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Abstract Background The vaccine coverage rate (VCR) for human papillomavirus (HPV) in France is one of the lowest in Europe, well below the target of 80% announced in the French Cancer Plan 2021–2030. The extension of vaccination competencies (prescription and administration) to new health care providers, such as community pharmacists (CPs), was a decisive step by the French Health Authority (HAS) in 2022 to simplify access to vaccination and improve the VCR. This research assessed the economic and organizational impacts (OIs) of the extension of vaccination competencies in France. Methods A model was developed in Excel® to compare the current HPV vaccination pathway focused on general practitioners (GPs) to a mix of pathways (new and current) that extends pharmacists’ competencies (prescription and/or injection). The simulated population corresponded to girls and boys targeted by the French recommendations. The model was run from 2023 to 2030. HAS guidelines were used to identify OIs related to these new pathways. Model inputs were collected from national data sources and an acceptability study. The results focused on three OIs (HPV vaccination ability [defined as the number of adolescents who could be vaccinated in each pathway], the VCR projection, and flows of activity between health care professionals]). The economic impact was evaluated from the National Health Insurance (NHI) perspective in 2022. Results With a mix of vaccination pathways, including an increasing role of pharmacists, the target of an 80% VCR could be reached in 2030 (versus 2032 with the current pathway) with lower investment than the current situation, resulting in cost savings for the NHI of €212 million. Expanding vaccination competencies will provide pharmacists with additional revenue (an average of €755,000/month for all vaccinating pharmacies) and will free up medical time for GPs (average of 603,000 consultations/year for all GPs). Conclusions Expanding vaccination competencies to pharmacists has a positive impact on the entire ecosystem. From a public health perspective, the national VCR target can be achieved and better access to care can be provided, freeing up medical time. From an economic perspective, this approach can provide savings for the NHI and additional revenue for pharmacists.

Abstract Background Drug resistance in Plasmodium falciparum is a major threat to malaria control efforts. Pathogen genomic surveillance could be invaluable for monitoring current and emerging parasite drug resistance. Methods Data from two decades (2000–2020) of continuous molecular surveillance of P. falciparum parasites from Senegal were retrospectively examined to assess historical changes in malaria drug resistance mutations. Several known drug resistance markers and their surrounding haplotypes were profiled using a combination of single nucleotide polymorphism (SNP) molecular surveillance and whole genome sequence based population genomics. Results This dataset was used to track temporal changes in drug resistance markers whose timing correspond to historically significant events such as the withdrawal of chloroquine (CQ) and the introduction of sulfadoxine-pyrimethamine (SP) in 2003. Changes in the mutation frequency at Pfcrt K76T and Pfdhps A437G coinciding with the 2014 introduction of seasonal malaria chemoprevention (SMC) in Senegal were observed. In 2014, the frequency of Pfcrt K76T increased while the frequency of Pfdhps A437G declined. Haplotype-based analyses of Pfcrt K76T showed that this rapid increase was due to a recent selective sweep that started after 2014. Discussion (Conclusion) The rapid increase in Pfcrt K76T is troubling and could be a sign of emerging amodiaquine (AQ) resistance in Senegal. Emerging AQ resistance may threaten the future clinical efficacy of artesunate-amodiaquine (ASAQ) and AQ-dependent SMC chemoprevention. These results highlight the potential of molecular surveillance for detecting rapid changes in parasite populations and stress the need to monitor the effectiveness of AQ as a partner drug for artemisinin-based combination therapy (ACT) and for chemoprevention.

Abstract During perceptually guided decisions, correlates of choice are found as upstream as in the primary sensory areas. However, how well these choice signals align with early sensory representations, a prerequisite for their interpretation as feedforward substrates of perception, remains an open question. We designed a two alternative forced choice task (2AFC) in which male mice compared stimulation frequencies applied to two adjacent vibrissae. The optogenetic silencing of individual columns in the primary somatosensory cortex (wS1) resulted in predicted shifts of psychometric functions, demonstrating that perception depends on focal, early sensory representations. Functional imaging of layer II/III single neurons revealed mixed coding of stimuli, choices and engagement in the task. Neurons with multi-whisker suppression display improved sensory discrimination and had their activity increased during engagement in the task, enhancing selectively representation of the signals relevant to solving the task. From trial to trial, representation of stimuli and choice varied substantially, but mostly orthogonally to each other, suggesting that perceptual variability does not originate from wS1 fluctuations but rather from downstream areas. Together, our results highlight the role of primary sensory areas in forming a reliable sensory substrate that could be used for flexible downstream decision processes.

