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Artículos de revistas sobre el tema "Lambaréné"

Autor: Grafiati

Publicado: 4 de junio de 2021

Última modificación: 1 de junio de 2024

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1

J. D., Maloba Makanga, and Mbadinga Igaly E. "Hydro-Climatic Variability of the Ogooue Watershed in Lambaréné." Modern Environmental Science and Engineering 8, no. 5 (2022): 310–17. http://dx.doi.org/10.15341/mese(2333-2581)/05.08.2022/009.

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Located in the center-west of Gabon, the city of Lambaréné is frequently affected by floods which cause material, economic and health damage. This scientific contribution presents the preliminary results of a larger study on the risks of flooding in the Ogooué basin in Lambaréné. The analysis of the flows (1959-1989), water levels (2000-2010) and rainfall common to both time periods shows that the most favorable period for floods corresponds, among others, to the months of October and November that record abundant precipitation, at the origin of the main hydrological peaks of November-December. In general, there is an evolution in phase between the pluviometric positive anomalies, flows and water heights likely to cause overflows of the waters of the Ogooué. Key words: Gabon, rainfall, water level, variability

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2

Okuda, K. V., N. Toepfner, A. S. Alabi, et al. "Molecular epidemiology of Staphylococcus aureus from Lambaréné, Gabon." European Journal of Clinical Microbiology & Infectious Diseases 35, no. 12 (2016): 1963–73. http://dx.doi.org/10.1007/s10096-016-2748-z.

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Lim, Jacqueline Kyungah, José Francisco Fernandes, In-Kyu Yoon, et al. "Epidemiology of dengue fever in Gabon: Results from a health facility-based fever surveillance in Lambaréné and its surroundings." PLOS Neglected Tropical Diseases 15, no. 2 (2021): e0008861. http://dx.doi.org/10.1371/journal.pntd.0008861.

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Background In Africa, information on dengue is limited to outbreak reports and focused on some countries with continuing transmission in West and East Africa. To estimate the proportion of dengue-positive cases among febrile patients and identify clinical indicators of dengue cases, we conducted passive facility-based fever surveillance in a catchment area population of 70,000 residents of Lambaréné and its surroundings in Gabon. Methods Non-malarial febrile patients with current fever or history of fever (≤7 days) between 1 and 55 years of age, were enrolled at Albert Schweitzer Hospital (ASH). Acute (visit 1, day of enrollment) and convalescent blood samples were collected between 10 and 21 days after enrollment. Acute/convalescent samples were tested with IgM/IgG ELISA, and a selected subset of acute samples with RT-PCR. Results Among 682 non-malarial febrile patients enrolled, 119 (17.4%) were identified as dengue-positive (94 dengue-confirmed and 25 dengue-probable cases). Of these dengue-positive cases, 14 were confirmed with PCR, and based on serotyping, two infections were identified to be DENV-2 and two were DENV-3. The majority of our enrolled patients were <25 years of age and close to 80% of our dengue-positive cases were <15 years of age. In adjusted analyses, retro-orbital pain and abdominal pain were 2.7 and 1.6 times more frequently found among dengue-positive cases, compared to non-dengue cases. Conclusion Lambaréné is not considered dengue-endemic. However, one in six non-malarial febrile episodes was found to be dengue-positive in the study period. Dengue should be considered more frequently in clinicians’ diagnosis among non-malarial febrile patients in Lambaréné. Given the lack of data on dengue in Gabon, additional prospective and longitudinal studies would help to further define the burden and patterns of dengue for improved case detection.

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Issifou, Saadou, Ayola A. Adegnika, and Bertrand Lell. "Medizinische Forschung am Albert Schweitzer Krankenhaus in Lambaréné, Gabun." Wiener klinische Wochenschrift 122, S1 (2010): 11–12. http://dx.doi.org/10.1007/s00508-010-1327-z.

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Adegnika, Ayôla A., Michael Ramharter, Selidji T. Agnandji, et al. "Epidemiology of parasitic co-infections during pregnancy in Lambaréné, Gabon." Tropical Medicine & International Health 15, no. 10 (2010): 1204–9. http://dx.doi.org/10.1111/j.1365-3156.2010.02598.x.

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6

Flamen, A., S. Bélard, C. Kokou, S. Janssen, and M. P. Grobusch. "Childhood tuberculosis in Lambaréné, Gabon: tuberculosis control in its infancy?" Infection 42, no. 1 (2013): 161–64. http://dx.doi.org/10.1007/s15010-013-0529-5.

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7

Dejon-Agobé, Jean Claude, Ayôla A. Adegnika, and Martin P. Grobusch. "Haematological changes in Schistosoma haematobium infections in school children in Gabon." Infection 49, no. 4 (2021): 645–51. http://dx.doi.org/10.1007/s15010-020-01575-5.

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Abstract Background Schistosomiasis is a parasitic disease affecting the blood cell. As a chronic disease, schistosomiasis particularly impacts on the human host’s haematological profile. We assessed here the impact of urogenital schistosomiasis on the full blood counts (FBC) as proxy diagnostic tool for schistosomiasis. Methods A cross-sectional study was conducted among school children living in Lambaréné, Gabon. Schistosomiasis status was determined using urine filtration technique. EDTA blood samples were analysed using a Pentra ABX 60® analyzer. Results Compared to their infection-free counterparts, school children infected with Schistosoma haematobium displayed an altered FBC profile, with changes in all three blood cell lines. Adjusted for praziquantel intake, soil-transmitted helminthic infections and Plasmodium falciparum infection status, schistosomiasis was independently associated with a decreasing trend of mean haemoglobin (β = − 0.20 g/dL, p-value = 0.08) and hematocrit (β = − 0.61%, p-value = 0.06) levels, a lower mean MCV (β = − 1.50µm3, p-value = 0.02) and MCH (β = − 0.54 pg, p-value = 0.04), and higher platelet (β = 28.2 103/mm3, p-value = 0.002) and leukocyte (β = 1.13 103/mm3, p-value = 0.0003) counts, respectively. Conclusions Schistosomiasis is associated with a characteristic FBC profile of schoolchildren living in Lambaréné, indicating the necessity to consider schistosomiasis as a single cause of disease, or a co-morbidity, when interpreting FBC in endemic areas.

