(391,'Kasongo Kayembe Jolie','FETP Guinée','jkayembe@afenet.net','dr','Vokpo','Lamah','male','guinea','lamavokpo@gmail.com','<p>GuiFETP</p>','alumni',NULL,'26/11/2022','intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Sidate Sékou Sylla, MOH, sidate2006@gmail.com \r\nSalomon Corvil, AFENET, scorvil@afenet.net\r\nNouonan Gbamou, MOH, gbamougb76@gmail.com  \r\nJolie Kasongo Kayembe, AFENET. jkayembe@afenet.net \r\nFodé Amara Traoré, MOH, fodistet@yahoo.fr','<p>Épidémie de fièvre de Lassa importée à la clinique privée de Gbessia dans la région de Conakry, août 2022</p>','<p>A la date du 09/08/2022, la clinique Gbessia a alerté la Direction de santé de Matoto de la survenue de deux cas suspects de fièvre hémorragique virale testés positifs pour fièvre lassa parmi son personnel, contact d\'un cas probable. Une investigation était menée pour déterminer l’ampleur et pour rompre la chaine de transmission.</p>','<p>Une étude de série de cas était réalisée. Les définitions des cas MVE de l’OMS étaient utilisées. Nous avons mené une recherche active des cas dans la communauté et structures visitées par les cas confirmés et probable. Tout cas suspect était testé par PCR pour Lassa, Ebola et Marburg. Les données étaient analysées sur Epi info 7.2 pour calculer proportions, médian et étendue. Une enquête environnementale était menée à Kissidougou et à Conakry.</p>','<p>Le cas index était un homme de 30 ans vivant à Kissidougou avec des symptômes de fièvre apparus le 21 juin 2022. Sans amélioration, il a été hospitalisé le 16 juillet à la clinique Gbessia pour dyspnée, méléna et hématémèse et décède le 25 juillet. Parmi 16 cas suspects identifiés, quatre (25%) étaient positifs, tous contacts du cas index. Des cas confirmés, quatre (66,7%) étaient personnel de santé de clinique Gbessia, deux (33,3%) membres de sa famille. L’âge médian : 30 ans et deux (28,6%) décès. Aucun personnel de santé n’a utilisé les mesures de prévention et de contrôle des infections (PCI). Cinquante-trois Mastomys natalensis étaient capturés à Kissidougou.</p>','<p>L\'épidémie de fièvre de Lassa était importée à Conakry et s\'est propagée parmi le personnel soignant et les membres de la famille en raison de l\'absence de mesures de PCI. La clinique était approvisionnée en matériel PCI. Nous recommandons de renforcer la PCI et d’éduquer la population d\'éviter tout contact avec les Mastomys et de les éliminer dans l\'environnement.</p>','<p>Fièvre, Lassa, épidémie, importée, Conakry, Guinée</p>','4','4','4','4','5','5',NULL,'Accept','Oral','Yes',NULL,'2024-04-09 10:13:00','2023-06-03 00:53:35',NULL,130),(392,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Amoussa','Tchoutcha','male','benin','amouss75@yahoo.fr','<p>Ministère de l\'Agriculture, de l’Elevage et de la Pêche</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','R. Koufèdé/Ministère de la Santé /koufederosette@gmail.com\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Profil épidémiologique de la rage humaine de janvier 2017 à juin 2022 au Bénin</p>','<p>La rage est une maladie virale qui touche le système nerveux des mammifères dont celui de l’homme. C’est une zoonose mondiale grave toujours mortelle. Au Bénin, la rage fait partie des maladies sous surveillance. L’objectif principal de cette étude était de décrire la distribution de la rage humaine au Bénin de janvier 2017 à juin 2022.</p>','<p>Une étude transversale descriptive a été réalisée. Les données ont été extraites de la base de surveillance du Ministère de la Santé et analysées avec Epi-Info 7.2. Les fréquences relative et absolue ont été calculées. La cartographie a été faite avec QGIS.</p>','<p>59 cas suspects de rage humaine ont été enregistrés. L’incidence cumulée sur la période d’étude était de 0,59 pour 100.000 habitants. Le sexe masculin 36 (62,7% ; IC 95% : [49,1-74,9]) et la tranche d’âge ≤ 14 ans 31 (52,5% ; IC à 95% : [40-64,7]) étaient les plus touchés. Tous les départements étaient touchés et les cas provenaient plus des zones rurales 47 (80% ; IC à 95% : [67,2-89]). Les centres de santé publics étaient les structures qui ont plus notifié les cas de rage humaine 26 (44% ; IC à 95% : [31,16-57,60]). La plupart des cas ont été confirmés cliniquement 55 (93% ; IC à 95% : [83,5-98,1]). La létalité était très élevée 49 (83 % ; IC à 95% : [71-91,6]). Les symptômes dominants étaient l’hydrophobie 7/14 (50% ; IC à 95% : [26,8-73,2]) et l’agitation 5/14 (35,7% ; IC à 95% : [16,3-61,2]). L’incidence la plus élevée a été observée en 2018 avec 0,19 pour 100000 habitants.</p>','<p>La rage humaine est présente dans tous les départements du Bénin avec des incidences variables. Des campagnes de sensibilisations des enfants de moins de 14 ans réduirait sont incidence.</p>','<p>Hydrophobie, Rage humaine, Incidence, Zoonose, Bénin.</p>','3','4','4','4','4','4',NULL,'Accept','Oral','Yes',NULL,'2024-04-10 10:13:00','2023-05-12 10:30:44',NULL,99),(393,'Dr Seogo Pedwindé Hamadou','Djibouti FETP','hseogo@afenet.net','mr','Abdi','Houssein Egueh','male','djibouti','abdihoussein13@hotmail.fr','<p>Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti</p>','alumni',NULL,'9/2/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','1.	Pedwindé Hamadou Seogo, Djibouti Field Epidemiology Training Program,African Field Epidemiology Network of Djibouti, seogoph@gmail.com\r\n2.	Prosper Ilunga Kelebwe, Djibouti Field Epidemiology Training Program, African Field Epidemiology Network of Djibouti, prosperkelebwe@yahoo.fr\r\n3.	Samatar Kayad Guelleh, Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti,  samatark@hotmail.fr \r\n4.	Sahra Moussa Bouh, Djibouti Field Epidemiology Training Program, Ministry of health, saharamousa62@yahoo.com\r\n5.	Ahmed Robleh Abdilleh, Ministry of health, ahmedrobleh@hotmail.com\r\n6.	Tatek Anbessie Bogale, African Field Epidemiology Network, btatek@afenet.net\r\n7.	Herbert Kazoora Brian, African Field Epidemiology Network, hkazoora@afenet.net\r\n8.	Houssein Youssouf Darar, Djibouti Field Epidemiology Training Program, Ministry of health, hyusef@gmail.com','<p>Investigation d’une flambée de conjonctivite à l’école de Garsale-Daba, Région de Dikhil, Djibouti, janvier 2022</p>','<p>Le 16 Janvier 2022, le Directeur de l’école de Garsale-Daba de Dikhil a alerté le Centre Médico- Hospitalier la présence de 20 cas de conjonctivite chez les élèves . Une investigation a été menée pour confirmer la flambée, caractériser le phénomène de santé et proposer les actions de réponses appropriées.</p>','<p>Une étude descriptive a été menée du 1er au 20 Janvier 2022 à l’école de Garsale-Daba. Un cas suspect de conjonctivite était défini comme toute personne de l’école de Garsale-Daba présentant de la rougeur des yeux, associée à des démangeaisons ou picotements ou écoulement clair ou purulent pendant la période d’étude. Un cas confirmé était un cas suspect confirmé par un ophtalmologue. Une recherche active de cas a été menée dans la communauté. Les données ont été collectées par entretien (enseignants et/ou parents) avec un questionnaire. Les données ont été analysées avec Excel. Les fréquences, proportions, médiane, taux et ratio ont été calculés.</p>','<p>Au total 257 cas suspects étaient enregistrés dont 88 confirmés. L’écoulement purulent et le larmoiement étaient les signes cliniques associés chez 68(77%) cas. L’âge médian de cas était de 7 ans (5-12ans). Cinquante cinq (63%) cas étaient de sexe féminin. Le cas index était un élève de la 2 ème année, âgé de 8 ans. Le taux d’attaque était de 31cas pour 100 élèves. La classe de la 2ème année était la plus affectée (30 cas). Plus de 80% de cas avaient reçu un traitement traditionnel. Tous les cas étaient pris en charge par l’équipe d’investigation.</p>','<p>L’investigation avait confirmé la flambée de la conjonctivite. La majorité de cas avaient une conjonctivite surinfectée causée peut être par les pratiques traditionnelles. La sensibilisation de la population est nécessaire pour renforcer leurs connaissances en santé des élèves et changer leurs mauvaises pratiques.</p>','<p>Investigation, flambée de conjonctivite, Etablissement scolaire, Garsale-Daba, Région de Dikhil, Djibouti, janvier 2022</p>','3','3','2','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2024-04-11 10:13:00','2023-05-24 11:08:06',NULL,161),(395,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Sanni','Salifou-Issaka','male','benin','salifou.sanni@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','M. Houémènou/Ministère de la Santé /modestehouemenou@yahoo.fr\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Evaluation du système de surveillance épidémiologique de la rougeole dans le département de la Donga en 2021</p>','<p>La rougeole constitue un problème de santé publique et l\'une des principales causes de décès infantiles évitables par la vaccination dans le monde. Dans le cadre de l’éradication et de l’élimination de la rougeole, un système de surveillance épidémiologique est en place. Le système de surveillance doit être évalué périodiquement pour vérifier son efficacité et apporter des améliorations. Le système de surveillance de la Donga n’a jamais été évalué d’où le but de notre étude.</p>','<p>Une étude transversale descriptive a été réalisée. Des interviews ont été réalisées auprès de 66 agents de santé intervenants dans la surveillance épidémiologique. L’organisation et le fonctionnement du système ont été décrits puis certains attributs à l’aide du guide du Centre de Contrôle et de Prévention des Maladies (CDC-Atlanta) ont été évalués. Les données ont été analysées avec Epi Info 7.2 avec un seuil 80% pour chaque attribut. Les fréquences absolue et relative ont été calculées.</p>','<p>Le système de surveillance de la rougeole dans le département est calqué sur le système de surveillance national. Le système est jugé simple car on observe une bonne disponibilité de la définition de cas et la maîtrise de définition des cas et du circuit de notification par les acteurs. Les données ne sont pas de bonne qualité car la proportion de fiche correctement renseignées était de 34,78%. L’acceptabilité est bonne avec une promptitude à 100%, une complétude à 89% et une notification à 73% pour le personnel de santé et 76% des relais communautaires. Le système est représentatif car il permet la description des cas en termes de personnes, temps et lieux.</p>','<p>Le système de surveillance de la rougeole en 2021 dans le département de la Donga était simple, représentatif et acceptable. Il faudra améliorer la qualité des données.</p>','<p>Evaluation, Rougeole, Santé publique, Bénin.</p>','2','2','2','2','3','2',NULL,'Reject','Rejected','Yes','<p>L\'objectif de l\'étude n\'est pas spécifique</p><p>Le raisonnement consistant à évaluer certains attributs et pas tous n\'a pas été clairement énoncé. Si le système n\'a jamais été évalué, tous les attributs auraient dû être examinés. Ou l\'auteur devrait indiquer pourquoi les attributs évalués ont été sélectionnés.</p><p>Certains résultats sont présentés sous forme de déclarations générales, comme le prévoient les lignes directrices du CDC pour l\'évaluation des attributs des systèmes de surveillance. L\'auteur n\'a pas montré clairement les résultats obtenus.&nbsp;</p>','2024-04-12 10:13:00','2023-05-12 11:21:11',NULL,99),(396,'Alex Riolexus Ario','Program Director','riolexus@uniph.go.ug','ms','Jane Frances','Zalwango','female','uganda','zalwangojf@uniph.go.ug','<p>Uganda Public Health Fellowship Program</p>','resident',NULL,NULL,'advanced','public-health-systems-strengthening-initiatives','Marie Gorreti Zalwango;  Uganda National Institute of Public Health; gzalwango@uniph.go.ug\r\nHelen Nelly Naiga;  Uganda National Institute of Public Health; naigahelen@uniph.go.ug \r\nRebecca Akunzirwe; Uganda National Institute of Public Health; akunzirwer@uniph.go.ug\r\nRonald Kimuli; Ministry of Health; \r\nLilian Bulage; Uganda National Institute of Public Health; lbulage@uniph.go.ug\r\nDaniel Kadobera; Uganda National Institute of Public Health; dkadobera@uniph.go.ug\r\nRichard Migisha; Uganda National Institute of Public Health; rmigisha@uniph.go.ug \r\nJulie Harris; US CDC;','<p>Increasing stockouts of critical malaria commodities in public health facilities in Uganda, 2017-2022</p>','<p>Consistent access to malaria treatment commodities at health facilities is necessary to address malaria morbidity and mortality. In Uganda, there needs to be documentation of the trends of stockouts of these commodities. We described the trends and spatial distribution of stockouts of malaria diagnostic and treatment commodities in Uganda, 2017-2022.</p>','<p>We analyzed monthly artemisinin combination therapy (ACT) and rapid diagnostic test (RDT) stock data from the District Health Information System (DHIS2) for public facilities at the general hospital level and below during 2017-2022. A facility was considered stocked out in a month if it reported ≥1 day of stockout of a commodity during that month. We calculated the proportion of facilities stocked out of ACT and RDTs per month and evaluated ACT stockouts by health facility type. We used the seasonal Mann-Kendall test and Sen’s slope estimator to evaluate trends. Districts were considered stocked out for a commodity in a year if the average monthly health facility stockout proportions were &gt;10% in that year.</p>','<p>Among an average of 2,210 facilities reporting per month (range, 1,341-2,791), most (56%) were Health Centre IIs. There were seasonal peaks in stockouts of ACTs and RDTs, with small peaks in December through February and sharp peaks in June through September. At the national level, we observed a significant increase in the monthly ACT (S=474, p&lt;0.001; Sen’s slope=+0.59) and RDT (S=444, p&lt;0.001; Sen’s slope=+0.616) stockouts over the study period. Monthly ACT stockouts increased significantly across all facility levels, with Health Centre IIs having the largest increase (S=472, p&lt;0.001; Sen’s slope=+0.697) while general hospitals reported the smallest increase (S=198, p=0.026; Sen’s slope=+0.201). Among 136 districts, the number of districts experiencing ACT stockouts increased steadily, from 5 in 2017 to 85 in 2022.</p>','<p>Malaria diagnosis and treatment commodity stockouts increased from 2017-2022 across Uganda. Reasons for this increasing trend should be explored and addressed to improve access to essential malaria treatment commodities.</p>','<p>Malaria, stockout, District Health Information System, Uganda</p>','3','3','4','3','4','3',NULL,'Accept','Poster','Yes',NULL,'2024-04-13 10:13:00','2023-05-29 10:33:47',NULL,190),(397,'Alain Magazani','RTC Afrique Centrale','amagazani@afenet.net','dr','Yannick','Mongonda','male','congo-democratic-rep','mongondayan@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Doulin Mbadu, Ministère de la Santé, sevendoulin@gmail.com\r\nBelinda Ayumuna, DRC FETP/AFENET, ayumunamalasi@gmail.com\r\nGauthier Mubenga, DRC FETP/AFENET, gauthiermubenga1@gmail.com \r\nKen Kayembe DRC FETP/AFENET, kkayembe@afenet.net\r\nLinda Matadi, DRC FETP/AFENET, matadibasadia@yahoo.com\r\nAlain Magazani, AFENET, amagazani@afenet.net\r\nLéopold Lubula, Ministère de la Santé, leopoldlubula@gmail.com','<p>Evaluation du système de surveillance de la rougeole dans la Province de Mongala, République Démocratique du Congo , juin 2021 à juin 2022</p>','<p>La rougeole demeure est problème de santé publique à travers le Monde. En République Démocratique du Congo, malgré le système de surveillance existant, la recrudescence des épidémies de la rougeole durant ces cinq dernières années n’a épargné aucune Province. Les recherches sur l’évaluation du système de surveillance restent méconnues. Nous avons réalisé cette étude pour évaluer la fonctionnalité du système de surveillance de la rougeole dans la Province de Mongala.</p>','<p>Il s’agit d’une étude descriptive transversale menée. La population d’étude a été constituée des personnels de santé chargés de la surveillance épidémiologique au niveau de formations sanitaires. Les données secondaires sur les cas de rougeole de la base des données de la Division Provinciale de la Santé de la Mongala pour la période de janvier 2018 à juin 2022 ont été utilisées pour l’évaluation des attributs quantitatifs notamment la valeur prédictive positive et la promptitude du système de surveillance.</p>','<p>Notre étude montre une prédominance de la catégorie Infirmière. La durée moyenne dans la fonction était de 7,8 ans. La Simplicité a présenté un score moyen de 55%, l’Acceptabilité 56%, la Valeur prédictive positive 0%, la Réactivité/Promptitude (29,2%), l’Utilité 46%, le système n’est pas représentatif. Les données agrégées ne permettent pas de décrire les caractéristiques cliniques à savoir : les signes cliniques et les résultats de laboratoire ainsi que les caractéristiques sociodémographiques notamment : le sexe et le statut vaccinal.</p>','<p>L’évaluation du système de surveillance de la rougeole a montré que le Système est peu simple, peu acceptable, moyennement représentatif et utile. Des interventions en termes de formation des acteurs, l’appui en outils de surveillance, en kit prélèvement et l’appui technique dans la riposte s’avèrent nécessaires pour améliorer le système de surveillance de la rougeole.</p>','<p>Evaluation, système, surveillance, rougeole, Mongala, RDC</p>','3','3','2','2','3','3',NULL,'Reject','Rejected','Yes','<p>Discordance entre les résultats et la conclusion</p>','2024-04-14 10:13:00','2023-05-15 12:02:26',NULL,202),(398,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Sanni','Salifou-Issaka','male','benin','salifou.sanni@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','M. Houémènou/Ministère de la Santé /modestehouemenou@yahoo.fr\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Profil épidémiologique de la rougeole dans le département de la Donga, Bénin, 2017 à 2021</p>','<p>La rougeole, maladie grave contagieuse et évitable par la vaccination, sévit dans tous les pays du monde. Depuis 2020 avec le contexte de COVID-19, les cas de rougeole n’ont cessé d’augmenter dans les pays africains du fait du retard de la vaccination des enfants. Au Bénin en 2018 le département a connu des foyers épidémiques, malgré la couverture vaccinale de la rougeole qui était à 93,9%. Cette étude vise à déterminer le profil épidémiologique des cas de rougeole enregistrés dans le département de la Donga de 2017 à 2021.</p>','<p>Il s’est agi d’une étude transversale descriptive qui a porté sur l’exhaustivité des cas suspects de rougeole notifiés dans la base de Surveillance Intégrée des Maladies et Riposte (SIMR) du département de la Donga de 2017 à 2021. Les données ont été extraites de la base puis apurées et analysées avec EPI-Info 7.2. Les fréquences relative et absolue ont été calculées. La cartographie a été faite avec QGIS.</p>','<p>Au total, 134 cas suspects de rougeole ont été notifiés dont 59 cas confirmés. L’incidence globale était de 18 pour 1000000 habitants. Le sexe ratio (H/F) à 1,1. Les enfants de 0 à 4 ans étaient les plus atteints 78,3% [70,4-85,0]. Durant la période d’étude, toutes les communes ont notifié au moins un cas. L’incidence globale était 6 fois plus élevée chez les sujets non vaccinés, et plus élevée dans la commune de Djougou (25 pour 1000000 habitants). L’incidence annuelle la plus élevée a été observée en 2018 dans la commune de Copargo (98 pour 1000000 habitants).</p>','<p>La rougeole sévit toujours dans le département de la Donga et se retrouve plus chez les enfants de moins de 5 ans non vaccinés. Un renforcement des stratégies de vaccination permettrait de réduire l’incidence de la maladie.</p>','<p>Rougeole, Vaccination, Incidence, Bénin</p>','3','3','3','4','3','3',NULL,'Accept','Poster','Yes','<p>Une étude analytique aurait fourni des meilleures informations.</p>','2023-04-28 10:13:00','2023-05-24 13:47:19',NULL,15),(399,'Alain Magazani','RTC Afrique Centrale','amagazani@afenet.net','dr','David','Ntumba','male','congo-democratic-rep','davnkana@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Belinda Ayumuna, DRC FETP/AFENET, ayumunamalasi@gmail.com\r\nThierry Kazembe, Ministère de la santé, drthierrykazembe@gmail.com\r\nVanessa Magazani, Ministère de la Santé, vanessa.magazani@gmail.com\r\nValérie Ngoyi, Ministère de la Santé, drvaleriengoie@gmail.com\r\nGauthier Mubenga, DRC FETP/AFENET, gauthiermubenga1@gmail.com \r\nKen Kayembe DRC FETP/AFENET, kkayembe@afenet.net\r\nLinda Matadi, DRC FETP/AFENET, matadibasadia@yahoo.com\r\nAlain Magazani, AFENET, amagazani@afenet.net\r\nLéopold Lubula, Ministère de la Santé, leopoldlubula@gmail.com','<p>Investigation d’un phénomène inconnu dans le village Nkonko, zone de santé de Lukafu, province du Haut Katanga, République Démocratique du Congo, aout 2022</p>','<p>Le 01 juillet 2022, une rumeur en provenance du village Nkonko, dans la Zone de santé Lukafu dans le Haut Katanga en République Démocratique du Congo, faisait état d’un phénomène inhabituel, mal identifié ayant entraîné la mort d’au moins 82 personnes et un déplacement de population depuis le mois de décembre 2021. Une investigation a été menée pour bien comprendre ce phénomène et mettre en place les mesures de contrôle.</p>','<p>Une étude descriptive transversale a été réalisée de décembre 2021 à août 2022. Les dossiers médicaux des suspects ont été examinés ; un entretien avec les survivants et les personnes ressources a été réalisé à l’aide d’un questionnaire électronique sur Kobocollect. Des prélèvements des échantillons ont été effectués dans l’environnement (eau de boisson) et sur les suspects pour une coproculture et hémoculture. Les analyses statistiques descriptives ont été réalisées avec SPSS version 23.</p>','<p>Au total, 115 cas suspects dont 45 décès (létalité : 39%) ont été identifiés avec un taux d’attaque global de 43 pour 10000. Le sexe ratio H/F=1,4 ; l’âge médian était de 19,5 ans (Xmin=1et Xmax=78) ; 83%(95/115) des cas présentaient la fièvre, frissons, douleurs abdominales, maux de tête, constipation, vomissement et diarrhée. Tous les cas n’avaient pas accès à l’eau potable ; 27%(31/115) des cas n’avaient pas des toilettes. L’évolution vers un abdomen aigu chirurgical était observée chez 46%(53/115) des cas. Les résultats de laboratoire ont identifié par exemple le Salmonella spp dans les selles ; le Staphylococcus simulans dans le sang ; le Proteus rettgeri et Citrobacter freundii dans l’eau.</p>','<p>Cette investigation a permis de confirmer l’épidémie de Salmonellose au village Nkonko. La prise en charge médicale ; la sensibilisation de la population sur les mesures d’hygiène et l’amélioration de l’accès à l’eau potable pourraient contribuer à réduire la morbi-mortalité liée à cette maladie</p>','<p>Investigation, phénomène inconnu, village Nkonko, Lukafu, Haut Katanga, République Démocratique du Congo</p>','3','3','4','3','4','4',NULL,'Accept','Poster','Yes','<p>RAS</p>','2024-04-15 10:13:00','2023-05-15 12:39:46',NULL,202);
INSERT INTO `reviewer_twos` VALUES (400,'KINDE Rébecca','FETP-TOGO','kinderebecca@yahoo.fr','mr','Kossivi','AHE','male','togo','kossivi_ahe@yahoo.fr','<p>FETP-TOGO</p>','alumni',NULL,'13/05/2022','frontline','vector-borne-and-neglected-tropical-diseases-ntds','Akawilou  N’djao: Direction préfectorale de la santé de Tchaoudjo\r\nRébecca Méyè Kindé: AFENET-TOGO  kinderebecca@yahoo.fr\r\nSalami Bebou: Direction Régionale de la Santé- Région Centrale  bebou31@yahoo.fr\r\nYendoube Douti: Centre de Formation et de Recherche en Santé Publique douti_victor@yahoo.fr\r\nKoffi Akolly: Institut National d\'Hygiène de Lomé  christestvivant@yahoo.fr','<p>Performance de la lutte contre le paludisme chez les enfants de moins de 5 ans dans le district sanitaire de Tchaoudjo au Togo de 2019 à 2021</p>','<p>Le paludisme reste un problème majeur de santé publique particulièrement chez les enfants de moins de 5 ans dans le district de Tchaoudjo au Togo malgré les stratégies de lutte mises en place. L’objectif de cette étude était d’évaluer les performances de la lutte contre le paludisme dans le district de Tchaoudjo entre 2019 et 2021</p>','<p>Il s’est agi d’une étude descriptive qui a porté sur les données de paludisme chez des enfants de moins de 5 ans enregistrées dans le district de Tchaoudjo de 2019 à 2021. Nous avons procédé à l’extraction des données de la base de DHIS2 et calculé les proportions à l’aide d’un classeur Excel®</p>','<p>Un total de 108092 cas suspects de paludisme étaient enregistrés chez les enfants de moins de 5 ans. Le Test de diagnostic rapide (TDR) était le test le plus utilisé (86,8%) dont 74,5% dans les structures sanitaires publiques. Environ 96% des enfants avaient bénéficié d’un test de confirmation et 66848 enfants étaient confirmés au paludisme (31,3%). L’incidence annuelle a diminué de 14,1% en 2019 à 10,8% en 2021&nbsp;pour le paludisme simple et de 11,4% en 2019 à 7,3% en 2021 pour le paludisme grave. La létalité a baissé de 6,7% à 5,7%. Les Combinaisons thérapeutiques à base d’Artémisinine (CTA) ont été utilisés chez 97,4% d’enfants confirmés.</p>','<p>Cette étude a montré le respect des directives de lutte contre le paludisme chez les enfants de moins de 5 ans dans le district de Tchaoudjo avec un impact notable en terme de morbidité du paludisme. Néanmoins la mortalité reste encore élevée . Le renforcement de la mobilisation sociale pour une meilleure adhésion à la ChimioPrévention Saisonnière va contribuer la réduction de cette mortalité.</p>','<p>Performance, paludisme, enfants de moins de 5 ans, Togo.</p>','2','2','3','2','3','3',NULL,'Accept','Poster','Yes','<p>Il n\'y a pas de données dans l\'introduction pour prouver que le palu est un problème majeur de santé publique.</p><p>Les methodes sont très brèves pour pouvoir repondre à l\'object</p><p>L\'étude étant évaluative, on devait comparer l\'incidence annuelle aux objectifs attendus du programme palu afin de dire qu\'on a été performant. Cependant la diminution observée est appréciable.</p><p>La conclusion ne repond pas bien à l\'objectif de l\'étude.</p><p>&nbsp;</p>','2024-04-16 10:13:00','2023-05-09 08:43:42',NULL,249),(401,'Alex Riolexus Ario','Program Director','riolexus@uniph.go.ug','dr','Peter Chris','Kawungezi','male','uganda','peter@uniph.go.ug','<p>Uganda Public Health Fellowship Program</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','Marie Gorreti Zalwango; Uganda Public Health Fellowship Program; gzalwango@uniph.go.ug\r\nRebecca Akunzirwe; Uganda Public Health Fellowship Program; rakunzirwe@musph.ac.ug\r\nRobert Zavuga; Uganda Public Health Fellowship Program; rzavuga@musph.ac.ug \r\nThomas Kiggundu; Uganda Public Health Fellowship Program; tkiggundu@musph.ac.ug \r\nBrian Agaba; Uganda Public Health Fellowship Program; agababrian@uniph.go.ug\r\nLawrence Oonyu; Uganda Public Health Fellowship Program; lemiruon@musph.ac.ug \r\nRichard Migisha; Uganda National Institute of Public Health; rmigisha@uniph.go.ug \r\nBenon Kwesiga; Uganda National Institute of Public Health; benon.kwesiga@uniph.go.ug \r\nDaniel Kadobera; Uganda National Institute of Public Health; dkadobera@uniph.go.ug \r\nLilian Bulage; Uganda National Institute of Public Health; lbulage@uniph.go.ug \r\nPeter Mudiope; Ministry of Health; pmudiope@gmail.com \r\nAlex Riolexus Ario; Uganda National Institute of Public Health; riolexus@uniph.go.ug \r\nJulie R. Harris; UC CDC; ggt5@cdc.gov','<p>HIV yield from assisted partner notification (APN) in Uganda: 2020-2022</p>','<p>HIV testing services (HTS) are crucial to achieving the 2025 UNAIDS global 95-95-95 targets. In Uganda in 2020, only 81% of persons living with HIV (PLHIV) knew their status, falling short of the first 95%. Routine HIV testing yielded only 2.7% positive during 2022. Assisted partner notification (APN), a targeted HIV testing method introduced in 2017, aims to identify PLHIV with unknown status using minimal resources by interviewing known HIV-infected persons about sexual partners and confidentially offering those partners HTS. We examined trends and distribution of HIV testing yield among partners aged ≥15 years in Uganda during 2020-2022.</p>','<p>We analyzed facility-based HTS data in the District Health Information System 2. We downloaded 6-month data for APN partners elicited, notified, tested for HIV, and linked to HIV care during January 2020-December 2022. The HIV-positive yield was calculated as the proportion of all partners tested (denominator) that tested HIV-positive (numerator). Logistic regression was used to analyze trends in HIV yield across all 15 health regions in Uganda.</p>','<p>Among 461,274 partners identified, 411,294 (89%) were notified; 331,622 (81%) of these were tested for HIV, and 71,518 (22%) tested positive. The overall yield was higher among female (23%) than male partners (20%) (p&lt;0.001). Six-monthly HIV testing yield in Bunyoro, South Central, and West Nile regions increased over the study period; Bunyoro increased the most (OR=1.10, 95% CI 1.07-1.11). The remaining 12 regions had decreasing yield; Teso Region decreased the most (OR=0.82, 95% CI 0.80-0.85).</p>','<p>APN improved the efficiency of finding PLHIV in Uganda from fewer than 1 in 30 to more than 1 in 5 persons tested. For unknown reasons, APN yield declined from 2020-2022 in many regions. Intensifying APN across the country, especially in regions with declining testing yield, could facilitate the identification of undiagnosed PLHIV and HIV elimination.</p>','<p>Uganda, assisted partner notification, HIV</p>','3','3','3','4','3','3',NULL,'Accept','Oral','Yes',NULL,'2024-04-17 10:13:00','2023-05-29 11:29:54',NULL,190),(402,'Rébecca KINDE','FETP-TOGO','kinderebecca@yahoo.fr','mr','Idrissa','Douti','male','togo','idrisdouti@gmail.com','<p>FETP-TOGO</p>','alumni',NULL,'2/12/2022','frontline','vaccine-preventable-diseases','Sabi Worou Direction régionale de la santé-Région de la Kara wsabi2003@yahoo.fr \r\nAbdel Kadère ALFA: Direction préfectorale de la Kozah jeune_2007@yahoo.fr\r\nKoffi Akolly: Institut National d\'Hygiène christestvivant@yahoo.fr\r\nRébecca Kindé: AFENET-TOGO  kinderebecca@yahoo.fr','<p>Impact de la pandémie de Covid-19 sur la vaccination contre la rougeole dans le district de la Kozah du Togo de 2019 à 2022</p>','<p>La vaccination contre la rougeole est mise œuvre dans le district de Kozah à travers des stratégies multiples du Programme Elargi de Vaccination. Le Togo connait depuis Mars 2020 la pandémie de Covid-19 mettant à rude épreuve le système sanitaire. Nous avons mené cette analyse pour évaluer l’impact de cette pandémie sur la vaccination dans ce district</p>','<p>Nous avons mené une étude descriptive portant sur les données de vaccination contre la Rubéole-Rougeole (RR) et de surveillance de la rougeole enregistrées de 2019 à 2022 dans le district de Kozah. Après extraction des données de leurs bases, nous avons calculé les proportions.</p>','<p>De 2019-2022, les couvertures vaccinales (CV) en RR1 et RR2 sont passées respectivement de 102,4% à 81,7% et de 111,2% à 61,3% . Le nombre de formations sanitaires ayant des CV &lt;80% est passé de 13 à 22 pour RR1et 10 à 29 pour RR2. Le taux d’abandon en Penta1/RR2 est passé de -5,8% à 32,5% et celui en RR1/RR2 de-8,4% à 22,5% . La proportion des stratégies avancées/mobiles dans les CV a diminué passant de 10% à 5,4% pour RR1 et 32,4% à 7,1% pour RR2. Par contre les cas suspects de rougeole ont augmenté passant de 16 à 83 de 2019-2022 avec une épidémie qui a commencé à la semaine 8 de 2022. En 2022, 96,3% des confirmés avaient moins de 9 ans et parmi eux 78% avaient 0 dose et 18% 1 dose.</p>','<p>Cette étude a montré une baisse des couvertures vaccinales anti-rougeoleuses , une augmentation du taux d’abandon vaccinal et une diminution des activités pendant la période active de la pandémie de Covid-19. Ceci aurait favorisé la survenue d’une épidémie en 2022. Nous recommandons le renforcement des activités de vaccination.</p>','<p>Couvertures vaccinales, vaccin antirougeoleux, épidémie de rougeole, Kozah, Togo</p>','3','3','5','4','4','4',NULL,'Accept','Oral','Yes','<p>Dans l\'introduction on n\'a pas suffisamment d\'arguments chiffrés.</p><p>Methodes trop succintes. Est-ce qu\'on fait des comparaisons de pourcentages calculés? Ceci devrait être développé.</p>','2024-04-18 10:13:00','2023-05-10 08:24:10',NULL,249),(403,'Alex Riolexus Ario','Program Director','riolexus@uniph.go.ug','ms','Alice','Asio','female','uganda','aasio@musph.ac.ug','<p>Uganda National Institute of Public Health</p>','alumni',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Lawrence Oonyu; Uganda National Institute of Public Health; lemiruon@musph.ac.ug \r\nDaniel Kadobera; Uganda National Institute of Public Health; dkadobera@uniph.go.ug\r\nBenon Kwesiga; Uganda National Institute of Public Health; benon.kwesiga@uniph.go.ug\r\nLillian Bulage; Uganda National Institute of Public Health; lbulage@uniph.go.ug\r\nAlex R. Ario; Uganda National Institute of Public Health; riolexus@uniph.go.ug\r\nDamian Rutazaana; Ministry of Health; damianamanya@gmail.com','<p>Investigation of a malaria upsurge soon after Indoor Residual Spraying (IRS) in four districts in Eastern Uganda, 2016─2021</p>','<p>Indoor Residual Spraying (IRS) is the application of a long-lasting residual insecticide to indoor household surfaces to control malaria. During 2016-2020, Uganda used Actellic and Sumishield insecticides for IRS. In 2021, to limit insecticide resistance, Fludora Fusion was introduced as a new IRS chemical for 85% of IRS households. However, four of 14 sprayed districts had malaria upsurges immediately after IRS. We evaluated the impact of IRS in these districts and investigated possible factors contributing to less effective IRS in 2021.</p>','<p>We analyzed malaria surveillance data from 2016-2021 from the District Health Information System (DHIS2) for the IRS-receiving districts of Serere, Pallisa, Kibuku, and Budaka. We compared the average monthly malaria incidence three months before and after IRS during 2016-2020 with incidence three months before and after IRS in 2021. We conducted focus group discussions and key informant interviews with district teams involved in IRS to assess chemical transportation, storage, mixing, training, spraying, and quality control.</p>','<p>The average monthly malaria incidence during three months before IRS during 2016-2020 was 4.2/1,000 vs 0.8/1,000 during the three months after IRS. The average monthly incidence during the three months before IRS in 2021 was 3.6/1,000, versus 3.9/1,000 after IRS. Interviewees reported proper storage during transport to district stores and at the stores, use of IRS-experienced teams to conduct the 2021 IRS, and four-day trainings on IRS use with practical sessions on chemical mixing, storage, spraying, and quality assurance at every stage. Morning spraying ‘drills’ were done with IRS operators at the start of each IRS day. Teams were supervised by expert staff in IRS.</p>','<p>Fludora Fusion IRS in 2021 appeared to have provided reduced protection in the four districts evaluated despite procedural adherence. This may reflect reduced chemical effectiveness. We recommended that the IRS chemical be returned to Actellic or Sumishield for 2022.</p>','<p>Malaria, Indoor residual spraying (IRS), insecticide</p>','3','3','2','3','3','3',NULL,'Accept','Poster','Yes','<p>The authors need to have stated the effective or efficacy study was done on the Fludora Fusion chemical before selection and described the variables they controlled for in the analysis like the time of the year the spray was implemented.&nbsp;</p>','2024-04-19 10:13:00','2023-05-29 10:43:23',NULL,190),(404,'KINDE Rébecca','FETP-TOGO','kinderebecca@yahoo.fr','mr','Kokou','Ayamekpe','male','togo','akojacq@yahoo.fr','<p>FETP-TOGO</p>','resident',NULL,NULL,'intermediate','vaccine-preventable-diseases','Amegnikpa  Améyissa: Centre National de Transfusion Sanguine de Lomé   aa.patron@yahoo.fr\r\nWama P\'lakim  Ouyengah: Centre National de Transfusion Sanguine de Lomé  wamsinno@yahoo.fr\r\nKoboyo Liza Nadjir: Centre National de Transfusion Sanguine de Lomé  lizanadir@yahoo.fr\r\nLochina Fétéké: Centre National de Transfusion Sanguine de Lomé  christestvivant@yahoo.fr\r\nKoffi Akolly: Institut National d\'Hygiène de Lomé\r\nRébecca Kindé : AFENET  kinderebecca@yahoo.fr\r\nPéléké Hilim : USAID  hilimalain@yahoo.fr\r\nWiniga Koudéma: Consultant IVD/Polio OMS winigalog@yahoo.fr\r\nPapissi Gnansa: Centre d\'Opération des Urgences de Santé Publique gnansa1@yahoo.fr\r\nDidier Koumavi Ekouevi: Centre de formation et de recherche en santé publique de Lomé   didier.ekouevi@gmail.com','<p>Profil Épidémiologique des Hépatites Virales B et C chez les Primo-donneurs de Sang au Centre National de Transfusion Sanguine de Lomé de 2020-2022</p>','<p>Les hépatites B(VHB) et C(VHC) sont des maladies infectieuses virales spécifiques du foie pouvant évoluer vers la chronicité. Elles font parties des infections transmissibles par transfusion et sont automatiquement recherchées chez tout donneur de sang au Centre National de Transfusion Sanguine (CNTS) de Lomé. L’objectif de l’étude est de décrire le profil épidémiologique des hépatites B et C chez les primo-donneurs de sang au CNTS.</p>','<p>Il s’est agi d’une étude transversale descriptive portant sur les primo-donneurs de sang au CNTS de 2020 à 2022. Nous avons procédé à une extraction exhaustive de données secondaires de la base de données du CNTS. Les données extraites ont été analysées par Epi info 7. Nous avons calculés les proportions avec IC à 95%, la moyenne et son écart type.</p>','<p>De 2020 à 2022, 579 cas ont été confirmés d’hépatites virales chez 20278 primo-donneurs soit une prévalence globale de 2,8 % IC95% (2,6-3,0). Cette prévalence globale a varié de 3,3% à 1,9% entre 2020 et 2022. La proportion de VHC était de 63% IC95% (59,4-67,2). L’âge moyen des primo-donneurs infectés était de 30,4±7 pour le VHB et 28,4±6 pour le VHC. La tranche d’âge de [20-30 ans[ était plus représentée dans les 2 formes d’hépatites (52,8% IC95% (45,8-59,7) pour VHB et 57,4% IC95% (52,3-62,4) pour VHC). Parmi les infectés, 56,6% IC95%&nbsp;(52,5-60) étaient des élèves/étudiants. Dans les 2 formes d’hépatites, les célibataires prédominaient (79 % IC95% (73,5-84,4) pour VHB et 75,4% IC95% (70,9-79,8) pour VHC).</p>','<p>Notre étude montre une prédominance du VHC chez des élèves et jeunes étudiants primo-donneurs au CNTS de Lomé. Une éducation intensive, un dépistage de masse et une vaccination des personnes séronégatives sont recommandées. Une étude prospective analytique permettra de rechercher les facteurs associés à la prédominance du VHC.</p>','<p>Epidémiologie, hépatite B, Hépatite C, Primo-donneurs, Lomé (Togo)</p>','2','3','4','3','5','4',NULL,'Accept','Oral','Yes','<p>L\'introduction manque des chiffres sur l\'ampleur du problème.</p><p>Le site de l\'étude n\'est pas mentionné dans les méthodes.</p><p>La prise en charge thérapeutique est un maillon important d\'action de santé publique dans la prise en charge des hépatites virales après le dépistage massif que vous avez mentionné.</p><p>L\'étude est bien agencée et donne des informations importantes pour informer les actions de santé publique au Togo.</p>','2024-04-20 10:13:00','2023-05-10 08:40:45',NULL,249),(405,'Alain Magazani','RTC Afrique Centrale','amagazani@afenet.net','dr','Mounier','Bulaba','male','congo-democratic-rep','bulabamounier777@gmail.com','<p>Ministère de la Santé</p>','alumni',NULL,'17/12/2021','advanced','vaccine-preventable-diseases','Constatin Mbayo, International Medical Corps, mbayomwadyanvita65@gmail.com\r\nBelinda Ayumuna, DRC FETP/AFENET, ayumunamalasi@gmail.com\r\nGauthier Mubenga, DRC FETP/AFENET, gauthiermubenga1@gmail.com \r\nKen Kayembe DRC FETP/AFENET, kkayembe@afenet.net\r\nLinda Matadi, DRC FETP/AFENET, matadibasadia@yahoo.com\r\nAlain Magazani, AFENET, amagazani@afenet.net\r\nLéopold Lubula, Ministère de la Santé, leopoldlubula@gmail.com','<p>Profil épidémiologique des paralysies flasques aiguës et des poliomyélites dérives du vaccin au cours de l’épidémie dans la zone de santé de Nyunzu en 2022</p>','<p>Depuis Mai 2017, la RDC a enregistré 703 cas de poliovirus circulant dérivé de la souche vaccinale (cVDPV) dont 686 issus des Paralysies Flasques aigues (PFA). En 2022, plus de 436 cas de cVDPV ont été répertorié parmi lesquels 142 provenaient de la Province du Tanganyika dont fait partie la zone de santé de Nyunzu et pour lesquels plusieurs ripostes ont été organisées sans résultats escomptés. L\'objectif de cette étude était de décrire le profil épidémiologique des cas de PFA et de cVDPV pour améliorer les actions de Santé Publique.</p>','<p>Une étude descriptive a été réalisée à partir des formulaires d’investigation de tous les cas de paralysies flasques aiguës identifiés dans la zone de santé de Nyunzu pour l’année 2022. Les données ont été analysées avec le logiciel Microsoft Excel 2016 et R, à 95% d’intervalle de confiance.</p>','<p>Sur 96 cas de PFA, 13 [7,4 - 22,0] étaient cVDPV positifs. Les cas des PFA et des cVDPV étaient respectivement en pourcentage : Majoritairement féminin (51,0 vs 53,8) ; âgés de 12 à 59 mois (71,9 vs 100,0) ; étaient « zéro dose » (41,7 vs 69,2) ; n’étaient pas complètement immunisé au vaccin contre la poliomyélite (82,3 vs 100,0). La paralysie concernait les membres inferieurs (77,0 vs 71,8). Nonante deux virgule sept pourcent d’alertes PFA étaient investiguées dans les 24 heures et 75,0 % des 2è échantillon des selles prélevées étaient expédiées dans les 48 heures au laboratoire.</p>','<p>La couverture vaccinale contre la poliomyélite demeure très faible dans la zone de santé de Nyunzu. La proportion d’enfants « zéro dose » est très élevée ; D’où la propension aux épidémies. Le renforcement de la vaccination de routine et supplémentaire s’avère impérieux</p>','<p>Paralysie Flasque aigue, cVDPV, Nyunzu, RDC</p>','3','3','3','3','3','3',NULL,'Accept','Poster','Yes','<p>RAS</p>','2024-04-21 10:13:00','2023-05-21 00:58:55',NULL,202),(406,'Alex Riolexus Ario','Program Director','riolexus@uniph.go.ug','mr','Grace Karimu','Asiimwe','male','uganda','asiimwekg@yahoo.com','<p>Kiruhura District</p>','resident',NULL,NULL,'frontline','non-communicable-diseases-ncds-injuries-and-mental-health','Fred Monje; Uganda National Institute of Public Health; fredmonje@musph.ac.ug \r\nDoreen N. Gonahasa; Uganda National Institute of Public Health; dorynegona@uniph.go.ug\r\nIrene Byakatonda Kyamwine; Uganda National Institute of Public Health; ikyamwine@uniph.go.ug','<p>Prevalence and spatial distribution of animal Bites in Kiruhura District, Uganda, 2021.</p>','<p>Animal bites are a proxy to rabies disease; a problem in many localities in Africa. Uganda conducts surveillance for animal bites. However, in 2021, the rate and distribution of animal bites in Kiruhura District was not known. We therefore described the prevalence and geographical distribution of animal bites in Kiruhura District to inform district specific programming.</p>','<p>We abstracted animal bite data from the District Health Information System for all the sub counties in Kiruhura District, January to December 2021. We analyzed data using Ms excel. We computed prevalence and generated descriptive statistics.</p>','<p>A total of 195 animal bites were reported in 2021. The general incidence was 47 bites/ 100,000 population. One hundred and thirteen bites were categorized as domestic or wild animal bites. Among the categorized bites, domestic bites 102 (90.3%) ranked highest compared to wild animal bites 11 (9.7%). Majority of the animal bites were reported in Rushere Town council 92 (47.2%) followed by Kiruhura Town Council 79 (40.5%). Animal bites were reported throughout the year. The highest number of animal bites were seen in July 36 (18.5%) and the least number was observed in June 11 (5.6%), September 11 (5.6%) and November 11 (5.6%).</p>','<p>Animal bites in Kiruhura District remain high compared to the national average. We recommended development of targeted intervention programs, such as raising public awareness and vaccination of domestic animals.</p>','<p>Animal bites, Zoonosis, Prevalence, Uganda</p>','2','2','3','3','2','2',NULL,'Reject','Rejected','Yes',NULL,'2024-04-22 10:13:00','2023-05-29 11:03:48',NULL,190),(407,'Alex Riolexus Ario','Program Director','riolexus@uniph.go.ug','mr','Anthony','Ziryamunno','male','uganda','ziryamunnoanthony@gmail.com','<p>Kayunga District</p>','resident',NULL,NULL,'frontline','one-health-and-climate-change','Francis Ssendagire; Kayuinga District; \r\nCyrus Nakyewa; Kayuinga District; \r\nBrain Ssengendo; Kayuinga District; \r\nRonald Kanakulya; Kayuinga District; \r\nWinfred Nakaweesi; Uganda National Institute of Public Health; winfrednakaweesi@musph.ac.ug\r\nIrene Byakatonda Kyamwine; Uganda National Institute of Public Health; ikyamwine@uniph.go.ug','<p>African Swine Fever: An increased burden to pig communities in Kangulumira Sub County, Kayunga District, June 2022</p>','<p>On 8 June 2022, Kayunga District Veterinary Department was notified of suspected African Swine Fever in Kangulumira Sub County, Kayunga District, Uganda. African swine fever is a highly contagious and fatal viral disease of both domestic and wild pigs. Mortality rate can reach 100%. We investigated to determine the scope of the outbreak, identify exposures for transmission and recommend evidence-based control and prevention measures.</p>','<p>We defined a suspected case as onset of dullness or loss of appetite, with any one of the following signs; fever (≥40.50C), vomiting, diarrhea, reddening or darkening of the skin, eye discharge, labored breathing and coughing, abortion, still births or weak litters, unwillingness to stand, or sudden death, in a pig in Kangulumira SC from 1st June to 30th June, 2022. A confirmed case was a suspected case with positive results of African swine fever. We reviewed surveillance reports and visited farms to identify cases. We also conducted 27 key informant interviews to identify exposures.</p>','<p>We identified 173 suspected cases from 12 farms including 51 confirmed cases. Case fatality rate was 91%. Responses from key informants for how the disease spread were that; from traders visiting the farm from previously infected regions, 17(63%) from transportation of pigs for mating, 15 (55.5%) from stocking and restocking from previously infected regions, 9 (33.3%) from density of small holder farmers, 5(18.5%) from sharing borders with ASF affected farms, and 3 (11.1%) from pig population density.</p>','<p>Human mediated activities and smallholder pig operations were the main drivers of this outbreak. We recommended district mediation of activities and monitoring of smallholder pig operations to avoid transmission. We also recommended intensifying sensitization of communities on prevention and control measures of African swine fever.</p>','<p>African Swine Fever, Burden, Kayunga District</p>','3','2','2','2','3','2',NULL,'Reject','Rejected','Yes','<p>A confirmed case was a suspected case with positive results of African swine fever. What type of tests were done and who were the participants of the KII? Was the CFR among the confirmed or suspected cases? The KII findings were presented in proportions as if they were quantitative findings</p>','2024-04-23 10:13:00','2023-05-29 11:57:22',NULL,190),(408,'Addmore Chadambuka','Assistant Field Coordinator','achadambuka1@yahoo.co.uk','dr','Godwin','Choga','male','zimbabwe','chogagodwin@gmail.com','<p>Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit. University of Zimbabwe, Harare, Zimbabwe.</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','Godwin Choga, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit. University of Zimbabwe, Harare, Zimbabwe \r\nO Mugurungi,  National AIDS and TB Program, Mukwati Building, Harare, Zimbabwe.\r\nG Shambira, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit. University of Zimbabwe, Harare, Zimbabwe \r\nA Chadambuka, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit. University of Zimbabwe, Harare, Zimbabwe \r\nTP Juru, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit. University of Zimbabwe, Harare, Zimbabwe \r\nNT Gombe Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit. University of Zimbabwe, Harare, Zimbabwe and Africa Field Epidemiology Training Network, Harare, Zimbabwe\r\nM Tshimanga Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit. University of Zimbabwe, Harare, Zimbabwe','<p>Self-discontinuation of pre-exposure prophylaxis among adolescent girls and young women in Mazowe District, Zimbabwe, 2021</p>','<p>Adolescent girls and young women (AGYW) in Zimbabwe are at high risk of acquiring HIV. In 2020, HIV incidence among AGYW was 9.5 times that of males. AGYW are targeted for Pre-Exposure Prophylaxis (PrEP) as part of combination HIV prevention. In Mazowe district, 28.7% of AGYW initiated on PrEP in 2021 self-discontinued within a month of commencement. This reduces PrEP effectiveness and increases risk of emergence of HIV drug resistance. We determined factors associated with PrEP self-discontinuation among AGYW in Mazowe.</p>','<p>We conducted an analytical cross-sectional study among 384 AGYW. Participants were randomly selected proportionate to number initiated on PrEP in 20 health facilities in Mazowe District. Using Interviewer-administered questionnaires data was collected on sexual behaviour, reasons for starting PrEP and determinants of self-discontinuation. We performed logistic regression analysis to determine independent factors for PrEP self-discontinuation.</p>','<p>Of the 384 AGYW, 57.8% were married, 24.5% were divorced and 17.7% had never married. Reasons for starting PrEP among AGYW were multiple sexual partners (29.2%) and promiscuous sexual partner (29.2%). Prevalence of PrEP self-discontinuation was 41% with a median time to self-discontinuation of 4 (IQR 2-5) months. Of 157 AGYW who self-discontinued PrEP, 59.2% had multiple sexual partners and 57.3% had transactional sex in the preceding 6 months. Independent factors associated with PrEP self-discontinuation among AGYW were being a sex worker [aOR 4.86; 95% CI (1.33-17.69)], non-disclosure of PrEP status to sexual partner [aOR 3.63; 95% CI (2.13-6.19)], being discouraged to take PrEP by sexual partner [aOR 3.04; 95% CI (1.31-7.04)] and experiencing PrEP side effects [aOR 2.38; 95% CI (1.49-3.81)].</p>','<p>Sex work, lack of partner support and PrEP side effects were significant risk factors for self-discontinuation of PrEP. Economic empowerment projects for AGYW to reduce sex work, community awareness and provision of differentiated, client centred PrEP services may enhance PrEP retention.</p>','<p>adolescent, pre-exposure prophylaxis, discontinuation, HIV, Zimbabwe</p>','0','4','4','4','4','4',NULL,'Accept','Poster','Yes',NULL,'2024-04-24 10:13:00','2023-05-14 21:23:43',NULL,11),(409,'Dr Maame Amo-Addae','Resident Advisor','mamoaddae@afenet.net','mr','Dedesco Doebia','Gweh','male','liberia','dedesco1212@yahoo.com','<p>Maryland County Health Team, Liberia</p>','alumni',NULL,'10/3/2017','intermediate','vaccine-preventable-diseases','Chukwuma D. Umeokonkwo, Liberia Field Epidemiology and Laboratory Training Program, dchukwuma@afenet.net\r\nHimiede Sesay, Liberia Field Epidemiology and Laboratory Training Program, whwhimwil3@yahoo.com\r\nObafemi J. Babalola, Liberia Field Epidemiology and Laboratory Training Program, jbabalola@afenet.net\r\nMaame Amo-Addae, Liberia Field Epidemiology and Laboratory Training Program, mamoaddae@afenet.net','<p>Measles Outbreak in Harper and Pleebo Districts, Maryland County, Liberia, 2022</p>','<p>Measles is a highly contagious disease caused by the measles virus. In Liberia, only one dose of the measles vaccine is given at nine months of age. Liberia had been in a protracted measles outbreak since December 2021. Maryland County is one of the 15 counties in Liberia and administratively reported a measles vaccination coverage of 82% for 2021. On February 2, 2022, a Community Health Promoter reported five suspected cases of measles from Harper City, Maryland County, Liberia. We investigated to verify the outbreak in the county, identify the source and implement control measures.</p>','<p>Methods: We defined a suspected case as anyone from Harper and adjoining Pleebo districts who presents with fever and maculopapular (non-vesicular) generalized rash and cough, coryza or conjunctivitis (red eyes) or any person in whom a clinician suspects measles from January 2022. A probable case was defined as anyone who presents with the signs and symptoms above with a history of close contact with a confirmed and a confirmed case is a suspect case in whom measles was confirmed by the laboratory test during the period. We conducted active case search, isolated the cases, and identified and followed up on contacts. Blood samples were sent to the reference laboratory for confirmation. We analyzed our data descriptively and vaccinated all eligible children in the affected communities.</p>','<p>Of the 120 cases identified, 20 were laboratory-confirmed and 100 were epidemiologically linked. The median age of the cases was 5 years (IQR: 3-7). Females constituted 55.0% (66/120) of cases and 19.2% (23/120) had not received measles vaccination. There were no deaths and none of the 312 contacts became a case after 14 days of follow-up. A total of 79 children received a measles-containing vaccine during the reactive vaccination.</p>','<p>This was a confirmed measles outbreak in Harper and Pleebo districts. The outbreak could be due to the effect of the COVID-19 pandemic on routine immunization. There is a need to evaluate measles vaccination in the districts</p>','<p>Measles, Outbreak, Liberia, Immunization</p>','3','2','2','3','5','2',NULL,'Accept','Poster','Yes',NULL,'2024-04-25 10:13:00','2023-05-05 15:02:02',NULL,34),(410,'Kasongo Kayembe Jolie','FETP Guinée','jkayembe@afenet.net','dr','Bassirou Thierno','Balde','male','guinea','bassirbalde@gmail.com','<p>GuiFETP</p>','alumni',NULL,'26/11/2022','intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Jolie Kasongo Kayembe, AFENET, jkayembe@afenet.net\r\nNouonan Gbamou, MOH, gbamougb76@gmail.com   \r\nFanton Kourouma, AFENET, mkourouma@afenet.net\r\nFodé Traoré, MOH, fodistet@yahoo.fr\r\nSalomon Corvil, AFENET,scorvil@afenet.net','<p>Maladie à virus de Marburg : séroprévalence, facteurs associés, connaissances, attitudes et pratiques de la population de trois sous-districts de Guéckédou, mai 2022</p>','<p>En août 2021, la Guinée a notifié le premier cas de maladie à virus Marburg (MVM), où 172 contacts (99,4 %) étaient recensés. Une étude écologique a identifié des grottes avec chauves-souris. La réticence de la communauté était notée. Cette étude vise à estimer la séroprévalence, identifier les facteurs associés et évaluer les connaissances, attitudes, pratiques des populations.</p>','<p>Nous avons mené une étude analytique transversale parmi les personnes de 15 ans et plus. Trente-huit grappes étaient choisies par échantillonnage en grappe de la base de l\'Institut national des statistiques et 1111 individus par échantillonnage aléatoire simple. Vingt ml de sang étaient prélevés chez les adultes et 10 ml chez les enfants. Nous avons effectué un test ELISA à Atlanta. Le niveau de connaissance était classé en faible, modéré, élevé. Attitudes en positive et négative et pratiques en bonne et mauvaise. Fréquences, rapport de prévalence (RP) avec intervalles de confiance à 95 % étaient calculés en utilisant Epi Info 7.2.4 et R.</p>','<p>La séroprévalence globale était : 4(0,4 %), chez les contacts à haut risque : 36,4%, Témessadou M\'Boké : 1,6%. De 984 personnes, 92% avaient de faibles connaissances, 66 % une attitude positive, 80 % des mauvaises pratiques. Les facteurs associés : être contacts à haut risque : [RP=151,1 ; IC95% (20,8-1106)], vivre à Témessadou M\'Boké : [RP=12,2 ; IC95% (1,35-123)], mineur [RP=17,64 ; IC95% (5,98-51,96)], bûcherons [RP=14,9 ; IC95% (4,94- 45. 06)], agents de santé [RP=9.7 ; 95%CI (3.07-30.66)].</p>','<p>La séroprévalence de MVM est faible mais élevée chez les contacts à haut risque et à Témessadou M\'Boké. Faible connaissance, attitude positive et mauvaises pratiques. Être contact à haut risque, mineurs, bûcherons, agents de santé étaient des facteurs de risque. Les résultats étaient utilisés pour élaborer un plan de communication axé sur les populations à haut risque.</p>','<p>séroprévalence, facteurs associés, connaissance, attitude, pratique, virus de Marburg, Guéckédou, 2022</p>','4','4','4','4','4','4',NULL,'Accept','Oral','Yes',NULL,'2024-04-26 10:13:00','2023-06-03 00:58:32',NULL,130),(411,'Addmore Chadambuka','Assistant Field Coordinator','achadambuka1@yahoo.co.uk','mr','Derek','Masokovere','male','zimbabwe','dmasokovere@gmail.com','<p>University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe</p>','resident',NULL,NULL,'advanced','vaccine-preventable-diseases','Daniel Chirundu Kadoma City Health Department, Kadoma, Zimbabwe dchirundu@icloud.com\r\nTsitsi Patience Juru University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe jtsitsi@afenet.net\r\nAddmore Chadambuka University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe achadambuka1@yahoo.co.uk\r\nGerald Shambira University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe gshambira@afenet.net\r\nNotion Tafara Gombe African Field Epidemiology Network, Harare, Zimbabwe, ngombe@afenet.net\r\nMufuta Tshimanga  University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe Mtshimanga@afenet.net','<p>Demographic and clinical characteristics of COVID-19 deaths, Kadoma City, September 2020-August 2021: A secondary data analysis</p>','<p>Zimbabwe recorded the highest Case Fatality Rate (CFR) for COVID-19 of 3.5% from June to September 2021. Kadoma City had CFR of 10% in the third wave which was above the national average. We analyzed demographic and clinical characteristics of COVID-19 deaths in Kadoma City from September 2020 to August 2021 to inform targeted prevention measures. Analysis of COVID-19 deaths will help identify and describe the demographic and clinical characteristics and inform targeted prevention measures. We described demographic and clinical characteristics of COVID-19 deaths in Kadoma City, September 2020- August 2021.</p>','<p>We conducted a secondary data analysis of129 records of COVID-19 deaths for the period from September 2020 to August 2021 obtained from the Kadoma City COVID-19 death line list. Variables analyzed included age, sex, signs and symptoms, co-morbidities, treatment received, date of diagnosis, date of death and survival time from date of diagnosis. We generated frequencies, proportions and estimated the median time to death from diagnosis, the age and sex distribution and spatial distribution of deaths in Kadoma City.</p>','<p>Of the 129 records of COVID-19 deaths, Males contributed 79 (61%) and the median age at death was 67 years [Interquartile range (IQR):47-80]. The median time to death from date of diagnosis was 3 days (IQR: 2-5). The major cause of death was acute respiratory distress syndrome (ARDS) 127 (98%). The commonest comorbidities were diabetes 28 (45%) and hypertension 28 (45%).</p>','<p>The majority of the elderly were living with comorbidities. Old age also makes them vulnerable to death from viral diseases such as Covid-19. COVID-19 deaths occurred mainly among the elderly and those with comorbidities. ARDS was the major cause of death. We recommended mobilisation of resources for contact tracing and patient monitoring to strengthen surveillance, risk communication and community engagement and acquiring of COVID-19 vaccines for targeted vaccination of the elderly and those with comorbidities.</p>','<p>covid-19, deaths, clinical characteristics</p>','3','3','4','4','4','3',NULL,'Accept','Poster','Yes',NULL,'2024-04-27 10:13:00','2023-05-14 21:24:50',NULL,11),(412,'Maurice Owiny','Scientific Writer','mowiny@feltp.or.ke','dr','Sarafina','Sikwata','female','kenya','sikwatapharmd@yahoo.com','<p>Kenya FELTP</p>','alumni',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Emanuel Okunga, Division of Disease Surveillance and Response MoH Kenya, okungae2012@gmail.com\r\nMark Matheka, Kenya FELTP, macndosh@gmail.com\r\nKenneth Nyoni, Division of Disease Surveillance and Response MoH Kenya, knyoni103@gmail.com\r\nEvaline Kanyina, Division of Disease Surveillance and Response MoH Kenya, jkanyina@yahoo.com\r\nFredrick Odhiambo, Kenya FELTP, fodhiambo@feltp.or.ke\r\nAhmed Abade, Kenya FELTP, aabade@feltp.or.ke','<p>Cholera Outbreak following a Wedding Party in Kiambu, Central Kenya</p>','<p>On October 9, 2022, the Division of Disease surveillance and Response (DDSR) was notified of suspected cholera outbreak presenting as acute watery diarrhea among people who attended a wedding ceremony in Kiambu, Kenya. We investigated to characterize the outbreak and implement control measures.</p>','<p>We conducted a retrospective cohort study. We defined probable case as any person who attended the wedding and had profuse watery diarrhea of acute onset with more than 3 episodes in 24 hours, and confirmed case as any attendee with positive RDT for Cholera or isolation of Vibrio cholera. We conducted physical and phone call interviews with wedding attendees and their contacts. We collected socio-demographic, clinical information and calculated descriptive and analytic statistics. We conducted environmental assessment using a checklist and collected water and stool samples for laboratory investigation.</p>','<p>We interviewed 104 wedding attendees of whom 68% (71) met our case definition; The mean age for cases was 52±14 years with 54% (38/71) being male and 80% came from Kiambu and Nairobi Counties. Hospitalization rate among cases was 27% (19/71), with 73% (14) being males and aged above 50 years. At the time of interview, only 11%(2) of the hospitalized were still admitted. The attack rate among those who ate grilled chicken breast was 66% (57/86). The risk of getting cholera was two times more among those aged 50–89 years than those below 50 years (Risk Ratio: 2.6, 95% CI: 1.1–6.3). Water samples had coliforms and Vibrio cholerae 01 Ogawa strain was isolated from nine stool samples.</p>','<p>Contaminated water could have been used during the wedding. Those who ate grilled chicken breast and those aged above 50 years were most affected. We recommended scale up of active case search in the community, and distributed water chlorination chemicals to the affected community members.</p>','<p>Cholera, outbreak, Contamination, Vibrio Cholera, Kenya.