Search

In Senegal, tick-borne relapsing fever (TBRF) is a major cause of morbidity and a neglected public health problem. Borreliosis cases commonly detected in two villages led us to implement a borreliosis preventive control including cementing of floors in bedrooms and outbuildings attended by inhabitants to avoid human contacts with tick vectors. Epidemiological and medical monitoring of the TBRF incidence was carried out at Dielmo and Ndiop by testing the blood of febrile patients since 1990 and 1993, respectively. Intra-domiciliary habitat conditions were improved by cementing, coupled with accompanying measures, from March 2013 to September 2015. Application of this strategy was associated with a significant reduction of borreliosis incidence. This was more evident in Dielmo, dropping from 10.55 to 2.63 cases per 100 person-years (P < 0.001), than in Ndiop where it changed from 3.79 to 1.39 cases per 100 person-years (P < 0.001). Thirty-six cases of TBRF were estimated to be prevented at a cost of €526 per infection. The preventive control strategy was successful in Dielmo and Ndiop, being associated with decreased incidence by 89.8% and 81.5%, respectively, suggesting that TBRF may be widely decreased when the population is involved. Public health authorities or any development stakeholders should adopt this effective tool for promoting rural health through national prevention programs., (© The American Society of Tropical Medicine and Hygiene.)

Tick-borne relapsing fever (TBRF) is a zoonotic disease caused by several Borrelia species transmitted to humans by Ornithodoros tick vectors. In West Africa, Borrelia crocidurae is a common cause of disease in many rural populations. Small mammals act as reservoirs of infection. We report here the results of surveys that investigated the occurrence of B. crocidurae infection in rodents and insectivores from eight countries of West and Central Africa. Animals were identified at the species level and tested for Borrelia either by examination of thick blood film, intra-peritoneal inoculation of blood or brain tissues into laboratory mice, or by molecular techniques. A total of 4358 small mammals belonging to 38 species and 7 families were collected, including 3225 specimens collected in areas where the occurrence of Ornithodoros sonrai tick in rodent burrows was documented, and 1133 in areas where this tick was absent. In areas with O. sonrai, Borrelia infection was demonstrated in 287 of 3109 (9.2%) small mammals tested, and none was documented in 1004 animals tested from other areas. There was no relationship between the occurrence of Rhipicephalus, Hyaloma and Argas ticks in burrows and the distribution of Borrelia infection in small mammals. The 287 specimens infected by Borrelia belonged to 15 rodent and shrew species, including three Saharo-Sahelian species - Gerbillus gerbillus, Gerbillus occiduus and Gerbillus tarabuli - identified as reservoirs for TBRF with a distribution restricted to this area. In Sudan and Sudano-Sahelian areas, Arvicanthis niloticus, Mastomys erythroleucus and Mastomys huberti were the main reservoir of infection. Although most small mammals species collected had a large distribution in West and Central Africa, the fact that only animals collected in areas with O. sonrai were found infected suggest that this tick is the only vector of TBRF in rodents and insectivores in this part of Africa., (Copyright © 2015 Elsevier B.V. All rights reserved.)

Background: Relapsing fever is the most frequent bacterial disease in Africa. Four main vector / pathogen complexes are classically recognized, with the louse Pediculus humanus acting as vector for B. recurrentis and the soft ticks Ornithodoros sonrai, O. erraticus and O. moubata acting as vectors for Borrelia crocidurae, B. hispanica and B. duttonii, respectively. Our aim was to investigate the epidemiology of the disease in West, North and Central Africa., Methods and Findings: From 2002 to 2012, we conducted field surveys in 17 African countries and in Spain. We investigated the occurrence of Ornithodoros ticks in rodent burrows in 282 study sites. We collected 1,629 small mammals that may act as reservoir for Borrelia infections. Using molecular methods we studied genetic diversity among Ornithodoros ticks and Borrelia infections in ticks and small mammals. Of 9,870 burrows investigated, 1,196 (12.1%) were inhabited by Ornithodoros ticks. In West Africa, the southern and eastern limits of the vectors and Borrelia infections in ticks and small mammals were 13°N and 01°E, respectively. Molecular studies revealed the occurrence of nine different Ornithodoros species, including five species new for science, with six of them harboring Borrelia infections. Only B. crocidurae was found in West Africa and three Borrelia species were identified in North Africa: B. crocidurae, B. hispanica, and B. merionesi., Conclusions: Borrelia Spirochetes responsible for relapsing fever in humans are highly prevalent both in Ornithodoros ticks and small mammals in North and West Africa but Ornithodoros ticks seem absent south of 13°N and small mammals are not infected in these regions. The number of Ornithodoros species acting as vector of relapsing fever is much higher than previously known.

