A screening of serological syphilis in Mauritania.

A survey aiming at assessing the frequency and the distribution of serological syphilis has been carried out on a sample of 6049 subjects aged 6-18 years in Mauritania. 33.4% of the samples had a reciprocal titer of 150 or more as determined by means of an immunofluorescence technique. However, frequencies in the different villages ranged from 7.5 to 47.6% and were strongly associated with the percentage of Black elements in the community. A significant difference was found between the age-groups 6-13 and 14-18, with a mean increase of 56%. These results suggest that an intervention program might be necessary in Mauritania.

Enrolment and programmatic trends and predictors of antiretroviral therapy initiation from president's emergency plan for AIDS Relief (PEPFAR)-supported public HIV care and treatment sites in rural Mozambique.

Many countries in sub-Saharan Africa have made antiretroviral therapy (ART) available in urban settings, but the progress of treatment expansion into rural Africa has been slower. We analysed routine data for patients enrolled in a rural HIV treatment programme in Zambézia Province, Mozambique (1 June 2006 through 30 March 2009). There were 12,218 patients who were ≥15 years old enrolled (69% women). Median age was 25 years for women and 31 years for men. Older age and higher level of education were strongly predictive of ART initiation (P < 0.001). Patients with a CD4+ count of 350 cells/µL versus 50 cells/µL were less likely to begin ART (odds ratio [OR]: 0.19, 95% confidence interval [CI]: 0.16-0.23). In rural sub-Saharan Africa, HIV testing, linkage to care, logistics for ART initiation and fears among some patients to take ART require specialized planning to maximize successes. Sustainability will require improved health manpower, infrastructure, stable funding, continuous drug supplies, patient record systems and, most importantly, community engagement.

Association between risk of acquiring HIV and beliefs and perceptions about the lived experience of HIV/AIDS among HIV-negative or untested men who have sex with men.

The study aim was to assess whether the sexual behaviour of HIV-negative or untested men who have sex with men (MSM) was related to their perceptions of what it is like to live with HIV/AIDS, their beliefs or their attitudes to highly active antiretroviral treatments. Any unprotected anal intercourse (UAI) with casual partners was used as the sexual-risk indicator. The study enrolled 261 MSM. There were no significant differences between beliefs, attitudes and perceptions about HIV/AIDS, knowledge of post-exposure prophylaxis (PEP) or exposure to the HIV/AIDS epidemic among those who had had UAI with casual partners and those that had not (P>0.12). Those who considered that low levels of viral load and withdrawing before ejaculation reduced the risk of HIV transmission were significantly more likely to have had UAI with a casual partner (P=0.03). Only a minority of MSM engaging in UAI were optimistic about antiretroviral therapy. The study participants were in general pessimistic about life with HIV/AIDS despite their risk-taking sexual behaviour.

[Epidemiology of bilharziasis in the Sahel and Sahara regions of Mauritania (sero-immunologic evaluation. 1973)]. / Contribution à l'étude de l'épidémiologie de la bilharziose dans les régions sahéliennes et sahariennes de Mauritanie (évaluation séro-immunologique. Année 1973).

An epidemiological survey was carried out in 1973 in Sahara and Sahel regions of Mauritania, in order to assess the frequency and the geographical distribution of schistosomiasis. The prevalence of the infection, based on an immunological diagnosis, varied between villages, increased as a function or age, and reflected mainly the conditions of living of the inhabitants. Eradication programs were deemed suitable in certain biotopes, especially in Adrar.