</p>','3','4','4','3','3','4',NULL,'Accept','Oral','Yes',NULL,'2024-04-28 10:13:00','2023-05-08 13:26:29',NULL,20),(413,'Addmore Chadambuka','Assistant Field Coordinator','achadambuka1@yahoo.co.uk','mrs','Theresa','Hamutyinei-Dhliwayo','female','zimbabwe','thamutyinei@gmail.com','<p>University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','Collen Madembo, Harare City Health Department, Harare, Zimbabwe \r\nGerald  Shambira,  University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe gshambira@afenet.net\r\nProsper Chonzi ,  Harare City Health Department, Harare, Zimbabwe\r\nTsitsi Patience Juru,  University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe jtsitsi@afenet.net\r\nAddmore Chadambuka,  University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe achadambuka1@yahoo.co.uk\r\nNotion Tafara Gombe University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe and African Field Epidemiology Network, Harare Zimbabwe \r\nMufuta Tshimanga University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe Mtshimanga@afenet.net','<p>Recent HIV infections among newly diagnosed HIV positive clients, Harare City, Zimbabwe, January 2021 - June 2022: A Secondary Data Analysis</p>','<p>Zimbabwe introduced rapid testing for recent infection into routine HIV testing services in 2019, to differentiate between recent (in the past 12 months) and long-term HIV infections. We analysed data on HIV recent infections to estimate HIV incidence, understand transmission patterns in order to better inform the public health response.</p>','<p>We conducted a retrospective record review, cross-sectional study in Harare (January 2021 - June 2022). We included all 687 records of HIV recent infections. Our data sources were the HIV Testing Services and contact tracing registers. Epi-info 7 was used to compute frequencies, means and proportions. We used QGIS to generate maps.</p>','<p>All variables had greater than 90% completeness except HIV status of contacts (55.3%). There were 492(77.1%) females and 146(22.9%) males. The peak age for HIV recency was 25-29 years for females and 35-39 years for males. There were 583(91.4%) clients from the general population, [31(4.9%)] female sex workers and [17(2.6%)] men having sex with men. Pregnant and lactating women contributed 30% of the general population. Twenty people (3.1 %) were identified through community HIV testing. Recently HIV infected individuals provided 1413 contacts. For those contacts that were tested, [374(47.9%)] tested HIV positive, [176(22.5%)] were already virally infected and [231(29.6%)] tested negative.</p>','<p>Recent infection was higher in females at younger age. Pregnant and lactating women contributed significantly to the overall recent infections, pointing out to the need of up-scaling HIV prevention strategies in order to successfully eliminate vertical transmission of HIV. There was low HIV community testing and contact tracing. We recommend targeted combination HIV prevention strategies to young men and women, enhanced contact tracing and promotion of community HIV testing. Following these findings, we followed up on 93 contacts of HIV recently infected individuals.</p>','<p>community testing, contact-tracing , HIV, incidence, recency, Zimbabwe</p>','0','3','3','3','4','3',NULL,'Reject','Rejected','Yes',NULL,'2024-04-29 10:13:00','2023-05-14 21:26:48',NULL,11),(415,'Addmore Chadambuka','Assistant Field Coordinator','achadambuka1@yahoo.co.uk','ms','Linda N','Kanzara','female','zimbabwe','lindanyashak@gmail.com','<p>University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','H. D. Mugauri, Ministry of Health and Child care, AIDS and TB Unit, Harare, Zimbabwe dumiwaboka@gmail.com\r\nI. Phiri , Ministry of Health and Child care, Department of Epidemiology and Disease Control, Harare, Zimbabwe drisaacphiri@yahoo.com\r\nA. Chadambuka, University of Zimbabwe, Department of Primary Health Care Sciences. Family Medicine, Global and Public Health Unit,  Harare, Zimbabwe. achadambuka1@yahoo.co.uk\r\nT. P. Juru,- University of Zimbabwe, Department of Primary Health Care Sciences. Family Medicine, Global and Public Health Unit,  Harare, Zimbabwe. jtsitsi@afenet.net\r\nG. Shambira,  University of Zimbabwe, Department of Primary Health Care Sciences. Family Medicine, Global and Public Health Unit,  Harare, Zimbabwe. gshambira@afenet.net\r\nN. T. Gombe, University of Zimbabwe, Department of Primary Health Care Sciences. Family Medicine, Global and Public Health Unit,  Harare, Zimbabwe. ngombe@afenet.net\r\nM. Tshimanga University of Zimbabwe, Department of Primary Health Care Sciences. Family Medicine, Global and Public Health Unit,  Harare, Zimbabwe. Mtshimanga@afenet.net','<p>Characteristics and outcomes of COVID-19 patients hospitalized at a central hospital in Harare, 2020-2022</p>','<p>In June 2021, Zimbabwe experienced a third COVID-19 wave characterized by a 3.6% case fatality rate compared to 1.6% in the first wave and 2.6% in the second wave. Sixty-eight percent of these deaths were among hospitalized patients. We investigated the characteristics and outcomes of hospitalized COVID-19 patients at a central hospital in Harare from 2020 to 2022. The findings of the study are critical in informing strategies to reduce morbidity and mortality.</p>','<p>We conducted a cross-sectional study using secondary data from 384 randomly sampled COVID-19 patient admission records. Participants were any COVID-19 patients hospitalized at the central hospital in Harare from March 2020 to September 2022. Data on demographic and clinical characteristics, vaccination status and treatment outcome were collected using an adapted abstraction tool. Descriptive statistics, odds ratios (OR), and % confidence intervals were generated using Epi Info 7.2.4.0.</p>','<p>Two hundred and thirty-four (60.9%) females and 159 (41.4%) males were hospitalized. The majority, 84 (21.9%) of patients were between 61-70 years. Common signs and symptoms recorded were shortness of breath 286 (74.5%), cough 135 (35.2%) and fatigue 67 (17.5%). The top two comorbidities were hypertension 125 (35.3%) and diabetes mellitus 52 (13.5%). In hospital, mortality was 25.78% (99). Being patients less than 30 years [OR =14.67, CI 3.57 – 60.31] and those admitted with an oxygen saturation above 88% on oxygen or air [OR =0.02, CI 0.0002 – 0.02] were significantly more likely to be discharged. Compared to asthmatic patients, diabetic patients had a significantly decreased odds of being discharged [OR = 0.07, CI 0. 01 – 0.63].</p>','<p>Increasing age, low oxygen saturation upon admission and being diabetic were significant factors for poor outcomes. We facilitated the intensification of case-based surveillance and review of case management protocol.</p>','<p>SARS-CoV2, COVID-19, Hospitalization, Characteristics, Outcomes</p>','0','4','5','5','5','4',NULL,'Accept','Oral','Yes',NULL,'2023-05-21 10:13:00','2023-05-14 21:28:05',NULL,11),(416,'Addmore Chadambuka','Assistant Field Coordinator','achadambuka1@yahoo.co.uk','mrs','Tariro C','Mando','female','zimbabwe','tariro.christwish@gmail.com','<p>University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','C. Sandy Ministry of Health and Child Care, TB Unit, Harare, Zimbabwe\r\nG. Shambira University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe gshambira@aafenet.net\r\nA. Chadambuka University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe achadambuka1@yahoo.co.uk\r\nT.P. Juru University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe jtsitsi@afenet.net\r\n N.T. Gombe African Field Epidemiology Network, Harare, Zimbabwe\r\nM Tshimanga','<p>Measles Outbreak in Mutasa District, Manicaland Province, Zimbabwe, 2022: A Case Control Study</p>','<p>Measles is a disease of public health concern that is earmarked for elimination. Mutasa district recorded 34 measles cases between 10-22 April 2022 after more than a decade without a single case. We determined risk factors for contracting measles in Mutasa district.</p>','<p>We enrolled 146 cases from 406 measles cases and 146 neighborhood controls. A case was a child aged 15 years and below who resided in Mutasa district and tested positive for measles from the 10th of April 2022 or was epidemiologically linked to a confirmed case. Interviewer-administered questionnaires were used to collect data on exposures. We reviewed child health cards for vaccination status, vaccination outreach schedules and the cold chain system. District preparedness and response was assessed using a checklist. Data were analysed for frequencies and odds ratios. Multivariable logistic regression analysis was performed to identify independent risk factors for contracting measles.</p>','<p>Of the 406 cases reported, 38 died (case fatality rate 9.4%). All deaths on the line list were from participants whose religion does not believe in seeking medical care. Of 146 cases, 77% were unvaccinated for measles whereas 9.9% of controls were unvaccinated. The independent risk factor for contracting measles was being in contact with a case [AOR 39; 95% CI (15-97)], while the independent protective factor was being vaccinated [AOR 0.14; 95% CI (0.02-0.80)]. Mutasa district’s cold chain system was not functioning effectively, and vaccination schedules were disrupted by Covid-19.</p>','<p>In this outbreak, non-vaccination especially among religion-based objectors was the main risk factor for contracting measles. This was worsened by gaps in the vaccination programme. Intensive engagement with leaders of religious organization that discourage their members from vaccination and supplementary immunization activities were undertaken to improve immunization coverage.</p>','<p>Measles, Re-emergence, Outbreak</p>','2','4','3','2','3','3',NULL,'Reject','Rejected','Yes','<p>A very good attempt by the authors</p><p>Information on vaccination coverage for Mutasa district would have provided more insight considering no case of measles for over 10 years.</p><p>Conclusion not drawn from the study findings</p>','2024-04-30 10:13:00','2023-05-24 07:28:31',NULL,13),(417,'GABRIEL KOTEWAS','MEDICAL LABORATORY OFFICER','gkotewas01@gmail.com','mr','Gabriel','Kotewas','male','kenya','gkotewas01@gmail.com','<p>Homa Bay County Department of Health</p>','other','Health Professional',NULL,'NA','vector-borne-and-neglected-tropical-diseases-ntds','O. Oketch - Homa Bay County Department of Health. - onesmusoketch@gmail.com \r\nP. Otieno -  Homa Bay County Department of Health. - phanuelshaffie@gmail.com','<p>Effectiveness of indoor residual spray on malaria control; a review of the malaria cases among children under five years in Rachuonyo North Sub County, Homa Bay County, Kenya.</p>','<p>Background: Indoor residual spraying (IRS) is one of the key interventions recommended by World Health Organization in preventing malaria infection. Rachuonyo North is one of the Sub counties of Homa Bay County where IRS has been implemented from 2018 to 2022.The objective of this study was to assess the effect of IRS on malaria cases among children under 5 years pre and post IRS.</p>','<p>Methods: IRS was done in the month of February every year, we abstracted retrospective malaria data from KHIS MOH 706 Rev 2022 for the year 2021 and 2022 and tallied monthly aggregates of total tests done and the positivity rates among children less than 5 years in Rachuonyo North Sub County. We performed descriptive analysis and estimated the effect of the interventions and temporal changes of malaria positivity rate before and after IRS and nine months post IRS. We also compared the effect of the insecticide used during the IRS activity on malaria cases.</p>','<p>Results: Total malaria test were 8239 and 7502 in 2021 and 2022 respectively. Fludora fusion insecticide was used in 2021 IRS whereas Fumi shield was used in 2022. Average positivity rate was 20% (1582/8239) in 2021 and 29% (2192/7502) in 2022. Malaria cases reduced from 24%(94/390) in January to 10%(55/567) in February after IRS with Fludora fusion in 2021. However, in 2022 there was increase in cases from 26%(181/705) in January to 30%(107/352) in February after spray with Fumi shield. Follow up nine months later, malaria positivity rate was at 23%(204/872) from 10%with Fludora fusion whereas Fumi shield recorded a slight increase to 32%(275/857) from 30%.</p>','<p>Conclusion: IRS has demonstrated reduction in malaria cases and effectiveness in malaria control however the efficacy seem to be short lived, if the frequency of spraying is enhanced can yield better results.</p>','<p>IRS, Effectiveness, Malaria, Control</p>','3','2','3','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2024-05-01 10:13:00','2023-05-08 14:32:30',NULL,20),(418,'Addmore Chadambuka','Assistant Field Coordinator','achadambuka1@yahoo.co.uk','dr','Ernest T','Mauwa','male','zimbabwe','emauwa@yahoo.com','<p>University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','Owen Mugurungi, Ministry of Health and Child Care, AIDS and TB Unit, Harare, Zimbabwe\r\nTsitsi Juru,  University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe jtsitsi@afenet.net\r\nAddmore Chadambuka, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe achadambuka1@yahoo.co.uk\r\nNotion Gombe, African Field Epidemiology Network, Harare Zimbabwe\r\nGerald Shambira, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe gshambira@afenet.net\r\nMufuta Tshimanga University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe Mtshimanga@afenet.net','<p>Achieving the 95-95-95 fast track targets: HIV care and treatment cascade, Zimbabwe, 2021: a secondary data analysis</p>','<p>Zimbabwe has one of the highest HIV prevalence in sub-Saharan Africa (12.8%). The HIV care and treatment cascade model outlines the steps that People Living with HIV (PLHIV) go through from diagnosis, linkage to care, antiretroviral therapy initiation and retention in care until viral suppression is achieved. The goal of the cascade model is to achieve and maintain viral suppression in PLHIV. We identified gaps in the HIV continuum of care.</p>','<p>We conducted an ecological study using aggregate secondary Zimbabwe HIV program data (DHIS2, Laboratory Information Management System and HIV Estimates) as data sources. There were no patient identifiers. Permission to undertake the study was obtained and ethical principles were adhered to.</p>','<p>The total number of PLHIV in Zimbabwe for 2021 were about 1, 301, 400. Of these, only 94%, (1,223,316) knew their HIV status, 96% (1,188,636) were on ART and 93% (1,105,431) achieved virologic suppression. Of the 72 100 children estimated to be living with HIV, 19 467 (30%) did not know their HIV status. All children (52 633) known to be HIV positive were put on ART. However, 11 053 (21%) were unsuppressed. Adult males in Harare and Bulawayo did not achieve the targets of those testing and on treatment. Of 3 456 PLHIV switched from first line to second line ART, 410 (11.9%) were children. Of 227 PLHIV who switched from second line to third line ART, 201 (88.5%) adults and 26 (11.5%) were children.</p>','<p>Zimbabwe achieved 94-96-93 of the UNAIDS 95-95-95 targets. Children (0-14) lagged behind on the first and third 95 at 73-100-79. Intensified case finding, targeted testing, roll out of optimized regimens, accelerated defaulter tracking in children, strengthen infant diagnosis to improve the first 95 target and enhanced adherence counselling are recommended to improve performance on gaps identified and to sustain gains achieved.</p>','<p>HIV, Care, Treatment, Cascade, Zimbabwe</p>','4','4','4','4','4','4',NULL,'Accept','Oral','Yes',NULL,'2024-05-02 10:13:00','2023-05-24 17:34:05',NULL,13),(419,'Uzoma Ogbonna','Resident Advisor','uogbonna@afenet.net','ms','Tumisang','Madisa','female','botswana','madisatm@gmail.com','<p>Ministry of Health, Gaborone, Botswana</p>','alumni',NULL,'19/10/2022','frontline','public-health-systems-strengthening-initiatives','Onalethata | Lesetedi | Ministry of Health, Gaborone, Botswana | onalethatalesetedi@gmail.com |\r\n\r\nNesredin | Oumer | Botswana Field Epidemiology Training Program | njami@afenet.net |\r\n\r\nUzoma | Ogbonna | Botswana Field Epidemiology Training Program | uogbonna@afenet.net |','<p>Data quality audit in two health facilities and public health laboratory, Gaborone, September 2022</p>','<p>Introduction: High quality data collected during surveillance provides an accurate picture of disease occurrence which is critical for decision-making. Data quality audit (DQA) offers an opportunity to improve data quality. However, no DQA has been conducted in Gaborone, therefore this study aimed to assess core and support functions of the Integrated Disease Surveillance and Response (IDSR) system.</p>','<p>Methods: The DQA was conducted in September 2022. We selected two HFs based on their IDSR performance and the National Health Laboratory (NHL). We interviewed ten staff dedicated to data collection, analysis, and reporting using a DQA checklist. We observed walls to verify the availability of standard case definitions (SCD), reporting tools and guidelines, in addition to evidence of data analysis. We assessed HF and laboratory capacity to confirm priority diseases and whether facilities receive performance feedback. We categorized our findings into strengths, weaknesses, opportunities, and threats.</p>','<p>Results: There were designated HF staff for data collecting and reporting, staff were aware of monitoring indicators. NHL does not have a surveillance focal officer. HF had some SCDs, NHL did not have any SCD pasted on walls. Reporting tools were available in HF. NHL and HF do not readily have available a list of routinely and immediately reportable diseases and did not review the reportable cases or produce maps/graphs. HF capacity to confirm priority diseases was limited, NHL has shared protocols for submitting specimens from suspected cases. Furthermore, HFs were not receiving feedback on performance. Health development partners provide technical and logistical support to HF and laboratory. Power outages and high staff attrition are recognized threats.</p>','<p>Conclusion: Disease outbreaks may be detected late or missed altogether. We recommend data management and IDSR trainings for HF and NHL. We shared the list of reportable diseases and the third IDSR technical guidelines.</p>','<p>SWOT, Data quality audit, Botswana</p>','2','2','2','2','2','2',NULL,'Reject','Rejected','Yes',NULL,'2024-05-03 10:13:00','2023-05-15 15:03:42',NULL,9),(420,'Rébecca KINDE','FETP-TOGO','kinderebecca@yahoo.fr','mr','Yamdi','Kanou','male','togo','k.yamdi@yahoo.fr','<p>FETP-TOGO</p>','resident',NULL,NULL,'intermediate','non-communicable-diseases-ncds-injuries-and-mental-health','Mazama Pakoudjare: Service de Pédiatrie, CHU Campus 3mazama7@gmail.com\r\nManani Hemou: Service de Pédiatrie, CHU Campus mhemou@yahoo.fr\r\nPapissi Gnansa: Centre d’opération des Urgences de Santé Publique: gnansa1@yahoo.fr \r\nWiniga Koudema: IVD/Polio OMS winigalog@yahoo.fr\r\nKoffi Akolly: Institut National d’Hygiène christestvivant@yahoo.fr\r\nRébecca Kinde: AFENET-TOGO kinderebecca@yahoo.fr','<p>Épidémiologie et Facteurs d’Exposition des Cardiopathies Congénitales au Service de Pédiatrie du Centre Hospitalier Universitaire Campus de Lomé de 2017 à 2022</p>','<p>Les cardiopathies congénitales (CC) représentaient 14,13 % des pathologies prises en charge par l’ONG Terre des Hommes au Togo en 2002. Dix ans après, elles restent mal documentées à la pédiatrie du CHU-Campus. Cette étude est menée pour décrire le profil épidémiologique des CC et leurs facteurs d’exposition au CHU-Campus de Lomé de 2017 à 2022</p>','<p>Etude transversale portant sur les données des CC hospitalisées dans le service de pédiatrie du CHU-Campus du 1er janvier 2017 au 31 décembre 2022. Tout enfant dont l’échographie cardiaque révèle une malformation cardiaque a été considéré comme une cardiopathie congénitale. Nous avons calculé des proportions avec IC à 95% et des moyennes avec écart type.</p>','<p>Au total 87 cas de CC ont été recensés sur les 8625 enfants hospitalisés soit une prévalence hospitalière de 1%. La létalité globale était de 25,3%. Avec un sex-ratio F/M de 1,2, la tranche d’âge 1-24 mois était la plus représentée (65,5%). L’âge médian était de 7,5 mois IIQ (3-24). Parmi eux 15% ont été détéctés avant 1 mois. Les motifs de consultation étaient essentiellement la détresse respiratoire (40,3%), le souffle cardiaque (28,7%), la cyanose (27,5%). Les CC les plus représentées étaient la communication interventriculaire (CIV= 41,4%), la communication interauriculaire (CIA=24,1%), les canaux atrio-ventriculaires (CAV=16,9%) et la tétralogie de Fallot (8%). La région sanitaire Grand Lomé est la plus représentée avec 78,2% des cas. Les facteurs d’exposition notés étaient l’âge &gt;35 ans (41,3%), la consommation d’alcool (27,6%), la toxoplasmose (25,3%), la rubéole maternelle (13,2%), la consanguinité (2,3%) et la trisomie 21 (15%).</p>','<p>Au CHU-Campus, les CC ont une faible prévalence dominée par les CIV et une forte létalité probablement due aux CC cyanogènes et au retard de diagnostic. La sensibilisation sur des facteurs d’exposition pourrait réduire leur survenue.</p>','<p>Cardiopathies congénitales, Communication interventriculaire, communication interauriculaire, facteurs d’exposition.</p>','4','3','2','3','3','3',NULL,'Accept','Poster','Yes','<p>Les 8625 enfants hospitalisés ont-ils fait l\'objet d\'échographie cardiaque afin d\'être sûr qu\'ils ne faisaient pas de CC? Cela n\'est pas clairement mentioné dans votre étude. Si ce n\'est pas le cas ils ne peuvent pas être tous considérés dans le dénominateur.</p><p>Méthodes très succinctes. Tout enfant, mais jusqu\'à quel âge, dans quel hopital, pour completer la définition de cas de CC.</p><p>Il est important de mentionner les numérateurs et dénominateurs des pourcentage (Létalité par exemple).</p>','2024-05-04 10:13:00','2023-05-10 09:23:20',NULL,249),(421,'Rébecca KINDE','FETP-TOGO','kinderebecca@yahoo.fr','mr','Komlan','Aziamadji','male','togo','aziamadjimichel@gmail.com','<p>FETP-TOGO</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Yendoukoi Labité  IVD/Polio OMS  labyen2@gmail.com \r\nKomivi Kpegba  Service de Soins intensifs  leroyaliste1986@gmail.com\r\nKwasi Agbetomegno  Service de Medecine CHR Dapaong  agbetomegnoe@yahoo.fr\r\nPéléké Hilim :USAID hilimalain@yahoo.fr  \r\nKoffi Akolly Institut National d’Hygiène  christestvivant@yahoo.fr \r\nRébecca Kindé  AFENET-TOGO   kinderebecca@yahoo.fr','<p>Profil épidémiologique des cas de tentative de suicide et les facteurs associés aux substances utilisées et au décès au Centre Hospitalier Régional de Dapaong , Togo de 2018 -2022</p>','<p>Chaque année, selon l’OMS on dénombre plus de 800000 décès par suicide et de nombreuses tentatives de suicide (TS). Dans la région des savanes du Togo, le nombre de TS est passé de 389 à 784 de 2018 à 2022 selon le DHIS2. Nous y avons mené cette étude pour connaitre le profil épidémiologique des victimes, leurs motivations ainsi que les facteurs associés aux substances utilisées et au décès.</p>','<p>Nous avons procédé à une étude analytique transversale portant sur des patients admis pour TS du 1er Janvier 2018 au 31 Décembre 2022. Une revue des dossiers des patients admis a été faite. Un TS est toute personne admise pour ingestion de produits chimiques, pharmaceutiques ou des gaz asphyxiants dans le but de mettre fin à sa vie. La médiane avec IIQ et les proportions ont été calculées. Nous avons comparé les groupes avec Khi carré au seuil de significativité statistique de 0,05.</p>','<p>Au total, 657 cas de TS ont été enregistrés avec une incidence annuelle qui a varié de 39,3‰ à 48,1‰. Le sex-ratio H/F=0,7. L’âge médian était 30 ans IIQ(23-42). La tranche d’âge de 20-39ans représentaient 58,3%. Les cultivateurs/ménagères représentaient 77,4%. La résidence rurale représentait 75,8%. Les TS étaient endémiques dans la région. Le délai d’hospitalisation 1-3 jours représentait 90%. Les pesticides étaient utilisés dans 67,1% des cas. Les conflits conjugaux et familiaux représentaient 39,3%. Le milieu de vie (OR=1,9[1,13-3,09]&nbsp;; p=0,012) et la durée d’hospitalisation 0-1 jour (Khi carré=102,9&nbsp;; p=0,0001) étaient associées au décès. Le milieu de vie (OR=9,3[3, 77-23, 12]; p=0,001) était associé à la substance utilisée.</p>','<p>TS étaient majoritairement des cultivateurs/ménagères jeunes du milieu rural. Vivre en milieu rural constitue un risque pour la prise de pesticides et le décès. Une enquête communautaire et des sensibilisations s’avèrent nécessaire</p>','<p>Tentative de suicide, Facteurs associés, Pesticides, Savanes, Togo.</p>','5','2','3','3','3','2',NULL,'Accept','Poster','Yes','<p>Le problème est bien situé dans l\'introduction.</p><p>Méthodes: Pour une étude transversale analytique on compare deux groupes (exposés et non exposés). Cela n\'est pas clairement mentionné.</p><p>Quels sont les groupes comparés? C\'est confus, cela ne ressort pas clairement dans les méthodes</p><p>Résultats: les incidences ne laissent pas voir les dénominateurs. TS endémique? (pas de preuve)</p><p>&nbsp;</p>','2024-05-05 10:13:00','2023-05-12 07:07:22',NULL,249),(422,'Dr. Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mr','Mohamed','Sallieu Bah','male','sierra-leone','mohamedsbahh9@gmail.com','<p>Ministry of Health and Sanitation, Sierra Leone; Sierra Leone Field Epidemiology Training Program, Sierra Leone</p>','alumni',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Umaru  Sesay                                    Ministry of Health and Sanitation, Sierra Leone                               sesayumaru4@gmail.com            \r\nAldel Hussein Elduma                    African Field Epidemiology Network                                                   ahussein@afenet.net \r\nAmara Alhaji Sheriff                       Ministry of Health and Sanitation, Sierra Leone                                amaraalhaji1970@gmail.com                   \r\nSolomon Sogbeh                            African Field Epidemiology Network                                                   solomonsogbeh@gmail.com \r\nAnna Jammeh                               African Field Epidemiology Network                                                      ajammeh@afenet.net\r\nGebrekrestos Negash Gebru       African Field Epidemiology Network                                                      ggebru@afenet.net','<p>Investigation of Lassa fever outbreak, Tonkolili District, Sierra Leone, March 2022</p>','<p>Lassa fever is an endemic zoonotic disease in many West African countries, including Sierra Leone. On March 03, 2022, the Tonkolili District Surveillance Unit received notification of suspected Lassa fever cases from a hospital. We investigated within 24 hours to confirm the diagnosis, identify sources, and institute control measures.</p>','<p>We interviewed case patients and their families using a case investigation form; reviewed patient records; collected blood samples and sent them to the Hemorrhagic Fever Reference Laboratory for testing. Environmental assessment, rodent trapping, and active case search were conducted. Twenty-five contacts were line listed and monitored for 21 days.</p>','<p>Two suspected cases tested positive for Lassa fever. On February 25, 2022, case-patient one, a 5-year-old male, developed symptoms: of fever, abdominal pain, and diarrhea; was admitted to a hospital on March 01, 2022; and treated for malaria using antimalaria drugs and antibiotics. On March 03, 2022, Lassa fever was suspected, the specimen was collected and tested positive for Lassa fever by polymerase chain reaction test, however, the patient died on the same day of confirmation. On February 25, 2022, case patient two, an 8-year-old girl, developed symptoms of skin rashes and fever; was treated with traditional herbs at home. On March 01, 2022, symptoms continued, and she was admitted to a hospital, and treated with antimalarial drugs. Two days after admission, Lassa fever was suspected; a specimen was collected; and tested positive for Lassa fever four days after admission. The patient died on the same day of laboratory confirmation. Both patients lived in the same household with no travel history to any Lassa fever endemic area. We observed poor environmental sanitation around the homes of the patients. No rodents were found. No additional cases were discovered, and no contact developed symptoms.</p>','<p>Two cases of Lassa fever were confirmed in Tonkolili District. Late diagnosis by healthcare workers, could have likely contributed to the deaths of the case. We sensitized healthcare workers on the Lassa fever case definition. We recommend sensitizing communities on early healthcare seeking.</p>','<p>Lassa fever, Disease outbreak, Zoonoses, Tonkolili, Sierra Leone.</p>','3','1','2','2','3','3',NULL,'Reject','Rejected','Yes','<p>Methods: Any case definitions used? How about case search/case finding. This is not clear</p><p>Was any analytical studies/ risk factor assessment done?</p>','2024-05-06 10:13:00','2023-06-05 12:39:46',NULL,128),(423,'Rébecca KINDE','FETP-TOGO','kinderebecca@yahoo.fr','dr','Yanissou','Djobo','male','togo','yandjob22@gmail.com','<p>FETP-TOGO</p>','alumni',NULL,'13/05/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Salami Bebou Direction régionale de la santé-Région centrale  bebou31@yahoo.fr\r\nGilbert Kouama  Direction régionale de l\'élevage-Région centrale  gilbertkouama@gmail.com\r\nKoffi Akolly  Institut National d\'Hygiène  christestvivant@yahoo.fr\r\nRébecca KINDE AFENET-TOGO kinderebecca@yahoo.fr','<p>Investigation de Mortalités Massives de Volailles dans le Village de Solimbia, Commune de Kaboli en Fevrier 2022</p>','<p>Des mortalités massives de volailles nous ont été notifiées par un auxilliaire villagois d’élevage le 6 février 2022 dans le village de Solimbia dans le District de Tchamba. Nous avons mené cette investigation pour identifier l’agent pathogène et mettre en place les mesures de contrôle.</p>','<p>Nous avons conduit une étude descriptive. Un cas suspect était toute mortalité de tout espèce de volaille dans le village de solimbia avec des signes suivants : hémorragie, troubles respiratoires, diarrhée, troubles nerveux, prostration entre le 14 janvier et le 8 février. Nous avons effectué des Tests de diagnostic rapide de l’Influenza Aviaire (IA) puis réalisé des prélèvements d’organes, de sang et d’écouvillons pour la recherche des Ag de l’IA et de la Maladie de NewCastel (MN) par PCR. Nous avons calculé la médiane et les proportions .</p>','<p>Résultats: Un total de 179 cas a été enregistré avec une létalité de 81,5% dans 03 concessions contiguës à Solimbia. Le taux d’attaque cumulé était de 114 cas/1000 têtes. L’âge médian était de 4,6mois avec des extrêmes de 1-16mois. Le cas index, poule de 7mois, a présenté les signes suivants: gonflement du cou, dyspnée, diarrhée, incoordination motrice, prostration le 1/02/2022 et est mort le 02/02/2022. Le cas primaire a été introduit dans le poulailler le 19/01/2022 sans quarantaine et est mort le 26/01/2022 . Les espèces de volailles (pintades, canards, poules) vivant en divagation étaient représentés et aucun n’était vacciné. Les résultats du TDR étaient négatifs et ceux de la PCR ont confirmé la MN.</p>','<p>C’était une épidémie de la MN dans 03 concessions due à l’introduction d’une nouvelle volaille sans quarantaine et dont la propagation a été favorisée par le type d’élevage. Nous avons abattu les volailles atteintes, mené une riposte vaccinale et sensibilisé les ménages et éleveurs sur l’importance de la vaccination.</p>','<p>Mortalités massives, Maladie de Newcastle, Influenza aviaire, Solimbia,Togo.</p>','3','3','3','3','4','3',NULL,'Accept','Poster','Yes',NULL,'2024-05-07 10:13:00','2023-05-20 09:35:39',NULL,150),(424,'Rébecca KINDE','FETP-TOGO','kinderebecca@yahoo.fr','mr','Gamadé','Degue','male','togo','jeandegue@gmail.com','<p>FETP-TOGO</p>','alumni',NULL,'1/4/2022','intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Koffi  Agbetiafa Direction préfectorale de Golfe ebenagbe22@gmail.com  \r\nKoffi Akolly Institut National d’Hygiène christestvivant@yahoo.fr \r\nRébecca Kindé AFENET-TOGO kinderebecca@yahoo.fr','<p>Investigation de l’Epidemie de Rougeole dans le District Sanitaire du Golfe, Togo, Février 2022</p>','<p>En 2021, aucun des 16 cas suspects de Rougeole prélevés dans le district du Golfe ne s’est révélé positif. Mais en début février 2022, 09 cas notifiés dans le district ont été confirmés par le laboratoire National. Nous avons mené une enquête pour connaitre l’ampleur de l’épidémie et proposer des mesures de contrôle et de prévention.</p>','<p>Il s’est agi d’une étude descriptive. Un cas suspect de Rougeole était toute personne présentant une fièvre, une éruption maculopapulaire et une toux, un rhume ou une conjonctivite entre le 15 décembre 2021 et le 21 février 2022 dans la préfecture du Golfe. Nous avons collecté les données au cours d’une recherche active en communauté et dans les formations sanitaires à l’aide des formulaires d’investigation. Les données ont été traitées puis analysées dans Epi Info7. Nous avons calculé les proportions avec leur IC95% et la médiane d’âge avec son IIQ.</p>','<p>Au total, 32 cas suspects étaient retrouvés dont 15 confirmés en laboratoire et 11 par lien épidémiologique sans décès. L’âge médian était de 3 ans, IIQ [2-4]. Le taux d’attaque cumulé était de 2/100000 habitants. Le sex-ratio H/F était de 1,6&nbsp;; les enfants de 1-5ans représentaient 76,9% IC95% (56,3 -91). La fièvre et l’éruption cutanée étaient présentes chez tous les cas. L’aire sanitaire du CMS AMOUTIVE comptait 65% des cas. Les personnes non vaccinées représentaient 84,6%, IC95% (65,1-95,6) dont 73% âgées de 1-5ans. Les enfants de 1-5ans avaient tous un périmètre brachial &gt;12cm. Dans les ménages ayant eu des cas, 5 personnes en moyenne habitaient une pièce.</p>','<p>La non vaccination surtout des enfants âgés de 1-5ans et la promiscuité auraient favorisé la flambée des cas de Rougeole dans le district sanitaire du Golfe avec un risque de propagation élevé d’où la nécessité d’une riposte vaccinale.</p>','<p>Epidémie, Rougeole, Golfe, Togo, 2022</p>','3','4','3','4','4','3',NULL,'Accept','Oral','Yes',NULL,'2024-05-08 10:13:00','2023-05-20 09:27:01',NULL,150),(425,'Dr. Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mr','Umaru','Nyallay','male','sierra-leone','umarunyallay@gmail.com','<p>Ministry of Health and Sanitation, Sierra Leone</p>','resident',NULL,NULL,'frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Binta Bah                          Sierra Leone Field Epidemiology Training Program                                             bintamubah@gmail.com \r\nJoel Mansaray                Sierra Leone Field Epidemiology Training Program                                               joel.mansaray@gmail.com \r\nPaul  Mansary               Sierra Leone Field Epidemiology Training Program                                                paulsantimans@gmail.com\r\nPhilp Gevao                Sierra Leone Field Epidemiology Training Program                                                   ppgevao34@gmail.com \r\nMohamed Vandi          Sierra Leone Ministry of Health and Sanitation                                                         mohamedavandi69@gmail.com \r\nJoseph Sam Kanu        Sierra Leone Ministry of Health and Sanitation                                                    samjokanu@yahoo.com \r\nAdel Hussein Elduma    African Field Epidemiology network.                                                                       ahussein@afenet.net \r\nGebrekrstos Negash Gebru       African Field Epidemiology network.                                                          ggebru@afenet.net','<p>Lassa fever case investigation, Kenema District- Sierra Leone, January, 2023</p>','<p>Lassa fever is an endemic disease in Sierra Leone with an estimated 16% fatality rate among hospitalized cases. On January 17, 2023, the Kenema District Health Management Team received notification of suspected cases of Lassa fever from Kenema Government Hospital. We investigated to confirm the diagnosis, determine the scope, and institute control measures.</p>','<p>We interviewed case patients and family members and collected data on demographic, clinical, and exposure history using the Lassa fever Case Investigation Form. We collected samples and sent them to the Hemorrhagic Fever Reference Laboratory in Kenema District for polymerase chain reaction tests. Active case searches in communities and health facilities were conducted, and 58 contacts (20 Household members and 38 health workers) were line-listed and monitored for 21 days. Environmental assessment including rodent trapping was also conducted.</p>','<p>Four case-patients were confirmed for Lassa fever infection. Three of the case patients were females, aged 21, 22, and 25 years of which one was a pregnant mother. The fourth case patient was male aged 2 years. All case patients presented with fever, cough, general body pain, and difficulty breathing. Two of the three female case patients who died including the pregnant mother presented with bleeding and severe respiratory distress. No additional cases were identified, and none of the contacts developed Lassa fever symptoms. We observed overcrowding, poor food storage, and rodent droppings in patients\' homes. Two rats were trapped and one tested positive for Lassa fever virus.</p>','<p>Four cases of Lassa fever were confirmed in the Kenema District. Rodents are likely to be the possible source of infection. We sensitized the community on early health care seeking and improved environmental sanitation. We recommend increasing clinicians\' suspicion index for Lassa fever for early detection and prompt treatment of Lassa fever cases.</p>','<p>Lassa fever, case investigation, Kenema, Sierra Leone</p>','5','5','5','5','5','5',NULL,'Accept','Oral','Yes','<p>Lassa fever is a disease of important public health concern especially in Western Africa Countries. The objectives were clearly answered with appropriate method, and the results are will presented, conclusion is based on the findings. However, the author should have given us an incite on the burden of Lassa fever in the region as well as Sierra Leone in general. Otherwise great job!</p>','2024-05-09 10:13:00','2023-05-29 09:30:45',NULL,138),(427,'Otshudiandjeka Joseph','Resident Advisor','jotshudiandjeka@afenet.net','dr','Allui','Roland N\'da','male','ivory-coast','alluiroly@gmail.com','<p>National malaria program</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Ahoussou Eric , Institut national d\'hygiène publique, makewn@yahoo.fr\r\nWilnique Pierre, AFENET, pwilnique@afenet.net\r\nOtshudiandjeka Joseph, AFENET , jotshudiandejka@afenet.net\r\nTiembre Issaka, Institut national d\'hygiène publique, itiembre@yahoo.fr\r\nBénie Bi Vroh Joseph, Institut national d\'hygiène publique, beniebi2018@hotmail.com','<p>Evaluation du système de surveillance du paludisme, dans les 2 régions sanitaires d’Abidjan, septembre 2021, en Côte d’Ivoire</p>','<p>En Côte d’Ivoire, le paludisme représente l’une des causes majeures de morbidité (incidence = 266‰ en 2022) dans la population et une endémicité faible dans les régions sanitaires d’Abidjan (inférieure à 100 ‰). L’analyse des données du paludisme dans ces régions, nous a amené à évaluer son système de surveillance</p>','<p>Une étude descriptive transversale a été effectuée en septembre 2021 sur la base du guide d’évaluation du Center for Disease Control and Prévention. L’acceptabilité, utilité, simplicité, qualité des données, représentativité et sensibilité ont été évaluées suivant un questionnaire administré aux agents de santé impliqués dans la surveillance ainsi qu’une revue des outils de surveillance. Les attributs étaient classés non satisfaisant (&lt;80%) et satisfaisant (≥80%). Les analyses ont été réalisées avec EpiInfo7.</p>','<p>Au total, 34 personnes, de 12 structures sanitaires ont été interrogées. Acceptabilité : la complétude des rapports d’activités était de 83%, représentativité: 50% au niveau du secteur privé. Simplicité: 91% des agents trouvaient la définition de cas simple et 65% considéraient que les outils de surveillance étaient simples d’utilisation. Qualité des données: un taux de confirmation de 114% et de positivité de 57%. Sensibilité: Bien que la simplicité était à 91%, cependant dans les registres de consultation, 40% des cas suspects n’avait pas été correctement identifiés dans les registres. Utilité: 85% des répondants affirmaient que le système permet de détecter les cas, 81% disaient qu’il permet de contrôler la morbi-mortalité et 70% soutenaient de prendre des décisions pour orienter les interventions.</p>','<p>Le système de surveillance du paludisme dans les régions sanitaires d’Abidjan était acceptable, simple et utile, mais insuffisant dans sa représentativité, la sensibilité et la qualité des données. L’implémentation d’un système de digitalisation des données du secteur privé et le renforcement des supervisions ainsi que la formation des agents sur la définition de cas pourraient aider améliorer.</p>','<p>paludisme, système de surveillance, évaluation, Abidjan, Côte d’Ivoire</p>','2','3','3','3','3','2',NULL,'Reject','Rejected','Yes','<p>il aurait été mieux de faire voir cette étude par région et de les comparées&nbsp;</p>','2024-05-10 10:13:00','2023-06-05 15:07:01',NULL,237),(428,'Joël Doté','N/A','joel.dote@pasteur-bangui.cf','dr','Joël','Doté','male','central-african-rep','joel.dote@pasteur-bangui.cf','<p>Institut Pasteur de Bangui</p>','other','Scientist',NULL,'NA','public-health-laboratory-systems-and-infection-prevention-control','Marie-Line Joffret, Institut Pasteur Paris, marie-line.joffret@pasteur.fr\r\nMael Bessaud, Institut Pasteur Paris, mael.bessaud@pasteur.fr\r\nBertille Ndambari-Beta, Institut Pasteur de Bangui, bertillendombari@gmail.com\r\nVirginie Banga-Mingo, Institut Pasteur de Bangui, virginiebangamingo@gmail.com\r\nMarie-Noël Mbaïkoua, Ministry of Livestock and Animal Health,  ouaimon2001@yahoo.fr\r\nIonela Gouandjika, Institut Pasteur de Bangui, ionela.gouandjika@pasteur-bangui.cf','<p>Animal enteroviruses in Central Africa; search for transmission of zoonotic enteroviruses</p>','<p>Additional to enterovirus (EV) species that mainly infect humans (EV-A, B, C and D), there are species circulating in other mammals: EV-E and -F (cattle), and EV-G (pigs, sheep and goats). Little is known about their epidemiology and evolution. In particular, it is unknown whether members of these EV species are capable of infecting humans.</p>','<p>We screened by molecular biology 192 stools of animals under 12 months (pigs, small ruminants and cattle) belonging to family farms located in Bangui and its surroundings. To determine if there are exchanges of EV between these animals and humans living in their contact, we also screened 197 stools of children under 5 years old, living in contact with farm animals and 356 stools of children under 5 who did not live in contact with farm animals (control group). The animal and humans samples were grouped into pools according to their place of residence and the species.</p>','<p>We detected EV in 20.5% of animal stool pools, 42.9% of contact child and 7% of control child stool pools. In children, EV belong to species A, B and C, with no difference between the two groups of children. EV-C are predominant (&gt; 60%), with a majority of EV-C99 and CVA13. No EV-E, F and G were found in the children. In animals, 21 EV have been identified, belonging to different types of EV-G. No EV-E or -F was observed in this study, 57% of the pools came from pigs. Five human EV (CVB3, CVA17, CVA24 and PV-1 of vaccine origin) were detected in pigs.</p>','<p>Our study did not show the presence of animal EV in children living in contact with domestic animals in the Central African Republic. It nevertheless made it possible to obtain the first genetic data concerning EV-G in Africa.</p>','<p>Enteroviruses Animals Genetics Zoonotic CAR</p>','2','2','3','2','3','3',NULL,'Reject','Rejected','Yes',NULL,'2023-05-04 10:13:00','2023-06-01 08:16:27',NULL,161),(429,'Dr. Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mr','Mohamed','Sallieu Bah','male','sierra-leone','mohamedsbahh9@gmail.com','<p>Ministry of Health and Sanitation, Sierra Leone</p>','alumni',NULL,NULL,'intermediate','vaccine-preventable-diseases','Umaru Sesay                                        Sierra Leone Ministry of Health and sanitation                                 sesayumaru4@gmail.com \r\nAdel Hussein Elduma                         African Field Epidemiology Network                                                  ahussein@afenet.net\r\nGebrekrestos Negash Gebru             African Field Epidemiology Network                                                    ggebru@afenet.net','<p>Comparative analysis of measles in border and non-border districts of Sierra Leone, 2018-2021: Retrospective Secondary Data Analysis</p>','<p>In recent years, Sierra Leone had recorded multiple outbreaks of measles, and the last three outbreaks (2018, 2021, 2022) were reported from communities at points of entry. Despite the continued occurrence of measles, there is limited information on measles in border districts. This study aimed to describe the epidemiological trend, pattern, and vaccination status of measles in border and non-border districts of Sierra Leone.</p>','<p>We extracted data from the National Measles case-based and District Health Information System database; conducted a retrospective secondary data analysis on measles case-based surveillance data from 2018 to 2021. We used the measles standard case definition to classify cases as suspected, probable, and confirmed cases. We compared the epidemiological characteristics of measles across border districts and non-border districts. We analyzed frequencies, proportions, and rates.</p>','<p>A total of 3,054 suspected cases of measles were recorded during the period under review, of which: 216 (7%) were confirmed (IgM positive), 931 (31%) were probable cases, and 1,907 (62%) were negative. Among the positive cases, border districts accounted for 73% (158/216), whilst non-border districts were 27% (58/216). Among the cases recorded in the border districts, 59% (93) were males; the median age was 9 years (range: 6 months - 37 years). Though 62% (37/58) of the confirmed cases in non-border districts were vaccinated, only 38% (60/158) of the confirmed cases in the border districts were vaccinated. The average incidence for the border districts was 86 per 100,000 population, and for the non-border districts, it was 20 per 100,000 population. The incidence of measles in border districts decreased from 150 in 2018 to 56 per 100,000 population in 2021; while in non-border districts, it increased from 13 in 2018 to 19 per 100,000 population in 2021.</p>','<p>A high incidence of measles cases was recorded in border districts with low vaccination status, indicating that most of the people living in these districts were at greater risk of contracting measles. We suggest supplemental immunization activities be implemented targeting border districts.</p>','<p>Measles, Disease outbreaks, vaccination, incidence, Sierra Leone</p>','5','5','5','5','5','5',NULL,'Accept','Oral','Yes','<p>This study is powerful as it highlights the significance of crossworder interventions for both preparedness and response including key functions such as coordination, surveillance, risk communication, laboratory, vaccination among others. Unfortunately this study did not highlight the border countries where the problem is mostly pronounced. I suggest if this scholar is given an opportunity to showcase his findings to highlight the countries (Guinea or Libera) and call upon partners to enhance crossboder interventions. I liked the scientific findings in this study.&nbsp;</p>','2024-05-11 10:13:00','2023-05-29 09:44:23',NULL,138),(430,'Djibril BARRY','Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina','djibril.barry@bfeltp.com','dr','Clarisse','Balima*','female','burkina','kyauriane@gamil.com','<p>Programme de Formation en Epidemiologie et Laboratoire de Terrain du Burkina</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','P. Kabore: kaborepascalkisw@gmail.com\r\nD. Barry:  djibril.barry@bfeltp.com\r\nA. Combary : adjicomb@yahoo.fr\r\nM. Nikiema : nikhermann2003@gmail.com\r\nPK. Yanogo :   yanogo.pauline@yahoo.fr \r\nH. Yoda : yodmano@yahoo.fr \r\nN. Meda : nicolas.meda@ujkz.bf','<p>Titre : Investigation des cas de Covid -19 dans le district de Nongrémassom dans la région du centre, Burkina Faso 2023</p>','<p>Introduction : La Covid-19 a été déclaré comme est une urgence de santé publique de portée internationale. Le premier cas de COVID-19 a été notifié au Burkina Faso, le 9 mars 2020. Le 13 Février 2023 ,une épidémie de covid- 19 a été signalée dans deux établissements scolaires privés. Une enquête a été menée pour évaluer l’ ampleur de la situation et mettre en œuvre des mesures de prévention et de contrôle</p>','<p>Méthodes: Nous avons mené une enquête transversal descriptive du 17 Février au 13 Mars 2023 dans les deux établissements scolaires privés du district de Nongrémassom dans la région du centre au Burkina Faso. Les données épidémiologiques et cliniques pour les cas confirmés et les cas suspects ont été receuillies et analysées avec Excel et Epi Info présentés sous forme de tableaux et de graphiques</p>','<p>Resultats: Il y a eu deux éclosions distinctes de COVID-19 dans le district de Nongrémassom. Le cas index était un homme de 56 ans.Le premier foyer avait quatre cas confirmés et le second cinq cas confirmés. Le taux d’attaque le plus elévé était de 4 cas pour 100 habitants dans le premier foyer. L’age moyen des cas confirmés est 32 ans avec un sex- ratio = 4 (femme/homme). Le signe le plus fréquent était la faiblesse générale dans 70% des cas.Seul le cas index avait un ATCD de voyage recent et le taux de couverture vaccinal était de 80% .Tous les contacts ont été suivi et testé négatif pour COVID-19. Il n\'y a pas eu de décès enrégistrés.</p>','<p>Conclusion: L\'investigation a confirmé une epidemie de covid-19 le district de Nongrémassom. La recherche efficace des contacts, respect des mesures barrières, une éducation et une promotion adéquates de la santé par la direction des établissements ont contribué à circoncire l’épidémie.</p>','<p>Covid -19 ,épidémie, Burkina Faso, 2023.</p>','5','4','4','3','3','4',NULL,'Accept','Oral','Yes',NULL,'2024-05-12 10:13:00','2023-05-31 22:36:58',NULL,107),(431,'Kasongo Kayembe Jolie','FETP Guinée','jkayembe@afenet.net','dr','Oularé','Bakary','male','guinea','gnoumabakary44@gmail.com','<p>GuiFETP</p>','alumni',NULL,'26/11/2022','intermediate','vaccine-preventable-diseases','Alpha Mamoudou DIALLO, MOH, alphamamoudou83@gmail.com\r\nBoubacar Djenabou DIALLO, MOH, boubaporoko@gmail.com \r\nNouonan Gbamou, MOH,gbamougb76@gmail.com  \r\nThierno Bassirou BALDE, AFENET, tbalde@afenet.net\r\nMohamed Fanton KOUROUMA, AFENET, mkourouma@afenet.net\r\nMamadou Nansira DOUMBOUYA, MOH, nansytr93@gmail.com \r\nIbrahima Sory BAH, MOH, isbah215@gmail.com\r\nMohamed Soumah, MOH, mmsoumah87.@gmail.com\r\nJolie Kasongo Kayembe, AFENET, jkayembe@afenet.net\r\n Mamadou Pathè BAH, MOH, bmpath63@yahoo.fr \r\nKassié FANGAMOU, MOH, fangamoukassie2@gmail.com\r\nFodé Amara Traoré, MOH, fodistet@yahoo.fr','<p>Facteurs associés à la flambée de Coqueluche dans le district de Kokolou, sous-préfecture de Linsan Saran, Préfecture de Lélouma, Janvier 2023 : Etude de cohorte rétrospective.</p>','<p>Le 31 Décembre 2022, un agent de santé du centre de santé de Lisan Saran a alerté la direction préfectorale de santé de l’existence des enfants présentant une toux quinteuse. Une investigation était menée pour confirmer la flambée de coqueluche, déterminer l’ampleur, identifier les facteurs de risque et rompre la chaine de transmission.</p>','<p>une étude de cohorte rétrospective chez les 0-17 ans groupés en exposé, non exposé aux facteurs et en malade ou non malade étaient menée. Les variables sociodémographiques, cliniques, facteurs de risques (vaccination, contact avec un cas, notion de voyage, promiscuité) étaient collectées. Les echantillons nasopharyngés étaient testés à la PCR en France. Médiane, étendue, proportions, taux d’attaque, RR, IC à 95% étaient calculées avec Epi info7.2.4, open épi. Un monitorage rapide de couverture en Penta 3 était réalisé.</p>','<p>Des 83 cas enregistrés, 10 sur 10 testés étaient confirmés au Bordetella pertus et 73(88%) confirmés par lien épidémiologique. L’âge médian : 5(0,33-17) ans, les enfants de 1-9 ans : 58 (70%), les garçons 46(55,4%), 69(83,1%) non vaccinés, 80(96,4%) étaient en contact avec un cas, 60(72,29%) vivaient dans la promiscuité. Le taux d’attaque de Ley Sèrè : 46 pour 100 enfants. Couverture vaccinale par monitorage rapide : 28%. Les non vaccinés, les ayant un contact avec un cas, les vivants dans la promiscuité avaient 6.4 [IC95% : 3.9 - 10.7], 5.8 [IC 95% : 1.9 - 17.3], 1.8 [IC 95% :1,2 - 2.6] plus de risque de contracter la coqueluche que les vaccinés, les non en contact avec un cas, ceux ne vivant pas dans la promiscuité respectivement.</p>','<p>La flambée était confirmée, les facteurs de risque étaient la non vaccination, le contact avec un cas et la promiscuité. Une riposté était organisée. Le respect des stratégies avancées et le rattrapage des enfants était recommandé.</p>','<p>Coqueluche, facteurs, associés, Linsan Saran, Guinée, 2023</p>','4','4','4','4','4','4',NULL,'Accept','Oral','Yes',NULL,'2024-05-13 10:13:00','2023-06-05 15:11:14',NULL,237),(432,'Dr. Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mrs','Lucy','Coker','female','sierra-leone','lucycoker1312@gmail.com','<p>Ministry of Health and Sanitation, Sierra Leone</p>','resident',NULL,NULL,'intermediate','vaccine-preventable-diseases','Amara A. Sheriff                            African Field Epidemiology Network                               amaraalhaji1970@gmail.com \r\nAdel Hussein                                 African Field Epidemiology Network                               ahussein@afenet.net\r\nGebrekrestos Negash Gebru      African Field Epidemiology Network                                ggebru@afenet.net','<p>Analysis of national measles surveillance data, Sierra Leone, 2017 to 2022</p>','<p>Measles is a contagious viral infection that kills one or two of every 1,000 children who are infected globally. In Sierra Leone, although there is a reliable functioning measles vaccination program, outbreaks of the disease continue to occur in most districts. This study aimed to describe the epidemiology of measles in Sierra Leone and to provide information to guide interventions.</p>','<p>A descriptive cross-sectional study was conducted using six-year (2017-2022) national measles case-based data from the National Measles Surveillance Program Databases. We extracted and analyzed reported measles cases from all 16 districts for six years period under review. Data were processed and analyzed using Microsoft Excel 2010 and Epi info 7. We describe the epidemiology of measles using age, sex, years, district, measles vaccination status, and vaccine doses. Data were descriptively analyzed into frequencies and proportions.</p>','<p>From 2017 to 2022, 1,292 suspected measles cases were recorded, of whom 267 (21%) were confirmed measles IgM. Of the confirmed cases, 152 (57%) were men and 173 (65%) were children under five years of age. The median age was 3 years (range 1 month to 40 years). Of the total reported confirmed cases, the highest number of cases occurred in 2022 (137), and the lowest was reported in 2019. However, there is no time pattern in terms of the yearly occurrence of cases across the period under review. No deaths related to measles were recorded in all six years. Cumulatively, Western Area Rural District had the highest 44/267 (17%) and Bombali District the lowest 2/267 (0.7%) confirmed cases for the six years. Most, 166 (62%), of the confirmed cases had unknown vaccination status, 58 (22%) and 19 (7%) received one and two doses respectively, and 24 (9%) were unvaccinated.</p>','<p>Sierra Leone recorded a sharp increase in laboratory-confirmed measles cases in 2022, and the vaccination status of most of the cases was unknown. The Ministry of Health and Sanitation and its partners should implement special vaccination campaigns to increase population immunity.</p>','<p>Analysis, Data, Measles, Sierra Leone, Surveillance</p>','4','4','4','4','5','5',NULL,'Accept','Poster','Yes',NULL,'2024-05-14 10:13:00','2023-05-29 09:49:33',NULL,138),(433,'Dr Seogo Pedwindé Hamadou','Mauritania FETP','hseogo@afenet.net','dr','El Yedaly','Mohameden Hamed','male','mauritania','yedalihamed@yahoo.fr','<p>Direction des services vétérinaires, Ministère de l’élevage, Programme de formation en épidémiologie de terrain de Mauritanie</p>','alumni',NULL,'3/3/2023','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','1.	Sidi Mohamed Hama, Office National de recherches et de développement de l’élevage et du pastoralisme- Ministère de l’élevage de Mauritanie, sidimedmicro@yahoo.fr\r\n2.	Ba Hamet Abderahmane, Programme de formation en épidémiologie de terrain de Mauritanie, Ministère de la santé de Mauritanie , hametba18@gmail.com\r\n3.	Assane Hamadi, Programme de formation en épidémiologie de terrain de Mauritanie, African Field Epidemiology Training Network\r\n4.	Mohamed Mahmoud Ely, Ministère de la Santé, Mauritanie, drmmelymahmoud@gmail.com\r\n5.	Pedwindé Hamadou Seogo, Programme de formation en épidémiologie de terrain de Mauritanie, African Field Epidemiology training Network, seogoph@gmail.com','<p>Investigation d’un cas de rage canine à Kiffa, Région d’Assaba, Mauritanie, Avril 2022</p>','<p>Le 6 avril 2022, la délégation vétérinaire a été informé par la Direction régionale de la santé de l’Assaba d’un cas de morsure d’un enfant par un chien suspect de rage dans la ville de Kiffa. Nous avons mené une investigation pour confirmer la suspicion de cas de rage, identifier d’autre cas de morsure et mettre en place les mesures de contrôle et de riposte</p>','<p>Nous avons mené une étude descriptive du 02 au 16 avril 2022 dans la population animale et humaine de Kiffa. Nous avons recherché activement les cas dans les registres et dans la communauté. Des entretiens avec les malades et accompagnants ont été effectués en utilisant un questionnaire pour collectés les données sur les animaux et les personnes mordues. Des prélèvements ont été faits pour le laboratoire. Des proportions, moyenne, médiane, ratio ont été calculés.</p>','<p>Le chien mordeur était de race locale, errante, femelle, âgée de 6 ans, non vacciné avec de petites blessures sur le corps. Il a été abattu et la tête prélevée le 6 avril 2022 pour le laboratoire qui a confirmé la rage le 07 avril 2022. La chienne a mordu trois personnes d’une même famille (deux hommes âgés de 3 et 6 ans et une femme de 2 ans) et une brebis de 5 ans, tous au quartier de Seyf dans la ville de Kiffa. Les personnes mordues ont été suivis et ont bénéficiés des traitements selon le protocole national ce qui a permis de leurs guérisons. La brebis mordue a été abattue.</p>','<p>L’investigation a permis de confirmer la rage provoquée par une chienne errante. Les mesures prises nous ont permis d’interrompre la chaine de transmission. Nous recommandons de renforcer la sensibilisation de la population sur la rage et les campagnes de vaccination des animaux.</p>','<p>Rage, Chien, Investigation, Kiffa, Assaba, Mauritanie</p>','3','2','4','2','2','4',NULL,'Accept','Poster','Yes','<p>Méthodes: c\'est une étude descriptive d\'un cas. La &nbsp;population animale et humaine de Kiffa n\'a pas sa place. Des proportions, moyenne, médiane, ratio ne doivent pas être calculés.&nbsp;</p><p>Conclusions: C\'est la rage canine et non la rage provoquée par une chienne errante. Il fallait recommander la vaccination des chiens comment actions de santé publique</p>','2024-05-15 10:13:00','2023-05-29 14:34:52',NULL,157),(434,'Dr. Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mrs','Isata','Theresa Kamara','female','sierra-leone','isatakamara02@gmail.com','<p>Ministry of Health and Sanitation, Sierra Leone</p>','resident',NULL,NULL,'intermediate','non-communicable-diseases-ncds-injuries-and-mental-health','Anna Jammeh                 African Field Epidemiology Network                                                      ajammeh@afenet.net\r\nSolomon Aiah Sogbeh      African Field Epidemiology Network                                                    solomonsogbeh@gmail.com\r\nAmara Alhaji Sheriff          African Field Epidemiology Network                                                     amaraalhaji1970@gmail.com\r\nAdel Hussein Elduma          African Field Epidemiology Network                                                   ahussein@afenet.net\r\nUmaru Sesay                          Sierra Leone Ministry of Health and Sanitation                                 sesayumaru4@gmail.com\r\nGebrekrestos Negash Gebru       African Field Epidemiology Network                                       ggebru@afenet.net','<p>Clinico-epidemiological characteristics of Road Traffic injuries presenting at the Trauma Centre of Connaught Teaching Hospital, Sierra Leone, 2020-2022</p>','<p>Road traffic accidents account for a significant proportion of unintentional injuries in the world and are the greatest cause of morbidities, disabilities, and mortalities. In Sierra Leone, a total of 2,763 accidents were reported of which 770 had serious injuries whilst 31% of deaths were recorded in 2020. The study aimed to describe the clinico–epidemiological characteristics of road traffic injuries seen at the accident center at Connaught Teaching Hospital, Freetown.</p>','<p>We conducted hospital-based secondary data analysis of road traffic injury attendees at the Connaught Teaching Hospital. Medical records were extracted using a checklist of all patients who sustained injuries from road traffic accidents and were treated at the hospital from January 1, 2020, to December 31, 2022. Data were entered, cleaned, and analyzed, and findings were presented in frequencies and percentages.</p>','<p>A total of 336 cases were registered, of which 68.8% (210) were between the age group 20 – 41 years and 78.6% (264) were males. Students accounted for 17.3% of all admitted cases, followed by traders, bike riders, and drivers with 14.1%, 14.0%, and 6.8% respectively. Of the total, residents of the West-end of Freetown accounted for the majority of cases at 25% (84) followed by Central Freetown at 20% (69), Eastern 19%, and western area rural at 19%. The most common type of injuries was lacerations which accounted for 47% (158), fractures 41%(138), abrasions 29% (97), and swellings 26%(87). The most commonly injured part of the body was the lower Limbs 51%, the head 43%, and the upper limbs 24%. Fractures of the tibia (15.5%), fibula (11.7%), and femur accounted for 8% of all lower limb injuries while the most common injuries of the head were lacerations and fractures of which basal skull 6.3%, mandibular (2.4%) and clavicular fractures 4% were the most fractured bones of the head and upper limbs respectively. The majority of the accidents occurred between 16:00 pm and 8:00 am local time; 86% usually presented on the same day and 44% of the vehicle types were Motorbikes and Tricycles.</p>','<p>Road Traffic accidents especially motorbike related, are a significant cause of injuries in Sierra Leone therefore practices of strict road safety measures and appropriate use of roads should be strengthened.