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8

V Ndong Mbouna, Armel, and Selidji T Agnandji. "PO 8559 ASSESSMENT OF THE EFFECT OF RVSV REPLICATION ON NON-EBOLA CIRCULATING ANTIBODIES IN RVSV-ZEBOV-GP-VACCINATED INDIVIDUALS IN LAMBARÉNÉ, GABON." BMJ Global Health 4, Suppl 3 (2019): A53.1—A53. http://dx.doi.org/10.1136/bmjgh-2019-edc.138.

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BackgroundThe West Africa Ebola virus disease (EVD) outbreak between 2015 and 2016 accelerated the need for safe and effective vaccines. Among candidate vaccines in clinical development, the recombinant Vesicular stomatitis virus (VSV) vectored with the Ebola virus (EBOV) glycoprotein (rVSV-ZEBOV-GP) vaccine showed acceptable safety and promising immunogenicity results across diverse settings.Baseline screening data from the phase I trial of this vaccine in Lambaréné, Gabon, established that prior to vaccination about 21% (33/155) and 8% (12/155) of adults had naturally acquired antibodies to infectious ZEBOV particle and ZEBOV-GP, respectively. In participants with prior ZEBOV(-GP) antibodies, post-vaccination antibodies titres were significantly higher 56 days following vaccination with doses of 3×103, 3×104, and 3×106 PFU compared to those without.Our study seeks to investigate rVSV vector non-specific boosting of naturally acquired antibodies to other viral infections (dengue virus 1–4, and yellow fever virus).MethodsWe measured antibodies titres to Dengue (serotypes 1–4) and yellow fever infection at baseline, 28 and 56 days after injection in a total of 155 serum samples from vaccinees receiving various doses of rVSV-ZEBOV-GP using ELISA technique.ResultsPreliminary results were presented at the meeting.ConclusionOur results confirm rVSV vector non-specific replication on non ZEBOV-GP circulating antibodies in Lambaréné vaccinees and potential boosting action on naturally acquired dengue virus (serotypes 1–4) and yellow fever virus antibodies.

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9

Minto'o, Steeve, Fifi Claire Loembe, Midili Thècle Larissa, et al. "Duration and Sociodemographic Factors Associated with Exclusive Breastfeeding Among Mothers in Urban and Semi-Rural Areas of Libreville and Lambaréné in Gabon." Archives of Pediatric Gastroenterology, Hepatology, and Nutrition 3, no. 1 (2024): 1–11. http://dx.doi.org/10.58427/apghn.3.1.2024.1-11.

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Background: Exclusive breastfeeding from birth to six months of age has an unparalleled benefit on a child's growth and development. This survey aimed to assess the practice of exclusive breastfeeding (EBF) in Libreville and Lambaréné. Method: This is a prospective study, including mother-child pairs of infants taken to vaccination centers in Libreville (urban area) and Lambaréné (semi-rural area). The data collected included sociodemographic aspects of families, the children's characteristics, and the duration of EBF in months. Result: We included 552 mother-child pairs, 58% of whom were recruited (n = 320) in Libreville. The average age of mothers was 26.5 ± 6.4 years, while fathers were 33.3 ± 7.8 years. The mean age of children was 4.2 ± 3.1 months. Male participants were accounted for 52.2% (n = 288), while females 47.8% (n = 264). The mean duration of exclusive breastfeeding in the whole was 0.9 months. Six-month EBF was generally performed at 9.2% (n = 51, 95% CI = 7.1%-11.9%). The factors influencing the EBF were father’s level of education (all classes combined) (p = 0.025), marital status (p = 0.011), and residential area (OR = 3.40, p <0.001) Conclusion: The duration of exclusive breastfeeding in the two studied is lower than the WHO recommendations. The associated factors found are areas of work to be explored to encourage this important practice for our infants.

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10

Dubuisson, Daniel. "Albert Schweitzer’s Western Vision of Indian Thought." Method & Theory in the Study of Religion 24, no. 3 (2012): 220–35. http://dx.doi.org/10.1163/157006812x639101.

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AbstractDoctor of Philosophy, Medicine and Divinity, Nobel laureate (1953), Albert Schweitzer embodied an indisputable ethical and intellectual authority that was universally admitted. However, in his book,Indian Thought and its Development(1936), the so-called “good doctor” engaged in an incredible eulogy of Western superiority at the expense of Indian thought. The pieces of evidence he used to support this argument can now be compared to the thoroughly ambiguous attitude he displayed toward the Africans among whom he had lived in Lambaréné.

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GRAY, CHRISTOPHER, and FRANÇOIS NGOLET. "LAMBARÉNÉ, OKOUMÉ AND THE TRANSFORMATION OF LABOR ALONG THE MIDDLE OGOOUÉ (GABON), 1870–1945." Journal of African History 40, no. 1 (1999): 87–107. http://dx.doi.org/10.1017/s0021853798007361.

