DOCSLIB.ORG

Enterohemorrhagic Escherichia Coli O157, Kinshasa

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Enterohemorrhagic Escherichia Coli O157, Kinshasa LETTERS Patrick J. Kelly,* Natalie Meads,* Enterohemorrhagic phenotypically confirmed cytotoxici- Anita Theobald,* ty of these isolates, with most of them Pierre-Edouard Fournier,† Escherichia coli being seroneutralized by rabbit antis- and Didier Raoult† O157, Kinshasa era against Shiga toxin (3). Thus, all *Massey University, Palmerston North, E. coli isolates responded to the defi- New Zealand; and †Faculté de Médecine, To the Editor: During the rainy nition of enterohemorrhagic E. coli. Marseille, France season, from April to September ≤ Before 2003, sporadic infections 2003, 463 children 15 years of age or outbreaks caused by enterohemor- References (median 10 months) with severe rhagic E. coli were not reported as a diarrhea were admitted to the 1. Rolain JM, Franc M, Davoust B, Raoult D. cause of bloody diarrhea in the Molecular detection of Bartonella quin- Pediatric Hospital of Kalembelembe Democratic Republic of Congo. A tana, B. koehlerae, B. henselae, B. clar- in Kinshasa, the capital of the case-control study could not be per- ridgeiae, Rickettsia felis, and Wolbachia Democratic Republic of Congo. The formed because of political unrest in pipientis in cat fleas, France. Emerg Infect population of the outbreak area was Dis 2003;9:338–42. Kinshasa. Although reported out- 2. Roux V, Raoult D. Inter- and intraspecies approximately one million. breaks of E. coli O157 in sub-Saharan identification of Bartonella (Rochalimaea) Several children with bloody Africa have been few to date, avail- species. J Clin Microbiol 1995;33:1573–9. diarrhea without fever were treated. able information indicates that the 3. Fournier PE, Roux V, Raoult D. They came from six districts of Phylogenetic analysis of spotted fever pathogen has wide geographic distri- group rickettsiae by study of the outer sur- Kinshasa (Bumbu, Selembao, bution. E. coli O157–related diarrhea face protein rOmpA. Int J Syst Bacteriol Makala, Kimbanseke, Masina, and outbreaks that occurred before 2003 1998;48:839–49. Ndjili). Abdominal cramps, nausea, have been reported in South Africa, 4. Schriefer ME, Sacci JB Jr., Dumler JS, vomiting, and dehydration were Bullen MG, Azad AF. Identification of a Swaziland (4), and Malawi (5) in novel rickettsial infection in a patient diag- uncommon. The duration of illness 1992; Central African Republic (6) nosed with murine typhus. J Clin Microbiol ranged from 5 days to 2 weeks. and Kenya (7) in 1996; Cameroon in 1994;32:949–54. Available antiparasitic drugs, 1998 (8); and Nigeria (9) and Ivory 5. Richter J, Fournier PE, Petridou J, trimethoprim-sulfamethoxazole, and Haussinger D, Raoult D. Rickettsia felis Coast (10) in 2000. In the Central infection acquired in Europe and docu- ampicillin showed no effect against African Republic and in Zémio, a mented by polymerase chain reaction. the illness. Fifty-six infants died small village located on the Emerg Infect Dis 2002;8:207–8. between June and July. Symptoms of Democratic Republic of Congo bor- 6. Raoult D, La Scola B, Enea M, Fournier hemolytic uremic syndrome deve- PE, Roux V, Fenollar F, et al. A flea-associ- der, outbreaks of bloody diarrhea in ated Rickettsia pathogenic for humans. loped in most of them. 1996 were attributed to E. coli O157 Emerg Infect Dis 2001;7:73–81. Stool samples from 32 patients from molecular test results (6). 