Publications (23)44.27 Total impact
-
Article: Human water contacts patterns in Schistosoma mansoni epidemic foci in northern Senegal change according to age, sex and place of residence, but are not related to intensity of infection.
[show abstract] [hide abstract]
ABSTRACT: In an epidemic focus in northern Senegal, adults had lower intensities of infection than adolescents, a phenomenon that could not be attributed to immunity acquired over the previous 10-15 years of exposure to the parasite because all age groups had had the same number of years' experience of the worm. This article considers whether this pattern could have been because of higher levels of exposure to the parasite in younger age groups. Personal contact with infected water was recorded using a questionnaire in Schistosoma mansoni foci not more than 3 years old and in another, 10-year-old focus. Many aspects of contact (e.g. frequency, duration or time of day of contact) may contribute to the number of encounters with infective cercariae (true exposure), so various assumptions regarding the relationship between water contact and true exposure were tested resulting in a range of exposure indices. People reported a mean of 4.4 separate contacts, and spent a median of 57 min per day in water. Patterns of water contact differed depending on the exposure index used, e.g. considering duration, males spent a longer time in water than females (P < 0.001). But using frequency, females had more contacts with water than males in most villages (P < 0.001). Generally, exposure levels dropped as people become aged (P < 0.001) and residents of the older focus were more exposed than residents of other foci (P < 0.002). Intensity of (re)infection was not related to exposure either alone or in models incorporating age, sex and/or village irrespective of the index used. There is therefore evidence that age, sex and place of residence determine exposure but none to suggest that exposure had an influence on the relationship between these factors and intensity of infection. We propose therefore that in this population other factors have principal importance in determining intensity of infection.Tropical Medicine & International Health 03/2003; 8(2):100-8. · 2.80 Impact Factor -
Article: Implication of Bulinus truncatus in the transmission of urinary schistosomiasis in Senegal, West Africa.
[show abstract] [hide abstract]
ABSTRACT: Studies on the compatibility between Bulinus truncatus and Schistosoma haematobium from various areas in the Senegal River basin (SRB) were carried out, to investigate the role of B. truncatus in the epidemiology of urinary schistosomiasis in Senegal. The results show that B. truncatus from the Lower Valley is not compatible with S. haematobium from the Middle Valley. Interestingly, the study reveals that B. truncatus from the Upper Valley is compatible with S. haematobium from the same area, and that S. haematobium from the Middle Valley is compatible with B. truncatus from the Lower Valley. Bulinus truncatus naturally infected with S. haematobium have been collected from the Upper Valley of the SRB. These results indicate that B. truncatus is involved in the urinary schistosomiasis in Senegal.Annals of Tropical Medicine and Parasitology 04/2002; 96(2):175-80. · 1.43 Impact Factor -
Article: Efficacy of artesunate and praziquantel in Schistosoma haematobium infected schoolchildren.
[show abstract] [hide abstract]
ABSTRACT: Praziquantel is the current mainstay for morbidity control of schistosomiasis. Artemisinin and its derivatives, widely used for the treatment of malaria, also display antischistosomal properties. The present study is an effort to assess the therapeutic efficacy of artesunate, an artemisinin derivative, in Schistosoma haematobium infections in a human population. The efficacy of artesunate and praziquantel were comparatively studied in primary schoolchildren from two villages, Lampsar (n=180) and Makhana (n=108), located along the Lampsar river in the delta of the Senegal River Basin in Northern Senegal (West Africa). In each village, half of the infected children were treated with a single oral dose of 40 mg/kg praziquantel and half with artesunate following the recommended malaria monotherapy regimen. For both drugs, cure and egg count reduction rates were, without apparent explanation, higher in Makhana than in Lampsar. In both villages, high and nearly comparable egg count reduction rates were obtained with both drugs at each follow-up after treatment (5, 12 and 24 weeks) in the heavy infected group of children (>50 eggs/10 ml of urine). No major adverse effects were observed. The results demonstrate that artesunate is effective against S. haematobium, but the results obtained with praziquantel were consistently better.Acta Tropica 04/2002; 82(1):61-6. · 2.72 Impact Factor -
Article: Studies on the biology of schistosomiasis with emphasis on the Senegal river basin.