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IN 1929, the French colonial administration's forced recruitment of labor for two road construction projects designed to create more effective transportation links between the town of Lambaréné on the Middle Ogooué and the colonial post at Mouila on the Upper Ngounié led to food shortages in several parts of southern Gabon. A disturbing pattern had developed over the previous 15 years where colonial demands for labor led to disruptions in the seasonal cycle of agricultural production. Able-bodied men forced to gather forest products or work as porters to pay the head tax, or required to participate in the construction of colonial infrastructure projects, or even willingly employed as laborers in the growing timber industry, could not meet their traditional obligations to clear fields for women farmers during the long dry season (generally June to September), thus leading to poor harvests and food shortages. French officials at the end of the 1920s were especially anxious as the Fang populations in the northern portion of the colony had experienced severe famine several years earlier, partly due to male workers being recruited into the timber industry. Memories of famine occurring between 1916 and 1918 were also quite vivid among the peoples living along the Ngounié. Labor recruitment for the timber industry and colonial infrastructure projects remained a precarious enterprise at the outset of the 1930s. Yet by the 1940s, the most difficult segment of the Lambaréné–Mouila road network – a 50 kilometer stretch through hilly, forested terrain south of Lambaréné – was completed without resorting to forced labor and without the threat of food shortages. The intervening decade had witnessed the final stage of the transformation of Gabonese labor wrought by the French colonial presence, a transformation that broke the pre-colonial system of labor exploitation controlled by clan leaders. At the outbreak of World War II, the process had advanced to the point that there now existed a ‘labor market’ in the French Equatorial Africa federation integrated into the capitalist wage-earning sector and capable of accomplishing infrastructure projects without disastrous consequences for the local population. We argue that the predominance of the timber industry in Gabon placed these developments on a strangely ambiguous path when compared to the growth of capitalist wage-labor in other parts of the continent.

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12

Epola Dibamba Ndanga, Micheska, Jabar Babatundé Pacome Achimi Agbo Abdul, Jean Ronald Edoa, et al. "Non‐tuberculous mycobacteria isolation from presumptive tuberculosis patients in Lambaréné, Gabon." Tropical Medicine & International Health 27, no. 4 (2022): 438–44. http://dx.doi.org/10.1111/tmi.13736.

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13

Agobé, Jean Claude Dejon, Frejus Jeannot Zinsou, J. Honkpehedji, Ulysse Ateba Ngoa, Peter Kremsner, and Ayola Adegnika. "EFFECT OF SCHISTOSOMA HAEMATOBIUM INFECTION ONPLASMODIUM FALCIPARUMMALARIA BURDEN IN LAMBARÉNÉ, GABON." BMJ Global Health 2, Suppl 2 (2017): A59.2—A59. http://dx.doi.org/10.1136/bmjgh-2016-000260.158.

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14

Missinou, Michel A., Oliver Dangelmaier, Jürgen F. J. Kun, and Peter G. Kremsner. "Genetic diversity of Plasmodium falciparum infections in one family in Lambaréné." Transactions of the Royal Society of Tropical Medicine and Hygiene 94, no. 4 (2000): 376. http://dx.doi.org/10.1016/s0035-9203(00)90109-3.

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15

Foster, Gwendolyn Audrey. "The Post‐Colonial Vision of The “Great White” of Lambaréné." Popular Culture Review 11, no. 2 (2000): 113–19. http://dx.doi.org/10.1002/j.2831-865x.2000.tb00523.x.

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16

Manego, Rella Zoleko, Eric Koehne, and Ghyslain Mombo-Ngoma. "PO 8563 UNCOMMONLY HIGH AND SYMPTOMATIC PLASMODIUM FALCIPARUM INFECTIONS IN GABONESE ADULTS." BMJ Global Health 4, Suppl 3 (2019): A53.3—A53. http://dx.doi.org/10.1136/bmjgh-2019-edc.140.

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BackgroundMalaria remains a public health issue particularly in sub-Saharan Africa with special features of seriousness in young children and pregnant women. Older children and adults reported to have acquired a semi-immune status and therefore show low parasitaemia and less pronounced symptoms if any. We aim to explore parasitaemia and symptoms in adolescents and adults with malaria compared to younger children in the Lambaréné area.MethodsWe conducted a cross-sectional study in CERMEL for a month in 2018. Adults and children were screened for malaria at health facilities in Lambaréné and Fougamou and their respective surrounding villages in the central region of Gabon. Malaria infection was determined either by rapid diagnostic test (RDT) or by thick blood smear (TBS). Body temperature, history of fever, age, sex, haemoglobin level, and location were collected.ResultsFrom 09 January to 09 February 2018, a total of 596 patients were screened and 280 (47%) belonged to the adult population. Plasmodium falciparum infection in adults was diagnosed based on the detection of P. falciparum in thick blood films. Prevalence among the adults was 56% (n=141); 34% of adult patients had a parasite count between 1015–116,079 pf/µl. Fever was found in 31% of adults and several symptoms were reported by the same patient. Vomiting, loss of appetite, and fatigue were significantly more present in the adult population than in children.ConclusionThis study shows a high rate of Plasmodium falciparum infection in adults associated to clinical symptoms and high level of parasitaemia. Adults seem to become an at-risk population, suggesting that malaria programmes should consider including adults in the implementation of a malaria prevention programme.

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Schwarz, Norbert G., Martin P. Grobusch, Marie-Luise Decker, et al. "WHO 2006 child growth standards: implications for the prevalence of stunting and underweight-for-age in a birth cohort of Gabonese children in comparison to the Centers for Disease Control and Prevention 2000 growth charts and the National Center for Health Statistics 1978 growth references." Public Health Nutrition 11, no. 7 (2008): 714–19. http://dx.doi.org/10.1017/s1368980007001449.

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AbstractObjectivesTo assess the proportion of children being stunted and underweight-for-age at 3, 9 and 15 months in Lambaréné, Gabon, using the WHO child growth standards released in 2006 as compared with the Centers for Disease Control and Prevention (CDC) 2000 and the National Center for Health Statistics (NCHS) 1978 child growth charts/references.Design and settingProspective birth cohort in Lambaréné, Gabon.SubjectsTwo hundred and eighty-nine children from birth to 15 months of age.MethodsWeight and length were recorded at 3, 9 and 15 months. CorrespondingZscores for stunting and underweight-for-age were calculated for the three different standards/references. Children with a height-for-age or weight-for-age below –2sdof the corresponding reference median (Zscore ≤−2) were classified as stunted or underweight-for-age, respectively.ResultsWith the new WHO 2006 standards a higher proportion (4·0 %) of 3-month-old infants were underweight compared with the CDC (1·0 %) or the NCHS (0·7 %) child growth charts/references. In contrast to the NCHS references or the CDC charts, this proportion did not increase from 3 to 9 months or from 9 to 15 months. The proportion of children being stunted was highest (above 20 %) with the WHO 2006 standards at all three ages. Again, in contrast to the old standards, this proportion did not increase from 3 to 9 months or from 9 to 15 months.ConclusionsThe present results show considerably different growth faltering patterns for Gabonese children depending on the growth charts used to assess the prevalence of stunting and underweight. Shifting to the new WHO child growth standards may have important implications for child health programmes.