7. Joseph AK, Wood CW, Robson JM, Paul were screened for parasites, Since 2001, an increasing number SL, Morris AJ. Bartonella henselae bac- enteropathogenic bacteria, rotavirus, teremia in domestic cats from Auckland. N of cases of acute bloody diarrhea have Z Vet J 1997;45:185–7. and adenovirus. Three samples were been reported in Kinshasa between 8. Dai S, Best S, St John M. Bartonella hense- positive for rotavirus. In contrast, all June and August. During this 2003 lae neuroretinitis in cat scratch disease. N Z stool cultures were positive for outbreak, an investigation could not Med J 2001;114:360–1. Escherichia coli which always grew 9. Gillespie TN, Washabau RJ, Goldschmidt be conducted; possible routes of MH, Cullen JM, Rogala AR, Breitschwerdt as pure cultures on purple bromocre- transmission would include person- EB. Detection of Bartonella henselae and sol agar, a nonselective medium con- to-person contact related to lack of Bartonella clarridgeiae DNA in hepatic taining lactose. The E. coli isolates hygiene, and contaminated food and specimens from two dogs with hepatic dis- appeared sorbitol negative when test- ease. J Am Vet Med Assoc 2003;222:47–51. water. 10. Chomel BB, Carlos ET, Kasten RW, ed on MacConkey sorbitol; they were In 1996 in the Central African Yamamoto K, Chang CC, Carlos RS, et al. agglutinated by O157 and H7 antisera Republic and in 1998 in Cameroon, Bartonella henselae and Bartonella clar- (Difco Laboratories, Detroit, MI) and the major contributing factors of the ridgeiae infection in domestic cats from the lacked expression of β-glucuronidase. Philippines. Am J Trop Med Hyg E. coli O157 outbreak were consump- 1999;60:593–7. All E. coli isolates were sent to the tion of smoked zebu meat and con- Pasteur Institute in Bangui, Central taminated drinking water. Studies of Address for correspondence: Patrick Kelly, African Republic, for further charac- E. coli O157 carriage rates among Institute of Veterinary, Animal and Biomedical terization. Polymerase chain reaction livestock, food, and environment in Sciences, Massey University, Private Bag 11 allowed detection of Shiga-like toxin this central African area might be use- 222, Palmerston North, New Zealand; fax: 64- slt-1 and slt-2 genes (1,2) in isolates ful in assessing the potential for future 6- 350-5616; email: [email protected] from all patients. The Vero cell assay outbreaks. 968 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 10, No. 5, May 2004 LETTERS Hemolytic uremic syndrome occurs 7. Sang WK, Saidi SM, Yamamoto H, Ezaki stated that 2 days after the therapy, a in approximately 8% of children and T, Iida T, Yoh M, et al. Haemorrhagic colitis fever developed; it persisted for sev- due to Escherichia coli O157:H7 in Kenya. an unknown proportion of adults J Trop Pediatr 1996;42:118–9. eral days, along with redness at the infected with E. coli O157 and can be 8. Germani Y, Cunin P, Tedjouka E, Ncharre inoculation sites, which gradually fatal without hemodialysis. The high C, Morvan J, Martin P. Enterohaemorrhagic developed into nodules. death rate of infants during this out- Escherichia coli in Ngoïla (Cameroon) dur- Standard staining of a biopsied ing an outbreak of bloody diarrhoea. Lancet break was linked to the lack of treat- 1998;352:625–6. specimen from the lesion site was ment (mainly hemodialysis) at the 9. Olorunshola ID, Smith SI, Cker AO. negative for bacteria, fungi, and beginning of the epidemic. Prevalence of EHEC O157:H7 in patients mycobacteria. A histopathologic Obviously, more work is needed to with diarrhoea in Lagos, Nigeria. APMIS examination of a biopsy specimen 2000;108:761–3. better define the incidence and epi- 10. Dadie A, Karou T, Adom N, Kette A, Dosso showed an unspecific granulomatous demiology of E. coli–associated diar- M. Isolation of enteric pathogenic agents in infiltrate. Culture for common bacte- rhea in the Democratic Republic of Côte d’Ivoire: Escherichia coli O157:H7 ria and fungi was negative, but culture Congo so that optimal recommenda- and enteroaggregative E. coli. Bull Soc of a sterile nodule aspirate on tions for preventing and managing ill- Pathol Exot 2000;93:95–6. Lowenstein-Jensen medium was posi- ness can be developed. tive for acid-fast bacteria after 5 Address for correspondence: Yves Germani, weeks. By using restriction endonu- Institut Pasteur, Unité Pathogénie Microbienne Louis Koyange,* Gaelle Ollivier,† clease analysis of the 65-kDa heat Moléculaire and Réseau International des Jean-Jacques Muyembe,* shock protein gene (1), we found that Instituts Pasteur, 25–28 rue du Dr Roux, 75724, Benoit Kebela,‡ Malika Gouali,§ the isolate showed a pattern compati- Paris Cédex 15, France; fax: 00 33 1 45 68 89 and Yves Germani¶ ble with Mycobacterium simiae. 