Le Moringa Moringa oleifera Lam occupe une place importante dans les systèmes de culture des zones semi-arides d'Afrique de l'Ouest et contribue à l'équilibre nutritionnel des populations. La chenille défoliatrice du moringa est l’une des principales contraintes de sa production. Ce ravageur peut engendrer des pertes totales de la culture. Pour réduire les pertes, les producteurs utilisent des insecticides malgré leurs effets nocifs. Au Niger, certains rapports rapportent même l’utilisation du DDT, un pesticide prohibé, pour lutter contre ce ravageur de Moringa. Pour éviter les effets nocifs des méthodes chimiques et identifier une méthode plus écologique, une étude sur la bioécologie de Noorda blitealis Walker a été conduite en station. Nous avons utilisé un piège qui consiste à attacher un morceau de tissu autour du tronc des plants de Moringa pour ainsi collecter les larves du ravageur lors de leurs déplacements sur le plant. Cette étude a été conduite pour déterminer la hauteur à laquelle il faut placer ce dispositif sur l’arbre de M. oleifera pour une évaluation effective de la densité des larves du ravageur. Ainsi, trois positions ont été comparées avec une fréquence de capture de 56,3% des larves de N. blitealis à la base du tronc, 81,0% au niveau du tronc et 64,6% dans la cime. Ces résultats peuvent contribuer à renforcer les programmes de surveillance de cet important ravageur de M. oleifera, arbre d’importance alimentaire au Sahel. Mots-clés: Piège à tissu, surveillance, échantillonnage, de Noorda blitealis, Moringa oleifera

Abstract Background Following WHO guidelines, microscopy is the gold standard for malaria diagnosis in endemic countries. The Parasitology-Mycology laboratory (LPM) is the National Reference Laboratory and is currently undergoing ISO 15189 accreditation. In this context, we assessed the performance of the laboratory by confirming the reliability and the accuracy of results obtained in accordance with the requirements of the ISO 15189 standards. This study aimed to verify the method of microscopic diagnosis of malaria at the LPM, in the Aristide Le Dantec hospital (HALD) in Dakar, Senegal. Methods This is a validation/verification study conducted from June to August 2020. Twenty (20) microscopic slides of thick/thin blood smear with known parasite densities (PD) selected from the Cheick Anta Diop University malaria slide bank in Dakar were used for this assessment. Six (6) were used to assess microscopists’ ability to determine PD and fourteen (14) slides were used for detection (positive vs negative) and identification of parasites. Four (4) LPM-HALD microscopists read and recorded their results on prepared sheets. Data analysis was done with Microsoft Excel 2010 software. Results A minimum threshold of 50% concordance was used for comparison. Of the twenty (20) slides read, 100% concordance was obtained on eight (8) detection (positive vs negative) slides. Four (4) out of the six (6) parasite density evaluation slides obtained a concordance of less than 50%. Thirteen (13) out of the fourteen (14) identification slides obtained a concordance greater than 50%. Only one (1) identification slide obtained zero agreement from the microscopists. For species identification a concordance greater than 80% was noted and the microscopists obtained scores between 0.20 and 0.4 on a scale of 0 to 1 for parasite density reading. The microscopists obtained 100% precision, sensitivity, specificity and both negative and positive predictive values. Conclusion This work demonstrated that the microscopic method of malaria diagnosis used in the LPM/HALD is in accordance with the requirements of WHO and ISO 15189. Further training of microscopists may be needed to maintain competency.

This work is part of the fight against environmental pollution in relation to the elimination of bisphenol A (BPA). The aim of this study was to develop an innovative process involving cross-current adsorption of BPA on an activated carbon based on Hyphaene Thebaica (CA-HT) shells. Cross-current adsorption tests yielded removal rates of 99.48 % and 82.02 % in synthetic and BPA-doped solutions respectively. Optimal factors were obtained by a composite design for a concentration of 80 mg/L and 50 mg activated carbon. Pseudo-second-order kinetics and the Freundlich isotherm were the appropriate models. Thermodynamic values indicate that the process was spontaneous and exothermic.