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Huttner, Angela, Christophe Combescure, Stéphane Grillet, et al. "A dose-dependent plasma signature of the safety and immunogenicity of the rVSV-Ebola vaccine in Europe and Africa." Science Translational Medicine 9, no. 385 (2017): eaaj1701. http://dx.doi.org/10.1126/scitranslmed.aaj1701.

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The 2014–2015 Ebola epidemic affected several African countries, claiming more than 11,000 lives and leaving thousands with ongoing sequelae. Safe and effective vaccines could prevent or limit future outbreaks. The recombinant vesicular stomatitis virus–vectored Zaire Ebola (rVSV-ZEBOV) vaccine has shown marked immunogenicity and efficacy in humans but is reactogenic at higher doses. To understand its effects, we examined plasma samples from 115 healthy volunteers from Geneva who received low-dose (LD) or high-dose (HD) vaccine or placebo. Fifteen plasma chemokines/cytokines were assessed at baseline and on days 1, 2 to 3, and 7 after injection. Significant increases in monocyte-mediated MCP-1/CCL2, MIP-1β/CCL4, IL-6, TNF-α, IL-1Ra, and IL-10 occurred on day 1. A signature explaining 68% of cytokine/chemokine vaccine-response variability was identified. Its score was higher in HD versus LD vaccinees and was associated positively with vaccine viremia and negatively with cytopenia. It was higher in vaccinees with injection-site pain, fever, myalgia, chills, and headache; higher scores reflected increasing severity. In contrast, HD vaccinees who subsequently developed arthritis had lower day 1 scores than other HD vaccinees. Vaccine dose did not influence the signature despite its influence on specific outcomes. The Geneva-derived signature associated strongly (ρ = 0.97) with that of a cohort of 75 vaccinees from a parallel trial in Lambaréné, Gabon. Its score in Geneva HD vaccinees with subsequent arthritis was significantly lower than that in Lambaréné HD vaccinees, none of whom experienced arthritis. This signature, which reveals monocytes’ critical role in rVSV-ZEBOV immunogenicity and safety across doses and continents, should prove useful in assessments of other vaccines.

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Claude Dejon Agobe, Jean, Yabo J Honkpehedji, Jeannot Fréjus Zinsou, et al. "PO 8503 EPIDEMIOLOGY, CO-INFECTIONS AND HAEMATOLOGICAL FEATURES OF SCHISTOSOMIASIS IN SCHOOL-AGED CHILDREN LIVING IN LAMBARÉNÉ, GABON." BMJ Global Health 4, Suppl 3 (2019): A47.1—A47. http://dx.doi.org/10.1136/bmjgh-2019-edc.123.

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BackgroundSchistosomiasis is a highly prevalent parasitic infection in Central Africa, where co-endemicity with other parasitic infections is common, and schistosomiasis outcomes can be affected by those other infections. Therefore, proper schistosomiasis control needs epidemiological data accounting for co-infections, too. In this present study, our objective was to determine the epidemiological situation around schistosomiasis in Lambaréné.MethodsA cross-sectional study was conducted among school-aged children living in Lambaréné. Urine filtration exam was performed for the detection of Schistosoma eggs. Kato-Katz and stool culture (Coproculture and Harada-Mori) techniques were used for the detection of soil-transmitted helminths. Detection of Plasmodium spp. and blood microfilariae was performed applying light microscopy. Risk factors for schistosomiasis and factors associated with schistosomiasis were investigated; haematology parameters evaluated.ResultsA total of 614 school children with available schistosomiasis status were included in the analysis. Mean age was 10.9 (SD=2.7) years, with a 0.95 boy-to-girl sex ratio. The prevalence of schistosomiasis was 26%. No risk factors except human-water contact were associated with schistosomiasis. Only Trichuris trichiura co-infection was associated with an increased odd (aOR=2.3, p-value=0.048) to be infected with schistosomiasis. Full blood counts showed a decrease of haemoglobin level and increase of WBC and platelet levels among the schistosoma-infected children. Haematuria was found associated with schistosomiasis (aOR=14.5, p-value<0.001) and was suitable to predict the disease.ConclusionThe prevalence of schistosomiasis is moderate in Lambaréné where human-water contact remains the main risk factor and praziquantel is available for treatment. Trichuriasis is associated with increased risk to be infected. Children with schistosomiasis exhibit a distinct full blood count profile and haematuria is found to be more suitable to predict infection. However, it is desirable to implement comprehensive approaches beyond chemotherapy for schistosomiasis control in this area as recommended by WHO.

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Manouana, Gédéon P., Gedeon Bingoulou Matsougou, Natalie Byrne, et al. "PO 8444 CHARACTERISATION OF PATHOGENS CAUSING DIARRHOEA IN CHILDREN UNDER FIVE IN LAMBARÉNÉ, GABON." BMJ Global Health 4, Suppl 3 (2019): A38.1—A38. http://dx.doi.org/10.1136/bmjgh-2019-edc.99.