52; email: [email protected] *Institut National de la Recherche Identification was subsequently con- Biomédicale, Kinshasa Gombe, Democratic firmed by high performance liquid Republic of Congo; †Ambassade de France, Kinshasa Gombe, Democratic chromatography of mycolic acids at Republic of Congo; ‡Ministère de la Santé, the Centers for Disease Control and Kinshasa Gombe, Democratic Republic of Prevention, Atlanta, Georgia. The iso- Congo; §Institut Pasteur de Bangui, Bangui, Iatrogenic late was tested for drug susceptibility Central African Republic; and ¶Institut against a panel of drugs and found to Pasteur, Paris, France Mycobacterium be resistant to most drugs tested simiae Skin (streptomycin, isoniazid, rifampin, References Infection in an ethambutol, ethionamide, rifabutin, 1. Pollard DR, Jonhson WM, Lior H, Tyser Immunocompetent ciprofloxacin, kanamycin, capre- SD, Rozee R. Rapid and specific detection omycin, p-aminosalicylic acid, of verotoxin genes in Escherichia coli by Patient the polymerase chain reaction. J Clin ofloxacin, and amikacin) and suscep- Microbiol 1990; 28:540–5. To the Editor: We report a case of tible to clarithromycin at an MIC of 1 2. Tyler SD, Jonhson WM, Lior H, Rozee R. a 36-year-old woman who sought µg/mL. Treatment with clar- Identification of verotoxin type 2 variant B treatment for 45 firm and erythema- ithromycin was started, and the gran- subunit genes in Escherichia coli by the polymerase chain reaction and restriction tous nodular lesions on her face and ulomas slowly cleared after 9 months fragment length polymorphism analysis. J neck. A physical examination showed of treatment. Clin Microbiol 1991;29:1339–43. no other abnormalities. Results of a To our knowledge, this is the first 3. Germani Y, Bégaud E, Desperrier JM. chest x-ray and routine laboratory reported case of an iatrogenic skin Easy-to-perform modified Elek test to iden- tify Shiga-like toxin–producing diar- tests were normal.
Load more

Recommended publications
  • 11 September 2013 ENTITLEMENTS in RESPE
    Cour Penale Intern ationa Ie Le Greffe International The Registry Criminal - Court - - Information Circular - Circulaire d'information Ref. ICC/INF/2013/007 Date: 11 September 2013 ENTITLEMENTS IN RESPECT OF SERVICE IN FIELD DUTY STATIONS 1. The Registrar, pursuant to section 4.2 of Presidential Directive ICC/PRESD/G/2003/001, hereby promulgates this Information Circular for the purpose of informing staff assigned to field duty stations and implementing Administrative Instruction rCC/Al/2010/001 on Conditions of Service for Internationally-Recruited Staff in Field Duty Stations; Administrative Instruction ICC/ AI/2011/006 on Mobility and Hardship Scheme; and Administrative Instruction rCC/AI/2011/007 on Special Entitlements for Staff Members Serving at Designated Duty Stations. 2. A number of decisions have been made by the International Civil Service Commission (ICSC) and the UN common system Human Resources Network Standing Committee on Field Duty Stations (Field Group). Pursuant to Staff Regulation 3.1, salaries and allowances of the Court shall be fixed in conformity with the United Nations common system standards. Accordingly, the decisions will be implemented as indicated below: a) Effective 3 May 2013, Abidjan, Cote D'Ivoire, has been declared a family duty station; b) Effective 1 July 2013, Bangui, Central African Republic, has been declared a non- family duty station; c) Effective 1 January 2013, the hardship category of Abidjan, Cote D'Ivoire, and Kampala, Uganda, changed from C to B; d) Effective 1 July 2013, Rest and Recuperation (R&R) cycles in respect of: i. Bangui, Central African Republic, has been shortened to 6 weeks; ii.
