Patterns of ichthyofaunal diversity and distribution across Jebba Hydro-Electric Power (HEP) dam, Jebba, north-central Nigeria.

The ichthyofauna diversity of the Jebba Hydroelectric Power (HEP) Dam, Jebba, North-central Nigeria was studied. Fishes were sampled for 24 months using gill net, hook and line, and cast net. Individuals were identified using morphological and molecular (mitochondrial Cytochrome c Oxidase subunit I) data. A total of 9605 freshwater fishes were recorded during the sampling period. The use of an integrative taxonomic approach enabled the identification of 83 species belonging to 42 genera. Additionally, the study recorded three unidentified species - Ctenopoma sp, Malapterurus sp., and Protopterus sp. Analyses showed that individuals belonging to families Cichlidae and Mochokidae dominated the dam. The diversity analyses revealed relatively high fish diversity during the rainy season at the downstream section of Jebba HEP dam compared to the upstream section. The study, therefore, showed the presence of a diverse fish community comprising high species richness and diversity across the Jebba HEP dam. Finally, we recommend proper biodiversity monitoring and assessment of freshwater fish diversity across Nigeria. In addition, the use of an integrated taxonomic approach is recommended for appropriate species' identification and studies of freshwater fishes from Nigeria.

Patterns of ichthyofaunal diversity and distribution across Jebba Hydro-Electric Power (HEP) dam, Jebba, north-central Nigeria / Padrões de diversidade e distribuição da ictiofauna na barragem de hidroelétricas (HEP) de Jebba, Jebba, Nigéria norte-central

The ichthyofauna diversity of the Jebba Hydroelectric Power (HEP) Dam, Jebba, North-central Nigeria was studied. Fishes were sampled for 24 months using gill net, hook and line, and cast net. Individuals were identified using morphological and molecular (mitochondrial Cytochrome c Oxidase subunit I) data. A total of 9605 freshwater fishes were recorded during the sampling period. The use of an integrative taxonomic approach enabled the identification of 83 species belonging to 42 genera. Additionally, the study recorded three unidentified species ­ Ctenopoma sp, Malapterurus sp., and Protopterus sp. Analyses showed that individuals belonging to families Cichlidae and Mochokidae dominated the dam. The diversity analyses revealed relatively high fish diversity during the rainy season at the downstream section of Jebba HEP dam compared to the upstream section. The study, therefore, showed the presence of a diverse fish community comprising high species richness and diversity across the Jebba HEP dam. Finally, we recommend proper biodiversity monitoring and assessment of freshwater fish diversity across Nigeria. In addition, the use of an integrated taxonomic approach is recommended for appropriate species' identification and studies of freshwater fishes from Nigeria.

A diversidade da ictiofauna da hidrelétrica de Jebba (HEP), Jebba, centro-norte da Nigéria foi estudada. Os peixes foram amostrados por 24 meses, utilizando rede de emalhar, anzol e linha, e rede de arrasto. Os indivíduos foram identificados usando a abordagem combinada morfológica e molecular (citocromo c Oxidase mitocondrial subunidade I). Um total de 9605 peixes de água doce foram registrados durante o período de amostragem. A identificação das espécies utilizando a abordagem taxonômica integrada possibilitou a identificação de 83 espécies pertencentes a 42 gêneros. Além disso, o estudo registrou três espécies não identificadas - Ctenopoma sp, Malapterurus sp e Protopterus sp. Análises mostraram que indivíduos pertencentes às famílias Cichlidae e Mochokidae dominaram a barragem. As análises dos índices de diversidade revelaram uma diversidade de peixes relativamente alta durante a estação chuvosa na seção a jusante da barragem Jebba HEP em comparação com a seção a montante. O estudo mostrou, portanto, a presença de diversas comunidades de peixes, que incluem alta riqueza e diversidade de espécies através da barragem Jebba HEP. Finalmente, recomendamos o monitoramento adequado da biodiversidade e a avaliação da diversidade de peixes de água doce em toda a Nigéria. Além disso, recomenda-se o uso de abordagem taxonômica integrada para a identificação adequada das espécies e estudos de peixes de água doce da Nigéria.

