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Biomedical subjects

J Mouchet

Publications and source records attributed to J Mouchet.

At least 37 records · Page 2Linked to original sources
PubMed1998

[Human diseases transmitted by Culicidae in southwest Indian Ocean islands].

South-West Indian Ocean islands were inhabited at the beginning and free from all kind of vector. In Madagascar, Mayotte, Moheli and Anjouan, malaria vectors were carried by the first settlements. According to epidemics, the anopheles arrived in 1867 in Mauritius, 1869 in La Reunion and 1920 in Grande Comore. Rodrigues, Saint-Brandon and the Seychelles are still free from malaria vectors in the coastal part of Madagascarcar and in Comores archipelago, malaria is stable with a permanent transmission. Unstable malaria is seasonaly transmitted in the high territories of Madagascar; it was the same in Mauritius and Reunion island before the eradication campaign. Lymphatic filariasis is quoted in Madagascar, but Comores archipelago is an area with high transmission. The incidence of the disease is moderate in La Reunion and Mauritius and very low in Chagos and Seychelles archipelagos. There is no transmission in Rodrigues and St Brandon. Epidemics of dengue were described during the second part of the XIXth century in Mauritius and La Reunion, then in 1943 in Mayotte. But the disease was controlled in the fifties by the antimalaria campaign. A new epidemy appeared in Seychelles by the end of 1976 and then in Reunion and Mauritius next year. An isolated outbreak was described in Grande Comore only in 1994.

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

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

[The progress of malaria in sahelian eastern Niger. An ecological disaster zone].

The south eastern part of the Republic of Niger was ecologically damaged by the dryness since 1971. Rainfall decreased by 30 to 40% as compared to 1961-70 and lake Chad retreated 100 km to the south. Now it does not reach any more the Republic of Niger. Malaria studies have been carried out in urban and suburban places in Zinder and in the Diffa area at the extreme east. In Zinder parasitic indexes (PI) after the rainy season were around 30% to 10% according to the situation of the corner in respect with surface waters during the rains. In dry season the index fell to 3%. In Diffa in a part of the city at high risk because lining the Komadougou river, PI was only 6.7% in October after the rains. Before 1970 PI recorded in Niamey were up to 50%. In Diffa area they were of 49% in N'Guigmi and 32% in Bosso, ecologically similar to Diffa. Obviously there was a sharp decrease of malaria which could be due to the disappearance of An. funestus after 1970. It was one of the main malaria vectors. Its larvae were developing in pools remaining after the rains with heavy standing vegetation. These breeding sites have been destroyed by both dryness and human activities. Now the area has became hypoendemic and is suitable for epidemic because population has not much immunity. A surveillance system for epidemic control should be settle.

Animals↗
PubMed1997

[Eco-epidemiology of malaria in Niamey and in the river valley, the Republic of Niger, 1992-1995].

The Niger valley is an original ecosystem in the Sahelian belt. For more than 25 years it has been affected by dryness and rainfall decreased by more than 30% as compared to the period 1950-1960. Moreover the demography has sharply increased and the capital town Niamey grew by 10% a year. The Niger valley including Niamey has about 1 million inhabitants. Three sites have been selected to study the status of malaria and its evolution for the last 30 years: Niamey, Karma 40 km on the N.W. on the river and the nearby fossil valley of Fatay-Karma. In the sixties the malaria vectors were An. gambiae, An. arabiensis et An. funestus. The last species was no more harvested after 1970 because its breeding places have been destroyed on the combined action of dryness and human activities. In Niamey, parasite index was very low in the dry season but grew by 5 to 10 times during the rainy season to reach 50% in certain corners. The highest plasmodic index (PI) were recorded along the river banks where vectors are found all the year long. It decreases in the central part of the city and becomes very low in some peripheral suburban settlements. This situation is quite different of most of the cities of the area where prevalence decrease from outskirts to city centre. The serology confirms these points. In Karma, along the Niger and despite a perennial transmission, the PI removes low as well as the malaria antibodies, probably because of the self use of antimalarial drugs by the population. In Fatay-Karma the PI of 23.9% after the rainy season drops to 6% in the dry one. In data prior to 1970 the PI was over 60%, reaching 89% in young children of Niamey suburbs. Obviously it has strongly decreased. It is very likely that this is due partly to the disappearance of An. funestus after the drought.

Adolescent↗
PubMed1997

[The reconquest of the Madagascar highlands by malaria].

