HIV infection, viral hepatitis and liver fibrosis among prison inmates in West Africa.

BACKGROUND Prisoners represent a vulnerable population for blood-borne and sexually transmitted infections which can potentially lead to liver fibrosis and ultimately cirrhosis. However, little is known about the prevalence of liver fibrosis and associated risk factors among inmates in sub-Saharan Africa. METHODS Screening of liver fibrosis was undertaken in a randomly selected sample of male inmates incarcerated in Lome, Togo and in Dakar, Senegal using transient elastography. A liver stiffness measurement ≥9.5 KPa was retained to define the presence of a severe liver fibrosis. All included inmates were also screened for HIV, Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) infection. Substances abuse including alcohol, tobacco and cannabis use were assessed during face-to-face interviews. Odds Ratio (OR) estimates were computed with their 95 % Confidence Interval (CI) to identify factors associated with severe liver fibrosis. RESULTS Overall, 680 inmates were included with a median age of 30 years [interquartile range: 24-35]. The prevalence of severe fibrosis was 3.1 % (4.9 % in Lome and 1.2 % in Dakar). Infections with HIV, HBV and HCV were identified in 2.6 %, 12.5 % and 0.5 % of inmates, respectively. Factors associated with a severe liver fibrosis were HIV infection (OR = 7.6; CI 1.8-32.1), HBV infection (OR = 4.8; CI 1.8-12.8), HCV infection (OR = 52.6; CI 4.1-673.8), use of traditional medicines (OR = 3.7; CI 1.4-10.1) and being incarcerated in Lome (OR = 3.3; CI 1.1-9.8) compared to Dakar. CONCLUSIONS HIV infection and viral hepatitis infections were identified as important and independent determinants of severe liver fibrosis. While access to active antiviral therapies against HIV and viral hepatitis expands in Africa, adapted strategies for the monitoring of liver disease need to be explored, especially in vulnerable populations such as inmates.

Pollen abundance in Late Quaternary sediment cores off West Africa

The pollen record of three marine late Quaternary cores off Senegal shows a juxtaposition of Mediterranean, Northern Saharan, Central Saharan elements, which are considered transported by the trade winds from a winter-rainfall area, and Sahelian, Soudanese, Soudano-Guinean elements, considered transported both by winds and mostly by the Senegal River, and coming from the monsoonal, summer tropical rainfall area of southern West Africa. Littoral vegetation is either the edaphically dry and saline Chenopodiaceae from sebkhas at the time of the main regression, or the warm tropical humid mangrove with Rhizophora during the humid optimum period. Four stratigraphic zones reflect, from basis to top: Zone 4. A semi-arid period with a balanced pollen input. Zone 3. A very arid period with the disappearance of monsoonal pollen, probably from the disappearance of the Senegal River, a very saline littoral plain with Chenopodiaceae, a larger input of northern Saharan pollen from intensified trade winds. Zone 2. A quite humid period, much more so than today, very suddenly established, with a northward extension of the monsoonal areas, a rich littoral mangrove, and weakening of the trade winds. Zone l. A slow and steady evolution toward the present semi-humid conditions with regression of the mangrove, and of the monsoonal areas toward the south. Tentative datations and correlations with the Tchad area suggested: zone 4: 22,500 to 19,000 years BP; zone 3: 19,000 to 12,500 years BP; zone 2: 12,500 to 5,500 years BP; zone 1: 5,500 years BP to top of core. Dinoflagellate cysts display a tropical assemblage with mostly estuarine neritic elements and also a weak oceanic component, mostly in the lower slope core 47. Cosmopolitan taxa dominate the assemblage and only a few species point to more specialized environments. Quantitative variations of the assemblage are the basis of stratigraphy which is not similar to the pollen stratigraphy, and an inshore-outshore gradient has to be taken into account to correlate the three cores.

Benthic foraminifera of surface samples and sediment cores off Senegal and Gambia, West Africa

Water depth zonation of fifty nine benthonic foraminiferal species in marine sediment surfaces has been described. Some species are combined to groups which mark particular depth zones: an upper and lower shelf-fauna, an upper and lower slope fauna, and a shelf-slope fauna. Dependence on latitude could be ascertained for Textularia panamensis, and submergence effects for Hyalinea balthica.

Age determination of sediment cores from the shelf off Mauretania, West Africa

The 60 km wide shelf off Mauritania is cut by several submarine canyons. Its water-circulation is controlled by the cool Canary current and upwelling. Its Recent sediments show faunal associations remarkably related to the grain size distribution which in water depths between 40 and 80 m is strongly influenced by reworking of older coarse sand or sandstone. In this depth range a mixed biofacies originating from Pleistocene and Recent material is encountered. The present lateral faunistic and sedimentological facies change, including horizons of mixed provenance, can be recognized in vertical sequences taken by vibro-coring. This correlation combined with 14C-datations on molluscs enable the reconstruction of the history of the last glacial regression and transgression. Due to the arid climate, the emerging calcareous shelf sediments are indurated and, therefore, protected from subaerial and submarine erosion. During low sea level eolian sand migrates over the shelf, but only about 1/10 of this material remains there and is later incorporated into the sandy shelf sediments. The calculated average rate of total sedimentation during Holocene is 15 cm, and the production rate of carbonate is 5 cm/1000 years.