Re-evaluation of the phylogenetic relationships and species delimitation of two closely related families (Lamiaceae and Verbenaceae) using two DNA barcode markers.

The families Lamiaceae and Verbenaceae comprise several closely related species that possess high morphological synapomorphic traits. Hence, there is a tendency of species misidentification using only the morphological characters. Herein, we evaluated the discriminatory power of the universal DNA barcodes (matK and rbcL) for 53 species spanning the two families. Using these markers, we inferred phylogenetic relationships and conducted species delimitation analysis using four delimitation methods: Automated Barcode Gap Discovery (ABGD), TaxonDNA, Bayesian Poisson Tree Processes (bPTP) and General Mixed Yule Coalescent (GMYC). The phylogenetic reconstruction based on the matK gene resolved the relationships between the families and further suggested the expansion of the Lamiaceae to include some core Verbanaceae genus, e.g., Gmelina. The rbcL marker using the TaxonDNA method displayed high species delimitation resolutions, while the ABGD, GMYC, and bPTP generated different number of Operational Taxonomic Units/genetic clusters. Our results underscored the efficiency of the matK and rbcL genes as reliable markers for resolving phylogenetic relationships and species delimitation of both families, respectively. The current study provides insights into the DNA barcode applications in these families, at the same time contributing to the current understanding of genetic divergence patterns in angiosperms.

Effects of functional oils on the growth, carcass and meat characteristics, and intestinal morphology of commercial turkey toms.

Two experiments were conducted to evaluate the effects of functional oils containing cashew nutshell and castor oil on turkey performance and intestinal morphology. In experiment 1, 585 hatchlings were randomly placed in 15 replicate floor pens, (13 poults/pen) with recycled litter and provided feed and water ad libitum. Birds were randomly assigned to 3 dietary treatments from 1 to 12 wk: nonmedicated control, 0.15% functional oils, and 66-ppm monensin. From wk 13 to 20, each initial treatment group was further divided into 3 treatments-control (no additive), 0.15% of functional oils, or 20 ppm of virginiamycin to produce 9 different treatments, 5 replicate pens per treatment. Data on feed weights were collected weekly, and body weight bi-weekly. At termination (20 wk), birds were euthanized, and their meat was processed to determine mass of carcass sections and meat quality, while intestinal samples were collected for histology. In experiment 1, toms fed monensin or functional oils were 10.5 and 4.5% heavier (P < 0.05), respectively, than the controls at 12 wk. Birds fed monensin had a 4% improvement (P < 0.05) in feed conversion as compared to the other treatments. Neither virginiamycin nor the functional oils affected bird performance when fed from 13 to 20 wk. The jejunum villi surface area at 3 wk was most enhanced (P < 0.05) for the poults fed monensin. Supplementation with functional oils significantly reduced leg yield and thiobarbituric-acid reactive substances of white meat after 7 D of storage (P < 0.05). There were no effects on performance or carcass characteristics in experiment 2. While additional confirmatory studies are needed, functional oils in the diet of turkey toms may be a viable alternative to antibiotic growth promotants.

Data on artificial neural network and response surface methodology analysis of biodiesel production.

The biodiesel production from waste soybean oil (using NaOH and KOH catalysts independently) was investigated in this study. The use of optimization tools (artificial neural network, ANN, and response surface methodology, RSM) for the modelling of the relationship between biodiesel yield and process parameters was carried out. The variables employed in the experimental design of biodiesel yields were methanol-oil mole ratio (6 - 12), catalyst concentration (0.7 - 1.7 wt/wt%), reaction temperature (48 - 62°C) and reaction time (50 - 90 min). Also, the usefulness of both the RSM and ANN tools in the accurate prediction of the regression models were revealed, with values of R-sq being 0.93 and 0.98 for RSM and ANN respectively.

Efficacy of influenza vaccine (Fluvax) in cancer patients on treatment: a prospective single arm, open-label study.

