A total of 492 vegetable leaves samples made up of cabbage (27), bitter leaves (50), garden egg leaves (44), green leaves (66), green onion (47), lettuce (51), pumpkin leaves (111), parsley (26) and water leaves (70), bought randomly from various local markets in Port-Harcourt was analyzed for the presence of some parasite stages. About 145(29.5%) out 492 samples examined were contaminated with various parasite stages. Green leaves had the highest level of contamination (40.9%), followed by bitter leaves (38.8%), while cabbage recorded the lowest (7.4%). Out of 202 parasite stages identified, the eggs of Ascaris lumbricoides were the most predominant 39 (19.3%), followed by the cysts of Entarmoeba histolytica 31 (15.3%), whereas the oocysts Cryptosporidium parvum and eggs of Strongyloides stercolaris had the least 4 (1.9%). Green leaves and pumpkin leaves harboured 8 (80.0%) and 7 (70%) respectively out of 10 different types of parasites obtained in this study; cabbage and parsley had only 3 (30.0%).Pumpkin leaves recorded the highest level eggs of Ascaris lumbricoides 18(30%), eggs of Fasciola species 10 (16.7%), cysts of Entamaeba histolytica 8 (50.0%), eggs of Giardia lambia 7 (11.7%), whereas cabbage overall had the lowest percentage of parasites with Ancylostoma duodenale 2 (50.0%); eggs of Toxoplasma gondii 1 (25.0%) and eggs of Strongyloides stercolaris 1 (25.0%). The present study revealed the potential hazard of vegetable leaves sold in some local markets in Port -Harcourt. Though the vegetables are properly de-contaminated after sales at the point of preparation/cooking, it is also very necessary for the de-contamination to be done before sales. There is

Human Immunodeficiency Virus (HIV), Hepatitis C virus and Hepatitis B virus (HBV) are blood borne pathogens that can be transmitted through sexual contact, vertical transmission, and could pose great danger in healthcare delivery. Prevalence of co-infection of HIV, HBsAg and HCV was determined in pregnant women of African descent. One hundred (100) pregnant women of African descent were used for the study having obtained their consent and approval by the Research and Ethics committee. The screening and confirmatory tests were done using double check gold and Immunocomb II respectively while HBsAg and HCV were determined with one step test strip. Out of the one hundred (100) subjects studied, the prevalence rate was noted as 15%, 6% and 2% for HIV, HBsAg and HCV respectively. Co-infection of HIV and HBsAg was more prevalent, followed by co-infection of HIV and HCV and lastly co-infection of HBsAg and HCV. The age group of 25-29 years tested positive to HIV, HBsAg and HCV. All other age groups tested positive to HIV and either HBsAg or HCV while age group of 20-24 years tested positive to only HIV and negative to both HBsAg and HCV. Though these rates might be lower compared to previous studies, counseling and enlightenment campaigns should be sustained especially on the mode of transmission, prevention and management of these diseases. Government should ensure that compulsory screening for pregnant women is available and affordable at all levels.

BackgroundMalaria diagnosis in Nigeria was largely done based on clinical presentations until recently when the policy on parasitological confirmation of all suspected malaria cases before treatment was released by the government in 2011. One of the possible causes of over-diagnosis and over treatment of malaria in Nigeria is poor utilization of Malaria test results in health care delivery. This study demonstrates the influence of in-service training on malaria microscopy amongst medical laboratory scientists on the utilization of malaria microscopy results in a selected Government Health Facility in Nigeria.MethodThe base line study was conducted in 2014 while a follow up study where pre tested questionnaire on perception and utilization of malaria microscopy results by Health care providers in malaria case management were administered to end users of laboratory results in selected secondary health facilities; Basic malaria microscopy training was subsequently conducted for medical laboratory scientists working in these selected facilities in accordance with the World Health Organization (WHO) basic microscopy training manual. The training was followed up by a supportive supervision visit to the Medical Laboratories where other factors that can adversely affect microscopy results such as the necessary equipment and reagents for staining and visualization, good working conditions were addressed and put in place by the participating health facilities.Furthermore, During the basic and refresher training, Test scores was extracted using Microsoft Office Excel® 2010 template; data was cleaned and exported to Stata 11, Stata Corp. 2009. Stata Statistical Software: Release 11. College Station, TX: Stata Corp LP for data analysis. To assess the performance after the training intervention, paired-test was used to determine if there was any significant difference between the performance scores before and after the training and between the basic and refresher training.ResultThe study demonstrates a significant improvement in both the basic and refresher training mean parasite detection pre-and post-tests scores from 56.3% (95% CI 53.6-58.8%) to 77.7% (95% CI 74.4-80.2%) and 76.7 (95% CI 74.2-79.2%) to 91.2% (95% CI 88.3-94.1%)(P< 0.001). Comparing the baseline and follow up study, and the assessment of facilities’ malaria test request and utilization pattern within the study period,there was significant difference when comparing the rate of utilization of malaria result from the trained Medical Laboratory Scientists (p< 0.001).ConclusionThe increase in utilization of malaria microscopy result for effective case management of malaria in the study area was influenced by training outcome and competency of Medical Laboratory Scientists.

Background: Malaria is a major cause of fever in endemic countries, although the prevalence of malaria has been declining across Sub-Saharan Africa, the proportion of clinical presentation attributable to febrile illness due to malaria to febrile illnesses have remained high. It is therefore important to determine the proportion of fever cases attributable to malaria. Methods: A descriptive cross sectional study was conducted among children aged 1-72 months presenting at a tertiary facility in Imo state Nigeria from 1st March, 2014 to 31st October, 2015. Children between 1-72 months of age with documented fever at presentation or history of fever in the last 24 hours without signs of severe malaria and those without any history of anti-malarial drugs administration were considered eligible. Fever was regarded as axillary temperature of ≥37.5°C. For all subjects (febrile and afebrile), the presence of Plasmodium falciparum was assessed microscopically by a WHO Certified malaria microscopist. Malaria parasite density was grouped as 1-1000, 1001–10000, and >10,000 parasites/µl respectively according to World Health Organization guidelines for grouping malaria parasitamae while data was analysed using SPSS 20.1v. Results: Overall malaria prevalence of both febrile and afebrile at point of assessment but with history of fever in the last 24 hours was 24.3%. Prevalence by microscopy was 26% among the 289 children who were febrile as at point of examination. There was no significant difference (p>0.05) between malaria prevalence in males as against females. Age group 49-72 months had the highest prevalence (42.6%), while age groups 25-48 and 1-24 months recorded prevalence of 35.7% and 25%, respectively (P<0.05). About 22.5% of afebrile patients had positive Plasmodium parasitaemia. The Geo-mean (range) of parasitaemia was 1427(8-180,000) parasite/µl while mean body temperature ± SD was 37.0±0.9°C. About 8% of the children had high parasite density. Conclusion: Plasmodium falciparum although linked with majority of fever is not the cause of fever in all instances. Healthcare providers should make more effort to correctly diagnose non-malaria febrile cases so as to optimize clinical outcomes for the patients and minimize possible over diagnosis and overtreatment of malaria.

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