Spatially explicit, near real time information on surface water dynamics is critical for understanding changes in water resources, and for long-term water security planning. The distribution of surface water across the African continent since 1984 and updated as every new Landsat scene becomes available is presented here, and validated for the continent for the first time. We applied the Water Observations from Space (WOfS) algorithm, developed and well-tested in Australia, to every Landsat scene acquired over Africa since the mid 1980s to provide spatial information on surface water dynamics over the past 30+ years. We assessed the accuracy of WOfS using aerial and satellite imagery. Four regional geospatial organisations, coordinated through the Digital Earth Africa Product Development Task Team, conducted the validation campaign and provided both the regional expertise and experience required for a continental-scale validation effort. We assessed whether the point was wet, dry, or cloud covered, for each of the 12 months in 2018, resulting in 34,800 labelled observations. As waterbodies larger than 100 km2 are easy to identify with Landsat resolution data and can thus boost accuracy, these were masked out. The resulting overall accuracy of the water classification was 82%. WOfS in Africa is expected to be used by ministries and departments of agriculture and water across the continent, by international organisations, academia, and the private sector. A large-scale collaborative effort, which included regional and technical skills spanning two continents was required to create a service that is regionally accurate and is both hosted on, and implemented operationally from, the African continent.

Abstract Background Malaria, a disease transmitted by Anopheles mosquitoes, is a major public health problem causing millions of deaths worldwide, mostly among children under the age of 5 years. Biotechnological interventions targeting parasite-vector interactions have shown that the microsporidian symbiont Microsporidia MB has the potential to disrupt and block Plasmodium transmission. Methods A prospective cross-sectional survey was conducted in Zinder City (Zinder), Niger, from August to September 2022, using the CDC light trap technique to collect adult mosquitoes belonging to the Anopheles gambiae complex. The survey focused on collecting mosquitoes from three neighborhoods of Zinder (Birni, Kangna and Garin Malan, located in communes I, II and IV, respectively). Collected mosquitoes were sorted and preserved in 70% ethanol. PCR was used to identify host species and detect the presence of Microsporidia MB and Plasmodium falciparum infection. Results Of the 257 Anopheles mosquitoes collected and identified by PCR, Anopheles coluzzii was the most prevalent species, accounting for 97.7% of the total. Microsporidia MB was exclusively detected in A. coluzzii, with a prevalence of 6.8% (17/251) among the samples. No significant difference in prevalence was found among the three neighborhoods. Only one An. coluzzii mosquito tested PCR-positive for P. falciparum. Conclusions The results confirm the presence of Microsporidia MB in Anopheles mosquitoes in Zinder, Niger, indicating its potential use as a biotechnological intervention against malaria transmission. However, further studies are needed to determine the efficacy of Microsporidia MB to disrupt Plasmodium transmission as well as its impact on vector fitness. Graphical Abstract

The purpose of this study is to report a case of idiopathic osteosclerosis of the mandible and to discuss the differential diagnosis of this lesion. A 17-year-old female was referred to the University Hospital of Geneva by her orthodontist following the fortuitous finding of a radio-opaque lesion in the right posterior mandible at the apex of tooth 44. Intraoral clinical examination revealed no abnormalities of the oral mucosa. Tooth 44 was asymptomatic and reacted positively to the sensitivity test. The orthopantomogram revealed a well-defined unilocular radiodense lesion, surrounded by a thin radiolucent border, measuring 10 × 33 mm, located in the IV quadrant, related to the apex of tooth 44. Differential diagnoses mainly included cementoblastoma, focal cemento-osseous dysplasia, ossifying fibroma, condensing osteitis and idiopathic osteosclerosis. The biopsy material allowed a diagnosis of idiopathic osteosclerosis. The proposed treatment was therefore a “wait and see” approach. After 2 years of follow-up, the patient was asymptomatic, and healing was complete without any neurosensory complications. Our case underlines the differential diagnosis complexity of radio-opaque lesions associated with teeth.

The availability of current land cover and land use (LCLU) information for monitoring the status of land resources has considerable value in ensuring sustainable land use planning and development. Similarly, the need to provide updated information on the extent of LCLU change in West Africa has become apparent, given the increasing demand for land resources driven by rapid population growth. Over the past decade, multiple projects have been undertaken to produce regional and national land cover maps. However, using different classification systems and legends has made updating and sharing land cover information challenging. This has resulted in the inefficient use of human and financial resources. The development of the Land Cover Meta Language (LCML) based on International Organization for Standardization (ISO) standards offers an opportunity to create a standardized classification system. This system would enable easier integration of regional and national data, efficient management of information, and better resource utilization in West Africa. This article emphasizes the process and the need for multistakeholder collaboration in developing a standardized land cover classification system for West Africa, which is currently nonexistent. It presents the survey data collected to evaluate historical, current, and future land cover mapping projects in the region and provides relevant use cases as examples for operationalizing a standardized land cover classification legend for West Africa.