PURPOSE: Influenza virus infection has significant morbidity and mortality in patients with medical co-morbidities who are also immunosuppressed. The efficacy of the seasonal influenza vaccine has not been well studied in patients receiving chemotherapy. We assessed the efficacy of seasonal influenza vaccine in patients with non-haematological malignancy on active treatment (chemotherapy and targeted therapy). METHODS: A prospective single arm, open label study with 53 patients with non-haematological cancers recruited during the 2011 and 2012 influenza seasons. Participants had one dose of 2011/2012 trivalent vaccine containing strains A/California/7/2009(H1N1), A/Perth/16/2009 (H3N2) and B/Brisbane/60/2008 (Fluvax) prior to or in-between treatment cycles. Haemagglutination inhibition antibody (HIA) titres in serum were measured at baseline 3, 6 and 24 weeks. Primary endpoint: seroconversion rate (SCR) at 3 weeks. Secondary endpoints: late SCR at 6 weeks. rate of sustained sero-protection titres (SPR) at 24 weeks. Seroconversion was defined as postvaccination ≥ 4-fold increase in HIA titre and sero-protection defined as a HIA ≥ 1:40. RESULTS: The SCR at 3 weeks were 35%, 30% and 22.5% to the H1N1, H3N2 and B/Bris strains, respectively. There were no new cases of late SC at 6 weeks or 24 weeks. The SPR at 3 weeks were 72.5%, 65% and 40%, respectively, to H1N1, H3N2 and B/Bris. The SPR at 24 weeks to H1N1, H3N2 and B/Bris were 40%, 52.5% and 17.5%, respectively. CONCLUSIONS: Patients on various solid tumour treatments achieve sero-protection rate congruent with the general population. The sero-protection HIA titres were not sustained at 24 weeks postvaccination.

Treatment of colorectal cancer in Sub-Saharan Africa: Results from a prospective Nigerian hospital registry.

BACKGROUND: Colorectal cancer (CRC) is the third most common cancer worldwide. Mortality for CRC is improving in high income countries, but in low and middle income countries, rates of disease and death from disease are rising. In Sub-Saharan Africa, the ratio of CRC mortality to incidence is the highest in the world. This study investigated the nature of CRC treatment currently being offered and received in Nigeria. METHODS: Between April 2013 and October 2017, a prospective study of consecutively diagnosed cases of CRC was conducted. Patient demographics, clinical features, and treatment recommended and received was recorded for each case. Patients were followed during the study period every 3 months or until death. RESULTS: Three hundred patients were included in our analysis. Seventy-one percent of patients received a recommended surgical operation. Of those that didn't undergo surgery as recommended, 37% cited cost as the main reason, 30% declined due to personal reasons, and less than 5% absconded or were lost to follow up. Approximately half of patients (50.5%) received a chemotherapy regimen when it was recommended, and 4.1% received radiotherapy when this was advised as optimal treatment. With therapy, the median overall survival for patients diagnosed with stage III and stage IV CRC was 24 and 10.5 months respectively. Overall, we found significantly better median survival for patients that received the recommended treatment (25 vs 7 months; P < .01). CONCLUSIONS: A number of patients were unable to receive the recommended treatment, reflecting some of the burden of untreated CRC in the region. Receiving the recommended treatment was associated with a significant difference in outcome. Improved healthcare financing, literacy, training, access, and a better understanding of tumor biology will be necessary to address this discrepancy.

Data on CaO and eggshell catalysts used for biodiesel production.

This research investigated the production of biodiesel from soybean oil (transesterification process) using pure calcium oxide and calcium oxide obtained from eggshell as heterogeneous catalysts. Uncalcined eggshell and calcined eggshell catalysts produced were analysed using XRF and XRD spectrometers. The processing parameters considered during the transesterification of the soybean were methanol/oil mole ratio, catalyst concentration and reaction time and their effects on biodiesel yield were evaluated. Reaction temperature of 60 °C and stirring rate of 450 rpm (revolution per minute) were kept constant. As a result of calcination, XRF analysis revealed an increase in CaO percentage composition of eggshell catalyst from 96% to 97%. Also, the biodiesel yields obtained revealed similar performance patterns for both the calcined eggshell catalyst and the pure CaO catalyst.

