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At least 19 recordsLinked to original sources
PubMed1992

The anthropology of sexually transmitted disease in Liberia.

In sub-Saharan African countries where AIDS is established, HIV transmission is primarily by means of heterosexual intercourse. A major co-factor in such transmission is the presence of other, sexually transmitted diseases (STDs). Efforts to limit the heterosexual transmission of HIV in Africa must therefore address the high prevalence of other, standard STDs. The present study attempts to establish a preliminary information base for interventions to prevent the spread of HIV in Liberia where there is relatively high incidence of standard STDs but low incidence of HIV seropositivity. Employing in-depth, key-informant interviews with traditional healers, prostitutes and others, as well as focus group discussions with groups selected on the basis of several criteria, knowledge, beliefs, attitudes and behavior related to AIDS and STDs were elicited. Although evidence of exposure to scientific concepts was found, traditional, ethnomedical views predominated. Notions of sorcery, taboo violation and contamination were often expressed when describing the etiologies of locally-recognized sexually transmitted diseases. More 'naturalistic' explanations were often based on simplified notions of human anatomy and biochemistry. Three basic messages about AIDS that were broadcast in a recent radio campaign were retained, namely 'AIDS kills;' 'there is no cure for it;' and 'it is transmitted through sex.' There was also evidence of Liberians beginning to view AIDS in frameworks of interpretation compatible with traditional ethnomedical beliefs, such as sorcery. Most traditional healers reported they knew little or nothing about AIDS, including those who had a lot to say about other STDs that are well-established in Liberia. Many cases of STDs seem to be handled by traditional healers. Treatment typically consists of decoctions from the leaves and roots of various medicinal plants, administered as teas--less often as enemas or vaginal implants--to be taken over a 2-4 day period. It is recommended that efforts to lower incidence of standard STDs be given priority comparable to promotion of condom use and 'safer sex' in efforts to slow the transmission of HIV in Liberia. Strategies for combating STDs will have to take into account popular beliefs and attitudes regarding STDs as well as the role and influence of traditional healers. Strategies of this sort are recommended.

Acquired Immunodeficiency Syndrome↗
PubMed1992

Mission Liberia--1989. A memorable experience.

As I write this article, Liberia is being torn apart by a bloody civil war. Information about individuals is nonexistent. One of our biggest supporters was a church that was bombed, and the civilians taking refuge within the church courtyard were all killed by rival soldiers. The main headquarters of Operation Smile in Liberia also was destroyed. Reports indicate that the insurrectionists seem to be concentrating on the educated population. The time I spent with Operation Smile in Liberia was one of my most rewarding and memorable experiences (Fig 5). Perhaps this experience can never be repeated, but it will never be forgotten.

Adult↗
PubMed1987

Geographical distribution of Glossina palpalis gambiensis and G.p.palpalis in Liberia.

The two subspecies of Glossina palpalis (Robineau-Desvoidy) occurring in Liberia could be reliably separated morphometrically by measuring the width of the terminal dilatations of the male inferior claspers. Subspecies differentiation of female flies was less conclusive. Identification of flies from fifty-four sites revealed that most of Liberia lies in the belt of Glossina palpalis palpalis. However, pure and substantial populations of G.p.gambiensis Vanderplank occur north of 8 degrees 20'N in the north-west of Liberia.

Animals↗
PubMed1975

The geographical distribution of Onchocerca volvulus infection in Liberia.

The survey carried out for the assessment of onchocerciasis prevalence in Liberia from 1968 to 1971 covered about 1% of the rural population. From 10.885 persons examined parasitologically, 38% were carriers of microfilariae of O. volvulus in the skin, and an additional 6.8% carried nodules but no mf. One or more onchocercal nodules were prevalent in a total of 27% of the population. Geographic and sex differences were observed as well as several different patterns of increasing age. A description of the geographic distribution patterns is given but evaluation of population clusters classified by overall endemicity is considered more profitable for analyses of parasitological and clinical lesions related to the transmission of the filarial infection. Regional differences of the age-adjusted mf-rates ranging from 0 to 78% prevalence were obtained from the analysis of 121 communities throughout the country. The general onchocerciasis distribution pattern showed the highest endemicity in the western part of the country with a general decline towards hypoendemic condition in the Eastern regions. Exceptions were found in that sizable pockets of high transmission activity seems to exist in Eastern Liberia near the coast and also in Central Liberia.

