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Article ; Online: Feasibility and acceptability of nationwide HPV vaccine introduction in Senegal

Reena H Doshi / Rebecca M Casey / Nedghie Adrien / Alassane Ndiaye / Timothy Brennan / Jerlie Loko Roka / Awa Bathily / Cathy Ndiaye / Anyie Li / Julie Garon / Ousseynou Badiane / Aliou Diallo / Anagha Loharikar

PLOS Global Public Health, Vol 2, Iss 4, p e

Findings from community-level cross-sectional surveys, 2020.

2022 Volume 0000130

Abstract: In Senegal, cervical cancer is the most common cancer among women and the leading cause of morbidity and mortality from all cancers. In 2018, Senegal launched a national human papillomavirus (HPV) vaccination program with Gavi, the Vaccine Alliance (Gavi) ...

Abstract	In Senegal, cervical cancer is the most common cancer among women and the leading cause of morbidity and mortality from all cancers. In 2018, Senegal launched a national human papillomavirus (HPV) vaccination program with Gavi, the Vaccine Alliance (Gavi), support. HPV vaccination was incorporated into the national immunization program as a two-dose schedule, with a 6-12-month interval, to nine-year-old girls via routine immunization (RI) services at health facilities, schools and community outreach services throughout the year. During February to March 2020, we conducted interviews to assess the awareness, feasibility, and acceptability of the HPV vaccination program with a cross-sectional convenience sample of healthcare workers (HCWs), school personnel, community healthcare workers (cHCWs), parents, and community leaders from 77 rural and urban health facility catchment areas. Participants were asked questions on HPV vaccine knowledge, delivery, training, and community acceptability of the program. We conducted a descriptive analysis stratified by respondent type. Data were collected from 465 individuals: 77 HCW, 78 school personnel, 78 cHCWs, 152 parents, and community leaders. The majority of HCWs (83.1%) and cHCWs (74.4%) and school personnel (57.7%) attended a training on HPV vaccine before program launch. Of all respondents, most (52.5-87.2%) were able to correctly identify the target population. The majority of respondents (60.2-77.5%) felt that the vaccine was very accepted or accepted in the community. Senegal's HPV vaccine introduction program, among the first national programs in the African region, was accepted by community stakeholders. Training rates were high, and most respondents identified the target population correctly. However, continued technical support is needed for the integration of HPV vaccination as a RI activity for this non-traditional age group. The Senegal experience can be a useful resource for countries planning to introduce the HPV vaccine.
Keywords	Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Perceptions toward Ebola vaccination and correlates of vaccine uptake among high-risk community members in North Kivu, Democratic Republic of the Congo

Shiromi M. Perera / Stephanie Chow Garbern / Eta Ngole Mbong / Monica K. Fleming / Rigobert Fraterne Muhayangabo / Arsene Baleke Ombeni / Shibani Kulkarni / Dieula Delissaint Tchoualeu / Ruth Kallay / Elizabeth Song / Jasmine Powell / Monique Gainey / Bailey Glenn / Ruffin Mitume Mutumwa / Stephane Hans Bateyi Mustafa / Giulia Earle-Richardson / Rena Fukunaga / Neetu Abad / Gnakub Norbert Soke /

Dimitri Prybylski / David L. Fitter / Adam C. Levine / Reena H. Doshi

PLOS Global Public Health, Vol 4, Iss

2024 Volume 1

Keywords	Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2024-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Progress toward UNAIDS 90-90-90 targets

Reena H Doshi / Enos Sande / Moses Ogwal / Herbert Kiyingi / Anne McIntyre / Joy Kusiima / Geofrey Musinguzi / David Serwadda / Wolfgang Hladik

PLoS ONE, Vol 13, Iss 9, p e

A respondent-driven survey among female sex workers in Kampala, Uganda.

2018 Volume 0201352

Abstract: BACKGROUND:We investigated progress towards UNAIDS 90-90-90 targets among female sex workers in Kampala, Uganda, who bear a disproportionate burden of HIV. METHODS:Between April and December 2012, 1,487 female sex workers, defined as women, 15-49 years, ... ...