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BackgroundDiarrhoeal disease remains the second leading cause of death in children under five years, being associated with about 525,000 deaths every year. The most common pathogens worldwide are Shigella spp/EIEC, rotavirus, adenovirus 40/41, ST-ETEC and Cryptosporidium spp. Public health interventions rely on estimates of pathogen-specific burden for prioritisation. Sadly, comprehensive data on the aetiology of diarrhoea in children is lacking for Gabon. This study aimed to identify the spectrum of pathogens found in Lambaréné, Gabon and provide baseline data on their prevalence, needed for implementation of effective control measures.MethodsA cross-sectional study was conducted at Albert Schweitzer and Georges Rawiri Regional hospitals in Lambaréné from February 2017 to February 2018. A consecutive sample of children under 5 year old with diarrhoea or a history of diarrhoea within the previous three days were prospectively studied. A single stool sample was collected from each study participant and processed using commercial rapid immunoassays to detect antigens of rotavirus, adenovirus, and Cryptosporidium spp. Multiplex PCR was used for Cryptosporidium spp., Giardia lamblia and Cyclospora cayetanensis detection, and characterisation of E. coli strains.ResultsOut of 188 participants who provided stool samples, one or more pathogens could be detected in 34.6% of the cases. The most prevalent parasites were Giardia lamblia (14.9%), Cryptosporidium spp. (11.7%), and Cyclospora cayetanensis (2.7%). Enteric viruses also were identified in these children: 10.6% and 1.6% of rotavirus and adenovirus, respectively. Multiple pathogens were detected in 5.3% of samples.ConclusionThis analysis of the causes of diarrhoea in children under 5 years of age in our setting showed three main pathogens: Giardia lamblia, Cryptosporidium spp. and rotavirus. Our study confirms major agents of acute diarrhoeal diseases in children, highlights research needs (Cryptosporidium) and supports the introduction of new tools such as the implementation of the rotavirus vaccine in the national immunisation programme.

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Honkpéhèdji, Yabo Josiane, Bayode Romeo Adegbite, Jeannot Fréjus Zinsou, et al. "Association of low birth weight and polyparasitic infection during pregnancy in Lambaréné, Gabon." Tropical Medicine & International Health 26, no. 8 (2021): 973–81. http://dx.doi.org/10.1111/tmi.13591.

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Bélard, Sabine, Stefan Niemann, Sanne Bootsma, et al. "Tuberculosis Treatment Outcome and Drug Resistance in Lambaréné, Gabon: A Prospective Cohort Study." American Journal of Tropical Medicine and Hygiene 95, no. 2 (2016): 472–80. http://dx.doi.org/10.4269/ajtmh.15-0668.

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Visser, Benjamin J., Petra F. Mens, Rik B. J. Kraan, et al. "Serum Lipids and Lipoproteins During Uncomplicated Malaria: A Cohort Study in Lambaréné, Gabon." American Journal of Tropical Medicine and Hygiene 96, no. 5 (2017): 1205–14. http://dx.doi.org/10.4269/ajtmh.16-0721.

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Adegbite, Bayode R., Jean Ronald Edoa, Jamie Rylance, et al. "Knowledge of health workers relating to sepsis awareness and management in Lambaréné, Gabon." Acta Tropica 219 (July 2021): 105914. http://dx.doi.org/10.1016/j.actatropica.2021.105914.

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Bache, Emmanuel, Marguerite M. Loembe, and Selidji T. Agnandji. "PO 8581 ZOONOTIC VIRAL ANTIGENS SURVEILLANCE IN HEALTHY POPULATIONS LIVING IN LAMBARÉNÉ, GABON." BMJ Global Health 4, Suppl 3 (2019): A58.2—A58. http://dx.doi.org/10.1136/bmjgh-2019-edc.153.

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BackgroundWorldwide, viral zoonotic infections such as filoviruses, flaviviruses, nairoviruses and arenaviruses cause self-limiting to severe diseases. They are endemic in sub-Saharan Africa, causing sporadic outbreaks warranting the development of sustainable surveillance systems. In Gabon, Ebola outbreaks occurred from 1994 to 2002 causing 214 human cases and 150 deaths, while Dengue, Zika and Chikungunya virus outbreaks occurred between 2007 and 2010. Beyond these outbreaks, little is known about the epidemiology. Recently, in collaboration with the Japanese government, the Research and Health Ministries of Gabon supported the implementation of a biosecurity level-3 (BSL-3) laboratory at CERMEL in Lambaréné as a zoonotic disease surveillance unit. Start-off involved antigen detection and characterisation of circulating antibodies to targeted viral antigens in healthy populations. This study reports data from healthy participants (18–50 years) in a phase I rVSV-ZEBOV-GP Ebola vaccine trial.MethodsHundred-six (106) baseline samples were screened for Ebola, Dengue (serotypes) 1–4 and Chikungunya viral RNA by RT-PCR on serum. IgG ELISA on plasma was used to identify antibodies against: Zaire-Ebola-(EBOV-GP and EBOV-VP40), Marburg-(MARV-GP and MARV-VP40), Crimean Congo Haemorrhagic Fever-(CCHFV-GP), Lasa-(LASV-GPC and LASV-NP), Yellow Fever-(YFV-NS1), West-Nile-(WNV-NS1), Zika virus-(ZIKV-NS1), Chikungunya-(CHIKV-VLP) and Dengue-(DENV1-NS1,DENV2-NS1,DENV3-NS1,DENV4-NS1) virus antigens.ResultsNo viral RNA was isolated by RT-PCR in 106 samples. About 9% (10/106), 3% (3/106), 6% (6/106), 24% (25/106), 51% (54/106), 38% (40/106) and 36% (38/106) participants were seropositive for antibodies specific to EBOV-GP, MARV-GP, CCHFV-GP, YFV-NS1, WNV-NS1, ZIKV-NS1 and CHIKV-VLP, respectively. Twelve percent (12%; 13/106) of participants possessed antibodies specific to Zika, Chikungunya and Dengue 1–4 antigens. Six percent (6%; 6/106) of participants were seropositive for EBOV-GP and CCHFV-GP.ConclusionWe found antibodies to viral zoonotic infections among our healthy volunteers. Further assays, including neutralisation assays are being performed to ascertain the specificity of the antibodies. These findings, once confirmed, will provide insights into disease surveillance, vaccine trial designs, evaluation of post-vaccine immune responses, variability in adverse events and overall disease transmission patterns.

