Biomedical subjects

O Faye

Publications and source records attributed to O Faye.

At least 73 records · Page 4Linked to original sources

PubMed1996

[Informal care of malaria: determinants of demand and supply inventory. A study conducted in Touba City (Senegal)].

In Senegal, identifying the determining factors of the informal health care demand for malaria on the one hand and the supply's inventory in that condition on the other hand, are prerequisites to the definition of any realistic pharmaceutical policy. Wanted to make these parameters available in the city of Touba which shows religious and administrative particularities as compared to the rest of Senegal, by conducting a study on malaria morbidity and by submitting to people and informal health care providers two different questionnaires. Besides a malaria morbidity rate of 7.4%, the resort to informal health care was linked to economic reasons for 64% of householders resorting to this type of health care. Sociocultural determining factors were also identified. Among health care providers whom community's request is important, we observed the relevance of the malaria regular diagnosis as compared to established references. However we did not observed it as far as treatment and chemoprophylaxis are concerned. The supply is done along underground lines. The training of these informal health care providers and their integration in the general health care system should be considered.

Adolescent↗

PubMed1996

[Anatomopathologic study of five cases of leprosy in HIV seropositive patients].

In an effort to establish whether the human immunodeficiency virus (HIV) modifies the histological image of lepromatous skin lesion, a comparative study was conducted in 1994 at the Marchoux Institute in Bamako, Mali, on persons newly suffering from leprosy who had been tested seropositive and seronegative for the HIV virus. These new leprosy patients had never been treated and could be grouped as follows: 5 HIV-positive (1 TT, 1 BT, 1 BL, 2 LL) and 10 controls testing HIV-negative, selected according to the following criteria: each seropositive leprosy subject was matched with two seronegative controls having the same clinical features, same stage under the Ridley classification system, same age and sex. No discordance between the clinical classifications and the histological features in the subjects testing HIV-positive has been observed. They display features similar to those testing negative, with the presence of histiocytes, in particular epithelioid cells and giant cells in normal proportion depending on the form of leprosy. The only remarkable difference was a greater incidence of oedema in the subjects testing seropositive, compared with patients testing seronegative. In conclusion, HIV infection does not appear to cause major modifications in cellular response to Mycobacterium leprae, and no changes should be made in leprosy control programmes.

AIDS-Related Opportunistic Infections↗

PubMed1996

[Strongyloidiasis: current incidence in the Dakar pediatric environment].

The authors have conducted from November 20th 1992 to May 26th 1993 a study about the incidence of Strongyloidiasis in two pediatric units in Dakar. Direct examination followed by Lee and Baerman's concentration technic both applied to 610 stool specimen, have shown that 26.6% of children were carrying parasites. 9 cases of strongyloidiasis have been shown the incidence was 1.4%. These cases represent 5.5% and ranks at fifth position among intestinal parasitic diseases. They all come from suburbs of Dakar. Malignant forms could be easily detected among children suffering a secondary immune deficiency due to malnutrition, or corticotherapy.

Adolescent↗

PubMed1995

[Health personnel and population practices in the diagnosis of malaria and use of antimalarial drugs in Dakar].

The practices of health care workers and the population with regard to diagnosis of malaria and use of antimalarial drugs were studied in the city of Dakar from September 1991 to March 1992. Study included 847 heads of family, 191 treatment prescribers including 77 physicians, 53 nurses and 61 midwives, and 60 pharmacists. Three separate questionnaires were used: one for the population, one for physicians and paramedical staff, and one for pharmacists. The data collected showed that the 4 main symptoms used by both health care workers and the general population for diagnosis of malaria were fever, chills, vomiting, and headache. Treatment was administered upon suspicion of infection by 72% of treatment prescribers. Chloroquine was the drug most widely used by prescribers and for self-treatment of malaria. Prophylactic drug treatment was practised by all groups studied except treatment prescribers but was unappropriate for the target groups. Chloroquine is the drug most widely used to protect against the disease. Pharmacists have adequate supplies but distribution is poor. Despite promising results in the fight against malaria, further effort is needed to train health care workers and provide information to the population.

