Biomedical subjects

D Fontenille

Publications and source records attributed to D Fontenille.

At least 55 records · Page 3Linked to original sources

PubMed1999

[Malaria transmission in an area of future vaccination in equatorial forest of south Cameroon].

In order to describe malaria transmission in a future antigamete vaccine trial area, a longitudinal entomological study was conducted, together with parasitological and immunological surveys, from June 1997 to May 1998 in two nearby villages in a tropical rain forest area 100 km east of Yaoundé. Koundou is located along the main road in an open and degraded environment combining cultivated lands and forests; Ebolakounou is located 5 km from the road in forest surroundings. Indoor mosquito night catches no human volunteers were performed twice a month, in ten houses. We determined the entomological infection rate as 176 infected bites per human per year in Koundou (47.7% for An. moucheti, 47.3% for An. gambiae and 5% for An. funestus) and only 17.7 infected bites/human/year in Ebolakounou, with An. gambiae only. Transmission appears to be ten times higher in the village situated in a degraded environment than in the village situated in the rainforest.

Animals↗

PubMed1999

Plasmodium falciparum clinical malaria: lessons from longitudinal studies in Senegal.

Development of new antimalaria strategies and particularly vaccines, needs an in-depth understanding of the relationships between transmission, infection, immunity, morbidity and mortality. The intensive and longitudinal collection of entomological, parasitological and clinical data from the Senegalese populations of Dielmo (250-300 inhabitants), exposed to a perennial and intense transmission (about 200 infective bites/person/year) and of Ndiop (300-350 inhabitants) exposed to a seasonal transmission (about 20 infective bites/person/year), allows to respond to many questions about this subject. The acquisition of an antimalaria immunity as one gets older appears to reduce parasite density, complexity of infection, risk of new patent infection after a suppressive treatment but does not reduce the prevalence (as assessed by PCR) of infection which is commonly chronic and asymptomatic. The existence of a pyrogenic threshold effect of parasitaemia allows the individual diagnosis of malaria attacks. P. falciparum genotyping suggests that successive malaria attacks are due to distinct recently inoculated parasite populations that multiply initially without restriction, a dominant population is generally responsible of the clinical manifestations and all new populations do not trigger systematically attacks. The initial intensity of clinical manifestations does not differ perceptibly among children and adults, is not related to the duration of the attacks, does not allow the distinction between several types of attacks, is not predictive of their severity, and the clearance of parasites and manifestations is longer among youngest persons. The risk of malaria attacks is lower as one gets older and among carriers of AS haemoglobin, is higher when transmission increases and during pregnancy up to three months after delivery, and vary between children. The risk of malaria attack per infective bite is negatively related to the intensity of transmission. Because of their high sensitivity in malaria case detection, this type of small community-based studies are powerful and useful for the identification of protective immunological mechanisms as well as for testing rapidly and cheaply the clinical efficacy of any intervention such as antimalarial vaccines and drug therapy or prophylaxis. As a lot of vaccine candidates and drug combinations will be screened or tested in the perspective of the 'Roll-Back Malaria' programme, more attention must be given to longitudinal studies of this type.

Adult↗

PubMed1999

The complexity of the malaria vectorial system in Africa.

The malaria vectorial system in Africa is very complex. Five very efficient vector species transmit malaria: Anopheles gambiae, An. arabiensis, An. funestus, and the sometimes overlooked An. nili and An. moucheti. This paper focuses on morphological, behavioural and genetic differences observed among populations within each vector species. It emphasises that future strategies for controlling vectors should take into account this heterogeneity.

Africa↗

PubMed1999

Diversity of malaria in rice growing areas of the Afrotropical region.

It is well known that 'in many instances the rice agrosystem perfectly fits the ecological requirements of pathogens or vectors' and in fact 'malaria, schistosomiasis and Japanese encephalitis are important vector-borne diseases associated with rice production in developing countries' (IRRI, 1987). In spite of these fears, rice cultivation has been on the increase in the African region in response to demographic and economic pressures. However, although rice fields provide suitable breeding places for Anopheles mosquitoes and rice cultivation leads to an increase in the biting rates, the species which are adapted to these sites are not the same in all parts of Africa. Several examples illustrate this phenomenon: An. funestus in the rice fields of Madagascar, An. pharoensis in saline water rice fields in the delta of the Senegal river, An. arabiensis in northern Cameroon and Burundi, An. gambiae Mopti form in the Kou Valley (Burkina Faso) and An. gambiae Savanna form in the rice fields of Kafine near Bouaké (Côte d'Ivoire). The vectorial capacities of these species are not the same and malaria inoculation rates are not necessarily increased in the riceland agroecosystem. The consequences for malaria of introducing rice cultivation depend on the situation before its introduction: it could be worsened in unstable malaria areas but not in stable malaria areas. Therefore, sound epidemiological and entomological knowledge are needed before causing any environmental modifications for agricultural purposes and there should be regular monitoring to avoid any outbreak.