IntroductionStudies on the organisation of care and the power dynamic between providers and patients with HIV in sub-Saharan Africa are rare. This study aims to describe the patient-provider relationship and explore the challenges to optimal and patient-centred care for HIV patients.MethodsThis was a qualitative exploratory descriptive study using in-depth individual interviews and focus group discussions. In total, 17 individual interviews and 5 focus group discussions were conducted. This was conducted in four urban health facilities in Conakry, the capital of Guinea. Three group of participants were included in this study namely patients with HIV; health providers including facilities and services managers; and psychosocial counsellors. Psychosocial counsellors provide emotional and psychosocial support to HIV patients. Their role in the organization care in Guinea is new and they contribute to strengthening adherence of patients with HIV to ARV treatment.ResultsPatients with HIV, health providers, and psychosocial counsellors have a positive perception of the patient-provider relationship. This relationship was characterized essentially by maintaining confidentiality of HIV status disclosure, caring attitudes towards patients (being available, adjusting locations for accessing ART, based on patients’ preferences), and participating in HIV patient’s social life. However, scolding and miscommunication about the interpretation of viral load tests were reported. The shortage of human resources, low salaries of health staff, poor infrastructure, and the financial burden borne by patients with HIV impede the implementation of optimal patient-centred care.ConclusionIntegrating psychosocial counsellors in HIV care organization, improving access to ARV, infrastructure, increasing human resources, and removing the financial burden for HIV patients are needed to optimal patient-centred care in Guinea.

Abstract Emerging pollutants and a large volume of unused dyes from the textile industry have been contaminating water bodies. This work introduces a scalable approach to purifying water by the adsorption of Acid green 25 (AG), Crystal Violet (CV), and Sulfamethoxazole (SMA) from an aqueous solution by graphene oxide (GO) doped modified silica aerogel (GO-SA) with supercritical fluid deposition (SFD) method. Characterization of GO-SA using X-ray diffraction (XRD), Fourier-transform infrared spectroscopy (FTIR), high-resolution scanning electron microscopy (HR-SEM), thermogravimetric analysis (TGA), and Brunauer–Emmett–Teller (BET) adsorption isotherms revealed the improvement in the adsorbent surface area, and its textural properties. The high removal percentages observed in most of the experimental runs provide evidence of the excellent performance of the adsorbent towards the anionic and cationic dyes along with the antibiotic. The adsorption isotherm and kinetics showed that the Langmuir isotherm and pseudo-second-order kinetic models could explain adsorption. The adsorbent holds a higher adsorption capacity for SMA (67.07 mg g−1) than for CV (41.46 mg g−1) and AG (20.56 mg g−1) due to the higher hydrophobicity that interacts with the hydrophobic adsorbent. The GO-SA successfully removed AG, CV, and SMA with removal percentages of 98.23%, 98.71%, and 94.46%, respectively. The parameters were optimized using Central Composite Design (RSM-CCD). The prepared aerogel showed excellent reusability with a removal efficiency of > 85% even after 5 cycles. This study shows the potential of GO-SA adsorbent in textile and other wastewater purification.

Our plan is to bring professors and their Moroccan pupils to focus on the teaching-learning of physics, without adopting forced mathematical modeling in previously unknown frames and registers, as is actually the practice. The preliminary study consists of developing a new analytical model for the teaching-learning of the radioactive decay law. However, the validation study was conducted to test its pertinence. The results show that, compared to the official model, pupils are very satisfied. In fact, the proposed new model intelligibility frame facilitates the linking of the concept of space of reality, with those of registers and frames. The pupils' performance amounted to 65.33% in the development of the analytical model of the radioactive decay law, while in terms of suitable applications, pupil performance ranged from 0% to 75%. This result is partly due to the collaborative work, which induced a very significant increase in pupil performance. They were observed between increases ranging from 33.3% to 69.5%. In fact, we attribute these good performances to the ICT resources' mobilization, specifically SimulP200, the one that we have exclusively elaborated. These resources have also mitigated the difficulties of the experiment, and those related to the processes of elaboration of different radioactive decay law model.

