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Disseminated Histoplasmosis in HIV-Infected Patients in South America: A Neglected Killer Continues on Its Rampage.
Auteur(s) : Nacher, Mathieu Adenis, Antoine Mc Donald, Sigrid Do Socorro Mendonca Gomes, Margarete Singh, Shanti Lopes Lima, Ivina Malcher Leite, Rosilene Hermelijn, Sandra
Auteurs secondaires : Centre d'investigation clinique Antilles-Guyane ; Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne Epidémiologie des parasitoses et mycoses tropicales ; Université des Antilles et de la Guyane (UAG) - Institut National de la Santé et de la Recherche Médicale (INSERM) Academisch Ziekenhuis ; Paramaribo Hospital Laboratorio Central de Saude Publica do Amapa ; Hospital de Clinicas Dr. Alberto Lima National AIDS Program ; Ministary of Health Public Health Central Laboratory of Suriname ; Public health Department of Internal Medicine ; Diakonessenhuis Hospital Laboratório de Micologia ; Instituto Evandro Chagas-IEC/SVS/MS

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Prevalence of Plasmodium spp.in illegal gold miners in French Guiana in 2015: a hidden but critical malaria reservoir
Auteur(s) : Douine, Maylis Musset, Lise Corlin, Florine Pelleau, Stéphane Pasquier, Jérémie Mutricy, Louise Adenis, Antoine Djossou, Felix
Auteurs secondaires : Centre d'Investigation Clinique Antilles-Guyane (CIC - Antilles Guyane) ; Université des Antilles et de la Guyane (UAG) - Institut National de la Santé et de la Recherche Médicale (INSERM) - CHU de Pointe-à-Pitre - Centre Hospitalier de Cayenne Andrée Rosemon - CHU de Fort de France Service d'immunologie [CHU Pitié-Salpétrière] ; Assistance publique - Hôpitaux de Paris (AP-HP) - CHU Pitié-Salpêtrière [APHP] Laboratoire de Parasitologie, Centre National de Référence du Paludisme - Région Antilles-Guyane ; Institut Pasteur de la Guyane - Réseau International des Instituts Pasteur (RIIP) - WHO Collaborating Center for Surveillance of Antimalarial Drug Resistance Stem cell and microenvironment laboratory ; Weill Cornell Medical College in Qatar Department Genetic Medicine ; Corneil University - Weill Medical College of Cornell University [New York] Unité des Maladies Infectieuses et Tropicales ; Centre Hospitalier de Cayenne Andrée Rosemon Direction Interarmées du Service de Santé en Guyane Département des Centres Délocalisés de Prévention et de Soins ; Centre Hospitalier de Cayenne Andrée Rosemon

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BackgroundMalaria is endemic in French Guiana, an overseas territory of France on the Guiana Shield. Since 2005, notified malaria cases are decreasing. However, new data show that malaria affects many Brazilian gold miners working illegally in French Guiana, the majority of whom are not counted in official data. In addition, one major concern is the usual practice of improper self-treatment in this mining population, raising fear of the development of antimalarial resistance. This prospective study, conducted in 2015, aimed to estimate the prevalence of Plasmodium spp. in illegal gold miners working in French Guiana. MethodsThe recruitment of gold miners was carried out in resting sites along the French Guiana-Suriname border, where they go for supplies, medical care or leisure. After recording agreement, three malaria diagnostic methods were performed: rapid diagnostic test, microscopy and PCR,ResultsAmong 421 persons recruited in the study, malaria prevalence, detected by nested-PCR, was 22.3% (CI=[18.3-26.3], n=94/421) of which 84% were asymptomatic. ConclusionThis significant malaria reservoir in a mobile and illegal population with difficult access to a health care system raises the threat of artemisinin resistance and puts the population of the Guiana Shield at risk of new transmission foci while countries of the region aim at malaria elimination. Even though French legislation may hamper dealing with this population, France must face the reality of malaria in illegal gold miners in order to meet its commitment to malaria elimination.
ISSN: 1475-2875

hal-01346800
https://hal.archives-ouvertes.fr/hal-01346800
https://hal.archives-ouvertes.fr/hal-01346800/document
https://hal.archives-ouvertes.fr/hal-01346800/file/2016%2C%20Douine%20-%20Prevalence%20of%20Plasmodium%20spp.%20in%20illegal%20gold%20miners%20in%20French%20Guiana%20in%202015.pdf
DOI : 10.1186/s12936-016-1367-6

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