Seroprevalence of Toxoplasmosis and associated risk factors in pregnant women at the Protestant Hospital, Mbouo-Bandjoun, Cameroon

Background: Toxoplasmosis is a common worldwide infection caused by the protozoan Toxoplasma gondii. In Cameroon, several recent studies have reported high seroprevalence of this parasitosis in various hospitals (Douala, Limbe, Njinikom and Yaoundé). The aim of this study was to determine whether this high prevalence of toxoplasmosis might occur in other regions of the country. Methodology: Serological tests by the indirect Enzyme Linked Immunosorbent Assay (ELISA) for IgG and IgM were carried out on 200 pregnant women (36 HIV-positive and 164 HIV-negative) at the Protestant Hospital of Mbouo-Bandjoun in western Cameroon to determine the presence of Toxoplasma gondii infection and to identify the risk factors associated with seropositivity of the subjects. Results: The overall seroprevalence of anti-Toxoplasma antibodies was 45.5%. The prevalence rate was 80.5% in the HIV-positive group (47.2% IgG, 22.2% IgM and 11.1% IgG + IgM) and 37.8% in the HIV-negative group (25.6%, 9.7% and 2.4% respectively). Using a multivariate logistic regression analysis, the secondary level of educational, presence of HIV infection, and frequency of close contacts with cats were significantly associated with the prevalence of IgG and/or IgM antibodies. Conclusion: Compared with previous reports of human toxoplasmosis in Cameroon, the prevalence in our study showed a decrease in the disease occurrence. Further studies are needed to determine whether this decrease is localised to our study or a general phenomenon currently affecting the country

Medically Important Parasites Carried by Cockroaches in Melong Subdivision, Littoral, Cameroon.

Cockroaches have been recognized as mechanical vectors of pathogens that can infest humans or animals. A total of 844 adult cockroaches (436 males and 408 females) were caught. In the laboratory, cockroaches were first washed in saturated salt solution to remove ectoparasites and then rinsed with 70% alcohol, dried, and dissected for endoparasites. An overall transport rate of 47.39% was recorded. Six genera of parasites were identified. These were Ascaris (33.76%), Trichuris (11.97%), Capillaria (6.16%), Toxocara (4.86%), Hook Worm (4.86%), and Eimeria (2.73%). The parasites were more recorded on the external surface (54.27%) of cockroaches than in the internal surface (GIT, 38.51%). The same tendency was obtained between sexes with female cockroaches having a higher transport rate (36.69%). Cockroaches caught in toilets carried more parasites (31.99%) as compared to those from kitchens (22.63%) and houses (11.14%). Almost all encountered parasites were recognized as responsible of zoonosis and they can be consequently released in nature by hosts and easily disseminated by cockroaches as mechanical vectors. Sanitary education, reenforcement of worms' eradication programs, and the fight against these insects remain a necessity in the Mélong Subdivision.

In vitro anthelminthic efficacy of Dichrocephala integrifolia (Asteraceae) extracts on the gastro-intestinal nematode parasite of mice: Heligmosomoides bakeri (Nematoda, Heligmosomatidae).

OBJECTIVE: To evaluate the ovicidal and larvicidal activities of aqueous and ethanolic extracts of leaves of Dichrocephala integrifolia (D. integrifolia) against the eggs (fresh and embryonnated), the first and second larval stages of Heligmosomoides bakeri. In order to verify if this medicinal plant possesses active compounds capable of inhibiting the embryonation and hatching of eggs or to induce the mortality of larvae (L1 and L2). METHODS: dried extracts were diluted in distilled FIV water to obtain five different concentrations: 625, 1,250, 2,500, 3,750 and 5,000 µg/mL. Fresh eggs obtained from artificially infected mice feces were exposed to these different concentrations for 48 h. Time of contact for embryonated eggs was 6 h while L1 and L2 larvae were exposed for 24 h. Distilled water (placebo) and 1.5% DMSO were used as negative controls. RESULTS: Distilled water, and 1.5% DMSO had no effect on embryonation, hatching and larval survival. Aqueous extracts of D. integrifolia showed a weak activity against all stages of the parasite at all concentrations tested. On the contrary, the ethanolic extract of D. integrifolia inhibited the embryonation of 87.5% of fresh eggs, the hatching of 81.1% of embryonated eggs and induced the mortality of 98.1% and 98% of L1 and L2 larvae respectively at 5,000 µg/mL. CONCLUSIONS: The results of the present study indicate that the ethanolic extracts of D. integrifolia contained compounds with ovicidal and larvicidal properties. In spite of these results, in vivo tests, studies on toxicity and mechanism of action of active compounds are also needed to validate the utilisation of this medicinal plant by population of Dschang-Cameroon to treat gastro-intestinal parasites.

A comparative study of the ovicidal and larvicidal activities of aqueous and ethanolic extracts of pawpaw seeds Carica papaya (Caricaceae) on Heligmosomoides bakeri.

