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Sample records for central hospital cameroon

  1. [HIV and risk factors for the blood donors at the central hospital of Yaounde, Cameroon].

    PubMed

    Mole, S; Onana, E; Biholong, D

    2011-08-01

    The HIV/AIDS infection is in a permanent progress in Cameroon. Through this descriptive and analytical cross-sectional study, we aimed to compare the occurrence of the HIV by taking into account the risks factors that are significantly associated with HIV. The investigation was carried out from 1 January till 31 December 2009 in the Blood Bank of the Central Hospital of Yaounde in Cameroon. A structured questionnaire was proposed to collect socio-demographic and risk behavioral information. Venous blood was collected for HIV antibody testing. Generalized estimating equation with logistic regression was used to analyze the risk factors for HIV infection. In all, 5 058 persons were included in this study. Serological examination revealed a total prevalence of 5.4% of HIV infection in the population studied. The family/replacement donors constituted the majority (69.5%) and showed a higher risk of seropositivity of HIV than the benevolent donors in raw analysis; but after adjustment, the family donors had the same risk of seropositivity of HIV than voluntary blood donors (aOR = 1.00). Variables such as homosexual intercourse (aOR = 1.61), to have already made a screening test of HIV (aOR = 1.83), mobility (aOR = 2.24), treatment and records of STI (aOR = 3.81), use of the condom (aOR = 6.63), more than one sexual partner (aOR = 8.40) remained significantly linked to the result of the HIV serology and constituted risk factors that will be emphasized during the selection of the donors. PMID:21695495

  2. A case of abdominal textiloma following gynecologic surgery at the Yaounde Central Hospital, Cameroon

    PubMed Central

    Fouelifack, Florent Ymele; Fouogue, Jovanny Tsuala; Fouedjio, Jeanne Hortence; Sando, Zacharie

    2013-01-01

    Textiloma is the inadvertent retention of a textile foreign body on the surgical site. It is a rare complication of surgery but which carries severe consequences for both patients and surgeons in terms of morbi-mortality and medico-legal procedures respectively. We herein report the case of an abdominal textiloma in a 42 year old woman who underwent a total abdominal hysterectomy for symptomatic leiomyomas. We also depict the errors that led to this mishap in a tertiary hospital in Yaounde (Cameroon). The textiloma was recognized six weeks after the causative surgery and removed by laparotomy without further complications. PMID:24876905

  3. [Incidence of peri- and intraventricular hemorrhages in a premature population at the Central Hospital of Yaounde (Cameroon)].

    PubMed

    Tietche; Koki Ndombo, P O; Gonsu Fotsin, J; Nko'O Amvene, S; Kago, I; Nomo, E; Obounou Akong, D

    1992-06-01

    In Cameroon, prematurity is common but few studies have been carried out on periventricular and intraventricular hemorrhage in premature neonates. Seventy neonates born between 28 and 34 weeks gestational age were studied by cerebral ultrasonography. Thirty infants (42.8%) showed evidence of periventricular or intraventricular bleeding. This proportion was 58.3% in infants born between 28 and 31 weeks gestational age. All stage III (3 cases) and stage IV (2 cases) hemorrhages were bilateral. Bilateral bleeding was less common among patients with stage I (2 cases) or stage II (2 cases) hemorrhages. Among patients born between 32 and 34 weeks gestational age, only 34.8% had ventricular hemorrhage which was always stage I or II and usually unilateral (two stage I and one stage II bilateral bleeds). The incidence of periventricular and intraventricular hemorrhage is high in Yaoundé. Ultrasonographic evaluation should be routinely performed in infants born before 35 weeks gestational age. PMID:1497289

  4. Cameroon.

    PubMed

    1992-06-01

    The US profile of Cameroon indicates brief statistics on the population, geography, government, and economy and brief descriptions of the population, the history, government, political conditions, the economy, foreign relations, defense, and relations with the US. Principal government and US officials are furnished. The 1991 estimated population of Cameroon was 11.7 million of which 60% is rural. There are 200 different tribes who speak many African languages and dialects. The French and English languages both have official status. Muslims live in the north and Christians in the south. 80% live in the formerly French east. The growth rate is 3%. There is 65% literacy. Infant mortality is 20%. 70% are agricultural workers, 13% industrial and commercial, and 17% other. The government is an independent republic with an executive and legislative branch. Independence was achieved in 1960. There is 1 ruling party. Traditional courts administer the laws. Traditional rulers are treated as administrative adjuncts. Suffrage is universal adult. The central government budget is 1.4 billion of which 8.7% is for defense. There are 10 provinces and 4 major cities. The seaport city Douala is the largest at 1.5 million. Gross domestic product (GDP) is $12.5 billion with an annual growth rate of 4.3% and an inflation rate of 2%. Growth has been variable since 1988 and reached a low of 2.4% in 1988-89. Oil, natural gas, bauxite, iron core, and timber are natural resources. 27% of the GDP is in agricultural products (cocoa, coffee, cotton, fishing, and forestry). 13% of the GDP is manufacturing and 24% is industry. Exports are valued at $2.9 billion and imports at $2.2 billion. Major markets are France, Netherlands, and the US. Imports include intermediate goods, capital goods, fuel and lubricants, foodstuffs, beverages, and tobacco. Early inhabitants were the Pygmies, followed later by Bantu speakers, and Muslim Fulani. Political consolidation was achieved in 1970 after a period of

  5. Central line infections - hospitals

    MedlinePlus

    ... infection; CVC - infection; Central venous device - infection; Infection control - central line infection; Nosocomial infection - central line infection; Hospital acquired infection - central line infection; Patient safety - central ...

  6. Bacteriological assessment of the hospital environment in two referral hospitals in Yaoundé-Cameroon

    PubMed Central

    Gonsu, Kamga Hortense; Guenou, Etienne; Toukam, Michel; Ndze, Valantine Ngum; Mbakop, Calixte Didier; Tankeu, Dongmo Norbert; Mbopi-Keou, Francois Xavier; Takongmo, Samuel

    2015-01-01

    Introduction Many studies still show significant numbers of surgical patients contracting nosocomial infections each year globally with high morbidity and mortality. The aim of this study was to identify potential bacteria reservoirs that may be responsible for nosocomial infection in surgical services in the Yaoundé University Teaching Hospital (YUTH) and the Central Hospital Yaoundé (CHY). Methods A cross sectional descriptive study was conducted from June to August 2012. Air, water, and surface samples were collected from two surgical services and subjected to standard bacteriological analysis. Results A total of 143 surface samples were collected. Bacteria were isolated in all surfaces except from one trolley sample and a surgical cabinet sample. The predominant species in all services was coagulase negative Staphylococcus (CNS). The average number of colonies was 132. 82CFU/25cm2. The bacteria isolated in the air were similar to those isolated from surfaces. From the 16 water samples cultured, an average of 50.93 CFU/100ml bacteria were isolated. The distribution of isolated species showed a predominance of Burkholderia cepacia. Conclusion These results showed the importance of the hospital environment as a potential reservoir and source of nosocomial infections amongst surgical patient at YUTH and CHY, thus we suggest that Public health policy makers in Cameroon must define, publish guidelines and recommendations for monitoring environmental microbiota in health facilities. PMID:26140067

  7. 78 FR 16029 - Waiver of Restriction on Assistance to the Central Government of Cameroon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Cameroon Pursuant to Section 7031(b)(3) of... Section 7031(b)(1) of the Act with respect to Cameroon, and I hereby waive this restriction....

  8. 76 FR 61134 - Waiver of Restriction on Assistance to the Central Government of Cameroon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Cameroon Pursuant to Section 7086(c)(2) of... Section 7086(c)(1) of the Act with respect to Cameroon and I hereby waive such restriction....

  9. Cattle ticks in Cameroon: is Rhipicephalus (Boophilus) microplus absent in Cameroon and the Central African region?

    PubMed

    Awa, D N; Adakal, H; Luogbou, N D D; Wachong, K H; Leinyuy, I; Achukwi, M D

    2015-03-01

    In most parts of the world, ticks are rapidly developing resistance to commonly used acaricides thus rendering control difficult. This constraint is further compounded by the introduction of new species in areas where they did not exist before. Such is the case with the introduction into and rapid spread of Rhipicephalus (Boophilus) microplus in some countries of West Africa. With the looming threat of its further spread in the region, the objective of the present study was to update knowledge on cattle ticks in Cameroon. Among 19,189 ticks collected monthly from 60 animals in 5 herds from March 2012 to February 2013, Rh. (B.) decoloratus was the most abundant species with a relative prevalence of 62.2%, followed by Amblyomma variegatum (28.4%), Rh. (B.) annulatus (0.2%), Rh. (B.) geigyi (0.03%), other Rhipicephalus spp. (8.4%) and Hyalomma spp. (0.3%). Rh. (B.) decoloratus and A. variegatum were also the most widely distributed in space. Infestation rate was generally high, with average tick count/animal of about 80 during peak periods. Tick distribution and abundance in the different sites was as varied as the underlying factors, among which the most important were management systems and climatic factors. The effects of rainfall and temperature were confounded by other factors and difficult to evaluate. However, it appears tick development depends among other factors, on a humidity threshold, above which there is not much more effect. Rh. microplus was not found during this study, but more extensive tick collections have to be done to confirm this. In conclusion, cattle tick infestation in Cameroon remains an important cause for concern. Farmers need assistance in the use and management of acaricides in order to increase their efficiency and reduce the development of resistance. Although Rh. microplus was not found, its introduction from other West African countries is imminent if adequate measures, especially in the control and limitation of animal movements

  10. 78 FR 76698 - Waiver of Restriction on Assistance to the Central Government of Cameroon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Waiver of Restriction on Assistance to the Central Government of Cameroon Pursuant to Section 7031(b)(3) of... Section 7031(b)(1) of the Act and similar provisions of law in prior year Acts with respect to...

  11. Maternal mortality in Cameroon: a university teaching hospital report.

    PubMed

    Tebeu, Pierre-Marie; Pierre-Marie, Tebeu; Halle-Ekane, Gregory; Gregory, Halle-Ekane; Da Itambi, Maxwell; Maxwell, Da Itambi; Enow Mbu, Robinson; Robinson, Enow Mbu; Mawamba, Yvette; Yvette, Mawamba; Fomulu, Joseph Nelson; Nelson, Fomulu Joseph

    2015-01-01

    More than 550,000 women die yearly from pregnancy-related causes. Fifty percent (50%) of the world estimate of maternal deaths occur in sub-Saharan Africa alone. There is insufficient information on the risk factors of maternal mortality in Cameroon. This study aimed at establishing causes and risk factors of maternal mortality. This was a case-control study from 1st January, 2006 to 31st December, 2010 after National Ethical Committee Approval. Cases were maternal deaths; controls were women who delivered normally. Maternal deaths were obtained from the delivery room registers and in-patient registers. Controls for each case were two normal deliveries following identified maternal deaths on the same day. Variables considered were socio-demographic and reproductive health characteristics. Epi Info 3.5.1 was used for analysis. The mean MMR was 287.5/100,000 live births. Causes of deaths were: postpartum hemorrhage (229.2%), unsafe abortion (25%), ectopic pregnancy (12.5%), hypertension in pregnancy (8.3%), malaria (8.3%), anemia (8.3%), heart disease (4.2%), and pneumonia (4.2%), and placenta praevia (4.2%). Ages ranged from 18 to 41 years, with a mean of 27.7 ± 5.14 years. Lack of antenatal care was a risk factor for maternal death (OR=78.33; CI: (8.66- 1802.51)). The mean MMR from 2006 to 2010 was 287.5/100,000 live births. Most of the causes of maternal deaths were preventable. Lack of antenatal care was a risk factor for maternal mortality. Key words: Maternal mortality, causes, risk factors, Cameroon.

  12. Bacterial and archaeal communities in Lake Nyos (Cameroon, Central Africa)

    PubMed Central

    Tiodjio, Rosine E.; Sakatoku, Akihiro; Nakamura, Akihiro; Tanaka, Daisuke; Fantong, Wilson Y.; Tchakam, Kamtchueng B.; Tanyileke, Gregory; Ohba, Takeshi; Hell, Victor J.; Kusakabe, Minoru; Nakamura, Shogo; Ueda, Akira

    2014-01-01

    The aim of this study was to assess the microbial diversity associated with Lake Nyos, a lake with an unusual chemistry in Cameroon. Water samples were collected during the dry season on March 2013. Bacterial and archaeal communities were profiled using Polymerase Chain Reaction-Denaturing Gradient Gel Electrophoresis (PCR-DGGE) approach of the 16S rRNA gene. The results indicate a stratification of both communities along the water column. Altogether, the physico-chemical data and microbial sequences suggest a close correspondence of the potential microbial functions to the physico-chemical pattern of the lake. We also obtained evidence of a rich microbial diversity likely to include several novel microorganisms of environmental importance in the large unexplored microbial reservoir of Lake Nyos. PMID:25141868

  13. Epidemiology of chicken anemia virus in Central African Republic and Cameroon

    PubMed Central

    2012-01-01

    Background Although chicken anemia virus (CAV) has been detected on all continents, little is known about this virus in sub-Saharan Africa. This study aimed to detect and characterize CAV for the first time in Central African Republic and in Cameroon. Results An overall flock seroprevalence of 36.7% was found in Central African Republic during the 2008–2010 period. Virus prevalences were 34.2% (2008), 14.3% (2009) and 10.4% (2010) in Central African Republic and 39% (2007) and 34.9% (2009) in Cameroon. CAV DNA was found in cloacal swabs of 76.9% of seropositive chickens, suggesting that these animals excreted the virus despite antibodies. On the basis of VP1 sequences, most of the strains in Central African Republic and Cameroon belonged to 9 distinct phylogenetic clusters at the nucleotide level and were not intermixed with strains from other continent. Several cases of mixed infections in flocks and individual chickens were identified. Conclusions Our results suggest multiple introductions of CAV in each country that later spread and diverged locally. Mixed genotype infections together with the observation of CAV DNA in cloacal samples despite antibodies suggest a suboptimal protection by antibodies or virus persistence. PMID:22958546

  14. Genetic Structure of the Tiger Mosquito, Aedes albopictus, in Cameroon (Central Africa)

    PubMed Central

    Kamgang, Basile; Brengues, Cécile; Fontenille, Didier; Njiokou, Flobert; Simard, Frédéric; Paupy, Christophe

    2011-01-01

    Background Aedes albopictus (Skuse, 1884) (Diptera: Culicidae), a mosquito native to Asia, has recently invaded all five continents. In Central Africa it was first reported in the early 2000s, and has since been implicated in the emergence of arboviruses such as dengue and chikungunya in this region. Recent genetic studies of invasive species have shown that multiple introductions are a key factor for successful expansion in new areas. As a result, phenotypic characters such as vector competence and insecticide susceptibility may vary within invasive pest species, potentially affecting vector efficiency and pest management. Here we assessed the genetic variability and population genetics of Ae. albopictus isolates in Cameroon (Central Africa), thereby deducing their likely geographic origin. Methods and Results Mosquitoes were sampled in 2007 in 12 localities in southern Cameroon and analyzed for polymorphism at six microsatellite loci and in two mitochondrial DNA regions (ND5 and COI). All the microsatellite markers were successfully amplified and were polymorphic, showing moderate genetic structureamong geographic populations (FST = 0.068, P<0.0001). Analysis of mtDNA sequences revealed four haplotypes each for the COI and ND5 genes, with a dominant haplotype shared by all Cameroonian samples. The weak genetic variation estimated from the mtDNA genes is consistent with the recent arrival of Ae. albopictus in Cameroon. Phylogeographic analysis based on COI polymorphism indicated that Ae. albopictus populations from Cameroon are related to tropical rather than temperate or subtropical outgroups. Conclusion The moderate genetic diversity observed among Cameroonian Ae. albopictus isolates is in keeping with recent introduction and spread in this country. The genetic structure of natural populations points to multiple introductions from tropical regions. PMID:21629655

  15. [Does the National HIV /AIDS Control programme provide support for district hospitals in Cameroon?].

    PubMed

    Keugoung, Basile; Fotsing, Richard; Macq, Jean; Buve, Anne; Marchal, Bruno; Meli, Jean; Criel, Bart

    2015-01-01

    The aim of this study was to investigate the effects of the national HIV/AIDS control programme on district hospitals in Cameroon. A multiple case study was conducted in two district hospitals- one public and one faith-based. Data were collected by document review, semi-structured interviews and observation of managerial processes and health care delivery. Programme interventions result in a series of positive and negative effects on the functioning of district hospitals and local health systems. High input and support of staff skills were observed for antiretroviral therapy and the management of opportunistic infections. However, the impact of the programme on the stewardship function is problematic. The low implication of district management teams in the implementation of HIV /AIDS activities reduces their structural capacity to run the local health systems. Programme and health system managers failed to take advantage of opportunities to develop synergies between the HIV/AIDS programme and local health systems. The HIV/AIDS programme weakens the systemic and structural capacity of local health systems. Managers of both programmes and general health systems should analyse and adapt their interventions in order to effective' strengthen health systems. One of the research questions is to understand why health system stakeholders do not seize opportunities to develop synergies between programmes and the general system and to strengthen health systems.

  16. Konzo outbreak among refugees from Central African Republic in Eastern region, Cameroon.

    PubMed

    Ciglenečki, I; Eyema, R; Kabanda, C; Taafo, F; Mekaoui, H; Urbaniak, V

    2011-03-01

    Konzo is a spastic paraparesis of sudden onset, linked to the exclusive consumption of insufficiently processed bitter cassava as staple food combined with low protein intake. Around 60,000 refugees from the Central African Republic sought refuge in villages in eastern Cameroon between 2005 and 2007. Médecins Sans Frontières was providing nutritional and medical assistance in the villages affected by displacement. We describe cases of konzo seen at the mobile clinics organized in these villages. Basic information including demographic data, history and clinical presentation was recorded for each konzo patient. All patients were given nutritional supplements, and selected cases were referred for physiotherapy to a rehabilitation center. A total of 469 patients were diagnosed with konzo. The majority (80%) were refugees. Children and women of reproductive age predominated. Most of the patients developed symptoms after 2007 in a seasonal pattern with most of the cases occurring during the dry winter season. Most of the patients complained about walking difficulties and weight loss and had exaggerated lower limb reflexes and muscle wasting on observation. Eastern Cameroon is an area with konzo. More effort needs to be put into preventive and educational measures. In addition, timely balanced food rations have to be provided to refugees.

  17. Technical Education and Vocational Training in Central Africa. Feasibility Survey of the Regional Development of Rapid Vocational Training: Cameroon, Central African Republic, Chad, and Gabon.

    ERIC Educational Resources Information Center

    Organization for Rehabilitation through Training, Geneva (Switzerland).

    This final report is the result of a survey requested by the United States Agency for International Development (USAID) and undertaken by the Organization for Rehabilitation through Training (ORT) of four countries (Cameroon, Chad, Central African Republic, and Gabon) and a conference on vocational training sponsored by the Economic and Customs…

  18. The Clinical and Bacteriogical Spectrum of Neonatal Sepsis in a Tertiary Hospital in Yaounde, Cameroon

    PubMed Central

    Chiabi, Andreas; Djoupomb, Marlene; Mah, Evelyne; Nguefack, Seraphin; Mbuagbaw, Lawrence; Zafack, Joseline; Ghoyap, Madeleine; Nkoa, Thérèse; Tchokoteu, Pierre Fernand

    2011-01-01

    Objective Sepsis is an important cause of morbidity and mortality in neonates especially in developing countries where identification of the germs and treatment is often unsatisfactory. The aim of the study was to assess the clinical presentation, and bacteriological profile of neonatal infections, and the sensitivity of the causative germs to antibiotics. Methods We carried out a prospective analytic study in the Yaounde Gynaeco-Obstetric and Pediatric Hospital in Cameroon over a 6 months period from 18th November 2008 to 18th May 2009. On the basis of history and/or clinical findings and paraclinical investigations, 218 neonates out of a total of 628 admissions were investigated and managed for neonatal infection. Findings The most frequent symptoms were fever (44.95%), refusal to feed/irritability (32.11%), and respiratory distress/cough (28.90%). Premature birth and prolonged rupture of membranes were the most frequent risk factors. Klebsiella spp, Escherichia coli and Enterobacter spp were the most frequent germs identified in respectively 28.6%, 21.4% and 14.3% of the positive samples. Overall sensitivity of the cultures to ampicillin, netilmicin and gentamycin was poor at 29.4%, 31.4% and 18.9% respectively, whereas imipenem, ofloxacin, ciprofloxacin and ceftazidime had the best sensitivities in 91.7%, 90%, 85.3% and 69.4% of the cultures respectively. The mortality rate was 22%, and low birth weight, premature birth and septicemia were significant risk factors for death. Conclusion Mortality from neonatal sepsis in this context is still high and there is an upsurge of multi-resistant germs to currently used antibiotics, calling for the need for rational use of antibiotics in the management of these infections. PMID:23056829

  19. Caesarean delivery in the Limbé and the Buea regional hospitals, Cameroon: frequency, indications and outcomes

    PubMed Central

    Tanyi, Tanyi John; Atashili, Julius; Fon, Peter Nde; Robert, Tchounzou; Paul, Koki Ndombo

    2016-01-01

    Introduction Neonatal outcomes can be directly and indirectly affected by caesarean delivery (CD). Data on CD rates in semi-urban and rural hospitals in resource-limited settings are scarce and yet are needed to better guide the care of women and neonates in these settings. we carried out this study to determine the frequency of CD, its indications and the frequency of the various adverse neonatal outcomes (ANO) in the Limbe Regional Hospital (LRH) and the Buea Regional Hospital (BRH), Cameroon. We also assessed the relationship between the indication for CD and ANO in the said hospitals. Methods This was a hospital-based retrospective and prospective cross-sectional study using descriptive and analytic methods conducted in the LRH and the BRH maternity units within a nine months period in 2015. Informed consent was obtainedfrom mothers of the neonates. Data analyses were performed using Epi-Info 3.5.4 software. Results We recruited 199 neonates born through CD. The prevalence of CD was 13.3% with cephalopelvic disproportion (CPD) being the most frequent (32.2%) indication for CD. There were 52 (26.1%) ANO following CD and respiratory distress was the most common 24 (46.2%) of all ANO. Emergency indications for CD were associated with more ANO 49 (34.5%) as compared to elective indications for CD 3 (5.3%) [p-value<0.001]. We noted a significant association between indications for CD and the various type of ANO, with CPD having the worse prognostic neonatal outcomes 30.8% [p-value=0.02]. Conclusion The prevalence of ANO associated with CD in our hospitals was high with a worrying prognosis. While the exact reasons are unknown, the creation of well-equipped neonatal units with trained staff, may contribute to reduce neonatal morbidity and fatalities. Furthermore, the association of CPD to worse prognostic neonatal outcomes calls for clinicians, to consider additional management options, such as antibiotic prophylaxis and oxygen therapy to the neonates, prior to CD

  20. Taxonomy of Atlantic Central African orchids 5. A new species of Angraecum sect. Conchoglossum (Orchidaceae, Angraecinae) from Gabon and Cameroon

    PubMed Central

    Ječmenica, Vladimir; Droissart, Vincent; Noret, Nausicaa; Stévart, Tariq

    2016-01-01

    Abstract Recent field inventories and taxonomic research in Central Africa have resulted in the discovery of many new orchid species. Five specimens of an apparently new Angraecum species were collected in Gabon and Cameroon. They stand out for their hanging habit and short zig-zag stem. Morphology of leaves and habit is somewhat comparable to Angraecum cultriforme and Angraecum stolzii, two species from East Africa. Flowers of the novelty share the general morphology of Angraecum pyriforme from which the new species is distinguished by being smaller and with a different lip-spur ratio. Here we show that these five specimens represent a new species, described here as Angraecum lanceolatum. The distinguishing traits include thin lanceolate leaves, convolute distally, with a rhombic lip shape. Dichotomous key to four Central African species of sect. Conchoglossum and a table of the diagnostic characters of the seven related Continental African Angraecum taxa are included here. A preliminary assessment of the conservation status of Angraecum lanceolatum is provided, using the IUCN Red List Categories and Criteria. PMID:27081350

  1. Petrogenesis of the Sabongari alkaline complex, cameroon line (central Africa): Preliminary petrological and geochemical constraints

    NASA Astrophysics Data System (ADS)

    Njonfang, Emmanuel; Tchoneng, Gilbert Tchuenté; Cozzupoli, Domenico; Lucci, Federico

    2013-07-01

    The petrography, mineral chemistry and geochemical features of the Sabongari alkaline complex are presented and discussed in this paper with the aim of constraining its petrogenesis and comparing it with other alkaline complexes of the Cameroon Line. The complex is mainly made up of felsic rocks: (i) granites predominate and include pyroxene-amphibole (the most abundant), amphibole-biotite, biotite and pyroxene types; (ii) syenites are subordinate and comprise amphibole-pyroxene and amphibole-biotite quartz syenites; (iii) pyroxene-amphibole-biotite trachyte and (iv) relatively abundant rhyolite. The minor basic and intermediate terms associated with felsic rocks consist of basanites, microdiorite and monzodioites. Two groups of pyroxene bearing rocks are distinguished: a basanite-trachyte-granite (Group 1) bimodal series (SiO2 gap: 44 and 63 wt.%) and a basanite-microdiorite-monzodiorite-syenite-granite (Group 2) less pronounced bimodal series (reduced SiO2 gap: 56-67 wt.%). Both are metaluminous to peralkaline whereas felsic rocks bare of pyroxene (Group 3) are metaluminous to peraluminous. The Group 1 basanite is SiO2-undersaturated (modal analcite in the groundmass and 11.04 wt.% normative nepheline); its Ni (240 ppm) and Cr (450 ppm) contents, near mantle values, indicate its most primitive character. The Group 2 basanite is rather slightly SiO2-saturated (1.56 wt.% normative hypersthene), a marker of its high crustal contamination (low Nb/Y-high Rb/Y). The La/Yb and Gd/Yb values of both basanites (1: 19.47 and 2.92; 2: 9.09 and 2.23) suggest their common parental magma composition, and their crystallization through two episodes of partial melting (2% and 3% respectively) of a lherzolite mantle source with <4% residual garnet. The effects of crustal contamination were selectively felt in the values of HFSE/LREE, LREE/LILE and LREE/HFSE ratios, known as indicators. Similar features have been recently obtained in the felsic lavas of the Cameroon Volcanic Line.

  2. Laparoscopic Fimbrioplasty and Neosalpingostomy in Female Infertility: A Review of 402 Cases at the Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital in Yaoundé-Cameroon

    PubMed Central

    Kasia, Jean Marie; Ngowa, Jean Dupont Kemfang; Mimboe, Yolande Salome; Toukam, Michel; Ngassam, Anny; Noa, Claude Cyrile; Belinga, Etienne; Medou, Alexis

    2016-01-01

    Background: More than 70 million couples suffer from infertility worldwide. The aim of this study was to evaluate the fertility outcomes after laparoscopic fimbrioplasty and neosalpingostomy in female infertility. Methods: Laparoscopic distal tuboplasty was carried out for 402 cases at the Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital in Yaoundé-Cameroon in Central Africa from December 2002 to December 2007. Laparoscopic fimbrioplasty and neosalpingostomy were done using bipolar electrocoagulation and conventional endoscopic instruments. Log-rank test was used to compare cumulative rate curves of intrauterine pregnancy with respect to the tubal stages. P<0.05 was considered statistically significant. Results: The mean age of the patients was 31.6±5.45 years. Secondary infertility was the most frequent type of infertility (70.14%). The laparoscopic tubal surgery done consisted of fimbrioplasty in 185(46%) cases and neosalpingostomy in 217 (54%) cases. Of 260 women followed up after tuboplasty, there were overall 74 (28.48%) pregnancies; 68(26.1%) intrauterine pregnancies and 6(2.3%) ectopic pregnancies. Pregnancy rates were significantly associated to the tubal stage (63% in stage 1, 15% in stage 3 and 00% in stage 4; p<0.001) and the adnexal adhesion scores (73.91% in the absence of adnexal adhesions and 8.8% in the case of a severe adnexal adhesion score). Of the 68 intrauterine pregnancies, there were 60(88%) live births and 8(12%) spontaneous abortions. Conclusion: It is believed that laparoscopic fimbrioplasty and neosalpingostomy should be the preferred choice when faced with tubal distal occlusion in a context of female infertility. This implies that training in endoscopic surgery should be regarded as an important issue in developing countries. PMID:27141465

  3. Vulnerability to climate change of mangroves: assessment from cameroon, central Africa.

    PubMed

    Ellison, Joanna C; Zouh, Isabella

    2012-01-01

    Intertidal mangrove ecosystems are sensitive to climate change impacts, particularly to associated relative sea level rise. Human stressors and low tidal range add to vulnerability, both characteristics of the Doula Estuary, Cameroon. To investigate vulnerability, spatial techniques were combined with ground surveys to map distributions of mangrove zones, and compare with historical spatial records to quantify change over the last few decades. Low technology techniques were used to establish the tidal range and relative elevation of the mapped mangrove area. Stratigraphic coring and palaeobiological reconstruction were used to show the longer term biological history of mangroves and net sedimentation rate, and oral history surveys of local communities were used to provide evidence of recent change and identify possible causes. Results showed that the seaward edge of mangroves had over two thirds of the shoreline experienced dieback at up to 3 m per year over the last three decades, and an offshore mangrove island had suffered 89% loss. Results also showed low net sedimentation rates under seaward edge mangroves, and restricted intertidal elevation habitats of all mangroves, and Avicennia and Laguncularia in particular. To reduce vulnerability, adaptation planning can be improved by reducing the non-climate stressors on the mangrove area, particularly those resulting from human impacts. Other priorities for adaptation planning in mangrove areas that are located in such low tidal range regions are to plan inland migration areas and strategic protected areas for mangroves, and to undertake management activities that enhance accretion within the mangroves. PMID:24832511

  4. Vulnerability to Climate Change of Mangroves: Assessment from Cameroon, Central Africa

    PubMed Central

    Ellison, Joanna C.; Zouh, Isabella

    2012-01-01

    Intertidal mangrove ecosystems are sensitive to climate change impacts, particularly to associated relative sea level rise. Human stressors and low tidal range add to vulnerability, both characteristics of the Doula Estuary, Cameroon. To investigate vulnerability, spatial techniques were combined with ground surveys to map distributions of mangrove zones, and compare with historical spatial records to quantify change over the last few decades. Low technology techniques were used to establish the tidal range and relative elevation of the mapped mangrove area. Stratigraphic coring and palaeobiological reconstruction were used to show the longer term biological history of mangroves and net sedimentation rate, and oral history surveys of local communities were used to provide evidence of recent change and identify possible causes. Results showed that the seaward edge of mangroves had over two thirds of the shoreline experienced dieback at up to 3 m per year over the last three decades, and an offshore mangrove island had suffered 89% loss. Results also showed low net sedimentation rates under seaward edge mangroves, and restricted intertidal elevation habitats of all mangroves, and Avicennia and Laguncularia in particular. To reduce vulnerability, adaptation planning can be improved by reducing the non-climate stressors on the mangrove area, particularly those resulting from human impacts. Other priorities for adaptation planning in mangrove areas that are located in such low tidal range regions are to plan inland migration areas and strategic protected areas for mangroves, and to undertake management activities that enhance accretion within the mangroves. PMID:24832511

  5. Chemistry and origin of the Mayo Kila sapphires, NW region Cameroon (Central Africa): Their possible relationship with the Cameroon volcanic line

    NASA Astrophysics Data System (ADS)

    Paul Mbih, Kemeng; Meffre, Sebastien; Yongue, Rose Fouateu; Kanouo, Nguo Sylvestre; Jay, Thomson

    2016-06-01

    Mineralogical, chemical and geochronological studies constrained the origin of sapphires from Mayo Kila, Northwest Cameroon. The sapphires are mostly blue, with sizes ranging from 2 to 5 mm. The pale blue grains are transparent, whereas, other corundums are transparent to translucent and/or opaque. The sapphires are dominantly euhedral to sub-hedral with few polished lustrous grains, acquired features during moderate to short distance transport from a proximal source rock. Solid inclusions are limited to rutile and zircon. Trace element analysis of sapphires shows significant concentration (in ppm) in some elements: Fe (2208-14,473), Ti (82-1783), Ga (77-512), Mg (0.9-264.9), Cr (b.d.l -168) and V (1.3-82). The other elements (e.g. Sn, Nb, Ta, Th, Zr, Ni, Ce) are generally below 10 ppm. The calculated ratios for some of the selected elements show an extreme variation: Fe/Mg (43-3043), Fe/Ti (2-76), Ti/Mg (1-328), and Ga/Mg (0.4-363). They are dominantly corundum crystallized in alkaline magma (s) with few from metamorphic source (s). Trace elemental features with Hf (13,354-26,238 ppm), Th (4018-45,584 ppm) and U (7825-17,175 ppm), and Th/U (0.39-2.65) found in zircon inclusions are compatible with quantified values in magmatic crystallized zircons. The Cenozoic age (mean of 30.78 ± 0.28 Ma) obtained for zircon inclusions is close to the age of some igneous rocks found within the Cameroon Volcanic Line (e.g. rocks of the Mount Oku: 31-22 Ma), showing the same period of formation. The most probable source of the zircon host sapphires is the Oku Mountain located SW of Mayo Kila.

  6. Central vascular catheter infections in a Hospital of Central Italy.

    PubMed

    Lombardi, Silvia; Scutell, Massimiliano; Felice, Valentina; Di Campli, Emanuela; Di Giulio, Mara; Cellini, Luigina

    2014-01-01

    The insertion and the permanence of central venous catheters (CVC) represent potential sources of infection contracted in hospital. The evaluation of the risk of CVC-associated infections was evaluated in a retrospective study during the period 2007-2010 in a Hospital of Central Italy. A total of 514 CVC were collected and examined by microbiological techniques and, among the examined patients, 450 CVC blood cultures were collected. Cultures were performed collecting a portion of 5-6 cm of intravenous catheters in liquid medium and spread on selective media for Gram-positive and Gram-negative bacteria and yeasts; blood specimens were obtained through peripheral venous punctures and analyzed by a commercial automated system. 308/514 (59.90%) samples were positive to the microbiological culture. Staphylococcus aureus, S. epidermidis and other coagulase negative Staphylococci (CNS) were the prevalent Gram-positive bacteria. Among Gram-negative bacteria, Enterobacteriaceae and Pseudomonaceae were the main bacteria isolated. A higher prevalence of Gram-positive bacteria was observed in Neonatal Pathology (90.90%). The Intensive Care Unit (ICU) showed 73.10% of positive cultures with 54.12% of Gram-positive isolates. Among positive blood cultures (38%), Gram-positive bacteria were the main bacteria isolated. The high prevalence of catheter-related infections requires accurate surveillance and the assumption of preventive measures in particular during catheter insertion. PMID:24531170

  7. Elemental weathering fluxes and saprolite production rate in a Central African lateritic terrain (Nsimi, South Cameroon)

    NASA Astrophysics Data System (ADS)

    Braun, Jean-Jacques; Marechal, Jean-Christophe; Riotte, Jean; Boeglin, Jean-Loup; Bedimo Bedimo, Jean-Pierre; Ndam Ngoupayou, Jules Remy; Nyeck, Brunot; Robain, Henri; Sekhar, M.; Audry, Stéphane; Viers, Jérôme

    2012-12-01

    The comparison between contemporary and long-term weathering has been carried out in the Small Experimental Watershed (SEW) of Nsimi, South Cameroon in order to quantify the export fluxes of major and trace elements and the residence time of the lateritic weathering cover. We focus on the hillside system composed of a thick lateritic weathering cover topped by a soil layer. This study is built on the recent improvements of the hillside hydrological functioning and on the analyses of major and trace elements. The mass balance calculation at the weathering horizon scale performed with the parent rock as reference indicates (i) strong depletion profiles for alkalis (Na, K, Rb) and alkaline earths (Mg, Ca, Sr, Ba), (ii) moderate depletion profiles for Si, P, Cd, Cu, Zn, Ni and Co, (iii) depletion/enrichment profiles for Al, Ga, Ge, Sn, Pb, LREE, HREE, Y, U, Fe, V, Cr, Mn. It is noteworthy that (i) Mn and Ce are not significantly redistributed according to oxidative processes as it is the case for Fe, V and Cr, and (ii) Ge is fractionated compared to silica with enrichment in Fe-rich horizons. The calculations performed for the topsoil with iron crust as parent material reference reveal that the degradation of the iron crust is accompanied by the loss of most of the constituting elements, among which are those specifically accumulated as the redox sensitive elements (Fe, V, Cr) and iron oxide related elements like Th. The overall current elemental fluxes from the hillside system at the springs and the seepage zones are extremely low due to the inert lateritic mineralogy. Ninety-four percent of the whole Na flux generated from the hillside corrected from atmospheric deposits (77 mol/ha/yr) represents the current weathering rates of plagioclase (oligoclase) in the system, the other remaining 6% may be attributed to the dissolution of hornblende. The silica hillside flux is 300 mol/ha/yr and can be mostly attributed to the plagioclase and kaolinite dissolution. Al and Ga

  8. Late Pregnancy Outcomes among Women who Attended and Women who did not Attend First Trimester Antenatal Care Visits in a Suburban Regional Hospital in Cameroon

    PubMed Central

    Njim, Tsi N

    2016-01-01

    Background: Despite relatively high number of women who attend antenatal care (ANC) in Cameroon, there is an ever-increasing maternal mortality ratio, and pregnancy outcomes remain inadequate. A new suggested Optimal ANC Package includes attending ANC in the first trimester. This study assesses the overall ANC coverage, the percentage, and pregnancy outcomes among women who attended and did not attend ANC in the first trimester in the Buea Regional Hospital (BRH) in Cameroon. Methods: A cross-sectional study was carried out among 200 consenting pregnant women presenting for delivery at the BRH. A bivariate analysis was used to compare the frequencies of various pregnancy outcomes within the the two categories of women who attended and who did not attend first trimester ANC. Results: Ninety-six percent of the women attended at least 1 ANC visit with 20.5% of these women attending ANC in the first trimester and 60.2% attending at least 4 visits. Sociodemographic and obstetric factors were not found to be associated with attending ANC in the first trimester. Also, there was no statistically significant association between all the late pregnancy outcomes assessed and attending ANC in the first trimester. Conclusions and Global Health Implications: Trends in most sub-Saharan countries seem to suggest that most women do not attend first trimester ANC. This could have negative consequences on overall perinatal outcome. More user-friendly educational programs for women of childbearing age is required in such regions to address this situation. PMID:27622008

  9. Synkinematic high-K calc-alkaline plutons associated with the Pan-African Central Cameroon shear zone (W-Tibati area): Petrology and geodynamic significance

    NASA Astrophysics Data System (ADS)

    Njanko, Théophile; Nédélec, Anne; Affaton, Pascal

    2006-04-01

    Four plutons from the W-Tibati area of central Cameroon crop out in close relationships with the Pan-African Adamawa ductile shear zone (Central Cameroon Shear Zone: CCSZ). These plutons include diorites, tonalites, granodiorites and granites, and most of them are porphyritic due to the abundance of pink K-feldspar megacrysts. Syn-kinematic magma emplacement is demonstrated by the elongate shape of the plutons and by magmatic and ductile (gneissic) foliations that strike parallel to or at a low angle with the CCSZ; the foliation obliquity is consistent with dextral transcurrent tectonics. Whole-rock geochemistry points to high-K calc-alkaline to shoshonitic magmatism. Mixing-mingling features can be observed in the field. However, fractional crystallization of plagioclase, amphibole, biotite (+ K-feldspar in the more felsic compositions) appears to have played a dominant role in the magmatic differentiation processes, as confirmed by mass balance calculations based on major elements. Isotopic signatures suggest that the magmas may have originated from different sources, i.e. either from a young mafic underplate for most magmas with ɛNdi(600 Ma) around -1 to -2 and Sri (600 Ma) around 0.705, or from an enriched lithospheric mantle for some diorites with ɛNdi(600 Ma) at -6 and Sri (600 Ma) at 0.7065; mixing with young crustal component is likely. The plutonic rocks of W-Tibati are similar to other Pan-African high-K calk-alkaline syn-kinematic plutons in western Cameroon. They also display striking similarities with high-K calk-alkaline plutons associated with the Patos and Pernambuco shear zones of the Borborema province in NE Brazil.

  10. Evidence for Archean inheritance in the pre-Panafrican crust of Central Cameroon: Insight from zircon internal structure and LA-MC-ICP-MS Usbnd Pb ages

    NASA Astrophysics Data System (ADS)

    Ganwa, Alembert Alexandre; Klötzli, Urs Stephan; Hauzenberger, Christoph

    2016-08-01

    The main geological feature of Central Cameroon is the wide spread occurrence of granitoids emplaced in close association with transcurrent regional shear zones. The basement of this vast domain is a Paleoproterozoic ortho-and para-derivative formation, which has been intensely reworked, together with subsequent intrusions and sediments, during the Panafrican orogenesis in the Neoproterozoic. As consequence, the area underwent pervasive metamorphism and intense deformation. This makes it difficult to distinguish between Panafrican metasediments or syntectonic plutonites and their respective basement. Our study presents zircon features (CL-BSE-SE) and in-situ U-Th-Pb LA-MC-ICP-MS geochronology of a meta-sedimentary pyroxene-amphibole-bearing gneiss of the Méiganga area in Central Cameroon. Based on the Internal structures of the zircon four characteristic zonation patterns can be deciphered: 1) cores with magmatic oscillatory zonation 2) zircons with oscillatory or sector zonation, 3) zircons with sector zoning or blurred zoning, and 4) narrow bright un-zoned rims. These groups suggest that the rock experienced a number of geological events. Considering this zircon characteristic, the U-Th-Pb data allow to distinguish four ages: 2116 ± 57 Ma, consistent with ages from the Paleoproterozoic West Central African Belt; 2551 ± 33 Ma which marks a late Neoarchean magmatic event; 2721 ± 27 Ma related to a Neoarchean magmatic even in Central Cameroon, similar to one found in the Congo Craton. A zircon core gives ages around 2925 Ma which provides some evidence of the presence of the Mesoarchean basement prior to the Neoarchean magmatism. A weighted average of lower intercepts ages gives a value of 821 ± 50 Ma, representing the age of later metamorphism event. The various characteristic group and related ages reflect not only the complexity of the history of the pyroxene amphibole gneiss, but also show that the meta-sediment has at least three zircon

  11. Evidence for Archean inheritance in the pre-Panafrican crust of Central Cameroon: Insight from zircon internal structure and LA-MC-ICP-MS Usbnd Pb ages

    NASA Astrophysics Data System (ADS)

    Ganwa, Alembert Alexandre; Klötzli, Urs Stephan; Hauzenberger, Christoph

    2016-08-01

    The main geological feature of Central Cameroon is the wide spread occurrence of granitoids emplaced in close association with transcurrent regional shear zones. The basement of this vast domain is a Paleoproterozoic ortho-and para-derivative formation, which has been intensely reworked, together with subsequent intrusions and sediments, during the Panafrican orogenesis in the Neoproterozoic. As consequence, the area underwent pervasive metamorphism and intense deformation. This makes it difficult to distinguish between Panafrican metasediments or syntectonic plutonites and their respective basement. Our study presents zircon features (CL-BSE-SE) and in-situ U-Th-Pb LA-MC-ICP-MS geochronology of a meta-sedimentary pyroxene-amphibole-bearing gneiss of the Méiganga area in Central Cameroon. Based on the Internal structures of the zircon four characteristic zonation patterns can be deciphered: 1) cores with magmatic oscillatory zonation 2) zircons with oscillatory or sector zonation, 3) zircons with sector zoning or blurred zoning, and 4) narrow bright un-zoned rims. These groups suggest that the rock experienced a number of geological events. Considering this zircon characteristic, the U-Th-Pb data allow to distinguish four ages: 2116 ± 57 Ma, consistent with ages from the Paleoproterozoic West Central African Belt; 2551 ± 33 Ma which marks a late Neoarchean magmatic event; 2721 ± 27 Ma related to a Neoarchean magmatic even in Central Cameroon, similar to one found in the Congo Craton. A zircon core gives ages around 2925 Ma which provides some evidence of the presence of the Mesoarchean basement prior to the Neoarchean magmatism. A weighted average of lower intercepts ages gives a value of 821 ± 50 Ma, representing the age of later metamorphism event. The various characteristic group and related ages reflect not only the complexity of the history of the pyroxene amphibole gneiss, but also show that the meta-sediment has at least three zircon contributing

  12. The Language Situation in Cameroon

    ERIC Educational Resources Information Center

    Kouega, Jean-Paul

    2007-01-01

    This monograph examines the language situation in Cameroon, a Central African country where fewer than 20 million people speak close to 250 languages. Specifically, the monograph addresses the issues of language use and spread, language policy and planning, and language maintenance and prospects. The study is divided into five parts. The…

  13. A comparative study of the diagnostic methods for Group A streptococcal sore throat in two reference hospitals in Yaounde, Cameroon

    PubMed Central

    Gonsu, Hortense Kamga; Bomki, Cynthia Mbimenyuy; Djomou, François; Toukam, Michel; Ndze, Valantine Ngum; Lyonga, Emilia Enjema; Mbakop, Calixte Didier; Koulla-Shiro, Sinata

    2015-01-01

    Introduction Sore throat is a common complaint in general practice which is more frequent in children. The most frequent pathogenic bacteria associated with this infection is Streptococcus pyogenes. Rapid Antigen Diagnostic Test (RADT) facilitates the rapid identification and consequently prompt treatment of patients, prevents complications, and also reduces the risk of spread of Group A Streptococcus (GAS). The main objective of this study was to assess the diagnostic value of a rapid streptococcal antigen detection test in patients with sore throat. Methods A cross-sectional descriptive study was carried out from January to April 2011 on patients aged 3 to 72 years consulting for pharyngitis or sore throat at the paediatric and Ear, Nose and Throat units of the University Teaching Hospital Yaounde and the Central Hospital Yaounde. Two throat swabs were collected per patient. One was used for the rapid test and the other for standard bacteriological analysis. Results The prevalence of GAS in the study population was 22.5%. Out of the 71 samples collected, the RADT detected group A streptococcal antigens in 12 of 16 positive cultures giving a sensitivity of 75%. The specificity of the rapid test was 96%, with positive predictive value of 85.7%, and negative predictive value of 93% respectively. Conclusion Rapid test may have an additional value in the management of patients with high risk of having GAS infection. However, tests with a higher sensitivity are needed for accurate and reliable results for early diagnosis of patients with sore throat caused by GAS. PMID:27386017

  14. High birth weight in a suburban hospital in Cameroon: an analysis of the clinical cut-off, prevalence, predictors and adverse outcomes

    PubMed Central

    Choukem, Simeon-Pierre; Njim, Tsi; Atashili, Julius; Hamilton-Shield, Julian P; Mbu, Robinson

    2016-01-01

    Background and aims High birth weight (HBW) increases the risk of maternal and fetal morbidity and mortality. Its prevalence and adverse outcomes may be reduced if risk factors are identified and managed during pregnancy. The cut-off value for HBW remains debatable. The objectives of this study were to identify the optimal cut-off value and determine the prevalence, predictors and adverse outcomes of HBW in a suburban area of Cameroon. Design A 6-year retrospective register analysis and a 3-month prospective phase. Setting A secondary care level (regional) hospital in the city of Buea (southwest region of Cameroon). Participants Women who delivered in this hospital over a 6-year period (retrospective phase) and consenting pregnant mothers and their infants (singletons, born at >28 weeks gestation) (prospective phase). Outcome measures 90th centile of birth weights; prevalence of HBW defined as birth weight above the 90th centile; sociodemographic, maternal and obstetrical factors associated with HBW; maternal and neonatal adverse outcomes of HBW. Results Of the 4941 newborns reviewed in registers, the 90th centile of birth weights was 3850 g. Using this new cut-off, we obtained a prevalence of 14.0% for HBW in the 200 newborns included in the prospective phase. This was significantly higher than the prevalence (9.5%) yielded when the traditional cut-off of 4000 g was used (p=0.003). None of the factors assessed was independently associated with HBW. Newborns with HBW were more likely to have shoulder dystocia (p<0.01), and their mothers more likely to suffer from prolonged labour (p=0.01) and postpartum haemorrhage (p<0.01). Conclusions The results of this study suggest that the cut-off for HBW in this population should be 3850 g. Thus, 3 of every 10 babies born with HBW in this hospital are likely not receiving optimal postnatal care because 4000 g is currently used to qualify for additional support. PMID:27357199

  15. How can small hydro energy and other renewable energy mitigate impact of climate change in remote Central Africa: Cameroon case study.

    NASA Astrophysics Data System (ADS)

    Kenfack, Joseph; Bignom, Blaise

    2015-04-01

    Central Africa owns important renewable energy potential, namely hydro, solar and biomass. This important potential is still suffering from poor development up to the point where the sub region is still abundantly using the fossil energy and biomass as main power source. This is harmful to the climate and the situation is still ongoing. The main cause of the poor use of renewable energy is the poor management of resources by governments who have not taken the necessary measures to boost the renewable energy sector. Since the region is experiencing power shortage, thermal plants are among other solutions planned or under construction. Firewood is heavily used in remote areas without a sustainability program behind. This solution is not environment friendly and hence is not a long term solution. Given the fact that the region has the highest hydro potential of the continent, up to one-quarter of the world's tropical forest, important oil production with poor purchase power, the aim of this paper is to identify actions for improved access to sustainable, friendly, affordable energy services to users as well as a significant improvement of energy infrastructure in Central Africa and the promotion of small hydro and other renewable energy. The work will show at first the potential for the three primary energy sources which are solar, biomass and hydro while showing where available the level of development, with an emphasis on small hydro. Then identified obstacles for the promotion of clean energy will be targeted. From lessons learned, suggestions will be made to help the countries develop an approach aiming at developing good clean energy policy to increase the status of renewable energy and better contribute to fight against climate change. Cameroon has a great renewable energy potential and some data are available on energy. From the overview of institutional structure reform of the Cameroon power sector and assessments, specific suggestions based on the weaknesses

  16. Eruptive history of the Barombi Mbo Maar, Cameroon Volcanic Line, Central Africa: Constraints from volcanic facies analysis

    NASA Astrophysics Data System (ADS)

    Tchamabé, Boris; Youmen, Dieudonné; Owona, Sébastien; Issa; Ohba, Takeshi; Németh, Károly; Ngapna, Moussa; Asaah, Asobo; Aka, Festus; Tanyileke, Gregory; Hell, Joseph

    2013-12-01

    his study presents the first and detail field investigations of exposed deposits at proximal sections of the Barombi Mbo Maar (BMM), NE Mt Cameroon, with the aim of documenting its past activity, providing insight on the stratigraphic distribution, depositional process, and evolution of the eruptive sequences during its formation. Field evidence reveals that the BMM deposit is about 126m thick, of which about 20m is buried lowermost under the lake level and covered by vegetation. Based on variation in pyroclastic facies within the deposit, it can be divided into three main stratigraphic units: U1, U2 and U3. Interpretation of these features indicates that U1 consists of alternating lapilli-ash-lapilli beds series, in which fallout derived individual lapilli-rich beds are demarcated by surges deposits made up of thin, fine-grained and consolidated ash-beds that are well-defined, well-sorted and laterally continuous in outcrop scale. U2, a pyroclastic fall-derived unit, shows crudely lenticular stratified scoriaceous layers, in which many fluidal and spindle bombs-rich lapilli-beds are separated by very thin, coarse-vesiculatedash-beds, overlain by a mantle xenolith- and accidental lithic-rich explosive breccia, and massive lapilli tuff and lapillistone. U3 displays a series of surges and pyroclastic fall layers. Emplacement processes were largely controlled by fallout deposition and turbulent diluted pyroclastic density currents under "dry" and "wet" conditions. The eruptive activity evolved in a series of initial phreatic eruptions, which gradually became phreatomagmatic, followed by a phreato-Strombolian and a violent phreatomagmatic fragmentation. A relatively long-time break, demonstrated by a paleosol between U2 and U3, would have permitted the feeding of the root zone or the prominent crater by the water that sustained the next eruptive episode, dominated by subsequent phreatomagmatic eruptions. These preliminary results require complementary studies, such as

  17. Central venous catheter infection in adults in acute hospital settings.

    PubMed

    Jones, Clare A

    As well as the human cost, central venous catheter (CVC)-related bloodstream infections significantly inflate hospital costs, mainly through increased length of stay in hospital, particularly in intensive care. This literature review appraises recent research on measures used to minimize CVC-related infection and compares it with current best practice. Randomized controlled trials and systematic reviews published on the subject between 2000 and 2005 were reviewed, concentrating on non-tunnelled, short-term CVCs in the acute hospital setting. The new evidence mainly backs up current best practice. However, skin disinfection could be improved by using alcoholic chlorhexidine followed by aqueous povidone-iodine before CVC insertion. Also, alcoholic chlorhexidine is the preferred solution for cleaning the hubs/connectors before accessing the CVC. Good hand hygiene and quality control and education programmes are vital to improve patient care. More research is needed to clarify the effectiveness of certain interventions and technologies, such as antimicrobial CVCs.

  18. Spectrum of heart diseases in children: an echocardiographic study of 1,666 subjects in a pediatric hospital, Yaounde, Cameroon

    PubMed Central

    Nguefack, Félicitée; Menanga, Alain P.; Ngo Um, Suzanne; Gody, Jean C.; Tatah, Sandra A.; Koki Ndombo, Paul O.

    2016-01-01

    Background Children’s health programs in Sub-Saharan Africa have always been oriented primarily to infectious diseases and malnutrition. We are witnessing in the early 21st century an epidemiological transition marked by the decline of old diseases and the identification of new diseases including heart disease. Therefore, it is necessary to describe the spectrum of these diseases in order to better prepare health workers to these new challenges. Methods We conducted a cross-sectional study focused on heart disease diagnosed by echocardiography in children seen from January 2006 to December 2014 in a pediatric hospital of Yaounde. We collected socio-demographic data and the types of heart disease from registers, patients files as well as the electronic database of echocardiographic records. Results A total of 2,235 patients underwent echocardiographic examination during the study period including 1,666 subjects with heart disease. Congenital cardiopathies were found in 1,230 (73.8%) patients and acquired abnormalities in 429 (25.8%). Seven children (0.4%) had a combination of both types. Congenital heart defects (CHD) were dominated by ventricular septal defect (VSD). Acquired heart disease was mostly rheumatic valvulopathies. Dyspnea on exertion was the most frequent presenting complaint (87.6%). Discovery of a heart murmur was the principal clinical finding on physical examination (81.4%). The median age was 9 months for congenital heart disease and 132 months for acquired heart disease. Conclusions As infectious diseases recede and the diagnostic facilities are improving, pediatric heart diseases occupy a more important position in the spectrum of pediatric diseases in our context. However, the ability to evoke the diagnosis remains unsatisfactory by the majority of health personnel and therefore needs to be improved. Apart from congenital heart diseases, the impact of acquired heart diseases, rheumatic valvulopathy being the highest ranking, is remarkable in

  19. Sepsis in Buraidah Central Hospital, Qassim, Kingdom of Saudi Arabia

    PubMed Central

    Gasim, Gasim I.; Musa, Imad R; Yassin, Taha; Al Shobaili, Hani A.; Adam, Ishag

    2016-01-01

    Objectives Severe sepsis is a major public health concern and a frequent cause of intensive care unit (ICU) admission with a high fatality rate. Higher (Sequential Organ Failure Assessment score) SOFA score and co-morbidity of acute renal failure (ARF) are risk factors contributing to fatal outcome. This work was meant to study the epidemiology of sepsis in Buraidah central hospital. Methods This is a descriptive study conducted in the period from January 1, 2012, to June 29, 2012 to determine the epidemiology (incidence, clinical characteristics) and the outcome of sepsis in Buraidah hospital, Saudi Arabia. Results Out of 387 patients admitted to ICU, 62 (16%) patients had sepsis, their mean (SD) age was 62.7 (21.3) years. Three quarters of them 47 (75.8%) presented with septic shock. The median APACHE II score was 26.5 (8 to 48) and SOFA score 11 (5 to 21). The mean of duration of hospital stay was 11.95 days. The most frequent infection site was the pulmonary (69.5%). There were 37 isolated organism, gram-negative organisms (13; 35.13%) were the predominant isolates. There were 25 (40.3%) deaths; the majority of the deaths were due to septic shock 20(80%). There was a significant difference between deaths and the survivors, in the APACHI II score, SOFA score), and whether ventilated or not. Conclusions There was a high incidence of septic shock (and higher mortality) among the patients admitted to the ICU of Buraidah central hospital, especially among the elderly patients with respiratory infections. PMID:27103899

  20. Assessing forest products usage and local residents' perception of environmental changes in peri-urban and rural mangroves of Cameroon, Central Africa

    PubMed Central

    2011-01-01

    Background Deforestation is one of the most ubiquitous forms of land degradation worldwide. Although remote sensing and aerial photographs can supply valuable information on land/use cover changes, they may not regularly be available for some tropical coasts (e.g., Cameroon estuary) where cloud cover is frequent. With respect to mangroves, researchers are now employing local knowledge as an alternative means of understanding forest disturbances. This paper was primarily aimed at assessing the mangrove forest products usage, along with the local people's perceptions on environmental changes, between Littoral (Cameroon estuary) and Southern (mouth of the Nyong River and Mpalla village) regions of Cameroon. Methods The data from both locations were obtained through conducting household interviews and field observations. Results In the Cameroon estuary (Littoral region), 69.23% of respondents (mostly elders) could distinguish two to four mangrove plants, whereas the informants (65.45%) in the mouth of the Nyong River and Mpalla village (mostly young people interviewed from the Southern region) are familiar with only one or two commonly found mangroves. Also, more respondents from the Cameroon estuary are depending on mangroves for fuelwood (Rhizophora spp.) and housing (Rhizophora spp., Avicennia germinans (L.) Stearn and Nypa fruticans (Thumb.) Wurmb.) purposes, in contrast to Nyong River mouth and Mpalla village. Although local people perceived wood extraction as a greater disruptive factor, there are several causes for mangrove depletion in the Cameroon estuary. Among others, over-harvesting, clear-felled corridors, sand extraction and housing were found important. Furthermore, a decline in mangrove fauna composition (in terms of fishery products) was recorded in the Littoral as well as Southern regions. However, the causes of such perceived negative changes were not similar in both cases. Conclusions Findings of this study highlight the need to improve sustainable

  1. Evidence of heterogeneous crustal origin for the Pan-African Mbengwi granitoids and the associated mafic intrusions (northwestern Cameroon, central Africa)

    NASA Astrophysics Data System (ADS)

    Mbassa, Benoît Joseph; Kamgang, Pierre; Grégoire, Michel; Njonfang, Emmanuel; Benoit, Mathieu; Itiga, Zénon; Duchene, Stéphanie; Bessong, Moïse; Nguet, Pauline Wonkwenmendam; Nfomou, Ntepe

    2016-02-01

    The Mbengwi plutonics consist of intermediate to felsic granitoids forming a continuous magmatic series from monzonite to granite and mafic intrusions. Their mineralogical composition consists of quartz, plagioclases, K-feldspars, biotite, muscovite, and amphibole. The accessory phase includes opaque minerals + titanite ± apatite ± zircon, while secondary minerals are pyrite, phengite, chlorite, epidote, and rarely calcite. These plutonics are assigned high-K calc-alkaline to shoshonitic series, metaluminous to weakly peraluminous and mostly belong to an I-type suite (A/CNK = 0.63-1.2). They are typically post-collisional, with a subduction signature probably being inherited from their protoliths emplaced during the subduction phase. The Sr and Nd isotopic data evidence that these plutonics result from melting of the lower continental crust with variable contribution of the oceanic crust. Their geochemical features are similar to those of western Cameroon granitoids related to the Pan-African D1 event in Cameroon.

  2. Day-to-Day Variability of H Component of Geomagnetic Field in Central African Sector Provided by YACM (Yaoundé-Cameroon) Amber Magnetometer Station

    NASA Astrophysics Data System (ADS)

    Etoundi Messanga, Honoré

    2015-04-01

    The geomagnetic data obtained from Amber Network station in Cameroon has been used for this study. The variability of H component of geomagnetic field has been examined by using geomagnetic field data of X and Y components recorded at AMBER magnetometer station hosted by the Department of Physics of University of Yaoundé (3.87°N, 11.52°E). The day-to-day variability of the horizontal intensity of the geomagnetic field has been examined and shows that the scattering of H component of magnetic field variation is more on disturbed than on quiet days. The signatures H of geomagnetic Sq and Sd variations in intensities in the geomagnetic element, has been studied. This paper shows that the daytime variations in intensities of geomagnetic elements H, Sq(H) and Sd(H) respectively are generally greater at diurnal-times than at night-times. This study mainly interests to answer to two questions: 1) how can geomagnetic variations be used to study the equatorial ionosphere electrodynamics and electrojet equatorial over Africa in general and Cameroon in particular? 2) How can geomagnetic variations be used to monitor and predict Space weather events in Cameroon? This study presents and interprets the results of H component of geomagnetic field variations during magnetic storms and on quiet days.

  3. Infestation of Tunga penetrans in villages near Zomba Central Hospital.

    PubMed

    Mitchell, C J; Stephany, P

    2013-09-01

    An outbreak of Tunga Penetrans (Jigger Flea) infestation affecting a number of villages near to a Central Hospital in Malawi is described. Due to the large number of affected individuals, high parasitic load, and extended duration of infection an alternative to the recommended approach of surgical removal of the flea was required. Benzyl benzoate paint and liquid paraffin had been used in local Primary Healthcare settings previously and topical treatment with antiparasitic agents has been advocated in the literature, particularly for severe infestation. Benzyl benzoate and liquid paraffin were applied topically to four adults with numerous jigger flea burrows, and their progress assessed regularly. After completion of 7 days of treatment patients noted that fleas were dislodging spontaneously, and that embedded parasites had not increased in size to the same extent that untreated fleas had in previous infestations. Following confirmation of the viability of its implementation in a resource-poor setting, this treatment regimen has subsequently been adopted by the local branch of the District Health Office for distribution to infected communities. PMID:24358427

  4. English Teaching Profile: Cameroon.

    ERIC Educational Resources Information Center

    British Council, London (England). English Language and Literature Div.

    A description of the role and status of the English language in Cameroon begins with an overview of the distribution of English speakers and the common uses of English. Subsequent sections outline (1) the use and status of English within the educational system at all levels, including teacher education; (2) the availability of English language…

  5. Derivation of detrital rutile in the Yaoundé region from the Neoproterozoic Pan-African belt in southern Cameroon (Central Africa)

    NASA Astrophysics Data System (ADS)

    Stendal, Henrik; Toteu, Sadrack Félix; Frei, Robert; Penaye, Joseph; Njel, Urbain Olivier; Bassahak, Jean; Nni, Jean; Kankeu, Boniface; Ngako, Vincent; Hell, Joseph Victor

    2006-04-01

    Rutile, as an important component in alluvial or eluvial heavy mineral deposits, is known in southern Cameroon. These deposits are underlain by the Neoproterozoic low- to high-grade Yaoundé Group. Geochemical, thermometric, fluid inclusion and Pb isotopic studies of the rutile from alluvial and eluvial concentrates and from medium-grade micaschist from the nearby Yaoundé region permit the following conclusions: (1) alluvial and eluvial rutile of the Yaoundé region are derived from the degradation of metapelites, metamafic rocks and pegmatites of the nearby Yaoundé Group; (2) rutile in the Yaoundé Group formed during the Pan-African metamorphism, or was inherited as detrital rutile from a ˜900 Ma source. The study also shows that the rutile can be used to trace the history of the Pan-African belt north of the Congo craton.

  6. Sub-continental lithospheric mantle structure beneath the Adamawa plateau inferred from the petrology of ultramafic xenoliths from Ngaoundéré (Adamawa plateau, Cameroon, Central Africa)

    NASA Astrophysics Data System (ADS)

    Nkouandou, Oumarou F.; Bardintzeff, Jacques-Marie; Fagny, Aminatou M.

    2015-11-01

    Ultramafic xenoliths (lherzolite, harzburgite and olivine websterite) have been discovered in basanites close to Ngaoundéré in Adamawa plateau. Xenoliths exhibit protogranular texture (lherzolite and olivine websterite) or porphyroclastic texture (harzburgite). They are composed of olivine Fo89-90, orthopyroxene, clinopyroxene and spinel. According to geothermometers, lherzolites have been equilibrated at 880-1060 °C; equilibrium temperatures of harzburgite are rather higher (880-1160 °C), while those of olivine websterite are bracketed between 820 and 1010 °C. The corresponding pressures are 1.8-1.9 GPa, 0.8-1.0 GPa and 1.9-2.5 GPa, respectively, which suggests that xenoliths have been sampled respectively at depths of 59-63 km, 26-33 km and 63-83 km. Texture and chemical compositional variations of xenoliths with temperature, pressure and depth on regional scale may be ascribed to the complex history undergone by the sub-continental mantle beneath the Adamawa plateau during its evolution. This may involve a limited asthenosphere uprise, concomitantly with plastic deformation and partial melting due to adiabatic decompression processes. Chemical compositional heterogeneities are also proposed in the sub-continental lithospheric mantle under the Adamawa plateau, as previously suggested for the whole Cameroon Volcanic Line.

  7. Vegetation establishment and evolution in four ponds that received sewage and wastewater in a portion of the Olezoa wetland complex, Yaounde, Cameroon, central Africa

    SciTech Connect

    Atekwana, E.A. . Dept. of Geology); Agendia, P.L. . Dept. of Plant Biology)

    1994-04-01

    A study of the spatial and temporal changes in the pattern and distribution of tropical wetland vegetation in four ponds that received sewage and wastewater discharge, was undertaken for a small wetland ecosystem in the Olezoa drainage basin in Yaounde, Cameroon. More than 25 years of nutrient loading has led to the eutrophication and subsequent establishment of wetland vegetation in these ponds. Estimated free water surface areas of the ponds in 1964, 1976, and 1986 and 1992 determined from digitized aerial photographs and field measurements suggests a decline of 70 to 100% in the pond surface areas due to invasion and colonization by plants. The rate of pond surface decline and vegetation development is correlated with the construction of sewage plants and the discharge of untreated sewage and wastewater into the ponds. The main wetland plants that are established in the ponds consist of aquatic species Nymphae lotus, Enhydra fluctuants, Pistia stratiotes, Commelina sp., Ipomea aquatica and terrestrial species Echinochloa sp., Thalia welwitschii, Polygonum senegalense, Leersia haxandra and Cyperus papyrus. The pattern of wetland plant succession that resulted within each pond is correlated to the timing, duration and magnitude of sewage and wastewater discharge into the wetland complex.

  8. Aspects of a Grammar of Makary Kotoko (Chadic, Cameroon)

    ERIC Educational Resources Information Center

    Allison, Sean David

    2012-01-01

    Makary Kotoko (MK), a Central Chadic B language, is spoken in the north of Cameroon just south of Lake Chad. Published works on MK to date include about a dozen articles on different aspects of the grammar of the language, primarily by H. Tourneux. The present work, which is based on a substantial corpus of recorded texts, is a systematic…

  9. Linguistic Interference in a Multilingual Setting: The Case of Cameroon

    ERIC Educational Resources Information Center

    Julius, Nashipu

    2006-01-01

    Cameroon, a central African state is one of the few countries in the world where, in addition to a very rich linguistically diverse landscape (a little below 300 identified indigenous languages) there is English and French (all vestiges of colonial legacy) used as official languages. Coupled with this, there is pidgin English which plays the role…

  10. Reconstructing C3 and C4 vegetation cover using n-alkane carbon isotope ratios in recent lake sediments from Cameroon, Western Central Africa

    NASA Astrophysics Data System (ADS)

    Garcin, Yannick; Schefuß, Enno; Schwab, Valérie F.; Garreta, Vincent; Gleixner, Gerd; Vincens, Annie; Todou, Gilbert; Séné, Olivier; Onana, Jean-Michel; Achoundong, Gaston; Sachse, Dirk

    2014-10-01

    Trees and shrubs in tropical Africa use the C3 cycle as a carbon fixation pathway during photosynthesis, while grasses and sedges mostly use the C4 cycle. Leaf-wax lipids from sedimentary archives such as the long-chain n-alkanes (e.g., n-C27 to n-C33) inherit carbon isotope ratios that are representative of the carbon fixation pathway. Therefore, n-alkane δ13C values are often used to reconstruct past C3/C4 composition of vegetation, assuming that the relative proportions of C3 and C4 leaf waxes reflect the relative proportions of C3 and C4 plants. We have compared the δ13C values of n-alkanes from modern C3 and C4 plants with previously published values from recent lake sediments and provide a framework for estimating the fractional contribution (areal-based) of C3 vegetation cover (fC3) represented by these sedimentary archives. Samples were collected in Cameroon, across a latitudinal transect that accommodates a wide range of climate zones and vegetation types, as reflected in the progressive northward replacement of C3-dominated rain forest by C4-dominated savanna. The C3 plants analysed were characterised by substantially higher abundances of n-C29 alkanes and by substantially lower abundances of n-C33 alkanes than the C4 plants. Furthermore, the sedimentary δ13C values of n-C29 and n-C31 alkanes from recent lake sediments in Cameroon (-37.4‰ to -26.5‰) were generally within the range of δ13C values for C3 plants, even when from sites where C4 plants dominated the catchment vegetation. In such cases simple linear mixing models fail to accurately reconstruct the relative proportions of C3 and C4 vegetation cover when using the δ13C values of sedimentary n-alkanes, overestimating the proportion of C3 vegetation, likely as a consequence of the differences in plant wax production, preservation, transport, and/or deposition between C3 and C4 plants. We therefore tested a set of non-linear binary mixing models using δ13C values from both C3 and C4

  11. Bobbi Be Best: the development and evaluation of an audio program and discussion guide to promote exclusive breastfeeding in Cameroon, Central Africa.

    PubMed

    Reinsma, Kathryn; Bolima, Nancy; Fonteh, Florence; Okwen, Patrick; Siapco, Gina; Yota, Daniel; Montgomery, Susanne

    2016-09-01

    One risk factor for infant and childhood morbidity is not exclusive breastfeeding (EBF) during the first six months of life. Entertainment Education (EE) is a communication strategy consisting of placing educational information into television, movies, and radio programs. In developing countries this form of behavioral change communication has proven effective in addressing health-related issues; however, no research has determined if EE is effective in promoting EBF. The objective of this research was to develop an EE audio program and discussion guide and to determine if a series of four 15-minute episodes and post-listening discussion improved knowledge, perceived benefits, self-efficacy, and intention and decreased misconceptions and perceived barriers toward EBF in the Kumbo West Health District, Cameroon. Pregnant women and their partners were assigned to either the control group (N = 116; 74 women, 42 partners) or intervention group (N = 148; 99 women, 49 partners) based on expected date of delivery. All control and intervention group participants completed a questionnaire prior to listening to the first and after the last episode. Pre- and post-listening questionnaires were used to determine changes in the EBF knowledge, misconceptions, perceived barriers, self-efficacy, and intention variables as a result of exposure to the audio program. The Wilcoxon Sign Rank test showed significant improvement in all of the variables, except perceived barriers, within the intervention group (p < 0.05) and the Mann-Whitney test indicated significant differences between the control and intervention group in all of the variables (p < 0.05), indicating that using an audio program and discussion guide based on the EE model is an effective tool for promoting EBF in this setting. The strength of this approach is that it goes beyond simply telling women about what constitutes EBF, but addresses misconceptions and perceived barriers that may prevent women from practicing EBF for

  12. Cross-Reactivity of Filariais ICT Cards in Areas of Contrasting Endemicity of Loa loa and Mansonella perstans in Cameroon: Implications for Shrinking of the Lymphatic Filariasis Map in the Central African Region

    PubMed Central

    Wanji, Samuel; Koudou, Benjamin; Chounna Ndongmo, Patrick W.; Kengne-Ouafo, Jonas A.; Datchoua-Poutcheu, Fabrice R.; Fovennso, Bridget Adzemye; Tayong, Dizzle Bita; Fombad, Fanny Fri; Fischer, Peter U.; Enyong, Peter I.; Bockarie, Moses

    2015-01-01

    Background Immunochromatographic card test (ICT) is a tool to map the distribution of Wuchereria bancrofti. In areas highly endemic for loaisis in DRC and Cameroon, a relationship has been envisaged between high L. loa microfilaria (Mf) loads and ICT positivity. However, similar associations have not been demonstrated from other areas with contrasting levels of L. loa endemicity. This study investigated the cross-reactivity of ICT when mapping lymphatic filariasis (LF) in areas with contrasting endemicity levels of loiasis and mansonellosis in Cameroon. Methodology/Principal Findings A cross-sectional study to assess the prevalence and intensity of W. bancrofti, L. loa and M. perstans was carried out in 42 villages across three regions (East, North-west and South-west) of the Cameroon rainforest domain. Diurnal blood was collected from participants for the detection of circulating filarial antigen (CFA) by ICT and assessment of Mf using a thick blood smear. Clinical manifestations of LF were also assessed. ICT positives and patients clinically diagnosed with lymphoedema were further subjected to night blood collection for the detection of W. bancrofti Mf. Overall, 2190 individuals took part in the study. Overall, 24 individuals residing in 14 communities were tested positive by ICT, with prevalence rates ranging from 0% in the South-west to 2.1% in the North-west. Lymphoedema were diagnosed in 20 individuals with the majority of cases found in the North-west (11/20), and none of them were tested positive by ICT. No Mf of W. bancrofti were found in the night blood of any individual with a positive ICT result or clinical lymphoedema. Positive ICT results were strongly associated with high L. loa Mf intensity with 21 subjects having more than 8,000 L. loa Mf ml/blood (Odds ratio = 15.4; 95%CI: 6.1–39.0; p < 0.001). Similarly, a strong positive association (Spearman’s rho = 0.900; p = 0.037) was observed between the prevalence of L. loa and ICT positivity by area

  13. [Emergency craniotomies at the North Karelia Central Hospital in 2006 to 2014].

    PubMed

    Aro, Ellinoora; Jääskeläinen, Juha E; Reinikainen, Matti; Leinonen, Ville; Hakala, Tapio

    2016-01-01

    Traditionally, acute evacuations of traumatic intracranial hematomas are performed by neurosurgeons in university hospitals. However, most patients with traumatic brain injury are initially transported to regional hospitals that lack neurosurgical expertise. Thus, a trauma surgeon in a regional hospital may encounter a patient with an expanding hematoma that must be operated without delays. During 2006 to 2014, 14 craniotomies were performed at the North Karelia Central Hospital. Twelve patients were operated for acute traumatic subdural hematoma (ASDH): three patients made good recovery, two were left with severe disability, and seven died. Two patients operated with acute epidural hematoma (EDH) recovered well. PMID:27319084

  14. Vulnerability of settlements around Mt. Cameroon volcano, Cameroon

    NASA Astrophysics Data System (ADS)

    Zogning, Appolinaire; Spinetti, Claudia; Ngouanet, Chretien; Tchoudam, David; Kouokam, Emmanuel; Thierry, Pierre; Bignami, Christian; Fabrizia Buongiorno, Maria; Ilaria Pannaccione Apa, Maria

    2010-05-01

    Located at the bottom of the Gulf of Guinea, Cameroon is exposed to a large variety of natural hazards, including volcanism. Most of the hazard are concentrated around the active volcano Mt. Cameroon which combines effusive and explosive types of activity. The threatened stakes are numerous and different exposed: people, settlements, industrial plantations, petrol refinery and many other factories and infrastructures. Until 2005, no risk management plans has been available. In 2006, the French Embassy in Cameroon, within the framework of a financial convention between Cameroon and France, put in place the GRINP (Management of Natural Risks and Civil Protection) project whose objective was to reinforce the capacity of Cameroon's civil protection department and thus, contribute to the improvement of the security of the population faced with catastrophes. The objective was to realize a Risk Prevention Plan at a local council scale, and taking into consideration the specific natural risks of each zone. The general objective of the RPP was to clearly draw land use maps for risks zones, showing the overlay of stakes with risk of different intensities. In 2008 European Commission funded the Mia-Vita project (Mitigating and Assessing Volcanic Impacts on Terrain and human Activities). The aim of the project is to improve the crisis management capabilities based on monitoring and early warning systems and secure communications; reduction of people's vulnerability and development of recovering capabilities after an event occurs for both local communities and ecological systems. Keyword: natural hazards, Mt. Cameroon, vulnerability, risk prevention plan

  15. Petrogenesis of the Neoproterozoic Ngondo Plutonic complex (Cameroon, west central Africa): a case of late-collisional ferro-potassic magmatism

    NASA Astrophysics Data System (ADS)

    Tagne-Kamga, Gabriel

    2003-04-01

    The Ngondo complex is a late-collisional pluton, which was emplaced around 600 Ma along a N030° E strike-slip shear zone in the southwestern part of the Neoproterozoic Fold Belt of Cameroon. It comprises three successively emplaced plutonic groups of rocks: (i) mafic to felsic intrusive rocks (MFR), (ii) fine-grained granites (FGG) and (iii) coarse-grained granites (CGG). Late aplitic and pegmatite dykes were emplaced along brittle fractures in these plutons. The complex is metaluminous to weakly peraluminous, high-K, calc-alkaline to " trans-alkaline" ferro-potassic, with mineralogical and geochemical characteristic of I-type granites. The plutonic rocks are characterised by high Ba, Sr, Rb and ∑REE concentrations and low Ni and Cr contents in the mafic members. They also display chondrite-normalised REE patterns characterised by variable LREE enrichment, moderate to minor HREE fractionation with moderate to pronounced negative Eu anomalies (Eu/Eu∗: 0.6-0.9 (MFR), 0.2-0.5 (FGG), 0.3-0.7 (CGG)). Trace element distribution patterns for the three plutonic groups are similar with a distinctive depletion in Nb, Sr and Ti relative to other trace elements and a greater enrichment in LILE compared to HFSE. These plutonic groups present distinct evolutionary trends precluding their origin from differentiation of a single parental magma. The geochemical and isotopic data indicate that they derived from partial melting of heterogeneous (meta)-igneous mafic lower crustal materials, having possibly the composition of amphibolitised high-K calc-alkaline basaltic andesites and andesitic metagreywackes. Petrographic evidences such as the presence of quartz-ocelli, xenocrysts of feldspar, fragments of country rocks (migmatitic gneisses) strongly indicate that crustal contamination may have played an important role in the genesis of the plutonic rocks. This contamination process is further supported by the variation of major and trace elements together with Sr-Nd isotopic data

  16. [The Central Military Hospital of the People's Commissariat for Defence during the Great Patriotic War].

    PubMed

    Simonenko, V B; Abashin, V G; Polovinka, V S

    2014-05-01

    The article is devoted to activity of the Central Military Hospital of the People's Commissariat for Defence during the Great Patriotic War. The research is based on declassified orders of PCD and orders of the chef of hospital. Authors presented the role of the hospital in organization of medical aid for officers of PCD, members of their families, Red Army soldiers, junior and senior Red Army commanders; the role of the hospital in organization of medical facilities for combat army; medical supply for evacuation of family members of PCD's officers ( en route and in evacuation places); delivery of child health care to children of officers of PCD in the hospital and education in kindergartens of PCD. PMID:25286563

  17. The Likelihood of Hospital Readmission among Patients with Hospital-Onset Central Line-Associated Bloodstream Infections

    PubMed Central

    Khong, Carolyn; Baggs, James; Kleinbaum, David; Cochran, Ronda; Jernigan, John A.

