Geographic distribution of the invasive cattle tick Rhipicephalus microplus, a country-wide survey in Benin.

The cattle tick Rhipicephalus microplus is currently invading the West African region, and little information is available on the spread of this exotic tick in this region. We set out a country-wide field survey to determine its current distribution in Benin. Ticks were collected on cattle from 106 farms selected by random sampling covering all regions of the country. Rhipicephalus annulatus was found on 70 % of all farms, R. decoloratus on 42 %, R. geigyi on 58 %, and R. microplus on 49 %. There is a clear geographic separation between the indigenous Rhipicephalus species and R. microplus. Rhipicephalus annulatus occurs mainly in the northern departments, but it was also observed in lower numbers in locations in the south. The presence of R. decoloratus is limited to the northern region, and in most locations, this tick makes up a small proportion of the collected ticks. The tick R. geigyi tends to be dominant, but occurs only in the four northern departments. The observations concerning R. microplus are entirely different, this species occurs in the southern and central region. The results of this survey confirm the invasive character and displacement properties of R. microplus, since in less than a decade it has colonized more than half of the country and has displaced indigenous ticks of the same genus in many of the sampled locations.

New foci of Rhipicephalus microplus in West Africa.

The invasive character of Rhipicephalus microplus was observed in Benin, the second West-African country from which this ticks species has been collected after the initial confirmed record in Ivory Coast in 2007. A cross-sectional study was carried out in the Department of Mono to examine the presence of the tick R. microplus. The survey covered 9 herds (villages) in an agro-ecological zone inhabited by agro-pastoralists, including the State Farm of Kpinnou that imported Girolando cattle from Brazil. Almost 800 ticks were sampled from 36 cattle, on average four cattle per village. The morphological identification revealed ticks of two different genera: Rhipicephalus and Amblyomma. Rhipicephalus microplus was the only representative of the species previously known as Boophilus or blue ticks. Its taxonomic identity was confirmed molecularly by PCR-RFLP. A comparison was made with the situation of R. microplus in Brazil.

[Necessities, possibilities and difficulties of vocational rehabilitation in patients with early stomach carcinoma--experiences in 89 patients]. / Notwendigkeiten, Möglichkeiten und Schwierigkeiten der beruflichen Rehabilitation bei Patienten mit Magenfrühkarzinom--Erfahrungen bei 89 Patienten.

Because of the favourable prognosis in patients with early stomach cancer even extensive vocational rehabilitation measures should be taken into consideration. Opposed to that is the fact that about 40% of these patients already exceed the age limit for employment and only 10% are younger than 45 years. The polymorbidity, too, is relatively high, 21% of our patients were not capable of employment already before the outbreak of their cancer disease. The postgastrectomy syndrome prevents 40% from resuming work within the first postoperative year and jeopardizes the working capacity even after that time, at least in patients with manual occupations.