    [Show full text]
  • Bangui, Central African Republic
    CITIES IN CRISIS CONSULTATIONS - Bangui, Central African Republic MARCH 2016 INTRODUCTION Overview of Urban Consultations Bangui has been affected by violence and displacement over the past 4 years and currently hosts over 50,000 internally displaced people. By 2050 over 70% of the global population will live in urban areas. This accelerating urbanization trend is accompanied by an increasing vulnerability of cities to The crisis has put significant strain on municipal services, which have lacked the required resources and capacity to meet the evolving needs both natural and man-made disasters. More and more, humanitarian actors are of Bangui’s increasingly vulnerable population. As a consequence, the provision of basic services has become heavily reliant on international responding to urban crisis. They are however often badly equipped to understand humanitarian stakeholders. Due to a multiplicity of factors, linkages between humanitarian stakeholders and municipal actors have remained and effectively engage with cities’ complex socio-economic dynamics and weak, contributing to sub-optimal coordination and affecting the efficiency of humanitarian planning and targeting. With the recent elections governance structures. Recognizing these challenges, the World Humanitarian and a renewed hope for stability in the CAR, strengthening this linkage must become a priority in order to support the recovery effort and the Summit has mandated an Urban Expert Group to identify key recommendations for promoting better humanitarian response to urban crisis. re-establishment of municipal services. With a view of contributing to this discussion, IMPACT Initiatives and UCLG’s KEY FINDINGS Task Force On Local and Regional Government Disaster Response facilitated a series of consultations in six cities affected by natural or man-made disasters.
    [Show full text]
  • Africa's Role in Nation-Building: an Examination of African-Led Peace
    AFRICA’S ROLE IN NATION-BUILDING An Examination of African-Led Peace Operations James Dobbins, James Pumzile Machakaire, Andrew Radin, Stephanie Pezard, Jonathan S. Blake, Laura Bosco, Nathan Chandler, Wandile Langa, Charles Nyuykonge, Kitenge Fabrice Tunda C O R P O R A T I O N For more information on this publication, visit www.rand.org/t/RR2978 Library of Congress Cataloging-in-Publication Data is available for this publication. ISBN: 978-1-9774-0264-6 Published by the RAND Corporation, Santa Monica, Calif. © Copyright 2019 RAND Corporation R® is a registered trademark. Cover: U.S. Air Force photo/ Staff Sgt. Ryan Crane; Feisal Omar/REUTERS. Limited Print and Electronic Distribution Rights This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions. The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest. RAND’s publications do not necessarily reflect the opinions of its research clients and sponsors. Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving/contribute www.rand.org Preface Since the turn of the century, the African Union (AU) and subregional organizations in Africa have taken on increasing responsibilities for peace operations throughout that continent.
    [Show full text]
  • 1° Au Nord Par Les Communes De Makala, Selembao, Lemba Et Kisenso
    limitée : 1° Au nord par les communes de Makala, Selembao, Lemba et Kisenso ; 2° Au Sud par le territoire de Kasangulu (Bas-Congo) ; 3° A l’Est par les communes de N’djili, Kimbanseke et N’sele ; 4° A l’Ouest par la commune de Ngaliema et la République du Congo. La commune de Mont-Ngafula a une vocation agro-pastorale et touristique. Cependant, elle éprouve d’énormes difficultés pour la réhabilitation de routes de desserte agricole et la répartition des ponts. La commune de Ngaliema (Carte 11) est créée le 12 Octobre 1957 par l’arrêté n° 21/429 du 12 Octobre 1957 du gouverneur de la province de la ville de Léopoldville fixant le nom, les limites des communes et les annexes de la ville de Kinshasa, alors Léopoldville, avec Monsieur Wery René comme premier bourgmestre. La commune doit son appellation à un ressortissant du Congo Brazzaville, Ngaliema Insi, qui avait traversé le pool Malebo et s’est installé au mont Ngaliema après avoir vaincu Lingwala qui s’y trouvait. Monsieur Ngaliema est resté au mont Ngaliema jusqu'à l’arrivée de monsieur Henry Morton Stanley avec qui il a signé le « traité de fraternité" en 1881. Elle est l’une des 24 communes de la ville de Kinshasa, avec 526.231 habitants concentrés dans une superficie de 224,30 km², soit une densité de 2346 habitants par kilomètre carré. Elle est subdivisée en 21 quartiers. Elle est classée deuxième en population et quatrième en superficie. 100 KATALAYI MOTOMBO ǀ Hilaire ǀ Thèse pour le doctorat en géographie | 2014 Carte 11 : Présentation de la commune de Ngaliema Cette commune est bornée au Nord par le fleuve Congo (la séparant de la République du Congo) et les communes de Kintambo et de la Gombe ; à l’Est par les communes de Bandalugwua et de Selembao ; à l’Ouest et au Sud par la commune de Mont-Ngafula.