    2015-01-01

    Objective We sought to determine whether central line-associated bloodstream infections (CLABSI) increase the likelihood of readmission. Design Retrospective matched cohort study for the years 2008–2009. Setting Acute care hospitals. Participants Medicare recipients. CLABSI and readmission status were determined by linking National Healthcare Safety Network surveillance data to the Centers for Medicare & Medicaid Services’ Medical Provider and Analysis Review in eight states. Frequency matching was used on ICD-9-CM procedure code category and intensive care unit status. Methods We compared the rate of readmission among patients with and without CLABSI during an index hospitalization. Cox proportional hazard analysis was used to assess rate of readmission (the first hospitalization within 30 days post-index discharge). Multivariate models included the following covariates: race, sex, length of index hospitalization stay central line procedure code, GAGNE co-morbidity score, and individual chronic conditions. Results Of the 8,097 patients, 2,260 were readmitted within 30 days (27.9%). The rate of first readmission was 7.1 events/person-year (PY) for CLABSI patients and 4.3 events/PY for non-CLABSI patients (p <0.001). The final model revealed a small but significant increase in the rate of 30 day readmissions for patients with a CLABSI compared to similar non-CLABSI patients. In the first readmission for CLABSI patients, we also observed an increase in diagnostic categories consistent with CLABSI including septicemia and complications of a device. Conclusions Our analysis found a statistically significant association between CLABSI status and readmission, suggesting that CLABSI may have adverse health impact that extends beyond hospital discharge. PMID:25990620

  18. Origin and paleoenvironment of Pleistocene-Holocene Travertine deposit from the Mbéré sedimentary sub-basin along the Central Cameroon shear zone: Insights from petrology and palynology and evidence for neotectonics

    NASA Astrophysics Data System (ADS)

    Tchouatcha, Milan Stafford; Njoya, André; Ganno, Sylvestre; Toyama, Réné; Ngouem, Paul Aubin; Njiké Ngaha, Pierre Ricard

    2016-06-01

    The Mbéré sub-basin belongs to the Mbéré-Djerem intra-continental basin of Central North Cameroon. In this sub-basin, a travertine outcrop has been discovered and investigated palynologically and petrologically in this study. The sporopollinic content of the studied travertine is mainly composed of fungal spores (Rhyzophagites sp., Monoporisporites sp …) associated with rare fresh water algae spores such as Chomotriletes minor and angiosperm pollens (compositae, graminae, …). This sporopollinic association is indicative of hot and semi-arid to arid paleoclimate and reveals a Pleistocene-Holocene depositional age. The whole rock major element geochemistry shows relative enrichment of CaO (49.48%) and CO2 (38.49%). The origin of CO2 is probably from magmatic and/or metamorphic fluids. Compared to other travertines, SiO2 and Al2O3 contents are significant with average concentrations of 5.68% and 2.58% respectively. The mineralogical composition revealed by a microscopic study of bulk rocks is dominated by calcite (90-92%) associated to quartz (2-4%) and feldspar (2-3%), meanwhile the heavy mineral concentrate is formed by various mineral types such as zircon (most abundant), garnet, tourmaline, epidote, biotite, peridot and aegirine augite suggesting that the underground water has crossed both volcanic, plutonic and metamorphic rocks. With the mineral composition made of both chemical and detrital derived elements, the Mbéré travertine corresponds to chemico-lithoclastic/detrital limestone. In the Mbéré trough, numerous thermo-mineral springs are located along major fractures and faults. This result suggests that the Mbéré travertine deposit is related to the rising of deep water with the help of a fracturing system, similar to those of Irdi (Morocco), Italy and Turkey where there is much volcanism.

  19. Two-tier charging in Maputo Central Hospital: Costs, revenues and effects on equity of access to hospital services

    PubMed Central

    2011-01-01

    Background Special services within public hospitals are becoming increasingly common in low and middle income countries with the stated objective of providing higher comfort services to affluent customers and generating resources for under funded hospitals. In the present study expenditures, outputs and costs are analysed for the Maputo Central Hospital and its Special Clinic with the objective of identifying net resource flows between a system operating two-tier charging, and, ultimately, understanding whether public hospitals can somehow benefit from running Special Clinic operations. Methods A combination of step-down and bottom-up costing strategies were used to calculate recurrent as well as capital expenses, apportion them to identified cost centres and link costs to selected output measures. Results The results show that cost differences between main hospital and clinic are marked and significant, with the Special Clinic's cost per patient and cost per outpatient visit respectively over four times and over thirteen times their equivalent in the main hospital. Discussion While the main hospital cost structure appeared in line with those from similar studies, salary expenditures were found to drive costs in the Special Clinic (73% of total), where capital and drug costs were surprisingly low (2 and 4% respectively). We attributed low capital and drug costs to underestimation by our study owing to difficulties in attributing the use of shared resources and to the Special Clinic's outsourcing policy. The large staff expenditure would be explained by higher physician time commitment, economic rents and subsidies to hospital staff. On the whole it was observed that: (a) the flow of capital and human resources was not fully captured by the financial systems in place and stayed largely unaccounted for; (b) because of the little consideration given to capital costs, the main hospital is more likely to be subsidising its Special Clinic operations, rather than the

  20. [Return for HIV test results after voluntary screening in Cameroon].

    PubMed

    2016-01-01

    The results of this study indicate that individuals who voluntarily undergo an HIV test in PVTCCs of the Douala district hospitals in Cameroon perceived real advantages and very few disadvantages and barriers to know their HIV status. Particular attention should be given to organizational factors that may be responsible for failure to return for HIV test results and post-test counselling.. PMID:27531439

  1. A Comparison of the Diabetes Risk Score in HIV/AIDS Patients on Highly Active Antiretroviral Therapy (HAART) and HAART-Naïve Patients at the Limbe Regional Hospital, Cameroon

    PubMed Central

    Dimala, Christian Akem; Atashili, Julius; Mbuagbaw, Josephine C.; Wilfred, Akam; Monekosso, Gottlieb L.

    2016-01-01

    Background Highly active antiretroviral therapy (HAART) has been associated with dysglycaemia. However, there is scarce data on the risk of developing diabetes mellitus (DM) in HIV/AIDS patients in Africa. Objectives Primarily to quantify and compare the risk of having diabetes mellitus in HIV/AIDS patients on HAART and HAART-naïve patients in Limbe, Cameroon; and secondarily to determine if there is an association between HAART and increased DM risk. Methods A cross-sectional study was conducted at the Limbe Regional Hospital HIV treatment center between April and June 2013, involving 200 HIV/AIDS patients (100 on first-line HAART regimens for at least 12 months matched by age and gender to 100 HAART-naïve patients). The Diabetes Risk Score (DRS) was calculated using a clinically validated model based on routinely recorded primary care parameters. A DRS ≥ 7% was considered as indicative of an increased risk of developing DM. Results The median DRS was significantly higher in patients on HAART (2.30%) than in HAART-naïve patients (1.62%), p = 0.002. The prevalence of the increased DM risk (DRS ≥ 7%) was significantly higher in patients on HAART, 31% (95% CI: 22.13–41.03) than in HAART-naïve patients, 17% (95% CI: 10.23–25.82), p = 0.020. HAART was significantly associated with an increased DM risk, the odds ratio of the HAART group compared to the HAART-naïve group was 2.19 (95% CI: 1.12–4.30, p = 0.020). However, no association was found after adjusting for BMI-defined overweight, hypertension, age, sex, family history of DM and smoking (Odds ratio = 1.22, 95% CI: 0.42–3.59, p = 0.708). Higher BMI and hypertension accounted for the increased risk of DM in patients on HAART. Also, more than 82% of the participants were receiving or had ever used Zidovudine based HAART regimens. Conclusion HIV/AIDS patients on HAART could be at a greater risk of having DM than HAART-naïve patients as a result of the effect of HAART on risk factors of DM such as BMI

  2. Magnet® Hospital Recognition Linked to Lower Central Line-Associated Bloodstream Infection Rates.

    PubMed

    Barnes, Hilary; Rearden, Jessica; McHugh, Matthew D

    2016-04-01

    Central-line-associated bloodstream infections (CLABSI) are among the deadliest heathcare-associated infections, with an estimated 12-25% mortality rate. In 2014, the Centers for Medicare and Medicaid Services (CMS) began to penalize hospitals for poor performance with respect to selected hospital-acquired conditions, including CLABSI. A structural factor associated with high-quality nursing care and better patient outcomes is The Magnet Recognition Program®. The purpose of this study was to explore the relationship between Magnet status and hospital CLABSI rates. We used propensity score matching to match Magnet and non-Magnet hospitals with similar hospital characteristics. In a matched sample of 291 Magnet hospitals and 291 non-Magnet hospitals, logistic regression models were used to examine whether there was a link between Magnet status and CLABSI rates. Both before and after matching, Magnet hospital status was associated with better (lower than the national average) CLABSI rates (OR = 1.60, 95%CI: 1.10, 2.33 after matching). While established programs such as Magnet recognition are consistently correlated with high-quality nursing work environments and positive patient outcomes, additional research is needed to determine whether Magnet designation produces positive patient outcomes or rewards existing excellence. PMID:26809115

  3. Magnet® Hospital Recognition Linked to Lower Central Line-Associated Bloodstream Infection Rates.

    PubMed

    Barnes, Hilary; Rearden, Jessica; McHugh, Matthew D

    2016-04-01

    Central-line-associated bloodstream infections (CLABSI) are among the deadliest heathcare-associated infections, with an estimated 12-25% mortality rate. In 2014, the Centers for Medicare and Medicaid Services (CMS) began to penalize hospitals for poor performance with respect to selected hospital-acquired conditions, including CLABSI. A structural factor associated with high-quality nursing care and better patient outcomes is The Magnet Recognition Program®. The purpose of this study was to explore the relationship between Magnet status and hospital CLABSI rates. We used propensity score matching to match Magnet and non-Magnet hospitals with similar hospital characteristics. In a matched sample of 291 Magnet hospitals and 291 non-Magnet hospitals, logistic regression models were used to examine whether there was a link between Magnet status and CLABSI rates. Both before and after matching, Magnet hospital status was associated with better (lower than the national average) CLABSI rates (OR = 1.60, 95%CI: 1.10, 2.33 after matching). While established programs such as Magnet recognition are consistently correlated with high-quality nursing work environments and positive patient outcomes, additional research is needed to determine whether Magnet designation produces positive patient outcomes or rewards existing excellence.

  4. Comparison of hysterosalpingograms with laparoscopy in the diagnostic of tubal factor of female infertility at the Yaoundé General Hospital, Cameroon

    PubMed Central

    Ngowa, Jean Dupont Kemfang; Kasia, Jean Marie; Georges, NGuefack-Tsague; Nkongo, Victorine; Sone, Charles; Fongang, Emmanuel

    2015-01-01

    Introduction The objectives were to assess the diagnostic value of hysterosalpingography (HSG) with laparoscopy as gold standard in the evaluation of tubal patency and pelvic adhesions in women suffering from infertility. Methods We conducted a comparative cross sectional study on 208 medical files of infertile women followed up at the Yaoundé General Hospital during a period of five years (December 2007 to December 2012). Tubal patency, hydrosalpinx and pelvic adhesions detected at HSG were compared with laparoscopic findings as the gold standard. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and diagnostic accuracy of HSG were calculated with 95% confidence interval (CI). Results Mean age of the patients was 31.4± 6.45 years. Secondary infertility was the most frequent type of infertility (66.82%). HSG had a moderate sensitivity (51.0%; 95% IC. 37.5-64.4), high specificity (90.0%; 95% IC.74.4-96.5), high PPV (89.3%; 95% IC. 72.8-96.3) and a moderate NPV (52.9%; 95% IC. 39.5-65.9) in the diagnosis of bilateral proximal tubal occlusion. Concerning, distal tubal patency, HSG had a high sensitivity (86.8%; 95% IC. 76.7-92.9), low specificity (42.2%; 95% CI. 29.0-56.7), moderate PPV (69.4%; 95% IC. 58.9-78.2) and a moderate NPV (67.9%; 95% IC. 49.3-82.0) in the diagnosis of bilateral or unilateral distal tubal occlusion. However, HSG had a low diagnostic value (27.8%; 95%IC.18.8-39.0) in the pelvic adhesions. Conclusion HSG is of limited diagnostic value in tubal factor infertility and is of low diagnostic value for pelvic adhesions. PMID:26958127

  5. Assessing the relationship between volume and outcome in hospital services: implications for service centralization.

    PubMed

    Harrison, Anthony

    2012-02-01

    Proposals for centralizing services are often justified on the basis of studies linking the volume of activity to the outcomes achieved. However, the evidence of such studies is far from demonstrating a causal link between volume and outcome. This article assesses the main reasons why volume and outcome studies do not in themselves demonstrate a causal link, and therefore do not provide adequate support for proposals for centralizing hospital services. It then sets out a number of precepts to guide those responsible for proposing centralization of services.

  6. Does malaria epidemiology project Cameroon as 'Africa in miniature'?

    PubMed

    Mbenda, Huguette Gaelle Ngassa; Awasthi, Gauri; Singh, Poonam K; Gouado, Inocent; Das, Aparup

    2014-09-01

    Cameroon, a west-central African country with a ~ 20 million population, is commonly regarded as 'Africa in miniature' due to the extensive biological and cultural diversities of whole Africa being present in a single-country setting. This country is inhabited by ancestral human lineages in unique eco-climatic conditions and diverse topography. Over 90 percent Cameroonians are at risk of malaria infection, and ~ 41 percent have at least one episode of malaria each year. Historically, the rate of malaria infection in Cameroon has fluctuated over the years; the number of cases was about 2 million in 2010 and 2011. The Cameroonian malaria control programme faces an uphill task due to high prevalence of multidrug-resistant parasites and insecticide-resistant malaria vectors. Above all, continued human migration from the rural to urban areas as well as population exchange with adjoining countries, high rate of ecological instabilities caused by deforestation, poor housing, lack of proper sanitation and drainage system might have resulted in the recent increase in incidences of malaria and other vector-borne diseases in Cameroon. The available data on eco-environmental variability and intricate malaria epidemiology in Cameroon reflect the situation in the whole of Africa, and warrant the need for in-depth study by using modern surveillance tools for meaningful basic understanding of the malaria triangle (host-parasite-vector-environment). PMID:25116627

  7. Geochronological, geochemical and mineralogical constraints of emplacement depth of TTG suite from the Sinassi Batholith in the Central African Fold Belt (CAFB) of northern Cameroon: Implications for tectonomagmatic evolution

    NASA Astrophysics Data System (ADS)

    Houketchang Bouyo, M.; Penaye, J.; Njel, U. O.; Moussango, A. P. I.; Sep, J. P. N.; Nyama, B. A.; Wassouo, W. J.; Abaté, J. M. E.; Yaya, F.; Mahamat, A.; Ye, Hao; Wu, Fei

    2016-04-01

    The Sinassi Batholith in the Central African Fold Belt (CAFB) of northern Cameroon represents the largest volume of plutonic rocks or granitoids massif of the Western Cameroonian Domain. It is made up dominantly of tonalite-trondhjemite-granodiorite (TTG) suite and lesser granite which are locally more or less deformed, and composed of varying proportions of quartz, plagioclase, K-feldspar, biotite, hornblende, sphene, magnetite, apatite and zircon. Major and trace element compositions of fifteen rock samples of granitoids (Djourdé granodiorite, Sinassi quartz diorite and orthogneisses groups) indicate that investigated rocks from the Sinassi Batholith are characterized by medium- to high-K calc-alkaline affinity and metaluminous I-type signature. In addition, their chondrite- and primitive mantle-normalized trace element patterns are strongly fractionated ((La/Yb)N = 2.96-61.40) and show respectively enrichment in LREE relative to HREE and enrichment in LILE compared to HFSE with moderate to slight negative Nb-Ta, Ti and Eu anomalies consistent with a continental magmatic arc setting related to a subduction zone. Geothermobarometric calculations using hornblende-plagioclase thermometry and aluminum-in-hornblende barometry on eleven rock samples indicate that plutons from Sinassi Batholith were emplaced at average temperatures and pressures ranging between 698 and 720 °C and 4.06-5.82 kbar (Djourdé granitoids), 698-728 °C and 4.04-5.34 kbar (Sinassi granitoids) and 667-670 and 4.23-4.76 kbar (orthogneisses group) respectively. The average emplacement depths estimates for the investigated granitoids is constrained at ca 16-18 km, indicating that at least 16 km of crustal rocks of the Sinassi Batholith must have been eroded or uplifted at approximately exhumation rates of 0.08-0.10 mm/year. Regardless of their Th/U ratios, geochronological results highlight three main events characterizing the Neoproterozoic tectonomagmatic evolution within the Sinassi Batholith

  8. Implementation of a Central Line Maintenance Care Bundle in Hospitalized Pediatric Oncology Patients

    PubMed Central

    Chen, Allen R.; Bundy, David G.; Colantuoni, Elizabeth; Fratino, Lisa; Drucis, Kim M.; Panton, Stephanie Y.; Kokoszka, Michelle; Budd, Alicia P.; Milstone, Aaron M.; Miller, Marlene R.

    2012-01-01

    OBJECTIVE: To investigate whether a multidisciplinary, best-practice central line maintenance care bundle reduces central line-associated blood stream infection (CLABSI) rates in hospitalized pediatric oncology patients and to further delineate the epidemiology of CLABSIs in this population. METHODS: We performed a prospective, interrupted time series study of a best-practice bundle addressing all areas of central line care: reduction of entries, aseptic entries, and aseptic procedures when changing components. Based on a continuous quality improvement model, targeted interventions were instituted to improve compliance with each of the bundle elements. CLABSI rates and epidemiological data were collected for 10 months before and 24 months after implementation of the bundle and compared in a Poisson regression model. RESULTS: CLABSI rates decreased from 2.25 CLABSIs per 1000 central line days at baseline to 1.79 CLABSIs per 1000 central line days during the intervention period (incidence rate ratio [IRR]: 0.80, P = .58). Secondary analyses indicated CLABSI rates were reduced to 0.81 CLABSIs per 1000 central line days in the second 12 months of the intervention (IRR: 0.36, P = .091). Fifty-nine percent of infections resulted from Gram-positive pathogens, 37% of patients with a CLABSI required central line removal, and patients with Hickman catheters were more likely to have a CLABSI than patients with Infusaports (IRR: 4.62, P = .02). CONCLUSIONS: A best-practice central line maintenance care bundle can be implemented in hospitalized pediatric oncology patients, although long ramp-up times may be necessary to reap maximal benefits. Further research is needed to determine if this CLABSI rate reduction can be sustained and spread. PMID:22945408

  9. [The rural exodus in Cameroon].

    PubMed

    Barbier, J C; Courade, G; Gubry, P

    1981-01-01

    The authors first attempt to provide a definition of the concept of rural exodus. They then present an analysis of the phenomenon in Cameroon at the arrondissement level. The causes and consequences of this migration are considered, and some alternative steps that might be taken to direct the flows of the rural exodus are suggested. (summary in ENG)

  10. Thanking Responders in Cameroon English

    ERIC Educational Resources Information Center

    Ouafeu, Yves Talla Sando

    2009-01-01

    An analysis of authentic or genuine interactions among Cameroon English speakers reveals that conversational routines in this variety of English differ a good deal from those obtained in other varieties of English, non-native varieties of English inclusive, and more specifically in native varieties of English. This paper looks at "thanking…

  11. The use of the peripherally inserted central catheter (PICC) in the hospital environment.

    PubMed

    Baiocco, Graziella Gasparotto; da Silva, Jefferson Luis Braga

    2010-01-01

    The study aimed to analyze the history of the use of the peripherally inserted central catheters in adult patients admitted to hospital from 2000 to 2007. The historical cohort approach was used with retrospective data collection from medical records of the Catheter Group of the Moinhos de Vento Hospital Association in Porto Alegre, RS, totaling 229 catheters inserted. The growth curve in the use of the PICC was from 1 catheter inserted in 2000 to 57 in 2007. The most prevalent pathology was oncology (17.9%, n=41). In relation to the indications of use, antibiotic use prevailed (54.1%, n=124). In the radiological confirmation the vena cava was prevalent (68.1%, n=156). The use of the PICC in the hospital environment is expanding and nursing has a fundamental role in its insertion, maintenance and removal.

  12. Review of peripherally inserted central catheters in the Singapore acute-care hospital.

    PubMed

    Chlebicki, M P; Teo, E K

    2003-10-01

    Peripherally inserted central catheters are frequently used whenever reliable central venous access is required for a prolonged period of time. The objective of this study was to review utilisation profile, complication rates and outcomes of patients who were treated in our hospital with the therapy that required placement of the peripherally inserted central catheter. We reviewed the medical records of all patients who had peripherally inserted central catheter placed between the beginning of July and the end of October 2002. Five patients who remained hospitalised at the time of review (six weeks after the last day of study period) were excluded. Seventy-eight patients with 94 peripherally inserted central catheters were analysed in detail. Sixty-four peripherally inserted central catheters (68.1%) were placed for prolonged antibiotic therapy, 27 (28.7%) mainly to administer total parenteral nutrition and 3 (3.2%) were inserted for other reasons. Catheters were in place before removal for a mean 17.2 days. Forty-eight catheters (51.1%) were removed after completion of therapy on average 20.2 days after insertion. Complications were frequent but minor. Thirty-three catheters (35.1%) were removed due to catheter-related complications. The most common complication were phlebitis followed by accidental removal. In summary, peripherally inserted central catheters proved to be reasonably safe and a reliable way of providing therapy requiring prolonged intravenous access. Complications were frequent but relatively minor. Complication rates in our study were similar to those reported in other studies on this subject. Peripherally inserted central catheters remain a convenient and reasonable alternative to other centrally or peripherally inserted venous devices.

  13. System-wide impacts of hospital payment reforms: evidence from Central and Eastern Europe and Central Asia.

    PubMed

    Moreno-Serra, Rodrigo; Wagstaff, Adam

    2010-07-01

    While there is broad agreement that the way that health care providers are paid affects their performance, the empirical literature on the impacts of provider payment reforms is surprisingly thin. During the 1990s and early 2000s, many European and Central Asian (ECA) countries shifted from paying hospitals through historical budgets to fee-for-service (FFS) or patient-based payment (PBP) methods (mostly variants of diagnosis-related groups, or DRGs). Using panel data on 28 countries over the period 1990-2004, we exploit the phased shift from historical budgets to explore aggregate impacts on hospital throughput, national health spending, and mortality from causes amenable to medical care. We use a regression version of difference-in-differences (DID) and two variants that relax the DID parallel trends assumption. We find that FFS and PBP both increased national health spending, including private (i.e. out-of-pocket) spending. However, they had different effects on inpatient admissions (FFS increased them; PBP had no effect), and average length of stay (FFS had no effect; PBP reduced it). Of the two methods, only PBP appears to have had any beneficial effect on "amenable mortality", but we found significant impacts for only a couple of causes of death, and not in all model specifications.

  14. [Supporting system for regional medical liaison and role of a central hospital].

    PubMed

    Kitano, Seigo

    2003-04-01

    The current status and future development of the supporting system for regional medical liaison and a role of the central hospital in the network were outlined. One of such supportive systems for regional medical network would be tele-medicine or tele-mentoring that include radiological and pathological diagnoses in distance, tele-surgery, and tele-education. Most of these systems are facilitated in the universities and affiliated hospitals and generally need high-cost communication equipment. Another approach is the information sharing system through the modern telecommunication network. Electronic patient record (EPR) systems are the key to achieving this and currently active in several areas. Since the recent progress in information technology (IT) is astonishing, community-based EPR systems are practical with the capability of clinical information exchange between different institutions and even with patients. The role of a central hospital in these systems must be capacious. Management and continuous operation of the system would be the most important affairs. For extending these supporting systems to the ones working in a broader area, the establishment of a "one ID for one patient" system is crucial. Strict security management of the data base and legal institution for distant medical practice still remain as the future tasks.

  15. Critical care at Tianjin's First Central Hospital and the fourth modernization.

    PubMed

    Fox, R C; Swazey, J P

    1982-08-20

    This case study of the Critical Care Unit at Tianjin's First Central Hospital, its physician-director, and one of its patients provides a portrait of how the policy of the four modernizations is being applied to the field of medicine in the People's Republic of China. On this unit of an urban hospital the "fourth modernization," science and technology, is systematically brought to bear on the problems of critically ill patients. The Chinese dualities and dilemmas that this "scaling the heights" policy entails are continually played out on the Critical Care Unit. An intricate balancing is involved between modern Western and traditional Chinese medicine, and between rural public health programs and primary and tertiary care services, within a medical morality framework that combines present-day political ideology with age-old ethical precepts. At this juncture the overall balance seems to be moving in the direction of modern, city-based, curative medicine. PMID:7100911

  16. [Branch N 1 of the Vishhnevsky central military clinical hospital N 3 celebrates the 70th anniversary].

    PubMed

    Esipov, A V; Meshkov, A V; Galik, V P; Musailov, V A

    2016-04-01

    On May 2016 the 114th Central aircraft hospital of fighters of air defense troop celebrates the 70th anniversary. Since the establishment of the hospital soldiers took an active part in medical support of the Soviet and later the Russian Air Force. During its existence, the hospital repeatedly reorganized, is now a modern military medical institution, has qualified and specialized medical care to the wounded and sick. PMID:27416723

  17. Characteristics and visual outcomes of patients hospitalized for ocular trauma in central China: 2006–2011

    PubMed Central

    Qi, Ying; Zhang, Feng-Yan; Peng, Guang-Hua; Zhu, Yu; Wan, Guang-Ming; Wang, Wen-Zhan; Ma, Jing; Ren, Shi-Jie

    2015-01-01

    AIM To complete the data of ocular trauma in central China, as a well-known tertiary referral center for ocular trauma, we documented the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in this region. METHODS A retrospective study of patients hospitalized for ocular trauma in central China from 2006 to 2011 was performed. RESULTS This study included 5964 eyes of 5799 patients. The average age was 35.5±21.8y with a male-to-female ratio of 2.8:1. The most common age was 45-59y age group. Most patients were farmers and workers (51.9%). The most common injuries were firework related (24.5%), road traffic related (24.2%), and work related (15.0%). Among the most common causative agents were firecrackers (24.5%), followed by metal/knife/scissors (21.4%). Most injuries occurred in January (14.2%), February (27.0%), and August (10.0%). There were 8.5% patients with ocular injuries combined with other injuries. The incidence of open ocular injuries (4585 eyes, 76.9%) was higher than closed ocular injuries (939 eyes, 15.7%). The incidences of chemical and thermal ocular injuries were 1.2% and 0.6%. Ocular trauma score (OTS) predicted final visual acuity at non light perception (NLP), 20/200-20/50 and 20/40 with a sensitivity of 100%, and light perception (LP)/hand motion (HM) and 1/200-19/200 with a specificity of 100%. CONCLUSIONS This study provides recent epidemiological data of patients hospitalized for ocular trauma in central China. Some factors influencing the visual outcome include time interval between injury and visit to the clinic, wound location, open or closed globe injury, initial visual acuity, and OTS. PMID:25709927

  18. We are family? Spanish law and lesbian normalization in Hospital Central.

    PubMed

    Calvo, Mónica; Escudero, Maite

    2009-01-01

    After four decades of a repressive dictatorial regime during which homosexuality was banned and punished with prison sentence and electroshock, Spain became a democratic country in 1978. The social, political, and legal debates previous to the passing of the law on same-sex marriage in June 2005 fueled lesbian visibility in the media. Considering that the emergence of lesbian representation has been linked to these social and political changes, our contribution centers on the ways in which the prime time TV series Hospital Central unravels as a vehicle for the normalization of lesbian relationships and families as addressed to a mostly heterosexual audience.

  19. English in Francophone Elementary Grades in Cameroon

    ERIC Educational Resources Information Center

    Kouega, Jean-Paul

    2003-01-01

    Since Reunification of French Cameroon and British Cameroons in 1961, the country has adopted French and English as its joint official languages and recommended the promotion of bilingualism in these two foreign languages in official domains. This paper focuses on the primary school level in the francophone sub system of education and examines the…

  20. Basals in Cameroon: Help or Hindrance?

    ERIC Educational Resources Information Center

    Yenika-Agbaw, Vivian

    1999-01-01

    States that in "developing" countries such as Cameroon, educators struggle to overcome the remnants of colonial educational systems and instructional methods, which are not in keeping with current educational theory. Examines the inadequacies of the Evans English textbooks used for literacy instruction in West Cameroon schools as an example of how…

  1. "A Child has Many Mothers": Views of Child Fostering in Northwestern Cameroon

    ERIC Educational Resources Information Center

    Verhoef, Heidi

    2005-01-01

    This article examines 20 fostering arrangements in a growing urban community in northwestern Cameroon from the perspectives of those involved. Analysis of interviews with caregivers and birth mothers suggests that the nature of adult relationships is central to children's living arrangements. Three caregiver-mother relationship profiles are…

  2. Exploring the Game of "Julirde": A Mathematical-Educational Game Played by Fulbe Children in Cameroon.

    ERIC Educational Resources Information Center

    Gerdes, Paulus

    2001-01-01

    Presents an educational mathematical activity from Africa. Shows how one child explored the game of Julirde, a game of the mosque emphasizing problem solving and symmetry. Offers several suggestions for exploring the game from the central African country of Cameroon in the elementary school mathematics classroom. (ASK)

  3. Antibiotic Prescribing among Pediatric Inpatients with Potential Infections in Two Private Sector Hospitals in Central India

    PubMed Central

    Pathak, Ashish; Stålsby Lundborg, Cecilia

    2015-01-01

    Introduction Infectious diseases are one of the major causes of child mortality in India. Pediatric patients are commonly prescribed antibiotics for non-bacterial infections. Monitoring of local antibiotic prescribing with respect to the diagnosis is necessary to improve the prescribing practices. The aim of the study was to describe antibiotic prescribing for potential infections among patients admitted in pediatric departments in two private sector hospitals; one teaching (TH) and one non-teaching (NTH) in Central India. Methods Data from all patients admitted at the pediatric departments of both study hospitals was collected manually, for 3 years (2008–2011) using a customized form. Data from inpatients aged 0–18 years, diagnosed with; acute gastroenteritis (AGE), respiratory tract infections, enteric fever, viral fever or unspecified fever were focused for analysis. Antibiotic prescriptions were analysed using the WHO Anatomical Therapeutic Chemical (ATC) classification system and defined daily doses (DDDs). Adherence to the Indian Academy of Pediatrics list of essential medicines (IAP-LEM) was investigated. P-values <0.05 were considered significant. Results Oftotal6, 825 inpatients admitted at two pediatric departments, 510 patients from the TH and 2,479from the NTH were selected based on the assigned potential infectious diagnoses. Of these, 224 patients (44%) at the TH and 2,088 (84%) at the NTH were prescribed at least one antibiotic during hospital stay (odds ratio-0.69, 95%confidence interval-0.52 to 0.93; p<0.001). Patients with AGE, viral- and enteric fever were frequently prescribed antibiotics at both hospitals, yet higher proportion were prescribed antibiotics at the NTH compared to the TH. Broad-spectrum antibiotics were the most commonly prescribed antibiotic class in both hospitals, namely third generation cephalosporins, J01DD (69%) at the TH, and new fixed dose combinations of antibiotics J01R (FDCs, 42%) at the NTH. At the TH, 37% of the

  4. The relationship of centralization, organizational culture and performance indexes in teaching hospitals affiliated to Tehran University of Medical Sciences.

    PubMed

    Nasirpour, Amir Ashkan; Gohari, Mahmoud Reza; Moradi, Saied

    2010-01-01

    One of the main problems in the efficiency and efficacy of an organization is its structural issue. Organizational culture is also considered as an effective factor in the performance of many organizations. The main goal of the present study was to determine the relationship of Centralization and organizational culture and performance indexes in Teaching Hospitals affiliated to Tehran University of Medical Sciences. This correlation study was performed in the year 2007. The population studied consisted of 4408 personnel from 13 hospitals among whom 441 subjects were selected and studied via a class sampling method. Data was compiled using a check list concerning the evaluation status of Centralization and another form concerning performance indexes as well as Robbin's organizational culture questionnaire. Data were obtained from the subjects by self answering and analyzed by using descriptive statistical indexes, T- test and Fisher's exact tests. Among the organizational culture indexes of the hospitals studied, control and organizational identity was better as compared to others (mean=3.32 and 3.30). Concerning the extent of Centralization in the hospitals studied, 53.85 % and 46.15 % were reported to have upper and lower organizational Centralization, respectively. Mean ratio of surgical operations to inpatients was 40%, the mean rate of admissions per active bed was 60.83, mean bed occupancy coefficient was 70.79%, average length of stay was 6.96 days, and mean net death rate was 1.41%. No significant correlation was seen between Centralization degree, organizational culture and performance indexes in teaching hospitals Tehran university of medical sciences. (with 95% confidence interval). Due to the fact that first grade Teaching hospitals use board certified members, expert personnel, and advanced equipments and because of the limitation of patients choice and, the extent of Centralization and many organizational culture components have no significant

  5. [Tungiasis in Bangou (West Cameroon)].

    PubMed

    Bourée, P; Simeni Njonnou, R; Takougang, I; Kaptue, L

    2012-01-01

    Tungiasis is an ectoparasitosis caused by penetration into the skin of the sand or chigger flea, Tunga penetrans. The epidemiology in Cameroon of this disease, often associated with poverty, is unknown. Accordingly, in August 2008, we conducted a study in Bangou, in Western Cameroon, among a sample of 403 people, divided in 111 families. All data were collected and analyzed with Epi-Info 6.4 software. The prevalence in this population was 32.7%, with infestation more frequent in males (P = 0.013), mostly in children aged 1 to 5 years. The most frequent clinical features were simple inflammatory lesions (100%), infected lesions (2.27%) and necrosis (0.75%). Most patients had a moderate infestation (86.4%), lived in houses with mud floors and brick walls (OR = 2.57; 95%CI [1.67-3.96]), and had animals (dogs) in the household. The principal risk factors were sex- and age-related: boys younger than 15 years old (OR = 5.40; 95%CI [3.20-9.12]) and schoolchildren (OR = 2.57; 95%CI [1.67-3.96]). The main sequelae were toenail deformations (34%). PMID:23419286

  6. A Ground Deformation Monitoring Approach to Understanding Magma Chamber Systems and Eruptive Cycles of Mount Cameroon

    NASA Astrophysics Data System (ADS)

    Riley, S.; Clarke, A.

    2005-05-01

    Mount Cameroon is a 13,400ft basanite volcano on the passive margin of West Africa. It has erupted seven times in the past century making it one of the most active volcanoes in Africa. Most recently Mount Cameroon erupted in 1999 and 2000 first issuing strombolian explosions from vents near the summit, and later erupting effusively from a fissure running southwest from the summit (Suh et al., 2003). Prior to 2004, the only monitoring equipment on Mount Cameroon was a small seismometer network installed following the 1982 eruption. By 1999 only a single seismometer in the network was functional. Seismic activity did not rise above background levels until the few days immediately preceding the eruption. In an effort to raise awareness of the volcano's condition and provide a more efficient warning of impending eruptions we have begun constructing a ground deformation network on Mount Cameroon. The new network currently consists of two Applied Geomechanics 711-2A(4X) biaxial tiltmeters capable of resolving 0.1 microradians of tilt. One station is located approximately 500 m from the 2000 summit vent, and the other is approximately 1km away from the central fissure approximately 5km southwest of the 2000 summit vent. Three primary processes could precede eruptions at Mt. Cameroon, offering the opportunity for detection and prediction by our network. These processes are magma chamber pressurization, magma ascent via a central conduit, and/or propagation of magma along the central fissure. Magma chamber location, if a significant chamber exists, is poorly constrained, however, previous petrologic studies on Mount Cameroon (Suh et al., 2003; Fitton et al., 1983) suggest Mount Cameroon magmas originate at a depth less than 40km. Published seismic data (Ambeh, 1989) contains evidence of magmatic activity and possible chambers at depths ranging from 10km to 70km. Preliminary calculations using a simple Mogi model suggest deformation caused by pressurization of a large

  7. The Spectrum of Central Nervous System Infections in an Adult Referral Hospital in Hanoi, Vietnam

    PubMed Central

    Taylor, Walter R.; Nguyen, Kinh; Nguyen, Duc; Nguyen, Huyen; Horby, Peter; Nguyen, Ha L.; Lien, Trinh; Tran, Giang; Tran, Ninh; Nguyen, Ha M.; Nguyen, Thai; Nguyen, Ha H.; Nguyen, Thanh; Tran, Giap; Farrar, Jeremy; de Jong, Menno; Schultsz, Constance; Tran, Huong; Nguyen, Diep; Vu, Bich; Le, Hoa; Dao, Trinh; Nguyen, Trung; Wertheim, Heiman

    2012-01-01

    Objectives To determine prospectively the causative pathogens of central nervous system (CNS) infections in patients admitted to a tertiary referral hospital in Hanoi, Vietnam. Methods From May 2007 to December 2008, cerebrospinal fluid (CSF) samples from 352 adults with suspected meningitis or encephalitis underwent routine testing, staining (Gram, Ziehl-Nielsen, India ink), bacterial culture and polymerase chain reaction targeting Neisseria meningitidis, Streptococcus pneumoniae, S. suis, Haemophilus influenzae type b, Herpes simplex virus (HSV), Varicella Zoster virus (VZV), enterovirus, and 16S ribosomal RNA. Blood cultures and clinically indicated radiology were also performed. Patients were classified as having confirmed or suspected bacterial (BM), tuberculous (TBM), cryptococcal (CRM), eosinophilic (EOM) meningitis, aseptic encephalitis/meningitis (AEM), neurocysticercosis and others. Results 352 (male: 66%) patients were recruited: median age 34 years (range 13–85). 95/352 (27.3%) diagnoses were laboratory confirmed and one by cranial radiology: BM (n = 62), TBM (n = 9), AEM (n = 19), CRM (n = 5), and neurocysticercosis (n = 1, cranial radiology). S. suis predominated as the cause of BM [48/62 (77.4%)]; Listeria monocytogenese (n = 1), S. pasteurianus (n = 1) and N. meningitidis (n = 2) were infrequent. AEM viruses were: HSV (n = 12), VZV (n = 5) and enterovirus (n = 2). 5 patients had EOM. Of 262/352 (74.4%) patients with full clinical data, 209 (79.8%) were hospital referrals and 186 (71%) had been on antimicrobials. 21 (8%) patients died: TBM (15.2%), AEM (10%), and BM (2.8%). Conclusions Most infections lacked microbiological confirmation. S. suis was the most common cause of BM in this setting. Improved diagnostics are needed for meningoencephalitic syndromes to inform treatment and prevention strategies. PMID:22952590

  8. A Module for Hospital Central Processing Technicians on Decontamination, Assembly and Wrapping Concepts of GYN Hysterectomy Instruments.

    ERIC Educational Resources Information Center

    Wojcik, Roseann B.; Moseley, James L.

    This learning module can be used as an orientation guide, inservice tool, or resource guide for hospital central processing department technicians and instructors. It contains information sheets, worksheets, worksheet answers, a posttest, and posttest answers on correct procedures for decontaminating, assembling, and wrapping the medical…

  9. Factors associated with low birth weight among neonates born at Olkalou District Hospital, Central Region, Kenya

    PubMed Central

    Muchemi, Onesmus Maina; Echoka, Elizabeth; Makokha, Anselimo

    2015-01-01

    Introduction Ninety-two percent of Low Birth Weight(LBW) infants are born in developing countries, 70% in Asia and 22% in Africa. WHO and UNICEF estimate LBW in Kenya as11% and 6%by 2009 Kenya Demographic Health Survey. The same survey estimated LBW to be 5.5% in Central Province, Kenya. Data in Olkalou hospital indicated that prevalence of LBW was high. However, factors giving rise to the problem remained unknown. Methods A cross-sectional analytic study was therefore conducted to estimate prevalence and distribution and determine the factors associated with LBW in the hospital. LBW was defined as birth of a live infant less than 2500g. We collected data using a semi-structured questionnaire and review of health records. A total 327 women were randomly selected from 500mothers. Data was managed using Epi Info 3.3.2. Results The prevalence of LBW was 12.3% (n=40). The mean age of mothers was 25.6±6.2 years. Mean birth weight was 2928±533 grams. There were 51.1% (n=165) male neonates and 48.9% (n=158) females. The following factors were significantly associated with LBW:LBW delivery in a previous birth (OR=4.7, 95%C.I.=1.53-14.24), premature rapture of membranes (OR=2.95, 95%C.I.=1.14-7.62), premature births (OR=3.65, 95%C.I.=1.31-10.38), and female newborn (OR=2.32, 95%C.I.=1.15-4.70). On logistic regression only delivery of LBW baby in a previous birth (OR=5.07, 95%C.I.=1.59-16.21) and female infant (OR=3.37, 95%C.I.=1.14-10.00)were independently associated with LBW. Conclusion Prevalence of LBW in the hospital was higher than national estimates. Female infant and LBW baby in a previous birth are independent factors. Local prevention efforts are necessary to mitigate the problem. Population-based study is necessary to provide accurate estimates in the area. PMID:26090056

  10. Public health implications of contamination of Franc CFA (XAF) circulating in Buea (Cameroon) with drug resistant pathogens

    PubMed Central

    2014-01-01

    Background Studies in different parts of the world have implicated money as a vehicle for transmission of pathogens. Such information which is necessary to facilitate infection control strategies is lacking in many sub-Saharan countries including Cameroon. This study analyzed the Franc de la Communauté Financiere d’Afrique (Franc CFA), the currency used in Cameroon and other countries in the Central African sub-region, as a potential vehicle for transmission of pathogenic bacteria and fungi, particularly drug-resistant strains, to generate findings which could create awareness on currency contamination and serve as a guide when formulating health policies on currency. Methods Two hundred and thirteen currency samples representing various denominations of notes and coins randomly collected from diverse sources in Buea, Cameroon were analyzed for bacteria and fungi. The sensitivity of bacterial isolates to antibiotics was tested using the disc diffusion method. The relationship between contamination and physical state, source or denomination of currency was assessed using the χ2 test. All statistics were discussed at 0.05 significance level. Results Two hundred (93.9%) samples were contaminated with notes (96.6%) showing higher contamination than coins (88.2%). Uncirculated (mint) samples showed no contamination. There was a significant difference (P˂0.05) in contamination with respect to currency denomination, physical state and source. All samples from butchers and patients/personnel in hospitals were contaminated. Lower denominations showed significantly higher (P = 0.008) levels of contamination than higher denominations. Dirty currency was more contaminated than clean currency. Nine bacterial species were isolated. Coagulase-negative Staphylococcus (CoNS) (54.9%) and Staphylococcus aureus (20.1%) predominated. Among the fungi detected, Aspergillus sp (17.3%) and Penicillium sp (15.9%) showed higher frequency of occurrence. Bacteria were susceptible (100

  11. Dynamic evolution of the Mt. Cameroon volcanic edifice

    NASA Astrophysics Data System (ADS)

    Barfod, Dan N.; Njome, Manga S.; Suh, Cheo E.; Godfrey Fitton, J.

    2014-05-01

    The growth and destruction of a volcanic edifice reflects dynamic processes that shape the Earth, including transport of mass and heat in a cooling planet versus the mechanical and chemical degradation of igneous material driving toward equilibrium. Central to understanding the nature of volcanoes are determinations of the rates of change in the volumes of these features. Through a quantitative temporal framework it is possible to elucidate the relative importance of competing processes that govern growth and destruction of volcanoes, e.g., magma production versus mass wasting. As the energetics of constructive and destructive processes are directly linked to the hazards that they pose to human populations and because volcanoes are stochastic systems, the only means of long-term forecast is via comprehensive understanding of volcanic history. Mount Cameroon is one of Africa's largest volcanoes and is currently the only active centre on the Cameroon line. The edifice is 4 km high with a volume of at least 1200 km3. Seventeen eruptions have been reported since 1800 and a time-averaged eruption volume of 6 x 106 m3/year is calculated from 7 eruptions over the past 91 years. Eight new Ar/Ar ages have been determined for basaltic rocks distributed across Mt. Cameroon; plateau ages are 4139±19 ka, 195±2 ka, 187±5 ka, 161±2 ka, 82±4, 68±3, 14±4 and 2±4 ka (1σ). The upper age from this set defines the oldest age yet measured for the Mt. Cameroon system. The data demonstrate activity through the mid to upper Pleistocene, continuing through to modern activity. Using recent estimates for basin-wide erosion of ca. 0.05 mm/a on a similar edifice (Kauai, Hawaii, Gayer et al 2008) and extrapolating over the Mt. Cameroon edifice yields an erosion rate of 5x104 m3/a, a factor of 30 times lower than the modern magma production rate. Considering these two fluxes implies that approximately 700 ka is required to construct an edifice of 1200 km3 (the current volume of Mt

  12. Aetiologies of Central Nervous System Infection in Viet Nam: A Prospective Provincial Hospital-Based Descriptive Surveillance Study

    PubMed Central

    Ho Dang Trung, Nghia; Le Thi Phuong, Tu; Wolbers, Marcel; Nguyen Van Minh, Hoang; Nguyen Thanh, Vinh; Van, Minh Pham; Thieu, Nga Tran Vu; Le Van, Tan; Song, Diep To; Le Thi, Phuong; Thi Phuong, Thao Nguyen; Van, Cong Bui; Tang, Vu; Ngoc Anh, Tuan Hoang; Nguyen, Dong; Trung, Tien Phan; Thi Nam, Lien Nguyen; Kiem, Hao Tran; Thi Thanh, Tam Nguyen; Campbell, James; Caws, Maxine; Day, Jeremy; de Jong, Menno D.; Van Vinh, Chau Nguyen; Van Doorn, H. Rogier; Tinh, Hien Tran; Farrar, Jeremy; Schultsz, Constance

    2012-01-01

    Background Infectious diseases of the central nervous system (CNS) remain common and life-threatening, especially in developing countries. Knowledge of the aetiological agents responsible for these infections is essential to guide empiric therapy and develop a rational public health policy. To date most data has come from patients admitted to tertiary referral hospitals in Asia and there is limited aetiological data at the provincial hospital level where most patients are seen. Methods We conducted a prospective Provincial Hospital-based descriptive surveillance study in adults and children at thirteen hospitals in central and southern Viet Nam between August 2007– April 2010. The pathogens of CNS infection were confirmed in CSF and blood samples by using classical microbiology, molecular diagnostics and serology. Results We recruited 1241 patients with clinically suspected infection of the CNS. An aetiological agent was identified in 640/1241 (52%) of the patients. The most common pathogens were Streptococcus suis serotype 2 in patients older than 14 years of age (147/617, 24%) and Japanese encephalitis virus in patients less than 14 years old (142/624, 23%). Mycobacterium tuberculosis was confirmed in 34/617 (6%) adult patients and 11/624 (2%) paediatric patients. The acute case fatality rate (CFR) during hospital admission was 73/617 (12%) in adults and to 42/624 (7%) in children. Conclusions Zoonotic bacterial and viral pathogens are the most common causes of CNS infection in adults and children in Viet Nam. PMID:22662232

  13. A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: A case study for Central Macedonia

    SciTech Connect

    Karagiannidis, A.; Papageorgiou, A.; Perkoulidis, G.; Sanida, G.; Samaras, P.

    2010-02-15

    In Greece more than 14,000 tonnes of infectious hospital waste are produced yearly; a significant part of it is still mismanaged. Only one off-site licensed incineration facility for hospital wastes is in operation, with the remaining of the market covered by various hydroclave and autoclave units, whereas numerous problems are still generally encountered regarding waste segregation, collection, transportation and management, as well as often excessive entailed costs. Everyday practices still include dumping the majority of solid hospital waste into household disposal sites and landfills after sterilization, still largely without any preceding recycling and separation steps. Discussed in the present paper are the implemented and future treatment practices of infectious hospital wastes in Central Macedonia; produced quantities are reviewed, actual treatment costs are addressed critically, whereas the overall situation in Greece is discussed. Moreover, thermal treatment processes that could be applied for the treatment of infectious hospital wastes in the region are assessed via the multi-criteria decision method Analytic Hierarchy Process. Furthermore, a sensitivity analysis was performed and the analysis demonstrated that a centralized autoclave or hydroclave plant near Thessaloniki is the best performing option, depending however on the selection and weighing of criteria of the multi-criteria process. Moreover the study found that a common treatment option for the treatment of all infectious hospital wastes produced in the Region of Central Macedonia, could offer cost and environmental benefits. In general the multi-criteria decision method, as well as the conclusions and remarks of this study can be used as a basis for future planning and anticipation of the needs for investments in the area of medical waste management.

  14. The Burden of Orphans and Vulnerable Children Due to HIV/AIDS in Cameroon

    PubMed Central

    Nsagha, Dickson S; Bissek, Anne-Cécile ZK; Nsagha, Sarah M; Assob, Jules-Clement N; Kamga, Henri-Lucien F; Njamnshi, Dora M; Njunda, Anna L; Obama, Marie-Thérèse O; Njamnshi, Alfred K

    2012-01-01

    HIV/AIDS is a major public health problem in Cameroon and Africa, and the challenges of orphans and vulnerable children are a threat to child survival, growth and development. The HIV prevalence in Cameroon was estimated at 5.1% in 2010. The objective of this study was to assess the burden of orphans and vulnerable children due to HIV/AIDS in Cameroon. A structured search to identify publications on orphans and other children made vulnerable by AIDS was carried out. A traditional literature search on google, PubMed and Medline using the keywords: orphans, vulnerable children, HIV/AIDS and Cameroon was conducted to identify potential AIDS orphans publications, we included papers on HIV prevalence in Cameroon, institutional versus integrated care of orphans, burden of children orphaned by AIDS and projections, impact of AIDS orphans on Cameroon, AIDS orphans assisted through the integrated care approach, and comparism of the policies of orphans care in the central African sub-region. We also used our participatory approach working experience with traditional rulers, administrative authorities and health stakeholders in Yaounde I and Yaounde VI Councils, Nanga Eboko Health District, Isangelle and Ekondo Titi Health Areas, Bafaka-Balue, PLAN Cameroon, the Pan African Institute for Development-West Africa, Save the orphans Foundation, Ministry of Social Affairs, and the Ministry of Public Health. Results show that only 9% of all OVC in Cameroon are given any form of support. AIDS death continue to rise in Cameroon. In 1995, 7,900 people died from AIDS in the country; and the annual number rose to 25,000 in 2000. Out of 1,200,000 orphans and vulnerable children in Cameroon in 2010, 300,000(25%) were AIDS orphans. Orphans and the number of children orphaned by AIDS has increased dramatically from 13,000 in 1995 to 304,000 in 2010. By 2020, this number is projected to rise to 350,000. These deaths profoundly affect families, which often are split up and left without any

  15. [The struggle over the establishment of the central hospital in the Negev--the Soroka Medical Center].

    PubMed

    Shvarts, Shifra; Doron, Haim; Sherf, Michael

    2010-03-01

    In December 1959 the Central Hospital for the Negev (today, the Soroka University Medical Center) opened its doors. This event was preceded by an arduous political battle over the Location of hospital facilities for inhabitants of Israel's south. On one side was the presiding Prime Minister David Ben-Gurion, who opposed the establishment of a hospital in Beer Sheba by the Clalit Sick Fund. On the other side were Beer Sheba's residents, led by David Tuviyahu--mayor of Beer Sheba, and Moshe Soroka--a member of the Clalit Sick Fund's management, who sought to bring about the immediate establishment of a hospital in the city itself, following the decision of the Hadassah Women's Organization to close the temporary hospital they had operated in Beer Sheba since 1948. The work at hand describes the ideological and political struggle between the two sides, the conflicting interests of the Government of Israel and the Labor Federation regarding the health needs of the city, and the factors that, in the end, led to the establishment of the hospital by the Federation's Clalit Sick Fund. The research is based on both archival material and on input from informants from the period who constitute primary sources.

  16. Crop yield gaps in Cameroon.

    PubMed

    Yengoh, Genesis T; Ardö, Jonas

    2014-03-01

    Although food crop yields per hectare have generally been increasing in Cameroon since 1961, the food price crisis of 2008 and the ensuing social unrest and fatalities raised concerns about the country's ability to meet the food needs of its population. This study examines the country's potential for increasing crop yields and food production to meet this food security challenge. Fuzzy set theory is used to develop a biophysical spatial suitability model for different crops, which in turn is employed to ascertain whether crop production is carried out in biophysically suited areas. We use linear regression to examine the trend of yield development over the last half century. On the basis of yield data from experimental stations and farmers' fields we assess the yield gap for major food crops. We find that yields have generally been increasing over the last half century and that agricultural policies can have significant effects on them. To a large extent, food crops are cultivated in areas that are biophysically suited for their cultivation, meaning that the yield gap is not a problem of biophysical suitability. Notwithstanding, there are significantly large yield gaps between actual yields on farmers' farms and maximum attainable yields from research stations. We conclude that agronomy and policies are likely to be the reasons for these large yield gaps. A key challenge to be addressed in closing the yield gaps is that of replenishing and properly managing soil nutrients.

  17. Will Economic Crises in Africa Weaken Rural-Urban Ties? Insights from Child Fosterage Trends in Cameroon.

    ERIC Educational Resources Information Center

    Eloundou-Enyegue, Parfait M.; Stokes, C. Shannon

    2002-01-01

    In many African countries, rural-urban kinship ties support the education and economic mobility of rural children through fosterage into urban families. Demographic survey data from central Cameroon indicate major rural-urban differences in child fosterage relative to family characteristics and child's school performance, and show lower rural…

  18. [Five-years' experience in the use of extracorporeal shockwave lithotripsy at the Central Kiev Clinic Hospital].

    PubMed

    Bidnyĭ, V H; Popov, V O; Bidnyĭ, V V; Revunets', R H

    2001-01-01

    The article focuses on the main aspects of treatment of urolithiasis with the aid of extracorporeal lithotripsy at the Central Kiev City Clinical Hospital with particular regard to the therapeutic policy of in-patient managing of patients. An analysis has been performed together with substantiation of connection between physical parameters of the focal zone and efficiency of lithotripsy, which attempts will, we believe, promote the accuracy of prognostication of the course of treatment.

  19. Two new butterfly species (Lepidoptera: Rhopalocera) from Mount Cameroon, Gulf of Guinea Highlands, Cameroon.

    PubMed

    Sáfián, Szabolcs; Tropek, Robert

    2016-01-01

    A field survey of Mount Cameroon, South-West Province, Cameroon, revealed two butterfly species new to science. Lepidochrysops liberti sp. nov. (Lycaenidae) flies in the extensive mosaic of natural clearings in sub-montane forest above 1100 m a.s.l., whereas Ceratrichia fako sp. nov. (Hesperiidae) locally inhabits the forested narrow gullies in the same vegetation zone. Observations on the habitat and behaviour of both species are also presented. PMID:27515650

  20. One Rural Hospital's Experience Implementing the Society for Healthcare Epidemiology of America Guidelines to Decrease Central Line Infections.

    PubMed

    Curlej, Maria H; Katrancha, Elizabeth

    2016-01-01

    In an effort to take advantage of the Highmark Quality Blue Initiative () requiring information from hospitals detailing their central line-associated blood stream infections (CLABSIs) surveillance system, quality improvement program, and statistics regarding the CLABSI events, this institution investigated the latest evidence-based recommendations to reduce CLABSIs. Recognizing the baseline rate of 2.4 CLABSIs per 1,000 central line days and its effect on patient outcomes and medical costs, this hospital made a commitment to improve their CLABSI outcomes. As a result, the facility adopted the Society for Healthcare Epidemiology of America (SHEA) guidelines. The purpose of this article is to review the CLABSI rates and examine the prevention strategies following implementation of the SHEA guidelines. A quantitative, descriptive retrospective program evaluation examined the hospital's pre- and post-SHEA implementation methods of decreasing CLABSIs and the subsequent CLABSI rates over 3 time periods. Any patient with a CLABSI infection admitted to this hospital July 2007 to June 2010 (N = 78). CLABSI rates decreased from 1.9 to 1.3 over the study period. Compliance with specific SHEA guidelines was evaluated and measures were put into place to increase compliance where necessary. CLABSI rates at this facility remain below the baseline of 2.4 for calendar year 2013 (0.79), 2014 (0.07), and 2015 (0.33). PMID:27618377

  1. Greeting, Hospitality, and Naming among the Bororo of Central Brazil. Working Papers in Sociolinguistics Number 37.

    ERIC Educational Resources Information Center

    Viertler, Renate B.

    Hospitality patterns of the Bororo Indians are illustrated in two examples: the etiquette due to a visiting chief from another Bororo village, and the etiquette due any common visitor from another Bororo village. Formal hospitality differs greatly from the usual etiquette. At a visiting chief's arrival, he enters as the last of his group and waits…

  2. [Evaluation of the oropharyngeal tularemia cases admitted to our hospital from the provinces of Central Anatolia].

    PubMed

    Uyar, Melek; Cengiz, Buğra; Unlü, Murat; Celebi, Bekir; Kılıç, Selçuk; Eryılmaz, Adil

    2011-01-01

    Tularemia caused by the bacterium Francisella tularensis is a zoonotic infection which has re-emerged in Turkey in recent years as water-borne endemics. Oropharyngeal form is the most frequently reported form of the disease from Turkey. The aim of this study was to evaluate the clinical and laboratory findings of oropharyngeal tularemia patients admitted to ear, nose & throat outpatient clinic between January-March 2010. A total of 10 patients (age range: 16-80 years, mean age: 43.9 years; nine were male) inhabiting in the provinces in Central Anatolia, Turkey, were admitted to our hospital with the complaints of fever, sore throat and painful cervical lump. They have been previously diagnosed as tonsillo-pharyngitis at different medical centers and empirical antibiotic therapy has initiated, however, their complaints have not recovered. Endoscopic laryngoscopic examination revealed that oropharynx, larynx and hypopharynx were normal. Physical examination of the neck yielded localized fixed masses with diameters between 2-7 cm. The lesions were localized at right submandibular (n= 4), upper jugular (n=3) and one of each at left posterior cervical, left submandibular and left jugulodigastric regions. The patients were hospitalized with the pre-diagnosis of "neck mass with unknown origin" for further investigation and treatment. The mean white blood cell count of the cases was 9730 (7500-15.100) cells/µl; the mean erythrocyte sedimantation rate was 68.7 (46-85) mm3/hours and the mean C-reactive protein level was 4.3 (1.5-7.4) µg/dl. Salmonella, Brucella, Toxoplasma gondii, rubella, cytomegalovirus, herpes simplex virus, Epstein-Barr virus and viral hepatitis serology did not indicate acute infections. Serum and tissue samples were sent to Refik Saydam National Public Health Agency in order to test for tularemia, namely culture, microagglutination test (MAT), direct fluorescence antibody (DFA) test and in-house polymerase chain reaction (PCR). All of the patients

  3. Structure of the Crust beneath Cameroon, West Africa, from the Joint Inversion of Rayleigh Wave Group Velocities and Receiver Functions

    SciTech Connect

    Tokam, A K; Tabod, C T; Nyblade, A A; Julia, J; Wiens, D A; Pasyanos, M E

    2010-02-18

    The Cameroon Volcanic Line (CVL) is a major geologic feature that cuts across Cameroon from the south west to the north east. It is a unique volcanic lineament which has both an oceanic and a continental sector and consists of a chain of Tertiary to Recent, generally alkaline volcanoes stretching from the Atlantic island of Pagalu to the interior of the African continent. The oceanic sector includes the islands of Bioko (formerly Fernando Po) and Sao Tome and Principe while the continental sector includes the Etinde, Cameroon, Manengouba, Bamboutos, Oku and Mandara mountains, as well as the Adamawa and Biu Plateaus. In addition to the CVL, three other major tectonic features characterize the region: the Benue Trough located northwest of the CVL, the Central African Shear Zone (CASZ), trending N70 degrees E, roughly parallel to the CVL, and the Congo Craton in southern Cameroon. The origin of the CVL is still the subject of considerable debate, with both plume and non-plume models invoked by many authors (e.g., Deruelle et al., 2007; Ngako et al, 2006; Ritsema and Allen, 2003; Burke, 2001; Ebinger and Sleep, 1998; Lee et al, 1994; Dorbath et al., 1986; Fairhead and Binks, 1991; King and Ritsema, 2000; Reusch et al., 2010). Crustal structure beneath Cameroon has been investigated previously using active (Stuart et al, 1985) and passive (Dorbath et al., 1986; Tabod, 1991; Tabod et al, 1992; Plomerova et al, 1993) source seismic data, revealing a crust about 33 km thick at the south-western end of the continental portion of the CVL (Tabod, 1991) and the Adamawa Plateau, and thinner crust (23 km thick) beneath the Garoua Rift in the north (Stuart et al, 1985) (Figure 1). Estimates of crustal thickness obtained using gravity data show similar variations between the Garoua rift, Adamawa Plateau, and southern part of the CVL (Poudjom et al., 1995; Nnange et al., 2000). In this study, we investigate further crustal structure beneath the CVL and the adjacent regions in

  4. English Pronunciation in Cameroon: Conflicts and Consequences.

    ERIC Educational Resources Information Center

    Bobda, A. Simo

    1993-01-01

    This paper examines some of the social and pedagogical problems caused by the conflicting forms of English pronunciation found in Cameroon. American, Nigerian, and local variations compete with British Received Pronunciation. The problems can be minimized through a more adequate training of broadcasters and teachers. (21 references) (MDM)

  5. The Reception of American Literature in Cameroon

    ERIC Educational Resources Information Center

    Djockoua, Manyaka Toko

    2014-01-01

    In Cameroon, popular belief associates American literature with its country's economic and political greatness. Yet, if millions of Cameroonians show a growing enthusiasm for a visit to the US, just a few are interested in learning its literature. Using theories on the reading and teaching of literature, statistical data based on a questionnaire,…

  6. Women and Economic Development in Cameroon.

    ERIC Educational Resources Information Center

    Bryson, Judy C.

    Based on a survey of written sources and perspectives of knowledgeable individuals, the report provides information on women's economic roles in Cameroon, and on aspects of social life which effect their economic performance. A description of the importance of traditional social systems and their evolution over the last 30 years follows a brief…

  7. Seismic Anisotropy Beneath the Cameroon Volcanic Line from SKS and SKKS Splitting Analysis

    NASA Astrophysics Data System (ADS)

    Koch, F. W.; Wiens, D. A.; Nyblade, A.; Reusch, A. M.; Euler, G. G.; Shore, P.

    2009-12-01

    The Cameroon Volcanic Line (CVL) is an 1800-km-long line of Cenozoic volcanism that runs from the island of Annobòn in the Atlantic to northeast Cameroon. It does not show a chronological progression consistent with hotspot-related volcanism. We investigate seismic anisotropy to determine the upper mantle lattice preferred orientation and constrain the mantle flow pattern. For this study, we use a temporary array of 32 broadband seismographs deployed throughout Cameroon for 1 to 2 years between 2005 and 2007 along with two additional permanent seismographs in adjacent countries. Using the SKS splitting method described by Silver and Chan (1991) and the analysis program of George Helffrich, we investigate SKS and SKKS arrivals from 44 earthquakes with sources 95 to 145 degrees away and magnitudes greater than 6.0. First we determine the fast direction and lag time indicated beneath each station for each event, and then we stack the high-quality measurements for each station to find the final fast axis and lag time. We interpret the fast directions as indicating the direction of flow in the upper mantle, as suggested by laboratory experiments and previous studies of mantle xenoliths. Our results indicate four regions with different anisotropic parameters in the upper mantle. Two regions indicate anisotropy with a northeast-southwest-oriented fast direction and split time of about 1 s: the Congo craton in Southern Cameroon and the eastern end of the CVL. Between the Congo craton and the CVL, in central Cameroon, the fast direction is variable and has a small lag time of about 0.3 s. Along the CVL, the fast direction has an approximate north-south orientation, with a lag time of about 0.7 s. The splitting values in Southern Cameroon are consistent with large splitting times and NE directions found at GSN stations in Gabon and the Central African Republic and probably indicate a strong consistent anisotropic fabric frozen into the cratonic lithosphere. Splitting

  8. Clinical and economic impact of a specific BCG vaccination program implemented in Prato, central Italy, involving foreign newborns on hospitalizations.

    PubMed

    Bellini, Irene; Nastasi, Antonino; Boccalini, Sara

    2016-09-01

    In Tuscany (Central Italy), the average annual notification rate of tuberculosis (TB) in the years 2007-2012 was 7.5-9.8 per 100,000 people, with the Local Health Unit of Prato (LHU4) showing the highest rate compared to the other regional area. Therefore, in order to reduce the burden of TB, foreign newborns in the LHU4 are being given the Bacillus Calmette-Guérin (BCG) vaccine since 2000. The aim of this study is to assess the impact of BCG vaccination in Prato, in terms of TB-related hospitalizations and costs. The regional archive containing all TB-related discharges and costs in the period 2007-2014 was consulted. Data regarding foreigners living in the LHU4 who have been vaccinated since 2000 were compared with those living in the other Tuscan LHUs and never vaccinated. These populations were then disaggregated by a threshold age of 15 y. After calculating the standardized hospitalization rates, the expected number of hospitalizations for TB among unvaccinated adults (in both populations) was found to be similar in the LHU4 and the other LHUs (165 vs. 156). However, expected number of hospitalizations among children in the other Tuscan LHUs (67) was double that of the LHU4 (34). If the same vaccine had been administrated everywhere, each year 29 hospitalizations could have been avoided and EUR 343,525 saved. Overall, BCG vaccinations cost EUR 14,879 in the LHU4, but 69 hospitalizations were avoided and EUR 107,435 saved. The introduction of the BCG immunization program in the LHU4 of Prato has led to significant reductions in the clinical and economic impact of TB.

  9. Ambient noise tomography of the Cameroon Volcanic Line and Northern Congo craton: new constraints on the structure of the lithosphere

    NASA Astrophysics Data System (ADS)

    Guidarelli, M.; Aoudia, A.

    2016-03-01

    We investigate the lithospheric structure of Cameroon inverting Rayleigh waves obtained from the cross-correlation of ambient seismic noise. We correlate seismic records between 32 broad-band stations and we obtain good quality Rayleigh waves for 310 interstation paths. We measure group velocity dispersion curves from the reconstructed Rayleigh waves in the period range 10-35 s and we invert the group velocities for tomographic images. After the tomography the group velocities are then inverted, together with longer period group velocity measurements from existing literature, to compute a 3-D S-wave velocity model of the Cameroon lithosphere down to 100 km depth. Our results provide an unprecedented mapping of the physical properties of the different crustal units and their correlations with surface geology, as well as with mantle lithospheric variations. The Cameroon Volcanic Line (CVL) appears as a segmented feature exhibiting different physical properties along strike. The active Mt Cameroon volcano is underlain by very low velocities, unlike the other segments of the CVL. The along-strike variations in crustal structure suggest that lateral heterogeneities in lithospheric thickness and physical properties have influenced the location and distribution of magmatism. The crust beneath the Central African Shear Zone exhibits a sizeable low velocity anomaly. The lithosphere beneath Cameroon is characterised by a heterogeneous crust with a relatively constant thickness and a low velocity uppermost mantle at the edge of the Congo Craton. Our results favour processes combining small-scale upwelling at the edge of a thick lithosphere and reactivation of Precambrian basement structures to explain the distribution of Holocene-Recent magmatism and plateau uplift. Our results also indicate that Mt Cameroon and surroundings areas are the most at risk zones for magmatic activity during this stage of CVL development.

  10. [Clinical dermatology at the Central Hospital Sankt-Jürgen-Strasse in Bremen.. A 110-year history].

    PubMed

    Bahmer, F A

    2001-08-01

    The history of clinical dermatology in Bremen began in 1891 with a dermatology unit founded in the main building of the then so-called "Big Hospital", nowadays Central Hospital Sankt-Juergen-Street. Friedrich B. Hahn became the first director and served in this position for more than four decades. In 1913, the dermatology wards moved to a new building, still home to the Dermatologic Clinic today. In 1933, the son of F.B. Hahn, Carl F. Hahn, became director until 1938, when the state officials named Konrad Burchardi as head of the department. Immediately after World War II, Friedrich Fölsch replaced K. Burchardi. He served as director until his retirement in 1964, when Joachim J. Herzberg became his successor until 1979. Wolfgang P. Herrmann then directed the clinic until 1994, when the author of this article was elected.

  11. Epidemiological and histopathological patterns of salivary gland tumors in Cameroon

    PubMed Central

    Sando, Zacharie; Fokouo, Jean Valentin; Mebada, Arlette Onomo; Djomou, François; NDjolo, Alexis; Oyono, Jean Louis Essame

    2016-01-01

    Introduction Tumors of salivary glands are rare. According to Johns and Goldsmith in 1989, their annual incidence is less than 1/100000 without noteworthy geographical gap. But other authors suggest that their distribution may vary according to the race and geographical location. In Cameroon, existing studies give incomplete data. Hence, we underwent this study in order to draw the general profile of salivary gland tumors in Cameroon. Methods A retrospective study was carried out on the period spanning from January 2000 to December 2010 (11 years). It was done in nine Pathology services of different hospitals in Yaoundé, Douala and Bamenda. We consulted the archive registers of those services, retaining any patient with salivary gland tumor, whatever the histological type or location. Information gathered was the year of diagnosis, the service, the age and sex, the site of the tumor (gland) the histological type and the benign/ malignant character. Results We recruited a total of 275 files. Women were 56% (154/275) and men 44% (121/275) of the sample. Fifty eight tumors were malignant (21.9%) while 217 were benign (78.1%). The overall mean age was 37.44 years, with extremes between 1 and 84 years. Pleomorphic adenoma (60.36%) was the most common benign tumor. Adenoid cystic carcinoma (31%), mucoepidermoid carcinoma (22.4%) and adenocarcinoma (19%) were the most common malignant tumors. Palate (66.7%), cheek (30%) and lips (3.3%) were the sites were the minor salivary glands were mostly involved. Conclusion The differences with western world authors suggest a geographical variability of salivary gland tumors. PMID:27217890

  12. Comparison of Total Hospital-Acquired Bloodstream Infections to Central Line-Associated Bloodstream Infections and Implications for Outcome Measures in Infection Control

    PubMed Central

    Leekha, Surbhi; Li, Shanshan; Thom, Kerri A.; Anne Preas, Michael; Caffo, Brian S.; Morgan, Daniel J.; Harris, Anthony D.

    2014-01-01

    Validity of the central line-associated bloodstream infection (CLABSI) measure is compromised by subjectivity. We observed significant decreases in both CLABSI and total hospital-acquired bloodstream infection (BSI) following a CLABSI prevention intervention in adult intensive care units. Total hospital-acquired BSI could be explored as an adjunct, objective CLABSI measure. PMID:23917916

  13. Bacterial-resistance among outpatients of county hospitals in China: significant geographic distinctions and minor differences between central cities.

    PubMed

    Xiao, Yonghong; Wei, Zeqing; Shen, Ping; Ji, Jinru; Sun, Ziyong; Yu, Hua; Zhang, Tiantuo; Ji, Ping; Ni, Yuxing; Hu, Zhidong; Chu, Yunzhuo; Li, Lanjuan

    2015-06-01

    The purpose of this study was to survey antibacterial resistance in outpatients of Chinese county hospitals. A total of 31 county hospitals were selected and samples continuously collected from August 2010 to August 2011. Drug sensitivity testing was conducted in a central laboratory. A total of 2946 unique isolates were collected, including 634 strains of Escherichia coli, 606 Klebsiella pneumoniae, 476 Staphylococcus aureus, 308 Streptococcus pneumoniae, and 160 Haemophilus influenzae. Extended-spectrum β-lactamases were detected in E. coli (42.3% strains), K. pneumoniae (31.7%), and Proteus mirabilis (39.0%). Ciprofloxacin-resistance was detected in 51.0% of E. coli strains. Salmonella spp. and Shigella spp. were sensitive to most antibacterial agents. Less than 8.0% of Pseudomonas aeruginosa isolates were resistant to carbapenem. For S. aureus strains, 15.3% were resistant to methicillin, and some strains of S. pneumoniae showed resistance to penicillin (1.6%), ceftriaxone (13.0%), and erythromycin (96.4%). β-lactamase was produced by 96.5% of Moraxella catarrhalis strains, and 36.2% of H. influenzae isolates were resistant to ampicillin. Azithromycin-resistant H. influenzae, imipenem-resistant but meropenem-sensitive Proteus, and ceftriaxone- and carbapenem non-sensitive M. catarrhalis were recorded. In conclusion, cephalosporin- and quinolone-resistant strains of E. coli and Klebsiella pneumonia and macrolide-resistant Gram-positive cocci were relatively prominent in county hospitals. The antibacterial resistance profiles of isolates from different geographical locations varied significantly, with proportions in county hospitals lower than those in their tertiary counterparts in the central cities, although the difference is diminishing.

  14. Public awareness, perceptions, and attitudes with respect to epilepsy in Ebolowa and Sangmelima--Urban Cameroon.

    PubMed

    Njamnshi, Alfred K; Yepnjio, Faustin N; Tabah, Earnest N; Dema, Fidèle; Angwafor, Samuel A; Fonsah, Julius Y; Angwafo, Fru F; Muna, Walinjom F T

    2009-04-01

    Within the framework of a series of studies mandated by the Ministry of Public Health of Cameroon to obtain baseline data for an epilepsy education program adapted to our communities, we interviewed 456 subjects without epilepsy in the Ebolowa Regional and Sangmelima District Hospitals. We found that 99.6 and 72.6% had heard or knew a person or people with epilepsy (PWE) and 76.8% had seen a seizure. About 58% of respondents would offer equal employment opportunities to PWE; 39.6% and 33.6% would respectively object to their children associating with or marrying PWE; 13% associated epilepsy with insanity and witchcraft, whereas 82.5% would recommend modern treatment for epilepsy. Predictors of negative attitudes were the beliefs that epilepsy is hereditary (26.3%) and epilepsy is a form of insanity (13%). Familiarity with epilepsy in Ebolowa and Sangmelima is high, and attitudes toward PWE are better there than in other areas of Cameroon. These results demonstrate a regional variation in public awareness and attitudes toward epilepsy and suggest that urban populations may constitute targets as well as channels for epilepsy sensitization campaigns in Cameroon.

  15. [Vesicular contact dermatitis due to Paederus in Cameroon and review of the literature].

    PubMed

    Vanhecke, C; Le Gall, P; Gaüzère, B-A

    2015-12-01

    This irritant blister dermatitis is caused by the genus Paederus whose geographical distribution is worldwide, with a higher incidence in tropical areas. It is induced by direct skin contact with pederin, a blistering and caustic substance found in the abdomen (coelome) of Paederus insects (insect order Coleoptera: family Staphylinidae). The diagnosis is based on the presence of typical clinical features combined with compatible epidemiological features. Our goal is to describe the epidemiological and clinical features of this irritant contact dermatitis in Cameroon through a retrospective study conducted at the end of the rainy season at the Oku Hospital in Northwest Cameroon and to also include cases reported at the medical center of the French Embassy in Yaounde during this same timeframe. In addition, we conducted a literature review of paederus dermatitis. Nineteen patients were included in this study. More than half of the patients presented with more than two lesions predominantly localized to the face or the neck; less than half had complications manifesting as either localized or respiratory reactions and three patients presented periorbital involvement. This study confirms the presence of paederus dermatitis in Cameroon. It is mainly localized in the unusual geoclimatic region of the western high mountains within the country, as well as the usual warm, moist areas of Yaounde. The clinical evolution of this dermatitis is usually one of spontaneous and uneventful resolution with complications being rare. Curative treatment is one of localized topical therapies while oral antibiotic therapy should be reserved for more complicated cases.

  16. An examination of blood center structure and hospital customer satisfaction: what can centralized and decentralized blood centers learn from each other?

    PubMed

    Carden, Robert; DelliFraine, Jami L

    2005-01-01

    The cost of blood and blood products has increased rapidly over the last several years while the supply of available blood donors has simultaneously decreased. Higher blood costs and donor shortages have put a strain on the relationship between blood suppliers and their hospital customers. This study examines the association between blood center centralization or decentralization and several aspects of hospital satisfaction. Centralized and decentralized blood centers have significant differences in various aspects of hospital customer satisfaction. Advantages and disadvantages of the two structures are discussed, as well as areas for future research.

  17. An examination of blood center structure and hospital customer satisfaction: what can centralized and decentralized blood centers learn from each other?

    PubMed

    Carden, Robert; DelliFraine, Jami L

    2005-01-01

    The cost of blood and blood products has increased rapidly over the last several years while the supply of available blood donors has simultaneously decreased. Higher blood costs and donor shortages have put a strain on the relationship between blood suppliers and their hospital customers. This study examines the association between blood center centralization or decentralization and several aspects of hospital satisfaction. Centralized and decentralized blood centers have significant differences in various aspects of hospital customer satisfaction. Advantages and disadvantages of the two structures are discussed, as well as areas for future research. PMID:16513599

  18. Outcome of Late Second Trimester Emergency Cerclage in Patients with Advanced Cervical Dilatation with Bulging Amniotic Membranes: A Report of Six Cases Managed at the Douala General Hospital, Cameroon

    PubMed Central

    Egbe, Thomas Obinchemti; Nana Njamen, Theophile; Halle Ekane, Gregory; Tsingaing, Jacques Kamgaing; Tchente, Charlotte Nguefack; Beyiha, Gerard; Barla, Esther; Nyemb, Ernest

    2013-01-01

    Purpose. To show the feasibility of emergency late second trimester cerclage with advanced cervical dilatation and bulging of amniotic membranes. Setting. Department of Obstetrics and Gynecology of the Douala General Hospital. Method. This is a retrospective study of case files of patients who underwent emergency late second trimester cerclage with advanced cervical dilatation, some with bulging of fetal membranes between June 2003 and June 2010. The modified Shirodkar technique was employed in all the cases. Results. Altogether, six patients (100%) underwent late second trimester cervical cerclage between 24 and 26 weeks of gestational age. Four cases (66.7%) carried on their pregnancies to term that resulted in healthy live-born babies all delivered vaginally. The other two cases (33.3%) presented with preterm premature rupture of fetal membranes (PPROM) which led us to undo the stitch with eventual delivery of live-born premature fetuses which died in the neonatal intensive care unit because of complications of prematurity and neonatal infection. Conclusion. In experienced hands and in the absence of other risk factors like infection, the success rates of this procedure are encouraging with improved prognosis. Finally, the modified Shirodkar technique yielded excellent results in our series. PMID:24371527

  19. [Investigation into drinking problem of patients who visited a general hospital in central and northern Okinawa].

    PubMed

    Nakai, Minori; Hotta, Hiroshi; Ootsuru, Taku; Hiejima, Shigeto; Murakami, Masaru; Yuzuriha, Takefumi; Kondo, Tsuyoshi

    2013-04-01

    In Japan, many problems related to alcohol are pointed out from before. We believe that there is a unique drinking culture in Okinawa, such as a large amount of alcohol. Therefore, we estimate many people in Okinawa have a drinking problem. We conducted a survey of patients who visited general hospital (medical or surgical or orthopedic) in 2007. The purpose of this study is to collect basic data for introducing alcoholics to specialized treatment as early as possible, detecting the person who drink large amounts of alcohol, performing early intervention for people who drink large amount of alcohol, and advancing cooperation with specialized medical agencies of alcohol. As a result, Among the patients who visited general hospital in Okinawa, many problem drinkers are concentrated in the young age. and they have strong fears of health. The possibility of early intervention with intervention techniques, such as brief intervention, has been suggested.

  20. AIDS prevention through drama in Cameroon.

    PubMed

    1989-01-01

    A play prepared by a group of Cameroon prostitutes, "Marriage to the Condom," represents an effective innovation in acquired immunodeficiency syndrome (AIDS) prevention. The prostitutes are part of a group, The Friends of Doug and Rose, that seeks to spread awareness of sexually transmitted diseases, especially AIDS, among their peers and the general public and to promote condom use. This group had its origins in an AIDS prevention campaign conducted in Yaounde in 1987 and targeted at prostitutes. Over 125 of these prostitutes, 7% of whom were positive for the AIDS virus, were trained as peer health educators. The idea to produce a play came out of a role-playing exercise aimed at teaching the prostitute peer health educators techniques for motivating their colleagues to use condoms during all commercial sexual encounters. The play presents a true picture of the working lives of prostitutes and the repercussions of sexually transmitted diseases. The play's characters agree to make condom use a prerequisite to accepting clients. The group is joining with a condom social marketing program to travel throughout Cameroon presenting the play to neighborhood associations, health centers, and sexually transmitted diseases clinics. The activity is in keeping with the African tradition of using street theater to spread messages on health and family planning. To ensure that those impacted by the play's message are actually able to obtain condoms, the US Agency for International Development has supplied the Government of Cameroon with 9 million condoms.

  1. Aetiologies of Central Nervous System infections in adults in Kathmandu, Nepal: A prospective hospital-based study

    PubMed Central

    Giri, Abhishek; Arjyal, Amit; Koirala, Samir; Karkey, Abhilasha; Dongol, Sabina; Thapa, Sudeep Dhoj; Shilpakar, Olita; Shrestha, Rishav; van Tan, Le; Thi Thuy Chinh, Bkrong Nguyen; Krishna K. C., Radheshyam; Pathak, Kamal Raj; Shakya, Mila; Farrar, Jeremy; Van Doorn, H. Rogier; Basnyat, Buddha

    2013-01-01

    We conducted a prospective hospital based study from February 2009-April 2011 to identify the possible pathogens of central nervous system (CNS) infections in adults admitted to a tertiary referral hospital (Patan Hospital) in Kathmandu, Nepal. The pathogens of CNS infections were confirmed in cerebrospinal fluid (CSF) using molecular diagnostics, culture (bacteria) and serology. 87 patients were recruited for the study and the etiological diagnosis was established in 38% (n = 33). The bacterial pathogens identified were Neisseria meningitidis (n = 6); Streptococcus pneumoniae (n = 5) and Staphylococcus aureus (n = 2) in 13/87(14%). Enteroviruses were found in 12/87 (13%); Herpes Simplex virus (HSV) in 2/87(2%). IgM against Japanese encephalitis virus (JEV) was detected in the CSF of 11/73 (15%) tested samples. This is the first prospective molecular and serology based CSF analysis in adults with CNS infections in Kathmandu, Nepal. JEV and enteroviruses were the most commonly detected pathogens in this setting. PMID:23924886

  2. [Judicial proceedings involving sexual abuse of minors in Cameroon].