Background: The presence in Morocco of Argasid ticks of the Ornithodoros erraticus complex, the vector of tick-borne relapsing fever (TBRF) in North Africa, has been known since 1919, but the disease is rarely diagnosed and few epidemiological data are available., Methodology/principal Findings: Between 2006 and 2011, we investigated the presence of Ornithodoros ticks in rodent burrows in 34 sites distributed across Morocco. We also collected small mammals in 10 sites and we investigated TBRF in febrile patients in Kenitra district. The prevalence of Borrelia infections was assessed by nested PCR amplification in ticks and the brain tissue of small mammals, and by evaluation of thick blood films in patients. A high proportion of burrows were infested with ticks of the O. erraticus complex in all regions of Morocco, with a mean of 39.5% for the whole country. Borrelia infections were found in 39/382 (10.2%) of the ticks and 12/140 (8.6%) of the rodents and insectivores studied by PCR amplification, and 102 patients tested positive by thick blood film. Five small mammalian species were found infected: Dipodillus campestris, Meriones shawi, Gerbillus hoogstrali, Gerbillus occiduus and Atelerix algirus. Three Borrelia species were identified in ticks and/or rodents: B. hispanica, B. crocidurae and B. merionesi., Conclusions/significance: Tick populations belonging to O. erraticus complex are widely distributed in Morocco and a high proportion of ticks and small mammals are infected by Borrelia species. Although rarely diagnosed, TBRF may be a common cause of morbidity in all regions of Morocco.

In the year 2001 a large dengue fever (DF)/dengue hemorrhagic fever (DHF) outbreak occurred in Nakhon Pathom Province, Thailand. Three thousand one hundred twelve cases of DHF were reported, an attack rate of 393 per 100,000 population. The Nakhon Pathom Provincial Health Office immediately carried out a control action according to WHO recommendations. Active serological surveys and viral RNA isolation were carried out to detect silent transmission of dengue virus in 329 healthy volunteers in Nakhon Pathom Province subdistricts where the dengue epidemic had the highest rate of infection of 2.5 per 1000. Eight point eight percent of these volunteers had a serum sample positive for DF/DHF virus IgM antibody. The highest prevalence occurred in the 15 to 40 year old group. In two instances viral RNA was detected by PCR and dengue serotype 3 was subsequently identified. The data support the hypothesis of subclinical infection with dengue virus. This high frequency of virus circulation combined with a high population density, urbanization and increasing breeding sites for mosquitoes, needs to be taken into account in the evaluation of viral transmission during and after epidemics. This underlines the importance of community-based control in informing people of their involvement in virus transmission and the importance of personal protection.

Entomological surveys were undertaken between October 1994 and August 1995 and from April to August 1995 in the villages of Kafiné and Pékaha, respectively These villages are located in the centre of Côte-d'Ivoire in a humid savannah area in the prefecture of Niakaramandougou. Rice plots are located to about 500 meters from the first habitations of Kafiné. They also form an enclosure around the village causing a great culicidian nuisance. On the other hand in the village of Pékaha, situated at 8 km from the enclosure, one can find a non-developed low ground area with swamps according to the season which has caused the multiplication of anthropophilic Culicidae. Five genera of mosquito were caught in the two villages: Anopheles, Aedes, Culex, Mansonia and Uranotaenia. The genus Anopheles is by far the most predominant in Kafiné with 84.3% (n=17556). Mansonia, Culex and Aedes respectively constitute 12%, 3% and 0.01% of the total anthropophilic mosquitoes. In the contrary the genus Mansonia was the most predominant in Pékaha with 78.2% (n=6642). Anopheles, Aedes and Culex respectively represent 13.2%, 8.3% and 0.1% of the total number of mosquitoes caught during the surveys. If in the village of Kafiné, the culicidian nuisance is mainly due to anopheles mosquitoes (84.3%) and particularly to An. gambiae s.s. (70.6%), in the village of Pékaha, dwellers suffer more from Mansonia (78.2%) bites than those of Anopheles (13.2%).