Adolescent↗
PubMed1975

On the ecology and distribution of the species of the simulium damnosum complex in different bioclimatic zones of Liberia and Guinea.

A chromosomal identification of Simulium damnosum material collected in Liberia and Guinea revealed five species of this complex. S. yahense Vajime and Dunbar: Widely distributed in the rain forest zone (Liberia, Southern Guinea) and in the Fouta Djallon mountains. Breeding places typically in small watercourses, shaded streams and narrow rivers. S. sanctipauli Vajime and Dunbar: Restricted to the rain forest zone. Breeding confined to large rivers. S. soubrense Vajime and Dunbar: Breeding established in large and medium rivers under high forest (Liberia) and in the Guinea savanna (head waters of the Niger and its southern tributaries). S. damnosum Theobald: Distributed in the forest zone and Guinea savanna. Breeding in rivers and irrigation systems. S. sirbanum Vajime and Dunbar: Confined to the Northern Guinea savanna. Breeding in rivers and irrigation plants, occasionally in streams arising from lakes. Larvae of S. yahense and S. sanctipauli could be separated by morphological characters. The associations with other blackfly species are discussed.

Animals↗
PubMed1991

The dwarf river crab Liberonautes latidactylus nanoides Cumberlidge & Sachs, 1989, from Liberia--a new second intermediate host of Paragonimus uterobilateralis.

Large populations of the dwarf river crab Liberonautes latidactylus nanoides Cumberlidge & Sachs, 1989, collected from the St. Paul river at the Haindi/Mauwa focus of paragonimiasis in Liberia were examined for parasitization by the human lung fluke, Paragonimus uterobilateralis. Four specimens out of 763 L. l. nanoides proved to be positive for P. uterobilateralis (0.52%), and each of these specimens contained only 1 metacercaria. The dwarf river crab forms the basis of a seasonal commercial fishery in Liberia, and it is sold for human consumption in rural markets. However, the low levels of parasitization of L. l. nanoides, together with its limited seasonal availability make it doubtful that L. l. nanoides constitutes a public health risk to the rural population of Liberia.

Animals↗
PubMed1985

Endemic Lassa fever in Liberia. IV. Selection of optimally effective plasma for treatment by passive immunization.

The efficacy of passive immunization for treatment of Lassa Fever (LF) is believed to depend on the titre of the neutralizing antibody infused. For the purpose of identifying optimal donors of LV-immune plasma, a population of LF-convalescent patients in Liberia was tested for prevalence of neutralizing antibody. Minimally protective titres, expressed as a log10 neutralization index, (LNI), were established in animal models as LNI greater than 2. LNI titres for 26 donors, tested eight or more months after illness, were modest: 16 titred 1 less than LNI less than 2, 4 titred 2 greater than LNI less than 3, and only 4 titred LNI greater than 3. Sequentially obtained plasma from six donors indicated that the LNI response was delayed relative to the indirect fluorescent antibody (IFA) response, that high titres (LNI greater than 3) occurred only after seven months and in only two of six patients. Most of the unselected LV-immune plasma will require concentration to therapeutically useful LNI titres. In a passive immunization experiment, guinea-pigs were protected by a late convalescent plasma (LNI = 4.8, IFA = 320) but not by an early plasma, (LNI = 0.6, IFA = 640), thus supporting the selection of immune plasma on the basis of the LNI. Cross serological testing with LV strains and convalescent plasma from patients in Sierra Leone, Liberia and Nigeria suggested that these LV strains were indistinguishable by cross-IFA, but were readily distinguishable by cross neutralization tests. Geographical matching of LV and plasma origins may thus be a factor in selection of optimal plasma for passive immunization of Lassa fever.