    PubMed

    Mbassa Menick, D

    2000-01-01

    The purpose of this study was to evaluate how courts in Cameroon treat cases involving sexual abuse on minors by comparing the incidence of hospital examinations and legal proceedings for sexual abuse. This retrospective study is based on a review of public records at the Yaoundé Court of Justice covering the period from October 1, 1994 to January 6, 1999. Of the 2345 criminal cases recorded during the study period, 224 involved sexual abuse on minors under the age of 16 years (9.5 p. 100 of cases). The victims were all female ranging from 3 to 15 years of age (mean, 9 years) with a peak incidence between 10 and 15 years (70 p. 100). All offenders were adults between 21 and 50 years of age (mean, 30 years) at the time of the crime. This study showed that the incidence of court proceedings for sexual abuse is higher than that of hospital examinations for sexual abuse. Most offenders convicted of sexual abuse on minors received long prison sentences, i.e. 15 years or more. No reconciliatory action or mediation was initiated by the court or third parties. PMID:11100448

  3. Distribution and heterogeneity of hepatitis C genotypes in hepatitis patients in Cameroon.

    PubMed

    Pasquier, Christophe; Njouom, Richard; Ayouba, Ahidjo; Dubois, Martine; Sartre, Michèle Tagni; Vessière, Aurelia; Timba, Isabelle; Thonnon, Jocelyn; Izopet, Jacques; Nerrienet, Eric

    2005-11-01

    Hepatitis C virus infects humans world-wide. The virus genome varies greatly and it has several genotypes. HCV infection is highly prevalent in Central Africa and Cameroon. Initial studies on the genetic variability of HCV showed infection with HCV genotypes 1, 2, and 4. We have now sequenced the NS5b and E2 regions of 156 HCV isolates collected from patients presenting for diagnosis in Yaounde and used the data to describe the distribution of HCV genotypes and subtypes in patients with hepatitis in Cameroon. Genotype 1 was more frequent than Genotypes 4 and 2. Genotypes 1 and 4 were highly heterogeneous, containing many subtypes described previously (1b, 1c, 1e, 1h, 1l, 4f, 4t, 4p, 4k) and unsubtyped groups. There was a systematic phylogenetic concordance between NS5b and E2 sequence clustering. The Genotype 2 sequences did not vary. Neither subject age nor gender influenced HCV distribution. HCV Genotypes 1 and 4 are very heterogeneous in Cameroon, perhaps due to ancient infections. The homogeneity of HCV Genotype 2 indicates its more recent introduction from western Africa.

  4. Molecular Epidemiology of HIV Type 1 CRF02_AG in Cameroon and African Patients Living in Italy

    PubMed Central

    Véras, Nazle Mendonca Collaço; Santoro, Maria Mercedes; Gray, Rebecca R.; Tatem, Andrew J.; Presti, Alessandra Lo; Olearo, Flaminia; Cappelli, Giulia; Colizzi, Vittorio; Takou, Desiré; Torimiro, Judith; Russo, Gianluca; Callegaro, Annapaola; Salpini, Romina; D'Arrigo, Roberta; Perno, Carlo-Federico; Goodenow, Maureen M.; Ciccozzi, Massimo

    2011-01-01

    Abstract HIV-1 CRF02_AG accounts for >50% of infected individuals in Cameroon. CRF02_AG prevalence has been increasing both in Africa and Europe, particularly in Italy because of migrations from the sub-Saharan region. This study investigated the molecular epidemiology of CRF02_AG in Cameroon by employing Bayesian phylodynamics and analyzed the relationship between HIV-1 CRF02_AG isolates circulating in Italy and those prevalent in Africa to understand the link between the two epidemics. Among 291 Cameroonian reverse transcriptase sequences analyzed, about 70% clustered within three distinct clades, two of which shared a most recent common ancestor, all related to sequences from Western Africa. The major Cameroonian clades emerged during the mid-1970s and slowly spread during the next 30 years. Little or no geographic structure was detected within these clades. One of the major driving forces of the epidemic was likely the high accessibility between locations in Southern Cameroon contributing to the mobility of the population. The remaining Cameroonian sequences and the new strains isolated from Italian patients were interspersed mainly within West and Central African sequences in the tree, indicating a continuous exchange of CRF02_AG viral strains between Cameroon and other African countries, as well as multiple independent introductions in the Italian population. The evaluation of the spread of CRF02_AG may provide significant insight about the future dynamics of the Italian and European epidemic. PMID:21453131

  5. Age, geochemical characteristics and petrogenesis of Cenozoic intraplate alkaline volcanic rocks in the Bafang region, West Cameroon

    NASA Astrophysics Data System (ADS)

    Tchuimegnie Ngongang, Nicaise Blaise; Kamgang, Pierre; Chazot, Gilles; Agranier, Arnaud; Bellon, Hervé; Nonnotte, Philippe

    2015-02-01

    The origin of the volcanism in the Cameroon Volcanic Line and the nature of its mantle sources are still highly controversial. We present major and trace element compositions as well as Sr-Nd-Pb-Hf isotopic results on mafic and intermediate lavas from the Bafang area in the central part of the Cameroon Volcanic Line. The lavas range from basanites and basalts to hawaiites and mugearites with an alkaline affinity and were emplaced between 10 and 6 Ma ago. The evolution from basalts and basanites to more differentiated rocks involved fractionation of olivine, clinopyroxene and Fe-Ti oxides, but the isotopic compositions show that crustal contamination processes affected some magmas during their ascent in the crust. Basalts and basanites originated from a garnet-bearing mantle source and their differences are mostly due to variable degrees of partial melting. The isotopic composition of the uncontaminated samples imply the participation of three distinct mantle components, the depleted MORB mantle (not dominant), an enriched component and a Pb radiogenic component similar to the source of the Mount Cameroon. Combined with previously published isotopic data from the Cameroon Volcanic Line, our new results indicate that the source of the volcanism mostly reside in the lithospheric mantle and is different from what can be expected from the melting of a mantle accreted from or modified during the emplacement of the St. Helena mantle plume.

  6. Evidence and response to the impact of the Medicaid Drug Rebate Program (OBRA) on hospital pharmacy: a progress report from central Ohio.

    PubMed

    Taylor, S; Kucukarslan, S; Sherrin, T

    1991-07-01

    Preliminary results of a survey conducted by the American Society of Hospital Pharmacists (ASHP) indicated that hospital drug prices increased since the implementation of rebate agreements between Medicaid and drug manufacturers. The question of how hospital pharmacy directors are planning to respond to the cost-shifting that may occur in the recent future is raised in this article. Open-ended questions posed to Central Ohio Hospital directors assessed their expectations, experience, and proposed strategies in response to the rebate program. The respondents expect increases in drug prices, reductions in discounts for volume purchases, rebate programs, and contract purchases. Increases in the use of special dating on invoice, bundling of contract purchases, shorter time period for guaranteed prices, and shorter dating on invoices are also expected. Using stricter hospital formularies and capitalizing on the negotiating strength of purchasing groups, was the common strategy considered by hospital pharmacies. PMID:10111796

  7. Motorcycle-related injuries at a university teaching hospital in north central Nigeria

    PubMed Central

    Elachi, Itodo C.; Okunola, Benjamin B.; Yongu, Williams T.; Onyemaechi, Ndubuisi OC; Odatuwa-Omagbemi, Odoyoh D.; Ahachi, Chukwukadibia N.; Mue, Daniel D.

    2014-01-01

    Background: Motorcycle-related injuries lead to considerable morbidity and mortality. The aim of this study is to determine the pattern and outcome of motorcycle-related injuries at Benue State University Teaching Hospital, Makurdi, Nigeria. Patients and Methods: Case records of all patients who presented to the accident and emergency department with motorcycle-related injuries between July 2012 and June 2013 were analysed for age, gender, injury host status (i.e. rider, pillion or pedestrian), nature of collision (motorcycle versus other vehicles, motorcycle versus motorcycle, motorcycle versus pedestrian or lone riders), body region injured, injury severity score (ISS) at arrival, length of hospital stay (LOS) and mortality. Results: Seventy - nine patients with motorcycle-related injuries were included in the study. They consisted of 63 males (61.8%) and 16 females (15.7%). The age range was 5-65 years with a mean of 32.4 ± 14.0. Motorcycle versus vehicle collisions were the most common mechanism of injury (n = 46, 58.2%). Musculoskeletal injuries constituted the most common injuries sustained (n = 50, 47.6%) and the tibia was the most frequently fractured bone (n = 14, 35.9%). The majority of patients (57.0%) sustained mild/moderate injuries (ISS ≤ 15). There was no statistically significant difference between the sexes for sustaining mild/moderate injuries or severe/profound injuries (P > 0.05). Mortality rate was 6.3% with head injuries being involved in all cases. Conclusion: Young males were mostly injured in motorcycle-related trauma. Musculoskeletal injuries were the most common injuries sustained and head injuries were involved in all the deaths. Enforcement of motorcycle crash bars and helmet usage is recommended. PMID:25538360

  8. Zero central-line infections in a 550-bedded district general hospital.

    PubMed

    Jackson, Andrew; Coop, Sarah

    The dominance of central-line-associated bloodstream infection (CLABSI) prevention has become a powerful far-reaching endeavour in recent years. Surveillance is well established as an infection 'occurrence' reporting mechanism. Unfortunately, surveillance is rarely described in the literature as a component of CLABSI prevention. This changed in 2009 following the introduction of a preventative CLABSI surveillance initiative. Upon completion of the 2011 period of surveillance, the authors were able to demonstrate the insertion of 1012 catheters, which equalled 7522 line days and a 12-month period of zero CLABSI. PMID:23252179

  9. Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care.

    PubMed

    Jacobs, Lee D; Judd, Thomas M; Bhutta, Zulfiqar A

    2016-01-01

    The neonatal, infant, child, and maternal mortality rates in Haiti are the highest in the Western Hemisphere, with rates similar to those found in Afghanistan and several African countries. We identify several factors that have perpetuated this health care crisis and summarize the literature highlighting the most cost-effective, evidence-based interventions proved to decrease these mortality rates in low- and middle-income countries.To create a major change in Haiti's health care infrastructure, we are implementing two strategies that are unique for low-income countries: development of a countrywide network of geographic "community care grids" to facilitate implementation of frontline interventions, and the construction of a centrally located referral and teaching hospital to provide specialty care for communities throughout the country. This hospital strategy will leverage the proximity of Haiti to North America by mobilizing large numbers of North American medical volunteers to provide one-on-one mentoring for the Haitian medical staff. The first phase of this strategy will address the child and maternal health crisis.We have begun implementation of these evidence-based strategies that we believe will fast-track improvement in the child and maternal mortality rates throughout the country. We anticipate that, as we partner with private and public groups already working in Haiti, one day Haiti's health care system will be among the leaders in that region. PMID:26934625

  10. A survey on oral hygiene methods practiced by patients attending Dentistry Department at a Tertiary Care Hospital from Central Gujarat

    PubMed Central

    Goryawala, S. N.; Chavda, Paragkumar; Udhani, Sneha; Pathak, Naiya V.; Pathak, Shivang; Ojha, Ritu

    2016-01-01

    Objective: Oral hygiene is important not only for maintaining health of teeth and gingivae in an individual but also for good and uneventful regeneration and healing of tissues, when one has undergone one or other dental treatments. This makes it important to have an understanding of oral hygiene practices employed by the population. Materials and Methodology: This descriptive cross-sectional hospital-based survey was carried out to know oral hygiene methods practiced by patients who visited Department of Dentistry at a Tertiary Care Hospital attached to medical college from Central Gujarat. While examining and recording their history, their mode of oral hygiene practice was also noted. Recorded data were entered in Microsoft Excel and analyzed in SPSS Statistics Version 17.0. The study reports proportions of the variables under study in percentages. Results: The patients ranged from 4 to 80 years in age with equal numbers from both genders. The number of participants using modern and scientific material and instrument for oral hygiene was good. However, majority of them performed it only once a day, and none after every meal or at bed time. Conclusion: There is a need to improve the frequency of oral hygiene procedure among the studied population as well as use of dental floss needs to be increased. PMID:27114949

  11. Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care

    PubMed Central

    Jacobs, Lee D; Judd, Thomas M; Bhutta, Zulfiqar A

    2016-01-01

    The neonatal, infant, child, and maternal mortality rates in Haiti are the highest in the Western Hemisphere, with rates similar to those found in Afghanistan and several African countries. We identify several factors that have perpetuated this health care crisis and summarize the literature highlighting the most cost-effective, evidence-based interventions proved to decrease these mortality rates in low- and middle-income countries. To create a major change in Haiti’s health care infrastructure, we are implementing two strategies that are unique for low-income countries: development of a countrywide network of geographic “community care grids” to facilitate implementation of frontline interventions, and the construction of a centrally located referral and teaching hospital to provide specialty care for communities throughout the country. This hospital strategy will leverage the proximity of Haiti to North America by mobilizing large numbers of North American medical volunteers to provide one-on-one mentoring for the Haitian medical staff. The first phase of this strategy will address the child and maternal health crisis. We have begun implementation of these evidence-based strategies that we believe will fast-track improvement in the child and maternal mortality rates throughout the country. We anticipate that, as we partner with private and public groups already working in Haiti, one day Haiti’s health care system will be among the leaders in that region. PMID:26934625

  12. Medical store management: an integrated economic analysis of a tertiary care hospital in central India.

    PubMed

    Mahatme, Ms; Dakhale, Gn; Hiware, Sk; Shinde, At; Salve, Am

    2012-04-01

    Economic analysis plays a pivotal role in the management of medical store. The main objectives of this study were to consider always better control-vital, essential and desirable (ABC-VED) analysis with economic order quantity (EOQ), comparison of indexed cost and the actual cost, and to assess the expenditure for the forthcoming years. Based on cost and criticality, a matrix of nine groups by combining ABC and VED analysis was formulated. Drug categories were narrowed down for prioritization to direct supervisory monitoring. The subgroups AE and AV of the categories category I and II should be ordered based on EOQ. The difference between the actual annual drug expenditure (ADE) and the derived indexed cost using the cost inflation index (CII) was calculated. Linear regression was used to assess the expenditure for the forth coming years. The total ADE for the financial year of 2010-2011 was Rs. 1,91,44,253 which was only 7.68% of annual hospital expenditure. Using the inflation index, the indexed cost of acquisition of ADE for year 2010-2011 was Rs. 1,95,10,387. The difference between the two was estimated to be 2.11%. Thus, the CII justifies the demand of increased budget for next year and prompts us for cautious use of drugs. By taking into consideration the ADE of last 10 years, we have forecasted the budget for forthcoming years which will help significantly for making policies according to the available budget. PMID:22754264

  13. Medical store management: an integrated economic analysis of a tertiary care hospital in central India.

    PubMed

    Mahatme, Ms; Dakhale, Gn; Hiware, Sk; Shinde, At; Salve, Am

    2012-04-01

    Economic analysis plays a pivotal role in the management of medical store. The main objectives of this study were to consider always better control-vital, essential and desirable (ABC-VED) analysis with economic order quantity (EOQ), comparison of indexed cost and the actual cost, and to assess the expenditure for the forthcoming years. Based on cost and criticality, a matrix of nine groups by combining ABC and VED analysis was formulated. Drug categories were narrowed down for prioritization to direct supervisory monitoring. The subgroups AE and AV of the categories category I and II should be ordered based on EOQ. The difference between the actual annual drug expenditure (ADE) and the derived indexed cost using the cost inflation index (CII) was calculated. Linear regression was used to assess the expenditure for the forth coming years. The total ADE for the financial year of 2010-2011 was Rs. 1,91,44,253 which was only 7.68% of annual hospital expenditure. Using the inflation index, the indexed cost of acquisition of ADE for year 2010-2011 was Rs. 1,95,10,387. The difference between the two was estimated to be 2.11%. Thus, the CII justifies the demand of increased budget for next year and prompts us for cautious use of drugs. By taking into consideration the ADE of last 10 years, we have forecasted the budget for forthcoming years which will help significantly for making policies according to the available budget.

  14. Medical Store Management: An Integrated Economic Analysis of a Tertiary Care Hospital in Central India

    PubMed Central

    Mahatme, MS; Dakhale, GN; Hiware, SK; Shinde, AT; Salve, AM

    2012-01-01

    Economic analysis plays a pivotal role in the management of medical store. The main objectives of this study were to consider always better control-vital, essential and desirable (ABC-VED) analysis with economic order quantity (EOQ), comparison of indexed cost and the actual cost, and to assess the expenditure for the forthcoming years. Based on cost and criticality, a matrix of nine groups by combining ABC and VED analysis was formulated. Drug categories were narrowed down for prioritization to direct supervisory monitoring. The subgroups AE and AV of the categories category I and II should be ordered based on EOQ. The difference between the actual annual drug expenditure (ADE) and the derived indexed cost using the cost inflation index (CII) was calculated. Linear regression was used to assess the expenditure for the forth coming years. The total ADE for the financial year of 2010–2011 was Rs. 1,91,44,253 which was only 7.68% of annual hospital expenditure. Using the inflation index, the indexed cost of acquisition of ADE for year 2010–2011 was Rs. 1,95,10,387. The difference between the two was estimated to be 2.11%. Thus, the CII justifies the demand of increased budget for next year and prompts us for cautious use of drugs. By taking into consideration the ADE of last 10 years, we have forecasted the budget for forthcoming years which will help significantly for making policies according to the available budget. PMID:22754264

  15. The Attitudes of Anglophone and Francophone Cameroonians towards Cameroon English as a Model of English Language Teaching and Learning in Cameroon

    ERIC Educational Resources Information Center

    Atechi, Samuel; Angwah, Julius

    2016-01-01

    Teachers of English in Cameroon are proficient speakers of Cameroon English and their non-native status militates against their usage of Standard British English in the English language classrooms. This makes the attainment of British English thorny and perhaps impossible in Cameroon. Standing on that premise, we were motivated to find out…

  16. Late Cretaceous intraplate silicic volcanism in the Lake Chad region: incipient continental rift volcanism vs. Cameroon Line volcanism

    NASA Astrophysics Data System (ADS)

    Shellnutt, G.; Lee, T. Y.; Torng, P. K.; Yang, C. C.

    2015-12-01

    The crustal evolution of west-central Africa during the Cretaceous was directly related to plate motion associated with the opening of the central Atlantic Ocean. Late Cretaceous (~66 Ma) to recent magmatism related to the Cameroon Line stretches from Northern Cameroon (i.e. Golda Zuelva) to the Gulf of Guinea (i.e. Pagalu) and is considered to be due to mantle-crust interaction. The volcanic rocks at Hadjer el Khamis, west-central Chad, are considered to be amongst the oldest volcanic rocks of the Cameroon Line but their relationship is uncertain because they erupted during a period of a regional extension associated with the opening of the Late Cretaceous (~75 Ma) Termit basin. The silicic volcanic rocks can be divided into a peraluminous group and a peralkaline group with both rock types having similar chemical characteristics as within-plate granitoids. In situ U/Pb zircon dating yielded a mean 206Pb/238U age of 74.4 ± 1.3 Ma and indicates the rocks erupted ~10 million years before the next oldest eruption attributed to the Cameroon Line. The Sr isotopes (i.e. ISr = 0.7050 to 0.7143) show a wide range but the Nd isotopes (i.e. 143Nd/144Ndi = 0.51268 to 0.51271) are more uniform and indicate that the rocks were derived from a moderately depleted mantle source. Major and trace elemental modeling show that the silicic rocks likely formed by shallow fractionation of a mafic parental magma where the peraluminous rocks experienced crustal contamination and the peralkaline rocks did not. The silicic rocks are more isotopically similar to Late Cretaceous basalts in the Doba and Bongor basins (i.e. ISr = 0.7040 to 0.7060; 143Nd/144Ndi = 0.51267 to 0.51277) of southern Chad than to rocks of the Cameroon Line (i.e. ISr = 0.7026 to 0.7038; 143Nd/144Ndi = 0.51270 to 0.51300). Given the age and isotopic compositions, it is likely that the silicic volcanic rocks of the Lake Chad area are related to Late Cretaceous extensional tectonics rather than to Cameroon Line magmatism.

  17. Use of Chinese herbal medicine therapies in comprehensive hospitals in central China: A parallel survey in cancer patients and clinicians.

    PubMed

    Chen, Gang; Qiao, Ting-ting; Ding, Hao; Li, Chen-xi; Zheng, Hui-ling; Chen, Xiao-ling; Hu, Shao-ming; Yu, Shi-ying

    2015-12-01

    Chinese herbal medicine (CHM), as the largest application category of traditional Chinese medicine (TCM), is widely accepted among cancer patients in China. Herbal slice (HS) and Chinese patent drug (CPD) are commonly used CHM in China. This study aimed to investigate the utilization of CHM among clinicians and cancer patients in central China. Five hundred and twenty-five patients and 165 clinicians in 35 comprehensive hospitals in central China were asked to complete an anonymous questionnaire that was designed to evaluate the use of CHM. The results showed that 90.74% clinicians and 72.24% cancer patients used CHM during cancer treatment. The educational backgrounds of the clinicians and the age, education level, annual income, and cancer stage of the cancer patients were related to use of CHM. More than 90% clinicians and cancer patients had used CPD. Comparatively, the percentage of HS use was 10% lower than that of CPD use among clinicians and cancer patients. More clinicians preferred to use CHM after surgery than cancer patients did (20.41% vs. 5.37%). Enhancing physical fitness and improving performance status were regarded as the most potential effect of CHM on cancer treatment (85.71% among clinicians and 94.07% among cancer patients), in comparison with directly killing tumor cells (24.49% among clinicians and 31.36% among patients). As for refusal reasons, imprecise efficacy was the unanimous (100%) reason for clinicians' rejection of CHM, and 95.58% patients objected to using CHM also for this reason. Furthermore, the side effects of CHM were more concerned by clinicians than by patients (33.33% vs. 15.81%). In conclusion, our survey revealed that CHM was popularly accepted by clinicians and cancer patients in central China. The reasons of use and rejection of CHM were different between clinicians and cancer patients.

  18. Vascular malformations of central nervous system: A series from tertiary care hospital in South India

    PubMed Central

    Karri, Sudhir Babu; Uppin, Megha S.; Rajesh, A.; Ashish, K.; Bhattacharjee, Suchanda; Rani, Y. Jyotsna; Sahu, B. P.; Saradhi, M Vijaya; Purohit, A. K.; Challa, Sundaram

    2016-01-01

    Aims and Objectives: To describe clinicopathological features of surgically resected vascular malformations (VMs) of central nervous system (CNS). Materials and Methods: Histologically diagnosed cases of VMs of CNS during April 2010–April 2014 were included. Demographic data, clinical and radiological features were obtained. Hematoxylin and eosin slides were reviewed along with Verhoeff-Van Gieson (VVG), Masson's trichrome, periodic acid-Schiff, and Perls' stains. Morphologically, cavernomas and arteriovenous malformations (AVMs) were distinguished on the basis of vessel wall features on VVG and intervening glial parenchyma. Results: Fifty cases were diagnosed as VMs of CNS with an age range of 14–62 years. These included 36 cavernomas, 12 AVMs, 2 mixed capillary-cavernous angiomas. Most of the cavernoma patients (15/36) presented with seizures, whereas AVM patients (8/12) had a headache as the dominant symptom. Twenty-nine patients were reliably diagnosed on radiological features. Microscopic evidence of hemorrhage was seen in 24/36 cavernomas and 6/12 AVMs, as opposed to radiologic evidence of 10 and 4, respectively. Reactive gliosis was seen in 16 cavernomas. Conclusions: Histological features are important for classifying the VMs of CNS as there are no specific clinical and radiological features. Type of VM has a bearing on management, prognosis, and risk of hemorrhage. PMID:27114659

  19. [Introduction of the psychoprophylactic method and its influence on the prenatal care program for institutional parturition in Japan: the practice in the Central Hospital of Maternity of the Japanese Red Cross Society and Oomori Red Cross Hospital, 1953-1964].

    PubMed

    Fujihara, Satoko; Tsukisawa, Miyoko

    2014-03-01

    The psychoprophylactic method is one of the methods for providing 'painless childbirth without drugs' and was invented by applying I. Pavlov's theory of higher nervous activity. In 1951, it was adopted as a national policy in the Union of Soviet Socialist Republics. This method was then introduced in the People's Republic of China in 1952. In 1953, it was brought to Japan by Masatomo SUGAI, an obstetrician, and was introduced into the Central Hospital of Maternity of the Japanese Red Cross Society with the support of the director, Naotarou KUJI. The practice of this method by the research team, which consisted of the obstetricians and midwives of the Central Hospital of Maternity of the Japanese Red Cross Society and Oomori Red Cross Hospital, resulted in the initiation and characterization of the prenatal care program to encourage the autonomy of the pregnant women for normal parturition in the institutions of Japan.

  20. Foreign bodies in the ear, nose and throat: an experience in a tertiary care hospital in central Nepal.

    PubMed

    Parajuli, Ramesh

    2015-04-01

    Introduction A foreign body (FB) is an object or substance foreign to the location where it is found. FBs in the ear, nose, and throat are a common problem frequently encountered in both children and adults. Objective To analyze FBs in terms of type, site, age, and gender distribution and method of removal. Methods A retrospective study was performed in a tertiary care hospital in the central part of Nepal. The study period was from June 2013 to May 2014. The information was obtained from hospital record books. Results A total of 134 patients had FBs in the ear, nose, or throat; 94 were males and 40 were females. Of the 134 patients, 70 (52.23%) had FB in the ear, 28 (20.89%) in the nose, and 36 (26.86%) in the throat. The FB was animate (living) in 28 (40%) patients with FB in the ear and 1 (3.5%) patient with FB in the nose, but the FB was inanimate (nonliving) in any patient with FB in the throat, in 42 (60%) patients with FB in the ear FB, and in 27 (96.4%) patients with FB of the nose. The FB was removed with or without local anaesthesia (LA) in 98 (73.13%) patients, and only 36 patients (26.86%) required general anaesthesia (GA). The most common age group affected was <10 years. Conclusion FBs in the ear and nose were found more frequently in children, and the throat was the most common site of FB in adults and elderly people. Most of the FBs can be easily removed in emergency room or outpatient department. PMID:25992166

  1. Foreign bodies in the ear, nose and throat: an experience in a tertiary care hospital in central Nepal.

    PubMed

    Parajuli, Ramesh

    2015-04-01

    Introduction A foreign body (FB) is an object or substance foreign to the location where it is found. FBs in the ear, nose, and throat are a common problem frequently encountered in both children and adults. Objective To analyze FBs in terms of type, site, age, and gender distribution and method of removal. Methods A retrospective study was performed in a tertiary care hospital in the central part of Nepal. The study period was from June 2013 to May 2014. The information was obtained from hospital record books. Results A total of 134 patients had FBs in the ear, nose, or throat; 94 were males and 40 were females. Of the 134 patients, 70 (52.23%) had FB in the ear, 28 (20.89%) in the nose, and 36 (26.86%) in the throat. The FB was animate (living) in 28 (40%) patients with FB in the ear and 1 (3.5%) patient with FB in the nose, but the FB was inanimate (nonliving) in any patient with FB in the throat, in 42 (60%) patients with FB in the ear FB, and in 27 (96.4%) patients with FB of the nose. The FB was removed with or without local anaesthesia (LA) in 98 (73.13%) patients, and only 36 patients (26.86%) required general anaesthesia (GA). The most common age group affected was <10 years. Conclusion FBs in the ear and nose were found more frequently in children, and the throat was the most common site of FB in adults and elderly people. Most of the FBs can be easily removed in emergency room or outpatient department.

  2. Measuring ambient particulate matter in three cities in Cameroon, Africa

    NASA Astrophysics Data System (ADS)

    Antonel, Jessica; Chowdhury, Zohir

    2014-10-01

    This is the first study of particulate matter (PM) air pollution in Cameroon. In this study, mass concentration and PM size fractions as well as carbonaceous contribution to PM are measured in Bafoussam, Bamenda, and Yaoundé, Cameroon. Average concentrations in Bafoussam, Bamenda, and Yaoundé of PM2.5 are 67 ± 14, 132 ± 64, and 49 ± 12 μg/m3 and PM10 are 105 ± 29, 141 ± 107, and 65 ± 21 μg/m3, respectively. Daytime levels of PM2.5 and PM10 are seen to be higher than nighttime levels in all cities except Bamenda where nighttime levels are higher for both PM sizes. In Bafoussam, the average PM1.0 particle number concentration during the day is 19,800 pt/cc and during the evening is 15,200 pt/cc. PM2.5/PM10 mass ratios are 0.65 ± 0.05, 0.75 ± 0.05, and 0.78 ± 0.09 for Bafoussam, Bamenda, and Yaounde, respectively. Elemental carbon (EC) and organic carbon (OC) contribution to PM2.5 in Bafoussam, Bamenda, and Yaoundé are 3.9%, 2.9% and 12% for EC and 17.7%, 23.6%, and 34.2% for OC, respectively. After conducting spatial variability of PM mass concentration and size fractionation sampling at various locations within each of the three cities, we find that PM2.5 averages are highest during commercial meal preparation in Bafoussam (684 ± 546 μg/m3), and on the road in Bamenda (417 ± 113 μg/m3) and Yaoundé (110 ± 57 μg/m3). Additional air quality research in Central and West Africa is necessary to begin implementing policy steps that influence change and to advocate for improved health conditions in this rapidly expanding region of the world.

  3. A lithospheric instability origin for the Cameroon Volcanic Line

    NASA Astrophysics Data System (ADS)

    Milelli, L.; Fourel, L.; Jaupart, C.

    2012-06-01

    The Cameroon Volcanic Line (CVL) is an enigmatic structure that defies common dynamic models of melt generation and volcanic activity on Earth. There, magma generation and intrusion has been sustained for more than 70 Myr over a 1600 km long chain straddling the ocean-continent boundary, with no detectable spatial age progression. The chain is nearly perpendicular to the coastline and terminates in a Y-shaped structure that has not been affected by absolute plate motions, implying that the mantle upwelling that feeds magmatic activity is attached to the continent. We propose that this form of volcanism is due to a new type of instability that may develop within the subcontinental lithospheric mantle at the edge of a continent. Laboratory experiments document how lithosphere beneath a continental block of finite size can become unstable due to cooling from above. The instability pattern is made of linear upwellings and downwellings that converge radially towards the center of the continent in an outer region and an array of polygonal cells in a central region. The pattern is characterized by branching structures that are reminiscent of the strike and Y-shaped outline of the CVL. The instability develops over long timescales with small rates of upwelling and melting, and is attached to the continent by construction. Downwellings adjacent to upwellings induce compression in the crust, which may account for deformation in the Benue trough just before the onset of CVL magmatism.

  4. Ethnobotanical survey of trees in Fundong, Northwest Region, Cameroon

    PubMed Central

    Focho, Derek A; Newu, Muh C; Anjah, Mendi G; Nwana, Fongod A; Ambo, Fonge B

    2009-01-01

    Ethnobotanical investigations were conducted in Fundong Central Subdivision in the Northwest Region of Cameroon to identify trees growing in the area and collect information on their uses by the local people. This research covered a period of 12 months from May 2007 to April 2008. Ethnobotanical information was collected through the show-and-tell/semi-structured method and personal interviews during field trips. Three villages were investigated. A total of 82 tree species were identified belonging to 70 genera and 42 families. Among these species, 40 were widely used by the local people in traditional medicine to treat 48 human ailments. Tree species were also used for fuel wood, construction materials, wood carving and honey production. Leaves and barks were commonly used in traditional medicine while the wood, branches and the entire plants were commonly used for other purposes. In spite of the scarcity of natural forests in the study area, the local populations continue to depend on indigenous and exotic trees in their surroundings for their survival. There is therefore need for cultivation, protection and sustainable management of these valuable resources for rural livelihoods. PMID:19555468

  5. Profile of adults seeking voluntary HIV testing and counseling in rural Central India: results from a hospital-based study.

    PubMed

    Pai, Nitika Pant; Joshi, Rajnish; Moodie, Erica E M; Taksande, Bharati; Kalantri, S P; Pai, Madhukar; Tulsky, Jacqueline P; Reingold, Arthur

    2009-03-01

    Rural India has an undetected load of HIV-positive individuals. Few rural adults present for HIV testing and counseling due to stigma, discrimination, and fear of social ostracization. In this rural hospital clinic-based study, we document profiles of rural adults seeking voluntary testing and counseling, and analyze correlates of HIV seropositivity. This cross-sectional study was conducted in 450 participants presenting to the outpatient clinics of Mahatma Gandhi Institute of Medical Sciences, Sevagram, Central India. After informed consent, pre- and post-test counseling, HIV testing, and face-to-face interviews were conducted. Data were collected using a structured questionnaire. The median age of the 450 study participants was 34 years (range 18-88 years); the majority (74%) was married. The overall proportion of HIV seropositivity was 32% [95% CI 28%, 37%]. The proportions of HIV seropositivity in married women, married men, and single men were 41%, 37%, 18%, respectively. No single woman was found seropositive in the study. Very few married women were aware of their husbands' HIV status. In a multivariate analysis, correlates of HIV seropositivity in men were: age 30-39 years, being married, having sex with multiple partners, use of alcohol before sex, and testing positive for HIV in the past. In married women, the only predictor of seropositivity was being married. Although limited by the non-random nature of the sampling method, this pilot study is unique in that it is the first from this rural region of Central India. It provides baseline data on marginalized, largely unstudied populations that may aid in designing probabilistic community-based surveys in this neglected population.

  6. Costs and process of in-patient tuberculosis management at a central academic hospital, Cape Town, South Africa

    PubMed Central

    Marais, F.; Mehtar, S.; Baltussen, R. M. P. M.

    2012-01-01

    Setting: South Africa reports more cases of tuberculosis (TB) than any other country, but an up-to-date, precise estimate of the costs associated with diagnosing, treating and preventing TB at the in-patient level is not available. Objective: To determine the costs associated with TB management among in-patients and to study the use of personal protective equipment (PPE) at a central academic hospital in Cape Town. Design: Retrospective and partly prospective cost analysis of TB cases diagnosed between May 2008 and October 2009. Results: The average daily in-patient costs were US$238; the average length of stay was 9.7 days. Mean laboratory and medication costs per stay were respectively US$26.82 and US$8.68. PPE use per day cost US$0.99. The average total TB management costs were US$2373 per patient. PPE was not always properly used. Discussion: The costs of in-patient TB management are high compared to community-based treatment; the main reason for the high costs is the high number of in-patient days. An efficiency assessment is needed to reduce costs. Cost reduction per TB case prevented was approximately US$2373 per case. PPE use accounted for the lowest costs. Training is needed to improve PPE use. PMID:26392953

  7. Efficacy of major general surgery performed by non-physician clinicians at a central hospital in Malawi.

    PubMed

    Wilhelm, Torsten J; Thawe, Innocent K; Mwatibu, Biswick; Mothes, Henning; Post, Stefan

    2011-04-01

    In some sub-Saharan African countries non-physician clinicians have to perform major general surgery without medical officers and surgeons. The safety of this practice has not been established. The aim of this study was to evaluate the contribution of clinical officers (COs) to major general surgery at Zomba Central Hospital. We performed a retrospective five-year period study during 2003-2007. The perioperative outcome for three procedures was analysed. During the study 2931 major general surgical procedures were performed: 1437 (49%) by surgeons; 366 (12.5%) by COs assisted by surgeons; and 1128 (38.5%) by COs alone. COs performed 50% of prostatectomies, ventriculo-peritoneal-shuntings and strangulated hernia repairs with bowel resection alone. Baseline parameters and perioperative outcomes of the patients who underwent operations with surgeons present (as operator or assistant, 'surgeon group') or patients operated by COs alone ('CO group') were similar. COs can safely perform major general surgery when adequate training and supervision are provided.

  8. Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

    PubMed Central

    Parajuli, Ramesh

    2015-01-01

    Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed. Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis. Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015. Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation. Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients. PMID:26346242

  9. Central Line–Associated Infections as Defined by the Centers for Medicare and Medicaid Services’ Hospital-Acquired Condition versus Standard Infection Control Surveillance: Why Hospital Compare Seems Conflicted

    PubMed Central

    Moehring, Rebekah W.; Staheli, Russell; Miller, Becky A.; Chen, Luke Francis; Sexton, Daniel John; Anderson, Deverick John

    2013-01-01

    OBJECTIVE To evaluate the concordance of case-finding methods for central line–associated infection as defined by Centers for Medicare and Medicaid Services (CMS) hospital-acquired condition (HAC) compared with traditional infection control (IC) methods. SETTING One tertiary care and 2 community hospitals in North Carolina. PATIENTS Adult and pediatric hospitalized patients determined to have central line infection by either case-finding method. METHODS We performed a retrospective comparative analysis of infection detected using HAC versus standard IC central line–associated bloodstream infection surveillance from October 1, 2007, through December 31, 2009. One billing and 2 IC databases were queried and matched to determine the number and concordance of cases identified by each method. Manual review of 25 cases from each discordant category was performed. Sensitivity and positive predictive value (PPV) were calculated using IC as criterion standard. RESULTS A total of 1,505 cases were identified: 844 by International Classification of Diseases, Ninth Revision (ICD-9), and 798 by IC. A total of 204 cases (24%) identified by ICD-9 were deemed not present at hospital admission by coders. Only 112 cases (13%) were concordant. HAC sensitivity was 14% and PPV was 55% compared with IC. Concordance was low regardless of hospital type. Primary reasons for discordance included differences in surveillance and clinical definitions, clinical uncertainty, and poor documentation. CONCLUSIONS The case-finding method used by CMS HAC and the methods used for traditional IC surveillance frequently do not agree. This can lead to conflicting results when these 2 measures are used as hospital quality metrics. PMID:23388357

  10. 76 FR 1660 - Culturally Significant Objects Imported for Exhibition Determinations: “Art in Cameroon...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Culturally Significant Objects Imported for Exhibition Determinations: ``Art in Cameroon: Sculptural... ``Art in Cameroon: Sculptural Dialogues,'' imported from abroad for temporary exhibition within...

  11. Exposure to Nonhuman Primates in Rural Cameroon

    PubMed Central

    Prosser, A. Tassy; Carr, Jean K.; Tamoufe, Ubald; Mpoudi-Ngole, Eitel; Torimiro, J. Ndongo; LeBreton, Matthew; McCutchan, Francine E.; Birx, Deborah L.; Burke, Donald S.

    2004-01-01

    Exposure to nonhuman primates has led to the emergence of important diseases, including Ebola hemorrhagic fever, AIDS, and adult T-cell leukemia. To determine the extent of exposure to nonhuman primates, persons were examined in 17 remote villages in Cameroon that represented three habitats (savanna, gallery forest, and lowland forest). Questionnaire data were collected to assess whether persons kept wild animal pets; hunted and butchered wild game; had experienced bites, scratches, or injuries from live animals; or had been injured during hunting or butchering. While all villages had substantial exposure to nonhuman primates, higher rates of exposure were seen in lowland forest sites. The study demonstrates that exposure is not limited to small groups of hunters. A high percentage of rural villagers report exposure to nonhuman primate blood and body fluids and risk acquiring infectious diseases. PMID:15663844

  12. Hospital Performance Indicators and Their Associated Factors in Acute Child Poisoning at a Single Poison Center, Central Saudi Arabia.

    PubMed

    Alanazi, Menyfah Q; Al-Jeriasy, Majed I; Al-Assiri, Mohammed H; Afesh, Lara Y; Alhammad, Fahad; Salam, Mahmoud

    2015-12-01

    Admission rate and length of stay (LOS) are two hospital performance indicators that affect the quality of care, patients' satisfaction, bed turnover, and health cost expenditures. The aim of the study was to identify factors associated with higher admission rates and extended average LOS among acutely poisoned children at a single poison center, central Saudi Arabia.This is a cross-sectional, poison and medical chart review between 2009 and 2011. Exposures were child characteristics, that is, gender, age, body mass index (BMI), health history, and Canadian 5-level triage scale. Poison incident characteristics were, that is, type, exposure route, amount, form, home remedy, and arrival time to center. Admission status and LOS were obtained from records. Chronic poisoning, plant allergies, and venomous bites were excluded. Bivariate and regression analyses were applied. Significance at P < 0.05.Of the 315 eligible cases, (72%) were toddlers with equal gender distribution, (58%) had normal BMI, and (77%) were previously healthy. Poison substances were pharmaceutical drugs (63%) versus chemical products (37%). Main exposure route was oral (98%). Home remedy was observed in (21.9%), which were fluids, solutes, and/or gag-induced vomiting. Almost (52%) arrived to center >1 h. Triage levels: non-urgent cases (58%), less urgent (11%), urgent (18%), emergency (12%), resuscitative (1%). Admission rate was (20.6%) whereas av. LOS was 13 ± 22 h. After adjusting and controlling for confounders, older children (adj.OR = 1.19) and more critical triage levels (adj.OR = 1.35) were significantly associated with higher admission rates compared to younger children and less critical triage levels (adj.P = 0.006) and (adj.P = 0.042) respectively. Home remedy prior arrival was significantly associated with higher av. LOS (Beta = 9.48, t = 2.99), compared to those who directly visited the center, adj.P = 0.003.Hospital administrators are cautioned

  13. Hospital Performance Indicators and Their Associated Factors in Acute Child Poisoning at a Single Poison Center, Central Saudi Arabia.

    PubMed

    Alanazi, Menyfah Q; Al-Jeriasy, Majed I; Al-Assiri, Mohammed H; Afesh, Lara Y; Alhammad, Fahad; Salam, Mahmoud

    2015-12-01

    Admission rate and length of stay (LOS) are two hospital performance indicators that affect the quality of care, patients' satisfaction, bed turnover, and health cost expenditures. The aim of the study was to identify factors associated with higher admission rates and extended average LOS among acutely poisoned children at a single poison center, central Saudi Arabia.This is a cross-sectional, poison and medical chart review between 2009 and 2011. Exposures were child characteristics, that is, gender, age, body mass index (BMI), health history, and Canadian 5-level triage scale. Poison incident characteristics were, that is, type, exposure route, amount, form, home remedy, and arrival time to center. Admission status and LOS were obtained from records. Chronic poisoning, plant allergies, and venomous bites were excluded. Bivariate and regression analyses were applied. Significance at P < 0.05.Of the 315 eligible cases, (72%) were toddlers with equal gender distribution, (58%) had normal BMI, and (77%) were previously healthy. Poison substances were pharmaceutical drugs (63%) versus chemical products (37%). Main exposure route was oral (98%). Home remedy was observed in (21.9%), which were fluids, solutes, and/or gag-induced vomiting. Almost (52%) arrived to center >1 h. Triage levels: non-urgent cases (58%), less urgent (11%), urgent (18%), emergency (12%), resuscitative (1%). Admission rate was (20.6%) whereas av. LOS was 13 ± 22 h. After adjusting and controlling for confounders, older children (adj.OR = 1.19) and more critical triage levels (adj.OR = 1.35) were significantly associated with higher admission rates compared to younger children and less critical triage levels (adj.P = 0.006) and (adj.P = 0.042) respectively. Home remedy prior arrival was significantly associated with higher av. LOS (Beta = 9.48, t = 2.99), compared to those who directly visited the center, adj.P = 0.003.Hospital administrators are cautioned

  14. What Role Do Traditional Beliefs Play in Treatment Seeking and Delay for Buruli Ulcer Disease?–Insights from a Mixed Methods Study in Cameroon

    PubMed Central

    Peeters Grietens, Koen; Toomer, Elizabeth; Um Boock, Alphonse; Hausmann-Muela, Susanna; Peeters, Hans; Kanobana, Kirezi; Gryseels, Charlotte; Ribera, Joan Muela

    2012-01-01

    Background Victims of Buruli ulcer disease (BUD) frequently report to specialized units at a late stage of the disease. This delay has been associated with local beliefs and a preference for traditional healing linked to a reportedly mystical origin of the disease. We assessed the role beliefs play in determining BUD sufferers’ choice between traditional and biomedical treatments. Methods Anthropological fieldwork was conducted in community and clinical settings in the region of Ayos and Akonolinga in Central Cameroon. The research design consisted of a mixed methods study, triangulating a qualitative strand based on ethnographic research and quantitative data obtained through a survey presented to all patients at the Ayos and Akonolinga hospitals (N = 79) at the time of study and in four endemic communities (N = 73) belonging to the hospitals’ catchment area. Results The analysis of BUD sufferers’ health-seeking behaviour showed extremely complex therapeutic itineraries, including various attempts and failures both in the biomedical and traditional fields. Contrary to expectations, nearly half of all hospital patients attributed their illness to mystical causes, while traditional healers admitted patients they perceived to be infected by natural causes. Moreover, both patients in hospitals and in communities often combined elements of both types of treatments. Ultimately, perceptions regarding the effectiveness of the treatment, the option for local treatment as a cost prevention strategy and the characteristics of the doctor-patient relationship were more determinant for treatment choice than beliefs. Discussion The ascription of delay and treatment choice to beliefs constitutes an over-simplification of BUD health-seeking behaviour and places the responsibility directly on the shoulders of BUD sufferers while potentially neglecting other structural elements. While more efficacious treatment in the biomedical sector is likely to reduce perceived

  15. Language Practices and Religious Rites in the Full Gospel Mission Cameroon

    ERIC Educational Resources Information Center

    Kouega, Jean-Paul

    2016-01-01

    This paper deals with language practices in one Pentecostal church in Cameroon, i.e. the Full Gospel Mission Cameroon (FGMC). The data are produced by some 80 pastors, church officials, choir leaders and congregants, and the settings are some 20 churches located in two anglophone regions and two francophone regions of Cameroon. The instruments…

  16. Cameroon: A Country Guide Series Report from the AACRAO-AID Project.

    ERIC Educational Resources Information Center

    Saidi, Jasmin

    This report on the educational system of Cameroon contains information for university admissions officers and registrars in the United States on the credentials and other documentation that would be minimally required for student entry from Cameroon to specified levels of study in the United States. In Cameroon French and English languages share…

  17. Impact of Human Immunodeficiency Virus on the Severity of Buruli Ulcer Disease: Results of a Retrospective Study in Cameroon

    PubMed Central

    Christinet, Vanessa; Comte, Eric; Ciaffi, Laura; Odermatt, Peter; Serafini, Micaela; Antierens, Annick; Rossel, Ludovic; Nomo, Alain-Bertrand; Nkemenang, Patrick; Tsoungui, Akoa; Delhumeau, Cecile; Calmy, Alexandra

    2014-01-01

    Background.  Buruli ulcer is the third most common mycobacterial disease after tuberculosis and leprosy and is particularly frequent in rural West and Central Africa. However, the impact of HIV infection on BU severity and prevalence remains unclear. Methods.  This was a retrospective study of data collected at the Akonolinga District Hospital, Cameroon, from January 1, 2002 to March 27, 2013. Human immunodeficiency virus prevalence among BU patients was compared with regional HIV prevalence. Baseline characteristics of BU patients were compared between HIV-negative and HIV-positive patients and according to CD4 cell count strata in the latter group. Buruli ulcer time-to-healing was assessed in different CD4 count strata, and factors associated with BU main lesion size at baseline were identified. Results.  Human immunodeficiency virus prevalence among BU patients was significantly higher than the regional estimated prevalence in each group (children, 4.00% vs 0.68% [P < .001]; men, 17.0% vs 4.7% [P < .001]; women, 36.0% vs 8.0% [P < .001]). Individuals who were HIV positive had a more severe form of BU, with an increased severity in those with a higher level of immunosuppression. Low CD4 cell count was significantly associated with a larger main lesion size (β-coefficient, −0.50; P = .015; 95% confidence interval [CI], −0.91–0.10). Buruli ulcer time-to-healing was more than double in patients with a CD4 cell count below 500 cell/mm3 (hazard ratio, 2.39; P = .001; 95% CI, 1.44–3.98). Conclusion.  Patients who are HIV positive are at higher risk for BU. Human immunodeficiency virus-induced immunosuppression seems to have an impact on BU clinical presentation and disease evolution. PMID:25734094

  18. [Branch of the 1st Federal Budget Institution "3rd Central Military Clinical Hospital n. a. A. A. Vishnevskiĭ of the Russian Defense Ministry"--60 years].

    PubMed

    Beznosik, R V; Savitskiĭ, G G

    2012-03-01

    The history of creation and development of the Central Tuberculosis Hospital of the Ministry of Defense of the USSR--now branch No 1 FBU "3 TsVKG of the Russian Defense Ministry n. a. A.A. Vishnevsky". The contribution into the hospital, not only in organizing of effective treatment, but also into study the state of TB control in the armed forces, the development of methods for differential diagnosis of pulmonary tuberculosis and extrapulmonary forms are presented. The incidence of tuberculosis in the country remains high, so the problem faced by the institution, remain relevant and responsible. PMID:22686035

  19. [Branch of the 1st Federal Budget Institution "3rd Central Military Clinical Hospital n. a. A. A. Vishnevskiĭ of the Russian Defense Ministry"--60 years].

    PubMed

    Beznosik, R V; Savitskiĭ, G G

    2012-03-01

    The history of creation and development of the Central Tuberculosis Hospital of the Ministry of Defense of the USSR--now branch No 1 FBU "3 TsVKG of the Russian Defense Ministry n. a. A.A. Vishnevsky". The contribution into the hospital, not only in organizing of effective treatment, but also into study the state of TB control in the armed forces, the development of methods for differential diagnosis of pulmonary tuberculosis and extrapulmonary forms are presented. The incidence of tuberculosis in the country remains high, so the problem faced by the institution, remain relevant and responsible.

  20. Molecular Species Delimitation and Morphology of Aquatic and Sub-Aquatic Bugs (Heteroptera) in Cameroon.

    PubMed

    Meyin A Ebong, Solange; Petit, Elsa; Le Gall, Philippe; Chen, Ping-Ping; Nieser, Nico; Guilbert, Eric; Njiokou, Flobert; Marsollier, Laurent; Guégan, Jean-François; Pluot-Sigwalt, Dominique; Eyangoh, Sara; Harry, Myriam

    2016-01-01

    Aquatic and semi-aquatic bugs (Heteroptera) represent a remarkable diversity and a resurging interest has been given to documenting at the species level these insects inhabiting Cameroon in Central Africa due to their potential implication in the transmission of the bacterium Mycobacterium ulcerans, the causal agent of Buruli ulcer, an emerging human disease. A survey was carried out over two years in Cameroon. Morphological analyses were done in two steps. A first step consisted in separating the specimens based on broadly shared characters into morphotypes. The specimens were then separated into two independent batches containing each the same representation of each morphotype. One batch (309 specimens) was used by taxonomy experts on aquatic bugs for species level identification and/or to reconcile nymph with their corresponding adult species. The second batch (188 specimens) was used to define species based on the COI DNA sequences (standard sequence used for "DNA barcoding") and using the Automatic Barcode Gap Discovery (ABGD) method. The first morphological analysis step separated the specimens into 63 different morphotypes (49 adults and 14 nymphs), which were then found to belong to 54 morphological species in the infra-orders Gerromorpha and Nepomorpha based on the species-level morphological identification, and 41-45 putative molecular species according to the gap value retained in the ABGD. Integrating morphology and "DNA barcoding" reconciled all the specimens into 62 aquatic bug species in Cameroon. Generally, we obtained a good congruence between species a priori identified based on morphology from adult morphotypes and molecular putative species. Moreover, molecular identification has allowed the association of 86% of nymphs with adults. This work illustrates the importance of integrative taxonomy.

  1. Molecular Species Delimitation and Morphology of Aquatic and Sub-Aquatic Bugs (Heteroptera) in Cameroon

    PubMed Central

    Le Gall, Philippe; Chen, Ping-Ping; Nieser, Nico; Guilbert, Eric; Njiokou, Flobert; Marsollier, Laurent; Guégan, Jean-François; Pluot-Sigwalt, Dominique; Eyangoh, Sara; Harry, Myriam

    2016-01-01

    Aquatic and semi-aquatic bugs (Heteroptera) represent a remarkable diversity and a resurging interest has been given to documenting at the species level these insects inhabiting Cameroon in Central Africa due to their potential implication in the transmission of the bacterium Mycobacterium ulcerans, the causal agent of Buruli ulcer, an emerging human disease. A survey was carried out over two years in Cameroon. Morphological analyses were done in two steps. A first step consisted in separating the specimens based on broadly shared characters into morphotypes. The specimens were then separated into two independent batches containing each the same representation of each morphotype. One batch (309 specimens) was used by taxonomy experts on aquatic bugs for species level identification and/or to reconcile nymph with their corresponding adult species. The second batch (188 specimens) was used to define species based on the COI DNA sequences (standard sequence used for “DNA barcoding”) and using the Automatic Barcode Gap Discovery (ABGD) method. The first morphological analysis step separated the specimens into 63 different morphotypes (49 adults and 14 nymphs), which were then found to belong to 54 morphological species in the infra-orders Gerromorpha and Nepomorpha based on the species-level morphological identification, and 41–45 putative molecular species according to the gap value retained in the ABGD. Integrating morphology and “DNA barcoding” reconciled all the specimens into 62 aquatic bug species in Cameroon. Generally, we obtained a good congruence between species a priori identified based on morphology from adult morphotypes and molecular putative species. Moreover, molecular identification has allowed the association of 86% of nymphs with adults. This work illustrates the importance of integrative taxonomy. PMID:27149077

  2. Neurocognitive Recovery After Hospital-Treated Deliberate Self-Poisoning With Central Nervous System Depressant Drugs: A Longitudinal Cohort Study.

    PubMed

    Oxley, Stewart O C; Dassanayake, Tharaka L; Carter, Gregory L; Whyte, Ian; Jones, Alison L; Cooper, Gavin; Michie, Patricia T

    2015-12-01

    Hospital-treated deliberate self-poisoning (DSP) by central nervous system depressant drugs (CNS-D) has been associated with impairments in cognitive and psychomotor functions at the time of discharge. We aimed to replicate this finding and to compare recovery in the first month after discharge for CNS-D and CNS nondepressant drug ingestions. We also examined a series of multivariate explanatory models of recovery of neurocognitive outcomes over time. The CNS-D group was impaired at discharge compared with the CNS-nondepressant group in cognitive flexibility, cognitive efficiency, and working memory. There were no significant differences at discharge in visual attention, processing speed, visuomotor speed, or inhibition speed. Both groups improved in the latter measures over 1 month of follow-up. However, the CNS-D group's recovery was significantly slower for key neurocognitive domains underlying driving in complex traffic situations, namely, cognitive flexibility, cognitive efficiency, and working memory. Patients discharged after DSP with CNS-D drugs have impairments of some critical cognitive functions that may require up to 1 month to recover. Although more pre- than post-DSP variables were retained as explanatory models of neurocognitive performance overall, recovery over time could not be explained by any one of the measured covariates. Tests of cognitive flexibility could be used in clinical settings as a proxy measure for recovery of driving ability. Regulatory authorities should also consider the implications of these results for the period of nondriving advised after ingestion of CNS-D in overdose. Future research, with adequate sample size, should examine contributions of other variables to the pattern of recovery over time. PMID:26485340

  3. The Lilongwe Central Hospital Patient Management Information System: A Success in Computer-Based Order Entry Where One Might Least Expect It

    PubMed Central

    GP, Douglas; RA, Deula; SE, Connor

    2003-01-01

    Computer-based order entry is a powerful tool for enhancing patient care. A pilot project in the pediatric department of the Lilongwe Central Hospital (LCH) in Malawi, Africa has demonstrated that computer-based order entry (COE): 1) can be successfully deployed and adopted in resource-poor settings, 2) can be built, deployed and sustained at relatively low cost and with local resources, and 3) has a greater potential to improve patient care in developing than in developed countries. PMID:14728338

  4. Serotype Diversity of Foot-and-Mouth-Disease Virus in Livestock without History of Vaccination in the Far North Region of Cameroon.

    PubMed

    Ludi, A; Ahmed, Z; Pomeroy, L W; Pauszek, S J; Smoliga, G R; Moritz, M; Dickmu, S; Abdoulkadiri, S; Arzt, J; Garabed, R; Rodriguez, L L

    2016-02-01

    Little information is available about the natural cycle of foot-and-mouth disease (FMD) in the absence of control measures such as vaccination. Cameroon presents a unique opportunity for epidemiological studies because FMD vaccination is not practiced. We carried out a prospective study including serological, antigenic and genetic aspects of FMD virus (FMDV) infections among different livestock production systems in the Far North of Cameroon to gain insight into the natural ecology of the virus. We found serological evidence of FMDV infection in over 75% of the animals sampled with no significant differences of prevalence observed among the sampled groups (i.e. market, sedentary, transboundary trade and mobile). We also found antibodies reactive to five of the seven FMDV serotypes (A, O, SAT1, SAT2 and SAT3) among the animals sampled. Finally, we were able to genetically characterize viruses obtained from clinical and subclinical FMD infections in Cameroon. Serotype O viruses grouped into two topotypes (West and East Africa). SAT2 viruses grouped with viruses from Central and Northern Africa, notably within the sublineage causing the large epidemic in Northern Africa in 2012, suggesting a common origin for these viruses. This research will guide future interventions for the control of FMD such as improved diagnostics, guidance for vaccine formulation and epidemiological understanding in support of the progressive control of FMD in Cameroon.

  5. Simian Immunodeficiency Virus Infection in Wild-Caught Chimpanzees from Cameroon

    PubMed Central

    Nerrienet, Eric; Santiago, Mario L.; Foupouapouognigni, Yacouba; Bailes, Elizabeth; Mundy, Nicolas I.; Njinku, Bernadette; Kfutwah, Anfumbom; Muller-Trutwin, Michaela C.; Barre-Sinoussi, Françoise; Shaw, George M.; Sharp, Paul M.; Hahn, Beatrice H.; Ayouba, Ahidjo

    2005-01-01

    Simian immunodeficiency viruses (SIVcpz) infecting chimpanzees (Pan troglodytes) in west central Africa are the closest relatives to all major variants of human immunodeficiency virus type 1 ([HIV-1]; groups M, N and O), and have thus been implicated as the source of the human infections; however, information concerning the prevalence, geographic distribution, and subspecies association of SIVcpz still remains limited. In this study, we tested 71 wild-caught chimpanzees from Cameroon for evidence of SIVcpz infection. Thirty-nine of these were of the central subspecies (Pan troglodytes troglodytes), and 32 were of the Nigerian subspecies (Pan troglodytes vellerosus), as determined by mitochondrial DNA analysis. Serological analysis determined that one P. t. troglodytes ape (CAM13) harbored serum antibodies that cross-reacted strongly with HIV-1 antigens; all other apes were seronegative. To characterize the newly identified virus, 14 partially overlapping viral fragments were amplified from fecal virion RNA and concatenated to yield a complete SIVcpz genome (9,284 bp). Phylogenetic analyses revealed that SIVcpzCAM13 fell well within the radiation of the SIVcpzPtt group of viruses, as part of a clade including all other SIVcpzPtt strains as well as HIV-1 groups M and N. However, SIVcpzCAM13 clustered most closely with SIVcpzGAB1 from Gabon rather than with SIVcpzCAM3 and SIVcpzCAM5 from Cameroon, indicating the existence of divergent SIVcpzPtt lineages within the same geographic region. These data, together with evidence of recombination among ancestral SIVcpzPtt lineages, indicate long-standing endemic infection of central chimpanzees and reaffirm a west central African origin of HIV-1. Whether P. t. vellerosus apes are naturally infected with SIVcpz requires further study. PMID:15613358

  6. Campano-Maastrichtian foraminifera from onshore sediments in the Rio del Rey Basin, Southwest Cameroon

    NASA Astrophysics Data System (ADS)

    Njoh, Oliver Anoh; Victor, Obiosio; Christopher, Agyingi

    2013-03-01

    Campanian-Maastrichtian marine sediments outcrop in five genetically linked sedimentary basins along the West African coast in the Gulf of Guinea, from the Douala Basin in Cameroon to the Anambra Basin in Nigeria. These sediments in the more centrally located Rio del Rey Basin have been the least studied. Therefore, the geologic history of this region has merely been speculative. The Rio del Rey Basin like the adjacent Niger Delta is producing hydrocarbon from the offshore Tertiary sedimentary interval in which all studies have been focused, neglecting the onshore Cretaceous sediments. Outcrops in the basin are rare, small and highly weathered. Samples from some of these sediments have yielded a few Planktonic and dominantly benthonic foraminiferal assemblages. The long-ranging heterohelix and hedbergellids characterized the planktics while the species Afrobolivina afra which is a well known diagnostic taxon for Campanian-Maastrichtian sediments in West African basins clearly dominate the benthic assemblage. Its occurrence in association with other Upper Cretaceous forms such as Bolivina explicata, Praebulimina exiqua, Gabonita lata, Ammobaculites coprolithiformis amongst others, formed the basis on which this age was assigned to the sediments sampled from the Rio del Rey Basin. Hence, this work has undoubtedly established the much needed link in this regional geologic history and correlates these sediments with the Logbaba and Nkporo Formations in the Douala Basin in Cameroon and the southeastern Nigerian Sedimentary Basins. Thus, these units were all deposited during this same geologic period and probably controlled by the same geologic event.

  7. The Two-Phase Emergence of Non Pandemic HIV-1 Group O in Cameroon.

    PubMed

    Leoz, Marie; Feyertag, Felix; Kfutwah, Anfumbom; Mauclère, Philippe; Lachenal, Guillaume; Damond, Florence; De Oliveira, Fabienne; Lemée, Véronique; Simon, François; Robertson, David L; Plantier, Jean-Christophe

    2015-08-01

    Unlike the pandemic form of HIV-1 (group M), group O viruses are endemic in west central Africa, especially in Cameroon. However, little is known about group O's genetic evolution, and why this highly divergent lineage has not become pandemic. Using a unique and large set of group O sequences from samples collected from 1987 to 2012, we find that this lineage has evolved in successive slow and fast phases of diversification, with a most recent common ancestor estimated to have existed around 1930 (1914-1944). The most rapid periods of diversification occurred in the 1950s and in the 1980s, and could be linked to favourable epidemiological contexts in Cameroon. Group O genetic diversity reflects this two-phase evolution, with two distinct populations potentially having different viral properties. The currently predominant viral population emerged in the 1980s, from an ancient population which had first developed in the 1950s, and is characterized by higher growth and evolutionary rates, and the natural presence of the Y181C resistance mutation, thought to confer a phenotypic advantage. Our findings show that although this evolutionary pattern is specific to HIV-1 group O, it paralleled the early spread of HIV-1 group M in the Democratic Republic of Congo. Both viral lineages are likely to have benefited from similar epidemiological contexts. The relative role of virological and social factors in the distinct epidemic histories of HIV-1 group O and M needs to be reassessed. PMID:26241860

  8. General overview of the disaster management framework in Cameroon.

    PubMed

    Bang, Henry Ngenyam

    2014-07-01

    Efficient and effective disaster management will prevent many hazardous events from becoming disasters. This paper constitutes the most comprehensive document on the natural disaster management framework of Cameroon. It reviews critically disaster management in Cameroon, examining the various legislative, institutional, and administrative frameworks that help to facilitate the process. Furthermore, it illuminates the vital role that disaster managers at the national, regional, and local level play to ease the process. Using empirical data, the study analyses the efficiency and effectiveness of the actions of disaster managers. Its findings reveal inadequate disaster management policies, poor coordination between disaster management institutions at the national level, the lack of trained disaster managers, a skewed disaster management system, and a top-down hierarchical structure within Cameroon's disaster management framework. By scrutinising the disaster management framework of the country, policy recommendations based on the research findings are made on the institutional and administrative frameworks.

  9. General public knowledge, attitudes, and practices with respect to epilepsy in the Batibo Health District, Cameroon.

    PubMed

    Njamnshi, Alfred K; Angwafor, Samuel A; Tabah, Earnest N; Jallon, Pierre; Muna, Walinjom F T

    2009-01-01

    Our aim was to obtain baseline data for an epilepsy education program adapted to communities in Cameroon. We conducted 302 face-to-face interviews with patients without epilepsy, caregivers, and visitors in the Batibo District Hospital. Most respondents (99.3%) had heard or read about epilepsy, 89.7% knew someone with epilepsy, and 87.7% had witnessed a seizure. About 43% would object to associating with people with epilepsy (PWE) and 75.8% would object to their children marrying PWE, whereas 35.1% would offer PWE equal employment. Predictors of negative attitudes were: advanced age, lack of formal education, and the belief that epilepsy is hereditary, contagious, or a form of insanity. In conclusion, the high level of public awareness of epilepsy in the Batibo Health District may reflect the magnitude of the condition, contrasting with the prevalent negative attitudes. A successful epilepsy education program must take into account the beliefs and value systems of the community.

  10. [Telemedicine, a medical social network for humanitarian aid between Spain and Cameroon].

    PubMed

    Pérez-Manchón, David

    2015-01-01

    The application of information technologies and telecommunications in healthcare in southern countries can improve the health of millions of people living in poverty without access to high-quality health services. Specifically, telemedicine not synchronized with internet platforms is a very efficient option for international cooperation projects. Since its inception, the project Health 2.0: professionals from Africa-Spain connected, of the Spanish organization, Foundation Recover, Hospitals for Africa, has managed to connect health professionals from both continents with the goal of improving health in Cameroon. Thanks to a social network with the scientific format of case management and clinical updates, Spanish physicians collaborate through volunteer e-health in the training of their African colleagues to improve the quality of care provided to residents and also create sources of knowledge and research.

  11. Uncovering high rates of unsafe injection equipment reuse in rural Cameroon: validation of a survey instrument that probes for specific misconceptions

    PubMed Central

    2011-01-01

    Background Unsafe reuse of injection equipment in hospitals is an on-going threat to patient safety in many parts of Africa. The extent of this problem is difficult to measure. Standard WHO injection safety assessment protocols used in the 2003 national injection safety assessment in Cameroon are problematic because health workers often behave differently under the observation of visitors. The main objective of this study is to assess the extent of unsafe injection equipment reuse and potential for blood-borne virus transmission in Cameroon. This can be done by probing for misconceptions about injection safety that explain reuse without sterilization. These misconceptions concern useless precautions against cross-contamination, i.e. "indirect reuse" of injection equipment. To investigate whether a shortage of supply explains unsafe reuse, we compared our survey data against records of purchases. Methods All health workers at public hospitals in two health districts in the Northwest Province of Cameroon were interviewed about their own injection practices. Injection equipment supply purchase records documented for January to December 2009 were compared with self-reported rates of syringe reuse. The number of HIV, HBV and HCV infections that result from unsafe medical injections in these health districts is estimated from the frequency of unsafe reuse, the number of injections performed, the probability that reused injection equipment had just been used on an infected patient, the size of the susceptible population, and the transmission efficiency of each virus in an injection. Results Injection equipment reuse occurs commonly in the Northwest Province of Cameroon, practiced by 44% of health workers at public hospitals. Self-reported rates of syringe reuse only partly explained by records on injection equipment supplied to these hospitals, showing a shortage of syringes where syringes are reused. Injection safety interventions could prevent an estimated 14-336 HIV

  12. Patterns of cardiovascular disease in a group of HIV-infected adults in Yaoundé, Cameroon

    PubMed Central

    Menanga, Alain Patrick; Ngomseu, Christelle Kougang; Jingi, Ahmadou M.; Mfangam, Brigitte Molu; Gweth, Marie Ntep; Blackett, Kathleen Ngu; Kingue, Samuel

    2015-01-01

    Background Cardiovascular disease is an increasingly important issue in human immunodeficiency viral (HIV)-infected individuals. There is dearth of information on the patterns of cardiovascular disease especially in sub-Saharan Africa (SSA) patients. This study reports on the clinical, biological, electrocardiographic and echocardiographic characteristics of a group of HIV-infected patients presenting with symptoms of heart disease in Yaoundé, Cameroon. Methods This was a cross-sectional study conducted at the Yaoundé Central Hospital and Jamot Hospital. Consenting HIV-infected adults aged ≥18 years with symptoms suggestive of heart disease were consecutively recruited between February and July 2014. All participants underwent a complete clinical examination; biological analyses including CD4 cell counts, fasting blood glucose, and serum lipids, resting electrocardiography and cardiac ultrasound, and a venous ultrasound where necessary. Results Forty four subjects (21 men) were included. Their mean age was 48 (SD 13) years. Thirty patients (68.2%) were in WHO clinical stages 3 and 4 of HIV infection, 27 (61.4%) had a CD4 cell count <200/mm3, and 31 (70.5%) were on antiretroviral therapy (ART). Hypertension (43.2%, n=19) was the most frequent cardiovascular risk factor; and dyslipidemia which was found in 17 subjects (38.6%) was significantly associated with ART (48.4% vs. 15.4%, P=0.04). Only men where smokers (23% vs. 0%, P=0.019). Exertional dyspnea (86.4%, n=38) and cough (59.1%, n=26) were the most frequent symptoms, and the clinical presentation was dominated by heart failure (75%, n=33). The most frequent echocardiographic abnormalities were pericardial effusion (45.5%, n=20) and dilated cardiomyopathy (22.7%, n=10). Dilated cardiomyopathy was significantly associated with CD4 cell counts <200/mm3 (100%, P=0.003). Primary pulmonary hypertension (PH) rate was 11.4% (n=5) and all cases occurred at CD4 cell counts ≥200/mm3 (P=0.005). The most frequent

  13. [Hi-tech center of outpatient care (To the 40th anniversary of the Branch N 6 of the Vishnevsky Central military clinical hospital N 3)].

    PubMed

    Popov, A P

    2015-10-01

    The authors present the history of the branch N 6 of the Federal States Organization "the Vishnevsky Central Military Clinical Hospital N 3" of the Ministry of Defense of the Russian Federation, which dates back to November 1, 1974. Over the past years, organizational and staff structure; and the name of the clinic (45th central polyclinic, 45th central consultative-diagnostic polyclinic, 52nd Advisory Diagnostic Center of Defense) has repeatedly changed, but the core the work stays unchangeable--to continually improve patient care technology, to be the leader in the outpatient care for soldiers, reserve officers (retired), members of their families. The. branch consists of 58 medical and 19 specialized diagnostic departments, including 4 hospital departments, 1845 employee work at the branch. Among them 4 doctors of medical science and 43 candidates of medical sciences, 20 honoured physicians and 10 honoured health workers of republic. 70% of doctors and 93% of nurses have the highest qualification category. To health care in the Branch are more than 110 thousand people. PMID:26827510

  14. [Hi-tech center of outpatient care (To the 40th anniversary of the Branch N 6 of the Vishnevsky Central military clinical hospital N 3)].

    PubMed

    Popov, A P

    2015-10-01

    The authors present the history of the branch N 6 of the Federal States Organization "the Vishnevsky Central Military Clinical Hospital N 3" of the Ministry of Defense of the Russian Federation, which dates back to November 1, 1974. Over the past years, organizational and staff structure; and the name of the clinic (45th central polyclinic, 45th central consultative-diagnostic polyclinic, 52nd Advisory Diagnostic Center of Defense) has repeatedly changed, but the core the work stays unchangeable--to continually improve patient care technology, to be the leader in the outpatient care for soldiers, reserve officers (retired), members of their families. The. branch consists of 58 medical and 19 specialized diagnostic departments, including 4 hospital departments, 1845 employee work at the branch. Among them 4 doctors of medical science and 43 candidates of medical sciences, 20 honoured physicians and 10 honoured health workers of republic. 70% of doctors and 93% of nurses have the highest qualification category. To health care in the Branch are more than 110 thousand people.

  15. Mycobacterium tuberculosis is the causative agent of tuberculosis in the southern ecological zones of Cameroon, as shown by genetic analysis

    PubMed Central

    2013-01-01

    Background Tuberculosis (TB) is a major cause of mortality and suffering worldwide, with over 95% of TB deaths occurring in low- and middle-income countries. In recent years, molecular typing methods have been widely used in epidemiological studies to aid the control of TB, but this usage has not been the case with many African countries, including Cameroon. The aims of the present investigation were to identify and evaluate the diversity of the Mycobacterium tuberculosis complex (MTBC) isolates circulating in two ecological zones of Cameroon, seven years after the last studies in the West Region, and after the re-organization of the National TB Control Program (NTBCP). These were expected to shed light also on the transmission of TB in the country. The study was conducted from February to July 2009. During this period, 169 patients with symptomatic disease and with sputum cultures that were positive for MTBC were randomly selected for the study from amongst 964 suspected patients in the savannah mosaic zone (West and North West regions) and the tropical rainforest zone (Central region). After culture and diagnosis, DNA was extracted from each of the MTBC isolates and transported to the BecA-ILRI Hub in Nairobi, Kenya for molecular analysis. Methods Genetic characterization was done by mycobacterial interspersed repetitive unit–variable number tandem repeat typing (MIRU-VNTR) and Spoligotyping. Results Molecular analysis showed that all TB cases reported in this study were caused by infections with Mycobacterium tuberculosis (98.8%) and Mycobacterium africanum (M. africanum) (1.2%) respectively. We did not detect any M. bovis. Comparative analyses using spoligotyping revealed that the majority of isolates belong to major clades of M. tuberculosis: Haarlem (7.6%), Latin American-Mediterranean (34.4%) and T clade (26.7%); the remaining isolates (31.3%) where distributed among the minor clades. The predominant group of isolates (34.4%) corresponded to spoligotype 61

  16. Lead exposure from aluminum cookware in Cameroon.

    PubMed

    Weidenhamer, Jeffrey D; Kobunski, Peter A; Kuepouo, Gilbert; Corbin, Rebecca W; Gottesfeld, Perry

    2014-10-15

    Blood lead levels have decreased following the removal of lead from gasoline in most of the world. However, numerous recent studies provide evidence that elevated blood lead levels persist in many low and middle-income countries around the world at much higher prevalence than in the more developed countries. One potential source of lead exposure that has not been widely investigated is the leaching of lead from artisanal aluminum cookware, which is commonly used in the developing world. Twenty-nine samples of aluminum cookware and utensils manufactured by local artisans in Cameroon were collected and analyzed for their potential to release lead during cooking. Source materials for this cookware included scrap metal such as engine parts, radiators, cans, and construction materials. The lead content of this cookware is relatively low (<1000 ppm by X-ray fluorescence), however significant amounts of lead, as well as aluminum and cadmium were released from many of the samples using dilute acetic acid extractions at boiling and ambient temperatures. Potential exposures to lead per serving were estimated to be as high as 260 μg, indicating that such cookware can pose a serious health hazard. We conclude that lead, aluminum and cadmium can migrate from this aluminum cookware during cooking and enter food at levels exceeding recommended public health guidelines. Our results support the need to regulate lead content of materials used to manufacture these pots. Artisanal aluminum cookware may be a major contributor to lead poisoning throughout the developing world. Testing of aluminum cookware in other developing countries is warranted. PMID:25087065

  17. Distribution of entomopathogenic nematodes in Southern Cameroon.

    PubMed

    Kanga, Françoise Ngo; Waeyenberge, Lieven; Hauser, Stefan; Moens, Maurice

    2012-01-01

    A first survey of entomopathogenic nematodes (EPN) was conducted in three agro-ecological zones of Southern Cameroon in 2007 and 2008. Entomopathogenic nematodes were recovered from 26 of 251 soil samples (10.4%). Three species, Heterorhabditis baujardi, Steinernema sp. A and Steinernema sp. B were found. The two steinernematids were considered unidentified species. Among the positive samples, 23 samples contained only H. baujardi (88.5%), two contained Steinernema sp. A co-occurring with H. baujardi (7.7%), and one sample contained Steinernema sp. B (3.9%). H. baujardi was frequent in forest and fruit crop (cocoa and oil palm plantations). Steinernema sp. A was found in a tree plantation of teak, Steinernema sp. B in a forest habitat. Nematodes were mostly present in acidic soils with pH ranging from 3.7 to 7.0. The highest EPN presence was recorded in sandy loam, sandy clay loam, sandy clay and clay soils. EPNs were not recovered in sand, loamy sand and clay loam soils. Using principal component analysis for elucidating the major variation patterns among sampling sites, four factors explaining for 73.64% of the overall variance were extracted. Factors were a combination of geographical (latitude, longitude, altitude), soil (pH, contents of sand, silt and clay, organic carbon, texture), and moisture (wilting point, field capacity) parameters as well as climatic parameters (mean annual rainfall, mean air temperature). Logistic regression and redundancy analyses (RDA) revealed that soil pH, longitude, available water and altitude were associated with presence and absence of EPN. Both logistic regression and RDA indicated that, increasing soil pH and longitude, associated with decreasing altitude, led to higher percentages of samples containing entomopathogenic nematodes.

  18. Cholera public health surveillance in the Republic of Cameroon-opportunities and challenges

    PubMed Central

    Ngwa, Moise Chi; Liang, Song; Mbam, Leonard Mbam; Mouhaman, Arabi; Teboh, Andrew; Brekmo, Kaousseri; Mevoula, Onana; Morris, John Glenn

    2016-01-01

    Introduction In Cameroon, cholera has periodically resurfaced since it was first reported in 1971. In 2003, Cameroon adapted the Integrated Disease Surveillance and Response (IDSR) strategy to strengthen surveillance in the country. This study was an in-depth description and assessment of the structure, core and support functions, and attributes of the current cholera surveillance system in Cameroon. It also discussed its strengths and challenges with hope that lessons learned could improve the system in Cameroon and in other countries in Africa implementing the IDSR strategy. Methods Semi-structured key informant interviews, peer reviewed articles, and government record review were conducted in the Far North and Centre Regions of Cameroon. We used the matrix and conceptual framework from the World Health Organization (WHO) and Centers for Disease Control and Prevention, WHO Regional Office for Africa Technical Guidelines to frame the study. Site visits included the WHO country office, the ministry of public health (MoPH), two Regional Public Health Delegations (RPHDs), eight health districts (HDs) and health facilities (HFs) including two labs. Results Cholera surveillance is passive but turns active during outbreaks and follows a hierarchical structure. Cholera data are collected at HFs and sent to HDs where data are compiled and sent to the RPHD in paper format. RPHDs de-identify, digitalize, and send the data to the MoPH via internet and from there to the WHO. The case definition was officially changed in 2010 but the outdated definition was still in use in 2013. Nationally, there are 3 laboratories that have the ability to confirm cholera cases; the lack of laboratory capacity at HFs hampers case and outbreak confirmation. The absence of structured data analysis at the RPHD, HD, and HF further compounds the situation, making the goal of IDSR of data analysis and rapid response at the HD very challenging. Feedback is strongest at the central level (MoPH) and

  19. Transpressional granite-emplacement model: Structural and magnetic study of the Pan-African Bandja granitic pluton (West Cameroon)

    NASA Astrophysics Data System (ADS)

    Sandjo, A. F. Yakeu; Njanko, T.; Njonfang, E.; Errami, E.; Rochette, P.; Fozing, E.

    2016-02-01

    The Pan-African NE-SW elongated Bandja granitic pluton, located at the western part of the Pan-African belt in Cameroon, is a K-feldspar megacryst granite. It is emplaced in banded gneiss and its NW border underwent mylonitization. The magmatic foliation shows NE-SW and NNE-SSW strike directions with moderate to strong dip respectively in its northern and central parts. This mostly, ferromagnetic granite displays magnetic fabrics carried by magnetite and characterized by (i) magnetic foliation with best poles at 295/34, 283/33 and 35/59 respectively in its northern, central and southern parts and (ii) a subhorizontal magnetic lineation with best line at 37/8, 191/9 and 267/22 respectively in the northern, central and southern parts. Magnetic lineation shows an `S' shape trend that allows to (1) consider the complete emplacement and deformation of the pluton during the Pan-African D 2 and D 3 events which occurred in the Pan-African belt in Cameroon and (2) reorganize Pan-African ages from Nguiessi Tchakam et al. (1997) compared with those of the other granitic plutons in the belt as: 686 ±17 Ma (Rb/Sr) for D 1 age of metamorphism recorded in gneiss; and the period between 604-557 Ma for D 2-D 3 emplacement and deformation age of the granitic pluton in a dextral ENE-WSW shear movement.

  20. Nitrate contamination of groundwater in two areas of the Cameroon Volcanic Line (Banana Plain and Mount Cameroon area)

    NASA Astrophysics Data System (ADS)

    Ako, Andrew Ako; Eyong, Gloria Eneke Takem; Shimada, Jun; Koike, Katsuaki; Hosono, Takahiro; Ichiyanagi, Kimpei; Richard, Akoachere; Tandia, Beatrice Ketchemen; Nkeng, George Elambo; Roger, Ntankouo Njila

    2014-06-01

    Water containing high concentrations of nitrate is unfit for human consumption and, if discharging to freshwater or marine habitats, can contribute to algal blooms and eutrophication. The level of nitrate contamination in groundwater of two densely populated, agro-industrial areas of the Cameroon Volcanic Line (CVL) (Banana Plain and Mount Cameroon area) was evaluated. A total of 100 samples from boreholes, open wells and springs (67 from the Banana Plain; 33 from springs only, in the Mount Cameroon area) were collected in April 2009 and January 2010 and analyzed for chemical constituents, including nitrates. The average groundwater nitrate concentrations for the studied areas are: 17.28 mg/l for the Banana Plain and 2.90 mg/l for the Mount Cameroon area. Overall, groundwaters are relatively free from excessive nitrate contamination, with nitrate concentrations in only 6 % of groundwater resources in the Banana Plain exceeding the maximum admissible concentration for drinking water (50 mg/l). Sources of NO3 - in groundwater of this region may be mainly anthropogenic (N-fertilizers, sewerage, animal waste, organic manure, pit latrines, etc.). Multivariate statistical analyses of the hydrochemical data revealed that three factors were responsible for the groundwater chemistry (especially, degree of nitrate contamination): (1) a geogenic factor; (2) nitrate contamination factor; (3) ionic enrichment factor. The impact of anthropogenic activities, especially groundwater nitrate contamination, is more accentuated in the Banana Plain than in the Mount Cameroon area. This study also demonstrates the usefulness of multivariate statistical analysis in groundwater study as a supplementary tool for interpretation of complex hydrochemical data sets.