Antimalarials↗

PubMed1995

[Indications and prognosis of cesarean sections at the Dakar University Hospital Center].

From 1st January 1992 to 30 June 1994, 8489 delivered at the Dakar University Hospital. Among them, there were 953 cesarean sections, i.e. 11.2%. Epidemiological analysis revealed that mean parity was 2 for a mean age of 26 years. 22% of the women had a clinically perceptible pelvic problem. The indications for cesarean section were divided into 3 groups: mandatory operations (feto-pelvic disproportion, haemorrhagic placenta praevia, dystocia): 41.4%; prudent operations (long-awaited infant, fetal suffering, breech presentation, cicatricial uterus): 50%; and necessary operations (maternal disease, especially hypertension): 8.6%. There was a high postoperative mortality (1.4%) and major morbidity, especially infection (10%). Neonatal prognosis was also poor with a 14% early neonatal mortality. These findings reflect the major problems facing obstetricians in Senegal and Subsaharian Africa. Improved prognosis necessarily will involve better organization of our health systems allowing easier access to life-saving cesarean section for our rural populations.

Adolescent↗

PubMed1995

[The utilization of molecular biological tools in the study of malaria transmission: example of programs conducted in Senegal].

Some informations about malaria transmission, which has until nox difficult to get, can be obtained thanks to the use of molecular biology tools, PCR mainly. In Senegal, we use that technique to solve two kinds of problems: -Identification of species of the Anopheles gambiae complex: PCR technique is useful compared to other diagnostic methods (chromosome pattern, DNA probes, etc.) because it enables quickly and simply identification of captured anopheles from the DNA contained in their legs. The rest of the mosquito is tested by circumsporozoite protein antigen ELISA and blood meal ELISA. The data obtained are used to determine distribution, cycles, trophic preferences and comparative vectorial capacities of Anopheles gambiae, Anopheles arabiensis and Anopheles melas. -Identification in a mosquito blood meal of the individual bitten: we propose to evaluate factors (weight, age, sex, location of bedroom, etc.) which could explain why individuals are more, or less, bitten by a Plasmodium vector. Genetic typing is used on inhabitants'leukocytes DNA and on the leukocyte DNA extracted from the blood meal of resting anopheles. Through the high degree of polymorphism of three (AAAG)n microsatellites markers, we hope, using PCR, to attribute each blood meal to one individual. Statistical analysis will be used to identify attractivity factors and to determine more precisely the inoculation rates for each group rather than the classical rate calculated with male adults volunteers.

Adult↗

PubMed1995

[Malaria and rice growing in the Senegal River delta (Senegal)].

An epidemiological survey of malaria was carried out from September 1992 to November 1994 in three villages located in the Senegal river delta, two villages growing rice in irrigated fields and one practicing traditional rain water agriculture. Entomological observations showed that Anopheles pharoensis is the main anopheline species caught in the area with a high population density in the rice growing villages. The population density of species of the An. gambiae complex, represented by An. gambiae s.s., An. arabiensis and An. melas is low. Agressivity rates and anthropophlic indexes of An. pharoensis females are high but their parity rates are low. The malaria transmission is weak and was not perceptible in the area as shown by the negative results obtained with the ELISA tests and the examination of salivary glands. Parasitological indexes, malaria morbidity and incidence rates are low and are in agreement with the entomological data. In the Senegal river delta, irrigation has, on the whole, increased the An. pharoensis density but both malaria transmission and incidence rates did not rise.

Agriculture↗

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

[Biology of the vectors and transmission of Plasmodium falciparum, P. malariae and P. ovale in a village in the savanna of west Africa (Dielmo, Senegal)].