Data on calcium oxide and cow bone catalysts used for soybean biodiesel production.

Biodiesel was produced from soybean oil using calcium oxide and cow bone as heterogeneous catalysts, through transesterification process. The soybean oil used was characterized using gas chromatography mass spectrometer (GCMS) and the cow bone catalyst produced was characterized X-ray fluorescence (XRF) spectrometer. The effects of the variation of methanol/oil mole ratio, catalyst concentration and reaction temperature on biodiesel yield during the transesterification of soybean oil were investigated. Reaction time of 3 h and stirring rate of 500 rpm were kept constant. Using Response Optimizer (Minitab 17), the optimum conditions for biodiesel production were established. It was observed that the calcination of cow bone catalyst enhanced its conversion to apatite-CaOH. Also, the results obtained showed that the performance trends of calcined cow bone catalyst and the conventional CaO catalyst were similar.

Data on PKO biodiesel production using CaO catalyst from Turkey bones.

In this research paper the production of biodiesel from palm kernel oil (PKO) using CaO obtained from waste turkey bones (WTB) and analytical grade calcium oxide was investigated. Treated WTB was reduced to fine particulate size of <150 µm and then calcinated at 800 °C for 3 h to increase its catalytic activity by its conversion from Calcium phosphate hydroxide (Ca10P6O26H2) to CaO. X-ray diffraction (XRD) and X-ray fluorescent (XRF) analysis of the analytical grade CaO, uncalcined and calcined WTB were carried out to establish their elemental chemical composition. The transesterification reaction between the triglyceride of palm kernel oil (PKO) and methanol was carried out at a constant agitation speed of 600 rpm and temperature of 65 °C, with varied methanol to oil molar ratio (8-14), catalyst concentration (1-7 wt/wt%) and the reaction time (1-3 h). Minitab 17 software (using response surface method) was employed for the design of experiment and statistical analysis required in the transesterification process of biodiesel production. The qualities of the biodiesel produced were assessed and the results obtained showed conformity of the biodiesel produced to the ASTM standard for biodiesel.

Data on inhibitive performance of chloraphenicol drug on A315 mild steel in acidic medium.

The inhibitive characteristics of A315 mild steel in 0.1 M solution of Hydrochloric Acid with varied concentrations of the inhibitor (chloramphenicol drug) was studied using weight loss (gravimetry) technique, open circuit potential (OCP) and linear polarization method. The experimental data obtained from the methods used shows that an increase in inhibition efficiency of the inhibitor is characterized by a decrease in corrosion rate. Hence, chloramphenicol drug is an efficient corrosion inhibitor for Mild Steel in Hydrochloric acid medium.

Patterns of ichthyofaunal diversity and distribution across Jebba Hydro-Electric Power (HEP) dam, Jebba, north-central Nigeria

Abstract The ichthyofauna diversity of the Jebba Hydroelectric Power (HEP) Dam, Jebba, North-central Nigeria was studied. Fishes were sampled for 24 months using gill net, hook and line, and cast net. Individuals were identified using morphological and molecular (mitochondrial Cytochrome c Oxidase subunit I) data. A total of 9605 freshwater fishes were recorded during the sampling period. The use of an integrative taxonomic approach enabled the identification of 83 species belonging to 42 genera. Additionally, the study recorded three unidentified species Ctenopoma sp, Malapterurus sp., and Protopterus sp. Analyses showed that individuals belonging to families Cichlidae and Mochokidae dominated the dam. The diversity analyses revealed relatively high fish diversity during the rainy season at the downstream section of Jebba HEP dam compared to the upstream section. The study, therefore, showed the presence of a diverse fish community comprising high species richness and diversity across the Jebba HEP dam. Finally, we recommend proper biodiversity monitoring and assessment of freshwater fish diversity across Nigeria. In addition, the use of an integrated taxonomic approach is recommended for appropriate species identification and studies of freshwater fishes from Nigeria.