  1. Epidemiology and medical cost of hospitalization due to rotavirus gastroenteritis among children under 5 years of age in the central-east of Tunisia.

    PubMed

    Soltani, M S; Salah, A Ben; Bouanene, I; Trabelsi, A; Sfar, M T; Harbi, A; Gueddiche, M N; Farhat, E Ben

    2015-08-01

    Data on the economic burden of rotavirus infection in Tunisia are needed to inform the decision to include rotavirus in routine childhood immunizations. This study aimed to describe the epidemiological profile of rotavirus disease in central-east Tunisia and to estimate its hospital cost. In the first stage - the prospective collection of epidemiological data - we enrolled all patients < 5 years old who were hospitalized for acute diarrhoea at 5 university paediatric departments in central-east Tunisia during the period 2009-2011. Rotavirus was responsible for 65 (23.3%) of the 279 cases enrolled. In the second stage, cost data were collected retrospectively using an activity-based costing method from the medical records of the children who were positively diagnosed with rotavirus. The average cost of care per child was TD 433 (SD 134). This is a significant economic burden in Tunisia, where a safe and effective vaccine is available but not yet introduced to the immunization schedule. PMID:26446530

  2. Molecular surveillance of rotavirus strains circulating in Yaoundé, Cameroon, September 2007-December 2012.

    PubMed

    Boula, Angeline; Waku-Kouomou, Diane; Njiki Kinkela, Mina; Esona, Mathew D; Kemajou, Grace; Mekontso, David; Seheri, Mapaseka; Ndze, Valantine Ngum; Emah, Irene; Ela, Serge; Dahl, Benjamin A; Kobela, Marie; Cavallaro, Kathleen F; Etoundi Mballa, Georges Alain; Genstch, Jon R; Bowen, Michael D; Koki Ndombo, Paul

    2014-12-01

    Rotavirus is the most common cause of severe diarrheal disease in children under 5 years of age worldwide. The World Health Organization (WHO) estimated that 453,000 rotavirus-attributable deaths occur annually. Through the WHO, the Rotavirus Sentinel Surveillance Program was established in Cameroon in September 2007 with the Mother and Child Center (MCC) in Yaoundé playing the role of sentinel site and national laboratory for this program. The objectives of this surveillance were to assess the rotavirus disease burden and collect baseline information on rotavirus strains circulating in Cameroon. Diarrheal stool samples were collected in a pediatric hospital from children under 5, using the WHO case definition for rotavirus diarrhea. Antigen detection of rotavirus was performed by using an enzyme immunoassay (EIA). The genotypic characterization was performed using multiplexed semi-nested reverse transcription-polymerase chain reaction (RT-PCR) assays. Between September 2007 and December 2012, 2444 stool samples were received at the MCC laboratory for rotavirus antigen detection, of which 999 (41%) were EIA positive. Among EIA positive samples 898 were genotyped. Genotype prevalence varied each year. Genotype G9P[8] was the dominant type during 2007 (32%) and 2008 (24%), genotype G3P[6] predominated in 2010 (36%) and 2011 (25%), and G1P[8] was predominant in 2012 (44%). The findings showed that the rotavirus disease burden is high and there is a broad range of rotavirus strains circulating in Yaoundé. These data will help measure the impact of vaccination in the future.

  3. Hospital costs of central line-associated bloodstream infections and cost-effectiveness of closed vs. open infusion containers. The case of Intensive Care Units in Italy

    PubMed Central

    2010-01-01

    Objectives The aim was to evaluate direct health care costs of central line-associated bloodstream infections (CLABSI) and to calculate the cost-effectiveness ratio of closed fully collapsible plastic intravenous infusion containers vs. open (glass) infusion containers. Methods A two-year, prospective case-control study was undertaken in four intensive care units in an Italian teaching hospital. Patients with CLABSI (cases) and patients without CLABSI (controls) were matched for admission departments, gender, age, and average severity of illness score. Costs were estimated according to micro-costing approach. In the cost effectiveness analysis, the cost component was assessed as the difference between production costs while effectiveness was measured by CLABSI rate (number of CLABSI per 1000 central line days) associated with the two infusion containers. Results A total of 43 cases of CLABSI were compared with 97 matched controls. The mean age of cases and controls was 62.1 and 66.6 years, respectively (p = 0.143); 56% of the cases and 57% of the controls were females (p = 0.922). The mean length of stay of cases and controls was 17.41 and 8.55 days, respectively (p < 0.001). Overall, the mean total costs of patients with and without CLABSI were € 18,241 and € 9,087, respectively (p < 0.001). On average, the extra cost for drugs was € 843 (p < 0.001), for supplies € 133 (p = 0.116), for lab tests € 171 (p < 0.001), and for specialist visits € 15 (p = 0.019). The mean extra cost for hospital stay (overhead) was € 7,180 (p < 0.001). The closed infusion container was a dominant strategy. It resulted in lower CLABSI rates (3.5 vs. 8.2 CLABSIs per 1000 central line days for closed vs. open infusion container) without any significant difference in total production costs. The higher acquisition cost of the closed infusion container was offset by savings incurred in other phases of production, especially waste management. Conclusions CLABSI results in

  4. Prevalence, correlates and pattern of Hepatitis B among antenatal clinic attenders in Yaounde-Cameroon: is perinatal transmission of HBV neglected in Cameroon?

    PubMed Central

    2013-01-01

    Background Few studies have evaluated the prevalence of HBV in the general Cameroonian population or among antenatal attendants. The aim of this study was to determine the prevalence, correlates and patterns of Hepatitis B surface antigen among pregnant women attending antenatal care in Yaounde-Cameroon. Methods This was a cross-sectional multicenter study carried out in a referral hospital and two secondary hospitals in Yaounde, the capital of Cameroon. The study lasted 15 months (March 2011 to June 2012), and recruited 959 pregnant women. Patient recruitment was consecutive. The HBsAg was tested using the Monalisa HBsAg Ultra ELISA kit. Other hepatitis B markers were equally tested. We used the statistical package for social sciences (SPSS) version 14.0 software to conduct a quantitative analysis of the derived data. Simple descriptive statistics such as means, standard deviations, and proportions were used to describe the data. We tested for association in categorical variables using the chi-squared (χ2) test. The odds ratio (OR) and the corresponding 95% confidence intervals (95% CI) were used to summarise the strength of association between specific binary exposure and outcome variables. The level of statistical significance for the study was set at p < 0.05. Results The prevalence of hepatitis B infection (HBsAg) among antenatal clinic attenders in our setting was 7.7%. Amongst these women, just 5.4% were previously aware of their HBsAg status. The rate of HBV infectivity was high, with 28% of HBsAg positive women having evidence of HBeAg in their plasma, and up to 45.8% of these women lacking antibodies against hepatitis B e antigen (anti-HBe). About 41% of the pregnant women had had previous contact with HBV as evidenced by the positive status for anti-HBc. Just 2.7% of the pregnant women had previously been vaccinated against HBV. The mean age for HBsAg positivity in our setting was 26.9 ±4.7 years, and the most affected age group was the 25 – 29

  5. Why Are Nigeria-Cameroon Chimpanzees (Pan troglodytes ellioti) Free of SIVcpz Infection?

    PubMed

    Locatelli, Sabrina; Harrigan, Ryan J; Sesink Clee, Paul R; Mitchell, Matthew W; McKean, Kurt A; Smith, Thomas B; Gonder, Mary Katherine

    2016-01-01

    Simian immunodeficiency virus (SIV) naturally infects two subspecies of chimpanzee: Pan troglodytes troglodytes from Central Africa (SIVcpzPtt) and P. t. schweinfurtii from East Africa (SIVcpzPts), but is absent in P. t. verus from West Africa and appears to be absent in P. t. ellioti inhabiting Nigeria and western Cameroon. One explanation for this pattern is that P. t. troglodytes and P. t schweinfurthii may have acquired SIVcpz after their divergence from P. t. verus and P. t. ellioti. However, all of the subspecies, except P. t. verus, still occasionally exchange migrants making the absence of SIVcpz in P. t. ellioti puzzling. Sampling of P. t. ellioti has been minimal to date, particularly along the banks of the Sanaga River, where its range abuts that of P. t. troglodytes. This study had three objectives. First, we extended the sampling of SIVcpz across the range of chimpanzees north of the Sanaga River to address whether under-sampling might account for the absence of evidence for SIVcpz infection in P. t. ellioti. Second, we investigated how environmental variation is associated with the spread and prevalence of SIVcpz in the two chimpanzee subspecies inhabiting Cameroon since environmental variation has been shown to contribute to their divergence from one another. Finally, we compared the prevalence and distribution of SIVcpz with that of Simian Foamy Virus (SFV) to examine the role of ecology and behavior in shaping the distribution of diseases in wild host populations. The dataset includes previously published results on SIVcpz infection and SFVcpz as well as newly collected data, and represents over 1000 chimpanzee fecal samples from 41 locations across Cameroon. Results revealed that none of the 181 P. t. ellioti fecal samples collected across the range of P. t. ellioti tested positive for SIVcpz. In addition, species distribution models suggest that environmental variation contributes to differences in the distribution and prevalence of SIVcpz and

  6. Why Are Nigeria-Cameroon Chimpanzees (Pan troglodytes ellioti) Free of SIVcpz Infection?

    PubMed

    Locatelli, Sabrina; Harrigan, Ryan J; Sesink Clee, Paul R; Mitchell, Matthew W; McKean, Kurt A; Smith, Thomas B; Gonder, Mary Katherine

    2016-01-01

    Simian immunodeficiency virus (SIV) naturally infects two subspecies of chimpanzee: Pan troglodytes troglodytes from Central Africa (SIVcpzPtt) and P. t. schweinfurtii from East Africa (SIVcpzPts), but is absent in P. t. verus from West Africa and appears to be absent in P. t. ellioti inhabiting Nigeria and western Cameroon. One explanation for this pattern is that P. t. troglodytes and P. t schweinfurthii may have acquired SIVcpz after their divergence from P. t. verus and P. t. ellioti. However, all of the subspecies, except P. t. verus, still occasionally exchange migrants making the absence of SIVcpz in P. t. ellioti puzzling. Sampling of P. t. ellioti has been minimal to date, particularly along the banks of the Sanaga River, where its range abuts that of P. t. troglodytes. This study had three objectives. First, we extended the sampling of SIVcpz across the range of chimpanzees north of the Sanaga River to address whether under-sampling might account for the absence of evidence for SIVcpz infection in P. t. ellioti. Second, we investigated how environmental variation is associated with the spread and prevalence of SIVcpz in the two chimpanzee subspecies inhabiting Cameroon since environmental variation has been shown to contribute to their divergence from one another. Finally, we compared the prevalence and distribution of SIVcpz with that of Simian Foamy Virus (SFV) to examine the role of ecology and behavior in shaping the distribution of diseases in wild host populations. The dataset includes previously published results on SIVcpz infection and SFVcpz as well as newly collected data, and represents over 1000 chimpanzee fecal samples from 41 locations across Cameroon. Results revealed that none of the 181 P. t. ellioti fecal samples collected across the range of P. t. ellioti tested positive for SIVcpz. In addition, species distribution models suggest that environmental variation contributes to differences in the distribution and prevalence of SIVcpz and

  7. [Iodine levels in food and soil in different regions in Cameroon].

    PubMed

    Taga, Ibrahim; Sameza, Modeste Lambert; Kayo, Anne Valerie; Ngogang, Jeanne

    2004-01-01

    Iodine deficiency diseases (IDD) are a public health problem in many developing countries, such as Cameroon. They are often the consequence of insufficient iodine intake and/or the effect of thiocyanate in foods such as cassava; this chemical inhibits iodine fixation by the thyroid gland. One method of combatting these diseases is to counsel and encourage the consumptions of iodine-rich foods. We accordingly undertook an evaluation of the iodine content of staple foods, the soil, and the salt in some zones of western Cameroon and in the capital. Food (63), salt (04) and soil (05) samples were collected in four villages of western Cameroon, and food (20), water (18) and salt samples (14) were collected in Yaoundé (central province). Iodine content in foods and soils was assessed by the catalytic destructive testing of thiocyanate by nitrate in the presence of iodine. Iodine content in water was determined colorimetrically after mineralization and in salt by volumetric methods. Results show that iodine levels in salt depend on its origin, but was much lower than the 50-100 ppm recommended by the WHO. Soil and water levels depended on the stream and the origin. Several of the more than 20 foods sampled from Yaoundé had iodine concentrations higher than 10 microg/100 g: plantain (22.5 microg/100 g), wheat flour (21 microg/100 g), corn flour (17.75 microg/100 g), groundnuts (12.5 microg/100 g), sweet potatoes (12.25 microg/100 g), zoom (11.34 microg/100 g) and rice (10.45 microg /100 g). In western villages, we noted that iodine levels in food crops depended on the soil levels. Nevertheless, it was high in cocoyam (79.5 microg/100 g), yarns (68 microg/100 g), potatoes (62 microg/100 g), plantains (58.15 microg/100 g), and red beans (53.93 microg/100 g). In general, these crops contain more iodine than the food in Yaoundé; these results can be used to combat IDD, especially among young children, teenagers and pregnant women.

  8. Identification of new, emerging HIV-1 unique recombinant forms and drug resistant viruses circulating in Cameroon

    PubMed Central

    2011-01-01

    Background The HIV epidemic in Cameroon is characterized by a high degree of viral genetic diversity with circulating recombinant forms (CRFs) being predominant. The goal of our study was to determine recent trends in virus evolution and emergence of drug resistance in blood donors and HIV positive patients. Methodology Blood specimens of 73 individuals were collected from three cities and a few villages in Cameroon and viruses were isolated by co-cultivation with PBMCs. Nested PCR was performed for gag p17 (670 bp) pol (840 bp) and Env gp41 (461 bp) genes. Sequences were phylogenetically analyzed using a reference set of sequences from the Los Alamos database. Results Phylogenetic analysis based on partial sequences revealed that 65% (n = 48) of strains were CRF02_AG, 4% (n = 3) subtype F2, 1% each belonged to CRF06 (n = 1), CRF11 (n = 1), subtype G (n = 1), subtype D (n = 1), CRF22_01A1 (n = 1), and 26% (n = 18) were Unique Recombinant Forms (URFs). Most URFs contained CRF02_AG in one or two HIV gene fragments analyzed. Furthermore, pol sequences of 61 viruses revealed drug resistance in 55.5% of patients on therapy and 44% of drug naïve individuals in the RT and protease regions. Overall URFs that had a primary HIV subtype designation in the pol region showed higher HIV-1 p24 levels than other recombinant forms in cell culture based replication kinetics studies. Conclusions Our results indicate that although CRF02_AG continues to be the predominant strain in Cameroon, phylogenetically the HIV epidemic is continuing to evolve as multiple recombinants of CRF02_AG and URFs were identified in the individuals studied. CRF02_AG recombinants that contained the pol region of a primary subtype showed higher replicative advantage than other variants. Identification of drug resistant strains in drug-naïve patients suggests that these viruses are being transmitted in the population studied. Our findings support the need for continued molecular surveillance in this region

  9. Why Are Nigeria-Cameroon Chimpanzees (Pan troglodytes ellioti) Free of SIVcpz Infection?

    PubMed Central

    Locatelli, Sabrina; Harrigan, Ryan J.; Sesink Clee, Paul R.; Mitchell, Matthew W; McKean, Kurt A.; Smith, Thomas B.; Gonder, Mary Katherine

    2016-01-01

    Simian immunodeficiency virus (SIV) naturally infects two subspecies of chimpanzee: Pan troglodytes troglodytes from Central Africa (SIVcpzPtt) and P. t. schweinfurtii from East Africa (SIVcpzPts), but is absent in P. t. verus from West Africa and appears to be absent in P. t. ellioti inhabiting Nigeria and western Cameroon. One explanation for this pattern is that P. t. troglodytes and P. t schweinfurthii may have acquired SIVcpz after their divergence from P. t. verus and P. t. ellioti. However, all of the subspecies, except P. t. verus, still occasionally exchange migrants making the absence of SIVcpz in P. t. ellioti puzzling. Sampling of P. t. ellioti has been minimal to date, particularly along the banks of the Sanaga River, where its range abuts that of P. t. troglodytes. This study had three objectives. First, we extended the sampling of SIVcpz across the range of chimpanzees north of the Sanaga River to address whether under-sampling might account for the absence of evidence for SIVcpz infection in P. t. ellioti. Second, we investigated how environmental variation is associated with the spread and prevalence of SIVcpz in the two chimpanzee subspecies inhabiting Cameroon since environmental variation has been shown to contribute to their divergence from one another. Finally, we compared the prevalence and distribution of SIVcpz with that of Simian Foamy Virus (SFV) to examine the role of ecology and behavior in shaping the distribution of diseases in wild host populations. The dataset includes previously published results on SIVcpz infection and SFVcpz as well as newly collected data, and represents over 1000 chimpanzee fecal samples from 41 locations across Cameroon. Results revealed that none of the 181 P. t. ellioti fecal samples collected across the range of P. t. ellioti tested positive for SIVcpz. In addition, species distribution models suggest that environmental variation contributes to differences in the distribution and prevalence of SIVcpz and

  10. Media reporting of tenofovir trials in Cambodia and Cameroon

    PubMed Central

    Mills, Edward; Rachlis, Beth; Wu, Ping; Wong, Elaine; Wilson, Kumanan; Singh, Sonal

    2005-01-01

    Background Two planned trials of pre-exposure prophylaxis tenofovir in Cambodia and Cameroon to prevent HIV infection in high-risk populations were closed due to activist pressure on host country governments. The international news media contributed substantially as the primary source of knowledge transfer regarding the trials. We aimed to characterize the nature of reporting, specifically focusing on the issues identified by media reports regarding each trial. Methods With the aid of an information specialist, we searched 3 electronic media databases, 5 electronic medical databases and extensively searched the Internet. In addition we contacted stakeholder groups. We included media reports addressing the trial closures, the reasons for the trial closures, and who was interviewed. We extracted data using content analysis independently, in duplicate. Results We included 24 reports on the Cambodian trial closure and 13 reports on the Cameroon trial closure. One academic news account incorrectly reported that it was an HIV vaccine trial that closed early. The primary reasons cited for the Cambodian trial closure were: a lack of medical insurance for trial related injuries (71%); human rights considerations (71%); study protocol concerns (46%); general suspicions regarding trial location (37%) and inadequate prevention counseling (29%). The primary reasons cited for the Cameroon trial closure were: inadequate access to care for seroconverters (69%); participants not sufficiently informed of risks (69%); inadequate number of staff (46%); participants being exploited (46%) and an unethical study design (38%). Only 3/23 (13%) reports acknowledged interviewing research personnel regarding the Cambodian trial, while 4/13 (30.8%) reports interviewed researchers involved in the Cameroon trial. Conclusion Our review indicates that the issues addressed and validity of the media reports of these trials is highly variable. Given the potential impact of the media in formulation of

  11. Chemical and isotopic characteristics of fluids along the cameroon volcanic line, cameroon

    USGS Publications Warehouse

    Tanyileke, G.Z.; Kusakabe, M.; Evans, William C.

    1996-01-01

    Results of the chemical and isotopic analysis of the water and gases discharged from volcanic crater lakes and soda springs located along the Cameroon Volcanic Line were used to characterize and infer their genetic relationships. Variations in the solute compositions of the waters indicate the dominant influence of silicate hydrolysis. Na+ (40-95%) constitutes the major cation in the springs while Fe2+ + Mg2+ (70%) dominate in the CO2-rich lakes. The principal anion is HCO3 (>90%), except in the coastal springs where Cl predominates. Lakes Nyos and Monoun have Fe-Mg-Ca-HCO3 type signatures; the soda springs are essentially Na-HCO3 type, while all other lakes show similar ionic compositions to dilute surface waters. Dissolved gases show essentially CO2 (>90%), with small amounts of Ar and N2, while CH4 constitutes the principal component in the non-gassy lakes. Active volcanic gases are generally absent, except in the Lobe spring with detectable H2S. Stable isotope ratio evidence indicates that the bicarbonate waters are essentially of meteoric origin. CO2 (??13C = -2 to -8???) and He (3He/4He = 1 to 5.6Ra) infer a mantle contribution to the total CO2. CH4 has a biogenic source, while Ar and N2 are essentially atmospheric in origin, but mixing is quite common.

  12. National surveillance data on the epidemiology of cholera in Cameroon.

    PubMed

    Djomassi, L Dempouo; Gessner, Bradford D; Andze, G Ondobo; Mballa, G A Etoundi

    2013-11-01

    Background. The cholera burden in Cameroon has increased during the past 2 decades. During 2010 and 2011, the largest number of cholera cases in Cameroon since February 1971 were reported. This article describes cholera outbreaks during 2010-2011. Methods. Data received from the national surveillance system from 2010 and 2011 were compiled and analyzed. Results. The first suspected cholera cases were reported in the Far North region on 6 May 2010. In 2010, 10 759 cholera cases were reported by 8 of the 10 regions in the country, with 657 deaths (case-fatality ratio [CFR], 6.1%). In 2011, through September 22, 17 121 suspected cholera cases, including 636 deaths (CFR, 3.7%), were reported all over the country. During 2010, the Far North region accounted for 87.6% of cases (9421/10 759) and 91.6% of deaths (602/657) recorded. By contrast, during 2011, 5 regions (Far North, North, Center, Southwest, and Littoral) accounted for 90.6% of cases (15 511/17 121) and 84.0% of deaths recorded. Vibrio cholerae was identified in 525 stool specimens, and all organisms were serogroup O1. Conclusions. The ongoing cholera outbreak in Cameroon increased in intensity and geographic spread from 2010 to 2011. Nevertheless, the overall CFR decreased during this period. Strengthening the early warning system and enhancing water, sanitation, and hygiene interventions and sensitization should be considered in addressing cholera outbreaks.

  13. Challenges in the Diagnosis and Management of Acquired Nontraumatic Urethral Strictures in Boys in Yaoundé, Cameroon

    PubMed Central

    Mouafo Tambo, F. F.; Fossi kamga, G.; Kamadjou, C.; Mbouche, L.; Nwaha Makon, A. S.; Birraux, J.; Andze, O. G.; Angwafo, F. F.; Mure, P. Y.

    2016-01-01

    Introduction. Urethral strictures in boys denote narrowing of the urethra which can be congenital or acquired. In case of acquired strictures, the etiology is iatrogenic or traumatic and rarely infectious or inflammatory. The aim of this study was to highlight the diagnostic and therapeutic difficulties of acquired nontraumatic urethral strictures in boys in Yaoundé, Cameroon. Methodology. The authors report five cases of nontraumatic urethral strictures managed at the Pediatric Surgery Department of the YGOPH over a two-year period (November 2012–November 2014). In order to confirm the diagnosis of urethral stricture, all patients were assessed with both cystourethrography and urethrocystoscopy. Results. In all the cases the urethra was inflammatory with either a single or multiple strictures. The surgical management included internal urethrotomy (n = 1), urethral dilatation (n = 1), vesicostomy (n = 2), and urethral catheterization (n = 3). With a median follow-up of 8.2 months (4–16 months) all patients remained symptoms-free. Conclusion. The authors report the difficulties encountered in the diagnosis and management of nontraumatic urethral strictures in boys at a tertiary hospital in Yaoundé, Cameroon. The existence of an inflammatory etiology of urethral strictures in boys deserves to be considered. PMID:27239364

  14. Acute Pelvic Inflammatory Disease in Cameroon: A Cross Sectional Descriptive Study.

    PubMed

    Nkwabong, Elie; Dingom, Madye A N

    2015-12-01

    This cross-sectional descriptive study, aimed at identifying the sociodemographic characteristics of women diagnosed with acute pelvic inflammatory disease (PID), as well as the microorganisms isolated, was carried out between October 1st, 2013 and March 31st, 2014 in two major hospitals in Yaoundé, Cameroon. Seventy women diagnosed with acute PID were recruited. The main variables recorded were maternal age, occupation, marital status, number of current sexual partners, the clinical presentation at admission and the microorganisms identified. Data were analyzed using SPSS 20.0. Mean maternal age was 29.0 ± 7.7 years. Students were more represented (37.1%), 58.6 % were single, 64.3% had ≥ 2 sexual partners. The most frequent signs and symptoms were abnormal vaginal discharge (100%), adnexal tenderness (97.1%), cervical motion tenderness (94.3%) and fever ≥ 38.3 degrees C (82.9%). No microorganism was isolated in 20% of cases, especially among women who underwent intra-uterine procedures. The most frequent microorganisms were genital tract mycoplasmas (54.3%). Acute PID is common among young, single women with multiple sexual partners. The micro-organisms frequently responsible for acute PID were genital tract mycoplasmas, whose identification should be included among routine tests for women with suspected acute PID in the hospitals. PMID:27337857

  15. Etiology and Epidemiology of Diarrhea in Hospitalized Children from Low Income Country: A Matched Case-Control Study in Central African Republic

    PubMed Central

    Breurec, Sébastien; Vanel, Noémie; Bata, Petulla; Chartier, Loïc; Farra, Alain; Favennec, Loïc; Franck, Thierry; Giles-Vernick, Tamara; Gody, Jean-Chrysostome; Luong Nguyen, Liem Binh; Onambélé, Manuella; Rafaï, Clotaire; Razakandrainibe, Romy; Tondeur, Laura; Tricou, Vianney; Sansonetti, Philippe; Vray, Muriel

    2016-01-01

    Background In Sub-Saharan Africa, infectious diarrhea is a major cause of morbidity and mortality. A case-control study was conducted to identify the etiology of diarrhea and to describe its main epidemiologic risk factors among hospitalized children under five years old in Bangui, Central African Republic. Methods All consecutive children under five years old hospitalized for diarrhea in the Pediatric Complex of Bangui for whom a parent’s written consent was provided were included. Controls matched by age, sex and neighborhood of residence of each case were included. For both cases and controls, demographic, socio-economic and anthropometric data were recorded. Stool samples were collected to identify enteropathogens at enrollment. Clinical examination data and blood samples were collected only for cases. Results A total of 333 cases and 333 controls was recruited between December 2011 and November 2013. The mean age of cases was 12.9 months, and 56% were male. The mean delay between the onset of first symptoms and hospital admission was 3.7 days. Blood was detected in 5% of stool samples from cases. Cases were significantly more severely or moderately malnourished than controls. One of the sought-for pathogens was identified in 78% and 40% of cases and controls, respectively. Most attributable cases of hospitalized diarrhea were due to rotavirus, with an attributable fraction of 39%. Four other pathogens were associated with hospitalized diarrhea: Shigella/EIEC, Cryptosporidium parvum/hominis, astrovirus and norovirus with attributable fraction of 9%, 10%, 7% and 7% respectively. Giardia intestinalis was found in more controls than cases, with a protective fraction of 6%. Conclusions Rotavirus, norovirus, astrovirus, Shigella/EIEC, Cryptosporidium parvum/hominis were found to be positively associated with severe diarrhea: while Giardia intestinalis was found negatively associated. Most attributable episodes of severe diarrhea were associated with rotavirus

  16. High prevalence and predominance of hepatitis delta virus genotype 1 infection in Cameroon.

    PubMed

    Foupouapouognigni, Yacouba; Noah, Dominique Noah; Sartre, Michèle Tagni; Njouom, Richard

    2011-03-01

    Antibodies to the hepatitis delta virus (HDV) were found in 17.6% of 233 hepatitis B virus surface antigen-positive subjects in Cameroon. Phylogenetic analyses showed the presence of HDV-1, HDV-5, HDV-6, and HDV-7 genotypes. These results enrich the limited data on HDV prevalence and molecular diversity in Cameroon.

  17. Adaptation of Regional Representative Soil Project and Soil Judging for Cameroon

    ERIC Educational Resources Information Center

    Che, Celestine Akuma

    2013-01-01

    Representative regional soils have agricultural, cultural, economic, environmental, and historical importance to Cameroon. Twenty seven regional representative soils have been identified in Cameroon. A set of laboratory exercises, assignments and exam questions have been developed utilizing the Regional Representative Soil Project (RRSP) that…

  18. Teachers' Perceptions of Students with Special Education Needs in Cameroon Secondary Schools

    ERIC Educational Resources Information Center

    Arrah, Rosemary Oneke; Swain, Kristine D.

    2014-01-01

    This study examined teachers' perceptions of including students with special education needs in Cameroon secondary schools. Teachers (N = 130) from five secondary government, denominational or lay private schools in Buea subdivision of Cameroon, Africa, completed a 26-item survey. The survey was analyzed using descriptive statistics, t-tests,…

  19. A comprehensive review of clinical nurse specialist-led peripherally inserted central catheter placement in Korea: 4101 cases in a tertiary hospital.

    PubMed

    Park, Jeong Yun; Kim, Hyun Lim

    2015-01-01

    Peripherally inserted central catheters (PICCs) are expected to be convenient and reliable venous access devices. The purpose of this study was to analyze clinical nurse specialist (CNS)-led PICC placement and to describe its growth in a tertiary hospital. A computerized database identified 3508 patients who had PICCs placed between November 2001 and June 2010. One thousand, eight hundred ninety-eight of the 4101 PICCs were available for complete follow-up, and 791 of 1898 PICCs were still in place. The mean dwell time of 1898 PICCs was 27.4 days (1∼422 days). Most PICCs were removed after the completion of infusion therapy; the remainder were removed following death, occlusion, suspected infection, or phlebitis, or were removed by the patient. The study found that CNS-led PICC placement for infusion therapies was effective and safe with relatively low complication rates and that CNSs played important roles in the increased use of PICCs.

  20. Lava flow risk maps at Mount Cameroon volcano

    NASA Astrophysics Data System (ADS)

    Favalli, M.; Fornaciai, A.; Papale, P.; Tarquini, S.

    2009-04-01

    Mount Cameroon, in the southwest Cameroon, is one of the most active volcanoes in Africa. Rising 4095 m asl, it has erupted nine times since the beginning of the past century, more recently in 1999 and 2000. Mount Cameroon documented eruptions are represented by moderate explosive and effusive eruptions occurred from both summit and flank vents. A 1922 SW-flank eruption produced a lava flow that reached the Atlantic coast near the village of Biboundi, and a lava flow from a 1999 south-flank eruption stopped only 200 m from the sea, threatening the villages of Bakingili and Dibunscha. More than 450,000 people live or work around the volcano, making the risk from lava flow invasion a great concern. In this work we propose both conventional hazard and risk maps and novel quantitative risk maps which relate vent locations to the expected total damage on existing buildings. These maps are based on lava flow simulations starting from 70,000 different vent locations, a probability distribution of vent opening, a law for the maximum length of lava flows, and a database of buildings. The simulations were run over the SRTM Digital Elevation Model (DEM) using DOWNFLOW, a fast DEM-driven model that is able to compute detailed invasion areas of lava flows from each vent. We present three different types of risk maps (90-m-pixel) for buildings around Mount Cameroon volcano: (1) a conventional risk map that assigns a probability of devastation by lava flows to each pixel representing buildings; (2) a reversed risk map where each pixel expresses the total damage expected as a consequence of vent opening in that pixel (the damage is expressed as the total surface of urbanized areas invaded); (3) maps of the lava catchments of the main towns around the volcano, within every catchment the pixels are classified according to the expected impact they might produce on the relative town in the case of a vent opening in that pixel. Maps of type (1) and (3) are useful for long term planning

  1. Emplacement and deformation of the Fomopéa pluton: Implication for the Pan-African history of Western Cameroon

    NASA Astrophysics Data System (ADS)

    Njanko, T.; Nédélec, A.; Kwékam, M.; Siqueira, R.; Esteban, L.

    2010-03-01

    The Fomopéa pluton (622-613 Ma) is located in the western part of the Pan-African belt in Cameroon. It comprises of 3 units: biotite-hornblende granitoids (BHG), biotite monzogranites (BmG) and edenite syenogranites (EsG). The BHG unit displays magnetic fabrics characterized by foliations gently dipping towards the ESE and ENE-trending lineations (D1 event). Microstructures are magmatic to submagmatic. In discrete N-S deformation bands (D2), lineations are rotated towards the North and microstructures indicate solid-state deformation at mid- to low-T conditions, with kinematic indicators pointing to a sinistral motion. The second unit, BmG, displays lineation trajectories suggesting emplacement during the D2 event. The EsG unit displays fabrics consistent with a later emplacement, with no superposed deformation. The last event (D3) corresponds to a dextral shear zone, that runs along the southeastern border of the Fomopéa pluton. It was responsible for protomylonitic deformation of the granitic rocks in greenschist facies conditions, whereas the core of the shear zone registered higher temperatures and strain. This shear zone induced a rejuvenation of the Rb/Sr isotopic system in the pluton at ca 572 Ma. It belongs to the Central Cameroon shear zone system, regarded as the prolongation of the dextral Patos shear zone system in Brazil.

  2. Utility of Electronic Medical Records to Assess the Relationship Between Parenteral Nutrition and Central Line–Associated Bloodstream Infections in Adult Hospitalized Patients

    PubMed Central

    Ippolito, Paul; Larson, Elaine L.; Furuya, E. Yoko; Liu, Jianfang; Seres, David S.

    2014-01-01

    Background Parenteral nutrition is associated with increased central line–associated bloodstream infections (CLABSIs). Electronic databases are important for identifying independent risk factors for prevention strategies. Our aims were to evaluate the utility of using electronic data sources to identify risk factors for CLABSIs, including parenteral nutrition (PN), and to assess the association between CLABSI and PN administration. Methods Data were obtained for all discharges of adult patients in whom a central line was inserted between September 1, 2007, and December 31, 2008, in a large, academically affiliated hospital in New York City. CLABSI was defined electronically using a modified definition from the Centers for Disease Control and Prevention. A manual chart review was also undertaken to assess validity/reliability of the electronic database and gather additional information. Risk factors for CLABSI were examined using logistic regression. Results Among 4840 patients, there were 220 CLABSIs, an incidence of 5.4 CLABSIs per 1000 central line days. Risk factors included PN (odds ratio [OR], 4.33; 95% confidence interval [CI], 2.50–7.48), intensive care unit stay (OR, 2.26; 95% CI, 1.58–3.23), renal disease (OR, 2.79; 95% CI, 2.00–3.88), and immunodeficiency (OR, 2.26; 95% CI, 1.70–3.00). Diabetes mellitus was associated with reduced CLABSI rates (OR, 0.63; 95% CI, 0.45–0.88). Conclusions The utility of electronic medical records for determining risk factors is limited by such things as free-text data entry. Using a hybrid between fully electronic and manual chart review, reliable data were obtained. PN is associated with a high risk for CLABSI in a population highly selected for indications for PN. PMID:24898208

  3. Notes from the field: hospitalizations for respiratory disease among unaccompanied children from Central America - multiple States, June-July 2014.

    PubMed

    Nyangoma, Edith N; Arriola, Carmen Sofia; Hagan, Jose; Socias, Christina; Tomczyk, Sara; Watkins, Louise Francois; Westercamp, Matthew; Kim, Curi

    2014-08-15

    During October 2013-June 2014, approximately 54,000 unaccompanied children, mostly from the Central American countries of El Salvador, Guatemala, and Honduras, were identified attempting entry into the United States from Mexico, exceeding numbers reported in previous years. Once identified in the United States, U.S. Customs and Border Protection, an agency of the U.S. Department of Homeland Security, processes the unaccompanied children and transfers them to the Office of Refugee Resettlement (ORR), an office of the Administration for Children and Families, U.S. Department of Health and Human Services. ORR cares for the children in shelters until they can be released to a sponsor, typically a parent or relative, who can care for the child while their immigration case is processed. In June 2014, in response to the increased number of unaccompanied children, U.S. Customs and Border Protection expanded operations to accommodate children at a processing center in Nogales, Arizona. ORR, together with the U.S. Department of Defense, opened additional large temporary shelters for the children at Lackland Air Force Base, Texas; U.S. Army Garrison Ft. Sill, Oklahoma; and Naval Base Ventura County, California.

  4. Coverage and costs of childhood immunizations in Cameroon.

    PubMed Central

    Waters, Hugh R.; Dougherty, Leanne; Tegang, Simon-Pierre; Tran, Nhan; Wiysonge, Charles Shey; Long, Kanya; Wolfe, Nathan D.; Burke, Donald S.

    2004-01-01

    OBJECTIVE: To quantify the association between household-level and provider-level determinants and childhood immunization rates in Cameroon while also calculating the cost of childhood immunizations. METHODS: This study uses multilevel regression analysis to calculate these relationships. The 1998 Cameroon Demographic and Health Survey and the 2000 Multiple Indicator Cluster Survey are the main sources of household-level data. These surveys are supplemented by data from a 2002 survey of health facilities conducted in three provinces. At the national level, immunization financing data were collected from the Ministry of Health and donors that support the national Expanded Programme on Immunization. FINDINGS: The 1998 survey found that nationally 37% of children were fully immunized; the 2000 survey found that nationally 34% were fully immunized. These results are strongly correlated with both the mother's level of education and the household's economic status. Multilevel logistic regression shows that maternal education level is a stronger predictor of positive immunization status than is relative economic status. Children of mothers with secondary education or higher education were 3 times more likely to be fully vaccinated than children whose mothers had not completed primary education. At the health-facility level, both having art immunization plan and regular supervisory visits from someone at the health-district level are strongly positively associated with immunization rates. The cost of routine vaccinations for each fully immunized child is 12.73 U.S. dollars when donors' contributions are included but not the costs of immunization campaigns. CONCLUSION: Studies conducted in the 1980s and 1990s found that costs per fully immunized child varied from 2.19 U.S. dollars to 26.59 U.S. dollars (not adjusted for inflation) in a range of low-income and middle-income countries. The relatively low rates of immunization coverage in Cameroon, and the strong influence of

  5. The situation of women in physics in Cameroon

    NASA Astrophysics Data System (ADS)

    Woulache, Rosalie Laure; Kom, Guillaume; Siebatcheu, Beatrice Couonang; Onana, Marthe Boyomo

    2013-03-01

    The progress of women in science has been widely discussed in recent years. Women have made great progress in the social sciences, but they lag in the field of physics. A survey of the situation of women in physics in Cameroon over the last three years shows some improvement and some areas of stagnation. For example, the statistics show an increase of women teaching physics in secondary school and a slight improvement in the numbers of women studying physics at the university level, but stagnation in the number of women lecturers in physics.

  6. Improving central line infection rates in the neonatal intensive care unit: Effect of hospital location, site of insertion, and implementation of catheter-associated bloodstream infection protocols

    PubMed Central

    Freeman, Jennifer J.; Gadepalli, Samir K.; Siddiqui, Sabina M.; Jarboe, Marcus D.; Hirschl, Ronald B.

    2016-01-01

    Introduction Catheter associated blood stream infections (CABSI) are morbid and expensive for all ages, including neonates. Thus far, the impact of CABSI prevention protocols, such as insertion and maintenance bundles, in the neonatal intensive care unit (NICU) is largely unknown. We hypothesized that lines placed in the operating room (OR) would have a lower infection rate due to established insertion protocols and a more sterile environment. Methods Retrospective chart review of NICU patients who received a percutaneous or tunneled central venous catheter between 2005 and 2012. ECMO cannulas, PICC and umbilical catheters were excluded. Variables of interest included demographics, anatomical site, hospital location, line days, and line infection. Line infection was defined as a positive blood culture drawn through the catheter. Results A total of 368 catheters were placed in 285 NICU patients. Majority of catheters (65.5%) were placed in OR. Saphenous and femoral veins were most common anatomical sites (50.8%). Twenty-eight catheters were infected (7.6%). After adjusting for pre-operative antibiotics, anatomical site, and SNAPPE-II scores, lines placed in OR were three times less likely to become infected (Odds Ratio=0.32, p=0.038). Although implementation of CABSI prevention protocols resulted in statistically significant reductions in infection (Odds Ratio=0.4, p=0.043), lines placed in the OR remained less likely to become infected. Conclusions NICU line infection rates decreased with implementation of CABSI prevention protocols. Despite this implementation, catheters placed in the NICU continued to have higher infection rates. As a result, when patient status allows it, we recommend that central lines in newborns be placed in the operating room. PMID:25783394

  7. Measurement of central corneal thickness by ultrasonic pachymeter and oculus pentacam in patients with well-controlled glaucoma: hospital-based comparative study

    PubMed Central

    Rashid, Riyam Faihan; Farhood, Qasim K

    2016-01-01

    Background The measurement of central corneal thickness (CCT) plays an important role in the diagnosis and treatment of glaucoma and many corneal diseases. Objective of the study To compare the measurement of CCT by ultrasonic pachymeter with that measured by oculus pentacam in both normal subjects and patients with well-controlled glaucoma. Patients and methods In 173 eyes of both controls and patients with open-angle glaucoma (normal intraocular pressure) attending Ibn Al Haitham Teaching Eye Hospital, CCT was measured by oculus pentacam and then by ultrasound pachymeter at the same morning by the same technicians. Results The results showed no significant difference in CCT readings measured by the two devices in both glaucoma and control groups (glaucoma group: 547.29±49.32 µm with pentacam vs 547.66±45.24 µm with ultrasound pachymeter; control group: 551.02±36.28 µm with pentacam vs 541.25±34.96 µm with ultrasound pachymeter). P-values were >0.05 in both groups (statistically not significant). Conclusion and recommendation Ultrasonic pachymeter and oculus pentacam can be used interchangeably in measuring CCT, and we recommend a nontouch method (in this study, pentacam Scheimpflug camera) for measuring CCT during assessment of patients with glaucoma or any ocular disease or surgery. PMID:27041982

  8. Incidence of Birth Asphyxia as Seen in Central Hospital and GN Children’s Clinic both in Warri Niger Delta of Nigeria: An Eight Year Retrospective Review

    PubMed Central

    Ugwu, G. I. Mcgil; Abedi, H. O.; Ugwu, E. N.

    2012-01-01

    Background: Birth asphyxia is one of the commonest causes of neonatal morbidity and mortality in developing countries. Together with prematurity and neonatal sepsis, they account for over 80% of neonatal deaths. Aim: To determine the incidence and mortality rate of birth asphyxia in Warri Niger Delta of Nigeria. Materials and Method: Recovery of case notes of all the newborn babies seen from January 2000 to December 2007 at Central Hospital Warri and GN children’s Clinic, Warri, was undertaken. They were analyzed and those with birth asphyxia were further analyzed, noting the causes, severity of asphyxia, sex of the babies, management given. Results: A total of 864 out of 26,000 neonates seen within this period had birth asphyxia. 525 (28/1000 live births) had mild asphyxia while 32% were severely asphyxiated. 61.5% of the asphyxiated were born at maternities, churches or delivered by traditional birth attendants or at home. Prolonged labour was the commonest cause of asphyxia and asphyxia was more in neonates from unbooked patients. Conclusion: The incidence of bith asphyxia in Warri is 28/1000. Majority of patients are from prolonged labour and delivery at unrecognized centres. Health education will dratically reduce the burden of asphyxia neanatorum as unsubtanciated religous beliefs have done a great havoc. PMID:22980387

  9. Overcoming Underrepresentation of Women Physics Teachers in Cameroon: Preliminary Study

    NASA Astrophysics Data System (ADS)

    Boyomo, M.; Kom, G. H.; Siebatcheu, B.; Asse, M. L.; Woulache, R.; Mvoudjo, E.

    2009-04-01

    At a time when much energy is being spent all over the world to bring women into the fast-developing world of science, it is regrettable that these efforts are still at their genesis in Cameroon. It is however, worth noting that efforts geared toward the education of the girl child are yielding fruit, even if much remains to be done in rural areas. The only unfortunate revelation is that increase in the number of young girls in scientific classes observed in high school is not reflected at the tertiary level in physics. Thus, young women are almost completely absent when it comes to recruiting lecturers and researchers in the subject. It is time a serious study is carried out on the status of the woman physicist in Cameroon. It is time to evaluate the importance of the woman physicist to our society and to the field of study as well. It is also necessary to develop a new policy geared toward encouraging young girls to take up a career in physics.

  10. Zircon dating and mineralogy of the Mokong Pan-African magmatic epidote-bearing granite (North Cameroon)

    NASA Astrophysics Data System (ADS)

    Tchameni, R.; Sun, F.; Dawaï, D.; Danra, G.; Tékoum, L.; Nomo Negue, E.; Vanderhaeghe, O.; Nzolang, C.; Dagwaï, Nguihdama

    2016-09-01

    We present the mineralogy and age of the magmatic epidote-bearing granite composing most of the Mokong pluton, in the Central Africa orogenic belt (North Cameroon). This pluton intrudes Neoproterozoic (~830 to 700 Ma) low- to high-grade schists and gneisses (Poli-Maroua group), and is crosscut or interleaved with bodies of biotite granite of various sizes. The pluton is weakly deformed in its interior, but solid-state deformation increases toward its margins marked by narrow mylonitic bands trending NNE-SSW. The magmatic epidote granitic rocks are classified as quartz monzodiorite, granodiorite, monzogranite, and syenogranite. They are medium- to coarse-grained and composed of K-feldspar + plagioclase + biotite + amphibole + epidote + magnetite + titanite + zircon + apatite. In these granites, the pistacite component [atomic Fe+3/(Fe3+ + Al)] in epidote ranges from 16 to 29 %. High oxygen fugacity (log ƒO2 - 14 to -11) and the preservation of epidote suggest that the magma was oxidized. Al-in hornblende barometry and hornblende-plagioclase thermometry indicate hornblende crystallization between 0.53 and 0.78 GPa at a temperature ranging from 633 to 779 °C. Zircon saturation thermometry gives temperature estimates ranging from 504 to 916 °C, the latter being obtained on samples containing inherited zircons. U/Pb geochronology by LA-ICP-MS on zircon grains characterized by magmatic zoning yields a concordia age of 668 ± 11 Ma (2 σ). The Mokong granite is the only known occurrence magmatic epidote in Cameroon, and is an important milestone for the comparison of the Central Africa orogenic belt with the Brasiliano Fold Belt, where such granites are much more abundant.

  11. Zircon dating and mineralogy of the Mokong Pan-African magmatic epidote-bearing granite (North Cameroon)

    NASA Astrophysics Data System (ADS)

    Tchameni, R.; Sun, F.; Dawaï, D.; Danra, G.; Tékoum, L.; Nomo Negue, E.; Vanderhaeghe, O.; Nzolang, C.; Dagwaï, Nguihdama

    2015-12-01

    We present the mineralogy and age of the magmatic epidote-bearing granite composing most of the Mokong pluton, in the Central Africa orogenic belt (North Cameroon). This pluton intrudes Neoproterozoic (~830 to 700 Ma) low- to high-grade schists and gneisses (Poli-Maroua group), and is crosscut or interleaved with bodies of biotite granite of various sizes. The pluton is weakly deformed in its interior, but solid-state deformation increases toward its margins marked by narrow mylonitic bands trending NNE-SSW. The magmatic epidote granitic rocks are classified as quartz monzodiorite, granodiorite, monzogranite, and syenogranite. They are medium- to coarse-grained and composed of K-feldspar + plagioclase + biotite + amphibole + epidote + magnetite + titanite + zircon + apatite. In these granites, the pistacite component [atomic Fe+3/(Fe3+ + Al)] in epidote ranges from 16 to 29 %. High oxygen fugacity (log ƒO2 - 14 to -11) and the preservation of epidote suggest that the magma was oxidized. Al-in hornblende barometry and hornblende-plagioclase thermometry indicate hornblende crystallization between 0.53 and 0.78 GPa at a temperature ranging from 633 to 779 °C. Zircon saturation thermometry gives temperature estimates ranging from 504 to 916 °C, the latter being obtained on samples containing inherited zircons. U/Pb geochronology by LA-ICP-MS on zircon grains characterized by magmatic zoning yields a concordia age of 668 ± 11 Ma (2σ). The Mokong granite is the only known occurrence magmatic epidote in Cameroon, and is an important milestone for the comparison of the Central Africa orogenic belt with the Brasiliano Fold Belt, where such granites are much more abundant.

  12. Profile of cardiac disease in Cameroon and impact on health care services

    PubMed Central

    Butera, Gianfranco

    2013-01-01

    Background Cardiovascular diseases (CVD) have emerged as a major public health problem and impose an escalating burden on the health care system in Cameroon. The aim of the study was to investigate the preparedness of health care services for patients presenting with CVD in general and specifically, in St. Elizabeth catholic general hospital Shisong, cardiac centre. Patients and methods Between November 2009 and November 2011, a population of 8,389 adults and 706 children consulted the referral cardiac centre of St. Elizabeth Catholic General Hospital. The patients’ age ranges between 5 days and 103 years old, with a mean of 48.7±18 years. Female represented 54.2% of the total population. Results Hypertension was diagnosed in 41.5% of patients. Isolated systolic hypertension was rarely found (4.2%) and 45.2% of patients were classified as class II according to the JNC7. Congestive heart failure was diagnosed in 29.6%. Forty-four percent of patients were in class III and 7% in class IV heart failure (NYHA). Arrhythmia was seen in 12.2% cases, with atrial fibrillation in 35.2%, followed by ventricular ectopic beats in 20.3%. Stable angina was diagnosed in 1.5%, and acute myocardial infarction 0.9%. In children, the prevalence of congenital heart disease was (4.3%). The disease the most detected was isolated ventricular septal defect, followed by tetralogy of Fallot. Post rheumatic valvulopathies were the main cause of heart failure in teenagers and young adults. Valve replacement with a mechanical valve was performed in 110 patients, valvuloplasty in eight patients, and surgical correction of congenital heart diseases in 105 cases. Conclusions Our data, collected in a rural area, shows the high prevalence of hypertension in rural sub-Saharan Africa. Congestive heart failure mainly due to post rheumatic valvulopathies is common amongst children and young adults. PMID:24400207

  13. Habitat suitability and ecological niche profile of major malaria vectors in Cameroon

    PubMed Central

    2009-01-01

    Background Suitability of environmental conditions determines a species distribution in space and time. Understanding and modelling the ecological niche of mosquito disease vectors can, therefore, be a powerful predictor of the risk of exposure to the pathogens they transmit. In Africa, five anophelines are responsible for over 95% of total malaria transmission. However, detailed knowledge of the geographic distribution and ecological requirements of these species is to date still inadequate. Methods Indoor-resting mosquitoes were sampled from 386 villages covering the full range of ecological settings available in Cameroon, Central Africa. Using a predictive species distribution modeling approach based only on presence records, habitat suitability maps were constructed for the five major malaria vectors Anopheles gambiae, Anopheles funestus, Anopheles arabiensis, Anopheles nili and Anopheles moucheti. The influence of 17 climatic, topographic, and land use variables on mosquito geographic distribution was assessed by multivariate regression and ordination techniques. Results Twenty-four anopheline species were collected, of which 17 are known to transmit malaria in Africa. Ecological Niche Factor Analysis, Habitat Suitability modeling and Canonical Correspondence Analysis revealed marked differences among the five major malaria vector species, both in terms of ecological requirements and niche breadth. Eco-geographical variables (EGVs) related to human activity had the highest impact on habitat suitability for the five major malaria vectors, with areas of low population density being of marginal or unsuitable habitat quality. Sunlight exposure, rainfall, evapo-transpiration, relative humidity, and wind speed were among the most discriminative EGVs separating "forest" from "savanna" species. Conclusions The distribution of major malaria vectors in Cameroon is strongly affected by the impact of humans on the environment, with variables related to proximity to human

  14. Ecological niche partitioning between Anopheles gambiae molecular forms in Cameroon: the ecological side of speciation

    PubMed Central

    Simard, Frédéric; Ayala, Diego; Kamdem, Guy Colince; Pombi, Marco; Etouna, Joachim; Ose, Kenji; Fotsing, Jean-Marie; Fontenille, Didier; Besansky, Nora J; Costantini, Carlo

    2009-01-01

    Background Speciation among members of the Anopheles gambiae complex is thought to be promoted by disruptive selection and ecological divergence acting on sets of adaptation genes protected from recombination by polymorphic paracentric chromosomal inversions. However, shared chromosomal polymorphisms between the M and S molecular forms of An. gambiae and insufficient information about their relationship with ecological divergence challenge this view. We used Geographic Information Systems, Ecological Niche Factor Analysis, and Bayesian multilocus genetic clustering to explore the nature and extent of ecological and chromosomal differentiation of M and S across all the biogeographic domains of Cameroon in Central Africa, in order to understand the role of chromosomal arrangements in ecological specialisation within and among molecular forms. Results Species distribution modelling with presence-only data revealed differences in the ecological niche of both molecular forms and the sibling species, An. arabiensis. The fundamental environmental envelope of the two molecular forms, however, overlapped to a large extent in the rainforest, where they occurred in sympatry. The S form had the greatest niche breadth of all three taxa, whereas An. arabiensis and the M form had the smallest niche overlap. Correspondence analysis of M and S karyotypes confirmed that molecular forms shared similar combinations of chromosomal inversion arrangements in response to the eco-climatic gradient defining the main biogeographic domains occurring across Cameroon. Savanna karyotypes of M and S, however, segregated along the smaller-scale environmental gradient defined by the second ordination axis. Population structure analysis identified three chromosomal clusters, each containing a mixture of M and S specimens. In both M and S, alternative karyotypes were segregating in contrasted environments, in agreement with a strong ecological adaptive value of chromosomal inversions. Conclusion Our

  15. [Epidemiologic study of dracunculosis in the Podokwos of the Mandara mountains (northern Cameroon)].

    PubMed

    Issoufa, H; Monekosso, G; Ripert, C

    1979-01-01

    The purpose of the present work is the study of the epidemiological aspects of dracontiasis in an endemic area in Cameroon. The study was undertaken in the central Podokwo settlement in Mora subdivision. It is a mountainous area with a climate characterized by a long dry season, from October to mid-May, and a short rainy season. Two seasonal, streams run across the settlement. The water supply of the community is ensured throughout the year by two well built wells. During the rainy season, shallow unprotected wells are the water sources of about 80% of the inhabitants. Among the 944 subjects studied in our sample, 251 had the disease, corresponding to a prevalence of 26 6%. There is no significant difference between both sexes in the prevalence of the disease in our study. The age group 13-26 years is most affected. The worm load varies from 1 to 5, averagely 1.5. As to the localization of the worms in the body, in 92.7% of cases the worms is located in the lower limbs, the feet alone representing up to 46.8%. Less common sites of localization are the head, the breast, the external genitalia. The maximum rate of infestation is observed between August and September. Desinfection of wells with chemicals would be recommended during this period of time.

  16. Seroprevalence of Human Herpesvirus-8 in HIV-1 Infected and Uninfected Individuals in Cameroon

    PubMed Central

    Mbondji-Wonje, Christelle; Ragupathy, Viswanath; Lee, Sherwin; Wood, Owen; Awazi, Bih; Hewlett, Indira K.

    2013-01-01

    We evaluated the prevalence of HHV-8 antibodies in 516 plasma samples collected from HIV positive and negative patients from blood banks and urban areas of Cameroon. Among HIV-1 positive samples, HHV-8 seropositivity rate was 61% based on combined reactivity using both ELISA and IFA techniques. HIV negative samples showed 62% seropositivity rate for HHV-8 antibodies. Our results indicate a high HHV-8 prevalence rate in both HIV infected and uninfected individuals in Cameroon. PMID:24056671

  17. Comparative avian phylogeography of Cameroon and equatorial Guinea mountains: implications for conservation.

    PubMed

    Smith, T B; Holder, K; Girman, D; O'Keefe, K; Larison, B; Chan, Y

    2000-10-01

    We illustrate the use of Faith's 'Phylogenetic Diversity' measure to compare the phylogeographic structure of two bird species with patterns of avian endemism across six mountains in Cameroon and Equatorial Guinea. The Mountain Greenbul and Cameroon Blue-headed Sunbird showed phylogeographic patterns that together defined three biogeographic regions: Bioko, Mt. Cameroon, and the northern mountains of Cameroon. In contrast, the distributions of endemic species were largely a function of geographical distance, with close mountains sharing more endemic species than distant mountains. Moreover, for both species, populations on Mt. Cameroon were distinctive with respect to the ecologically relevant character bill size. Our results, while preliminary, illustrate the utility of a comparative approach for identifying geographical regions that harbour evolutionarily distinct populations and caution against using only the distributional patterns of endemics to prioritize regions for conservation. Results show that patterns of endemism may not be concordant with patterns of phylogenetic diversity nor morphological variation in a character important in fitness. While incorporation of additional species from unrelated taxa will be necessary to draw definitive conclusions about evolutionarily distinct regions, our preliminary results suggest a conservation approach for the Afromontane region of the Gulf of Guinea that would: (i) emphasize protection of both Bioko and Mt. Cameroon, thereby maximizing preservation of within-species phylogenetic and morphologic diversity; (ii) emphasize protection within the northern mountains to further conserve intraspecific phylogenetic diversity and maximize protection of endemic species.

  18. A study of snake bite among children presenting to a paediatric ward in the main Teaching Hospital of North Central Province of Sri Lanka

    PubMed Central

    2014-01-01

    Background Snake bite is a common problem in the North Central province of Sri Lanka. Common krait (Bungarus careuleus), Ceylon krait (Bungarus ceylonicus), Cobra (Naja naja), Russell’s viper (Daboia russelii), Saw-scaled viper (Echis carinatus) and Hump-nosed pit viper (Hypnale hypnale) are the six species of venomous land snakes in Sri Lanka. A significant number of adults and children are bitten by snakes every year. However, the majority of research studies done in Sri Lanka and other countries show adults bitten by snakes and studies describing children bitten by snakes are very sparse. Methods A descriptive cross sectional study was performed in the Teaching Hospital Anuradhapura in the North Central Province of Sri Lanka from May 2010 to 2011 May to describe the characteristics associated with cases of snake bite. Results There were 24 males and 20 females. The highest numbers of bites (48%) were in the range of ages 6-12 years. The majority of the bites occurred between 6 pm to 6 am (59%).The foot was the most common bitten site (48%). Out of all the venomous bites, the Hump-nosed pit viper (Hypnale hypnale) accounted for the highest number (44%) and Russell’s viper (Daboia ruselii) accounted for the second highest number (27%). A significant number of venomous bites occurred indoors while sleeping (22%). Antivenom serum was given to (39%) of venomous bites. Deaths occurred in (11%) of the venomous bites. Conclusions Hump-nosed pit viper (Hypnale hypnale) accounted for the highest number of venomous bites. Majority of the bites occurred between 6 pm and 6 am. Foot was the most common bitten site. A significant number of venomous bites occurred indoor while sleeping. Antivenom serum was given to a significant number of venomous bites. Educating the public on making their houses snake proof and using a torch when going out during night time will help in the prevention of getting bitten by snakes. PMID:25073710

  19. Gas bursts from cameroon crater lakes: a new natural hazard.

    PubMed

    Sigurdsson, H

    1988-06-01

    Gas bursts from tropical crater lakes constitute a hitherto unrecognized natural hazard, which claimed 37 lives around Lake Monoun in 1984 and 1,746 lives in 1986 around Lake Nyos in Cameroon, west Africa. Studies of these events indicate that the lethal gas clouds were dominantly CO(2) which exsolved catastrophically from deep waters of the lakes, producing in the case of Lake Nyos a gas cloud of 1.94 times 10(6) tons CO(2) . Carbon-isotope data indicate a magmatic source of the carbon dioxide, but the geochemistry of deep water and gases does not support a sudden injection of volcanic gas from a deep source into the lakes. Rather, it is proposed that the gas bursts were preceded by gradual build-up of dissolved bicarbonate in deep waters, where anoxic conditions in enclosed and stagnant basins led to low pH and pCO(2) close to saturation. Steady input from the Earth's mantle to submerged mofettes or CO(2) -rich soda springs within the lakes is most likely the primary source of carbon dioxide. Lethal effects of the gas bursts are almost entirely due to CO(2) -induced asphyxia. A small percentage of victims awoke from coma one or two days after the event, but most died. Unusual skin lesions on about 5% of victims arose from the comatose state. It is shown that the mass of gas required to account for the lethal effects and observed gas clouds is an order of magnitude less than the potential gas yield from the lakes. In view of the lethal gas bursts from the small Cameroon lakes, the potential hazard of future gas bursts from other much larger density-stratified equatorial lakes must be seriously considered, particularly in Lake Kivu in east Africa, where methane and carbon dioxide gas content is higher by two to four orders of magnitude than that of the Cameroon lakes. A gas burst from Lake Kivu would form a carbon dioxide cloud up to 340 km(3) in volume and expansion of the exsolving gas from deep water to atmospheric pressure would correspond to an energy release

  20. Gas bursts from cameroon crater lakes: a new natural hazard.

    PubMed

    Sigurdsson, H

    1988-06-01

    Gas bursts from tropical crater lakes constitute a hitherto unrecognized natural hazard, which claimed 37 lives around Lake Monoun in 1984 and 1,746 lives in 1986 around Lake Nyos in Cameroon, west Africa. Studies of these events indicate that the lethal gas clouds were dominantly CO(2) which exsolved catastrophically from deep waters of the lakes, producing in the case of Lake Nyos a gas cloud of 1.94 times 10(6) tons CO(2) . Carbon-isotope data indicate a magmatic source of the carbon dioxide, but the geochemistry of deep water and gases does not support a sudden injection of volcanic gas from a deep source into the lakes. Rather, it is proposed that the gas bursts were preceded by gradual build-up of dissolved bicarbonate in deep waters, where anoxic conditions in enclosed and stagnant basins led to low pH and pCO(2) close to saturation. Steady input from the Earth's mantle to submerged mofettes or CO(2) -rich soda springs within the lakes is most likely the primary source of carbon dioxide. Lethal effects of the gas bursts are almost entirely due to CO(2) -induced asphyxia. A small percentage of victims awoke from coma one or two days after the event, but most died. Unusual skin lesions on about 5% of victims arose from the comatose state. It is shown that the mass of gas required to account for the lethal effects and observed gas clouds is an order of magnitude less than the potential gas yield from the lakes. In view of the lethal gas bursts from the small Cameroon lakes, the potential hazard of future gas bursts from other much larger density-stratified equatorial lakes must be seriously considered, particularly in Lake Kivu in east Africa, where methane and carbon dioxide gas content is higher by two to four orders of magnitude than that of the Cameroon lakes. A gas burst from Lake Kivu would form a carbon dioxide cloud up to 340 km(3) in volume and expansion of the exsolving gas from deep water to atmospheric pressure would correspond to an energy release

  1. Mapping of Bancroftian Filariasis in Cameroon: Prospects for Elimination

    PubMed Central

    Nana-Djeunga, Hugues C.; Tchatchueng-Mbougua, Jules B.; Bopda, Jean; Mbickmen-Tchana, Steve; Elong-Kana, Nathalie; Nnomzo’o, Etienne; Akame, Julie; Tarini, Ann; Zhang, Yaobi; Njiokou, Flobert; Kamgno, Joseph

    2015-01-01

    Background Lymphatic filariasis (LF) is one of the most debilitating neglected tropical diseases (NTDs). It still presents as an important public health problem in many countries in the tropics. In Cameroon, where many NTDs are endemic, only scant data describing the situation regarding LF epidemiology was available. The aim of this study was to describe the current situation regarding LF infection in Cameroon, and to map this infection and accurately delineate areas where mass drug administration (MDA) was required. Methodology The endemicity status and distribution of LF was assessed in eight of the ten Regions of Cameroon by a rapid-format card test for detection of W. bancrofti antigen (immunochromatographic test, ICT). The baseline data required to monitor the effectiveness of MDA was collected by assessing microfilariaemia in nocturnal calibrated thick blood smears in sentinel sites selected in the health districts where ICT positivity rate was ≥ 1%. Principal findings Among the 120 health districts visited in the eight Regions during ICT survey, 106 (88.3%) were found to be endemic for LF (i.e. had ICT positivity rate ≥ 1%), with infection rate from 1.0% (95% CI: 0.2–5.5) to 20.0% (95% CI: 10–30). The overall infection rate during the night blood survey was 0.11% (95% CI: 0.08–0.16) in 11 health districts out of the 106 surveyed; the arithmetic mean for microfilaria density was 1.19 mf/ml (95% CI: 0.13–2.26) for the total population examined. Conclusion/significance ICT card test results showed that LF was endemic in all the Regions and in about 90% of the health districts surveyed. All of these health districts qualified for MDA (i.e. ICT positivity rate ≥ 1%). Microfilariaemia data collected as part of this study provided the national program with baseline data (sentinel sites) necessary to measure the impact of MDA on the endemicity level and transmission of LF important for the 2020 deadline for global elimination. PMID:26353087

  2. Sensitisation to mites in a group of patients with asthma in Yaounde, Cameroon: a cross-sectional study

    PubMed Central

    Pefura-Yone, Eric Walter; Kengne, André Pascal; Kuaban, Christopher

    2014-01-01

    Objectives Sensitisation of asthmatic patients to mites in sub-Saharan Africa has been less described. The aim of this study was to assess the prevalence and determinants of sensitisation to mites in asthmatic adolescents and adults in Yaounde, Cameroon. Design This was a cross-sectional study. Logistic regression models were employed to investigate the determinants of sensitisation to mites. Setting This study was carried out at the Jamot Hospital and CEDIMER private centre, in Yaounde, capital city of Cameroon. Participants All asthmatic patients received in consultations from January 2012 to June 2013 and in whom prick-skin tests for perennial aeroallergens were performed were included. Outcome measures Prevalence of sensitisation to mites and associated factors. Results In total, 201 patients (132 being women, 65.7%), with a median age of 36 (25th–75th centiles: 20–54) years were included, with 135 (67.2%) having a positive skin test for mites. Sensitisation to Dermatophagoïdes pteronyssinus, Dermatophagoides farinae and Blomia tropicalis was found in 53.2%, 49.8% and 47.8% of the patients, respectively. Intermittent rhinitis (16.3% vs 7.6%) and persistent rhinitis (43.0% vs 22.7%) were more frequent in sensitised patients than in the non-sensitised ones (p<0.010). Independent allergological determinants of sensitisation to mites were sensitisation to Alternaria alternata (adjusted OR 14.98 (95% CIs 1.96 to 114.4)) and sensitisation to Blattella germanica (3.48 (1.34 to 9.00)). Conclusions Sensitisation to mites was found in about two-thirds of asthmatic patients in this setting, with a frequent multiple sensitisations to A alternata and Blattella germanica. Systematically investigating asthmatic patients for mites' sensitisation and determinants will help optimising the care in this setting by combining the aetiological treatment for the allergy with symptomatic treatment for asthma, in order to modify the natural course of the disease. PMID:24390384

  3. Factors associated with blood pressure control amongst adults with hypertension in Yaounde, Cameroon: a cross-sectional study

    PubMed Central

    Menanga, Alain; Edie, Sandrine; Boombhi, Jérôme; Musa, Ahmadou Jingi; Mfeukeu, Liliane Kuate; Kingue, Samuel

    2016-01-01

    Background Hypertension is associated with considerable morbidity and mortality. Improvement of its management to reduce adverse cardiovascular outcomes will require an understanding of the patient characteristics and treatment factors associated with uncontrolled blood pressure. Factors that affect blood pressure control have not been sufficiently described in Cameroon. The main goal of our study was to determine the predictors of blood pressure control in patients with hypertension in an urban city in Cameroon. Methods This was descriptive cross-sectional study from five outpatient hypertension consultation units in Hospitals in Yaoundé. Controlled hypertension was defined as blood pressure ≤140/90 mmHg. Logistic regression was used to determine factors associated with blood pressure control. Results Among the 440 patients enrolled in the survey, 280 (63.6%) were females. The mean age was 61 (SD ±11) years. Mean systolic blood pressure (SBP) was 147 mmHg and mean diastolic blood pressure (DBP) was 88 mmHg. Only 36.8% of patients had their mean blood pressure controlled (BP ≤140/90 mmHg). Multivariable logistic regression analysis revealed good adherence to anti-hypertensive medications (OR= 3.99; 95% CI: 2.20–7.23; P<0.000) and dietary lifestyle changes (OR =1.5; 95% CI: 0.53–2.49; P=0.031) to be factors independently associated with controlled hypertension. Conclusions Only one out of three patients has their blood pressure controlled. The results of our study suggest that good adherence to treatment are important factors for tight blood pressure control in primary care. Further identification of patients at risk of non-adherence to treatment and poor blood pressure control can lead to targeted interventions to reduce hypertension related morbidity and mortality in this setting. PMID:27747167

  4. Clinico-radiological profile and outcome of dengue patients with central nervous system manifestations: A case series in an Eastern India tertiary care hospital

    PubMed Central

    Pal, Souren; Sen, Kaushik; Biswas, Nirendra Mohan; Ghosal, Anirban; Rousan Jaman, S. K.; Yashavantha Kumar, K. Y.

    2016-01-01

    Background and Objective: Dengue, an acute viral disease, transmitted by Aedes mosquitoes, has a variable clinical spectrum ranging from asymptomatic infection to life-threatening dengue hemorrhagic fever and dengue shock syndrome. However, neurological complications, in general, are unusual but have been observed more frequently in the recent past, and some studies highlighted varied neurological complications during the course of illness. Although dengue is classically considered a nonneurotropic virus, there is increasing evidence for dengue viral neurotropism. In this study, we have evaluated clinico-radiological profile and outcome of nine serologically confirmed dengue patients having varied manifestations of central nervous system (CNS) involvement. Materials and Methods: All the consecutive patients presented with neurological complications with positive serology for dengue infection (IgM positivity) in Department of Medicine, in a tertiary care hospital in Eastern India from August 2013 to October 2014 were included in the study. These patients were subjected to a detailed clinical evaluation, laboratory assessment including complete hemogram, coagulation profile, liver function test, serum electrolytes, and routine CSF (Cerebrospinal Fluid) study with the exclusion of other common neuroinvasive pathogens. Results: Out of 9 patients with neurological complications associated with confirmed dengue infection, 2 (22%) patients had dengue encephalopathy, 5 (56%) patients have dengue encephalitis, 1 (11%) patient had dengue meningitis, and 1 (11%) patient had postdengue immune-mediated CNS involvement. Conclusion: This case series reaffirms the occurrence of varied CNS manifestations in dengue virus infection and underlines the importance of inclusion of dengue in the differential diagnosis of acute encephalitis syndrome. PMID:26933357

  5. Fungal microbiota in air-conditioning installed in both adult and neonatal intensive treatment units and their impact in two university hospitals of the central western region, Mato Grosso, Brazil.

    PubMed

    Simões, Sara de Almeida Alves; Leite Júnior, Diniz Pereira; Hahn, Rosane Christine

    2011-08-01

    To evaluate fungal microbiota in air-conditioning units installed in intensive care units in two university hospitals in Cuiaba city, Mato Grosso, central western region of Brazil, 525 solid environmental samples were collected, 285 from Hospital A and 240 from Hospital B. Collections were performed using sterile swabs on air-conditioning unit components: cooling coils, ventilators, and filters. Mycelial fungi identification was achieved by observation of the macroscopic and micromorphological characteristics in different culture mediums (maize meal, oatmeal and potato dextrose agars and malt extract) using the Ridell technique. Eleven genera and 27 distinct species belonging to the hyphomycetes and ascomycetes classes were isolated and identified. The most frequently detected genera in both hospitals were Aspergillus spp, Penicillium spp, and Cladosporium spp. Values for colony-forming units per gram were 64 and 75%, well above the limits recommended by Health Ministry resolution 176/00 at the locations selected for analysis in Hospitals A and B, respectively. In conclusion, evaluation of fungal microbiota in the air-conditioning units indirectly determined that the air quality was compromised in both university hospitals analyzed, which constitutes a risk factor for the acquisition of infection in the intensive care units. PMID:21424438

  6. Parameter Identification in a Tuberculosis Model for Cameroon

    PubMed Central

    Moualeu-Ngangue, Dany Pascal; Röblitz, Susanna; Ehrig, Rainald; Deuflhard, Peter

    2015-01-01

    A deterministic model of tuberculosis in Cameroon is designed and analyzed with respect to its transmission dynamics. The model includes lack of access to treatment and weak diagnosis capacity as well as both frequency- and density-dependent transmissions. It is shown that the model is mathematically well-posed and epidemiologically reasonable. Solutions are non-negative and bounded whenever the initial values are non-negative. A sensitivity analysis of model parameters is performed and the most sensitive ones are identified by means of a state-of-the-art Gauss-Newton method. In particular, parameters representing the proportion of individuals having access to medical facilities are seen to have a large impact on the dynamics of the disease. The model predicts that a gradual increase of these parameters could significantly reduce the disease burden on the population within the next 15 years. PMID:25874885

  7. Tracing the origins of rescued chimpanzees reveals widespread chimpanzee hunting in Cameroon

    PubMed Central

    2010-01-01

    Background While wild chimpanzees are experiencing drastic population declines, their numbers at African rescue and rehabilitation projects are growing rapidly. Chimpanzees follow complex routes to these refuges; and their geographic origins are often unclear. Identifying areas where hunting occurs can help law enforcement authorities focus scarce resources for wildlife protection planning. Efficiently focusing these resources is particularly important in Cameroon because this country is a key transportation waypoint for international wildlife crime syndicates. Furthermore, Cameroon is home to two chimpanzee subspecies, which makes ascertaining the origins of these chimpanzees important for reintroduction planning and for scientific investigations involving these chimpanzees. Results We estimated geographic origins of 46 chimpanzees from the Limbe Wildlife Centre (LWC) in Cameroon. Using Bayesian approximation methods, we determined their origins using mtDNA sequences and microsatellite (STRP) genotypes compared to a spatial map of georeferenced chimpanzee samples from 10 locations spanning Cameroon and Nigeria. The LWC chimpanzees come from multiple regions of Cameroon or forested areas straddling the Cameroon-Nigeria border. The LWC chimpanzees were partitioned further as originating from one of three biogeographically important zones occurring in Cameroon, but we were unable to refine these origin estimates to more specific areas within these three zones. Conclusions Our findings suggest that chimpanzee hunting is widespread across Cameroon. Live animal smuggling appears to occur locally within Cameroon, despite the existence of local wildlife cartels that operate internationally. This pattern varies from the illegal wildlife trade patterns observed in other commercially valuable species, such as elephants, where specific populations are targeted for exploitation. A broader sample of rescued chimpanzees compared against a more comprehensive grid of georeferenced

  8. Anxiolytic activity evaluation of four medicinal plants from Cameroon.

    PubMed

    Bum, E Ngo; Soudi, S; Ayissi, E R; Dong, C; Lakoulo, N H; Maidawa, F; Seke, P F E; Nanga, L D; Taiwe, G S; Dimo, T; Njikam, Njifutie; Rakotonirina, A; Rakotonirina, S V; Kamanyi, A

    2011-01-01

    Afrormosia laxiflora (A. laxiflora), Chenopodium ambrosioides (C. ambrosioides), Microglossa pyrifolia (M. pyrifolia) and Mimosa pudica (M. pudica) are plants used in traditional medicine in Cameroon to treat insomnia, epilepsy, anxiety, and agitation. They were evaluated for their anxiolytic like activity in mice. Animal models (elevated plus maze and stress-induced hyperthermia tests) were used. The four plants showed anxiolytic activity. In stress-induced hyperthermia test, A. laxiflora, C. ambrosioides, M. pyrifolia and M. pudica significantly antagonised the increase of temperature. ΔT° decreased from 0.75°C in the control group to 0.36°C at the dose of 110 mg/kg for A. laxiflora; from 1°C in the control group to -1.1°C at the dose of 120 mg/kg for C. ambrosioides; from 1.7°C in the control group to 0.2°C at the dose of 128 mg/kg for M. pyrifolia and from 1.3°C in the control group to 0.5°C at the dose of 180 mg/kg for M. pudica. In the elevated plus maze test, the four plants increased the number of entries into, percentage of entries into, and percentage of time in open arms. A. laxiflora, C. ambrosioides and M. pudica also reduced the percentage of entries and time in closed arms. In addition, C. ambrosioides, M. pyrifolia and M. pudica showed antipyretic activity by reducing the body temperature. The results suggested that C. ambrosioides, M. pyrifolia and M. pudica posses anxiolytic-like and antipyretic activities while A. laxiflora possesses only anxiolytic-like properties. These plants could be helpful in the treatment of anxiety and fever in traditional medicine in Cameroon.

  9. Lead concentrations and labeling of new paint in cameroon.

    PubMed

    Gottesfeld, P; Kuepouo, G; Tetsopgang, S; Durand, K

    2013-01-01

    In spite of the availability of substitutes for lead compounds used in paints, manufacturers continue to produce these paints for decorative and industrial applications. We report here on the concentration of lead in new paint sold in Cameroon and provide a summary of labeling practices on paints available in the country, based on a market survey. Investigators visited 76 retail and wholesale paint suppliers in Cameroon to collect information from paint product labels and to collect samples of paints to analyze for lead content. Only 8.5% of paints had labels identifying any of the ingredients, and none of the lead paints included any warning language. Based on a convenience sample (weighted to include multiple colors from the most common brands), 61 mostly enamel paints were purchased from retail outlets and analyzed for lead content (median: 2150 ppm; range: <21-500,000 ppm). Sixty-six percent of the new paint samples had concentrations exceeding the U.S. standard of 90 ppm total lead. All but one of the samples with lead concentrations greater than 90 ppm were also greater than 600 ppm. The largest manufacturer in the country-Seigneurie, a subsidiary of the U.S.-based company PPG-had significant lead concentrations in 9 out of 22 (41%) paints tested. There is an immediate need to adopt mandatory standards to limit the lead content of paint manufactured, imported, and sold in the country. To promote safer paint products we recommend the development of a third-party certification program for paints without added lead. These recommendations are consistent with the objectives of the Global Alliance to Eliminate Lead Paint established under the auspices of the United Nations to address this problem on a global scale.

  10. Abattoir-based estimates of mycobacterial infections in Cameroon

    PubMed Central

    Egbe, N. F.; Muwonge, A.; Ndip, L.; Kelly, R. F.; Sander, M.; Tanya, V.; Ngwa, V. Ngu; Handel, I. G.; Novak, A.; Ngandalo, R.; Mazeri, S.; Morgan, K. L.; Asuquo, A.; Bronsvoort, B. M. de C.

    2016-01-01

    Mycobacteria cause major diseases including human tuberculosis, bovine tuberculosis and Johne’s disease. In livestock, the dominant species is M. bovis causing bovine tuberculosis (bTB), a disease of global zoonotic importance. In this study, we estimated the prevalence of Mycobacteria in slaughter cattle in Cameroon. A total of 2,346 cattle were examined in a cross-sectional study at four abattoirs in Cameroon. Up to three lesions per animal were collected for further study and a retropharyngeal lymph node was collected from a random sample of non-lesioned animals. Samples were cultured on Lowenstein Jensen media and the BACTEC MGIT 960 system, and identified using the Hain® Genotype kits. A total of 207/2,346 cattle were identified with bTB-like lesions, representing 4.0% (45/1,129), 11.3% (106/935), 23.8% (38/160) and 14.8% (18/122) of the cattle in the Bamenda, Ngaoundere, Garoua and Maroua abattoirs respectively. The minimum estimated prevalence of M. bovis was 2.8% (1.9–3.9), 7.7% (6.1–9.6), 21.3% (15.2–28.4) and 13.1% (7.7–20.4) in the four abattoirs respectively. One M. tuberculosis and three M. bovis strains were recovered from non-lesioned animals. The high prevalence of M. bovis is of public health concern and limits the potential control options in this setting without a viable vaccine as an alternative. PMID:27075056

  11. Lithospheric instability and the source of the Cameroon Volcanic Line: Evidence from Rayleigh wave phase velocity tomography

    NASA Astrophysics Data System (ADS)

    Adams, Aubreya N.; Wiens, Douglas A.; Nyblade, Andrew A.; Euler, Garrett G.; Shore, Patrick J.; Tibi, Rigobert

    2015-03-01

    The Cameroon Volcanic Line (CVL) is a 1800 km long volcanic chain, extending SW-NE from the Gulf of Guinea into Central Africa, that lacks the typical age progression exhibited by hot spot-related volcanic tracks. This study investigates the upper mantle seismic structure beneath the CVL and surrounding regions to constrain the origin of volcanic lines that are poorly described by the classic plume model. Rayleigh wave phase velocities are measured at periods from 20 to 182 s following the two-plane wave methodology, using data from the Cameroon Seismic Experiment, which consists of 32 broadband stations deployed between 2005 and 2007. These phase velocities are then inverted to build a model of shear wave velocity structure in the upper mantle beneath the CVL. Results show that phase velocities beneath the CVL are reduced at all periods, with average velocities beneath the CVL deviating more than -2% from the regional average and +4% beneath the Congo Craton. This distinction is observed for all periods but is less pronounced for the longest periods measured. Inversion for shear wave velocity structure indicates a tabular low velocity anomaly directly beneath the CVL at depths of 50 to at least 200 km and a sharp vertical boundary with faster velocities beneath the Congo Craton. These observations demonstrate widespread infiltration or erosion of the continental lithosphere beneath the CVL, most likely caused by mantle upwelling associated with edge-flow convection driven by the Congo Craton or by lithospheric instabilities that develop due to the nearby edge of the African continent.

