RESUMO
OBJECTIVES: This study aimed to investigate the prevalence of orthoebolavirus antibodies in Madina Oula, a non-epidemic rural area in Guinea, in 2022. METHODS: A cross-sectional study was conducted from March 14 to April 3, 2022 involving recording household and socio-demographic characteristics, lifestyle data, and collecting dried blood spots from 878 individuals in 235 households. Dried blood spots were tested using multiplex serology to detect antibodies to different orthoebolaviruses: Ebola virus, Bundibugyo virus, Sudan virus, Reston virus, and Bombali virus. Seroprevalence was estimated with a 95% confidence interval and a Z-test was performed to compare the seropositivity between children aged under 15 years and those over 15 years. Household and participant characteristics were analyzed using descriptive statistic, and socio-historical conditions were discussed. RESULTS: The serological analysis conducted in 2022 on 878 participants revealed varying reactivity to orthoebolavirus antigens, notably, with glycoprotein antigens, particularly, glycoprotein Sudan virus (16%). A total of 21 samples exhibited reactivity with at least two antigens, with a median age of 27 years (interquartile range 10.00-35.00), ranging from 2 to 80 years. There is no significant difference between seropositivity in children aged under 15 (2.86%) years and those over 15 (2.14%) years. The antibody presence varied per village, with the highest prevalence observed in Ouassou and Dar-es-Salam. CONCLUSIONS: Serological data in a region unaffected by recent Ebola outbreaks indicate possible orthoebolavirus endemicity, emphasizing the need for preparedness against known or novel orthoebolaviruses with potential cross-reactivity.
RESUMO
Resumo Quem governa a saúde nas prisões? Propomos responder a esta questão a partir de um inquérito etnográfico de longaduração realizado na MACA, a Maison d´Arrêtet de Correction d´Abidjan (Costa do Marfim). A análise da governança da saúde, na prática, não pode ser feita sem uma contextualização histórica da prisão na sociedade da Costa do Marfim, nem de uma análise da legitimidade atual da prisão e dos presos como objetos de políticas específicas nesse país. É à luz desse duplo contexto que deve ser analisada a dupla governança da prisão que rege a vida na MACA e sustenta os valores atribuídos à saúde nesse espaço. Um estudo de caso sobre a substituição de um detento que exercia a função de chefe do prédio da enfermaria (chef de bâtiment de l’infirmerie) permitirá ilustrar como o reconhecimento desta forma de vida singular é uma condição necessária para uma intervenção eficaz no campo da saúde na prisão.
Résumé Qui gouverne la santé en prison ? Comment ? Nous proposons de répondre à ces questions à partir d’une enquête ethnographique au long cours menée à la MACA, la Maison d’Arrêt et de Correction d’Abidjan (Côte d’Ivoire). L’analyse du gouvernement de la santé en pratiques ne peut faire l’économie ni d’une contextualisation historique de la prison dans la société ivoirienne, ni d’une analyse de la légitimité actuelle de la prison et des détenus comme objets de politiques spécifiques en Côte d’Ivoire. C’est au regard de ce double contexte qu’il faut analyser le double gouvernement de la prison qui régit la vie à la MACA et sous-tend les valeurs attribuées à la santé dans cet espace. Une étude de cas portant sur le remplacement d’un détenu faisant fonction de chef de bâtiment de l’infirmerie permettra d’illustrer en quoi la reconnaissance de cette forme de vie singulière est une condition nécessaire à une intervention efficace dans le domaine de la santé en prison.