Resumo A diversidade da ictiofauna da hidrelétrica de Jebba (HEP), Jebba, centro-norte da Nigéria foi estudada. Os peixes foram amostrados por 24 meses, utilizando rede de emalhar, anzol e linha, e rede de arrasto. Os indivíduos foram identificados usando a abordagem combinada morfológica e molecular (citocromo c Oxidase mitocondrial subunidade I). Um total de 9605 peixes de água doce foram registrados durante o período de amostragem. A identificação das espécies utilizando a abordagem taxonômica integrada possibilitou a identificação de 83 espécies pertencentes a 42 gêneros. Além disso, o estudo registrou três espécies não identificadas - Ctenopoma sp, Malapterurus sp e Protopterus sp. Análises mostraram que indivíduos pertencentes às famílias Cichlidae e Mochokidae dominaram a barragem. As análises dos índices de diversidade revelaram uma diversidade de peixes relativamente alta durante a estação chuvosa na seção a jusante da barragem Jebba HEP em comparação com a seção a montante. O estudo mostrou, portanto, a presença de diversas comunidades de peixes, que incluem alta riqueza e diversidade de espécies através da barragem Jebba HEP. Finalmente, recomendamos o monitoramento adequado da biodiversidade e a avaliação da diversidade de peixes de água doce em toda a Nigéria. Além disso, recomenda-se o uso de abordagem taxonômica integrada para a identificação adequada das espécies e estudos de peixes de água doce da Nigéria.

Health status of birds fed diets containing three differently processed discarded vegetable-bovine blood-rumen content mixtures.

This study was conducted to determine the effect of feeding three differently processed mixtures on health status of broilers. A total of 1080 day-old Marshal broilers were fed; discarded vegetable-fresh bovine blood-fresh rumen digesta (P1), discarded vegetable-ensiled bovine blood-fresh rumen digesta (P2) and discarded vegetable-fresh bovine blood-ensiled rumen digesta (P3) at three levels of inclusion (0, 3 and 6%). Data on blood parameters was taken and were subjected to 3 x 3 factorial arrangements in a completely randomized design. Birds fed P1 had least values (p < 0.05) of serum glucose, total protein, globulin, uric acid and creatinine at starter phase. Birds fed diets containing 3 and 6% level of inclusion recorded the highest (p < 0.05) Packed cell volume, Haemoglobin, White blood cell and Red blood cell values. However, those fed at 0% level of inclusion recorded the highest albumin value. At finisher phase, birds fed P2 and P3 had the highest glucose, uric acid and creatinine values. 6% level of inclusion significantly (p < 0.05) increased the total protein and albumin values. Therefore, for enhanced performance and without comprising the health condition of birds; broiler chickens could be fed diets containing discarded vegetable-fresh bovine blood-ensiled rumen digesta (P3) up to 6% level of inclusion.

Effects of beak amputation and sex on the pecking rate damage and performance parameters of turkey.

This study was carried out to evaluate the effect of sex and beak trimming on pecking and the performance of turkeys. Five hundred and forty unsexed, day old British United Turkey poults were was divided into 3 treatments based on beak trimming at 0, 1/4, 1/3 measured from the tip of the beak inwards with 3 replicates of 60 poults each experiment 1 while 480 turkeys (240 each of male and female) were transferred and allotted to 4 treatment groups of 120 birds each and 4 replicates of 30 turkeys each in experiment 2. Data on performance response and severity of pecking were taken and subjected to one-way analysis of variance in a completely randomised design (experiment 1) and 2x2 factorial layout (factors were sex and beak trimming). Results showed that beak trimming had no significant (p>0.05) effect on all the performance parameters of turkey poults except feed intake while sex and beak trimming had significant (p<0.05) effect on performance indices of turkey. Debeaked male and female recorded higher feed intake, protein intake and feed conversion ratio. There was higher rate of aggressive pecking among the Toms than in the Hens and severity of damage was higher in undebeaked turkeys than the debeaked. Beak trimming can greatly reduce the severity of damage caused by aggressive pecking and should be done twice (6 and 14th week) at 1/4 measured from the tip of the beak.