</p>','<p>Road Traffic Accident, Epidemiology, Fracture, swelling, Records</p>','5','5','5','5','5','5',NULL,'Accept','Oral','Yes','<p>This study highlights yet an important but sort of neglected public health threats. It was well executed. How ever, on the conclusion and recommendations we should say something in regards to peak hours because that is when most road traffic accidents occur because of rash hour. The study should have presented some findings on clinical outcomes to further gain an understanding of the burden especially mortality due to road traffic accidents. Otherwise its a study that demonstrates an area of concern. Great job&nbsp;</p>','2024-05-16 10:13:00','2023-05-29 10:01:03',NULL,138),(435,'Dr. Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mr','Saidu','Mansaray','male','sierra-leone','saiduheisenberg.mansaray@yahoo.com','<p>Ministry of Health and Sanitation, Sierra Leone</p>','resident',NULL,NULL,'intermediate','hiv-aids-tuberculosis-and-other-opportunistic-infections','Umaru Sesay                    Ministry of Health and Sanitation, Sierra Leone                               sesayumaru4@gmail.com  \r\n Anna Jammeh                African Field Epidemiology Network                                                  ajammeh@afenet.net\r\nAmara Alhaji Sheriff        African Field Epidemiology Network                                                 amaraalhaji1970@gmail.com \r\nSolomon Aiah Sogbeh     African Field Epidemiology Network                                               solomonsogbeh@gmail.com \r\nAdel Hussein Elduma        African Field Epidemiology Network                                            ahussein@afenet.net \r\nGebrekrstos Negash Gebru    African Field Epidemiology Network                                     ggebru@afenet.net','<p>Evaluation of the HIV surveillance system within the Prevention of Mother-to-Child Transmission Programe, Urban District of the Western Area, Sierra Leone, 2022</p>','<p>In 2015, the HIV surveillance system was established within the Mother-to-Child Transmission Programme (PMTCT), to monitor the epidemiological trend and pattern of HIV. Since its establishment, no studies have been conducted to determine its performance. Here, we describe the operation and evaluate the characteristics of the HIV surveillance system within the PMTCT program in the urban district of the Western area.</p>','<p>We conducted a descriptive cross-sectional study from October to December 2022. We purposively selected and interviewed 18 healthcare workers using a semi-structured questionnaire to describe the operation and evaluated qualitative attributes. We review health facility registers and district health information systems to assess quantitative attributes, from January to December 2022. We used a Likert scale to rank attributes: as poor (65%). Scores were calculated by computing the proportion of total respondents who answered each question. We then averaged the scores per each attribute; and reported for quantifiable data.</p>','<p>The HIV surveillance system operates as a passive surveillance system. Data reporting is done monthly; feedback and supervision are done quarterly. Simplicity was good, with 69% of respondents saying that the case definition was easy to use. Acceptability was good, with 79% of the respondents saying that healthcare workers were willing to participate in the system. Stability was good, with 73% of the respondents stating that the system did not experience a breakdown. Representativeness was poor, as private health facilities do not perform HIV surveillance. Sensitivity was good, with a score of 90%. The usefulness was average, with 57% of respondents saying actions were taken on generated data.</p>','<p>The HIV surveillance system was useful in meeting its objective. However, the lack of participation in private health facilities implies that the system might be missing cases. We recommend that private health facilities receive tools and capacity-building training in the HIV surveillance system.</p>','<p>HIV/AIDS, PMTCT, Surveillance, Sierra Leone</p>','4','3','4','5','5','4',NULL,'Accept','Poster','Yes','<p>Although the topical understudy is good to continually evaluate surveillance systems, the author does not clearly describe the methods used. For example the Likert scale indicates that 60% denotes poor performance in the attribute, however, for the usefulness attribute, the author says its average, is this good or bad? The other measurement points on the Likert scale are not defined. This makes interpretation difficult.&nbsp;</p>','2024-05-17 10:13:00','2023-05-29 10:10:54',NULL,138),(436,'Addmore Chadambuka','Assistant Field Coordinator','achadambuka1@yahoo.co.uk','dr','Ernest T','Mauwa','male','zimbabwe','emauwa@yahoo.com','<p>University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Owen Mugurungi, Ministry of Health and Child Care AIDS &amp;amp; TB Unit, Harare, Zimbabwe mugurungi@gmail.com\r\nTsitsi Juru, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, jtsitsi@afenet.net\r\nAddmore Chadambuka , University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, achadambuka1@yahoo.co.uk\r\nNotion Gombe,  African Field Epidemiology Network, Harare Zimbabwe \r\nGerald Shambira, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, gshambira@afenet.net\r\nMufuta Tshimanga, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, Mtshimanaga@afenet.net','<p>Measles resurgence: An outbreak investigation in Chimanimani District, Manicaland Province, Zimbabwe, 2022.</p>','<p>Measles is a vaccine-preventable disease. It’s highly contagious with a 90% attack rate if not immune. Unvaccinated children, children &lt;5 years of age, malnourished individuals and those immune-compromised are at risk of severe measles disease. The World Health Organization recommends routine &amp; supplemental immunizations (SIs).We set out to determine the factors contributing to resurgence of measles in Chimanimani District.</p>','<p>We conducted a 1:1 unmatched case- control study in Chimanimani District. A case was a person residing in Chimanimani District who developed signs and symptoms of measles or tested IgM positive from 06 August to 06 September 2022. Controls were neighborhoods who did not have measles signs and symptoms. Cases were randomly selected. We recruited 126 cases and 126 controls. An Interviewer-administered questionnaire, line list, records of cases and key informant interviews were used to obtain information about the outbreak. We estimated vaccine effectiveness (VE). We conducted bivariate and multivariable logistic regression.</p>','<p>Majority (80.9%) of measles cases were unvaccinated against measles. Age of child greater than 5 years [AOR= 0.44, 95% CI (0.24-0.79)], being vaccinated against measles [AOR= 0.16, 95%CI (0.08-0.34)] and receiving 2 or more doses of measles vaccine [AOR 0.16, 95% CI (0.10-0.32)] were independent protective factors for contracting measles. Chimanimani District measles vaccine coverage was 70–89% in 2018 to 2022. VE was 84% (95% CI: 66-92%) in children aged 9-59 months.</p>','<p>Measles outbreak was due to a high susceptible population: unvaccinated, those receiving &lt; 2 doses and lack of herd immunity.VE was high (84%). We recommend increasing routine and supplemental immunizations coverage (&lt;=95%) to achieve and maintain herd immunity.</p>','<p>Measles, Outbreak, Vaccination, Chimanimani, Zimbabwe</p>','3','3','3','3','4','4',NULL,'Accept','Poster','Yes',NULL,'2024-05-18 10:13:00','2023-05-24 07:36:25',NULL,13),(437,'Addmore Chadambuka','Assistant Field Coordinator','achadambuka1@yahoo.co.uk','mr','Mutizwa T','Mupedziswa','male','zimbabwe','thomasmupedziswa@gmail.com','<p>University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','R. Chikodzore, Ministry of Health and Child Care, Matabeleland South, Bulawayo, Zimbabwe, drr1chikodzore@gmail.com\r\nG. Shambira, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, gshambira@afenet.net\r\nA. Chadambuka, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, achadambuka1@yahoo.co.uk\r\nT. P. Juru,  University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, jtsitsi@afenet.net\r\nM. Karakadzai, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, mujikay22@gmail.com\r\nN. T.  Gombe, \r\nM. Tshimanga,','<p>Predictors of time to viral load suppression in young people in Gwanda District, Zimbabwe 2021</p>','<p>Antiretroviral Treatment (ART) aims to achieve and maintain viral suppression in individuals living with HIV. Unsuppressed viral load leads to HIV transmission, susceptibility to opportunistic infections and premature death. Gwanda District failed to meet the national viral load suppression target of 95%. We determined predictors of time to viral suppression in ART-initiated young people (15-25 years).</p>','<p>We reviewed records of young people aged 15-25 years on ART in Gwanda District. Demographic, baseline clinical, and behavioural characteristics were abstracted from laboratory and patient registers. Kaplan Meier log-rank test was used to compare time to event experience between groups. Cox proportional hazard model was used to determine significant predictors of time to viral suppression.</p>','<p>We reviewed 667 records. Of these 502(75.4%) were females and 428 (64.3%) were aged 21-25 years. The median time to viral load suppression was 207 days (IQR 204-215). Significant curve differences were observed in categories of cotrimoxazole preventative therapy (CPT), baseline CD4, baseline viral load, and tuberculosis preventative therapy (TPT) (p-value&lt;0.00). The independent predictors of time to viral suppression were baseline CD4 count [AHR =2.52, 95% CI (1.94; 3.28)], CPT [AHR= 3.18, 95% CI (2.31; 4.38)], TPT [AHR= 5.48, 95% C. I (4.22; 7.11)], substance use [AHR=1.56, 95% CI: (1.14; 2.14)], and migration [AHR=1.55, 95% CI: (1.25; 1.92)].</p>','<p>The median time to viral load suppression was marginally higher than the expected 180 days. Predictors of time to suppression were baseline CD4, baseline viral load, migration, substance use, CPT, and TPT. Migration and substance use were risk factors for delayed viral suppression. We recommended more intensive monitoring of at risk persons and promote CPT and TPT to reduce time to viral suppression and prevent opportunistic infections.</p>','<p>Viral suppression, Young People, Migration, Zimbabwe</p>','4','4','4','4','4','5',NULL,'Accept','Oral','Yes',NULL,'2024-05-19 10:13:00','2023-05-24 17:47:31',NULL,13),(438,'Addmore Chadambuka','Assistant Field Coordinator','achadambuka1@yahoo.co.uk','mrs','Violah','Mushati','female','zimbabwe','violahnyangoni@gmail.com','<p>University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Patience Dhliwayo, National Malaria Control Program, Ministry of Health and Child Care, Harare, Zimbabwe, pdhliwayo@nmcp.co.zw\r\nGerald Shambira, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, gshambira@afenet.net\r\nTsitsi Patience Juru, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, jtsitsi@afenet.net\r\nAddmore Chadambuka, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, achadambuka1@yahoo.co.uk\r\nNotion Tafara Gombe, African Field Epidemiology Network, Harare, Zimbabwe\r\nMufuta Tshimanga, University of Zimbabwe, Department of Primary Health Care Sciences, Family Medicine, Global and Public Health Unit, Harare, Zimbabwe, Mtshimanga@afenet.net','<p>Factors associated with malaria transmission in Chibuli Ward 19, Mount Darwin District, Mashonaland Central Province, 2022</p>','<p>Chibuli Clinic, in Mount Darwin District, Zimbabwe, reported a malaria outbreak in week 5 of 2022 with 148 RDT-positive cases against an epidemic threshold of 115 cases. Chibuli Ward 19 was a low malaria transmission area with low malaria incidence. Long Lasting Insecticidal Nets (LLINs) were distributed as one of the key malaria interventions. Chibuli Ward is a farming community with several water bodies used for farming, creating breeding sites for mosquitoes. We investigated the factors associated with this outbreak in order to inform appropriate prevention and control measures.</p>','<p>A 1:1 unmatched case-control study was conducted from week 5 to week 18 of 2022. Data were collected using interviewer-administered questionnaires. Epi infoTM version 7.2.2.6 was used to conduct descriptive, bivariate, and multivariate analyses for factors associated with contracting malaria.</p>','<p>Cases and controls were comparable in terms of socio-demographic characteristics and knowledge of malaria transmission. Risk factors associated with malaria transmission were doing outdoor activities at dawn and dusk (AOR= 3.3; CI. 1.51-7.29) and staying in a house with open eaves (AOR=2.7; CI.1.29-5.88). Sleeping under the insecticidal treated net (O. R=0.38, CI. = 0.16-0.19) was a significant protective factor for contracting malaria. The analysis of larval sampling indicated that 7(39%) of the active breeding sites had Anopheles larvae only. Entomological investigations identified the majority of Anopheles mosquito species 22(96%) belonged to the funestus group.</p>','<p>Engaging in outdoor activities at night and low utilization of protective methods pose a risk of contracting malaria through mosquito bites. Social Behaviour Change Communication (SBCC) should be strengthened in order to change community behaviours that expose them to malaria infection. Vector resistance monitoring is recommended and larval source management should be implemented to complement other malaria control interventions.</p>','<p>Malaria, Case-control, Long Lasting Insecticidal Nets, Zimbabwe</p>','3','3','3','3','3','3',NULL,'Accept','Poster','Yes','<p>Good and comprehensive abstracts.</p><p>Definition of cases and control not included in the methodology</p>','2024-05-20 10:13:00','2023-05-24 17:09:42',NULL,13),(439,'Abyot Bekele Woyessa','Previous field base supervisor and mentor','abyot.woyessa@tuni.fi','mr','Abyot','Woyessa','male','ethiopia','abyot.woyessa@tuni.fi','<p>Oromia Regional Health Bureau, Addis Ababa, Ethiopia, and Tampere University, Tampere, Finland</p>','alumni',NULL,'14/03/2012','advanced','vaccine-preventable-diseases','Monica Shah, Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, hyy9@cdc.gov \r\nBinyam Moges, Global One Health Initiative, Ohio State University, Addis Ababa, Ethiopia, hyy9@cdc.gov \r\nJeff Pan, Ohio State University, Columbus, Ohio, USA, jeff.pan@osumc.edu \r\nLeuel Lisanwork, Global One Health Initiative, Ohio State University, Addis Ababa, Ethiopia\r\nGetnet Yimer, Global One Health Initiative, Ohio State University, Addis Ababa, Ethiopia\r\nShu-Hua Wang, Ohio State University, Columbus, Ohio, USA, shu-hua.wang@osumc.edu \r\nPekka Nuorti, Tampere University, Tampere, Finland, pekka.nuorti@tuni.fi \r\nMiia Artama, Tampere University, Tampere, Finland, miia.artama@tuni.fi \r\nAlmea M. Matanock, Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia and Global Immunization Division, CDC-Ethiopia, Addis Ababa, Ethiopia, xdf2@cdc.gov \r\nQian An, Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia,USA,  fei8@cdc.gov \r\nPaulos Samuel, Oromia Regional Health Bureau, Addis Ababa, Ethiopia, paulos_samuel2001@yahoo.com \r\nBekana Tolera, Oromia Regional Health Bureau, Addis Ababa, Ethiopia, tolerabekana@yahoo.com \r\nBirhanu Kenate, Oromia Regional Health Bureau, Addis Ababa, Ethiopia, birhanukenate20@gmail.com \r\nAbebe Bekele, Oromia Regional Health Bureau, Addis Ababa, Ethiopia, sumafabebe10@gmail.com \r\nTesfaye Deti, Oromia Regional Health Bureau, Addis Ababa, Ethiopia, muletagalmesa@gmail.com \r\nGetachew Wako, United Nations International Children\'s Emergency Fund (UNICEF), Addis Ababa, Ethiopia, gwako@unicef.org \r\nAmsalu Shiferaw, United Nations International Children\'s Emergency Fund (UNICEF), Addis Ababa, Ethiopia, ashiferaw@unicef.org \r\nYohannes Lakew Tefera, Ministry of Health Addis Ababa, Ethiopia, yohannes.lakew@moh.gov.et \r\nMelkamu Ayalew Kokebie, Ministry of Health Addis Ababa, Ethiopia, melkamu.ayalew@moh.gov.et \r\nTatek Bogale, African Field Epidemiology Network, Addis Ababa, Ethiopia, btatek@afenet.net \r\nHabtamu Tekle, Ethiopian Public Health Institute, Addis Ababa, Ethiopia, habtamuteklie2@yahoo.com \r\nAaron Wallace, Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA, ccu7@cdc.gov \r\nCiara Sugerman Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA, ccu7@cdc.gov','<p>Factors affecting the uptake of routine second dose measles containing vaccine among young children, Oromia Regional State, Ethiopia, 2021</p>','<p>Recommended vaccination at nine months of age with measles-containing vaccine (MCV1) has been part of Ethiopia’s immunization program since 1980. A second-dose of MCV (MCV2) was introduced in February 2019 for children 15 months old. Oromia Region is the most populous region and contributes close to half of the unvaccinated children in the country. In 2021, we examined MCV1 and MCV2 coverage and factors associated with measles vaccination status.</p>','<p>A cross-sectional household survey was conducted among caregivers of children aged 12-35 months in selected districts of the Oromia region. Measles vaccination status was sourced from home-based records, when available, or caregiver recall. We analyzed the association between MCV1 and MCV2 vaccination status and household, caregiver, and child factors using bivariate and multivariable logistic regression models with adjusted odds ratios (aOR) and 95% confidence intervals (CIs) reported.</p>','<p>Caregivers of 598 children aged 12-23 months and 574 aged 24-35 months were interviewed. MCV1 coverage was 71%, and MCV2 coverage was 48%. The drop-out rate from the first dose of the pentavalent vaccine to MCV1 was 22%, and from MCV1 to MCV2 was 46%. Caregivers who believed their child had received all recommended vaccines (aOR: 8.3, CI: 4.5–16.3), knew the correct number of vaccination visits (aOR: 3.1, CI:1.9–5.4), gave birth at a health-facility (aOR: 2.4 CI: 1.3–4.5), and knew the correct doses of MCV (aOR: 1.6, CI: 1.1–2.5) were more likely to vaccinate their child with MCV2. Factors associated with MCV1 vaccination status were similar to identified MCV2 factors.</p>','<p>Two years post-introduction, MCV2 coverage remains low, with high measles dropout rates in the Oromia Region. Caregivers with high awareness of MCV and its schedule were more likely to vaccinate their children. Intensified demand creation and social mobilization are needed to improve MCV2 uptake in the Oromia Region of Ethiopia.</p>','<p>Measles, Measles-Containing Vaccine, MCV2, immunization-coverage, barriers, Oromia, Ethiopia.</p>','4','4','3','3','4','4',NULL,'Accept','Oral','Yes','<p>Nicely done!</p>','2024-05-21 10:13:00','2023-05-25 13:20:52',NULL,76),(440,'Emmanuel NSHIMIYIMANA','RWANDA FETP Lead Mentor','enshimiyimana@afenet.net','mr','Emmanuel','UWAMBAJIMANA','male','rwanda','wambaemmy@gmail.com','<p>Kiziguro District Hospital</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Vincent l MUSANGANDE l Kiziguro District Hospital l vmusangande@gmail.com\r\nVincent l MUSANGANDE l Kiziguro District Hospital l vmusangande@gmail.com\r\nDenys    l Niyonsaba	     l Kiziguro District Hospital l hopitaldenys978@gmail.com\r\nVedaste	l MBAYIRE	     l Kiziguro District Hospital l mbavedi@gmail.com\r\nLaurent 	l NSABIYUMVA  l Kiziguro District Hospital l laurentnsabiyumva@gmail.com\r\nEsperance l	NIRAGIRE   l Rwanda Biomedical Centre	l esperanceniragire@gmail.com\r\nJean Claude l NIYOYITA l	AFENET-Rwanda l niyoy2020@gmail.com\r\nPeace l KINANI	University of Rwanda l peakina@nursph.org\r\nJean d\'Amour l SINAYOBYE l AFENET Rwanda l sinayobyed@gmail.com\r\nEmmanuel l NSHIMIYIMANA l AFENET-Rwanda l nshimiyimanaemmanuel78@gmail.com','<p>Investigating a suspected measles outbreak at Gakenke health center in Gatsibo district -Rwanda, March 2022</p>','<p>Measles, a highly contagious viral illness, is still remerging in sub-Saharan countries including Rwanda. On the 20th of March 2022, two (brother and sister) suspected cases of measles were reported by Gakenke Health Center (HC) of Gatsibo district. An investigation was conducted to assess the magnitude of the problem and confirm the existence of measles outbreak.</p>','<p>We conducted a descriptive analysis though community case search and laboratory testing to confirm measles outbreak. Using a questionnaire, we interviewed children studying together with the suspect case and those living in the same community through their parents. A suspected case was defined as any case with rash, fever, flu-like symptoms and redness in eyes living in Kiramuruzi Sector or the bordering area since 1st March 2022 meeting the incubation period. We collected blood samples to confirm measles cases. A confirmed case was defined as a suspected case with IgM positive by laboratory. Alert and epidemic threshold of Measles were set to be one and three confirmed cases, respectively, per a month within a district. We summarized information in frequency and proportion.</p>','<p>During investigation, 35 children aged 8 years and below, including 13 males (37.1%) and 22 females (62.9%) were interviewed. Of the 35, all (100%) were vaccinated, 5 (14%) were identified as suspect through investigation. The index case presented symptoms on the 7th March, 2022. One (20%) of the five laboratory samples collected from the suspected cases revealed positive to Measles IgM antibody.</p>','<p>Investigation of the suspected measles outbreak identified the existence of sporadic case in Gatsibo district, even among fully immunized children. In response to the investigation, children with symptoms were given treatment and were advised to stay home to avoid contact with others until they recovered. Community education on measles symptoms was conducted.</p>','<p>Measles case/outbreak, investigation, case definition, immunization</p>','4','4','3','4','4','3',NULL,'Accept','Oral','Yes',NULL,'2024-05-22 10:13:00','2023-06-05 10:45:23',NULL,54),(441,'Jean Claude NIYOYITA','Rwanda FETP  Frontline Field  Coordinator','jniyoyita@afenet.net','ms','Sarah','Mwemba','female','rwanda','mwerasarah@gmail.com','<p>Rwanda Agriculture and Animal Resources Development Board (RAB)</p>','alumni',NULL,'29/07/2022','frontline','one-health-and-climate-change','Hyacenthus l Uwitonze l Rwanda Agriculture and Animal Resources Development Board (RAB) l usecethi@gmail.com l\r\nMethode l Ngabo Gasana l Rwanda Agriculture and Animal Resources Development Board (RAB) l ngabogasana@gmail.com l\r\nJean Claude l NIYOYITA l African Field Epidemiology Network l jniyoyita@afenet.net l\r\nEmmanuel Nshimiyimana l African Field Epidemiology Network l enshimiyimana@afenet.net l','<p>Assessing awareness, attitude, and practices of veterinarians towards antimicrobial resistance in Bugesera District of Rwanda-January to February 2023.</p>','<p>Antimicrobial resistance is one of the greatest global health challenges and as consumption of animal protein increases in low and middle-income countries, accurate monitoring of antimicrobial resistance (AMR) becomes very important. Rwanda is facing increases in AMR in different sporadic places of the country mainly due to improper use of antibiotics by veterinarians and individuals providing animal health services. This study aimed at assessing awareness, attitude, and practices of antimicrobial resistance among veterinarians in Rwanda</p>','<p>We conducted a cross-section study among operational public and private veterinarians from January to February 2023 in Bugesera District, Rwanda. We collected data on awareness, attitudes, and practices of veterinarians towards antimicrobial resistance using a pre-designed questionnaire through online google form. The form was distributed though emails and WhatsApp group. Data was analyzed using Excel and findings were presented in frequencies and proportions.</p>','<p>A total 45 veterinarians were interviewed. Of them 37(82.2%) were males, 23 (51.1%) were aged between 30-39 years, 33(73.3%) were private veterinarians and 15(33.3%) had bachelor’s degree. Of the respondents, 44(97.8 %) knew and respected the dose prescription, 40(88.9%) were aware and respected the antimicrobials storage conditions, 32(71.1%) had not received any training on antimicrobial resistance. Through routine supervision of respondents, 31(68.9%) reported to have witnessed farmers prescribe antibiotics and treat animals by themselves, while 23(51.1%) reported that farmers do not respect dosage.</p>','<p>The study finding revealed that even though a high number of veterinarians were not trained on antimicrobial resistance they knew and respected antibiotic usage. However, it has been observed that farmers are the ones treating the big number of animals and misuse antibiotics, hence antimicrobial resistance. Thus, awareness of treatment and drug use guidelines adherence were recommended to prevent antimicrobial resistance</p>','<p>Antimicrobial resistance, Attitudes, awareness, veterinarian practices</p>','3','3','3','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2024-05-23 10:13:00','2023-06-05 10:46:54',NULL,54),(442,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','mr','Emmanuel','UWAMBAJIMANA','male','rwanda','wambaemmy@gmail.com','<p>Kiziguro District Hospital</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Bibiane l UWAMAHORO l Bushenge District Hospital l	ubibiane@gmail.com\r\nVedaste	l MBAYIRE l Kibilizi District Hospital l mbavedi@gmail.com\r\nEsperance l NIRAGIRE	 l Rwanda Biomedical Centre l esperanceniragire@gmail.com\r\nJean Claude l NIYOYITA l AFENET-Rwanda l niyoy2020@gmail.com\r\nEmmanuel l NSHIMIYIMANA l AFENET-Rwanda l nshimiyimanaemmanuel78@gmail.com','<p>Analyzing Acute Flaccid Paralysis surveillance dataset in Kiziguro Hospital Catchment Area-Rwanda January, 2017-September, 2022</p>','<p>Since 1988 Acute flaccid paralysis (AFP) surveillance was adopted to be implemented as an approach for tracking the success of the polio eradication initiative worldwide. In Rwanda, data are captured through individual data of electronic Integrated Disease Surveillance and Response (eIDSR). We conducted dataset analysis to provide descriptive epidemiology and measure the quality of AFP data in Kiziguro sub district.</p>','<p>This was a retrospective data review of AFP individual data reported from 2017 to September 2022 in Kiziguro sub district, of Rwanda. Data were extracted from eIDSR and cleaned. We described data by time, person and place. We analyzed completeness level and consistency to measure the quality of data. We used Epi info7 to analyze and summarize data in frequency and proportions.</p>','<p>In total, 24 AFP suspects were notified from 2017 to September 2022 with the majority 38% (9) in 2021. However 37% were female and 63% were male. The mean age was 9 years old and the majority 19 (79%) were children less than 15 years old. Of the total, 17(71%) were vaccinated against polio. Suspects were reported from 8 different sectors of Kiziguro catchment area with the majority 8(33%) Kiziguro and 6(25% at Gasange sector. Qualitatively, of the 24 cases, 5(21%) had date of consultation before date of symptoms onset, 6(25%) had sample transportation before consultation, 9(38%) missing date of sample collection and transportation, 8(33%) had no information on sample type taken while all cases had no results recorded in the system.</p>','<p>The majority of AFP suspects was children less than 15years and were distributed every year in many sectors. Unvaccinated children were found to be low compared with national immunization coverage. However, identified lack of data quality may negatively affect data usage. These finding helped in the implementation of weekly data quality audit.</p>','<p>Acute flaccid paralysis, Surveillance, dataset, completeness, data quality</p>','4','3','3','2','2','1',NULL,'Reject','Rejected','Yes',NULL,'2024-05-24 10:13:00','2023-05-30 13:23:36',NULL,229),(443,'EVERLYNE AKINYI MBOGA','MAEDICAL LABORATORY TECHNOLOGIST','evemboga6@gmail.com','ms','EVERLYNE','MBOGA','female','kenya','evemboga6@gmail.com','<p>HOMABAY COUNTY GOVERNENT, MINISTRY OF HEALTH SERVICES</p>','resident',NULL,NULL,'frontline','vaccine-preventable-diseases','Jacques Muthusi, CDC KENYA, mwj@cdc.gov','<p>HEPATITIS B VACCINATION UPTAKE AMONG HEALTHCARE WORKERS AT THREE LEVEL 4 FACILTIES IN KABONDO SUB COUNTY,HOMABAY COUNTY,KENYA.</p>','<p>Hepatitis B Virus (HBV) infection affects the liver and can result in acute or chronic liver disease. HBV is transmitted by exposure to infectious blood and other body fluids and healthcare workers (HCWs) are more likely to acquire infection compared to general population. Although an effective vaccine is available for the prevention of HBV, its uptake among HCW may be hindered by misconceptions and attitudes among HCW, cost and health system challenges. We assessed proportions of HCW vaccinated for HBV and factors affecting vaccination uptake in Othoro, Ober and Kabondo Level IV hospitals in Homabay county Kenya.</p>','<p>We conducted a cross-sectional study among consenting HCWs between June and October 2022. Data on sociodemographics,vaccination status,vaccine availability, and management support was collected using a structured questionnaire. Proportions were compared using the Chi-squared test.</p>','<p>We conducted a cross-sectional study among consenting HCWs between June and October 2022. Data on sociodemographics,vaccination status,vaccine availability, and management support was collected using a structured questionnaire. Proportions were compared using the Chi-squared test.</p>','<p>Low uptake of vaccination against HBV among HCWs was reported, predominantly among female HCWs and non-laboratory staff. IPC training and management support positively influence the uptake of vaccination among HCWs.</p>','<p>Hepatitis B, HCWs</p>','3','3','1','2','2','1',NULL,'Reject','Rejected','Yes','<p>Result section is missing</p>','2024-05-25 10:13:00','2023-05-08 15:44:56',NULL,20),(444,'Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mrs','Isata','Kamara','female','sierra-leone','isatakamara02@gmail.com','<p>Ministry of Health and Sanitation, Sierra Leone</p>','resident',NULL,NULL,'intermediate','one-health-and-climate-change','Anna Jammeh                         African Field Epidemiology Network                                          ajammeh@afenet.net\r\nSolomon Aiah Sogbeh          African Field Epidemiology Network                                            solomonsogbeh@gmail.com \r\nAmara Alhaji Sheriff             African Field Epidemiology Network                                             amaraalhaji1970@gmail.com \r\nAdel Hussein Elduma           African Field Epidemiology Network                                               ahussein@afenet.net \r\nUmaru Sesay                         Ministry of health and SANITATION                                                sesayumaru4@gmail.com\r\nGebrekrestos Negash Gebru   African Field Epidemiology Network                                         ggebru@afenet.net','<p>An evaluation of the National Food Safety Control Program, Sierra Leone, 2023</p>','<p>Food-borne diseases are a global public health concern and an important cause of morbidity and mortality, accounting for 600 million cases and 420,000 deaths each year. Sierra Leone set up the National Food Safety Control Program from the 1960 Public Health Ordinance. This system has undergone several changes, but there is no evidence of its effectiveness in meeting its objectives. Therefore, this study evaluated the operations and attributes of the Sierra Leone National Food Safety Control program to determine its effectiveness and usefulness.</p>','<p>We adopted the FAO and WHO National Food Safety Control Programs Assessment Tool to develop a semi-structured questionnaire. We interviewed 10 key informants, using the questionnaire, who were purposively drawn from the Ministry of Health, Ministry of Agriculture, Sierra Leone Standards Bureau, and Consumer Protection Agency. Personal observations and review of documentation were done to assess system attributes and described its operations. Responses are summarized into frequencies and proportions. R</p>','<p>There were clear policies, guidelines, and legal instruments for the implementation of food safety in (100%) of the six Competent Authorities (CA). In all the 6 CAs, there were insufficient budgetary allocations for food safety operations. There was no national monitoring program based on risk assessment and food safety surveillance system in 5 of the 6 CAs. The system was simple to operate, flexible, and adaptive to changes but not representative and easily acceptable. The system could not use data to inform new or current risk analysis activities in all CAS, 1 in 6 CAs can identify risk factors and use risk profiles to guide and inform interventions and deployment of resources, no CA-supported preventive approaches to food control and early identification of emerging and critical issues.</p>','<p>The system was enriched with several legislation and policies in line with Codex standards that empowered CAs to implement food safety controls. However, insufficient financial resources greatly affected the operations, effectiveness, and usefulness of the national food safety control system.</p>','<p>Foodborne, Food Safety, Sierra Leone</p>','3','3','3','3','3','3',NULL,'Accept','Poster','Yes','<p>Good topic and interesting evaluation as far as food safety is concerned</p><p>It seems the last sentence of the method section is not complete. R....</p><p>Add recommendation and any Public health action taken</p>','2024-05-26 10:13:00','2023-05-01 09:38:25',NULL,139),(445,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','mr','Shaban','HAVUGIMANA','male','rwanda','inezashaban5@gmail.com','<p>Kibungo Referral Hospital</p>','resident',NULL,NULL,'intermediate','hiv-aids-tuberculosis-and-other-opportunistic-infections','Patrick l UWIDUHAYE l NGOMA District l uwiduhayea@gmail.com\r\nJean Claude  l NIYOYITA l AFENET-Rwanda l niyoy2020@gmail.com\r\nEmmanuel l NSHIMIYIMANA l AFENET-Rwanda l nshimiyimanaemmanuel78@gmail.com','<p>Positivity rate of Pulmonary Tuberculosis among people Living with Human Immunodeficiency Virus attending Kibungo Referral Hospital, Ngoma district-Rwanda 2020-2021</p>','<p>Pulmonary tuberculosis (TB), is one of the leading causes of death among people living with HIV in developing countries. Each year, all people living with HIV and under follow up are screened for TB infection. However, data are not systematically analyzed in Ngoma district. In 2022, we reviewed hospital data to determine the positivity rate and characterize TB patients among people living with HIV (PLHIV) attending Kibungo Referral Hospital.</p>','<p>A cross-sectional retrospective study was conducted at Kibungo Referral Hospital in Rwanda. We reviewed clinical registers and files of PLHIV and their laboratory TB screening results, in the period of 2020-2021 at Kibungo Referral Hospital. The positivity rate was calculated using the number of PLHIV divided by the number of TB positive multiplied by 100. We assessed demographics and ARV adherence among co-infected. Data were extracted into Excel sheets and analyzed. Results were presented using frequency and proportions.</p>','<p>A total of 110 PLHIV were under follow up at Kibungo Referral Hospital. Of them, four were diagnosed with pulmonary TB, yielding a positivity rate of 3.6%. Among co-infected people, 3/4 (75%) were males, including 2/3 (66.6%) in age group 30-39 years and 1/3 in age group 40-49 years, while ¼ (25%) was female in age group 20-29 years. None of the co-infected people had good adherence to antiretroviral (ARV).</p>','<p>Despite the efforts to halt TB and HIV co-infection, there are still preventable cases of co-infection in Kibungo. Failure to adhere to ARV might have attributed to these cases of co-infection. These results were presented to hospital management with recommendations to strengthen awareness of efficient use of ARV drugs, and to determine factors associated with developing TB-HIV co-infection. Thus, ARV department has implemented regular follow up of ARV uptake.</p>','<p>Person living with HIV, Tuberculosis, Positivity rate, TB&amp;HIV Co-infection.</p>','2','3','3','2','2','2',NULL,'Accept','Rejected','Yes',NULL,'2024-05-27 10:13:00','2023-05-30 13:26:25',NULL,229),(450,'Jean Claude NIYOYITA','Rwanda FETP Frontline Field Coordinator','jniyoyita@afenet.net','dr','Jean Pierre','BUCYANAYANDI','male','rwanda','bujepie@gmail.com','<p>Kibuye Referral Hospital</p>','alumni',NULL,'4/6/2021','frontline','hiv-aids-tuberculosis-and-other-opportunistic-infections','Michel I Ishimwe I Kibuye Refferal Hospital I ishimwe004@gmail.com I \r\nJean Claude l NIYOYITA l African Field Epidemiology Network l jniyoyita@afenet.net l\r\nEmmanuel l Nshimiyimana l African Field Epidemiology Network l enshimiyimana@afenet.net I','<p>Assessment of Nutritional Status among Children Living with HIV in Kibuye Referral Hospital Catchment Area, Karongi district - Rwanda, January-November 2022</p>','<p>Achieving the Sustainable Development Goals about nutrition depends on the ability to address nutritional status of children in general and those infected or affected by HIV/AIDS in particular. Deficient intake and obesity are the two most common types of paediatric malnutrition. Thus, this study aimed to assess nutritional status of children below fifteen years of age living with HIV at Kibuye hospital catchment area.</p>','<p>This is a descriptive cross sectional study conducted at Kibuye hospital catchment area. HIV clinical files of children below 15years under follow up from January to November 2022 were reviewed in the period of October to November 2022. Anthropometric measures including age, weight and height were used to identify the types and degree of malnutrition including stunting, wasting and obesity while the WHO classification (Growth charts and Z-scores) was used for categorization. Data were analysed using Microsoft excel to express different proportions.</p>','<p>A total of 104 children under fifteen years living with HIV were identified, of whom 51% were female. Of them, 52% had malnutrition including 39.4% (41/104) with stunting and 12.5% (13/104) with wasting. Of the children with stunting, 19.2% and 20.2% had moderate and severe stunting respectively. Among the children with wasting 8.6% and 3.8% were moderate and severe respectively. None of the children had obesity.</p>','<p>The findings show that the majority of Children living with HIV in Kibuye hospital have had malnutrition either stunting or wasting. Strengthened awareness on proper nutrition were initiated for the children attending follow up sessions. However, further studies were recommended to explore possible causes of malnutrition in the area to guide the appropriate interventions.</p>','<p>HIV, malnutrition, stunting, wasting, Growth Charts and Z-scores,Children</p>','3','3','3','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2024-05-28 10:13:00','2023-06-02 14:45:50',NULL,190),(451,'Alain Magazani','RTC Afrique Centrale','amagazani@afenet.net','dr','Emmanuel','Mapangu','male','congo-democratic-rep','emmanuelmapangu@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Linda Matadi; DRC FETP-AFENET, basadiamatadi@yahoo.com,\r\nAlain Magazani, AFENET, amagazani@afenet.net\r\nBelinda Ayumuna, DRC FETP-AFENET, \r\nKen Kayembe, DRC FETP-AFENET, kkayembe@afenet.net\r\nMAKANDA Abdon : Analyste, DPS Kasai oriental ; drabdonmakanda@gmail.com\r\nMEKANDA urbain : Chef de Division de la Santé du Kasaï, urbainmekanda@gmail.com\r\nLIYEYE Delphin : Chef de Bureau Information sanitaire ; drdelphinliyeye@gmail.com\r\nYAMBAYAMBA Marc : Assistant Ecole de Santé de Kinshasa; marc.yamba@unikin.ac.cd\r\nLULEBO Aimée : Professeur à l\'Ecole de Santé de Kinshasa;aimelulebo@yahoo.fr','<p>Evaluation du système de surveillance de la rougeole dans la zone de santé de Kanzala, Kasaï, République Démocratique du Congo, 2022</p>','<p>La rougeole est une maladie virale hautement infectieuse et évitable par la vaccination. Depuis 2021, aucun cas n’a été confirmé dans la zone de santé de Kanzala. L’objectif de cette étude était d’évaluer la performance du système de surveillance de la rougeole afin de contribuer à l’amélioration de la détection et la réponse aux épidémies de rougeole.</p>','<p>Une étude transversale descriptive a été conduite d’avril à juin 2022. La population cible était constituée de 33 points focaux du niveau central, intermédiaire et périphérique impliqués dans la surveillance épidémiologique. Les données secondaires de surveillance de la rougeole étaient collectées et l’interview avec les points focaux était réalisé à l’aide d’un questionnaire électronique semi structuré sur Kobo Collect. Les attributs du système de surveillance de la rougeole ont été évalués selon les directives d’évaluation des systèmes de surveillance en santé publique des Centres de Contrôle et de Prévention des maladies 2001. Les analyses descriptives ont été réalisées sur Epi info 7.2.3.</p>','<p>Au total 33 acteurs ont été interviewés dont 4 femmes (12,1%). Tous n’étaient pas formés en surveillance, La proportion des réunions de surveillance tenues était de 17,30% et celle de supervisions reçues de 33,3%. La définition des cas de rougeole était disponible dans 64,3% et le format des relevés épidémiologiques était conforme dans 33,3% des structures ; 60,6% d’acteurs mettaient ≤15 minutes pour compléter les données de surveillance ; 27,3% d’acteurs avaient mené au moins une action sur base des données de surveillance. Un tiers des relevés épidémiologiques hebdomadaires avait des données incohérentes avec celles du registre de consultations.</p>','<p>cette évaluation a montré que la capacité de la zone de santé à assurer les fonctions de la surveillance épidémiologique était faible. La redynamisation de ce système à tous les niveaux est nécessaire pour le rendre performant.</p>','<p>Evaluation du système de surveillance, rougeole, Kanzala</p>','3','3','2','2','2','2',NULL,'Reject','Rejected','Yes','<p>Bien que le travail a été bien introduit, les attributs du systémème n\'apparaissent pas clairement dans les méthodes et les résultats. La conclusion ne correspond pas aux résultats obtenus</p>','2024-05-29 10:13:00','2023-05-15 13:04:22',NULL,202),(452,'Jean Claude NIYOYITA','Rwanda FETP Frontline Field Coordinator','jniyoyita@afenet.net','mr','Didier','Ndabana','male','rwanda','didierndabana@gmail.com','<p>Nyamata Hospital</p>','alumni',NULL,'11/3/2022','frontline','maternal-reproductive-and-child-health','Jean Claude I NIYOYITA I African Field Epidemiology Network I jniyoyita@afenet.net I\r\nEmmanuel l NSHIMIYIMANA l African Field Epidemiology Network I enshimiyimana@afenet.net l','<p>Assessment of Neonatal Sepsis among Preterm Infants in Nyamata hospital, Bugesera district -Rwanda, 2023</p>','<p>The WHO estimates that Neonatal infections that include sepsis result in over 550,000 neonatal deaths every year. In preterm infants, sepsis is one of the major cause of neonatal deaths worldwide as well in Rwanda. Neonatal sepsis is subcategorized into early onset (EOS) and late onset (LOS) depending on the time of onset. Following increase in number of neonatal infections at Nyamata Hospital in December 2023, we conducted a study to characterize neonatal sepsis infections in Nyamata Hospital.</p>','<p>We conducted a hospital based retrospective cross-sectional study where clinical records from December 2022 to February 2023 were reviewed to collect sociodemographic and clinical data. We classified neonatal sepsis among preterm infants into EOS and LOS. LOS was defined as a sepsis onset after 72 hours of life while EOS was defined as sepsis in less than 72 hours. Results were summarized in frequencies and proportions using Microsoft excel.</p>','<p>In total, 104 preterm infants were recorded of whom 59 (57%) were females, the predominant age group based on gestational age was 28-37 weeks 80 (76.9%). Of preterm infants, 95 (91.3%) developed neonatal sepsis, with 85 (89.5%) having late onset sepsis, followed by 10 (10.5%) that had early onset sepsis. Only 5 (5.8%) among LOS were confirmed with blood culture positive, of which Salmonella typhi 2/5(40%), Enterococci Species 1/5(20%), and Klebsiella pneumonia 2/5(40%) were isolated.</p>','<p>LOS neonatal sepsis were the most prevalent neonatal infections in Nyamata hospital. Despite that, most cases had been clinically diagnosed and lacked laboratory confirmation, Klebsiella Pneumonia was identified as one of LOS causes, which might be the result of nosocomial infections. These findings led the hospital to change the neonate hospitalization room to a new one and routine environmental monitoring and improved use of blood culture were recommended.</p>','<p>Neonatal sepsis, Late-Onset Sepsis, Early onset sepsis, Preterm Infants</p>','4','3','3','3','4','4',NULL,'Accept','Oral','Yes',NULL,'2024-05-30 10:13:00','2023-05-24 08:54:42',NULL,63),(453,'Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mr','Mohamed','Bah','male','sierra-leone','mbah066@gmail.com','<p>Ministry of Health and Sanitation, Sierra Leone</p>','resident',NULL,NULL,'intermediate','maternal-reproductive-and-child-health','Umaru Sesay                                            Ministry of Health and Sanitation                       sesayumaru4@gmail.com\r\nAnna Jammeh                                       African Field Epidemiology Network                   ajammeh@afenet.net\r\nGebrekrestos Negash Gebru             African Field Epidemiology Network                    ggebru@afenet.net','<p>Is Sierra Leone reducing its high neonatal mortality rate? A case study from Kabala Government Hospital, Sierra Leone, 2018 to 2022</p>','<p>Sierra Leone’s neonatal mortality rate is among the highest in the world. In 2022, the neonatal mortality ratio was 34 per 1000 livebirth. In Koinadugu District, little is known about neonatal mortality. we reported the magnitude, epidemiological trend, distribution, and causes of neonatal deaths at Kabala Government Hospital (KGH), Koinadugu District, Sierra Leone.</p>','<p>We performed a retrospective secondary data analysis. Medical records of all neonates admitted from 2018 to 2019 at the specialized neonatal care unit at the KGH were reviewed. We obtained variables including sex, date of admission, date of death, birth weight, mode and place of delivery, diagnosis, and cause of death. We analyzed and presented findings in frequencies, proportions, and rates.</p>','<p>A total of 226 neonatal deaths were recorded, of which 51% (116) were males, and the mean age was 5.0 days (SD+/-5.11). For the period under study, the average neonatal mortality rate was 42 per 1000 live birth; and it decreased from 80 per 1000 live births in 2018 to 47 per 1000 live births in 2022. Birth weight &lt;2.5kg accounted for more than half of the total deaths with 52% (117/226). Normal vaginal delivery accounted for 73% (166/226) of neonatal deaths and cesarean section for 27% (60/226). Seventy-one percent (161/226) of the deaths occurred within 24 hours of admission, and 30% (68/226) were among children delivered out of the hospital (home and peripheral health units). Respiratory distress accounted for the majority with 32% (73/226), followed by Birth Asphyxia and Neonatal sepsis at 23% (51/226) and 16% (37/226) respectively.</p>','<p>There was a steady decline in the neonatal mortality rate in Koinadugu District of Sierra Leone. Children borne through virginal delivery accounted for the majority of the deaths. The leading cause of neonatal death was respiratory distress. We recommend improving intrapartum care services, especially with early diagnosis of cases of fatal distress.</p>','<p>Infant, Live birth, Neonatal deaths, Koinadugu, Sierra Leone</p>','3','2','3','3','3','3',NULL,'Accept','Poster','Yes','<p>It will better if you could calculate the rates instead of proportions in order to compare neonatal deaths in various categories</p><p>Now we cannot know if those who are born by normal delivery are more at high risk than those borne by C/S or those borne in the community versus those borne at the HFs. The comparison will guide more on targeted interventions</p>','2024-05-31 10:13:00','2023-05-01 11:21:30',NULL,139),(454,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','mr','Philbert','RUGIRANGOGA','male','rwanda','micoshema@gmail.com','<p>Kirehe District Hospital</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Jean Claude l MUNYEMANA l Kirehe District Hospital l mjclaude2011@gmail.com\r\nJean Claude l NIYOYITA l AFENET-Rwanda l niyoy2020@gmail.com\r\nEmmanuel l NSHIMIYIMANA l AFENET-Rwanda l nshimiyimanaemmanuel78@gmail.com','<p>Evaluation of food poisoning surveillance system in Kirehe District of Eastern Province in Rwanda, October 2022</p>','<p>An estimated 600 million people, almost 1 in 10 people worldwide, fall ill annually by consuming contaminated food or drinks resulting in food poisoning outbreaks. In Rwanda, food poisoning is reported through the integrated disease surveillance and response (IDSR) system aiming for early detection and response to outbreaks. We conducted an evaluation of food poisoning surveillance system to assess if it achieves its objectives in Kirehe district of Rwanda.</p>','<p>We conducted a descriptive cross-sectional study using the updated CDC guidelines for evaluating public health surveillance systems. We used a reference period of 2017 to 2021. We reviewed IDSR data and conducted interviews of key informants in health facilities using questionnaire in mobile Epi Info 7. We defined the rates of attributes to evaluate including representativeness, data quality (accuracy, completeness and timeliness), usefulness, simplicity, stability, and acceptability. We defined acceptable low rate of 80% and analyzed data in Epi info 7 and Excel.</p>','<p>From 2017 to 2021, Kirehe district hospital recorded six episodes of food poisoning outbreaks, affecting 201 people from four (30%) of 12 sectors of Kirehe district. In general, 22 respondents from 10 health facilities participated. The representativeness rate was 91%, accuracy, completeness and timeliness were 68.6%, 82% and 52% respectively. The usefulness rate was 25% with 0% (0/6) causative agent detection rate, 67% (4/6) outbreaks detected on time, 33% (2/6) investigated outbreaks, 0% (0/6) reports with intervention made. Simplicity rate was 86% (18/21), stability rate was 90% (9/10), and overall acceptability rate was 78% with 100% satisfied.</p>','<p>This evaluation revealed that food poisoning surveillance system in Kirehe district is representative, simple, stable and satisfactory. However, findings submitted to stakeholders indicate that the district should ensure timely reporting and causative agent detection to improve the surveillance system’s usefulness.</p>','<p>Food Poisoning, Surveillance system, Evaluation, Kirehe district</p>','5','4','4','4','4','4',NULL,'Accept','Oral','Yes',NULL,'2024-06-01 10:13:00','2023-05-24 08:58:57',NULL,63),(455,'Alain Magazani','RTC Afrique Centrale','amagazani@afenet.net','dr','Jacques','Lomanga','male','congo-democratic-rep','lomangajacques80@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Gauthier Mubenga, DRC FETP/AFENET, gauthiermubenga1@gmail.com \r\nLinda Matadi, DRC FETP/AFENET, matadibasadia@yahoo.com\r\nAlain Magazani, AFENET, amagazani@afenet.net\r\nLéopold Lubula, Ministère de la Santé, leopoldlubula@gmail.com\r\nPassy BOSOMBA , Chef de Bureau info sanitaire DPS Tshuapa, passybosomba@gmail.com \r\nMarc YAMBAYAMBA, Assistant école de santé de Kinshasa, marc.yamba@unikin.ac.cd), \r\nBelinda AYUMUNA, Chargé suivi de stage FELTP -DRC ayumunamalasi@gmail.com), \r\nAimé LULEBO, KSPH, aimelulebo@yahoo.fr','<p>Investigation d’une épidémie de Mpox dans l’aire de santé Lofuko, zone de santé de Befale, Tshuapa, République Démocratique du Congo, 2022.</p>','<p>Maladie zoonotique due à un Orthopoxvirus, le Mpox circule dans les régions tropicales humides d’Afrique occidentale et centrale et elle est endémique en République Démocratique du Congo notamment dans les provinces de la Tshuapa et de Sankuru. Le 20 septembre 2022, onze cas suspects dont cinq décès (létalité :45,5%) ont été rapporté dans l’aire de santé Lofuko, proche de la réserve naturelle de Lomako ; ainsi, pour confirmer ou infirmer l’existence d’une épidémie et mettre en place les mesures de contrôle, une investigation a été conduite.</p>','<p>Une étude transversale descriptive a été réalisée dans la zone de santé de Befale du 22 au 26 septembre 2022. La fiche d’investigation au cas par cas a été utilisée pour récolter les informations chez tous les cas suspects et un écouvillonnage a été réalisé et envoyé au laboratoire national de santé publique pour des tests PCR spécifiques du virus de la variole du singe et de varicelle-zona. Les analyses statistiques descriptives ont été utilisées avec Excel 2016.</p>','<p>Au total 11 cas suspects dont 5 décès (létalité : 45,5%)ont été identifiés dans l’aire de santé Lofuko, zone de santé de Befale avec une vitesse de propagation de 5%. L’âge moyen de cas suspects était de 11 ans avec un sexe ratio H/F= 1,8 ; la profession de chasseur était un des facteurs ayant favorisé la propagation de la maladie dans cette aire de santé ; tous les cas avaient consommé la viande d’un singe trouvé mort. Parmi les 11 échantillons prélevés, 7(63,6%) ont été confirmés positifs au Mpox.</p>','<p>Cette investigation a permis de confirmer l’épidémie. L’isolement, la prise en charge des cas, la sensibilisation de la population sur les mesures d’hygiène, la manipulation et la consommation des animaux malades ou trouvés morts pourraient contribuer à réduire la morbi-mortalité liée à la maladie.</p>','<p>Etude transversale, MPox, Befale, Tshuapa, République Démocratique du Congo, RDC</p>','3','3','3','3','4','3',NULL,'Accept','Poster','Yes','<p>L\'objectif de l\'investigation n\'est pas bien élaboré. Les methodes peuvent être étoffées. Les mesures statistiques utilisées pour résumer les données. Le sujet est interessant et d\'actualité</p>','2024-06-02 10:13:00','2023-05-16 01:21:07',NULL,202),(456,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','dr','Issiakou','G. Aboubakar','male','niger','iaboubakargandou@yahoo.fr','<p>Direction de la Surveillance et de la Riposte aux Epidémies (Ministère de la Santé Publique), Niger</p>','alumni',NULL,'15/07/2020','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','I. Djibo, African Field Epidemiology Network (AFENET), dj_issif@yahoo.fr  \r\nS. Karimou, African Field Epidemiology Network (AFENET), karimousani2007@yahoo.fr  \r\nI. S. Alkassoum, Université Abdou Moumouni Dioffo de Niameyibrahim_alkassoum@yahoo.fr','<p>Investigation d’une épidémie de Diphtérie dans le District Sanitaire de Tesker, région de Zinder, Niger, 2022.</p>','<p>Le 05 Septembre 2022, le District de Tesker a notifié à la Direction de la Surveillance et Riposte aux Épidémies des cas suspects de diphtérie avec décès. Le 07 Septembre 2022, une équipe multidisciplinaire a mené une investigation afin de confirmer l’existence d’une épidémie, de décrire les caractéristiques sociodémographiques des cas et de mettre en place des mesures de contrôle et prévention de la maladie.</p>','<p>Nous avons réalisé une étude descriptive des cas de diphtérie survenus au District de Tesker du 17 Août au 25 septembre 2022. Un cas de diphtérie est défini comme toute personne présentant une dysphagie associée ou non à une pseudomembrane. Nous avons mené une recherche active des cas dans la communauté, des entretiens et une revue documentaire. Les logiciels Epi-Info 7.2 et Excel 2019 ont été utilisés pour l’analyse. Des fréquences et proportions ont été calculées.</p>','<p>Au total, 34 cas suspects de diphtérie, 9(26,47%) décès ont été notifiés. Le cas index était de sexe masculin âgé de 13 ans admis le 17 Août au centre de santé de Tesker. La recherche active a permis de recruter 6(17,65%) nouveaux cas au niveau communautaire. Six échantillons ont été collectés. Le sexe féminin était de 23(67,65%). L’âge médian était de 10 ans (1-60 ans). La tranche d’âge 1-14 ans étaient de 26(76,47%). Les principaux signes cliniques étaient entre autres la dysphagie (100%) et fausses membranes (20,59%). Aucun cas n’a été vacciné. Trois (50%) échantillons ont été testés positifs à la PCR. A l’antibiogramme, les macrolides et tétracycline étaient efficaces.</p>','<p>L’investigation a permis de confirmer pour la première fois biologiquement la diphtérie. Cette épidémie révèle la circulation du Corynebacterium diphtheriae malgré l’existence d’un vaccin efficace et gratuit. Nous recommandons le renforcement de la vaccination de routine.</p>','<p>Investigation, Diphtérie, Tesker, Niger</p>','4','2','4','3','4','3',NULL,'Accept','Oral','Yes','<p><strong>Introduction&nbsp;:&nbsp;</strong>RAS</p><p>&nbsp;</p><p><strong>Méthodes :&nbsp; </strong>Nous avons réalisé une étude <strong>(transversale)</strong> descriptive. &nbsp;Un cas <strong>suspect&nbsp;</strong>de diphtérie <strong>était</strong> toute personne présentant une dysphagie associée ou non à une pseudomembrane résident au District de Tesker du <strong>17 Août au 25 septembre 2022(c’est la période passée au terrain pour investiguer ou c’est la période concernée par l’étude&nbsp;?).&nbsp;</strong>&nbsp;Nous avons mené une recherche active des cas dans la communauté, des entretiens et une revue documentaire<strong> (citez les sources des données</strong>). Dire un mot sur le type d’échantillons et le test. Les logiciels Epi-Info 7.2 et Excel 2019 ont été utilisés pour l’analyse statistiques descriptives. Enlever cette phrase&nbsp;:Des fréquences et proportions ont été calculées.</p><p><strong>Résultats :&nbsp; </strong>Au total, 34 cas suspects de diphtérie <strong>dont 17,7%( 6/34) détectés par la recherche active (17,7%) dans la communauté&nbsp;</strong>et&nbsp;9 décès (létalité&nbsp;:26,47%) ont été notifiés avec un taux d’attaque global de xxx % (cas/population) pour le District de Tesker &nbsp;. Le cas index était un garçon&nbsp;âgé de 13 ans admis le 17 Août au centre de santé de Tesker. La plupart étaient des femmes (sexe ratio F/H étant égal à 3,25). L’âge médian était de 10 ans&nbsp;[xmin=1 et xmax=60]. &nbsp;L’âge médian était de 10 ans (1-60 ans) et 76,5%(26/34) des cas étaient dans la tranche d’âge de 1-14 ans. Aucun cas n’a été vacciné. <strong>Parmi les 6 échantillons prélevés, 3 (50%) ont été confirmés positifs par la mise en évidence du gène tox codant pour la toxine diphtérique par amplification génique (PCR) ou la mise en évidence du Corynebacterium diphtheriae par culture, la quelle bactérie était sensible aux macrolides et aux tétracyclines ?</strong> &nbsp;</p><p><strong>Conclusion&nbsp;:&nbsp;</strong>L’investigation a permis de confirmer pour la première fois biologiquement la diphtérie où&nbsp;??&nbsp;Cette épidémie a révélé la circulation du Corynebacterium diphtheriae malgré l’existence d’un vaccin efficace et gratuit. Dire un mot sur les mesures de contrôle et prévention mises en places pour répondre à l’un de vos objectifs. Si aucune, il faut enlever cet objectif.&nbsp;Nous recommandons le renforcement de la vaccination de routine.</p>','2024-06-03 10:13:00','2023-05-08 09:54:36',NULL,155),(457,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','ms','Solange','NYINAWABEZA','female','rwanda','nyinawabeza@gmail.com','<p>Kibogora Level Two Teaching Hospital</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Esperance l NIRAGIRE	 l Rwanda Biomedical Centre l esperanceniragire@gmail.com\r\nJean Claude l NIYOYITA l FENET- Rwanda l niyoy2020@gmail.com\r\nEmmanuel l NSHIMIYIMANA l AFENET- Rwanda l nshimiyimanaemmanuel78@gmail.com','<p>Investigating Cholera Outbreak in Nyamasheke District, Rwanda from 20th February to 09th March, 2023</p>','<p>Evey year, around 1.3 to 4 million people in the world suffer from cholera and 21,000 to 143,000 die from it. In Rwanda, especially in the Kivu Lake belt, cholera remains a public health concern. Cholera suspects cases were reported beginning 20th February, 2023 from three sectors of Nyamasheke District: Mahembe, Kagano and Gihombo, each bordering lake Kivu. An investigation was conducted with the aim to confirm diagnosis and propose interventions.</p>','<p>A cross sectional outbreak investigation was conducted from 20th February to 9th March 2023. We reviewed clinical registers and interviewed patients using questionnaire. A suspected case was any person older than two years, from Mahembe, Kagano and Gihombo sectors, with watery diarrhea more than three times per 24 hours, vomiting, and dehydration, symptom onset on or after 20th February, 2023. Samples were collected and sent to the National Reference laboratory for confirmation. A confirmed case was isolation of vibrio cholerae in the stool of suspected case. Linelist for data collection were established and drug sensitivity pattern was performed.</p>','<p>In total, 29 suspect cholera cases were identified and linelisted. The majority of them 20(68.9%) were form Mahembe Sector, 16(55.1%) were females and 14(48.2%) were between 21-40 years. All suspected cases had watery diarrhea and 29(100%) reported to use untreated Kivu Lake water. Seventeen stool samples collected, 9 (53%) Vibrio Cholerae 01 ogawa were isolated which were sensitive to Tetracycline (100%), 23.5% to Chloramphenicol and 100% resistant to Cotrimoxazole. Case fatality rate was 0%.</p>','<p>The investigation concluded a Cholera outbreak in Nyamasheke district, which was likely due to the use of untreated water from Kivu Lake. As response, community sensitization on cholera prevention was conducted and refresher training and tabletop exercise on cholera outbreak preparedness and readiness with rapid response teams from hospitals around Kivu Lake.</p>','<p>Cholera, Outbreak investigation, Nyamasheke District, Kivu Lake</p>','3','3','2','3','3','3',NULL,'Accept','Poster','Yes','<p>Objective: I suggest including the objective of determining the source of the outbreak so that intervention can be appropriately implemented.</p><p>Methods: It would have been good to collect water samples from the Kivu Lake and present the results of the sampled water so that you can make the proper linkage.</p><p>Public Health Significance: Indicate what is being done to ensure that the water from the Lake is safe, is there any alternative source of water provided to the community?</p>','2024-06-04 10:13:00','2023-05-24 10:04:43',NULL,63),(458,'Munekayi Padingani','Resident Advisor','drmunepadi@gmail.com','mr','Hippolyte','Bandyatuyaga','male','burundi','bahippolyte1@gmail.com','<p>Burundi Field Epidemiology Program</p>','alumni',NULL,'28/06/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Munekayi  Padingani, Burundi FETP, drmunepadi@gmail.com\r\nAdolphe Ndoreraho, Burundi FETP, ndorad1@gmail.com\r\nJoseph Nyandwi, Burundi FETP, nyandwijo@yahoo.fr\r\nThérence Havyarimana, Burundi FETP, 1984tkhd@gmail.com','<p>Malaria Outbreak Investigation in Mena area Kabezi District, Burundi, 2022</p>','<p>Malaria remains a public health problem in Burundi and has endemic-epidemic patterns. The leading cause of morbidity and mortality in the country. This investigation was done to confirm the outbreak, to describe the epidemiological characteristics of malaria outbreak registered in Mena area in February 2022.