[show abstract] [hide abstract]
ABSTRACT: The construction of the Diama dam on the Senegal river, the Manantali dam on the Bafing river, Mali and the ensuing ecological changes have led to a massive outbreak of Schistosoma mansoni in Northern Senegal, associated with high intensity of infections, due to intense transmission, and the creation of new foci of S. haematobium. Data on the vectorial capacity of Biomphalaria pfeifferi from Ndombo, near Richard Toll, Senegal are presented with sympatric and allopatric (Cameroon) S. mansoni. Comparisons are made on infectivity, cercarial production, chronobiology of cercarial emergence and longevity of infected snails. Recent data on the intermediate host specificity of different isolates of S. haematobium from the Lower and Middle Valley of the Senegal river basin (SRB) demonstrate the existence of at least two strains of S. haematobium. The role of Bulinus truncatus in the transmission of S. haematobium in the Lower and Middle Valleys of the SRB is reviewed. Both S. haematobium and S. mansoni are transmitted in the same foci in some areas of the SRB.Memórias do Instituto Oswaldo Cruz 02/2001; 96 Suppl:75-8. · 2.15 Impact Factor -
Article: What is the effect of combining artesunate and praziquantel in the treatment of Schistosoma mansoni infections?
[show abstract] [hide abstract]
ABSTRACT: A group of 110 individuals with Schistosoma mansoni infection was investigated. Patients were allocated to one of three treatment groups and given artesunate or praziquantel alone or both in combination. Combined artesunate-praziquantel significantly increased the number of individuals cured at 5 weeks post-treatment, but at 12 weeks was only better than artesunate alone and at 24 weeks there was no statistically significant difference between the three groups. Egg count reduction rate was similar to the rate obtained with praziquantel used alone.Tropical Medicine & International Health 11/2000; 5(10):744-6. · 2.80 Impact Factor -
Article: The effects of irrigated agriculture on the transmission of urinary schistosomiasis in the Middle and Upper Valleys of the Senegal River basin.
[show abstract] [hide abstract]
ABSTRACT: The importance of the increase in irrigated land on the perimeters of the Middle and Upper Valleys of the Senegal River basin, on the prevalence and intensity of urinary schistosomiasis, was investigated. Surveys were conducted, in May-June 1997, to determine the prevalence and intensity of Schistosoma haematobium infection among 1445 children aged 7-14 years: 1011 in 10 villages near Matam, and 434 in four villages near Bakel. Macrohaematuria was present in seven of the study villages (four near Matan and three near Bakel), whereas microhaematuria was present in all the villages, with prevalences of 10%-73%. A second survey, conducted, in June 1999, on 755 children from nine of the study villages near Matam, demonstrated significant increases in the prevalences of both micro- and macro-haematuria in three of the villages, all of which were adjacent to the Senegal River and practising irrigated agriculture. None of the other study villages re-surveyed was irrigating any of its agricultural land. A longitudinal survey was also carried out, between May 1997 and November 1998, on about 10% of the population (2272 subjects) of Nguidjilone, north of Matam; selective treatment with praziquantel (40 mg/kg) was given in May 1997, and mass treatment in May 1998. The data analysed were those relating to the 125 individuals who provided samples at each survey. Very severe infections (> 1000 eggs/10 ml urine) were seen in five subjects in May 1997. One year later (i.e. 1 year after the selective treatment), the prevalence of urinary schistosomiasis had increased in every age-group. Although prevalence had decreased slightly by November 1998 (6 months after the mass treatment), the intensity of the infections seen had increased in every age-group. At the end of the dry season (May-June 1997), Bulinus truncalus infected with schistosome cercariae were recovered from the Senegal River. However, immediately after the next rainy season (November 1997), no snails were found at any collection site on the river.Annals of Tropical Medicine and Parasitology 09/2000; 94(6):581-90. · 1.43 Impact Factor -
Article: The epidemiology of human hookworm infections in the southern region of Mali.