Burkina Faso↗

PubMed1999

[Transmission and conservation of the amaril virus in nature].

The yellow fever virus is a monkey Flavivirus transmitted by mosquitoes. The transmission cycles and vectors vary from Western to Eastern Africa and in South America. There are two types of endemic areas where the virus is maintained: humid forests and emerging zones and areas where intermediary and urban epidemics occur. On both continents, the virus circulates in forest areas by moving epizooties from one region to another among non immune monkeys. The virus can also be maintained in an enzootic or epidemic zone by vertical transmission from a female to her offspring. This type of transmission was proven experimentally as early as 1903 by Marchoux and Simond for Aedes aegypti, the urban vector of yellow fever, but was observed in nature only in 1995. However, the isolation of the virus in male Ae. furcifer taylori in 1977 in Senegal had already suggested that this kind of transmission took place in nature. The vertical transmission of the yellow fever virus means that it can survive, from one rainy season to the next, in Aedes eggs and thus increases the number of contaminating meals and the proportion of females apt to transmit since they infect at a younger age.

Aedes↗

PubMed1998

[Malaria transmission in the rural zone of Niakhar, Senegal].

The anopheline bioecology and the malaria transmission were studied from January to December 1995 in three villages of the sahelian rural area of Niakhar, Senegal. This area of 29000 inhabitants, has been for several decades, a regional observatory for population and health. The three methods used for collecting mosquitoes were the collection at larval stages, the all night human biting collection, and the pyrethrum spray catch in houses during afternoons. The anophelines collected were, by numerical importance: Anopheles arabiensis, An. rufipes, An. gambiae, An. pharoensis, An. funestus and An. coustani. In the An. gambiae complex, An. arabiensis represented 97% of man biting females and 98% of half gravid resting females (difference not significant); the other reminding species of this complex was always An. gambiae. These two species belonging to the An. gambiae complex were responsible for the totality of the transmission. The anthropophilic index, obtained from half gravid indoor resting An. gambiae s.l., was 83%. The annual biting rate of An. gambiae s.l. varied from 512 to 1558 bites per man per night, depending on the villages. Vectors were observed all year long but their densities were low during the dry season. Vector population presented a notable increase due to the rains, with a maximum of about 10 bites per man per night in September or at the beginning of October; during September the biting rate represented 48% of the annual biting rate. The sporozoitic index of An. gambiae s.l., obtained by ELISA revealing the circumsporozoite protein, was 1.6% for human biting females and 1.8% for half-gravid resting females (difference not significant). Plasmodium falciparum was the only plasmodial species observed among infected anophelines. The annual transmission in the vo villages representative of the Niakhar area were 9 and 12 bites of infected anophelines per man, occurring mainly from August to October. In the third village, not representative of the area regarding permanent breeding places, the transmission was 26 bites of infected anopheline per man per year. These results were discussed in the Senegambian and sahelian contexts.

Animals↗

PubMed1998

Yellow fever outbreak in Kaffrine, Senegal 1996: epidemiological and entomological findings.

In November 1996 a yellow fever (YF) outbreak occurred near Kaffrine in the central part of Senegal. Thirty-six deaths were notified, all children under 15 years of age. The YF diagnosis was confirmed by MAC-ELISA or by virus isolation. The immune status against YF virus of a sample population of 449 individuals was determined, and 31 confirmed cases and 69 asymptomatic cases were reported. Distribution of YF cases and incidence rate decreased with age, while the attack rate was stable in all age groups. Larva indices were high and Aedes aegypti was common in all villages, causing man-to-man transmission. The greatest risk of YF disease was lack of immunity, especially in individuals <20 years of age. The outbreak was rapidly controlled by an emergency immunization campaign. YF epidemics occurred in Senegal over two consecutive years. The last outbreak reached the main road to Dakar and the risk of spread to urban areas has increased.

Adolescent↗

PubMed1998

[Phlebotomines of Senegal (Diptera: Psychodidae): population and population dynamics of the Mont-Rolland region].