During a survey for possible rickettsial vectors in villages of the central part of the Thai-Myanmar border from September 2001 to February 2002, four species of fleas were collected from common peridomestic animals. All fleas were tested by PCR to detect DNA of bacteria of the genera Rickettsia (gltA and ompB genes) and Bartonella (ITS and ftsZ genes). Sequencing of PCR-amplified products was done using gltA fragments for Rickettsia and ftsZ fragments for BARTONELLA: Two genotypes related to Rickettsia felis were identified in three Ctenocephalides canis and one C. felis specimen. Further, the following Bartonella spp. were detected: Bartonella henselae in two C. felis specimens; Bartonella clarridgeiae in three C. felis specimens; and a new Bartonella genotype in one Nosopsylla fasciatus specimen. Rickettsia and Bartonella may be frequently detected in fleas infesting peridomestic animals from the western border of Thailand.

We conducted a serological survey of 632 rodents from the northeast region of Thailand in order to assess the presence of Hantaan-like viruses that may be a risk to the human population. Rodents were collected from rice fields, houses and domestic gardens in five northeastern provinces and tested for IgG reacting sera to Hantaan antigen using enzyme-linked immunoassays. The overall prevalence of Hantavirus infection in rodents was 2.1% (13/632). Species that tested positive included Bandicota indica (4.3% positive within species), Rattus exulans (2.1%), R. losea (1.6%) and R. rattus (0.9%). Species such as R. exulans and R. losea are candidate hosts of unidentified Hantaan-like viruses in Thailand.

A study on malaria transmission based on samples of mosquitoes caught on human subjects was conducted from February to August 1995 in the rice growing area of Kafine, a village located in the Niakaramandougou district of northern Côte d'Ivoire. The village is surrounded by 117,500 acres of rice fields. Irrigation is sub-permanent in the rice field and harvests number two a year. During the 6 months of the study, 12.353 mosquitoes were caught. The average biting rate was 118.8 bites per man per night (b/m/n). Mansonia, Culex and Aedes represented only 17.5% of the total number of mosquitoes caught. Anopheles accounted for 82.5% of the number of anthropophilic mosquitoes. Anopheles gambiae s.s. represented 83.7% of the total Anopheles species. As a whole, the average biting rate recorded for the Anopheles was 98 b/m/n. The average biting rate of An. gambiae was 90.4 b/m/n. The highest rate (121.5 b/m/n) was recorded in April. During the dry and rainy season, the indoor biting cycle per hour of An. gambiae s.s. was studied from 6 p.m. to 6 a.m. In both seasons, a marked biting activity was noticed between 10 p.m. and 5 a.m. The average annual parity rate reached 40.2% but it ranged from 59.8% (n = 82) in February to 19% (n = 63) in May. The mean sporozoitic index of An. gambiae throughout the study period was 1.1% (14 positive salivary glands/1.251 dissected). The index ranged from 0 in April, May and June to 6.2 (n = 192) in July. The rate did not vary with rainfall but with the different stages of rice growing. The non-synchronisation of agricultural practises for each growing cycle seemed to be a conclusive factor in the transmission of malaria in this locality. Malaria transmission at Kafine can be characterised by 3 main elements: transmission is intensive with an estimated inoculation rate of 1 ib/m/n; transmission is more related to double phase rice cultivation (regardless of synchronisation on plots) than to rainfall; transmission shows particular variations linked to rice cultivation cycles with an increase during periods of ripeness and harvest. The nuisance caused by higher mosquito density has brought people to comply with use of pyrethroid impregnated bed nets advocated for wide use by the National Malaria Control Program.

A serological survey has been carried out to detect evidence of hantavirus infection in rodents from two provinces of Thailand. This study aimed to examine virus antibody in 354 rodents trapped among 6 different villages of Nakhon Pathom Province (February-March, 1998) and in 326 rodents trapped among 14 villages of Nakhon Ratchasima Province (August-October, 1998). Seroprevalence among rodents from Nakhon Pathom Province (2.3%), was mostly find in Rattus norvegicus (3.8%) and Bandicota indica (2.6%). In Nakhon Ratchasima Province seroprevalence (4.0%) was mostly in Bandicota indica (19.1%) and Rattus exulans (3.5%).

Preliminary serological investigations were prefered to detect evidence of arenavirus infection in rodents. The study examined virus antibody in 367 rodents trapped in 6 different geographical areas of Nakhon Pathom Province, Thailand from February-March, 1998. The overall seroprevalence among rodents was 13.3%, mostly in Bandicota savilei (35.7%) and Rattus norvegicus (31.5%). Between ecology, behavior and sex of the rodents, seroprevalence was not significantly different (p>0.05), however the seroprevalence found among different geographical areas of Nakhon Pathom Province were significantly different (p<0.0001).

