As a re-emerging disease, beriberi caused by a lack of thiamine in food threatens more and more prisons in developing countries. Indeed in 2008, a beriberi epidemic occurred in a detention house of Côte-d'Ivoire called Maca. The goal of our retrospective investigation was to describe this epidemic in order to improve prisoners' health. The study related to 131 subjects, 64% of cases affected (N = 205). The total rate of beriberi attack was estimated at 38.6‰. The mean age was 33; all patients were male and they were detained in "Batiment C" (70.2%), synonymous with heavy punishment. They spent about 28.1 month in Maca. The clinical symptoms were neurological signs (swarming: 41%) and cardiovascular signs (dyspnoea: 42%, thoracic pain: 35%). Half of the patients (51%) presented oedemas of the lower limbs. The rate of healing was about 97% when patients followed treatment. Providing good nutrition to the prisoners and the distribution of vitamin complements will avoid other epidemics.
This article reports on a cross-sectional study which aims to describe the situation of yaws in the boroughs of Asseudji located in the health district of Adzopé. The study's population group consisted of 206 household heads, and 2182 subjects who were tested and examined for yaws. The primary sources of pollution levels for a household were domestic animal waste (100%) and garbage stored in close proximity to the household's dwelling (49%). Signs of over-crowding were found in 43.7% of households. The sore "mother yaw" is the most common manifestation of yaws (81.5%). However, the majority of household heads were ignorant of the supporting causes and risk factors (64.1%) and the contagious natures of the infection (52.9%). Among the 2182 subjects examined, 11 (5%) had contracted yaws. The proportion of households with at least one case of yaws was 3.4%. The results of this census demonstrate that swift and strong action should be taken in these towns to prevent the outbreak of an epidemic.
Objectifs : La prévalence du diabète augmente rapidement en Afrique sub-saharienne. Les mesures hygiéno-diététiques jouent un rôle primordial dans le contrôle du déséquilibre glycémique et des complications cardiovasculaires du diabète. Les objectifs de cette étude étaient de décrire le profil des patients diabétiques de type 2 suivis au Centre Antidiabétique d’Abidjan (CADA), décrire leurs pratiques alimentaires et identifier les facteurs influençant celles-ci. Méthodes : Il s’agissait d’une étude transversale à visée descriptive et analytique qui s’est déroulée en 2014 au CADA. Au total, 384 diabétiques ont été inclus. Résultats : Les patients avaient un âge moyen de 56,2 (ET : 11,7) ans et étaient diabétiques depuis en moyenne 8,6 ans. Les principales comorbidités étaient la surcharge pondérale (56,8 %) et l’hypertension artérielle (45,3 %). Plus de la moitié des patients soit 60,7 % n’avaient pas une bonne connaissance des aliments déconseillés aux diabétiques. Concernant leurs pratiques alimentaires, 88,5 % ne prenaient pas leur repas à des heures fixes, 11,7 % affirmaient grignoter et 61,5 % se restauraient hors de la maison. Par ailleurs 60,4 % affirmaient avoir consommé au moins un aliment déconseillé au cours de la semaine ayant précédé l’enquête. Les aliments les plus concernés étaient les préparations grasses et fritures (31,5 %). Les patients qui ignoraient que la consommation de préparations grasses et de fritures était déconseillée aux diabétiques avaient trois fois plus de risque de consommer de tels aliments (p < 0,001). Conclusions : Le renforcement de la prise en charge nutritionnelle à travers des séances d’éducation thérapeutique est primordial pour améliorer les pratiques alimentaires des diabétiques de type 2 en Côte d’Ivoire.
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