</p>','<p>February 2022 data were collected from Mena health center\'s consultation register. The data was tabulated and descriptive analyses were carried out. Environmental assessment and response evaluation were conducted.</p>','<p>A total of 353 confirmed malaria cases were recorded. Children under 5 years were the most affected (38%), females were the most affected (65%) and Mena hill was the most affected area with 37.6% of total cases. Detection, notification and investigation were done beyond specified time.</p>','<p>The outbreak in Mena area was confirmed. This outbreak maybe due to increased vulnerability produced by favourable mosquito breeding, hiding areas and population behaviours. Health education on correct use of mosquito net and keeping the surroundings of households clean should be done more often.</p>','<p>Malaria, outbreak, Public health problem, Mena area, Kabezi district, Burundi</p>','2','1','2','2','2','2',NULL,'Reject','Rejected','Yes',NULL,'2023-05-22 10:13:00','2023-06-05 20:45:11',NULL,190),(459,'Jean Claude NIYOYITA','Rwanda FETP Frontline Field Coordinator','jniyoyita@afenet.net','dr','Martin','NDINZWENIMANA','male','rwanda','mndinzwenimana@gmail.com','<p>Kirinda Hospital</p>','alumni',NULL,'21/12/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Sylvestre l Mutabaruka l Kirinda Hospital l mutastall@gmail.com l\r\nAnge Valentine l Niyibimenya l Kirinda Hospital l Niyibimenyavelentine@gmail.com l\r\nAstherie l MUKANKURIKIYE l Kirinda Hospital l Mukankurikiyeasterie.yahoo.fr l\r\nHosee l NIYOMPANO l Rwanda Biomedical Centre l niyose04@gamail.com l \r\nJean Claude l NIYOYITA l African Field Epidemiology Network l jniyoyita@afenet.net l\r\nEmmanuel l Nshimiyimana l African Field Epidemiology Network l enshimiyimana@afenet.net l','<p>Investigation of Foodborne outbreak in Karongi District, Rwanda, 2023</p>','<p>Food-borne microorganisms are major pathogens affecting food safety and cause human illness worldwide. On 29 September 2022, Munzanga health center notified cases presenting similar symptoms among the people who attended a family party on 28 September 2022 in Murindi sector of Karongi district. Immediately the Hospital team conducted an investigation to confirm the diagnosis and investigate possible source of outbreak.</p>','<p>This was an outbreak investigation conducted in Murindi sector of Karongi district on 29 September 2022. Interview with people who attended the family party was conducted using developed questionnaire. Information was line listed and analysed through Microsoft excel. Data were presented using frequency and proportion. A suspected case of food borne illness was defined as two or more people presenting the same symptoms including diarrhoea, vomiting, abdominal pain and headache after consuming the same food or drinks</p>','<p>In total 48 people attended, the family party were interviewed. Of them, 58.3% were females and more participants were aged between 0-20 years (27.1%) and 21-40 years (39.6%). Of the total attendees, 32 (66.6%) developed symptoms. The common symptoms were diarrhoea, vomiting, abdominal pains and headache. A total of 32 (66.6%) people drunk non-alcoholic sorghum drink of whom 27 (84.4%) developed symptoms, 6 (12.5%) people) drunk banana juice of whom none developed symptoms while 10 (20.8%) drunk both drinks of whom 5 (50.0%) developed symptoms. No death recorded. No sample collected for laboratory testing.</p>','<p>The investigation concluded the existence of foodborne outbreak due to consumption of non-alcoholic sorghum drink among the family party attendees in Karongi district. However, the etiological agent was not identified due to inadequate laboratory testing capacity of food or drink samples. Community education on proper preparation and handling of beverage was conducted. We recommend establishing laboratory capacities for testing implicated food and drink samples</p>','<p>Outbreak, Investigation, Food-borne disease, Non-alcoholic Sorghum drink.</p>','3','2','2','2','2','1',NULL,'Reject','Rejected','Yes','<p>Methods: Check your case definition, the one presented is for defining a suspected outbreak and not a case</p><p>Results:&nbsp;</p><p>Provide proportions for each symptom experienced.&nbsp;</p><p>Presentation of demographics, especially age distribution is very confusing.&nbsp;</p><p>Clearly indicate attack rates and rate ratios for each food item consumed.&nbsp;</p><p>Conclusion: Your recommendation to establish a laboratory does not link with the results presented. What is evident is that no samples were collected during this outbreak investigation.</p>','2024-06-05 10:13:00','2023-05-24 10:48:26',NULL,63),(460,'Dr. Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mr','Mbaimba','Saidu Kamara','male','sierra-leone','mbaimbaadamkamara@gmail.com','<p>Ministry of Health and Sanitation, Sierra Leone</p>','resident',NULL,NULL,'intermediate','hiv-aids-tuberculosis-and-other-opportunistic-infections','Anna Jammeh       African Field Epidemiology Network                                        ajammeh@afenet.net \r\nAmara Alhaji Sheriff            African Field Epidemiology Network                         amaraalhaji1970@gmail.com\r\nAdel Hussein Elduma               African Field Epidemiology Network                   ahussein@afenet.net\r\nSolomon Aiah Sogbeh            African Field Epidemiology Network                    solomonsogbeh@gmail.com \r\nUmaru Sesay                       African Field Epidemiology Network                         sesayumaru4@gmail.com\r\nGebrekrestos Negash Gebru      African Field Epidemiology Network               ggebru@afenet.net','<p>Seroprevalence of transfusion-transmissible infections among blood donors in the Port Loko District Government Hospital, Sierra Leone: 2020-2021</p>','<p>Prevention of blood transfusion-transmitted infections includes the routine screening of blood donors and donated blood products. Hepatitis B virus (HBV), hepatitis C virus(HCV), human immunodeficiency virus (HIV), and syphilis are among the greatest threats to blood safety for recipients. They are also the leading causes of death and life-threatening chronic abnormalities. Blood transfusions account for 5 to 10% of HIV infections in sub-Saharan Africa. The study aimed to determine the prevalence and sociodemographic factors of HBV, HCV, HIV, and syphilis among blood donors in the Port Loko District of Sierra Leone.</p>','<p>A retrospective observational study of apparently healthy blood donor records (Voluntary and Replacement) from January to December 2020-2021. The seroprevalence of hepatitis B, hepatitis C, human immunodeficiency viruses, and syphilis was determined in whole blood donations collected at Port Loko District Hospital, using Elisa kits following standard protocols. Statistical analysis was performed using excel.</p>','<p>A total of 2845 blood donors were performed during the period, of which 79% (2249/2845) donors were men and 21% (574/2845) were women. The median age was 28 years and the highest age category of blood donations was between 20 and 29 years 42.1% (1198/2845) followed by 30 to 39 years of age, 36% (1025/2845). The most common occupation of the donors was farming 30% (866/2845) and business 19.5% (555/2845). The overall seroprevalence of HBV, HIV, HCV, and syphilis infections was 36%,0.17%.0.07 and 0.07% respectively. None of the donors had multiple infections. The blood group \'O positive\' was the most common with 57% followed by \'B positive\' at 22%.</p>','<p>The findings showed that a substantial percentage of blood donors are infected with HBV or HIV which calls for proper screening of blood before transfusion, vaccination campaigns, and educational programs would decrease blood-borne infection in the population.</p>','<p>Hepatitis, infection, HIV, blood donors, seroprevalence</p>','4','2','3','4','3','3',NULL,'Accept','Oral','Yes','<p>In the objective, The study aimed to determine the seroprevalence NOT the prevalence and sociodemographic characteristics NOT factors</p><p>Correct misspelling errors&nbsp;</p>','2024-06-06 10:13:00','2023-04-29 14:03:03',NULL,139),(461,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','ms','Solange','NYINAWABEZA','female','rwanda','nyinawabeza@gmail.com','<p>Kibogora Level Two Teaching Hospital</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Jean Claude l NIYOYITA l AFENET- Rwanda l niyoy2020@gmail.com\r\nEmmanuel l NSHIMIYIMANA l AFENET- Rwanda l nshimiyimanaemmanuel78@gmail.com','<p>Evaluation of Meningitis Surveillance System at Kibogora level two Teaching Hospital, Nyamasheke district, 2017- 2022</p>','<p>Bacterial meningitis continues to be a significant global public health concern with more than 1.2 million cases each year. Rwanda implemented integrated disease Surveillance and Response (IDSR) of which meningitis disease surveillance included, however, limited information existed on its functionality thus this study was conducted to evaluate meningitis surveillance system effectiveness.</p>','<p>A descriptive cross-sectional study was used to evaluate surveillance system in reference to CDC updated guideline for evaluating public health surveillance systems. Primary data were collected using online questionnaire purposively shared with key end users including nurses, physicians, Lab technicians, Data manager and IDSR focal point while secondary data were collected from clinical registers in the period of 2017 to 2021.Surveillance System attributes including acceptability, usefulness, flexibility, simplicity, stability, data quality (Accuracy, timeliness and completeness) were evaluated. The attributes were categorized as poor (≤ 40% score), Average (41-60%), Good (61-80%) and Very Good (81-100%). Score from respondents and findings from registers were combined to obtain average score to each attribute. We analyzed data in Epi info 7 and Excel. Results were presented in tables and charts.</p>','<p>In total, 31 staff responded to the questionnaire of whom 13(42%) were female and 19(58%) were male. The majority of respondents were 11(35%) lab staff and nurses with similar percentages followed by 6(20%) doctors. The score of the surveillance system attributes were: simplicity 40%, stability 68%, usefulness (44%), acceptability (65%), flexibility (81%) while data quality (Accuracy, timeliness and completeness) scored (21%).</p>','<p>Meningitis surveillance system appear not being simple. It also lack the quality of data as the accuracy, completeness and timeliness were poor. The review of system functionalities to increase the simplicity and promoting data quality were recommended to increase the usefulness of the meningitis surveillance system in the area.</p>','<p>Surveillance System, Evaluation, Attributes, Score, Meningitis Cases</p>','4','3','3','2','2','3',NULL,'Accept','Poster','Yes','<p>Results</p><p>The author must provide findings of analysed dataset (2017-2022) - Total number of cases reported, Incidence rates, etc.</p><p>Conclusion</p><p>The author must first present the strengths of the surveillance system (i.e. The evaluation of the MSS has demonstrated its strengths, namely stability, acceptability and flexibility) and then continue to describe the weaknesses.</p><p>&nbsp;</p>','2024-06-07 10:13:00','2023-05-24 11:01:12',NULL,63),(462,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','mr','Abdoul-Rahamane','Adamou','male','niger','abdoulrahamane14@gmail.com','<p>Niger Field Epidemiology Training Program (Frontline)</p>','resident',NULL,NULL,'frontline','vaccine-preventable-diseases','S. Atti, Niger Field Epidemiology Training Program (Frontline), asalifou56@gmail.com\r\nM. Aboubacar, Niger Field Epidemiology Training Program (Frontline), mariechantal2022@yahoo.com \r\nI. Djibo, African Field Epidemiology Network (AFENET), idjibo@afenet.net\r\nS. Karimou, African Field Epidemiology Network (AFENET), karimousani2007@yahoo.fr\r\nI.G. Aboubakar, Direction de la Surveillance et de la Riposte aux Épidémies, iaboubakargandou@yahoo.fr','<p>Recrudescence des cas de Rougeole chez les sujets vaccinés au Centre de Santé Intégré de Sassoumbroum, district sanitaire de Magaria, Niger, 2023</p>','<p>A la 9ème semaine épidémiologique de 2023, le Centre de Santé Intégré (CSI) de Sassoumbroum a notifié au district de Magaria, 6 cas suspects de rougeole parmi lesquels quatre étaient vaccinés auparavant. Ce qui motiva une analyse des cas afin de caractériser les sujets.</p>','<p>Nous avons mené une étude transversale descriptive des cas de rougeole enregistrés au CSI Sassoumbroum de 2022 à la 9ème semaine épidémiologique de 2023. Nous avons utilisé le registre de notification des maladies pour la collecte des données. Les cas suspects étaient définis comme toute personne présentant de la fièvre, un écoulement nasal, une conjonctivite suivie d’une éruption cutanée. Une liste linéaire a été établie. Epi Info 7.2 et Excel 2016 ont été utilisés pour l’analyse.</p>','<p>Au total, 45 cas ont été recensés dont 20 (44,44%) étaient vaccinés auparavant. Le sexe féminin représentait 53,33% des cas. L’âge médian des cas était de 20 mois avec des extrême allant de 4 mois à 25 ans et le mode était de 36 mois. La tranche d’âge ≤ 5 ans représentait 95,55%. Les signes cliniques étaient une fièvre (100%), éruption cutanée à type de macule (95,55%), conjonctivite, écoulement nasale (71,11%).</p>','<p>Malgré la vaccination, près de la moitié des enfants (44,44%) ont développé la maladie, ce qui pousse à poser la question de l’efficacité vaccinale. Il y’a lieu de mener une étude plus approfondie sur les facteurs associés à la survenue de rougeole chez les enfants vaccinés dans cette localité.</p>','<p>Rougeole, vaccination, Sassoumbroum, Niger</p>','1','1','2','1','1','2',NULL,'Reject','Rejected','Yes','<p><strong>Titre&nbsp;:</strong> &nbsp;Recrudescence des cas de Rougeole chez les sujets vaccinés au Centre de Santé Intégré de Sassoumbroum, district sanitaire de Magaria, Niger, 2023(comme tu parles de recrudescence, il serait bien de mettre un contexte en rapport avec les épidémies passées mais sinon, change le titre en investigation des cas de …….) Ets-ce cette épidémie était confirmée car tu ne fais aucune mention du laboratoire) &nbsp;</p><p><strong>Introduction&nbsp;: …..&nbsp;</strong>de Magaria six(6) cas suspects….. quatre (4) soit 66,7% étaient vaccinés. Enlever auparavant partout. Ce n’est pas une analyse. Cette investigation a été menée pour confirmer ou infirmer l’épidémie et décrire les cas en terme de temps, lieu et personne.</p><p>Méthodes :&nbsp; Résumez bien la période&nbsp;: de la semaine épidémiologique XX de 2022 à la semaine YYY de 2023. Avez-vous eu un entretien avec les cas&nbsp;? Enlever la phrase une liste linéaire…. Dites un mot sur le prélèvement et le laboratoire. Epi-Info …….&nbsp; Ont été utilisées pour les analyses statistiques descriptives.</p><p><strong>Résultats :&nbsp; </strong>Le sexe féminin…53,33%(Mettre toujours le % avec N). Résumer l’âge avec une seule mesure (pas de mode et médiane à la fois). Pour l’unité, exprimer l’âge soit en mois soit en ans. Dites un mot sur les résultats de laboratoire car nous ne pouvons pas tirer de conclusions avec de suspicions.&nbsp;</p><p><strong>Conclusion&nbsp;: il faut d’abord confirmer l’épidémie avant de chercher à émettre les hypothèses à tester par d’autres études.</strong></p>','2024-06-08 10:13:00','2023-05-05 09:29:30',NULL,155),(463,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','mrs','Mariama','Aboubacar','female','niger','mariechantal2022@yahoo.com','<p>Niger Field Epidemiology Training Program (Frontline)</p>','resident',NULL,NULL,'frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','S. Atti, Niger Field Epidemiology Training Program (Frontline)\r\nI. Djibo, African Field Epidemiology Network (AFENET)\r\nS. Karimou, African Field Epidemiology Network (AFENET)\r\nI.G. Aboubakar, Direction de la Surveillance et de la Riposte aux Épidémies \r\nM. L. Oumarou, Centre de Santé Intégré de Jalgawassa','<p>Investigation d’une flambée de Méningite dans un centre de santé intégré du district sanitaire de Magaria, région de Zinder, Niger, 2023</p>','<p>Début janvier 2023, le Centre de Santé Intégré (CSI) Jalgawassa du district sanitaire de Magaria a notifié au district des cas suspects de Méningite. Devant l’augmentation du nombre des cas, une mission d’investigation du district a été conduite, afin de déterminer les facteurs d’exposition et endiguer la maladie.</p>','<p>Nous avons mené une étude transversale descriptive. L’investigation a été conduite le 25 Janvier 2023. Les cas suspects étaient définis comme toute personne présentant une fièvre soudaine et l’un des signes suivants : raideur de la nuque bombement de la fontanelle (chez les enfants de moins d’un an), convulsions ou autres signes méningés.</p>','<p>Au total, 3 foyers ont été identifiés pour un cumul de 8 cas dont 1(12,5%) décès à notre passage. Les cas index étaient 2 enfants de moins de 3 ans, provenant d’un même village, ayant consulté au CSI le 12 janvier 2023. Puis du 16 au 25 janvier 2023, six autres cas suspects dont un décès avec 2 nouveaux foyers ont été rapportés. Tous les 8 cas répondaient à la définition des cas et ont été prélevés pour confirmation. 5 cas étaient de sexe Masculin et 3 de sexe féminin. L’âge des cas varie de 3 mois à 50 ans et les 7 cas qui sont éligibles pour la vaccination, aucun n’a été vacciné, malgré la riposte vaccinale menée au CSI en 2021 avec le trivalent (A-C-W135). Au 24 Mars 2023, un cumul de 21 cas suspects a été rapporté par le CSI, et des 4 prélèvements dont les résultats de laboratoire nous sont parvenus, 1(25%) positif à N. meningitidis C.</p>','<p>L’investigation a permis de décrire le phénomène, renforcer les mesures de surveillance pour la détection précoce des cas et conclure que les facteurs d’exposition ne peuvent être lié qu’au statut vaccinal des cas.</p>','<p>Méningite, Investigation, Magaria, Niger</p>','3','2','3','2','4','3',NULL,'Accept','Poster','Yes','<p>le commentaire c\'est que pour le niveau front line c\'est passable mais à présenter sous forme d\'un poster et aussi il faudrait que le candidat enrichisse la partie méthodologique et présente mieux ses résultats qui paraissent éparses. l\'objectif fixé n\'a pas été atteint car il n\'y a aucun facteur d\'exposition qui a été mesuré de manière objective en s\'appuyant sur des tests statistiques mais aussi rien n\'est dit sur les interventions mises en place pour contenir l\'épidémie. personnellement, je propose que cet objectif soit revu.&nbsp;</p>','2024-06-09 10:13:00','2023-05-15 22:24:50',NULL,145),(464,'Jean Claude NIYOYITA','Rwanda FETP Frontline Field Coordinator','jniyoyita@afenet.net','ms','Immacullee','Uwimana','female','rwanda','uwishyaka11@gmail.com','<p>Rutsiro District</p>','alumni',NULL,'29/07/2022','frontline','vector-borne-and-neglected-tropical-diseases-ntds','Jean l Tuyikunde l Murunda Hospital l jeantuyikunde@gmail.com l\r\nJean Claude l NIYOYITA l African Field Epidemiology Network l jniyoyita@afenet.net I\r\nEmmanuel l Nshimiyimana l African Field Epidemiology Network l enshimiyimana@afenet l','<p>Assessing the implementation of malaria preventive measures in Rutsiro district, Rwanda,2022</p>','<p>Malaria is a preventable disease through the use insecticides treated nets (ITNs), demolition of mosquito living environment. It is among the disease under surveillance in Rwanda. In Rutsiro, we have observed malaria peak in October and November, 2022.Thus FETP Frontline team intervened to assess the community adherence to malaria preventive measures.</p>','<p>This was community-based intervention encompassing assessment of malaria preventive measures implementation using a checklist. In December 2022, we visited sectors with high number of malaria cases namely Musasa, Mushubati and Gihango located in Rutsiro district. In each sector, we identified randomly two cells and two villages in each cell. We visited ten households per village that had at least one malaria case in the last two months. Data were analysed using excel and presented in frequencies and proportions</p>','<p>Of 160 households planned, 142 (88.7%) households were visited. Of them 367 beds were observed of which 315 (85.8%) had no ITNs and 52 (14.2%) had ITNs including 44 (84.6%) ripped and 8 (15.4%) in good conditions. Of the 142 household visited 123 (86.6%) were located near of swamps and holes with stagnant water while 19 (13.4%) were located far from mosquitoes living sites</p>','<p>The peak of malaria in Rutsiro during October and November of 2022 was probably due to lack or inadequate use of insecticide treated nets and availability of favourable mosquitoes breeding sites. Identified mosquitoes breeding sites were drained and maintained. Additionally, public health education on malaria prevention was provided while availing ITNs were recommended.</p>','<p>Assessment, Malaria, preventive measures, ITNs</p>','3','3','3','3','4','3',NULL,'Accept','Poster','Yes',NULL,'2024-06-10 10:13:00','2023-05-15 08:50:48',NULL,181),(465,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','ms','Alice','MUSABYEYEZU','female','rwanda','alica2255@gmail.com','<p>KIBILIZI DISTRICT HOSPITAL</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Esperance l NIRAGIRE	 l Rwanda Biomedical Centre l esperanceniragire@gmail.com\r\nJean ClaudeNIYOYITA l AFENET-Rwanda l niyoy2020@gmail.com\r\nJean d\'Amour l SINAYOBYE l AFENET-Rwanda l sinayobyed@gmail.com\r\nDr Vedaste l MBAYIRE	KIBILIZI DISTRICT HOSPITAL l mbavedi@gmail.com\r\nEmmanuel l NSHIMIYIMANA l AFENET-Rwanda l nshimiyimanaemmanuel78@gmail.com','<p>Evaluation of Measles surveillance system in Kibilizi District Hospital catchment area, 2017-September 2022</p>','<p>Measles virus is a preventable and highly infectious disease with greater than 90% secondary attack rates among exposed persons. Rwanda implemented integrated diseases surveillance and responses system including Measles and Rubella. However limited information exist on its functionality in Kibilizi DH Catchment area thus this study aimed to evaluate existence and performance of measles surveillance systems in Kibilizi DH Catchment area.</p>','<p>A retrospective cross sectional study design was conducted in Kibilizi Hospital catchment area. l. All member of Surveillance team at health center were recruited in every health center and hospital rapid response team. The primary data were collected through questionnaire complimented by clinical records review for assessing the surveillance system attributes including timeliness, simplicity attributes. Data analysis was performed using Epi info and Excel.</p>','<p>A total of 62 health workers participated in the study , of them 29(46.7%) were female and 33(53.3%) were male. About 58(94%) health facilities was using surveillance system with 97.3% of reporting timeliness, 94.9% had standard cases definition , 90.9% were using standard case definition during consultation ,87% of health facilities had taken sample for confirmation, and 100% received results from laboratory and no positive case identified. In all,82% conducted measles data quality review once per month. Data quality review showed that 97.5% of all suspected case were reported within 24 hours as required, 93.5% of health facilities used IDSR system for transmitting measles information and only 45.16% have measles case management protocol and 59% have been trained about measles surveillance.</p>','<p>The study highlight that the surveillance system is fully integrated into the routine healthcare delivery system with good timeliness. However, lack of case management and inadequate trained staff could jeopardize its utility. We recommended availing case management and capacity building of health facility staff.</p>','<p>Measles, Attributes Completeness, timeliness, KibiliziDH, IDSR</p>','4','3','3','3','4','3',NULL,'Accept','Poster','Yes',NULL,'2024-06-11 10:13:00','2023-05-15 08:54:32',NULL,181),(466,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','mr','Abdoul-Rahamane','Adamou','male','niger','abdoulrahamane14@gmail.com','<p>Niger Field Epidemiology Training Program (Frontline)</p>','resident',NULL,NULL,'frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','S. Atti, Niger Field Epidemiology Training Program (Frontline), asalifou56@gmail.com\r\nM. Aboubaca, Niger Field Epidemiology Training Program (Frontline), mariechantal2022@yahoo.com\r\nI. Djibo, African Field Epidemiology Network (AFENET, idjibo@afenet.net), \r\nS. Karimou, African Field Epidemiology Network (AFENET), karimousani2007@yahoo.fr\r\nI.G. Aboubakar, Direction de la Surveillance et de la Riposte aux Épidémies, iaboubakargandou@yahoo.fr','<p>Flambée de diphtérie au district sanitaire de Magaria dans la région de Zinder, Niger, 2023</p>','<p>Le 17 février 2023, le Centre de Santé Intégré (CSI) de Sassoumbroum a notifié à la Direction Régionale de la Santé Publique de Zinder, deux cas suspects de diphtérie. Ainsi, une investigation a été conduite dans le village de provenance des cas. L’objectif était de déterminer la source de l’infection et d’endiguer la maladie.</p>','<p>Nous avons mené une étude transversale descriptive. L’investigation a été conduite le 18 Février 2023. Les cas suspects étaient définis comme toute personne présentant de la fièvre associée à une infection des voies respiratoires supérieures (pharyngite, laryngite ou amygdalite) avec ou sans membrane des fosses nasales, des amygdales et/ou du larynx. Nous avons mené des entretiens et la recherche active des cas dans la communauté.</p>','<p>Les cas index étaient deux talibés ayant consulté au Centre de Santé Intégré de Sassoumbroum le 17 février 2023. Ils ont séjourné à Jikamchi, un village du district sanitaire de Moussawa/ Katsina au Nigéria, où des cas similaires de la maladie ont été signalés. L’investigation a permis de retrouver trois autres cas supplémentaires, tous membres d’une même famille de 6 personnes ayant fait un séjour de 45 jours au Nord Katsina où sévit la maladie. Parmi les 5 cas détectés, 2 étaient de sexe masculin et 3 de sexe féminin. Ils étaient âgés de 2 à 40 ans. Aucun cas n’a été vacciné. Le village foyer de la maladie était situé à 3km de la frontière avec le Nigéria.</p>','<p>L’investigation de la flambée a permis de décrire les cas et conclure que la source du foyer était le Nigeria. Ainsi nous avons partagé l’information avec les confrères du Nigeria, sensibiliser les populations et assurer la prise en charge des cas.</p>','<p>Diphtérie, Investigation, Magaria, Niger</p>','3','3','4','3','4','3',NULL,'Accept','Oral','Yes','<p>-Dans l\'introduction pas d\'informations sur la diphtérie, c\'est seulement comment l\'alerte a été donnée</p><p>-No lab information</p><p>&nbsp;</p>','2023-05-05 10:13:00','2023-05-10 15:09:27',NULL,126),(467,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','ms','Alice','MUSABYEYEZU','female','rwanda','alica2255@gmail.com','<p>Kibilizi District Hospital</p>','resident',NULL,NULL,'intermediate','vector-borne-and-neglected-tropical-diseases-ntds','Jean Claude l NIYOYITA l AFENET-Rwanda l niyoy2020@gmail.com\r\nEmmanuel l NSHIMIYIMANA l AFENET-Rwanda l nshimiyimanaemmanuel78@gmail.com\r\nEsperance l NIRAGIRE	 l Rwanda Biomedical Centre l esperanceniragire@gmail.com\r\nJean d\'Amour l SINAYOBYE l AFENET l sinayobyed@gmail.com\r\nDr Vedaste l MBAYIRE l KIBILIZI DISTRICT HOSPITAL l mbavedi@gmail.com','<p>Burden of Malaria in Kibilizi subdistrict, Southern Province, Rwanda, 2014-2021</p>','<p>Malaria is a major burden in Rwanda with about 2.9 million cases and three thousands deaths recorded in 2020. It is monitored through the Health Management Information System (HMIS) and it is among the top ten causes of morbidity and mortality in Kibilizi sub district. We conducted data analysis to highlight the burden of malaria in the Kibilizi subdistrict of Gisagara district.</p>','<p>A cross-sectional retrospective data review were conducted. Malaria data from all health facilities in Kibilizi Hospital catchment area in the period of 2014-2021 were extracted from HMIS and imported to Microsoft excel for analysis. A malaria case was defined as any person with malaria blood smear or Malaria Rapid test positive. Completeness (reports received/expected reports) of reports, annual prevalence, and case fatality rate (CFR) were calculated during the eight years period.</p>','<p>The average completeness of malaria reporting was 97.7%. Malaria cases increased from 64,500 cases in 2014 (33.9% prevalence) to 124,148 cases in 2017 (59.7% prevalence), and then decreased to 73,688 cases in 2021 (32.6% prevalence). The number of deaths due to malaria increased from 11 deaths in 2014 (CFR=1.7 deaths per 10,000 cases) to 13 deaths in 2018 (CFR=1.3 deaths per 10,000 cases) and decreased to two deaths in 2021(CFR= 0.3 deaths per 10,000cases). Of the total deaths, 3% occurred at health centers and 97% occurred in the Hospital.</p>','<p>In the course of eight years, Kibilizi sub district recorded a higher malaria occurrence in 2017 and number of deaths-in 2018 compared with other years. Although, the trend has been reducing over the eight-year period, malaria remains a burden in the area, which still need effort investment. These findings highlighted the need for additional studies to explore the factors associated with malaria for appropriate interventions.</p>','<p>Malaria, data analysis, burden, Kibilizi sub-district</p>','4','3','3','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2024-06-12 10:13:00','2023-05-15 08:58:47',NULL,181),(468,'Maurice Owiny','Scientific Writer','mowiny@feltp.or.ke','ms','Serah','Nchoko','female','kenya','serahmoses7@gmail.com','<p>Kenya FELTP</p>','alumni',NULL,'28/10/2022','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Clara Andala, Kenya FELTP, cmuyaku@gmail.com\r\nNicholas Lagat, Division of Disease Surveillance and Response, MoH Kenya, nichokurgat@gmail.com\r\nGeoffrey Githinji, Kenya FELTP, 08kongo@gmail.com\r\nStephen Aricha, Kenya FELTP, arichasteve@gmail.com\r\nMaryanne Gachari, Kenya FELTP, gacharimaryanne@gmail.com','<p>Cholera Outbreak in Special Institutions Machakos County, Kenya,2022</p>','<p>Kenya experienced widespread cholera outbreaks in 1997–1999 and 2007–-2010. The re-emergence of cholera in Kenya in 2022 indicates that cholera remains a public health threat. Health authorities in Machakos reported cholera outbreak Machakos school for the deaf and Machakos main prison in October 2022. Understanding the risk factors is important for preventing future outbreaks. We sought to identify risk factors for the outbreak.</p>','<p>This was a cross-sectional study carried out in Machakos county. We conducted active case search and reviewed records from Outpatient (OPD) and laboratory registers for October 2022 through November 2022. Data were abstracted using standard tool and a line list developed. Descriptive and analytical statistics were calculated. Multivariate analysis was conducted to identify independent factors associated with cholera.</p>','<p>A total of 214 clinically suspected cases of cholera and three deaths were reported (overall case-fatality rate: 1.4%). Those aged below 20 year accounted for 76% (161/214) of the cases, while 54% (116/214) were male. Most (54%, 19/35) positive cases were reported from the prison department and the age group between 21–30 years accounted for 17% (6/35). Vibrio cholerae O1, serotype Ogawa, was the predominant isolated strain. The Attack rate in prison was 4% (40/900) and in school for the deaf 47% (174/374). Not washing hands before eating was a risk factor associated with being a case (Odd Ratio: 7.5, 95% CI: 1.3–44.1, P-value: 0.02).</p>','<p>There was a confirmed cholera outbreak affecting both institutions. Access to clean water is necessary for the prevention of cholera infection. The institutions should treat water refilled by tankers before use and intensify efforts to expand access to improved sanitation facilities and clean drinking water.</p>','<p>Cholera Sanitation Prisons, Vibrio cholerae O1, Disease Outbreaks</p>','4','3','4','4','4','4',NULL,'Accept','Oral','Yes',NULL,'2024-06-13 10:13:00','2023-05-08 16:32:46',NULL,20),(469,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','dr','Issiakou','G. Aboubakar','male','niger','iaboubakargandou@yahoo.fr','<p>Direction de la Surveillance et de la Riposte aux Epidémies (Ministère de la Santé Publique), Niger</p>','alumni',NULL,'15/07/2020','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','I. Djibo, African Field Epidemiology Network (AFENET) , idjibo@afenet.net\r\nS. Karimou, African Field Epidemiology Network (AFENET), karimousani2007@yahoo.fr  \r\nI. S. Alkassoum, Université Abdou Moumouni de Niamey, ibrahim_alkassoum@yahoo.fr','<p>Investigation approfondie autour d’un cas confirmé de Fièvre Jaune dans le District Sanitaire de Gazaoua, région de Maradi, Niger, 2023</p>','<p>L’Institut Pasteur de Dakar a confirmé 1 cas de Fièvre Jaune provenant du District Sanitaire de Gazaoua, région de Maradi le 15 janvier 2023. Nous avons mené une investigation approfondie autour du cas afin de décrire l’histoire du cas, d’identifier l’agent vecteur, d’estimer la couverture vaccinale et de mettre en place des mesures de prévention et de contrôle de la maladie.</p>','<p>Nous avons réalisé une étude descriptive approfondie autour du cas de Fièvre Jaune au District de Gazaoua. Un cas suspect est une personne présentant une fièvre élevée, avec un épisode de jaunisse apparaissant dans les 14 jours suivant les premiers symptômes. Nous avons mené une recherche active des cas dans la communauté suivie d’une enquête sur la couverture vaccinale contre la fièvre jaune et une enquête entomologique dans le village du cas index ainsi qu’une revue documentaire.</p>','<p>Le cas index était un garçon âgé de 16 ans sans notion de voyage, non vacciné contre la fièvre jaune provenant du village de Gorobjia. Le début remonterait au 15 novembre 2022 par une forte fièvre suivie d’un ictère le 24 novembre devant lequel il fut emmené en consultation le même jour au Centre de Santé intégré d’Aïkawa d’où il a été notifié. L’enquête entomologique a identifié 11 Aèdes et la couverture vaccinale était estimée à 71%. La revue documentaire a permis de constater que le District a notifié 3 cas suspects en 2022. La recherche active a permis de notifier et prélever 4 cas suspects.</p>','<p>L’étude de ce cas nous a permis de décrire l’histoire de sa maladie, de mettre en évidence la circulation du vecteur. La population a été sensibilisée sur la prévention vaccinale et les moyens de lutte. Nous recommandons le renforcement de la vaccination de routine.</p>','<p>Investigation, Fièvre Jaune, Maradi, Niger</p>','3','3','3','3','4','3',NULL,'Accept','Poster','Yes','<p>la justification de l\'étude n\'est pas bien ressortie. la méthodologie mérite d\'être affinée, il y a beaucoup d\'éléments qui ne sont pas clairs. par exemple, quelle est la population d\'étude pour la couverture vaccinale, les ménages ont été tirés comment? mettre en place des mesures de prévention et de contrôle de la maladie n\'est pas ressorti en termes des résultats&nbsp;</p>','2024-06-14 10:13:00','2023-05-15 22:35:28',NULL,145),(470,'Jean Claude NIYOYITA','Rwanda FETP Frontline Field Coordinator','jniyoyita@afenet.net','mr','Kizito','Habakurama','male','rwanda','kizitohab@gmail.com','<p>Huye District</p>','alumni',NULL,'11/3/2022','frontline','communication-and-technological-innovations-for-public-health','Daniel l Rudasingwa l Kabutare Hospital I rudan10@yahoo.fr l \r\nHosee l Niyompano l Rwanda Biomedical Centre l niyose04@gmail.com l\r\nJean Claude I NIYOYITA l African Field Epidemiology Network l jniyoyita@afenet.net I\r\nEmmanuel l Nshimiyimana l African Field Epidemiology Network l enshimiyimana@afenet.net l','<p>Perception of Rapid Short Message Service (SMS) users in Promoting Community Health in Huye district, 2021.</p>','<p>In the framework of reducing under five and maternal mortality, in 2014 Rwanda adopted Rapid SMS as a platform to facilitate communication between Community Health Workers (CHW) and the broader health system. Data to on pregnant women, postpartum women and children health collected and sent via cell phone SMS to a Ministry of Health central server hosting the Rapid SMS application. We conducted this study to assess the perception of CHW on the use Rapid SMS in promoting health in the community.</p>','<p>This was a descriptive cross-sectional study whereby rapid SMS users who are Community Health Workers (CHW) were interviewed face-to-face using a pre-designed questionnaire. The sample size calculated was 64 distributed equally in 16 health facilities within Huye district. Four CHW per health facilities were selected conveniently based on their availability during the visit. Collected information was analysed using Microsoft excel and presented in proportion.</p>','<p>In total 64 CHW responded. All of them (100%) were trained on the use and importance of rapid SMS in health sector. All (100%) have responded that the use of Rapid SMS has reduced maternal and infant mortality, 56(87.6% )of respondents said that the platform has improved the support provided to child and pregnant women during the emergency. All (100%) respondents appreciated the receipt of automated feedbacks and intervention done health providers. A number of respondents expressed the challenges of lack of electricity to charge telephones 18 (27.6%) and limited skills on the use of the platform 9 (13.8%)</p>','<p>The findings of the study showed that Rapid SMS is contributing to the improved community health through the interventions done by the health providers receiving the SMS. However, there are still challenges that might compromise its utility. A refresher training was recommended to improve the usability of the platform.</p>','<p>Perception, , Community health workers, Rapid SMS, Community Health</p>','4','4','4','4','4','4',NULL,'Accept','Oral','Yes','<p>Very Good Abstract</p>','2024-06-15 10:13:00','2023-05-15 09:02:02',NULL,181),(471,'KASIM MAHDI SULTAN','Resident Advisor-Somalia FETP','ksultan@afenet.net','ms','Bisma','Maalin','female','somalia','bisma.maalin@nih.gov.so','<p>Somalia National Institute of Health</p>','alumni',NULL,'24/01/2023','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','1.KASIM SULTAN   AFENET   ksultan@afenet.net\r\n2. Ahmed Fidow  GIS   afidhow@gisworldwide.org','<p>Dengue Fever Outbreak-Howlwadag district, Mogadishu Somalia, October 2022</p>','<p>Dengue fever (DF) has as a pandemic-prone tropical viral disease in recent decades. Somalia reported emerged dengue fever. An increased cluster of febrile cases was reported in the Hawlwadag district of Mogadishu city to the national laboratory on 9th December 2022. We investigated outbreaks to confirm the existence of an outbreak and formulate appropriate recommendations for containment 10-25 December 2022</p>','<p>We reviewed data from health facilities and conducted house-to-house visits in Hawlwadag district, Mogadishu city from 10th -25th December 2022. We used WHO standard case definition. Suspect DF has defined as any case of high-grade fever (&gt;38° C) of 2 days or more with two or more of any of the following: headache, retro-orbital pain, myalgia, arthralgia, rash, hemorrhagic manifestations while confirmed cases are defined as any suspect case with positive Dengue NS1 (Rapid Diagnostic Test). data was collected using a questionnaire/line list. The third nine suspected cases were collected from blood samples and sent to the National Laboratory.</p>','<p>We identified a total of 81 suspected dengue, of which 6 of them were confirmed laboratory positive with Dengue NS1 (Rapid Diagnostic Test). The attack rate was higher in age groups&gt;15 years (9/10,000 people) with an age range between 0–49 years with a median age of 18 years. The sub-section of Sayidka had an attack rate of 15 cases per 10,000 people with no death case Among 6 health facilitates none of them had DF surveillance tools.</p>','<p>We detected and confirmed the Dengue fever outbreak in the Hawlwadag district of Mogadishu city.&gt;15 years of age were the most risk group of DFS while Sayid section was reported as the most affected risk area. Community education and awareness about dengue and effective dengue surveillance were taken place successfully to control the outbreak and prevent future outbreaks.</p>','<p>Dengue Fever, Mogadishu, Outbreak, Somalia,</p>','3','2','3','2','2','2',NULL,'Accept','Poster','Yes','<p>It should be better to do more descriptive analysis ( PPT) &nbsp;and environmental assessment in order to guide on preventive measures&nbsp;</p><p>In your conclusion, you are somehow repeating your results</p>','2024-06-16 10:13:00','2023-05-01 11:48:26',NULL,139),(472,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','mr','VULSTAN JAMES','SHEDURA','male','tanzania','vulstanshedura@gmail.com','<p>TANZANIA FIELD EPIDEMIOLOGY AND LABORATORY TRAINING PROGRAM</p>','alumni',NULL,'10/12/2022','advanced','vaccine-preventable-diseases','ALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program, Dar es Salaam, Tanzania , allykhussein@gmail.com\r\nGEOFREY MCHAU, Tanzania Food and Nutrition Centre, Dar es Salaam, Tanzania, mchau80@gmail.com\r\nDOREEN KAMORI, Department of Microbiology and Immunology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, doreenkamori@gmail.com','<p>High seroprevalence and factors associated with Hepatitis B virus infection: A snapshot from HIV-1 infected pregnant women population in Mtwara region, Tanzania</p>','<p>Hepatitis B virus (HBV) infection is still a global public health problem. As of 2019, there were 296 million people chronically infected with HBV, resulting in nearly 1 million deaths from decompensated cirrhosis or hepatocellular carcinoma. Seroprevalence of HBV among pregnant women in Tanzania ranged between 3.8% and 8.03%. However, data on HBV infection in HIV-infected pregnant women is limited. We determined seroprevalence and factors associated with hepatitis B virus infection among pregnant women living with HIV (LWHIV) attending Prevention of mother to child transmission (PMTCT) in selected health facilities in Mtwara region, Tanzania.</p>','<p>A health facility-based quantitative cross-sectional study was conducted among pregnant women LWHIV attending PMTCT in selected health facilities in Mtwara region. A structured questionnaire was used to collect socio-demographic characteristics, clinical, socio-cultural and laboratory information (including syphilis, HIV viral load and CD4 count results tested within 6 months). Blood specimens were screened for HBV and confirmed using rapid diagnostic tests and automated ELISA test (Abbot ARCHITECT-PLUS®i2000SR immunoassay analyzer,U.S.A.) respectively. Variables with p&lt;0.05 were considered significantly associated with HBV infection in pregnant women LWHIV.</p>','<p>We enrolled a total of 220 pregnant women LWHIV, with a median age of 32.7 years (IQR: 27.6-37.6). The seroprevalence of HBV, chronic, and acute HBV infection was 10.5%, 10.0%, and 0.5% respectively. Multiparous women [aOR=11.99; 95%CI 1.11-129.01, p=0.040], being infected with syphilis [aOR=27.65; 95%CI 9.07-84.30, p&lt;0.001], and having HIV-1 viral load of 1000 copies/ml and above [aOR=16.00; 95%CI 1.70-150.63, p=0.015] were associated with HBV infection.</p>','<p>Seroprevalence of HBV infection of 10.5% showed high endemicity. We recommend scaling up screening and vaccination programs including; routine HBV screening and other opportunistic infections including syphilis at PMTCT clinics, instituting HBV prophylaxis, and introducing hepatitis B immune globulin as well as HBV vaccine birth dose in neonates born from infected mothers to prevent perinatal transmission.</p>','<p>seroprevalence, Hepatitis B virus, HIV-1 infected, pregnant, women, Tanzania</p>','4','4','3','3','4','4',NULL,'Accept','Oral','Yes','<p>Well executed study.</p><p>Result sections need to be worked on. Put the percentages next to the variables for ease of relating.</p>','2024-06-17 10:13:00','2023-05-22 12:32:00',NULL,114),(473,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','dr','Hassane','Aouadé','male','niger','aoudehassane@gmail.com','<p>Niger Field Epidemiology Training Program (Frontline)</p>','resident',NULL,NULL,'frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','I. Djibo, African Field Epidemiology Network (AFENET) \r\nS. Karimou, African Field Epidemiology Network (AFENET), karimousani2007@yahoo.fr \r\nI.G. Aboubakar, Direction de la Surveillance et de la Riposte aux Epidémies (Ministère de la Santé Publique), Niger, iaboubakargandou@yahoo.fr','<p>Investigation autour d’un cas confirmé de dengue au district sanitaire de Madaoua, région de Tahoua, Niger, 2023</p>','<p>Suite à la confirmation d’un cas de Dengue provenant d’un village de l’aire de santé de Manzou au district sanitaire de Madaoua, une équipe d’investigation multi disciplinaire s’est rendue dans le village afin d’approfondir les investigations. L’objectif était d’enquêter les ménages autour du cas confirmé afin de rechercher et prélever tous les cas supplémentaires.</p>','<p>Il s’est agi d’une étude descriptive. L’investigation s’est déroulée le 18 février 2023. Un cas suspect était défini comme toute personne présentant une maladie fébrile aiguë d’une durée comprise entre 2-7 jours, s’accompagnant d’au moins deux des symptômes suivants : céphalées, douleur rétro-orbitale, myalgie, arthralgie, éruption cutanée, manifestations hémorragiques. Les données ont été collectées par entretien, et recherche active des cas au niveau communautaire puis analysées avec Excel.</p>','<p>Au total, 50 ménages autour du foyer du cas confirmé ont été visités, 31 cas suspects identifiés et tous prélevés. Parmi les cas suspects, 25(80,6%) avaient plus de 15 ans. La fièvre (97%), les céphalées (87%) et les arthralgies (52%) étaient les symptômes les plus fréquents. Quant à l’utilisation des moustiquaires, sur les 22 ménages interrogés, 8 (36,6%) en disposent et seulement 2(25%) l’utilisent. Au niveau du village natal du cas, la recherche active dans les ménages a trouvé une femme qui a tous les symptômes de la maladie et qui a déjà séjourné à l’hôpital de Madaoua et celui de Guidan Roumdji sans succès thérapeutique. Le mari du cas positif à la Dengue est à Niamey avec des déplacements fréquents au Nigeria.</p>','<p>L’investigation autour de ce cas confirmé de dengue a permis d’identifier plusieurs cas suspects dans le village qui ont tous bénéficié d’un prélèvement sanguin afin de rechercher d’autres cas positifs éventuels dans la population. Aussi cette communauté a bénéficié d’une sensibilisation sur la maladie.</p>','<p>Investigation, Dengue, Madaoua, Niger</p>','3','4','4','3','4','4',NULL,'Accept','Oral','Yes','<p>l\'auteur a fourni l\'effort de donner assez des détails sur la méthodologie et les résultats sont plus ou moins bien présentés&nbsp;</p>','2024-06-18 10:13:00','2023-05-15 22:44:09',NULL,145),(474,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','mr','Theobald','GASIGWA','male','rwanda','cdcrwamaganaph@gmail.com','<p>Rwamagana Provincial Hospital</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Noella l BENEMARIYA l Rwanda Biomedical Centre l nbenemariya1@gmail.com \r\nMarie Aimee l MUHIMPUNDU l WHO-Rwanda l mmuhimpundu@gmail.com','<p>Evaluation of Food Poisoning Surveillance System at Rwamagana Provincial Hospital, Rwamagana District, Rwanda, 2017- 2021</p>','<p>Food poisoning has a detrimental influence on both the economy and public health resulting in great financial losses, and potential morbidity. Globally, approximately 1 in 10 people get sick after eating contaminated food. Additionally, lack of accurate data on the prevalence, impact, and cost of foodborne illness is a significant barrier to effectively addressing food safety concerns. We conducted this study to evaluate the food poisoning surveillance system in Rwamagana provincial hospital.</p>','<p>Descriptive cross-sectional study was used and respondents involved in disease surveillance activities were purposively sampled. Interview of consenting respondents to evaluate surveillance system attributes such as usefulness and simplicity while Clinical records from 2017 to 2021 were reviewed to evaluate data quality. We used Epi Info software to collect and analyze data. We calculated frequency and percentages for each attribute to present the results.</p>','<p>To evaluate the usefulness and simplicity in total 36 people were interviewed including 21(58%) males and 15(42%) females and for data quality, 28 people including 13(46%) male and 15(54%) female were interviewed. Overall, 80.6% of respondents reported the system to be useful in early case detection, while 31.4% reported that it was not simple. Regarding data quality, 39.2% of reporting forms were not well completed, while while 85.7% indicated that reporting was timely.</p>','<p>The evaluation of food poisoning surveillance system indicated that the system may be useful for early case detection, but it is not simple. Additionally, improvements are needed in timeliness of reporting and completion of the reporting forms. Findings were presented to Hospital surveillance team to revamp its utility and data quality.</p>','<p>Surveillance System Attributes Evaluation, Food poisoning</p>','2','2','3','2','4','3',NULL,'Accept','Poster','Yes','<p>Introduction/Methods: What surveillance system is being assessed? Public health, food sector or both not clear</p><p>Methods: How were study participants selected? Any sampling and what considerations?</p>','2024-06-19 10:13:00','2023-05-27 17:15:50',NULL,50),(475,'Peter Olupot-Olupot','Coordinator','polupotolupot@yahoo.com','dr','George','Paasi','male','uganda','georgepaasi8@gmail.com','<p>1. Mbale Clinical Research Institute, 2. Busiitema University</p>','resident','Scientist',NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','P. Olupot-Olupot 1, 2','<p>Spatial clustering, hotspot analysis and temporal distribution of the seventh Ebola Virus Disease outbreak in Uganda</p>','<p>Uganda has experienced seven outbreaks of Ebola virus disease (EVD) since 2000. The Ministry of Health declared the latest outbreak of Sudan ebolavirus (SVD) following a confirmed case in Mubende district on 19 September 2022. This study, therefore, aimed to determine the spatial clustering, hot spot analysis and temporal distribution of the ongoing seventh EVD outbreak in Uganda.</p>','<p>The study used an ecological design based on the 2184 sub counties in Uganda as the spatial units. Initial exploratory analysis used measures of spatial autocorrelation (Global and Local Moran’s test statistics) in the R statistical package. Using the Anselin’s Local Moran test cluster detection method, spatial autocorrelation was applied to determine the presence of statistically significant clusters and hotspots at the sub-county level during the recent Ebola virus disease outbreak in Uganda</p>','<p>Overall, 142 confirmed cases of Sudan virus disease (SVD) were reported, of which 55 died (CFR: 39%), and 87 recovered. In addition, 22 deaths among probable cases were reported in individuals who died before samples could be taken (overall CFR: 47%). Overall, nine Ugandan districts were affected by this outbreak: Bunyangabu, Jinja, Kagadi, Kampala, Kassanda, Kyegegwa, Masaka, Mubende, and Wakiso. When the number of permutation test was set to 9999, Moran’s I = 0.37261, P = 0.0085, and was significant at significance level of 0.01. Spatial cluster analysis identified two most likely cluster; one large multi-centered cluster in districts of Mubende and Kassanda with 13 locations and one cluster in Rubaga division in Kampala district.</p>','<p>Substantial spatial clustering of EVD was detected at sub-county level in the recent outbreak at two districts of Mubende and Kassanda in the central region of Uganda. This study identifies hotspot areas for efficient implementation of early-targeted interventions for the prevention and control of the outbreak.</p>','<p>Ebola virus disease Spatial analysis Hotspots Uganda</p>','2','3','3','3','2','3',NULL,'Accept','Poster','Yes',NULL,'2024-06-20 10:13:00','2023-05-29 10:54:12',NULL,190),(476,'Otshudiandjeka Joseph','Resident Advisor','jotshudiandjeka@afenet.net','dr','BROU','Affoua Sophia A.','female','ivory-coast','brousophiany@gmail.com','<p>Région sanitaire de Béré</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Kouadio Félix,  Institut national d\'hygiène publique, dr_kkflix@yahoo.fr\r\nWilnique Pierre, AFENET, pwilnique@afenet.net\r\nOtshudiandjeka Joseph, AFENET , jotshudiandejka@afenet.net\r\nTiembre Issaka, Institut national d\'hygiène publique, itiembre@yahoo.fr\r\nBénie Bi Vroh Joseph, Institut national d\'hygiène publique, beniebi2018@hotmail.com','<p>Evaluation système de surveillance de la rougeole dans le Béré, Cote d’Ivoire, novembre 2022</p>','<p>En Côte d\'Ivoire, le nombre de cas de rougeole est passé de 372 en 2019 à 600 en 2020.Le plan d’élimination de la rougeole exige que la surveillance soit renforcée afin d’atteindre cet objectif d’ici 2030. La sous notification des cas de rougeole dans le Béré constitue une préoccupation a l’atteinte de cet objectif. D’où le but de cette étude est de pouvoir évaluer le système de surveillance rougeole dans le Béré pour des recommandations utiles.</p>','<p>Une étude descriptive menée de janvier 2021 à décembre 2022. Les directives pour l’évaluation du système de surveillance en santé publique des centres de contrôle et de prévention des maladies (CDC 2001) étaient utilisées. Un questionnaire structuré a été administré aux personnels chargés de la surveillance, une revue documentaire des outils de surveillance ont permis de recueillir des données relatives aux attributs suivants : simplicité, représentativité, acceptabilité, flexibilité, stabilité, utilité. Ces attributs étaient classés mauvais, moyen et bon selon l’atteinte des objectifs fixés par indicateur (score bon ≥ 80%, moyen entre 50-79% et mauvais  50%). L’analyse des données a été faite sur Excel et Epi-Info 7.2.</p>','<p>Au total, 23 (100 %) agents ont répondu au questionnaire. La performance du système avait été reconnue d\'une simplicité de 88 %, d\'une représentativité de 100 % et d\'une acceptabilité de 84 %. Par contre la flexibilité et la stabilité n’étaient que respectivement de 39% et 52%. L\'utilité du système était de 91 %.</p>','<p>Le système de surveillance de la rougeole dans la région du Béré est simple, représentatif, acceptable et utile, cependant des efforts restent à fournir pour la stabilité et la flexibilité. Il convient donc de renforcer la surveillance épidémiologique de la rougeole pour une meilleure performance du système dans le but d’atteindre l’objectif 2030.</p>','<p>Évaluation, Surveillance, Rougeole, Béré, Côte d’Ivoire</p>','4','4','3','3','0','3',NULL,'Accept','Poster','Yes',NULL,'2024-06-21 10:13:00','2023-06-05 15:19:29',NULL,237),(477,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','ms','Honorine','MUTUYIMANA','female','rwanda','mutuyehonorine@gmail.com','<p>Masaka District Hospital</p>','resident',NULL,NULL,'intermediate','one-health-and-climate-change','Jean Claude l NIYOYITA l AFENET-Rwanda l niyoy2020@gmail.com\r\nAphrodis l HAGABIMANA l Rwanda Biomedical Centre l hagaba01@gmail.com','<p>Retrospective Rabies Exposure Cases analysis -Kicukiro District, Rwanda, 2018-2022</p>','<p>Rabies is a zoonotic and vaccine preventable viral disease. It is a fatal disease and most often transmitted through the bite of a rabid animal. Worldwide, 40% of people who are bitten by suspect rabies animal are children under 15 years of age. In Rwanda, he Ministry of Health monitor rabies exposure surveillance through the electronic Integrated Diseases Surveillance System (eIDSR). We analyzed clinical data to characterize rabies exposure cases in Kicukiro District.</p>','<p>A cross-sectional study was conducted in Kicukiro District in January 2023, by reviewing rabies exposure surveillance data (medical records and eIDSR) from 2018 to 2022. Rabies exposure was defined as any bite, scratch, or mucus membrane contact with an unvaccinated animal or unknown vaccination status. Descriptive epidemiology was conducted and timeliness, completeness and data accuracy were assessed. Data were analysed using Excel and presented in frequencies and proportions.</p>','<p>Of the 103 rabies exposure cases identified, 61% were male and 39% were female. Adults aged 30-39 were 43% (45/103), and the proportion of children under 15 years was 12% (12/103). The most affected sector was Kicukiro Sector (four cases per 10000 people). All 103 (100%) cases were reported to the eIDSR system, 89 (86%) completed the five anti-rabies vaccine doses as recommended, and 92% (95/103) sought medical care on time. All the rabies exposure cases reported to be bitten by dogs with unknown vaccination status and no death recorded. Timeliness, completeness, and accuracy were 95%, 81% and 81%, respectively.</p>','<p>Rabies exposure still a public health concern in the area. Targeted prevention efforts should be enhanced among males, 30-39 year olds and in Kicukiro sector. Moreover, there is a need for improvement in eIDSR for rabies exposure data quality. In response to the findings, community sensitization was conducted to improve dog vaccination awareness.</p>','<p>Rabies, Rabies exposure, cases analysis, Kicukiro district</p>','3','2','3','3','4','4',NULL,'Accept','Poster','Yes','<p>Methods; Not clear how the surveillance attributes were assessed.</p><p>Conclusion: Any targeted intervention for the males who seem to be disproportionately affected?</p>','2024-06-22 10:13:00','2023-05-27 17:09:11',NULL,50),(478,'Jean Claude NIYOYITA','Rwanda FETP Frontline Field Coordinator','jniyoyita@afenet.net','dr','Judson','MUMBERE BAGHUMA','male','rwanda','judson226@gmail.com','<p>Ruli District Hospital</p>','resident',NULL,NULL,'frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Aurelie I YANSONEYE I Ruli District Hospital I  aurelieyansoneye@gmail.com I \r\nVestine I Mukagatesi I Ruli District Hospital I  mukagatesivestine@gmail.com l \r\nJean Claude I NIYOYITA I African Field Epidemiology Network I jniyoyita@afenet.net I\r\nEmmanuel I Nshimiyimana I African Field Epidemiology Network I enshimiyimana@afenet.net I','<p>Assessment of weekly Surveillance data accuracy in Ruli district Hospital _Rwanda,2023</p>','<p>Successful public health interventions build on the quality information that inform policy decisions. The Government of Rwanda established integrated disease surveillance &amp; response (IDSR) to monitor diseases of epidemic potential. Forty diseases are reported under IDSR including thirty-two weekly reportable diseases and eight immediate reportable diseases. We assessed surveillance data of three weekly reportable diseases in Ruli district hospital to determine surveillance data accuracy.</p>','<p>This is a hospital-based cross-section study conducted in March 2023 in Ruli district Hospital, Gakenke District, Rwanda. We selected three weekly reportable diseases (Flu syndrome, malaria and Pneumonia under five) notified by three health facilities in the period of week one to week six of 2023. Two health facilities (Coko and Rushashi) were selected based on their poor reporting rate (timeliness and completeness) while the third facility (Rwankuba) was selected based on its good performance in 2022. We counted the number of cases in clinical registers to compare with eIDSR reports. For comparison, we used verification factor (VF) calculated as recounted divided by reported times 100. Accuracy was categorized as accurate if VF is between 95% and 105%, under-reporting if VF &gt;105% and over-reporting if VF&lt;95%)</p>','<p>In total 54 reports were validated. Of them 37(68.5%) were accurate, 15(27.8%) Over-reporting and 2(3.7%) under-reporting. Accurate reports were 54(100%), 48(88.9%), and 9(16.7%) for severe pneumonia, simple malaria and flu syndrome respectively. By health facility, accurate reports were 33(61.1%), 36(66.7%) and 48(77.8%) for Coko, Rushashi and Rwankuba respectively.</p>','<p>Severe pneumonia reports were found accurate while Malaria and flu syndrome were inaccurate in the three health facilities. Regular data quality audit was recommended in all health facilities and additional study should be conducted to comprehensively explore the possible root cause of the poor data accuracy in the area</p>','<p>Surveillance, accuracy, Verification factor, e_IDSR</p>','3','3','4','3','3','4',NULL,'Accept','Oral','Yes',NULL,'2024-06-23 10:13:00','2023-05-29 17:47:45',NULL,50),(479,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Arnaud W. M.','Padonou','male','benin','arnaudwilfriedpadonou@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','B. Aniwanou/Ministère de la Santé /bernardaniwanou@yahoo.fr\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Référence du paludisme grave et les facteurs associés à la létalité chez les enfants de moins de 5 ans dans les hôpitaux publics du Littoral au Bénin en 2022</p>','<p>Le paludisme grave est une affection parasitaire fébrile dont la forme grave se retrouve plus chez les enfants. Elle est un problème de santé publique et constitue l’une des principales causes de décès en Afrique. Au Bénin, son incidence en 2018 est de 4,0% chez les enfants 0-11 mois et 3,6% les enfants de 1-4 ans et dans le Littoral l’incidence est de 3,8% et de 5,5% respectivement dans les tranches d’âge de 0-11 mois et 1-4 ans en 2018. Notre étude visait à évaluer la référence et les facteurs associés à la létalité du paludisme grave.</p>','<p>Nous avons mené une étude transversale analytique sur les enfants âgés de 0-59 mois, hospitalisés dans 3 hôpitaux publics. La sélection a été aléatoire simple avec le logiciel Open Epi. Les données ont été collectées avec kobocollect. L’analyse a été faite avec Epi Info7.2. Les fréquences et odds ratios ont été calculés.</p>','<p>Sur les 386 cas enquêtés, 48,9% étaient dans la tranche d’âge de 12-36 mois. Le sexe ratio était de 1,1. La létalité était de 5,7%. Les signes de danger les plus fréquents diagnostiqués étaient, l’anémie soit 91,9%, et les vomissements soit 79,2%. Le paludisme anémique et neurologique était la forme la plus retrouvée soit 66,8%. Les cas référés représentaient 47% des cas et parmi ceux-ci, 27,3% l’ont été avec l’ambulance et 64,9% ont bénéficié d’un traitement de pré référence. Les troubles de conscience (OR=3,44 ; IC95% : [1,44-8,23]), l’incapacité de se nourrir (OR=5,38 ; IC95% : [2,22-11,81]) et la malnutrition (OR=5,34 ; IC95% : [1,77-16,02]) étaient associés à la létalité.</p>','<p>La létalité du paludisme grave est associée surtout à l’incapacité de se nourrir et la malnutrition. Leur prise en compte dans la prise en charge des cas réduirait cette létalité.