  12. Lithospheric instability and the source of the Cameroon Volcanic Line: Evidence from Rayleigh wave phase velocity tomography

    DOE PAGES

    Adams, Aubreya N.; Wiens, Douglas A.; Nyblade, Andrew A.; Euler, Garrett G.; Shore, Patrick J.; Tibi, Rigobert

    2015-03-24

    The Cameroon Volcanic Line (CVL) is a 1800 km long volcanic chain, extending SW-NE from the Gulf of Guinea into Central Africa, that lacks the typical age progression exhibited by hot spot-related volcanic tracks. Our study investigates the upper mantle seismic structure beneath the CVL and surrounding regions to constrain the origin of volcanic lines that are poorly described by the classic plume model. Rayleigh wave phase velocities are measured at periods from 20 to 182 s following the two-plane wave methodology, using data from the Cameroon Seismic Experiment, which consists of 32 broadband stations deployed between 2005 and 2007.more » These phase velocities are then inverted to build a model of shear wave velocity structure in the upper mantle beneath the CVL. Our results show that phase velocities beneath the CVL are reduced at all periods, with average velocities beneath the CVL deviating more than –2% from the regional average and +4% beneath the Congo Craton. This distinction is observed for all periods but is less pronounced for the longest periods measured. Inversion for shear wave velocity structure indicates a tabular low velocity anomaly directly beneath the CVL at depths of 50 to at least 200 km and a sharp vertical boundary with faster velocities beneath the Congo Craton. Finally, these observations demonstrate widespread infiltration or erosion of the continental lithosphere beneath the CVL, most likely caused by mantle upwelling associated with edge-flow convection driven by the Congo Craton or by lithospheric instabilities that develop due to the nearby edge of the African continent.« less

  13. Lithospheric instability and the source of the Cameroon Volcanic Line: Evidence from Rayleigh wave phase velocity tomography

    SciTech Connect

    Adams, Aubreya N.; Wiens, Douglas A.; Nyblade, Andrew A.; Euler, Garrett G.; Shore, Patrick J.; Tibi, Rigobert

    2015-03-24

    The Cameroon Volcanic Line (CVL) is a 1800 km long volcanic chain, extending SW-NE from the Gulf of Guinea into Central Africa, that lacks the typical age progression exhibited by hot spot-related volcanic tracks. Our study investigates the upper mantle seismic structure beneath the CVL and surrounding regions to constrain the origin of volcanic lines that are poorly described by the classic plume model. Rayleigh wave phase velocities are measured at periods from 20 to 182 s following the two-plane wave methodology, using data from the Cameroon Seismic Experiment, which consists of 32 broadband stations deployed between 2005 and 2007. These phase velocities are then inverted to build a model of shear wave velocity structure in the upper mantle beneath the CVL. Our results show that phase velocities beneath the CVL are reduced at all periods, with average velocities beneath the CVL deviating more than –2% from the regional average and +4% beneath the Congo Craton. This distinction is observed for all periods but is less pronounced for the longest periods measured. Inversion for shear wave velocity structure indicates a tabular low velocity anomaly directly beneath the CVL at depths of 50 to at least 200 km and a sharp vertical boundary with faster velocities beneath the Congo Craton. Finally, these observations demonstrate widespread infiltration or erosion of the continental lithosphere beneath the CVL, most likely caused by mantle upwelling associated with edge-flow convection driven by the Congo Craton or by lithospheric instabilities that develop due to the nearby edge of the African continent.

  14. Batrachochytrium dendrobatidis in amphibians of Cameroon, including first records for caecilians.

    PubMed

    Doherty-Bone, T M; Gonwouo, N L; Hirschfeld, M; Ohst, T; Weldon, C; Perkins, M; Kouete, M T; Browne, R K; Loader, S P; Gower, D J; Wilkinson, M W; Rödel, M O; Penner, J; Barej, M F; Schmitz, A; Plötner, J; Cunningham, A A

    2013-02-28

    Amphibian chytrid fungus Batrachochytrium dendrobatidis (Bd) has been hypothesised to be an indigenous parasite of African amphibians. In Cameroon, however, previous surveys in one region (in the northwest) failed to detect this pathogen, despite the earliest African Bd having been recorded from a frog in eastern Cameroon, plus one recent record in the far southeast. To reconcile these contrasting results, we present survey data from 12 localities across 6 regions of Cameroon from anurans (n = 1052) and caecilians (n = 85) of ca. 108 species. Bd was detected in 124 amphibian hosts at 7 localities, including Mt. Oku, Mt. Cameroon, Mt. Manengouba and lowland localities in the centre and west of the country. None of the hosts were observed dead or dying. Infected amphibian hosts were not detected in other localities in the south and eastern rainforest belt. Infection occurred in both anurans and caecilians, making this the first reported case of infection in the latter order (Gymnophiona) of amphibians. There was no significant difference between prevalence and infection intensity in frogs and caecilians. We highlight the importance of taking into account the inhibition of diagnostic qPCR in studies on Bd, based on all Bd-positive hosts being undetected when screened without bovine serum albumin in the qPCR mix. The status of Bd as an indigenous, cosmopolitan amphibian parasite in Africa, including Cameroon, is supported by this work. Isolating and sequencing strains of Bd from Cameroon should now be a priority. Longitudinal host population monitoring will be required to determine the effects, if any, of the infection on amphibians in Cameroon.

  15. Batrachochytrium dendrobatidis in amphibians of Cameroon, including first records for caecilians.

    PubMed

    Doherty-Bone, T M; Gonwouo, N L; Hirschfeld, M; Ohst, T; Weldon, C; Perkins, M; Kouete, M T; Browne, R K; Loader, S P; Gower, D J; Wilkinson, M W; Rödel, M O; Penner, J; Barej, M F; Schmitz, A; Plötner, J; Cunningham, A A

    2013-02-28

    Amphibian chytrid fungus Batrachochytrium dendrobatidis (Bd) has been hypothesised to be an indigenous parasite of African amphibians. In Cameroon, however, previous surveys in one region (in the northwest) failed to detect this pathogen, despite the earliest African Bd having been recorded from a frog in eastern Cameroon, plus one recent record in the far southeast. To reconcile these contrasting results, we present survey data from 12 localities across 6 regions of Cameroon from anurans (n = 1052) and caecilians (n = 85) of ca. 108 species. Bd was detected in 124 amphibian hosts at 7 localities, including Mt. Oku, Mt. Cameroon, Mt. Manengouba and lowland localities in the centre and west of the country. None of the hosts were observed dead or dying. Infected amphibian hosts were not detected in other localities in the south and eastern rainforest belt. Infection occurred in both anurans and caecilians, making this the first reported case of infection in the latter order (Gymnophiona) of amphibians. There was no significant difference between prevalence and infection intensity in frogs and caecilians. We highlight the importance of taking into account the inhibition of diagnostic qPCR in studies on Bd, based on all Bd-positive hosts being undetected when screened without bovine serum albumin in the qPCR mix. The status of Bd as an indigenous, cosmopolitan amphibian parasite in Africa, including Cameroon, is supported by this work. Isolating and sequencing strains of Bd from Cameroon should now be a priority. Longitudinal host population monitoring will be required to determine the effects, if any, of the infection on amphibians in Cameroon. PMID:23446968

  16. [Yellow fever epidemic in the extreme North of Cameroon in 1990: first yellow fever virus isolation in Cameroon].

    PubMed

    Vicens, R; Robert, V; Pignon, D; Zeller, H; Ghipponi, P M; Digoutte, J P

    1993-01-01

    Some two years ago, suspicious cases of yellow fever (YF) were reported in northern Cameroon. A deadly epidemic broke out during the second half of the rainy season (from 15 September to 22 December 1990) with 180 known cases, of which 125 died. The real figures could have been between 5000 and 20,000 cases with between 500 and 1000 deaths. The affected area was within the yellow fever belt, which is situated around latitude 11 degrees North and 14 degrees East. In this mountainous area (altitude, about 800 m) the rural inhabitants are scattered, with a high density of 200,000 people per 1000 km2. Investigations began at the start of the dry season and a strain of yellow fever virus was isolated for the first time in Cameroon. A study of 107 serum samples (23 families in 11 villages) was carried out by immunofluorescence and ELISA, which showed 20% IgM carriers for yellow fever virus and nothing for the three other flaviviruses, although these were largely present; there were up to 98% crossed reactions in IgG with dengue 2 and West Nile strains. The under-10 age group represented 63% of the IgM carriers. An entomological study was carried out at the same time. It permitted the capture of Aedes aegypti, A. furcifer, A. luteocephalus and the identification of numerous potential larval sites, at times still in the productive phase of A. aegypti which is considered to be the principal vector.(ABSTRACT TRUNCATED AT 250 WORDS)

  17. The Fallacy of Promoting Non Native Varieties of English in Postcolonial Multilingual Settings: The Case of Cameroon English (CamE) in Cameroon

    ERIC Educational Resources Information Center

    Essossomo, Serges Moïse

    2015-01-01

    This research endeavour is a major contribution to the current debate on the integration of non-native varieties into the school curriculum in non-native settings. Taking the specific case of Cameroon, this work rests on the solid assumption that the promotion of CamE to the detriment of Standard British English accent is definitely a fallacy. The…

  18. Psychosocial burden of sickle cell disease on parents with an affected child in Cameroon.

    PubMed

    Wonkam, Ambroise; Mba, Caryl Zameyo; Mbanya, Dora; Ngogang, Jeanne; Ramesar, Raj; Angwafo, Fru F

    2014-04-01

    The chronicity of Sickle Cell Disease (SCD) could impair the quality of life of caregivers. We performed a quantitative study to assess various indices of psychosocial burden on Cameroonian parents (N = 130) with at least one living SCD-affected child. Demographic and medical information were obtained from the participants and the review of the patients' medical records. The survey instrument included a 38-item stress factors scale using Likert-type statements, evaluating general perceptions of stress and five main specific stressors: disease factors (clinical severity), hospital factors, financial factors, family factors (life/dynamic) and SCD-child factors (perceived quality of life). The items pertaining to burden involved four response options with increasing severity: 0, 1, 2 or 3. Descriptive statistics and non-parametric tests were used for analysis. Participants were typically aged 38 years, urban dwellers (89%), female (80%), married (60.2%), employed (61.7%) and had secondary/tertiary education (82%). Median age of SCD-affected children was 9 years. The median age at diagnosis of SCD was 6 months; 47.8% had more than 3 painful crises per year. The majority of participants (88.3%) experienced moderate to severe difficulty coping with SCD. On a 0-3 scale, median score of SCD clinical severity was the major factor to undermine the coping ability of parents (2.2); vaso-occlusive painful events (>3 per year) was the disease-related stressor that most impacted their coping ability. The family life dynamic was the least stressful (0.7). Unemployment affected all the stressors' categories. Stressors scores also increased with female, single, low education level, age of SCD-affected children or more than 3 children in the family. In Cameroon, there is an urgent need to implement practices that ensure affordable access to health-care and activities that would reduce SCD morbidity.

  19. Does HIV Services Decentralization Protect against the Risk of Catastrophic Health Expenditures? Some Lessons from Cameroon

    PubMed Central

    Boyer, Sylvie; Abu-Zaineh, Mohammad; Blanche, Jérôme; Loubière, Sandrine; Bonono, Renée-Cécile; Moatti, Jean-Paul; Ventelou, Bruno

    2011-01-01

    Objective Scaling up antiretroviral treatment (ART) through decentralization of HIV care is increasingly recommended as a strategy toward ensuring equitable access to treatment. However, there have been hitherto few attempts to empirically examine the performance of this policy, and particularly its role in protecting against the risk of catastrophic health expenditures (CHE). This article therefore seeks to assess whether HIV care decentralization has a protective effect against the risk of CHE associated with HIV infection. Data Source and Study Design We use primary data from the cross-sectional EVAL-ANRS 12-116 survey, conducted in 2006–2007 among a random sample of 3,151 HIV-infected outpatients followed up in 27 hospitals in Cameroon. Data Collection and Methods Data collected contain sociodemographic, economic, and clinical information on patients as well as health care supply-related characteristics. We assess the determinants of CHE among the ART-treated patients using a hierarchical logistic model (n = 2,412), designed to adequately investigate the separate effects of patients and supply-related characteristics. Principal Findings Expenditures for HIV care exceed 17 percent of household income for 50 percent of the study population. After adjusting for individual characteristics and technological level, decentralization of HIV services emerges as the main health system factor explaining interclass variance, with a protective effect on the risk of CHE. Conclusion The findings suggest that HIV care decentralization is likely to enhance equity in access to ART. Decentralization appears, however, to be a necessary but insufficient condition to fully remove the risk of CHE, unless other innovative reforms in health financing are introduced. PMID:22092226

  20. Haemostatic trends in HIV-infected individuals in Yaoundé, Cameroon: a pilot study

    PubMed Central

    Tene, Larissa; Tagny, Claude T.; Mintya-Ndoumba, Annick; Fossi, Vincent N.; Mbanya, Dora

    2016-01-01

    Bleeding disorders are haematological manifestations that are frequently observed during HIV infection. This study intends to describe the haemostatic trends in HIV-infected patients in Cameroon. This cross-sectional descriptive study was carried out at the haematology unit of the Yaoundé University Teaching Hospital from March to June 2012. It included consenting HIV-positive patients, aged 18 years and above, naive to antiretroviral treatment or not. The coagulation profile was measured with Stago reagents (Stago Diagnostics, Asnières sur Seine, France) using a chronometric technique on a semi-automate (Stago Diagnostics). Platelets count was estimated on a human count automate (Human diagnostic, Wiesbaden, Germany) by flow cytometry. A total of 139 HIV-infected patients were included in this study, out of which 106 were females (76.3%) against 33 (23.7%) males, giving a sex ratio of 0.3 (M/F). Mean age was 38.85 years (range 22–73 years) and median CD4 count was 353 cells/μl (Interquartile range 200–500 cells/μl). Hyperfibrinogenaemia was the most frequent bleeding disorder in the studied population [40 of 139 (28.78%)], followed by low prothrombin time (PT) [22 of 139 (15.83%)], thrombocytopenia [19 of 139 (13.67%)], hypofibrinogenaemia [18 of 139 (12.95)], prolonged activated partial thromboplastin time (7.91) and by thrombocytosis which was less frequent [6 of 139 (4.32%)]. Out of the six haemostatic disorders, only low PT was significantly associated with CD4 count (P=0.02). This study showed that bleeding disorders are very frequent in the HIV-infected patients studied. Low PT was significantly associated with CD4 count, hence it may be recommended to systematic screen for bleeding disorders in severe immune-depressed (CD4 ≤ 200) HIV-infected patients. PMID:24469390

  1. [Reconciliation and/or mediation settlements in cases of sexual abuse of minors in Cameroon].

    PubMed

    Mbassa Menick, D; Ngoh, F

    1999-01-01

    The twofold purpose of this study was to show that cases of sexual abuse involving minors can sometimes be resolved within the victim's entourage and to gain insight into the long-term clinical consequences of such acts. The study group was composed of 17 consultees recruited between 1993 and 1994. Inclusion criteria were level of education and understanding sufficient to obtain informed consent, Cameroon nationality, at least 15 years of age, and history of sexual abuse. Persons with a history of hospitalization or psychiatric treatment were excluded. After a one-hour history-taking interview, each subject filled out a questionnaire specially designed for the study. Analysis of data showed that 94 p. 100 of the victims were female. Most subjects were adolescents or younger when the sexual abuse occurred. All had been raped. Subjects presented a range of psychiatric problems, somatic manifestations and disturbances in instinctive functions. No court action had been started in 16 cases (94 p. 100) and charges had been filed in only one case (6 p. 100). Reconciliation was achieved in 2 cases (12.5 p. 100) and negotiated settlements involving payment of financial compensation to the parents of the victim were reached to avoid court action in 14 cases (87.5 p. 100). The results of this study demonstrate that reconciliation and/or negotiated settlements based on economic incentives and social pressures are sometimes preferable to court action. The clinical manifestations observed in the subjects could be considered as the long-term consequences of sexual abuse. PMID:10546190

  2. Improving waste segregation while reducing costs in a tertiary-care hospital in a lower-middle-income country in Central America.

    PubMed

    Johnson, Kyle M; González, Miriam L; Dueñas, Lourdes; Gamero, Mario; Relyea, George; Luque, Laura E; Caniza, Miguela A

    2013-07-01

    Healthcare waste (HCW) management and segregation are essential to ensure safety, environmental protection and cost control. Poor HCW management increase risks and costs for healthcare institutions. On-going surveillance and training are important to maintain good HCW practices. Our objectives were to evaluate and improve HCW practices at Hospital Bloom, San Salvador, El Salvador. We studied HCW disposal practices by observing waste containers, re-segregating waste placed in biohazardous waste bags, and administering a seven-itemsknowledge survey before and after training in waste management at Hospital Bloom. The training was based on national and international standards. We followed total biohazardous waste production before and after the training. The hospital staff was knowledgeable about waste segregation practices, but had poor compliance with national policies. Re-segregating waste in biohazardous waste bags showed that 61% of this waste was common waste, suggesting that the staff was possibly unaware of the cost of mis-segregating healthcare waste. After staff training in HCW management, the correct responses increased by 44% and biohazardous waste disposal at the hospital reduced by 48%. Better segregation of biohazardous waste and important savings can be obtained by HCW management education of hospital staff. Hospitals can benefit from maximising the use of available resources by sustaining best practices of HCW, especially those in hospitals in lower-middle-income countries. PMID:23592758

  3. Using weight-for-age for predicting wasted children in Cameroon

    PubMed Central

    Nguefack-Tsague, Georges; Kien, Agatha Tanya Nguti; Fokunang, Charles Ntungwen

    2013-01-01

    Introduction The equipment for taking body weights (scales) are more frequently used in Cameroon health centres than measuring boards for heights. Even when the later exist there are some difficulties inherent in their qualities; thus the height measurement is not always available or accurate. Our objective for this study was to construct statistical models for predicting wasting from weight-for-age. Methods 3742 children aged 0 to 59 months were enrolled in a cross-sectional household survey (2004 Cameroon Demographic and Health Surveys (DHS)) covering the entire Cameroon national territory. Results There were highly significant association between underweight and wasting. For all discriminant statistical methods used, the test error rates (using an independent testing sample) were less than 5%; the Area Under Curve (AUC) using the Receiver Operating Characteristic (ROC) was 0.86. Conclusion The study showed that weight-for-age can be used for accurately classifying a child whose wasting status is unknown. The result is useful in Cameroon as too often the height measurements may not be feasible, thus the need for estimating wasted children. This study provides baseline information that will help to design a preliminary pivotal study on an immediate nutrition intervention for acute undernutrition. Its complications that could lead to morbidity and mortality can be greatly reduced or set up a management control strategy that will go a long way in reducing the cost of health care in Cameroon. PMID:23717712

  4. 40Ar/39Ar dating of basaltic dykes swarm in Western Cameroon: Evidence of Late Paleozoic and Mesozoic magmatism in the corridor of the Cameroon Line

    NASA Astrophysics Data System (ADS)

    Tchouankoue, Jean Pierre; Simeni Wambo, Nicole Armelle; Kagou Dongmo, Armand; Li, Xian-Hua

    2014-05-01

    40Ar/39Ar ages of three basalt dykes that intrude the Precambrian basement in the southern continental part of the Cretaceous Cameroon Line are presented. Specimen were sampled at Dschang, Maham and Kendem (Cameroon). The ages obtained are 421.3 ± 3.5 Ma (Dschang), 404.22 ± 3.51 Ma (Maham), and 192.10 ± 7.45 Ma (Kendem). The Dschang and Maham samples yield a relatively undisturbed spectrum while the Kendem sample shows an excess of argon but with plateau ages in the frame of the Mesozoic. Plateau ages at Dschang, Maham and Kendem represent more than 80% of the total 39Ar released and are interpreted as emplacement ages. 40Ar/39Ar dating results confirm Devonian and Jurassic K/Ar ages obtained from similar dykes of the same region. Geochemically, the basalt dykes are subalkaline in composition with 45-50 wt.% SiO2. Incompatible trace elements and rare earth elements are lower than that of the Cameroon Line basalts. Overall geochemical characteristics of the basalt dykes much more closely resemble those of tholeiites of the Benue Through in Nigeria that are interpreted as related to the opening of the Atlantic Ocean. The combination of 40Ar/39Ar ages, major, trace and rare earth elements geochemistry data demonstrate a magmatic phase that is significantly older and different of that of the Cretaceous Cameroon Line and younger than the dominantly granitic Neoproterozoic to early Paleozoic magmatism in the region. These findings offer new clues for a better understanding of the tectonic history of the region, particularly the origin of the Cameroon Line and Africa-South America pre-drift reconstitutions.

  5. Central and southern Africa

    SciTech Connect

    McGrew, H.J.

    1981-10-01

    Exploration in central and southern Africa continued to expand during 1980. The greatest concentration of activity was in Nigeria. However, there was considerable increase in the level of exploratory work in Cameroon and Congo. Significant new finds have been made in Ivory Coast. Geological and geophysical activity was carried out in 18 of the countries, with those in the western part having the largest share. Seismic work involved 225 party months of operation. Most of this time was spent on land, but marine operations accounted for 73,389 km of new control. Gravity and magnetic data were recorded during the marine surveys, and several large aeromagnetic projects were undertaken to obtain a total of 164,498 line km of data. Exploratory and development drilling accounted for a total of 304 wells and 2,605,044 ft (794,212 m) of hole. The 92 exploratory wells that were drilled resulted in 47 oil and gas discoveries. In development drilling 89% of the 212 wells were successful. At the end of the year, 27 exploratory wells were underway, and 34 development wells were being drilled for a total of 61. Oil production from the countries that this review covers was 918,747,009 bbl in 1980, a drop of about 9% from the previous year. Countries showing a decline in production were Nigeria, Gabon, Cabinda, and Zaire. Increases were recorded in Cameroon, Congo, and Ghana. A new country was added to the list of producers when production from the Belier field in Ivory Coast came on stream. 33 figures, 15 tables.

  6. Survey of gorillas (Gorilla gorilla gorilla) and chimpanzees (Pan troglodytes troglodytes) in Southwestern Cameroon.

    PubMed

    Matthews, Adele; Matthews, Andreas

    2004-01-01

    A study on the distribution and population density of the western lowland gorilla (Gorilla g. gorilla) and the central chimpanzee (Pan t. troglodytes) was undertaken between December 1997 and August 2000 in the Campo and Ma'an Forests in southwestern Cameroon. The aim of this survey was to estimate the densities of the apes in different parts of the area, to assess the importance of the region for the conservation of these endangered species and to determine the influence of human activities such as logging and hunting. The survey was based on night nest counts on a total of 665.5 km of line transects. The overall density in the Campo Forest was estimated at 0.2 gorillas/km(2) and at 0.63-0.78 chimpanzees/km(2). The overall density of chimpanzees in the Ma'an Forest was estimated at 0.8-1 individuals/km(2). Gorilla density in this area was too low to allow an estimation. The highest gorilla nest density was found in secondary forest. The gorilla density in unlogged forest was significantly lower. Chimpanzees showed a clear preference for less disturbed areas. In unlogged forest, old secondary forests (logging more than 23 years ago) and areas of recent logging with large remaining patches of primary forest, significantly higher densities were calculated than inside the more heavily exploited logging concession. In areas with both logging and high hunting pressure both species were rare or even absent. The Campo Ma'an area is considered a very important area for the conservation of gorillas and chimpanzees. Conservation measures are urgently required to reduce the impact of logging and hunting. The creation of the Campo Ma'an National Park in January 2000 is an important measure to preserve the unique biodiversity in this so far hardly protected area. PMID:14586801

  7. New and little known species of ptyctimous mites (Acari, Oribatida) from Cameroon.

    PubMed

    Niedbała, Wojciech; Starý, Josef

    2014-11-28

    Altogether 24 species of ptyctimous mites were found in sifting litter samples from the Cameroon. Twelve new species of the ptyctimous mites, Indotritia montkoupensis sp. nov., Acrotritia furca sp. nov., Acrotritia quasidivida sp. nov., Hoplophthiracarus kumboensis sp. nov., Hoplophthiracarus reticulatus sp. nov., Hoplophthiracarus spinus sp. nov., Steganacarus (Rhacaplacarus) quaternarius sp. nov., Austrophthiracarus bicarinatus sp. nov., Protophthiracarus diatropos sp. nov., Protophthiracarus korupensis sp. nov., Protophthiracarus preptos sp. nov., Atropacarus (Hoplophorella) gibbus sp. nov., from the Cameroon are described and figured. Seven species are recorded for the first time for the Cameroon oribatid mite fauna. A comparison of morphological similarities with the most closely related species is presented. Taxonomical notes and additional information for two ptyctimous species: Acrotritia ardua (C.L.Koch, 1841), Arphthicarus sculptilis (Niedbała, 1988), were added. Keys for Afrotropical species of genera Hoplophthiracarus and Protophthiracarus are presented. 

  8. West and Central Africa.

    PubMed

    Lydie, N; Robinson, N J

    1998-01-01

    This article reviews scientific and other literature during the 1990s that links migration and mobility with the spread of sexually transmitted diseases (STDs), including HIV/AIDS. The focus is on key population groups linked to the spread of HIV and STDs in West and Central Africa: migrant laborers, truck drivers, itinerant traders, commercial sex workers (CSWs), and refugees. Countries with high emigration and immigration tend to have high levels of HIV infection, with the exception of Senegal. The main destination of immigrants are Senegal, Nigeria, and Cote d'Ivoire in West Africa and Cameroon, Congo, Gabon, and Congo in Central Africa. The risk of infection and the spread of HIV is variable among migrants. There is little in the literature that substantiates hypotheses about the strong association between migration and HIV-positive status. Information is needed on the duration, frequency of return visits, living conditions, sexual activities with multiple partners, and information before departure, along the routes, at final destination, and at the time of returns. Action-based research in five West African countries (Burkina Faso, Cote d'Ivoire, Mali, Niger, and Senegal) should produce results in late 1998. Comparable studies in Central Africa are unknown. Regional studies should be complemented by local studies. Prevention would benefit from studies on the relative size of these five population groups by geographic location.

  9. Origin and age of the Lake Nyos maar, Cameroon

    USGS Publications Warehouse

    Lockwood, J.P.; Rubin, M.

    1989-01-01

    Lake Nyos occupies a young maar crater in the Precambrian granitic terrane of northwest Cameroon. The lake is partly surrounded by poorly consolidated, ultramafic nodule-bearing pyroclastic surge deposits that were explosively ejected from the Nyos crater at the time of its formation. Radiocarbon dates show that the maar probably formed about 400 years ago. Field evidence suggests that carbon dioxide could have been the principal volatile involved in the formation of the Nyos maar, and that the role of water may have been minor. The formation of the Nyos maar was preceded by a brief period of effusive basaltic volcanism, but the maar itself may have largely formed by cold, 'dry' explosive processes. Carbon dioxide may still be trapped interstitially in a diatreme inferred to underlie Lake Nyos; its gradual release into the waters of Lake Nyos may have set the stage for the tragic gas-release event of August 21, 1986. Only young maar lakes such as Nyos may pose a danger of future lethal gas releases. ?? 1989.

  10. Compatibility of Schistosoma mansoni Cameroon and Biomphalaria pfeifferi Senegal.

    PubMed

    Southgate, V R; Tchuenté, L A; Théron, A; Jourdane, J; Ly, A; Moncrieff, C B; Gryseels, B

    2000-11-01

    The vectorial capacity of Biomphalaria pfeifferi from Ndiangue, Senegal, was investigated with an allopatric isolate of Schistosoma mansoni from Nkolbisson, Cameroon. The snail infection rate after exposure to a single miracidium per snail (MD1) was 56. 3 %, and 91.6%, for snails exposed to 5 miracidia per snail (MD5). The minimum pre-patent period was 21 days. The mean total cercarial production for the MDI group was 18,511 cercariae per snail, and 9757 cercariae for the MD5 group. The maximum production of cercariae for 1 day was 4892 observed in a snail from the MDI group at day 43 post-infection. The mean longevity of snails was higher in group MD1 (88 days p.i.) than in group MD5 (65 days p.i.). The chronobiological emergence pattern revealed a circadian rhythm with one shedding peak at mid-day. Comparisons are made with the vectorial capacity of the sympatric combination of B. pfeifferi Senegal/S. mansoni Senegal.

  11. [Characteristics of murder and attempted murder in Cameroon. Study based on expert psychiatric court reports].

    PubMed

    Mbassa Menick, D

    2009-06-01

    The purpose of this study was to describe the sociodemographic, psychopathologic and criminological features associated with homicide based on review of expert psychiatric court reports describing murder and attempted murder perpetrators examined at Jamot Hospital in Yaoundé, Cameroon. The study cohort comprised reports describing 12 offenders who were examined at the request of ajudge or public prosecutor from March 1, 2002 to July 31, 2006. There were 8 men (66.7%) and 4 women (33.3%) with a mean age of 18.3 years (range, 17 to 43 years). In 8 cases the criminal act coincided with a difficult period in the offender's life. In the remaining 4 cases the act could not be linked to a specific life event. Assaults were carried out by strangulation, battery, or stabbing (knifes or machetes) in 87.5% of cases and occurred at the victim's home in 68.8% of cases. The main mental disorders diagnosed using the ICD-10 classification were schizophrenia in 41.7% of cases (n = 5), chronic delirium in 25.0% (n = 3), and personality disorder in 8.3 % (n = 1). Nine offenders (75.0%) had a history of mental disorder including 8 within at least six months preceding the assault. Four offenders had already received psychiatric treatment including 2 who required hospitalization following one or more episodes of psychotic decompensation. There were a total of 16 victims including 14 that died and 2 that were seriously wounded but survived thanks to prompt medical attention. The victims included 8 males and 8 females with 11 children (68.7%) and 5 adults (31.3%). In the child group 9 victims died (81.8%) and 2 survived (18.2%). Except one 17-year-old teenager, the 6 female and 3 male child victims were between the ages of 18 months and 8 years. The adult victims included 1 female and 4 males. The main findings of this study were the high incidence of mental disease, especially schizophrenics (66.7%), associated with homicide and the high number of child victims (62.5%). The first

  12. Perspectives in genetics and sickle cell disease prevention in Africa: beyond the preliminary data from Cameroon

    PubMed Central

    Wonkam, Ambroise; Bitoungui, Valentina Josiane Ngo; Ngogang, Jeanne

    2015-01-01

    Cameroon is a country of 20 million inhabitants with a carrier frequency of Sickle Cell Disease (SCD) ranging from 8 to 34 % [1]. Despite the exceptional severity, illustrated by a high prevalence of stroke (6·7%) among SCD patients [2], there are no specialized centres for lifelong medical care in Cameroon. Therefore, management needs to be accompanied by various preventive strategies. Prevention also extends to early detection with the aim to identify SCD in the foetus, provide reproductive options and options for treatment and prognosis. PMID:26044545

  13. Rural Development in Africa: A Bibliography. (Part I: General, Central, East). Training & Methods Series Number 16 (Supplement), March 1973.

    ERIC Educational Resources Information Center

    Anderson, Teresa, Comp.; Strey, Gerry, Comp.

    A supplement to the bibliography of materials dealing with Africa in the Land Tenure Center Library at the University of Wisconsin, this bibliography on rural development in Africa is divided into three major sections as follows: (1) General (400 entries); (2) Central Africa including a general section (2 entries); Cameroon (26 entries); Central…

  14. Snakebite in northern Cameroon: 134 victims of bites by the saw-scaled or carpet viper, Echis ocellatus.

    PubMed

    Einterz, Ellen M; Bates, Myra E

    2003-01-01

    Echis ocellatus is one of the most deadly snakes known to humans, yet the procurement of antivenom for the treatment of these snakebites in Africa has become increasingly difficult and expensive. There is no consensus for the management of victims, and little is known of actual recent experiences with these cases in ordinary health care settings in Africa. All cases of snakebite reliably identified as bites of E. ocellatus and admitted to Kolofata District Hospital, northern Cameroon, from January 1993 to December 2002 were described retrospectively or prospectively. Of 134 cases admitted, 63% were male, three-quarters were aged < 30 years, and 85% survived. Pasteur polyvalent antivenom for Africa was administered intravenously in all but 1 case, but patients rarely received more than 10 mL. In most cases, appropriate antivenom can be administered effectively at a fraction of the recommended dose (20-60 mL), even in patients with serious complications presenting days after having been bitten; however, death is more likely in late presenters. PMID:16117965

  15. Effect of sampling methods, effective population size and migration rate estimation in Glossina palpalis palpalis from Cameroon.

    PubMed

    Mélachio, Tanekou Tito Trésor; Njiokou, Flobert; Ravel, Sophie; Simo, Gustave; Solano, Philippe; De Meeûs, Thierry

    2015-07-01

    Human and animal trypanosomiases are two major constraints to development in Africa. These diseases are mainly transmitted by tsetse flies in particular by Glossina palpalis palpalis in Western and Central Africa. To set up an effective vector control campaign, prior population genetics studies have proved useful. Previous studies on population genetics of G. p. palpalis using microsatellite loci showed high heterozygote deficits, as compared to Hardy-Weinberg expectations, mainly explained by the presence of null alleles and/or the mixing of individuals belonging to several reproductive units (Wahlund effect). In this study we implemented a system of trapping, consisting of a central trap and two to four satellite traps around the central one to evaluate a possible role of the Wahlund effect in tsetse flies from three Cameroon human and animal African trypanosomiases foci (Campo, Bipindi and Fontem). We also estimated effective population sizes and dispersal. No difference was observed between the values of allelic richness, genetic diversity and Wright's FIS, in the samples from central and from satellite traps, suggesting an absence of Wahlund effect. Partitioning of the samples with Bayesian methods showed numerous clusters of 2-3 individuals as expected from a population at demographic equilibrium with two expected offspring per reproducing female. As previously shown, null alleles appeared as the most probable factor inducing these heterozygote deficits in these populations. Effective population sizes varied from 80 to 450 individuals while immigration rates were between 0.05 and 0.43, showing substantial genetic exchanges between different villages within a focus. These results suggest that the "suppression" with establishment of physical barriers may be the best strategy for a vector control campaign in this forest context.

  16. Deep seismic imaging across the Cameroon Volcanic Line

    SciTech Connect

    Meyers, J.B.; Rosendahl, B.R. )

    1991-03-01

    The Cameroon Volcanic Line (CVL) is a southwest-trending line of volcanic centers that extends from near Lake Chad to at least the island of Pagalu. The Sao Tome and Principe Islands along the CVL have intrigued explorationists for decades because oil seeps and windows of sediments occur on them. Recently the 'PROBE Study' acquired a grid of deep-imagining multifold seismic data cross submarine portions of the CVL. Profiles crossing the CVL show upward flexure of oceanic crust and Moho reflections of more than 3 km locally. Upper Cretaceous/lower Tertiary drift sequence reflectors are concordant to crustal uplift, and shoal toward the islands where they are enmeshed with volcanics. These sediments are apparently the source of oil seeps on Sao Tome and Principe. On the flanks of CVL islands and seamounts, regionally continuous sequence boundaries are observed onlapping rotated older sediment reflectors. These sequence boundaries display either base-discordant onlap patterns or divergent onlap patterns, both indicative of uplift, not eustatic fluctuation. The 'uplift sequence boundaries' probably result from uplift associated with pulses of colcanism in the Miocene. It is likely this arching is the equivalent of the Miocene Adamawa uplift that occurs on land. The authors hypothesize crustal uplift was produced by upwelling of the asthenosphere and upward percolation of light mantle fluids. Features which may be the tops of magma bodies 2-20 km wide are imaged in some of the reflection profiles, and possible shear zones and fluid conduits are observed as sub-Moho dipping reflector events.

  17. [Epidemiology of obesity in the work milieu, Douala, Cameroon].

    PubMed

    Fouda, A A Bita; Lemogoum, D; Manga, J Owona; Il Dissongo, J; Tobbit, R; Moyo, D F Ngounou; Sume, G Etapelong; Kollo, B

    2012-01-01

    Obesity is a worldwide public health problem, and its burden has been poorly explored in Cameroon, especially in work place. We therefore carried out in April 2010, an analytic cross-sectional study aiming to determine the prevalence of obesity, associated risk factors and health risk in six randomly selected enterprises based in Douala. Among the 552 participants, 383 (69.4%) were males. Most of the workers (55.4%) were aged less than 35 years old. There was 191 (34.60%) office staff as against 361 (65.40%) labourers. In each participant, blood pressures, and fasting blood glucose were recorded, as well as obesity indexes comprising body mass index and waist circumference. They were calculated and data analyzed using SPSS 16 and Win Pepi 11.8. The prevalence of obesity in workers was 23.4%, and was more pronounced in women than in men (36.1% vs 17.8%; P < 0.005). The workers aged > or = 45 years old exhibited highest obesity rate than other age group (P = 0.03). Importantly, the prevalence of hypertension was two fold greater in obese workers than non obese (P < 0.005; RR = 2.1; IC 95%: 1.57-2.83). 271 (49.1%) of the workers were overweight. Among the obese subjects, those with visceral obesity: 56 (43.4%) females with a waist circumference > 88 cm and 41 (31.8%) men with a waist circumference > 102 cm were at very high health risk. Obesity was significantly associated with excessive alcohol consumption (P = 0.013) and high salt diet (P = 0.022). This study reveals a high burden of obesity in the work place in Douala and outlines the urgent needs of implementation of prevention programme in that milieu. PMID:22891584

  18. Byssinosis in a textile factory in Cameroon: a preliminary study.

    PubMed Central

    Takam, J; Nemery, B

    1988-01-01

    To assess the risk of byssinosis in a cotton textile factory in Cameroon a preliminary study was conducted on a random sample of 125 men from production areas and 68 men from non-production areas. Symptoms were assessed by a questionnaire, which also included questions regarding sleep; peak expiratory flow rate (PEF) was measured with a miniature peak flow meter at the end of a working day and total dust concentrations were assessed by static and personal sampling with Casella dust samplers giving values of 6.4 +/- 2.6 mg/m3 (m +/- SD) in production areas and 1.7 +/- 0.7 mg/m3 in control areas. Exposed subjects had significantly more symptoms (particularly in smokers) and lower PEF values than controls (408 +/- 961/min v 468 +/- 701/min, p less than 0.001). Twenty three exposed subjects (18%) reported chest tightness on returning to work after the weekly break (compared with one control, p less than 0.01). Subjects with byssinosis had lower PEF values than those without chest tightness (356 +/- 501/min v 426 +/- 951/min, p less than 0.01), more chronic bronchitis (52% v 6%, p less than 0.001), they were more often smokers (61% v 31%, p less than 0.05), and came generally, though not exclusively, from the opening carding spinning department with the highest concentrations of total dust (8 +/- 2 mg/m3) and an estimated prevalence of byssinosis of 28%. There were no significant differences in sleep related symptoms between the exposed and controls, though the 23 subjects with byssinosis tended to report more snoring (48%), early morning headache (48%), and sleep improvement over the working week (44%) than all the other subjects (28%, 24%, and 24% respectively, p less than 0.1). PMID:3219305

  19. Seasonal variations of surface duct conditions in Ngaoundere, North Cameroon

    NASA Astrophysics Data System (ADS)

    Kaissassou, Samuel; Lenouo, André; Nzeukou, Armand; Tchawoua, Clément; Vondou, D. A.

    2015-12-01

    The seasonal variations of refractivity gradients from 104 to 3000 m above ground level in the troposphere layer are presented based on observations from the radiosonde station located in Ngaoundere (13.5°E, 7.3°N), a middle belt savannah region of Cameroon. Six years (2006-2011) of data from in situ measurements made by Agency for the Safety of Air Navigation in Africa and Madagascar (ASECNA) of the temperature, moisture, and pressure are used to determine the surface duct conditions over Ngaoundere region. Each time that a negative gradient from the Abel-retrieved refractivity profiles is seen, it implies the presence of a duct in this study. The occurrence of ducts strongly depends on the local climate and synoptic weather conditions which have an appreciable influence on the refractivity vertical profile, especially the seasonal north-south movement of the Inter Tropical Convergence Zone (ITCZ) which provides wet and dry seasons to the region. Monthly and seasonal variations of ducts were also determined from the measured data. The highest and the lowest occurrence rate of surface ducts were observed during the wet and the dry seasons, respectively. September appears as the month when most of the ducts occur at the rate of at least one duct per day. The median duct thickness and duct strength are high and strong during the wet season, whereas they are low and weak during the dry season. When the data are separated into stable and unstable atmospheric conditions, we noticed that surface duct characteristics show some seasonal differences. Surface ducts are found to be more frequent in a stable atmosphere than in an unstable atmosphere. Statistical results are discussed alongside with local meteorological conditions and weather systems affecting the town of Ngaoundere. Besides, comments are made on their prospective significance in the region.

  20. Intestinal parasitic infections in HIV infected and non-infected patients in a low HIV prevalence region, West-Cameroon.

    PubMed

    Nkenfou, Céline Nguefeu; Nana, Christelle Tafou; Payne, Vincent Khan

    2013-01-01

    The magnitude of intestinal parasitic infection in acquired immunodeficiency syndrome patients requires careful consideration in the developing world where poor nutrition is associated with poor hygiene and several tropical diseases. However, there have been very few studies addressing this issue in Cameroon. This study was conducted to determine the prevalence of intestinal parasitosis in HIV/AIDS patients in Dschang -Cameroon. Stool and blood specimens from HIV/AIDS patients and control group were screened respectively for intestinal parasites and for HIV antibodies. Intestinal parasites were identified using direct microscopy, formalin-ether concentration and Ziehl Neelsen methods. Out of 396 participants recruited among patients consulting at hospital, 42 (10.6%) were HIV positive, thirty of them treatment naïve. The overall prevalence of intestinal parasites was 14.64%. Out of 42 HIV/AIDS patients, 59.5% (25/42) were infected with intestinal parasites, while only 9.32% (33/354) of the HIV negative patients were infected with intestinal parasites. The parasites detected in our study population included Crystosporidium parvum (2.53%), Entamoeba histolytica (7.52%), Entamoeba coli (4.04%), Giardia lamblia (0.25%), Trichuris trichura (0.25%), Strongyloides stercoralis (0.25%) and Taenia spp. (0.25%). In the HIV infected group, Crystosporidium parvum (19.04%), Entamoeba histolytica (19.04%), Entamoeba coli (21.42%), Giardia lamblia (2.38%), Strongyloides stercoralis (0.25%) and Taenia spp. (0.25%) were found. Crystosporidium parvum was found to be significantly higher in HIV/AIDS patients than in controls (P<0.05). Multivariate analysis showed that the HIV status and the quality of water were the major risk factors for intestinal parasitosis. Routine examinations of stool samples for parasites would significantly benefit the HIV patients by contributing in reducing morbidity and improving the efficiency of antiretroviral treatment. Even after the introduction of

  1. Students' Indiscipline: Types, Causes and Possible Solutions: The Case of Secondary Schools in Cameroon

    ERIC Educational Resources Information Center

    Ngwokabuenui, Ponfua Yhayeh

    2015-01-01

    This study explores students' indiscipline in secondary schools in Cameroon. The purpose of this research is to examine the familiar or common forms, the causes and probable ways to curb indiscipline in schools. The study made use of descriptive survey research design. The study was guided by four research questions whereas two hypotheses were…

  2. [Intestinal parasite diagnoses in Chad and North Cameroon, 1963-2009].

    PubMed

    Massenet, D; Gamougam, K; Djerané, L; Toukour, A

    2012-01-01

    The authors report the results of parasitological analyses of stool samples in N'Djamena (Chad) since 1963 and in Garoua (North Cameroon) since 1990. The number of positive stool examinations has fallen, with a significant decline in helminthiases, although the level of protozoan infections has remained essentially the same.

  3. Lolodorfus, a new genus of net-winged beetles (Coleoptera: Lycidae: Dexorinae) from Cameroon.

    PubMed

    Bocakova, Milada

    2014-06-04

    A new genus Lolodorfus is proposed within the subfamily Dexorinae and Lolodorfus flavus sp. nov. from Cameroon is described. Illustrations of diagnostic characters are given. The genus Mimolibnetis Pic, 1936 is transferred to the Dexorinae Bocak et Bocakova, 1989, and consequently the subfamily Mimolibnetinae Kazantsev, 2013 is considered to be a younger synonym of Dexorinae Bocak et Bocakova, 1989.

  4. Teaching Practice in Cameroon: The Effectiveness of the University of Buea Model and Implications for Quality

    ERIC Educational Resources Information Center

    Endeley, Margaret Nalova

    2014-01-01

    The paper aimed at assessing the effectiveness of the teaching practice model in the University of Buea, which is different from that of other teacher education institutions in Cameroon. Teaching Practice is an important component of a teacher education programme and the quality of supervision and duration are key in achieving effectiveness which…

  5. The Emotional World of Kinship: Children's Experiences of Fosterage in East Cameroon

    ERIC Educational Resources Information Center

    Notermans, Catrien

    2008-01-01

    This article focuses on children's narrated experiences of fosterage in East Cameroon. It seeks to complement the predominantly adult approaches to fosterage with children's views of the intimate, emotional and competitive aspects of kinship in everyday life. As kinship evolves in homes through sharing food and intimacy, children directly…

  6. [Biogeographical distribution of snakes in Cameroon: the case of venomous snakes].

    PubMed

    Gonwouo, N L; LeBreton, M; Chirio, L; Ngassam, P; Ngoa, L E; Dzikouk, G

    2005-11-01

    A preliminary analysis of the distribution of snakes captured in Cameroon between 1999 and 2004 is presented in this study. This work helps to provide a better understanding of the distribution of the venomous snakes. The main focus of this study was to identify regions of high diversity of venomous species, a useful step towards developing a national strategy of snakebite care and antivenom distribution. We recorded 4,910 specimens of 150 species from 361 localities throughout Cameroon. Among the ten provinces in Cameroon, the southwest province recorded the highest number of venomous snakes. Diversity was less in the far-north province, but the high abundance of Echis ocellatus seems to be responsible for many snake bites in the region. Of all venomous snakes, the forest cobra Naja melanoleuca was the most abundant in the forest region. The humid savannah region was dominated by Causus maculatus while the Sahelian part by Echis ocellatus. Given the abundance and high snake bite cases of the latter in the region, snakebite care from a national point of view should begin from the far-north towards the forest region of the south-west Cameroon.

  7. Technical and Vocational Education in Cameroon and Critical Avenues for Development

    ERIC Educational Resources Information Center

    Che, S. Megan

    2007-01-01

    Technical and vocational education (TVE) can influence development and economic progress for post-colonial societies. Some newly independent sub-Saharan African countries attempted curricular transformation that might produce a skilled workforce through widespread access to versions of TVE. In Cameroon, no such post-colonial curricular revolution…

  8. Learner Orientation through Professional Development of Teachers? Empirical Results from Cascade Training in Anglophone Cameroon

    ERIC Educational Resources Information Center

    Lange, Sarah

    2014-01-01

    This paper examines the effects of a professional development programme on the attitudes towards the teaching and learning of teachers in the Anglophone part of Cameroon. The development programme combines a multiplier system with school-based in-service training. The research compares the effects that the training had on the attitudes of three…

  9. Parentage analysis and outcrossing patterns in cacao (Theobroma cacao L.) farms in Cameroon

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The present study investigates the parentage of farm accessions in Cameroon using data from 12 microsatellite loci. Bayesian analysis suggests that 25.5% of the 400 farm accessions studies are still closely related to the traditinal Amelonado variety called 'German Cocoa' by the farmers. Another 46....

  10. An Emerging Donor in Education and Development: A Case Study of China in Cameroon

    ERIC Educational Resources Information Center

    Nordtveit, Bjorn H.

    2011-01-01

    This paper analyzes China's new approaches of education aid to Africa through a case study of Cameroon. China's cooperation has been characterized by different discourses and different historic relationships with recipient countries than those of traditional donors. Sino-African policies have gone through different stages, each connected to wider…

  11. The Dynamics of Political Competition and the Future of Democratization Process in Cameroon: Challenges and Opportunities

    ERIC Educational Resources Information Center

    Forje, John W.

    2006-01-01

    The paper looks at the process of democratisation in Cameroon and its failure to respond to the basic tenets of democracy that meets the aspirations of the people. It argues that though there have been some quasi moves following the collapse of the Soviet Union in trying to open the political space, this has been done to meet donors wish and not…

  12. Implications of Local Literacy Practices for Literacy Programmes in a Multilingual Community in Northern Cameroon

    ERIC Educational Resources Information Center

    Cheffy, Ian

    2011-01-01

    Research in a rural area of northern Cameroon where most adults describe themselves as illiterate reveals a complex picture in which three languages are used in different ways and in different domains of life. The profile of the literacy practices associated with these languages is correspondingly complex. This paper argues that it is important…

  13. Dieback due to Lasiodiplodia theobromae, a new phytosanitary constraint to cocoa culture in Cameroon.

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Since the introduction of cocoa (Theobroma cacao L.) in Cameroon in 1886, the only serious disease has been Phytophthora pod rot. Recently, cocoa orchards have been subjected to an increasingly important decline due to an uncommon dieback disease. Irrespective of age, affected cocoa trees manifest ...

  14. Frequency and Use of Modals in Cameroon English and Application to Language Education

    ERIC Educational Resources Information Center

    Nkemleke, Daniel

    2007-01-01

    This contribution investigates the frequency patterns of the modal verbs as they occur in the one-million-word corpus of Cameroon written English. An analysis of dominant senses of some of the modals is also attempted. I have used results and statistical figures from British and American English (as reported in studies such as Biber et al. 1999…

  15. Instructors' Perceptions of the Bologna Model of Higher Education Reform in Cameroon

    ERIC Educational Resources Information Center

    Mngo, Zachary Y.

    2011-01-01

    Problem Statement. The literature on education in Cameroon suggests that there is a deep-rooted history of resistance to educational reform and harmonization both at the K12 and higher education levels. Attempts by political and educational leaders to reform and harmonize the two very distinct systems of education, inherited from former colonizers…

  16. [An inventory of activities related to the collection of demographic data concerning households in Cameroon].

    PubMed

    Fotso, E

    1984-01-01

    The author attempts to list, following a brief introduction, all the projects undertaken since 1921 that have included the collection of demographic data concerning Cameroon. Information is included on the title of the census or survey, date, geographic coverage, executing agency, and publication of results. PMID:12339838

  17. Language Ideology and the Colonial Legacy in Cameroon Schools: A Historical Perspective

    ERIC Educational Resources Information Center

    Nana, Genevoix

    2016-01-01

    Cameroon prior to colonization had many languages, with none having precedence over the other. With the development of trade and the installation of missionaries along its coast, a number of local and European languages gained prominence. English became the most widely used western language. It established itself as the language of trade and of…

  18. Buruli Ulcer in Cameroon: The Development and Impact of the National Control Programme

    PubMed Central

    Tabah, Earnest Njih; Nsagha, Dickson Shey; Bissek, Anne-Cécile Zoung-Kanyi; Njamnshi, Alfred Kongnyu; Bratschi, Martin W.; Pluschke, Gerd; Um Boock, Alphonse

    2016-01-01

    Background Cameroon is endemic for Buruli ulcer (BU) and organised institutional BU control began in 2002. The objective was to describe the evolution, achievements and challenges of the national BU control programme (NBUCP) and to make suggestions for scaling up the programme. Methods We analysed collated data on BU from 2001 to 2014 and reviewed activity reports NBUCP in Cameroon. Case-detection rates and key BU control indicators were calculated and plotted on a time scale to determine trends in performance. A linear regression analysis of BU detection rate from 2005–2014 was done. The regression coefficient was tested statistically for the significance in variation of BU detection rate. Principal findings In 14 years of BU control, 3700 cases were notified. The BU detection rate dropped significantly from 3.89 to 1.45 per 100 000 inhabitants. The number of BU endemic health districts rose from two to 64. Five BU diagnostic and treatment centres are functional and two more are planned for 2015. The health system has been strengthened and BU research and education has gained more interest in Cameroon. Conclusion/Significance Although institutional BU control Cameroon only began 30 years after the first cases were reported in 1969, a number of milestones have been attained. These would serve as stepping stones for charting the way forward and improving upon control activities in the country if the major challenge of resource allocation is dealt with. PMID:26760499

  19. The Position of English Globally and Nationally: A Comparison of Cameroon and Vanuatu

    ERIC Educational Resources Information Center

    Abongdia, Jane-Francis A.; Willans, Fiona

    2014-01-01

    This paper investigates language ideologies relevant to medium of instruction policy within two postcolonial countries: Cameroon and Vanuatu. Each country experienced British and French rule, and has retained both English and French as official languages and media of instruction. However, since Independence, there has been a difference in the way…

  20. The Impact of a Community Mobilization Project on Health-Related Knowledge and Practices in Cameroon.

    ERIC Educational Resources Information Center

    Babalola, Stella; Sakolsky, Natasha; Vondrasek, Claudia; Mounlom, Damaris; Brown, Jane; Tchupo, Jean-Paul

    2001-01-01

    Evaluated the impact of a reproductive health community mobilization initiative in Cameroon. Baseline and followup survey data indicated that at a rural site, the intervention positively influenced family planning knowledge and practices, HIV/AIDS and sexually transmitted disease knowledge and attitudes, and use of health services. At an urban…

  1. Is Language Planning an Indispensable Tool for Developing Nations? The Case of Cameroon.

    ERIC Educational Resources Information Center

    Enoch, Tabe Florence Ako

    2000-01-01

    Suggest that because language planning is a tool in the service of many different latent goals, it rarely conforms to a rational paradigm of decision-making or problem-solving. This article presents a linguistic profile of Cameroon. (Author/VWL)

  2. Local Agency in the Development of Minority Languages: Three Language Committees in Northwest Cameroon

    ERIC Educational Resources Information Center

    Trudell, Barbara

    2006-01-01

    Examples of effective community-based action in defence of minority indigenous language are relatively few. However, three indigenous language committees of Northwest Cameroon, the Bafut, Kom and Nso' language committees, provide dynamic models of the role that community-based organisations can play in the development and maintenance of minority…

  3. Fish Pond Aquaculture in Cameroon: A Field Survey of Determinants for Farmers' Adoption Behaviour

    ERIC Educational Resources Information Center

    Ndah, Hycenth Tim; Knierim, Andrea; Ndambi, Oghaiki Asaah

    2011-01-01

    Although fish farming in Cameroon started in the late 1940s, currently the country meets only half of its domestic demand for fish. This article examines the complex issue of farmers' adoption decisions and attempts to answer why there is a lag in the diffusion process. The theory of behaviour modification and key variables of adoption form the…

  4. Access to potable water and sanitation in Cameroon within the context of Millennium Development Goals (MDGS).

    PubMed

    Ako, Andrew Ako; Shimada, Jun; Eyong, Gloria Eneke Takem; Fantong, Wilson Yetoh

    2010-01-01

    Cameroon has been fully engaged with the Millennium Development Goals (MDGs) since their inception in 2000. This paper examines the situation of access to potable water and sanitation in Cameroon within the context of the Millennium Development Goals (MDGs), establishes whether Cameroon is on the track of meeting the MDGs in these domains and proposes actions to be taken to bring it closer to these objectives. Based on analyzed data obtained from national surveys, government ministries, national statistical offices, bibliographic research, reports and interviews, it argues that Cameroon will not reach the water and sanitation MGDs. While Cameroon is not yet on track to meet the targets of the MDGs for water and sanitation, it has made notable progress since 1990, much more needs to be done to improve the situation, especially in rural areas. In 2006, 70% of the population had access to safe drinking water and the coverage in urban centres is 88%, significantly better than the 47% in rural areas. However, rapid urbanization has rendered existing infrastructure inadequate with periurban dwellers also lacking access to safe drinking water. Sanitation coverage is also poor. In urban areas only 58% of the population has access to improved sanitation facilities, and the rate in rural areas is 42%. Women and girls shoulder the largest burden in collecting water, 15% of urban and 18% rural populations use improved drinking water sources over 30 minutes away. Cameroon faces the following challenges in reaching the water and sanitation MDGs: poor management and development of the resources, coupled with inadequate political will and commitment for the long term; rapid urbanization; urban and rural poverty and regulation and legislative lapses. The authors propose that: bridging the gap between national water policies and water services; recognizing the role played by Civil Society Organizations (CSOs) in the attainment of MDGs; developing a Council Water Resource Management

  5. Use of circumsporozoite protein enzyme-linked immunosorbent assay compared with microscopic examination of salivary glands for calculation of malaria infectivity rates in mosquitoes (Diptera: Culicidae) from Cameroon.

    PubMed

    Fontenille, D; Meunier, J Y; Nkondjio, C A; Tchuinkam, T

    2001-05-01

    A survey in Cameroon compared the usefulness of the circumsporozoite protein enzyme-linked immunosorbent assay (CSP ELISA) to dissection and microscopic examination of anopheline salivary glands for measuring infectivity rates in anopheline mosquitoes. The salivary glands of 375 females, belonging to four species were examined for sporozoites. After microscopic examination, the glands as well as all the remaining heads and thoraces were tested by ELISA. The sensitivity of ELISA was 100% (18/18), confidence interval (CI) (78.1-100) and the specificity was 99.7% (357/358), CI (98.2 100). The Kappa value, agreement between examination of the glands and salivary gland ELISA, was 0.97. The head thorax CSP ELISA overestimated the true salivary gland infection rate by 12.0%. The results obtained in Central Africa in a village with perennial transmission highly justified the use of the ELISA for measuring the entomological inoculation rate. PMID:11372973

  6. A search for Ebola virus in animals in the Democratic Republic of the Congo and Cameroon: ecologic, virologic, and serologic surveys, 1979-1980. Ebola Virus Study Teams.

    PubMed

    Breman, J G; Johnson, K M; van der Groen, G; Robbins, C B; Szczeniowski, M V; Ruti, K; Webb, P A; Meier, F; Heymann, D L

    1999-02-01

    More than 30 years after the first outbreak of Marburg virus disease in Germany and Yugoslavia and 20 years after Ebola hemorrhagic fever first occurred in central Africa, the natural history of filoviruses remains unknown. In 1979 and 1980, animals in the Democratic Republic of the Congo and Cameroon were collected during the dry season near the site of the 1976 Ebola hemorrhagic fever epidemic. The study objectives were to identify local animals and search for evidence of Ebola virus in their tissues. A total of 1664 animals representing 117 species was collected, including >400 bats and 500 rodents. Vero and CV-1 cells and IFA and RIA were used for virus and antibody detection, respectively. No evidence of Ebola virus infection was found. This study was limited in time and animal collections and excluded insects and plants. Long-term, prospective, multidisciplinary comparative studies will yield more information than will repeat short forays on the ecology of filoviruses. PMID:9988177

  7. New tools suggest local variation in tool use by a montane community of the rare Nigeria-Cameroon chimpanzee, Pan troglodytes ellioti, in Nigeria.

    PubMed

    Dutton, Paul; Chapman, Hazel

    2015-01-01

    Regional variations in tool use among chimpanzee subspecies and between populations within the same subspecies can often be explained by ecological constraints, although cultural variation also occurs. In this study we provide data on tool use by a small, recently isolated population of the endangered Nigeria-Cameroon chimpanzee Pan troglodytes ellioti, thus demonstrating regional variation in tool use in this rarely studied subspecies. We found that the Ngel Nyaki chimpanzee community has its own unique tool kit consisting of five different tool types. We describe a tool type that has rarely been observed (ant-digging stick) and a tool type that has never been recorded for this chimpanzee subspecies or in West Central Africa (food pound/grate stone). Our results suggest that there is fine- scale variation in tool use among geographically close communities of P. t. ellioti, and that these variations likely reflect both ecological constraints and cultural variation.

  8. The application of hospitality elements in hospitals.

    PubMed

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority.

  9. The application of hospitality elements in hospitals.

    PubMed

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority. PMID:23424818

  10. Mass balance of nitrogen and potassium in urban groundwater in Central Africa, Yaounde/Cameroon.

    PubMed

    Kringel, R; Rechenburg, A; Kuitcha, D; Fouépé, A; Bellenberg, S; Kengne, I M; Fomo, M A

    2016-03-15

    Mass flow of nutrients from innumerous latrines and septic tanks was assessed to best describe the groundwater quality situation in the urban environment of Yaounde. 37 groundwater samples were taken at the end of dry season 2012 and analysed for nutrient related (NO3(-), NH4(+), NO2(-), K(+), Cl(-), HPO4(2-) and TOC) and physico-chemical ambient parameters. A survey on waste water discharge close to water points constrained point sources from sanitation. The results showed that the median of nitrate concentration exceeds the WHO limit. We realized that EC increases from the geogenic background to very high levels in the urban area within short distance, suggesting anthropogenic input. Dug wells showed nitrate and ammonium in equivalent concentrations, indicating incomplete nitrification and mandating their inclusion into water type classification. The mass turnover of nutrients in urban groundwater scales high in comparison to national statistical figures on fertilizer import for 2012. A mass N,K balance for infiltration water overestimates observed concentrations by a factor of 4.5. The marked balance gap is attributed to dynamic non-equilibrium between input and output. Unresolved questions like a) urban sanitation, b) hygiene & health and c) environmental protection urgently call for closing the nutrient cycle. In the light of Cameroonian strategies on rural development, tackling the groundwater nutrient, urban agriculture, food--NEXUS might partially restore urban and periurban ecosystem services under economical constraints and thus improve living conditions.

  11. Mass balance of nitrogen and potassium in urban groundwater in Central Africa, Yaounde/Cameroon.

    PubMed

    Kringel, R; Rechenburg, A; Kuitcha, D; Fouépé, A; Bellenberg, S; Kengne, I M; Fomo, M A

    2016-03-15

    Mass flow of nutrients from innumerous latrines and septic tanks was assessed to best describe the groundwater quality situation in the urban environment of Yaounde. 37 groundwater samples were taken at the end of dry season 2012 and analysed for nutrient related (NO3(-), NH4(+), NO2(-), K(+), Cl(-), HPO4(2-) and TOC) and physico-chemical ambient parameters. A survey on waste water discharge close to water points constrained point sources from sanitation. The results showed that the median of nitrate concentration exceeds the WHO limit. We realized that EC increases from the geogenic background to very high levels in the urban area within short distance, suggesting anthropogenic input. Dug wells showed nitrate and ammonium in equivalent concentrations, indicating incomplete nitrification and mandating their inclusion into water type classification. The mass turnover of nutrients in urban groundwater scales high in comparison to national statistical figures on fertilizer import for 2012. A mass N,K balance for infiltration water overestimates observed concentrations by a factor of 4.5. The marked balance gap is attributed to dynamic non-equilibrium between input and output. Unresolved questions like a) urban sanitation, b) hygiene & health and c) environmental protection urgently call for closing the nutrient cycle. In the light of Cameroonian strategies on rural development, tackling the groundwater nutrient, urban agriculture, food--NEXUS might partially restore urban and periurban ecosystem services under economical constraints and thus improve living conditions. PMID:26789374

  12. Neonatal respiratory distress in a reference neonatal unit in Cameroon: an analysis of prevalence, predictors, etiologies and outcomes

    PubMed Central

    Tochie, Joel Noutakdie; Choukem, Simeon-Pierre; Langmia, Regina Ndasi; Barla, Esther; Koki-Ndombo, Paul

    2016-01-01

    Introduction Neonatal respiratory distress (NRD) is a main cause of neonatal morbidity and mortality in developing countries. Early detection of its risk factors and early treatment of its etiologies are major challenges. However, few studies in developing countries have provided data needed to tackle it. We aimed to determine the prevalence, predictors, etiologies and outcome of NRD in a tertiary health care centre of Cameroon. Methods We analyzed the hospital files of all newborns admitted to the Neonatal unit of Douala General Hospital from 1st January 2011 to 28th February 2013. NRD was diagnosed based on the presence of one or more of the following signs: an abnormal respiratory rate, expiratory grunting, nasal flaring, chest wall recessions and thoraco-abdominal asynchrony with or without cyanosis, in their files. Socio-demographic and clinical variables of newborns and their mothers were analyzed using logistic regression analysis. Results The prevalence of NRD was 47.5% out of the 703 newborns studied. Acute fetal distress, elective caesarean delivery, APGAR score < 7 at the 1st minute, prematurity, male gender and macrosomia were independent predictors of NRD. The main etiologies were neonatal infections (31%) and transient tachypnea of the newborn (25%). Its neonatal mortality rate was 24.5%, mainly associated with neonatal sepsis and hyaline membrane disease. Conclusion NRD is a frequent emergency and causes high morbidity and mortality. Most of its risk factors and etiologies are preventable. Adequate follow-up of pregnancy and labor for timely intervention may improve the neonatal outcomes. PMID:27642489

  13. Risk factors for wound infection in health care facilities in Buea, Cameroon: aerobic bacterial pathogens and antibiogram of isolates

    PubMed Central

    Kihla, Akoachere Jane-Francis Tatah; Ngunde, Palle John; Evelyn, Mbianda Soupsop; Gerard, Nkwelang; Ndip, Roland Ndip

    2014-01-01

    Introduction Wound infection is a significant clinical challenge in hospitals in developing countries where proper healthcare delivery is hampered by limited resources. This study investigated the antibiotic susceptibility pattern of bacteria causing wound infection and risk factors for infection among hospitalized patients in Buea, Cameroon, to generate findings which could drive reformation of policies on infection control. Methods Aerobic bacteria were isolated from 212 swabs collected from patients with clinically diagnosed infected wounds. Risk factors for wound infection were investigated. Antibiotic susceptibility of isolates was determined by disk diffusion technique. The Chi-square test was employed to determine significant differences in isolation and distribution of organisms in various specimens. Differences were considered significant at P < 0.05. Results Twelve bacteria species were isolated from 169 (79.7%) specimens. Staphylococcus aureus, Pseudomonas aeruginosa and Klebsiella pneumoniae, the predominant isolates in all wound types exhibited a high preponderance of multidrug resistant strains. High rate of infection was attributed to lack of constant water supply and breakdown of sterilization equipment during the study period. Highest diversity of pathogens occurred in open wounds. There were no significant differences (P>0.05) in isolation of pathogens with respect to age, gender and wound type. Co-existing morbidity increased risk of wound infection. Isolates were susceptible to fluoroquinolones and resistant to oxacillin. Conclusion Wound infection with resistant bacteria constitutes a significant cause of morbidity in the study area. Findings reiterate the need to strengthen infection control and drug dispensing policies, and greater collaboration between microbiologists and medical practioners to stem the spread of resistant bacteria. PMID:25360190

  14. Trace element differentiation in ferruginous accumulation soil patterns under tropical rainforest of southern Cameroon, the role of climatic change.

    PubMed

    Temgoua, Emile; Pfeifer, Hans-Rudolf; Bitom, Dieudonné

    2003-03-01

    Regions under tropical rainforest cover, such as central Africa and Brazil are characterised by degradation and dismantling of old ferricrete structures. In southern Cameroon, these processes are relayed by present-day ferruginous accumulation soil facies, situated on the middle and the lower part of hill slopes. These facies become progressively harder towards the surface, containing from bottom to top, mainly kaolinite, kaolinite-goethite and Al-rich goethite-hematite, and are discontinuous to the relictic hematite-dominated ferricrete that exist in the upper part of the hill slope. These features were investigated in terms of geochemical differentiation of trace elements. It appears that, in contrast to the old ferricrete facies, the current ferruginous accumulations are enriched in transitional trace elements (V, Cr, Co, Y, Sc) and Pb, while alkali-earth elements are less differentiated. This recent chemical accumulation is controlled both by intense weathering of the granodiorite bedrock and by mobilisation of elements previously accumulated in the old ferricrete. The observed processes are clearly linked to the present-day humid climate with rising groundwater tables. They slowly replace the old ferricretes formed during Cretaceous time under more seasonal climatic conditions, representing an instructive case of continuos global change.

  15. The puzzle of Buruli ulcer transmission, ethno-ecological history and the end of "love" in the Akonolinga district, Cameroon.

    PubMed

    Giles-Vernick, Tamara; Owona-Ntsama, Joseph; Landier, Jordi; Eyangoh, Sara

    2015-03-01

    The "One World One Health Initiative" has attended little to the priorities, concepts and practices of resource-poor communities confronting disease and the implications of these concerns for its biomedical, ecological and institutional approach to disease surveillance and control. Using the example of Buruli ulcer (BU) and its bacterial etiology, Mycobacterium ulcerans, in south-central Cameroon, we build on debates about the contributions of "local knowledge" and "alternative models" to biomedical knowledge of disease transmission. BU's mode of transmission remains poorly understood. Our approach employs ethno-ecological histories - local understandings of the putative emergence and expansion of a locally important, neglected disease. We develop these histories from 52 individual and small group interviews, group discussions, and participant-observation of daily and seasonal activities, conducted in 2013-2013. These histories offer important clues about past environmental and social change that should guide further ecological, epidemiological research. They highlight a key historical moment (the late 1980s and 1990s); specific ecological transformations; new cultivation practices in unexploited zones that potentially increased exposure to M. ulcerans; and ecological degradation that may have lowered nutritional standards and heightened susceptibility to BU. They also recast transmission, broadening insight into BU and its local analog, atom, by emphasizing the role of social change and economic crisis in its emergence and expansion.

  16. The puzzle of Buruli ulcer transmission, ethno-ecological history and the end of "love" in the Akonolinga district, Cameroon.

    PubMed

    Giles-Vernick, Tamara; Owona-Ntsama, Joseph; Landier, Jordi; Eyangoh, Sara

    2015-03-01

    The "One World One Health Initiative" has attended little to the priorities, concepts and practices of resource-poor communities confronting disease and the implications of these concerns for its biomedical, ecological and institutional approach to disease surveillance and control. Using the example of Buruli ulcer (BU) and its bacterial etiology, Mycobacterium ulcerans, in south-central Cameroon, we build on debates about the contributions of "local knowledge" and "alternative models" to biomedical knowledge of disease transmission. BU's mode of transmission remains poorly understood. Our approach employs ethno-ecological histories - local understandings of the putative emergence and expansion of a locally important, neglected disease. We develop these histories from 52 individual and small group interviews, group discussions, and participant-observation of daily and seasonal activities, conducted in 2013-2013. These histories offer important clues about past environmental and social change that should guide further ecological, epidemiological research. They highlight a key historical moment (the late 1980s and 1990s); specific ecological transformations; new cultivation practices in unexploited zones that potentially increased exposure to M. ulcerans; and ecological degradation that may have lowered nutritional standards and heightened susceptibility to BU. They also recast transmission, broadening insight into BU and its local analog, atom, by emphasizing the role of social change and economic crisis in its emergence and expansion. PMID:24673887

  17. An evaluation of a small-scale biodiesel production technology: Case study of Mango’o village, Center province, Cameroon

    NASA Astrophysics Data System (ADS)

    Sarantopoulos, Ioannis; Che, Franklin; Tsoutsos, Theocharis; Bakirtzoglou, Vagios; Azangue, Willy; Bienvenue, Donatien; Ndipen, Frankline Mulluh

    It is an undeniable fact that isolated areas lack sufficient energy resources and that energy supply is central in order to achieve sustainable development goals. On the other hand, agricultural materials, whose trade profit fluctuates in low levels, are produced locally in wide range. As a result, the implementation of an alternative, more effective approach, which ensures the sustainability in social, economical and environmental dimension, is a crucial issue for developing countries. In this particular study, in order to cover the local energy needs, the possibility of installing a small biodiesel plant in a rural area of Cameroon, has been analyzed. The final biodiesel product can also be disposed directly to the market leading to an additional local income. In this paper, both the monthly potential of palm oil in Mango’o region and the recommended biodiesel production process are presented. Some significant benefits that can be achieved are independence from fossil fuels, mechanization of palm oil production process and additional prevention of local depopulation.

  18. Risk factors of nasal carriage of Staphylococcus aureus and methicillin-resistant Staphylococcus aureus among health care staff in a teaching hospital in central Saudi Arabia

    PubMed Central

    Al-Humaidan, Ohoud S.; El-Kersh, Talat A.; Al-Akeel, Raid A.

    2015-01-01

    Objectives: To investigate possible risk factors of Staphylococcus aureus (S. aureus) and methicillin-resistant S. aureus (MRSA) nasal carriage associated with various health troubles among healthcare workers (HCWs) at King Khalid University Hospital (KKUH). Method: This prospective study was conducted between May 2012 and January 2013 in KKUH, Riyadh, Saudi Arabia. A total of 200 nasal swabs were collected from HCWs. Identification was carried out based on morphology, Gram stain, catalase and coagulase test, Staphaurex PlusH test, chromogenic medium, oxacillin, and cefoxitin test using disc diffusion method. Characterization was carried out using disk diffusion method and E-test. Polymerase chain reaction was carried out to confirm using GeneXpert® Dx System (Cepheid) to detect mecA gene. Results: Among the 200 isolates, 80 (40%) were S. aureus carriers, and 36 (18%) of all HCWs were identified as MRSA carriers. There was a significant difference of S. aureus according to gender with male carriers (p=0.012), occupation particularly among nurses (p=0.006), and duration of working years in the hospital among 4-6 years group (p=0.002). Moreover, none of the risk factors assessed were significantly associated with the carriage rate of MRSA (p>0.05). Conclusion: The current study revealed that nursing staff was the potential colonizers of S. aureus and MRSA compared with other HCWs. Regular screening of carriers is required for prevention of nosocomial infections. PMID:26318466

  19. Prevalence of Buruli Ulcer in Akonolinga Health District, Cameroon: Results of a Cross Sectional Survey

    PubMed Central

    Porten, Klaudia; Sailor, Karen; Comte, Eric; Njikap, Adelaide; Sobry, Agnes; Sihom, Francois; Meva'a, Abanda; Eyangoh, Sarah; Myatt, Mark; Nackers, Fabienne; Grais, Rebecca F.

    2009-01-01

    Background Buruli ulcer (BU) is a chronic, indolent necrotizing disease of the skin and underlying tissues caused by Mycobacterium ulcerans, which may result in functional incapacity. In 2002, Médecins Sans Frontières (MSF) opened a BU programme in Akonolinga Hospital, Cameroon, offering antibiotic treatment, surgery and general medical care. Six hundred patients have been treated in the project to date. However, due to the nature of the disease and its stigmatization, determining the exact prevalence and burden of disease is difficult and current estimates may not reflect the magnitude of the problem. The objectives of this survey were to estimate the prevalence of BU in the health district of Akonolinga, describe the geographic extension of the highly endemic area within the health district, and determine the programme coverage and its geographical distribution. Methodology/Principal Findings We conducted a cross-sectional population survey using centric systematic area sampling (CSAS). A 15×15 km grid (quadrats of 225 km2) was overlaid on a map of Akonolinga district with its position chosen to maximize the area covered by the survey. Quadrats were selected if more than 50% of the quadrat was inside of the health district. The chiefdom located closest to the centre of each quadrat was selected and Buruli cases were identified using an active case finding strategy (the sensitivity of the strategy was estimated by capture-recapture). WHO-case definitions were used for nodules, plaque, ulcer, oedema and sequelae. Out of a total population of 103,000 inhabitants, 26,679 were surveyed within the twenty quadrats. Sensitivity of the case finding strategy was estimated to be 84% (95%CI 54–97%). The overall prevalence was 0.47% (n = 105) for all cases including sequelae and 0.25% (n = 56) for active stages of the disease. Five quadrats had a high prevalence of >0.6% to 0.9%, 5 a prevalence >0.3% to 0.6% and 10 quadrats <0.3%. The quadrats with the high

  20. Outbreak by Ventilator-Associated ST11 K. pneumoniae with Co-production of CTX-M-24 and KPC-2 in a SICU of a Tertiary Teaching Hospital in Central China.

    PubMed

    Hu, Longhua; Liu, Yanling; Deng, Linqiang; Zhong, Qiaoshi; Hang, Yaping; Wang, Zengzeng; Zhan, Lingling; Wang, Liangxing; Yu, Fangyou

    2016-01-01

    The emergence of carbapenem-resistant Klebsiella pneumoniae (CRKP) often responsible for numerous hospital-associated outbreaks has become an important public health problem. From January 2013 to February 2014, a total of 41 non-duplicate K. pneumoniae isolates with carbapenem resistance, were collected at a tertiary teaching hospital in Nanchang, central China. Among 41 K. pneumoniae isolates, 28 were isolated from hospitalized patients including 19 from the patients in surgery intensive care unit (SICU) and 13 were isolated from ventilators. Twenty-four of 28 patients infected by CRKP have been submitted to mechanical ventilation using ventilator. More than 95% of the CRKP isolates were resistant to 13 antimicrobials tested. All CRKP isolates were confirmed as carbapenemase producer and were positive for bla KPC-2, with one positive for both blaKPC-2 and bla NDM-1. All carbapenemase-producing isolates harbored at least one of extended spectrum β-lactamase genes tested, among which 95.1% (39/41) of the tested isolates were found to harbor both bla CTX-M-24 and bla KPC-2, Of note, one isolate harbored simultaneously two carbapenemase genes (bla KPC-2 and bla NDM-1) and two ESBL genes (bla CTX-M-3 and bla TEM-104). To the best of our knowledge, coexistence of bla KPC-2 and bla CTX-M-24 in one isolate is first reported. MLST results showed that 41 CRKP isolates belonged to four sequence types (STs) including ST11, novel ST1854, novel ST1855, and ST1224. PFGE results displayed three PFGE clusters. Thirty-eight ST11 CRKP isolates (92.7%, 38/41) including all 13 isolates from ventilators and 25 isolates from patients from seven wards (18 from SICU) belonged to same PFGE cluster, indicating these isolates were clonally related. Fifteen isolates have an identical undistinguished pattern (100% similarity) forming a single clonal population. Moreover, this clone was exclusively linked to the cases attended in SICU and linked to the Ventilators. Additionally, the other SICU

  1. Outbreak by Ventilator-Associated ST11 K. pneumoniae with Co-production of CTX-M-24 and KPC-2 in a SICU of a Tertiary Teaching Hospital in Central China

    PubMed Central

    Hu, Longhua; Liu, Yanling; Deng, Linqiang; Zhong, Qiaoshi; Hang, Yaping; Wang, Zengzeng; Zhan, Lingling; Wang, Liangxing; Yu, Fangyou

    2016-01-01

    The emergence of carbapenem-resistant Klebsiella pneumoniae (CRKP) often responsible for numerous hospital-associated outbreaks has become an important public health problem. From January 2013 to February 2014, a total of 41 non-duplicate K. pneumoniae isolates with carbapenem resistance, were collected at a tertiary teaching hospital in Nanchang, central China. Among 41 K. pneumoniae isolates, 28 were isolated from hospitalized patients including 19 from the patients in surgery intensive care unit (SICU) and 13 were isolated from ventilators. Twenty-four of 28 patients infected by CRKP have been submitted to mechanical ventilation using ventilator. More than 95% of the CRKP isolates were resistant to 13 antimicrobials tested. All CRKP isolates were confirmed as carbapenemase producer and were positive for blaKPC-2, with one positive for both blaKPC-2 and blaNDM-1. All carbapenemase-producing isolates harbored at least one of extended spectrum β-lactamase genes tested, among which 95.1% (39/41) of the tested isolates were found to harbor both blaCTX-M-24 and blaKPC-2, Of note, one isolate harbored simultaneously two carbapenemase genes (blaKPC-2 and blaNDM-1) and two ESBL genes (blaCTX-M-3 and blaTEM-104). To the best of our knowledge, coexistence of blaKPC-2 and blaCTX-M-24 in one isolate is first reported. MLST results showed that 41 CRKP isolates belonged to four sequence types (STs) including ST11, novel ST1854, novel ST1855, and ST1224. PFGE results displayed three PFGE clusters. Thirty-eight ST11 CRKP isolates (92.7%, 38/41) including all 13 isolates from ventilators and 25 isolates from patients from seven wards (18 from SICU) belonged to same PFGE cluster, indicating these isolates were clonally related. Fifteen isolates have an identical undistinguished pattern (100% similarity) forming a single clonal population. Moreover, this clone was exclusively linked to the cases attended in SICU and linked to the Ventilators. Additionally, the other SICU cases

  2. The epidemiology of rotavirus disease in under-five-year-old children hospitalized with acute diarrhea in central Uganda, 2012-2013.

    PubMed

    Bwogi, Josephine; Malamba, Samuel; Kigozi, Brian; Namuwulya, Prossy; Tushabe, Phionah; Kiguli, Sarah; Byarugaba, Denis Karuhize; Desselberger, Ulrich; Iturriza-Gomara, Miren; Karamagi, Charles

    2016-04-01

    A cross-sectional study was undertaken during 2012-2013 to determine the prevalence, strains and factors associated with rotavirus infection among under-5-year-old children hospitalized with acute diarrhea in Uganda. Rotaviruses were detected in 37 % (263/712) of the children. The most prevalent strains were G9P[8] (27 %, 55/204) and G12P[4] (18.6 %, 38/204). Mixed infections were detected in 22.5 % (46/204) of the children. The study suggests that consumption of raw vegetables (OR = 1.45, 95 % CI = 1.03-2.03) and family ownership of dogs (OR = 1.9, 95 % CI = 1.04-3.75) increases the risk of rotavirus infection. The study findings will be used to assess the impact of RV vaccination in Uganda. PMID:26724820

  3. Duchenne, Charcot and Babinski, three neurologists of La Salpetrière Hospital, and their contribution to concepts of the central organization of motor synergy.