A strong malaria epidemic with a high mortality rate occurred on the Madagascar Highlands in 1986-88. Vector control and free access to antimalaria drugs controlled the disease. The authors have searched for the causes of the epidemic to propose a strategy avoiding such events. The Highlands on Madagascar were known as malaria free. In 1878 a very severe epidemic flooded all the country. Development of irrigated ricefields which house both An. arabiensis and An. funestus had created a new anthropic environment. Moreover manpower imported from malarious coastal areas for rice cultivation and also for building large temples, could have brought P. falciparum. After several outbreaks the disease became endemic up to 1949. In 1949 a malaria eradication programme based on DDT spraying and drug chemoprophylaxis and chemotherapy was launched. By 1960 malaria was eliminated and DDT spraying cancelled. Only 3 foci were kept under surveillance with irregular spraying until 1975. The prophylaxis and treatment centres ("centres de nivaquinisation") were kept open up to 1979. The catholic dispensary of Analaroa, 100 km N.E. of Tananarive, opened in 1971 and worked without interruption up to now. The malaria diagnosis has always been controlled by microscopy. Its registers are probably the more reliable source of information on malaria in the area. They show that malaria was already present on the Highlands in 1971 but at a low prevalence; in 1980 when the "centres de nivaquinisation" were closed the number of cases increased by three times the progressive increase of the number of cases became exponential from 1986 to 1988 which was the peak of the epidemic; malaria remained at a high level until the end of 1993; yearly DDT spraying since 1993 have decreased the number of malaria cases among the dispensary attendants by 90%. The epidemic peak of 1988 was well documented by the Pasteur Institute of Madagascar around Tananarive. Before the epidemic started it was observed a come back of An. funestus which had been previously eliminated of most of the villages by DDT spraying. More than an epidemic the malaria increase in 1988 was a reconquest by malaria of the land from which it had been eliminated in the years 1950. This episode became dramatic because the lack of immunity of the population and the shortage of medicaments. The global warming which was advocated to explain the epidemic has no responsibility because the temperature on the Madagascar Highlands has not changed during the last 30 years. Also the cyclones do not seem to have played any role. It is very likely that the gradual decline of control measures, first DDT spraying, later drug distributions, had the main responsibility in the Highlands drama. Everywhere An. funestus reached a high level during the time where the parasite reservoir was rebuilding. They synergised each other. These findings should be taken in account in drawing the strategy planning for the next years.

DDT↗
PubMed1997

[Individual protection against insect vectors].

Many diseases for which no vaccine is available are transmitted by insect and arthropod vectors, the main exceptions being yellow fever and Japanese encephalitis B. Treatment is less and less effective due to the development of chemoresistance to therapeutic and prophylactic drugs as is well-illustrated by malaria. One of the best methods of preventing these diseases is personal protection against insect bites. Personal protection measures can be divided into three categories which can be used separately or in combination : application of repellents to the skin, wearing clothes impregnated with insecticides, and use of bed nets and other barriers impregnated with insecticides. The choice of method depends on the type of insect vector involved. For insects that are active during the day or at dusk, application of repellents to the skin gives good short-term protection and wearing impregnated clothes is useful. Bed nets that have been properly impregnated with pyrethroids are highly effective for night-time protection. Since personal protection methods are not 100% effective, they must be used in association with chemoprophylaxis according to medical guidelines. Medical advice should be sought if fever should occur especially after returning from a trip in the tropics.

Animals↗
PubMed1995

Impact of deltamethrin-impregnated bednets on biting rates of mosquitoes in Zaire.

In a rural area of Zaire, the whole population of a village was protected by deltamethrin-impregnated mosquitoes bednets. A similar village was observed as a control. Biting rates for mosquitoes were recorded in both villages. The principal man-biting species were Mansonia africana, Mansonia uniformis, and Aedes aegypti. In the village protected by the impregnated mosquito bednets, the number of Mansonia bites was reduced 96% indoors and at a lesser rate outdoors. Biting rates of Ae. aegypti dropped to 0 indoors, but the outdoor biting rate remained unchanged. It is concluded that the reduction in mosquito bites is not only caused by the repellent action of the deltamethrin but also by a reduction in mosquito numbers.

Animals↗
PubMed1995

[Study of 6 cases of malaria acquired near Roissy-Charles-de-Gaulle in 1994. Necessary prevention measures in airports].

During the very hot 1994 summer, six new cases of airport malaria have been observed in and around Roissy-Charles-de-Gaulle airport. Four patients were regular or occasional airport employees. The two other cases were inhabitants of a city at 7 km. Entomological investigations suggest that cars of airport employees served to disseminate anophelines outside the airport areas. The six cases were very severe. One patient died. Apparently, W.H.O. recommendations on aircraft disinsecting procedures have not been fully followed. There is obviously a threat for areas near the airports.

Adult↗
PubMed1995

[Comparison of the transmission of malaria in 2 epidemiological patterns in Senegal: the Sahel border and the Sudan-type savanna].