</p>','<p>Paludisme grave, Référence, Incidence, Etude transversale, Bénin</p>','3','3','3','3','4','3',NULL,'Accept','Poster','Yes',NULL,'2024-06-24 10:13:00','2023-05-12 12:18:14',NULL,99),(480,'Maurice Owiny','Scientific Writer','mowiny@feltp.or.ke','mr','Hosea','Serech','male','kenya','serechh@yahoo.com','<p>Kenya FELTP</p>','resident',NULL,'30/10/2020','advanced','maternal-reproductive-and-child-health','Waqo Boru, Kenya FELTP, waqogufu@gmail.com\r\nMabel Nangami, mnnangami@gmail.com','<p>Determinants of Perinatal Mortality among Women of Child-Bearing Age in Baringo Central Subcounty, Kenya.</p>','<p>Perinatal deaths comprise of all the stillborn children of more than the 28 weeks\' gestation period and the mortality experienced during the first week of life. Recent scholarly studies have shown that close to three million stillbirths and another 2.8 million neonatal deaths are experienced globally on a yearly basis, out of which 99% are experienced in the developing world. We sought identify determinants of perinatal mortality among women of child-bearing age in Baringo Central Sub-County, Baringo County, Kenya.</p>','<p>A community based Cross sectional study design with a sample size of 384 women of reproductive age had the questionnaires administered to them. Focused Group Discussion and key informant interviews were also conducted for purpose of qualitative data. For quantitative data, descriptive data such as mean, mode, percentage and frequencies were used to give descriptive information. Inferential statistics (Chi Square) was used to measure the association between variables while binary and logistic regression was applied to establish the strength of the association. Variables with p&lt;0.05 were considered statistically significant. Qualitative data on the other hand, was transcribed, translated, grouped and analyzed thematically.</p>','<p>Perinatal mortalities were high among neonates who had birth of&lt;1500gms together with prolonged labour. The socio-economic and cultural practices that determine perinatal mortality were seclusion (43(72.9%; P=0.06.), dietary restriction 48(8 1.4%; traditional remedies 40(67.8%), female genital mutilation 37(62.7%); and late attendance to ANC when pregnancy is visible. The low investments in health led to unskilled deliveries, in adequate Health Care Workers, and lack of supplies and commodities.</p>','<p>Unskilled deliveries, lack of early diagnostic tools, poor motivation of healthcare workers and poor preparation of the mother and preconception care impacted negatively on perinatal deaths. Perinatal mortality has impacted negatively the individual, family, community and state. There is need for targeted community-based intervention towards reduction of perinatal mortality.</p>','<p>Perinatal Mortality, socioeconomic, cultural, Unskilled Delivery, Kenya</p>','3','4','3','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2024-06-25 10:13:00','2023-05-08 16:49:31',NULL,20),(481,'Emmanuel NSHIMIYIMANA','Rwanda FETP Lead Mentor','enshimiyimana@afenet.net','mr','Emmanuel','NSHIMIYIMANA','male','rwanda','nshimiyimanaemmanuel78@gmail.com','<p>AFENET-Rwanda</p>','other','Mentor-Rwanda FETP',NULL,'NA','public-health-systems-strengthening-initiatives','Vincent l MUTABAZI l AFENET Rwanda l vmutabazi@afenet.net\r\nJean Claude l NIYOYITA l AFENET Rwanda l jniyoyita@afenet.net','<p>Assessing the state of the first six cohort’s graduates of Rwanda Field Epidemiology Training Program (FETP) Frontline tier in Rwanda.</p>','<p>Field Epidemiology training programs (FETPs) have become an important part of building a global workforce of disease detectives. In 2020, following the occurrence of COVID-19 pandemic, Rwanda FETP program initiated a 3months FETP-Frontline program to improve the skills of district rapid response team to collect, analyse, and interpret disease information, using evidence-based interventions for saving lives. As of May 2022, six cohorts of 142 participants have already graduated and returned in their respective districts across the country to implement they have learnt. Thus, we conducted online survey to assess the status of the graduates and the level of implementation.</p>','<p>We used a descriptive cross section study method from May to July 2022 using self- administered questionnaire. We requested all the graduates from cohort 1 to 6 to voluntarily complete the questionnaire. We collected data through google form and downloaded into excel format to clean and analyse by frequencies and proportions. We displayed data in narrative form, tables and charts.</p>','<p>Of the 142 graduates, 118(83%) responded of whom 104(73%) were males. All of them 142(100%) are using frontline knowledge and skills in their daily activity. Of them, 130(92%) are still in the institutions that sent them. Of the respondents 119(83.9%) are involved in summarizing and analysing surveillance data, 123(87%) started routine data quality audit, 102(71.8%) are involved in regular review of timeliness and completeness of surveillance reports, 119(84%) participated in outbreak investigation, 126(86%) initiated regular communication of the analysis findings including 37(26%) who started producing and sharing weekly epidemiological bulletin.</p>','<p>Online assessment of the status of Rwanda FETP frontline graduates revealed that they are contributing to improving disease surveillance and response activities. However, the program has identified a need of physical verification, and thus the program is implementing the post-training field mentorship.</p>','<p>Assessment, first six cohorts graduates, FETP Frontline, Rwanda</p>','3','3','4','4','3','4',NULL,'Accept','Oral','Yes','<p>Methods: Could be made more elaborate-describe what the online tool assessed specifically</p><p>&nbsp;</p><p>NOTE: Work can be considered for Capacity building initiatives plenary</p>','2024-06-26 10:13:00','2023-05-27 17:00:56',NULL,50),(482,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','dr','TWILUMBA','LIHWEULI','female','tanzania','vinickiter@gmail.com','<p>Tanzania Field Epidemiology and Laboratory Training Program</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','ALLY, HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program Tanzania, allykhussein@gmail.com\r\nELIAS, BUKUNDI, Muhimbili University of Health and Allied Sciences Tanzania, elliasbukundi@gmail.com','<p>Determinants of Multi-drug resistance Tuberculosis treatment outcomes among HIV co-infected patients in Tanzania from 2017-2019</p>','<p>Unfavourable treatment outcomes in Multidrug-resistant Tuberculosis patients with Human immunodeficiency co-infected (MDR-TB/HIV) continues to be a global issue of concern. The suggested WHO treatment success rate is 90%, however the current percentage of treatment success is still low (59%), posing a significant threat to TB control. This study aimed to identify determinants of treatment outcomes among MDR-TB /HIV co-infected in Tanzania from 2017-2019.</p>','<p>A retrospective cohort study was conducted using data from the National Tuberculosis and Leprosy Program database. The study included all MDR-TB/HIV co-infected patients enrolled for treatment from January 2017 to December 2019. Survival probabilities were determined using the Kaplan-Meier estimator, and the log-rank test was used to compare the probabilities. The Cox regression model was used to estimate associations between independent variables and treatment outcomes.</p>','<p>The analysis included 342 MDR-TB/HIV co-infected patients, of whom 28.4% had unfavorable treatment outcome. After a follow-up of 4359 person-months, median survival time was 30 months with incident rate of 22 per 1000 person months. MDR-TB/HIV co-infected patients with normal nutrition status had better survival probabilities (log-rank test P&lt;0.001). However MDR-TB/HIV co-infected patients on ART had shorter survival probabilities (log-rank test P = 0.46). Malnutrition was significantly associated with being unfavourable treatment outcomes among MDR-TB/HIV co-infected patients (adjusted Hazard ratio =2.57 95% CI, 1.63-4.04).</p>','<p>Malnutrition negatively affects treatment outcomes among MDR-TB/HIV co-infected patients, and should be targeted for intervention by Tanzania\'s national TB control program.</p>','<p>multi-drug resistance tuberculosis, HIV, malnutrition, co-infection</p>','5','4','5','5','5','5',NULL,'Accept','Oral','Yes','<p>Thank you for your abstract. Alpha value should be indicated in the methodology section, otherwise well done on your work!</p>','2024-06-27 10:13:00','2023-05-17 07:51:21',NULL,187),(483,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Gally A.','Djaboutou','male','benin','djabougall@yahoo.fr','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','V.O. Hounkpè/Ministère de la Santé /hoolivier@yahoo.fr\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Référence des cas de paludisme grave et facteurs associés à la létalité chez les enfants de moins de 5 ans dans les hôpitaux publics de Tanguiéta et de Kouandé du 01er avril au 31 octobre 2022</p>','<p>Le paludisme est une maladie fébrile parasitaire qui sévit sous deux formes. La forme grave est plus fréquente chez les enfants. Au Bénin, en 2021, il représente 44,9 % des causes de recours aux soins dans les formations sanitaires et 57,1% dans l’Atacora. L’objectif de cette étude était d’évaluer la référence et les facteurs associés à la létalité des cas graves de paludisme chez les enfants de moins de 5 ans enregistrés pour paludisme grave dans les hôpitaux publics de Tanguiéta et de Kouandé du 1er avril au 31 octobre 2022.</p>','<p>Nous avons mené une étude transversale analytique. L’échantillonnage aléatoire simple a été réalisé avec Open Epi. Les données ont été recueillies par dépouillement des dossiers et analysées avec Epi info7.2 pour calculer les fréquences et les odds ratios.</p>','<p>394 enfants étaient inclus dans l’étude dont 97,7% provenaient du milieu rural et 57,4% étaient admis par référence. La tranche d’âge de 12-36 mois était la plus touchée à 71,32%. La létalité était de 2,03%. Les principaux signes de danger étaient l’anémie soit 71,8%, les vomissements incoercibles soit 38,6% et les convulsions soit 31,5%. Parmi les référés, 32,3% ont bénéficié d’un traitement de pré référence et dans 70% des cas, la moto a servi de moyen de transport. La prise d’un abord veineux et l’administration de la première dose d’artésunate ont été faits dans respectivement 80,82% et 23,29% des cas. La prise en charge initiale par un paramédical (OR=6,93 ; IC95% [1,31-36,75]) ; la présence de trouble de conscience (OR=7,27 ; IC95% [1,70-31,11]) étaient les facteurs associés à la létalité.</p>','<p>Le trouble de conscience et la prise en charge initiale par un paramédical, sont fortement associés à une hausse de la létalité. Face à ce constat, une sensibilisation des agents sanitaires s’impose.</p>','<p>Référence, Paludisme grave, Etude transversale, Bénin</p>','4','3','3','2','2','3',NULL,'Accept','Poster','Yes','<p>-mieux détaillé la source des données,&nbsp;</p><p>-pas de chiffres en début de phrase,</p><p>-interprétation/conclusion vague</p>','2023-04-29 10:13:00','2023-05-24 13:56:13',NULL,15),(484,'Otshudiandjeka Joseph','Resident Advisor','jotshudiandjeka@afenet.net','dr','Diomandé','Jean Louty','male','ivory-coast','loutyd@yahoo.fr','<p>Région sanitaire de Gbeké</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Soro Moussa, Institut national d\'hygiène publique, kounansoro@gmail.com\r\nWilnique Pierre, AFENET, pwilnique@afenet.net\r\nOtshudiandjeka Joseph, AFENET , jotshudiandejka@afenet.net\r\nTiembre Issaka, Institut national d\'hygiène publique, itiembre@yahoo.fr\r\nBénie Bi Vroh Joseph, Institut national d\'hygiène publique, beniebi2018@hotmail.com','<p>Investigation autour d’un phénomène anormal à Kpo-kahankro, district Bouaké Sud, Gbêkê, Côte d’Ivoire, décembre 2022-janvier 2023</p>','<p>Le 02 décembre 2022, le district sanitaire de Bouaké Sud a reçu une notification de décès soudain et inexpliqué de six enfants de ménages différents. Les personnes décédées présentaient des signes de gastro-entérites et des convulsions. Une investigation préliminaire a été menée. En attente des résultats un autre épisode déclenche cinq semaines plus tard avec 14 décès en neuf jours, face à la situation, une équipe d’investigation multidisciplinaire s’est rendue sur le terrain pour approfondir l’enquête, identifier la source et proposer des mesures de contrôle.</p>','<p>Une étude descriptive transversale menée. Un cas suspect défini comme toute personne ayant séjourné à Kpo-Kahankro dans la période et présentant un ou trois symptômes suivants : vomissements, diarrhée, fièvre, convulsion, douleur abdominale, toux. Cas confirmé : Isolement de germe. Un questionnaire semi-structure utilisé pour la collecte des données sociodémographiques et cliniques. Des échantillons de sang, Liquide céphalo-rachidien (LCR), selles et d’eau prélevés et acheminés au laboratoire. Les données collectées saisies et analysées sur Excel et Epi-Info 7.2</p>','<p>Au total 78 cas notifiés parmi eux 22 décès, ce qui fait respectivement un taux d’attaque et de létalité de 18,6% (78/419) et 28,2% (22/78). L’âge médian des cas est 15,33 ans (1-83). Les signes et symptômes présentés sont : vomissements (24%), convulsion (24%), Fièvre (21%), diarrhée (18%) douleurs abdominales (13%), et toux (6%). Le résultat de l’échantillon environnemental sur un objet adoratif du village, a objectivé le Clostridium botulinum. Et les autres résultats des autres prélèvements sont en cours.</p>','<p>Létalité élevée chez les jeunes de ce phénomène anormal, dont on ignore encore la cause, malgré la présence de clostridium botulinium dans un espace environnemental. Des études supplémentaires devront être réalisées pour trouver la cause. On recommande de renforcer la surveillance et l’alerte précoce de tout phénomène anormal dans la communauté.</p>','<p>Investigation, phénomène anormal, Décès, Kpo-kahankro, Côte d’Ivoire</p>','4','4','4','4','0','4',NULL,'Accept','Oral','Yes',NULL,'2024-06-28 10:13:00','2023-06-05 15:22:43',NULL,237),(485,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','dr','Sani','Karimou','male','niger','karimousani2007@yahoo.fr','<p>African Field Epidemiology Network (AFENET)</p>','alumni',NULL,'15/07/2020','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','I. Djibo, African Field Epidemiology Network (AFENET), idjiboafenet.net  \r\nI. G. Aboubakar, Direction de la Surveillance et de la Riposte aux Epidémies (Ministère de la Santé Publique), Niger, iaboubakargandou@yahoo.fr\r\nI. S. Alkassoum, Université Abdou Moumouni de Niamey, ibrahim_alkassoum@yahoo.fr','<p>Investigation des cas de morsure d’un Chien Errant au DS de Tibiri, Région de Dosso, Niger -2022</p>','<p>La rage est une zoonose virale potentiellement mortelle causée par la morsure d’animaux infestés. Le 28 septembre 2022, le Centre de Santé Intégré (CSI) de Sabon Gari, district de Tibiri a déclaré 3 cas de blessures causées par des morsures d’un chien. Afin d’apprécier la prise en charge et l’état clinique des victimes ainsi que les circonstances de survenue des morsures, une investigation a été conduite</p>','<p>Il s’est agi d’une étude transversale descriptive. L’investigation a été conduite le 29 septembre 2022. Une équipe d’investigation mixte composée des personnels de santé humaine et animal a été constituée. Les données ont été recueillies par interrogatoire et recherche active en communauté. Un cas suspect est défini comme tout être vivant, humain ou animal, ayant été mordu par un chien ou autre type d’animal.</p>','<p>Les premières victimes étaient 3 personnes, deux de sexe féminin dont une enceinte, âgées de 5, 29 et 65 ans, vivant dans le même village (Guiwayé, commune de Guecheme) ayant été mordues le 28/09/2022. L’animal mordeur est une chienne errante, sans propriétaire. Après recherche active en communauté, 2 autres cas de morsures par la même chienne, 1cas de sexe masculin et l’autre féminin ont été rapportés dans un village voisin, 3 jours auparavant. En plus de ces cas humains enregistrés, une ânesse a également été mordue par l’animal en question. Quatre (04) des 5 patients ont été mis sous vaccination antirabique et l’ânesse mordue mise en observation. La chienne a par la suite été abattue par une foule en colère.</p>','<p>L’investigation précoce par une équipe multidisciplinaire (une seule Santé) a permis de prendre en charge rapidement les victimes. Toutefois, il y’a lieu de renforcer la sensibilisation de la population et le contrôle des chiens errants dans cette commune</p>','<p>Investigation, Morsure de Chien, Tibiri, Niger</p>','2','2','3','2','2','2',NULL,'Reject','Rejected','Yes','<p>Le problème ne ressort pas clairement, la méthodologie n\'est pas clairement définie. et aussi la conclusion et la petite recommandation ne sont pas appropriées au problème qui s\'est posé et au résultat trouvé.&nbsp;</p>','2024-06-29 10:13:00','2023-06-04 21:16:29',NULL,145),(486,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Zoubérou','Bio Béri','male','benin','bioberizouberou@yahoo.fr','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','V.O. Hounkpè/Ministère de la Santé /hoolivier@yahoo.fr\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Référence des cas de paludisme grave et facteurs associes à la létalité chez les enfants de moins de 5 ans dans les hôpitaux publics de l’Alibori au Benin du 01er avril au 31 octobre 2022</p>','<p>Le paludisme est une des principales causes de morbi-mortalité au Bénin. Le profil des cas référés et les facteurs associés à la létalité du paludisme grave ne sont pas connus alors que le Ministère pense contrôler et éliminer le paludisme. L’objectif de cette étude est d’évaluer la référence et les facteurs associés à la létalité des cas graves de paludisme chez les enfants de moins de 5 ans dans les hôpitaux de zone de l’Alibori dans la période du 1er avril au 31 octobre 2022.</p>','<p>Nous avons mené une étude transversale analytique. La sélection a été faite par échantillonnage aléatoire simple avec le logiciel Open Epi. Les dossiers médicaux des enfants âgés de 0-59 mois, hospitalisés dans 3 hôpitaux publics dans la période du 1er avril au 31 octobre 2022, ont été dépouillés. Les données ont été collectées avec kobocollect. L’analyse a été faite avec Epi Info7.2. Les fréquences et odds ratios ont été calculés.</p>','<p>Des 419 enfants inclus dans l’étude, 22,67% ont été référés. La tranche d’âge de 12-36 mois était la plus touchée soit 66,67% et le sexe masculin (54,65%) était plus touché. La létalité était de 11,46%. Parmi les référés, 62% ont bénéficié d’un traitement de pré référence et parmi ces derniers 40% et 57% respectivement avaient reçu la première dose d’artésunate et un abord veineux. Les facteurs associés à la létalité étaient l’incapacité de se nourrir (OR=2,49 ; IC95% : [1,28-4,81]) ; les difficultés respiratoires (OR=6,81; IC95% : [3,54-13,09]) le saignement anormal (OR=6,11; IC95% : [1,32-28,20]), les vomissements incoercibles (OR=1,95; IC95% : [1,28-4,81]).</p>','<p>Plusieurs facteurs particulièrement les difficultés respiratoires et le saignement anormal, sont liés à la létalité du paludisme grave dans l’Alibori. Leur priorisation lors de la prise en charge des cas réduirait cette létalité.</p>','<p>Paludisme grave, Artésunate, Etude transversale, Bénin</p>','3','3','4','3','4','4',NULL,'Accept','Oral','Yes',NULL,'2024-06-30 10:13:00','2023-05-12 11:53:25',NULL,99),(488,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','dr','Fatoumata','I. Mounkaila','female','niger','bafatoum@gmail.com','<p>Direction de la Surveillance et de la Riposte aux Epidémies (Ministère de la Santé Publique), Niger</p>','alumni',NULL,'15/07/2020','advanced','vector-borne-and-neglected-tropical-diseases-ntds','I.G. Aboubakar, Direction de la Surveillance et de la Riposte aux Epidémies (Ministère de la Santé Publique), Niger, iaboubakargandou@yahoo.fr \r\nI. Djibo, African Field Epidemiology Network (AFENET), idjibo@afenet.net   \r\nS. Karimou, African Field Epidemiology Network (AFENET), karimousani2007@yahoo.fr  \r\nI. S. Alkassoum, Université Abdou Moumouni de Niamey, ibrahim_alkassoum@yahoo.fr\r\nK. Jean5, IRSS-CNRST National Centre for Scientific and Technology Research Institute for Research in Health Science (IRSS), jck6238@gmail.com','<p>Prevalence of cardiovascular emergencies and associated factors: case of the emergency department of the National Hospital of Niamey- Niger, February to March 2020</p>','<p>Cardiovascular pathologies are the leading cause of death in the world because 17.7 million deaths are attributable to them. Many of these conditions come in the form of emergencies. There is no study on this subject in Niger; our objective was to determine prevalence and factors associated with cardiovascular emergencies in patients admitted to medical emergency room of Niamey National Hospital.</p>','<p>It was an analytical cross-sectional study from February 01 to March 25, 2020, including all patients aged 15 years and above, admitted to medical emergency room of Niamey National Hospital, for a cardiovascular emergency or not, during our study period, until our sample size was obtained. We used semi-structured questionnaire and conducted an interview with patient, as well as documentary review based on their care sheets. Data were processed with Epi Info 7.2.2.6 software and MS Excel 2019. We performed a logistic regression. Dependent variable was cardiovascular emergency. The dependent variable was cardiovascular emergency. Threshold of significance was a p-value &lt;0.05.</p>','<p>Our study involved 422 patients and 27.5% (116) were admitted for cardiovascular emergencies. Of these, 68% (79/116) were over 50 years with a 50.9% (59) were male. The most common personal medical history was hypertension found in 50.8% (59/116). Of the 15 deaths recorded, 33.3% (5) were due to stroke. The main causes of cardiovascular emergency were stroke (32/116, 32%) hypertensive flare (33/116, 28%) and heart failure (21/116, 18%). Having a history of hypertension [ OR = 6,09 (95% CI :3,31-11,21), p &lt;10-4] and age over 50 [ OR =2,34 (95% CI :1,33-4,10), p = 0.002] were independently associated with cardiovascular emergency.</p>','<p>High frequency of cardiovascular emergencies is a major public health problem in Niger. Adequate management of high blood pressure would reduce the incidence of cardiovascular emergencies.</p>','<p>Emergencies, cardiovascular, risk factors, Niger</p>','4','3','4','3','4','3',NULL,'Accept','Oral','Yes','<p>L\'abstract est bien présenté dans son ensemble et traite de la problématique des maladies chroniques non transmissibles qui souvent n\'est pas très abordée alors qu\'elle constitue un problème de santé majeur sur lequel une attention doit être portée.&nbsp;</p>','2024-07-01 10:13:00','2023-06-04 21:27:55',NULL,145),(489,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','mrs','RUTH DANIEL','MCHOMVU','female','tanzania','ruthmchomvu@gmail.com','<p>Tanzania Field Epidemiology and Laboratory Training Program</p>','alumni',NULL,'10/12/2022','advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','ALLY, KASSIM, Tanzania Field Epidemiology and Laboratory Training program (TFELTP), allykhussein@gmail.com\r\nMECKY, MATEE, Department of Microbiology and Immunology, Muhimbili University of Health and Allied Sciences, Tanzania, mateemecky@yahoo.com','<p>Determinants of viral load non‑suppression among HIV‑positive children and adolescents attending care and treatment clinics in Tabora region, Tanzania from January 2018 to April 2022</p>','<p>In Africa, data on viral suppression among Human immunodeficiency virus (HIV)-positive children and adolescents on antiretroviral (ART) is scarce unlike in the adult population. We determined determinants of HIV Viral Load (VL) non-suppression among HIV-positive children and adolescents who attend Care and Treatment clinics (CTCs) in Tabora region.</p>','<p>A retrospective cohort study was conducted among HIV-positive children and adolescents (&lt;20 years old) who attended CTCs in seven hospitals in Tabora region from January 2018 to April 2022. Data were abstracted from CTCs’ database and patient records and this included socio-demographic, ART drug regimen, clinical, virological and immunological features, for a maximum of 52 months. Viral non-suppression was defined as plasma VL ≥1000 copies/mil after six months on ART, during the follow-up period. Cox proportional hazards regression model and Hazard ratios were used in estimating the determinants of viral non-suppression.</p>','<p>A total of 378 HIV-positive children and adolescents were enrolled. Of those 124 (32.8%) had virological non-suppression. The overall rate of VL non-suppression was 1.38 (95%CI, 1.15, 1.64) per 100 person-months of observation. After adjusting for other factors, determinants of viral non-suppression were poor ART adherence level at initiation of ART (HR=3.3; 95% CI 2.16, 4.91), low CD4 count at ART initiation (HR=2.2; 95% CI 1.29, 3.87), nevirapine based regimen (HR=2.64; 95% CI 1.32, 5.26), efavirenz based regime (HR=2.08; 95% CI 1.03, 4.18), lopinavir/ritonavir based regimen (HR=2.21; 95% CI 1.13, 4.32) and being on second-line regimen (HR=6.11; 95% CI 2.50, 14.96).</p>','<p>This study found high HIV viral non-suppression among children and adolescents in Tabora, and was associated with poor ART adherence level, low CD4 count, NVP, EFV and LPV/r based regimen, and switching to a second-line regimen. Intensified comprehensive efforts are required to improve viral suppression rates and attain the 3rd goal of the UNAIDS 95-95-95.</p>','<p>Determinants, viral load, non‑suppression, HIV, children, adolescents</p>','4','4','5','5','5','5',NULL,'Accept','Oral','Yes','<p>Thank you for your abstract. Minor comments:</p><p>Background: show the burden of the problem in terms of indicators(e.g frequency,% etc)</p><p>Methodology: Indicate the alpha value</p>','2024-07-02 10:13:00','2023-05-17 09:05:34',NULL,187),(490,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Edgard S.','N’tchagaba','male','benin','dibawe@gmail.com','<p>Ministère de l\'Agriculture, de l’Elevage et de la Pêche</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','V. Allanonto/Ministère de l’Agriculture de l’Elevage et de la Pêche/victorallanonto36@gmail.com \r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Référence des cas graves de paludisme et facteurs associés à la létalité chez les enfants de moins de cinq ans, à l’hôpital de zone de Natitingou, 1er avril au 31 octobre 2022</p>','<p>Le paludisme demeure un problème majeur de santé publique dans le monde. Ainsi, au Bénin, le paludisme grave est une cause majeure de morbidité et de mortalité chez les enfants. Cette étude avait pour objectif d’étudier l’impact de la référence et les facteurs associés à la létalité des cas de paludisme grave chez les enfants de moins de 5 ans à l’hôpital de zone de Natitingou du 1er avril au 31 octobre 2022.</p>','<p>Nous avons mené une étude transversale analytique sur les cas graves de paludisme chez les enfants de moins de 5 ans admis à l’hôpital de zone de Natitingou du 1er Avril au 31 Octobre 2022. Un échantillonnage aléatoire simple des dossiers médicaux a été réalisé avec Open Epi. Les données ont été collectées par dépouillement des dossiers avec kobocollect. Ces données ont été analysées avec Epi Info7.2. Les fréquences et les odds ratios bruts ont été calculés.</p>','<p>Parmi les 391 cas inclus dans notre étude, 45 (11,51%) étaient référés. La majorité des enfants (61,48%) était âgé de 12 à 36 mois. Aucun décès n’a été observé chez les référés mais la létalité était de 6,14%. Les facteurs associés au décès dû au paludisme grave étaient le trouble de conscience (OR=14,95 ; IC à 95% : [4,69-47,69]), la convulsion ou antécédent de convulsion (OR= 4,51 ; IC à 95% : [1,91-10,64]) et les difficultés respiratoires (OR= 24,26 ; IC à 95% : [5,08-115,84]).</p>','<p>La létalité due au paludisme grave chez les enfants demeure inquiétante en milieu hospitalier. A l’hôpital de zone de Natitingou, le risque de décès est très élevé chez les cas présentant un trouble de conscience et/ou des difficultés respiratoires. Une sensibilisation du personnel soignant pour une meilleure prise en charge de ces cas réduirait cette létalité.</p>','<p>Référence, Paludisme, Etude transversale, Bénin</p>','3','3','3','3','4','4',NULL,'Accept','Poster','Yes','<p>L\'auteur doit revoir la recommandation formulée, car rien n\'indique dans les résultats que la prise en charge constituait un problème.</p>','2024-07-03 10:13:00','2023-05-12 11:50:58',NULL,99),(491,'Otshudiandjeka Joseph','Resident Advisor','jotshudiandjeka@afenet.net','mr','Kalifa','Coulibaly','male','ivory-coast','stkalif73@gmail.com','<p>San-Pedro Health Sanitary region</p>','alumni',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Lasm Sabine, National Institute of Public Health, katysabine@yahoo.fr\r\nWilnique Pierre, AFENET, pwilnique@afenet.net\r\nOtshudiandjeka Joseph, AFENET , jotshudiandejka@afenet.net\r\nTiembre Issaka, Institut national d\'hygiène publique, itiembre@yahoo.fr\r\nBénie Bi Vroh Joseph, Institut national d\'hygiène publique, beniebi2018@hotmail.com','<p>Investigation of a suspected case of monkey pox, Iboke, health district of Tabou, Côte d\'Ivoire, July 2022</p>','<p>Monkeypox is a global public health problem. In West Africa more than 35 cases have been reported to WHO. On July 30, 2022, the health district of Tabou was informed by the detection of a suspected case of monkeypox in Iboké, a health area bordering Liberia, a country to which a confirmed case of monkeypox was reported. An investigation was carried out with the aim of describing the case, searching for other cases and proposing prevention and control measures.</p>','<p>A cross-sectional descriptive study was conducted. A case was defined as any person presenting with an acute rash &amp; one or more of the following signs or symptoms headache, fever, lymphadenopathy, myalgia, body aches, asthenia. The data were taken from consultation registers, interviews with identified contacts. Sociodemographic and clinical characteristics were collected. The data were analyzed in Excel &amp; frequencies measures were calculated.</p>','<p>A 35-year-old young man with disseminated rashes on the face &amp; the rest of the body accompanied by fever, with no notion of travel outside Iboké but having been in contact with a confirmed case. Ten (10) contacts were identified without signs &amp; symptoms, of which 8 (80%) linked to the suspected case and 2 (20%) linked to the confirmed case in Liberia. The median age of contacts is 28.5 (range: 5 – 43). The sex ratio is 1.7 male for one female. The result of his sample was negative.</p>','<p>Young man had contact with the confirmed case from Liberia. The majority of contacts lives in Cote d’Ivoire.. No case of monkeypox has been detected in Cote d\'Ivoire so far. Case management has been recalled and measures have been taken to strengthen cross-border surveillance between the two countries.</p>','<p>Investigation, monkeypox, Iboke, Cote d’Ivoire</p>','4','4','4','4','4','4',NULL,'Accept','Oral','Yes','<p>bon travail et c\'était bon de savoir les mesures prises par la Cote d\'ivoire afin d\'aller vers le contrôle de la maladie</p>','2024-07-04 10:13:00','2023-06-05 15:27:56',NULL,237),(493,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','mrs','ROZA','ERNEST','female','tanzania','roza.ernest@yahoo.com','<p>Tanzania Field Epidemiology and Laboratory Training Program</p>','resident',NULL,NULL,'advanced','vector-borne-and-neglected-tropical-diseases-ntds','FARAJA, LYAMUYA, Neglected Tropical Disease Program Ministry of Health Tanzania, farajal@yahoo.com\r\nNSIANDE, LEMA, Tanzania Field Epidemiology and Laboratory Training Program, nsiandelema@yahoo.com\r\nMAJIGO, MTEBE, Muhimbili University of Health and Allied Sciences Tanzania, mmajigo@gmail.com','<p>Prevalence and factors associated with Lymphatic Filariasis among Children aged five years and above in Pangani District Council February 2022</p>','<p>About 863 million people in 47 countries worldwide remain threatened by lymphatic filariasis (LF). More than 45 million individuals are estimated to be infected in Africa, where Wuchereria bancrofti, a filarial worm, as the sole source of LF. Despite great efforts made by the Ministry of Health (MoH) in eliminating LF in Tanzania including 14 rounds of ivermectin and Albendazole Mass Drug Administration (IVM + ALB MDA) for LF Pangani District is still endemic with LF; where the prevalence in 2019 was 2.7% which is above the elimination target of ≤ 2%. The current prevalence and factors associated with LF in Pangani DC are not well understood and have not been examined.</p>','<p>A cross-sectional community-based survey was conducted in Pangani District in February 2022. Data was extracted from android powered mobile phone through the Secure Data Kit (SDK) platform. STATA version 15.0 was used for data management and analysis. logistic regression was performed to determine factors associated with lymphatic filariasis.</p>','<p>A total of 922 individuals (57.27% females) were screened for circulating filarial antigens, the prevalence of LF was 2.28% (21/922; 95% CI: 1.5–3.5) with significant heterogeneity between villages (range 1.28% to 2.95%). LF positivity was higher in males (3.55%) than in females and correlated with increasing age (p &lt; 0.005). Multivariate logistic regression analysis of risk factors for LF demonstrated an increased risk for males (AOR=2.6, 95% CI:1.0-6.7, P=0.04). The odds of developing LF among persons aged 30-44 years was 16.5 times more likely compared to other age groups (AOR=16.5, 95% Cl:2.0-132.9, P=0.007).</p>','<p>The study indicated clear evidence of ongoing transmission of lymphatic filariasis in Pangani district. To minimize and eventually stop the spread of the disease, extensive efforts must be made among the high-risk population.</p>','<p>Prevalence, Lymphatic Filariasis, Children, Tanzania</p>','3','0','3','2','4','4',NULL,'Reject','Rejected','Yes','<p>Background- the last sentence should state the aim... start by saying we examined ....to determine / The aim was to...</p><p>Methodology- Indicate the statistical test and the level of confidence.</p><p>Conclusion-Specify the exact efforts.</p>','2024-07-05 10:13:00','2023-05-17 09:22:13',NULL,187),(494,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Richard','Sèfounon','male','benin','sefounonrd@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','L. Dèdèwanou/Ministère de la Santé /lydmonloto@yahoo.fr\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Référence des cas graves de paludisme et facteurs associés à la létalité chez les enfants de moins de cinq ans, département des Collines, Bénin, 1er avril au 31 octobre 2022.</p>','<p>Le paludisme est une affection fébrile parasitaire sévissant sous deux formes. Le paludisme demeure un problème majeur de santé publique dans le monde et surtout en Afrique dont fait partie le Bénin avec 2 289 948 cas et 2450 décès en 2020. La forme grave se retrouve surtout chez les enfants. Notre objectif était d’évaluer la référence et les facteurs associés à la létalité des cas graves de paludisme chez les enfants de moins de 5 ans dans le département des Collines, Bénin, du 1er avril au 31 octobre 2022.</p>','<p>Une étude transversale analytique a été réalisée. Un échantillonnage aléatoire simple a été réalisé à l’aide du logiciel Open Epi. Les données recueillies à partir des dossiers médicaux des patients sur kobocollect, ont été analysées avec Epi Info7.2. Nous avions calculé les fréquences et les odd-ratio avec leurs intervalles de confiance.</p>','<p>Sur les 403 cas recensés, la majorité était âgé de 12 à 36 mois soit 55,74% et provenait du milieu rural, 82,13% avec un sexe ratio H/F de 1,13. Les pics étaient observés en Mai (83 cas) et Août (115 cas). Les signes de danger observés étaient l’anémie dans 79,90% et la convulsion dans 46,15%. La létalité est de 5,21%. Les cas référés représentaient 6,95% des cas et 82,14% parmi eux ont été référés avec la moto ; 46,47% avaient reçu des soins de pré référence. Les facteurs associés au décès étaient les difficultés respiratoires (OR=4,94 ; IC à 95% : [1,85-12,67]) et la malnutrition (OR=20 ; IC à 95% : [2,67-149,77]).</p>','<p>Le faible taux de cas référés montre que les populations préfèrent se rendre directement dans les hôpitaux. Un renforcement du plateau technique des formations sanitaires périphériques s’impose pour une meilleure prise en charge des cas avec difficultés respiratoires.</p>','<p>Référence, Paludisme grave, Etude transversale, Bénin</p>','4','4','4','3','4','5',NULL,'Accept','Poster','Yes',NULL,'2023-04-30 10:13:00','2023-06-05 12:46:09',NULL,90),(495,'Bouyagui TRAORE','RA FETP Mali','tbouyagui@afenet.net','mr','ISSA','DIARRA','male','mali','diarrahygiene79@yahoo.com','<p>FETP Intermédiaire 2ème cohorte, Mali</p>','alumni',NULL,'21/11/2022','intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Ousmane Boua TOGOLA2, Oumar SANGHO3, Bouyagui TRAORE4, Toumani SIDIBE2, Seydou SOGODOGO5, Hanine KEITA2, Moussa Hama SANKARE1, Abdoulaye T BALLO6, Souleymane SANOGO1','<p>Analysis of surveillance data on acute flaccid paralysis in Timbuktu, Mali, 2019-2021</p>','<p>Introduction: Poliomyelitis is a highly contagious viral disease causing disabling paralysis in children aged 0-15 years. Its eradication is the subject of a global initiative and has resulted in a decline in annual incidence of 350,000 cases with 35,000 deaths in 1988, 74 cases in 2015 and 37 cases in 2016. The objective was to analyze AFP surveillance data from Timbuktu region from January 1, 2019 to December 31, 2021 to provide a detailed description in terms of socio-demographic characteristics, vaccination status, final classification, promptness of notification, and time to send samples to the laboratory.</p>','<p>We conducted a descriptive cross-sectional study of AFP surveillance data from the Timbuktu region from January 1, 2019 to December 31, 2021. The study data were extracted from the national AFP surveillance database of Mali, exported and analyzed in \'Epi Info 7.5.2</p>','<p>56 AFP cases were analyzed and at final classification no case was positive for wild poliovirus, the median age of the cases was 3 years with a minimum of 1 year and a maximum of 14 years, our series was abnormally distributed with extreme values hence the choice of the median next to the mean; the 1 year old represented the modal age with 25%. The sex ratio is 1.54 in favor of the male sex, from 2019 to 2021, for data entry the goal of 90% completeness was only achieved in 2020 and the maximum promptness was 36% in 2021. The central problem of this analysis revolves around the indicator relating to the time of delivery of stool samples sent to the laboratory, which is very low at 4%.</p>','<p>The analysis allowed us to understand that the majority of AFP performance indicators in Timbuktu met WHO standards. However, the proportion of stool samples sent to the laboratory on time was low, hencè the need for a consistent sample transport policy. We recommend improvement in the completion of the reporting form by taking into account the dose OPVs received during campaigns in addition to the routine.</p>','<p>Analysis PFA MALI 2019-2021</p>','3','2','3','3','3','3',NULL,'Accept','Oral','Yes','<p>Methods: descriptive statistics used not adequately described.&nbsp;</p><p>Results: One of the objectives was to describe the vaccination status, however, this information is not presented. What was the vaccination of these cases?</p>','2024-07-06 10:13:00','2023-05-29 02:39:27',NULL,204),(496,'Bouyagui TRAORE','RA FETP Mali','tbouyagui@afenet.net','mr','ISSA','DIARRA','male','mali','diarrahygiene79@yahoo.com','<p>FETP Intermédiaire 2ème cohorte, Mali</p>','alumni',NULL,'21/11/2022','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Ousmane Boua TOGOLA2, Oumar SANGHO3, Bouyagui TRAORE4, Toumani SIDIBE2, Seydou SOGODOGO5, Hanine KEITA4, Moussa Hama SANKARE1, Abdoulaye T BALLO6, Souleymane SANOGO1','<p>Investigation of a suspected case of neonatal tetanus in the health area of Sankore, Timbuktu, March 2022</p>','<p>Neonatal tetanus (NT) is caused by a toxin that enters the body through skin lesions. Each year, 4 million deaths from NNT occur worldwide out of 30 million births. Following the notification of a suspected case of NTD in the health area of Sankore, we conducted an investigation to confirm the case, determine the extent of the phenomenon and implement control measures.</p>','<p>We conducted a descriptive cross-sectional study of a case of fever associated with generalized contracture and refusal to suckle in a 12-day-old newborn who cried at birth in Timbuktu. We conducted a face-to-face verbal interview using a national neonatal tetanus case investigation form with the family of the case during the period from February 24 to April 7, 2022.</p>','<p>A 12-day-old male neonate, born at home during an unattended pregnancy to a multiparous mother who was not immune to tetanus. He was admitted to the pediatric ward of Timbuktu Hospital on March 14, 2022, where the clinical diagnosis of NTD was confirmed by stiff neck, contractures, and inability to suckle. The Td-2 and TdR vaccination coverage rates for women of childbearing age in 2019, 2020, and 2021 were 26.1%; 32.7%; and 33.8%, respectively. Despite intensive care, the subject died on March 19, 2022. The vaccine response resulted in vaccine coverage of 50.53%</p>','<p>The investigation allowed us to confirm the diagnosis of neonatal tetanus in a context of non-immunization of the mother. We recommend that women of childbearing age be made aware of the importance of ANC, that ATRs be retrained in clean delivery techniques, and that a second Td vaccine response be organized and extended to all women of childbearing age in the health area.</p>','<p>Investigation TNN timbucku</p>','3','3','3','3','4','3',NULL,'Accept','Oral','Yes','<p>Results: It is not clear of the vaccine coverage, is this for women of child bearing age?</p>','2024-07-07 10:13:00','2023-05-30 07:36:13',NULL,204),(497,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','mr','Aboubacar','Amadou','male','niger','aboubamadou@gamail.com','<p>Niger Field Epidemiology Training Program (Frontline)</p>','resident',NULL,NULL,'frontline','one-health-and-climate-change','I. Djibo, African Field Epidemiology Network (AFENET), idjibo@afenet.net\r\nS. Karimou, African Field Epidemiology Network (AFENET), , karimousani2007@yahoo.fr\r\nI.G. Aboubakar, Direction de la Surveillance et de la Riposte aux Épidémies,  iaboubakargandou@yahoo.fr','<p>Investigation de cas de feu de brousse survenu dans le village de Dakaré, région de Maradi, Niger, 2021</p>','<p>Au Niger, le feu de brousse est un phénomène environnemental récurrent durant les saisons sèches. Il présente des répercutions graves sur le paysage physique, la faune sauvage et les animaux domestiques. Ces feux impactent aussi la vie socio-économie des communautés et le disponible fourrager. Ce qui nous a motivé à effectuer une analyse de données de surveillance de feu de brousse. L’objectif était de décrire les tendances des feux de brousse, d’identifier les causes, de sensibiliser sur la prévention.</p>','<p>Il s’agit d’une étude descriptive des cas de feu de brousse. Nous avons inclus tous les cas de feu de brousse notifiés dans la région Maradi du 1er janvier au 31 décembre 2021. Un feu de brousse est un incendie d\'origine naturelle ou humaine qui se propage sur une étendue boisée. Le feu est une réaction chimique entre trois éléments : de l\'oxygène, de la chaleur et du combustible. Nous avons procédé à une revue documentaire en utilisant des fiches d’extraction des données. Pour le cas Dakaré, nous avons interrogés les victimes. Epi-info a été utilisé pour l’analyse. Nous avons calculé des fréquences et des proportions.</p>','<p>Au total 36 cas de feu de brousse ont été enregistrés avec une perte de 68.411 tonnes de matière sèche sur 58.075,545 hectares consumés. En octobre, 20(55,55%) ont été enregistrés. Seul le feu de Dakaré a occasionné 22 blessés dont cinq(22,7%) femmes et trois(13,6%) enfants. Six blessures étaient graves. Les blessures sont des brûlures souvent très graves des membres et au visage. Les victimes ont été traitées. L’origine était un feu mal éteint, propagé par le vent et la population a été sensibilisée.</p>','<p>L’investigation a permis d’identifier la cause qui est un feu mal éteint. Nous recommandons d’intensifier la sensibilisation sur les feux de brousse en début de chaque saison sèche.</p>','<p>Feu de brousse, Maradi, Niger</p>','4','4','4','4','3','5',NULL,'Accept','Poster','Yes','<p>Dans l\'ensemble cet abstract a été bien rédigé en présentant l\'importance du feu de brousse pour le Niger avec la raison de cette étude et des objectifs clairs et atteignables. La méthode utilisée a permis de comprendre les résultats présentés. Cependant, la source de la revue documentaire n\'a pas été bien compris, la proportion des blessés graves n\'a pas été présentée et le nombre de personnes sensibilisées. Les conclusions découlent ses résultats et ont permis une bonne compréhension du problème.</p>','2024-07-08 10:13:00','2023-05-01 23:50:29',NULL,176),(498,'Bouyagui TRAORE','RA FETP Mali','tbouyagui@afenet.net','dr','CHEICK HAROUNA','DIARRA','male','mali','arsenediarra.cad@gmail.com','<p>FETP Intermédiaire 2ème cohorte, Mali</p>','alumni',NULL,'21/11/2022','intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','El Hadj Issa Amaguiré Sy2, Oumar Sangho3, Hanine Keita4, Félix Diarra5, Issa Diarra1, Bouyagui Traoré4 , Bakary Konimba Traoré5','<p>Epidemiological and clinical profile of malaria in the health district of Mopti, from 2019 to 2021.</p>','<p>The burden of malaria remains high in sub-Saharan countries, including Mali. Despite the presence of numerous control strategies, it remains the leading cause of mortality and morbidity in the health district of Mopti. Our objective was to describe the epidemiological and clinical profile of malaria in the health district of Mopti</p>','<p>This was a descriptive cross-sectional study of data extracted from the malaria database of the Mopti health district from 2019 to 2021. Data were analyzed in time, place and person using Epi Info 7.2 software</p>','<p>From 2019 to 2021, out of 191908 suspected malaria cases, 172619 cases were tested, i.e. 89.9%. Of the cases tested, 120,817 cases were confirmed by the Thick Gauge or Rapid Diagnostic Test (RDT) for malaria or 63%. The majority of cases were confirmed by RDT (92.1%). The most represented age group was over 14 years with 39%. The sex ratio M/F was 0.89. During the three years, confirmed cases were frequent between the 33rd and 52nd epidemiological week. The annual prevalence was 7.6, 6.8 and 8.8% for 2019, 2020 and 2021 respectively. The highest age-specific prevalences were observed in children aged 5 to 15 years and under 5 years with 10.9% and 9.1% respectively. Fever was the main symptom in 82.6% (n=12817) of cases. The case fatality rate was 0.4% for the period. Age above 5, female sex, and the period (rainy season) were significantly associated with confirmed malaria cases.</p>','<p>Malaria remains a disease that affects more children and is more frequent during the rainy season and part of the cool season. Strengthening seasonal malaria prevention campaigns and extending them to children over 5 years of age, sensitizing the population to the use of long-lasting insecticide-treated nets could change current trends</p>','<p>Epidemiological profile, Malaria, Mopti</p>','2','2','1','1','2','1',NULL,'Reject','Rejected','Yes',NULL,'2024-07-09 10:13:00','2023-06-05 13:43:53',NULL,207),(499,'Alain Magazani','RTC Afrique Centrale','amagazani@afenet.net','dr','Yannick','Ebongo','male','congo-democratic-rep','yaneben91@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','Antoine MONAMA, Ministère de la  Santé Publique, drmonam7@gmail.com, \r\nLinda MATADI, AFENET DRC, matadibasadia@yahoo.fr\r\nBelinda AYUMUNA, AFENET DRC, ayumunamalasi@gmail.com), \r\nNicole ANSHAMBI, Médecin Coordonnateur Provincial de la Coordination Provinciale de lutte contre la lèpre et la tuberculose, nicoleanshambi@gmail.com,\r\n Fabrice MATUTA, Chargée de la pharmacorésistance à la Coordination Provinciale de lutte contre la lèpre et la tuberculose, fabricematuta@gmail.com\r\nKen Kayembe DRC FETP/AFENET, kkayembe@afenet.net\r\nAlain Magazani, AFENET, amagazani@afenet.net\r\nAnnie IKO, Chef du Bureau Infosan à la Division provinciale de santé de Kinshasa, ikoabikaa@gmail.com, \r\nMarc YAMBAYAMBA, Assistant à l’Ecole de Santé Publique de l’Université de Kinshasa, marc.yamba@unikin.ac.cd) et \r\nAimée LULEBO, Professeur à l’Ecole de Santé Publique de l’Université de Kinshasa, aimelulebo@yahoo.fr','<p>Profil épidémiologique, tuberculose multi-résistante, Kinshasa, République Démocratique du Congo</p>','<p>La tuberculose multi-résistante(TB-MR) constitue un défi majeur pour le monde ; l’OMS compte la République Démocratique du Congo parmi les 4 pays africains à lourde charge de cette maladie. En 2022, la ville de Kinshasa portait 20% des tuberculeux du pays, toutes formes confondues et 37% pour la tuberculose multi-résistante ; ainsi, l’objectif de cette étude était de décrire le profil épidémiologique de cette maladie à Kinshasa en vue de contribuer à l’amélioration de la lutte contre ce fléau.</p>','<p>Une étude descriptive transversale portant sur les données secondaires de 1819 cas de TB-MR enregistrés à Kinshasa de 2016 à 2021 a été menée. Tous ces patients ont été confirmés TB-MR par le test moléculaire. Les analyses statistiques descriptives portant sur les caractéristiques sociodémographiques et cliniques des cas ont été réalisées avec SPSS version 25.</p>','<p>Au total 1819 cas de TB-MR dont 278 décès (létalité : 15,3%) ont été enregistrés. Les zones de santé de Kinshasa portant la lourde charge étaient Bumbu : 166 cas (9,1%), Binza Météo :140 cas (7,7%) et Lemba : 122 cas (6,7%). Le sexe ratio H/F était de 2 ; la tranche d’âge de 15 à 29 ans représentait 46,1%(839/1819) des cas ; la proportion de la séroprévalence au VIH était la plus élevée en 2018 avec 14,8% des cas ; les effets indésirables aux antituberculeux les plus fréquents étaient la surdité chez 37,5%(682/1819) des cas et les acouphènes chez 12,5%(227/1819) des cas. La proportion des perdus de vue était de 6,4%( 116/1819).</p>','<p>Cette étude a montré que la TB-MR affecte plus la population jeune avec une létalité élevée. Le suivi rapproché des cas de tuberculose, toutes formes confondues et la sensibilisation de la population sur les conséquences de cette maladie pourraient améliorer la surveillance de cette maladie.</p>','<p>Tuberculose Multi Résistante, Epidémiologie, Kinshasa, République Démocratique du Congo, RDC.</p>','5','5','5','4','5','5',NULL,'Accept','Oral','Yes','<p>Title : there is no concept of time</p><p>Methods : it is not necessary to already&nbsp;put the patients number here</p><p>Conclusion : you must add the recommendations according to the results</p><p>&nbsp;</p>','2024-07-10 10:13:00','2023-05-04 08:47:14',NULL,199),(500,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Paulus','Nougbologni','male','benin','nougbolognipaulus@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','L. Dèdèwanou/Ministère de la Santé /lydmonloto@yahoo.fr\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Référence des cas de paludisme grave et facteurs associés à la létalité chez les enfants de moins de 5 ans, département du Plateau, Bénin, 1er avril au 31 octobre 2022</p>','<p>Le paludisme est une maladie parasitaire fébrile qui se présente sous deux formes. La forme grave est plus fréquente chez les enfants de moins de cinq ans. Le paludisme demeure un problème majeur de santé publique. L’objectif de cette étude était d’étudier l’impact de la référence et les facteurs associés à la létalité des cas graves de paludisme chez les enfants de moins de 5 ans dans le département du Plateau, Bénin, 1er avril au 31 octobre 2022.</p>','<p>Un échantillonnage aléatoire simple a été réalisé à l’aide du logiciel Open Epi. Les données recueillies à partir des dossiers médicaux des patients sur kobocollect, ont été analysées avec Epi Info7.2. Nous avions calculé les fréquences et les odd-ratio avec leurs intervalles de confiance.</p>','<p>La majorité des 398 cas était de la tranche d’âge de 12 à 36 mois soit 61,3%, de sexe masculin (50,2%) et provenaient du milieu rural (81,9%). Les cas référés représentaient 33,7% et la létalité était de 3%. La moto était le moyen de transport le plus utilisé pour la référence soit 94%. Parmi les référés, 57,46% ont bénéficié d’un traitement de pré référence et parmi ces derniers, 68,83% et 57,14% ont bénéficié respectivement d’un abord veineux et de la première dose d’artésunate. Les facteurs associés au décès étaient le coma (OR=7,5 ; IC à 95% : [2,1-26,8]), l’incapacité de se nourrir (OR=77 ; IC à 95% : [6,4-920,6]), la malnutrition (OR=6,8 ; IC à 95% : [1,3-34,9]) et l’absence de réponse au traitement (OR=8,9 ; IC à 95% : [1,3-60,2]).</p>','<p>Plusieurs facteurs étaient associés à la mortalité des enfants de moins de 5 ans atteints de paludisme grave. Le système de référence comporte plusieurs faiblesses qu’il est important d’améliorer pour réduire cette Létalité.</p>','<p>Paludisme grave ; Facteurs associés, Artésunate, Coma, Bénin</p>','1','1','2','1','2','1',NULL,'Reject','Rejected','Yes','<p><strong>le titre n’est pas clair, il ne cadre pas avec l’objectif, les méthodes et les résultats</strong>. <strong>Le problème n’est pas bien expliqué, pensez-vous que les enfants référés ont un risque élevé de mourir&nbsp;? si c’est le cas, il fallait plutôt rechercher les facteurs associés à la létalité élevé chez les référés&nbsp;</strong></p>','2024-07-11 10:13:00','2023-06-01 16:01:05',NULL,155),(501,'Samuel Rwunganira','FETP Field Coordinator','srwunganira@afenet.net','mrs','Emmerance','HIRWA','female','rwanda','emigh138@gmail.com','<p>SHYIRA District Hospital</p>','resident',NULL,NULL,'advanced','maternal-reproductive-and-child-health','JD. SINAYOBYE | AFENET Rwanda | jsinayobye@afenet.net\r\nS. RWUNGANIRA | AFENET Rwanda | srwunganira@afenet.net\r\nJ. NTAGANIRA | University of Rwanda | jntaganira@nursph.org  \r\nJ. MUKAMURIGO | University of Rwanda | jmukama@nursph.org','<p>Prevalence And Associated Factors of Immediate Postpartum Family Planning Utilization in Nyabihu District,2021</p>','<p>Immediate Postpartum Family Planning (PPFP) is the initiation of Family Planning (FP) methods within 48 hours after delivery; It focuses on preventing unintended births and short inter-birth intervals. This is a main public health concern, as 20 % of obstetrical deaths are related to short inter-birth intervals. Therefore, this study aimed to assess the prevalence of immediate postpartum family planning use and associated factors among postpartum women in Nyabihu district.</p>','<p>A health facility-based cross-sectional study design was used to identify the factors associated with immediate post-partum family Planning utilization by women in Nyabihu District from January to June 2021. Secondary data on social demographic and obstetric characteristics were extracted from health facility medical records. The data were entered in Excel and exported in STATA for analysis. Both bivariate and multivariate logistic regression analyses were performed to identify the associated factors. We report adjusted odds ratios (aORs), with a 95% confidence interval (95%CI).</p>','<p>Of the 1682 of postpartum women, 38.05% used immediate postpartum family planning. Having an antenatal care visit ( aOR:7.7, 95%CI: 4.3-13.5) , previous use of family planning ( aOR: 3.4, 95%CI: 2.3-5.03), being married (aOR:1.9, 95%CI: 1.07 - 3.5) ,having a university level of education (aOR:13, 95%CI: 2.1-81), having 30-39 years ( aOR: 0.4, 95%CI: 0.2 - 0.7) , being in second lower socio economic category ( aOR: 5.4, 95%CI: 2.1 - 12.2) and having more than 5 children ( aOR: 9.2, 95%CI: 5.1-16) were significantly associated with utilization of Immediate postpartum family planning.</p>','<p>This study showed a low prevalence of immediate postpartum family in Nyabihu district. Therefore, strengthening family planning counseling during antenatal and postnatal care visits, improving utilization of postnatal care services, and improving women’s educational status are crucial steps to enhance contraceptive use among postpartum women</p>','<p>Prevalence, Postpartum, immediate Family planning, Utilization</p>','3','4','5','3','4','3',NULL,'Accept','Oral','Yes',NULL,'2023-05-14 10:13:00','2023-06-04 16:33:33',NULL,190),(503,'KASIM MAHDI','Resident Advisor Frontline-FETP','ksultan@afenet.net','ms','Saido','Gedi','female','somalia','saido.gedi@nih.gov.so','<p>National Institute of Health</p>','alumni',NULL,'24/01/2023','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','KASIM MAHDI, AFENET, Email: ksultan@afenet.net  \r\nAhmed Fidhow:GIS: afidhow@gisworldwide.org,','<p>Epidemiological investigation of a Dengue Fever Outbreak Hodan District, Benadir Region, Somalia ,October 2022.</p>','<p>Dengue fever first emerged in Somalia in 2011. The Emergency Department of Federal Ministry of Health was notified of a death case of dengue and two confirmed cases in the Benadir region, Somalia on October 18, 2022. The first case of dengue fever was confirmed in Ladnaan Hospital, Hodan District, Banadir Region, on September 15, 2022. . Dengue fever was investigated to verify the diagnosis of dengue and confirm the existence of the outbreak.</p>','<p>We conducted a descriptive, retrospective case record review using the World Health Organization (WHO) case definition to identify cases from the facility records in Hodan District from September 11, 2022, to December 18, 2022. Blood samples were tested with Dengue NS1(Rapid Diagnostic Test) to detect the dengue virus at the National Reference Laboratory.The data were reviewed, and a line list was created with suspected cases.</p>','<p>We identified 147 suspected cases, 14 cases tested positive. The overall attack rate was 89/100,000 with a zero-case fatality rate. The number of cases was higher among males (57%), with the age group above 14 years being the most affected (39%). All cases presented with fever (100%) and least common was hemorrhagic manifestations (1%). The majority (53%) of the cases were reported from the Ka’aan subsection of Hodan District, with 78 dengue cases.</p>','<p>The dengue fever outbreak in Hodan District was confirmed. Community health education was undertaken by distributing risk communication handouts regarding early signs of dengue, routes of transmission, and treatment of dengue. Future Dengue outbreaks can be controlled by implementing effective prevention and vector-control measures.</p>','<p>Key words: Dengue Fever, Outbreak, Somalia, Descriptive Study</p>','3','3','3','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2024-07-12 10:13:00','2023-05-14 22:21:01',NULL,136),(504,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','mr','Sephord S.','Ntibabara','male','tanzania','sesantiro@gmail.com','<p>Tanzania Field Epidemiology and Laboratory Training Program</p>','resident',NULL,NULL,'advanced','non-communicable-diseases-ncds-injuries-and-mental-health','JASPER KIMAMBO, Tanzania Field Epidemiology and Laboratory Training Program, kimamboj86@gmail.com \r\nJONHAS MALIJA, Tanzania Field Epidemiology and Laboratory Training Program,  masatu.jm@gmail.com \r\nKHADIJA SHAMTE, Tanzania Field Epidemiology and Laboratory Training Program, shamtekhadija03@gmail.com\r\nEVELYINE NGOLI, Tanzania Field Epidemiology and Laboratory Training Program, evelyinengoli@gmail.com\r\nFARAJA NG\'IDA,Tanzania Field Epidemiology and Laboratory Training Program, faraja.ngida@gmail.com\r\nHELMAN NYIGO, Tanzania Field Epidemiology and Laboratory Training Program,  drnyigohelman@gmail.com\r\nGODBLES MFURU, Tanzania Field Epidemiology and Laboratory Training Program, mfurugodbless725@gmail.com \r\nRUKIA MOHAMED, Tanzania Field Epidemiology and Laboratory Training Program, ruzumu94@gmail.com\r\nAGNESS NJAU, Tanzania Field Epidemiology and Laboratory Training Program, ansilanjau5@gmail.com \r\nNEMES JOSAPHAT, Tanzania Field Epidemiology and Laboratory Training Program, nemesj88@gmail.com\r\nMARIAM MBWANA, Tanzania Field Epidemiology and Laboratory Training Program, mariammbwana83@gmail.com\r\nFATMA JUMA, Tanzania Field Epidemiology and Laboratory Training Program, fatmamohd22eh@gmail.com\r\nPETER TOROKAA, Tanzania Field Epidemiology and Laboratory Training Program, petertorokaa@gmail.com\r\nTHOBIAS BOLEN, Tanzania Field Epidemiology and Laboratory Training Program, thobiasbolen@ymail.com \r\nDAVID OSIMA, Tanzania Field Epidemiology and Laboratory Training Program, osimadavid@yahoo.com\r\nJAMES ALLAN, Tanzania Field Epidemiology and Laboratory Training Program, j.allan84@yahoo.com\r\nGEORGE MASSAWE, Tanzania Field Epidemiology and Laboratory Training Program, atmoskerry@gmail.com \r\nFUNGO MASALU, Tanzania Field Epidemiology and Laboratory Training Program, fungomas@yahoo.com, \r\nMARIAM MONAH, Tanzania Field Epidemiology and Laboratory Training Program, monah_mariam@yahoo.com\r\nLOVENESS URIO,Tanzania Field Epidemiology and Laboratory Training Program, loveness13us@yahoo.com\r\nNSIANDE LEMA, Tanzania Field Epidemiology and Laboratory Training Program,nsiandelema@yahoo.com, \r\nNELSON MALUGU, Tanzania Field Epidemiology and Laboratory Training Program, shakydai02@gmail.com\r\nROGATH KISHIMBA, Tanzania Ministry of Health, rogatkishimba@gmail.com,\r\nAZMA SIMBA, Tanzania Field Epidemiology and Laboratory Training Program, azmatan66@gmail.com,\r\nALLY HUSSEIN, Field Epidemiology and Laboratory Training Program, allykhussein@gmail.com','<p>Prevalence and Risk Factors of Hypertension among Adults in Tanga Region in January, 2023: A Cross-Sectional Community Based Survey</p>','<p>Cardiovascular diseases (CVDs) account for 12% of all yearly deaths in Tanzania. Hypertension is a significant risk factor for CVDs, and recent surveys indicate that its prevalence in Tanzania has risen from 25% to 30-35%. To develop effective control measures, updated and relevant information is crucial. This study aimed to determine the prevalence and risk factors for hypertension, which are essential for reducing the burden of non-communicable diseases.</p>','<p>A community-based cross-sectional survey was conducted in Tanga City, Muheza, and Mkinga districts of Tanga. Demographic information, lifestyle-related factors, history of diagnosis, family history, and medication use patterns were collected using the standardized STEPS survey questionnaire. Descriptive analysis was conducted, and frequencies and proportions were presented. A modified Poisson regression analysis was performed to assess the relationship of independent variables with hypertension.</p>','<p>A total of 1818 participants were recruited in the survey. A hypertension prevalence of 38% (95% CI: 35.5-40.0%) was observed. Urban areas had a higher hypertension prevalence than rural areas (Adjusted Prevalence Ratio [APR]: 1.06, 95% CI: 1.02-1.11). Two thirds (66.5%) of hypertensive individuals were unaware of their status. Among known patients with hypertension, 80.5% were not taking daily medication. Independent risk factors associated with a higher hypertension prevalence include: Male (APR:1.06, 95% CI:1.02 – 1.10), older age (APR: 1.41, 95% CI: 1.31-1.51) &amp; being obese (APR: 1.20, 95% CI: 1.15-1.25). Exercise was associated with a lower prevalence of hypertension (APR: 0.96, 95% CI: 0.93-0.99).