Dengue and Chikungunya Fever among Viral Diseases in Outpatient Febrile Children in Kilosa District Hospital,Tanzania

Introduction

Viral etiologies of fever, including dengue, Chikungunya, influenza, rota and adeno viruses, cause major disease burden in tropical and subtropical countries. The lack of diagnostic facilities in developing countries leads to failure to estimate the true burden of such illnesses, and generally the diseases are underreported. These diseases may have similar symptoms with other causes of acute febrile illnesses including malaria and hence clinical diagnosis without laboratory tests can be difficult. This study aimed to identify viral etiologies as a cause of fever in children and their co-infections with malaria.

Methods

A cross sectional study was conducted for 6 months at Kilosa district hospital, Tanzania. The participants were febrile children aged 2–13 years presented at the outpatient department. Diagnostic tests such as IgM and IgG ELISA, and PCR were used.

Results

A total of 364 patients were enrolled, of these 83(22.8%) had malaria parasites, 76 (20.9%) had presumptive acute dengue infection and among those, 29(38.2%) were confirmed cases. Dengue was more likely to occur in children ≥ 5 years than in <5 years (OR 2.28, 95% CI: 1.35–3.86). Presumptive acute Chikungunya infection was identified in 17(4.7%) of patients. We observed no presenting symptoms that distinguished patients with Chikungunya infection from those with dengue infection or malaria. Co-infections between malaria and Chikungunya, malaria and dengue fever as well as Chikungunya and dengue were detected. Most patients with Chikungunya and dengue infections were treated with antibacterials. Furthermore, our results revealed that 5(5.2%) of patients had influenza virus while 5(12.8%) had rotavirus and 2(5.1%) had adenovirus.

Conclusion

Our results suggest that even though viral diseases are a major public health concern, they are not given due recognition as a cause of fever in febrile patients. Emphasis on laboratory diagnostic tests for proper diagnosis and management of febrile patients is recommended.     

Correction to: Widespread colonisation of Tanzanian catchments by introduced Oreochromis tilapia fishes: the legacy from decades of deliberate introduction

Hydrobiologia - Due to an unfortunate turn of events, four rows in Table&nbsp;2 were transposed. Hence, the original article has been corrected. The corrected section (part of ‘Minor...     

Distribution and breeding biology of offshore pelagic cyprinids and catfish in Lake Malawi/Niassa

Synopsis Lake Malawi/Niassa is a permanently stratified lake, consisting of an oxygenated layer of 230 m depth that overlies an anoxic zone that extends to the lake bottom at a maximum depth of over 700 m. Some fish are found throughout the oxygenated zone of the offshore waters, and lead a pelagic existence, although many of the species form part of the demersal community in shallower waters where the lake-bed is oxygenated. This paper reports on the distribution of cyprinids and catfish at six offshore locations, sampled with a mid-water trawl and gillnets, along the north-south axis of the lake. These two groups formed, respectively, 5% and 13% of the offshore fish biomass in the trawl catches. The offshore cyprinids comprised the small lake-spawningEngraulicypris sardella, the only species to have pelagic larvae, and the larger river-spawningOpsaridium microcephalum andO. microlepis. These cyprinids occurred mainly in the upper 100 m of the water column. The biomass of both larvae and adults ofE. sardella showed considerable fluctuations over the two years of study. The spawning site ofE. sardella remains a mystery, but is no longer believed to be in the offshore pelagic zone. The most abundant catfish was the mochokidSynodontis njassae, that exhibited diurnal movements from just above the oxic-anoxic boundary layer during the day to the surface layers at night. The clariid catfish of the genusBathyclarias were caught infrequently offshore, but owing to their large size, they could form a significant part of the biomass. Their abundance was difficult to quantify, as it was believed that the majority are active in the near-surface layers and were under-sampled by the trawl and gillnets. Information on some aspects of the breeding biology is included in the paper, although our knowledge in this area is very incomplete.     

Taxonomic status of the six-band morph of Cyphotilapia frontosa (Perciformes: Cichlidae) from Lake Tanganyika, Africa

Six- and seven-band morphs have been identified in a cichlid, Cyphotilapia frontosa, that is endemic to Lake Tanganyika. These color morphs have allopatric distributions; the six-band morph is widespread in the northern half of the lake while the seven-band morph is restricted to Kigoma on the east coast of the lake. Because no specimens of the seven-band morph have been available for taxonomic study except for the holotype of C. frontosa, the taxonomic status of these morphs has not been discussed. In a recent survey at the lake, 21 specimens of the seven-band morph were collected. A comparison of these with existing collection specimens of the six-band morph showed significant differences in morphometric and meristic characters; however, because all characters largely overlapped between these morphs, they are regarded as conspecific.     

Geographical ancestry of Lake Malawi's cichlid fish diversity

The Lake Malawi haplochromine cichlid flock is one of the largest vertebrate adaptive radiations. The geographical source of the radiation has been assumed to be rivers to the south and east of Lake Malawi, where extant representatives of the flock are now present. Here, we provide mitochondrial DNA evidence suggesting the sister taxon to the Lake Malawi radiation is within the Great Ruaha river in Tanzania, north of Lake Malawi. Estimates of the time of divergence between the Lake Malawi flock and this riverine sister taxon range from 2.13 to 6.76 Ma, prior to origins of the current radiation 1.20–4.06 Ma. These results are congruent with evaluations of 2–3.75 Ma fossil material that suggest past faunal connections between Lake Malawi and the Ruaha. We propose that ancestors of the Malawi radiation became isolated within the catchment during Pliocene rifting that formed both Lake Malawi and the Kipengere/Livingstone mountain range, before colonizing rivers to the south and east of the lake region and radiating within the lake basin. Identification of this sister taxon allows tests of whether standing genetic diversity has predisposed Lake Malawi cichlids to rapid speciation and adaptive radiation.