[Malaria in the Comoros Archipelago in 2015: status after 15 years of fight]. / Le paludisme dans l'Archipel des Comores : état des lieux en 2015 après quinze années de lutte.

The four volcanic islands of the Comoros archipelago are an area of intense, stable and permanent malaria transmission, almost exclusively with Plasmodium falciparum. Our purpose is to describe the current situation on malaria in Mayotte and Comoros in 2015, after the implementation of various strategies of control during the past 15 years. In 2015, Mayotte is in the phase of elimination of malaria. In the three islands forming the Union of Comoros, the transmission is much lower in the islands of Anjouan (incidence of 0.02‰) and Moheli (incidence of 0.14‰), ranking the two islands in pre-elimination phase. Grande Comore (incidence of 3.68‰) remains in the control phase with not enough time to assess what the mass treatment campaign long-term effects might be. These strategies could be applied in other islands with endemic malaria and with limited population.

Whistle characteristics of the spinner dolphin population in the Comoros Archipelago.

Observed variations in dolphin acoustic signals may be associated with behavior, social composition, and local differences in habitat features. This study aims at characterizing whistles emitted by the spinner dolphin population occurring in the waters of the main island of the Archipelago of Comoros (Mozambique Channel, Indian Ocean) and to assess factors possibly influencing the acoustic structure of signals. All parameters examined on 953 whistles significantly differed in relation to environmental conditions, group size, and behavior. By mixed model analysis, it was found that only habitat characteristics play a role in the variation of frequency parameters, and exerted on the acoustic structure of whistles stronger influence than socio-behavioral factors. Spinner dolphins occurring in the Comoros archipelago use higher frequencies and show longer signal duration compared to those from the Pacific and the Atlantic. Results suggest that frequency parameters are distinctive of the local population and reflect the habitat use of the species in the area. In conclusion, acoustic measurements may be crucial elements to be included in monitoring programs to identify local peculiarities of dolphins' populations.

First record of Phlebotomine sandflies (Diptera: Psychodidae) in the Comoros Archipelago with description of Sergentomyia (Vattieromyia) pessoni n. sp. and S. (Rondanomyia) goodmani comorensis n. ssp.

No Phlebotomine sandflies had ever been reported in the Comoros Archipelago, including the three islands of the Republic of the Union of Comoros (Grande Comore, Mohéli and Anjouan) and the French oversea department of Mayotte. During three field surveys carried out in 2003, 2007 and 2011, we provided the first record of Phlebotomine sandflies in this area. A total of 85 specimens belonging to three species were caught: a new species S. (Vattieromyia) pessoni n. sp. (two females from Grande Comore), a new subspecies of Sergentomyia (Rondanomyia) goodmani (80 specimens from Grande Comore and one from Anjouan) and Grassomyia sp. (two females from Mohéli). The individualisation of these taxa was inferred both from morphological criteria and sequencing of a part of the cytochrome b of the mitochondrial DNA. These taxa are closely related to Malagasy sandflies.

[Heath history and health challenges in the Union of Comoros in 2012]. / Histoire sanitaire et enjeux sanitaires de l'Union des Comores en 2012.

Located in the Mozambican Channel in the southwestern Indian Ocean, near Africa, the islands that form the Union of the Comoros present, despite improved health and social progress, epidemiological features still dominated by communicable diseases, primarily malaria, diarrheal diseases, respiratory diseases, and gastrointestinal parasites. The archipelago is the regional gateway to vectorborne diseases, such as malaria and arboviruses, and to cholera. The prevalence of AIDS is 0.025%. The Union is facing a major upsurge in the prevalence of non-communicable diseases. Natural hazards (cyclones, floods, volcanoes and tsunamis) also threaten these islands.

[Epidemiology and prevention of malaria in the southwestern islands of the Indian Ocean]. / Epidémiologie et prévention du paludisme dans les iles du sud-ouest de l'Océan Indien.

Malaria epidemiology differs greatly in the geographically close islands of the southwestern Indian Ocean. In Madagascar and the Comoros Union malaria is still a major public health problem. In Mayotte indigenous transmission resumed in 1995 and is currently high in some communities. In the Mascarene Islands (Reunion and Mauritius), indigenous transmission has been eradicated (Reunion) or become rare (Mauritius). The Seychelles Islands are malaria-free since local conditions are unfavorable for Anopheles mosquitoes. The level of resistance to antimalarials also differs from one island to another. Resistance to chloroquine ranges from moderate in Madagascar to high in the Comoros Union. Health recommendations for travelers must be adapted to the epidemiological features on each island.

[Molecular characterization of mosquitoes of the Anopheles gambiae complex from Mayotte and Great Comoro]. / Caractérisation moléculaire des moustiques du complexe Anopheles gambiae à Mayotte et à Grande Comore.

The mosquitoes of the Anopheles gambiae complex have been characterised at specific and sub-specific levels in two islands of the Comoros archipelago: the island of Mayotte (French departmental collectivity) and the island of Grande Comore (Comoros Union). Results are similar in the two islands and are presented together. The species An. gambiae s.s. was observed alone (determination performed on 149 specimens by PCR product of IGS of rDNA). The molecular form observed alone was S, and corresponds in this geographic area to the chromosomal form Savanna (determination performed on 123 specimens by another PCR product of IGS of rDNA). The haplotype IB was observed alone (determination performed on ten specimens, by sequencing the ITS of rDNA, with special attention at the position 871 of ITS), as previously observed by other authors in East Africa. Finally, in Mayotte and Grande Comore the An. gambiae complex is only composed by An. gambiae s.s. from the molecular form S/type IB.

[Epidemiology and control of malaria in the Federal Islamic Republic of Comoros]. / Epidémiologie et contrôle du paludisme en République Fédérale Islamique des Comores.

Malaria constitutes a major public health problem in the Federal Islamic Republic of Comoros. This problem is relatively recent from the historical point of view of the archipelago. It represents 15 to 30% of the hospitalization cases and 15 to 20% of the registered deaths in the pediatric services. The epidemiological data collected show that the characteristics of malaria transmission continue for the stable type; however, the epidemiological situation varies from one island to another. The principal vectors of malaria are Anopheles gambiae s.l. and A. funestus. Of the four parasitic species, P. falciparum remains the most dominant, as it is responsible for 95% of the paludal attacks. Important progress has been accomplished during the last several years in the fight against malaria in the Federal Islamic Republic of Comoros, with the elaboration of national politics (October 1992), a national strategy for an antivectorial fight (August 1993) and a practical guide for the treatment and prevention of malaria and filariasis (October 1993). These important achievements allow the establishment of more vigorous and better targeted future actions.

[Dengue 1 epidemic in the Grand Comoro Island (Federal Islamic Republic of the Comores). March-May 1993]. / Epidémie de dengue 1 sur l'île de la Grande Comore (République Fédérale Islamique des Comores). Mars-mai 1993.

An epidemic of dengue fever occurred in Grande Comore island from March to May 1993. Dengue 1 virus has been isolated. The epidemic did not affect the other islands of the archipelago. No compound clinical picture, in particular hemorrhagic, was reported. A random sampling survey conducted towards the end of April showed that 26% of the population aged 5 years old or more had IgM dengue antibodies. The epidemic concerned essentially individuals under 45 years of age. The number of inhabitants of Grande Comore affected by the outbreak can be estimated between 56,000 and 75,000. The results of the sero-epidemiological survey allowed to find the serological scar of two previous epidemics of dengue: the first one around 1948, which may correspond with dengue 1, the other one in 1984, probably with dengue 2.