This study, based on phenotype of green larvae colour, has enabled the selection of a genetically distinct line of Culex pipiens pipiens. The four loci under study were found to be homozygous to the 42nd generation. These loci were associated with an increased sensitivity to organochlorides in the progeny when compared to the parent strain. This observation, with possible expansion to other species, has potential practical applications in the identification of susceptible insect populations in insecticide campaigns.

The efficacy of permethrin-treated Olyset Net mosquito nets on malaria transmission and morbidity was studied in Kafine, a village located in the savanna region of the Cote d'Ivoire in Africa. After collecting sociodemographic, entomological, and parasitological data, bednets were distributed first in the southern half of the village and then in the whole village. Throughout the study period, mosquito specimens were captured on the skin of inhabitants at four points in the village between 6 PM and 6 AM both inside (but outside bednets) and outside houses. Prior to distribution of bednets, the mean biting rate (MBR) by Anopheles gambiae was 77.4 bites per man per night (b/m/n). The mean parturity rate (MPR) was 40.6 p. 100, the sporozootic index (SI) was 0.99 p. 100, and the mean entomological inoculation rate (MEIR) was 0.7 infectious bites per man per night (b+/m/n). Six months after distribution of bednets in the southern half of the village, MBR was 80.2 b/m/n, MPR was 32 p. 100, SI was 1.8 p. 100, and MEIR was 0.83 b+/m/n. After extending distribution to the whole village, data from November 1996 to July 1997 were as follows: MBR, 67.8 b/m/n; MPR, 20.1 p. 100; SI, 0.65 p. 100; and MEIR, 0.66 p. 100. From August 1977 to July 1998, data were as follows: MBR, 102.6 b/m/n; MPR, 26.2 p. 100; SI, 1.15 p. 100; and MEIR, 0.74 b+/m/n. Comparative analysis of these data showed that use of bednets had no effect on the bite or entomological inoculation rate. This is in agreement with the documented resistance of vectors in the study zone to permethrin. Despite the known stimulation/repulsion effect of permethrin, use of treated bednets had no real impact on transmission. This inefficacy could be related to the high prevalence (80 p. 100) of the Kdr gene (responsible for resistance) in the savanna form of Anopheles gambiae.

The purpose of this report is to describe six surveys carried out from March 1993 to March 1994 to assess seasonal variations in parasite indexes and malaria morbidity rates in children between the ages of 0 and 14 years living in the village of Alloukoukro in the wet Savannah region of Cote d'Ivoire. Results demonstrated the presence of both Plasmodium falciparum and Plasmodium malariae. No case of infection only by Plasmodium malriae was observed. Parasite indexes were greater than 50% in all newborns and preschoolers. Wide seasonal variations were observed with the highest indexes (91.9%) occurring at the end of the rainy season. The lowest indexes were always observed in children between the ages of 10 and 14 years. There was not a significant proportional relationship between parasite index and daily mosquitoes inoculation rates. However highest parasite indexes were always measured after periods of intense transmission. Overall findings showed that gametocyte index increased during the rainy season and peaked at the beginning of the dry season in December. Strong recrudescence of malarious disease during the rainy season corresponded to an increase in the mean parasite density. The seasonal rises in malaria incidence occurred a few weeks after the first rains of the year with the greatest incidence occurring in May. Curves for maximum mean parasitemia rate and peak parasite incidence crossed at the end of the rainy season in October. The results of this study indicate that malaria is the most common parasitic disease year round in children living in the wet Savannah region of Cote d'Ivoire and that it is one of the main causes of morbidity.

This study evaluates the impact of rice fields in the city of Bouaké on anopheline fauna and malaria transmission. The Anopheles species represents between 11.4 to 39.2% of mosquitoes in the districts with rice fields and 5.2 to 47.8% in lowland districts with market-gardening. An. gambiae constitutes more than 98% of anopheline population in the city. In the lowland districts with market-gardening, biting rates of An. gambiae varied from 3650 to 6935 bites per man per year. Seasonal variations were correlated with rainfall. The mean annual parturity rate was 72% and the mean sporozoitic index 2%. Malaria transmission started at the beginning of the rainy season and attained its height during the second half of this season. Depending on the district, inhabitants were infected with 78 to 134 bites per year. The mean biting rate of An. gambiae in the districts with rice fields varied from 4745 to 22,630 bites per man per year. Seasonal variations were not correlated with rainfall, but with the growth of rice and the two annual cycles of rice cultivation. The parturity rates of the population of An. gambiae were low (46.2% to 57.2%), especially after rice transplantation. The mean infection rates were between 0.7 and 1.0%. The transmission period covered 7 to 11 months depending on the district with two annual peaks observed at the end of rice cultivation. Inhabitants were infected with 44 to 155 bites per year. Rice fields in Bouaké do not seem notably to have modified malaria transmission in the city.