[show abstract] [hide abstract]
ABSTRACT: Two surveys of hookworm (Necator americanus) infections, conducted three years apart (December 1994 and January 1998) in a village in the Sikasso region of Mali, revealed that overall prevalence of infection was 68.7% and 53%, respectively. In both years there was a highly significant difference between the sexes in the prevalence and abundance of infection, with male subjects carrying heavier infections than females. Both prevalence and abundance of infection increased with age, although in 1998 there was a strong interaction between sex and age, arising from the declining egg counts among 16-20-year-old females and the continuing increase among males, reinforced by the subsequent reduction among the older males (> or = 61 years) and concomitant increase among females. After controlling for the effects of age, sex and their interaction, a highly significant positive relationship was detected between faecal egg counts of individuals who were examined in both 1994 and 1998 (n = 134), indicating predisposition to infection. This relationship remained significant in each of 4 age classes spanning 7-79 years. The members of some family compounds were shown to carry heavier infections than expected whilst others were less infected, suggesting compound-related clustering of hookworm infections. The use of footwear increased with age but there was no significant relationship between the extent of use of footwear and the abundance of hookworm infection. Eyesight deteriorated with age and impaired vision was particularly prominent among the older sectors of the community, a legacy from the time when onchocerciasis was widely prevalent in the region. Although men with partially damaged eyes carried lower infections than expected for their age, no overall significant relationship was found between quality of vision and hookworm infections. These results are discussed in relation to hookworm epidemiology in general and in Mali in particular.Tropical Medicine & International Health 06/2000; 5(5):343-54. · 2.80 Impact Factor -
Article: Observations on the compatibility between Bulinus spp. and Schistosoma haematobium in the Senegal River basin.
[show abstract] [hide abstract]
ABSTRACT: Snail-infection experiments were carried out with a number of different species and populations of Bulinus and isolates of Schistosoma haematobium. The parasites came from six localities in the Senegal River basin (SRB), in the Lower Valley (Mbodiene), Middle Valley (Podor, Diatar and Nguidjilone), and Upper Valley (Aroundou and Galladé). Isolates of S. haematobium from the Middle and Upper Valleys all showed some compatibility with laboratory-bred B. truncatus from Mali, but none of these isolates was compatible with laboratory-bred B. truncatus originating from Senegal. Schistosoma haematobium from Diatar (Middle Valley) was compatible with B. senegalensis, whereas S. haematobium from Mbodiene (Lower Valley), which is naturally transmitted by B. globosus, was incompatible with B. senegalensis and B. truncatus. These data demonstrate that different isolates of S. haematobium from different regions of the SRB exhibit distinct intermediate-host specificities, which in turn will have an effect on the epidemiology of the disease, including the periods of transmission. It is apparent that, in addition to B. senegalensis and B. globosus, B. truncatus, the most widespread bulinid snail in the SRB, may be playing a role in the epidemiology of urinary schistosomiasis. This conclusion has obvious implications for the future spread of urinary schistosomiasis in the SRB. Chemical and physical measurements from assorted habitats along the SRB, including pH, temperature, salinity, conductivity, and resistivity, are also reported.Annals of Tropical Medicine and Parasitology 04/2000; 94(2):157-64. · 1.43 Impact Factor -
Article: The epidemiology of a recent focus of mixed Schistosoma haematobium and Schistosoma mansoni infections around the 'Lac de Guiers' in the Senegal River Basin, Senegal.
[show abstract] [hide abstract]
ABSTRACT: A village with mixed Schistosoma mansoni and S. haematobium infections (probably in a early endemic phase) was identified around the Lac de Guiers in the Senegal River Basin. In documenting the epidemiology of both schistosomes, we focused on prevalence and intensity of infection, transmission patterns and the impact of treatment. S. mansoni prevalences (near 100%) and egg counts (overall geometric mean eggs per gram of faeces (epg) of 589 were high in all age groups, with 35% of individuals excreting > 1000 epg, and showing a slow decline in egg output only after the age of 30 years. The overall prevalence (28%) and egg counts (2% > 50 eggs/10 ml) of S. haematobium were low, with mean counts of 6.3 eggs/10 ml. Maximal mean S. mansoni egg counts were found in 5-9 year-old boys and in 15-19 year-old girls; S. haematobium maximal counts in 1-4 year-old boys and in girls aged 5-9. Extremely high Biomphalaria pfeifferi infection ratios were recorded over the whole year. Following a single treatment, re-infection was rapid with prevalences and mean egg counts of both Schistosoma species reaching pretreatment levels within 7 months.Tropical Medicine & International Health 09/1999; 4(8):544-50. · 2.80 Impact Factor -
Article: The relationship between Schistosoma haematobium infection and school performance and attendance in Bamako, Mali.
