the larval habitats and on the different types of environments. Two other species of Culex, which plays a significant role in the transmission of WNV, were also collected, particularly, Cx. perexiguus and Cx. theileri . The results found, via this first study of its kind at the regional level, also made it possible to update the list of Culicidae species reported in the Fez region. Four new species have been recorded: Aedes flavescens , Uranotaenia unguiculata , Culiseta longiareolata , and Culex perexiguus . The results of this study will contribute to the provision of information for entomological surveillance and to better plan and guide vector control activities at local and national levels., Competing Interests: The authors have no conflicts of interest to declare

Osteoarticular localization is rare and dominated by spinal disease. The talus localization of tuberculosis is rarely described in the literature; it can be secondary of direct inoculation or results from hematogenous dissemination, most of the time from lung tuberculosis. Its diagnosis is difficult; the imaging is very suggestive, but the confirmation is bacteriological and/or histological. The prognosis depends on a rapid diagnosis and the precocity of the treatment which is essentially medical., Competing Interests: The authors have no conflicts of interest to declare

Since the elimination of the autochthonous malaria in Morocco in 2005, the control of imported malaria, based on epidemiological monitoring of the parasite carriers and on vector control, is a priority. This retrospective study is focused on imported malaria cases identified by optical microscopy at the Laboratory of Public Health in Marrakesh, Morocco, from 1996 to 2016. 208 cases were observed. Males accounted for 89% of cases. The cases were imported from 24 African countries, especially from Equatorial Guinea (28%), Guinea Conakry (11%), Ivory Coast (9%), Burkina Faso (8%) and Mali (7%). The highest incidence was recorded in 2012 and 2014 with 32 cases each. Plasmodium falciparum was the most frequent parasite (85%) followed by Plasmodium ovale (12%), while lower rates were detected for Plasmodium malariae (3 cases) and Plasmodium vivax (2 cases). Increasing malaria cases have been recorded since 1996. This may be related to Morocco's openness to the sub-Saharan Africa with an increase in international travels and migration flow from malaria endemic countries. To keep the status of autochthonous malaria free country, since 2011 the Ministry of Health has developed and implemented a strategy adapted to Moroccan context, to maintain malaria elimination and prevent its reintroduction., Competing Interests: The authors have no conflicts of interest to declare

Phlebotomine sandflies are bloodsucking insects responsible for the transmission of leishmaniasis. The average annual incidence in Morocco, of this pathology, was approximately estimated in 2014 as 7.8 per 100.000 inhabitants according to the Moroccan health information service records. The study of the composition of the Phlebotomian community and its seasonal dynamics are essential for determining the appropriate and adequate means of control at the prefecture of Meknes in Central Morocco. It is with this in mind that two capture sessions per month using sticky paper traps were conducted at the sites of sandflies. A total of 982 sandflies were captured. The identification of the specimens found via the Moroccan key revealed a percentage of 73.3% belonging to the subgenus Paraphlebotomus, 6.3% to the Phlebotomus subgenus, 16.2% to Larroussius, and 4.2% of Sergentomia subgenus. Phlebotomus sergenti , vector of human cutaneous leishmaniasis, was found as the more abundant with 73.3% followed by Larroussius longicuspis with 8.2%. The largest number of species was harvested in July and September with, respectively, 44.8 ph/m 2 /night and 48.7 ph/m 2 /night. This study also unveiled that the two high-risk Leishmanian months are July and September, hence, the need to strengthen efforts to monitor and control this disease during the vector activity period., Competing Interests: The authors have no conflicts of interest to declare

The aim of this work is to study the epidemiology of central neurological system (CNS) diagnosed in the population of people living with HIV in the department of infectious diseases in UHC Ibn Rochd of Casablanca from January 2005 to May 2015. The demographic and clinical profile along with the outcome of these patients were studied. The data were collected from Nadis software. Three hundred and eighty-seven patients were admitted for CNS diagnosis, out of 3496 people living with HIV admitted during this time period, i.e., a prevalence of 11%. The sex ratio (M/F) was 1.27. The average age was 39 years (± 7). Neurological involvement was indicative of HIV infection in 225 cases (68.8%). Neurological disorders were dominated by headache (70%), focal neurological syndrome (35%), and meningeal syndrome (30%). CNS diagnosis noted were CNS tuberculosis (37%), cerebral toxoplasmosis (30%), and cryptococcal meningitis (20%). The median CD4 T-lymphocyte was 184 cells/mm 3 . Infection with severe immunosuppression was progressive multifocal leucoencephalitis, cryptococcal meningitis, and primary cerebral lymphoma. Lethality was 39%. In the department of infectious diseases of the UHC, the main cause of death among HIV-infected patients is tuberculosis. Collaboration between the national tuberculosis and AIDS programs has been established to improve the detection and management of these patients., Competing Interests: The authors have no conflicts of interest to declare