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David, Philippe. "Le docteur Schweitzer et son hôpital à Lambaréné. L'envers d'un mythe, de André Audoynaud." Afrique contemporaine 222, no. 2 (2007): 273. http://dx.doi.org/10.3917/afco.222.0273.

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Manouana, Gédéon Prince, Natalie Byrne, Mirabeau Mbong Ngwese, et al. "Prevalence of Pathogens in Young Children Presenting to Hospital with Diarrhea from Lambaréné, Gabon." American Journal of Tropical Medicine and Hygiene 105, no. 1 (2021): 254–60. http://dx.doi.org/10.4269/ajtmh.20-1290.

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Abstract.Diarrheal disease is the second most frequent cause of mortality in children younger than 5 years worldwide, causing more than half a million deaths each year. Our knowledge of the epidemiology of potentially pathogenic agents found in children suffering from diarrhea in sub-Saharan African countries is still patchy, and thereby hinders implementation of effective preventative interventions. The lack of cheap, easy-to-use diagnostic tools leads to mostly symptomatic and empirical case management. An observational study with a total of 241 participants was conducted from February 2017 to August 2018 among children younger than 5 years with diarrhea in Lambaréné, Gabon. Clinical and demographic data were recorded, and a stool sample was collected. The samples were examined using a commercial rapid immunoassay to detect Rotavirus/adenovirus, conventional bacterial culture for Salmonella spp., and multiplex real-time PCR for Cryptosporidium spp., Giardia lamblia, Cyclospora cayetanensis, enterotoxigenic Escherichia coli (ETEC), and enteroinvasive Escherichia coli (EIEC)/Shigella. At least one infectious agent was present in 121 of 241 (50%) samples. The most frequently isolated pathogens were EIEC/Shigella and ETEC (54/179; 30.2% and 44/179; 24.6%, respectively), followed by G. lamblia (33/241; 13.7%), Cryptosporidium spp. (31/241; 12.9%), and Rotavirus (23/241; 9.5%). Coinfection with multiple pathogens was observed in 33% (40/121) of the positive cases with EIEC/Shigella, ETEC, and Cryptosporidium spp. most frequently identified. Our results provide new insight into the possible causes of diarrheal disease in the Moyen-Ogooué region of Gabon and motivate further research on possible modes of infection and targeted preventive measures.

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Kun, J. F., M. Alpers, D. Luckner, et al. "Association of the ICAM-1Kilifi mutation with protection against severe malaria in Lambaréné, Gabon." American Journal of Tropical Medicine and Hygiene 61, no. 5 (1999): 776–79. http://dx.doi.org/10.4269/ajtmh.1999.61.776.

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Dejon-Agobé, Jean Claude, Yabo Josiane Honkpehedji, Jeannot Fréjus Zinsou, et al. "Epidemiology of Schistosomiasis and Soil-Transmitted Helminth Coinfections among Schoolchildren Living in Lambaréné, Gabon." American Journal of Tropical Medicine and Hygiene 103, no. 1 (2020): 325–33. http://dx.doi.org/10.4269/ajtmh.19-0835.

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Stolp, S. M., M. A. M. Huson, S. Janssen, J. O. Beyeme, and M. P. Grobusch. "Tuberculosis patients hospitalized in the Albert Schweitzer Hospital, Lambaréné, Gabon—a retrospective observational study." Clinical Microbiology and Infection 19, no. 11 (2013): E499—E501. http://dx.doi.org/10.1111/1469-0691.12278.

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Ramharter, Michael, Ayola A. Adegnika, Selidji T. Agnandji, et al. "History and perspectives of medical research at the Albert Schweitzer Hospital in Lambaréné, Gabon." Wiener klinische Wochenschrift 119, S3 (2007): 8–12. http://dx.doi.org/10.1007/s00508-007-0857-5.

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Goldwyn, Robert M., and Mark B. Constantian. "The Goldwyn Diary of November and December 1960, at the Albert Schweitzer Hospital, Lambaréné, Gabon." Plastic and Reconstructive Surgery 129, no. 1 (2012): 281–83. http://dx.doi.org/10.1097/prs.0b013e3182362c9a.

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Wurmser, C., A. Roos, C. Kokou, C. Metz-Favre, and G. Pauli. "Étude de l’asthme de l’enfant en milieu semi-rural au Gabon (Hôpital Albert Schweitzer, Lambaréné)." Revue Française d'Allergologie 55, no. 3 (2015): 257. http://dx.doi.org/10.1016/j.reval.2015.02.140.

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Wurmser, C., A. Roos, C. Kokou, et al. "Étude de l’asthme de l’enfant en milieu semi-rural au Gabon (hôpital Albert-Schweitzer, Lambaréné)." Revue Française d'Allergologie 57, no. 1 (2017): 2–7. http://dx.doi.org/10.1016/j.reval.2016.09.005.

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Cremers, A. L., S. Janssen, M. A. M. Huson, et al. "Perceptions, health care seeking behaviour and implementation of a tuberculosis control programme in Lambaréné, Gabon." Public Health Action 3, no. 4 (2013): 328–32. http://dx.doi.org/10.5588/pha.13.0038.

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Medjo Mvé, Pither, and Mexcent Zuè Elibiyo. "enquête sociolinguistique sur la transmission intergénérationnelle des langues au Gabon." Travaux neuchâtelois de linguistique, no. 52 (January 1, 2010): 51–68. http://dx.doi.org/10.26034/tranel.2010.2833.