Animals↗
PubMed1991

Factors related to autonomy and discontinuation of use of natural family planning for women in Liberia and Zambia.

From 1983 to 1988, natural family planning programs were conducted in Liberia and Zambia. In Liberia 1055 and in Zambia 2709 women used natural family planning to avoid pregnancy. These users could become pregnant, discontinue use of the method, or become autonomous users. Women who changed intention did not stop use of natural family planning and were not treated as discontinuations. In a multivariate analysis, client's age, breastfeeding status, employment, urban/rural residence, time of registration in the program, and visit intensity were significantly associated with the outcomes. The most consistent association was that women who entered the programs in the later time periods were more likely to become autonomous users and less likely to discontinue use of the method or to experience an accidental pregnancy.

Adolescent↗
PubMed1985

Susceptibility of Plasmodium falciparum to chloroquine in northern Liberia after 20 years of chemosuppression and therapy.

The in vivo and in vitro susceptibility of Plasmodium falciparum to chloroquine was investigated in northern Liberia after 20 years of continuous chemosuppression and therapy with 4-aminoquinolines. In all patients studied (n = 53) parasitaemias were cleared within four days. There were no recrudescences in 16 patients followed-up for 28 days. All isolates of P. falciparum tested in vitro (n = 26) showed sensitive patterns. Schizont maturation was inhibited by a chloroquine concentration of between 0.25 and 0.75 mumol-1. In this area of Liberia no resistance to chloroquine was found in spite of extensive use of 4-aminoquinolines. This may support the view that importation of at least partially resistant strains, rather than local mutation of P. falciparum, precedes selection of resistant strains. Hence, we conclude that regular intake of chloroquine by groups at risk is justified if it is combined with regular monitoring of drug susceptibility.

Child↗
PubMedDate not supplied

Clinical features of Lassa fever in Liberia.

Two hundred thirteen cases of Lassa fever (LF) were diagnosed by virus isolation and seroconversion at Curran Lutheran Hospital in Zorzor, Liberia, between July 1980 and April 1986. An additional 40 cases of probable and presumptive LF were diagnosed on the basis of single serum samples. Of the 246 assessable patients, 23 (9%) died; no data were available for seven patients. Five (16%) of 32 pregnant women and three (43%) of seven immediately postpartum women died. Four (26%) of 15 children less than 12 years died. Case-fatality rates among 125 nonpregnant women and 67 men were approximately 6%. Among 150 patients studied in detail, the case-fatality rate was also 9%. Seventeen (11%) of these patients had abnormal bleeding; of these, six (35%) died. Most platelet counts were at low normal to mildly depressed levels. However, serial counts in seven patients suggested a decrease on about days 10-12 of illness. The symptoms of LF in Liberia are those of a viral syndrome. Edema, sometimes marked, is noted in seriously ill patients. A great variation in mortality and incidence of abnormal bleeding is recorded in reported series of LF; it appears that hemorrhage is a marker for cases with a high mortality. The incidence and severity of hearing defects in LF outbreaks vary. Elucidation of a number of clinical problems in LF requires more information on how strain differences affect the pattern of illness.

Diagnosis, Differential↗
PubMed1975

Thalassaemia in northern Liberia. A survey in the Mount Nimba area.

A population survey in northern Liberia showed an average incidence of 9 percent of beta-thalassaemia trait. There was considerable tribal variation, the highest rates being mainly found in tribes having a low incidence of Hb S. A single example of deltabeta-thalassaemia trait was also found; the incidence of delta-chain variants was 1.8 percent. The effect of malaria on Hb A2 levels was investigated but appeared to be negligible. The problems of beta-thalassaemia and Hb S occurring in the same population are discussed. It is considered that, although made on a local sample, the results of this survey indicate a high incidence of beta-thalassaemia trait elsewhere in Liberia and that this is a suitable are for investigations of linkage at beta- and delta-chain loci. No conclusion is at present possible from the data on the presence of alpha-thalassaemia although 10 percent of neonates were found to have increased levels of Hb Barts.

