C

1
Côte dIvoire In short

• West Africa ? 322 450 km²
• Forest South, Savanna North 16 M inhabitants
• Annual growth rate 2.6
• Economy (agriculture) Cocoa, Coffee, Pineapple,
  Banana
• Transmissible diseases ? morbidity - mortality
  
• HIV 10-12 ? 1st case in 1985
• 2 Ministries
• MOH (1 ? Dr Mabri)
• M.AIDS (1? Dr Adjobi)
• National Programs AIDS, Tuberculosis , Malaria
• Treatments ARV, TB ? Global Found
  (2004-2005)
• Socio-political crisis (2002)

2
Which activities in this context for a
Microbiologist ?

• From 1977 1985 Training ? Côte dIvoire and
  Europe
• From 1985
• Development of techniques in Microbiology for the
  diagnosis of main infection diseases AIDS,
  TB, STI
• 2. Implementation of Training courses in
  Microbiology
• 3. Organization of epidemiological Monitoring of
  Diseases with epidemic potentials
• 4. Integration of Microbiology in the healths
  system
• 5. Participation in the writing of national
  guidelines HIV, TB, STI
• 6. Implementation of the microbiological Survey
  Molecular markers
• 7. Development of a Management concept in
  laboratories
• 8. Organization of the follow-up and the
  evaluation of the Laboratories VIH, TB, at the
  national level

3
Which sets of Themes ?
Infections Germs
Community - Epidemic Digestive tract Vibrio cholerae , E coli Respiratory tract Tuberculosis Genital tract HIV, Chlamydia , STI CNS N. meningitidis W135, Y , Polio Liver Hepatitis viruses B, C
Emerging Skin M. ulcerans Buruli Ulcer Nosocomial Infections surveillance network Infections with Resistant germs Observatory
Food Salmonella, E coli
Environment Water, urban wastes
4
Which Results ?

• Training "School of Microbiology CI"
• Equip with trainers 8 in 1985 ? 28 in 2005
• 1 ? Professor 4 Associate Professors (3 ?
  1?)
• Training Curricula Doctoral school and
  Engineering school
• Biologists 89 (25 (28,09) West Africa
  Central Africa)
• Specialized engineers gt 50
• Research
• Study of microbial diversity
• Observatory of Micro-organism Resistances
• Infectious pathologies VIH, TB, Hepatitis B, C,
  Yellow fever
• Emerging disease Buruli Ulcer
• New leprosy
• New laboratory tools

Treatment African pharmacopeia A Hope ???
5
Remerciements

• ? Famille Parents, Mari et Enfants
• ? Maîtres et formateurs Afrique et Europe
• ? Collègues et collaborateurs
• ? Etudiantes et étudiants
• ? Patients
• ? Côte dIvoire
• ? Institut Pasteur de Paris
• ? UNESCO