IntroductionReversing malnutrition-induced impairment of cognition and emotional regulation is a critical global gap. We hypothesize that brain-targeted micronutrient supplemented nutritional rehabilitation in children with moderate acute malnutrition, followed by 2 years micronutrient supplementation will impact on the cognition and emotion regulation of these children.MethodsThe primary outcome of this prospective, randomized controlled trial is to study the development of executive functions (EFs) and emotion regulation (ER) in this cohort. Moderate acute malnourished (MAM; WLZ/WHZ -1SD), or for 3 months after enrollment (whichever is earlier). The randomized MAMs groups will be given either Small Quantity Lipid Based Nutrient Supplement (SQLNS) or Enhanced Small Quantity Lipid Based Nutrient Supplement (E-SQLNS), respectively until the end of the 2-year follow up period. Standard psychosocial stimulation will be provided to the MAMs intervention groups. Biological samples will be collected, anthropometric and neurocognitive assessments will be performed at 2 (22m-26m) and 3 (34m-38m) years of age. Two control groups will be recruited: 1), non-malnourished one-year (11m-13m) old children (WLZ/WHZ score>-1SD; n = 70); and 2) three-year (34m-38m) old children (n = 70) with untreated MAM (WHZ

An improved photocatalytic activity of Graphitic carbon nitride (CN) photocatalyst was achieved by incorporating Cu2+ into CN in the presence of hyperbranched polyethylene amine (HPEI) as a capping agent. The addition of Cu to CN (CNHPEI+Cu) increased the photocatalytic degradation efficiency of wastewater dye pollutant methylene blue (MB) from 42 % to 95 %. E. coli and MS2 performed best in terms of inactivation to CNHPEI+Cu, achieving 5.5 ± 0.3 and 5.3 ± 0.1 log inactivation after 60 min of exposure, respectively. Excellent catalyst reusability and photocatalytic activity for MB in various types were obtained. To investigate the photocatalyst structure, morphology, optical, and photoelectric properties, we used X-ray diffraction (XRD), UV–Vis diffuse reflectance spectroscopy (DRS), scanning electron microscopy (SEM), high-resolution transmission electron microscopy (HR-TEM), X-ray photoelectron spectroscopy (XPS), and photocatalytic activity. It was found through XRD and XPS that the prepared photocatalysts were made up of Cu-doped CN and that the valence state of Cu was Cu0. Under the visible part of the solar spectrum (>400 nm), the N2 adsorption-desorption isotherms of pure CN, CNHPEI, and CNHPEI+Cu showed that copper did not alter the microstructure of pure CN. The photocatalytic activity of CNHPEI+Cu was improved by incorporating Cu0 into CN, as this reduces the rate of electron-hole recombination in pure CN and accelerates the separation of electron-hole pairs. Electron spin resonance (ESR) spin trap experiments on the production of reactive oxygen species (ROS) from CNHPEI+Cu under visible light indicate that the presence of superoxide radicals (O2•−), hydroxyl radicals (•OH) and holes could enhance the photocatalytic activity of the material.

AbstractThis manuscript aims to develop a new multivariate composite index for monitoring agricultural drought. To achieve this, the AVHRR, VIIRS, CHIRPS data series over a period of 40 years, rainfall and crop yield data as references were used. Variables include parameters for vegetative stress (SVCI, PV, SMN), water stress (PCI, RDI, NRDI), and heat stress (SMT, TCI, STCI), and a new variable related to environmental conditions was calculated through a normalized rainfall efficiency index. Then, random forest algorithm was used to determine the weights of each component of the model by considering interannual fluctuations in cereal yields as an impact variable. The multivariate composite model was compared to the VHI, NVSWI and SPI-12 indices for validation. The results show a large spatiotemporal concordance between the MDCI and the validation indices with a maximum correlation of 0.95 with the VHI and a highly significant p value (< 2.2e-16). Validation of the MDCI model by SPI-12 shows a significantly higher statistically significant relationship than that observed between SPI and VHI and NVSWI. P value range from 3.531e-05 to 6.137e-06 with correlations that vary between 0.6 and 0.64 depending on the station. It is also highly correlated with the Palmer drought severity index (PDSI) and climatic water deficit index (CWDI), with R = 0.85 and p value < 5.8e-10 and R = 0.72 and p value < 1.9e-6, respectively. Finally, the study provides a new direction for multivariate modeling of agricultural drought that should be further explored under various agroclimatic conditions.