Sandflies are vectors of protozoa, viruses, and bacteria. To investigate the transmission of phleboviruses, a total of 8753 sandflies were collected in four foci of leishmania. A total of 16 distinct species were morphologically identified. Nested-PCR and cell culture screening for phleboviruses, using an assay targeting the polymerase gene, showed positive results for 19 pools of sandflies. Sequencing of the corresponding products confirmed the results and allowed identification of Toscana virus exclusively. Corresponding sandfly species originated from four different foci, and were different from those commonly reported in the literature. Sequence analysis shows that the Moroccan Toscana viruses belong to genotype B and appear close to the Toscana viruses isolated in France and Spain. This study reported the existence of the virus in the north, center and south of the country. The abundance and diversity of sandflies in Morocco, Mediterranean climate, would support the continuous circulation of Toscana virus in our country, posing a potential risk of emergence of these arboviruses.

Little is known about men's role in the adoption of family planning. Recent studies suggest that men may be a barrier to women's use of family planning. However, it is not clear whether husbands represent a true or a perceived barrier. Using the 1992 Morocco Demographic and Health Survey data, this study examines (1) whether women and men report concordant fertility desires, discussions, and contraceptive use; (2) the accuracy of women's perceptions of their husbands' fertility desires; and (3) whether husbands are a barrier to women's family planning use. The results demonstrate that, controlling for women's own fertility desires, husbands' true fertility desires are associated with family planning use. Likewise, women who perceive their husbands to want fewer children than they want are more likely to use family planning. Future fertility and family planning programs need to include men to reduce their role as both perceived and true barriers to family planning use.

This article uses linked data from the 1995 Morocco DHS calendar and the 1992 Morocco DHS service-availability module to study the effect of service environment on contraceptive discontinuation, switching, and adoption of a modern method following a birth. The 1995 Morocco DHS also collected information on the source of supply for each episode of use of a modern method recorded in the calendar, allowing study of the association between the source of supply and discontinuation and switching rates. Multilevel event-history models are used to evaluate the impact of individual-level sociodemographic characteristics and community-level indicators of family planning service provision. The findings show that the presence of a nearby public health center is associated with higher modern-method adoption after a birth and lower method-failure rates; the presence of a pharmacy is associated with lower discontinuation due to side effects or health concerns. The degree of method-choice potential has a positive impact on both the rate of switching from the pill to another modern method and on modern-method adoption after a birth.

Birth interval lengths are analysed from reproductive life histories of 517 Berber peasant women of the region of Marrakesh (Southern Morocco), whose fertility developed in a full traditional context. The high mortality rates associated with short birth intervals indicate that a rapid succession of births is detrimental to the progeny. The reproductive efficiency of the traditional propensity to a large family size is therefore examined by means of two different evaluations of reproductive success: the 'absolute' reproductive success (the absolute number of offspring surviving to maturity) and the 'relative' reproductive success (the proportion of live born surviving to maturity). The first shows that close pregnancies increase the fertility rate to such an extent that the associate higher number of deaths is more than compensated for, so that the women practising short birth intervals produce more surviving offspring than the others by the end of their reproductive life. The second shows that the probability of survival is directly associated with birth interval length, the efficiency of the reproductive process being therefore greater as birth intervals grow. It is suggested that these two behaviours are not contradictory, and that they represent two successive steps of the same reproductive adjustment to evolving environmental conditions.

Cutaneous leishmaniasis in Morocco occurs mainly in the south and is caused by Leishmania major and L. tropica. In 1995, for the first time, 4 autochthonous cases were confirmed by smear and/or culture from the province of Taza in north Morocco. An active survey revealed 128 more cases. The number had increased gradually since 1994. Most of the cases (86%) came from the suburbs of the city of Taza. All cultured and typed parasites were characterized as L. tropica MON-102. A leishmanin skin test survey among a random sample of the exposed population showed an overall positivity rate of 19.9%, with no correlation with age or gender. The spatial distribution of the cases and skin test positivity, their occurrence in all age groups, the highly variable clinical picture, the severity and large size of lesions in older patients, the slow recovery of some treated patients, and the isoenzymic monomorphism of the parasite, all suggested that cutaneous leishmaniasis caused by L. tropica is an emerging disease in Taza.

This report investigates the links between son preference and differential treatment of children by analyzing data from the Demographic and Health Surveys of Morocco and Tunisia, two countries that are thought to vary considerably regarding indicators of gender. The analyses find no significant differences in either country in the duration and intensity of breastfeeding and small differences in favor of boys in Tunisia regarding immunization and the treatment of diarrhea. These findings, which are, to some degree, unexpected, are discussed in light of other research relevant to son preference in the two countries.