[show abstract] [hide abstract]
ABSTRACT: Schistosomiasis due to Schistosoma haematobium was the most common helminth infection in school-age children from a poor area in Bamako, Mali. Almost half (47%) of the boys and 40% of the girls were infected, 18% of the children being heavily infected. There was a significant decline in academic performance and in school attendance with increasing intensity of infection. When all sources of variation were taken into consideration, absenteeism was the main factor explaining the variation in academic performance, although a significant effect of infection remained. School-based delivery of chemotherapeutic interventions is currently promoted by several international organizations. However, rates of school attendance are low in some areas and it is the absentees who appear to be at relatively high risk of ill health. Novel ways of reaching this elusive subset of the population are required.Annals of Tropical Medicine and Parasitology 01/1999; 92(8):851-8. · 1.43 Impact Factor -
Article: Assessment of cure by detection of circulating antigens in serum and urine, following schistosomiasis mass treatment in two villages of the Office du Niger, Mali.
[show abstract] [hide abstract]
ABSTRACT: Eight weeks after mass chemotherapy with 40 mg/kg praziquantel in two villages in Office du Niger (an irrigation area in Mali, endemic for both Schistosoma haematobium and Schistosoma mansoni) the circulating anodic (CAA) and cathodic (CCA) antigen detection assays were carried out on serum and urine samples. Both prior and post treatment highest prevalence was measured with the urine-CCA assay. Cure rates determined by antigen detection were almost half that of the egg counting methods. It was shown that the reduction in intensity should be preferentially assessed by the serum-CAA assay. Compared with egg detection, a single antigen detection assay gave a much better assessment of the impact of chemotherapy.Acta Tropica 01/1998; 68(3):339-46. · 2.72 Impact Factor -
Article: Circulating anodic and cathodic antigen in serum and urine of mixed Schistosoma haematobium and S. mansoni infections in Office du Niger, Mali.
[show abstract] [hide abstract]
ABSTRACT: In Office du Niger, an area endemic for both Schistosoma haematobium and S. mansoni in Mali, circulating anodic (CAA) and cathodic (CCA) antigen detection assays were performed on pretreatment serum and urine samples from two villages, Rigandé and Siguivoucé, and compared with egg counting methods. The highest prevalence was obtained with the urine-CCA assay which also had the highest sensitivity to S. haematobium, S. mansoni or mixed infection. A single urine-CCA assay was as sensitive as repeated egg counts (one stool+two urine examinations per individual). When the different assays were tested in parallel, several combinations including assays on serum were found to be highly sensitive. As urine sampling is widely accepted, urine assays will be used for further monitoring these villages one and two years after chemotherapy.Tropical Medicine & International Health 08/1997; 2(7):680-5. · 2.80 Impact Factor -
Article: Failure of mebendazole in treatment of human hookworm infections in the southern region of Mali.