Abstract	BACKGROUND:We investigated progress towards UNAIDS 90-90-90 targets among female sex workers in Kampala, Uganda, who bear a disproportionate burden of HIV. METHODS:Between April and December 2012, 1,487 female sex workers, defined as women, 15-49 years, residing in greater Kampala, and selling sex for money in the last 6 months, were recruited using respondent-driven sampling. Venous blood was collected for HIV and viral load testing [viral load suppression (VLS) defined as <1,000 copies/mL]. We collected data using audio computer-assisted self-interviews and calculated weighted population-level estimates. RESULTS:The median age was 27 years (interquartile range: 23 to 32). HIV seroprevalence was 31.4% (95% confidence interval [CI]: 29.0, 33.7%). Among all female sex workers who tested HIV-positive in the survey (population-level targets), 45.5% (95% CI: 40.1, 51.0) had knowledge of their serostatus (population-level target: 90%), 37.8% (95% CI: 32.2, 42.8) self-reported to be on ART (population-level target: 81%), and 35.2% (95% CI: 20.7, 30.4) were virally suppressed (population-level target: 73%). CONCLUSIONS:HIV prevalence among Kampala female sex workers is high, whereas serostatus knowledge and VLS are far below UNAIDS targets. Kampala female sex workers are in need of intensified and targeted HIV prevention and control efforts.
Keywords	Medicine ; R ; Science ; Q
Language	English
Publishing date	2018-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Zoonotic risk factors associated with seroprevalence of Ebola virus GP antibodies in the absence of diagnosed Ebola virus disease in the Democratic Republic of Congo.

Anna Bratcher / Nicole A Hoff / Reena H Doshi / Adva Gadoth / Megan Halbrook / Patrick Mukadi / Kamy Musene / Benoit Ilunga-Kebela / D'Andre Spencer / Matthew S Bramble / David McIlwan / J Daniel Kelly / Daniel Mukadi / Placide Mbala Kingebeni / Steve Ahuka / Emile Okitolonda-Wemakoy / Jean-Jacques Muyembe-Tamfum / Anne W Rimoin

PLoS Neglected Tropical Diseases, Vol 15, Iss 8, p e

2021 Volume 0009566

Abstract: Background Ebola virus (EBOV) is a zoonotic filovirus spread through exposure to infected bodily fluids of a human or animal. Though EBOV is capable of causing severe disease, referred to as Ebola Virus Disease (EVD), individuals who have never been ... ...

Abstract	Background Ebola virus (EBOV) is a zoonotic filovirus spread through exposure to infected bodily fluids of a human or animal. Though EBOV is capable of causing severe disease, referred to as Ebola Virus Disease (EVD), individuals who have never been diagnosed with confirmed, probable or suspected EVD can have detectable EBOV antigen-specific antibodies in their blood. This study aims to identify risk factors associated with detectable antibody levels in the absence of an EVD diagnosis. Methodology Data was collected from September 2015 to August 2017 from 1,366 consenting individuals across four study sites in the DRC (Boende, Kabondo-Dianda, Kikwit, and Yambuku). Seroreactivity was determined to EBOV GP IgG using Zaire Ebola Virus Glycoprotein (EBOV GP antigen) ELISA kits (Alpha Diagnostic International, Inc.) in Kinshasa, DRC; any result above 4.7 units/mL was considered seroreactive. Among the respondents, 113 (8.3%) were considered seroreactive. Several zoonotic exposures were associated with EBOV seroreactivity after controlling for age, sex, healthcare worker status, location, and history of contact with an EVD case, namely: ever having contact with bats, ever having contact with rodents, and ever eating non-human primate meat. Contact with monkeys or non-human primates was not associated with seroreactivity. Conclusions This analysis suggests that some zoonotic exposures that have been linked to EVD outbreaks can also be associated with EBOV GP seroreactivity in the absence of diagnosed EVD. Future investigations should seek to clarify the relationships between zoonotic exposures, seroreactivity, asymptomatic infection, and EVD.
Keywords	Arctic medicine. Tropical medicine ; RC955-962 ; Public aspects of medicine ; RA1-1270
Subject code	610
Language	English
Publishing date	2021-08-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Human Exposure to Wild Animals in the Sankuru Province of the Democratic Republic of the Congo

Rimoin, Anne W / Emile W. Okitolonda / Jean-Jacques Muyembe / Linda L. Wright / Nevile K. Kisalu / Nicole A. Hoff / Prime Mulembakani / Reena H. Doshi / Vivian Helena Alfonso

EcoHealth. 2017 Sept., v. 14, no. 3

2017

Abstract: Due to the high level of biological diversity in the Congo Basin and human population dependence on bushmeat, the DRC represents an ideal location for expanding knowledge on wild animal exposures and thus the potential for transmission of zoonotic ... ...