    PubMed

    Clarac, François; Massion, Jean; Smith, Allan M

    2009-11-01

    Many currently accepted notions of motor control originate from a few seminal concepts developed in the latter half of the 19th century (see Bennett and Hacker, 2002). The goal of this review is to retrace some current ideas about motor control back to the thought of three French neurologists of Hospital of the Salpetrière hospital in Paris during the latter half of the 19th century and early 20th century (Fig. 1): Guillaume Duchenne de Boulogne (1806-1875), Jean-Martin Charcot (1825-1893), and Joseph Babinski (1857-1932). A common theoretical and methodological thread unites these three men as Charcot was taught neurology by Duchenne, and Babinski was trained by Charcot. The influential concepts developed by these pioneering French neurologists have been neglected for nearly a century and only rediscovered recently. We intend to highlight how these astute clinicians used their meticulous clinical observations of patients to reveal novel and original perspectives of motor co-ordination. Between 1850 and 1930, all three men played a major role in developing and shaping the entire field of normal and pathological motor control in addition to making important contributions to three major scientific issues; the centralist view of muscle sense, the emerging concept of muscle synergy in voluntary movements and in locomotion and finally the specific role of the cerebellum in muscle synergy. The important contributions of these men will be considered in the context of other significant schools of neurology from other countries. Finally, the concept of cerebellar asynergy as proposed by Babinski anticipated the development of the internal models which much later were able to provide a theoretical basis for understanding the mechanism of learned motor co-ordination involving the cerebellum.

  4. [Substantiation of the choice of technical means in reduction of implementation costs of the project "Full automation of a central municipal hospital"].

    PubMed

    Nikitin, Iu D; Ovchinnikov, A V

    1998-01-01

    A way of reducing the cost price of hospital automation is proposed. It is not necessary for it to update the whole equipment, but only a small part--the workstations used by programmers for their work, which support the stability of hospital automation; the working places of operators should be kept without modifications, but to allot them properties to inherit a potency and modernity of the purchased equipment; for this purpose they should be equipped with virtual machines copying properties of workstations being arrange in accordance with the pyramidal structure. A UNIX which represents a multi-user, multitask operational operative system providing an access on several pseudoterminals is simultaneously installed on the PENTIUM 100/133 workstation. A graphic terminal of the AMR "UnTerminal" firm (USA) is proposed for use as working places. Their advantage is that they have a special adapter connected directly to the bus of PC extension. Each user is allotted a video adapter, a keyboard controller, sequential and parallel interfaces for connection of the printer and manipulator. Each working place supports multitasking and it can be equipped with a printer, a "mouse" or modem. The image is transmitted on work places with a very high velocity-77 mehabits/sec that supports not only a text mode, but also VGA or SVGA graphics. Certainly, graphic terminals are more expensive than text terminals, but their capacities are similar to those of the main computer, here, the workstation. They may be located from the main computer at a distance of up to 75 meters or more and do not require adjustment during their installation. PMID:9949988

  5. [Mass antibiotic prophylaxis against cholera in the New Bell central prison in Douala during the 2004 epidemic].

    PubMed

    Guévart, Edouard; Solle, J; Noeske, J; Amougou, G; Mouangue, A; Fouda, A Bita

    2005-01-01

    In early January 2004, cases of severe watery diarrhea were reported in Douala, the economic capital of Cameroon (estimated population: 2.4 million inhabitants). Three stool samples examined at the Cameroon National Reference Laboratory grew Vibrio cholerae serogroup O1, later identified by the Pasteur Institute in Paris, France, as serotype Inaba. On 19 January, the provincial health authorities declared an outbreak of cholera. The epidemic lasted until that September. In all, 5,020 cholera cases were reported, and 69 deaths from cholera among hospital patients. The overall attack rate for Douala was 209 cases per 100,000 inhabitants, with a case-fatality ratio of 1.37%. New Bell Central Prison, the sole penitentiary facility for Douala, is situated in the center of the town, near the biggest market. It was originally built in 1930 for 700 prisoners but now houses an average of roughly 3,100 inmates. Living and sanitary conditions in the prison are deplorable. Half of the cells house more than 150 inmates with a surface area of less than 0.20 m2 per inmate. Approximately 400 people--visitors, new admissions, and discharged prisoners--enter and leave the prison. In February 2004, five suspected cases of cholera were reported in the prison's hospital ward. Immediate measures were taken to prevent an explosive spread of cholera within the prison: a) suspected cases were treated with rehydration therapy, antibiotics, and isolation; and b) preventive antibiotic treatment, consisting of a single 300-mg dose of doxycycline, was administered to all 3,036 prisoners and 164 prison staff members. No significant side effects were observed. Despite a reinforced surveillance system, no new cholera cases were reported except two suspected cases in June 2004 (four months later), and their diagnoses could not be confirmed. A cholera epidemic in an urban area mandates rigorous epidemiological surveillance system and provisions for safety stocks of therapeutic and prophylactic drugs

  6. Evidence of Dengue Virus Transmission and Factors Associated with the Presence of Anti-Dengue Virus Antibodies in Humans in Three Major Towns in Cameroon

    PubMed Central

    Demanou, Maurice; Pouillot, Régis; Grandadam, Marc; Boisier, Pascal; Kamgang, Basile; Hervé, Jean Pierre; Rogier, Christophe; Rousset, Dominique; Paupy, Christophe

    2014-01-01

    Background Dengue is not well documented in Africa. In Cameroon, data are scarce, but dengue infection has been confirmed in humans. We conducted a study to document risk factors associated with anti-dengue virus Immunoglobulin G seropositivity in humans in three major towns in Cameroon. Methodology/Principal Findings A cross sectional survey was conducted in Douala, Garoua and Yaounde, using a random cluster sampling design. Participants underwent a standardized interview and were blood sampled. Environmental and housing characteristics were recorded. Randomized houses were prospected to record all water containers, and immature stages of Aedes mosquitoes were collected. Sera were screened for anti-dengue virus IgG and IgM antibodies. Risk factors of seropositivity were tested using logistic regression methods with random effects. Anti-dengue IgG were found from 61.4% of sera in Douala (n = 699), 24.2% in Garoua (n = 728) and 9.8% in Yaounde (n = 603). IgM were found from 0.3% of Douala samples, 0.1% of Garoua samples and 0.0% of Yaounde samples. Seroneutralization on randomly selected IgG positive sera showed that 72% (n = 100) in Douala, 80% (n = 94) in Garoua and 77% (n = 66) in Yaounde had antibodies specific for dengue virus serotype 2 (DENV-2). Age, temporary house walls materials, having water-storage containers, old tires or toilets in the yard, having no TV, having no air conditioning and having travelled at least once outside the city were independently associated with anti-dengue IgG positivity in Douala. Age, having uncovered water containers, having no TV, not being born in Garoua and not breeding pigs were significant risk factors in Garoua. Recent history of malaria, having banana trees and stagnant water in the yard were independent risk factors in Yaounde. Conclusion/Significance In this survey, most identified risk factors of dengue were related to housing conditions. Poverty and underdevelopment are central to the dengue

  7. Prevalence and risk factors of early fecal carriage of Enterococcus faecalis and Staphylococcus spp and their antimicrobial resistant patterns among healthy neonates born in a hospital setting in central Saudi Arabia

    PubMed Central

    El-Kersh, Talat A.; Marie, Mohammed A.; Al-Sheikh, Yazeed A.; Al-Agamy, Mohamed H.; Al-Bloushy, Ahmad A.

    2016-01-01

    Objectives: To investigate the prevalence, antibiotic resistant profiles, and risk factors of early fecal carriage of Enterococcus faecalis (E. faecalis) and staphylococci among 150 healthy Saudi neonates born in a hospital setting in central Saudi Arabia. Methods: This prospective study was conducted in Al-Bukayriyah General Hospital, Qassim, Saudi Arabia, between June 2012 and January 2013. The E. faecalis and Staphylococcus spp. isolates were identified manually, and Vitek2 system was used for identity confirmation at the species level and minimum inhibitory concentration-susceptibility testing. Results: Enterococcus faecalis (n=73) and Staphylococcus spp. (n=18) were recovered. Unlike staphylococci, E. faecalis colonization did not significantly vary from day one up to 7 days of life, regardless of the type of feeding, but it was relatively higher among vaginally versus cesarean delivery. Both Staphylococcus epidermidis (S. epidermidis) and Staphylococcus aureus carriage increase as the body weight increases, and this difference was significant (p=0.025) for S. epidermidis. High-level resistance in Gentamycin among E. faecalis isolates was 25% and 11% to Streptomycin. Thirty percent of S. epidermidis were resistant to oxacillin and exhibited multidrug-resistant (MDR) patterns of 5 resistant markers, which were also observed among 2/5 (40%) of Methicillin-resistant Staphylococcus aureus isolates. Conclusion: Enterococcus faecalis did not significantly vary in relation to type of delivery, age up to 7 days, and type of feeding. The neonatal fecal carriage of MDR isolates should be considered as a crucial reservoir to the further spread of antimicrobial resistance genes among hospitals, cross infections, and the community. PMID:26905350

  8. Seventeen years of annual distribution of ivermectin has not interrupted onchocerciasis transmission in North Region, Cameroon.

    PubMed

    Katabarwa, Moses N; Eyamba, Albert; Nwane, Philippe; Enyong, Peter; Yaya, Souleymanou; Baldiagaï, Jean; Madi, Théodore Kambaba; Yougouda, Abdoulaye; Andze, Gervais Ondobo; Richards, Frank O

    2011-12-01

    We studied onchocerciasis transmission and impact on ocular morbidity in three health districts in North Region, Cameroon, where annual mass ivermectin treatment has been provided for 12-17 years. The studies, which took place from 2008 to 2010, consisted of skin snips for microfilariae (mf), palpation examinations for nodules, slit lamp examinations for mf in the eye, and Simulium vector dissections for larval infection rates. Adults had mf and nodule rates of 4.8% and 13.5%, respectively, and 5.5% had mf in the anterior chamber of the eye. Strong evidence of ongoing transmission was found in one health district, where despite 17 years of annual treatments, the annual transmission potential was 543 L3/person per year; additionally, children under 10 years of age had a 2.6% mf prevalence. Halting ivermectin treatments in North Cameroon now might risk recrudescence of transmission and ocular disease. PMID:22144441

  9. Tree diversity of the Dja Faunal Reserve, southeastern Cameroon.

    PubMed

    Sonké, Bonaventure; Couvreur, Thomas L P

    2014-01-01

    The Dja Faunal Reserve located in southeastern Cameroon represents the largest and best protected rainforest patch in Cameroon. Here we make available a dataset on the inventory of tree species collected across the Dja. For this study nine 5 km long and 5 m wide transects were installed. All species with a diameter at breast height greater than 10 cm were recorded, identified and measured. A total of 11546 individuals were recorded, corresponding to a total of 312 species identified with 60 genera containing unidentified taxa. Of the 54 identified families Fabaceae, Rubiaceae and Malvaceae were the most species rich, whereas Fabaceae, Phyllantaceae and Olacaceae were the most abundant. Finally, Tabernaemontanacrassa was the most abundant species across the Reserve. This dataset provides a unique insight into the tree diversity of the Dja Faunal Reserve and is now publically available and usable. PMID:24855441

  10. The urgent need for environmental sanitation and a safe drinking water supply in Mbandjock, Cameroon.

    PubMed

    Tchounwou, P B; Lantum, D M; Monkiedje, A; Takougang, I; Barbazan, P

    1997-07-01

    Studies were conducted to assess the physical, chemical, and bacteriological qualities of drinking water in Mbandjock, Cameroon. Study results indicated that the vast majority of drinking water sources possessed acceptable physical and chemical qualities, according to the World Health Organization standards. However, microbiological analyses revealed that only the waters treated by the Cameroon National Water Company (SNEC) and the Sugar Processing Company (SOSUCAM) were acceptable for human consumption. All spring and well waters presented evidences of fecal contamination from human and/or animal origin. Water from these sources should, therefore, be treated before use for drinking. Since the majority of the population gets its water from wells and springs, there is an urgent need to develop a health education program, within the framework of primary health care, with respect to environmental sanitation and safe drinking water supply in this community. PMID:9216865

  11. Tree diversity of the Dja Faunal Reserve, southeastern Cameroon

    PubMed Central

    2014-01-01

    Abstract The Dja Faunal Reserve located in southeastern Cameroon represents the largest and best protected rainforest patch in Cameroon. Here we make available a dataset on the inventory of tree species collected across the Dja. For this study nine 5 km long and 5 m wide transects were installed. All species with a diameter at breast height greater than 10 cm were recorded, identified and measured. A total of 11546 individuals were recorded, corresponding to a total of 312 species identified with 60 genera containing unidentified taxa. Of the 54 identified families Fabaceae, Rubiaceae and Malvaceae were the most species rich, whereas Fabaceae, Phyllantaceae and Olacaceae were the most abundant. Finally, Tabernaemontana crassa was the most abundant species across the Reserve. This dataset provides a unique insight into the tree diversity of the Dja Faunal Reserve and is now publically available and usable. PMID:24855441

  12. Phytochemical analysis and biological evaluation of selected African propolis samples from Cameroon and Congo.

    PubMed

    Papachroni, Danai; Graikou, Konstantia; Kosalec, Ivan; Damianakos, Harilaos; Ingram, Verina; Chinou, Ioanna

    2015-01-01

    The objective of this study was the chemical analysis of four selected samples of African propolis (Congo and Cameroon) and their biological evaluation. Twenty-one secondary metabolites belonging to four different chemical groups were isolated from the 70% ethanolic extracts of propolis and their structures were elucidated on the basis of spectral evidence. Three triterpenes and two diprenyl-flavonoids were identified from Congo propolis, which has been investigated for the first time, while thirteen triterpenes, three diprenyl-flavonoids, two monoterpenic alcohols and one fatty acid ester have been identified from Cameroon propolis samples. To our knowledge, the identified diprenyl-flavonoids, as well as five of the isolated and determined triterpenes, are reported for the first time in propolis. Moreover, the total polyphenol content was estimated in all extracts and the antimicrobial activities of all four extracts were studied against six Gram-positive and -negative bacteria and three pathogenic fungi, showing an interesting antibacterial profile.

  13. Doassansiopsis caldesiae sp. nov. and Doassansiopsis tomasii: two remarkable smut fungi from Cameroon.

    PubMed

    Piatek, Marcin; Vánky, Kálmán; Mossebo, Dominique C; Piatek, Jolanta

    2008-01-01

    Three recent collections of Doassansiopsis from western Cameroon are assessed taxonomically. Doassansiopsis caldesiae M. Piatek & Vánky is described as a new species from infected leaves of Caldesia reniformis (D. Don) Makino. Its diagnostic characters are flat, nonthickened sori with spore balls as blackish, slightly elevated dots, more or less globoid spores, conspicuous cortical sterile cells and parasitism on Caldesia reniformis of family Alismataceae. The species is compared to another Doassansiopsis species on host plants belonging to family Alismataceae. Doassansiopsis tomasii Vánky is described from two localities on Nymphaea nouchali Burm.f. var. caerulea (Savigny) Verdc. (Nymphaeaceae), which represents the first report of this smut from Cameroon and western Africa. Similarities between this species and Doassansiopsis nymphaeae (Syd. & P. Syd.) Thirum. and D. ticonis M. Piepenbr. are outlined and the global distribution of the three taxa is mapped. The species concept in the genus Doassansiopsis is discussed, and a key to all known species of the genus is provided.

  14. Multiple Insecticide Resistance in the Malaria Vector Anopheles funestus from Northern Cameroon Is Mediated by Metabolic Resistance Alongside Potential Target Site Insensitivity Mutations

    PubMed Central

    Menze, Benjamin D.; Riveron, Jacob M.; Ibrahim, Sulaiman S.; Irving, Helen; Antonio-Nkondjio, Christophe; Awono-Ambene, Parfait H.; Wondji, Charles S.

    2016-01-01

    Background Despite the recent progress in establishing the patterns of insecticide resistance in the major malaria vector Anopheles funestus, Central African populations of this species remain largely uncharacterised. To bridge this important gap and facilitate the implementation of suitable control strategies against this vector, we characterised the resistance patterns of An. funestus population from northern Cameroon. Methods and Findings Collection of indoor-resting female mosquitoes in Gounougou (northern Cameroon) in 2012 and 2015 revealed a predominance of An. funestus during dry season. WHO bioassays performed using F1 An. funestus revealed that the population was multiple resistant to several insecticide classes including pyrethroids (permethrin, deltamethrin, lambda-cyhalothrin and etofenprox), carbamates (bendiocarb) and organochlorines (DDT and dieldrin). However, a full susceptibility was observed against the organophosphate malathion. Bioassays performed with 2015 collection revealed that resistance against pyrethroids and DDT is increasing. PBO synergist assays revealed a significant recovery of susceptibility for all pyrethroids but less for DDT. Analysis of the polymorphism of a portion of the voltage-gated sodium channel gene (VGSC) revealed the absence of the L1014F/S kdr mutation but identified 3 novel amino acid changes I877L, V881L and A1007S. However, no association was established between VGSC polymorphism and pyrethroid/DDT resistance. The DDT resistant 119F-GSTe2 allele (52%) and the dieldrin resistant 296S-RDL allele (45%) were detected in Gounougou. Temporal analysis between 2006, 2012 and 2015 collections revealed that the 119F-GSTe2 allele was relatively stable whereas a significant decrease is observed for 296S-RDL allele. Conclusion This multiple resistance coupled with the temporal increased in resistance intensity highlights the need to take urgent measures to prolong the efficacy of current insecticide-based interventions against

  15. The Burden of Leprosy in Cameroon: Fifteen Years into the Post-elimination Era

    PubMed Central

    Tabah, Earnest Njih; Nsagha, Dickson Shey; Bissek, Anne-Cecile Zoung-Kanyi; Bratschi, Martin W.; Njamnshi, Theophilus Ngeh; Plushke, Gerd; Njamnshi, Alfred Kongnyu

    2016-01-01

    Background Cameroon achieved the elimination target of leprosy in 2000, and has maintained this status ever since. However, a number of health districts in the country continue to report significant numbers of leprosy cases. The aim of this study was to assess the burden of leprosy in Cameroon from 2000 to 2014. Methods We obtained and analysed using the new leprosy burden concept of analysis, leprosy surveillance data collected between 2000 and 2014 from the National Leprosy Control Programme. Principal findings Cameroon achieved leprosy elimination in 2000, registering a prevalence rate of 0.94/10,000 population. The prevalence rate dropped further to reach 0.20/10,000 population (78% reduction) in 2014. Similarly, the new case detection rate dropped from 4.88/100,000 population in 2000 to 1.46/100,000 population (85.3% reduction) in 2014. All 10 regions of the country achieved leprosy elimination between 2000 and 2014; however, 10 health districts were still to do so by 2014. The number of high-leprosy-burden regions decreased from 8 in 2000 to 1 in 2014. Seven and two regions were respectively medium and low-burdened at the end of 2014. At the health districts level, 18 remained at the high-leprosy-burdened level in 2014. Conclusion The leprosy prevalence and detection rates as well as the overall leprosy burden in Cameroon have dropped significantly between 2000 and 2014. However, a good number of health districts remain high-leprosy-burdened. The National Leprosy Control Programme should focus efforts on these health districts in the next coming years in order to further reduce the burden of leprosy in the country. PMID:27732603

  16. Cadmium content of Cameroonian cigarettes: Comparison with other foreign brands sold in Cameroon

    SciTech Connect

    Tamboue, H.S. ); Tamboue, E.D.; Leno, M. )

    1991-07-01

    Given the increasing concern about heavy metal and in particular cadmium toxicity, the present study has two objectives. First, the authors wanted to measure and compare the amount of cadmium found in Cameroonian cigarettes and in foreign brands sold in Cameroon. Secondly, they measured the amount of cadmium in smoke, ashes and the amount retained by filters of some Cameroonian cigarettes after using a smoking machine.

  17. Nutritional composition, bioactive compounds and volatile profile of cocoa beans from different regions of Cameroon.

    PubMed

    Caprioli, Giovanni; Fiorini, Dennis; Maggi, Filippo; Nicoletti, Marcello; Ricciutelli, Massimo; Toniolo, Chiara; Prosper, Biapa; Vittori, Sauro; Sagratini, Gianni

    2016-06-01

    Analysis of the complex composition of cocoa beans provides fundamental information for evaluating the quality and nutritional aspects of cocoa-based food products, nutraceuticals and supplements. Cameroon, the world's fourth largest producer of cocoa, has been defined as "Africa in miniature" because of the variety it habitats. In order to evaluate the nutritional characteristics of cocoa beans from five different regions of Cameroon, we studied their polyphenolic content, volatile compounds and fatty acids composition. The High Performance Thin Layer Chromatography (HPTLC) analysis showed that the Mbalmayo sample had the highest content of theobromine (11.6 mg/g) and caffeic acid (2.1 mg/g), while the Sanchou sample had the highest level of (-)-epicatechin (142.9 mg/g). Concerning fatty acids, the lowest level of stearic acid was found in the Mbalmayo sample while the Bertoua sample showed the highest content of oleic acid. Thus, we confirmed that geographical origin influences the quality and nutritional characteristics of cocoa from these regions of Cameroon.

  18. Assessment of trace metal pollution in sediments and intertidal fauna at the coast of Cameroon.

    PubMed

    Ngeve, Magdalene N; Leermakers, Martine; Elskens, Marc; Kochzius, Marc

    2015-06-01

    Coastal systems act as a boundary between land and sea. Therefore, assessing pollutant concentrations at the coast will provide information on the impact that land-based anthropogenic activities have on marine ecosystems. Sediment and fauna samples from 13 stations along the whole coast of Cameroon were analyzed to assess the level of trace metal pollution in sediments and intertidal fauna. Sediments showed enrichment of As, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, V, and Zn. However, pollution of greater concern was observed for Cd, Cr, Cu, Ni, and Zn at the northern stations. Some sites recorded trace metal levels higher than recommended in sediment quality guidelines. Species diversity was low, and high bioaccumulation of trace metals was observed in biological samples. Some edible gastropod species accumulated trace metals above the safety limits of the World Health Organization, European Medicine Agency, and the US Environment Protection Agency. Although industrial pollution is significant along Cameroon's coast, natural pollution from the volcano Mount Cameroon is also of concern.

  19. Nutritional composition, bioactive compounds and volatile profile of cocoa beans from different regions of Cameroon.

    PubMed

    Caprioli, Giovanni; Fiorini, Dennis; Maggi, Filippo; Nicoletti, Marcello; Ricciutelli, Massimo; Toniolo, Chiara; Prosper, Biapa; Vittori, Sauro; Sagratini, Gianni

    2016-06-01

    Analysis of the complex composition of cocoa beans provides fundamental information for evaluating the quality and nutritional aspects of cocoa-based food products, nutraceuticals and supplements. Cameroon, the world's fourth largest producer of cocoa, has been defined as "Africa in miniature" because of the variety it habitats. In order to evaluate the nutritional characteristics of cocoa beans from five different regions of Cameroon, we studied their polyphenolic content, volatile compounds and fatty acids composition. The High Performance Thin Layer Chromatography (HPTLC) analysis showed that the Mbalmayo sample had the highest content of theobromine (11.6 mg/g) and caffeic acid (2.1 mg/g), while the Sanchou sample had the highest level of (-)-epicatechin (142.9 mg/g). Concerning fatty acids, the lowest level of stearic acid was found in the Mbalmayo sample while the Bertoua sample showed the highest content of oleic acid. Thus, we confirmed that geographical origin influences the quality and nutritional characteristics of cocoa from these regions of Cameroon. PMID:27055484

  20. Assessment of trace metal pollution in sediments and intertidal fauna at the coast of Cameroon.

    PubMed

    Ngeve, Magdalene N; Leermakers, Martine; Elskens, Marc; Kochzius, Marc

    2015-06-01

    Coastal systems act as a boundary between land and sea. Therefore, assessing pollutant concentrations at the coast will provide information on the impact that land-based anthropogenic activities have on marine ecosystems. Sediment and fauna samples from 13 stations along the whole coast of Cameroon were analyzed to assess the level of trace metal pollution in sediments and intertidal fauna. Sediments showed enrichment of As, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, V, and Zn. However, pollution of greater concern was observed for Cd, Cr, Cu, Ni, and Zn at the northern stations. Some sites recorded trace metal levels higher than recommended in sediment quality guidelines. Species diversity was low, and high bioaccumulation of trace metals was observed in biological samples. Some edible gastropod species accumulated trace metals above the safety limits of the World Health Organization, European Medicine Agency, and the US Environment Protection Agency. Although industrial pollution is significant along Cameroon's coast, natural pollution from the volcano Mount Cameroon is also of concern. PMID:25957194

  1. Norovirus - hospital

    MedlinePlus

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... Symptoms start within 24 to 48 hours of infection, and can last for 1 ... norovirus. Hospital patients who are very old, very young, or ...

  2. Verbal autopsy and therapeutic itinerary of children who die before arrival in a paediatric centre in Yaoundé, Cameroon

    PubMed Central

    Nguefack, Félicitée; Ntoude, Anicet; Soh, Florence; Ngou, Patrick; Koki Ndombo, Paul O.

    2016-01-01

    Background In Cameroon the rate of infant-juvenile mortality remains high and most death occur in the community. Mortality statistics is usually based on hospital data which are generally insufficient and less reliable. In a context where legislation on death registration is not applied, and where conventional autopsy is not often done, verbal autopsy (VA) provides information on mortality. This study tried to experiment this method and also analyses the therapeutic pathway of a group of children who died before arrival at the emergency department of a pediatric hospital. Methods A cross sectional descriptive study was carried out on children who died before arrival, at the Mother and Child Centre of the Chantal Biya Foundation in Yaounde, between October 2013 and April 2014. The addresses of parents or relatives of the deceased children were registered at the start of the study. Each respondent was interviewed 5 to 6 weeks later at the residence of the deceased child, with the aid of a VA questionnaire. Information obtained was on the socio-demographic characteristics of the families, past history of deceased, clinical presentation and the different health care services sought before the death. Results In all, 40 children who died were included in the study. The majority of the deceased children were less than 5 years (82.5%) with 50.0% being less than 1 year of age. Almost half of them (47.5%) had been ill for more than 24 hours, 40% for more than 3 days. Up to 50.0% had not been taken to a health facility. Most of them had visited 2 or 3 other health facilities before dying on the way to our hospital. Auto medication was frequent (42.5%); parents initially recourse to drugs which were either bought or obtained from home. Some parents (25.0%) brought their children only after they had been to a private dispensary, or a traditional healer (15.0%). Only 7.5% benefited from consultation in a public health facility and 2.5% resorted to prayers and incantations

  3. Multi-drug resistant oral Candida species isolated from HIV-positive patients in South Africa and Cameroon.

    PubMed

    Dos Santos Abrantes, Pedro Miguel; McArthur, Carole P; Africa, Charlene Wilma Joyce

    2014-06-01

    Candida species are a common cause of infection in immune-compromised HIV-positive individuals, who are usually treated with the antifungal drug, fluconazole, in public hospitals in Africa. However, information about the prevalence of drug resistance to fluconazole and other antifungal agents on Candida species is very limited. This study examined 128 Candida isolates from South Africa and 126 Cameroonian Candida isolates for determination of species prevalence and antifungal drug susceptibility. The isolates were characterized by growth on chromogenic and selective media and by their susceptibility to 9 antifungal drugs tested using the TREK™ YeastOne9 drug panel (Thermo Scientific, USA). Eighty-three percent (82.8%) of South African isolates were Candida albicans (106 isolates), 9.4% were Candida glabrata (12 isolates), and 7.8% were Candida dubliniensis (10 isolates). Of the Cameroonian isolates, 73.02% were C. albicans (92 isolates); 19.05% C. glabrata (24 isolates); 3.2% Candida tropicalis (4 isolates); 2.4% Candida krusei (3 isolates); 1.59% either Candida kefyr, Candida parapsilopsis, or Candida lusitaneae (2 isolates); and 0.79% C. dubliniensis (1 isolate). Widespread C. albicans resistance to azoles was detected phenotypically in both populations. Differences in drug resistance were seen within C. glabrata found in both populations. Echinocandin drugs were more effective on isolates obtained from the Cameroon than in South Africa. A multiple-drug resistant C. dubliniensis strain isolated from the South African samples was inhibited only by 5-flucytosine in vitro on the YO9 panel. Drug resistance among oral Candida species is common among African HIV patients in these 2 countries. Regional surveillance of Candida species drug susceptibility should be undertaken to ensure effective treatment for HIV-positive patients.

  4. A hospital-based study on knowledge and attitude related to vitiligo among adults visiting a tertiary health facility of central India

    PubMed Central

    Asati, Dinesh Prasad; Gupta, C. M.; Tiwari, Shreyansh; Kumar, Sanjeev; Jamra, Vishal

    2016-01-01

    Background: Vitiligo is one of the common stigmatizing dermatosis in the Indian society and the vitiligo patients have to face significant psychological hurt and social neglect. The severity of the stigma is related to the society's attitude and knowledge about it. Aims and Objectives: To document the prevalent knowledge and attitude in general public towards vitiligo patients, and to identify the determinants of good/poor knowledge and attitude. Materials and Methods: A systematic random sampling technique was adopted to enroll 700 adult participants visiting an urban tertiary healthcare facility of central India. We developed a questionnaire to collect information on knowledge and attitude of the participants. A composite score was developed for good knowledge and attitude and performance of the participants was compared with the selected determinants. Data analysis was conducted by Stata software version 11. Results: The overall knowledge score was good for 66.3% (95% confidence interval [CI]: 62.8%, 69.8%) of the participants. However, the score for attitude was comparatively poor i.e., only 16.9% (95% CI: 13.9%, 19.5%). None of the studied parameters could be significantly correlated with the knowledge score. Being married and being engaged in a health care related occupation were significant predictors of good attitude levels with P = 0.042 and 0.034 respectively, whereas female gender was the significant predictor for poor attitude with an odds ratio of 0.54 (95% CI: 0.33, 0.9) and P = 0.018. Conclusions: There were widespread myths prevalent about vitiligo in the studied population. The knowledge scores were better than attitude scores. PMID:27003965

  5. Structural determinants of hospital closure.

    PubMed

    Longo, D R; Chase, G A

    1984-05-01

    In a retrospective case-control study, structural characteristics of hospitals that closed during the years 1976-1980 were contrasted with three comparison groups: hospitals that were acquired in a merger; hospitals that joined a multihospital system; and hospitals that remained autonomously opened, to investigate these characteristics as predictors of closure. Characteristics investigated included environmental, structural, and process variables. The independent variables were measured 5 years prior to outcome. Findings indicate that closed hospitals resemble hospitals acquired in a merger ("failure"), and likewise autonomous hospitals resemble hospitals that join a multihospital system ("success"). The most important predictors of hospital failure were the physician-to-population ratio, the East North Central and West North Central census regions, the level of diversification, low occupancy rate, location in a standard metropolitan statistical area, the chief executive officer's lack of affiliation in the American College of Hospital Administrators, profit status, bed size of less than 50, and presence in a state with a rate-setting agency. Surprisingly, this study shows the bed-to-population ratio to be unrelated to closure. In addition, the findings strongly support the open-system perspective, which, unlike the closed-system perspective, is concerned with the vulnerability of the organization to the uncontrollable and often unpredictable influences of the environment.

  6. Understanding the barriers to setting up a healthcare quality improvement process in resource-limited settings: a situational analysis at the Medical Department of Kamuzu Central Hospital in Lilongwe, Malawi

    PubMed Central

    2014-01-01

    Background Knowledge regarding the best approaches to improving the quality of healthcare and their implementation is lacking in many resource-limited settings. The Medical Department of Kamuzu Central Hospital in Malawi set out to improve the quality of care provided to its patients and establish itself as a recognized centre in teaching, operations research and supervision of district hospitals. Efforts in the past to achieve these objectives were short-lived, and largely unsuccessful. Against this background, a situational analysis was performed to aid the Medical Department to define and prioritize its quality improvement activities. Methods A mix of quantitative and qualitative methods was applied using checklists for observed practice, review of registers, key informant interviews and structured patient interviews. The mixed methods comprised triangulation by including the perspectives of the clients, healthcare providers from within and outside the department, and the field researcher’s perspectives by means of document review and participatory observation. Results Human resource shortages, staff attitudes and shortage of equipment were identified as major constraints to patient care, and the running of the Medical Department. Processes, including documentation in registers and files and communication within and across cadres of staff were also found to be insufficient and thus undermining the effort of staff and management in establishing a sustained high quality culture. Depending on their past experience and knowledge, the stakeholder interviewees revealed different perspectives and expectations of quality healthcare and the intended quality improvement process. Conclusions Establishing a quality improvement process in resource-limited settings is an enormous task, considering the host of challenges that these facilities face. The steps towards changing the status quo for improved quality care require critical self-assessment, the willingness to change

  7. Late Cretaceous intraplate silicic volcanic rocks from the Lake Chad region: An extension of the Cameroon volcanic line?

    NASA Astrophysics Data System (ADS)

    Shellnutt, J. G.; Lee, T.-Y.; Torng, P.-K.; Yang, C.-C.; Lee, Y.-H.

    2016-07-01

    Silicic volcanic rocks at Hadjer el Khamis, near Lake Chad, are considered to be an extension of the Cameroon volcanic line (CVL) but their petrogenetic association is uncertain. The silicic rocks are divided into peraluminous and peralkaline groups with both rock types chemically similar to within-plate granitoids. In situ U/Pb zircon dating yielded a mean 206Pb/238U age of 74.4 ± 1.3 Ma indicating the magmas erupted ˜10 million years before the next oldest CVL rocks (i.e., ˜66 Ma). The Sr isotopes (i.e., ISr = 0.7021-0.7037) show a relatively wide range but the Nd isotopes (i.e., 143Nd/144Ndi = 0.51268-0.51271) are uniform and indicate that the rocks were derived from a moderately depleted mantle source. Thermodynamic modeling shows that the silicic rocks likely formed by fractional crystallization of a mafic parental magma but that the peraluminous rocks were affected by low temperature alteration processes. The silicic rocks are more isotopically similar to Late Cretaceous basalts identified within the Late Cretaceous basins (i.e., 143Nd/144Ndi = 0.51245-0.51285) of Chad than the uncontaminated CVL rocks (i.e., 143Nd/144Ndi = 0.51270-0.51300). The age and isotopic compositions suggest the silicic volcanic rocks of the Lake Chad region are related to Late Cretaceous extensional volcanism in the Termit basin. It is unlikely that the silicic volcanic rocks are petrogenetically related to the CVL but it is possible that magmatism was structurally controlled by suture zones that formed during the opening of the Central Atlantic Ocean and/or the Pan-African Orogeny.

  8. HIV type 1 group M clades infecting subjects from rural villages in equatorial rain forests of Cameroon.

    PubMed

    Zhong, Ping; Burda, Sherri; Urbanski, Mateusz; Kenfack, Henriette; Tongo, Marcel; Heyndrickx, Leo; Nanfack, Aubin; Shang, Judith; Agyingi, Lucy; Zolla-Pazner, Susan; Zekeng, Leopold; Nyambi, Phillipe

    2002-12-15

    Though the HIV-1 subtypes infecting patients living in urban and semi-urban areas in Cameroon have been reported, information on the subtypes infecting patients in rural villages is lacking. To begin to understand the diversity of the HIV-1 group M subtypes infecting persons living in rural villages in the equatorial rain forest regions of Cameroon, 49 plasma samples from 14 rural villages in four provinces of Cameroon were analyzed using heteroduplex mobility analysis (HMA), DNA sequencing, and phylogenetic tree analysis on the basis of env C2V5, gag, or pol regions. Sixty-one percent of the group M infections were clade A or CRF02_AG-like as subtyped by env and gag. Of the remaining group M infections, 12% were either A or CRF02_AG-like or CRF01_AE-like in recombination with other clades; 25% were infections that were entirely non-A or non-CRF02_AG-like; and 2% were CRF11_cpx. The HIV-1 group M clades identified included A, D, F (F2), G, and H. The CRF strains identified were CRF02_AG-like, CRF01_AE-like, and CRF11_cpx. Two new intersubtype recombinant infections, H/G and A/F2, were identified. This study suggests that the HIV-1 diversity in rural villages in the equatorial rain forest of Cameroon is at least as broad as has been observed in major cities of Cameroon and that multiple HIV-1 group M subtypes are infecting persons living in the countryside of Cameroon.

  9. Central line complications

    PubMed Central

    Kornbau, Craig; Lee, Kathryn C; Hughes, Gwendolyn D; Firstenberg, Michael S

    2015-01-01

    Central venous access is a common procedure performed in many clinical settings for a variety of indications. Central lines are not without risk, and there are a multitude of complications that are associated with their placement. Complications can present in an immediate or delayed fashion and vary based on type of central venous access. Significant morbidity and mortality can result from complications related to central venous access. These complications can cause a significant healthcare burden in cost, hospital days, and patient quality of life. Advances in imaging, access technique, and medical devices have reduced and altered the types of complications encountered in clinical practice; but most complications still center around vascular injury, infection, and misplacement. Recognition and management of central line complications is important when caring for patients with vascular access, but prevention is the ultimate goal. This article discusses common and rare complications associated with central venous access, as well as techniques to recognize, manage, and prevent complications. PMID:26557487

  10. Early Infant Male Circumcision in Cameroon and Senegal: Demand, Service Provision, and Cultural Context

    PubMed Central

    Kenu, Ernest; Sint, Tin Tin; Kamenga, Claude; Ekpini, Rene

    2016-01-01

    ABSTRACT Background: Male circumcision is almost universal in North and West Africa, and practiced for various reasons. Yet there is little documentation on service delivery, clinical procedures, policies, and programmatic strategies. The United Nations Children’s Fund (UNICEF) commissioned country program reviews in 2014 to shed light on the delivery of male circumcision services for infants in Cameroon and Senegal. Methods: We conducted a policy desk review, key informant interviews, and focus group discussions at health centers and in communities. Between December 2014 and January 2015, we conducted 21 key informant interviews (13 with regional and district officers, 5 with national officers, and 3 with UNICEF officials) and 36 focus group discussions (6 with men, 6 with women, 12 with adolescent boys, and 12 with service providers). Some of the men and women were parents of the adolescents who participated in the focus group discussions. In the French-speaking areas, the focus group discussions were conducted in French through an accredited translator, audio recorded, and transcribed into English. Results: All of the facilities we visited in Cameroon and Senegal offer medical male circumcision, with 10 out of 12 performing early infant male circumcision (EIMC) routinely. Neither country has policies, guidelines, or strategies for EIMC. The procedure is done mainly by untrained service providers, with some providers using modern circumcision devices. There are no key messages on EIMC for families; the increasing demand for EIMC is led by the community. Conclusion: Despite the absence of national policies and strategies, EIMC is routinely offered at all levels of the health care system in Cameroon and Senegal, mainly by untrained service providers. Improving circumcision services will require guidelines for EIMC and improvements in training, equipment, supply chains, recordkeeping, and demand creation. PMID:27413080

  11. Cure or control: complying with biomedical regime of diabetes in Cameroon

    PubMed Central

    Awah, Paschal Kum; Unwin, Nigel; Phillimore, Peter

    2008-01-01

    Background The objective of the study was to explore the cultural aspect of compliance, its underlying principles and how these cultural aspects can be used to improve patient centred care for diabetes in Cameroon. Methods We used participant observation to collect data from a rural and an urban health district of Cameroon from June 2001 to June 2003. Patients were studied in their natural settings through daily interactions with them. The analysis was inductive and a continuous process from the early stages of fieldwork. Results The ethnography revealed a lack of basic knowledge about diabetes and diabetes risk factors amongst people with diabetes. The issue of compliance was identified as one of the main themes in the process of treating diabetes. Compliance emerged as part of the discourse of healthcare providers in clinics and filtered into the daily discourses of people with diabetes. The clinical encounters offered treatment packages that were socially inappropriate therefore rejected or modified for most of the time by people with diabetes. Compliance to biomedical therapy suffered a setback for four main reasons: dealing with competing regimes of treatment; coming to terms with biomedical treatment of diabetes; the cost of biomedical therapy; and the impact of AIDS on accepting weight loss as a lifestyle measure in prescription packages. People with diabetes had fears about and negative opinions of accepting certain prescriptions that they thought could interfere with their accustomed social image especially that which had to do with bridging their relationship with ancestors and losing weight in the era of HIV/AIDS. Conclusion The cultural pressures on patients are responsible for patients' partial acceptance of and adherence to prescriptions. Understanding the self-image of patients and their background cultures are vital ingredients to improve diabetes care in low-income countries of Sub-Sahara Africa like Cameroon. PMID:18298835

  12. Near full-length HIV type 1M genomic sequences from Cameroon

    PubMed Central

    Tongo, Marcel; Dorfman, Jeffrey R.; Abrahams, Melissa-Rose; Mpoudi-Ngole, Eitel; Burgers, Wendy A.; Martin, Darren P.

    2015-01-01

    Background: Cameroon is the country in which HIV-1 group M (HIV-1M) likely originated and is today a major hotspot of HIV-1M genetic diversity. It remains unclear, however, whether the highly divergent HIV-1M lineages found in this country arose during the earliest phases of the global HIV-1M epidemic, or whether they arose more recently as a result of recombination events between globally circulating HIV-1M lineages. Methodology: To differentiate between these two possibilities, we performed phylogenetic analyses of the near full genome sequences of nine newly sequenced divergent HIV-1M isolates and 15 previously identified, apparently unique recombinant forms (URFs) from Cameroon. Results: Although two of the new genome sequences were clearly classifiable within subtype G, the remaining seven were highly divergent and phylogenetically branched either outside of, or very near the bases of clades containing the well characterised globally circulating viral lineages that they were most closely related to. Recombination analyses further revealed that these divergent viruses were likely complex URFs. We show, however that substantial portions (>1 Kb) of three of the new genome sequences and 15 of the previously characterised Cameroonian URFs have apparently been derived from divergent parental viruses that branch phylogenetically near the bases of the major HIV-1M clades. Conclusions and implications: Our analyses indicate the presence in Cameroon of contemporary descendants of numerous early-diverging HIV-1M lineages. Further efforts to sample and sequence viruses from such lineages could be crucial both for retracing the earliest evolutionary steps during the emergence of HIV-1M in humans, and accurately reconstructing the ancestral sequences of the major globally circulating HIV-1M lineages. PMID:26354000

  13. A comprehensive mapping of the current capacity for human nutrition training in Cameroon

    PubMed Central

    Sodjinou, Roger; Lezama, Ines; Asse, Marie-Louise; Okala, Georges; Bosu, William K.; Fanou, Nadia; Mbala, Ludvine; Zagre, Noel Marie; Tchibindat, Félicité

    2016-01-01

    Background There is consensus among stakeholders in Cameroon on the need to develop and strengthen human resource capacity for nutrition. This study was conducted to provide a comprehensive mapping of the current capacity for tertiary-level human nutrition training in Cameroon. Design Participating institutions included university-level institutions offering dedicated nutrition degree programs or other programs in which nutrition courses were taught. A semi-structured questionnaire administered during in-person interviews was used to collect data on existing programs and content of training curricula. Nutrition curricula were reviewed against the following criteria: intended objectives, coverage of nutrition topics, and teaching methods. Results In total, five nutrition degree programs (four undergraduate programs and one master's program) were identified. Three additional programs were about to be launched at the time of data collection. We did not find any doctorate degree programs in nutrition. All the undergraduate programs only had little focus on public health nutrition whereas the master's program in our sample offered a good coverage of all dimensions of human nutrition including basic and applied nutrition. The predominant teaching method was didactic lecture in all the programs. We did not find any formal documentation outlining the competencies that students were expected to gain upon completion of these programs. Nutrition courses in agricultural and health schools were limited in terms of contact hours and scope. Public health nutrition was not covered in any of the health professional schools surveyed. We found no institution offering in-service nutrition training at the time of the study. Conclusions Based on our findings, we recommend that nutrition training programs in Cameroon be redesigned to make them more responsive to the public health needs of the country. PMID:26818193

  14. Petroleum geology of the deltaic sequence, Rio Del Rey basin, offshore Cameroon

    SciTech Connect

    Coughlin, R.M.; Bement, W.O.; Maloney, W.V. )

    1993-09-01

    The Rio Del Rey Basin of offshore Cameroon comprises the easternmost portion of the Niger delta complex. In the delta flank setting, the overall package is thinner and stratigraphic correlation simpler than in the depocenter to the west so the distribution of reservoirs and seals is well defined. Productive reservoirs are shallow, typically less than 2000 m, and mostly hydropressured to slightly overpressured. Reservoir properties generally are excellent and seismic bright-spot technology has played a major role in exploration and development efforts. Rio Del Rey is characterized by three main structural styles from north to south: (1) detachment-based growth faults, (2) highly faulted, mobile shale cored domes and ridges, and (3) toe thrusts and folds. Virtually all individual traps are fault dependent and lack of sufficient internal seals in sand-rich wave-dominated deltaic sequences can limit the objective window. Most fields are downthrown fault traps in which hanging-wall reservoirs are effectively sealed against older prodelta and marine shales. All large oil fields are located in the dome and ridge province and are potential analogs for similar structures now being explored on the upper slope off Nigeria. The best quality source rocks identified thus far are Paleocene to Eocene marine shales. Oil vs. gas distribution in the basin is a function of variations in the kerogen type, organic richness, and maturity of these source rocks. A significant quantity of the gas found to date in Rio Del Rey is biogenic in origin. The Cameroon charge model may aid in better understanding hydrocarbon distribution on offshore Nigeria, where the Miocene deltaic section is much thicker and potential Paleocene-Eocene source rocks likely are unpenetrated. The shallow deltaic play in Cameroon is relatively mature. Future exploration likely will focus on identifying deeper, nonbright-spot-supported opportunities including potential stratigraphic traps.

  15. Forest Conversion, Agricultural Transitions and the Influence of Multi-scale Market Factors in Southwest Cameroon

    NASA Astrophysics Data System (ADS)

    Ordway, E.; Lambin, E.; Asner, G. P.

    2015-12-01

    The changing structure of demand for commodities associated with food security and energy has had a startling impact on land use change in tropical forests in recent decades. Yet, the composition of conversion in the Congo basin remains a major uncertainty, particularly with regards to the scale of drivers of change. Owing to rapid expansion of production globally and longstanding historical production locally in the Congo basin, oil palm offers a lens through which to evaluate local land use decisions across a spectrum of small- to large-scales of production as well as interactions with regional and global supply chains. We examined the effect of global commodity crop expansion on land use change in Southwest Cameroon using a mixed-methods approach to integrate remote sensing, field surveys and socioeconomic data. Southwest Cameroon (2.5 Mha) has a long history of large- and small-scale agriculture, ranging from mixed crop subsistence agriculture to large monocrop plantations of oil palm, cocoa, and rubber. Trends and spatial patterns of forest conversion and agricultural transitions were analyzed from 2000-2015 using satellite imagery. We used economic, demographic and field survey datasets to assess how regional and global market factors and local commodity crop decisions affect land use patterns. Our results show that oil palm is a major commodity crop expanding in this region, and that conversion is occurring primarily through expansion by medium-scale producers and local elites. Results also indicate that global and regional supply chain dynamics influence local land use decision making. This research contributes new information on land use patterns and dynamics in the Congo basin, an understudied region. More specifically, results from this research contribute information on recent trends of oil palm expansion in Cameroon that will be used in national land use planning strategies.

  16. HIV prevalence and factors associated with HIV infection among men who have sex with men in Cameroon

    PubMed Central

    Park, Ju Nyeong; Papworth, Erin; Kassegne, Sethson; Moukam, Laure; Billong, Serge Clotaire; Macauley, Issac; Yomb, Yves Roger; Nkoume, Nathalie; Mondoleba, Valentin; Eloundou, Jules; LeBreton, Matthew; Tamoufe, Ubald; Grosso, Ashley; Baral, Stefan D

    2013-01-01

    Introduction Despite men who have sex with men (MSM) being a key population for HIV programming globally, HIV epidemiologic data on MSM in Central Africa are sparse. We measured HIV and syphilis prevalence and the factors associated with HIV infection among MSM in Cameroon. Methods Two hundred and seventy-two and 239 MSM aged ≥18 from Douala and Yaoundé, respectively, were recruited using respondent-driven sampling (RDS) for this cross-sectional surveillance study in 2011. Participants completed a structured questionnaire and HIV and syphilis testing. Statistical analyses, including RDS-weighted proportions, bootstrapped confidence intervals and logistic regressions, were used. Results Crude and RDS-weighted HIV prevalence were 28.6% (73/255) and 25.5% (95% CI 19.1–31.9) in Douala, and 47.3% (98/207) and 44.4% (95% CI 35.7–53.2) in Yaoundé. Active syphilis prevalence in total was 0.4% (2/511). Overall, median age was 24 years, 62% (317/511) of MSM identified as bisexual and 28.6% (144/511) identified as gay. Inconsistent condom use with regular male partners (64.1%; 273/426) and casual male and female partners (48.5%; 195/402) was common, as was the inconsistent use of condom-compatible lubricants (CCLs) (26.3%; 124/472). In Douala, preferring a receptive sexual role was associated with prevalent HIV infection [adjusted odds ratio (aOR) 2.33, 95% CI 1.02–5.32]. Compared to MSM without HIV infection, MSM living with HIV were more likely to have ever accessed a health service targeting MSM in Douala (aOR 4.88, 95% CI 1.63–14.63). In Yaoundé, MSM living with HIV were more likely to use CCLs (aOR 2.44, 95% CI 1.19–4.97). Conclusions High HIV prevalence were observed and condoms and CCLs were used inconsistently indicating that MSM are a priority population for HIV prevention, treatment and care services in Douala and Yaoundé. Building the capacity of MSM community organizations and improving the delivery and scale-up of multimodal interventions for MSM

  17. Cameroon mid-level providers offer a promising public health dentistry model

    PubMed Central

    2012-01-01

    Background Oral health services are inadequate and unevenly distributed in many developing countries, particularly those in sub-Saharan Africa. Rural areas in these countries and poorer sections of the population in urban areas often do not have access to oral health services mainly because of a significant shortage of dentists and the high costs of care. We reviewed Cameroon’s experience with deploying a mid-level cadre of oral health professionals and the feasibility of establishing a more formal and predictable role for these health workers. We anticipate that a task-shifting approach in the provision of dental care will significantly improve the uneven distribution of oral health services particularly in the rural areas of Cameroon, which is currently served by only 3% of the total number of dentists. Methods The setting of this study was the Cameroon Baptist Convention Health Board (BCHB), which has four dentists and 42 mid-level providers. De-identified data were collected manually from the registries of 10 Baptist Convention clinics located in six of Cameroon’s 10 regions and then entered into an Excel format before importing into STATA. A retrospective abstraction of all entries for patient visits starting October 2010, and going back in time until 1500 visits were extracted from each clinic. Results This study showed that mid-level providers in BCHB clinics are offering a full scope of dental work across the 10 clinics, with the exception of treatment for major facial injuries. Mid-level providers alone performed 93.5% of all extractions, 87.5% of all fillings, 96.5% of all root canals, 97.5% of all cleanings, and 98.1% of all dentures. The dentists also typically played a teaching role in training the mid-level providers. Conclusions The Ministry of Health in Cameroon has an opportunity to learn from the BCHB model to expand access to oral health care across the country. This study shows the benefits of using a simple, workable, low-cost way to

  18. [Commercial sexual exploitation of minor girls. A multifocal, exploratory and prospective study in Cameroon].

    PubMed

    Mbassa Menick, D; Dassa, K S; Kenmogne, J B; Abanda Ngon, G

    2009-02-01

    To obtain reliable information on commercial sexual exploitation of minor girls under the age of 21, a multifocal, exploratry and prospective using a questionnaire was undertaken in Cameroon. This investigation was initiated and funded by the Cercle International pour la Promotion de la Création (CIPCRE) and carried out by the Cameroon Society for the Prevention of Child Abuse and Neglect (CASPCAN). The survey was performed during the last quarter of year 2004 in four major cities of Cameroon, i.e. Yaoundé, Douala, Bamenca and Bafoussam. Of the 800 questionnaires that were distributed, 722 were considered as suitable for analysis (90.3%). A total of 291 minor girls were victims of commercial sexual exploitation, i.e., 40% of the population studied. The mean age of the victims was 16.6 years (range, 9-20 years). The main reason given for entering prostitution was poverty. The victims were fairly well educated but the level of instruction was not sufficient to find a job paying an income comparable to prostitution. Many were from large families (mean, 7.1 children). The victims' family was monogamous in 40.2% of cases, polygamous in 24.4%, and monoparental in 35.4%. Eighty percent of the victims already had run away from home at least once due to problems in their families ranging from severe corporal punishment (25.8%) and mistreatment linked to parental alcohol and drug abuse to forced early marriage (27.5%) and intrafamilial sexual abuse. A large proportion of the victims (36.4%) were mothers who could not attend school and could not find work. Many victims were completely neglected by their own parents with 43.4% of parents being aware of the activities of their daughters but only 10.6% being opposed to it. Most (78.5%) had good knowledge of the risk of HIV and used condoms regular. These results confirms the general hypothesis of the authors that commercial exploitation of minor girls is widespread in Cameroon. The authors recommend development of a national

  19. A practical approach to low protein diets for patients with chronic kidney disease in Cameroon.

    PubMed

    Ashuntantang, Gloria Enow; Fouda, Hermine; Kaze, Francois Folefack; Halle, Marie-Patrice; Tabi-Arrey, Crista; Biwole-Sida, Magloire

    2016-09-07

    Cameroon is a low-middle income country with a rich diversity of culture and cuisine. Chronic kidney disease (CKD) is common in Cameroon and over 80 % of patients present late for care, precluding the use of therapies such as low protein diets (LPDs) that slow its progression. Moreover, the prescription of LPDs is challenging in Cameroon because dieticians are scarce, there are no renal dieticians, and people often have to fund their own healthcare. The few nephrologists that provide care for CKD patients have limited expertise in LPD design. Therefore, only moderate LPDs of 0.6 g protein per kg bodyweight per day, or relatively mild LPDs of 0.7-0.8 g protein per kg bodyweight per day are prescribed. The moderate LPD is prescribed to patients with stage 3 or 4 CKD with non-nephrotic proteinuria, no evidence of malnutrition and no interrcurrent acute illnesses. The mild LPD is prescribed to patients with stage 3 or 4 CKD with nephrotic proteinuria, non-symptomatic stage 5 CKD patients or stage 5 CKD patients on non-dialysis treatment. In the absence of local sources of amino and keto acid supplements, traditional mixed LPDs are used. For patients with limited and sporadic access to animal proteins, the prescribed LPDs do not restrict vegetable proteins, but limit intake of animal proteins (when available) to 70 % of total daily protein intake. For those with better access to animal proteins, the prescribed LPDs limit intake of animal proteins to 50-70 % of total daily protein intake, depending on their meal plan. Images of 100 g portions of meat, fish and readily available composite meals serve as visual guides of quantities for patients. Nutritional status is assessed before LPD prescription and during follow up using a subjective global assessment and serum albumin. In conclusion, LPDs are underutilised and challenging to prescribe in Cameroon because of weakness in the health system, the rarity of dieticians, a wide diversity of dietary habits, the limited

  20. A practical approach to low protein diets for patients with chronic kidney disease in Cameroon.

    PubMed

    Ashuntantang, Gloria Enow; Fouda, Hermine; Kaze, Francois Folefack; Halle, Marie-Patrice; Tabi-Arrey, Crista; Biwole-Sida, Magloire

    2016-01-01

    Cameroon is a low-middle income country with a rich diversity of culture and cuisine. Chronic kidney disease (CKD) is common in Cameroon and over 80 % of patients present late for care, precluding the use of therapies such as low protein diets (LPDs) that slow its progression. Moreover, the prescription of LPDs is challenging in Cameroon because dieticians are scarce, there are no renal dieticians, and people often have to fund their own healthcare. The few nephrologists that provide care for CKD patients have limited expertise in LPD design. Therefore, only moderate LPDs of 0.6 g protein per kg bodyweight per day, or relatively mild LPDs of 0.7-0.8 g protein per kg bodyweight per day are prescribed. The moderate LPD is prescribed to patients with stage 3 or 4 CKD with non-nephrotic proteinuria, no evidence of malnutrition and no interrcurrent acute illnesses. The mild LPD is prescribed to patients with stage 3 or 4 CKD with nephrotic proteinuria, non-symptomatic stage 5 CKD patients or stage 5 CKD patients on non-dialysis treatment. In the absence of local sources of amino and keto acid supplements, traditional mixed LPDs are used. For patients with limited and sporadic access to animal proteins, the prescribed LPDs do not restrict vegetable proteins, but limit intake of animal proteins (when available) to 70 % of total daily protein intake. For those with better access to animal proteins, the prescribed LPDs limit intake of animal proteins to 50-70 % of total daily protein intake, depending on their meal plan. Images of 100 g portions of meat, fish and readily available composite meals serve as visual guides of quantities for patients. Nutritional status is assessed before LPD prescription and during follow up using a subjective global assessment and serum albumin. In conclusion, LPDs are underutilised and challenging to prescribe in Cameroon because of weakness in the health system, the rarity of dieticians, a wide diversity of dietary habits, the limited

  1. The Effect of Long Lasting Insecticide Bed Net Use on Malaria Prevalence in the Tombel Health District, South West Region-Cameroon

    PubMed Central

    Dzi, Kevin T. J.; Ngimuh, Leonard; Enyong, Peter

    2016-01-01

    Malaria remains a major public health problem in Africa, and its prevalence in Cameroon stands at 29%. Long Lasting Insecticide Nets (LLINs) were distributed in 2011 to reduce malaria mortality and morbidity; however, assessment of this intervention is scanty. The present study in the Tombel health district (THD) investigated the impact of this distribution on malaria prevalence. A total of 31,657 hospital records from 3 health facilities in 3 health areas for 2010–2013 were examined. Records for 2010 and 2011 provided predistribution baseline data, while those of 2012 and 2013 represented postdistribution data. 8,679 (27.4%) patients were positive for malaria. Children below 5 years had the highest prevalence (40.7%). The number of confirmed cases was highest from June to August (peak rainy season). Malaria prevalence was higher in males (25.3%) than in females (23.2%). Malaria prevalence increased in THD from 26.7% in 2010 to 30.7% in 2011 but dropped to 22.7% in 2012 and then increased in 2013 to 29.5%. There was an overall drop in the total number of confirmed malaria cases in 2012; this decrease was significant in Ebonji (p < 0.001) and Nyasoso (p < 0.015) health areas. The distribution of LLINs led to a short lived reduction in malaria prevalence in THD. LLIN distribution and other control activities should be reinforced to keep malaria prevalence low especially among the 0–5-year group. PMID:27403371

  2. Hospital fundamentals.

    PubMed

    Althausen, Peter L; Hill, Austin D; Mead, Lisa

    2014-07-01

    Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols. PMID

  3. Hospital fundamentals.

    PubMed

    Althausen, Peter L; Hill, Austin D; Mead, Lisa

    2014-07-01

    Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols.

  4. English-Medium Instruction in an English-French Bilingual Setting: Issues of Quality and Equity in Cameroon

    ERIC Educational Resources Information Center

    Kuchah, Kuchah

    2016-01-01

    Despite its multilingual nature Cameroon's educational system provides for full immersion into either French-medium or English-medium education from the first year schooling. Following political tensions in the early 1990s the country decided to reaffirm its commitment to promote bilingualism in the educational system with the outcome being the…

  5. ''I Eat to Be Happy, to Be Strong, and to Live.'' Perceptions of Rural and Urban Adolescents in Cameroon, Africa

    ERIC Educational Resources Information Center

    Dapi, Leonie N.; Omoloko, Cecile; Janlert, Urban; Dahlgren, Lars; Haglin, Lena

    2007-01-01

    Objective: To investigate factors influencing rural and urban adolescents' food perceptions during a time of nutritional transition in Cameroon, Africa. Design: Qualitative in-depth interviews. Settings: Yaounde urban and Bandja rural areas. Participants: Fifteen adolescents 12 to 15 years old purposely selected from schools in urban and rural…

  6. Women Farmers' Perceptions of the Economic Problems Influencing Their Productivity in Agricultural Systems: Meme Division of the Southwest Province, Cameroon.

    ERIC Educational Resources Information Center

    Endeley, Joyce B.

    Women farmers produce about 60% of the food in Cameroon, but face more problems and constraints than men in performing their agricultural activities. Cash crop farmers (mostly men) are the targeted beneficiaries of government and international aids, and have better access to extension services, loans, subsidized production input (herbicides,…

  7. "This Is No French School": Language and Education Traditions in Primary Schooling in Cameroon -- A Comparative Perspective

    ERIC Educational Resources Information Center

    Nana, Genevoix

    2013-01-01

    This study draws on the concepts of instrumental and expressive orders to analyse school practice in two Anglophone and two Francophone primary schools in Cameroon, and how micro processes of language socialisation in the schools studied instantiated Anglophone and Francophone education traditions and related to macro processes of systems of…

  8. An Exploration of the Relationship between Language Attitudes and Ideologies in a Study of Francophone Students of English in Cameroon

    ERIC Educational Resources Information Center

    Dyers, Charlyn; Abongdia, Jane-Francis

    2010-01-01

    What are the similarities and differences between the concepts "language attitudes" (LAs) and "language ideologies" (LIs)? The need to answer this question arose from a study done by Abongdia in Cameroon with Francophone high school students of English to determine their attitudes towards English as well as their motivation for learning the…

  9. Barriers to Community Participation in Development Planning: Lessons from the Mutengene (Cameroon) Self-Help Water Project.

    ERIC Educational Resources Information Center

    Njoh, Ambe J.

    2002-01-01

    A community water supply project in Cameroon illustrates the following constraints on community participation in development: paternalistic authorities, prescriptive role of the state, selective participation, bias toward "hard" issues, inattention to negative results, group conflicts, gatekeeping, pressure for immediate results, population size,…

  10. The determinants of the willingness-to-pay for community-based prepayment scheme in rural Cameroon.

    PubMed

    Donfouet, Hermann Pythagore Pierre; Makaudze, Ephias; Mahieu, Pierre-Alexandre; Malin, Eric

    2011-09-01

    In rural Cameroon, many people have no access to quality healthcare services. This is largely attributed to lack of private out-of-pocket payment to finance healthcare services. A community-based prepayment health insurance scheme may be implemented to improve healthcare access in rural areas. This study examines the determinants of willingness-to-pay for a community-based prepayment healthcare system using a contingent valuation method conducted in rural Cameroon. To mitigate potential hypothetical bias, a consequential script is introduced in the questionnaire. The results indicate age, religion, profession, knowledge of community-based health insurance, awareness of usual practice in rural areas, involvement in association and disposable income are the key determinants of willingness to pay for a prepayment health scheme. On average, willingness to pay for the scheme by rural households is 1011 CFA francs/person/month (2.15 US dollars). The results underlie two important implications: first, there is substantial demand for a community healthcare prepayment scheme by rural poor households in Cameroon; second, rural households are averse to health shocks and hence they are willing to sacrifice monthly premium payments to protect themselves (and their households) from unforeseen health-related risks. If government could engage in social marketing strategies such as mass media campaigns and awareness, this could prove vital for encouraging participation by the rural poor in healthcare prepayment scheme in Cameroon. PMID:21874541

  11. From Chicken Breath to the Killers Lake of Cameroon: Uniting Seven Interesting Phenomena with a Single Chemical Underpinning

    NASA Astrophysics Data System (ADS)

    Delorenzo, Ron

    2001-02-01

    By using a single equation prototype, seven interesting mysteries and phenomena can be seen as sharing a common chemical underpinning. The applications discussed are the Killer Lakes of Cameroon, chicken breath, the Permian Ocean, the snow line, boiler scale, the Fizz Keeper, and stalactites and stalagmites.

  12. From Chicken Breath to the Killer Lakes of Cameroon: Uniting Seven Interesting Phenomena with a Single Chemical Underpinning.

    ERIC Educational Resources Information Center

    DeLorenzo, Ron

    2001-01-01

    Recommends integrating different applications to serve the need for students to know the relevancy of the course of their future. Uses different and unrelated phenomena to teach equilibria. Introduces six phenomena; (1) Killer Lakes of Cameroon, (2) Chicken Breath, (3) The Permian Ocean, (4) Snow Line, (5) Hard-Water Boiler Scale, and (6)…

  13. The determinants of the willingness-to-pay for community-based prepayment scheme in rural Cameroon.

    PubMed

    Donfouet, Hermann Pythagore Pierre; Makaudze, Ephias; Mahieu, Pierre-Alexandre; Malin, Eric

    2011-09-01

    In rural Cameroon, many people have no access to quality healthcare services. This is largely attributed to lack of private out-of-pocket payment to finance healthcare services. A community-based prepayment health insurance scheme may be implemented to improve healthcare access in rural areas. This study examines the determinants of willingness-to-pay for a community-based prepayment healthcare system using a contingent valuation method conducted in rural Cameroon. To mitigate potential hypothetical bias, a consequential script is introduced in the questionnaire. The results indicate age, religion, profession, knowledge of community-based health insurance, awareness of usual practice in rural areas, involvement in association and disposable income are the key determinants of willingness to pay for a prepayment health scheme. On average, willingness to pay for the scheme by rural households is 1011 CFA francs/person/month (2.15 US dollars). The results underlie two important implications: first, there is substantial demand for a community healthcare prepayment scheme by rural poor households in Cameroon; second, rural households are averse to health shocks and hence they are willing to sacrifice monthly premium payments to protect themselves (and their households) from unforeseen health-related risks. If government could engage in social marketing strategies such as mass media campaigns and awareness, this could prove vital for encouraging participation by the rural poor in healthcare prepayment scheme in Cameroon.

  14. Central Africa: Global climate change and development. Overview. Technical report

    SciTech Connect

    Not Available

    1993-01-01

    The preliminary study focuses on the six countries of central Africa which contain the largest remaining contiguous block of closed forests in sub-Saharan Africa: Cameroon, Central African Republic, the Congo, Equatorial Guinea, Gabon, and Zaire. The carbon in the vegetation and soils in these moist tropical forests and surrounding seasonal woodlands constitute the greatest potential source of future carbon dioxide (CO2) emissions from sub-Saharan Africa. This study also considers the importance of savanna burning, although in less depth since the small savanna area in central Africa precludes this activity from being a large regional source of emissions. Analysis of biogeophysical and socioeconomic issues relevant to global climate change, and research containing both space-based and ground-based components, were undertaken.

  15. An Examination of Forest Certification Status among Logging Companies in Cameroon

    PubMed Central

    Nukpezah, Daniel; Alemagi, Dieudonne; Duguma, Lalisa; Minang, Peter; Mbosso, Charlie; Tchoundjeu, Zac

    2014-01-01

    This paper assesses the level of interest, awareness, and adoption of ISO 14001 and Forest Stewardship Council (FSC) certification schemes among logging companies in Cameroon. Eleven logging companies located in Douala in the Littoral Region of Cameroon were assessed through a structured interview using an administered questionnaire which was mostly analyzed qualitatively thereafter. The findings indicated that none of the companies was certified for ISO 14001; however 63.64% of them were already FSC-certified. Four companies (36.36%) were neither FSC- nor ISO 14001 EMS-certified. Among the factors found to influence the adoption rate was the level of awareness about ISO 14001 and FSC certification schemes. The main drivers for pursuing FSC certification were easy penetration into international markets, tax holiday benefits, and enhancement of corporate image of the logging companies through corporate social responsibility fulfillments. Poor domestic market for certified products was found to be the major impediment to get certified. To make logging activities more environmentally friendly and socially acceptable, logging companies should be encouraged to get certified through the ISO 14001 EMS scheme which is almost nonexistent so far. This requires awareness creation about the scheme, encouraging domestic markets for certified products and creating policy incentives. PMID:27355041

  16. Serological and molecular tools to detect neurologic parasitic zoonoses in rural Cameroon.

    PubMed

    Nkouawa, Agathe; Sako, Yasuhito; Moyou-Somo, Roger; Ito, Akira

    2011-11-01

    Parasitic helminthiases, such as toxocariasis, cysticercosis and paragonimiasis are a public health threat, since they can affect the brain leading to neurological disorders. Epilepsy and paragonimiasis are common in southwestern Cameroon. We reviewed the literature for studies using antigens to diagnose toxocariasis, cysticercosis, and paragonimiasis. Serology revealed that 61 (36.3%), 26 (15.5%) and 2 (1.2%) of 168 persons examined [78 males (15.2 +/- 8.2 years old), 90 females (12.9 +/- 5.9 years old), 143 persons < 20 years old] had antibody responses to toxocariasis, paragonimiasis and cysticercosis, respectively. Of the 14 people with epilepsy, 5 were seropositive for Toxocara antigens and 1 was positive for both Toxocara and Paragonimus antigens. Two children were serologically confirmed to have cysticercosis. Serologic screening for cysticercosis may be feasible to detect asymptomatic cysticercosis in children in endemic areas leading to early treatment. The causative Paragonimus species was confirmed to be P. africanus by molecular sequencing. Education, screening and confirmation test for these diseases may be needed for control in Cameroon.

  17. Locating the depth of magma supply for volcanic eruptions, insights from Mt. Cameroon

    PubMed Central

    Geiger, Harri; Barker, Abigail K.; Troll, Valentin R.

    2016-01-01

    Mt. Cameroon is one of the most active volcanoes in Africa and poses a possible threat to about half a million people in the area, yet knowledge of the volcano’s underlying magma supply system is sparse. To characterize Mt. Cameroon’s magma plumbing system, we employed mineral-melt equilibrium thermobarometry on the products of the volcano’s two most recent eruptions of 1999 and 2000. Our results suggest pre-eruptive magma storage between 20 and 39 km beneath Mt. Cameroon, which corresponds to the Moho level and below. Additionally, the 1999 eruption products reveal several shallow magma pockets between 3 and 12 km depth, which are not detected in the 2000 lavas. This implies that small-volume magma batches actively migrate through the plumbing system during repose intervals. Evolving and migrating magma parcels potentially cause temporary unrest and short-lived explosive outbursts, and may be remobilized during major eruptions that are fed from sub-Moho magma reservoirs. PMID:27713494

  18. An Examination of Forest Certification Status among Logging Companies in Cameroon.

    PubMed

    Nukpezah, Daniel; Alemagi, Dieudonne; Duguma, Lalisa; Minang, Peter; Mbosso, Charlie; Tchoundjeu, Zac

    2014-01-01

    This paper assesses the level of interest, awareness, and adoption of ISO 14001 and Forest Stewardship Council (FSC) certification schemes among logging companies in Cameroon. Eleven logging companies located in Douala in the Littoral Region of Cameroon were assessed through a structured interview using an administered questionnaire which was mostly analyzed qualitatively thereafter. The findings indicated that none of the companies was certified for ISO 14001; however 63.64% of them were already FSC-certified. Four companies (36.36%) were neither FSC- nor ISO 14001 EMS-certified. Among the factors found to influence the adoption rate was the level of awareness about ISO 14001 and FSC certification schemes. The main drivers for pursuing FSC certification were easy penetration into international markets, tax holiday benefits, and enhancement of corporate image of the logging companies through corporate social responsibility fulfillments. Poor domestic market for certified products was found to be the major impediment to get certified. To make logging activities more environmentally friendly and socially acceptable, logging companies should be encouraged to get certified through the ISO 14001 EMS scheme which is almost nonexistent so far. This requires awareness creation about the scheme, encouraging domestic markets for certified products and creating policy incentives.

  19. Locally Confined Clonal Complexes of Mycobacterium ulcerans in Two Buruli Ulcer Endemic Regions of Cameroon

    PubMed Central

    Kerber, Sarah; Minyem, Jacques C.; Um Boock, Alphonse; Vogel, Moritz; Bayi, Pierre Franklin; Junghanss, Thomas; Brites, Daniela; Harris, Simon R.; Parkhill, Julian; Pluschke, Gerd; Lamelas Cabello, Araceli

    2015-01-01

    Background Mycobacterium ulcerans is the causative agent of the necrotizing skin disease Buruli ulcer (BU), which has been reported from over 30 countries worldwide. The majority of notified patients come from West African countries, such as Côte d’Ivoire, Ghana, Benin and Cameroon. All clinical isolates of M. ulcerans from these countries are closely related and their genomes differ only in a limited number of single nucleotide polymorphisms (SNPs). Methodology/Principal Findings We performed a molecular epidemiological study with clinical isolates from patients from two distinct BU endemic regions of Cameroon, the Nyong and the Mapé river basins. Whole genome sequencing of the M. ulcerans strains from these two BU endemic areas revealed the presence of two phylogenetically distinct clonal complexes. The strains from the Nyong river basin were genetically more diverse and less closely related to the M. ulcerans strain circulating in Ghana and Benin than the strains causing BU in the Mapé river basin. Conclusions Our comparative genomic analysis revealed that M. ulcerans clones diversify locally by the accumulation of SNPs. Case isolates coming from more recently emerging BU endemic areas, such as the Mapé river basin, may be less diverse than populations from longer standing disease foci, such as the Nyong river basin. Exchange of strains between distinct endemic areas seems to be rare and local clonal complexes can be easily distinguished by whole genome sequencing. PMID:26046531

  20. Doassansiopsis caldesiae sp. nov. and Doassansiopsis tomasii: two remarkable smut fungi from Cameroon.

    PubMed

    Piatek, Marcin; Vánky, Kálmán; Mossebo, Dominique C; Piatek, Jolanta

    2008-01-01

    Three recent collections of Doassansiopsis from western Cameroon are assessed taxonomically. Doassansiopsis caldesiae M. Piatek & Vánky is described as a new species from infected leaves of Caldesia reniformis (D. Don) Makino. Its diagnostic characters are flat, nonthickened sori with spore balls as blackish, slightly elevated dots, more or less globoid spores, conspicuous cortical sterile cells and parasitism on Caldesia reniformis of family Alismataceae. The species is compared to another Doassansiopsis species on host plants belonging to family Alismataceae. Doassansiopsis tomasii Vánky is described from two localities on Nymphaea nouchali Burm.f. var. caerulea (Savigny) Verdc. (Nymphaeaceae), which represents the first report of this smut from Cameroon and western Africa. Similarities between this species and Doassansiopsis nymphaeae (Syd. & P. Syd.) Thirum. and D. ticonis M. Piepenbr. are outlined and the global distribution of the three taxa is mapped. The species concept in the genus Doassansiopsis is discussed, and a key to all known species of the genus is provided. PMID:18833759

  1. Locating the depth of magma supply for volcanic eruptions, insights from Mt. Cameroon

    NASA Astrophysics Data System (ADS)

    Geiger, Harri; Barker, Abigail K.; Troll, Valentin R.

    2016-10-01

    Mt. Cameroon is one of the most active volcanoes in Africa and poses a possible threat to about half a million people in the area, yet knowledge of the volcano’s underlying magma supply system is sparse. To characterize Mt. Cameroon’s magma plumbing system, we employed mineral-melt equilibrium thermobarometry on the products of the volcano’s two most recent eruptions of 1999 and 2000. Our results suggest pre-eruptive magma storage between 20 and 39 km beneath Mt. Cameroon, which corresponds to the Moho level and below. Additionally, the 1999 eruption products reveal several shallow magma pockets between 3 and 12 km depth, which are not detected in the 2000 lavas. This implies that small-volume magma batches actively migrate through the plumbing system during repose intervals. Evolving and migrating magma parcels potentially cause temporary unrest and short-lived explosive outbursts, and may be remobilized during major eruptions that are fed from sub-Moho magma reservoirs.

  2. Community Capacity for Implementing Clean Development Mechanism Projects Within Community Forests in Cameroon

    PubMed Central

    McCall, Michael K.; Bressers, Hans Th. A.

    2007-01-01

    There is a growing assumption that payments for environmental services including carbon sequestration and greenhouse gas emission reduction provide an opportunity for poverty reduction and the enhancement of sustainable development within integrated natural resource management approaches. Yet in experiential terms, community-based natural resource management implementation falls short of expectations in many cases. In this paper, we investigate the asymmetry between community capacity and the Land Use Land Use Change Forestry (LULUCF) provisions of the Clean Development Mechanism within community forests in Cameroon. We use relevant aspects of the Clean Development Mechanism criteria and notions of “community capacity” to elucidate determinants of community capacity needed for CDM implementation within community forests. The main requirements are for community capacity to handle issues of additionality, acceptability, externalities, certification, and community organisation. These community capacity requirements are further used to interpret empirically derived insights on two community forestry cases in Cameroon. While local variations were observed for capacity requirements in each case, community capacity was generally found to be insufficient for meaningful uptake and implementation of Clean Development Mechanism projects. Implications for understanding factors that could inhibit or enhance community capacity for project development are discussed. We also include recommendations for the wider Clean Development Mechanism/Kyoto capacity building framework. PMID:17377732

  3. 'The vagina does not talk': conception concealed or deliberately disclosed in eastern Cameroon.

    PubMed

    van der Sijpt, Erica

    2012-01-01

    In the East Province of Cameroon, respectable womanhood has long been intrinsically related to ethics of production and reproduction: women attain social standing through productive work in the fields and through the reproduction of children - preferably within a marital setting. Yet, in the face of current alternative 'horizons of honour' such as schooling, employment or relationships with rich urban men, women's intentions with regard to marriage and motherhood acquire different meanings. On their pathways to urban forms of honour, formal engagements and childbearing are often postponed, while premarital sexual encounters proliferate. This paper explores the meanings of pregnancy within the context of these fragile relationships and women's urban aspirations; fertility will be shown to be a 'bet' that may either disrupt or stabilize urban affairs and ambitions. As such, pregnancies can be strategically anticipated and deliberately disclosed or unexpectedly encountered and secretly disrupted. This paper sheds light on women's strategies of concealment and disclosure of pregnancies and shows that these practices are often inspired by a notion of the 'right timing' of particular reproductive conjunctures - a notion that is of increasing relevance in current frames of female honour in Cameroon. PMID:22118422

  4. Characteristics associated with prevalent HIV infection among a cohort of sex workers in Cameroon

    PubMed Central

    Ryan, K. A.; Roddy, R. E.; Zekeng, L.; Weir, S. S.; Tamoufe, U.

    1998-01-01

    OBJECTIVE: To determine prevalence of HIV infection in a cohort of female sex workers in Cameroon, and to describe characteristics associated with HIV infection in this population. METHODS: In a cross sectional study, 2260 female sex workers in Cameroon were interviewed and screened for HIV serostatus. A standardised questionnaire was used to collect information on sociodemographic characteristics and sexual and health behaviours. RESULTS: Seropositive participants (18%) were more likely to be over age 25, have four or more children, live in Yaounde or Douala for 5 years or less, solicit clients in their homes or on the street, have a low educational level, earn a weekly income of less than $24, and have no other occupation outside of sex work. A logistic regression model of selected sociodemographic characteristics indicated that women at particularly high odds of HIV infection were older, poorer, and new immigrants to their city of residence. CONCLUSION: This seroprevalence study found a lower HIV prevalence than had been previously reported. Although our results are different, this group is still at much higher risk of HIV infection than the population as a whole. 