    [Show full text]
  • Liste Des Contribuables Déclarés Introuvables Par Le CDI KIN Et Transférés Dans Les CIS
    Liste des contribuables déclarés introuvables par le CDI KIN et transférés dans les CIS FORME N° NIF Raison Sociale Sigle Adresse SECTEUR ACTIVITE ETAT SOCIETE SERVICE GESTIONNAIRE JURIDIQUE AV. COL Télécom. et nouvelles 1 A1418699R PM 2ÈME OEIL YA COMMUNICATION SARL INTROUVABLE CIS / NGALIEMA MONDJIBA technologies d'information 2ID CONSULTING ( INGENIERIE DE L'INFORMATION ET DU 2ID AV.N°157 DE LA Prestation de services et travaux 2 A1611866R PM INTROUVABLE CIS / GOMBE DECISIONNEL ) SARL CONSULTING VALLEE N°72 immobiliers SARL BLVD.C/GOMBE DU 30 Commerce Général et Import- 3 A1515021U PM 3RD YES SARL INTROUVABLE CIS / GOMBE JUIN N°10 IMM. Export AV.GALERIE LOKOLELA Commerce Général et Import- 4 A1302545G PM 7 SARL INTROUVABLE CIS / KINSHASA N°112 Export AV.C/KINSHASA EQUATEUR Commerce Général et Import- 5 A0708987C PM A.M. YOZMA SPRL A.M.YO. INTROUVABLE CIS / GOMBE N°749 Export AV.C/GOMBE SERGENT Prestation de services et travaux 6 A1401591W PM A.S.B GROUP S.A.R.L INTROUVABLE CIS / NGALIEMA MOKE N°14 immobiliers ETS CONGO 4C/NGALIEMA EME N°230/B 7 A1007700G PP ABBAS BACHROUCH "ETS CONGO BRIQUES" Industie INTROUVABLE CIS / LIMETE BRIQUES Q/INDUSTRIEL AV.KINGABUAC/LIMETE 8 A1301215L PP ABBAS GHANEM Autres INTROUVABLE CIS / LIMETE N° 3717 AV.C/LIMETE Commerce Général et Import- 9 A1504836Z PM ABD GROUP CONGO SARL A.G.C SARL INTROUVABLE CIS / MASINA AMBASSADEUR Export BLVDN°06 Q/SANS Commerce Général et Import- 10 A0714176S PP ABDOUL HASSAN ''ETS FISH & MEAT'' * INTROUVABLE CIS / LIMETE LUMUMBA N° Export AV.198605 TSHUAPA 1ère Agriculture et exploitation 11 A0905544M PP ABDOULAY ABASA INTROUVABLE CIS / KINSHASA Q/MADIMBA forestière AV.C/KINSHASA AVENIR Commerce Général et Import- 12 A1520272C PM ABIKIZ SARL INTROUVABLE CIS / KINTAMBO N°12 Export AV.CONCESSION EQUATEUR Commerce Général et Import- 13 A0803244L PM ABNER CONGO DIAMOND SPRL A.C.D SPRL INTROUVABLE CIS / GOMBE N° 24 C/ Export AV.GOMBE COL V/KINEBEYA Prestation de services et travaux 14 A1214486K PP ACHRAF ALI ALACHKAR INTROUVABLE CIS / GOMBE N°76 C/GOMBE immobiliers BLVD.
