Prevalence and associated risk factors of Helicobacter pylori infection in East Africa: a systematic review and meta-analysis.

BACKGROUND: Helicobacter pylori is the main cause of chronic gastritis, peptic ulcer, lymphoma, and gastric cancer in humans. The prevalence and factors associated with H. pylori infection are varied across countries. Thus, a comprehensive review has not been done on prevalence and associated factors in East Africa. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence and identify factors associated with H. pylori infection in East Africa. METHODS: Articles written in English language were retrieved from PubMed, Scopus, and Science Direct. Relevant articles were selected and screened using Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Publication bias was assessed qualitatively and qualitatively using funnel plot symmetry and Egger's test, respectively. Heterogeneity was assessed using the I2 measure. Data were analyzed using Stata software, version 14, and the "metan" command. RESULTS: A total of 231 articles were retrieved from nineteen countries in East Africa. Of these, 70 articles were eligible for the review. The pooled prevalence of H. pylori in East Africa was 50.98% (95% CI: 45.05-56.90). The prevalence of H. pylori infection ranged from 7.7 to 94.5% in East African countries. The highest pooled prevalence was from Sudan (61.3%, 95% CI: 52.6-69.9), and the lowest prevalence was reported from Uganda (40.7%, 95% CI: 33-48.3). Persons with no formal education (OR: 2.03; 95% CI: 1.22-2.83), lack of hand washing habit after toilet (OR: 2.24; 95% CI: 1.45-3.02), having a history of dyspepsia (OR: 2.25; 95% CI: 1.31-3.18), living in rural areas (OR = 1.80; 95% CI: 0.38-3.23), and having unclean water source (OR = 1.5; 95% CI:0.45-3.45) were all associated with higher risk for H. pylori infection. CONCLUSION: More than half of the populations of East African countries were positive for H. pylori infection. Rural residence, source of water, and alcohol consumption were significantly associated with H. pylori infection. Therefore, healthcare workers could provide health education on the aforementioned risk factors, and the government and other stakeholders could improve the source of drinking water in East Africa.

Comparative Screening of Mexican, Rwandan and Commercial Entomopathogenic Nematodes to Be Used against Invasive Fall Armyworm, Spodoptera frugiperda.

The fall armyworm (FAW), Spodoptera frugiperda Smith (Lepidoptera: Noctuidae) is an important pest of maize originating from the Americas. It recently invaded Africa and Asia, where it causes severe yield losses to maize. To fight this pest, tremendous quantities of synthetic insecticides are being used. As a safe and sustainable alternative, we explore the possibility to control FAW with entomopathogenic nematodes (EPN). We tested in the laboratory whether local EPNs, isolated in the invasive range of FAW, are as effective as EPNs from FAW native range or as commercially available EPNs. This work compared the virulence, killing speed and propagation capability of low doses of forty EPN strains, representing twelve species, after placing them with second-, third- and sixth-instar caterpillars as well as pupae. EPN isolated in the invasive range of FAW (Rwanda) were found to be as effective as commercial and EPNs from the native range of FAW (Mexico) at killing FAW caterpillars. In particular, the Rwandan Steinernema carpocapsae strain RW14-G-R3a-2 caused rapid 100% mortality of second- and third-instar and close to 75% of sixth-instar FAW caterpillars. EPN strains and concentrations used in this study were not effective in killing FAW pupae. Virulence varied greatly among EPN strains, underlining the importance of thorough EPN screenings. These findings will facilitate the development of local EPN-based biological control products for sustainable and environmentally friendly control of FAW in East Africa and beyond.

Monogeneans from Catfishes in Lake Tanganyika. I: Two new species of Bagrobdella (Dactylogyridae) from Auchenoglanis occidentalis (Siluriformes: Claroteidae)

In the framework of the study of Siluriform fish monogeneans of Lake Tanganyika, we described two new species of Bagrobdella Paperna, 1969 from Auchenoglanis occidentalis (Valenciennes, 1840). Bagrobdella vanhovei sp. nov. is characterized by the morphology of its MCO which is unique among its congeners, presenting a non-terminal opening, whereas the other species have a terminal opening, and Bagrobdella vansteenbergei sp. nov. characterized by the size of its hooks, which are almost all of the same size, and its male copulating organ with a unique shape: a sub-terminal opening and no membrane surrounding. The Multivariate analysis done on morphometrical characters shows that the new and already described species are well individualized, except for Bagrobdella parauchenoglanii Akoumba, Pariselle, Tombi & Bilong Bilong, 2017 and Bagrobdella fraudulenta Euzet & Le Brun, 1990 (but these two species are easily distinguishable by their morphology), and that B. vanhovei sp. nov. has a great intra-specific morphometrical variation.

The South America Tomato Leafminer, Tuta absoluta (Lepidoptera: Gelechiidae), Spreads Its Wings in Eastern Africa: Distribution and Socioeconomic Impacts.

Following the arrival of Tuta absoluta Meyrick in the eastern African subregion in 2012, several studies have shown numerous ecological aspects of its invasion. We investigated the impact of T. absoluta on people's livelihoods across four counties of Kenya. Here, 200 farmers in the country were interviewed in person using semistructured questionnaires. In addition to livelihood surveys, T. absoluta distribution was mapped between 2016 and 2018 to determine its current distribution across four countries (Kenya, Sudan, Tanzania, and Uganda) in the subregion. Albeit a recent invader, T. absoluta is abundant and distributed throughout the subregion and is viewed as the worst invasive alien species of agriculturally sustainable livelihoods by tomato farmers. The arrival of T. absoluta in the subregion has resulted in livelihood losses and increased both the cost of tomato production and frequency of pesticide application. We recommend the implementation of biological control along, with other control measures in an integrated approach, against T. absoluta in the subregion, where its impact on sustainable livelihoods is serious and long-term control strategies are required to curb its detrimental effects.

Occurrence of Bondar's Nesting Whitefly, Paraleyrodes bondari (Hemiptera: Aleyrodidae), on cassava in Uganda

ABSTRACT Cassava is a valued calorific source to millions of Africans who eat it daily and a vital staple for their food security. One of the key constraints to this crop is whiteflies which are both a vector of viral diseases and a direct pest. Although the African cassava whitefly is known to cause physical damage on cassava with considerable tuberous yield loss, a recent whitefly outbreak caused unusually severe damage, which prompted the current reported investigation. Molecular identification of whitefly adults sampled from the affected cassava field revealed the presence of a new whitefly species, Paraleyrodes bondari. This communication is the first report of the occurrence of P. bondari on cassava in Uganda.