High prevalence of hepatitis B and HIV among women survivors of sexual violence in South Kivu province, eastern Democratic Republic of Congo.

INTRODUCTION: Limited data are available on the prevalence rates of hepatitis B and acquired immunodeficiency syndrome (AIDS) among women survivors of sexual violence (WSSV) in South Kivu province, in the eastern part of the Democratic Republic of Congo (DRC), where armed conflicts persist. Here, we aimed to assess the prevalence of these two infections in this vulnerable local population. METHODS: A total of 1002 WSSV, aged from 18 to 70 years old were enrolled from May 2018 to May 2020 at three healthcare facilities (Panzi, Mulamba and Bulenga hospitals), which are called "The One-Stop Centre Care Model" for the management of sexual violence in South Kivu. Blood samples were collected and tested for hepatitis B virus (HBV) and human immunodeficiency virus (HIV) antigens and antibodies using enzyme-linked immunoassay (ELISA) methods. Subsequently, viral load quantification for HBV and HIV were performed using the GeneXpert. Univariate and multivariate logistic regression models were used to assess factors associated with HIV-positive and HBV-positive status. RESULTS: For HBV, overall prevalence was 8.9% (95% CI; 7.2-10.8%), 32.1% (95% CI; 29.3-35.0%), and 14.5% (95% CI; 12.3-16.8%) for HBsAg, anti-HBc and anti-HBs antibodies, respectively. Among the 89 HBsAg-positive patients, 17 (19.1%) were HBeAg-positive. The median age of individuals with a positive HBsAg test was higher than those with a negative test (median: 40 years (IQR 30-52) compared to 36 years (IQR 24-48)). Risk factors for HBV infection were age (≥35 years) (AOR = 1.83 [1.02-3.32]; p = 0.041), having no schooling (AOR = 4.14 [1.35-12.62]; p = 0.012) or only primary school-level (AOR = 4.88 [1.61-14.75]; p = 0.005), and multiple aggressors (AOR = 1.76 [1.09-2.84], p = 0.019). The prevalence of HIV was 4.3% [95% CI: 3.1-5.7%]. HIV/HBV co-infection occurred only in 5 individuals (0.5%). The HBV viral load was detectable (> 1 log10 UI/mL) in 61.8% of HBsAg-positive subjects and 64.8% HIV-positive subjects had a high viral load (≥ 3 log10 copies/mL). CONCLUSION: This study revealed a high prevalence of HBV and HIV infections among WSSV in South Kivu. The results generated highlight the urgent need for systematic screening of HBV and HIV by integrating fourth-generation ELISA tests in HIV and HBV control programs.

Prevalence and economic losses of calf fetal wastage in ELAKAT public slaughterhouse of Bukavu, Democratic Republic of Congo.

AIM: This study was conducted to assess the prevalence of calf fetal wastage and its economic implications at ELAKAT slaughterhouse, Bukavu, Democratic Republic of Congo (DR Congo) to fill the research gap in relationship with this thematic. The study investigations took place from May to September 2018. MATERIALS AND METHODS: A cross-sectional survey was carried at the slaughterhouse. For each visit, the number of cattle slaughtered, the number of pregnant cows slaughtered, and gestational ages (stage of pregnancy of the dam, and estimated by crown-rump length) of the fetuses were recorded. RESULTS: Out of the 1035 cattle slaughtered during the study period, 970 were females. A total of 255 fetuses were recovered, representing a fetal recovery rate of 26.28%. The study established that one fetus was lost out of 4.5 cows slaughtered, and most of fetuses recovered (58.1%) were in the first trimester of gestation while 29.1% and 12.8% were, respectively, in the second and third trimester. Their age varied from 1.2 to 8.6 months, with body length ranging from 14 cm to 92 cm while their weight varied from 1.0 kg to 23.0 kg. The economic loss associated with the total cattle fetal wastages was estimated at Congo Democratic Francs (CDF) 29,906,400 ($15,787.5) with a monthly average of CDF 5,981,280 ($3,157.5). CONCLUSION: These results attested that slaughtering pregnant cows constitute a strong constraint on cattle industry development in DR Congo. Urgent measures, such as adequate enforcement of legislations on routine veterinary examinations at slaughterhouses as well as livestock owner's sensitization, are required to avoid selling pregnant cows during calving season.