    [Show full text]
  • La Ville De Kinshasa
    « Kin la belle… – et Kin la poubelle» La ville de Kinshasa Suite à la dégradation économique et plu- En 1881, Henry sieurs vagues de pilla- Morton Stanley ges, les anciens quar- fonde le poste tiers de l’élite (la Léopoldville, Gombe, Ma Campa- nommé après gne à Ngaliema et par le Roi des quelques parties de Belges, colonisa- Limete) sont aujourd’hui d’un charme plutôt morbide. teur du Congo. L’endroit est spacieux et facile à défen- La réhabilitation des routes demeure un défi majeur. dre, ils existent plusieurs villages autochtones sur le Le personnel de la mission EUPOL RD Congo à Kinshasa, Dans les cités, des tornades de pluie font écouler des site. Léopoldville devient centre administratif du octobre 2008. maisons pendant chaque saison de pluie. Congo-Belge en 1929 (avant, c’était la ville de Boma « Kinshasa – the beauty and the beast »: Due to the de- sur la côte atlantique). La capitale devient Kinshasa en gradation of the economic situation and several lootings, 1966. / I n 1881, Henry Morton Stanley founds Leopold- EUPOL RDC et EUSEC RDC, ville, a settlement named after the Belgian King, owner the ancient elite’s quarters of Gombe, Ma Campagne in les deux missions PESD Ngaliema and some parts of Limete show nowadays a of the colony. The site is vast and easy to defend; there rather morbid charme. Rehabilitating Kinshasa’s roads en République Démocratique du Congo, are already several villages of natives in the area. Leo- rests a major challenge for the city’s development. In the vous souhaitent un bon séjour poldville is named administrative center of the Belgian- popular quarters, violent rain downpours bring down à Kinshasa.
    [Show full text]
  • The Central African Republic Diamond Database—A Geodatabase of Archival Diamond Occurrences and Areas of Recent Artisanal and Small-Scale Diamond Mining
    Prepared in cooperation with the U.S. Agency for International Development under the auspices of the U.S. Department of State The Central African Republic Diamond Database—A Geodatabase of Archival Diamond Occurrences and Areas of Recent Artisanal and Small-Scale Diamond Mining Open-File Report 2018–1088 U.S. Department of the Interior U.S. Geological Survey Cover. The main road west of Bambari toward Bria and the Mouka-Ouadda plateau, Central African Republic, 2006. Photograph by Peter Chirico, U.S. Geological Survey. The Central African Republic Diamond Database—A Geodatabase of Archival Diamond Occurrences and Areas of Recent Artisanal and Small-Scale Diamond Mining By Jessica D. DeWitt, Peter G. Chirico, Sarah E. Bergstresser, and Inga E. Clark Prepared in cooperation with the U.S. Agency for International Development under the auspices of the U.S. Department of State Open-File Report 2018–1088 U.S. Department of the Interior U.S. Geological Survey U.S. Department of the Interior RYAN K. ZINKE, Secretary U.S. Geological Survey James F. Reilly II, Director U.S. Geological Survey, Reston, Virginia: 2018 For more information on the USGS—the Federal source for science about the Earth, its natural and living resources, natural hazards, and the environment—visit https://www.usgs.gov or call 1–888–ASK–USGS. For an overview of USGS information products, including maps, imagery, and publications, visit https://store.usgs.gov. Any use of trade, firm, or product names is for descriptive purposes only and does not imply endorsement by the U.S. Government. Although this information product, for the most part, is in the public domain, it also may contain copyrighted materials as noted in the text.
