Le béribéri, maladie nutritionnelle récurrente en milieu carcéral en Côte-d’Ivoire

Aké-Tano, Odile; Konan, EM; Tetchi, Ekissi Orsot; Ekou, F.K.; Ekra, D.; Coulibaly, A; Dagnan, N’cho Simplice

doi:10.1007/s13149-011-0136-6

Cited by 12 publications

(7 citation statements)

References 4 publications

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“…However, malnutrition could also be a risk factor for increased risk of infections [35–37] and may be an important indicator of prognosis from infectious diseases of the respiratory system [38, 39]. Additionally, multiple other studies have also demonstrated that prisoners were suffering from several micronutrient deficiencies that could predispose them to severe forms of infections in addition to other health problems such as depression and mortality [9–11, 14, 19, 40–44]. In our study, 9% of the prisoners were either severely or moderately underweight.…”

Section: Discussionmentioning

confidence: 99%

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One-fourth of the prisoners are underweight in Northern Ethiopia: a cross-sectional study

Abera

Adane

2017

BMC Public Health

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BackgroundDespite the fact that prisoners are exposed to different health problems, prison health problems are often overlooked by researchers and no previous study has investigated nutritional problems of prisoners in Ethiopia.MethodsCross-sectional data were collected from 809 prisoners from nine major prison setups in the Tigray region of Ethiopia. A proportional stratified sampling technique was used to select the total number of participants needed from each prison site. The outcome of this study was underweight defined as body mass index (BMI) of less than 18.5 kg/m2. Multivariable binary logistic regression was performed to identify determinants of underweight at a p-value of less than 0.05.ResultsThe prevalence of underweight was 25.2% (95% CI; 22.3%- 28.3%). Khat Chewing (OR = 2.08; 95% CI = 1.17, 3.70) and longer duration of incarceration (OR = 1.07; 95% CI = 1.01, 1.14) were associated with a significantly increased risk of underweight. Additionally, previous incarceration (OR = 1.54; 95% CI = 0.99, 2.42) was a relevant determinant of underweight with a borderline significance. In contrast, family support (OR = 0.61; 95% CI = 0.43, 0.85) and farmer occupation (OR = 0.59; 95% CI = 0.36, 0.98) compared to those who were unemployed were important protective determinants significantly associated with lower risk of underweight.ConclusionIn summary, the burden of underweight was higher among prisoners in Tigray region who had respiratory tract infections. The study has enhanced our understanding of the determinants of underweight in the prison population. We strongly recommend that nutritional support, such as therapeutic feeding programs for severely or moderately underweight prisoners, and environmental health interventions of the prison setups should be urgently implemented to correct the uncovered nutritional problem and its associated factors for improving the health status of prisoners.

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Section: Discussionmentioning

confidence: 99%

“…The literature indicates that prisoners face different nutritional problems ranging from several micronutrient deficiencies, re-emerging severe diet related diseases to delayed recovery, mental illness, sexual health problems, infectious diseases, a wide range of risk factors and increased risk of mortality [6, 7, 9–20]. …”

Section: Introductionmentioning

confidence: 99%

One-fourth of the prisoners are underweight in Northern Ethiopia: a cross-sectional study

Abera

Adane

2017

BMC Public Health

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“…From a clinical eye examination, the nutrition related diseases xerophthalmia and optic neuropathy were identified. Elsewhere, severe malnutrition has been documented in prisoners in Zimbabwe [41], Democratic Republic of Congo, as well as vitamin A deficiency in Kenya [2] and beriberi in the Cote d’Ivoire [3,42]. Clearly, ongoing vigilance of prisoners’ diets is required.…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional dietary deficiencies among a prison population in Papua New Guinea

