The onset of a major seagrass initiative in West Africa enabled important seagrass discoveries in several countries, in one of the least documented seagrass regions in the world. Four seagrass ...species occur in western Africa, Cymodocea nodosa, Halodule wrightii, Ruppia maritima and Zostera noltei. An area of about 62,108 ha of seagrasses was documented in the studied region comprising seven countries: Mauritania, Senegal, The Gambia, Guinea Bissau, Guinea, Sierra Leone and Cabo Verde. Extensive meadows of Zostera noltei were recorded for the first time at Saloum Delta, Senegal, which represents the new southernmost distribution limit of this species. This paper also describes the seagrass morphology for some study areas and explores the main stressors to seagrasses as well as conservation initiatives to protect these newly documented meadows in West Africa. The produced information and maps serve as a starting point for researchers and managers to monitor temporal and spatial changes in the meadows’ extent, health and condition as an efficient management tool.
•The boosted sterile insect technique is used to control pests and disease vectors.•Sterile males of Bactrocera dorsalis can disseminate a pathogen to wild population.•An agent-based model simulates ...the fruit fly dynamics after sterile male releases.•Simulations of boosted SIT strongly reduced wild fly density and infested fruit.•Results encourage field trials to validate the efficacy of boosted SIT.
The sterile insect technique (SIT) is a method of biological control of pests and disease vector insects. It includes mass-rearing and release of sterile males of the target species so that wild females mated with sterile males would not produce offspring. An innovative version of this technique, called boosted SIT, relies on the use of sterile males as vectors of biocides to trigger an epizootic in the wild fruit fly population. We built an agent-based model to assess the feasibility of this technique and main modalities of field implementation for the control of the Oriental fruit fly, Bactrocera dorsalis, using the entomopathogenic fungi, Metarizhium anisopliae, as a biocide. The model, called BOOSTIT (BactrOcera dOrsaliS boosTed sIT), simulates the spatio-temporal population dynamics of fruit flies in three different realistic landscape contexts. The releases of infected and uninfected sterile males were simulated and allowed the transmission of the pathogen within the wild fly population as a result of interactions between individuals. A main output was the measurement of losses in mango production. Validation of the model was done by comparing the simulated population dynamics with data from field monitoring (pheromone traps) in three landscapes of the Niayes area in Senegal. The population dynamics of wild flies were then simulated in an intensive cropping and mono-mango cultivar landscape under three scenarios: (1) without the release of sterile males, (2) with the release of non-contaminated sterile males (SIT) and (3) with the release of sterile contaminated males (boosted SIT). The results showed that SIT and boosted SIT strongly reduced the density of wild flies and the amount of infested fruits. Although parameters of the pathogen transfer between individuals need to be studied more deeply, results encourage the implementation of field trials to validate the efficacy of boosted SIT to control fruit flies.
BACKGROUND:Men who have sex with men (MSM) and female sex workers (FSW) are consistently shown to have a higher burden of HIV compared with other adults in Senegal. This study, HIV Prevention 2.0, ...evaluates the impact of the 3-tiered integrated stigma mitigation interventions (ISMIs) approach to optimizing HIV service delivery for key populations in Senegal.
METHODS:Baseline assessment includes a questionnaire and biological testing for HIV. A proportion of participants enrolled into a 24-month longitudinal cohort with questionnaires and biological testing every 3 months. In these preliminary analyses, ISMIs are evaluated from participants in the cohort through uptake of HIV services and implementation outcomes.
RESULTS:Overall, 724 MSM and 758 FSW participated in the baseline assessment. HIV prevalence is 30.2% (n = 219/724) among MSM and 5.3% (n = 40/758) among FSW. Fear of seeking health services among MSM is 17.7% (n = 128/724) at baseline, 10.5% (n = 18/172) at month 3, and 9.8% (n = 10/102) at month 6 (P < 0.004); and among FSW is 21.9% (n = 166/758) at baseline, 8.1% (n = 15/185) at month 3, and 10.7% (n = 18/168) at month 6 (P < 0.001). Overall, 63.9% (n = 62/97) of MSM and 82.5% (n = 118/143) of FSW agreed that the intervention is effective in addressing stigma; however, loss to follow-up was 41.1% among MSM and 10% among FSW.
CONCLUSION:Baseline data reinforce the need for stigma mitigation interventions, combined with enhanced linkage and retention to optimize HIV treatment. Preliminary results show high levels of HIV-related risk determinants and suggest the potential utility of the ISMI to decrease perceived stigma relating to engagement in HIV prevention, treatment, and care services among key populations in Senegal.
Objectives:
Cisgender gay, bisexual, and other men who have sex with men and transgender women experience HIV incidence disparities in Senegal. These analyses determined how depression and different ...stigma mechanisms related to sexual behavior are associated with healthcare access, sexually transmitted infection testing, and HIV testing among cisgender gay, bisexual, and other men who have sex with men and transgender women across three cities in western Senegal.
