Dengue contributes a significant burden on global public health and economies. In Africa, the burden of dengue virus (DENV) infection is not well described. This review was undertaken to determine the prevalence of dengue and associated risk factors. A literature search was done on PubMed/MEDLINE, Scopus, Embase, and Google Scholar databases to identify articles published between 1960 and 2020. Meta-analysis was performed using a random-effect model at a 95% confidence interval, followed by subgroup meta-analysis to determine the overall prevalence. Between 1960 and 2020, 45 outbreaks were identified, of which 17 and 16 occurred in East and West Africa, respectively. Dengue virus serotype 1 (DENV-1) and DENV-2 were the dominant serotypes contributing to 60% of the epidemics. Of 2211 cases reported between 2009 and 2020; 1954 (88.4%) were reported during outbreaks. Overall, the prevalence of dengue was 29% (95% CI: 20–39%) and 3% (95% CI: 1–5%) during the outbreak and non-outbreak periods, respectively. Old age (6/21 studies), lack of mosquito control (6/21), urban residence (4/21), climate change (3/21), and recent history of travel (3/21) were the leading risk factors. This review reports a high burden of dengue and increased risk of severe disease in Africa. Our findings provide useful information for clinical practice and health policy decisions to implement effective interventions.

Background Tanzania has experienced periodic dengue outbreaks with increased incidence since 2010. However, there is limited information on vector dynamics and transmission risk in most parts of the country. This study was conducted to determine Aedes mosquito abundance, larval indices and dengue virus infection rate as risk indicators for DENV transmission in Kinondoni district, Dar es Salaam, Tanzania. Methods A cross-sectional study was conducted in three wards of Kinondoni district in Tanzania between December 2019 and January 2020. In each ward, three streets were randomly selected for adult and immature mosquito sampling. The adult mosquitoes were collected using Mosquito Magnet traps, while mosquito larvae and pupae were inspected in water-holding containers in the selected household compounds. The detection of dengue virus (DENV) in female Aedes mosquitoes was done using a one-step reverse transcription–polymerase chain reaction (RT–PCR) method. Results Of the 1416 adult female mosquitoes collected, Ae. aegypti accounted for 16.8% (n = 238). A total of 333 water-holding containers were inspected and 201 (60.4%) had at least an Aedes larvae or pupae. Water-holding containers supporting the breeding of Aedes larvae and pupae included discarded car tires, flowerpots and small and large plastic containers. The overall House Index, Container Index and Breteau Index were 55.1%, 60.4% and 114.2, respectively. None of the 763 female Aedes mosquitoes tested by RT–PCR was found to be infected with DENV. Conclusion The presence and abundance Ae. aegypti mosquitoes and the large proportion of water-holding containers infested with the mosquito larvae and pupae put residents of Kinondoni district at high risk of DENV transmission. Our findings emphasize the need for continuous mosquito vector surveillance and control to prevent the possibility of future DENV outbreaks in Tanzania.

In vitro antibacterial activities of methanolic leaf and seed extracts of Moringa oleifera grown in Dodoma, Tanzania were evaluated using standard microdilution and disc diffusion methods against extended spectrum beta lactamase producing Gram negative bacteria (Escherichia coli and Klebsiella pneumoniae). Microdilution method showed no activity at concentration of 20 mg/mL for all the extracts except leaf extract which exhibited minimum inhibition at concentration of  2.5 µg/mL for E. Coli but when high concentrations of the extracts were used in the disc diffusion method then the results exhibited the highest killing susceptibility at concentration of 0.4 g/mL with zone of inhibition 31 mm for leaf extract and 26 mm for seed extract against E. coli, and 27 mm for leaf extract and 29 mm for seed extract against K. pneumonia. Additionally, when both extracts were screened qualitatively for phytoconstituents using standard methods, leaf extract confirmed the presence of carbohydrates, cardiac glycosides,  tannins and quinones, and seed extract confirmed the presence of proteins, carbohydrates, cardiac glycosides, alkaloids, terpenoids and quinones. These phytoconstituents can be new sources of future antibiotics that potentially combat the existing problem of antimicrobial resistance and thus, creating an awareness in the community regarding the usage of M. oleifera growing widely but neglected in Tanzania in spite of its nutritional values and traditional uses. Keywords: Moringa oleifera; Phytoconstituents; Antibacterial activity; Escherichia coli and Klebsiella pneumoniae