Gould

Tousignant

Brian

et al. 2013

BMC Int Health Hum Rights

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BackgroundTo investigate the dietary adequacy of prisoners of Beon Prison, Madang, Papua New Guinea in response to a report of possible nutritional deficiency.MethodsWe undertook an observational, cross-sectional study. All 254 male inmates (May 2010) were eligible to answer a validated interview-based questionnaire; to have a comprehensive dietary assessment; and to provide blood for biochemical analysis (α-tocopherol, β-carotene, lutein, thiamin, riboflavin, niacin, folate, homocysteine, zinc, ferritin, and vitamins A, B12 and C). Prison guards were invited to participate as a comparison group.Results148 male prisoners (58.3%) and 13 male prison guards participated. Prison rations consisted of white rice fortified with thiamin, niacin, and iron, tinned tuna, tinned corned beef, water crackers, and black tea, with occasional intakes of fruit and vegetables. Some prisoners received supplementary food from weekend visitors. From assessment of the prisoners dietary data, median intakes of calcium (137 mg), potassium (677 mg), magnesium (182 mg), riboflavin (0.308 mg), vitamin A (54.1 μg), vitamin E (1.68 mg), vitamin C (5.7 mg) and folate (76.4 μg) were found to be below estimated average requirements (EAR).Following are the prisoners median (P25, P75) concentration of circulating nutrients and the percentage of prisoners with levels below normal reference ranges or recognized cut-off values: serum retinol 0.73 (0.40, 1.21) μmol/L, 46% below 0.7 μmol/L; plasma folate 2.0 (1.4, 2.6) nmol/L, 98% below 6.8 nmol/L; plasma vitamin C 6.3 (1.0, 19.3) μmol/L, 64% below 11.4 μmol/L; serum zinc 9.9 (8.8, 11.1) μmol/L, 66% below 10.7 μmol/L. Guards had diets with a higher dietary diversity that were associated with greater intakes of nutrients and biomarker concentrations.ConclusionsThe prisoners diets are likely lacking in several micronutrients and recommendations for dietary change have been made to the prison authorities. Ongoing vigilance is required in prisons to ensure the basic human right of access to a nutritionally adequate diet is being observed.

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“…More recently, thiamine deficiency outbreaks were described among young healthy Thai construction workers in Singapore in the 1980s [ 8 , 9 ] and among commercial fishermen in Thailand in 2005 [ 10 , 11 ]. Worldwide, outbreaks of thiamine deficiency have recently been reported in Ivory Cost jails [ 10 , 12 ], in the Gambia [ 13 , 14 ], among African Union troops in Mogadishu, Somalia [ 15 ], in Brazil [ 15 – 18 ] and the French island of Mayotte [ 19 ]. Adult thiamine deficiency was also recently described in Cambodia, China, India, Thailand, Laos and various countries with unbalanced thiamine/thiaminase diets [ 8 , 19 – 24 ].…”

Section: Introductionmentioning

confidence: 99%

Beriberi (Thiamine Deficiency) and High Infant Mortality in Northern Laos

et al. 2015

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BackgroundInfantile beriberi (thiamine deficiency) occurs mainly in infants breastfed by mothers with inadequate intake of thiamine, typically among vulnerable populations. We describe possible and probable cases of infantile thiamine deficiency in northern Laos.Methodology/Principal FindingsThree surveys were conducted in Luang Namtha Province. First, we performed a retrospective survey of all infants with a diagnosis of thiamine deficiency admitted to the 5 hospitals in the province (2007–2009). Second, we prospectively recorded all infants with cardiac failure at Luang Namtha Hospital. Third, we further investigated all mothers with infants (1–6 months) living in 22 villages of the thiamine deficiency patients’ origin. We performed a cross-sectional survey of all mothers and infants using a pre-tested questionnaire, physical examination and squat test. Infant mortality was estimated by verbal autopsy. From March to June 2010, four suspected infants with thiamine deficiency were admitted to Luang Namtha Provincial hospital. All recovered after parenteral thiamine injection. Between 2007 and 2009, 54 infants with possible/probable thiamine deficiency were diagnosed with acute severe cardiac failure, 49 (90.2%) were cured after parenteral thiamine; three died (5.6%). In the 22 villages, of 468 live born infants, 50 (10.6%, 95% CI: 8.0–13.8) died during the first year. A peak of mortality (36 deaths) was reported between 1 and 3 months. Verbal autopsy suggested that 17 deaths (3.6%) were due to suspected infantile thiamine deficiency. Of 127 mothers, 60 (47.2%) reported edema and paresthesia as well as a positive squat test during pregnancy; 125 (98.4%) respected post-partum food avoidance and all ate polished rice. Of 127 infants, 2 (1.6%) had probable thiamine deficiency, and 8 (6.8%) possible thiamine deficiency.ConclusionThiamine deficiency may be a major cause of infant mortality among ethnic groups in northern Laos. Mothers’ and children’s symptoms are compatible with thiamine deficiency. The severity of this nutritional situation requires urgent attention in Laos.

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Le béribéri, maladie nutritionnelle récurrente en milieu carcéral en Côte-d’Ivoire

Cited by 12 publications

References 4 publications

One-fourth of the prisoners are underweight in Northern Ethiopia: a cross-sectional study

One-fourth of the prisoners are underweight in Northern Ethiopia: a cross-sectional study

Cross-sectional dietary deficiencies among a prison population in Papua New Guinea

Beriberi (Thiamine Deficiency) and High Infant Mortality in Northern Laos

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