Methods:
Logistic regression assessed the relationship of three stigma scales (stigma from family and friends, anticipated healthcare stigma, and general social stigma) and depression with these outcomes.
Results:
Depression and stigma were not associated with healthcare access, sexually transmitted infection testing, or HIV testing. However, individuals who had disclosed their sexual identity to a medical provider were more likely to test for HIV.
Conclusions:
Sexual behavior stigma experienced by cisgender gay, bisexual, and other men who have sex with men and trans women in Senegal may not limit access to routine healthcare, but may limit disclosure of sexual orientation and practices, limiting access to appropriate HIV prevention services.
For men who have sex with men (MSM) across sub-Saharan Africa (SSA), disclosure of same-sex practices to family and healthcare workers (HCWs) can facilitate access to HIV prevention services and ...support, but can also lead to experiences of stigma.
We performed mixed-effects regressions on pooled data from MSM in Cameroon, Senegal, Côte d'Ivoire, Lesotho, and eSwatini to assess associations between disclosure and sexual behavior stigma in healthcare contexts; we used logistic regressions to analyze country-specific data.
Compared to participants who had not disclosed to either family or HCWs, those who had disclosed only to family were more likely to have been gossiped about by HCWs (aOR = 1.70, CI = 1.18, 2.45); the association between having disclosed to family and having felt mistreated in a health center approached, but did not achieve, statistical significance (aOR = 1.56, CI = 0.94, 2.59). Those who had disclosed only to HCWs were more likely to have feared to seek health services (aOR = 1.60, CI = 1.14, 2.25), avoided health services (aOR = 1.74, CI = 1.22, 2.50), and felt mistreated in a health center (aOR = 2.62, CI = 1.43, 4.81). Those who had disclosed to both were more likely to have feared to seek health services (aOR = 1.71, CI = 1.16, 2.52), avoided health services (aOR = 1.59, CI = 1.04, 2.42), been gossiped about by HCWs (aOR = 3.78, CI = 2.38, 5.99), and felt mistreated in a health center (aOR = 3.39, CI = 1.86, 6.20). Country-specific analyses suggested that data from Cameroon drove several of these associations.
Research to determine the factors driving disclosure's differential effect on healthcare stigma across contexts is needed. Ultimately, supportive environments enabling safe disclosure is critical to understanding HIV-acquisition risks and informing differentiated HIV-prevention, treatment, and testing services for MSM across SSA.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Founder mutations have been reported in
and
in different ethnic groups with inherited breast cancer. Testing of targeted mutations in specific populations is important for cancer prevention in ...mutation carriers. In Sub-Saharan Africa, only a few studies have reported specific founder mutations in inherited breast cancer. The pathogenic variant c.815_824dup of
has been reported as the most frequent among African American populations with inherited breast cancer and was supposed to have a West African origin. Recent report from Senegal identified this variant in women with inherited breast cancer at the highest frequency ever reported. The variant was linked to a common haplotype confirming its founder effect in West Africa. In this article, we review the mutation history of c.815_824dup and discuss how it spread out of Africa through the transatlantic slave trade.
Condom use remains a mainstay of HIV prevention programs around the world. However, data characterizing economic determinants of condom use among female sex workers (FSW) are limited, including in ...Senegal. We recruited 718 FSWs via respondent-driven sampling. Bivariate and multivariable regressions were conducted to assess the associations between economic variables and condom use at last sex. Paying rent (aRR: 1.07, 95%CI 1.01–1.13) was positively associated with condom use at last sex with new clients. No statistically significant associations were found between condom use and financial responsibility for dependent children, having additional source of income, sharing sex work earnings, or the ability to borrow from other FSWs, regardless of sexual partner types. The relationship between economic marginalization and consistent condom use among sex workers is complex reinforcing the need for behavioral economic research and prevention to be integrated into HIV prevention and treatment research and programs.
The sexual and reproductive health needs of female sex workers (FSW) are often understudied and underserved in the context of HIV-related research in countries across Sub-Saharan Africa and West ...Africa. We assessed the lived experiences of FSW across Côte d'Ivoire to characterize unmet reproductive health needs and opportunities to address them. From February-August, 2020, ENDA Santé, Côte d'Ivoire conducted 75 in-depth interviews and 15 focus group discussions with FSW and community informants in five cities in Côte d'Ivoire. Themes that emerged included the inconsistent use of contraception services, a history of unintended pregnancies, and experiences of stigma at public healthcare facilities. Opportunities to increase the impact of both SRH and HIV services included strengthening existing HIV and family planning service integration for FSW. Taken together, the results highlight the importance of addressing the unmet reproductive health needs of FSW to both optimize the HIV response and increase the delivery of human-rights affirming sexual and reproductive health services for sex workers.
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