Phlebotomine sandflies were captured on a monthly basis from May 1995 to April 1996 in the Mont-Rolland district in Western Senegal. The objectives were to study the population dynamics of sandflies and to make an inventory of the viruses they transmit. Among 10,315 specimens captured, belonging to 14 species, Sergentomyia dubia (35.9%), S. schwetzi (27.7%) and S. buxtoni (24.5%) were the most abundant. Species from the genus Sergentomyia accounted for 99.6% versus 0.4% for the genus Phlebotomus. The sandflies population was observed to peak in February. The most populated resting sites of the captured insects were in decreasing order tree-holes, termite-hills and burrows. S. dubia was the most abundant species captured in tree-holes. It was S. buxtoni in termite-hills, while S. schwetzi was found to dwell most often in burrows. No virus was isolated from 2,114 specimens tested.

Animals↗

PubMed1998

[Comparative evaluation of the plasmodial infection of Anopheles using ELISA and dissection. Consequences for the estimation of the transmission of malaria in 1995 in Ndiop, Senegal].

An entomological study was carried out in Ndiop village, Senegal, an area of sudan-type savana, from January to December 1995, to compare the malaria inoculation rate measured by the dissection of salivary glands of anophelines and the enzyme-linked immunosorbent assay (ELISA). Mosquitoes were sampled by night-bite collections. Species from the Anopheles gambiae complex were identified using the polymerase chain reaction. 1292 females Culicidae were collected. 597 anophelines mosquitoes known to be malaria vectors were captured during 148 man-nights of capture. Of the 572 anophelines investigated, 14 were positive using dissection while 21 were found to be positive with ELISA. The sporozoite rates were 2.5%, 2.2% and 3.8% for An. arabiensis, An. gambiae and An. funestus, respectively. The circumsporozoite rates were 3.5%, 2.2% and 7.7% for these three species, respectively. ELISA detected 1.5 times more positive mosquitoes than dissection. These results are discussed with reference to the duration of the sporogonic cycle, the delay before CSP antigens are apparent, and the daily survival rate of Anopheles mosquitoes.

Animals↗

PubMed1998

Re-emergence of yellow fever in Senegal in 1995.

An outbreak of yellow fever (YF) occurred in the central part of Senegal during October 1995. Thirty-one probable cases were detected and 79 cases were confirmed either by IgM ELISA or by virus isolation (30 strains isolated). The case fatality rate was 18.9%. Incidence of the infection was evaluated by a serosurvey in the area. Males 10-29 years old belonging to the Peul ethnic group were more affected. Moreover, 28 YF virus strains were isolated from mosquitoes and larvae pools and vertical transmission of YF virus by Aedes aegypti was also demonstrated for the first time in the field. This outbreak occurred after the major amplification of the wild cycle of YF virus in 1993 in West Africa. This epidemic represented a typical example of intermediate transmission of YF: both humans and wild vertebrates are involved in the virus cycle through wild mosquitoes with semidomestic habits, mainly Ae. furcifer, Ae. luteocephalus, and domestic vector Ae. aegypti. It was controlled by a prompt immunization campaign. The impact of inclusion of YF vaccine in the Expanded Program of Immunization, which has been conducted in Senegal for eight years, is discussed.

Adolescent↗

PubMed1998

No influence of age on infection complexity and allelic distribution in Plasmodium falciparum infections in Ndiop, a Senegalese village with seasonal, mesoendemic malaria.

We have shown previously that in Dielmo, a Senegalese village with intense perennial Plasmodium falciparum transmission, the infection complexity and the distribution of some allelic types harbored by asymptomatic carriers was age-dependent. We report here an investigation of these parameters in Ndiop, a village located 5 km from Dielmo, where malaria is mesoendemic and seasonal, and where immunity is acquired at a very low rate, as indicated by the lifelong distribution of P. falciparum clinical attacks. Blood was collected from 143 and 125 inhabitants, including 122 individuals sampled in both surveys, during two cross-sectional surveys at one-month intervals during the 1994 transmission season. Plasmodium falciparum parasites were genotyped for three polymorphic single copy genes. Genetic diversity was very large, with 17, 43, and nine distinct alleles detected for the merozoite surface protein-1 (MSP-1), MSP-2, and glutamate-rich protein loci, respectively. These figures, similar to those previously observed in Dielmo, indicate that the parasite genetic diversity is not directly related to the inoculation rate, at least in the range of transmission intensity studied here. The complexity of the asymptomatic infections (average number of distinct genotypes per isolate) was more than two-fold lower in Ndiop than in Dielmo and importantly, did not decrease with age. Likewise, the allele distribution was not influenced by age, contrasting with the observations made in Dielmo. This indicates that the number of parasite types per isolate and the influence of age on complexity and allele distribution depend on the level of endemicity, consistent with the interpretation that they reflect acquired anti-parasite immunity.

