Genotypic and phenotypic characterization of Trypanosoma brucei gambiense isolates from Ibba, South Sudan, an area of high melarsoprol treatment failure rate

Resistance of trypanosomes to melarsoprol is ascribed to reduced uptake of the drug via the P2 nucleoside transporter. The aim of this study was to look for evidence of drug resistance in Trypanosoma brucei gambiense isolates from sleeping sickness patients in Ibba, South Sudan, an area of high melarsoprol failure rate. Eighteen T. b. gambiense stocks were phenotypically and only 10 strains genotypically characterized. In vitro, all isolates were sensitive to melarsoprol, melarsen oxide, and diminazene. Infected mice were cured with a 4 day treatment of 2.5mg/kg bwt melarsoprol, confirming that the isolates were sensitive. The gene that codes for the P2 transporter, TbATI, was amplified by PCR and sequenced. The sequences were almost identical to the TbAT1(sensitive) reference, except for one point mutation, C1384T resulting in the amino acid change proline-462 to serine. None of the described TbAT1(resistant)-type mutations were detected. In a T. b. gambiense sleeping sickness focus where melarsoprol had to be abandoned due to the high incidence of treatment failures, no evidence for drug resistant trypanosomes or for TbAT1(resistant)-type alleles of the P2 transporter could be found. These findings indicate that factors other than drug resistance contribute to melarsoprol treatment failures.

Isolation and propagation of Trypanosoma brucei gambiense from sleeping sickness patients in south Sudan

This study aimed at isolating Trypanosoma brucei gambiense from human African trypanosomiasis (HAT) patients from south Sudan. Fifty HAT patients identified during active screening surveys were recruited, most of whom (49/50) were in second-stage disease. Blood and cerebrospinal fluid samples collected from the patients were cryopreserved using Triladyl as the cryomedium. The samples were stored at -150 degrees C in liquid nitrogen vapour in a dry shipper. Eighteen patient stabilates could be propagated in immunosuppressed Mastomys natalensis and/or SCID mice. Parasitaemia was highest in SCID mice. Further subpassages in M. natalensis increased the virulence of the trypanosomes and all 18 isolates recovered from M. natalensis or SCID mice became infective to other immunosuppressed mouse breeds. A comparison of immunosuppressed M. natalensis and Swiss White, C57/BL and BALB/c mice demonstrated that all rodent breeds were susceptible after the second subpassage and developed a parasitaemia >10(6)/ml by Day 5 post infection. The highest parasitaemias were achieved in C57/BL and BALB/c mice. These results indicate that propagation of T. b. gambiense isolates after initial isolation in immunosuppressed M. natalensis or SCID mice can be done in a range of immunosuppressed rodents.

Al Fashir: Darfur: West Sudan Topographic Field Map Sheet 2

The present map sheet is one of six field maps of the Darfur Map Series Release II (1:250'000). The maps and the geodatabase were preparded by the Centre for Development and Environment (CDE) of the University of Berne with funding from the Swiss Federal Department of Foreign Affairs. The map is being released as a technical contribution to support the humanitarian, peace-keeping and reconstruction efforts in Darfur, Western Sudan.

Al Geneina: Darfur. West Sudan Topographic Field Map Sheet 3

The present map sheet is one of six field maps of the Darfur Map Series Release II (1:250'000). The maps and the geodatabase were preparded by the Centre for Development and Environment (CDE) of the University of Berne with funding from the Swiss Federal Department of Foreign Affairs. The map is being released as a technical contribution to support the humanitarian, peace-keeping and reconstruction efforts in Darfur, Western Sudan.

Buram: Darfur: West Sudan Topographic Field Map Sheet 6

The present map sheet is one of six field maps of the Darfur Map Series Release II (1:250'000). The maps and the geodatabase were preparded by the Centre for Development and Environment (CDE) of the University of Berne with funding from the Swiss Federal Department of Foreign Affairs. The map is being released as a technical contribution to support the humanitarian, peace-keeping and reconstruction efforts in Darfur, Western Sudan.

Hajar Banda: Darfur: West Sudan Topographic Field Map Sheet 5

The present map sheet is one of six field maps of the Darfur Map Series Release II (1:250'000). The maps and the geodatabase were preparded by the Centre for Development and Environment (CDE) of the University of Berne with funding from the Swiss Federal Department of Foreign Affairs. The map is being released as a technical contribution to support the humanitarian, peace-keeping and reconstruction efforts in Darfur, Western Sudan.

Kulbus: Darfur: West Sudan Topographical Field Map Sheet 1

The present map sheet is one of six field maps of the Darfur Map Series Release II (1:250'000). The maps and the geodatabase were preparded by the Centre for Development and Environment (CDE) of the University of Berne with funding from the Swiss Federal Department of Foreign Affairs. The map is being released as a technical contribution to support the humanitarian, peace-keeping and reconstruction efforts in Darfur, Western Sudan.

Nyala: Darfur: West Sudan Topographic Field Map Sheet 4

The present map sheet is one of six field maps of the Darfur Map Series Release II (1:250'000). The maps and the geodatabase were preparded by the Centre for Development and Environment (CDE) of the University of Berne with funding from the Swiss Federal Department of Foreign Affairs. The map is being released as a technical contribution to support the humanitarian, peace-keeping and reconstruction efforts in Darfur, Western Sudan.

Abyei: Sudan Topographic Field Map

The present map was prepared at the request of the 'Intergovernmental Authority on Development' (IGAD) for the 'Abyei Boundaries Commission', whose work is in progress as part of the implementation of the Comprehensive Peace Agreement signed on January 9, 2005. The map and the geodatabase were prepared by the Centre for Development and Environment (CDE) of the University of Berne, Switzerland, with funding from the Swiss Federal Department of Foreign Affairs. Boundaries, transliteration, settlement locations and the North-South demarcation line of 1956 drawn on this map are not authoritative and should not be considered as such.

A Minimally Invasive Technique for the Detection and Analysis of Pulmonary Fat Embolism: A Feasibility Study*

We investigated the feasibility of postmortem percutaneous needle biopsy (PNB) for obtaining pulmonary samples adequate for the study of pulmonary fat embolism (PFE). Samples of both lungs were obtained from 26 cadavers via two different methods: (i) PNB and (ii) the double-edged knife technique, the gold standard at our institute. After water storage and Sudan III staining, six forensic pathologists independently examined all samples for the presence and severity of PFE. The results were compared and analyzed in each case regarding the vitality of the PFE and its relationship to the cause of death. The results showed that PFE was almost identically diagnosed and graded on the samples obtained via both methods. The discrepancies between the two techniques did not affect the diagnoses of vitality or cause of death related to PFE. This study demonstrates the feasibility of the PNB sampling method for the diagnosis and interpretation of PFE in the postmortem setting.