From April 1990 to March 1992 a longitudinal entomological study was carried out in Dielmo village, Senegal, an area of Sudan-type savanna. Mosquitoes were sampled by night-bite collections and pyretnrum spray collections. Seven anopheles species were identified: An. gambiae s.s. An. arabiensis, An. funestus, An. pharoensis, An. rufipes, An. squamosus and An. ziemanni. Present throughout the year, An. gambiae s.l. and An. funestus represented more than 98% of anopheles captured on man. A yearly wave of An. gambiae s.l. was observed in the rainy season and An. funestus was generally more abundant in the dry season. The sporozoite rate was 1.5% and 1.3%, respectively, for these two species. Sporozoite typing by monoclonal antibodies indicated that the proportion of infected salivary glands was 92.7% P. falciparum, 18.2% P malariae and 8.2% P. ovale. The inoculation rate was calculated to be respectively 111, 21 and 8 infective bites per human for P. falciparum, P. malariae and P. ovale during the first year. Transmission was highest in the second year, with respectively 272, 54 and 25 infective bites per human.

Adolescent↗

PubMed1994

[Transmission of malaria in villages far away or situated on the border of a mangrove in Senegal].

During 23 months period, entomological surveys were carried out in three villages of a mangrove area and two others far of the mangrove in the south part of Senegal. An. gambiae s.s was the main malaria vector and the sampling of its population was done by human baits catch. The An. gambiae density was important in the rainy season and the malaria transmission occurred from July to November; the inoculation rate rose from 0 to 123 infected bites per man. Marked yearly and local variations of the transmission intensity were observed. The transmission intensity was higher in the villages far of the mangrove than in those near. The variations of the transmission intensity were related to the larval breeding sites and to the longevity of the An. gambiae females.

Animals↗

PubMed1994

[Anopheles of Senegal. An annotated and illustrated list].

Twenty species of Anopheles are presently known from Senegal. An. gambiae, An. arabiensis, An. pharoensis, An. rufipes and An. ziemanni have an extensive distribution. Probably because of climatic change, An. funestus is no more found in some areas and An. paludis tend to disappear. An. melas is located in coastal areas. The other species, namely An. coustani, An. brohieri, An. brunnipes, An. domicola, An. flavicosta, An. freetownensis, An. hancocki, An. maculipalpis, An. nili, An. pretoriensis, An. squamosus and An. wellcomei, are mainly found in southern Senegal. Only An. gambiae, An. arabiensis and An. funestus are of epidemiological significance as vectors of malaria and bancroftian filariasis. Twelve arboviruses have been isolated from eight Anopheles species. Each Anopheles species is illustrated and an identification key is given.

Animals↗

PubMed1993

[Comparison of PCR and cytogenetic methods for the identification of mosquito species of the Anopheles gambiae complex in Senegal].

The classical cytological technique and a new PCR technique were compared for the identification of mosquito species of the Anopheles gambiae complex. Fifty seven specimens, caught in three different bioclimatic senegalese regions, were tested. Thirty two An. gambiae and 25 An. arabiensis were determined by both methods. All the results were similar. The advantages of each method are discussed.

Animals↗

PubMed1993

[Cryptosporidiosis among intestinal parasitosis in Senegalese pediatric hospital patients].

From November 1991 to March 1992 authors have carried out a study on the place of cryptosporidiosis among the intestinal diseases in children from a Dakar Pediatric Hospital. Different technics have been used to identify the parasites in the stool: direct examination, followed by Ritchie and Zielh Nielsen modified by Henricksen and Poblenz. The results show that 32% of the children were carriers parasites. Helminths represent 53.2% of the parasites with predominance of Ascaris lumbricoides. Giardia intestinalis is the more representative parasite among the Protozoa which constitute 46.8% of the parasites. 13 cases of parasites associations have been founded. The cryptosporidies have been founded in 3 stools, and constitute 4.6% of the whole parasites. The cryptosporidiosis take a little place among the intestinal diseases in Dakar's children.

Animals↗

PubMed1993

[Malaria in the Saharan region of Senegal. 1. Entomological transmission findings].