Abstract Background Malaria control is highly dependent on the effectiveness of artemisinin-based combination therapy (ACT), the current frontline malaria curative treatment. Unfortunately, the emergence and spread of parasites resistant to artemisinin (ART) derivatives in Southeast Asia and South America, and more recently in Rwanda and Uganda (East Africa), compromise their long-term use in sub-Saharan Africa, where most malaria deaths occur. Methods Here, ex vivo susceptibility to dihydroartemisinin (DHA) was evaluated from 38 Plasmodium falciparum isolates collected in 2017 in Thiès (Senegal) expressed in the Ring-stage Survival Assay (RSA). Both major and minor variants were explored in the three conserved-encoding domains of the pfkelch13 gene, the main determinant of ART resistance using a targeted-amplicon deep sequencing (TADS) approach. Results All samples tested in the ex vivo RSA were found to be susceptible to DHA (parasite survival rate

Abstract UV irradiation is an efficient tool for the disinfection of viruses in general and coronavirus specifically. This study explores the disinfection kinetics of SARS-CoV-2 variants wild type (similar to the Wuhan strain) and three variants (Alpha, Delta, and Omicron) by 267 nm UV-LED. All variants showed more than 5 logs average reduction in copy number at 5 mJ/cm2 but inconsistency was evident, especially for the Alpha variant. Increasing the dose to 7 mJ/cm2 did not increase average inactivation but did result in a dramatic decrease in the inactivation inconsistency making this dose the recommended minimum. Sequence analysis suggests that the difference between the variants is likely due to small differences in the frequency of specific UV extra-sensitive nucleotide sequence motifs although this hypothesis requires further experimental testing. In summary, the use of UV-LED with their simple electricity need (can be operated from a battery or photovoltaic panel) and geometrical flexibility could offer many advantages in the prevention of SARS-CoV-2 spread, but minimal UV dose should be carefully considered.

Background Niger's National Malaria Control Programme and its partners use histidine-rich protein 2–based RDTs, which are specific to Plasmodium falciparum diagnosis. This study aimed to screen for the circulation of non- falciparum species in Zinder, a region of Niger, West Africa. Methods A cross-sectional study was carried out from July to December 2022 at the district hospital of the Zinder region of Niger. P falciparum histidine-rich protein 2–based rapid diagnostic tests were performed, and dried blood spot samples were collected for further laboratory multiplexed photo-induced electron transfer–polymerase chain reaction (PET-PCR) analysis on positive light microscopy from all patients with fever who attended the Zinder district hospital during the study period. Results In total, 340 dried blood spots were collected and analyzed by PET-PCR. Overall, 73.2% (95% CI, 68.2%–77.9%; 249/340) were positive for Plasmodium genus and species and represented the study population. Plasmodium species proportions were 89.5% (95% CI, 85.1%–93.1%; 223/249) for P falciparum , 38.5% (95% CI, 32.5%–44.9%; 96/249) for P malariae , 10.8% (95% CI, 7.3%–15.4%; 27/249) for P vivax , and 1.6% (95% CI,.4%–4.1%; 4/249) for P ovale. Single infection with Plasmodium species counted for 61.8% (95% CI, 55.5%–67.9%; 154/249), and the mixed infections rate, with at least 2 Plasmodium species, was 38.1% (95% CI, 32.1%–44.5%; 95/249). Single non- falciparum infections represented a rate of 10.0% (95% CI, 6.6%–14.5%; 25/249). Conclusion This study confirms the first evidence of Plasmodium vivax by PET-PCR in Niger in addition to the other 3 Plasmodium species. These findings underline the need to adapt malaria diagnostic tools and therapeutic management, as well as the training of microscopists, for recognition of non- falciparum plasmodial species circulating in the country. This will better inform the strategies toward malaria control and elimination, as well as the decision making of the health authorities of Niger. [ABSTRACT FROM AUTHOR]

Annually, ≈30,000 Hasidic and Orthodox Jews travel to Uman, Ukraine, during the Jewish New Year to pray at the burial place of the founder of the Breslov Hasidic movement. Many pilgrims come from the northeastern United States. The global health implications of this event were seen in 2019 when measles outbreaks in the United States and Israel were linked to the pilgrimage. The 2020 pilgrimage was cancelled as part of the COVID-19 travel restrictions imposed by the government of Ukraine. To prepare for the 2021 event, the National Public Health Institute, the Public Health Center of Ukraine, organized mitigation measures for pilgrims arriving in Uman, and the CDC COVID-19 International Task Force assisted with mitigation measures for pilgrims coming from the United States. We describe efforts to support COVID-19 mitigation measures before, during, and after this mass gathering and lessons learned for future mass gatherings during pandemics.