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In this contribution, we examine the question of the transmission of Bantu languages from the generation of the parents to the generation of children, into the specific context of Gabon. Our results are based upon a sociolinguistic survey (Zuè Elibiyo, 2008) made in two different cities of Gabon. One of these cities is located in the north-west (Libreville), and the other one in the center (Lambaréné). The data analysis shows that French language is clearly the language which the great majority of the parents transmit to their children. Nevertheless, at least two Bantu local languages, Fang (A75) and Gisir (B41) are, to a certain extent, also spoken by adults to the children within the family context. Finally, we show that not all local languages of Gabon are really endangered, even though their transmission is globally in decline.

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Noeske, Jannik. "Mit Tropenhelm in Thüringen. Rezeption und Repräsentation Albert Schweitzers in Weimar seit 1960." PERIPHERIE – Politik • Ökonomie • Kultur 42, no. 1 (2022): 107–28. http://dx.doi.org/10.3224/peripherie.v42i1.06.

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Das Albert-Schweitzer-Denkmal in Weimar wurde 1968 aufgestellt und gilt als weltweit erstes Denkmal zu Ehren des Arztes, Theologen und Pazifisten (1875-1965), der durch sein Wirken in Lambaréné (Gabun) weltweit berühmt geworden ist. Das Denkmal ist Ausdruck einer spezifischen Begeisterung und Unterstützung für Albert Schweitzer in der DDR. Diese war gut organisiert und staatlich verankert. Insbesondere die Block-CDU und ihr Vorsitzender Gerald Götting bemühten sich um die Popularisierung Schweitzers in der DDR. Das Denkmal des Bildhauers Gerhard Geyer von 1968 allerdings kann im Lichte seiner rassifizierenden Bildsprache als Teil einer kolonialistischen Ikonographie in der Schweitzer-Rezeption gewertet werden. Diese ist allerdings kein spezifisch ostdeutsches Phänomen. In Weimar, einem Schaufenster des Staatssozialismus, finden das Denkmal und eine Albert-Schweitzer-Gedenkstätte einen erinnerungspolitischen Kontext, der sich bis heute im Kern erhalten hat. Gleichwohl ist das Wissen über die Geschichte der Schweitzer-Rezeption in Weimar und in der DDR weitestgehend begrenzt.

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Schwarz, Norbert G., Marjolein Gysels, Christopher Pell, et al. "Reasons for non-adherence to vaccination at mother and child care clinics (MCCs) in Lambaréné, Gabon." Vaccine 27, no. 39 (2009): 5371–75. http://dx.doi.org/10.1016/j.vaccine.2009.06.100.

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Cremers, A. L., S. Janssen, M. A. M. Huson, et al. "Perceptions, health care seeking behaviour and the implementation of a tuberculosis control program in Lambaréné, Gabon." International Journal of Infectious Diseases 21 (April 2014): 227. http://dx.doi.org/10.1016/j.ijid.2014.03.893.

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Dibacka, Paterne Lessihuin, Yann Bounda, Davy Ondo Nguema, and Bertrand Lell. "Developing Information Technology at the Medical Research Unit of the Albert Schweitzer Hospital in Lambaréné, Gabon." Wiener klinische Wochenschrift 122, S1 (2010): 16–18. http://dx.doi.org/10.1007/s00508-010-1329-x.

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Adegbite, Bayode Romeo, Jean Ronald Edoa, Pacome Achimi Agbo, et al. "Epidemiological, Mycobacteriological, and Clinical Characteristics of Smoking Pulmonary Tuberculosis Patients, in Lambaréné, Gabon: A Cross-Sectional Study." American Journal of Tropical Medicine and Hygiene 103, no. 6 (2020): 2501–5. http://dx.doi.org/10.4269/ajtmh.20-0424.

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Helbok, Raimund, Eric Kendjo, Saadou Issifou, et al. "The Lambaréné Organ Dysfunction Score (LODS) Is a Simple Clinical Predictor of Fatal Malaria in African Children." Journal of Infectious Diseases 200, no. 12 (2009): 1834–41. http://dx.doi.org/10.1086/648409.

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ADEGNIKA, AYÔLA A., SELIDJI T. AGNANDJI, SAADOU ISSIFOU, et al. "EFFECTIVENESS OF QUININE MONOTHERAPY FOR THE TREATMENT OF PLASMODIUM FALCIPARUM INFECTION IN PREGNANT WOMEN IN LAMBARÉNÉ, GABON." American Journal of Tropical Medicine and Hygiene 73, no. 2 (2005): 263–66. http://dx.doi.org/10.4269/ajtmh.2005.73.263.

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Matthewman, Julian, Rella Zoleko Manego, Lia Betty Dimessa Mbadinga, et al. "A randomized controlled trial comparing the effectiveness of individual versus household treatment for Scabies in Lambaréné, Gabon." PLOS Neglected Tropical Diseases 14, no. 6 (2020): e0008423. http://dx.doi.org/10.1371/journal.pntd.0008423.

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Mordmüller, Benjamin, Katja Szywon, Benedikt Greutelaers, et al. "Safety and immunogenicity of the malaria vaccine candidate GMZ2 in malaria-exposed, adult individuals from Lambaréné, Gabon." Vaccine 28, no. 41 (2010): 6698–703. http://dx.doi.org/10.1016/j.vaccine.2010.07.085.

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Mimbila, M. M., R. S. Minto’o, M. N. E. Mintsa, et al. "Indication and Outcomes of Paediatric Blood Transfusion at Three Hospitals in Gabon, Africa." Africa Sanguine 22, no. 1 (2020): 10–13. http://dx.doi.org/10.4314/asan.v22i1.2.