OBJECTIVE: To assess the ovicidal and larvicidal activities of aqueous and ethanolic extracts of pawpaw seeds Carica papaya (Caricaceae) on the eggs and first stage larvae (L(1)) of Heligmosomoides bakeri. METHODS: Eggs of this parasite were obtained from experimentally infested mice (Mus musculus) and larvae were from eggs after incubation at 25∘C for about 72 hours. The eggs and larvae were exposed to ten different concentrations (0.125, 0.25, 0.375, 0.5, 0.75, 1.0, 1.25, 1.75, 2.25 and 2.75 mg/mL) of both aqueous and ethanolic extracts respectively for 72 hours. Distilled water and 0.05% ethanol used as placebo and negative control, respectively. RESULTS: Placebo and negative control group all showed average 92% embryonnation, 98% egg hatching and 2% larval mortality, and did not affect development and larval survival. The extracts inhibited embryonic development, egg hatching and larval survival. In general, the ovicidal and larvicidal activities increased with increasing concentration of different extracts. The aqueous extract was found to be more potent on eggs than on larvae. At 2.75 mg/mL, only 8% of eggs embryonnated and 50% hatched to L(1) vs 57% embryonic development and 79% hatching occurred in the ethanolic extract. However, this later extract was more efficient in preventing larval development producing 96% mortality as against 68% with the aqueous extract. CONCLUSIONS: These results shows the ovicidal and larvicidal properties of aqueous and ethanolic pawpaw seeds extracts.

The In Vitro Effects of Aqueous and Ethanolic Extracts of the Leaves of Ageratum conyzoides (Asteraceae) on Three Life Cycle Stages of the Parasitic Nematode Heligmosomoides bakeri (Nematoda: Heligmosomatidae).

A comparative in vitro study was carried out to determine the ovicidal and larvicidal activity of aqueous and ethanolic extracts of Ageratum conyzoides (Asteraceae) leaves on the eggs (unembryonated and embryonated), first and second larval stages of Heligmosomoides bakeri. Four different concentrations (0.625, 1.25, 2.5, and 3.75 mg·mL(-1)) of both aqueous and ethanolic extracts were tested. Distilled water and 5% tween were used as negative controls in the bioassay. In fact, they did not affect development of eggs, hatching, and larval survival. The extract activities were dose dependent. The ethanolic extract was more potent against embryonation (39.6 ± 2.9%) than the aqueous extract (53.3 ± 10.9%) at the highest concentration (3.75 mg·ml(-1)). Both types of extracts killed larvae. Mebendazole proved more lethal (EC(50) of 0.745 and 0.323 mg·mL(-1), resp., for L(1) and L(2) larvae). The aqueous extracts were the least lethal (EC(50) of 4.76 and 2.29 mg·mL(-1), resp., for L(1) and L(2) larvae). The ethanolic extracts showed intermediate activity (EC(50) of 1.323 and 1.511 mg·mL(-1), resp., for L(1) and L(2) larvae). It is concluded that the ovicidal and larvicidal properties of aqueous and ethanolic extracts of Ageratum conyzoides leaves are demonstrated in this work.

In vitro activities of acetonic extracts from leaves of three forage legumes (Calliandra calotyrsus, Gliricidia sepium and Leucaena diversifolia) on Haemonchus contortus.

OBJECTIVE: To assess ovicidal activity of three acetonic extracts from the leaves of three forage legume, Calliandra calotyrsus (C. calotyrsus), Gliricidia sepium (G. sepium) and Leucaena diversifolia (L. diversifolia) in vitro on Haemonchus contortus (H. contortus). METHODS: Eggs were exposed for 24 hours to five different concentrations (0.075, 0.15, 0.3, 0.6 and 1.25 mg/mL) of acetonic extracts at room temperature (24 °C). Distilled water and 0.4% Tween were used in the bioassay as negative controls. RESULTS: The later did not affect embryonation and egg hatching of H. contortus. Conversively, significant effects were obtained with the acetonic extracts of leaves of all three plants and the maximum activity was observed with the highest concentration (1.25 mg/mL). The acetonic extract of G. sepium was found to be more active (2.9% and 0.0% for embryonation and egg hatching, respectively) than the other substances 16.5% and 33.5%, respectively for C. calothyrsus, 33.7% and 33.3%, respectively for L. diversifolia. CONCLUSIONS: These results suggest that the three forage legumes do possess ovicidal properties and further studies on larvae should be carried out.

In vitro nematicidal activity of extracts of Canthium mannii (Rubiaceae), on different life-cycle stages of Heligmosomoides polygyrus (Nematoda, Heligmosomatidae).