</p>','<p>The survey revealed a high prevalence of hypertension, with more than half of the patients unaware of their condition. Regular hypertension screenings should be conducted in all areas, including rural settings. Health education should be given to stress the importance of taking anti-hypertensive medication and seeking proper healthcare. Physical activity is recommended as it has been proven to have a protective effect.</p>','<p>hypertension, diabetes, obesity, exercise</p>','0','5','4','5','5','5',NULL,'Accept','Poster','Yes','<p>Thanks for your abstract. Just a minor comment:</p><p>Methodology: Indicate the statistical test and level of confidence.</p>','2024-07-13 10:13:00','2023-05-17 09:36:14',NULL,187),(505,'Bouyagui TRAORE','RA FETP Mali','tbouyagui@afenet.net','mr','FADIALA','KEITA','male','mali','fadialakeita33@gmail.com','<p>FETP Intermédiaire 2ème cohorte, Mali</p>','alumni',NULL,'21/11/2022','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Ousmane Boua Togola2, Yacouba Sangare2, Moussa Sougané1, Bouyagui Traoré3, Oumar Sangho4, Marguerite Sangaré1, Birahima Dolo1, Samba Mallé1, El hadj Issa Amaïguiré Sy2, Hanine Keita2','<p>Missed vaccination opportunities for mothers of children aged 0-23 months in the central Kangaba health area, 2021</p>','<p>more than half of the 23 million children who had not received the first dose of DTP or who were incompletely vaccinated lived in 10 countries, 4 of which were African. In Mali, about 15.66% of children aged 12-23 months were not fully vaccinated in 2018.During the same year the dropout rate between BCG -VAR1 was 16 ,10% and 27.95% in Koulikoro and Kangaba respectively. The objective was to study the missed opportunities for vaccination by mothers of children aged 0-23 months in the health area of central Kangaba in 2021</p>','<p>This was a purposive sampling of mothers of children who came for vaccination to the community health center of central Kangaba</p>','<p>The age of the mothers ranged from 15 to 45 years, with an average of 24 years and a standard deviation of 6.61. Among the mothers surveyed, 41.90% (44/105) did not know the target diseases of the Expanded Program on Immunization and 28.57% (30/105) were unaware of the immunization schedule. A total of 33.33% (35/105) of mothers of children had missed at least one vaccination opportunity and the main reasons given were: side effects, insufficient number of children to open a vial, postponement by vaccinator, lost card, mother traveling, lack of information and no money</p>','<p>Children\'s mothers\' knowledge of vaccination was low with high missed opportunities for vaccination. We recommend strengthening communication activities and good organization of vaccination sessions.</p>','<p>missed vaccination opportunities, vaccination schedule, Kangaba, Mali</p>','1','1','1','2','2','1',NULL,'Reject','Rejected','Yes',NULL,'2024-07-14 10:13:00','2023-06-05 13:57:05',NULL,207),(506,'Alain Magazani','RTC Afrique Centrale','amagazani@afenet.net','dr','Michele','Luhembwe','male','congo-democratic-rep','luhembwemichele@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'advanced','vaccine-preventable-diseases','•	Jean Pierre KITENGE : DPS Tanganyika, MCA PEV ndrkitenge@gmail.com\r\n•	Wilma LWABOLA : DPS Tanganyika, CB Info San wlwabola@gmail.com\r\n•	Linda MATADI : AFENET, matadibasadia@yahoo.com\r\n•	Marc YAMBAYAMBA :  Assistant à l\'Ecole de Santé Publique, marc.yamba@unikin.ac.cd \r\n•	Aimé LULEBO :  Professeur à l\'Ecole de Santé Publique, aimelulebo@yahoo.fr','<p>Investigation des cas de tétanos néonatal dans la zone de sante de Kongolo, Tanganyika, République Démocratique du Congo, janvier à décembre 2022</p>','<p>Le tétanos néonatal (TNN) est l’une des principales causes de mortalité néonatale dans le monde surtout dans les pays en développement. La République Démocratique du Congo fait partie de 47 pays ayant éliminé le TNN en 2020 ; ainsi cette étude visait à décrire les cas de TNN notifiés en 2022 dans la zone de santé de Kongolo.</p>','<p>Une étude transversale descriptive portant sur les données secondaires de TNN collectées en 2022 a été menée dans la zone de santé de Nyunzu. L’échantillon était constitué de 8 cas suspects de TNN. Un questionnaire a permis de collecter les données sociodémographiques et cliniques. Les analyses statistiques descriptives ont été réalisées avec SPSS v25.</p>','<p>Au total 8 cas de TNN dont 5 décès (létalité : 62,5%)ont été enregistrés. Le sexe ratio H/F=7. L’âge médian des cas était de 4jours (Xmin= 2 et Xmax=7) ; le service de consultation prénatale(CPN) était utilisé par 62,5%(5/8) des femmes ; 87,5%(7/8) accouchements se sont déroulés en dehors à domicile dans des conditions non hygiéniques et la section du cordon ombilical s’est faite à l’aide du matériel non stérile (lame rasoir). L’enquête ménage a révélé que la couverture vaccinale en Td2+ était de 28,6% et celle des autres antigènes (BCG, DTC1, DTC2 et VAR) était de &lt;60 % auprès des enfants de 0 à 23 mois.</p>','<p>Cette investigation a permis de confirmer l’épidémie de TNN dans la zone de santé de Kongolo. Les facteurs d’exposition identifiés étaient la faible utilisation de service de CPN, la faible couverture de femmes en vaccin antitétanique, l’accouchement à domicile et la section du cordon ombilical par du matériel souillé. La vaccination et le respect des mesures d’asepsie reste un moyen efficace pour lutter contre le TNN.</p>','<p>Tétanos Néonatal, Kongolo, RDC</p>','4','4','4','3','5','4',NULL,'Accept','Oral','Yes','<p>Methods : It\'s better to mention the indicators studied&nbsp;</p><p>Conclusion : what information in the result allows you to deduce &nbsp;the low exposure factor. You must se statistical test.</p><p>&nbsp;</p>','2024-07-15 10:13:00','2023-05-04 08:15:30',NULL,199),(507,'Dr. Zeba Nasir','Resident 14th Cohort','zebanasir94@gmail.com','dr','Zeba','Nasir','female','pakistan','zebanasir94@gmail.com','<p>Border Health Services, Ministry of Health- Pakistan</p>','resident',NULL,NULL,'advanced','public-health-systems-strengthening-initiatives','Nadia Noreen, Border Health Services, Ministry of Health- Pakistan, nadia.jamil3@gmail.com','<p>Prevalence of Asymptomatic COVID-19 in all patients coming to a tertiary care hospital for elective and emergency surgery or procedure</p>','<p>During the year 2020, the pandemic of coronavirus associated disease COVID-19 placed the health care workers at high risk. Also current or recent infection with SARS-CoV-2 increases the risk of perioperative morbidity and mortality. There are uncertainties on how to deal with potentially infected patients. There is minimal data on the prevalence of asymptomatic SARS-CoV-2 infection in patients presenting for elective procedures and emergencies.</p>','<p>This was a retrospective study conducted in a tertiary care hospital that included confirmed asymptomatic COVID-19 patients on admission by use of real-time reverse-transcriptase rRT-PCR on samples from nasopharyngeal swabs from April 01, 2020 to July 31, 2020. A questionnaire about health status, symptoms, admission to hospital and treatment was filled. Prevalence was calculated with respect to confirmed symptomatic Covid-19 patients. The results were then analyzed on SPSS v.20</p>','<p>Prevalence of asymptomatic was (13.25%) of all confirmed cases of COVID - 19 by rRT- PCR admitted patients. Most of the infected were from the Surgery &amp; Allied department (75.47%). Substantial number of patients did not have any symptoms (79.25%) and (69.81%) had underlying comorbid. Radiological features typical of Covid-19 occurred in (3.37%) patients. Management included discharge(11.32%), procedure postponement (41.51%), urgent procedure done in Covid area (47.17%), Left against medical advice (7.55%) and telemedicine for all the patients.</p>','<p>The screening and testing of the patients, selecting patients for procedures, choosing appropriate procedures, and selecting suitable personal protective equipment in this unprecedented period was of importance to control the spread of the disease through asymptomatic COVID-19 cases especially in the healthcare workers. There is limited evidence supporting delays to surgery, and the need for more research in this area.</p>','<p>Asymptomatic COVID-19, real-time reverse-transcriptase rRT-PCR, elective and emergency procedure.</p>','3','3','3','3','4','3',NULL,'Accept','Poster','Yes',NULL,'2024-07-16 10:13:00','2023-05-10 13:06:10',NULL,180),(508,'Dr Seogo Pedwindé Hamadou','Djibouti FETP','hseogo@afenet.net','mrs','Isra','Abdi Guirreh','female','djibouti','israabdi@hotmail.fr','<p>Caisse National de Sécurité Sociale, Djibouti Field Epidemiology Training Program</p>','alumni',NULL,'9/2/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','1.	Abdo Araita Mahisso, Gendarmerie Nationale, Djibouti Field Epidemiology Training Program, abdoaraita9@gmail.com \r\n2.	Abdi Houssein Egueh, Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti, abdihoussein13@hotmail.fr \r\n3.	Moustapha Mahamoud Miguil, Garde de Côtes,  Djibouti Field Epidemiology Training Program, moust17@hotmail.fr\r\n4.	Samatar Kayad Guelleh, Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti,  samatark@hotmail.fr \r\n5.	Prosper Ilunga Kelebwe, Djibouti Field Epidemiology Training Program, African Field Epidemiology Network of Djibouti, prosperkelebwe@yahoo.fr\r\n6.	Sahra Moussa Bouh, Djibouti Field Epidemiology Training Program, Ministry of health, saharamousa62@yahoo.com\r\n7.	Pedwindé Hamadou Seogo, Djibouti Field Epidemiology Training Program, African Field Epidemiology Network of Djibouti, seogoph@gmail.com\r\n8.	Ahmed Robleh Abdilleh, Ministry of health, ahmedrobleh@hotmail.com\r\n9.	Tatek Anbessie Bogale, African Field Epidemiology Network, btatek@afenet.net\r\n10.	Herbert Kazoora Brian, African Field Epidemiology Network, hkazoora@afenet.net\r\n11.	Houssein Youssouf Darar, Djibouti Field Epidemiology Training Program, Ministry of health, hyusef@gmail.com','<p>Investigation de flambée de conjonctivite dans le village de Yoboki, District de Dikhil, Djibouti, Décembre 2021</p>','<p>A la semaine épidémiologique 49 (05-11décembre 2021), le poste de santé (PS) de Yoboki a déclaré 31 cas suspects de conjonctivite à l’Institut National de Santé Publique. Cette investigation a été réalisée pour confirmer la flambée et mettre en place des mesures de prévention et de contrôle.</p>','<p>Nous avons réalisé une étude descriptive du 1er au 30 décembre 2021. Un cas suspect de conjonctivite était défini comme toute personne de Yoboki présentant de la rougeur des yeux associée à des démangeaisons, picotements ou un écoulement clair ou purulent pendant la période d’étude. Un cas confirmé était un cas suspect confirmé par un ophtalmologue. Nous avons recherché activement les cas au PS et dans la communauté par la revue documentaire et entretien avec les malades et/ou leurs accompagnants avec un questionnaire. Nous avons pris en charge les cas. Nous avons analysé les données avec Excel. Des proportions, moyennes et ratio ont été calculés.</p>','<p>Au total 65 cas suspects conjoctivite ont été enregistré dont 25(38,5%) cas confirmés. L’âge moyen était de 7,2 ans. La tranche de 0-10 ans était la plus représentée (17(68%). 16(64%) était de sexe masculin. La rougeur (25(100%)), le prurit (25(100%), le larmoiement (25(100%), la douleur (25(100%) et la photophobie (24(96%) étaient les principaux signes. La majorité des cas investigués provenaient du quartier de Garante (44%).Tous les cas avaient bénéficié de traitement traditionnel. Le délai moyen de consultation était de 6 jours. Tous les cas ont bénéficié de prise en charge adéquate. Des séances de sensibilisations réalisées.</p>','<p>L’investigation a permis de confirmer la flambée de conjonctivite à Yoboki. La prise en charge des cas et les actions de santé publique ont permis de la contrôler. Nous recommandons la sensibilisation de la population et le renforcement des prestataires de santé sur l’ophtalmologie de base.</p>','<p>Conjonctivite, Flambée, Investigation, Yoboki, Dikhil, Djibouti</p>','3','2','2','3','2','2',NULL,'Reject','Rejected','Yes',NULL,'2024-07-17 10:13:00','2023-05-24 11:12:16',NULL,161),(509,'Gildo Okure','Resident Advisor','gokure@afenet.net','mr','Mabior','Kudior','male','south-sudan','mabiorkir@gmail.com','<p>Public Health Emergency Operations Center, Ministry of Health, South Sudan</p>','alumni',NULL,'7/7/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','W. Mwanje2, G. Okure2*, D. Kargbo2, J. Lasu1, J.P.A Rumunu1 \r\n1Public Health Emergency Operations Center, Ministry of Health, South Sudan\r\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan\r\n* Corresponding author: Gildo Okure; gokure@afenet.net ; +211-927-148232','<p>Descriptive epidemiology of corona virus disease 2019 in South Sudan, April 2020 - April 2022</p>','<p>Corona virus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected &gt;700 million people and killed &gt;6 million globally by February 2023. South Sudan instituted COVID-19 surveillance system to rapidly detect suspected cases and tests cases using polymerase chain reaction (PCR) and antigen rapid diagnostic test (Ag-RDT). We described the epidemiology of COVID-19 from the first confirmed case on 5th April 2020 to 30th April 2022 to inform prevention and control efforts.</p>','<p>We extracted data of confirmed COVID-19 cases from April 5, 2020-April 30, 2022 from the national database. A COVID-19 case was any person with PCR or Ag-RDT positive for SARS-COV-2. We cleaned and analyzed data using Microsoft Excel. We computed frequencies for sex, age-group and clinical symptoms; attack rate (AR) and case-fatality-rate (CFR) by states and plotted an epi-curve.</p>','<p>Of the 18,338 COVID-19 confirmed cases, 9622(52.5%) were males. The median age of the cases was 36 (range: &lt;1-89) years. Most cases 65% (6221/10,138) were aged 25-44 years. Most of the cases were asymptomatic with only 2,204 (12%) having cough, 611(27.7%) fever, 600 (27.2%) shortness of breath, 331(15.0%) sore throat, 249(11.3%) malaise/weakness, 210 (9.5%) runny-nose 197(8.9%) and 9 (0.4%) abdominal pains. Central Equatorial State (CES) had the highest AR (909/100,000 people) compared to 153/100,000 overall AR. Total deaths were 107 (CFR=0.59%). Of the 10 states, Lakes State had the highest CFR of 3.68% and there were no fatalities in Northern Bahr-El-Gazhal, Warrap and Western Bahr-el-Gazhal States. The epidemic curve revealed propagated spread with three peaks at 6-months intervals</p>','<p>COVID-19 affected mostly young men of productive age-group. Attack rate was high in CES probably due to most COVID-19 tests done for travelling purposes. We recommended COVID-19 control interventions targeting young adult men and scaling up testing centers at the sub-national level.</p>','<p>COVID-19, Descriptive epidemiology, South Sudan, SARS-CoV-2</p>','2','3','4','3','2','3',NULL,'Accept','Poster','Yes',NULL,'2024-07-18 10:13:00','2023-06-06 16:38:09',NULL,7),(510,'Djibril BARRY','Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina','djibril.barry@bfeltp.com','dr','Ousmane Boua','Togola','male','mali','ousmanebouatogola@gmail.com','<p>Direction Generale de la Santé et de l\'Hygiene Publique</p>','alumni',NULL,'16/12/2021','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','D. Barry* : djibril.barry@bfeltp.com, BFELTP,  Tel (+226) 76002567\r\nY.Koné:  ykone203@gmail.com  \r\nPK. Yanogo :   yanogo.pauline@yahoo.fr\r\nN. Meda : nicolas.meda@ujkz.bf','<p>Titre : Evaluation du système de surveillance épidémiologique du paludisme dans le district sanitaire de Tominian, Mali, 2021.</p>','<p>Introduction : environ 70 % de la charge mondiale du paludisme se concentre dans seulement 11 pays dont le Mali. L’incidence du paludisme en 2018 était élevée à Ségou et à Tominian comparativement au niveau national (84‰) avec respectivement 95‰ et 98,4‰. Pour soutenir le système de surveillance dans le district sanitaire de Tominian nous avons initié cette évaluation sur les données de 2017 à 2019.</p>','<p>Méthodes : nous avons mené une étude transversale descriptive du 20 Juin au 20 Août 2020 sur les données de surveillance du paludisme de Tominian. Nous avons décrit l’organisation et de fonctionnement et apprécier l’utilité et les attributs simplicité, sensibilité, acceptabilité et représentativité. Nous avons inclus dans notre étude les agents impliqués dans la surveillance du paludisme des structures publiques et privées. Nous avons jugé les scores mauvais (&lt;50%), moins bons (≥50%&lt;75%) et bon (≥75%≥100%). Nous avons calculé des proportions avec Excel® 2013.</p>','<p>Résultats : le système de surveillance du paludisme était fonctionnel et permettait de détecter des cas de paludisme avec le test de diagnostic rapide dans la majorité des cas. La promptitude dans la transmission des rapports hebdomadaires était respectivement de 81,11%, 85,14%, 80,77% en 2017, 2018 et 2019. La motivation des agents chargés de la surveillance du paludisme était de 58,18%. L’identification des populations à risques et le suivi des tendances étaient de 63,64%. Les personnes enquêtées ont évoqué la simplicité du système de surveillance à 92,21%. Une augmentation des cas confirmés de paludisme était remarquable de Juillet à Novembre.</p>','<p>Conclusion : le système surveillance du paludisme est simple, acceptable, sensible et utile. Cependant les structures privées sont peu représentatives. Nous recommandons l’implication des structures privées dans la surveillance du paludisme selon la vision à l’horizon 2030 « un Mali sans palu ».</p>','<p>Mots clés : Evaluation, surveillance, Paludisme, Tominian, Mali, 2021</p>','4','3','3','4','3','3',NULL,'Reject','Poster','Yes','<p>This presentation is good but there is need to improve the method</p>','2024-07-19 10:13:00','2023-06-05 22:19:02',NULL,65),(511,'Samuel Rwunganira','Field Coordinator','srwunganira@afenet.net','mr','Jean Paul','Hategekimana','male','rwanda','hjpahulo@gmail.com','<p>Nyagatare District Hospital</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','M.V. Umubyeyi | The University of Rwanda, School of Public Health, FETP | umubyeyivanessa13@gmail.com  \r\nC. Nkundabaza | Bushenge Provincial Hospital | nkundabazac@gmail.com \r\n E. Rugigana  | | The University of Rwanda, School of Public Health, FETP | rugigana@nursph.org \r\nI. Nzabahimana | Ministry of Health | nzabino09@gmail.com','<p>Assessing the response to a food poisoning outbreak in Gatsibo District, Rwanda February 2021</p>','<p>Food poisoning outbreaks result from the consumption of contaminated food or drink and involve one or more persons presenting with similar gastroenteritis symptoms. In the Kiramuruzi Sector of Gatsibo District, persons consumed non-alcoholic sorghum wine and presented at Gakenke Health Center with symptoms of vomiting, diarrhoea, nausea, and abdominal pain.</p>','<p>A cross-sectional study was conducted in August 2021, and consisted of reviewing medical records and interviewing health care providers at Gakenke Health Center and Kiziguro District Hospital, active cases finding, interviewing the cases from the affected community of Kiramuruzi Sector, and conducting the environmental assessment done at the place where the family makes the wine. Data were analyzed using Epi Info 7</p>','<p>Among the 47 persons who drank non-alcoholic sorghum wine, 45 (95.7%) became ill. Most of the cases were from Akabingo village (74.4%, 35 cases) and presented with headache 41 cases (91.1%) and abdominal pain,34 cases (75%). Incubation period was between 6-12 hours. Cases were managed by antibiotics, anti-pyretic and fluids, 42 (93.3%) were managed at Health Center and discharged , whereas three cases were referred to the hospital for further management, and 14 cases (29.7%) were self-treated by using traditional herbs after being discharged. There were no identified deaths. An environmental assessment was done and did not conclusively identify the source of infection.</p>','<p>There was an illness with a high attack rate, however, there were no deaths reported though epidemiologic data indicate that non-alcoholic sorghum wine was the likely source of the outbreak.. The confirmation of causative agents was limited by a lack of timely response intervention, Community members should be educated on food and beverage safety. Kiziguro and its health facilities should avail a Rapid Response Team and ensure full functionality for proper management of samples and follow-up of referred samples.</p>','<p>Outbreak, food intoxication, gastroenteritis</p>','1','1','2','2','3','1',NULL,'Reject','Rejected','Yes','<p>The title does not communicate with background, methods, results and conclusion. If you assess response to food poisoning, the expectation would be that the authors conducted an after action review (AAR) of the response.</p><p>It is not clear which cross-section study was conducted. Was it a cross section of patients who presented with poisoning? What was the population from which the authors picked their study participants?&nbsp;</p><p>No attack rates are presented in the results (the percentages presented by authors are not attack rates) but the authors go ahead to attribute the illness to a high attack rate in their conclusion.&nbsp;</p>','2024-07-20 10:13:00','2023-05-30 18:52:13',NULL,229),(512,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','dr','ALBERT','PASCHAL','male','tanzania','paschalalbert54@yahoo.com','<p>Tanzania Field Epidemiology and Laboratory Training Program</p>','alumni',NULL,'10/12/2022','advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','HAMAD MNIMBO, Tanzania Field Epidemiology and Laboratory Training Program, nnimbo3@gmail.com\r\nOMARY NASSORO,Tanzania Field Epidemiology and Laboratory Training Program, omarykipuli@gmail.com\r\nFIDELIS MTUNZI, Tanzania Field Epidemiology and Laboratory Training Program, mutunzi@africa-union.org\r\nPROSPER NJAU, National AIDS Control Program, Tanzania Ministry of Health, prosperpendo@gmail.com\r\nLOVENESS URIO, Tanzania Field Epidemiology and Laboratory Training Program, loveness13us@yahoo.com\r\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program, allykhussein@gmail.com\r\nROGATH KISHIMBA, Epidemiology section of Tanzania Ministry of Health, rogatkishimba@gmail.com\r\nELIAS MMBAGA, Department of Epidemiology and Biostatistics Muhimbili University of Health and Allied Science, eliajelia@yahoo.co.uk','<p>Mortality trend and associated factors among HIV clients on antiretroviral therapy in Tanzania from 2018-2020</p>','<p>Studies on Antiretroviral therapy programs in Africa have shown a significant reduction of mortality among HIV clients. Mortality trend among HIV clients on Antiretroviral therapy (ART) in Tanzania from 2018 to 2020 and factors associated with it are poorly described. The aim of this study was to assess the mortality trends and to identify predictors of mortality in HIV-infected patients on ant-retroviral therapy in 26 regions in Tanzania mainland</p>','<p>Observational analysis of data from HIV-positive patients obtaining care and treatment from health facilities in Tanzania, Data were reviewed for mortality between January 2018 and December 2020. The proportional death by age, sex, ART program year, marital status, WHO clinical stage, and Region were summarized using cross-tabulation and Pearson\'s chi-squared for significance. Logistic regression was used to determine the independent predictors of mortality at bivariate and multivariate levels, respectively.</p>','<p>A total of 29982 study participants were randomly selected from each program year (2018-2020) making a total of 89946 participants for this study. The annual specific mortality was found to be 5.9%, 4.3%, and 3.14% in 2018, 2019, and 2020 respectively. Mortality was significantly associated with malnutrition AOR= 2.1 (95% CI 1.4 – 3.1), Being a male AOR=2.0 (95% CI: 1.6-3.9) participants with active TB or history of TB treatment AOR= 1.7 (95% CI: 1.4-6.6), WHO clinical stage (3) AOR=2.2 (1.5-3.3), WHO clinical stage (4) AOR=7.3 (3.9-13.7) and CD4 count less than 200cells/mil AOR=1.7(95% CI: 1.31-2.3).</p>','<p>The mortality trend in Tanzania was seen to decrease with time from 2018 to 2020. Most deaths occurred among male patients, patients with advanced diseases (WHO stage 3 and 4), TB coinfection, CD4 count &lt;200 cells/µl, and those with malnutrition. This mortality would be further reduced by improving TB screening and treatment, nutritional support, and promoting early diagnosis and treatment of HIV infection.</p>','<p>Mortality, HIV clients, anti-retroviral, Tanzania</p>','5','4','5','5','3','4',NULL,'Accept','Poster','Yes','<p>thank you for your abstract:</p><p>Usually for secondary data, 5-year period would be most appropriate. Considering that this is a well-known and well researched disease it is more justifiable to consider a longer timeframe regardless of the total number for your sample.</p><p>Methodology: Indicate the level of significance</p><p>&nbsp;</p>','2024-07-21 10:13:00','2023-05-17 09:41:48',NULL,187),(514,'Labiba Anam','YFETP','labibaanam@gmail.com','dr','Fathi Abdullah','Abdullah','male','yemen','fathimasouad@gmail.com','<p>Ministry of public health</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Mohammed Al Dawla/Ministry of public health /Aldawla79@gmail.com \r\n Abdulhafedh Al Ward/Ministry of public health/war762005@yahoo.com\r\nMohammed Al Amad/ Ministry of public health /mohdalemad@yahoo.com, alemadm69@gmail.com','<p>Reporting System Evaluation for HIV Counseling and Testing, National AIDS Control Program Sana’a city, Yemen 2022</p>','<p>The human immunodeficiency virus (HIV) is still a global public health problem. HIV counseling and testing (HCT) is the gateway to HIV prevention, treatment, and care support. In Yemen, the HCT services have been established in 2007 and since its launch, the HCT reporting system had never been evaluated.This study aimed to assess the usefulness and performance of HCT reporting system in terms of its attributes</p>','<p>A descriptive evaluation of the system attributes based on the updated Centers for Disease Control and Prevention guidelines was performed. Related HCT documents and reports were reviewed. Dual methods for collecting data were used; A semi-structured questionnaire through face-to-face interviews with stakeholders at the central level, and self-administered questionnaires for stakeholders at governorate and health facility levels. A scoring system for the performance indicators of each attribute was used. The attributes of the system were ranked based on the percentage of gained scores; &gt; 80% as good, between 60% and 80% as average, and &lt; 60% as poor. The analysis was by Excel and Epi Info version 7.2</p>','<p>HCT reporting system had (96%) usefulness scores. The percentage of all attribute scores was (74%). The higher 99% and 80% were for the attributes of data quality and flexibility, followed by 78%, 72%, and 71%, for timeliness, acceptability, and simplicity, respectively. The lower percentages 60%, and (56%) were for representativeness and stability due to a lack of regular staff training and convenient governmental funds, respectively.</p>','<p>The reporting system of HTC was useful. The overall performance was average and varied by each attribute; good performance in data quality, and flexibility; average in simplicity, acceptability, representativeness, timeliness, and poor performance in stability. To improve the system’s performance; securing governmental funds, introducing an electronic system, and regular refresher training for health staff are strongly recommended</p>','<p>HIV, Counseling and Testing, Evaluation</p>','3','5','4','4','4','4',NULL,'Accept','Poster','Yes',NULL,'2024-07-22 10:13:00','2023-05-18 17:42:19',NULL,194),(517,'Dr Seogo Pedwindé Hamadou','Djibouti FETP','hseogo@afenet.net','mr','Oudoum','Kamil Aboubaker','male','djibouti','awdahiss@gmail.com','<p>Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti</p>','alumni',NULL,'9/2/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','1.	Fozia Youssouf Barkadleh, Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti kara.youss00@gmail.com\r\n2.	Prosper Ilunga Kelebwe, Djibouti Field Epidemiology Training Program,African Field Epidemiology Network of Djibouti, prosperkelebwe@yahoo.fr\r\n3.	Abdo Ali Houmed, Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti, emelganib@gmail.com\r\n4.	Abdoulkader Mouhamed Ali, Hôpital Cheiko de Djibouti, Ministry of Health of Djibouti, abdoulkader253@gmail.com\r\n5.	Abdoulkader Mohamed Ali, Djibouti Field Epidemiology Training Program, Ministry of Health of Djibouti? abdoulkadermed30@gmail.com\r\n6.	Sahra Moussa Bouh, Djibouti Field Epidemiology Training Program, Ministry of health, saharamousa62@yahoo.com\r\n7.	Ahmed Robleh Abdilleh, Ministry of health, ahmedrobleh@hotmail.com\r\n8.	Tatek Anbessie Bogale, African Field Epidemiology Network, btatek@afenet.net\r\n9.	Herbert Kazoora Brian, African Field Epidemiology Network, hkazoora@afenet.net\r\n10.	Houssein Youssouf Darar, Djibouti Field Epidemiology Training Program, Ministry of health, hyusef@gmail.com \r\n11.	Pedwindé Hamadou Seogo, Djibouti Field Epidemiology Training Program, African Field Epidemiology Network of Djibouti, seogoph@gmail.com','<p>Investigation des cas de Brucellose dans la région d’Obock, Djibouti, Novembre 2021</p>','<p>Le 21 novembre 2021, le Centre Médico-Hospitalier d’Obock (CMHO), notifié 5 cas de brucellose humaine confirmés. Nous avons mené une investigation pour confirmer, caractériser la flambée, rechercher les facteurs favorisants et proposer les actions appropriées.</p>','<p>Nous avons mené une étude descriptive du 1er au 25 novembre 2021. Un cas suspect de Brucellose était défini comme toute personne présentant une fièvre(Temp≥38.5°C) ou des arthralgies avec au moins un des signes suivants : sueurs profuses, asthénie, anorexie, perte de poids, céphalées et douleurs généralisées notifié pendant la période d’étude et comme cas confirmé, tout cas suspect confirmé par le laboratoire. Une recherche active au CMHO, à Wadi et Dalay Af a été réalisée. Nous avons utilisé un questionnaire pour collecter les données dans les registres et la communauté. Un test de Wright était utilisé chez les humains et caprins. Nos données ont été analysées avec Excel. Des médianes, ratios et proportions ont été calculés.</p>','<p>Au total 47 cas suspects de brucellose ont été enregistrés dont 21 cas confirmés positifs. L’âge médian des cas confirmés était de 42 ans(10-67 ans). Quatorze (67%) était de sexe masculin (sexe ratio (M/F)=2 :1). La fièvre(19/21(90%)), l’arthralgie(21/21(100%)) et la transpiration (14/21(67%)) étaient les principaux signes cliniques. La majorité des cas (17/21(81%) provenait de Wadi. Les cas confirmés ont été pris en charge et des actions de sensibilisation communautaires ont été menées. Cinq prélèvements effectués sur les caprins se sont révélés positifs à la brucellose. Dix-neuf (90%) cas avaient bu le lait non pasteurisé des caprins.</p>','<p>L\'investigation a confirmé une épidémie de brucellose dans la région de Obock. Des campagnes de sensibilisation de la communauté à l\'abattage des animaux infectés, la non-consommation de produits laitiers non pasteurisés et la vaccination des animaux sains permettra de lutter contre la brucellose.</p>','<p>Brucellose humaine, Investigation, Région Obock, Djibouti,Novembre 2021</p>','3','4','3','3','4','3',NULL,'Accept','Oral','Yes',NULL,'2024-07-23 10:13:00','2023-05-24 11:15:38',NULL,161),(518,'Samuel Rwunganira','Field Coordinator','srwunganira@afenet.net','mr','Jean Paul','Niyomugabo','male','rwanda','niyopaul55@gmail.com','<p>KIRINDA District Hospital</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','E.Nshimiyimana | AFENET Rwanda | nshimiyimanaemmanuel78@gmail.com \r\nS. Semakula | Rwanda Biomedical Center | semakulam@gmail.com \r\nJ.Ntaganira | University of Rwanda-School of Public Health| jntaganira@nursph.org \r\nV.Ndahindwa | University of Rwanda-School of Public Health | ndahindwa@nursph.org','<p>SARS-CoV-2 positivity test and associated factors in Karongi district, Rwanda: A cross-sectional study</p>','<p>The SARS-CoV-2 infections in Rwanda had been decreasing nationally in 2021, However case numbers appeared to increase in Karongi district. The objective of this retrospective cross-sectional study was to assess the positivity rate and sociodemographic factors associated with SARS-CoV-2 infection in Karongi District.</p>','<p>The study population comprised all individuals who were tested for SARS-CoV-2 infection at health facilities and testing centers using a rapid antigen test and results captured from January to December 2021. Electronic medical data including demographic and clinical information were obtained from the Health Management Information System. All analyses were conducted using STATA V.16. Multivariable logistic regression analyses were performed to identify factors independently associated with testing positive. The findings were presented as adjusted odds ratios (aORs) with 95% confidence intervals (CIs).</p>','<p>A total of 41,602 individuals were tested for SARS-CoV-2, with 6,355 confirmed positive infections (15.3%). Significant factors independently associated with SARS-CoV-2 positivity were age &gt; 4 years, male sex (aOR 1.2, 95% CI 1.1 to 1.3), being a health care worker (aORs 1.2, 95% CI 1.1 to 1.4), refugee status (aOR 3.2, 95% CI 2.4 T0 4.2), residing in an urban environment (aOR 1.3, 95% CI 1.2 to 1.4), and attending secondary school (aOR 7.0, 95% CI 4.0-12.0). The odds of a positive test were higher among those who did not receive any COVID-19 vaccine doses (aOR 2.4, 95% CI 2.1 to 2.7).</p>','<p>The positivity rate from January-December 2021 in Karongi district was 15.3% among all patients. Age &gt; 4 years, male gender, residing in an urban area, being a health care worker, being a refugee, and not receiving COVID-19 vaccination are at higher risk for SARS-CoV-2 and may benefit from public health measures.</p>','<p>COVID19, Positivity rate, factors, Karongi.</p>','0','3','3','2','4','4',NULL,'Accept','Poster','Yes',NULL,'2024-07-24 10:13:00','2023-05-30 19:10:18',NULL,229),(519,'Dabwitso J Banda','Coordinator Advanced FETP','bandadb3@gmail.com','mr','Gershom','Chisenga','male','zambia','jamesexnobert@yahoo.com','<p>Kasempa District Health Office</p>','alumni',NULL,'28/02/2023','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','James | Zulu |  Zambia  FETP | jamesexnobert@yahoo.com\r\nMartha | Malasa | Zambia  FETP | martha.malasa@yahoo.com','<p>A measles outbreak investigation in Kasempa district, North Western Zambia, October, 2022</p>','<p>Zambia continues to experience measles outbreaks regardless of efforts made towards its control. On 4th October 2022, Kasempa district reported four cases of acute non-vesicular rash and conjunctivitis from three members of the same family and one child of a different family within the same area. We investigated the cases in order to confirm the existence of an outbreak, determine risk factors and establish control measures</p>','<p>The investigation was conducted in Kasempa from the 24th to the 28th of October 2022. A structured questionnaire which included demographic information, religious and cultural beliefs, knowledge on immunization and exposure status, was administered to respondents. A case was defined as anyone who presented with acute non-vesicular rash and conjunctivitis from 1st to the28th October 2022. Laboratory analysis was done on 21 serum samples.</p>','<p>A total of 55 cases with mean age 17(1 to 40 years) were investigated. Affected children less than 15 years of age were 48 (88%).Twenty-one samples were collected and three tested positive for measles IgM (14.2% positivity rate). Twelve out of 55 (22%) were fully vaccinated against measles. Forty-four (80%) of the respondents believed in prayer &amp; herbs as means of prevention and treatment on knowledge levels.</p>','<p>Anti-vaccination religious beliefs resulting in low immunization coverage remain a major contributing factor in vaccine hesitancy among the affected communities. There is need to increase community sensitization and measles mass vaccination campaign targeting children aged 6 months to 15 years.</p>','<p>Measles, vaccine hesitancy, immunization, anti-vaccination, outbreak</p>','3','2','2','2','5','2',NULL,'Reject','Rejected','Yes',NULL,'2024-07-25 10:13:00','2023-05-12 06:12:41',NULL,133),(520,'Gildo Okure','Resident Advisor','gokure@afenet.net','mr','Abraham','Duot','male','south-sudan','abrahamajok99@gmail.com','<p>1Public Health Emergency Operations Center, Ministry of Health, South Sudan</p>','alumni',NULL,'6/10/2022','frontline','vaccine-preventable-diseases','J.S. Squire2, G. Okure2, M.K. Kiir1, J. Lasu1, G. Legge3, J.P. Rumunu1\r\n1Public Health Emergency Operations Center, Ministry of Health, South Sudan\r\n2African Field Epidemiology Network (AFENET), Field Epidemiology Training Programme, South Sudan\r\n3Expanded Program on Immunization, Ministry of Health, South Sudan\r\n*Corresponding author: Gildo Okure; gokure@afenet.net ; +211-927-148232','<p>Epidemiological characteristics of a nationwide measles outbreak in a complex humanitarian setting, South Sudan, 2022</p>','<p>Measles is a highly contagious viral disease and one of the major causes of childhood morbidity and mortality in humanitarian emergencies. South Sudan is experiencing a protracted humanitarian crisis leaving communities vulnerable to multiple outbreaks due to the disruption of health services. Measles vaccination coverage rate in the country remained low at 69% in 2021. Starting in January 2022, the country experienced an increase in measles cases, with outbreaks declared on 23rd February 2022 in Torit and Maban counties in Eastern Equatoria and Upper Nile States respectively, and on the 10th December 2022 countrywide. We described the epidemiological characteristics of the outbreak.</p>','<p>We conducted a descriptive analysis of the measles outbreak data from January- December 2022. We computed frequencies, proportions, attack rate (AR) and case-fatality-rate (CFR) and plotted an epi-curve to describe the trends and epidemiological characteristics of the outbreak.</p>','<p>A total of 3,573 suspected measles cases and 38 (1.1%) deaths were reported between January and December 2022. Cases peaked in November and December and covered all the 10 states and 3 administrative areas. Of the reported cases, 2,453 (68%) were epi-linked, 369 (10.3%) laboratory confirmed, 85 (2.4%) clinically compatible, and 519 (14.5%) discarded. Majority of the cases were reported from Central Equatoria State 946 (26.5%). The highest attack rate was 57.6 per 100,000 population in Unity state. Children under five years were most affected with a cumulative attack rate of 89.6 cases per 100,000 population. Only 173 (4.8%) of the confirmed, epi-linked, and clinically compatible cases were vaccinated.</p>','<p>The low coverage of measles vaccination among reported cases is the likely cause of the large outbreak of measles in South Sudan. Efforts to improve nationwide vaccination coverage and the measles surveillance system in the context of complex emergencies are needed to prevent future outbreaks.</p>','<p>Measles, outbreak investigation, response, epidemiological characteristics, humanitarian emergency, South Sudan</p>','3','4','4','3','3','3',NULL,'Accept','Oral','Yes',NULL,'2024-07-26 10:13:00','2023-06-06 16:41:36',NULL,7),(521,'KPAHINA Auguste Odilon','CAFETP','odilonauguste@gmail.com','dr','Auguste Odilon','KPAHINA Auguste Odilon','male','central-african-rep','odilonauguste@gmail.com','<p>Résident CAFETP stagiaire à la Direction de la surveillance épidémiologique et de gestion d\'urgence en santé publique</p>','resident',NULL,NULL,'advanced','vector-borne-and-neglected-tropical-diseases-ntds','Ernest KALTHAN/Ministère de la Santé et de la Population/kalthanernest@yahoo.fr\r\nLarsen Didier GOYANDO/Hopital de District sanitaire de Grimari/didiergoyango@gmail.com\r\nFélicité Moussa YAGATA/Direction de la surveillace épidémiologique et de gestion d\'urgence en santé publique/fe-yagata@yahoo.fr\r\nMiguel Bervin GBANDI/District sanitaire de Grimari/miguelbervin@gmail.com','<p>Investigation d’une flambée de lésions cutanéomuqueuses suspectes de Leishmaniose dans la sous-préfecture de Grimari en RCA, janvier 2023</p>','<p>En octobre 2022; 62 cas suspects de leishmaniose cutanée ont été notifiés par le district sanitaire de Grimari.Une investigation a été menée pour déterminer l’ampleur de l’épidémie, identifier les facteurs de risque associés, prendre des mesures de contrôle et de prévention.</p>','<p>Une étude cas-témoins a été réalisée du 18 au 24 janvier 2023. Les cas suspects étaient, toute personne ayant séjournée dans la sous-préfecture de Grimari du 1er Juin 2022 au 24 janvier 2023, présentant des lésions cutanées nodulaires, crouteuses, ulcèro-crouteuse non prurigineuses sur les parties découvertes du corps. Les témoins étaient toute personne de même ménage ou ménage voisin d’un cas, sans lésions cutanées. Les caractéristiques sociodémographiques et les facteurs des risques ont été étudiés. Proportions, âge moyen et écart-type, taux d’attaque (TA) et Odds Ratio ont été calculés avec Epi info 7.4.</p>','<p>Au total, 176 cas suspects étaient recensés. Le TA était de 1,05/1000 habitants et l’âge moyen de 12 (+/-8) ans. La tranche d’âge de 10-14 ans a regroupé 93 (52,8%) cas. Les élèves 141 (80%) cas étaient les plus représentés. La commune de Grimari centre avec un taux d’attaque de 2,6/1000 habitants était la plus touchée. La forme ulcéreuse était retrouvée chez 147 (83,5%) cas, la forme ulcèro-crouteuse chez 15 (8,5%) et noduleuses chez 14(8%). La notion de voyage (OR : 11,6 ; IC 95 : 2,2-61) et l’absence d\'un système de gestion de déchet (OR : 3 ; IC 95 1,02-9,2) étaient les facteurs de risque. Des prélèvements sanguins et frottis étaient réalisés, les tests sont en cours.</p>','<p>Malgré l’absence de confirmation du Labo, nous retenons la probabilité d’une épidémie de Leishmaniose cutanée de grande ampleur liés aux voyages et mauvaise gestion de déchets. Identifier le réservoir de la maladie va permettre de contrôler celle-ci.</p>','<p>Epidémie, leishmaniose, Grimari, Investigation, lésions cutanéomuqueuses, RCA</p>','4','4','4','3','4','3',NULL,'Accept','Oral','Yes',NULL,'2024-07-27 10:13:00','2023-06-01 08:21:36',NULL,161),(522,'Samuel Rwunganira','Field Coordinator','srwunganira@afenet.net','mr','Christophe','Nkundabaza','male','rwanda','nkundabazac@gmail.com','<p>BUSHENGE Provincial Hospital</p>','resident',NULL,NULL,'advanced','maternal-reproductive-and-child-health','J. Mukamurigo | University of Rwanda School of Public Health | jmukama@nursph.org \r\nG.Rukundo | Rwanda Biomedical Center | gilrukundo@gmail.com \r\nJ.D. Sinayobye | AFENET Rwanda | jsinayobye@afenet.net \r\nJ. Ntaganira | University of Rwanda School of Public Health | jntaganira@nursph.org','<p>Neonatal mortality and associated factors at the Western Province Hospital in Rwanda; A facility based cross-sectional study, 2019-2021.</p>','<p>Neonatal mortality remains a public health challenge globally and in Rwanda, despite significant progress made towards the United Nations Sustainable Development Goals target. Rwandan rural areas have higher mortality rates compared to urban areas. There’s a paucity of information about hospital specific neonatal mortality and associated factors in Rwanda. This study aimed to assess the prevalence and factors associated with neonatal mortality at rural Bushenge Provincial Hospital.</p>','<p>This is a hospital based cross-sectional study. Neonatal and maternal records from January 2019 to December 2021 were reviewed using a structured data extraction form created in Epi Info 7.0. Records with missing data on cause of admission or outcome, and those with duplication, were excluded. Bivariate and multivariable logistic regression analyses were computed with corresponding 95% confidence intervals (95% CI) to assess associations between neonatal mortality and factors.</p>','<p>A total of 1,483 medical records of new-born were reviewed. The prevalence of neonatal mortality was 8.9% (n=132/1483). Neonatal mortality was significantly associated with extreme low birth weight (adjusted odds ratio [AOR]: 14.4, 95% CI 6.6 – 31.8), length of hospital stay (AOR: 12.7, 95% CI 6.7 – 24.5), malformation (AOR:11.7, 95% CI 4.8 – 28.7), Apgar score ≤ 6 (AOR: 8.1, 95% C.I 3.6 – 18.4), prematurity (AOR: 6.1, 95% CI 3.4 – 11.1), very low birth weight (AOR: 5.6, 95% CI 2.6 – 12.3), asphyxia (AOR: 5.3, 95% C.I 2.6 – 11.0), neonatal infection (AOR: 3.8, 95% CI 1.9 – 7.6), infants aged ≤ 7 days (AOR: 3.5, 95% C.I 1.6 – 8.0),and caesarean section (AOR:1.6,95% C.I 1.0 – 2.8).</p>','<p>This study revealed that Bushenge Provincial Hospital had lower prevalence than other rural hospitals in Rwanda (13.3%). Most factors associated with neonatal mortality are avoidable; hence preventive measures such as enhancing the utilization of antenatal care services, early identification and referral of high-risk pregnancy and neonates could reduce the neonatal deaths.</p>','<p>Prevalence, factors, neonate, mortality.</p>','4','4','3','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2024-07-28 10:13:00','2023-05-30 19:21:48',NULL,229),(524,'Dabwitso J Banda','Coordinator Advanced FETP','bandadb3@gmail.com','mr','Daliso','Ngulube','female','zambia','dariosteckly@gmail.com','<p>Lumezi District Health Office</p>','alumni',NULL,'31/12/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Moses Lungu |  Eatern Provincial Health Office | mosesvlungu@gmail.com \r\nJames | Zulu | Zambia  FETP |  jamesexnobert@yahoo.com\r\nJordan | Banda |  Eatern Provincial Health Office| jordbanda@gmail.com \r\nOscar |Nzila | Eatern Provincial Health Office| nzilaoscar@gmail.com\r\n Jairos | Mulambya | Eatern Provincial Health Office|  jmulambya@gmail.com\r\nAmos| Hamukale | Zambia  FETP | hamukalea@yahoo.com','<p>Measles case investigation in Lumezi district in Eastern Zambia, January 2023.</p>','<p>Measles is an acute disease that can lead to death and is still being experienced in most rural communities globally. On the 9th of January 2023, one case of measles - a female child aged two years - was confirmed with measles at Lumezi Mission Hospital in Eastern Zambia. We conducted a case investigation in order to find more cases, identify potential risk factors and prevent further spread of the infection.</p>','<p>A cases investigation was conducted from the 10th to the 15th of January 2023. To identify additional cases, we reviewed outpatient registers and abstracted patient details. Contacts were screened and blood samples were collected from symptomatic children. A suspected case was defined as any resident of Lumezi presenting with fever and a generalized maculopapular rash, or in a patient whom a health care worker suspected measles. A confirmed case was a suspected case with laboratory confirmation of a positive IgM antibody. Cases were also linked epidemiologically. To identify the risk factors, we collected data on vaccination status and travel history by using measles case investigation form.</p>','<p>Eighteen cases, one confirmed and 17 epidemiologically linked were identified. The median age was four (IQR 2-7), 67% (12/18) were male with the confirmed case coming from Boma village. Three cases were seen first at the hospital in December 2022 and misdiagnosed while the rest were detected in January 2023 through screening in the community and epidemiologic linkage by rapid response team. Fifteen blood samples were collected and six (33%) presented with rash, 11 (66%) were vaccinated and three (18%) of the cases had history of travel from Boma village to Kajipaike.</p>','<p>The investigation suggested an active infection spreading in the community. We enhanced active surveillance and community sensitization. Targeted measles supplemental immunization activities were implemented.</p>','<p>Measles, surveillance, vaccination, Zambia</p>','3','3','3','3','4','3',NULL,'Accept','Poster','Yes',NULL,'2024-07-29 10:13:00','2023-05-12 06:23:05',NULL,133),(526,'Maurice Owiny','Scientific Writer','mowiny@feltp.or.ke','ms','Cynthia','Musumba','female','kenya','musumbacynthia@gmail.com','<p>Kenya FELTP</p>','resident',NULL,NULL,'advanced','vector-borne-and-neglected-tropical-diseases-ntds','John A. Otieno, Siaya County Department of Health and Sanitation\r\nMaryanne Gachari, Kenya FELTP, gacharimaryanne@gmail.com\r\nMaria Nunga, Kenya FELTP, mnunga@feltp.or.ke','<p>Assessment of Malaria Case Management in Community Units in Endemic Area, Alego Usonga Sub County, Kenya.</p>','<p>Prompt and effective treatment is a cornerstone for malaria control in Kenya. At least 10,700 malaria-related deaths reported annually in Kenya are attributed to delays in diagnosis and treatment. Community malaria case management (CCM) by Community Health Volunteers (CHVs) is among the strategies employed by National Malaria Control Program to help reduce malaria mortality in Kenya. Despite the introduction of the program in Siaya in 2012 the County still has a prevalence of 29% which is considerably higher than the National prevalence (8%). CCM has not been evaluated in the county hence, this study sought to assess whether CHVs manage malaria cases per the National Malaria Treatment guidelines.</p>','<p>This investigation involved a retrospective review of Community Daily Activity Register records from June 1, 2020, through December 31, 2020, in Alego Usonga Sub-county, Siaya. We used a standard abstraction tool to data on appropriate diagnosis, malaria positivity, treatment per cascade, treatment in the correct weight band, medicine dispensed correctly, and correct Malaria Rapid Diagnostic Test (MRDT) documentation. Descriptive statistics were calculated and data was analyzed using Ms. Excel.</p>','<p>Of the 380 records reviewed, 248 (65%) were tested for malaria, the median age was 5 Years (IQR:14.5), 192 (51%) had temperatures indicated and 23 (12%) had fever. Those who had fever and were tested were 12 (52%). There were 215 (57%) Malaria positive cases from which 181 (84%) were treated as per the cascade. Those who were treated in the correct weight band were 130 (72%) and 154 (85%) had medicine dispensed correctly.</p>','<p>Majority of the CHVs adhered to the CCM guideline. Although a substantial number of the patients did not have temperatures indicated, this could be due to lack of thermoguns. Adequate supply of commodities (thermoguns) and capacity building of CHVs could help in effective implementation of the CCM program.</p>','<p>Malaria, Case Management, Community Units, Community Health volunteers</p>','4','3','3','4','4','3',NULL,'Accept','Oral','Yes',NULL,'2024-07-30 10:13:00','2023-05-08 16:59:56',NULL,20),(527,'Djibo Issifou','Resident Advisor Niger','idjibo@afenet.net','dr','Issifou','Djibo','male','niger','idjibo@afenet.net','<p>African Field Epidemiology Network (AFENET)</p>','alumni',NULL,'10/7/2017','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Ibrahim Alkassoum, Département de Santé Publique, Faculté des Sciences de la Santé, Université Abdou Moumouni, Niamey, Niger,  ibrahim_alkassoum@yahoo.fr\r\nBernard Sawadogo, African Field Epidemiology Network (AFENET), bsawadogo@afenet.net\r\nSaïdou Mamadou, Département des Sciences Biologiques Appliquées, Faculté des Sciences de la Santé, Université Abdou Moumouni, Niamey, Niger, saidou_mamadou@yahoo.fr','<p>Évaluation du système de surveillance de la Coqueluche à Niamey, Niger, 2021</p>','<p>Chaque année, au Niger, des épidémies sont déclarées malgré l’existence d’un vaccin efficace. Ce fardeau, nous avons conduit à évaluer le système de surveillance de la coqueluche au Niger. L’objectif était de décrire l’organisation, le fonctionnement et l’utilité de cette surveillance.</p>','<p>Il s’agit d’une étude transversale. Cette étude a été réalisée du 1er Septembre au 31 Décembre 2021. La population est constituée des acteurs impliqués dans la surveillance. Tous les cas notifiés entre 2004 et 2021 ont été considérés. L’étude a été menée dans la région de Niamey. Des neufs attributs du système de surveillance définis par CDC, nous avons évalué cinq (Simplicité, Sensibilité, Acceptabilité, la Qualité des données et la Représentativité). Epi-Info 7.2 a été utilisé pour l’analyse. Des fréquences, des proportions ont été calculés.</p>','<p>Au total, 107 acteurs ont été interviewés. La surveillance de la coqueluche est basée sur la Surveillance Intégré de la Maladie et Riposte avec trois niveaux de déclaration (100%). La collecte est passive (97%) et compilation est hebdomadaire (100%). Seuls (10%) des acteurs interrogés ont reconnu l’existence d’une définition de cas. Un test biologique est nécessaire pour la confirmation (100%). Les décisions sont basées sur l’analyse des données (96%). La surveillance est sensible. Ainsi, 18.884 cas ont été enregistrés entre 2004 et 2021. La moyenne annuelle des notifications était de 1049 cas. Les répondants acceptaient cette surveillance et reconnaissaient leur responsabilité (95,5%). La qualité des données était entamée par l’existence des données manquantes (28%). La qualité des données a été aussi négativement influencée l’absence de liste linéaire établie de la coqueluche dans les structures. Les formations sanitaires participent à la surveillance.</p>','<p>Cette étude confirme la résurgence de la coqueluche et révèle un système de surveillance moins performante mais accepté. Nous recommandons un renforcement de la surveillance et de la vaccination.</p>','<p>Evaluation, système de surveillance, Coqueluche, Niger</p>','4','3','4','3','4','4',NULL,'Accept','Oral','Yes','<p>Dans l\'ensemble le sujet a été bien développé par l\'auteur en précisant le problème que revêt la coqueluche pour le Niger. Il est à noter que l\'outil de collecte n\'a pas été précisé dans la méthode. La conclusion est moins en lien avec les objectifs en ce qui concerne la justification de la résurgence de la coqueluche sachant qu\'on évalue le système de surveillance.</p>','2024-07-31 10:13:00','2023-05-09 16:59:56',NULL,176),(528,'Gildo Okure','Resident Advisor','gokure@afenet.net','mrs','Agnes','Nathaniel','female','south-sudan','agnesjokudu88@gmail.com','<p>1Public Health Emergency Operations Center, Ministry of Health, South Sudan</p>','alumni',NULL,'7/7/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Co-authors: D. K. Kargbo2, W. Mwanje2, G. Okure2*, J. Lasu1, M. Lasuba3, J.P.A. Rumunu1 \r\n1Public Health Emergency Operations Center, Ministry of Health, South Sudan\r\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan\r\n3National Public Health Laboratory, Ministry of Health, South Sudan\r\n* Corresponding author: Gildo Okure; gokure@afenet.net; +211-927-148-232','<p>Cholera outbreak among internally displaced persons in Bentiu Camp, Unity State, South Sudan, March-October 2022</p>','<p>Cholera remains a global public health threat and an indicator of inequity and lack of social development. On 14th April 2022, South Sudan National Public Health Laboratory (NPHL) isolated Vibrio cholerae from stool sample of an internally displaced person (IDP) in Bentiu Camp, Rubkona County, Unity State, following unprecedented floods. We investigated to characterize the outbreak, determine the magnitude, identify the source and implement control and prevention measures.</p>','<p>A suspected cholera case was any resident of Bentiu IDP camp with onset of three or more loose stools within 24 hours or dying from acute watery diarrhea from March 1- October 31, 2022. Confirmed case was a suspected case with Vibrio cholerae infection confirmed by culture. We tested stool samples using rapid diagnostic test (RDT) and transported positive samples for confirmation at the NPHL. We conducted active case search in the IDP camp, reviewed medical records and line-listed cases. We tested household drinking water for coliform bacteria and inspected toilet facilities. We calculated frequencies, proportions and case-fatality rate (CFR)</p>','<p>We identified 424 case-patients including one death (CFR=0.2%). The median age of the case-patients was 10 (range: &lt;1-76) years. Majority 62.5% (265/424) of the case-patients were females. Of the 51 RDT-positive stool samples, 29.4% (15/51) were confirmed with Vibrio cholerae by culture. About 39% (18/46) of household drinking water tested positive for total coliforms. Only 2,642 functional latrines served 108,456 persons in the IDP Camp, below the WHO standard of one functional latrine per 20 persons.</p>','<p>Cholera outbreak occurred among IDPs in Bentiu camp affecting mostly children and could have been due to drinking contaminated household water and inadequate toilet facilities. We implemented water sanitation and hygiene interventions, provided supportive treatment to case-patients and administered two rounds of oral cholera vaccines (OCV) to control the outbreak.</p>','<p>Outbreak, oral cholera vaccines (OCV), internally displaced people, Bentiu, South Sudan</p>','3','3','3','3','2','3',NULL,'Accept','Poster','Yes',NULL,'2024-08-01 10:13:00','2023-06-06 16:46:10',NULL,7),(529,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Edouard','Hountohotegbè','male','benin','noudnest@yahoo.fr','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','R. Kohoun/Ministère de la Santé /rodriguekk@gmail.com\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Référence des cas de paludisme grave et facteurs associés à la létalité chez les enfants de moins de 5 ans dans les hôpitaux de zone et CHD du département du Mono du 01 avril au 31 octobre 2022</p>','<p>La forme grave du paludisme constitue l’une des principales causes d’hospitalisation et de décès dans les formations sanitaires en régions tropicales. La région africaine de l’OMS continue de payer le plus lourd tribut au paludisme. : Nous nous proposons donc d’estimer l’ampleur de la référence des cas graves du paludisme et les facteurs associés à la létalité chez les enfants de moins de 5 ans dans le département du Mono du 1er avril au 31 octobre 2022.</p>','<p>Il s\'est agi d’une étude transversale analytique. L’échantillonnage a été fait de façon aléatoire avec le logiciel Open-Epi. Les données ont été collectées avec Kobocollect par dépouillement des dossiers médicaux dans 3 hôpitaux publics, et analysées avec le logiciel Epi Info 7.2. Des fréquences et odds ratios ont été calculés.</p>','<p>Au total, 394 cas avaient été inclus dans l’étude dont 205 de sexe féminin soit 52,03%. La majorité des cas se retrouvait dans la tranche d’âge de 12 à 36 mois soit 55,84%. La létalité était de 4,57%. La majorité des enfants était référée soit 57,11%. Parmi ces référés, 48,44% ont pu bénéficier de la première dose de d’artésunate et l’ambulance a été utilisée pour 41,18%. Les manifestations cliniques les plus associées au décès étaient le faible taux d\'hémoglobine (≤ 5 g/dl, OR=9,39 ; IC à 95% : [3,00-27,10]), la durée hospitalisation (OR=5,49 ; IC à 95% : [1,53-35,0]).</p>','<p>La létalité hospitalière du paludisme grave est encore élevée avec un faible taux de cas bénéficiant de traitement de pré-référence. Des facteurs pronostiques tels que le faible taux d\'hémoglobine et la durée d’hospitalisation, avaient une forte probabilité de contribuer aux décès dus au paludisme grave chez les enfants. Une sensibilisation des agents sanitaires sur ces facteurs de risque s’avère indispensable pour réduire la létalité.</p>','<p>Létalité, Paludisme grave, Référence, Etude transversale, Bénin</p>','3','3','4','3','4','3',NULL,'Accept','Poster','Yes','<p>Bien fait, ajouter aussi dans la conclusion la sensibilisation des prestataires de soin sur la bonne prise en charge de l\'anemie</p>','2023-05-23 10:13:00','2023-06-01 09:42:00',NULL,171),(530,'Peter Adewuyi','Resident Advisor','padewuyi@afenet.net','mr','Abdoulie','Dibba','male','gambia','liedibbs@yahoo.com','<p>Gambia FETP</p>','alumni',NULL,'20/08/2022','intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Peter Adewuyi. | AFENET Gambia| padewuyi@afenet.net\r\nC. D. Umeokonkwo | AFENET | dchukwuma@afenet.net \r\nAbdullahi Taal | Ministry of Health, The Gambia | abdoulietaal@gmail.com \r\nKarim Darboe | Ministry of Health, The Gambia | akdarboe5@yahoo.com\r\nMustapha Bittaye | Ministry of Health, The Gambia | bittaye@gmail.com \r\nAmadou W. Jallow | Ministry of Health, The Gambia | amadou.jallow@gmail.com \r\nA. Sowe | Ministry of Health, The Gambia | sowealha@yahoo.com','<p>Evaluation of Integrated Disease Surveillance and Response (IDSR) System in Lower River Region, The Gambia, 2022</p>','<p>IDSR is a comprehensive strategy for coordinating and implementing disease surveillance and outbreak response. Since 2003, the Gambia IDSR implementation has not been evaluated. The IDSR operation in Lower River Region of Gambia was evaluated to assess whether the system is meeting its objectives and attributes (usefulness, simplicity, flexibility, stability, data quality and timeliness)</p>','<p>We conducted a mixed method descriptive cross-sectional study and interviewed the stakeholders and operators of the IDSR surveillance system using a structured questionnaire adapted from updated CDC guideline on surveillance system evaluation. Timeliness and completeness were evaluated using the measles case investigation forms (CIF). Cases reported within 72 hours of notification were classified as timely. Properly filled CIFs were classified as complete. A multiple outcome variable was created by categorizing the attribute scores: ≤ 50 (attributes not met) and &gt; 50 (attributes met). Data were analyzed using Microsoft Excel.</p>','<p>Thirty-five health workers were interviewed, with a mean age 35.1 (SD±9.3) years. Usefulness score was 60.6% as many of the health workers use IDSR as guide to detect disease/ events/ condition of public important. Simplicity score was 55.7%, flexibility 47.2%, stability 37.8%, timeliness 100.0% and completeness 94.0%</p>','<p>The IDSR surveillance system in lower River Region was useful and met its objectives in terms of timely detecting diseases or events of public health importance. It was simple, but neither flexible nor stable. Therefore, the findings should inform the Ministry on efforts to improve surveillance in LRR.</p>','<p>usefulness flexibility, simplicity, stability, data quality, attribute</p>','4','2','2','2','4','2',NULL,'Reject','Rejected','Yes','<p>Assessment of attributes not clear. Why fid you use measles?