An 18 months longitudinal survey on the entomological aspects of the transmission of malaria has been carried out in a village practising rice field irrigation and in another village with traditional rain water agriculture. Both are located in the Sahelian area of the Senegal river central valley, in Senegal. The study is based on mosquito samples caught on human baits. The vectors A. arabiensis and A. gambiae could be found all year long in the village with rice field irrigation, but only during the rainy season in the other village distant from the rice field area. The average aggressive density decreases with the remoteness from the rice field area. From 16 bites/man/night (BMN) in the rice field area, it decreases to 7 BMN at 500 m and to 1 BMN at 5 km distance. The malaria transmission rate is weak and was not perceptible in the villages located far away from the rice field area. In the village close to the irrigated rice field, only one infected A. gambiae s.l. has been caught during the period of study. Physiological age is higher in the rice field area, but the anthropophilic index is lower. The different parameters involved in malaria transmission show important seasonal and yearly variations. Irrigation has, on the whole, increased mosquito population densities and particularly that of A. gambiae s.l., but malaria transmission does not seem to be influenced by this increase.

Animals↗

PubMed1993

[Malaria in the Saharan region of Senegal. 2. Parasitological indices].

The malaria parasitological indexes have been studied in three villages situated in the Senegal river central valley. Near one of them an irrigated rice field has been operational since July 1989. Each village has its own health care unit and the consumption of antimalarial drugs, especially chloroquine, is important. The parasitological indexes in children 0 to 9 years old and in patients presenting with symptoms evocative of malarial attacks are low. Irrigation of the rice field area does not seem to be an increasing factor for the malaria parasite rates in the area.

Animals↗

PubMed1992

[Comparative efficacy of the use of CDC light traps and humans to sampling anopheles populations. Results obtained in the area of Bignona (Senegal)].

The simultaneous use for the purpose of comparison of human bait catch and light trap collection for sampling anopheles populations specially the Anopheles gambiae s.l. in the area of Bignona, Senegal shows that: light traps provide more information on the specific composition of anopheles fauna; the performance of light traps and that of human baits are comparable indoor during the period of high density of anopheles. Outdoor, light traps catch fourth less females A. gambiae. But the two methods always vary in the same pattern and identically reflect the density variations of the populations; there is no significant difference between the repletion status, the physiological age and the sporozoite index of females A. gambiae s.l. collected with each of the 2 methods. Light trap collection may therefore be considered a reliable sampling method for A. gambiae s.l. specially inside houses in some areas where this method can efficiently permit to complete the human bait catch for a malaria transmission study.

Animals↗

PubMed1992

[Fungi in the hospital environment and infectious risk].

Using petridishes at hospital in services with risk patients, we have isolated Aspergillus (41.5%), Penicillium (26.4%), Candida (12.2%), Fusarium (7.5%), Mucorales (5%), Scopulariopsis (5%), Scytalidium (0.8%), Tricothecium (0.8%), Ulocladium (0.8%). Several fungi grew at 37 degrees. These saprophytic fungi could give opportunistic mycoses in immunodeficient patients.

Fungi↗

PubMed1992

[Evaluation of the efficacy of fenitrothion (Sumithion PM40) on vector density and the prevalence of malaria in Pout (Thiès, Sénégal)].

House-spraying with fenitrothion for malaria control was evaluated in three villages of the Pout rural community (Senegal) between August 1988 and October 1990. The baseline data were collected during the first year. The malaria vector was identified as Anopheles arabiensis and the highest malaria prevalence was observed in October 1988 (38%) in the child population (2-9 years old). A simple round of fenitrothion house-spraying at 1 g/m2 was carried out in the second part of July 1989. About 90% of the houses were treated. The malaria vector was reduced to negligible density and a rapid decrease of malaria prevalence was observed. In this area of short seasonal transmission, where the stability of malaria is low, one single round of spraying led to a marked reduction of malaria transmission and prevalence. The cost of the treatment was about 50 US cents per capita.

Animals↗