From September 1992 to October 1993 a longitudinal entomological study was carried out in two villages located in different ecological conditions of Senegal, a sahelian area and a sudan-type savanna. Mosquitoes were sampled by night-bites catches and by daytime pyrethrum spray collections. In both villages Anopheles gambiae s.l. is the main vector with An. gambiae in the savanna area of Wassadou and An. arabiensis in the sahelian area of Thiaye. Malaria transmission is mainly seasonal with a man biting rate (ma) and an entomological inoculation rate (h) higher in Wassadou than in Thiaye. In this last one (sahelian area), a high variation of An. gambiae s.l. density was observed, females disappear in the dry season. In the rainy season the main biting rate increases but no infected bite was recorded. In Wassadou (sudan-type savanna), a great difference in An. gambiae s.l. specific composition was observed with An. gambiae predominant in the rainy season and An. arabiensis generally more abundant in the dry season. The biting and inoculation rates were minimum during the dry season (ma = 4 bites/man/night; h = 0.07 infected bites/man/night-, they increase during the rainy season (ma: 52 bites/man/night; h = 1.6 infected bites/man/night). An inhabitant of this village gets annually some 63, bites and 220 infected bites of An. gambiae s.l., mainly during the six months of the rainy season and the early dry season.

Animals↗
PubMed1994

[Aedes albopictus and Aedes aegypti at Ile de la Réunion].

Aedes albopictus and Aedes aegypti are both found on the island. The former, being the probable vector of dengue on the island, is highly anthropophilic. It breeds in domestic environments as well as in natural breeding sites. The latter has a more restricted distribution and is never anthropophilic. Larvae of Ae. aegypti are only found in natural habitats, always associated with Ae. albopictus, but in small proportions. Such an ecology and behaviour for the typicus form of Ae. aegypti are abnormal. Several hypothetic explanations are proposed. Dengue prevention should be based solely on Ae. albopictus control.

Aedes↗
PubMed1994

[Historical epidemiology of bancroftian filariasis in southwest islands of the Indian Ocean].

Bancroftian filariasis arose in the South-West Indian Ocean Islands with human settlements. During the XIXe century, most of the islands were infected but the prevalence and clinical features of the disease were different from an Island to an other. The vectors are Cx. quinquefasciatus, An. gambiae, An. arabiensis, An. funestus. Even if Culex are proven vectors most of the transmission is due to anophelines. The introduction of the parasite was followed by an explosion of the diseases with dramatic clinical features. But since the beginning of the century the disease retreats. Whatever this is due to malaria vector control and specifies chemoprophylaxis or is linked to the rise of life standard is still a subject of debate.

Animals↗
PubMed1994

[Invasions of Paederus sabaeus (Coleoptera Staphylinidae) in central Africa. 1. Entomological and epidemiological aspects].

In May 1993, at the end of the rainy season, outbreaks of Paederus sabaeus (Coleoptera, Staphylinidae) were recorded in Brazzaville (Congo), Kinshasa (Zaire), Franceville and Libreville (Gabon) and even in Bangui (CAR) at the North of the equator. A short review of previous outbreaks in Africa and on vesicant substances is given by the authors. These beetles are attracted to neon lights and they rest on the walls or on the skin of the occupants. When the insects are crushed on the bare skin their haemolymph liberate pederine and related vesicant components which provocate dermatitis. The insects disappeared spontaneously after three to four weeks.

Animals↗
PubMed1994

[Leishmaniasis in Ecuador. 1. Incidence of cutaneous leishmaniasis on the Pacific coast].

A clinico-epidemiologic survey on cutaneous leishmaniasis, due to Leishmania panamensis, was carried out on 961 persons in two study areas of the Pacific coast of Ecuador, to estimate the prevalence and the incidence of the disease. In the preandean hills, at Paraiso Escondido, the prevalence of active lesions was 4.8%; in the hills of the coastal cordillera, at La Tablada, it was 3.6%. The incidence of new cases in 1991 was high: 147% in the first village, and 106% in the second. These data are far higher than the Health Ministry statistics. The cumulated prevalence, obtained by addition of the scars and active lesions of leishmaniasis, was as high as 66% at Paraiso Escondido, and 47% at La Tablada. Most of the patients (62%) had only one ulcer or scar. Most of the people are contaminated during the first five years they live in these endemic areas. Nevertheless, the incidence remains high in all the age groups, because large numbers of migrants coming from non endemic regions are continuously settling in these colonization areas. Interviews have shown that the contaminations had occurred in the dry season, between July and December. These findings were confirmed by passive case detection at the Hospital A. Egas of Santo Domingo which covered the region. Contamination of young children and position of the lesions on the face suggested a domiciliary transmission, like in Panama and on the Pacific coast of Colombia.

Adult↗