</p><p>Results; Attribute assessment results not clear</p><p>&nbsp;</p>','2024-08-02 10:13:00','2023-05-21 15:45:49',NULL,67),(531,'Dr. Gebrekrstos Negash Gebru','Resident Advisor','ggebru@afenet.net','mr','Lilian','Taylor','female','sierra-leone','admiretaylor@gmail.com','<p>Ministry of Health and Sanitation, Sierra Leone</p>','resident',NULL,NULL,'frontline','maternal-reproductive-and-child-health','Joel Mansaray                                      Ministry of Health and Sanitation                                     joel.mansaray@gmail.com \r\nSolomon Aiah Sogbeh                         African Field Epidemiology network.                             solomonsogbeh@gmail.com, \r\nGevao Philip                                          Ministry of Defence, Sierra leone                                      ppgevao34@gmail.com\r\nBinta Bah                                                Ministry of Health and Sanitation                                    bintamubah@gmail.com,\r\n Mohamed Vandi                                  Ministry of Health and Sanitation                                    mohamedavandi69@gmail.com\r\nAdel Hussein Elduma                           African Field Epidemiology Network                               ahussein@afenet.net \r\nGebrekrestos Negash Gebru       African Field Epidemiology Network                                       ggebru@afenet.net','<p>Causes and trends of stillbirth deliveries, Aberdeen Women\'s Centre, Freetown, Sierra Leone, 2017-2020: A case study of a health facility</p>','<p>In 2014, the World Health Assembly endorsed a target of below 12 stillbirths per 1000 total births in all countries by 2030. In Sierra Leone, the stillbirth rate is 32.6 per 1000 live births in 2020. Despite the frequent occurrence of stillbirth, there is little information available on the causes of stillbirth. We analyzed secondary data to assess stillbirth deliveries, causes, and trends at Aberdeen Women’s Centre, Freetown, Sierra Leone.</p>','<p>Descriptive secondary data analysis was conducted. Data were extracted on deliveries at the Aberdeen Women’s Centre (AWC) from January 2017 to December 2020. We reviewed delivery registers and maternal clinical charts. We collected data on the age of mothers, gravidity, gestational age, fetal sex, and possible causes of stillbirth. We cleaned and analyzed data by person, place, and time, and calculated proportions, ratios, and rates.</p>','<p>Out of 10,730 deliveries, 167 (1.6%) were stillbirths (15.6 per 1000 births). The median age of mothers who delivered stillbirths was 28 years (range: 15 - 42 years). Of the 167 stillbirths, 96 (57%) were male fetuses, 142 (85%) were intrauterine, and 100 (60%) were macerated. Late stillbirths accounted for 98 (59%). Of the total stillbirths, 115 (69%) were vaginal deliveries, 153 (91%) were of cephalic presentation, and the birth defects were ten (5.9%). Causes of stillbirth were preeclampsia 27 (16.2%), placental abruption 22 (13.2%), ruptured uterus 19 (11.4%), antepartum hemorrhage 12 (7.2%), and placenta Previa 6 (3.6%). The yearly trend of the stillbirth rate was 14.7, 17.0, 18.7, and 11.9 per 1000 births from 2017 to 2020, respectively.</p>','<p>Stillbirth rates in AWC are lower than the national rate. Most stillbirths were caused by preventable or treatable conditions. We recommend that the good practices of this facility be replicated in other maternal health facilities in the country. Also, early detection and management of these preventable causes may reduce stillbirths.</p>','<p>Stillbirth deliveries, Aberdeen Women\'s Centre, Freetown, Sierra Leone</p>','4','4','3','2','3','4',NULL,'Accept','Poster','Yes','<p>The author made a good attempt to address an important public health issue, albeit with technical inconsistencies.</p><p>The concept of stillbirth is when a baby is born without any sign of life, in other words, the baby died before being born. So, all stillbirths occur intrauterine. In the results section, the author stated\'\' <strong>Of the 167 stillbirths, 96 (57%) were male fetuses, 142 (85%) were intrauterine, and 100 (60%) were macerated\'\'- &nbsp;</strong>classifying stillbirth here as intrauterine is technically wrong. All stillbirths occur intrauterine, although the diagnosis can be made antepartum (when the dead fetus is still intrauterine with clinical examination or with some radiological investigations) or postpartum (when the baby is born dead using the Apgar Score).&nbsp;</p><p>While the author tried to elucidate the causes of stillbirth here- <strong>Causes of stillbirth were preeclampsia 27 (16.2%), placental abruption 22 (13.2%), ruptured uterus 19 (11.4%), antepartum hemorrhage 12 (7.2%), and placenta Previa 6 (3.6%)- </strong>the author accounted for causes of about just half of the cases (i.e about 51%), I wonder what accounted for the remaining 49% of stillbirths. The causes would have been better structured if the author had stuck to the traditionally recognized structure of outlining the causes of stillbirths i.e. &nbsp;maternal, fetal, placenta, and external</p><p><strong>\'\'Stillbirth rates in AWC are lower than the national rate\'\'- </strong>is this difference significant? &nbsp;or did it just occur by chance? Can you say this emphatically? Maybe, a report of a difference that is significant statistically would have been better to be able to make this statement.</p><p><strong>\'\'Most stillbirths were caused by preventable or treatable conditions\'\'. </strong>There is no record of any condition classified as preventable or treatable in the methodology, and there is no documentation of preventable/treatable conditions in the result. This is a spurious conclusion</p><p><strong>&nbsp;\'\'We recommend that the good practices of this facility be replicated in other maternal health facilities in the country\'\'.&nbsp;</strong> There is no documentation of good practices in the result section to justify this recommendation. This is also spurious.</p><p>This abstract would have been excellent for an oral presentation if not for the technical inconsistencies, however, if the corrections can be made, it is okay for a poster presentation</p>','2024-08-03 10:13:00','2023-05-14 21:52:26',NULL,136),(532,'Maurice Owiny','Scientific Writer','mowiny@feltp.or.ke','ms','Catherine','Menganyi','female','kenya','menganyicate83@gmail.com','<p>Kenya FELTP</p>','resident',NULL,NULL,'advanced','maternal-reproductive-and-child-health','Paul Kibati, Kenya FELTP, pgkibati@gmail.com\r\nClara Kerich, Department of Health, Nakuru County Government, kerichcc@gmail.com\r\nDancun Shikuku, Liverpool School of Tropical Medicine,  dnshikuku@yahoo.com\r\nJoy Mgambi: Department of Health, Nakuru County Government dr.mugambijoy@gmail.com\r\nScolastica Wabwire, Division of Reproductive Maternal Health MoH Kenya, \r\nMaurice Owiny, Kenya FELTP, mowiny@feltp.or.ke\r\nFredrick Odhiambo, Kenya FELTP, fodhiambo@feltp.or.ke','<p>Evaluation of perinatal deaths in Nakuru county 2021, Kenya</p>','<p>Globally, nearly 3.3 million stillbirths and 4 million neonatal deaths occur yearly, averaging 61 deaths per 1,000 live births in low-income countries. Kenya recorded 41 deaths per 1,000 live births in 2022 with the majority of deaths in Nakuru county. The surveillance system for perinatal mortality in Nakuru has not been evaluated before. We evaluated the system and described perinatal deaths in Nakuru county.</p>','<p>We reviewed records obtained from the maternity register, newborn unit registers and the perinatal review forms for January–December 2021 from 3 health facilities: Nakuru PGH, Molo SCH and Naivasha SCH. Perinatal death was defined as any record of death in the first seven days of life and stillbirths that occurred in health facilities. We assessed age, time and place of death occurrence, and neonatal and maternal clinical characteristics. We calculated the perinatal mortality rate (PNMR), trends, frequencies, and proportions. We used the CDC guidelines to evaluate the surveillance system.</p>','<p>We reviewed 446 records, the median age of mothers was 26 years (Range 14–46), first-time mothers were 30.3% (135/446) and 73.5% (328/446) attended antenatal clinic. Babies born alive were 45.7% (240/446) while 44.8% (200/446) of perinatal deaths occurred between 12:00 am-11:59 am. Death from birth asphyxia was 22.6% (101/292).100% (12/12) reported simplicity of the system, Perinatal death reviews were conducted in 17% (76) records, 28% of the records were filled and 22% records were reported in time with Molo SCH reporting 0% in maintaining timeliness.</p>','<p>Birth Asphyxia was the leading cause of mortalities, low review of perinatal mortalities and timeliness in the review of the deaths result in late planning for interventions.</p>','<p>Stillbirth, Livebirth, Mothers, Maternal Mortality, Pregnancy</p>','3','2','2','2','3','2',NULL,'Accept','Poster','Yes','<p>The methods must clearly explain which system attributes will be evaluated and how they will be evaluated. The time of death is unclear. and there is no recommendation both to avoid the most frequent cause of death and to improve the surveillance system</p>','2024-08-04 10:13:00','2023-05-10 17:14:01',NULL,29),(533,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','dr','ALBERT','PASCHAL','male','tanzania','paschalalbert54@yahoo.com','<p>Tanzania Field Epidemiology and Laboratory Training Program</p>','alumni',NULL,'10/12/2022','advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','NICHOLAUS TARIMO, Head of Strategic information Unit National AIDS Control Program, Tanzania Ministry of Health, nichalicy@gmail.com\r\nPROSPER NJAU, National AIDS Control Program, Tanzania Ministry of Health, prosperpendo@gmail.com\r\nLOVENESS URIO, Tanzania Field Epidemiology and Laboratory Training Program, loveness13us@yahoo.com\r\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program, allykhussein@gmail.com\r\nROGATH KISHIMBA, Epidemiology section of Tanzania Ministry of Health, rogatkishimba@gmail.com\r\nELIAS MMBAGA, Department of Epidemiology and Biostatistics Muhimbili University of Health and Allied Science, eliajelia@yahoo.co.uk','<p>Prevalence and predictors of detectable viral-load among HIV clients on Ant-retroviral therapy in Kagera region Tanzania from September 2020 to September 2021.</p>','<p>Human immune deficiency virus (HIV) continues to be a major public health condition in developing nations. Unsuppressed and detectable HIV viral load among clients on ART increases the risk of HIV transmission. Kagera is the fourth region with the highest HIV prevalence in Tanzania 6.5% vs 4.5% national average. We determined prevalence of detectable viral load and predictors among HIV clients on Highly Active Anti-retroviral therapy (ART) for at least 6 months in Kagera Region. Tanzania.</p>','<p>Cross-section study involving 309 HIV clients on ART for at least 6 months in Kagera was done. Data were collected using both, a structured questionnaire and review of patient’s records from patient and care and treatment database from September 2020 to September 2021. Descriptive summaries and association between socio-demographic, treatment and clinical characteristics with detectable HIV viral load (&gt;50copies/ml) was determined.</p>','<p>Overall prevalence of detectable viral load (&gt;50 copies/ml) among HIV clients on ART was 18.9% among whom 54.2% were females;10.3% had viral load copies above 1000copies/ml and 53.1% were also females. Being young from 0-17 years [Adjusted ODDS ratio-AOR 2.1:CI (1.2-2.5)], being divorced AOR 1.4:CI (1.2-6.2)], history of treatment interruption [AOR 2.8:CI (1.3-6.2)], mobile occupation [AOR 2.6:CI (1.1-4.1)] and lack of knowledge on the meaning and impact of detectable viral-load on HIV transmission risk [AOR 1.3:CI (1.1-4.1)] were significantly risk factors for detectable viral load. HIV disclosure to spouse, and community [AOR 0.3:CI (0.09-0.9)] was a significant protective factor.</p>','<p>Conclusion: Prevalence of detectable HIV viral-load in Kagera Region was high. Females were more likely to have detectable HVL. Advanced age at enrollment, HIV disclosure status, mobile occupation and history of treatment interruption predicted the occurrence of detectable viral-load among HIV clients on ART. Intensifying implementation of health education to HIV clients on ART. Timely identification of associated factors and monitoring antiretroviral treatment are needed.</p>','<p>Prevalence, predictors, viral-load, Ant-retroviral, Tanzania</p>','4','4','4','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2024-08-05 10:13:00','2023-05-22 18:20:13',NULL,77),(534,'Peter Adewuyi','Resident Advisor','padewuyi@afenet.net','mr','Alieu','Daffeh','male','gambia','alieudaffeh@gmail.com','<p>Gambia FETP and Ministry of Health, The Gambia</p>','alumni',NULL,'20/08/2022','intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Mary Grey-Johnson |  Medical Research Council Unit The Gambia | ladymay992@yahoo.com \r\nPeter Adewuyi. | AFENET. | padewuyi@afenet.net\r\nMomodou Kalisa | Ministry of Health The Gambia |. mskalisa1@hotmail.com','<p>Evaluation of SARS-COV2 Surveillance System, The Gambia, March 2022</p>','<p>A key concern regarding the SARS-COV2 pandemic is the pressure it exerts on health systems, the need for governments to support people affected, and the ability to enhanced surveillance. On March 16, 2020, the first case of SARS-COV2 was confirmed in The Gambia. This study assessed and determined if the surveillance system of SARS-COV2 is meeting its objectives.</p>','<p>Using the CDC guidelines we evaluated the system for usefulness, acceptability, stability, simplicity, using self-administered structured questionnaires. Stakeholders enrolled using convenient sampling. Data was analyzed using excel and Epi info 7.5. Questions in each attribute was graded as one point each when appropriately answered. The scores of each attribute were summed obtained score divided by the total number of questions per attribute and multiplied by 100%. Each attributes scores were dichotomized with a score of 60% and above as good and scores below 60% as fair.</p>','<p>A total of 45 respondents were interviewed. Out of which 88.8% were public health officers, 3 were medical doctors (6.6%) and 2 were nurses (4.4%). About 80% were males. Over 40% spent between 4-7 years serving in the surveillance system, 95% believed the surveillance system can detect SARS-COV2., and53% are not monitoring the trend of the surveillance data. Therefore, overall usefulness of the surveillance system was poor (35%). Simplicity, acceptability, and stability of the system were all poor at 42%, 22%, and 33% respectively.</p>','<p>Though the system detects SARS-COV 2, however all the attributes measured were poor. We recommend to the Ministry of Health to train the health workers on the SARS-COV 2 surveillance</p>','<p>SARS-COV2, surveillance system, evaluation, attribute, public health</p>','3','4','3','2','4','3',NULL,'Reject','Rejected','Yes','<p>Check: \"the ability to enhanced surveillance.\" Do you mean to enhance?</p><p>Is there an established surveillance system for SARS CoV-2? It did not come out clear. What is its objective?</p><p>Results should simply state what was observed</p><p>Conclusion n to based on objectives</p>','2024-08-06 10:13:00','2023-05-21 15:49:58',NULL,67),(535,'Dr Seogo Pedwindé Hamadou','Mauritania FETP','hseogo@afenet.net','mr','Yaubanou','Houcein','male','mauritania','houceinyaubanou@gmail.com','<p>Ministre Santé Mauritanie, Programme de formation en épidémiologie de terrain de Mauritanie</p>','alumni',NULL,'15/09/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','1.	Ba Hamet Abderahmane, Programme de formation en épidémiologie de terrain de Mauritanie, Ministère de la santé de Mauritanie , hametba18@gmail.com\r\n2.	Mohamed Mahmoud Ely Mahamoud, Ministère de la Santé, Mauritanie, drmmelymahmoud@gmail.com \r\n3.	Assane Hamadi, Programme de formation en épidémiologie de terrain de Mauritanie, African Field Epidemiology training Network, simpassane@yahoo.fr\r\n4.	Pedwindé Hamadou Seogo, Programme de formation en épidémiologie de terrain de Mauritanie, African Field Epidemiology training Network, seogoph@gmail.com','<p>Investigation d’une Flambée de cas de Diarrhées au Centre Hospitalier Cheikh Zayed de Nouakchott nord, Juillet-Aout 2022</p>','<p>Le 20 août 2022, l’analyse des données de surveillance de la région de Nouakchott Nord de la semaine épidémiologique (S)32(08 au 14 août 2022), par les résidents FETP Frontline, a détecté une augmentation anormale des cas de diarrhée. Cette situation a nécessité une investigation afin de proposer des mesures et riposte appropriées.</p>','<p>Nous avons mené une étude descriptive du 07 Juillet au 25 août 2022 à l’hôpital Cheikh Zayed (HCZ). Un cas de diarrhée a été défini comme toute personne avec émission d’au moins 3 selles molles par jour à l’HCZ du 07 juillet au 25 août 2022. Nous avons réalisé une recherche active. Une fiche a été élaborée pour collecter nos données. Des prélèvements de selles ont été fait pour le laboratoire. Nous avons analysé les données avec EPI info 7 et nous avons calculer des proportions, taux et médianes.</p>','<p>Au total, 684 cas de diarrhée ont été enregistrés avec un taux d’attaque de 2 cas pour 1000 habitants dans la région de Nouakchott Nord. La semaine 28 a enregistrée plus de cas 146 (21%). L’âge médian des cas était de 3 ans (1-83 ans). La tranche d’âge de moins 5 ans représentait 55.53%(380/684). 382(56%) cas présentaient des vomissements et nausées. Les cas provenaient plus du district de Toujounine avec 63,57% des cas. 465(68%) des malades avaient consommé du lait frais. Le laboratoire avait isolé des Giardias, levures, et amibes sur les prélèvements de selle. La culture n’a pas été faite.</p>','<p>L’investigation a permis de confirmer la flambée de cas de diarrhée localisée dans le district de Toujounine et touchant plus les enfants de moins de 5 ans. La consommation du lait frais serait une des hypothèses de cette flambée. Nous recommandons la pasteurisation du lait et le renforcement des mesures d’hygiènes.</p>','<p>Investigation, Flambée, Diarrhées, Centre Hospitalier Cheikh Zayed , Nouakchott, Mauritanie</p>','3','3','3','3','2','4',NULL,'Accept','Oral','Yes','<p>Introduction: l\'objectif devait de confirmer cette flambée afin de proposer des mesures et riposte appropriées. car toute augmentation anormale des cas n\'est pas une épidémie.</p><p>Méthodes: la définition des cas était restreint &nbsp;à l’HCZ seulement ? c\'est seulement à l\'hôpital? et dans la communauté ? A quoi consister la recherche active? le lait n\'a pas été testé?</p><p>Il était important de préciser si c\'était un lait commercialisé ou un lait produit à domicile. Les recommandations diffèrent que de recommander de pasteuriser le lat seulement. On a des cas du 07 Juillet au 25 août 2022. Plus d\'un mois. C\'est que &nbsp;la source de contamination n\'était pas ponctuelle, plutôt continue.</p>','2024-08-07 10:13:00','2023-05-29 17:08:30',NULL,157),(537,'Samuel Rwunganira','Field Coordinator','srwunganira@afenet.net','mr','Gabriel','Twagirimana','male','rwanda','twagabriel@yahoo.com','<p>KIBUYE Referral Hospital</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','E.Nshimiyimana| AFENET Rwanda | nshimiyimanaemmanuel78@gmail.com \r\nE.Remera | Rwanda Biomedical Center | ericremera@gmail.com \r\nE Rugigana | University of Rwanda-School of Public Health | rugigana@nursph.org','<p>Factors Associated With HIV Pre-Exposure Prophylaxis Uptake Among Female Sex Workers In Karongi Peri –Urban Area: A Cross-Sectional Study</p>','<p>Pre-exposure prophylaxis is an effective strategy for HIV prevention among high-risk populations recommended in HIV national guideline. However poor public awareness may jeopardize its usefulness. This study aimed to determine the factors associated with HIV Pre-exposure Prophylaxis uptake among female sex workers (FSW) in Karongi District, western Province of Rwanda March 2021 – December 2021.</p>','<p>We conducted a cross sectional analysis of data extracted from patients clinical records , with a sample size of 800 Female sex workers enrolled in PrEP service and constituted our dataset for analysis . PrEP uptake is defined as the proportion of potentially eligible people enrolled in HIV pre-exposure prophylaxis service and accepted to be initiated oral pre-exposure prophylaxis. We collected socio –demographic, clinical features and HIV exposure information. We summarized data in form of frequency and percentages for categorical variable then bivariate and multi-variate analysis using logistic regression to determine factors associated independently associated with the outcome. We report adjusted odds ratios (aORs), 95% confidence interval and P. Value.</p>','<p>Of the 800 enrolled, 33% FSW uptake PrEP and mean age is 27 ±5 SD. Being single in marital status (aOR 4,1,95% 1.8 – 9.1), being a farmer ( aOR 3.5,95%CI 2.1 – 6.1), having health insurance (aOR 10.5,95%CI 5.5 – 20.1), having multiple sex partners between 3 – 4 (aOR 2.3,95%CI 1.3 – 4.1), FSW awareness on PrEP (aOR 4.9,95%CI 2.5 – 9.5), condom user (aOR 5.7,95%CI 2.8 – 10.8) and being tested for HIV in the last 3 months (aOR 3.2,95%CI 1.9 – 5.7 ) were statistically associated with the PrEP uptake in the study population.</p>','<p>The study showed a low proportion PrEP uptake among the FSW. Strengthening community awareness can improve the PrEP uptake among the FSW, integration of PrEP services in other departments and client centered approach to promote condom use among female sex workers.</p>','<p>PrEP,HIV,FSW, Karongi</p>','5','3','2','2','5','3',NULL,'Accept','Poster','Yes',NULL,'2024-08-08 10:13:00','2023-05-30 19:29:40',NULL,229),(538,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','François','Dadidjè','male','benin','dadidje@yahoo.fr','<p>Ministère de l\'Agriculture, de l’Elevage et de la Pêche</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','V. Allanonto/Ministère de l’Agriculture de l’Elevage et de la Pêche/victorallanonto36@gmail.com\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Profil épidémiologique de la fièvre hémorragique de Lassa dans le département du Borgou de janvier 2016 à décembre 2021 au Bénin</p>','<p>La fièvre hémorragique virale de Lassa est endémique en Afrique Occidentale. C’est une affection très contagieuse transmise par des rongeurs et dont la mortalité peut atteindre 15%. Depuis 2014, des épidémies sont enregistrées au Bénin avec le premier cas toujours issu du département du Borgou. L’objectif de cette étude était de décrire le profil épidémiologique des cas de Lassa de 2016 à 2021 dans le Borgou.</p>','<p>Nous avons mené une étude transversale descriptive. Les données de 2016 à 2021 concernaient la fièvre de Lassa dans le département du Borgou. Ces données ont été extraites de la base nationale de Surveillance Intégrée des Maladies et Riposte. Après apurement, lesdites données ont été analysées avec EPI-Info 7.2. Les fréquences relatives et absolues ont été calculées. La cartographie a été faite avec QGIS.</p>','<p>Au total, 60 cas suspects de Fièvre à virus Lassa ont été enregistrés dans le département du Borgou sur cette période. Le sexe ratio est de 1. La tranche d’âge la plus touchée était de 15-30 ans avec une proportion de 40% (24/60). Toutes les communes du département ont été touchées sauf Sinendé. La majorité des cas provenaient de la commune de Tchaourou (63,33%) (38/60). Seuls 55% (33/60) ont été testés au laboratoire et parmi eux 66,6% (22/33) étaient confirmés. Les cas sont retrouvés entre le mois de janvier et avril de chaque année. Le taux de létalité est de 31,66%. L’incidence globale était de 39 pour 1000000 et la commune de Tchaourou connaît la plus forte incidence qui est de 145 pour 1000000 d’habitants.</p>','<p>La fièvre hémorragique de Lassa est saisonnière et sa létalité est très élevée. Les jeunes sont les plus touchés. Le contrôle de cette maladie pourrait passer la sensibilisation de la couche juvénile.</p>','<p>Fièvre Lassa, Incidence, Rongeur, Etude transversale, Bénin</p>','3','3','3','3','4','3',NULL,'Accept','Oral','Yes','<p>Bien fait</p>','2023-05-10 10:13:00','2023-06-01 09:46:11',NULL,171),(539,'Gildo Okure','Resident Advisor','gokure@afenet.net','mr','John','Akol','male','south-sudan','johnakol30@gmail.com','<p>1State Ministry of Health, Warrap State, South Sudan.</p>','alumni',NULL,'28/03/2022','frontline','one-health-and-climate-change','G. Okure2*, D. K. Kabba2, W. Mwanje2, J. Lasu3, T. Ujjiga1, J.P. Rumunu3\r\n1State Ministry of Health, Warrap State, South Sudan.\r\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan. 3National Ministry of Health, South Sudan\r\n*Corresponding author: Gildo Okure; gokure@afenet.net ; +211-927-148232','<p>Cutaneous human anthrax outbreak investigation in Gogrial West County, Warrap State, South Sudan, April-December 2022</p>','<p>Anthrax is a highly contagious zoonotic disease caused by Bacillus anthracis. Following an increase in the number of patients presenting with skin lesions at Kuajok Hospital between February and March 2022; on 2 April 2022 Gogrial West County (GWC) surveillance unit carried out an investigation and collected skin lesion swabs from 18 patients. On 11 April 2022, eight samples were confirmed positive for Bacillus anthracis by polymerase chain reaction (PCR) leading to declaration of human anthrax outbreak. We investigated to characterize the outbreak, determine the magnitude, and identified exposures to guide control and prevention measures.</p>','<p>We defined a suspected cutaneous anthrax case as onset of skin lesions (papule, vesicle, or eschar) in a person residing in GWC, Warrap State from 1st January to 31 December 2022. A confirmed case was a suspected case with PCR-positivity for Bacillus anthracis. We identified cases by reviewing medical records at Kuajok Hospital, conducted active case search in affected communities and line-listed the cases. We calculated frequencies, proportions, attack and case-fatality rates.</p>','<p>We identified 148 case-patients (8 confirmed, 140 suspected) of whom 5 (CFR=3.4%) died. All the case-patients presented with skin lesions (itching, swelling or ulcer). Most 84 (57%) of the case-patients were females and 81(55%) were ≤10 years old. Median age of case-patients was 9 (range: 0.25-70) years. Of the nine affected payams (sub-counties), Waralel had the highest attack rate (130.9/100,000 population). Most 126 (85%) of the case-patients were from households keeping livestock and 134 (91%) reported eating meat of dead livestock from unknown cause. None of the owned livestock were vaccinated.</p>','<p>Eating meat of dead livestock could have been the possible source of cutaneous anthrax outbreak in GWC. We recommended public education about safe disposal of livestock that die suddenly and mass vaccination of livestock to prevent future outbreaks.</p>','<p>Anthrax, outbreak, Zoonotic disease, Gogrial West County, Warrap State, South Sudan</p>','3','3','4','3','3','3',NULL,'Accept','Oral','Yes',NULL,'2024-08-09 10:13:00','2023-06-06 16:52:16',NULL,7),(540,'Dabwitso J Banda','Coordinator Advanced FETP','bandadb3@gmail.com','mr','Daliso','Ngulube','male','zambia','dariosteckly@gmail.com','<p>Lumezi District Health Office</p>','alumni',NULL,'31/12/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','James | Zulu | Zambia  FETP |  jamesexnobert@yahoo.com\r\nJordan | Banda |  Eatern Provincial Health Office| jordbanda@gmail.com \r\nOscar |Nzila | Eatern Provincial Health Office| nzilaoscar@gmail.com\r\n Jairos | Mulambya | Eatern Provincial Health Office|  jmulambya@gmail.com\r\nAmos| Hamukale | Zambia  FETP | hamukalea@yahoo.com','<p>An Investigation of a suspected Schistosomiasis outbreak in Lumezi district Eastern Zambia, May 2022</p>','<p>Schistosomiasis (Bilharziasis) is a Neglected Tropical Disease (NTD) disease caused by some species of blood trematodes (flukes) in the genus Schistosoma. In the Eastern part of Zambia, information on schistosomiasis is rare, due to effective control measures including mass drug administration and community sensitization on the potential risk factors. Lumezi district health office received reports of children presenting with symptoms of blood in urine. We investigated the cases in order to establish the cause and identify risk factors.</p>','<p>We conducted an outbreak investigation among residents of Kazembe village from 1st April to 31st May 2022. we collected urine samples from suspected cases for laboratory confirmation. Other cases were identified based on epidemiological linkage. We defined a suspected case as any child passing blood in urine among residents of Kazembe. We reviewed OPD registers to find additional cases. A semi structured questionnaire was administered to assess knowledge, and to collect data on risk factors. We presented frequencies and percentages</p>','<p>We identified 25 cases, 14(56%) were males. The median age was 8years (Interquartile Range: 6-10). All (n=4) of the samples sent to the laboratory tested positive for schistosomiasis. Most children spent much time playing and swimming in water (88%) and defecated in water (40%). Majority (96%) mentioned blood in urine as symptom of schistosomiasis and about 68% mentioned dysuria as a symptom.</p>','<p>The existence of Schistosomiasis in Kazembe was confirmed. Children were the most affected suggesting a linkage to recreational activities in the area as an exposure. Health education of patients and community sensitization on use of pit latrines and avoidance of swimming in infested rivers was done. Surveillance activities have been heightened and the district health officials has planned to conduct mass drug administration in the affected areas using praziquantel.</p>','<p>neglected tropical disease, dysuria, schistosomiasis, Zambia</p>','3','3','2','3','4','0',NULL,'Reject','Rejected','Yes','<p>The N was not given for us to compare with the cases identified. Results presentation needs to be improved</p>','2024-08-10 10:13:00','2023-05-30 06:28:46',NULL,120),(541,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','dr','ALBERT','PASCHAL','male','tanzania','paschalalbert54@yahoo.com','<p>Tanzania Field Epidemiology and Laboratory Training Program</p>','alumni',NULL,'10/12/2022','advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','PROSPER NJAU, Strategic information Unit National AIDS Control Program, Tanzania Ministry of Health, prosperpendo@gmail.com\r\nLOVENESS URIO, Tanzania Field Epidemiology and Laboratory Training Program, loveness13us@yahoo.com\r\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program, allykhussein@gmail.com\r\nROGATH KISHIMBA, Epidemiology section of Tanzania Ministry of Health, rogatkishimba@gmail.com\r\nELIAS MMBAGA, Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied science, eliajelia@yahoo.co.uk','<p>Incidence and predictors of malnutrition among HIV infected adults on Highly Active Antiretroviral Therapy in Njombe region, Tanzania in 2018</p>','<p>Malnutrition affects more than 19% of HIV clients on ART. This is contrary to what is expected to HIV clients on Highly Active Ant-retroviral therapy with good adherence. This study sought to estimate the incidence of malnutrition and associated predictors among HIV clients on HIV care and treatment services in Njombe Region, Tanzania</p>','<p>A retrospective cohort study was conducted involving 554 HIV clients on ART at Njombe Region enrolled in 2018. Participants were followed for 24 months. Client baseline information on Care and treatment (CTC) visit records were collected from Care and Treatment database version 2 (CTC-2 Database). Cumulative hazard curves were used estimated malnutrition incidences over time and adjusted cox Hazard Ratio at 95% confidence interval (CI) was used for independent predictors of malnutrition.</p>','<p>We included 554 HIV clients on ART, the overall incidence rate of malnutrition at 95%confidence was 42.7 CI (38.3-47.6) per 100 person years of observation. The incidence rate of under-nutrition was 12.5 CI (10.2-15.3), overweight 24.1 CI (20.9-27.9) and that of obesity was 46 (8.3%) per 100 person-years of follow-up. Under-nutrition was significantly associated with :Positive TB screening at enrollment [Adjusted hazard ratio-AHR 4.83 CI (2.6-8.9)], age &gt;60 years [AHR 1.7 CI (1.2-4.7)], being widowed/widower [AHR 1.83 CI (1.6-3.3)], WHO clinical stage 4 at enrollment [AHR 1.59 CI (1.2-3.14)], CD4&lt;200 [AHR 1.84 CI (1.1-3.1)] and prior exposure to ART [AHR 1.32 CI (1.11-1.84)].Overweight and obesity were significantly associated with WHO clinical stage 1 [AHR 3.1 CI (3-3.3.8)] and age between 35-45 [AHR 1.2 CI (1.02-2.19)].</p>','<p>The rate of malnutrition (under and over-nutrition) among people living with HIV in Njombe Region were high. Intensifying the implementation nutrition supplementation and counseling with based on social and clinical characteristics of the patients are needed.</p>','<p>Malnutrition; incidence Ant-retroviral Therapy, Njombe</p>','3','3','4','3','4','3',NULL,'Accept','Oral','Yes',NULL,'2024-08-11 10:13:00','2023-05-22 18:34:08',NULL,77),(543,'Roberta Horth','Central Asia FETP','hxw5@cdc.gov','ms','Rajabali','Sharifov','male','tajikistan','sharifovraj@gmail.com','<p>Disinfection Center of Dushanbe City, Tajikistan; Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan; Asfendiyarov Kazakh National Medical University;, Almaty, Kazakhstan</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','Author: Sharifov R.N.1,2,3, Nabirova D.A. 2,4, Tilloeva Z.Kh.3, Horth R2,4, Zikriyarova S.M.2, Yusufi S.J.5\r\nAffiliations: (1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan; (2) Asfendiyarov Kazakh National Medical University; (3) Disinfection Center of Dushanbe City, Tajikistan; (4) U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan (5) Ministry of Health and Social Protection of the Population, Dushanbe, Tajikistan','<p>Presentation and provider delay in TB treatment before and during the COVID-19 pandemic, Dushanbe, Tajikistan, 2022</p>','<p>Delays in TB treatment prolong the period of infectivity and are associated with drug resistance. Tajikistan has a high and increasing burden of multidrug-resistant tuberculosis (incidence of 28/100,000 in 2021). Many new cases present with severe disease, indicating delayed care. The COVID-19 pandemic further threatened to undo progress.</p>','<p>We conducted a retrospective cohort study of people &gt;15 years old newly diagnosed with pulmonary TB in Dushanbe in 2019-2021. We conducted face-to-face interviews using structured questionnaires and abstracted data from medical records. We defined presentation-delay as &gt;14 days between TB symptom onset and initial visit, and provider-delay as &gt;3 days from initial visit to treatment initiation. We ran Χ2 and Mann-Whitney U-tests to compare delays before and during the COVID-19 pandemic.</p>','<p>From 2019-2021, 472 people were newly diagnosed with pulmonary TB. Of these, 390 (82%) had delayed treatment, 233 (49%) were men, 288 (61%) had lung tissue decay, 50 (11%) had diabetes mellitus, and 18 (4%) had HIV. Additionally, 196 (42%) had been diagnosed in 2019 before COVID-19. The proportion with presentation-delay was similar before and during the COVID-19 pandemic (83% vs. 82%, respectively, p=0.8). However, the proportion with provider-delay was significantly higher before than during the pandemic (44% vs. 34%, p=0.02). There was no statistical difference in median days of presentation-delay before (60 days; interquartile range [IQR]: 15–541) and after (60 days; IQR: 15–360, p=0.6) the pandemic, nor in median days of provider-delay before (7 days; IQR: 4–336) and after (7 days; IQR: 4–225, p=0.6) the pandemic.</p>','<p>Contrary to expected, presentation-delay for TB diagnosis did not differ before and during the COVID-19 pandemic, but provider-delay was lower. Increased vigilance of respiratory diseases and differential diagnosis for SARS-CoV-2 may have resulted in timelier TB diagnosis. However, patient- and provider-focused interventions to further reduce delays are still needed.</p>','<p>Patient delay; health system delay; tuberculosis; COVID-19; Tajikistan</p>','3','3','3','4','3','4',NULL,'Accept','Poster','Yes',NULL,'2024-08-12 10:13:00','2023-05-22 18:31:01',NULL,77),(544,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Richard','Sèfounon','male','benin','sefounonrd@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','L. Dèdèwanou/Ministère de la Santé /lydmonloto@yahoo.fr\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Profil épidémiologique de la paralysie flasque aiguë dans le département des Collines, Bénin, 1er janvier 2016 au 04 juillet 2022</p>','<p>La poliomyélite est une maladie très contagieuse causée par des entérovirus humains. Des cas persistants continuent d’être détectés malgré l’initiative mondiale d’éradication de la maladie et le Bénin n’est pas du reste. Le département des Collines a enregistré de cas de poliovirus dérivé de souche vaccinale en 2019 et 2021. L’objectif de cette étude était de déterminer le profil épidémiologique de la paralysie flasque aiguë (PFA) dans le département des Collines du 1er janvier 2016 au 4 juillet 2022.</p>','<p>Une étude transversale descriptive a été réalisée sur les cas de PFA enregistrés dans la base de surveillance épidémiologique. Les données extraites de cette base et apurée ont été analysées avec Epi Info. Les fréquences relative et absolue ont été calculées. La cartographie a été faite avec QGIS.</p>','<p>On notait 01 décès sur les 104 cas soit une létalité de 0,96%. Les cas provenaient des 06 communes. Ils étaient plus retrouvés dans le milieu rural, 80,76% [IC 95% : 72,16-87,19]. La tranche d’âge de 1 à 4 ans était la plus touchée, 71 cas soit 68,26% [IC 95% : 58,81-76,43] et le sexe ratio H/F était de 1,26. L’incidence la plus élevée a été observée en 2019 soit 2,67 cas pour 100 000 enfants [IC 95% : 4,72-151,5]. La confirmation biologique a été́ faite pour 90 cas soit 86,53% [IC 95% : 78,67-91,81] dont 02 (2,22%) positifs [IC 95% : 0,61-7,74]. La majorité des cas soit 76,92% [IC 95% : 67,96-83,97] étaient vaccinés.</p>','<p>Les cas de PFA persistent toujours dans tout le département des Collines. Le renforcement des stratégies de vaccination des enfants de 1 à 4 ans pourrait aider à diminuer l’incidence des PFA dans le département des Collines.</p>','<p>Paralysie flasque aiguë, Vaccination, Incidence, Bénin.</p>','4','2','3','2','3','2',NULL,'Accept','Poster','Yes','<p><strong>Titre&nbsp;:</strong> &nbsp;Profil épidémiologique <strong>de cas</strong> de paralysie flasque aiguë dans le département des Collines, Bénin, 1er janvier 2016 au 04 juillet 2022</p><p><strong>Introduction :&nbsp;</strong>La poliomyélite<strong>, maladie très contagieuse causée par des entérovirus humains continue d’être détecté grâce à sa surveillance à travers les cas de paralysie flasque aiguë (PFA) malgré l’initiative mondiale d’éradication de la maladie.&nbsp;</strong></p><p>Au Bénin, le département des Collines a enregistré<strong> (Nombre)&nbsp;</strong>de cas de poliovirus dérivé de souche vaccinale en 2019 et 2021.<strong> L’objectif de cette étude était de déterminer le profil épidémiologique de cas de (soyez précis) dans le département des Collines .&nbsp;</strong></p><p><strong>Méthodes :&nbsp;</strong>Une étude transversale descriptive a été réalisée sur les cas de PFA enregistrés dans la base de surveillance épidémiologique (de<strong> quelle structure&nbsp;?)</strong> du 1er janvier 2016 au 4 juillet 2022. Epi Info version&nbsp;? a été utilisé pour les analyses statistiques descriptives à 95% d’intervalle de confiance. Les<strong> méthodes épidémiologiques/statistiques ne sont décrites de manière concise)&nbsp;</strong></p><p><strong>Résultats :&nbsp;</strong></p><p>Au total, 104 cas de PFA et 1 décès (létalité&nbsp;: 1%) ont été enregistrés&nbsp;; 90 cas soit 86,5 % ont bénéficiés des prélèvements&nbsp;<strong>; 2 ont été confirmés&nbsp;</strong>positifs au poliovirus dérivés de la souche vaccinale<strong> ( 2, 2% de positivité)</strong> Les cas provenaient des 06 communes&nbsp;majoritairement rurales&nbsp;: (mettre le N) soit &nbsp;80,76% [IC 95% : 72,16-87,19]. La tranche d’âge de 1 à 4 ans était la plus touchée, 71 cas soit 68,26% [IC 95% : 58,81-76,43] et le sexe ratio H/F était de 1,26. L’incidence la plus élevée a été observée en 2019 soit 3 cas pour 100 000 enfants [IC 95% : 4,72-151,5] et<strong> XXX</strong> cas &nbsp;soit 76,92% [IC 95% : 67,96-83,97] étaient vaccinés.</p><p><strong>Conclusion&nbsp;:</strong> Les cas de <strong>PFA ?</strong>( sois précis) persistent toujours dans tout le département des Collines. Le renforcement des stratégies de vaccination des enfants de 1 à 4 ans pourrait aider à diminuer l’incidence des PFA dans le département des Collines.</p>','2024-08-13 10:13:00','2023-06-01 13:43:22',NULL,155),(545,'Gildo Okure','Resident Advisor','gokure@afenet.net','ms','Manuela','Alphonse','female','south-sudan','manuelaalphonse2212@gmail.com','<p>1National Public Health Laboratory, Ministry of Health, South Sudan</p>','alumni',NULL,'16/03/2023','frontline','public-health-laboratory-systems-and-infection-prevention-control','D. K. Kargbo2, G. Okure2*, W. Mwanje2, J. Lasu3, G.A. Abe1, J.P.A. Rumunu3 \r\n1National Public Health Laboratory, Ministry of Health, South Sudan\r\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan\r\n3Public Health Emergency Operations Center, Ministry of Health, South Sudan\r\n* Corresponding author: Gildo Okure; gokure@afenet.net;  +211 927 148232','<p>Effect of corona virus disease 2019 pandemic on turnaround time for laboratory testing of measles samples, South Sudan, 2020-2021</p>','<p>In South Sudan, laboratory performance on measles samples testing during corona virus disease 2019 (COVID-19) pandemic is not well understood. We assessed turnaround time (TAT) before (2018-2019) and during (2020-2021) COVID-19 pandemic to evaluate performance on measles samples testing.</p>','<p>We analyzed data for 1,515 measles samples tested at the national public health laboratory (NPHL) during 2018-2021. We calculated the median and interquartile range (IQR) of TAT intervals. We compared calculated TATs with the recommended integrated disease surveillance and response (IDSR) TAT from sample collection to sample reception at NPHL (surveillance TAT) of 3 days, TAT from sample reception to result dispatch (laboratory TAT) of 7 days, and TAT from sample collection to result dispatch (sample TAT) of 10 days.</p>','<p>Twenty-one percent (242/1140) of the samples arrived at the NPHL within 3 days of collection before the COVID-19 pandemic compared 9% (34/375) during COVID-19. Sixty-four percent (733/1140) of the laboratory results were released within 7 days of sample receipt at the NPHL before COVID-19 compared to 35% (131/375) during COVID-19. Thirty-two percent (368/1140) of results were released within 10 days of the sample collection before the COVID-19 pandemic compared 12% (44/375) during COVID-19. Denominators varied due to missing data. The median surveillance TAT before and during COVID-19 were: 7 (IQR, 4-11) and 13 (IQR, 6-21) days, respectively. The median laboratory TAT before and during COVID-19 were: 5 (IQR, 3-8) and 11 (IQR, 3-33) days, respectively. The median sample TAT before and during COVID-19 were: 14 (IQR, 9-19) and 29 (IQR, 17-62) days, respectively.</p>','<p>The turnaround times for measles samples testing were higher during COVID-19 pandemic and not within the recommended IDSR standards probably due to more focus on the COVID-19 testing and response. We recommend detailed investigation of the delays and sub-national testing hubs to minimize delays.</p>','<p>Effect, COVID-19, laboratory, turnaround-time, Measles, South Sudan</p>','3','4','4','3','3','3',NULL,'Accept','Oral','Yes',NULL,'2024-08-14 10:13:00','2023-06-06 16:55:59',NULL,7),(546,'Yassa D. Ndjakani','FETP -COI','yndjakani@gmail.com','dr','Liantsoa Mickaël','RANAIVOMIALY','male','madagascar','ranaivomialy@gmail.com','<p>Ministere De la Sante de Madagascar</p>','alumni',NULL,'11/2/2023','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Dr Harena Rasamoelina     harena.rasamoelina@coi--ioc.org\r\nDr Yassa Ndjakani               yndjakani@gmail.com\r\n Dr Nestor Ndakala              drnestndakala@gmail.com','<p>INVESTIGATION DE CAS DE PESTE DANS LE DISTRICT DE MANANDRIANA, 2023</p>','<p>La peste est une zoonose endémique à Madagascar. C’est une maladie à déclaration obligatoire dont un cas égale épidémie. Elle reste encore un fléau de la santé publique à Manandriana. Une alerte sur un cas suspect de peste bubonique le 04/01/2023 nous a obligé d’effectuer une investigation. Nos objectifs sont de confirmer l’épidémie, rechercher activement d’autres cas et contacts, décrire les cas selon temps-lieu-personne, identifier les facteurs de risque de la maladie afin d’assurer la riposte.</p>','<p>Il s’agit d’une étude descriptive dans la commune de résidence du cas notifié. Avant la recherche active d’autres cas et contacts, nous avons vérifié le cas notifié dans le registre de formation sanitaire déclarant, à l’aide de définitions de cas préétablies. Nous avons administré un questionnaire standard avec variables sociodémographiques, cliniques, prise en charge et facteurs de risque liés à la maladie pour chaque cas. Nous avons calculé les taux d’attaque par fokontany et le sexe ratio. Nous avons réalisé un prélèvement bubonique pour confirmation.</p>','<p>Du 4 au 8/01/2023, quatre cas confirmés de peste bubonique ont été recensés dans deux fokontany du district Manandriana situant à plus de 800m d’altitude. Le taux d’attaque (12 pour 1000habitants) du fokontany de Vohimanombo est plus élevé que l’autre. L’âge &gt;15 ans sont plus représentés (75%) et sexe ratio H/F 1/3. Les cas ont tous présenté de fièvre&gt;38°C, bubon caractéristique et céphalée. Chaque cas a été pris en charge par les formations sanitaires. Murinesunauté a déclaré des mortalités murines. Les ripostes ont suivi les directives nationales.</p>','<p>Nos résultats sont conformes à la littérature. Les facteurs de risque identifiés sont l’exposition des gens travaillant dans les champs aux rongeurs malades, la vulnérabilité des femmes travaillant dure et les conditions géographiques et environnementales favorables aux proliférations des rats réservoirs de la maladie. Nous avons recommandé la lutte contre la prolifération des réservoirs et vecteurs de la maladies (Dératisation/désinsectisation) et l’éducation de la population sur l’assainissement autour et dans leurs ménages.</p>','<p>Peste, zoonose, risque</p>','5','5','4','5','5','5',NULL,'Accept','Oral','Yes','<p>In the conclusion he talks about associated factors but does not mention them in the results; mortality was not specified;&nbsp;</p>','2024-08-15 10:13:00','2023-05-09 08:53:47',NULL,168),(547,'Maurice Owiny','Scientific Writer','mowiny@feltp.or.ke','ms','Qabale','Duba','female','kenya','dubaqabale@gmail.com','<p>Kenya FELTP</p>','alumni',NULL,'30/10/2020','advanced','maternal-reproductive-and-child-health','Paul Nyongesa, Moi University, Kenya, drpaulnyongesa@yahoo.com\r\nElvis Oyugi, National Malaria Program, MoH Kenya, eloyugi@gmail.com','<p>Factors associated with utilization of skilled birth attendance among women of reproductive age in North-Horr sub-County, Marsabit County, Kenya</p>','<p>In low-medium-income countries, maternal mortality continues to be major public health problem. Maternal mortality rates (MMR) in Kenya declined from 362/100,000 live births in 2014 to 353/100,000 live births in 2021. One of Kenya\'s three counties with the lowest use of skilled delivery services is Marsabit County, which despite the nation\'s decline has a high MMR of 1,127/100,000 live births. In the North Horr sub-county in 2018, just 26% of expectant women had skilled births. We estimated coverage for skilled delivery and identified factors associated with the utilization of skilled birth attendant services in North Horr.</p>','<p>We conducted community-based and health-facility-based cross-sectional study targeting women of reproductive age, women leaders, and healthcare workers in skilled delivery services in November – December 2021. We interviewed respondents using structured questionnaires. We collected socio-demographic and clinical information and summarized information using descriptive statistics. Logistic regression analysis was used to identify factors associated with the utilization of skilled birth attendance services. We summarized qualitative data into thematic areas.</p>','<p>We interviewed 294 respondents and the mean age was 28.5±5.9 years. Delivery under skilled birth personnel was found in 124 (42.2%). Determinants for utilization of skilled birth attendance services were Religion (adjusted Odds Ratio (aOR)= 3.70; 95% C.I 2.0 – 6.8); distance to the nearest health facility (aOR= 4.8; 95% C.I 1.99 – 12.02; p&lt;0.001); Monthly income (aOR= 2.8; 95% C.I 1.28-6.27; p&lt;0.01); and accompanied by the husband to the clinic (aOR= 9.4; 95% C.I 1.69-53.0). Respondents understood the significance of using skilled delivery services, although parity, birth order, insecurity, bad roads, and past experiences affected where the women went to give birth.</p>','<p>The proportion of skilled birth attendance remained low. Long distance, monthly income, were factors independently associated with the utilization of skilled delivery services. We recommend public health talks on the importance of skilled birth attendance.</p>','<p>Utilization, skilled birth attendance, reproductive age, Kenya</p>','4','4','4','0','4','4',NULL,'Accept','Oral','Yes','<p>Well done. It is a very important investigation, it would be good to work a little more on the recommendations</p>','2024-08-16 10:13:00','2023-05-10 17:19:47',NULL,29),(548,'Dabwitso J Banda','Coordinator Advanced FETP','bandadb3@gmail.com','ms','mwaba','mweba','female','zambia','mwewamwaba@ymail.com','<p>Kafue District Health Office</p>','alumni',NULL,'31/12/2021','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','James | Zulu | Zambia  FETP |  jamesexnobert@yahoo.com\r\nPeter | Chipimo |Zambia National Public Health Institute| peterjchipimo@gmail.com','<p>An Assessment of Water, Sanitation and Hygiene Service Availability in Health Facilities of Kafue DISTRICT.</p>','<p>Water, sanitation, medical waste disposal, hand hygiene, and environmental cleaning services are all included in WASH in healthcare facilities. For the delivery of high-quality healthcare, WASH services must be available at medical facilities. Effective WASH programs at healthcare facilities, especially in maternity and primary care settings, have the potential to reduce healthcare-acquired infections, encourage trust in and use of healthcare services, increase productivity, and raise staff morale. The purpose of the study was to evaluate the provision of water, sanitation, and hygiene services in Kafue district health facilities.</p>','<p>The study included all 29 medical facilities dispersed in Kafue District. All 29 research participants were included in the descriptive cross-sectional investigation, which used a quantitative methodology. The study used probability sampling and a closed-structure questionnaire, and all data were analyzed using STATA V.12 where descriptive statistics conducted.</p>','<p>The study\'s findings indicated 83.8% (24/29) were Government Owned and 55.2% (16/29) accessed water from utility company which implied that facilities have Basic level of water supply. On sanitation, (29) HF had toilets with 48.3 (14/29) owning water closets and 37.9% (11/29) having pit latrines. This means that health facilities have safely managed and basic sanitation. Regarding hand hygiene, the study found that only 62.1% had hand washing facilities. On environmental cleanliness and waste management, 55.2% had limited methods of waste disposal as only 31% (9/29 had their waste collected and disposed at the dumpsite.</p>','<p>The findings indicate that provision of water, sanitation, hand hygiene, environmental cleanliness, and health care waste management services within HCFs is largely hindered by structural and performance limitations. In spite of these limitations, it is evident that environmental cleanliness and treatment of waste can be attained with better oversight and dedicated personnel.</p>','<p>Water, Sanitation and Hygiene, Health Facilities, Availability, Infection and prevention, Hand Washing</p>','3','2','2','0','3','3',NULL,'Reject','Rejected','Yes','<p>If all 29 health facilities inn Kafue district &nbsp;were included- in the study, then this is not probability sampling as indicated</p><p>There were conclusions put in the results section for sanitation and water access</p>','2024-08-17 10:13:00','2023-05-30 06:35:56',NULL,120),(549,'Jean Claude NIYOYITA','Rwanda FETP Frontline Field Coordinator','jniyoyita@afenet.net','mr','Albert','Busumbingabo','male','rwanda','busumbigabo@gmail.com','<p>University Teaching Hospital of Butare</p>','alumni',NULL,'29/07/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Innocent I Itangishaka I University Teaching Hospital of Butare l itangishaka58@gmail.com I\r\nHerve  I Sheja Maniragaba I University Teaching Hospital of Butare I irebesheja@gmail.com I\r\nTheogene I Ndahayo  I University Teaching Hospital of Butare  I ndatheos2015@gmail.com I\r\nJean Claude I NIYOYITA l African Field Epidemiology Network I jniyoyita@afenet.net l \r\nEmmanuel I Nshimiyimana I African Field Epidemiology Network I enshimiyimana@afenet.net l','<p>Food Poisoning Outbreak Investigation At Ecole Agricole Et Veterinairi ( EAV ) Kabutare High School, Huye District, June 2022</p>','<p>Food poisoning refers to an event when two or more people epidemiologically linked get the same illness after consumption of the same contaminated food or drinks. On 16th June,2022 an increased number of students from EAV Kabutare high school in Huye district presented at University Teaching Hospital of Butare(CHUB). An investigation to establish the existence of an outbreak, to identify the source and causative agent and set up appropriate control and preventive measures.</p>','<p>This was an outbreak investigation conducted using descriptive analysis design. We reviewed medical records to collect epidemiological information. Samples from suspected food were sent and analysed at LADAMET while stool samples were taken and analysed at CHUB laboratory. A case was defined as any student from EAV Kabutare who presented with at least one of the following symptoms: vomiting, diarrhoea, nausea abdominal pain, headache and muscle pain between the 15th and 17th of June,22.</p>','<p>A total of 70 students from senior six performing laboratory practice eaten the meat-based food called Jambo on 16th June 2022 whereby 43(61.4% Attack rate) with the average age of 20 years old got sick and presented at CHUB. Among them 39(91%) were female. Common symptoms were headache 29(74%), abdominal pain 23(60%), vomiting 10(27%), and diarrhoea 1(4%). The onset of symptoms started one hour after ingestion and all cases occurred within two hours. The sample taken from Jambo revealed the presence of Silver Nitrate while 10(14%) stool samples taken were negative.</p>','<p>A food poisoning outbreak occurred in EAV Kabutare high school in June 2022 due to the consumption of silver nitrate mixed with Jambo and has affected only some students from senior six who were in laboratory practices. Proper labelling of all ingredients, vigilance and avoidance of eating in the laboratory was recommended.</p>','<p>Food poisoning, Outbreak , investigation, Jambo, Silver Nitrate, Student</p>','5','5','4','0','4','5',NULL,'Accept','Oral','Yes',NULL,'2024-08-18 10:13:00','2023-05-30 19:37:56',NULL,229),(550,'Roberta Horth','Central Asia FETP','hxw5@cdc.gov','mr','Shokhruh','Usmanov','male','uzbekistan','shohrux1718@gmail.com','<p>(1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan, (2) Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan, (3) Services for Sanitary and Epidemiological Well-being, Tashkent, Uzbekistan,</p>','resident',NULL,NULL,'advanced','hiv-aids-tuberculosis-and-other-opportunistic-infections','Roberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\r\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov\r\nAlfiya|Denebayeva|Almaty City Center for Prevention and Control of AIDS, HIV Center, Kazakhstan|denebaeva@gmail.com\r\nSevak|Alaverdyan| American University of Armenia, Manoogian Simone College of Business and Economics, Yerevan, Armenia|s.alaverdyan@iset.ge\r\nBotir|Kurbanov|Services for Sanitary and Epidemiological Well-being, Tashkent, Uzbekistan|botirjon.kurbanov@ssv.uz\r\nFeruza|Nasirova|Andizhan State Medical Institute, Andizhan, Uzbekistan|feruzahon69@mail.ru\r\nIkromjon|Otajonov|Andizhan State Medical Institute, Andizhan, Uzbekistan|shohrux1718@gmail.com','<p>Retrospective cohort study of factors associated with non-initiation of antiretroviral therapy among adults newly diagnosed with HIV in Andijan, Uzbekistan, 2018-2021</p>','<p>Immediate uptake of antiretroviral therapy (ART) by people newly diagnosed with HIV reduces morbidity and viral transmission. Since 2018, in Uzbekistan people newly diagnosed with HIV are immediately offered ARVs, but just over half of people living with HIV are estimated to be on ART. To reach global targets, we assessed factors associated with ART non-initiation.</p>','<p>We conducted a retrospective cohort study using secondary data from Andijan Region Republican AIDS Center. Our study included all people 18 years of age and older newly diagnosed with HIV between January 1, 2018, and June 31, 2021. We analyzed sociodemographic and behavioral factors associated with non-initiation of ART, defined as not having initiated ART by December 31, 2021. Using multivariable analysis, we calculated risk ratios (RR) and 95% confidence intervals (CI).</p>','<p>From 2018 to 2021 in Andijan Province, 1,098 people were newly diagnosed with HIV, of which 113 (10.3%) did not initiate ART. Participants were mostly 30-49 years old (49%), male (56%), married (46%), and with secondary education (74%). Also, 39% and 31% had HIV clinical stage I and II, respectively. Risk for non-initiation was higher among people with secondary education (RR=8.6; CI=1.2–60.9]) compared to higher education, with multiple partners (RR=2.7; CI=1.5-5.0]), with disease stage I (RR=3.3; CI=2.0–5.2]) and stage II (RR=4.4; CI=2.8–7.0]). People with sexual partners living with HIV had higher risk of non-initiation (RR=1.8; CI=1.2–2.9]) than people with partners that did not have HIV. Being single was associated with reduced risk of non-initiation (RR=0.1; CI=0.03–0.3]).</p>','<p>People with multiple partners and with partners living with HIV should be prioritized for ART initiation support. Increased risk of non-initiation among people in non-symptomatic or mild disease stages earlier disease stages points to the need for interventions to increase awareness of test-and-start among providers.</p>','<p>HIV; Uzbekistan; antiretroviral therapy; art initiation; linkage; retrospective cohort</p>','3','4','4','4','4','4',NULL,'Accept','Oral','Yes',NULL,'2024-08-19 10:13:00','2023-05-18 17:50:42',NULL,194),(551,'Maurice Owiny','Scientific Writer','mowiny@feltp.or.ke','ms','Edna','Salat','female','kenya','ednatonui38@gmail.com','<p>Kenya FELTP</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Maria Nunga, Kenya FELTP, mnunga@feltp.or.ke\r\nAhmed Abade. Kenya FELTP. aabade@feltp.or.ke\r\nDavid Kareko. Division of Disease Surveillance and Response, MoH Kenya. davekareko2@gmail.com\r\nHilary Limo. Public Health Emergency Operation Center, MoH Kenya, kimelilimo@gmail.com\r\nEmmanuel Okunga, Division of Disease Surveillance and Response, MoH Kenya. okungae2012@gmail.com','<p>Evaluation of Rotavirus Surveillance System at Kilifi County Hospital-Kenya, 2017-2021.</p>','<p>Diarrhea is the second leading cause of death among children under five years of age worldwide. Rotaviruses are non-enveloped double-stranded RNA (dsRNA) in the family Reoviridae. Kenya adopted the WHO Generic protocol for hospital-based surveillance to estimate the burden of Rotavirus gastroenteritis in children under 5 years of age. Kilifi county referral hospital is one of the sentinel sites. We sought to evaluate the rotavirus surveillance system in Kilifi County Referral Hospital and describe characteristics of cases by the socio-demographic, clinical presentations, and surveillance system attributes.</p>','<p>We conducted a records review using a case definition of a suspected case, as any child less than five years admitted to Kilifi county hospital from January 2017 – December 2021 for treatment for diarrhea while a confirmed case was a suspected case with an enzyme-linked immunoassay detection of Rota-virus in the stool. We collected sociodemographic and clinical information. We used standard CDC MMWR guidelines for the evaluation of public health surveillance. We developed a questionnaire and conducted a face-to-face interview to evaluate the system attributes, and summarized data using descriptive statistics.</p>','<p>We reviewed 1,184 records and 690 (58.7%) were male. Cases aged below 12 months were 647 (54.7%). Cases presenting with altered levels of consciousness were 598 (51%), vomiting 725 (61.3%), and 143(12%) had severe dehydration. The system attributes were graded as being simple, sensitive, timely, and acceptable. The data quality was poor; among the 104 variables, 45(43.3%) had entries. Among the variable with entries, the specimen received in the laboratory and Elisa test results had the highest number of missing data at 472(40%) and 488(41.2%) respectively.</p>','<p>The system is able to identify rotavirus cases; however, the quality of data is poor. We recommend weekly data quality audits, support supervision, increased resource allocation, staff training, and frequent feedback to stakeholders.</p>','<p>Rotavirus, Diarrhea, Surveillance system, Evaluation, Vaccination, Kenya</p>','4','3','3','2','3','2',NULL,'Accept','Poster','Yes','<p>The methods must describe which attributes are going to be evaluated and how they are going to be evaluated, and this must be reflected in the results.</p>','2024-08-20 10:13:00','2023-05-10 17:34:35',NULL,29),(552,'Roberta Horth','Central Asia FETP','hxw5@cdc.gov','dr','Malika','Gabdullina','female','kazakhstan','gabdullina.malika@gmail.com','<p>1. Field Epidemiology Training Program (FETP) in the region of Central Asia, Almaty, Kazakhstan 2. Kazakh National Medical University named after Asfendiyarov, Almaty, Kazakhstan,</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Saya|Gazezova|Central Asia FETP|\r\nGulzhan|Ayapova|Central Asia FETP|ayapova.26@gmail.com\r\nAizhan|Yesmagambetova|Ministry of Health of Kazakhstan|yesmagambetovaa@dsm.gov.kz\r\nManar|Smagul|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Ministry of Health of Kazakhstan|manar.smagul@gmail.com\r\nLena|Kasabekova|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Ministry of Health of Kazakhstan|kasabekova74@gmail.com\r\nRoberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\r\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov','<p>Outbreak of Crimean-Congo hemorrhagic fever in Kyzylorda region, Kazakhstan, March-July 2022</p>','<p>Crimean-Congo hemorrhagic fever (CCHF) is a viral tick-borne disease with high mortality rate. It is endemic in Kazakhstan. The Kyzylorda region reported higher-than-expected cases from March to July 2022 (15 compared to 10 in previous year). We conducted an investigation to identify additional cases, determine risk factors, and assess CCHF knowledge and practices.