    [Show full text]
  • Democratic Republic of Congo Round 7 – Service Delivery Point Questionnaire
    Democratic Republic of Congo Round 7 – Service Delivery Point Questionnaire ◯ Yes 001a. Your ID: [NAME] Is this your ID? ◯ No 001b. Enter your ID below. Please record your ID Day: 002b. Record the correct date and time. Month: Year: ◯ KonGo Central 003a. Province ◯ KINSHASA ◯ BARUMBU ◯ BAS_FLEUVE ◯ BINZA_METEO ◯ BINZA_OZONE ◯ BIYELA ◯ BOMA ◯ BUMBU ◯ CATARACTES ◯ KALAMU_I ◯ KALAMU_II ◯ KIKIMI ◯ KIMBANSEKE ◯ KINGABWA ◯ KINGASANI ◯ KINSHASA 003b. District ◯ KINTAMBO ◯ KISENSO ◯ LEMBA ◯ LIMETE ◯ LINGWALA ◯ LUKAYA ◯ MASINA_I ◯ MASINA_II ◯ MATADI ◯ MATETE ◯ MONT_NGAFULA_I ◯ MONT_NGAFULA_II ◯ NGABA ◯ NGIRINGIRI ◯ SELEMBAO 1 ◯ BARUMBU ◯ BAS_FLEUVE ◯ BINZA_METEO ◯ BINZA_OZONE ◯ BIYELA ◯ BOMA ◯ BUMBU ◯ CATARACTES ◯ KALAMU_I ◯ KALAMU_II ◯ KIKIMI ◯ KIMBANSEKE ◯ KINGABWA ◯ KINGASANI ◯ KINSHASA 003b. Zone de Santé ◯ KINTAMBO ◯ KISENSO ◯ LEMBA ◯ LIMETE ◯ LINGWALA ◯ LUKAYA ◯ MASINA_I ◯ MASINA_II ◯ MATADI ◯ MATETE ◯ MONT_NGAFULA_I ◯ MONT_NGAFULA_II ◯ NGABA ◯ NGIRINGIRI ◯ SELEMBAO ◯ 17_MAI ◯ ASSOSSA_NGIRI_NGIRI ◯ BAKI_VILLE ◯ BAMBOMA ◯ BANA ◯ BANGU ◯ BETON ◯ BINZA_PIGEON 003c. Aire de Santé ◯ BITSHAKU_TSHAKU ◯ BOBA ◯ BUMBA ◯ BUNZI ◯ CAMP_PERMANENT ◯ CNECI ◯ CONGO ◯ CONGO_1 2 ◯ DIANGIENDA_I ◯ DINGI_DINGI ◯ ESSANGA ◯ HYGIENE_A ◯ IMBALI ◯ INGA ◯ KAPINGA ◯ KASAI_MASINA ◯ KASAI_BUMBU ◯ KAUKA_I ◯ KEMI ◯ KHAMI ◯ KHESA ◯ KIFUMA_NGIMBI ◯ KIKIMI ◯ KIMBANGU_A ◯ KIMBANZA ◯ KIMBATA___TUDI ◯ KIMBIANGA ◯ KIMBONDO1(_KINDELE) ◯ KIMUAKA ◯ KINGABWA ◯ KINKENGE ◯ KINSUKA_PECHEUR ◯ KINZAU_MVUE ◯ KIPASA ◯ KISANTU ◯ KISENSO_GARE ◯ KITOMESA ◯ KIVALA_TADI ◯ KIVEVE ◯ KIVUNDA ◯ KUMBI
    [Show full text]
  • Using Electronic Case Management System (Ecms) for Efficient And
    What Works? Effective coordination between OVC and HIV clinical partners to improve pediatric HIV case finding, retention and viral load suppression Presented by the OVC Task Force and Interagency PEPFAR Colleagues Wednesday, December 13th 8-9:30 AM New York (GMT-4) | 2-3:30 PM Joburg (GMT+2) | 3-4:30 PM Nairobi (GMT+3) 1 Introduction Tanya Medrano, OVC TF Co-Chair and Technical Advisor for Vulnerable Children and Youth, FHI 360 Agenda Presenter Title Tanya Medrano, Technical Advisor for Vulnerable Children and Youth, Introduction FHI 360 Janet Barry, OVC TF Co-Chair and Senior Technical Advisor, Opening Remarks Bantwana Initiative, World Education Belmiro Sousa the Technical Director, COVida Project, FHI Triangulating OVC Program and Health Facility Data to 360/Mozambique Improve Pediatric Retention and Viral Suppression Dr. Silvia Matitimel Mikusova, Technical director, EGPAF/Mozambique Dr. Tania Tchissambou, Technical Director for Increase Access to Collaboration between OVC and clinical HIV programs Comprehensive HIV/AIDS Prevention, Care and Treatment in the DRC Services project, DRC Maggie Kuchonde, Program Manager at Lilongwe Catholic Health Coordination between OVC and HIV Clinical Partners Commission, Malawi for the Lilongwe Catholic Health Commission OVC Activity Viva Thorsen, Orphans and Vulnerable Children Unit Lead, CDC Facilitated Q&A Julie DeSoto, OVC Program Manager & Adolescent Health/Mental Moderator Health Technical Lead, World Vision Zoom Webinar Functionality Audio Q&A Chat Polls Zoom Webinar Please use the chat box to introduce If you are unable to hear, yourself. connect your speakers by selecting “Join Audio.” Share thoughts and comments by Use the up arrow to change sending a message your speaker selection.