Adolescent↗
PubMed1985

Practical management of rabies and the 1982 outbreak in Zorzor District, Liberia.

A rabies outbreak in Zorzor District, Liberia, in 1982 resulted in 31 known bitten and 12 known exposed patients. Human diploid cell strain (HDCS) vaccine was used to vaccinate 40 patients. Of these, 34 were vaccinated at Curran Lutheran Hospital, Zorzor, Liberia, mostly by the intradermal (i.d.) route. Five of 28 bitten patients who started their vaccinations did not complete the 4-dose course, including a 16-year-old boy who did not return after the first injection and later died of rabies. There were also 2 deaths in 3 known bitten but unvaccinated patients. None of the 23 bitten who received 4 doses of HDCS vaccine contracted rabies. The i.d. route was also used for pre-exposure prophylaxis. This method of vaccination is less expensive than the intramuscular route and in our clinical setting we would not have been able to vaccinate all the patients without using it. A practical approach to rabies vaccination in a developing country and the technique of intradermal vaccination are discussed.

Adolescent↗
PubMed1976

Circadian periodicity of Wuchereria bancrofti in Liberia and its effect on the results of a prevalence study.

The Harmonic Wave curve of Sasa and Tanaka (1972), describing microfilarial periodicity, has been fitted to observations on 38 persons infected with W. bancrofti in Liberia, as well as to data previously obtained from the same country by other authors. The periodicity of the Liberian strain was similar to that of periodic forms of W. bancrofti in Southeast Asia and Japan. The effect of periodicity on microfilaraemia prevalence survey results has been examined, using data from a recent study in coastal Liberia. Although prevalence rates appear to be little affected the median microfilarial densities (MfD50) vary condiserably according as to whether a population is examined in the early evening or late at night.

Blood↗
PubMed1991

A temporary focus of savanna species of the Simulium damnosum complex in the forest zone of Liberia.

Savanna species of the Simulium damnosum complex, the major vectors of the blinding savanna type of onchocerciasis, were considered to be rare in Liberia, until the dry season of 1988. In 1988 they became a serious nuisance, biting people at the Bong iron ore mine within the rain forest zone. S. damnosum s.str. and S. sirbanum were found breeding, in association with S. adersi a non man-biting savanna species, in a stream emerging from the mine's tailings pond. The local forest species were extremely rare in this stream. The water of the stream was characterized by an increased hardness and higher temperatures in comparison with those of natural watercourses in the area. The mass occurrence of flies was probably related to expansions of the tailings ponds, when rich nutrition was provided for the blackfly larvae by the decaying forests submerged by the rising water levels. The phenomenon did not recur in 1989 when only a few savanna flies were caught, and none were seen in the dry season of 1990. Although it is not known why the artificial environment of the tailings ponds was so attractive for the savanna species the events clearly demonstrated that savanna flies seasonally invading the area, possibly aided by the northeasterly harmattan winds, can become established in the rain forest zone if suitable conditions are met. No infections with Onchocerca volvulus were found in more than 1000 flies caught by vector collectors but, after experimental infection with the local forest strain, a few parasites developed to the infective stage. As yet there is no evidence that the occurrence of savanna flies in the rain forest zone of Liberia was of epidemiological significance.

Animals↗
PubMed1990

The relationship between rickettsia-like-organisms and trypanosome infections in natural populations of tsetse in Liberia.