Adolescent↗

PubMed1998

[Impact of the use of permethrin pre-impregnated mosquito nets on malaria transmission in a hyperendemic village of Senegal].

The efficacy of permethrin-treated bednets was evaluated in Wassadou, a hyperendemic village located in the Sudanese grasslands of southeast Senegal. Pretreatment data were collected between 1992 and 1993. Bednets were distributed to the whole population in June 1995 and impact of their use on vector populations and malaria transmission was evaluated until November 1995. This period corresponds to the rainy season during which malaria transmission is highest. Data were compared with a control village in which bednets were not distributed. Findings showed that use of bednets led to a sharp decrease in the density of the vector population and malaria transmission. The number of bites by Anopheles gambiae s.1. decreased 69%. The density of blood-laden and pregnant females inside dwellings decreased 91% and 96% respectively. The sporozoite index of females captured on the skin decreased 76% and the daily rate of entomological inoculation decreased 88%. This impact was not great enough to eliminate the risk of infection. Prolonged study over a period of 4 to 5 years is needed to evaluate the impact of long-term use of insecticide-treated bednets on vector population and malaria transmission.

Animals↗

PubMed1998

[Characterization of entomopathogenic Bacillus samples isolated in Senegal and study of their toxicity for malaria vectors].

A screening program developed in Senegal to isolate new strains of entomopathogenic Bacillus has led to the isolation of 194 strains of Bacillus thuringiensis and 9 strains of Bacillus sphaericus from various sites and insect samples. The characterization of these strains regarding their H serotype, their crystal composition and their toxicity against mosquitoes (Culex pipiens, Aedes aegypti and Anopheles stephensi) has led to the isolation of 27 mosquitocidal strains. As malaria is an important public health problem in Senegal, these strains were more completely characterized looking for their toxicity against the two major malaria vectors in Senegal: Anopheles gambiae and Anopheles arabiensis.

Animals↗

PubMed1998

Evolution of malaria in Africa for the past 40 years: impact of climatic and human factors.

Different malarial situations in Africa within the past 40 years are discussed in order to evaluate the impact of climatic and human factors on the disease. North of the equator, more droughts and lower rainfall have been recorded since 1972; and in eastern and southern Africa, there have been alternating dry and wet periods in relation to El Niño. Since 1955, the increase in human population from 125 to 450 million has resulted in both expansion of land cultivation and urbanization. In stable malaria areas of West and Central Africa and on the Madagascar coasts, the endemic situation has not changed since 1955. However, in unstable malaria areas such as the highlands and Sahel significant changes have occurred. In Madagascar, cessation of malaria control programs resulted in the deadly epidemic of 1987-88. The same situation was observed in Swaziland in 1984-85. In Uganda, malaria incidence has increased more than 30 times in the highlands (1,500-1,800 m), but its altitudinal limit has not overcome that of the beginning of the century. Cultivation of valley bottoms and extension of settlements are in large part responsible for this increase, along with abnormally heavy rainfall that favored the severe epidemic of 1994. A similar increase in malaria was observed in neighboring highlands of Rwanda and Burundi, and epidemics have been recorded in Ethiopia since 1958. In contrast, in the Sahel (Niayes region, Senegal), stricken by droughts since 1972, endemic malaria decreased drastically after the disappearance of the main vector, Anopheles funestus, due to the destruction of its larval sites by cultivation. Even during the very wet year of 1995. An funestus did not reinvade the region and malaria did not increase. The same situation was observed in the Sahelian zone of Niger. Therefore, the temperature increase of 0.5 degree C during the last 2 decades cannot be incriminated as a major cause for these malaria changes, which are mainly due to the combination of climatic, human, and operational factors.

Africa South of the Sahara↗

PubMed1998

[The anopheles of Niger].

Nineteen species of Anopheles have been observed in the Republic of Niger but only Anopheles gambiae, An. arabiensis and An. funestus are of epidemiological importance as malaria vectors. The two species of the An. gambiae complex have the same breeding sites. But in a large part of the country they disappear all during the dry season because of the lack of adequate pools of water. Their survival is as yet an unexplained phenomenon. The most northern wet season distribution of An. gambiae complex, depending on the latitude of the intertropical front. An. funestus was no longer found after 1970 because its breeding places were destroyed both by dryness and human activity. The Republic of Niger is a border area between the palearctic Mediterranean biogeographical region and the Afrotropical one. Two different vectorial systems of malaria transmission are separated by the Sahara desert. The risk of importation of an African vector such as An. gambiae and a parasite such as Plasmodium falciparum must be considered. For the time being, the low volume of road traffic limits the risk but the construction of a paved Transsaharian highway with new human settlements and developing cultivated areas with irrigation increases the dangers of epidemic outbreaks in these oases.