Abstract	Due to the high level of biological diversity in the Congo Basin and human population dependence on bushmeat, the DRC represents an ideal location for expanding knowledge on wild animal exposures and thus the potential for transmission of zoonotic pathogens. However, limited information exists on patterns and extent of contact with wildlife in such communities. Using a cross-sectional study, 14 villages in the Sankuru Province of the DRC were surveyed between August and September 2007. VillagersÂ â¥Â 1Â year of age and at home of the time of the survey were eligible and enrolled to describe and assess factors associated with animal exposures (both activity and type of animal). Among respondents, 91% reported exposure to rodents, 89% to duikers, 78% to non-human primates (NHPs), and 32% reported contact with bats in the month prior to the survey. The most frequently reported activities included eating (95%), cooking (70%), and butchering or skinning of animals (55%). The activities and animals to which subjects had contact varied by sex and age. Moreover, we observed a high correlation of the same activities across animal types. In this and other populations that rely on bushmeat, there is a high frequency of exposure to multiple animal species through various modalities. In the event of future zoonotic disease outbreaks, effective public health interventions and campaigns that mitigate the risk of animal contact during outbreaks need to be broad to include various modes of contact and should be directed to both men and women across all age groups. As available information is limited, further studies are necessary to better understand the complex relationships and exposures individuals have with animals.
Keywords	basins ; biodiversity ; bushmeat ; butchering ; Chiroptera ; cooking ; cross-sectional studies ; disease outbreaks ; human population ; humans ; ingestion ; men ; pathogens ; Primates ; public health ; risk ; rodents ; skinning ; surveys ; villages ; wild animals ; wildlife ; women ; zoonoses ; Democratic Republic of the Congo
Language	English
Dates of publication	2017-09
Size	p. 552-563.
Publishing place	Springer US
Document type	Article
ZDB-ID	2164327-1
ISSN	1612-9210 ; 1612-9202
ISSN (online)	1612-9210
ISSN	1612-9202
DOI	10.1007/s10393-017-1262-9
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Rapid Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 in Detention Facility, Louisiana, USA, May–June, 2020

Megan Wallace / Allison E. James / Rachel Silver / Mitsuki Koh / Farrell A. Tobolowsky / Sean Simonson / Jeremy A. W. Gold / Rena Fukunaga / Henry Njuguna / Keith Bordelon / Jonathan Wortham / Melissa Coughlin / Jennifer L. Harcourt / Azaibi Tamin / Brett Whitaker / Natalie J. Thornburg / Ying Tao / Krista Queen / Anna Uehara /

Clinton R. Paden / Jing Zhang / Suxiang Tong / Danielle Haydel / Ha Tran / Kaylee Kim / Kiva A. Fisher / Mariel Marlow / Jacqueline E. Tate / Reena H. Doshi / Theresa Sokol / Kathryn G. Curran

Emerging Infectious Diseases, Vol 27, Iss 2, Pp 421-

2021 Volume 429

Abstract: To assess transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a detention facility experiencing a coronavirus disease outbreak and evaluate testing strategies, we conducted a prospective cohort investigation in a facility in ... ...

Abstract	To assess transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a detention facility experiencing a coronavirus disease outbreak and evaluate testing strategies, we conducted a prospective cohort investigation in a facility in Louisiana, USA. We conducted SARS-CoV-2 testing for detained persons in 6 quarantined dormitories at various time points. Of 143 persons, 53 were positive at the initial test, and an additional 58 persons were positive at later time points (cumulative incidence 78%). In 1 dormitory, all 45 detained persons initially were negative; 18 days later, 40 (89%) were positive. Among persons who were SARS-CoV-2 positive, 47% (52/111) were asymptomatic at the time of specimen collection; 14 had replication-competent virus isolated. Serial SARS-CoV-2 testing might help interrupt transmission through medical isolation and quarantine. Testing in correctional and detention facilities will be most effective when initiated early in an outbreak, inclusive of all exposed persons, and paired with infection prevention and control.
Keywords	severe acute respiratory syndrome coronavirus 2 ; SARS-CoV-2 ; coronaviruses ; viruses ; coronavirus disease ; COVID-19 ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
Language	English
Publishing date	2021-02-01T00:00:00Z
Publisher	Centers for Disease Control and Prevention
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Polio immunity and the impact of mass immunization campaigns in the Democratic Republic of the Congo