Possible antidiabetic and antihyperlipidaemic effect of fermented Parkia biglobosa (JACQ) extract in alloxan-induced diabetic rats.

1. The hypoglycaemic effect of fermented seeds of Parkia biglobosa (PB; African locust bean), a natural nutritional condiment that features frequently in some African diets as a spice, was investigated in the present study in alloxan-induced diabetic rats. Its effect was compared with that of glibenclamide (Daonil; Sanofi-Aventis, Paris, France), a reference antidiabetic drug. The effects of PB on lipid profiles were also examined. 2. In order to assess the hypoglycaemic and hypolipidaemic effects of aqueous and methanolic extracts of PB on experimental animals, fasting plasma glucose (FPG), total cholesterol, triglyceride, high-density lipoprotein (HDL) and low-density lipoprotein (LDL) were determined. In addition, the weight of each animal was determined to assess any possible weight gain or loss in the experimental animals (diabetic rats treated with Daonil (group C), the aqueous extract of PB (group D) or the methanolic extract of PB (group E)) compared with control groups (non-diabetic (group A) and non-treated diabetic (group B)). 3. A single dose of 120 mg/kg, i.v., alloxan administered to rats resulted in significant increases in the FPG (P < 0.001) of test animals compared with controls. However, dietary supplementation with PB (6 g/kg extract for 4 weeks administered orally using an intragastric tube) ameliorated the alloxan-induced diabetes in a manner comparable with that of the reference antidiabetic drug glibenclamide. Aqueous and methanolic extracts of PB (6% w/w) elicited 69.2% and 64.4% reductions, respectively, in FPG compared with 70.4% in 0.01 mg/150 g glibenclamide-treated rats. 4. Although animals treated with the aqueous extract of PB gained weight in manner similar to normal controls, animals given the methanolic extract and glibenclamide lost weight in manner similar to non-treated diabetic rats. In addition, high levels of HDL and low LDL were observed in animals treated with the aqueous extract of PB, a pattern similar to that seen in normal controls. Low levels of HDL and high levels of LDL were observed in animals treated with the methanolic extract of PB, a pattern similar to that seen in non-treated diabetic controls. 5. The results of the present study demonstrate that both aqueous and methanolic extracts of fermented seeds of PB exert a hypoglycaemic effect; hence, PB has an antidiabetic property. However, only the aqueous extract of PB ameliorated the loss of bodyweight usually associated with diabetes. Although the aqueous extract has a favourable lipid profile, which is probably an indication of its possible anti-arteriogenic property (hypertension and ischaemic heart diseases being common complications in diabetes mellitus), the methanolic extract shows possible contraindication to ischaemic heart diseases.

Mother-father concordance on treatment choices in the care of sick children under five years of age in Osun state, Nigeria.

Communication and agreement between spouses has been found to be an important factor in terms of acceptance and use of family planning services and supplies. Therefore, it is likely that agreement between spouses may play an important role in other aspects of family health, including care of childhood illness. This study, based in a rural and an urban community in Osun State, Nigeria, set out to determine the agreement between mothers and fathers on the illness experience and care provided to their preschool age children. Among the 550 couples studied, most mothers (98%) and fathers (94%) reported that they "did something" to help during their child's recent illness. The illness was recognized first by the mothers according to 83% of respondents. Overall, 81% of couples concurred that the mother was the first to discover the illness. Concurrence was greater in urban areas and where fathers read a newspaper frequently. Only 45% concurred on who took the decision for first action to address the illness, which again was greater in the urban area and in families where the father read a newspaper frequently. Parents also were not in full agreement about the name of the child's illness, but concurrence was greater in the case of malaria/fever. Finally, concurrence on the actual first form of treatment care reached only 36%. Most concurrent couples and non-concurrent mothers mentioned drug shops/chemists as the first source of care, while non-concurrent fathers placed government clinics first. While mothers are likely to be the main caregivers, fathers do have decision making and financial roles. Not only should health education for appropriate and prompt care of child illnesses be aimed equally are both parents, it should also recognize that fathers may have different perceptions from mothers. Education should also encourage better couple communication.