Animals↗

PubMed1997

Patterns of mitochondrial variation within and between African malaria vectors, Anopheles gambiae and An. arabiensis, suggest extensive gene flow.

Anopheles gambiae and An. arabiensis are mosquito species responsible for most malaria transmission in sub-Saharan Africa. They are also closely related sibling species that share chromosomal and molecular polymorphisms as a consequence of incomplete lineage sorting or introgressive hybridization. To help resolve these processes, this study examined the partitioning of mtDNA sequence variation within and between species across Africa, from both population genetic and phylogeographic perspectives. Based on partial gene sequences from the cytochrome b, ND1 and ND5 genes, haplotype diversity was high but sequences were very closely related. Within species, little or no population subdivision was detected, and there was no evidence for isolation by distance. Between species, there were no fixed nucleotide differences, a high proportion of shared polymorphisms, and eight haplotypes in common over distances as great as 6000 km. Only one of 16 shared polymorphisms led to an amino acid difference, and there was no compelling evidence for nonneutral variation. Parsimony networks constructed of haplotypes from both species revealed no correspondence of haplotype with either geography or taxonomy. This trend of low intraspecific genetic divergence is consistent with evidence from allozyme and microsatellite data and is interpreted in terms of both extensive gene flow and recent range expansion from relatively large, stable populations. We argue that retention of ancestral polymorphisms is a plausible but insufficient explanation for low interspecific genetic divergence, and that extensive hybridization is a contributing factor.

Animals↗

PubMed1997

Indoor resting by outdoor biting females of Anopheles gambiae complex (Diptera:Culicidae) in the Sahel of northern Senegal.

Three villages in the Senegal River basin were selected to study the biting and resting behavior of Anopheles gambiae s.l. in relation to human habits, rainfalls, and rice culture irrigation. All inhabitants sleep outside throughout the year, mainly under poor quality bednets. Mosquitoes were collected host-seeking during the night on human bait outside and resting during the day inside and outside in pit shelters. An. gambiae s.s. and An. arabiensis fed mainly outside, the only place where hosts are available; fed and gravid females resting indoors fed outside. The proportions of An. gambiae s.s. and An. arabiensis in outdoor biting catches and in indoor spray catches were not significantly different, but they differed from year to year with the latter sampling method, An. gambiae s.s. predominated in 1990, a more wet and humid year, whereas An. arabiensis was more common in 1991, which was an arid year. Both species are highly endophilic in this arid area where outdoor-resting places are limited.

Animals↗

PubMed1997

Comparison of behavior and vector efficiency of Anopheles gambiae and An. arabiensis (Diptera:Culicidae) in Barkedji, a Sahelian area of Senegal.

The ecology, population dynamics, and malaria vector efficiency of Anopheles gambiae and An. arabiensis were studied for 2 yr in a Sahelian village of Senegal. Anophelines were captured at human bait and resting indoors by pyrethrum spray. Mosquitoes belonging to the An. gambiae complex were identified by polymerase chain reaction. Of 26,973 females, An. arabiensis represented 79% of the mosquitoes captured and remained in the study area longer than An. gambiae after the rains terminated. There were no differences in nocturnal biting cycles or endophagous rates between An. gambiae and An. arabiensis. Based on an enzyme-linked immunosorbent assay test of bloodmeals, the anthropophilic rate of these 2 vectors were both approximately 60%, when comparisons were made during the same period. Overall, 18% of the resting females had patent mixed bloodmeals, mainly human-bovine. The parity rates of An. gambiae and An. arabiensis varied temporally. Despite similar behavior, the Plasmodium falciparum circumsporozoite protein (CSP) rates were different between An. gambiae (4.1%) and An. arabiensis (1.3%). P. malariae and P. ovale only represented 4% of the total Plasmodium identified in mosquitoes. Transmission was seasonal, occurring mainly during 4 mo. The CSP entomological inoculation rates were 128 bites per human per year for the 1st yr and 100 for the 2nd yr. Because of the combination of a high human biting rate and a low CSP rate, An. arabiensis accounted for 63% of transmission. Possible origin of differences in CSP rate between An. gambiae and An. arabiensis is discussed in relation to the parity rate, blood feeding frequency, and the hypothesis of genetic factors.

Animals↗