Malaria and anemia of pregnancy in an African savanna zone. Epidemiological, hematological, biological and immunological study of 2 villages of the Bamako region, Republic of Mali. / Paludisme et anémie de la grossesse en zone de savane africaine. Etude épidémiologique, hématologique, biologique et immunologique dans deux villages de la région de Bamako, République du Mali.

An haematological, biological, parasitological and immunological study about anaemia of pregnancy was carried out in two rural village of Mali Republic, where P. flaciparum malaria is hyper-endemic. The 25 pregnant women found in the villages were compared with 23 controls. One could observe that anaemia more often normochromic and regenerative usually appears during the second trimestre of pregnancy. Only a few cases with haemaglobin levels below 8 g. % are hypochromic. Serum transferrin levels were slightly higher among pregnant. None among 31 bone marrows examined showed megaloblastic changes. Haptoglobin levels below 10 mg. % were observed in 3/4 of the pregnant women versus 1/4 in controls. Like some others, this study confirms the primary responsability of malaria haemolysis in the aetiology of anaemia of pregnancy and the interest of systematic chemoprophylaxis, at least from the third month of pregnancy. Vitamin and iron therapy is to consider therafter in hyper-endemic areas of P. falciparum malaria when nutritional problems are not predominant.

[Evaluation of Plasmodium falciparum antigen of human origin using indirect immunofluorescence reaction in malaria]. / Evaluation de l'antigène p. falciparum d'origine humaine pour la réaction d'immunofluorescence indirecte dans le paludisme

The authors point out the use of P. falciparum antigens from man in the Malaria IFA test. In Malaria areas it is very easy to find them and although they are "coated" by antibodies they are quite valuable in significant titers. The use of P. falciparum from man is therefore very interesting for Malaria diagnosis in non endemic areas and very useful for Malaria surveys in endemic areas.

[Intestinal protozoa in a non-selected group of adults in the Republic of Mali]. / Les protozoaires intestinaux dans une population non sélectionnée d'adultes en république du mali

A coprological examination was performed among 410 adults living in two rural traditional villages of the Bamako region (Mali Republic). The results are compatible with those of several reports coming from other areas. A remark is done about Ascaridiasis which seems to be rare in rural communities of tropical Africa.