Serological profile of sporadic acute viral hepatitis in an area of hyper-endemic hepatitis B virus infection.

BACKGROUND: Located in the south western part of Saudi Arabia, the Gizan region is largely a rural community in which hepatitis B and chronic liver disease including hepatocellular carcinoma are highly prevalent. AIM OF STUDY: To determine the relative frequencies of acute hepatitis A, B, C and E in acute viral hepatitis in an area of hyperendemic hepatitis B infection. METHODS AND MATERIALS: In a prospective study 246 consecutive patients (179 males and 67 females) diagnosed in a 2-year period were tested for markers of Hepatitis A virus (HAV), hepatitis B virus (HBV), hepatitis C (HCV) and hepatitis E virus (HEV). RESULTS: Of the patients tested, 131 (53.3%) were children ( < 10 years), and 42 (17%) were 11 - 20 years in age. Ig M anti -HAV, IgM anti-HBV, anti- HCV and IgM anti-HEV were positive in 37%, 19.1%, 3.7% and 13.7% respectively. Markers of these viruses were absent in 24.4%. Among 131 children (< 10 years) the commonest cause of AVH was HAV occurring in 57.3% of the cases. In adults (> 21 years) HBV was found in 35.6% and IgM anti -HAV was detected in only 6.8%. In contrast to the age- related decline in the frequency of acute HA, the proportion of acute HE were similar in all age groups (13.7% in children, 16.7% in adolescents and 11.0% in adults). CONCLUSION: The study indicated that HAV is still a common cause of AVH particularly among children in Gizan. Acute 1-113 had a low occurrence among the children, evidently as a consequence of the integration of HB vaccine into the Saudi Arabian national EPI, 10 years ago. With the availability of combined HB and HA vaccines, It should be possible to graft the vaccination against HAV on to the existing program in Saudi Arabia. Affecting 13.4% of the group studied, sporadic HEV constitute a significant cause of AVH in this population. Until HEV vaccine becomes widely available, its prevention would be mainly by the improvement of socio - economic and hygienic standards of the population.

Seroepidemiology of hepatitis B virus infection in Saudi children 8 years after a mass hepatitis B vaccination programme.

OBJECTIVES: On October 1 1989, a programme was begun in Saudi Arabia in which the HBV vaccine was added as the 'seventh' primary immunogen of the Extended Programme of Immunization (EPI). In 1990, another programme was launched by the Ministry of Health to vaccinate all school children. Eight years after this mass vaccination programme, the efficacy of HBV vaccine was evaluated in a community-based study. METHODS: A community-based study was carried out in Saudi children in urban and rural areas, covering all the regions of Saudi Arabia. After informed consent, blood samples were obtained and tested for HBV markers. RESULTS: Among 4791 vaccinated Saudi children aged 1-12 years, only 15 were found to be HbsAg-positive (0.31%). HbsAg-positivity was 0.16% in children vaccinated at birth compared with 0.7% in those vaccinated at school entry. The overall HbsAg carrier rate dropped from 6.7% in 1989 to 0.3% in 1997 (P<0.00001). Similarly, there was a significant reduction in the prevalence of anti-HBc from 4.2% in 1989 to 0.46% in 1997 (P<0.00001). The overall seroconversion rate to HB vaccine among 4087 Saudi children up to 12 years of age was about 77%. Seroconversion rate in those vaccinated at birth was 77% compared with 71% in those vaccinated at school entry. After 8 years of receiving the third vaccine dose, close to 65% of the children had an anti-HBs titre of more than 10 IU/l compared with about 28% who had an anti-HBs titre of more than 100 IU/l after the same period. CONCLUSION: The result of this study demonstrates the tremendous impact of the mass HB vaccination programme on the seroepidemiology of HBV infection in Saudi Arabia. The ultimate goal of preventing HBV-related chronic liver disease and hepatocellular carcinoma in Saudi Arabia is foreseeable in the near future.

Hepatitis A in Saudi Arabia: A comparative sero-epidemiological study.

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