Voorman, Arend / Nicole A Hoff / Reena H Doshi / Vivian Alfonso / Patrick Mukadi / Jean-Jacques Muyembe-Tamfum / Emile Okitolonda Wemakoy / Ado Bwaka / William Weldon / Sue Gerber / Anne W Rimoin

Vaccine. 2017,

2017

Abstract: In order to prevent outbreaks from wild and vaccine-derived poliovirus, maintenance of population immunity in non-endemic countries is critical.We estimated population seroprevalence using dried blood spots collected from 4893 children 6-59 months olds ... ...

Abstract	In order to prevent outbreaks from wild and vaccine-derived poliovirus, maintenance of population immunity in non-endemic countries is critical.We estimated population seroprevalence using dried blood spots collected from 4893 children 6-59 months olds in the 2013-2014 Demographic and Health Survey in the Democratic Republic of the Congo (DRC).Population immunity was 81%, 90%, and 70% for poliovirus types 1, 2, and 3, respectively. Among 6-59-month-old children, 78% reported at least one dose of polio in routine immunization, while only 15% had three doses documented on vaccination cards. All children in the study had been eligible for at least two trivalent oral polio vaccine campaigns at the time of enrollment; additional immunization campaigns seroconverted 5.0%, 14%, and 5.5% of non-immune children per-campaign for types 1, 2, and 3, respectively, averaged over relevant campaigns for each serotype.Overall polio immunity was high at the time of the study, though pockets of low immunity cannot be ruled out. The DRC still relies on supplementary immunization campaigns, and this report stresses the importance of the quality and coverage of those campaigns over their quantity, as well as the importance of routine immunization.
Keywords	Enterovirus C ; blood ; children ; health surveys ; immunity ; seroprevalence ; vaccination ; vaccines ; Democratic Republic of the Congo
Language	English
Size	p. .
Publishing place	Elsevier Ltd
Document type	Article
Note	Pre-press version
ZDB-ID	605674-x
ISSN	1873-2518 ; 0264-410X
ISSN (online)	1873-2518
ISSN	0264-410X
DOI	10.1016/j.vaccine.2017.08.063
Database	NAL-Catalogue (AGRICOLA)

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Article: Varicella Coinfection in Patients with Active Monkeypox in the Democratic Republic of the Congo

Hoff, Nicole A / Anne W. Rimoin / Douglas S. Morier / Emile Okitolonda-Wemakoy / James O. Lloyd-Smith / Jean Jacques Muyembe-Tamfum / Lisa E. Hensley / Neville K. Kisalu / Reena H. Doshi / Sara C. Johnston

EcoHealth. 2017 Sept., v. 14, no. 3

2017

Abstract: From 2006 to 2007, an active surveillance program for human monkeypox (MPX) in the Democratic Republic of the Congo identified 151 cases of coinfection with monkeypox virus and varicella zoster virus from 1158 suspected cases of human MPX (13%). Using ... ...

Abstract	From 2006 to 2007, an active surveillance program for human monkeypox (MPX) in the Democratic Republic of the Congo identified 151 cases of coinfection with monkeypox virus and varicella zoster virus from 1158 suspected cases of human MPX (13%). Using clinical and socio-demographic data collected with standardized instruments by trained, local nurse supervisors, we examined a variety of hypotheses to explain the unexpectedly high proportion of coinfections among the sample, including the hypothesis that the two viruses occur independently. The probabilities of disease incidence and selection necessary to yield the observed sample proportion of coinfections under an assumption of independence are plausible given what is known and assumed about human MPX incidence. Cases of human MPX are expected to be underreported, and more coinfections are expected with improved surveillance.
Keywords	data collection ; Human herpesvirus 3 ; humans ; mixed infection ; monitoring ; Monkeypox virus ; patients ; supervisors ; viruses ; Democratic Republic of the Congo
Language	English
Dates of publication	2017-09
Size	p. 564-574.
Publishing place	Springer US
Document type	Article
ZDB-ID	2164327-1
ISSN	1612-9210 ; 1612-9202
ISSN (online)	1612-9210
ISSN	1612-9202
DOI	10.1007/s10393-017-1266-5
Database	NAL-Catalogue (AGRICOLA)