Distribution of molluscs on the Atlantic continental shelf off Southern Spanish Sahara, West Africa

Two hundred and seventy five mollusc species from the continental shelf off Southern Spanish Sahara (depth: 32-60 m) were identified. Their distribution pattern is strongly influenced by the nature of the bottom (firm substrate, shelter, stability of sediment) rather than other factors at that depth interval. This faunal assemblage shows great affinity to the Mediterranean and Lusitanian faunas, and comprises only few (22 %) exclusively Senegalese and species living south of Senegal.

Sedimentology of surface sediments from the continental shelf and slope off West Africa (Table 1)

Samples from sutface sediments of the shell, continental slope, and adjacent deep sea regions off West Africa between 27° N and 15° N were investigated with respect to grain size distribution of the total samples, sand contents of the acid insoluble residues, carbonate content of the total samples, and the separate grain size fractions, specific surfaces, colours and mineralogical composition of the clay fractions. The grain size distributions of the total samples of the sediments of the shelf and the continental slope off Spanish-Sahara are controlled mainly by biogenic components. The supply of terrigeneous material in this area is very low. At deeper parts of the continental slope and in the deep sea areas, the relative amounts of carbonate minerals in the sediments are considerably reduced. The prevailing sand contents of the upper slope changes into clay dominance. On the shelf of Mauritania - represented by profiles extending down to 200 m water depth - the grain size is also controlled mainly by biogenic carbonates. Nevertheless, the admixture of fossil silicate components is important, too. The southern parts of the area is investigated are located in a region influenced by sediments of the Senegal River, which especially control the contents of silt and clay. The silicate sands, predominately of quartz, are fossil and form a mixed sediment with younger deposits. The carbonate contents of the different grain size fractions are formed either by sedimentation of carbonate and silicate particles of the respective grain size or by autochtonous disintegration of coarser sediment particles, as shown by the occurence of Mg-rich calcite and especially aragonite in the clay sized fraction. In the northern parts of the area investigated, which have very minute terrigeneous supply, the latter mechanism is the dominant factor, controlling the carbonate contents of the fine grain sized fractions. In the vicinity of the mouth of the Senegal the carbonate contents are influenced by extremely high dilution with terrigencous silicates. Mg-rich calcite and aragonite are produced preferentially in shallow slope and shelf areas up to 500 m of water depth. The specific surfaces of the carbonate-free clay fractions indicate that the clay fractions of the shelfareas with little terrigenous supply consits of relatively coarser particles. Very fine particles are removed and transported towards the deep sea. Lateral differentiation of this kind was not observed in the area off Senegal. The high surface areas, characterizing the clay fractions of this region, are thought to be due to high montmorillonite contents as was found for deep seas sediments. The mineralogical composition of the clay fraction from the southern parts of the area is characterized by high kaolinite and montmorillonite contents, while in the northern illite is predominating. At least two types of montmorillionites are present: in areas influenced by the Senegal mostly one type was found, which could swell to 17; on the shelves and slopes of the other regions the montmorillonite-group is represented by a montmorillonite-mica-type mixed-layer mineral. A "glauconite", found in the sand fraction, which had very similar properties to those of the montmorillonite-mica mixed-layer, is believed to be the source of this mixed-layer-type mineral. Palygorskite is present in all samples out of range of the Senegal supply. It may be an indicator of eolian transported material. The occurence of rich palygorskit deposits in the arid hinterlands emphasizes the terrestrial origin.

Benthic foraminifera off West Africa (1°N to 32°S)

Recent benthic foraminifera (> 125 µm) were investigated from multicorer samples on a latitudinal transect of 20 stations between 1°N and 32°S along the upper slope off West Africa. Samples were selected from a narrow water depth interval, between 1200 and 1500 m, so that changes in water masses are minimized, but changes in surface productivity are important and the only significant environmental variable. Live (Rose Bengal stained) benthic foraminifera were counted from the surface sediment down to a maximum of 12 cm. Dead foraminifera were investigated in the top 5 cm of the sediment only. Five live and five dead benthic foraminiferal assemblages were identified using Q-mode principal component analysis, matching distinct primary productivity provinces, characterized by different systems of seasonal and permanent upwelling. Differences in seasonality, quantity, and quality of food supply are the main controlling parameters on species composition and distribution of the benthic foraminiferal faunas. To test the sensitivity of foraminiferal studies based on the uppermost centimeter of sediment only, a comparative Q-mode principal component analysis was conducted on live and dead foraminiferal data from the top 1 cm of sediment. It has been demonstrated that, on the upper slope off West Africa, most of the environmental signals as recorded by species composition and distribution of the 'total' live and dead assemblages, i.e., including live and dead foraminifera from the surface sediment down to 12 cm and 5 cm, respectively, can be extracted from the assemblages in the top centimeter of sediment only. On the contrary, subsurface abundance maxima of live foraminifera and dissolution of empty tests strongly bias quantitative approaches based on the calculation of standing stocks and foraminiferal numbers in the topmost centimeter.

Alone in West Africa,

Map on lining-papers.

The South African law reports. South-West Africa. Decisions of the High Court of South-West Africa

None published in 1946

Labour in Portuguese West Africa,

Appendix A: Report of Joseph Burtt and Dr. Horton, 1907.