A survey of natural populations of tsetse flies for rickettsia-like-organisms (RLO) has been carried out in Liberia. A population of G.p. palpalis showed a strong association between trypanosome and RLO infection; both infections were at low levels in this species suggesting that this population is highly refractory to trypanosome infection. A small sample of G. nigrofusca, considered the most effective vector of trypanosomiasis in Liberia, was found to have very high prevalence of RLO infection. The selection pressures which could determine RLO infection rate are discussed.

Animals↗
PubMed1990

Intercultural communication in assessing dietary habits: Liberia as an example.

Nutritionists in both clinical and field settings often work with populations whose cultures and languages differ from their own. Therefore, intercultural communication skills are often needed. This article presents a method used to collect dietary data for 125 children under 26 months old living in Liberia. The method was designed to reduce intercultural communication errors during collection of dietary data by avoiding terms directly related to the English language words "food" or "to eat," and by replacing such terms with words or phrases with a more general meaning, for example, "thing" for food or "had" for eat. By using this method the following results were obtained: mean age for introducing non-breast-milk foods to infants, 1.9 months (no. = 113, standard deviation [SD] = 2.1 months); mean age for introducing milk-based foods, 1.5 months (no. = 74, SD = 1.6 months); and mean age for introducing non-milk foods, 2.9 months (no. = 110, SD = 2.5 months). These ages are 2 to 4 months earlier than those determined in two previous studies conducted in Liberia. The difference is probably attributable to incongruity between the interviewer's and interviewee's definitions of words. The resultant impact on feeding recommendations because of differences in data and, therefore, in conclusions, demonstrates that accuracy of dietary data at the individual level may be critical for epidemiological studies. The method of using more general terms and avoiding restricting terms such as "food" and "eat" may help nutritionists improve the accuracy and completeness of dietary data during intercultural interviews. Additional research in wording dietary recall questions will help determine whether this method is generally applicable.

Child, Preschool↗
PubMed1986

Post-encephalitic epilepsy and arbovirus infections in an isolated rainforest area of central Liberia.

Among a population of 4.436 Bassa, Kpelle and Mano people in the Gbawein and Wroughbarh Clan region of Grand Bassa Country, Liberia, 123 cases of epilepsy could be documented. In 38% of these cases infections involving the central nervous system precipitated the onset of seizures. Sera from 67 epilepsy patients, 50 direct healthy relatives and 22 geographically matched controls were tested for antibodies to 16 arboviruses of the Togaviridae and Bunyaviridae known to occur in Africa. Antibodies to arboviruses were found in 16.5% of the epilepsy patients, 36% of the mostly older family members, and in 22% of the controls. Males and females were equally affected as were the different clans and language groups. Although meningoencephalitis with sequelae, like seizures, are known to result from arbovirus infections, no evidence for a correlation between epilepsy in this are of Central Liberia and previous arbovirus infection could be established.

Adolescent↗
PubMed1987

Cytotaxonomy of the Simulium sanctipauli sub-complex in Liberia.

Larvae of the Simulium sanctipauli sub-complex from three of the main rivers of Liberia, the Lofa, the St. Paul and the Farmington were examined. All larvae were identified as S. sanctipauli (sensu Vajime and Dunbar, 1975) but as S. soubrense using the new definition of Post (1986). It therefore appears that S. soubrense (sensu Post) and not S. sanctipauli is the main man-biting species of the S. sanctipauli sub-complex in Liberia. Larval populations from the three rivers were genetically distinct. Those from the Lofa and St. Paul were most closely related, but the double inversion 1L-B.C. which was in Hardy-Weinberg equilibrium in the Lofa at a frequency of 0.578 was absent in the St. Paul. An abrupt genetical change was observed between the populations of the St. Paul and Farmington, which are only about 30 to 40 km away from each other. The inversion 2L-D, which was fixed and present in more than 90% of specimens from the Lofa and St. Paul respectively, was practically absent in the Farmington. Of further interest was the sex-linkage of inversion 3L-5 in the Lofa and the St. Paul. This inversion was autosomal and rare in the Farmington.

Animals↗