Evaluation of the health risks linked to two swimming pools regularly frequented from the city of Yaounde in Cameroon (Central Africa).

The study highlights the presence of pathogenic strains of microorganisms in two swimming pools, highly frequented in the city of Yaounde. Thus, the water samples from these swimming pools have undergone physicochemical and biological treatments using conventional techniques. Three groups of microorganisms (Bacteria, Protozoa, and Helminths) were identified and quantified in these swimming pools with weakly acidic waters (6.79 ± 0.35) with an average temperature of 26.63 ± 0.53 °C and suspended matter ranging from 2 to 150 mg.l-1. The total bacterial load varies between 8 × 103 and 6000 × 103 CFU/100 ml. It consists of mesophilic aerobic heterotrophic bacteria, fecal coliforms, total coliforms, fecal streptococci, Staphylococcus aureus, and Pseudomonas aeruginosa. Protozoan cysts and oocysts range from 122 to 505 per liter of water. These values are slightly lower for helminth eggs and larvae (0 to 108 eggs and larvae/l). In both swimming pools, significant correlations were observed between some abiotic and biotic parameters. The waters of the studied swimming pools are subject to fecal pollution. Swimmers would therefore be exposed to biological contaminations, responsible for pathologies. The most common diseases are linked to gastroenteritis (diarrhea), but infections of all kinds may be overgrown (conjunctivitis, ear infections, dermatitis, respiratory infections).

Pathogenicity and non-opportunistic character of Blastocystis spp.: a hospital-based survey in Central Cameroon.

INTRODUCTION: Blastocystis spp. is a protist found in humans. Although usually the most frequent protozoa found in stool samples of both symptomatic and healthy subjects, its pathogenic or rather opportunistic role is yet to be clearly elucidated. To attempt to fill this gap, a cross-sectional study was conducted to compare the frequency of Blastocystis spp. in HIV positive (HIV+) versus HIV negative (HIV-) individuals in four health facilities of the Center Region of Cameroon. METHODOLOGY: Stool samples were collected from 283 HIV positive and 245 HIV negative subjects and analyzed using direct diagnostic tests. RESULTS: A total of 46 (8.7%) individuals were found infected with Blastocystis spp., including 6.7% HIV positive and 11.0% HIV negative. This species was more frequent in urban and semi-urban areas than in rural areas, but evenly distributed among genders and age groups as well as among all sectors of activity. The prevalence of Blastocystis spp. (11.3%) was higher in HIV+ patients with a CD4 count ≥ 500 cells / mm3, but no significant difference was found among HIV clinical stages. Likewise prevalence, the mean number of cysts per gram of stool was similar between HIV positive and HIV negative individuals. People infected with Blastocystis spp. showed diverse clinical signs, but only flatulence was significantly more prevalent. The frequencies of these clinical signs were not related to HIV status. CONCLUSION: No clear relationship links the infection with Blastocystis spp. to HIV, although its presence was associated with digestive disorder, suggesting that this parasite might not be opportunist.