Environmental exposure to carcinogens in northwestern Cameroon.

BACKGROUND: In developing countries, 6% of deaths are due to cancer but cancer prevention is not practiced. Humans can prevent themselves from a number of workplace and environmental carcinogens. OBJECTIVES: To assess exposure to carcinogens, risky behaviours and associated preventive methods. METHODS: A structured questionnaire was used to collect information on carcinogen exposure in the workplace and environment through trained field staff from volunteers after gaining informed consent. Data was analysed using SPSS. RESULTS: Participants were exposed to recognized carcinogens and environmental hazards. Thirty-five (83.3%) [95% CI: 72.0- 94.6] participants knew the carcinogen names they were exposed to. Common hygienic practices such as taking a bath and washing work dresses at the workplace, use of detergents to wash hands, and no smoking or eating at the workplace were poor. Twenty-nine (69.0%) [95% CI: 47.0 - 75.0] participants could smell the carcinogenic chemicals they use. Thirty (71.4%) [95% CI: 65.0 - 77.0] participants had been instructed in the use of protective equipment against carcinogens. Participants used preventive devices like hand gloves, laboratory coats, boots, face masks, goggles, ear plugs and respirators. CONCLUSIONS: Exposure to carcinogens is common necessitating case-control and cohort studies in this locality on cancer prevalence and incidence.

HIV-1/HIV-2 co-infection among voluntary counselling and testing subjects at a regional hospital in Cameroon.

BACKGROUND: HIV/AIDS is a major public health problem in Cameroon which had a prevalence of 5.1% in 2010 with 141 new infections per day. The fear of voluntary counseling and testing (VCT) is an obstacle to HIV prevention. OBJECTIVES: To determine the prevalence of HIV-1, HIV-2 and HIV-1/HIV-2 co-infection among people attending a health facility for VCT. METHODS: Venous blood was collected from participants using aseptic techniques in a descriptive observational cross-sectional study. DETERMINE HIV-1/2 and SD BIOLINE HIV-1/2 3.0 qualitative tests were used for the detection of HIV-1 and HIV-2 in their sera. Range and consistency checks were carried out on the data and analysed using Epi-Info. RESULTS: Of 290 individuals tested, 78(26.9%) were positive for HIV-1 and HIV-2. Among the 78 HIV positive individuals, 62 (79.5%) had HIV-1, 1(1.3%) had HIV-2 and 15(19.2%) had concurrent HIV-1/ HIV-2. Among those infected, 57(73.1%) were females including 21(26.9%) males. CONCLUSION: HIV-1 is the major cause of AIDS and VCT is well accepted. Co-infection with HIV-1/HIV-2 may lead to anti-retroviral drug resistance. VCT should be encouraged so that positive cases can initiate therapy on time to stay ahead of anti-retroviral drug resistance.

The incidence of feco-oral parasites in street-food vendors in Buea, south-west region Cameroon.

BACKGROUND: The street-food industry lacks legal recognition, it operates in unstable and precarious conditions, involving women and men with minimal or no knowledge of hygienic food handling practices. Infective eggs, bacteria, toxins and cysts of faecal orally transmissible parasites are common agents responsible for food contamination in developing countries. OBJECTIVE: To determine the incidence of digestive faecal-oral parasites among street-food vendors in Buea, South-west region of Cameroon, METHODS: From March to May 2009, physical and laboratory analysis of stool samples of 150 randomly selected street-food vendors, residing in four different zones in the municipality were carried out. Information on environmental and personal hygiene was also collected. RESULTS: Results revealed that 56.7% of the sampled population was infected with faecal-oral parasites. The major faecal-oral parasites detected in stool samples were: Entamoeba coli (14.0%), Entamoeba histolytica (12.67%), Ascaris lumbricoides (11.33%), Ankylostoma duodenalis (10.67%). Childcare activities, lack of deworming, poor personal hygiene, poor sanitary and toilet facilities, were factors promoting the spread of faecal-oral infections. CONCLUSION: Food vendors should be educated on personal hygiene and safe food handling measures. Regulatory procedures on environmental hygiene and regular medical and paramedical follow up of food vendors should be enforced.

Securidacaxanthone A, a heptaoxygenated xanthone from Securidaca longepedunculata.

From the root bark of Securidaca longepedunculata, a heptaoxygenated xanthone (1) has been isolated as well as two known xanthones (2) and (3) and two salicylic acid derivatives (4) and (5). The structure of 1 has been elucidated from 1H and 13C-NMR spectral data.