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Introduction: Blood transfusion is a life-saving treatment for severely anaemic children both in developed and developing countries. In this study we describe transfusions in paediatric settings of Gabon, Africa including clinical indications and subsequent outcomes.Methods: This prospective descriptive study was conducted in the cities of Libreville and Lambaréné from 1 January to 30 September 2016.Children between the ages of 1 month and 15 years, who were hospitalised and transfused were included in the study.Results: We included 287 children who represented 17.1% of all hospitalised children. The male:female ratio was 0.95 and the average age was 3.7 years. Packed red blood cells (PRBC) were administered to 99.3% of anaemic patients. World Health Organization (WHO) defined severe anaemia (haemoglobin (Haemoglobin) <7 g/dL) was the main indication (95.1%) with the mean haemoglobin (Hb) level pretransfusion being 5.1 g/dL ± 2.7 g/dL, and post-transfusion haemoglobin gain being 2.9 g/dL ± 1.2 g/dL. Malaria was present in 79% of transfused patients and 46.9% of children screened were homozygous for sickle cell disease. No post-transfusion incident was reported although reporting may have been incomplete.Conclusion: Blood transfusion is frequent in our context; the clinical outcome is mostly favourable. French Title: Indication et Résultats de la Transfusion Sanguine Pédiatrique Dans Trois Hôpitaux au Gabon, en Afrique Introduction: La transfusion sanguine est un traitement salvateur pour les enfants gravement anémiés dans les pays développés ou endéveloppement. Dans cette étude, nous décrivons les transfusions en milieu pédiatrique du Gabon, en Afrique, y compris les indicationscliniques et les résultats.Méthodes: Cette étude descriptive prospective a été réalisée dans les villes de Libreville et Lambaréné du 1er janvier au 30 septembre 2016.Les enfants âgés de 1 mois à 15 ans, hospitalisés et transfusés ont été inclus dans l'étude.Résultats: Nous avons inclus 287 enfants qui représentaient 17.1% de tous les enfants hospitalisés. Le rapport garçons/filles était de 0.95 etl'âge moyen était de 3.7 ans. Des concentrés de globules rouges (CGR) ont été administrés à 99.3% des patients anémiques. L’anémie définiepar l’Organisation Mondiale de la Santé (OMS) (hémoglobine <7 g/dL) était la principale indication (95.1%), le taux moyen d'hémoglobine(Hb) avant transfusion étant de 5.1 g/dL ± 2.7 g/dL, et le gain d'hémoglobine après transfusion était de 2.9 g/dL ± 1.2 g/dL. Le paludisme étaitprésent chez 79% des patients transfusés et 46.9% des enfants dépistés étaient homozygotes pour la drépanocytose. Aucun incident post transfusionnel n'a été signalé, bien que le signalement ait pu être incomplet.Conclusion: La transfusion sanguine est fréquente dans notre contexte; l'issue clinique est généralement favorable.

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Janssen, Saskia, Sabine Hermans, Martijn Knap, et al. "Impact of Anti-Retroviral Treatment and Cotrimoxazole Prophylaxis on Helminth Infections in HIV-Infected Patients in Lambaréné, Gabon." PLOS Neglected Tropical Diseases 9, no. 5 (2015): e0003769. http://dx.doi.org/10.1371/journal.pntd.0003769.

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Arnold, Matthieu. "« Vous les Noirs, nous les Blancs… » L’opposition entre Européens et Africains dans les sermons de Schweitzer à Lambaréné (1913-1931)." Revue d'histoire et de philosophie religieuses 83, no. 4 (2003): 421–41. http://dx.doi.org/10.3406/rhpr.2003.1048.

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Fernandes, José, Emmanuel B. Bache, Régis M. Obiang Mba, et al. "SAFETY OF RVSV EBOLA VACCINE, AFTER 6 MONTHS FOLLOW-UP, IN ADULTS: A PHASE 1 TRIAL CONDUCTED IN LAMBARÉNÉ, GABON." BMJ Global Health 2, Suppl 2 (2017): A67.1—A67. http://dx.doi.org/10.1136/bmjgh-2016-000260.179.

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Dejon Agobé, Jean Claude, Jean R Edoa, Yabo J Honkpehedji, et al. "PO 8449 SCHISTOSOMA HAEMATOBIUM INFECTION INCREASES THE NUMBER OF MALARIA EPISODES IN CHILDREN LIVING IN RURAL AREAS AROUND LAMBARéNé, GABON." BMJ Global Health 4, Suppl 3 (2019): A39.3—A40. http://dx.doi.org/10.1136/bmjgh-2019-edc.103.

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BackgroundIn sub-Saharan Africa, Plasmodium spp. infection prevalence very often overlaps with helminth infections, particularly with schistosomiasis which is reported to be the second parasitic infection after malaria in terms of prevalence. Interaction between both infections has been reported earlier. Schistosomiasis is typically a chronic disease, whereas malaria occurs in episodes, particularly in children. In this study, we assessed the effect of Schistosoma haematobium infection on clinical malaria among children.MethodsA longitudinal study was conducted from June 2016 to February 2018. Volunteers without any known chronic condition were included. Thick blood smear (TBS) was performed monthly at participants’ homes. For any medical concern including malaria-like symptoms and visible haematuria, participants were invited to come to CERMEL for diagnosis and treatment. Light microscopy was performed to detect malaria parasites and Schistosoma eggs, using TBS and urine filtration technique, respectively. Over the study course, participants found to be infected were treated accordingly. Schistosomiasis status was determined at the end of the follow-up.ResultsAmong the 351 volunteers included in the study, schistosomiasis status was available for 260. Mean age was 12.3 year (SD 4.6) with a 0.96 women-to-men sex ratio. Of those, 112/260 (43.1%) [37.0%–49.3%] participants were positive for S. haematobium, and a total of 132 (51%) children developed 230 malaria attacks. Those with schistosomiasis had a 1.5:1 [1.1–2.0] risk to develop malaria compared to their uninfected counterparts. The mean number of malaria episodes per child over the study course was higher among children with schistosomiasis compared to those without (2.03 vs 1.57, p-value=0.015).ConclusionS. haematobium infection was associated with increased susceptibility to develop malaria (by increasing the risk to develop a malaria episode) and, consequently, a higher malaria incidence.

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