 PMID:9634326

  5. Understanding of research, genetics and genetic research in a rapid ethical assessment in north west Cameroon

    PubMed Central

    Kengne-Ouafo, Jonas A.; Millard, James D.; Nji, Theobald M.; Tantoh, William F.; Nyoh, Doris N.; Tendongfor, Nicholas; Enyong, Peter A.; Newport, Melanie J.; Davey, Gail; Wanji, Samuel

    2016-01-01

    Background There is limited assessment of whether research participants in low-income settings are afforded a full understanding of the meaning of medical research. There may also be particular issues with the understanding of genetic research. We used a rapid ethical assessment methodology to explore perceptions surrounding the meaning of research, genetics and genetic research in north west Cameroon. Methods Eleven focus group discussions (including 107 adults) and 72 in-depth interviews were conducted with various stakeholders in two health districts in north west Cameroon between February and April 2012. Results Most participants appreciated the role of research in generating knowledge and identified a difference between research and healthcare but gave varied explanations as to this difference. Most participants' understanding of genetics was limited to concepts of hereditary, with potential benefits limited to the level of the individual or family. Explanations based on supernatural beliefs were identified as a special issue but participants tended not to identify any other special risks with genetic research. Conclusion We demonstrated a variable level of understanding of research, genetics and genetic research, with implications for those carrying out genetic research in this and other low resource settings. Our study highlights the utility of rapid ethical assessment prior to complex or sensitive research. PMID:25969503

  6. Ethnomedicinal Plants Used by Traditional Healers to Treat Oral Health Problems in Cameroon.

    PubMed

    Ashu Agbor, Michael; Naidoo, Sudeshni

    2015-01-01

    Objectives. The objective of the study was to determine the therapeutic methods used by traditional healers to treat oral diseases in Cameroon. Methods. A total of 200 traditional healers with a mean age of 50.4 ± 14.2 years from all the provinces of Cameroon were studied using questionnaires. Information elicited was the local names of the medicinal plants used for the management of oral problems, their routes of administration, and methods of usage. Identification of live or dried plants or photographs of sample of the plants was done by a taxonomist. Results. The majority of the participants were males urban dwellers aged 41-50 years, 112 (56.0%) practice as herbalists and 56 (28.0%) were trained on medications preservation, 77(56.6%) treat diseases inside or outside the mouth, and 9.0% reported being specialist in oral diseases treatment. Of the 52 plants identified, 48 are used in the management of toothache, sore throat, mouth sores, abscess, broken tooth and jaw, tooth sensitivity, mouth thrush, dental caries, gingivitis, sinusitis, tonsillitis, xerostomia, oral syphilis, oral cancer, TMJ pain, halitosis, and tooth bleaching and 4 plants are used for dental extraction. Roots, leaves, and bark were the parts of plants used and some minerals as adjuncts. Conclusion. The study provides comprehensive information on therapeutic methods employed by traditional healers for the treatment of oral diseases. PMID:26495020

  7. Characterization of Hepatitis C Virus Recombination in Cameroon by Use of Nonspecific Next-Generation Sequencing

    PubMed Central

    Iles, James C.; Njouom, Richard; Foupouapouognigni, Yacouba; Bonsall, David; Bowden, Rory; Trebes, Amy; Piazza, Paolo; Barnes, Ellie; Pépin, Jacques; Klenerman, Paul

    2015-01-01

    The importance of recombination in the evolution and genetic diversity of the hepatitis C virus (HCV) is currently uncertain. Only a small number of intergenotypic recombinants have been identified so far, and each has core and envelope genes classified as belonging to genotype 2. Here, we investigated two putative genotype 4/1 recombinants from southern Cameroon using a number of approaches, including standard Sanger sequencing, genotype-specific PCR amplification, and non-HCV-specific Illumina RNA sequencing (RNA-seq). Recombination between genotypes 1 and 4 was confirmed in both samples, and the parental lineages of each recombinant belong to HCV subtypes that are cocirculating at a high prevalence in Cameroon. Using the RNA-seq approach, we obtained a complete genome for one sample, which contained a recombination breakpoint at the E2/P7 gene junction. We developed and applied a new method, called Deep SimPlot, which can be used to visualize and identify viral recombination directly from the short sequence reads created by next-generation sequencing in conjunction with a consensus sequence. PMID:26202126

  8. Characterization of Hepatitis C Virus Recombination in Cameroon by Use of Nonspecific Next-Generation Sequencing.

    PubMed

    Iles, James C; Njouom, Richard; Foupouapouognigni, Yacouba; Bonsall, David; Bowden, Rory; Trebes, Amy; Piazza, Paolo; Barnes, Ellie; Pépin, Jacques; Klenerman, Paul; Pybus, Oliver G

    2015-10-01

    The importance of recombination in the evolution and genetic diversity of the hepatitis C virus (HCV) is currently uncertain. Only a small number of intergenotypic recombinants have been identified so far, and each has core and envelope genes classified as belonging to genotype 2. Here, we investigated two putative genotype 4/1 recombinants from southern Cameroon using a number of approaches, including standard Sanger sequencing, genotype-specific PCR amplification, and non-HCV-specific Illumina RNA sequencing (RNA-seq). Recombination between genotypes 1 and 4 was confirmed in both samples, and the parental lineages of each recombinant belong to HCV subtypes that are cocirculating at a high prevalence in Cameroon. Using the RNA-seq approach, we obtained a complete genome for one sample, which contained a recombination breakpoint at the E2/P7 gene junction. We developed and applied a new method, called Deep SimPlot, which can be used to visualize and identify viral recombination directly from the short sequence reads created by next-generation sequencing in conjunction with a consensus sequence.

  9. Ethnomedicinal Plants Used by Traditional Healers to Treat Oral Health Problems in Cameroon

    PubMed Central

    Ashu Agbor, Michael; Naidoo, Sudeshni

    2015-01-01

    Objectives. The objective of the study was to determine the therapeutic methods used by traditional healers to treat oral diseases in Cameroon. Methods. A total of 200 traditional healers with a mean age of 50.4 ± 14.2 years from all the provinces of Cameroon were studied using questionnaires. Information elicited was the local names of the medicinal plants used for the management of oral problems, their routes of administration, and methods of usage. Identification of live or dried plants or photographs of sample of the plants was done by a taxonomist. Results. The majority of the participants were males urban dwellers aged 41–50 years, 112 (56.0%) practice as herbalists and 56 (28.0%) were trained on medications preservation, 77(56.6%) treat diseases inside or outside the mouth, and 9.0% reported being specialist in oral diseases treatment. Of the 52 plants identified, 48 are used in the management of toothache, sore throat, mouth sores, abscess, broken tooth and jaw, tooth sensitivity, mouth thrush, dental caries, gingivitis, sinusitis, tonsillitis, xerostomia, oral syphilis, oral cancer, TMJ pain, halitosis, and tooth bleaching and 4 plants are used for dental extraction. Roots, leaves, and bark were the parts of plants used and some minerals as adjuncts. Conclusion. The study provides comprehensive information on therapeutic methods employed by traditional healers for the treatment of oral diseases. PMID:26495020

  10. Independent origins and incipient speciation among host-associated populations of Thielaviopsis ethacetica in Cameroon.

    PubMed

    Mbenoun, Michael; Wingfield, Michael J; Letsoalo, Teboho; Bihon, Wubetu; Wingfield, Brenda D; Roux, Jolanda

    2015-11-01

    Thielaviopsis ethacetica was recently reinstated as a distinct taxon using DNA phylogenies. It is widespread affecting several crop plants of global economic importance. In this study, microsatellite markers were developed and used in conjunction with sequence data to investigate the genetic diversity and structure of Th. ethacetica in Cameroon. A collection of 71 isolates from cacao, oil palm, and pineapple, supplemented with nine isolates from other countries were analysed. Four genetic groups were identified. Two of these were associated with oil palm in Cameroon and showed high genetic diversity, suggesting that they might represent an indigenous population of the pathogen. In contrast, the remaining two groups, associated with cacao and pineapple, had low genetic diversity and, most likely, represent introduced populations. There was no evidence of gene flow between these groups. Phylogenetic analyses based on sequences of the tef1-α as well as the combined flanking regions of six microsatellite loci were consistent with population genetic analyses and suggested that Th. ethacetica is comprised of two divergent genetic lineages. PMID:26466872

  11. Sexual vulnerability and HIV seroprevalence among the deaf and hearing impaired in Cameroon

    PubMed Central

    2010-01-01

    Background This quantitative cross-sectional study examines sexual behaviour of a target group of hearing-impaired persons in Yaounde, the capital city of the Republic of Cameroon. It measures their HIV prevalence to enable assessment of their sexual vulnerability and to help reduce the gap in existing HIV serology data among people with disabilities in general and the deaf in particular. Methods The snowball sampling procedure was adopted as an adequate approach to meet this hard-to-reach group. A total of 118 deaf participants were interviewed for the behavioural component, using sign language as a means of data collection, while 101 participants underwent HIV serology testing. Descriptive analyses were done for behavioural data with Epi info software, while sera were tested by health personnel, using rapid and confirmation test reagents. Results From the results, it was clear that the hearing impaired were highly involved in risky sexual practices, as observed through major sexual indicators, such as: age at first sexual intercourse; condom use; and knowledge of sexually transmitted infections and AIDS. Furthermore, it was noted that the HIV prevalence rate of the hearing impaired in the capital of Cameroon was 4%, close to the prevalence in the city's general population (4.7%). Conclusions Such results suggest that there is a need for in-depth behavioural research and serological studies in this domain to better understand the determinants of risky sexual behaviour among the hearing impaired, and to propose operational prevention approaches for this group. PMID:20181091

  12. An Examination of Forest Certification Status among Logging Companies in Cameroon.

    PubMed

    Nukpezah, Daniel; Alemagi, Dieudonne; Duguma, Lalisa; Minang, Peter; Mbosso, Charlie; Tchoundjeu, Zac

    2014-01-01

    This paper assesses the level of interest, awareness, and adoption of ISO 14001 and Forest Stewardship Council (FSC) certification schemes among logging companies in Cameroon. Eleven logging companies located in Douala in the Littoral Region of Cameroon were assessed through a structured interview using an administered questionnaire which was mostly analyzed qualitatively thereafter. The findings indicated that none of the companies was certified for ISO 14001; however 63.64% of them were already FSC-certified. Four companies (36.36%) were neither FSC- nor ISO 14001 EMS-certified. Among the factors found to influence the adoption rate was the level of awareness about ISO 14001 and FSC certification schemes. The main drivers for pursuing FSC certification were easy penetration into international markets, tax holiday benefits, and enhancement of corporate image of the logging companies through corporate social responsibility fulfillments. Poor domestic market for certified products was found to be the major impediment to get certified. To make logging activities more environmentally friendly and socially acceptable, logging companies should be encouraged to get certified through the ISO 14001 EMS scheme which is almost nonexistent so far. This requires awareness creation about the scheme, encouraging domestic markets for certified products and creating policy incentives. PMID:27355041

  13. Facility management in German hospitals.

    PubMed

    Gudat, H

    2000-04-01

    Facility management and optimum building management offer for hospitals a chance to reduce costs and to increase quality, process sequences, employee motivation and customer satisfaction. Some years ago simple services such as cleaning, catering or laundry were outsourced. Now, German hospitals progress to more complex fields such as building and medical technology, clinical support processes such as pharmacy, central laboratory and sterilization, goods and logistics services. PMID:11066999

  14. Organizational centralization in radiology.

    PubMed

    Aas, I H Monrad

    2006-01-01

    Traditionally, hospitals have a radiology department, where images are taken and interpretation occurs. Teleradiology makes it possible to capture images in one location and transmit them elsewhere for interpretation. Organizational centralization of radiology interpretations is therefore of interest. Empirical data have been collected in qualitative interviews of 26 resource persons with substantial experience with picture archiving and communication systems and teleradiology, from 12 departments of radiology in Norway. The response rate was 90%. A total of 21 theoretically possible types of centralization of image interpretation were identified, representing combinations of three categories of geographical centralization, and seven categories of centralization according to function. Various advantages and disadvantages of centralization were identified. Organizational changes may be decisive for the future of teleradiology, but it may be wise to plan for change in small steps, since we know little about how broad future organizational changes based on teleradiology will be, or what will decide how far particular organizations will go. PMID:16438776

  15. Hospital marketing.

    PubMed

    Carter, Tony

    2003-01-01

    This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation.

  16. Hospital philanthropy.

    PubMed

    Smith, Dean G; Clement, Jan P

    2013-01-01

    It remains an open question whether hospital spending on fundraising efforts to garner philanthropy is a good use of funds. Research and industry reports provide conflicting results. We describe the accounting and data challenges in analysis of hospital philanthropy, which include measurement of donations, measurement of fundraising expenses, and finding the relationships among organizations where these cash flows occur. With these challenges, finding conflicting results is not a surprise. PMID:23614267

  17. Hospital marketing.

    PubMed

    Carter, Tony

    2003-01-01

    This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation. PMID:14753323

  18. A Community Based Study on the Mode of Transmission, Prevention and Treatment of Buruli Ulcers in Southwest Cameroon: Knowledge, Attitude and Practices

    PubMed Central

    Akoachere, Jane-Francis K. T.; Nsai, Frankline S.; Ndip, Roland N.

    2016-01-01

    Background Buruli ulcer (BU) is a neglected tropical disease affecting the skin, tissues and in some cases the bones, caused by the environmental pathogen Mycobacterium ulcerans (M. ulcerans). Its mode of transmission is still elusive. Delayed treatment may cause irreversible disabilities with consequent social and economic impacts on the victim. Socio-cultural beliefs, practices and attitudes in endemic communities have been shown to influence timely treatment causing disease management, prevention and control a great challenge. An assessment of these factors in endemic localities is important in designing successful intervention strategies. Considering this, we assessed the knowledge, attitude and practices regarding BU in three endemic localities in the South West region, Cameroon to highlight existing misconceptions that need to be addressed to enhance prompt treatment and facilitate effective prevention and control. Methods and Findings A cross-sectional study was executed in three BU endemic health districts. Using qualitative and quantitative approaches we surveyed 320 randomly selected household heads, interviewed BU patients and conducted three focus group discussions (FGDs) to obtain information on awareness, beliefs, treatment, and attitudes towards victims. The influence of socio-demographic factors on these variables was investigated. Results Respondents (84.4%) had a good knowledge of BU though only 65% considered it a health problem while 49.4% believed it is contagious. Socio-demographic factors significantly (P<0.05) influenced awareness of BU, knowledge and practice on treatment and attitudes towards victims. Although the majority of respondents stated the hospital as the place for appropriate treatment, FGDs and some BU victims preferred witchdoctors/herbalists and prayers, and considered the hospital as the last option. We documented beliefs about the disease which could delay treatment. Conclusion Though we are reporting a high level of

  19. Adequate Wound Care and Use of Bed Nets as Protective Factors against Buruli Ulcer: Results from a Case Control Study in Cameroon

    PubMed Central

    Landier, Jordi; Boisier, Pascal; Fotso Piam, Félix; Noumen-Djeunga, Blanbin; Simé, Joseph; Wantong, Fidèle Gaetan; Marsollier, Laurent; Fontanet, Arnaud; Eyangoh, Sara

    2011-01-01

    Background Buruli ulcer is an infectious disease involving the skin, caused by Mycobacterium ulcerans. Its exact transmission mechanism remains unknown. Several arguments indicate a possible role for insects in its transmission. A previous case-control study in the Nyong valley region in central Cameroon showed an unexpected association between bed net use and protection against Buruli ulcer. We investigated whether this association persisted in a newly discovered endemic Buruli ulcer focus in Bankim, northwestern Cameroon. Methodology/Principal Findings We conducted a case-control study on 77 Buruli ulcer cases and 153 age-, gender- and village-matched controls. Participants were interviewed about their activities and habits. Multivariate conditional logistic regression analysis identified systematic use of a bed net (Odds-Ratio (OR) = 0.4, 95% Confidence Interval [95%CI] = [0.2–0.9], p-value (p) = 0.04), cleansing wounds with soap (OR [95%CI] = 0.1 [0.03–0.3], p<0.0001) and growing cassava (OR [95%CI] = 0.3 [0.2–0.7], p = 0.005) as independent protective factors. Independent risk factors were bathing in the Mbam River (OR [95%CI] = 6.9 [1.4–35], p = 0.02) and reporting scratch lesions after insect bites (OR [95%CI] = 2.7 [1.4–5.4], p = 0.004). The proportion of cases that could be prevented by systematic bed net use was 32%, and by adequate wound care was 34%. Conclusions/Significance Our study confirms that two previously identified factors, adequate wound care and bed net use, significantly decreased the risk of Buruli ulcer. These associations withstand generalization to different geographic, climatic and epidemiologic settings. Involvement of insects in the household environment, and the relationship between wound hygiene and M. ulcerans infection should now be investigated. PMID:22087346

  20. Sedimentology and sequence stratigraphy from outcrops of the Kribi-Campo sub-basin: Lower Mundeck Formation (Lower Cretaceous, southern Cameroon)

    NASA Astrophysics Data System (ADS)

    Ntamak-Nida, Marie Joseph; Bourquin, Sylvie; Makong, Jean-Claude; Baudin, François; Mpesse, Jean Engelbert; Ngouem, Christophe Itjoko; Komguem, Paul Bertrand; Abolo, Guy Martin

    2010-08-01

    The Kribi-Campo sub-basin is composed of an Early to Mid Cretaceous series from West Africa's Atlantic coast and is located in southern Cameroon in the Central African equatorial rain forest. It is the smallest coastal basin in Cameroon and forms the southern part of the Douala/Kribi-Campo basin known as Douala basin ( s.l.). Until now, no detailed sedimentological studies have been carried out on the outcrops of this basin located in the Campo area. The aim of this study was to characterise the depositional environments, vertical evolution and tectonic context of these Lower Cretaceous series in order to make a comparison with adjacent basins and replace them in the geodynamic context. Facies analysis of the Lower Mundeck Formation (Lower Cretaceous) indicates the presence of four major, interfigered facies associations, that are inferred to represent elements of an alluvial to lacustrine-fan delta system. The clast lithologies suggest proximity of relief supplying coarse-grained sediment during the deposition of the Lower Mundeck Formation at Campo. The general dip and direction of the bedding is approximately 10°-12°NW, which also corresponds to the orientation of the foliations in the underlying metamorphic basement. The main sedimentary succession is characterised by a major retrogradational/progradational cycle of Late Aptian age, evaluated at about 3 Ma, with a well-developed progradational trend characterised by fluctuations of the recognised depositional environments. Fluctuations in lake level and sediment supply were possibly controlled by active faults at the basin margin, although climatic changes may have also played a role. The consistently W-WNW palaeoflow of sediments suggests that the palaeorelief was located to the east and could be oriented in a NNE-SSW direction, downthrown to the west. Local outcrops dated as Albian, both north and south of the main outcrop, display some marine influence. These deposits are cut by 040-060 faults parallel to

  1. Population genetics of Glossina palpalis palpalis from central African sleeping sickness foci

    PubMed Central

    2011-01-01

    Background Glossina palpalis palpalis (Diptera: Glossinidae) is widespread in west Africa, and is the main vector of sleeping sickness in Cameroon as well as in the Bas Congo Province of the Democratic Republic of Congo. However, little is known on the structure of its populations. We investigated G. p. palpalis population genetic structure in five sleeping sickness foci (four in Cameroon, one in Democratic Republic of Congo) using eight microsatellite DNA markers. Results A strong isolation by distance explains most of the population structure observed in our sampling sites of Cameroon and DRC. The populations here are composed of panmictic subpopulations occupying fairly wide zones with a very strong isolation by distance. Effective population sizes are probably between 20 and 300 individuals and if we assume densities between 120 and 2000 individuals per km2, dispersal distance between reproducing adults and their parents extends between 60 and 300 meters. Conclusions This first investigation of population genetic structure of G. p. palpalis in Central Africa has evidenced random mating subpopulations over fairly large areas and is thus at variance with that found in West African populations of G. p. palpalis. This study brings new information on the isolation by distance at a macrogeographic scale which in turn brings useful information on how to organise regional tsetse control. Future investigations should be directed at temporal sampling to have more accurate measures of demographic parameters in order to help vector control decision. PMID:21767402

  2. Need for a gender-sensitive human security framework: results of a quantitative study of human security and sexual violence in Djohong District, Cameroon

    PubMed Central

    2014-01-01

    Background Human security shifts traditional concepts of security from interstate conflict and the absence of war to the security of the individual. Broad definitions of human security include livelihoods and food security, health, psychosocial well-being, enjoyment of civil and political rights and freedom from oppression, and personal safety, in addition to absence of conflict. Methods In March 2010, we undertook a population-based health and livelihood study of female refugees from conflict-affected Central African Republic living in Djohong District, Cameroon and their female counterparts within the Cameroonian host community. Embedded within the survey instrument were indicators of human security derived from the Leaning-Arie model that defined three domains of psychosocial stability suggesting individuals and communities are most stable when their core attachments to home, community and the future are intact. Results While the female refugee human security outcomes describe a population successfully assimilated and thriving in their new environments based on these three domains, the ability of human security indicators to predict the presence or absence of lifetime and six-month sexual violence was inadequate. Using receiver operating characteristic (ROC) analysis, the study demonstrates that common human security indicators do not uncover either lifetime or recent prevalence of sexual violence. Conclusions These data suggest that current gender-blind approaches of describing human security are missing serious threats to the safety of one half of the population and that efforts to develop robust human security indicators should include those that specifically measure violence against women. PMID:24829613

  3. Mineralogical constraint for metamorphic conditions in a shear zone affecting the Archean Ngoulemakong tonalite, Congo craton (Southern Cameroon) and retentivity of U-Pb SHRIMP zircon dates

    NASA Astrophysics Data System (ADS)

    Tchameni, R.; Lerouge, C.; Penaye, J.; Cocherie, A.; Milesi, J. P.; Toteu, S. F.; Nsifa, N. E.

    2010-08-01

    In the Ngoulemakong region of the Ntem unit (South Cameroon), tonalite crops out as intrusions of various sizes cross-cutting the charnockite suite. Both of these granitoids are affected by NE-SW and WNW-ESE sinistral and dextral shear zones. Tonalite in the WNW-ESE shear zone are deformed and shows metamorphic assemblages represented by quartz-microcline-biotite-garnet-plagioclase-scapolite-fluoro-apatite and chlorite-sulfides-epidote-muscovite-quartz-calcite not recorded by the undeformed rocks outside it. These mineralogical assemblages provide evidence of decreasing pressure-temperature conditions from granulite-amphibolite-facies in the moderate deformed part to greenschist-facies in the central part of the shear plane. The higher fluid (H 2O, CO 2, S, F, Cl, K, and Na) activities and high-grade recrystallizations recorded in the shear zone favour a Pb loss hypothesis in the zircons. U-Pb SHRIMP zircon dating yield an emplacement age of 2865 ± 4 Ma for the tonalite but does not permit the determination of the age of the high-grade event responsible for the Pb loss. These results provide evidence of the retentivity of U-Pb zircon dates under high grade conditions.

  4. Review of the western African millipede genus Diaphorodesmus Silvestri, 1896 (Diplopoda, Polydesmida, Chelodesmidae), with the description of a similar, but new monotypic genus from Cameroon

    PubMed Central

    VandenSpiegel, Didier; Golovatch, Sergei I.; Mauriès, Jean-Paul

    2016-01-01

    Abstract The genus Diaphorodesmus is revised and shown to comprise only a single species, Diaphorodesmus dorsicornis (Porat, 1894) by priority, with the only other formal congener, Diaphorodesmus attemsii Verhoeff, 1938, considered as its junior subjective synonym, syn. n. A new monotypic genus, Diaphorodesmoides gen. n., is created to include Diaphorodesmoides lamottei sp. n., from southwestern Cameroon. Both these genera seem to be especially similar in sharing remarkable dorsal horns on metaterga 2–4, a unique synapomorphy in the basically Afrotropical subfamily Prepodesminae, family Chelodesmidae, to which they belong. In contrast to Diaphorodesmus which shows two, increasingly short, paramedian horns on each of metaterga 2–4, the ozopores borne on distinct porosteles, and the gonopod prefemoral process and solenophore less strongly elaborate, Diaphorodesmoides gen. n. has a single, increasingly large, central horn on each of metaterga 2–4, the ozopores opening flush dorsolaterally on the surface of poriferous paraterga, and both the gonopod prefemoral process and solenophore especially complex. The genus Campodesmoides VandenSpiegel, Golovatch & Nzoko Fiemapong, 2015, and its sole, and type, species Campodesmoides corniger VandenSpiegel, Golovatch & Nzoko Fiemapong, 2015, are transferred from Campodesmidae to Chelodesmidae and formally synonymized with Diaphorodesmus and Diaphorodesmus dorsicornis, both syn. n. PMID:27408597

  5. Increased Carotid Thickness in Subjects with Recently-Diagnosed Diabetes from Rural Cameroon

    PubMed Central

    Napoli, Nicola; Zardi, Enrico; Strollo, Rocky; Arigliani, Michele; Daverio, Andrea; Olearo, Flaminia; Tosi, Daniele; Dicuonzo, Giordano; Scarpa, Filomena; Pedone, Claudio; Tegue Simo, Hervé Hilaire; Mottini, Giovanni; Pozzilli, Paolo

    2012-01-01

    Background We have recently shown a high prevalence of diabetes and obesity in rural Cameroon, despite an improved lifestyle. Diabetes in rural Africa remains underdiagnosed and its role in increasing risk of atherosclerosis in these populations is unknown. We investigated the prevalence of carotid atherosclerosis and cardiovascular risk factors in a population of subjects with recently-diagnosed diabetes from rural Cameroon. Methodology/Principal Findings In a case-control study, carotid intima-media thickness (IMT) was measured in 74 subjects with diabetes (diagnosed <2 years), aged 47–85 and 109 controls comparable for age and sex. Subjects were recruited during a health campaign conducted in April 2009. Blood glucose control (HbA1c, fasting blood glucose) and major cardiovascular risk factors (complete lipid panel, blood pressure) were also measured. Mean carotid IMT was higher in subjects with diabetes than healthy controls at each scanned segment (common, internal carotid and bulb) (P<0.05), except the near wall of the left bulb. Vascular stiffness tended to be higher and pressure-strain elastic modulus of the left carotid was increased in subjects with diabetes than controls (P<0.05), but distensibility was similar between the two groups. At least one plaque >0.9 mm was found in 4%, 45.9% and 20% of diabetic subjects at the common, bulb or internal carotid, respectively. Only 25% of patients had an HbA1c<7%, while over 41.6% presented with marked hyperglycemia (HbA1c>9%). The prevalence of diabetic subjects with abnormal levels of LDL-cholesterol, triglycerides, HDL-cholesterol or blood pressure was 45%, 16.6%, 15% and 65.7%, respectively. Conclusions Carotid thickness is increased in subjects with diabetes from a rural area of Cameroon, despite the relatively recent diagnosis. These findings and the high rate of uncontrolled diabetes in this population support the increasing concern of diabetes and cardiovascular diseases in African countries and indicate

  6. Integrating Cervical Cancer Screening with HIV Care in Cameroon: Comparative Risk Analysis of Cervical Disease in HIV-Infected Women Receiving Antiretroviral Therapy to Women in the General Population

    PubMed Central

    Bekolo, Cavin Epie; O’Bryan, Gillian; Tchago, François Edmond; Nangue, Charlette; Bekoule, Patrick Sylvestre; Kollo, Basile

    2016-01-01

    Background While the effect of highly active antiretroviral therapy (HAART) on natural history of cervical lesions remains controversial, resource limited countries need to understand the relevance of their own data to their settings. We compared the risk of cervical disease in HAART-experienced women with that in women in the general population of Cameroon. Methods A retrospective cross sectional survey of women aged 35 years and above, attending a voluntary screening campaign for cervical cancer at the Nkongsamba Regional Hospital in Cameroon between February and May 2014. Squamous intraepithelial lesions (SIL) were determined by Pap smear. Multiple logistic regression was used to compare the odds of SIL in women on HAART to women from the community with unknown HIV status. Results Included were 302 women of whom 131(43.4%) were HIV-infected and receiving HAART on the site while 171 (56.6%) were women from the community. Cervical disease was observed in 51(16.9%) persons of whom 15 (11.5%) cases in the HAART group and 36 (21.1%) cases in the general group (p = 0.027). After controlling for age and other covariates, women in the HAART group had a 67% reduction in the odds of cervical lesions compared with the community group [adjusted odd ratio (aOR) = 0.33, 95%CI: 0.15–0.73, p = 0.006). Conclusion HIV-infected women receiving HAART have a lower risk of cancer than women in the general population. This finding may not be attributed to HAART alone but to all the health benefits derived from receiving a comprehensive HIV care. PMID:26866371

  7. A Computerized Hospital Patient Information Management System

    PubMed Central

    Wig, Eldon D.

    1982-01-01

    The information processing needs of a hospital are many, with varying degrees of complexity. The prime concern in providing an integrated hospital information management system lies in the ability to process the data relating to the single entity for which every hospital functions - the patient. This paper examines the PRIMIS computer system developed to accommodate hospital needs with respect to a central patient registry, inpatients (i.e., Admission/Transfer/Discharge), and out-patients. Finally, the potential for expansion to permit the incorporation of more hospital functions within PRIMIS is examined.

  8. Distribution, population density, and status of sympatric cercopithecids in the Campo-Ma'an area, Southwestern Cameroon.

    PubMed

    Matthews, Adele; Matthews, Andreas

    2002-07-01

    A study on species composition, distribution, and population density of cercopithecids in the Campo-Ma'an area, Southwestern Cameroon, was undertaken from December 1997 until August 2000. A total of 665.5 km of line transects was used for the census. Thirteen diurnal primate species including five endangered species (Gorilla g. gorilla, Pan troglodytes, Mandrillus sphinx, Colobus satanas, Cercocebus torquatus) were recorded in the Campo Forest, the greatest part of which is a logging concession. Cercopithecus nictitans (1.43 groups/km2), C. cephus (1.13 groups/km2), C. pogonias (0.81 groups/km2), and C. torquatus (0.51 groups/km2) occurred at medium frequencies compared to figures from other Central African study sites. Mandrill densities estimated (0.27 groups/km2) show that the area is very important for the conservation of this rare species. Guenon densities found inside areas with a high level of human activities did not differ significantly from densities estimated in areas with a lower level of human activities. C. torquatus densities were significantly higher in the areas with a low level of human disturbance and encounter rates with Lophocebus albigena also indicate a preference of less disturbed areas. Mangabeys are thus likely to be adversely affected by human activities in the area. In the Ma'an Forest, which has not been logged yet, ten species were confirmed. The population densities of two guenons (C. nictitans and C. cephus) were estimated to be twice as high in the unlogged forest area as compared to the logged forest of Campo. Other species are rarer in the Ma'an Forest than in the Campo Forest. Although mangabeys are adversely affected by human activities, the results still indicate that selective logging may be compatible with the conservation of cercopithecids, if a reduced damage logging concept and antipoaching measures are implemented. Increased hunting activities following logging operations will definitely have a negative longterm impact on

  9. Measuring Disability in Population Based Surveys: The Interrelationship between Clinical Impairments and Reported Functional Limitations in Cameroon and India

    PubMed Central

    2016-01-01

    Purpose To investigate the relationship between two distinct measures of disability: self-reported functional limitations and objectively-screened clinical impairments. Methods We undertook an all age population-based survey of disability in two areas: North-West Cameroon (August/October 2013) and Telangana State, India (Feb/April 2014). Participants were selected for inclusion via two-stage cluster randomised sampling (probability proportionate to size cluster selection and compact segment sampling within clusters). Disability was defined as the presence of self-reported functional limitations across eight domains, or presence of moderate or greater clinical impairments. Clinical impairment screening comprised of visual acuity testing for vision impairment, pure tone audiometry for hearing impairment, musculoskeletal functioning assessment for musculoskeletal impairment, reported seizure history for epilepsy and reported symptoms of clinical depression (depression adults only). Information was collected using structured questionnaires, observations and examinations. Results Self-reported disability prevalence was 5.9% (95% CI 4.7–7.4) and 7.5% (5.9–9.4) in Cameroon and India respectively. The prevalence of moderate or greater clinical impairments in the same populations were 8.4% (7.5–9.4) in Cameroon and 10.5% (9.4–11.7) in India. Overall disability prevalence (self-report and/or screened positive to a moderate or greater clinical impairment) was 10.5% in Cameroon and 12.2% in India, with limited overlap between the sub-populations identified using the two types of tools. 33% of participants in Cameroon identified to have a disability, and 45% in India, both reported functional limitations and screened positive to objectively-screened impairments, whilst the remainder were identified via one or other tool only. A large proportion of people with moderate or severe clinical impairments did not self-report functional difficulties despite reporting

  10. Simian T-cell leukemia virus (STLV) infection in wild primate populations in Cameroon: evidence for dual STLV type 1 and type 3 infection in agile mangabeys (Cercocebus agilis).

    PubMed

    Courgnaud, Valerie; Van Dooren, Sonia; Liegeois, Florian; Pourrut, Xavier; Abela, Bernadette; Loul, Severin; Mpoudi-Ngole, Eitel; Vandamme, Annemieke; Delaporte, Eric; Peeters, Martine

    2004-05-01

    Three types of human T-cell leukemia virus (HTLV)-simian T-cell leukemia virus (STLV) (collectively called primate T-cell leukemia viruses [PTLVs]) have been characterized, with evidence for zoonotic origin from primates for HTLV type 1 (HTLV-1) and HTLV-2 in Africa. To assess human exposure to STLVs in western Central Africa, we screened for STLV infection in primates hunted in the rain forests of Cameroon. Blood was obtained from 524 animals representing 18 different species. All the animals were wild caught between 1999 and 2002; 328 animals were sampled as bush meat and 196 were pets. Overall, 59 (11.2%) of the primates had antibodies cross-reacting with HTLV-1 and/or HTLV-2 antigens; HTLV-1 infection was confirmed in 37 animals, HTLV-2 infection was confirmed in 9, dual HTLV-1 and HTLV-2 infection was confirmed in 10, and results for 3 animals were indeterminate. Prevalences of infection were significantly lower in pets than in bush meat, 1.5 versus 17.0%, respectively. Discriminatory PCRs identified STLV-1, STLV-3, and STLV-1 and STLV-3 in HTLV-1-, HTLV-2-, and HTLV-1- and HTLV-2-cross-reactive samples, respectively. We identified for the first time STLV-1 sequences in mustached monkeys (Cercopithecus cephus), talapoins (Miopithecus ogouensis), and gorillas (Gorilla gorilla) and confirmed STLV-1 infection in mandrills, African green monkeys, agile mangabeys, and crested mona and greater spot-nosed monkeys. STLV-1 long terminal repeat (LTR) and env sequences revealed that the strains belonged to different PTLV-1 subtypes. A high prevalence of PTLV infection was observed among agile mangabeys (Cercocebus agilis); 89% of bush meat was infected with STLV. Cocirculation of STLV-1 and STLV-3 and STLV-1-STLV-3 coinfections were identified among the agile mangabeys. Phylogenetic analyses of partial LTR sequences indicated that the agile mangabey STLV-3 strains were more related to the STLV-3 CTO604 strain isolated from a red-capped mangabey (Cercocebus torquatus

  11. Hospitality Management.

    ERIC Educational Resources Information Center

    College of the Canyons, Valencia, CA.

    A project was conducted at College of the Canyons (Valencia, California) to initiate a new 2-year hospitality program with career options in hotel or restaurant management. A mail and telephone survey of area employers in the restaurant and hotel field demonstrated a need for, interest in, and willingness to provide internships for such a program.…

  12. Academic Hospitality

    ERIC Educational Resources Information Center

    Phipps, Alison; Barnett, Ronald

    2007-01-01

    Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…

  13. [Masticatory system pain-dysfunction syndrome at the University Hospital Center in Yaounde, Cameroon--a study in 1994].

    PubMed

    Eya'Ane, M

    2001-06-01

    TMJD is a painful syndrome. Carrying a patient suffering of this syndrome is above all to relieve him of pain. The treatment of TMJD is therefore primary the treatment of pain, but as it is known, pain is just a physiologic phenomenon. It can be found in a particular way in between the person. The personality and his culture and this demand the person who treats to treat without going to therapeutical express and to consider the social context in which the patient lives. In the treatment of TMJD, we know how to give good dental treatment. We know how to prescribe muscle relaxants, anti-anxiety drugs and anaesthetics but the psychological aspect remains, according to my humble opinion, as the most favouring factor which we should absolutely consider in case of patient who does not present any occlusal aetiology. This patient should rather be oriented towards a specialist in psychotherapy or towards a post traumatic psychological recuperation which is done in "Life Center for Women" for example. PMID:11544926

  14. Ecological status and sources of anthropogenic contaminants in mangroves of the Wouri River Estuary (Cameroon).

    PubMed

    Fusi, Marco; Beone, Gian Maria; Suciu, Nicoleta Alina; Sacchi, Angela; Trevisan, Marco; Capri, Ettore; Daffonchio, Daniele; Din, Ndongo; Dahdouh-Guebas, Farid; Cannicci, Stefano

    2016-08-30

    Mangroves are critically threatened by human activities, despite the important ecosystem functions and services they provide. Mangroves in Cameroon represent no exception to the worldwide trend of mangrove destruction, especially around Douala, on the Wouri river estuary. In two sites around Douala, we assessed the presence of sterols, PAHs, PCBs, DEHP, DDT and its metabolite p,p'-DDE and potentially toxic metals in sediment samples. As a proxy of ecological quality, we measured the diversity and abundance of macrobenthos assemblages. We detected p,p'-DDE contamination, with concentrations higher than 3μgkg(-1) in 16 out of 26 samples which were attributed to recent widespread use of DDT. The detection of sterols revealed faecal contamination. Significant sensitivity of the macrobenthos to contaminants was revealed, with possible implications on the overall mangrove vulnerability to climate change and on the provision of ecosystem services to local populations. PMID:27394634

  15. Mycorrhiza status of Gnetum spp. in Cameroon: evaluating diversity with a view to ameliorating domestication efforts.

    PubMed

    Bechem, Eneke Esoeyang Tambe; Alexander, Ian James

    2012-02-01

    A field survey was carried out to investigate the diversity of mycorrhizal fungi associated with Gnetum spp. in Cameroon. The extent and variation of ectomycorrhizal colonisation as well as the degree of host specificity were evaluated. Gnetum spp. were found to be almost always ectomycorrhizal in all sites visited. There were just two ectomycorrhizal morphotypes ('yellow' and 'white') associated with this plant. Such low diversity is unusual for an ectomycorrhizal plant. The yellow morphotype was the most widespread and prevalent and was identified by morphological and molecular methods to have been formed with Scleroderma sinnamariense. Propagules of this fungus were present in soil collected from farm lands, cocoa plantations, Chromolaena and bush fallows, as well as in a relatively undisturbed forest harbouring ectomycorrhizal legumes. The fungus responsible for the white morphotype was identified as also belonging to the genus Scleroderma by ITS sequence similarity. Arbuscular mycorrhizal structures were absent in cleared and stained portions of the roots.

  16. [Two new species of Myxidium (Myxosporea: Myxidiidae) parasites of fresh water fish in Cameroon].

    PubMed

    Fomena, A; Lekeufack, Folefack G B; Bouix, G

    2010-03-01

    The study of Myxosporidia infecting Clarias pachynema Boulenger, 1903 (Clariidae), Ctenopoma petherici Günther, 1864 (Anabantidae) and Parachanna obscura (Günther, 1861) (Channidae) from the basin of Nkam in Cameroon, revealed the presence of two new species of Myxosporidia of the genus Myxidium Bütschli, 1882, all found in the gall bladder of their hosts. These new species were: Myxidium nkamensis n. sp., found in Clarias pachynema and M. sangei n. sp. found in the gall bladder wall of Parachanna obscura. Two other species, Myxidium petrocephali Fomena and Bouix, 1986 and M. distichodi Kostoïngué, Faye and Toguebaye, 1998 were found in new hosts. The list of Myxidium species parasitizing African fresh water fishes is given.

  17. Environmental transmission of Mycobacterium ulcerans drives dynamics of Buruli ulcer in endemic regions of Cameroon

    NASA Astrophysics Data System (ADS)

    Garchitorena, Andrés; Ngonghala, Calistus N.; Texier, Gaëtan; Landier, Jordi; Eyangoh, Sara; Bonds, Matthew H.; Guégan, Jean-François; Roche, Benjamin

    2015-12-01

    Buruli Ulcer is a devastating skin disease caused by the pathogen Mycobacterium ulcerans. Emergence and distribution of Buruli ulcer cases is clearly linked to aquatic ecosystems, but the specific route of transmission of M. ulcerans to humans remains unclear. Relying on the most detailed field data in space and time on M. ulcerans and Buruli ulcer available today, we assess the relative contribution of two potential transmission routes -environmental and water bug transmission- to the dynamics of Buruli ulcer in two endemic regions of Cameroon. The temporal dynamics of Buruli ulcer incidence are explained by estimating rates of different routes of transmission in mathematical models. Independently, we also estimate statistical models of the different transmission pathways on the spatial distribution of Buruli ulcer. The results of these two independent approaches are corroborative and suggest that environmental transmission pathways explain the temporal and spatial patterns of Buruli ulcer in our endemic areas better than the water bug transmission.

  18. Survey of water bugs in bankim, a new buruli ulcer endemic area in cameroon.

    PubMed

    Ebong, Solange Meyin A; Eyangoh, Sara; Marion, Estelle; Landier, Jordi; Marsollier, Laurent; Guégan, Jean-François; Legall, Philippe

    2012-01-01

    Buruli ulcer is a debitliating human skin disease with an unknown transmission mode although epidemiological data link it with swampy areas. Data available suggest that aquatic insects play a role in the dissemination and/or transmission of this disease. However, their biodiversity and biology remain poorly documented. We conducted an entomological survey in Bankim, Cameroon, an area recently described as endemic for Buruli ulcer in order to identify the commonly occurring aquatic bugs and document their relative abundance, diversity, and spatial distribution. Collection of aquatic bugs was realized over a period of one month by daily direct capture in different aquatic environments (streams, ponds, and rivers) and through light traps at night. Globally, the data obtained showed the presence of five families (Belostomatidae, Naucoridae, Nepidae, Notonectidae, and Gerridae), their abundance, distribution and diversity varying according to the type of aquatic environments and light attraction.

  19. Geodynamic model for the development of the Cameroon Hot Line (Equatorial Africa)

    NASA Astrophysics Data System (ADS)

    Nkono, Collin; Féménias, Olivier; Demaiffe, Daniel

    2014-12-01

    This work proposes a new geodynamic model for the development of the Cameroon Hot Line (CHL) in Equatorial Africa. It is based on the analysis of the distribution of lineaments and of magmatic bodies (Paleogene anorogenic ring-complexes and Neogene volcanic centres). Two successive geodynamic models are proposed to explain the distribution of the Cainozoic to recent magmatic activity. They are both sinistral. The first one, during the Paleogene, developed around the N ∼ 70°E direction while the second one (Neogene) is oriented around the N ∼ 130°E direction. The two periods are separated by a short transition. The emplacement follows the local reactivation of pre-existing (Pan-African) faults in relation to the collision between the Afro-Arabian and Eurasian plates, during the Alpine history.

  20. Measuring the impact of health education modules in Cameroon, West Africa.

    PubMed

    Chaponniere, Paulette A; Cherup, Susan M; Lodge, Lillie

    2013-07-01

    Each year, more than two million people die from diarrhea-associated diseases. Although there is a global need for safe drinking water, culturally appropriate health teaching is essential to behavior change. This study evaluated the impact of a health education program in a small rural community in Cameroon. Flash cards and a modified version of the CDC-KPC 2000 survey were used to collect data in 57 homes. Children who lived in households with working Manz BioSand filters were less likely to have had diarrhea in the 2 weeks prior to the evaluation. There remained a gap between health knowledge and healthy behaviors for hand hygiene and malaria prevention. This gap was significant in the diarrheal treatment (McNemar's test, p < .000). The interdisciplinary program and 7-year time frame were crucial to sustainability. Faculty and students learned the importance of pairing service learning and research that respect local cultures in fostering a healthier global community. PMID:23765564

  1. Contrasting modes of rifting: The Benue Trough and Cameroon Volcanic Line, West Africa

    NASA Astrophysics Data System (ADS)

    Okereke, C. S.

    1988-08-01

    The Benue trough of west Africa is commonly believed to be a rift feature that originated in the Cretaceous at about the time that Africa and South America began to separate. Bouguer gravity and available geological data in the trough indicate that its formation was probably the result of regional horizontal stresses in the lithosphere, causing crustal extension and surface subsidence. By contrast, the data for the adjoining Cameroon volcanic line suggests that the associated tensional stresses relate to mantle upwarp causing thinning of the lithosphere and regional crustal uplift similar to that associated with the Kenya rift. Thus the association of passive and active rifts seen in the Afro-Arabia rift system is also a feature of the Cretaceous rift system in west Africa.

  2. Survey of water bugs in bankim, a new buruli ulcer endemic area in cameroon.

    PubMed

    Ebong, Solange Meyin A; Eyangoh, Sara; Marion, Estelle; Landier, Jordi; Marsollier, Laurent; Guégan, Jean-François; Legall, Philippe

    2012-01-01

    Buruli ulcer is a debitliating human skin disease with an unknown transmission mode although epidemiological data link it with swampy areas. Data available suggest that aquatic insects play a role in the dissemination and/or transmission of this disease. However, their biodiversity and biology remain poorly documented. We conducted an entomological survey in Bankim, Cameroon, an area recently described as endemic for Buruli ulcer in order to identify the commonly occurring aquatic bugs and document their relative abundance, diversity, and spatial distribution. Collection of aquatic bugs was realized over a period of one month by daily direct capture in different aquatic environments (streams, ponds, and rivers) and through light traps at night. Globally, the data obtained showed the presence of five families (Belostomatidae, Naucoridae, Nepidae, Notonectidae, and Gerridae), their abundance, distribution and diversity varying according to the type of aquatic environments and light attraction. PMID:22666273

  3. Complete genome sequence of a new bipartite begomovirus infecting fluted pumpkin (Telfairia occidentalis) plants in Cameroon.

    PubMed

    Leke, Walter N; Khatabi, Behnam; Fondong, Vincent N; Brown, Judith K

    2016-08-01

    The complete genome sequence was determined and characterized for a previously unreported bipartite begomovirus from fluted pumpkin (Telfairia occidentalis, family Cucurbitaceae) plants displaying mosaic symptoms in Cameroon. The DNA-A and DNA-B components were ~2.7 kb and ~2.6 kb in size, and the arrangement of viral coding regions on the genomic components was like those characteristic of other known bipartite begomoviruses originating in the Old World. While the DNA-A component was more closely related to that of chayote yellow mosaic virus (ChaYMV), at 78 %, the DNA-B component was more closely related to that of soybean chlorotic blotch virus (SbCBV), at 64 %. This newly discovered bipartite Old World virus is herein named telfairia mosaic virus (TelMV). PMID:27262944

  4. Environmental transmission of Mycobacterium ulcerans drives dynamics of Buruli ulcer in endemic regions of Cameroon

    PubMed Central

    Garchitorena, Andrés; Ngonghala, Calistus N.; Texier, Gaëtan; Landier, Jordi; Eyangoh, Sara; Bonds, Matthew H.; Guégan, Jean-François; Roche, Benjamin

    2015-01-01

    Buruli Ulcer is a devastating skin disease caused by the pathogen Mycobacterium ulcerans. Emergence and distribution of Buruli ulcer cases is clearly linked to aquatic ecosystems, but the specific route of transmission of M. ulcerans to humans remains unclear. Relying on the most detailed field data in space and time on M. ulcerans and Buruli ulcer available today, we assess the relative contribution of two potential transmission routes –environmental and water bug transmission– to the dynamics of Buruli ulcer in two endemic regions of Cameroon. The temporal dynamics of Buruli ulcer incidence are explained by estimating rates of different routes of transmission in mathematical models. Independently, we also estimate statistical models of the different transmission pathways on the spatial distribution of Buruli ulcer. The results of these two independent approaches are corroborative and suggest that environmental transmission pathways explain the temporal and spatial patterns of Buruli ulcer in our endemic areas better than the water bug transmission. PMID:26658922

  5. Snakebite in bedroom kills a physician in Cameroon: a case report

    PubMed Central

    Nkwescheu, Armand; Mbasso, Leopold Cyriaque Donfack; Pouth, Franky Baonga Ba; Dzudie, Anastase; Billong, Serge Clotaire; Ngouakam, Hermann; Diffo, Joseph Le Doux; Eyongorock, Hanny; Mbacham, Wilfred

    2016-01-01

    The World Health Organization (WHO) classifies snake bites as neglected public health problem affecting mostly tropical and subtropical countries. In Africa there are an estimated 1 million snake bites annually with about half needing a specific treatment. Women, children and farmers in poor rural communities in developing countries are the most affected. Case management of snake bites are not adequate in many health facilities in developing countries where personnel are not always abreast with the new developments in snake bite management and in addition, quite often the anti-venom serum is lacking. We report the case of a medical doctor bitten by a cobra in the rural area of Poli, Cameroon while asleep in his bedroom. Lack of facilities coupled with poor case management resulted in a fatal outcome. PMID:27800086

  6. Ecological status and sources of anthropogenic contaminants in mangroves of the Wouri River Estuary (Cameroon).

    PubMed

    Fusi, Marco; Beone, Gian Maria; Suciu, Nicoleta Alina; Sacchi, Angela; Trevisan, Marco; Capri, Ettore; Daffonchio, Daniele; Din, Ndongo; Dahdouh-Guebas, Farid; Cannicci, Stefano

    2016-08-30

    Mangroves are critically threatened by human activities, despite the important ecosystem functions and services they provide. Mangroves in Cameroon represent no exception to the worldwide trend of mangrove destruction, especially around Douala, on the Wouri river estuary. In two sites around Douala, we assessed the presence of sterols, PAHs, PCBs, DEHP, DDT and its metabolite p,p'-DDE and potentially toxic metals in sediment samples. As a proxy of ecological quality, we measured the diversity and abundance of macrobenthos assemblages. We detected p,p'-DDE contamination, with concentrations higher than 3μgkg(-1) in 16 out of 26 samples which were attributed to recent widespread use of DDT. The detection of sterols revealed faecal contamination. Significant sensitivity of the macrobenthos to contaminants was revealed, with possible implications on the overall mangrove vulnerability to climate change and on the provision of ecosystem services to local populations.

  7. Community health outreach program of the Chad-Cameroon petroleum development and pipeline project.

    PubMed

    Utzinger, Jürg; Wyss, Kaspar; Moto, Daugla D; Tanner, Marcel; Singer, Burton H

    2004-02-01

    applying a systemic approach. Other innovations of the project in general, and the CHOP in particular, are the strong emphases on institutional-capacity building, integration, and sustainability. In countries like Chad and Cameroon, there are serious shortages of well-qualified health personnel. The CHOP described in this article provides leverage for initiating better healthcare that will reduce the high burden of disease in the developing world. Reducing mortality rates for infants and children younger than 5 years in sub-Saharan Africa requires massive scaling-up of malaria-control interventions (eg, large-scale distribution of ITNs to protect millions of African children), thereby approaching the Abuja targets (see Armstrong Schellenberg et al). The local NGOs that took a lead within the framework of the CHOP in the distribution of ITNs and accompanying health education messages can extend these activities to communities living outside the vicinity of the project area. Serious shortcomings of the current CHOP, consistently identified by the external monitoring groups, include the lack of a regional health plan, cumulative impact assessment, and provision of clean water and sanitation outside the narrowly defined project area. This point is of central importance, particularly for Chad, where access to clean water and improved sanitation facilities is low. Another limitation of the current CHOP is the insufficient amount of significance addressed to tuberculosis and the apparent lack of concerted control efforts against HIV infection, AIDS, and tuberculosis. These criticisms, however, must be balanced against the lack of clarity in international discourse about the proper extent of responsibility of the corporate sector for dealing with the health problems of countries in which they do business. In an elegant analysis, the environmental risk factor "unsafe water, sanitation and hygiene" was shown to be one of the major contributors to loss of healthy life, particularly

  8. Hepatitis B, HIV, and Syphilis Seroprevalence in Pregnant Women and Blood Donors in Cameroon

    PubMed Central

    Mbah, Rahel; Rembert, Nicole J.; Tancho, Samuel; Halle-Ekane, Gregory E.; Enah, Comfort; Welty, Thomas K.; Tih, Pius M.; Tita, Alan T. N.

    2016-01-01

    Objectives. We estimated seroprevalence and correlates of selected infections in pregnant women and blood donors in a resource-limited setting. Methods. We performed a cross-sectional analysis of laboratory seroprevalence data from pregnant women and voluntary blood donors from facilities in Cameroon in 2014. Rapid tests were performed to detect hepatitis B surface antigen, syphilis treponemal antibodies, and HIV-1/2 antibodies. Blood donations were also tested for hepatitis C and malaria. Results. The seroprevalence rates and ranges among 7069 pregnant women were hepatitis B 4.4% (1.1–9.6%), HIV 6% (3.0–10.2%), and syphilis 1.7% (1.3–3.8%) with significant variability among the sites. Correlates of infection in pregnancy in adjusted regression models included urban residence for hepatitis B (aOR 2.9, CI 1.6–5.4) and HIV (aOR 3.5, CI 1.9–6.7). Blood donor seroprevalence rates and ranges were hepatitis B 6.8% (5.0–8.8%), HIV 2.2% (1.4–2.8%), syphilis 4% (3.3–4.5%), malaria 1.9%, and hepatitis C 1.7% (0.5–2.5%). Conclusions. Hepatitis B, HIV, and syphilis infections are common among pregnant women and blood donors in Cameroon with higher rates in urban areas. Future interventions to reduce vertical transmission should include universal screening for these infections early in pregnancy and provision of effective prevention tools including the birth dose of univalent hepatitis B vaccine. PMID:27578957

  9. Oral Health Status of the Elderly at Tonga, West Region, Cameroon

    PubMed Central

    Michele Lolita, Yotat; Ashu Michael, Agbor; Hubert, Ntumba; Florence, Djachechi; Jacques, Bolenge

    2015-01-01

    Objectives. The aim of this study was to determine the oral health status of elderly persons in Tonga, West Region of Cameroon. Methodology. This is a cross-sectional study of persons of at least 65 years, living in Tonga village, West Region of Cameroon. Results. A total of 183 persons aged between 65 and 94 years, mean age of 73 years ±7 s.d., 83 (45,4%) males, and 100 (54,6%) females participated in the study. The most represented age range was 65–74 years (60.1%); 86 (47.3%) and elders above 65 constituted 1.8% of the total population. More than a third 117 (41.4%) had visible dental plaque, 117 (48,6%) had periodontal pockets >4 mm, 153 (54,1%) had teeth with total crown destruction, 70 (38.3%) had not lost a tooth, 23 (12.6%) had lost 1 tooth, 19 (10.4%) have lost at least 2 teeth, 100 (55.7%) were partially edentulous at the maxilla and 98 (53.6%) at the mandible, 2 (1.1%) were completely edentulous at the maxilla and 3 (1.6%) at the mandible, and 3.8% had removable dentures. The mean DMF index was 6.11 and 69.4% had dental caries. Risk factors to dental caries were toothbrushing and tobacco consumption while dental plaque was associated to pocket depth of 4–6 mm. Barriers to oral health care included ignorance 47 (25.7%), financial difficulties 124 (67.8%), and distance to the nearest clinic 12 (6.5%). Conclusion. The oral status of the elderly was generally poor. PMID:26633972

  10. Effect of agropesticides use on male reproductive function: a study on farmers in Djutitsa (Cameroon).

    PubMed

    Manfo, Faustin Pascal Tsagué; Moundipa, Paul Fewou; Déchaud, Henri; Tchana, Angéle Nkouatchoua; Nantia, Edouard Akono; Zabot, Marie-Thérèse; Pugeat, Michel

    2012-07-01

    This study aimed at investigating the effect of agropesticides on male reproductive function in farmers in Djutitsa (West Cameroon). To this end, 47 farmers in Djutitsa were asked questions on their health status and pesticide use in agriculture. Thereafter, their blood samples were collected for assessment of sex hormones including serum luteinizing hormone (LH), follicle-stimulating hormone (FSH), androstenedione, testosterone, as well as sex hormone binding globulin (SHBG). Their serum triiodothyronine (T3) and thyroxine (T4) levels were also measured. Thirty seven men not exposed to agropesticides were recruited as control group. Fifty six pesticides containing 25 active substances were currently used by farmers enrolled in our study, and most of their symptoms were related to spread/use of these chemicals. Compared to the control group, there was no significant difference in FSH, LH, SHBG, estradiol, and thyroid hormones (T3 and T4) levels. Farmers had significantly lower serum testosterone (20.93 ± 1.03 nM vs. 24.32 ± 1.32 nM; P < 0.05) and higher androstenedione level (3.83 ± 0.20 nM vs. 2.80 ± 0.15 nM; P < 0.001). Their serum free testosterone as well as bioavailable testosterone were unchanged, while estradiol/testosterone and androstenedione/testosterone ratios were significantly increased (0.45 ± 0.03% vs. 0.33 ± 0.02%; P < 0.01 and 12.26 ± 3.64 vs 19.31 ± 6.82; P < 0.001, respectively). Our results suggest that male farmers of Djutitsa (West Cameroon) are exposed to agropesticides due to improper protective tool, and this exposure may impair their reproductive function through inhibition of testosterone synthesis; probably by inhibition of testicular 17β- hydroxysteroid dehydrogenase (17HSD3) and induction of aromatase (CYP19).

  11. Anopheles ziemanni a locally important malaria vector in Ndop health district, north west region of Cameroon

    PubMed Central

    2014-01-01

    Background Malaria transmission in Cameroon is mediated by a plethora of vectors that are heterogeneously distributed across the country depending on the biotope. To effectively guide malaria control operations, regular update on the role of local Anopheles species is essential. Therefore, an entomological survey was conducted between August 2010 and May 2011 to evaluate the role of the local anopheline population in malaria transmission in three villages of the Ndop health district in the northwest region of Cameroon where malaria is holoendemic, as a means to acquiring evidence based data for improved vector intervention. Methods Mosquitoes were sampled both indoor and outdoor for four consecutive nights in each locality during each month of survey. Sampling was done by the human landing catch method on volunteers. Anopheles species were identified morphologically and their ovaries randomly dissected for parity determination. Infection with Plasmodium falciparum was detected by Circumsporozoite protein ELISA. Members of An. gambiae complex were further identified to molecular level by PCR and RFLP PCR. Results An. ziemanni was the main malaria vector and whether outdoor or indoor. The man biting rate for the vectors ranged from 6.75 to 8.29 bites per person per night (b/p/n). The entomological inoculation rate for this vector species was 0.0278 infectious bites per person per night (ib/p/n) in Mbapishi, 0.034 ib/p/n in Mbafuh, and 0.063 ib/p/n in Backyit. These were by far greater than that for An. gambiae. No difference was observed in the parity rate of these two vectors. PCR analysis revealed the presence of only An. colluzzi (M- form). Conclusions An. ziemanni is an important local malaria vector in Ndop health district. The findings provide useful baseline information on the anopheles species composition, their distribution and role in malaria transmission that would guide the implementation of integrated vector management strategies in the locality. PMID

  12. Floods and mangrove forests, friends or foes? Perceptions of relationships and risks in Cameroon coastal mangroves

    NASA Astrophysics Data System (ADS)

    Munji, Cecilia A.; Bele, Mekou Y.; Idinoba, Monica E.; Sonwa, Denis J.

    2014-03-01

    Faced with the growing influence of climate change on climate driven perturbations such as flooding and biodiversity loss, managing the relationship between mangroves and their environment has become imperative for their protection. Hampering this is the fact that the full scope of the threats faced by specific mangrove forests is not yet well documented. Amongst some uncertainties is the nature of the relationship/interaction of mangroves with climate driven perturbations prevalent in their habitat such as coastal floods. We investigated the relationship between coastal flooding and mangrove forest stabilization, identify perceptions of flood risk and responses to offset identified effects. Random household surveys were carried out within four communities purposively sampled within the Cap Cameroon. Coastal changes were investigated over a period of 43 years (1965-2008). Seasonal flooding improved access to mangrove forests and hence promoted their exploitation for non-timber forest products (NTFPs) such as fuel wood and mangrove poles. 989 ha of mangrove forests were estimated to be lost over a period of 43 years in Cap Cameroon with implications on forest resources base, ecosystem stability, and livelihoods. Alternative livelihood activities were found to be carried out to moderate interruptions in fishing, with associated implications for mangrove forest dynamics. Respondents were of the opinion that risks associated with floods and mangrove deforestation will pose a major challenge for sustainable management of mangroves. These locally relevant perceptions and responses should however enable the identification of pertinent needs, challenges and opportunities to inform and orient effective decision-making, and to facilitate the development and participation in adaptive management strategies.

  13. Qualitative and Quantitative Assessment of Naturals Hazards in the Caldera of Mount Bambouto (West Cameroon)

    NASA Astrophysics Data System (ADS)

    Zangmo Tefogoum, G.; Kagou Dongmo, A.; Nkouathio, D. G.; Wandji, P.

    2009-04-01

    Mount Bambouto is polygenic stratovolcano of the Cameroon Volcanic Line, build between 21 Ma and 4,5Ma (Nkouathio et al., 2008). It is situated at about 200 km NE of mount Cameroon, at 09°55' and 10°15' East and, 05°25' and 05°50' Nord. This volcano covers an area of 500 Km2 and culminates at 2740 m at Meletan hill and bears a collapse caldera (13 x 8 km). Fissural, extrusive and explosive dynamism are responsible of the construction in three main stages this volcano including the edification of a sommital large rim caldera. Mount Bambouto structure gives rise to different natural hazards, of volcanological origin and meteorological origin. In the past time, landslides, floodings, firebush, blocks collapse took place in this area with catastrophic impact on the population. New research program had been carried out in the caldera concerning qualitative and quantitative evaluation of natural risks and catastrophes. The main factors of instability are rain, structure of the basement, slopes, lithology and anthropic activities; particularly, the occurrence of exceptional rainfall due to global change are relevant; this gives opportunity to draw landslides hazards zonation map of the Bambouto caldera which is the main risk in this area. We evaluate the financial potential of the caldera base on the average income of breeding, farming, school fees and the cost of houses and equipments for each family. The method of calculation revealed that, the yearly economy of the mounts Bambouto caldera represents about 2 billions FCFA. Some recommendations have been made in order to prevent and reduced the potential losses and the number of victims in particular by better land use planning. These help us to estimate the importance of destruction of the environment and biodiversity in case of catastrophes. We conclude that in the Bambouto caldera there is moderate to high probability that destructive phenomena due to landslides occurs within the upcoming years with enormous

  14. Molecular Epidemiology of Foot-and-Mouth Disease Viruses in the Adamawa Province of Cameroon

    PubMed Central

    Bronsvoort, B. M. de C.; Radford, A. D.; Tanya, V. N.; Nfon, C.; Kitching, R. P.; Morgan, K. L.

    2004-01-01

    Foot-and-mouth disease virus (FMDV) causes a highly contagious viral disease of even-toed ungulates and is one of the most important economic diseases of livestock. Most studies of FMDV are done in countries where control measures are being implemented. In contrast, in areas such as sub-Saharan Africa, where FMDV is endemic and new strains are likely to emerge, there are only sporadic submissions to the World Reference Laboratory, Pirbright, United Kingdom. This paper describes the molecular epidemiology of FMDV in the Adamawa province of Cameroon based on a population sample of cattle herds. Serotypes SAT2 and A were isolated in the cross-sectional study. SAT2 isolates were all similar, with phylogenetic distances of <6%, and were most closely related to published sequences of isolates from Eritrea and Saudi Arabia. Serotype A isolates were more variable, with phylogenetic distances of 0 to 11%, and were most closely related to historic isolates from Cameroon. Use of a population-based sample gives a representative sample of virus diversity and will improve our understanding of the evolution of FMDV and its epidemiology. A supplementary study of pigs passing through the railhead collection yard at Ngaoundere detected a serotype O virus. A third pilot longitudinal study monitored viral persistence in three cattle herds over 12 months, and serotype O and A viruses were recovered from a herd 12 months after it was first recorded as being infected with SAT2 virus. The pig type O isolate was not closely related to that recovered from the cattle, suggesting that the pigs had not introduced the O virus into the cattle herds. PMID:15131187

  15. Molecular characterization of begomoviruses and DNA satellites associated with okra leaf curl disease in Cameroon.

    PubMed

    Leke, Walter N; Sattar, Muhammad N; Ngane, Emilia B; Ngeve, Jacob M; Kvarnheden, Anders; Brown, Judith K

    2013-06-01

    Okra leaf curl disease (OLCD) is the most important viral disease of okra in West Africa. In this study, a complex of begomoviruses and associated DNA satellites were identified in symptomatic okra plants from southwestern Cameroon. Sequence analyses showed that two of the plants (Lik1 and Njo5) were infected with a begomovirus being a recombinant of cotton leaf curl Gezira virus (CLCuGeV) and okra yellow crinkle virus (OYCrV). The recombinant genome shared highest nucleotide identity with isolates of CLCuGeV at 87.8% and is therefore considered to be member of a new begomovirus species, Okra leaf curl Cameroon virus (OLCuCMV). One plant (Mue5) was infected by a begomovirus with 95.8% nucleotide identy to CLCuGeV, while in the plants Lik1, Mue1 and Njo5, a begomovirus was identified showing highest nucleotide identity at 93.7% with OYCrV. The nucleotide comparisons and phylogenetic analyses suggest that these isolates represent new Cameroonian strains of CLCuGeV and OYCrV (CLCuGeV-CM and OYCrV-CM). Mixed infection of OLCuCMV and OYCrV-CM was found in two of the plants. A betasatellite and two divergent alphasatellites were also associated with the begomoviruses. The betasatellite was identified as cotton leaf curl Gezira betasatellite (CLCuGeB) with the highest nucleotide identity at 93.3% to other African isolates of CLCuGeB. The alphasatellites, herein named Alpha-1 and Alpha-2, shared 97.3% and 95.2% identity, respectively, with cotton leaf curl Gezira alphasatellite (CLCuGeA) and okra leaf curl Burkina Faso alphasatellite (OLCuBFA). These collective results emphasize the extent of diversity among okra-infecting begomovirus-satellite complexes in western Africa.

  16. Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon

    PubMed Central

    Pongou, Roland; Ezzati, Majid; Salomon, Joshua A

    2006-01-01

    Background Undernutrition is a leading cause of child mortality in developing countries, especially in sub-Saharan Africa. We examine the household and community level socioeconomic and environmental factors associated with child nutritional status in Cameroon, and changes in the effects of these factors during the 1990s economic crisis. We further consider age-specific effects of household economic status on child nutrition. Methods Child nutritional status was measured by weight-for-age (WAZ) and height-for-age (HAZ) z-scores. Data were from Demographic and Health Surveys conducted in 1991 and 1998. We used analysis of variance to assess the bivariate association between the explanatory factors and nutritional status. Multivariate, multilevel analyses were undertaken to estimate the net effects of both household and community factors. Results Average WAZ and HAZ declined respectively from -0.70 standard deviations (SD), i.e. 0.70 SD below the reference median, to -0.83 SD (p = 0.006) and from -1.03 SD to -1.14 SD (p = 0.026) between 1991 and 1998. These declines occurred mostly among boys, children over 12 months of age, and those of low socioeconomic status. Maternal education and maternal health seeking behavior were associated with better child nutrition. Household economic status had an overall positive effect that increased during the crisis, but it had little effect in children under 6 months of age. Improved household (water, sanitation and cooking fuel) and community environment had positive effects. Children living in the driest regions of the country were consistently worst off, and those in the largest cities were best off. Conclusion Both household and community factors have significant impact on child health in Cameroon. Understanding these relationships can facilitate design of age- and community-specific intervention programs. PMID:16618370

  17. Factors influencing consumption of nutrient rich forest foods in rural Cameroon.

    PubMed

    Fungo, Robert; Muyonga, John H; Kabahenda, Margaret; Okia, Clement A; Snook, Laura

    2016-02-01

    Studies show that a number of forest foods consumed in Cameroon are highly nutritious and rich in health boosting bioactive compounds. This study assessed the knowledge and perceptions towards the nutritional and health promoting properties of forest foods among forest dependent communities. The relationship between knowledge, perceptions and socio-demographic attributes on consumption of forest foods was also determined. A total of 279 females in charge of decision making with respect to food preparation were randomly selected from 12 villages in southern and eastern Cameroon and interviewed using researcher administered questionnaires. Multivariate logistic regression analysis was used to identify the factors affecting consumption of forest foods. Baillonella toxisperma (98%) and Irvingia gabonesis (81%) were the most known nutrient rich forest foods by the respondents. About 31% of the respondents were aware of the nutritional value and health benefits of forest foods. About 10%-61% of the respondents expressed positive attitudes to questions related with health benefits of specific forest foods. Consumption of forest foods was found to be higher among polygamous families and also positively related to length of stay in the forest area and age of respondent with consumption of forest foods. Education had an inverse relationship with use of forest foods. Knowledge and positive attitude towards the nutritional value of forest foods were also found to positively influence consumption of forest foods. Since knowledge was found to influence attitude and consumption, there is need to invest in awareness campaigns to strengthen the current knowledge levels among the study population. This should positively influence the attitudes and perceptions towards increased consumption of forest foods.

  18. Motorcycle injury among secondary school students in the Tiko municipality, Cameroon

    PubMed Central

    Nyagwui, Asonganyi Edwin; Fredinah, Namatovu; Che, Longho Bernard; Yulia, Blomstedt

    2016-01-01

    Introduction Injury from motorcycle is a considerable cause of disability and death in the world and especially in low and middle-income countries; it is one of the most serious public health problems. In Cameroon, motorcycle is commonly used for transportation particularly among students. The aim of this paper is to study the risk-factors of the motorcycle-related accidents and injuries among secondary school students’ in the Tiko municipality, Cameroon. Methods A cross sectional study was conducted in January 2012 on 391 students age 16-24 from public and private schools in the Tiko Municipality. Logistic regression was used to estimate the association between risk factors and injuries. A closed-ended and few open-ended questionnaire was used to collect data. Results The study showed that over 70% of students used motorcycles always or often. Few had undergone any formal training for driving a motorcycle. The vast majority reported not wearing protective gear while driving or riding a motorcycle. Usage of protective gear was particularly low among girls. Over 16% reported using a motorbike always or occasionally under the influence of alcohol or drugs. Over 58% of respondents reported having an accident and over 35% were injured when driving or riding a motorcycle. Those who lived at the Tiko-Douala road have three times higher probability to sustain accidents and injuries than students residing elsewhere (OR 3.19 (1.20-8.46). Conclusion It is deeply alarming that every second respondent in the study reported having been in an accident and every third motorcycle user was somehow injured. We therefore call for an immediate attention and a deeper investigation into the highlighted situation, particularly at Tiko-Douala road. PMID:27642454

  19. Hepatitis B, HIV, and Syphilis Seroprevalence in Pregnant Women and Blood Donors in Cameroon.

    PubMed

    Dionne-Odom, Jodie; Mbah, Rahel; Rembert, Nicole J; Tancho, Samuel; Halle-Ekane, Gregory E; Enah, Comfort; Welty, Thomas K; Tih, Pius M; Tita, Alan T N

    2016-01-01

    Objectives. We estimated seroprevalence and correlates of selected infections in pregnant women and blood donors in a resource-limited setting. Methods. We performed a cross-sectional analysis of laboratory seroprevalence data from pregnant women and voluntary blood donors from facilities in Cameroon in 2014. Rapid tests were performed to detect hepatitis B surface antigen, syphilis treponemal antibodies, and HIV-1/2 antibodies. Blood donations were also tested for hepatitis C and malaria. Results. The seroprevalence rates and ranges among 7069 pregnant women were hepatitis B 4.4% (1.1-9.6%), HIV 6% (3.0-10.2%), and syphilis 1.7% (1.3-3.8%) with significant variability among the sites. Correlates of infection in pregnancy in adjusted regression models included urban residence for hepatitis B (aOR 2.9, CI 1.6-5.4) and HIV (aOR 3.5, CI 1.9-6.7). Blood donor seroprevalence rates and ranges were hepatitis B 6.8% (5.0-8.8%), HIV 2.2% (1.4-2.8%), syphilis 4% (3.3-4.5%), malaria 1.9%, and hepatitis C 1.7% (0.5-2.5%). Conclusions. Hepatitis B, HIV, and syphilis infections are common among pregnant women and blood donors in Cameroon with higher rates in urban areas. Future interventions to reduce vertical transmission should include universal screening for these infections early in pregnancy and provision of effective prevention tools including the birth dose of univalent hepatitis B vaccine. PMID:27578957

  20. Chronic non-communicable diseases in Cameroon - burden, determinants and current policies

    PubMed Central

    2011-01-01

    Cameroon is experiencing an increase in the burden of chronic non-communicable diseases (NCDs), which accounted for 43% of all deaths in 2002. This article reviews the published literature to critically evaluate the evidence on the frequency, determinants and consequences of NCDs in Cameroon, and to identify research, intervention and policy gaps. The rising trends in NCDs have been documented for hypertension and diabetes, with a 2-5 and a 10-fold increase in their respective prevalence between 1994 and 2003. Magnitudes are much higher in urban settings, where increasing prevalence of overweight/obesity (by 54-82%) was observed over the same period. These changes largely result from the adoption of unfavorable eating habits, physical inactivity, and a probable increasing tobacco use. These behavioral changes are driven by the economic development and social mobility, which are part of the epidemiologic transition. There is still a dearth of information on chronic respiratory diseases and cancers, as well as on all NDCs and related risk factors in children and adolescents. More nationally representative data is needed to tract risk factors and consequences of NCDs. These conditions are increasingly been recognized as a priority, mainly through locally generated evidence. Thus, national-level prevention and control programs for chronic diseases (mainly diabetes and hypertension) have been established. However, the monitoring and evaluation of these programs is necessary. Budgetary allocations data by the ministry of health would be helpful, to evaluate the investment in NCDs prevention and control. Establishing more effective national-level tobacco control measures and food policies, as well as campaigns to promote healthy diets, physical activity and tobacco cessation would probably contribute to reducing the burden of NCDs. PMID:22112686

  1. Heat impact on schoolchildren in Cameroon, Africa: potential health threat from climate change

    PubMed Central

    Dapi, Léonie N.; Rocklöv, Joacim; Nguefack-Tsague, Georges; Tetanye, Ekoe; Kjellstrom, Tord

    2010-01-01

    Background Health impacts related to climate change are potentially an increasing problem in Cameroon, especially during hot seasons when there are no means for protective and adaptive actions. Objective To describe environmental conditions in schools and to evaluate the impact of heat on schoolchildren's health during school days in the Cameroon cities of Yaoundé and Douala. Methods Schoolchildren (N = 285) aged 12–16 years from public secondary schools completed a questionnaire about their background, general symptoms, and hot feelings in a cross-sectional study. In Yaoundé, 50 schoolchildren were individually interviewed during school days about hourly symptoms (fatigue, headache, and feeling very hot) and performance. Lascar dataloggers were used to measure indoor classroom temperatures and humidity. Results There was a significant correlation between daily indoor temperature and the percentages of schoolchildren who felt very hot, had fatigue, and headaches in Yaoundé. A high proportion of schoolchildren felt very hot (48%), had fatigue (76%), and headaches (38%) in Yaoundé. Prevalences (%) were higher among girls than boys for headaches (58 vs 39), feeling ‘very hot overall’ (37 vs 21), and ‘very hot in head’ (21 vs 18). Up to 62% were absentminded and 45% had slow writing speed. High indoor temperatures of 32.5°C in Yaoundé and 36.6°C in Douala were observed in school. Conclusions Headache, fatigue, and feeling very hot associated with high indoor air temperature were observed among schoolchildren in the present study. Longitudinal data in schools are needed to confirm these results. School environmental conditions should be improved in order to enhance learning. PMID:21139702

  2. Measles outbreak in a poorly vaccinated region in Cameroon: a case series study, public health challenges and recommendations

    PubMed Central

    Njim, Tsi; Aminde, Leopold Ndemnge; Feteh, Fambombi Vitalis; Ngum, Joel Mbigha; Moustapha, Chandini Aliyou

    2015-01-01

    Measles is a highly contagious viral infection and still a leading cause of vaccine-preventable deaths in Africa; especially in unvaccinated populations. We reviewed the medical reports of the measles outbreak that occurred in Misaje, in the North west region of Cameroon from 11/03/2015 to 14/05/2015. Six measles cases were recorded during this period; three of them complicated by bacterial infections. Measles should be considered as a differential diagnosis for any febrile rash especially among poorly vaccinated populations. Primary preventive methods implemented by clinicians could help control outbreaks; especially with delays in public health intervention. Also, gaps in health policies in Cameroon should be addressed to scale up vaccination coverage in remote communities like Misaje to reduce the incidence of measles outbreaks. PMID:26893797

  3. Measles outbreak in a poorly vaccinated region in Cameroon: a case series study, public health challenges and recommendations.

    PubMed

    Njim, Tsi; Aminde, Leopold Ndemnge; Feteh, Fambombi Vitalis; Ngum, Joel Mbigha; Moustapha, Chandini Aliyou

    2015-01-01

    Measles is a highly contagious viral infection and still a leading cause of vaccine-preventable deaths in Africa; especially in unvaccinated populations. We reviewed the medical reports of the measles outbreak that occurred in Misaje, in the North west region of Cameroon from 11/03/2015 to 14/05/2015. Six measles cases were recorded during this period; three of them complicated by bacterial infections. Measles should be considered as a differential diagnosis for any febrile rash especially among poorly vaccinated populations. Primary preventive methods implemented by clinicians could help control outbreaks; especially with delays in public health intervention. Also, gaps in health policies in Cameroon should be addressed to scale up vaccination coverage in remote communities like Misaje to reduce the incidence of measles outbreaks. PMID:26893797

  4. HIV-1 group O infection in Cameroon from 2006 to 2013: Prevalence, genetic diversity, evolution and public health challenges

    PubMed Central

    Villabona-Arenas, Christian Julian; Domyeum, Jenny; Mouacha, Fatima; Butel, Christelle; Delaporte, Eric; Peeters, Martine; Mpoudi-Ngole, Eitel; Aghokeng, Avelin Fobang

    2015-01-01

    The human immunodeficiency virus, HIV, is characterized by a tremendously high genetic diversity, leading to the currently known circulating HIV types, groups, subtypes, and recombinant forms. HIV-1 group O is one of the most diverse forms of HIV-1 and has been so far related to Cameroon or individuals originating from Cameroon. In this study, we investigated in Cameroon, the evolution of this viral group from 2006 to 2013, in terms of prevalence, genetic diversity and public health implications. Our results confirmed the predominance of HIV-1 group M (98.5%), a very low prevalence (<0.02%) for HIV-1 group N and P, and HIV-2 in this country. HIV-1 group O was found at around 0.6% (95% confidence interval: 0.4–0.8%), indicating that the frequency of this virus in Cameroon has remained stable over the last decades. However, we found an extensive high genetic diversity within this HIV-1 group, that resulted from previous steady increase on the effective number of HIV-1 group O infections through time, and the current distribution of the circulating viral strains still does not allow classification as subtypes. The frequency of dual infections with HIV-1 group M and group O was 0.8% (95% confidence interval: 0.6–1.0%), but we found no recombinant forms in co-infected patients. Natural resistance to integrase inhibitors was not identified, although we found several mutations considered as natural polymorphisms. Our study shows that infections with HIV-1 group O can be adequately managed in countries where the virus circulates, but this complex virus still represents a challenge for diagnostics and monitoring strategies. PMID:26371064

  5. [History of the onset and spread of sleeping sickness in Bipindi (southern Cameroon), from 1896 to today].

    PubMed

    Sonne, W

    2001-01-01

    The aim of this article is to provide historical background on the onset and spread of sleeping sickness in the Bipindi area of southern Cameroon, from the first suspected cases in 1896 until today. Two recent events have created the need for historical perspective on this topic. In December 1994, an OCEAC mission led by Francis Louis discovered 7 cases in the area between the Lolodorf and Bipindi districts. The epicentre was the village of Bidjouka. Five years later, mass screening of all residents in the Bipindi district revealed a total of 44 cases. Although no previous medical studies are available, historical research indicates that the disease has always present in Bipindi area in a less prevalent and virulent form than in neighboring regions along the Nyong River. Bipindi is located about 140 kilometers northeast of Campo, an area on the border between Cameroon and Equatorial Guinea where sleeping sickness has been a low-grade health problem since the 1880s. Many Cameroonian refugees forced to live in Campo during a war that ended in February 1916 returned with the trypanosome and subsequently contaminated people who stayed in Bipindi. Transmission of sleeping sickness in Bipindi can also be attributed to economic development since the end of the nineteenth century. Numerous plantations have been installed in the area. Migration and trade with the Gulf of Guinea have expanded greatly, especially involving areas on the border between Cameroon and Equatorial Guinea. This study is based on written documentations obtained from the National Archives in Yaoundé (Cameroon) and the "Colegio Claret" Library, in Luba (Republic of Equatorial Guinea) and on firsthand reports from reliable sources in the Bipindi area. PMID:11803831

  6. [History of the onset and spread of sleeping sickness in Bipindi (southern Cameroon), from 1896 to today].

    PubMed

    Sonne, W

    2001-01-01

    The aim of this article is to provide historical background on the onset and spread of sleeping sickness in the Bipindi area of southern Cameroon, from the first suspected cases in 1896 until today. Two recent events have created the need for historical perspective on this topic. In December 1994, an OCEAC mission led by Francis Louis discovered 7 cases in the area between the Lolodorf and Bipindi districts. The epicentre was the village of Bidjouka. Five years later, mass screening of all residents in the Bipindi district revealed a total of 44 cases. Although no previous medical studies are available, historical research indicates that the disease has always present in Bipindi area in a less prevalent and virulent form than in neighboring regions along the Nyong River. Bipindi is located about 140 kilometers northeast of Campo, an area on the border between Cameroon and Equatorial Guinea where sleeping sickness has been a low-grade health problem since the 1880s. Many Cameroonian refugees forced to live in Campo during a war that ended in February 1916 returned with the trypanosome and subsequently contaminated people who stayed in Bipindi. Transmission of sleeping sickness in Bipindi can also be attributed to economic development since the end of the nineteenth century. Numerous plantations have been installed in the area. Migration and trade with the Gulf of Guinea have expanded greatly, especially involving areas on the border between Cameroon and Equatorial Guinea. This study is based on written documentations obtained from the National Archives in Yaoundé (Cameroon) and the "Colegio Claret" Library, in Luba (Republic of Equatorial Guinea) and on firsthand reports from reliable sources in the Bipindi area.

  7. Absence of Ornithodoros moubata, the vector of African swine fever virus, from the main pig producing area of Cameroon.

    PubMed

    Ekue, N F; Wilkinson, P J

    1990-05-01

    No evidence for the presence of soft ticks of the Ornithodoros moubata complex was found during a survey of African swine fever carried out between 1985 and 1988 in the West Province and southern parts of the North West and South West Provinces of Cameroon. The survey consisted of interviews of veterinary assistants and farmers, distribution of a questionnaire and tick searches both manually and with carbon dioxide traps. The absence of warthogs (Phacochoerus aethiopicus) from these areas was also recorded. PMID:2371751

  8. The substitution of mineral fertilizers by compost from household waste in Cameroon: economic analysis with a partial equilibrium model.