The increasing prevalence of anthelmintic-resistant strains of helminths, drug residues in animal products and high cost of conventional anthelmintics has created an interest in studying medicinal plants as an alternative source of anthelmintic. The potential nematicidal activities of four extracts from the bark of Canthium mannii (Rubiaceae) stem were investigated in vitro. Extracts were diluted in distilled water (DW) to obtain five different concentrations (1.5, 2.0, 2.5, 3.0 and 3.5 mg/ml) and put in contact with eggs and larvae of Heligmosomoides polygyrus. The different stages of the life cycle were also put in contact with the same concentration of mebendazole (MBZ, positive control). One millilitre of each extract at different concentrations and control were added to 1 ml solution containing 30-40 eggs or 10-15 larvae (L1, L2 and L3) and distributed in different Petri dishes. The eggs and larvae were incubated at 24 degrees C and exposure times were: 48 h for un-embryonated eggs, 6 h for embryonated eggs; 2, 4, 6 and 24 h for L1 and L2 larvae, 24-48 h for infective larvae (L3), and 5 days for the larval development test (from L1 to L3). DW and 1% dimethyl sulphoxide (DMSO) were used as placebo and DMSO control, respectively. Significant effects were obtained with three of the four extracts, and differences were observed depending on the parasite stage. Cold water extract (CWE), hot water extract (HWE) and ethanol extract (ETE) inhibited embryonic development (40, 45 and 10%) and hatching of embryonated eggs (40, 85 and 80%), respectively, at 3.5 mg/ml. Only ETE killed L1 (97.18%) and L2 (92.68%) larvae of H. polygyrus after 24 h at 3.5 mg/ml and drastically reduced the production rate (6% at 3.0 and 3.5 mg/ml) of infective larvae (L3) after 5 days of incubation compared to other extracts (P < 0.05). However, the infective larvae of H. polygyrus were resistant to the effect of each of the tested products (extracts and mebendazole). These in vitro results suggested that extracts of C. mannii, used by traditional healers in Dschang, Western Region of Cameroon (Central Africa) to cure intestinal helminthiasis and abdominal pains of their patients, possess nematicidal properties. The active principles responsible for the activity could be secondary metabolites such as alkaloids and saponins present in the extracts. It is suggested that further experiments incorporating in vivo purification of extracts and toxicological investigations should be carried out.

In vivo evaluation of potential nematicidal properties of ethanol extract of Canthium mannii (Rubiaceae) on Heligmosomoides polygyrus parasite of rodents.

The nematicidal activity of ethanol extract (ETE) of Canthium mannii (Rubiaceae) was assessed in vivo compared to that of Mebendazole on the adult of Heligmosomoides polygyrus parasite of rodents. One hundred and five Swiss white mice of two sexes aged 5-6 weeks old, and weighing between 20 and 25 g were orally infected with a 0.8 ml of a dose of 104-120, 1-week-old H. polygyrus infective larvae (L(3)). After the pre-patent period (9-11 days), infected animals were randomly divided into 7 groups of 15 animals each. The nematicidal efficacy of the ETE was monitored through faecal egg count reduction (FECR) and total worm count reduction (TWCR). Five doses (350, 700, 1400, 2800 and 5600 mgkg(-1) body weight) for ETE and 22 mgkg(-1) for Mebendazole were studied using a bioassay. Mebendazole and 3% dimethylsulfoxide (DMSO) were included in the assays as reference drug and placebo, respectively. Each host received according to its weight for 7 days a daily dose of 0.7ml of the product. The ETE for all the doses tested except the dose rate 350 mgkg(-1)bwt was active in vivo on the adult of H. polygyrus and reduced significantly (p<0.05) the FEC and the TWC of the nematode. The dose rate 5600 mgkg(-1)bwt showed the highest nematicidal activity of 75.0% FECR and 83.6% TWCR 7 days post-treatment. These results supported the possible use of medicinal plants in the control of gastro-intestinal helminthiasis.

Community acceptability of the use of low-dose niclosamide (Bayluscide), as a molluscicide in the control of human schistosomiasis in Sahelian Cameroon.

Although field trials of the application of molluscicides for the control of human schistosomiasis have been conducted in several settings, the acceptability of molluscide use at the community level has been poorly documented. The death and putrefaction of aquatic organisms in water treated with niclosamide (Bayluscide), for example, and the yellowish colouration of such water, may decrease the molluscide's acceptability. It may be possible, however, to use doses of a molluscicide that are only just high enough to kill the target snails but not high enough to kill non-target fish and frogs, thereby reducing the application's impact on water quality and colour and improving its acceptability to local communities. In a study in northern Cameroon, Bayluscide WP70 was applied to ponds at concentrations of 0, 0.25, 0.5 or 1 g/m(3). Changes in human contact with the water in the ponds were explored both by direct observation and by in-depth interviews with key informants from the local community. Although all applications of niclosamide greatly decreased human use of the treated ponds for a few days, most informants (99%) were in favour of niclosamide application and only 6% of the interviewees gave change in water colour or bad smell as a reason for not using a particular water body. Over the few days post-application, use of ponds treated with 0.25 or 0.5 g Bayluscide WP70/m(3) was higher than that of the ponds treated with 1 g/m(3), indicating that relatively low-dose applications, if effective in controlling snails, may be more acceptable to local communities than applications at higher doses.