Despite the existence of antiamaril vaccine in the routine Expanded Program of Immunization (EPI) in Burkina Faso, yellow fever cases still occur in the country. In collaboration with WHO, the national health authorities set up a surveillance system through the national reference laboratory in Centre Muraz (Bobo-Dioulasso). All samples of feverish icterus cases of the 63 health districts of the country were analysed in this lab for M Immunoglobulin using Enzyme Linked Immunosorbent Assay (Elisa). Positive Elisa samples were sent to Pasteur Institute of Dakar (Senegal) for confirmation using a Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) assay. From 2003 to 2005, the number of confirmed cases of yellow fever was respectively of 1/413 (0.24%), 14/616 (2.27%) and 19/618 (3.07%). This increasing of the proportion was statistical different. Then, from 2006 to 2008, the confirmed case proportion was respectively 0.35%, 0.27 and 0.54% without significant difference (P = 0.69). The entomological investigations conducted in 2004 in Bobo-Dioulasso showed that the water pots constitute 48.11% mosquitoes lodgings, followed by metal drums with a strong representation of Culex quinquefasciatus (48.7%), followed by Aedes aegypti (43.3%), as vectors in domestic areas with sectorial variations. These results suggest that more attention must be paid by the national health authorities and international community regarding this disease.
This last decade, Burkina Faso has been confronted with yellow fever confirmed cases, mainly from Western part of the country. In 2010, National Reference laboratory of yellow fever received 970 sera of suspected cases from the 65 Health Districts of the country. We found 11 positive results by ELISA test researching specific IgM against yellow fever. An aliquot of these eleven positive sera were sent to Dakar for confirmation by sero neutralization and RT-PCR. Eight have been confirmed by regional laboratory of Pasteur Institute of Dakar and three were classified as doubtful. Confirmed cases were manly notified by Sindou (4/8) and Mangodara (3/8) Health Districts and the last one came from Nongr-masson health District situated in the central part of the country. Three out of the four confirmed cases in Sindou Health District were resident from neighboring village in Ivory Cost. Conformed cases coming from neighboring villages of Ivory Cost were difficult to manage because of the relative lack of coordination between the two health centers responsible in two different countries. The three cases were not notified to Ivory Cost Health authorities and, in addition, they didn't benefit from the Burkina Faso response plan. The goal of this work is to present results from National Reference yellow fever laboratory in 2010 in Burkina Faso and stressing trans-frontier cases management problems in order to suggest a multinational mechanism of response to fight against this disease more effectively.
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