    [Show full text]
  • Logistics Cost Study of Transport Corridors in Central and West Africa
    Logistics Cost Study of Transport Corridors in Central and West Africa Final Report SUBMITTED TO Anca Dumitrescu Senior Transport Specialist Africa Transport Unit World Bank SUBMITTED BY Nathan Associates Inc. 2101 Wilson Boulevard Suite 1200 Arlington, Virginia, USA September, 2013 Contract No. 7161353 Contents Executive Summary 1 Total Logistics Costs 2 Significant Inefficiencies 6 Recommended Policy Measures 7 1. Introduction 1 Objectives and Scope 2 Geographic Scope of the Study 3 Data Collection 5 Organization of the Report 6 2. Study Methodology 8 1.1. Conceptual Background 9 Financial Cost of the Logistics Service 10 Gateway Costs 10 Inland Transport Costs 11 Final Processing Costs 13 Hidden Costs 13 Case Study Selection Methodology 16 3. Trade Flows and Logistics Systems 18 West African Transit Traffic 18 Mali Traffic Flows 20 Burkina Faso Traffic Flows 22 Abidjan Port Transit Traffic 24 Cotonou Port Transit Traffic 27 Central African Transit Traffic 29 Douala Port 29 LOGISTIC COST STUDY OF TRANSPORT CORRIDORS IN CENTRAL AND WEST AFRICA Corridor Trade Flows 30 Coastal (Abidjan-Lagos) Corridor 33 Regional (Intraregional) Trade 33 Overview of Logistics Systems 38 Components 38 In Transit Corridors to Landlocked Countries 38 In the ALC 38 Functional Characteristics of the Logistics System 40 4. Abidjan Corridors 41 Financial Costs of Logistics Services 44 Gateway Costs 44 Inland Transport Costs 46 Inland Processing Costs 53 Summary of Financial Cost of Logistics Services to the Shipper 54 Hidden Costs 57 Hidden Costs by Case Study 59 Total Logistics Costs 62 5. Cotonou-Niamey Corridor 67 Financial Costs of Logistics Services 69 Gateway Costs 69 Inland Transport Costs 71 Inland Processing Costs 75 Summary of Financial Cost of Logistics Services to the Shipper 76 Hidden Costs 77 Total Logistics Costs 80 Summary of Findings 81 Gateway Inefficiencies 81 Trucking Industry Inefficiencies 81 Transport and Trade Facilitation Inefficiencies 82 6.
    [Show full text]
  • The Value of Spatial Analysis for Tracking Supply for Family Planning: the Case of Kinshasa, DRC Julie H
    Health Policy and Planning Advance Access published April 15, 2016 Health Policy and Planning, 2016, 1–11 doi: 10.1093/heapol/czw036 Original Manuscript The value of spatial analysis for tracking supply for family planning: the case of Kinshasa, DRC Julie H. Hernandez,1,* Pierre Akilimali,2 Patrick Kayembe,2 Nelly Dikamba2 and Jane Bertrand1 1Global Health Management and Policy, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St, Suite 1900, New Orleans, LA 70112, USA and 2Kinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo *Corresponding author. Global Health Management and Policy, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St, Suite 1900, New Orleans, LA 70112, USA. E-mail: [email protected] Downloaded from Accepted on 4 March 2016 Abstract While geographic information systems (GIS) are frequently used to research accessibility issues http://heapol.oxfordjournals.org/ for healthcare services around the world, sophisticated spatial analysis protocols and outputs often prove inappropriate and unsustainable to support evidence-based programme strategies in re- source-constrained environments. This article examines how simple, open-source and interactive GIS tools have been used to locate family planning (FP) services delivery points in Kinshasa (Democratic Republic of Congo) and to identify underserved areas, determining the potential loca- tion of new service points, and to support advocacy for FP programmes. Using smartphone-based data collection applications (OpenDataKit), we conducted two surveys of FP facilities supported by partner organizations in 2012 and 2013 and used the results to assess gaps in FP services coverage, using both ratio of facilities per population and distance-based accessibility criteria.
    [Show full text]
  • Report of a WHO Informal Consultation on Sustainable Control of Human African Trypanosomiasis
    Report of a WHO Informal Consultation on sustainable control of human African trypanosomiasis 1—3 May 2007 Geneva, Switzerland WHO/CDS/NTD/IDM/2007.6 Report of a WHO Informal Consultation on sustainable control of human African trypanosomiasis 1—3 May 2007 Geneva, Switzerland © World Health Organization 2007 All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Contents 1. Introduction ...............................................................................................................1
    [Show full text]