[show abstract] [hide abstract]
ABSTRACT: Preliminary studies indicated that single-dose (500 mg) mebendazole gave disappointing results in the treatment of hookworm infections (Necator americanus) in Mali. A placebo-controlled, randomized trial conducted with the participation of 103 infected subjects (background hookworm prevalence > 50%) confirmed that mebendazole (Vermox) did not reduce parasite burdens significantly, as assessed through fecal egg counts. In contrast, a group of subjects treated with pyrantel (Combantrin) experienced a significant reduction in fecal worm egg counts (overall, both sexes combined showed a 75% reduction). Male subjects carried significantly more intense infections compared with females, but there was no gender difference in response to treatment. A standard egg hatch assay showed that N. americanus from our subjects in Mali was more resistant to benzimidazoles compared with a laboratory-maintained strain that had not been exposed to anthelmintics in more than 100 generations (50% effective dose = 0.12 and 0.07 microg/ml of thiabendazole, respectively), suggesting that, among other possibilities, the development of resistance to the benzimidazoles by N. americanus may have contributed to the drug failure. Whatever the underlying explanation, our results indicate that single-dose treatment with mebendazole is an ineffective treatment for hookworm infections and despite its relatively cheap cost and wide availability, mebendazole should not be considered a drug of choice in the mass treatment of hookworm infections in this region of Mali.The American journal of tropical medicine and hygiene 07/1997; 57(1):25-30. · 2.59 Impact Factor -
Article: Observations on compatibility between Bulinus truncatus and Schistosoma haematobium in the Senegal River Basin.
[show abstract] [hide abstract]
ABSTRACT: In experiments to determine the compatibility between isolates of Schistosoma haematobium and Bulinus truncatus from Mali and Senegal, the parasite isolates were shown to differ in their intermediate host specificity. Bulinus truncatus from the Lower and Middle Valleys (Senegal) and the Upper Valley (Mali) of the Senegal River Basin (SRB) were all susceptible to S. haematobium isolated from the urines of children living in Tenegue, Office du Niger, Mali. However, none of the B. truncatus tested was susceptible to a parasite isolated from children living in Mbodiene, a village in the Lower Valley of the SRB, where natural transmission is normally associated with B. globosus. As B. truncatus is widely distributed in the SRB, the possible appearance of a Bulinus-truncatus-borne parasite in the Middle and Lower Valleys should be carefully monitored.Annals of Tropical Medicine and Parasitology 07/1997; 91(4):371-8. · 1.43 Impact Factor -
Article: Schistosoma and geohelminth infections in Mali, west Africa.
[show abstract] [hide abstract]
ABSTRACT: We report on the prevalence of schistosomiasis and geohelminth infections in Mali, Central West Africa, based on data from the National Schistosomiasis Control Programme of Mali (1982-1991) and from our recent surveys (1992-1993). Combined national figures and regional data are presented from both surveys. Schistosomiasis showed an overall prevalence of 30.1%, with lowest prevalence in Sikasso Region and highest prevalence in Segou Region. Ascaris lumbricoïdes (0.12%) and Trichuris trichiura (0.42%) were comparatively rare, but hookworm infections were more widespread (8.0%). No hookworm infections were detected in the arid northern Region and the highest prevalence (18.7%) was encountered in the humid south of the country. There was a significant positive relationship between the prevalence of hookworm infection and total annual rainfall per region. Overall the prevalence of concurrent infections with schistosomes and hookworms was significantly less than expected, although there were regional differences which were discussed in the light of local variations in climatic and other factors likely to affect transmission.Annales de la Société belge de médecine tropicale 10/1995; 75(3):191-9. -
Article: Studies on transmission and schistosome interactions in Senegal, Mali and Zambia.
[show abstract] [hide abstract]
ABSTRACT: The transmission and interaction of schistosomes in the Senegal River Basin in Mali and Zambia are reviewed and some preliminary field data are presented. In the Senegal River Basin four species of schistosomes are prevalent: Schistosoma mansoni, S. haematobium, S. bovis and S. curassoni as well as the following potential intermediate hosts: Biomphalaria pfeifferi, Bulinus globosus, B. umbilicatus, B. truncatus, B. senegalensis and B. forskalii. The role of each of these species in the transmission of schistosomes in man and domestic stock is discussed. Recent ecological changes caused by the construction of dams at Diama and Mananatali on the Senegal River, such as reduction in salinity, more stable water flow, creation of irrigation canals and development and extension of rice culture, have contributed towards the occurrence of new outbreaks of both intestinal and urinary schistosomiasis in the Senegal River Basin. In Mali, the four main areas of high prevalence of S. haematobium are Office du Niger (irrigation areas), Bandiagara (small dams), Selingué (dam areas) and Baguineda (irrigation areas). Apart from the Office du Niger, S. mansoni infections are rare. Surveys were carried out in the Dogon Country (Bandiagara District) in an attempt to confirm the recent independent reports of the presence of S. intercalatum. Data based on egg morphology and Ziehl Neelsen staining of egg shells suggested the possible occurrence of S. haematobium x S. intercalatum hybrids. Potential factors affecting the focal endemicity of S. haematobium in Mali are discussed.(ABSTRACT TRUNCATED AT 250 WORDS)Tropical and geographical medicine 02/1994; 46(4 Spec No):220-6. -
Article: Selected chemotherapy and seasonally transmitted Schistosoma haematobium infections in the middle valley of the Senegal River Basin.
