Quality and disinfection trials of consumption water in storage reservoirs for rural area in the Marrakech region (Assif El Mal).

Traditional reservoirs for water storage are important systems of water supply in rural areas of Morocco. These reservoirs are fed by rainwater and/or directly from rivers through open channels; the stored water is used without any treatment as drinking water by the surrounding population. The present study aimed to assess the physicochemical and bacteriological quality of stored water and the corresponding sediment in six traditional reservoirs (R1 to R6) located in the rural municipality of Assif El Mal. We tested two inexpensive methods of disinfecting the stored water: chlorination and solar disinfection in bottles. The results show a rise of organic and mineral concentrations. Regarding bacteriological quality, a critical contamination level was detected (8 × 10(5) CFU/100 ml in water and 9 × 10(7) CFU/g in sediment) according to the 2002 Moroccan Standards for drinking water (0 CFU/100 ml). In the disinfection tests, chlorine disinfection removed all studied germs after just 1 hour, and the solar exposure process removed the majority of bacteria (after 3 hours) except those with a resistant form (Clostridia).

Epidemiological features of cutaneous leishmaniasis in diagnosed patients from an endemic area (central Morocco).

Cutaneous leishmaniasis represents the most neglected tropical disease across the world. In Morocco, this disease is endemic and constitutes a major public health problem, with a national control program been implemented. The current study aimed to determine the pattern and epidemiological features of cutaneous leishmaniasis in affected patients in an area covered by the CL control and prevention program (Central Morocco). A total of 161 patients suspected for cutaneous leishmaniasis were diagnosed according to WHO laboratory methods, and 82 cases were confirmed positive for CL. The reports were analysed by patients' socio-geographic status, gender and age. The number and distribution of CL lesions by location, gender and age were investigated. Overall the confirmed cases, 89 % were infected by Leishmania tropica versus 21 % for Leishmania major. Females were significantly more affected than males (p < 0.01). Children (0-15 years), especially those ≤ 7 years of age, were the most affected. For the distribution of lesions, single lesion cases were largely preponderant (70.7 %) compared to multiple lesions. Face location was significantly more frequent (62.2 %) compared to limbs (26.8 %). Face lesions were found more prevalent in children than in adults while limb lesions were highly observed in adults. The pattern of the disease is affected by many factors (e.g. environment, gender, age, etc.) and has specifics to be considered in prevention and control programs in endemic areas.

The pattern of cystic echinococcosis in children in an endemic area in Morocco.

Cystic echinococcosis is a parasitic infection of major public health concern. The infection is generally acquired during childhood and the disease incubation period can last many years. The occurrence and characteristics of the disease in children were not well studied. The present study aimed to explore the pattern and features of cystic echinococcosis in children in rural and urban environments in Morocco. A total of 338 children diagnosed and treated for cystic echinococcosis were investigated. The trend of the infection, risk and exposure factors and the distribution of the anatomic locations of cysts were studied. A non-uniform decrease in proportions of infected children was found. Children from rural environs had significantly higher infection rates than children from urban environs (p < 0.001). Males were significantly more infected than females. Children aged 7-11 years were the most affected. For cysts locations, single organ involvement was found in 94.4% of the children versus 5.6% with multi-organ localization. Despite control program, active transmission of echinococcosis still occurred in children and remains a major public health problem. The infection in younger population may have some features that need to be considered in the prevention and control programs in endemic areas.