</p>','<p>We conducted a case-control study in July 2022. We defined cases as PCR-confirmed or hospitalized with CCHF signs and controls were close contacts including neighbors and household members selected at (1:2 ratio). We reviewed medical records from April to July. We conducted face-to-face interviews using structured questionnaires of study population. We collected tick samples for PCR-testing from domestic animals. We used logistic regression to assess factors associated with being a case; variables with p-value &lt;0.01 are shown.</p>','<p>We identified 38 cases and 71 controls. Cases were mostly male (74%) with mean age 45 years old (range 17-81); 27% died. Top symptoms were weakness (100%), headache (97%) and fever (84%). Risk factors for CCHF were being male (odds ratio and 95% confidence interval: 5.5, CI: 2.3-13.1), animal husbandry (3.1, CI: 1.3-7.2), crop production (4.0, CI: 1.5-10.5), tick contact (262.5, CI: 31.4-2192.2), tick bite (70.0, CI:8.8-556.9), contact with tick blood (18.7, CI: 2.2-155.9), ticks on the body or clothing (77.8, CI: 9.8-618.9) and high tick concentration settings (15.1, CI: 4.6-49.7). Among respondents (n=101): 55% had not heard of CCHF, 14% removed ticks ungloved and 4% sought medical care after contact with ticks. Of 163 ticks tested, one was PCR-positive.</p>','<p>Exposure to activities that are high risk for exposure to ticks increased odds of CCHF. Improved awareness of prevention of exposure to ticks CCHF, associated risk factors, and importance of seeking early treatment is needed. This can be achieved by increasing population awareness and educating providers.</p>','<p>Crimean-Congo hemorrhagic fever, CCHF, Kazakhstan, outbreak, ticks</p>','3','4','3','2','3','2',NULL,'Accept','Poster','Yes',NULL,'2024-08-21 10:13:00','2023-06-05 12:03:54',NULL,21),(553,'Gildo Okure','Resident Advisor','gokure@afenet.net','mr','Thomas','Guot','male','south-sudan','duganthomas296@gmail.com','<p>1State Ministry of Health, Northern Bahr-El-Ghazal State, South Sudan.</p>','alumni',NULL,'28/03/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','G. Okure2*, W. Mwanje2, D. K. Kabba2, J. Lasu3, J.P. Rumunu3\r\n1State Ministry of Health, Northern Bahr-El-Ghazal State, South Sudan.\r\n2African Field Epidemiology Network, Field Epidemiology Training Program, South Sudan\r\n3National Ministry of Health, South Sudan\r\n*Corresponding author: Gildo Okure; gokure@afenet.net ; +211-927-148232','<p>Investigation of an upsurge of bacterial meningitis cases in Northern Bahr-El-Ghazal State, South Sudan, January-July 2022</p>','<p>South Sudan being in the meningitis belt has experienced meningococcal meningitis outbreaks in 2006, 2007, 2009 and 2013. On 3rd January 2022, Northern Bahr-El-Ghazal (NBEG) State Ministry of Health was notified of an upsurge in suspected meningitis cases in Aweil State Hospital. We investigated to confirm meningitis outbreak, characterize the outbreak, and identify risk factors to inform control and prevention measures.</p>','<p>A suspected meningitis case was any resident of NBEG state with onset of fever (&gt;38°C) and neck stiffness or other meningeal signs from 1st January 2022. Confirmed case was a suspected case laboratory confirmed by identifying bacterial pathogen in cerebral spinal fluid (CSF) using polymerase chain reaction (PCR) test. We interviewed case-patients to collect demographics, clinical and exposure information, and collected CSF specimens. We conducted active case search in communities and health facilities, reviewed medical records, and line-listed cases. We computed frequencies, proportions, attack rate (AR) and case-fatality rate (CFR)</p>','<p>During January-July 2022, a total of 333 case-patients were identified of which 170 (51%) were males, and 178 (53%) aged &lt;5 years. Out of 76 (23%) CSF specimens collected, 6(9%) were PCR-positive for three pathogens: Neisseria meningitides (2), Streptococcus (2) pneumoniae, and Haemophilus influenzae type b (2). Four of the five counties in NBEG surpassed alert threshold of 3 cases/100,000 people per week, but none reached the epidemic threshold (10/100,000). Aweil West County had the highest AR (48/100,000 people) compared to overall state AR of 25/100,000 people. Of the 333 case-patients, 31 died (CFR=9%). The CFR was highest in Aweil East County 13% (13/100) and amongst children &lt;1 year 48.4% (15/31).</p>','<p>None of the counties in NBEG reached epidemic threshold probably due to low CSF collection and testing rate. We recommended training clinicians on meningitis case management and collection of CSF specimens for laboratory confirmation.</p>','<p>Upsurge, Bacterial Meningitis, counties, Northern-Bahr-el-Ghazal</p>','5','5','5','3','4','4',NULL,'Accept','Oral','Yes','<p>The conclusion did not fully synthesize the results. There are recommendations but the public health action taken was not mentioned. This is interventional epidemiology.</p>','2024-08-22 10:13:00','2023-05-14 16:46:49',NULL,163),(554,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','ms','HARRIETH','MANISHA','female','tanzania','harriethmanisha69@gmail.com','<p>Tanzania Field Epidemiology and Laboratory Training Program</p>','alumni',NULL,'10/12/2022','advanced','non-communicable-diseases-ncds-injuries-and-mental-health','CANDIDA MOSHIRO, Department of Epidemiology and Biostatistics, School of Public Health, Muhimbili University of Health and Allied Sciences, cmoshiro@gmail.com\r\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program, allykhussein@gmail.com\r\nJAFFAR SHABBAR, UCL Institute for Global Health,  s.jaffar@ucl.ac.uk\r\nJOHNSON MISHIU, National Institute for Medical Research, mshiujohnson@gmail.com\r\nFREDRICK AMANI, National Institute for Medical Research, frdrckaman@gmail.com\r\nSAYOKI MFINANGA, National Institute for Medical Research, gsmfinanga@yahoo.com','<p>Health Insurance financing and patient retention in care at diabetics and hypertension clinics in Dar es Salaam and Pwani regions, Tanzania.</p>','<p>Hypertension and diabetes are chronic conditions that cause major morbidity and mortality worldwide. Health insurance financing is associated with improved health outcomes, including retention for patients in chronic care. In Tanzania, little is published about health financing in chronic care. We aimed to establish the effect of health insurance on retention and the determinants for retention among patients attending diabetes and hypertension clinics.</p>','<p>We conducted a cohort design study to participants enrolled in the INTE-AFRICA trial from 15 health facilities in Dar es Salam and Pwani regions between May 2020 to April 2021. Eligible participants were adults attending diabetes and hypertension clinics. Retention was defined as participants with at least two medical visit dates at least 90 days apart in 12 months. The final sample size had a power of 100% to detect a difference of 10% to 30% retention between the two arms with a 95% confidence interval. Data were extracted from the INTE-Africa electronic database. Proportions were compared using χ2 tests. Prevalence and rate ratios were obtained using Generalised Linear Models.</p>','<p>A total of 1716 participants were followed for 1612.3 person-years to observe a total of 1351 incident retention. A quarter (26.0%) of the participants owned health insurance with females owning 65.9%. Middle-aged adults (45-64 years) contributed 58.8% of ownership, while youth (&lt;25 years) had no Health insurance. High retention rates were observed (incidence rate: 83.80/100 person-years; 95% CI (79.40-88.40). There was no observed difference in retention among those insured and those uninsured (adjusted rate ratio: 1.00; 95% CI, 0.94-1.06). Age, medical diagnosis, morbidity status, health facility integration, level of health facility, and marital status were significant determinants of retention in care.</p>','<p>The study found no effect of health insurance on retention in care. However, further research is needed to better understand patients\' management in chronic care.</p>','<p>Universal Health Coverage, Non-communicable Diseases, Diabetes, and Hypertension.</p>','3','4','3','3','4','4',NULL,'Accept','Poster','Yes','<p>The authors needed to present results for the following, Age, medical diagnosis, morbidity status, health facility integration, level of health facility, and marital status were significant determinants of retention in care.</p>','2024-08-23 10:13:00','2023-05-22 18:26:44',NULL,77),(555,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','François','Dadidjè','male','benin','dadidje@yahoo.fr','<p>Ministère de l\'Agriculture, de l’Elevage et de la Pêche</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','V. Allanonto/Ministère de l’Agriculture de l’Elevage et de la Pêche/victorallanonto36@gmail.com\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Evaluation du système de surveillance de la fièvre hémorragique à virus Lassa dans le département du Borgou, Bénin, 1er janvier au 31 décembre 2021</p>','<p>La surveillance épidémiologique est le processus de recueil, collation et analyse systématiques de données et leur prompte diffusion aux personnes qui en ont besoin pour une action pertinente. La fièvre hémorragique virale Lassa (FHVL) est endémique au Bénin. Elle est sous surveillance et intégrée à celle des maladies à potentiel épidémique. Le système de surveillance doit être régulièrement évalué pour réorienter les interventions. Le système de surveillance de la fièvre Lassa n’a jamais été évalué dans le Borgou d’où le but de notre étude.</p>','<p>Il s’est agi d’une étude transversale descriptive sur la période du 1er janvier au 31 décembre 2021. Les directives du guide d’évaluation des systèmes de surveillance du Centre de Contrôle et de Prévention des Maladies (CDC Atlanta) ont été utilisées pour évaluer les attributs. Des interviews ont été réalisées auprès de 22 acteurs impliqués dans la surveillance. Les données collectées ont été analysées dans Epi-Info7.2 avec un seuil minimal de 80% pour chaque attribut. Des fréquences relative et absolue ont été calculées.</p>','<p>L’organisation du système de surveillance de FHVL est de type pyramidal. Sur la période d’étude, 04 cas ont été détectés et investigués. La définition de cas est disponible et jugée simple pour 94,74% des acteurs. Cependant 84,21% seulement ont trouvé le formulaire de notification simple à remplir. Acceptabilité : la promptitude est de 94,74% et la complétude de 100%. Tous participent à la surveillance et les cas notifiés ont été investigués. Les données collectées permettaient de décrire les cas en termes de temps, lieu et personnes ; il est donc représentatif.</p>','<p>Le système de surveillance de la FHVL est utile, simple, représentatif et accepté de tous. Toutefois, il conviendrait de renforcer les agents par des formations continues sur le remplissage du formulaire de notification.</p>','<p>Fièvre Lassa , Epidémie, Etude transversale, Bénin</p>','3','3','4','4','4','4',NULL,'Accept','Poster','Yes',NULL,'2023-05-11 10:13:00','2023-06-05 12:26:03',NULL,90),(556,'Roberta Horth','Central Asia FETP','hxw5@cdc.gov','mr','Timur','Dautov','male','kyrgyzstan','tdautov83@gmail.com','<p>(1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan, (2) Department of Disease Prevention and State Sanitary and Epidemiological Supervision, Kyrgyzstan Ministry of Health, (3) Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan,</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Nasyat|Kemelbekova|Department of Disease Prevention and State Sanitary and Epidemiological Supervision, Kyrgyzstan Ministry of Health|n_kemelbekova@bk.ru\r\nMarina|Malysheva|Department of Disease Prevention and State Sanitary and Epidemiological Supervision, Kyrgyzstan Ministry of Health|marina.malysheva17@mail.ru\r\nDinagul|Otorbaeva|Department of Disease Prevention and State Sanitary and Epidemiological Supervision, Kyrgyzstan Ministry of Health|d_otorbaeva@mail.ru\r\nRoberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\r\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov','<p>Foodborne outbreak at a wedding event – Batken, Kyrgyzstan, June 2022</p>','<p>On August 2nd, 2022, local health departments were informed that 110 people had sought care for gastrointestinal illness after attending the same wedding event in Batken, Kyrgyzstan on July 30th. Graduates of the Field Epidemiology Training Program conducted an investigation to identify the source and associated risk factors to stop transmission.</p>','<p>Using a retrospective cohort study design, we interviewed everyone who had been at the wedding. A case was anyone who became acutely ill, sought medical care during that time with symptoms consistent of food poisoning, and was linked to the event. We searched public health surveillance records for additional cases who sought healthcare for suspected foodborne disease, a reportable illness, from July 30th to August 2nd. Food and environmental samples were tested. We used logistic regression to determine associations with case status.</p>','<p>Of 250 attendees, 201 were reached and gave consent; 110 were cases and 91 non-cases. Among cases, 8% were 61 years old, and 80% were female. Top symptoms were fatigue (96%), abdominal pain (95%), diarrhea (95%), and fever (84%). Most cases developed symptoms within 24 hours of the event. Among cases, 75% (105/110) had eaten any chicken containing food vs 25% (55/91) non-cases (attack rate: 66%). Odds ratio for chicken containing foods was 7.8 for egg salad (95% confidence interval [CI]=4.1-14.4, p&lt;0.01), 5.1 for grilled chicken (CI=2.8-9.4, p&lt;0.01) and 3.9 for chicken salad (CI=2.2-7.1, p&lt;0.01). Patients’ stool were not tested. Proteus vulgaris, Klebsiella spp., and Escherichia coli were detected in chicken samples. E. coli was detected in 3/32 environmental samples.</p>','<p>Chicken contaminated with multiple pathogens likely contributed to the outbreak. Symptoms and onset are more consistent with Klebsiella spp than E. coli, but Klebsiella spp. foodborne outbreaks are rare. Recommendations were made to improve food safety. Patient laboratory diagnostics should be performed regularly.</p>','<p>Kyrgyzstan, Disease Outbreaks, Foodborne outbreak, Diarrhea, Escherichia coli, Klebsiella spp</p>','4','5','4','5','5','5',NULL,'Accept','Oral','Yes','<p>This is well explicit&nbsp;</p>','2024-08-24 10:13:00','2023-05-15 07:32:28',NULL,18),(557,'Phuti','Sekwadi','pgsekwadi@gmail.com','mr','Phuti','Sekwadi','male','south-africa','pgsekwadi@gmail.com','<p>Center for Enteric Diseases, National Institute for Communicable</p>','alumni',NULL,'31/12/2017','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Anthony Smith, National Institute for Communicable Diseases, anthonys@nicd.ac.za\r\nMimmy Ngomane, National Institute for Communicable Diseases, mimmyn@nicd.ac.za\r\nMahlaku Sebiloane, South African Field Epidemiology Training Program, hlakssebiloane@gmail.com\r\nLeigh Johnston, South African Field Epidemiology Training Program, LeighJ@nicd.ac.za\r\nLinda Erasmus, National Institute for Communicable Diseases, lindae@nicd.ac.za\r\nJuno Thomas, National Institute for Communicable Diseases, junot@nicd.ac.za','<p>A prolonged outbreak of enteric fever associated with illegal miners in the City of Matlosana, South Africa, November 2020 – September 2022</p>','<p>In South Africa, the annual incidence of enteric fever caused by Salmonella enterica serovar Typhi averaged 0.1 per 100 000 between 2003 and 2018. During 2021 an increase in the number of genetically related enteric fever cases was observed in the North West Province. An outbreak investigation was conducted to determine the magnitude and source of the outbreak.</p>','<p>We performed a cross-sectional descriptive study. Laboratory-confirmed enteric fever cases identified nationally between 2020 and 2022 were interviewed telephonically or face-to-face using a standardized case investigation form. Whole-genome sequencing was performed on isolates and investigated using multiple bioinformatics tools. Drinking water samples were collected from the North West Province, tested and analysed. Descriptive analysis was performed using Microsoft Excel.</p>','<p>A cluster of 54 genetically highly related Salmonella Typhi isolates were identified from five different provinces in South Africa. Most (61%; 33/54) cases were in North West Province. Case investigation forms were completed for 57% (31/54) of cases. Males comprised 69% (37/54) of cases. Of these, 73% (27/37) were within age group 15-49 years (median: 31 years). Of the 27 males within age group 15-49 years, 56% (15/27) were illegal gold miners working in the City of Matlosana. All illegal miners reported illness onset while working underground. Isolates associated with the cluster showed ≤5 allelic differences. Five tap water samples tested, showed no evidence of faecal contamination.</p>','<p>This outbreak primarily affected illegal gold miners, most probably due to consumption of contaminated groundwater whilst working underground. The prolonged outbreak was likely perpetuated by a persistent source of transmission to illegal miners due to the presence of chronic carriers and acutely ill miners underground and further transmission among the contacts of the miners on the surface. This investigation highlights the value of whole-genome sequencing to detect clusters and support epidemiological investigation of enteric fever outbreaks.</p>','<p>Enteric fever, whole-genome sequencing, typhoid carrier, prolonged-outbreak</p>','4','4','4','4','4','4',NULL,'Accept','Oral','Yes','<p>In an abstract, instead of mentioning the statistical software used for the analysis, it is more useful to mention the statistical analysis done, the measures calculated etc</p>','2024-08-25 10:13:00','2023-05-14 17:00:33',NULL,163),(558,'Jean Claude NIYOYITA','Rwanda FETP Frontline Field Coordinator','jniyoyita@afenet.net','dr','Bonaventure','TWIZERE','male','rwanda','btwizere@gmail.com','<p>Nyarugenge District Hospital</p>','alumni',NULL,'21/12/2022','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Delphine I Nishimwe I Nyarugenge District Hospital I  ndelphine54@gmail.com I\r\n Aloys I Nshimiyimana I Nyarugenge District Hospital I aloysnshimiyimana7@gmail.com I\r\nJulienne  I Mukamazimpaka I Nyarugenge District Hospital I juliennemukamazimpaka11@gmail.com I\r\n Jean de Dieu I Serugendo I Nyarugenge District Hospital I sejado@gmail.com I','<p>Assessment of weekly surveillance reporting timeliness in public and private health facilities in Nyarugenge district Hospital _Rwanda,2022</p>','<p>Successful surveillance reporting could support timely notification and response to potential outbreaks However, reporting timeliness is still a problem in health facilities under Nyarugenge Hospital catchment area. Frontline trainees assessed timely reports within the electronic Integrated Disease surveillance and response (eIDSR) with the aim of identifying gaps in timeliness and propose the interventions.</p>','<p>This is a cross-sectional analysis-based study conducted in Nyarugenge district hospital catchment area located in City of Kigali-Rwanda. Nyarugenge Hospital supervises 52 and 7 private and public health facilities respectively. We selected week 31 to week 36/2022, analysed timeliness for public and private health facilities and proposed interventions to overcome identified weaknesses. Proposed interventions included site visit, physical meetings, refresher training and use of phone call. Week 37 to 42/2022 were also selected and timeliness was calculated to assess the impact of proposed interventions.</p>','<p>Among 42 and 312 reports expected from public and private health facilities from week 31 to 36/2022 respectively, with 41(97.6%) and 15(4.8%) reports timely delivered by public and private health facilities respectively. After interventions, the timeliness increased to 42(100%) and 30(9.7%) in public and private health facilities respectively.</p>','<p>The analysis showed that private health facilities are not timely reporting contrary to public health facilities. Gap in timely reporting could jeopardize the public health surveillance objective thus. Refresher training to private health facilities’ staff was conducted and the meeting with health facility owners to comply with reporting.</p>','<p>Timeliness, surveillance, health facility, timely reports, eIDSR</p>','3','3','3','2','3','3',NULL,'Reject','Rejected','Yes','<p>The author did not put a standard/reference timeliness that with be provided by WHO or NPHI so that compared with the general timeliness calculated that helps to decide whether they are on the accepted range or not.&nbsp;</p>','2024-08-26 10:13:00','2023-05-04 16:01:28',NULL,230),(559,'R','Central Asia FETP','hxw5@cdc.gov','mr','Emomali','Qurbonov','male','tajikistan','emomali-kurbonov@mail.ru','<p>1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan, (2) HIV Prevention and Control Center, Sughd Region, Tajikistan</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Jamila|Silemonshoeva|State Center for Sanitary and Epidemiological Surveillance of Sughd Region, Tajikistan|jamilasilemonshoeva@gmail.com\r\nRoberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\r\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov\r\nZulfiya|Tilloeva|Disinfection Center of Dushanbe City, Tajikistan|ztilloeva@gmail.com','<p>Delayed recognition of botulism in a family after consumption of home-canned eggplant, Tajikistan, 2022</p>','<p>On November 13, 2022 eight members of a family were hospitalized in Sughd Region, Tajikistan, with signs and symptoms of botulism. Foodborne botulism is a rare paralytic illness with mortality rate of 5-10% caused by eating foods containing botulinum neurotoxin.</p>','<p>Using structured questionnaires, we conducted face-to-face interviews with 4 family members and 2 healthcare workers. We abstracted data from medical records for all 8 patients. We collected food product samples and gastric lavage from 2 patients for bacteriological testing to detect Clostridium botulinum and toxins.</p>','<p>On November 12 at 17:45 an ambulance was called to an 11-person household due to 8 people being sick (75% had double vision, 75% difficulty swallowing, and 50% ptosis). Nobody was hospitalized; case-patients were told to remain home to recover. On November 13, 2022 at 07:00 an ambulance was called again after symptoms worsened (100% had blurred vision, 86% respiratory failure, and 75% ptosis). All 8 patients were immediately hospitalized and given botulinum antitoxin (type A, B and E) and gastric lavage. Case-patients were adults (range: 18-58 years old); 63% were women. All had eaten homemade canned foods including canned eggplant on November 11th. The eggplant was not available for testing. Three other family members had not eaten eggplant and were not sick. No botulism was detected in other home-canned foods tested. Toxins were not found in gastric lavage. Average time from food consumption to symptom onset was 19 hours (range: 10-26 hours). Time from symptom onset to treatment was 33 hours. Mortality rate was 25%, and 75% of case-patients required mechanical ventilation.</p>','<p>Botulism from eggplant is common in Tajikistan. Mortality rate was high and earlier recognition may have reduced morbidity and mortality. Better diagnostic, increased awareness of botulism causes and symptoms among emergency care providers is needed.</p>','<p>Botulism diagnosis; Food preservation; Disease Outbreaks; Tajikistan;</p>','3','3','4','4','4','4',NULL,'Reject','Rejected','Yes',NULL,'2024-08-27 10:13:00','2023-05-13 11:08:05',NULL,82),(560,'Maurice Owiny','Scientific Writer','mowiny@feltp.or.ke','ms','Edna','Salat','female','kenya','ednatonui38@gmail.com','<p>Kenya FELTP</p>','resident',NULL,NULL,'advanced','vaccine-preventable-diseases','P. Kenya. National Polio Committee Member\r\nJosephine Ihahi. National Polio Committee Member\r\nR. Kamemwa. National Polio Committee Member\r\nGladys Mutethya. Division of Disease Surveillance and Response, Ministry of Health\r\nOuma Anzala. National Polio Committee Member','<p>Integrated Disease Surveillance and Vaccine Preventable Diseases Supportive Supervision October 2022</p>','<p>Kenya was certified polio-free in 2020. However, Kenya is still considered at risk of polio due to Subnational surveillance and immunization gaps, insecurity, and population movements. The Ministry of Health, through partners support, organized support supervision for seven counties; Homabay, Migori, Kajiado, Machakos, Kisumu, Meru, and Kirinyaga which had low reporting rates and seemed silent in detecting Vaccine Preventable Diseases. The activity was actualized through the technical support of National Polio Executive Committee members.</p>','<p>A predesigned assessment tool was used to guide in supportive supervision and also elicit salient issues on disease surveillance at County, Sub County, and facility levels, by conducting focus group discussions and key informant interviews with the surveillance focal persons and other health providers at the facility level. Preliminary analyses were done that informed feedback at all levels.</p>','<p>The seven counties had dedicated surveillance teams. Only 2(29%) of the counties visited had surveillance work plans. Three (43%) of the counties had IDSR guidelines. All the counties had no budgetary allocation for surveillance activities. Ten (22%) of the facilities visited had IDSR IEC materials. There was a knowledge gap in surveillance in around 50% of the facilities visited. It was noted no IDSR training has been conducted for the last 5 years. 88% of the facilities visited had no surveillance focal person. Other gaps identified were poor understanding of case definition, inadequate reporting tools, absence of line lists for suspected AFP/Measles cases, no mapping of traditional healers, bone setters, and TBAs, and irregular ACS</p>','<p>There is a need to Strengthen reporting, notification, and investigation of all suspected VPDs and monitor the completeness and timeliness of reporting sites. Sensitize Counties/sub-counties/facilities on surveillance, training CHVs and traditional healers on CBS, availing surveillance guidelines, IEC material, and reporting tools, and providing adequate financial resources for surveillance activities by the Counties</p>','<p>Surveillance, Vaccine Preventable Diseases, Polio, Kenya</p>','3','4','3','4','4','3',NULL,'Accept','Poster','Yes',NULL,'2024-08-28 10:13:00','2023-05-10 19:46:10',NULL,29),(561,'Olasoji Fasogbon','Data Manager','ofasogbon@afenet.net','mr','Olasoji','Fasogbon','male','nigeria','ofasogbon@afenet.net','<p>National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria</p>','other','AFENET Nigeria Staff',NULL,'NA','public-health-systems-strengthening-initiatives','Ramatu. U/Obansa/National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria/uramatu@afenet.net\r\nOluwasegun.J/Adegoke/Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA/ngo4@cdc.gov\r\nAmanda/Beal/Bull City Learning, Durham, North Carolina, USA/amanda@bcltraining.com\r\nAlice/Bumgarner/Bull City Learning, Durham, North Carolina, USA/alice@bcltraining.com\r\nJoy/Brewster/Bull City Learning, Durham, North Carolina, USA/joy@bcltraining.com\r\nAsekun/Adeyelu/Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA/fpg8@cdc.gov\r\nHadley/Ikwe/Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA/qbb6@cdc.gov\r\nBinta. A/Ismail/National Emergency Routine Immunization Coordination Centre (NERICC-NPHCDA), National Primary Health Care Development Agency, Abuja, Nigeria/bintaismail@yahoo.com\r\nBelinda/Uba/National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria/buba@afenet.net\r\nPatrick/Nguku/National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria/pnguku@afenet.net\r\nNdadilnasiya. E/Waziri/National Stop Transmission of Polio (NSTOP) Program, African Field Epidemiology Network (AFENET), Abuja, Nigeria/ewaziri@afenet.net','<p>Implementation Experience of a Self-paced Digital Learning Platform towards improving Routine Immunization Data Quality among Healthcare Workers in Kano and Nasarawa States in Nigeria</p>','<p>The COVID-19 pandemic provided opportunities to use digital platforms for trainings due to in-person training restrictions. Here we describe the implementation experience of a self-paced, mobile training app developed by Immunization Academy (IA) to improve competency and performance among HCWs in Nigeria through on-demand learning, assessments, assignments, and enhanced supportive supervision</p>','<p>National and sub-national stakeholders were engaged to define priority skills for training and develop lessons. Implementation was conducted across health facilities offering routine immunization in Nasarawa local government area, Kano state and Keffi local government area, Nasarawa state from February to May 2022. Onboarding training of the IA Learn app and pre- and post-pilot assessment were conducted for HCWs to assess gaps in data quality at health facility and competency of healthcare workers on topical areas. The curriculum included video-based lessons, quizzes, and practice exercises to address knowledge and skill gaps in data collection, reporting, and use. Managers monitored progress using a custom dashboard to prioritize health facilities for supportive supervisory visits and on-the job mentoring.</p>','<p>In Keffi LGA, there was a 29% increase in number of HCWs who rated themselves with excellent skills in filling the child health card for routine immunization coverage at endline when compared with baseline, and in Nasarawa LGA there was a 39% increase in number of HCWs who rated themselves with excellent skills in defaulter tracking.</p>','<p>The IA Learn app improved health worker skill and knowledge retention over time on data recording, reporting and use, reduced disruption to work, and helped overcome challenges associated with traditional, in-person training methods such as infrequent and irregular training, and removal of staff from sites for in-person training, especially amid a global pandemic. Lessons learned could guide implementation of digital training tools in additional states in Nigeria and other country settings facing similar challenges.</p>','<p>Remote Learning, Self-paced, Capacity Building, Routine Immunization, Data Quality, Nigeria, Digital</p>','4','3','2','2','4','3',NULL,'Reject','Rejected','Yes','<p>Good innovation but no clear science in implementation and results sharing</p>','2024-08-29 10:13:00','2023-05-29 09:43:05',NULL,190),(562,'Roberta Horth','Central Asia FETP','hxw5@cdc.gov','dr','Saya','Gazezova','female','kazakhstan','sayagazezova@gmail.com','<p>(1) Central Asia Field Epidemiology Training Program, Almaty, Kazakhstan, (2) Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Almaty, Kazakhstan, (3) Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Balaussa|Zhuman|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Almaty, Kazakhstan|Juman.balausa@mail.ru\r\nLena|Kassabekova|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Almaty, Kazakhstan|kasabekova74@gmail.com\r\nManar|Smagul|Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring, Almaty, Kazakhstan|manar.smagul@gmail.com\r\nAizhan|Yesmagambetova|Ministry of Health of Kazakhstan|yesmagambetovaa@dsm.gov.kz\r\nRoberta|Horth|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hxw5@cdc.gov\r\nDilyara|Nabirova|U.S. Centers for Disease Control and Prevention, Central Asia Office, Almaty, Kazakhstan|hny5@cdc.gov','<p>Salmonella enteriditis outbreak at a café - Turkestan Region, Kazakhstan, October 2022</p>','<p>From October 7 to 10, 2022, 98 patients were hospitalized with diarrhea in Turkestan region, Kazakhstan. All patients reported having eaten food ordered from the same café. We investigated to risk factors and stop any ongoing transmission.</p>','<p>We conducted a case-control study using face-to-face interviews using structured questionnaires. To identify additional cases, we reviewed all food transactions from October 4-7. A case was anyone having consumed food from the café during that period with symptoms of diarrhea, vomiting, and fever (&gt;38°C). Controls also consumed food in same period without symptoms. Patient stool and café food samples were tested for coliform bacteria, Salmonella enteriditis, Staphylococcus aureus. We conducted log-binomial logistic regression using R to estimate association between food and disease.</p>','<p>We identified 276 people who had consumed café food, and 142 (51%) had become ill. Primary symptoms were diarrhea (100%), abdominal pain (99%), headache (92%), fever (85%), nausea (77%) and vomiting (74%). Median age (25, IQR: 1- 76). Symptom onset ranged from 6 hours to 4 days after consumption; 69% were hospitalized. Attack rate was 51% for people who had consumed chicken wings and thighs (99% of cases vs 38% of controls). People who consumed chicken had 324 increased adjusted odds of illness (95% confidence interval: 68-3123, p&lt;0.01). Salmonella enteriditis was isolated from stool samples of 22 patients and in chicken remnants. We identified several gaps in hygiene and sanitation practices related to food storage and preparation at the café.</p>','<p>Symptoms and incubation period are consistent with the identified pathogen, Salmonella enteriditis. The high attack rate for chicken wings and thighs point to it being the likely source of infection. No other common restaurants or food items were identified. All remaining chicken was discarded. Recommendations were made to improve compliance with hygiene and sanitation requirements at the restaurant.</p>','<p>Foodborne outbreak; Case-control studies; Kazakhstan; Food safety; Salmonella; Sanitation</p>','4','4','3','5','4','3',NULL,'Accept','Oral','Yes','<p>This was a very well written abstract. &nbsp;However, the abstract needs language editing especially in the background section. Results were presented with only percentages. the numerators and denominators need to be presented as well.&nbsp;</p>','2024-08-30 10:13:00','2023-05-12 07:34:12',NULL,25),(563,'NOUDEKE   NESTOR   DENAKPO','Resident Advisor FETP BENIN','noudnest@yahoo.fr','mr','Sanni','Salifou-Issaka','male','benin','salifou.sanni@gmail.com','<p>Ministère de la Santé</p>','resident',NULL,NULL,'intermediate','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','M. Houémènou/Ministère de la Santé /modestehouemenou@yahoo.fr\r\nM. Houssou/AFENET-BENIN /madeliele@yahoo.fr\r\nN.D. Noudèkè/AFENET-BENIN /noudnest@yahoo.fr','<p>Référence des cas de paludisme grave et facteurs associés à la létalité chez les enfants de moins de 5 ans dans les hôpitaux publics du département de la Donga du 1er avril au 31 octobre 2022</p>','<p>Le paludisme est un problème de santé publique dans le monde. Malgré les multiples interventions de lutte contre le paludisme, il demeure la première cause de décès au Benin chez les enfants de moins de cinq ans. L’objectif de cette étude était d’évaluer l’impact de la référence sur l’issue des cas graves de paludisme chez les enfants de moins de 5 ans dans le département de la Donga du 1er avril au 31 octobre 2022.</p>','<p>Il s’agissait d’une étude transversale analytique. La taille de l’échantillon a été calculé et l’échantillonnage était aléatoire simple à l’aide du logiciel Open Epi. Les données collectées sur kobocollect, ont été analysées avec Epi info7.2. Les fréquences et les odds ratios ont été calculés.</p>','<p>L’étude a concerné 387 enfants. La tranche d’âge de 12 à 36 mois était la plus concernée (64%) avec un sexe ratio H/F de 1,15. La forme anémique était la plus fréquente (61,5%). Les signes de danger ou de gravité chez les enfants hospitalisés pour paludisme grave dans notre étude étaient dominés par l’anémie (60,72%) et les vomissements incoercibles (43,15%). Les cas de paludisme grave référés représentaient 13,7% des cas hospitalisés, et la moto (66,3%) était le principal moyen de transport utilisé. L’artésunate a été utilisé en soins de pré référence dans 15% des cas. La létalité était de 18,3% et était associée aux troubles de la conscience (OR=2,52 ; IC à 95% : [1,35-4,69]), l’incapacité de se nourrir (OR=2,11 ; IC à 95% : [1,22-3,65]), à la difficulté respiratoire (OR=2,13 ; IC à 95% : [1,17-3,89]).</p>','<p>La létalité liée au paludisme grave reste élevée avec des facteurs y intervenant. La prise en compte des facteurs associés à la létalité pourrait entrainer une amélioration de la prise en charge pour réduire cette létalité.</p>','<p>Paludisme grave, Référence, Etude transversale, Bénin</p>','3','2','3','3','3','3',NULL,'Accept','Poster','Yes',NULL,'2023-05-01 10:13:00','2023-06-05 12:58:50',NULL,90),(564,'Weldegerima G. Hagos','Public Health Emergency Managment Expert','welegerima21@gmail.com','mr','Weldegerima','Hagos','male','ethiopia','welegerima21@gmail.com','<p>Tigray Regional Health Bureau</p>','alumni',NULL,'10/3/2017','advanced','one-health-and-climate-change','Yemane / Tesfau / Federal Ministry of Education / yemaneberhane12@gmail.com','<p>A Ten Years Rabies data Exposure and Death Surveillance data analysis in Tigray Region, Ethiopia, 2023</p>','<p>Rabies is acute viral encephalitis affecting mainly carnivores and insectivorous but can affect any mammal. Case fatality rate is 100% once clinical signs appear. Rabies has a worldwide distribution in continental regions of Asia and Africa. Globally, rabies is responsible for more than 61000 human deaths annually. An estimation of human mortality rabies in Asia and Africa annually exceeds 35172 and 21476 respectively. Ethiopia approximately 2900 people were estimated to die of rabies annually, Tigary region approximately 98 people were estimated to die annually. The aim of this study is to analyze trends, describe, and evaluate the ten years rabies data in Tigray, Ethiopia.</p>','<p>We conducted descriptive epidemiological study from 15-30 February, 2023 of rabies exposure and death in humans by reviewing the health management information system report from Tigray Regional Health Bureau and vaccination coverage of dog population from 2013 to 2022. We used case definition; suspected cases are those bitten by the dogs displaying clinical signs consistent with rabies and confirmed cases were deaths from rabies at time of the exposure.</p>','<p>A total 21031 dog bites and 375 deaths report of rabies and 18222 post exposure treatments for humans in Tigray region were used. A suspected rabies patients had shown an increasing trend from 2013 to 2015 and 2018 to 2019. Overall mortality rate was 19/1000 in Tigray. Majority of suspected patients (45%) were age &lt;15 years old. An estimated by Agriculture Bureau of Tigray Region about 12000 owned and 2500 stray dogs are available in the region, but yearly dog vaccination remains low (50%).</p>','<p>Rabies is a public health problem in Tigray region. It is highly recommended to vaccinate individually owned dogs and concerned sectors should eliminate stray dogs. Surveillance system should strengthen for estimating the real magnitude, launch preventive and control measures.</p>','<p>Rabies, Data analysis, Tigray, Ethiopia</p>','4','3','4','4','4','3',NULL,'Accept','Poster','Yes','<p>I think this study would be richer if we had included a spatial component to it... beyond sticking with Tigray Region. How geographically distributed is the problem within the region?</p>','2024-08-31 10:13:00','2023-05-25 13:29:50',NULL,76),(565,'Djibril BARRY','Programme de Formation en Epidemiologie et Laboratoire  de Terrain du Burkina','djibril.barry@bfeltp.com','dr','Clarisse','Balima*','female','burkina','kyauriane@gamil.com','<p>Programme de Formation en Epidemiologie et Laboratoire de Terrain du Burkina</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','A. Combary : adjicomb@yahoo.fr\r\nD. Barry : djibril.barry@bfeltp.com \r\nB W. Bicaba :  bicaba_brico@yahoo.fr\r\nPK. Yanogo :   yanogo.pauline@yahoo.fr\r\nH. Yoda : yodmano@yahoo.fr\r\nN. Meda : nicolas.meda@ujkz.bf','<p>Titre : Analyse des données de surveillance de la tuberculose avant et avec l’enregistrement des données sur Endos, Burkina Faso, 2011-2020.</p>','<p>Introduction : la tuberculose demeure un problème de santé publique dans le monde et particulièrement au Burkina Faso</p>','<p>Méthodes : une étude transversale descriptive a été menée. Nous avons collecté les fichiers sur Excel les données agrégées issues des bases de rapports trimestriels de 2011-2015 et extraire les fichiers Excel des données sur Endos-BF de 2016-2020. L’analyse a été faite avec le logiciel Excel, les proportions et les fréquences ont été estimées.</p>','<p>Résultats : au total 347 012 cas présumés de TB ont été testés à la microcopie dont 34 916 patients confirmés positifs, soit un taux de confirmation de 10,09%. On a enregistré 57 869 cas de tuberculose toute forme confondue (TTF) dont 61,18% de cas TPM+. Le taux de notification les plus élevé a été observé en 2017 soit 30,46% pour 100 000 habitants. Les tranches d’âge de 25 à 34 ans étaient plus touchées soit 25,9% et de 24,04% respectivement chez les nouveaux cas de tuberculose à frottis positifs de 2011 à 2015 et les nouveaux cas et rechutes de tuberculose de 2016 à 2020.Le sexe ratio H / F était de 2,21 de 2011 à 2015 pour les nouveaux cas de tuberculose à frottis positif de même que chez les nouveaux cas et rechutes de tuberculose de 2016 à 2020. L’année 2015 a eu un taux global de dépistage du VIH le plus élevé avec 97%. C’est en 2018 que le pays a notifié plus de cas de TB-MR avec 108 cas dont 2 cas de TB /UR.</p>','<p>Conclusion : Les mesures de lutte contre la tuberculose doivent s’intensifier vers les patients bacillifères qui sont les plus nombreux et les plus contagieux.</p>','<p>Mots Clés : Analyse, tuberculose ,Burkina Faso, 2023.</p>','1','3','2','3','4','2',NULL,'Reject','Rejected','Yes','<p>L\'introduction est pauvre, il n \'y a pas d\'objectif de l\'étude et on ne justifie pas réellement l\'étude, pourquoi on n\'a fait cette analyse?</p><p>Dans l\'analyse des données de surveillance, il faudra toujours ressortir la qualité des données analysées et le circuit de transmission de ces données avant de parler de positivité, etc..</p><p>Logiquement dans la conclusion, il faudra préciser si les données étaient de bonne qualité, complète, exhaustive, ceci n\'a rien à avoir avec la conclusion décrit ci autant plus que l\'objectif n\'était pas bien décrit.</p>','2024-09-01 10:13:00','2023-05-14 14:03:00',NULL,30),(566,'LOVENESS JOHN URIO','FIELD COORDINATOR','loveness13us@yahoo.com','mr','PETER','TOROKAA','male','tanzania','petertorokaa@gmail.com','<p>Tanzania Field Epidemiology and Laboratory Training Program</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','LOVENESS URIO, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), loveness13us@yahoo.com\r\nALLY HUSSEIN, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), allykhussein@gmail.com\r\nSEPHORD NTIBABARA, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), sesantiro@gmail.com\r\nFARAJA NG\'IDA, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), faraja.ngida@gmail.com\r\nDAVID OSIMA, Tanzania Field Epidemiology and Laboratory Training Program (TFELTP), osimadavid@yahoo.com\r\nAMBWENE MWAKALOBO, Ministry of Health-National AIDS Control Program, Dodoma, Tanzania, ambwenetz@gmail.com\r\nGODFREY ERIYO, Ministry of Health-National AIDS Control Program, Dodoma, Tanzania, e.godfrey19@yahoo.com\r\nAGRICOLA JOACHIM, Muhimbili University of Health and Allied Sciences, School of Public Health and Social Sciences (SPHSS), Tanzania, agricolaj@yahoo.com','<p>Evaluation of HIV Viral Load Surveillance System, national perspective in Tanzania from January to December 2022.</p>','<p>Of the estimated 38.0 million HIV-positive people worldwide in 2020, while 310,000 young people under the age of 18 contracted HIV for the first time. HIV viral load monitoring is the gold standard for identifying treatment failure; transport. We aimed to assess the usefulness and system attributes of the HIV viral load surveillance system in Tanzania and determine whether it meets its objectives.</p>','<p>From January to December 2022 we collected a retrospective data from the Open Laboratory Data Repository for HIV viral load, the CTC2 database and the laboratory data information system. We used Updated Guidelines for Evaluating Public Health Surveillance Systems from CDC for evaluating system attributes.</p>','<p>The HIV viral load surveillance system is implemented by 90.6% (4314/4764) facilities in the country. The overall data completeness was 97.4%. The sensitivity of the system was 84.4% with a PVP of 52% with data accuracy of 97%. Eight data clerks from the laboratory and CTC were interviewed 100% (8/8) said the system was simple. The system was representable where 90.6% of facilities were involved in the surveillance in the country, data clerks reported 100% of the system was simple and was flexible to adopt new surveillance systems like covid-19 vaccination system and EID system. The system was sensitive at 84.4%, Turnaround time was at a median of 13 days.</p>','<p>The system\'s overall performance in achieving its goals was acceptable and satisfactory with an average performance of 90%. The system sample management should be reviewed to incorporate the sample receiving as a mandatory entry in order to record the accurate sample receiving date as well as the integration of the CTC2 database with OpenLDR in order to reduce results transcription errors, timely maintenance of system server in order to reduce several breakdowns.</p>','<p>Evaluation, Viral-Load, Surveillance, Tanzania</p>','4','5','5','5','5','5',NULL,'Accept','Oral','Yes',NULL,'2024-09-02 10:13:00','2023-05-13 11:21:01',NULL,82),(567,'Maurice Owiny','Scientific Writer','mowiny@feltp.or.ke','mr','Stephen','Okumu','male','kenya','stevenokumu@gmail.com','<p>Kenya FELTP</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Isaac Ngere | Washington State University, Kenya | isaac.ngere@wsu.edu\r\nFredrick Odhiambo | Kenya FELTP | fodhiambo@feltp.or.ke','<p>An Assessment of Food Premises Compliance to the Food Drugs and Chemical Substances Act in Kasipul, Homabay County 2022</p>','<p>The food drugs and chemical substances ACT Cap 254 laws of Kenya provides standards that regulate the operations of food premises in Kenya with the aim of ensuring food safety. Public health officers (PHOs) are tasked with the role of ensuring the enforcement of this law. Despite the existence and enforcement of public health law, foodborne illnesses remain high in Kasipul Sub-County. We evaluated the quality of inspections done on food premises.</p>','<p>We conducted cross sectional study involving data review, key informant interviews and premises assessment. Purposive sampling was used to select 10 PHOs who were interviewed using a structured questionnaire to evaluate their ability to inspect food premises. Food premises data on inspection, licensing, prosecutions and food handlers’ medical examination results from January 2018 through December 2021were abstracted from the DHIS2 for review. Data were cleaned and analyzed using frequencies and proportions for qualitative variables and measures of central tendency and dispersion for quantitative variables.</p>','<p>A total of 161 premises with 211 handlers were assessed. About 54% of the premises were licensed, 81% of food handlers underwent medical examination, 88% of food premises had toilets and 83% had handwashing stations with soap. On improvement notices, 66 were served, of which 54% complied, 83% of the non-compliant were prosecuted and 83% convicted. Ten Public Health officers were interviewed and were able to mention 69% of the compliances required to license food premises. An assessment of food safety knowledge was done to clients in the food premises; 86% of clients knew they should only eat in licensed premises while 67% had seen the premises licenses.</p>','<p>Some premises operated unlicensed with food handlers working without medical examination. Food handlers should be trained on food safety and all food premises should be licensed and non-compliant ones prosecuted.</p>','<p>Public Health Law, food safety, Food handlers, Inspections, Kenya</p>','4','4','3','4','4','3',NULL,'Accept','Oral','Yes','<p>A very interesting investigation, what were the results of the medical examinations? Were the foods in the premises analyzed?&nbsp;<br>&nbsp;</p>','2024-09-03 10:13:00','2023-05-10 19:54:04',NULL,29),(568,'Samuel Rwunganira','Field Coordinator','srwunganira@afenet.net','mr','Gabriel','Twagirimana','male','rwanda','twagabriel@gmail.com','<p>Kibuye Referral Hospital</p>','resident',NULL,NULL,'advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','G.Bizimungu | Kigeme District Hospital | sanogaspard@gmail.com \r\nC.Nkundabaza | Bushene Provincil Hospital | nkundabazac@gmail.com \r\nA.Manishimwe | Gisenyi District Hospital| manisalex@gmail.com \r\nH.Mutuyimana| | Masaka District Hospital | amulouise@yahoo.fr \r\nF.Nizeyimana | Rwanda Biomedical Centre | feliciennizeye@gmail.com \r\nN.Benemariya | University of Rwanda-School of Public Health| nbenemariya1@gmail.com','<p>Measles outbreak investigation at Masaka District Hospital, Kicukiro District, September 2022</p>','<p>Measles is a contagious respiratory infection caused by a virus that affects humans. It spread through respiratory droplets and direct contact with infected nasal, throat secretions. In September 2022, Masaka DH reported cases of children with symptoms like fever, rash, cough, running nose and eye problems. On October 3rd the Ministry of Health initiated an outbreak investigation to confirm the outbreak, measure its magnitude and establish control measures.</p>','<p>We used a cross-sectional design. We collected data using a questionnaire and generated a line list from medical records review for children admitted to the pediatric department . Patients with skin rashes and fever were prioritized, interviews were conducted with parents/caregivers of confirmed cases and contacts to obtain demographic and clinical information . Masaka DH collected samples which were transferred to the National reference laboratory for confirmation using IgM testing.</p>','<p>Based on our investigation of 34 children, we found that 5 of them were confirmed as having measles IgM positive, which led to an attack late of 14.7 % among those exposed .The mean age in months of all the children was 31.9,with 56% being female .The majority of the children(23) were from the Kicukiro District .All cases were not eligible for measles vaccination while one eligible for the first dose didn’t receive it due to hospitalization. No cases found in the community and all confirmed cases were hospitalized , with suspect case believed to be index case in this outbreak.</p>','<p>The intra – hospital measles outbreak in Masaka DH highlights the importance of active surveillance. Early detection and notification of epidemic prone diseases must be reinforced to control outbreaks like this one reported. The child suspected of having measles on 16/09/2022 should be vaccinated to prevent further spread.</p>','<p>Masaka DH, Measles, Investigation</p>','0','3','2','2','2','3',NULL,'Reject','Rejected','Yes','<p>It is not clear if the outbreak took place in the hospital among admitted cases or were suspected cases presented in the hospital for treatment. It is also not clear if the result presented were strictly confirmed cases or all the suspected cases.</p>','2024-09-04 10:13:00','2023-06-02 13:52:50',NULL,190),(569,'Peter Adewuyi','Resident Advisor','padewuyi@afenet.net','mr','Ebrima','Jallow','male','gambia','ekjallow1@gmail.com','<p>Gambia FETP and Ministry of Health, The Gambia</p>','alumni',NULL,'19/08/2022','advanced','vaccine-preventable-diseases','Lamin Manneh | Ministry of Health | lyassin2006@yahoo.co.uk \r\nPeter Adewuyi. | AFENET. | padewuyi@afenet.net\r\nAmadou W. Jallow | Ministry of Health, The Gambia | amadou.jallow@gmail.com','<p>Epidemiology of Acute Flaccid Paralysis in The Gambia: A Secondary Data Analysis, 2017-2021</p>','<p>Effective surveillance of Acute Flaccid Paralysis is essential for Polio eradication. The Gambia over the years has maintained high polio vaccination coverage (&gt;80%) to meet the global polio eradication goal. This study determined the AFP trend and compare WHO-specific AFP indicators from 2017 to 2021.</p>','<p>We conducted a secondary data analysis of AFP surveillance in Gambia from 2017 to 2021. Data was obtained from the Expanded Program on Immunization and Epidemiology and Disease Control weekly surveillance dataset. We abstracted data on age, sex, OPV doses received, Non-polio AFP rate, stool adequacy rate, stool condition and NPENT rate. We performed univariate analysis using Epi Info and expressed results into frequencies.</p>','<p>Overall, 165 AFP cases were reported from 58 health facilities Fifty-three percent (89) were &lt;5 years with mean age 5.4(±3.9) years, 62.4% (103) were males. None of the cases were confirmed as poliomyelitis. More than 87% (144) had more than 3 doses of Oral Polio Vaccine, 24.9% (41) were seen in 2018 and Western One Health Region reported 23% (38) of the AFP cases. Non-AFP rate was found to meet the target throughout the period under review. However, there was a decrease from 4.4 to 2.3 per 100,000 &lt;15 population in 2020 and increased to 3.1 in 2021. Similarly, Stool adequacy rate was below the target of 80% from 94% in 2017 to 78% in 2020, but sharply increased to 91% in 2021. Likewise, NPENT rate was observed to sharply decrease from 22% in 2017 to 4% in 2020 and increase to 34% in 2021.</p>','<p>In comparison to WHO-specific key indicators, the AFP surveillance has met specific indicators. However, in 2020, the stool adequacy rate and NPENT rate were both below target. We recommend continuous supervision and monitoring to assist surveillance officers improve AFP surveillance key indicators.</p>','<p>Acute Flaccid Paralysis, AFP indicators, The Gambia, stool condition</p>','4','3','3','2','4','3',NULL,'Reject','Rejected','Yes','<p>Analysis went beyond frequencies</p><p>Format results well .....(eg. a%(b/c))</p>','2024-09-05 10:13:00','2023-05-21 15:42:54',NULL,67),(570,'Emelda Ramutshila','Scientific Writing Coordinator - South Africa FETP','Emeldar@nicd.ac.za','mrs','Andronica','Shonhiwa','female','south-africa','moipone@nicd.ac.za','<p>Division of Public Health Surveillance and Response, Outbreak Response Unit, National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa</p>','alumni',NULL,'31/12/2013','advanced','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Genevie Ntshoe | Division of Public Health Surveillance and Response, Outbreak Response Unit, National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | genevien@nicd.ac.za \r\nVillyen Motaze | Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), University of Stellenbosch, Stellenbosch, South Africa, | villyenmotaze@gmail.com \r\nJoy Ebonwu  |National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | jodimegwu@yahoo.com\r\nMazvita Muchengeti | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | MazvitaM@nicd.ac.za\r\nLactatia Motsuku | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | lactatia@gmail.com\r\nLiliwe Shuping | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | LiliweS@nicd.ac.za\r\nWenlong Chen | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | WenlongC@nicd.ac.za\r\nJackie Kleynhans | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | JackieL@nicd.ac.za \r\nGillian Hunt |  National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | GillianH@nicd.ac.za\r\nVictor Olago | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | VictorO@nicd.ac.za\r\nLiesl De Boni | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | liesl.deboni@gmail.com\r\nLehlohonolo Chandu | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | LehlohonoloC@nicd.ac.za \r\nPinky Manana | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | PinkyM@nicd.ac.za\r\nHusna Ismail |1National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | husnai@nicd.ac.za\r\nLazarus Kuonza | 1National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | LazarusK@nicd.ac.za\r\nNevashan Govender | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | nevashang@nicd.ac.za\r\nVeerle Msimang | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | veerlem@nicd.ac.za \r\nTendasayi Kufa | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | TendesayiKC@nicd.ac.za\r\nMabore Morifi | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | maborem@nicd.ac.za\r\nNicole Wolter | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | nicolew@nicd.ac.za\r\nTrevor Bell | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | TrevorB@nicd.ac.za\r\nNatalie Mayet | National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, Sandringham, Johannesburg, South Africa | nataliem@nicd.ac.za','<p>Data Management during the COVID-19 Pandemic in South Africa, 5 March – 26 July 2020: Key Lessons Learnt</p>','<p>The COVID-19 pandemic spread rapidly in South Africa since 5 March 2020. Reliable, accurate and timely data (laboratory, epidemiological and clinical) were needed for data-driven, evidence-based informed decision-making to guide response, planning, containment, and mitigation. We describe data management systems during the COVID-19 pandemic in South Africa, focusing on data sources, analysis, dissemination, lessons learnt and recommendations made/implemented.</p>','<p>A descriptive study describing data management systems during the COVID-19 pandemic in South Africa. SARS-CoV-2 testing was performed using rRT-PCR by a network of public and private laboratories. A centralised SARS-CoV-2 national laboratory-based surveillance system was established for reporting daily and weekly statistics. Initially, a manual Excel-based data management system was used, with migration in August 2020 to a semi-automated web-based system, developed from the existing Notifiable Medical Conditions Surveillance System (NMCSS) platform. The NMCSS received data daily through the existing public laboratory information system (LAB-TRAKCARE), Surveillance Data Warehouse and private laboratories.</p>','<p>The NMCSS is easily accessible, allowing real-time dashboard monitoring and reporting. Manual data cleaning (de-duplication, missing data) and analysis were previously labour-intensive and time-consuming. The semi-automated system provided initial de-duplication and geocoding, with final manual verification. By 01 August 2020, 2 726 599 tests, 511 484 laboratory-confirmed cases and 8 366 deaths (CFR: 1.6%) were recorded. By 18 March 2023, 21 565 159 tests and 4 070 434 cases were recorded.</p>','<p>Developing national data management systems during the pandemic proved challenging due to limited human resource capacity. The rapidly developed semi-automated web-based data management system addressed limitations and challenges experienced during the exponential increase in data volumes and played a crucial role in providing reliable, timeous daily COVID-19 statistics. The integration of private and public laboratory-based surveillance was a useful source of evidence. Hospital-based and mortality surveillance remained separate. However, integration of these surveillance systems is underway.</p>','<p>COVID-19, Pandemic, Surveillance system, laboratory-based surveillance, hospital-based surveillance</p>','4','2','2','2','4','3',NULL,'Reject','Rejected','Yes','<p>The conclusion makes reference to data not presented. The methods are not clear. The overall clarity is not so good.</p>','2024-09-06 10:13:00','2023-05-14 17:15:04',NULL,163),(571,'Yassa D. Ndjakani','FETP COI','yndjakani@gmail.com','dr','Nestor Razafindratsimabozaka','Razafindratsimabozaka','male','madagascar','nestorimadien@yahoo.fr','<p>FETP COI</p>','alumni',NULL,'11/2/2023','frontline','public-health-emergency-preparedness-surveillance-outbreak-investigations-and-response','Harena Rasamoelina                           FETP-COI                      harena.rasamoelina@coi-ioc.org\r\n  Yassa  D Ndjakani                               FETP-COI                       yndjakani@gmail.com\r\n Nestor Ndakala                                    FETP  -COI                     drnestndakala@gmail.com','<p>INVEST INVESTIGATION DES CAS SUSPECT DE PESTE BUBONIQUE A AMBOHIMANARIVO AMBOHIMITOMBO I, MADAGASCAR, JANVIER-FEVRIER 2023</p>','<p>La peste est une maladie infectieuse des rongeurs due au bacille Yersinia pestis, transmis à l’homme par des puces infectées. Madagascar est le pays qui notifie le plus de cas, notre district est le deuxième à notifier le plus de cas confirmé en 2022. Suite à la notification de deux cas suspects de peste bubonique venant du CSB2 Ambohimitombo I le 04/02/23, une descente a été effectuée pour y mener une investigation dont les objectifs étaient de confirmer l’existence de l’épidémie de peste bubonique, d’identifier les sources de l’épidémie et de limiter la propagation de la maladie.</p>','<p>Nous avons consulté les registres de consultations et les fiches de notification. Nous avons utilisé la définition de cas du guide SIMR pour trouver les cas, une fiche d’investigation standard a été utilisée sur sept personnes au hameau d’Ambohimanarivo, des prélèvements ont été effectués pour confirmation biologique et les facteurs de risques ont été recherchés. Des mesures de riposte selon le protocole national ont été mené, les contacts ont été surveillés pendant dix jours.</p>','<p>Nous avons pu identifier sept cas, avec un taux d’attaque de 0.4% dont un décès qui serait le cas index. La courbe épidémique suggère une source intermittente. Tous les cas, de forme bubonique, sont apparus dans le hameau d’Ambohimanarivo. Le sexe ratio est 0.3, la tranche d’âge la plus touchée est celle de 10-14ans. Après le test de confirmation, le taux de positivité est de 43% (3/7). Les facteurs de risque étaient l’existence de même cas dans le hameau, veillée mortuaire, existence de rat mort, la culture sur brûlis et l’insalubrité. Les mesures prises sont traitement des cas, chimioprophylaxie des contacts, désinsectisation, sensibilisation et condamnation du caveau. L’évolution après traitement était favorable, aucun nouveau cas n’est apparu pendant la surveillance.</p>','<p>Une épidemie de peste bubonique a été confirmés avec un taux d’attaque de 0.4%. La contamination pourrait se faire localement. Il est indispensable de renforcer la lutte antivectorielle, l’hygiène et d’encourager les exploitations agricoles plus respectueuse de la nature.</p>','<p>Peste bubonique, investigation, épidémie, source, facteurs de risque</p>','5','3','5','4','5','4',NULL,'Accept','Poster','Yes','<p>It did not specify the type of study nor a case definition&nbsp;</p>','2024-09-07 10:13:00','2023-05-09 09:06:13',NULL,168),