Transactions of the Royal Society of Tropical Medicine and Hygiene 94(2):198-9. · 2.16 Impact Factor -
Article: Efficacy of artesunate and praziquantel in Schistosomahaematobium infected schoolchildren
[show abstract] [hide abstract]
ABSTRACT: Praziquantel is the current mainstay for morbidity control of schistosomiasis. Artemisinin and its derivatives, widely used for the treatment of malaria, also display antischistosomal properties. The present study is an effort to assess the therapeutic efficacy of artesunate, an artemisinin derivative, in Schistosoma haematobium infections in a human population. The efficacy of artesunate and praziquantel were comparatively studied in primary schoolchildren from two villages, Lampsar (n=180) and Makhana (n=108), located along the Lampsar river in the delta of the Senegal River Basin in Northern Senegal (West Africa). In each village, half of the infected children were treated with a single oral dose of 40 mg/kg praziquantel and half with artesunate following the recommended malaria monotherapy regimen. For both drugs, cure and egg count reduction rates were, without apparent explanation, higher in Makhana than in Lampsar. In both villages, high and nearly comparable egg count reduction rates were obtained with both drugs at each follow-up after treatment (5, 12 and 24 weeks) in the heavy infected group of children (>50 eggs/10 ml of urine). No major adverse effects were observed. The results demonstrate that artesunate is effective against S. haematobium, but the results obtained with praziquantel were consistently better.Acta Tropica. -
Article: Schistosomiasis in Dogon country, Mali: identification and prevalence of the species responsible for infection in the local community.
[show abstract] [hide abstract]
ABSTRACT: The prevalence of schistosomiasis amongst the Dogon people in 4 villages and one school of the Bankass district of Mali was determined during 2 surveys in 1992; 1398 urine and 1199 stool samples were examined. The most common schistosome was Schistosoma haematobium, with an overall prevalence of 51.3%; S. mansoni had a prevalence of 12%. No S. intercalatum egg was seen in the stools. Biomphalaria pfeifferi and Bulinus truncatus were found in pools at the base of the Dogon cliffs; Bulinus forskalii was found in smaller numbers in brick pits. Two isolates from urine samples of children were identified as S. haematobium in the laboratory using an alpha-glycerophosphate marker, restriction enzyme analysis of ribosomal deoxyribonucleic acid (rDNA) and random amplification of polymorphic DNA. The isolates did not develop in Bulinus forskalii or B. crystallinus of the B. forskalii group. Some evidence for past hybridization of S. haematobium and S. intercalatum is provided by the enzyme and rDNA results as well as the positive Ziehl-Neelsen staining of polymorphic eggs in urine samples. The findings are discussed in relation to the published observations concerning schistosomiasis in travellers returning from this region of Mali.Transactions of the Royal Society of Tropical Medicine and Hygiene 88(6):653-6. · 2.16 Impact Factor -
Article: Efficacy of artesunate against Schistosoma mansoni infections in Richard Toll, Senegal.
Transactions of the Royal Society of Tropical Medicine and Hygiene 94(1):90-1. · 2.16 Impact Factor
Top co-authors
Top Journals
Institutions
-
1998–2003
-
Ghent University
- Faculty of Veterinary Medicine
Gent, VLG, Belgium
-
-
1997–2001
-
Natural History Museum, London
- Department of Zoology
London, ENG, United Kingdom -
Institut National de Recherche en Santé Publique
Nouakchott, NKC, Mauritania
-
-
2000
-
University of Nottingham
Nottingham, ENG, United Kingdom
-