In the framework of a pluri-institutional research project, led in Abidjan and aimed at defining measures to fight against mosquitoes in Abidjan area, a test to struggle for C. quinquefasciatus larvae was carried out in 1990. This test was conducted in Koumassi, which is one of Abidjan district, in which environmental conditions are very favourable for developing C. quinquefasciatus non-adult stages. The test consisted essentially in spreading a Bacillus sphaericus waterish solution (dose: 10 g.m-2) in previously cleaned gutters. The efficiency of the fight test was essentially assessed through: -the size of C. quinquefasciatus non-adult stages populations according to their development stage (egg, larva, nymph); -variations of both, C. quinquefasciatus females aggressive density and their physiological age. The gutters cleaning did not reduce significantly C. quinquefasciatus non-adult stages populations. On the other hand, the effectiveness of B. sphaericus was convincing. Its effects were tested to last for four weeks. The results were confirmed by the observations made on C. quinquefasciatus adult populations.

A two years study has been carried out in Alloukoukro, a traditional wet savannah village in the central region of Côte d'Ivoire. The productive breeding sites of malaria vectors are natural puddles and some man-made shelters around the village. 576 man-nights of capture have identified Anopheles gambiae s.l. and An. funestus as vectors of malaria in the study area. The low densities of An. phaorensis and An coustani implies that their possible role in transmission is very negligible. An. gambiae s.l. was the predominant species throughout the year with a mean of 19.2 b/m/n in 1991 and 13.6 b/m/n in 1992. The densities of An. funestus increased gradually during the rainy season and reached its peak values towards the end of the season. An. gambiae s.l. assures transmission throughout the year. An. funestus maintains a seasonal transmission which is spread over seven months. In 1991, each person would have received an average of 264.5 infected bites altogether with 204.5 infected bites from An. gambiae s.l. and 62 infected bites from An. funestus. In 1992, there would have been 196.5 infected bites per man with 160 and 36.5 infected bites respectively from An. gambiae s.l. and An. funestus. This study has shown that in wet savannah areas, the rainy season spreading almost all over the year, allows the breeding sites to retain water much longer and thus, to keep alive a more important residual vector populations capable to ensure malaria transmission even during the dry season. The great majority of infected glands (96.7%) were observed between 11 p.m. and 04 a.m. So, the large scale use of treated bednets has been therefore strongly recommended as key measure against malaria transmission in this area.

Malaria is a major cause of morbidity and mortality in Ivory Coast. This fact justifies further epidemiological investigations to define regional features and allow implementation of the most suitable control measures. To this end, a study focusing on transmission of malaria was conducted between January and May 1993 concurrently with malarial parasite identification in Allokoukro, a village in the humid savannah in the central region of Ivory Coast. Two vectors of malaria were found in the village, i.e. Anopheles gambiae s.l. and Anopheles funestus. These two species accounted for 53.7% of Culicides captured during the study with important monthly variations depending on rainfall. Anopheles gambiae s.l. accounted for 92.2% of the anopheles captured and thus was the main vector identified in the village. As a result of its persistence and high density, this species ensured uninterrupted transmission of malaria. Anopheles funestus was scarce and thus played a limited role in infection at the beginning of the rainy season. Plasmodium falciparum and Plasmodium malariae were the main parasite species identified in the population of the village. The incidence of malarial infection was high in children between the ages of 0 and 14 years. Plasmodium indices stood at 45.5% in March and 82.2% in May. The prevalence of malarial infection in may was associated with an increase in mean serum parasite levels in children. Clinical studies showed that malaria motivated 64.4% of consultations during the rainy season and was one of the mean causes of morbidity in particular among children.

The authors report the results of a serological sample survey managed to evaluate the prevalence of yellow fever antibodies, connected with an entomological survey, in the area of Taï in Côte d'Ivoire. The refugee population has a high rate of non protected people, contrary to the Ivory population especially under 15 years old, because Côte d'Ivoire has included YF vaccine in his Expanded Programme on Immunization. A campaign of vaccination has been carried out.