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Douba A.,Felix Houphouet-Boigny University | Aka L.B.N.,Felix Houphouet-Boigny University | Yao G.H.A.,Alassane Ouattara University | Zengbe-Acray P.,Felix Houphouet-Boigny University | And 2 more authors.
Sante Publique

Introduction: Every year, thousands of children in the world remain unimmunized or partially immunized, especially in developing countries. It therefore appears important to examine sociodemographic factors associated with incomplete immunization of children in West Africa. Methods: This cross-sectional study examined factors associated with incomplete immunization of children aged 12 to 59 months in Côte d'Ivoire, Ghana, Burkina Faso, Mali, Guinea, and Liberia based on Demographic and Health Survey data. Results: The findings of the study showed that birth at home, mothers with no access to media, no religion, poverty, and illiteracy were associated with incomplete immunization of children. Discussion: Health officials should take these immunization status predictors into account when developing policies and immunization strategies in countries included in this study in order to achieve immunization coverage targets. Source

Tiembre I.,University Of Cocody Abidjan | Benie Bi J.V.,University Of Cocody Abidjan | Ake-Tano O.,University Of Cocody Abidjan | Dagnan S.,University Of Cocody Abidjan | And 4 more authors.
Sante Publique

Maternal mortality constitutes a major public health problem In Côte d'Ivoire. Better management of pregnant patients and improved quality of pre-natal consultations could contribute to solving this problem. But what is the current situation of these a pre-natal consultations in the medical district of Grand-Bassam? To answer to this question, a descriptive cross-sectional study was carried out between August 26th and September 30 th 2002 in three medical establishments in charge of pre-natal consultations in that District. It was noted that the privacy and the confidentiality during the examination were respected; yet on the other hand, the structures were sometimes unsuited and were insufficiently equipped. The health care professionals were not very accessible or friendly, and they had poor interpersonal communication skill. Recommendations were made to remedy these insufficiencies. Source

Guindo-Coulibaly N.,Ufr Biosciences University Of Cocody | Adja A.M.,University Of Cocody | Koudou B.G.,University dAbobo Adjame | Konan Y.L.,Institute national dhygiene publique | And 4 more authors.
European Journal of Scientific Research

An epidemic outbreak of yellow fever was reported in July 2001 in the health district of Abidjan, described as one of the endemic areas, in Côte d'Ivoire. The control of arboviruses diseases emerging regularly in West Africa requires a better understanding of vectors'distribution and an updated knowledge of their seasonal variation. Thus, to investigate the distribution and determine the seasonal variation of Aedes species in Abidjan, a layer-trap based method was performed to collect different mosquito species from August 2003 to June 2004 in the following boroughs (communes): Treichville, Yopougon, Cocody and Adjamé. During this survey, a total number of 50722 eggs of Aedes sp. was collected giving an average density of 12 eggs/layer-trap/month. The eclosion rates recorded in the boroughs (communes) of Treichville, Yopougon, Cocody and Adjamé were 68.3%; 56.8%; 63.2% and 54.1%, respectively. After rearing the eggs to adult stage, females emerged were identified into species as:Aedes aegypti, Aedes africanus, Aedes vittatus, Aedes luteocephalus, Aedes dendrophilus and Aedes haworthi. Among the six species, one was collected in Treichville, 3 in Yopougon, and 2 other species in Adjamé and Cocody communes. Aedes aegypti was mainly found during the rainy season in all the 4 study sites. The average density of Aedes aegypti recorded per layer-trap per month in Treichville (5.4), Yopougon (6.1) and Cocody (6.2) was not statistically significant (P < 0.053). Meanwhile, these mean densities were statistically different from the one recorded in Adjamé (2.1) (P<0.001). The survey showed a large diversity of Aedes species distribution in the health district of Abidjan. This study highlighted the perennial presence of Aedes aegypti the major vector of yellow fever in urban area with a high predominance during the rainy season. © EuroJournals Publishing, Inc. 2010. Source

Ake-Tano O.,Institute National Of Sante Publique | Tiembre I.,Institute national dhygiene publique | Konan Y.E.,Institute National Of Sante Publique | Donnen P.,Free University of Colombia | And 4 more authors.
Sante Publique

The malnutrition of children under five years of age constitutes a major public health problem in most developing countries. A cross-section study was carried in 2003 in the northern part of Cote d'lvoire to determine the prevalence of chronic malnutrition and to identify risk factors among children under five years of age living in urban and rural areas of the northern part of Cote d'lvoire. A total of 292 and 268 children under five years of age residing respectively in urban and rural areas were included in the study. Their median age was 24 months. Chronic malnutrition was more frequent in children from rural areas (39,9%) than in those living in urban areas (16,7%). Malnutrition was significantly associated with the type of food consumed by children under two years of age in urban areas, and it was strongly linked to emaciation of the mother and presence of childhood fever In rural areas. In light of these results, we advocate a healthy diet and adequate health status for the mother and child to Improve the nutritional status of children. Moreover, these results need to be completed and complemented by further studies for more detailed information to contribute to a better definition of actions to fight efficiently against malnutrition among children of the northern part of Cote d'lvoire. Source

Dongo K.,University Of Cocody | Tiembre I.,Institute national dhygiene publique | Kone B.A.,Institute national dhygiene publique | Zurbrugg C.,Eawag - Swiss Federal Institute of Aquatic Science and Technology | And 8 more authors.
Environmental Science and Pollution Research

Introduction: On August 2006, a cargo ship illegally dumped 500 t of toxic waste containing high concentrations of hydrogen sulphide in numerous sites across Abidjan. Thousands of people became ill. Seventeen deaths were associated with toxic waste exposure. Materials and methods: This study reports on environmental and health problems associated with the incident. A cross-sectional transect study was conducted in five waste dumping site areas. Results: Of the households, 62. 1% (n = 502) were exposed to the effects of the pollutants and 51. 1% of the interviewed people (n = 2,368) in these households showed signs of poisoning. Most important symptoms were cough (37. 1%), asthenia (33. 1%), pruritus (29. 9%) and nausea (29. 1%). Discussion: The health effects showed different frequencies in the five waste impact sites. Among the poisoned persons, 21. 1% (n = 532) presented symptoms on the survey day (i. e., 4 months after incident). Transect sampling allowed to determine a radius of vulnerability to exposure of up to 3 km from the point of toxic waste disposal. Conclusion: The area of higher vulnerability is influenced by various environmental factors, such as size and severity of pollution site, duration of toxic waste pollution on the impact site and locally climatic conditions. The surveillance of effects on environment and human health is warranted to monitor the development. © 2012 Springer-Verlag. Source

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