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Article: Serial Laboratory Testing for SARS-CoV-2 Infection Among Incarcerated and Detained Persons in a Correctional and Detention Facility — Louisiana, April–May 2020

Henry Njuguna, M. D. / Megan Wallace, DrPH / Sean Simonson, M. P. H. / Farrell A. Tobolowsky, D. O. / Allison E. James, PhD / Keith Bordelon, M. S. / Rena Fukunaga, PhD / Jeremy A. W. Gold, M. D. / Jonathan Wortham, M. D. / Theresa Sokol, M. P. H. / Danielle, Haydel / Ha, Tran / Kaylee Kim, M. P. H. / Kiva A. Fisher, PhD / Mariel Marlow, PhD / Jacqueline E. Tate, PhD / Reena H. Doshi, PhD / Kathryn G. Curran, PhD

MMWR Morb Mortal Wkly Rep

Abstract: This report describes the findings of testing among quarantined contacts of patients with coronavirus disease 2019 in a Louisiana correctional and detention ... ...

Abstract	This report describes the findings of testing among quarantined contacts of patients with coronavirus disease 2019 in a Louisiana correctional and detention facility
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #618049
Database	COVID19

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Article ; Online: Epidemiologic and Ecologic Investigations of Monkeypox, Likouala Department, Republic of the Congo, 2017

Reena H. Doshi / Sarah Anne J. Guagliardo / Jeffrey B. Doty / Angelie Dzabatou Babeaux / Audrey Matheny / Jillybeth Burgado / Michael B. Townsend / Clint N. Morgan / Panayampalli Subbian Satheshkumar / Nestor Ndakala / Therese Kanjingankolo / Lambert Kitembo / Jean Malekani / Lem’s Kalemba / Elisabeth Pukuta / Tobi N’kaya / Fabien Kangoula / Cynthia Moses / Andrea M. McCollum /

Mary G. Reynolds / Jean-Vivien Mombouli / Yoshinori Nakazawa / Brett W. Petersen

Emerging Infectious Diseases, Vol 25, Iss 2, Pp 281-

2019 Volume 289

Abstract: Monkeypox, caused by a zoonotic orthopoxvirus, is endemic in Central and West Africa. Monkeypox has been sporadically reported in the Republic of the Congo. During March 22–April 5, 2017, we investigated 43 suspected human monkeypox cases. We interviewed ...

Abstract	Monkeypox, caused by a zoonotic orthopoxvirus, is endemic in Central and West Africa. Monkeypox has been sporadically reported in the Republic of the Congo. During March 22–April 5, 2017, we investigated 43 suspected human monkeypox cases. We interviewed suspected case-patients and collected dried blood strips and vesicular and crust specimens (active lesions), which we tested for orthopoxvirus antibodies by ELISA and monkeypox virus and varicella zoster virus DNA by PCR. An ecologic investigation was conducted around Manfouété, and specimens from 105 small mammals were tested for anti-orthopoxvirus antibodies or DNA. Among the suspected human cases, 22 met the confirmed, probable, and possible case definitions. Only 18 patients had available dried blood strips; 100% were IgG positive, and 88.9% (16/18) were IgM positive. Among animals, only specimens from Cricetomys giant pouched rats showed presence of orthopoxvirus antibodies, adding evidence to this species’ involvement in the transmission and maintenance of monkeypox virus in nature.
Keywords	orthopoxvirus ; Republic of the Congo ; zoonoses ; monkeypox ; viruses ; ecology ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
Subject code	630
Language	English
Publishing date	2019-02-01T00:00:00Z
Publisher	Centers for Disease Control and Prevention
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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