    PubMed

    Jaza Folefack, Achille Jean

    2009-05-01

    This paper analyses the possibility of substitution between compost and mineral fertilizer in order to assess the impact on the foreign exchange savings in Cameroon of increasing the use of compost. In this regard, a partial equilibrium model was built up and used as a tool for policy simulations. The review of existing literature already suggests that, the compost commercial value i.e. value of substitution (33,740 FCFA tonne(-1)) is higher compared to the compost real price (30,000 FCFA tonne(-1)), proving that it could be profitable to substitute the mineral fertilizer by compost. Further results from the scenarios used in the modelling exercise show that, increasing the compost availability is the most favourable policy for the substitution of mineral fertilizer by compost. This policy helps to save about 18.55% of the annual imported mineral fertilizer quantity and thus to avoid approximately 8.47% of the yearly total import expenditure in Cameroon. The policy of decreasing the transport rate of compost in regions that are far from the city is also favourable to the substitution. Therefore, in order to encourage the substitution of mineral fertilizer by compost, programmes of popularization of compost should be highlighted and be among the top priorities in the agricultural policy of the Cameroon government. PMID:19423599

  9. Prevalence and Risk Factors of Hypertension in Urban Areas of Cameroon: A Nationwide Population-Based Cross-Sectional Study.

    PubMed

    Kingue, Samuel; Ngoe, Constant Ndong; Menanga, Alain Patrick; Jingi, Ahmadou M; Noubiap, Jean Jacques N; Fesuh, Betrand; Nouedoui, Christophe; Andze, Gervais; Muna, Walinjom F T

    2015-10-01

    Accurate estimates of the prevalence rate of hypertension and determinants in Cameroon are crucial to inform efficient prevention and control policies. The authors carried out a cluster-specific cross-sectional survey in urban areas of the 10 regions of Cameroon to assess the prevalence and risk factors of hypertension in Cameroonian adults using the WHO STEPwise approach to Surveillance (STEPS). Sociodemographic data were collected and blood pressure and glycemia were measured using standardized methods. Participants were adults of both sexes aged 16 years or older. A total of 15,470 participants were surveyed. The age-standardized prevalence rate of hypertension was 29.7%. The awareness rate was 14.1%. Independent correlates of hypertension included higher age, male sex, obesity, hyperglycemia, and living in the Savannah zone. The prevalence of hypertension is high in urban areas of Cameroon, with very low awareness. Prevention and control strategies should emphasize on improvement and vulgarization of population opportunistic screening and education. PMID:26140673

  10. Failure to Return for Posttest Counseling and HIV Test Results at the Prevention and Voluntary Testing and Counseling Centers of Douala, Cameroon: An Evaluation of a Routine Five-Year Program.

    PubMed

    Ngangue, Patrice; Bedard, Emmanuelle; Ngueta, Gerard; Adiogo, Dieudonné; Gagnon, Marie-Pierre

    2016-01-01

    This study examined the magnitude and time trends in failure to return (FTR) rates and the relation between FTR and individual characteristics, tests procedures, waiting period for the results, and HIV test results among people who were screened for HIV in the prevention and voluntary testing and counseling centers (PVTCCs) of six district hospitals of the city of Douala in Cameroon, between January 2009 and December 2013. It was a retrospective analysis of medical records. Among the 32,020 analyzed records, the failure to return (FTR) rate was 14.3%. Overall, people aged 50 years and over, those tested between 2011 and 2012, and those tested in the PVTCC of Bonassama were less likely to return for their results. Significant factors associated with FTR included being a housewife, having a positive/undetermined/requiring confirmation result, and provider-initiated testing and counseling (PITC). There was an increasing trend for FTR in the PVTCCs of Bonassama, New-Bell, Nylon, and Cité des Palmiers. HIV testing and counseling services in Douala district hospitals must be reorganized such that individuals tested for HIV receive their results on the same day of the test. Also counselors need to better alert clients concerning the importance of returning for their test results. PMID:26925261

  11. Failure to Return for Posttest Counseling and HIV Test Results at the Prevention and Voluntary Testing and Counseling Centers of Douala, Cameroon: An Evaluation of a Routine Five-Year Program

    PubMed Central

    Ngangue, Patrice; Bedard, Emmanuelle; Ngueta, Gerard; Adiogo, Dieudonné; Gagnon, Marie-Pierre

    2016-01-01

    This study examined the magnitude and time trends in failure to return (FTR) rates and the relation between FTR and individual characteristics, tests procedures, waiting period for the results, and HIV test results among people who were screened for HIV in the prevention and voluntary testing and counseling centers (PVTCCs) of six district hospitals of the city of Douala in Cameroon, between January 2009 and December 2013. It was a retrospective analysis of medical records. Among the 32,020 analyzed records, the failure to return (FTR) rate was 14.3%. Overall, people aged 50 years and over, those tested between 2011 and 2012, and those tested in the PVTCC of Bonassama were less likely to return for their results. Significant factors associated with FTR included being a housewife, having a positive/undetermined/requiring confirmation result, and provider-initiated testing and counseling (PITC). There was an increasing trend for FTR in the PVTCCs of Bonassama, New-Bell, Nylon, and Cité des Palmiers. HIV testing and counseling services in Douala district hospitals must be reorganized such that individuals tested for HIV receive their results on the same day of the test. Also counselors need to better alert clients concerning the importance of returning for their test results. PMID:26925261

  12. Image acquisition system for a hospital enterprise

    NASA Astrophysics Data System (ADS)

    Moore, Stephen M.; Beecher, David E.

    1998-07-01

    Hospital enterprises are being created through mergers and acquisitions of existing hospitals. One area of interest in the PACS literature has been the integration of information systems and imaging systems. Hospital enterprises with multiple information and imaging systems provide new challenges to the integration task. This paper describes the requirements at the BJC Health System and a testbed system that is designed to acquire images from a number of different modalities and hospitals. This testbed system is integrated with Project Spectrum at BJC which is designed to provide a centralized clinical repository and a single desktop application for physician review of the patient chart (text, lab values, images).

  13. [Some reflections on the introduction of family planning into businesses in Cameroon].

    PubMed

    Ngambi Kunga

    1990-01-01

    Cameroon has announced that it favors family planning as a means of improving family welfare. In the local context, family planning would refer to spacing and to a lesser extent limiting births, as well as combatting infertility. This work argues that, at a time of deep economic and financial crisis for Cameroon and of growing need and demand for family planning services, the introduction of employment-based family planning services could reinforce the family planning activities of the government and private agencies. The work broadly outlines national family planning policy, identifies weaknesses of proposed family planning strategies, and points out the advantages of employment-based services. Cameroon's infant mortality rate of 90/1000 live births and maternal mortality of 420/100,000 are partly related to its very high fertility rate, closely spaced births, and early pregnancy. The national family planning program goal is to promote health and wellbeing by preventing early and unwanted pregnancies and illnesses in high-risk groups. A decline in unwanted births would be achieved through voluntary use of contraception. The main strategy would be an ambitious IEC program to inform the population of the advantages of family planning using mass media, print materials, and interpersonal communication. The general objectives of the IEC program would be to reduce maternal mortality to 300/100,000 and infant mortality from 90 to 70/1000 and increase contraceptive prevalence from 3 to 20% by 1994. Family planning services and commercial distribution centers would be created, taking advantage of existing health facilities wherever possible as well as community based systems of service delivery for the population not yet served by the traditional distribution system. Experience with the IEC strategy in other countries demonstrates that there is a great disproportion between the population touched by IEC and contraceptive prevalence. The strategy would probably be more

  14. 21. Photographic copy of historic photograph, view of the hospital ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    21. Photographic copy of historic photograph, view of the hospital complex grounds to the east from the roof of the Central Power House, showing the adjacent Medical Storage Building and World War I tent camp, 26 September, 1918. (Portsmouth Naval Shipyard Museum, Portsmouth, VA) - Portsmouth Naval Hospital, Bounded by Elizabeth River, Crawford Street, Portsmouth General Hospital, Parkview Avenue, & Scotts Creek, Portsmouth, Portsmouth, VA

  15. [Hospital clinical ethics committees].

    PubMed

    Gómez Velásquez, Luis; Gómez Espinosa, Luis Néstor

    2007-01-01

    The scientific and technological advances have been surprising, more in the two last decades, but they don't go united with to the ethical values of the medical professional practice, it has been totally escaped, specially when the biological subsistence, the maintenance of the life through apparatuses and the mechanisms that prolong the existence are who undergoes an alteration that until recently time was mortal shortly lapse. It is common listening that exist a crisis in the medical profession, but what really is it of human values, which as soon and taken into nowadays, actually professional account, which gives rise to a dehumanization towards the life, the health, the disease, the suffering and the death. The ideal of the doctor to give to service to the man in its life and health, as well to be conscious that the last biological process that must fulfill is the death, and when it appears, does not have considered as a actually professional failure. It has protect to the patient as the extreme cruelty therapeutic, that it has right a worthy death. It's taking to the birth of the hospital ethics committees, they have like function to analyze, to advise and to think about the ethical dilemmas that appear actually clinical or in the biomedical investigation. In 1982 in the UEA only 1% of its hospitals had a ethics committees; by 1988, it was 67% and the 100% in 2000. In Mexico the process of the formation by these committees begins, only in the Military Central Hospital, to count the ethics committee on 1983, also the Hospital no. 14 of the IMSS in Guadalajara, it works with regularity from 1995, with internal teaching of bioethic. The Secretariat of Health has asked the formation of the bioethical committees in each hospital, and order the it was be coordinated by the National Committee of Bioética. The integration of these committees is indispensable that their members have the knowledge necessary of bioética. The Mexican Society of Ortopedia, conscious of

  16. Nutrients and bioactive compounds content of Baillonella toxisperma, Trichoscypha abut and Pentaclethra macrophylla from Cameroon

    PubMed Central

    Fungo, Robert; Muyonga, John; Kaaya, Archileo; Okia, Clement; Tieguhong, Juius C; Baidu-Forson, Jojo J

    2015-01-01

    Baillonella toxisperma, Pentaclethra macrophylla and Trichoscypha abut are important foods for communities living around forests in Cameroon. Information on the nutritional value and bioactive content of these foods is required to establish their contribution to the nutrition and health of the communities. Samples of the three foods were obtained from four villages in east and three villages in south Cameroon. The foods were analyzed for proximate composition, minerals and bioactive content using standard chemical analysis methods. T. abut was found to be an excellent source of bioactive compounds; flavonoids (306 mg/100 g), polyphenols (947 mg/100 g), proanthocyanins (61.2 mg/100 g), vitamin C (80.05 mg/100 g), and total oxalates (0.6 mg/100 g). P. macrophylla was found to be a rich source of total fat (38.71%), protein (15.82%) and total fiber (17.10%) and some bioactive compounds; vitamin E (19.4 mg/100 g) and proanthocyanins (65.0 mg/100 g). B. toxisperma, was found to have high content of carbohydrates (89.6%), potassium (27.5 mg/100 g) and calcium (37.5 mg/100 g). Flavonoids, polyphenols, vitamins C and E are the main bioactive compounds in these forest foods. The daily consumption of some of these fruits may coffer protection against some ailments and oxidative stress. Approximately 200 g of either B. toxisperma or P. macrophylla, can supply 100% iron and zinc RDAs for children aged 1–3 years, while 300 g of the two forest foods can supply about 85% iron and zinc RDAs for non-pregnant non-lactating women. The three foods provide 100% daily vitamins C and E requirements for both adults and children. The results of this study show that Baillonella toxisperma, Pentaclethra macrophylla and Trichoscypha abut can considerably contribute towards the human nutrient requirements. These forest foods also contain substantial levels of health promoting phytochemicals notably flavonoids, polyphenols, vitamins C and E. These foods therefore have

  17. Addressing health workforce distribution concerns: a discrete choice experiment to develop rural retention strategies in Cameroon

    PubMed Central

    Robyn, Paul Jacob; Shroff, Zubin; Zang, Omer Ramses; Kingue, Samuel; Djienouassi, Sebastien; Kouontchou, Christian; Sorgho, Gaston

    2015-01-01

    Background: Nearly every nation in the world faces shortages of health workers in remote areas. Cameroon is no exception to this. The Ministry of Public Health (MoPH) is currently considering several rural retention strategies to motivate qualified health personnel to practice in remote rural areas. Methods: To better calibrate these mechanisms and to develop evidence-based retention strategies that are attractive and motivating to health workers, a Discrete Choice Experiment (DCE) was conducted to examine what job attributes are most attractive and important to health workers when considering postings in remote areas. The study was carried out between July and August 2012 among 351 medical students, nursing students and health workers in Cameroon. Mixed logit models were used to analyze the data. Results: Among medical and nursing students a rural retention bonus of 75% of base salary (aOR= 8.27, 95% CI: 5.28-12.96, P< 0.001) and improved health facility infrastructure (aOR= 3.54, 95% CI: 2.73-4.58) respectively were the attributes with the largest effect sizes. Among medical doctors and nurse aides, a rural retention bonus of 75% of base salary was the attribute with the largest effect size (medical doctors aOR= 5.60, 95% CI: 4.12-7.61, P< 0.001; nurse aides aOR= 4.29, 95% CI: 3.11-5.93, P< 0.001). On the other hand, improved health facility infrastructure (aOR= 3.56, 95% CI: 2.75-4.60, P< 0.001), was the attribute with the largest effect size among the state registered nurses surveyed. Willingness-to-Pay (WTP) estimates were generated for each health worker cadre for all the attributes. Preference impact measurements were also estimated to identify combination of incentives that health workers would find most attractive. Conclusion: Based on these findings, the study recommends the introduction of a system of substantial monetary bonuses for rural service along with ensuring adequate and functional equipment and uninterrupted supplies. By focusing on the

  18. Proportion of extended-spectrum ß-lactamase-producing Enterobacteriaceae in community setting in Ngaoundere, Cameroon

    PubMed Central

    2012-01-01

    Background There is no information regarding the resistance mechanisms of extended-spectrum ß-lactamase (ESBL)-producing Enterobacteriaceae in community setting in Cameroon. The current study aimed to determine the proportion of ESBLs in Enterobacteriaceae isolated in the community and to analyse some risk factors associated with ESBL carriage. Methods Faecal samples were collected from 208 different outpatients and 150 healthy student volunteers between 3 January and 3 April 2009. Enterobacterial isolates resistant to third-generation cephalosporins were screened for ESBL production by the double-disk synergy test. Presumptive ESBL-producing isolates with positive synergy test were identified by Mass Spectrometry using the BioTyper MALDI-TOF. For such ESBL positive isolates, antibiotic susceptibility was determined by the Vitek 2 system. PCR and sequencing were performed for the detection of different types of ESBL genes in presumptive ESBL-producing isolates. Statistical methods were used for the univariate calculation of risk factors. Results During the study period, a total of 358 faecal samples were analysed; 58 of such samples (16%) showed an ESBL phenotype and were confirmed by PCR. The proportion of ESBL producers in faecal carriage was statistically different between outpatients and student volunteers (23.1% vs. 6.7%: p < 0.000). According to a univariate analysis, previous use of antibiotics (ciprofloxacin) appeared to be a risk factor for ESBL carriage (p < 0.05). Escherichia coli was the species most frequently isolated among the ESBL producers in outpatients (66.7%) and student volunteers (90%). Isolates showed additional resistance to gentamicin, ciprofloxacin and trimethoprim/sulfamethoxazole but none of them was resistant to temocillin, amikacin or meropenem. Most of the strains (97%) produced a CTX-M group 1 enzymes [CTX-M-15 (98%) or CTX-M-1 (2%)] and the remaining strains produced SHV-12 enzyme (3%). Conclusions The use of drugs such as

  19. Molecular typing reveals substantial Plasmodium vivax infection in asymptomatic adults in a rural area of Cameroon

    PubMed Central

    2014-01-01

    Background Malaria in Cameroon is due to infections by Plasmodium falciparum and, to a lesser extent, Plasmodium malariae and Plasmodium ovale, but rarely Plasmodium vivax. A recent report suggested “Plasmodium vivax–like” infections around the study area that remained unconfirmed. Therefore, molecular and antigenic typing was used to investigate the prevalence of P. vivax and Duffy in asymptomatic adults resident in Bolifamba. Methods A cross-sectional study was conducted from July 2008 to October 2009. The status of all parasite species was determined by nested PCR in 269 blood samples collected. The P. falciparum and P. vivax anti-MSP/CSP antibody status of each subject was also determined qualitatively by a rapid card assay. Parasite DNA was extracted from a sample infected with three parasite species, purified and sequenced. The Duffy antigen status of 12 subjects infected with P. vivax was also determined by sequencing. In silico web-based tools were used to analyse sequence data for similarities and matches to reference sequences in public DNA databases. Results The overall malaria parasite prevalence in 269 individuals was 32.3% (87) as determined by PCR. Remarkably, 14.9% (13/87) of infections were caused either exclusively or concomitantly by P. vivax, established both by PCR and microscopic examination of blood smears, in individuals both positive (50%, 6/12) and negative (50%, 6/12) for the Duffy receptor. A triple infection by P. falciparum, P. vivax and P. malariae, was detected in one infected individual. Anti-MSP/CSP antibodies were detected in 72.1% (194/269) of samples, indicating high and continuous exposure to infection through mosquito bites. Discussion These data provide the first molecular evidence of P. vivax in Duffy positive and negative Cameroonians and suggest that there may be a significant prevalence of P. vivax infection than expected in the study area. Whether the P. vivax cases were imported or due to expansion of a founder

  20. Nutrients and bioactive compounds content of Baillonella toxisperma, Trichoscypha abut and Pentaclethra macrophylla from Cameroon.

    PubMed

    Fungo, Robert; Muyonga, John; Kaaya, Archileo; Okia, Clement; Tieguhong, Juius C; Baidu-Forson, Jojo J

    2015-07-01

    Baillonella toxisperma, Pentaclethra macrophylla and Trichoscypha abut are important foods for communities living around forests in Cameroon. Information on the nutritional value and bioactive content of these foods is required to establish their contribution to the nutrition and health of the communities. Samples of the three foods were obtained from four villages in east and three villages in south Cameroon. The foods were analyzed for proximate composition, minerals and bioactive content using standard chemical analysis methods. T. abut was found to be an excellent source of bioactive compounds; flavonoids (306 mg/100 g), polyphenols (947 mg/100 g), proanthocyanins (61.2 mg/100 g), vitamin C (80.05 mg/100 g), and total oxalates (0.6 mg/100 g). P. macrophylla was found to be a rich source of total fat (38.71%), protein (15.82%) and total fiber (17.10%) and some bioactive compounds; vitamin E (19.4 mg/100 g) and proanthocyanins (65.0 mg/100 g). B. toxisperma, was found to have high content of carbohydrates (89.6%), potassium (27.5 mg/100 g) and calcium (37.5 mg/100 g). Flavonoids, polyphenols, vitamins C and E are the main bioactive compounds in these forest foods. The daily consumption of some of these fruits may coffer protection against some ailments and oxidative stress. Approximately 200 g of either B. toxisperma or P. macrophylla, can supply 100% iron and zinc RDAs for children aged 1-3 years, while 300 g of the two forest foods can supply about 85% iron and zinc RDAs for non-pregnant non-lactating women. The three foods provide 100% daily vitamins C and E requirements for both adults and children. The results of this study show that Baillonella toxisperma, Pentaclethra macrophylla and Trichoscypha abut can considerably contribute towards the human nutrient requirements. These forest foods also contain substantial levels of health promoting phytochemicals notably flavonoids, polyphenols, vitamins C and E. These foods therefore have

  1. Nutrients and bioactive compounds content of Baillonella toxisperma, Trichoscypha abut and Pentaclethra macrophylla from Cameroon.

    PubMed

    Fungo, Robert; Muyonga, John; Kaaya, Archileo; Okia, Clement; Tieguhong, Juius C; Baidu-Forson, Jojo J

    2015-07-01

    Baillonella toxisperma, Pentaclethra macrophylla and Trichoscypha abut are important foods for communities living around forests in Cameroon. Information on the nutritional value and bioactive content of these foods is required to establish their contribution to the nutrition and health of the communities. Samples of the three foods were obtained from four villages in east and three villages in south Cameroon. The foods were analyzed for proximate composition, minerals and bioactive content using standard chemical analysis methods. T. abut was found to be an excellent source of bioactive compounds; flavonoids (306 mg/100 g), polyphenols (947 mg/100 g), proanthocyanins (61.2 mg/100 g), vitamin C (80.05 mg/100 g), and total oxalates (0.6 mg/100 g). P. macrophylla was found to be a rich source of total fat (38.71%), protein (15.82%) and total fiber (17.10%) and some bioactive compounds; vitamin E (19.4 mg/100 g) and proanthocyanins (65.0 mg/100 g). B. toxisperma, was found to have high content of carbohydrates (89.6%), potassium (27.5 mg/100 g) and calcium (37.5 mg/100 g). Flavonoids, polyphenols, vitamins C and E are the main bioactive compounds in these forest foods. The daily consumption of some of these fruits may coffer protection against some ailments and oxidative stress. Approximately 200 g of either B. toxisperma or P. macrophylla, can supply 100% iron and zinc RDAs for children aged 1-3 years, while 300 g of the two forest foods can supply about 85% iron and zinc RDAs for non-pregnant non-lactating women. The three foods provide 100% daily vitamins C and E requirements for both adults and children. The results of this study show that Baillonella toxisperma, Pentaclethra macrophylla and Trichoscypha abut can considerably contribute towards the human nutrient requirements. These forest foods also contain substantial levels of health promoting phytochemicals notably flavonoids, polyphenols, vitamins C and E. These foods therefore have

  2. Prevalence of bovine dermatophilosis and disease-associated alleles in zebu Goudali cattle and their Italian Simmental crosses ranching in the western highland plateau savannah of Cameroon.

    PubMed

    Ojong, Bessong Willington; Saccà, Elena; Bessong, Pascal; Piasentier, Edi

    2016-10-01

    Abundance of native pastures makes Cameroon's western highland savannah (WHS) a hotspot for low-input beef-type cattle. Dumbo Ranch is central to cattle seed stock multiplication in WHS and holds that Dermatophilus congolensis infection undermines production. The bovine BoLA-DRB3 has been variously demonstrated as the principal gene of the major histocompatibility locus associated with immunity and resistance to dermatophilosis in cattle. We studied the profile of dermatophilosis prevalence in zebu Goudali (G) and its Simmental composite, SimGoud (SG), at Dumbo Ranch and determined the distribution of a dermatophilosis-associated susceptibility allele of the BoLA-DRB3 gene by allele-specific polymerase chain reaction (PCR). We recorded a 42 % prevalence of dermatophilosis in the studied cohort (337 animals). Dermatophilosis was more common in older cattle than in cattle ≤36 months (p ≤ 0.05). G was more affected compared to SG, because of the prevalence of the disease in the oldest animals and the age distribution of the experimental subjects. No susceptible homozygote was observed. About 85 and 15 % of the cohort carried the homozygous resistant and heterozygous condition, respectively. This genotype distribution was not affected by cattle type. The study confirms the presence of dermatophilosis among G and SG cattle in WHS. However, there was no correlation between the presence of the disease-associated susceptible allele considered and clinical manifestation. Screening for this dermatophilosis resistance-associated allele of BoLA-DRB3 gene appeared not useful for selection of G and SG in WHS.

  3. Niche partitioning in sympatric Gorilla and Pan from Cameroon: implications for life history strategies and for reconstructing the evolution of hominin life history.

    PubMed

    Macho, Gabriele A; Lee-Thorp, Julia A

    2014-01-01

    Factors influencing the hominoid life histories are poorly understood, and little is known about how ecological conditions modulate the pace of their development. Yet our limited understanding of these interactions underpins life history interpretations in extinct hominins. Here we determined the synchronisation of dental mineralization/eruption with brain size in a 20th century museum collection of sympatric Gorilla gorilla and Pan troglodytes from Central Cameroon. Using δ13C and δ15N of individuals' hair, we assessed whether and how differences in diet and habitat use may have impacted on ape development. The results show that, overall, gorilla hair δ13C and δ15N values are more variable than those of chimpanzees, and that gorillas are consistently lower in δ13C and δ15N compared to chimpanzees. Within a restricted, isotopically-constrained area, gorilla brain development appears delayed relative to dental mineralization/eruption [or dental development is accelerated relative to brains]: only about 87.8% of adult brain size is attained by the time first permanent molars come into occlusion, whereas it is 92.3% in chimpanzees. Even when M1s are already in full functional occlusion, gorilla brains lag behind those of chimpanzee (91% versus 96.4%), relative to tooth development. Both bootstrap analyses and stable isotope results confirm that these results are unlikely due to sampling error. Rather, δ15N values imply that gorillas are not fully weaned (physiologically mature) until well after M1 are in full functional occlusion. In chimpanzees the transition from infant to adult feeding appears (a) more gradual and (b) earlier relative to somatic development. Taken together, the findings are consistent with life history theory that predicts delayed development when non-density dependent mortality is low, i.e. in closed habitats, and with the "risk aversion" hypothesis for frugivorous species as a means to avert starvation. Furthermore, the results highlight

  4. Pan-African metamorphic evolution in the southern Yaounde Group (Oubanguide Complex, Cameroon) as revealed by EMP-monazite dating and thermobarometry of garnet metapelites

    NASA Astrophysics Data System (ADS)

    Owona, Sebastien; Schulz, Bernhard; Ratschbacher, Lothar; Mvondo Ondoa, Joseph; Ekodeck, Georges E.; Tchoua, Félix M.; Affaton, Pascal

    2011-01-01

    Garnet-bearing micaschists and paragneisses of the Yaounde Group in the Pan-African Central African Orogenic Belt in Cameroon underwent a polyphase structural evolution with the deformation stages D 1-D 2, D 3 and D 4. The garnet-bearing assemblages crystallized in course of the deformation stage D 1-D 2 which led to the formation of the regional main foliation S 2. In XCa- XMg coordinates one can distinguish several zonation trends in the garnet porphyroblasts. Zonation trends with increasing XMg and variably decreasing XCa signalize a garnet growth during prograde metamorphism. Intermineral microstructures provided criteria for local equilibria and a structurally controlled application of geothermobarometers based on cation exchange and net transfer reactions. The syndeformational P- T path sections calculated from cores and rims of garnets in individual samples partly overlap and align along clockwise P- T trends. The P- T evolution started at ˜450 °C/7 kbar, passed high-pressure conditions at 11-12 kbar at variable temperatures (600-700 °C) and involved a marked decompression toward 6-7 kbar at high temperatures (700-750 °C). Th-U-Pb dating of metamorphic monazite by electron microprobe (EMP-CHIME method) in eight samples revealed a single period of crystallization between 613 ± 33 Ma and 586 ± 15 Ma. The EMP-monazite age populations between 613 ± 33 Ma enclosed in garnet and 605 ± 12 Ma in the matrix apparently bracket the high temperature-intermediate pressure stage at the end of the prograde P- T path. The younger monazites crystallized still at amphibolite-facies conditions during subsequent retrogression. The Pan-African overall clockwise P- T evolution in the Yaounde Group with its syndeformational high pressure stages and marked pressure variations is typical of the parts of orogens which underwent contractional crustal thickening by stacking of nappe units during continental collision and/or during subduction-related accretionary processes.

  5. Prevalence of bovine dermatophilosis and disease-associated alleles in zebu Goudali cattle and their Italian Simmental crosses ranching in the western highland plateau savannah of Cameroon.

    PubMed

    Ojong, Bessong Willington; Saccà, Elena; Bessong, Pascal; Piasentier, Edi

    2016-10-01

    Abundance of native pastures makes Cameroon's western highland savannah (WHS) a hotspot for low-input beef-type cattle. Dumbo Ranch is central to cattle seed stock multiplication in WHS and holds that Dermatophilus congolensis infection undermines production. The bovine BoLA-DRB3 has been variously demonstrated as the principal gene of the major histocompatibility locus associated with immunity and resistance to dermatophilosis in cattle. We studied the profile of dermatophilosis prevalence in zebu Goudali (G) and its Simmental composite, SimGoud (SG), at Dumbo Ranch and determined the distribution of a dermatophilosis-associated susceptibility allele of the BoLA-DRB3 gene by allele-specific polymerase chain reaction (PCR). We recorded a 42 % prevalence of dermatophilosis in the studied cohort (337 animals). Dermatophilosis was more common in older cattle than in cattle ≤36 months (p ≤ 0.05). G was more affected compared to SG, because of the prevalence of the disease in the oldest animals and the age distribution of the experimental subjects. No susceptible homozygote was observed. About 85 and 15 % of the cohort carried the homozygous resistant and heterozygous condition, respectively. This genotype distribution was not affected by cattle type. The study confirms the presence of dermatophilosis among G and SG cattle in WHS. However, there was no correlation between the presence of the disease-associated susceptible allele considered and clinical manifestation. Screening for this dermatophilosis resistance-associated allele of BoLA-DRB3 gene appeared not useful for selection of G and SG in WHS. PMID:27299884

  6. Ongoing Transmission of Onchocerca volvulus after 25 Years of Annual Ivermectin Mass Treatments in the Vina du Nord River Valley, in North Cameroon

    PubMed Central

    Eisenbarth, Albert; Achukwi, Mbunkah Daniel; Renz, Alfons

    2016-01-01

    Background Recent reports of transmission interruption of Onchocerca volvulus, the causing agent of river blindness, in former endemic foci in the Americas, and more recently in West and East Africa, raise the question whether elimination of this debilitating disease is underway after long-term treatment of the population at risk with ivermectin. The situation in Central Africa has not yet been clearly assessed. Methods and findings Entomologic data from two former endemic river basins in North Cameroon were generated over a period of 43 and 48 months to follow-up transmission levels in areas under prolonged ivermectin control. Moreover, epidemiologic parameters of animal-borne Onchocerca spp. transmitted by the same local black fly vectors of the Simulium damnosum complex were recorded and their impact on O. volvulus transmission success evaluated. With mitochondrial DNA markers we unambiguously confirmed the presence of infective O. volvulus larvae in vectors from the Sudan savannah region (mean Annual Transmission Potential 2009–2012: 98, range 47–221), but not from the Adamawa highland region. Transmission rates of O. ochengi, a parasite of Zebu cattle, were high in both foci. Conclusions/significance The high cattle livestock density in conjunction with the high transmission rates of the bovine filaria O. ochengi prevents the transmission of O. volvulus on the Adamawa plateau, whereas transmission in a former hyperendemic focus was markedly reduced, but not completely interrupted after 25 years of ivermectin control. This study may be helpful to gauge the impact of the presence of animal-filariae for O. volvulus transmission in terms of the growing human and livestock populations in sub-Saharan countries. PMID:26926855

  7. High gene flow and outcrossing within populations of two cryptic fungal pathogens on a native and non-native host in Cameroon.

    PubMed

    Begoude Boyogueno, Aime Didier; Slippers, Bernard; Perez, Guillermo; Wingfield, Michael J; Roux, Jolanda

    2012-03-01

    In this study, we determined the genetic diversity of 126 isolates representing both Lasiodiplodia theobromae and Lasiodiplodia pseudotheobromae, collected from Theobroma cacao and Terminalia spp. in Cameroon, using simple sequence repeat (SSR) markers. SSR alleles showed clear genetic distinction between L. theobromae and L. pseudotheobromae, supporting their earlier separation as sister species. Both L. theobromae and L. pseudotheobromae populations from Cameroon had high levels of gene diversity, moderate degrees of genotypic diversity, and high levels of gene flow between isolates from T. cacao and Terminalia spp. There was no evidence for geographic substructure in these populations across the region studied, and the SSR alleles were randomly associated in both species, suggesting outcrossing. The significant levels of aggressiveness, evolutionary potential represented by high levels of diversity, outcrossing and gene flow between geographically and host defined populations, identify these fungi as high-risk pathogens for their native and non-native hosts in Cameroon. PMID:22385617

  8. The politics of local hospital reform: a case study of hospital reorganization following the 2002 Norwegian hospital reform

    PubMed Central

    2009-01-01

    Background The Norwegian hospital reform of 2002 was an attempt to make restructuring of hospitals easier by removing politicians from the decision-making processes. To facilitate changes seen as necessary but politically difficult, the central state took over ownership of the hospitals and stripped the county politicians of what had been their main responsibility for decades. This meant that decisions regarding hospital structure and organization were now being taken by professional administrators and not by politically elected representatives. The question raised here is whether this has had any effect on the speed of restructuring of the hospital sector. Method The empirical part is a case study of the restructuring process in Innlandet Hospital Trust (IHT), which was one of the largest enterprise established after the hospital reform and where the vision for restructuring was clearly set. Different sources of qualitative data are used in the analysis. These include interviews with key actors, observational data and document studies. Results The analysis demonstrates how the new professional leaders at first acted in accordance with the intentions of the hospital reform, but soon chose to avoid the more ambitious plans for restructuring the hospital structure and in fact reintroduced local politics into the decision-making process. The analysis further illustrates how local networks and engagement of political representatives from all levels of government complicated the decision-making process surrounding local structural reforms. Local political representatives teamed up with other actors and created powerful networks. At the same time, national politicians had incentives to involve themselves in the processes as supporters of the status quo. Conclusion Because of the incentives that faced political actors and the controversial nature of major hospital reforms, the removal of local politicians and the centralization of ownership did not necessarily facilitate

  9. The architecture of enterprise hospital information system.

    PubMed

    Lu, Xudong; Duan, Huilong; Li, Haomin; Zhao, Chenhui; An, Jiye

    2005-01-01

    Because of the complexity of the hospital environment, there exist a lot of medical information systems from different vendors with incompatible structures. In order to establish an enterprise hospital information system, the integration among these heterogeneous systems must be considered. Complete integration should cover three aspects: data integration, function integration and workflow integration. However most of the previous design of architecture did not accomplish such a complete integration. This article offers an architecture design of the enterprise hospital information system based on the concept of digital neural network system in hospital. It covers all three aspects of integration, and eventually achieves the target of one virtual data center with Enterprise Viewer for users of different roles. The initial implementation of the architecture in the 5-year Digital Hospital Project in Huzhou Central hospital of Zhejiang Province is also described.

  10. Hospitals for sale.

    PubMed

    Costello, Michael M; West, Daniel J; Ramirez, Bernardo

    2011-01-01

    The pace of hospital merger and acquisition activity reflects the economic theory of supply and demand: Publicly traded hospital companies, private equity funds, and large nonprofit hospital systems are investing capital to purchase and operate freestanding community hospitals at a time when many of those hospitals find themselves short of capital reserves and certain forms of management expertise. But the sale of those community hospitals also raises questions about the impact of absentee ownership on the communities which those hospitals serve.

  11. Aurifilum, a new fungal genus in the Cryphonectriaceae from Terminalia species in Cameroon.

    PubMed

    Begoude, Aime Didier B; Gryzenhout, Marieka; Wingfield, Michael J; Roux, Jolanda

    2010-10-01

    Native Terminalia spp. in West Africa provide a popular source of construction timber as well as medical, spiritual and social benefits to rural populations. Very little is, however, known regarding the diseases that affect these trees. During an investigation into possible diseases of Terminalia spp. in Cameroon, orange to yellow fungal fruiting structures, resembling those of fungi in the Cryphonectriaceae, were commonly observed on the bark of native Terminalia ivorensis, and on dead branches of non-native Terminalia mantaly. In this study the fungus was identified based on morphological features as well as DNA sequence data (ITS and beta-tubulin) and its pathogenicity was tested on T. mantaly seedlings. Our results showed that isolates of this fungus represent a previously undescribed genus in the Cryphonectriaceae, which we describe as Aurifilum marmelostoma gen. et sp. nov. Pathogenicity tests revealed that A. marmelostoma is pathogenic on T. mantaly. These tests, and the association of A. marmelostoma with disease symptoms on T. ivorensis, suggest that the fungus is a pathogen of this important tree. PMID:20559872

  12. Epidemiology of tinea capitis among school-age children in Meiganga, Cameroon.

    PubMed

    Kechia, F A; Kouoto, E A; Nkoa, T; Nweze, E I; Fokoua, D C M; Fosso, S; Somo, M R

    2014-06-01

    Tinea capitis (TC) commonly called scalp ringworm is a worldwide concern and a public health problem in Africa. This study aimed at determining the epidemiologic profile of TC among school-aged children in the savanna zone of Cameroon. All children present at school during this study period, August 2011-July 2012, were examined for signs suggestive of TC. Children not registered at school were excluded from the study. Pathologic specimens were taken from suspected head lesions and cultured. Amongst the 4601 children, average age 10.7±0.16 years, 377 presented with suggestive TC lesions giving a prevalence of 8.1%. The proportion of boys with TC was (63.7%) higher than in girls (36.3%) (P≤0.05). TC manifestations varied; small plaques of alopecia 59.26% were the most frequent. Communal living was the most incriminated risk factor. Three hundred and thirty six isolates were obtained in culture. The prevalence was significantly higher (P<0.05) in age range between 8 and 12 years, followed by that between 13 and 15. The most prevalent isolate was T. soudannense 56.8%, followed by T. rubrum 29.2%. Only 6.0% of the isolates belonged to the genus Microsporum.

  13. [Anopheles gambiae, major malaria vector in Logbessou, a peri-urban area of Douala (Cameroon)].

    PubMed

    Akono, P Ntonga; Tonga, C; Mbida, J A Mbida; Hondt, O E Ngo; Ambene, P Awono; Ndo, C; Magne, G Tamdem; Peka, M F; Ngaha, R; Lehman, L G

    2015-12-01

    An entomological survey was carried out from August to November 2013, in order to determine the vector system of a building site for social housing in a coastal periurban district of Douala (Cameroon). Mosquito larvae were collected and adult endophilic mosquitoes captured on volunteers, for a total sample of 4897 mosquitoes. Morpho-taxonomic techniques alongside molecular techniques enabled the identification of 4 species, all aggressive to humans: Cx. pipiens (22.3%), Ae. albopictus (0.3%), An. coluzzii and An. gambiae (77.4%). The overall average biting rate recorded was 41.73 bites/person/night (b/p/n). An. gambiae s.l. represents 90.82% of this aggressive fauna, followed by Cx. pipiens (8.58%) and Ae. albopictus (0.6%). The detection of CSP showed that An. gambiae was responsible for 100% of P. falciparum transmission. The overall mean Entomological Inoculation Rate (EIR) was 3.94 ib/p/n. Female An. gambiae mortality rates were 14.47%, 82.5% and 100% respectively with DDT, permethrin and deltamethrin. The proliferation of An. gambiae in this area during raining season, at the detriment of An. coluzzii Coetze & Wilkerson and An. melas Theobald known to be major malaria vectors in island and coastal areas of Africa, may owe to the forest that still colonises this coastal peri-urban locality. Residents should therefore make use of deltamethrin based protective measures.

  14. The June 27, 2001 landslide on volcanic cones in Limbe, Mount Cameroon, West Africa

    NASA Astrophysics Data System (ADS)

    Ayonghe, S. N.; Ntasin, E. B.; Samalang, P.; Suh, C. E.

    2004-06-01

    On 27 June 2001, between 12:00 and 14:00 hours GMT, the worst ever recorded landslides and floods in the history of Cameroon occurred on volcanic cones in Limbe, killing 24 people. This brisk event, which from eyewitness reports, lasted for about 30 min, produced more than 43 landslide scars, several tension cracks, destroyed 120 houses and rendered over 2800 people homeless. Field studies indicated the alignment of the landslide scars along a northwest-southeast zone antithetic to the Mabeta fault previously identified by a linear pattern of earthquake epicentres along its length, although volcanic rocks cover this fault. The landslides occurred on slopes with dips ranging from 35° to 80°. The regolith from the slide surfaces destroyed trees and houses, and blocked gutters producing floods along the low-lying coastal parts of Limbe. The mechanism of sliding ranged from planar sliding or mud flows on impermeable surfaces of basaltic flows and/or compacted clayey volcanic tuff, to rotational sliding, or toppling failure on the steeper slopes. Intensive rainfall which preceded the event for two days as well as human intervention on slopes in the form of farming and terracing to build houses, were important contributory factors. On the basis of these findings, measures aimed at reducing the impact of future landslides on the population in the area are proposed.

  15. Preliminary examination of integrated vector management in a tropical rainforest area of Cameroon.

    PubMed

    Matthews, G A; Dobson, H M; Nkot, P B; Wiles, T L; Birchmore, M

    2009-11-01

    In the tropical rainforest area of Cameroon, people are affected by blackflies (Simulium spp.) and mosquitoes (Anopheles spp). Use of insecticide-treated bed nets (ITNs) has been promoted to protect vulnerable groups from mosquito bites, whereas historically indoor residual spraying (IRS) was the primary intervention. In a malaria-endemic area, a pilot study examined different mosquito control interventions applied to entire villages to assess their impact on vectors, malaria incidence and the quality of life of the communities. The Sanaga River near these villages was treated with insecticide to kill blackfly larvae. A medical survey of the six villages had shown that 20% of the population suffered from malaria, while 50% were infected with onchocerciasis and 5% with Loa loa. IRS+ITN using ICON CS (lambda-cyhalothrin capsule suspension formulation) or improved screening of houses combined with outdoor misting reduced the numbers of mosquitoes collected from exit traps compared to the other treatments. More sporozoites were detected in mosquitoes sampled in exit traps in the untreated village than in the treated villages. Malaria incidence several months after treatments was not significantly different from pre-treatment levels. Blackfly adult populations were reduced for several weeks following larvicide application but recovered when treatment was halted. PMID:19345969

  16. Association of body mass with price of bushmeat in Nigeria and Cameroon.

    PubMed

    Macdonald, David W; Johnson, Paul J; Albrechtsen, Lise; Dutton, Adam; Seymour, Sarah; Dupain, Jef; Hall, Amy; Fa, John E

    2011-12-01

    Spatially extensive patterns of bushmeat extraction (and the processes underlying these patterns) have not been explored. We used data from a large sample (n= 87) of bushmeat trading points in urban and rural localities in Nigeria and Cameroon to explore extraction patterns at a regional level. In 7,594 sample days, we observed 61,267 transactions involving whole carcasses. Rural and urban trading points differed in species for sale and in meat condition (fresh or smoked). Carcass price was principally associated with body mass, with little evidence that taxonomic group (primate, rodent, ungulate, or mammalian carnivore) affected price. Moreover, meat condition was not consistently associated with price. However, some individual species were more expensive throughout the region than would be expected for their size. Prices were weakly positively correlated with human settlement size and were highest in urban areas. Supply did not increase proportionally as human settlement size increased, such that per capita supply was significantly lower in urban centers than in rural areas. Policy options, including banning hunting of more vulnerable species (those that have low reproductive rates), may help to conserve some species consumed as bushmeat because carcass prices indicate that faster breeding, and therefore the more sustainable species, may be substituted and readily accepted by consumers.

  17. Neighborhood diversity of potentially pathogenic bacteria in drinking water from the city of Maroua, Cameroon.

    PubMed

    Healy-Profitós, Jessica; Lee, Seungjun; Mouhaman, Arabi; Garabed, Rebecca; Moritz, Mark; Piperata, Barbara; Lee, Jiyoung

    2016-06-01

    This study examined the spatial variation of potential gastrointestinal pathogens within drinking water sources and home storage containers in four neighborhoods in Maroua, Cameroon. Samples were collected from source (n = 28) and home containers (n = 60) in each study neighborhood. Pathogen contamination was assessed using quantitative polymerase chain reaction, targeting Campylobacter spp., Shiga toxin producing Escherichia coli (virulence genes, stx1 and stx2), and Salmonella spp. Microbial source tracking (MST) targeted three different host-specific markers: HF183 (human), Rum2Bac (ruminant) and GFD (poultry) to identify contamination sources. Staphylococcus aureus and the tetracycline-resistance gene (tetQ) were assessed to measure human hand contact and presence of antibiotic-resistant bacteria. Pathogen/MST levels were compared statistically and spatially, and neighborhood variation was compared with previously collected demographic information. All the test fecal markers and pathogens (except Arcobacter) were detected in home and source samples. Two neighborhoods tested positive for most pathogens/MST while the others only tested positive for one or two. Spatial variation of pathogens/MST existed between sources, storage containers, and neighborhoods. Differing population density and ethno-economic characteristics could potentially explain variation. Future research should explore the influence of demographic and ethno-economic factors on water quality during microbial risk assessments in urban Africa. PMID:27280618

  18. Geohazards (floods and landslides) in the Ndop plain, Cameroon volcanic line

    NASA Astrophysics Data System (ADS)

    Wotchoko, Pierre; Bardintzeff, Jacques-Marie; Itiga, Zénon; Nkouathio, David Guimolaire; Guedjeo, Christian Suh; Ngnoupeck, Gerald; Dongmo, Armand Kagou; Wandji, Pierre

    2016-07-01

    The Ndop Plain, located along the Cameroon Volcanic Line (CVL), is a volcano-tectonic plain, formed by a series of tectonic movements, volcanic eruptions and sedimentation phases. Floods (annually) and landslides (occasionally) occur with devastating environmental effects. However, this plain attracts a lot of inhabitants owing to its fertile alluvial soils. With demographic explosion in the plain, the inhabitants (143,000 people) tend to farm and inhabit new zones which are prone to these geohazards. In this paper, we use field observations, laboratory analyses, satellite imagery and complementary methods using appropriate software to establish hazard (flood and landslide) maps of the Ndop Plain. Natural factors as well as anthropogenic factors are considered. The hazard maps revealed that 25% of the area is exposed to flood hazard (13% exposed to high flood hazard, 12% to moderate) and 5% of the area is exposed to landslide hazard (2% exposed to high landslide hazard, 3% to moderate). Some mitigation measures for floods (building of artificial levees, raising foundations of buildings and the meticulous regulation of the flood guards at Bamendjing Dam) and landslides (slope terracing, planting of trees, and building retaining walls) are proposed.

  19. An economic comparison of typical dairy farming systems in South Africa, Morocco, Uganda and Cameroon.

    PubMed

    Ndambi, Oghaiki Asaah; Hemme, Torsten

    2009-08-01

    Population growth, urbanisation and increased per capita milk consumption are main reasons for recent increasing milk demand in Africa. Due to globalisation, it is important to know how competitive various production systems are, especially as most governments promote local production and disfavour dairy imports. The TIPI-CAL (Technology Impact, Policy Impact Calculations model) was used to analyse and compare costs and returns of predominant dairy farming systems in South Africa, Morocco, Uganda and Cameroon. Results show that, as farms grew larger in size, family resources (especially land and labour) became insufficient and there was need for their acquisition from external sources. Though extensive dairy farming systems had the lowest cost of milk production (<20 US-$ per 100 kg milk), their input productivities and milk yields were lower, leading to very low net cash returns from dairying. Large intensive farms in South Africa had relatively low costs (<30 US-$ per 100 kg milk) and a high Return on Investment (ROI) due to a higher efficiency of input utilisation. It was concluded that, intensification of dairy farming and simultaneously increasing the scale of production will greatly increase productivity of farm inputs, thus recommended for development of the dairy sector in African countries.

  20. Regulation of business activities of petroleum contractors in Cameroon, Congo, Gabon, and Ivory Coast

    SciTech Connect

    Frilet, M.; Newman, J.

    1982-03-01

    Foreign companies engaging in business in Cameroon, Congo, Gabon, and Ivory Coast are subject to a broad range of regulations. This article deals only with those aspects of the regulations that are most important to petroleum contractors intending to engage in business in these countries. The regulator scheme actually applicable in a given case will depend on the legal structure through which a corporation operates. An American corporation may envisage engaging in business on a long-term basis through a local subsidiary or branch. On the other hand, it may wish only to perform temporary activities pursuant to one or more fixed-duration contracts with petroleum companies operating in one of countries. Each of these situations is dealt with. Common features of each area of regulation were described and the differences in regulations were presented. These topics were included: exchange control regulation, corporate forms of business association, authorization to engage in business, requirement of government or local participation in capital, investment code incentives, labor law requirements, taxation of corporations, taxation of profits, taxation of income from movable capital, taxation of amounts paid abroad as technical assistance fees, royalties and similar compensation, turnover taxes, payroll taxes, taxation of business performed without forming a local company or branch, taxation of employees and Social Security contributions. (DP)

  1. New species of Elaphomyces (Elaphomycetaceae, Eurotiales, Ascomycota) from tropical rainforests of Cameroon and Guyana.

    PubMed

    Castellano, Michael A; Dentinger, Bryn T M; Séné, Olivier; Elliott, Todd F; Truong, Camille; Henkel, Terry W

    2016-06-01

    The sequestrate false truffles Elaphomyces favosus, E. iuppitercellus, and E. labyrinthinus spp. nov. are described as new to science from the Dja Biosphere Reserve, Cameroon. Elaphomyces adamizans sp. nov. is described as new from the Pakaraima Mountains of Guyana. The Cameroonian species are the first Elaphomyces taxa to be formally described from Africa, occurring in lowland Guineo-Congolian tropical rainforests dominated by the ectomycorrhizal (ECM) canopy tree Gilbertiodendron dewevrei (Fabaceae subfam. Caesalpinioideae). The Guyanese species is the third to be discovered in lowland tropical South America, occurring in forests dominated by the ECM trees Pakaraimaea dipterocarpacea (Dipterocarpaceae) and Dicymbe jenmanii (Fabaceae subfam. Caesalpinioideae). Macromorphological, micromorphological, habitat, and DNA sequence data are provided for each new species. Molecular and morphological data place these fungi in Elaphomycetaceae (Eurotiales, Ascomycota). Unique morphological features are congruent with molecular delimitation of each of the new species based on a phylogenetic analysis of the rDNA ITS and 28S loci across the Elaphomycetaceae. The phylogenetic analysis also suggests that a common ancestor is shared between some Elaphomyces species from Africa and South America, and that species of the stalked, volvate genus Pseudotulostoma may be nested in Elaphomyces.

  2. An economic comparison of typical dairy farming systems in South Africa, Morocco, Uganda and Cameroon.

    PubMed

    Ndambi, Oghaiki Asaah; Hemme, Torsten

    2009-08-01

    Population growth, urbanisation and increased per capita milk consumption are main reasons for recent increasing milk demand in Africa. Due to globalisation, it is important to know how competitive various production systems are, especially as most governments promote local production and disfavour dairy imports. The TIPI-CAL (Technology Impact, Policy Impact Calculations model) was used to analyse and compare costs and returns of predominant dairy farming systems in South Africa, Morocco, Uganda and Cameroon. Results show that, as farms grew larger in size, family resources (especially land and labour) became insufficient and there was need for their acquisition from external sources. Though extensive dairy farming systems had the lowest cost of milk production (<20 US-$ per 100 kg milk), their input productivities and milk yields were lower, leading to very low net cash returns from dairying. Large intensive farms in South Africa had relatively low costs (<30 US-$ per 100 kg milk) and a high Return on Investment (ROI) due to a higher efficiency of input utilisation. It was concluded that, intensification of dairy farming and simultaneously increasing the scale of production will greatly increase productivity of farm inputs, thus recommended for development of the dairy sector in African countries. PMID:19082756

  3. Muddying the Waters: A New Area of Concern for Drinking Water Contamination in Cameroon

    PubMed Central

    Healy Profitós, Jessica M.; Mouhaman, Arabi; Lee, Seungjun; Garabed, Rebecca; Moritz, Mark; Piperata, Barbara; Tien, Joe; Bisesi, Michael; Lee, Jiyoung

    2014-01-01

    In urban Maroua, Cameroon, improved drinking water sources are available to a large majority of the population, yet this water is frequently distributed through informal distribution systems and stored in home containers (canaries), leaving it vulnerable to contamination. We assessed where contamination occurs within the distribution system, determined potential sources of environmental contamination, and investigated potential pathogens. Gastrointestinal health status (785 individuals) was collected via health surveys. Drinking water samples were collected from drinking water sources and canaries. Escherichia coli and total coliform levels were evaluated and molecular detection was performed to measure human-associated faecal marker, HF183; tetracycline-resistance gene, tetQ; Campylobacter spp.; and Staphylococcus aureus. Statistical analyses were performed to evaluate the relationship between microbial contamination and gastrointestinal illness. Canari samples had higher levels of contamination than source samples. HF183 and tetQ were detected in home and source samples. An inverse relationship was found between tetQ and E. coli. Presence of tetQ with lower E. coli levels increased the odds of reported diarrhoeal illness than E. coli levels alone. Further work is warranted to better assess the relationship between antimicrobial-resistant bacteria and other pathogens in micro-ecosystems within canaries and this relationship’s impact on drinking water quality. PMID:25464137

  4. Associations between the drill (Mandrillus leucophaeus) and sympatric monkeys in Korup National Park, Cameroon.

    PubMed

    Astaras, Christos; Krause, Stefan; Mattner, Lutz; Rehse, Christoph; Waltert, Matthias

    2011-02-01

    Studies of polyspecific associations among African forest primates have primarily focused on arboreal Cercopithecus and Procolobus/Colobus species. We examined the association frequency of the terrestrial drill (Mandrillus leucophaeus) with six sympatric monkey species in Korup National Park, Cameroon, testing reports that Mandrillus associations are infrequent and transient. We conducted 3,284 km of trail walks for 12 months (February-June 2006; July 2007 to January 2008), recording species composition in 612 primate clusters. Using a Markov chain Monte Carlo test, we compared the observed frequency of dyadic associations against null models of "no association." A novel conservative statistical approach which addresses possible dependence of observations close in time was also used, further strengthening confidence in our findings. Drills associated with all monkeys throughout the study period, and were with at least one other species (range 1-5) in half of the encounters. The association frequency of drills with red-capped mangabeys (Cercocebus torquatus) was greater than expected by chance, which is interesting given the morphological adaptation of the Mandrillus-Cercocebus clade for the exploitation of the same dietary niche, hard seeds. The difference we observed in the use of forest strata by drills and mangabeys may reflect a strategy to reduce food competition while in association. The nature and duration of observed drill associations varied. Although some associations seemed to be chance encounters, others lasted for hours with the involved species foraging together.

  5. Secondary school students' knowledge, attitudes, and practice toward epilepsy in the Batibo Health District--Cameroon.

    PubMed

    Njamnshi, Alfred K; Angwafor, Samuel A; Jallon, Pierre; Muna, Walinjom F T

    2009-05-01

    Using a 12-item questionnaire, we assessed knowledge, attitudes, and practice (KAP) toward epilepsy and identified determinants of inappropriate attitudes toward people with epilepsy (PWE) among 910 randomly selected secondary school students in Batibo (Cameroon). Ninety-five percent of the students had heard or read about epilepsy, 73.3% knew an epileptic, and 76.4% had witnessed a seizure. Those who would offer equal employment opportunities to PWE, refuse to associate with, or refuse to marry PWE represented 58.6%, 25.4%, and 64.2%, respectively. Negative attitudes appeared to be reinforced by beliefs that epilepsy is hereditary (25.7%), contagious (49.9%), or a kind of insanity (38%). Acquaintance with PWE tended to improve the misconception that epilepsy is contagious (p < 0.001), and to reinforce the view that it is a form of insanity (p < 0.01). A successful epilepsy education program must account for local beliefs, and secondary school students may constitute a good channel for community education.

  6. Influences of family structure experiences on the risk of premarital sexual initiation during adolescence in Cameroon.

    PubMed

    Sidze, Estelle Monique; Defo, Barthélemy Kuate

    2013-12-01

    The link between family structure experiences and premarital sexual initiation in sub-Saharan African settings has been investigated using primarily the socialization perspective. This article tests additional hypotheses using the perspectives of change and duration of exposure. The analyses are based on time-dependent retrospective data on family living arrangements from a sample of 1182 individuals aged 12-24 years old, drawn from the Cameroon Family and Health Survey. From the socialization perspective for both females and males: living without both biological parents does not necessarily increase the probability of premarital sexual initiation during adolescence; the timing of family structure experiences is an important factor to consider in life course transitions; and other relatives play a protective role during adolescence, especially among females living in mother-only families. Findings also provide some support for the instability and change hypothesis as well as for the duration of exposure conjecture: a change from other family structure types to a both biological parents structure between age 6 and age 12 (change perspective) and living with the biological mother only at all the time (duration of exposure perspective) are associated with lower risks of premarital sexual initiation during adolescence among females. Our results have implications for preventing risky sexual behaviours during adolescence. PMID:24796711

  7. [Anopheles gambiae, major malaria vector in Logbessou, a peri-urban area of Douala (Cameroon)].

    PubMed

    Akono, P Ntonga; Tonga, C; Mbida, J A Mbida; Hondt, O E Ngo; Ambene, P Awono; Ndo, C; Magne, G Tamdem; Peka, M F; Ngaha, R; Lehman, L G

    2015-12-01

    An entomological survey was carried out from August to November 2013, in order to determine the vector system of a building site for social housing in a coastal periurban district of Douala (Cameroon). Mosquito larvae were collected and adult endophilic mosquitoes captured on volunteers, for a total sample of 4897 mosquitoes. Morpho-taxonomic techniques alongside molecular techniques enabled the identification of 4 species, all aggressive to humans: Cx. pipiens (22.3%), Ae. albopictus (0.3%), An. coluzzii and An. gambiae (77.4%). The overall average biting rate recorded was 41.73 bites/person/night (b/p/n). An. gambiae s.l. represents 90.82% of this aggressive fauna, followed by Cx. pipiens (8.58%) and Ae. albopictus (0.6%). The detection of CSP showed that An. gambiae was responsible for 100% of P. falciparum transmission. The overall mean Entomological Inoculation Rate (EIR) was 3.94 ib/p/n. Female An. gambiae mortality rates were 14.47%, 82.5% and 100% respectively with DDT, permethrin and deltamethrin. The proliferation of An. gambiae in this area during raining season, at the detriment of An. coluzzii Coetze & Wilkerson and An. melas Theobald known to be major malaria vectors in island and coastal areas of Africa, may owe to the forest that still colonises this coastal peri-urban locality. Residents should therefore make use of deltamethrin based protective measures. PMID:26419486

  8. Comparative Study of Epidemiological and Anthropological Aspects of Diabetes and Hypertension in Cameroon

    PubMed Central

    Tsabang, N; Fongnzossie, E; Donfack, D; Yedjou, CG; Tchounwou, PB; Minkande, JZ; Nouedou, C; Van, PD; Sonwa

    2016-01-01

    The traditional medicine in Africa in general and specifically in Cameroon does not manage diabetes and arterial hypertension very well. Yet, these pathologies are becoming more prevalent among the populations that need adequate knowledge to fight against them. Therefore the present study was designed to determine the knowledge, attitudes and practices of indigenous people regarding diabetes and hypertension control, and to assess the epidemiological aspects of these diseases in order to reinforce their health education and promote a better health care through traditional medicine. To achieve this objective, 1,131 households including 70 traditional healers, 114 diabetics, 167 hypertensive patients, 30 hypertensive patients-diabetics and other Cameroonians were questioned on their ethnomedical knowledge of diabetes and arterial hypertension. Fifty-eight randomly distributed tribes were taking in account. The elucidation of anthropological and epidemiological aspects of diabetes and hypertension improved the beliefs of indigenous people and facilitated the modernization of diabetes and hypertension comprehension that remained focused on the elucidation of diseases' causes and complications, as well as on the behaviors that could help translate biomedical terms into locally meaningful metaphors.

  9. Novel highly divergent reassortant bat rotaviruses in Cameroon, without evidence of zoonosis

    PubMed Central

    Yinda, Claude Kwe; Zeller, Mark; Conceição-Neto, Nádia; Maes, Piet; Deboutte, Ward; Beller, Leen; Heylen, Elisabeth; Ghogomu, Stephen Mbigha; Van Ranst, Marc; Matthijnssens, Jelle

    2016-01-01

    Bats are an important reservoir for zoonotic viruses. To date, only three RVA strains have been reported in bats in Kenya and China. In the current study we investigated the genetic diversity of RVAs in fecal samples from 87 straw-colored fruit bats living in close contact with humans in Cameroon using viral metagenomics. Five (near) complete RVA genomes were obtained. A single RVA strain showed a partial relationship with the Kenyan bat RVA strain, whereas the other strains were completely novel. Only the VP7 and VP4 genes showed significant variability, indicating the occurrence of frequent reassortment events. Comparing these bat RVA strains with currently used human RVA screening primers indicated that most of the novel VP7 and VP4 segments would not be detected in routine epidemiological screening studies. Therefore, novel consensus screening primers were developed and used to screen samples from infants with gastroenteritis living in close proximity with the studied bat population. Although RVA infections were identified in 36% of the infants, there was no evidence of zoonosis. This study identified multiple novel bat RVA strains, but further epidemiological studies in humans will have to assess if these viruses have the potential to cause gastroenteritis in humans. PMID:27666390

  10. Muddying the waters: a new area of concern for drinking water contamination in Cameroon.

    PubMed

    Profitós, Jessica M Healy; Mouhaman, Arabi; Lee, Seungjun; Garabed, Rebecca; Moritz, Mark; Piperata, Barbara; Tien, Joe; Bisesi, Michael; Lee, Jiyoung

    2014-11-28

    In urban Maroua, Cameroon, improved drinking water sources are available to a large majority of the population, yet this water is frequently distributed through informal distribution systems and stored in home containers (canaries), leaving it vulnerable to contamination. We assessed where contamination occurs within the distribution system, determined potential sources of environmental contamination, and investigated potential pathogens. Gastrointestinal health status (785 individuals) was collected via health surveys. Drinking water samples were collected from drinking water sources and canaries. Escherichia coli and total coliform levels were evaluated and molecular detection was performed to measure human-associated faecal marker, HF183; tetracycline-resistance gene, tetQ; Campylobacter spp.; and Staphylococcus aureus. Statistical analyses were performed to evaluate the relationship between microbial contamination and gastrointestinal illness. Canari samples had higher levels of contamination than source samples. HF183 and tetQ were detected in home and source samples. An inverse relationship was found between tetQ and E. coli. Presence of tetQ with lower E. coli levels increased the odds of reported diarrhoeal illness than E. coli levels alone. Further work is warranted to better assess the relationship between antimicrobial-resistant bacteria and other pathogens in micro-ecosystems within canaries and this relationship's impact on drinking water quality.

  11. Preliminary examination of integrated vector management in a tropical rainforest area of Cameroon.

    PubMed

    Matthews, G A; Dobson, H M; Nkot, P B; Wiles, T L; Birchmore, M

    2009-11-01

    In the tropical rainforest area of Cameroon, people are affected by blackflies (Simulium spp.) and mosquitoes (Anopheles spp). Use of insecticide-treated bed nets (ITNs) has been promoted to protect vulnerable groups from mosquito bites, whereas historically indoor residual spraying (IRS) was the primary intervention. In a malaria-endemic area, a pilot study examined different mosquito control interventions applied to entire villages to assess their impact on vectors, malaria incidence and the quality of life of the communities. The Sanaga River near these villages was treated with insecticide to kill blackfly larvae. A medical survey of the six villages had shown that 20% of the population suffered from malaria, while 50% were infected with onchocerciasis and 5% with Loa loa. IRS+ITN using ICON CS (lambda-cyhalothrin capsule suspension formulation) or improved screening of houses combined with outdoor misting reduced the numbers of mosquitoes collected from exit traps compared to the other treatments. More sporozoites were detected in mosquitoes sampled in exit traps in the untreated village than in the treated villages. Malaria incidence several months after treatments was not significantly different from pre-treatment levels. Blackfly adult populations were reduced for several weeks following larvicide application but recovered when treatment was halted.

  12. Characterization of Doayo and Kapsiki taurine cattle breeds of Cameroon in their natural environment.

    PubMed

    Ebangi, A Lot; Achukwi, M D; Messine, O; Abba, D

    2011-08-01

    Data were collected on live weight (LW), heart girth (HG), height-at-withers (HW), trunk length (TL), age, sex, and coat color of 207 taurines cattle--122 of the Doayo (Namchi) breed and 85 of the Kapsiki (Kirdi) breed. The animals, aged 1 to 20 years, were selected from 60 herds randomly selected from villages of Poli of Faro and Mokolo of Tsanga, divisions of the North and Far North Regions of Cameroon. The data were analyzed using the SAS program with a linear model, applying standard tests. Results indicated no breed effect (P > 0.05) in the growth trends of LW, HG, HW, and TL. HG and TL were highly significantly (P < 0.0001) related to LW. The growth pattern for the two breeds was the same since the linear contrast of least square means for the traits at various age groups did not differ (P > 0.05) significantly. The breeds attained maturity as from 4 years. In the absence of breed effect (P > 0.05), a single regression equation was established for the estimation of live weight as thus LW = -244.42 (±22.57) kg + 2.49 (±0.23) HG + 1.04 (±0.25) TL, with HG contributing up to 70% of total variation and TL, 2%. This equation could be used to develop a measuring band useful in the rural environment for commercial and clinical veterinary purposes.

  13. Neighborhood diversity of potentially pathogenic bacteria in drinking water from the city of Maroua, Cameroon.

    PubMed

    Healy-Profitós, Jessica; Lee, Seungjun; Mouhaman, Arabi; Garabed, Rebecca; Moritz, Mark; Piperata, Barbara; Lee, Jiyoung

    2016-06-01

    This study examined the spatial variation of potential gastrointestinal pathogens within drinking water sources and home storage containers in four neighborhoods in Maroua, Cameroon. Samples were collected from source (n = 28) and home containers (n = 60) in each study neighborhood. Pathogen contamination was assessed using quantitative polymerase chain reaction, targeting Campylobacter spp., Shiga toxin producing Escherichia coli (virulence genes, stx1 and stx2), and Salmonella spp. Microbial source tracking (MST) targeted three different host-specific markers: HF183 (human), Rum2Bac (ruminant) and GFD (poultry) to identify contamination sources. Staphylococcus aureus and the tetracycline-resistance gene (tetQ) were assessed to measure human hand contact and presence of antibiotic-resistant bacteria. Pathogen/MST levels were compared statistically and spatially, and neighborhood variation was compared with previously collected demographic information. All the test fecal markers and pathogens (except Arcobacter) were detected in home and source samples. Two neighborhoods tested positive for most pathogens/MST while the others only tested positive for one or two. Spatial variation of pathogens/MST existed between sources, storage containers, and neighborhoods. Differing population density and ethno-economic characteristics could potentially explain variation. Future research should explore the influence of demographic and ethno-economic factors on water quality during microbial risk assessments in urban Africa.

  14. Coping strategies of health personnel during economic crisis: A case study from cameroon

    PubMed

    Israr

    2000-04-01

    objectives Severe economic crisis compelled many governments in Sub-Saharan Africa to adopt structural adjustment programmes. This was accompanied by price increases and cuts in the salaries of civil servants. We explored how health personnel in one province of Cameroon coped with this situation, and what the perceived effects on service quality were. methods Key informant and focus group interviews with government and mission (church) health personnel; interviews with service users to validate the findings. results Government health personnel had experienced larger cuts in salaries than their mission counterparts; they no longer received allowances and incentives still available to mission personnel and appeared more demotivated. Most government and mission personnel reported legal after-hours income raising activities. Government personnel frequently reported additional 'survival strategies' such as parallel selling of drugs, requesting extra charges for services, and running private practices during work hours. There was a high level of self criticism among government personnel indicating a dissonance between their attitude and practices. They considered these practices negative and harmful for service users. conclusion Remedial action is urgent. Options include reinstating allowances for good performance and ensuring regular supervision without blaming individual health workers for problems caused by the state of the health system.

  15. Remote sensing and deforestation in humid tropical region: case of Bambouto mountain in West Cameroon

    NASA Astrophysics Data System (ADS)

    Noël Leumbe Leumbe, Olivier; Bitom, Dieudonné; Joly Assako Assako, René

    2015-04-01

    A diachronic study of landscapes base on remote sensing data, has been realized on mount Bambouto in the humid tropical mountain region, through soil occupation analyses. It is a volcanic massif situated in the western part of Cameroon. It has an altitude of 2740 m. The objective is to evaluate the anthropic preasure on deforestation within this zone in order to predie the consequences on the area within a short period. The successive ways in which people occupy the soil within a period of about 30 years have thus been evaluated qualitatively and quantitatively on the bases of MSS images of 1978, Tm images of 1988, ETM+ of 2001 and 2007 of Landsat. In these images, the successive application of the index of vegetation and of a supervised classification couple with field observations, digital terrain model and with population data which display serious soils degradation of the volcanic massif from the 1980s, due to continous growing anthropic preasures. In all, between 1978 and 2007, the density of population became 17 times more important more than 43 000 ha of the massif soils has been deforested, this correspond to 1 483 ha/year. IF this velocity of deforestation is maintain, most of the natural vegetation in the Bambouto massif will disappear in 2029

  16. Treatment of Diabetes and/or Hypertension Using Medicinal Plants in Cameroon

    PubMed Central

    Tsabang, N; Yedjou, CG; Tsambang, LWD; Tchinda, AT; Donfagsiteli, N; Agbor, GA; Tchounwou, PBB; Nkongmeneck, BA

    2015-01-01

    Medicinal plants have served as valuable starting materials for drug development in both developing and developed countries. Today, more than 80% of the people living in Africa were depended on medicinal plants based medicines to satisfy their healthcare needs. The main goal of the present study was to collect and document information on herbal remedies traditionally used for the treatment of diabetes and/or hypertension in Cameroon. To reach this objective, data were collected from 328 patients who have been diagnosed at least once by a physician as diabetics and/or hypertension patients. One hundred and eighty two (182) among them took for a period of 10 days different varieties of medicinal plants which were prepared in form of decoction, maceration and infusion and administered orally twice or three times daily. As result, 70% of patients who used plants were relieved at the end of the treatment. Thirty-three plants have been recorded and documented for the treatment of diabetes and/or hypertension. The results of this study can stimulate a sustainable development by providing the basis for drugs discovery and by documenting biodiversity for long time exploitation. PMID:26550547

  17. Comparative Study of Epidemiological and Anthropological Aspects of Diabetes and Hypertension in Cameroon

    PubMed Central

    Tsabang, N; Fongnzossie, E; Donfack, D; Yedjou, CG; Tchounwou, PB; Minkande, JZ; Nouedou, C; Van, PD; Sonwa

    2016-01-01

    The traditional medicine in Africa in general and specifically in Cameroon does not manage diabetes and arterial hypertension very well. Yet, these pathologies are becoming more prevalent among the populations that need adequate knowledge to fight against them. Therefore the present study was designed to determine the knowledge, attitudes and practices of indigenous people regarding diabetes and hypertension control, and to assess the epidemiological aspects of these diseases in order to reinforce their health education and promote a better health care through traditional medicine. To achieve this objective, 1,131 households including 70 traditional healers, 114 diabetics, 167 hypertensive patients, 30 hypertensive patients-diabetics and other Cameroonians were questioned on their ethnomedical knowledge of diabetes and arterial hypertension. Fifty-eight randomly distributed tribes were taking in account. The elucidation of anthropological and epidemiological aspects of diabetes and hypertension improved the beliefs of indigenous people and facilitated the modernization of diabetes and hypertension comprehension that remained focused on the elucidation of diseases' causes and complications, as well as on the behaviors that could help translate biomedical terms into locally meaningful metaphors. PMID:27708987

  18. Plant selection for nest building by western lowland gorillas in Cameroon.

    PubMed

    Willie, Jacob; Tagg, Nikki; Petre, Charles-Albert; Pereboom, Zjef; Lens, Luc

    2014-01-01

    We examined 834 nests built by western lowland gorillas in Cameroon between July 2008 and July 2011 to identify the plant species used in their construction. Preference for each plant species for nesting was assessed using a 'preference index' calculated by combining information on the occurrence of each species in the forest and in the nests. Forty-six plant species representing about 15 % of the total number of species in the forest and 26 % of species used for nest building were frequently used by gorillas. Preference levels significantly varied among these species. Nests were mostly built with herbs of the families Marantaceae and Zingiberaceae and woody species such as Manniophyton fulvum (liana) and Alchornea floribunda (shrub). As observed in other gorilla populations, suitability for nest building and availability of gorilla food in stems were the likely determinants of plant selection. The total number of species used per nest ranged from 1 to 11, with an average of 4.9. This is high compared to other sites, emphasizing variability in the availability of nest building materials and habitat differences across the range of the western gorilla. Seasonal changes in the use of different habitat types for nesting did not appear to influence plant use for nest building as there was little variation in plant selection across seasons or the composition of nests. Our findings suggest that gorillas non-randomly select plant species to build nests, and use a particular set of species combined at varying proportions, with no clear seasonal or spatial patterns.

  19. New species of Elaphomyces (Elaphomycetaceae, Eurotiales, Ascomycota) from tropical rainforests of Cameroon and Guyana.

    PubMed

    Castellano, Michael A; Dentinger, Bryn T M; Séné, Olivier; Elliott, Todd F; Truong, Camille; Henkel, Terry W

    2016-06-01

    The sequestrate false truffles Elaphomyces favosus, E. iuppitercellus, and E. labyrinthinus spp. nov. are described as new to science from the Dja Biosphere Reserve, Cameroon. Elaphomyces adamizans sp. nov. is described as new from the Pakaraima Mountains of Guyana. The Cameroonian species are the first Elaphomyces taxa to be formally described from Africa, occurring in lowland Guineo-Congolian tropical rainforests dominated by the ectomycorrhizal (ECM) canopy tree Gilbertiodendron dewevrei (Fabaceae subfam. Caesalpinioideae). The Guyanese species is the third to be discovered in lowland tropical South America, occurring in forests dominated by the ECM trees Pakaraimaea dipterocarpacea (Dipterocarpaceae) and Dicymbe jenmanii (Fabaceae subfam. Caesalpinioideae). Macromorphological, micromorphological, habitat, and DNA sequence data are provided for each new species. Molecular and morphological data place these fungi in Elaphomycetaceae (Eurotiales, Ascomycota). Unique morphological features are congruent with molecular delimitation of each of the new species based on a phylogenetic analysis of the rDNA ITS and 28S loci across the Elaphomycetaceae. The phylogenetic analysis also suggests that a common ancestor is shared between some Elaphomyces species from Africa and South America, and that species of the stalked, volvate genus Pseudotulostoma may be nested in Elaphomyces. PMID:27433441

  20. Assessment of gastrointestinal parasites in wild chimpanzees (Pan troglodytes troglodytes) in southeast Cameroon.

    PubMed

    Drakulovski, Pascal; Bertout, Sébastien; Locatelli, Sabrina; Butel, Christelle; Pion, Sébastien; Mpoudi-Ngole, Eitel; Delaporte, Eric; Peeters, Martine; Mallié, Michèle

    2014-07-01

    We tested 114 faecal samples from wild simian immunodeficiency virus (SIV)-positive (n = 43) and SIV-negative (n = 71) chimpanzees (Pan troglodytes troglodytes) in southeast Cameroon for the presence of gastrointestinal parasites by direct smear. We observed cysts from different protozoa (Entamoeba coli and Entamoeba histolytica / Entamoeba dispar, Endolimax nana, Iodamoeba butschlii, Chilomastix mesnili, Balantidium coli and Blastocystis cells) and trophozoites from Troglodytella abrassarti and Balantidium coli. Eggs from different helminths (strongylids, Ascaris lumbricoides, Abbreviata caucasica, Trichuris sp., Capillaria sp., Enterobius anthropopeci, Bertiella sp., Hymenolepis diminuta and an undetermined fluke) were also observed. Finally, we observed eggs that could not be properly identified and classified. We did not observe any differences between the SIV+ and SIV- samples except for the unidentified eggs. The studied chimpanzees were highly parasitised by strongylid (85.1% of prevalence), Troglodytella (43.8%) and Blastocystis (2.9%), and the frequency of the other parasites ranged from 0.9 to 8.8%. These high levels of parasite infections could represent an additional burden in a population where there is a high rate of the SIV virus in circulation.

  1. Complete mitochondrial genome of the Nigeria-Cameroon chimpanzee, Pan troglodytes ellioti (Primates: Hominidae).

    PubMed

    Wang, Bao-Hua; Wang, Yin-Hua; Tang, Ming-Gui; Chai, Hai-Xia; Xuan, Xing-Wei; Guo, Wei-Yan; Yang, Mu; Pu, Jian-Yi

    2016-05-01

    Chimpanzees are especially suited to teach us about ourselves, both in terms of their similarities and differences with human, and such important similarities and differences have also been noted for the incidence and severity of several major human diseases. In the present work, we report the entire mitochondrial genome of the Nigeria-Cameroon chimpanzee (Pan troglodytes ellioti) for the first time. Results shows that this mitogenome is 16,559 bp long and consists of 13 protein-coding genes, 22 transfer RNA genes, 2 ribosomal RNA genes, and 1 putative non-coding region (D-loop region). The genomic organization and gene order are the same as other Chimpanzees. The whole nucleotide base composition is 31.1% of A, 30.7% of C, 12.9% G, and 25.3% T, with a slight A+T bias of 56.4%. Most of the genes are encoded on H-strand, except for the ND6 subunit gene and 8 tRNA genes. The complete mitochondrial genome sequence reported here provides useful genetic information for P. t. ellioti, and will further contribute to the comparative genomics studies in primates.

  2. Assessment of gastrointestinal parasites in wild chimpanzees (Pan troglodytes troglodytes) in southeast Cameroon.

    PubMed

    Drakulovski, Pascal; Bertout, Sébastien; Locatelli, Sabrina; Butel, Christelle; Pion, Sébastien; Mpoudi-Ngole, Eitel; Delaporte, Eric; Peeters, Martine; Mallié, Michèle

    2014-07-01

    We tested 114 faecal samples from wild simian immunodeficiency virus (SIV)-positive (n = 43) and SIV-negative (n = 71) chimpanzees (Pan troglodytes troglodytes) in southeast Cameroon for the presence of gastrointestinal parasites by direct smear. We observed cysts from different protozoa (Entamoeba coli and Entamoeba histolytica / Entamoeba dispar, Endolimax nana, Iodamoeba butschlii, Chilomastix mesnili, Balantidium coli and Blastocystis cells) and trophozoites from Troglodytella abrassarti and Balantidium coli. Eggs from different helminths (strongylids, Ascaris lumbricoides, Abbreviata caucasica, Trichuris sp., Capillaria sp., Enterobius anthropopeci, Bertiella sp., Hymenolepis diminuta and an undetermined fluke) were also observed. Finally, we observed eggs that could not be properly identified and classified. We did not observe any differences between the SIV+ and SIV- samples except for the unidentified eggs. The studied chimpanzees were highly parasitised by strongylid (85.1% of prevalence), Troglodytella (43.8%) and Blastocystis (2.9%), and the frequency of the other parasites ranged from 0.9 to 8.8%. These high levels of parasite infections could represent an additional burden in a population where there is a high rate of the SIV virus in circulation. PMID:24781023

  3. Assessment of gastrointestinal parasites in wild chimpanzees (Pan troglodytes troglodytes) in southeast Cameroon

    PubMed Central

    Bertout, Sébastien; Locatelli, Sabrina; Butel, Christelle; Pion, Sébastien; Mpoudi-Ngole, Eitel; Delaporte, Eric; Peeters, Martine; Mallié, Michèle

    2014-01-01

    We tested 114 faecal samples from wild simian immunodeficiency virus (SIV)-positive (n=43) and SIV-negative (n=71) chimpanzees (Pan troglodytes troglodytes) in southeast Cameroon for the presence of gastrointestinal parasites by direct smear. We observed cysts from different protozoa (Entamoeba coli and Entamoeba histolytica/Entamoeba dispar, Endolimax nana, Iodamoeba butschlii, Chilomastix mesnili, Balantidium coli and Blastocystis cells) and trophozoites from Troglodytella abrassarti and Balantidium coli. Eggs from different helminths (strongylids, Ascaris lumbricoides, Abbreviata caucasica, Trichuris sp., Capillaria sp., Enterobius anthropopeci, Bertiella sp., Hymenolepis diminuta and an undetermined fluke) were also observed. Finally, we observed eggs that could not be properly identified and classified. We did not observe any differences between the SIV+ and SIV− samples except for the unidentified eggs. The studied chimpanzees were highly parasitised by strongylid (85.1 % of prevalence), Troglodytella (43.8 %) and Blastocystis (2.9 %), and the frequency of the other parasites ranged from 0.9 to 8.8 %. These high levels of parasite infections could represent an additional burden in a population where there is a high rate of the SIV virus in circulation. PMID:24781023

  4. Risk Factors for Buruli Ulcer: A Case Control Study in Cameroon

    PubMed Central

    Pouillot, Régis; Matias, Gonçalo; Wondje, Christelle Mbondji; Portaels, Françoise; Valin, Nadia; Ngos, François; Njikap, Adelaïde; Marsollier, Laurent; Fontanet, Arnaud; Eyangoh, Sara

    2007-01-01

    Background Buruli ulcer is an infectious disease involving the skin, caused by Mycobacterium ulcerans. This disease is associated with areas where the water is slow-flowing or stagnant. However, the exact mechanism of transmission of the bacillus and the development of the disease through human activities is unknown. Methodology/Principal Findings A case-control study to identify Buruli ulcer risk factors in Cameroon compared case-patients with community-matched controls on one hand and family-matched controls on the other hand.