The sustainable management of waste generated by human activities is now a global concern. The valorization of waste by pyrolysis is a recycling method aiming at obtaining a biochar which can contribute to improve the fertility of soils and to limit the use of chemical fertilizers. It is in this perspective that the present study aims to valorize cassava peelings into biochar. Slow pyrolysis was applied for biochar production using an artisanal oven at 400 °C and the obtained biochar was characterized. FTIR analysis revealed that cassava peelings biochar consists of hydrophilic surface functional groups (mainly -OH and -COOH). EDX analysis showed that the biochar is mainly composed of carbon (78.65%), oxygen (18.65%), phosphorus (0.26%), potassium (1.91%), calcium (0.30%), magnesium (0.13%), silicon (0.10%), and nitrogen (1.14%), was determined by Kjeldahl method. SEM micrographs revealed that the biochar has a rough and porous surface. The BET surface area and BJH average pore diameter of the biochar are 341.11 m2/g and 1.44 nm, respectively. X-ray diffraction showed that the biochar is amorphous and consists largely of calcite (CaCO3). C/N ratios of 68.51; O/C of 0.23 and H/Corg of 0.03 were also obtained. These results show that the biochar produced has acceptable qualities and can be used as a soil amendment.

Background: Human papillomavirus (HPV) vaccination coverage rate (VCR) remains low in France (37.4% in girls in 2021). The French health authority recommended in 2022 to extend vaccination competencies to additional healthcare providers (HCPs), including community pharmacists (CPs). Objectives: To understand the acceptability by general practitioners (GPs), CPs and parents of adolescents of extending vaccination competencies and to identify benefits and barriers of new vaccination pathways. Methods: This cross-sectional research used a qualitative and quantitative approach. For the quantitative survey, GPs, CPs and parents of adolescents eligible to HPV vaccination completed an online questionnaire. Participants were asked to imagine themselves in different pathways and evaluate them. Results: A total of 200 GPs, 201 CPs and 800 parents were included. The level of acceptability of extending vaccination competencies to other HCPs was high in CPs (86% rated ≥7/10), but low in GPs (35%) and intermediate in parents (61%). Parents ranked first (44%) a pathway where GPs prescribed while CPs vaccinated because GPs inspire confidence as vaccine prescribers (80%) and parents prefer to be informed on vaccination by them (80%). CPs ranked first (42%) a scenario where they vaccinated after invitation of adolescents from the French National Health Insurance Fund (NHIS). They emphasized the simplicity of this scenario (94%) and the potential increase of VCR (91%), but asked to be more informed on HPV vaccination (77%) and favored television (83%) for communication campaigns. Conclusions: GPs and parents, in contrast with community pharmacists, were only moderately supportive of the extension the vaccination competencies. Confidence in the HCP remains the primary factor for adherence to a vaccination pathway beyond the simplicity of the pathway. Training of CPs, traceability tool, support from authorities and communication campaigns are levers that will support CPs in their new role and contribute to increase parents' acceptability toward CPs.

This review explores circular economy principles in regard to ethanol production from paper-mill sludge. Environmental sustainability and renewability over fossil fuels make second generation ethanol an attractive energy source in a rapidly growing population and consumption world. Paper sludge (PS), a by-product of the pulp and paper (P&P) industry, can no longer be recycled for paper production and is mainly disposed of in landfills. Therefore, it poses a major environmental challenge. However, it has shown potential as a valuable raw material for ethanol production, along with other pulp and paper products, due to its abundant availability and high cellulosic content. This waste-to-energy (WtE) technology for ethanol production is proposed as an alternative, aligning with circular economy concepts to maximize resource efficiency and minimize waste. This review underlines the circular economy aspects of bioethanol production within paper mill sludge management systems. Circular economy principles applied to ethanol production from PS offer a promising avenue for sustainable biofuel development that not only addresses waste management challenges but also enhances the overall environmental performance of biofuel production. Furthermore, economic benefits are described, highlighting the potential for job creation and community development.