Eco-Epidemiological Characteristics of Human Rabies in Côte d’Ivoire, 2012-2017

Introduction: Human rabies is a major public health problem in many African countries, including Côte d’Ivoire. The present work aims at describing the eco-epidemiological characteristics of human rabies cases recorded in Côte d’Ivoire. Methods: This was a retrospective and prospective cross-sectional descriptive study based on epidemiological surveillance data that ran from september 2014 to december 2017. The clinical data were extracted from the database of the human rabies epidemiological surveillance management service of the National Institute of Public Hygiene’s rabies centre. These data cover the period from 1 January 2012 to 31 December 2017. Results: Human rabies is endemic in Côte d’Ivoire, with most people exposed in the south and especially in the west of the country. There was no association between any of the climatological parameters (temperature, humidity, rainfall) and the occurrence of human rabies during the months of exposure to rabies infection. Conclusion: Ultimately, effective prevention and control of human rabies requires a thorough understanding of the links between climatological parameters and rabies. Health authorities must take ownership of these results if we are to achieve our goal of eliminating rabies by 2030.

Prevalence of Work-Aggravated Asthma among Bakery Workers in Abidjan (Cote d’Ivoire)

Introduction: Work-aggravated asthma is pre-existing or concomitant asthma whose symptoms are aggravated by the work environment. The aim of this study was to determine the prevalence of this pathology and its associated factors among bakery workers in Abidjan. Materials and Methods: This descriptive and analytical cross-sectional study was conducted over a period of four (4) months from 18 December 2019 to 18 April 2020. Two questionnaires were used, one on employees and the other on the indoor environment of bakeries. In addition, a spirometry test was performed on all bakery workers. Statistical analysis was performed using stata 15.1 software. Results: A total of 599 bakery employees, including bakers (59.73%), sales assistants/ cashiers (23.52%), cleaners (6.34%) and administrative staff (10.18%), were investigated. The mean age was 30.8 ± 8 years, with a sex ratio (M/F) = 2.2. Asthma symptoms were found in 95 (15.86%) employees, of whom 74 (77.9%) had work-related asthma and 11 (14.9%) had asthma aggravated by work. The factors associated with work-aggravated asthma were personal or family history of allergy or atopy [ORa = 3.75;CI95%: 1.56 - 8.93;p = 0.003], exposure to dust [ORa = 5.01;CI95%: 1.43 - 7.50;p = 0.011] and humidity level (60% - 70%) [ORa = 1.80;CI 95%: 0.99 - 3.28;p = 0.05]. Conclusion: Work-aggravated asthma is a reality in bakeries in Abidjan, with an estimated prevalence of 14.9%. Two of the three factors associated with this condition suggest a link with indoor air pollution. Combating air pollution in these establishments must therefore be a priority for the relevant authorities, in order to provide employees with a working environment that protects their health.

Contribution of GIS to Soil Landscape Mapping by Multi-Criteria Analysis Using Weighting: The Case of the Square Degrees of M’Bahiakro (Centre) and Daloa (Centre-West) in Ivory Coast

As part of the drive to improve coffee and cocoa production in Ivory Coast, studies are carried out to identify soils that are favourable for these crops. It is therefore necessary to orientate soil investigations based on reliable criteria that best discriminate soil cover. With this in mind, this study is being carried out to help improve survey methods by mapping soil landscapes. It uses GIS and weighted multicriteria analysis. To do this, satellite images were processed and the geological map of the square degrees of M’Bahiakro and Daloa was reclassified. The results show that relief is the main factor in soil landscape differentiation, with respective weights of 0.58 and 0.67 for the forest and pre-forest zones. In contrast, the weight of geological formation in soil landscape differentiation remains low (0.05 for the forest zone and 0.07 for the pre-forest zone). The criteria used on the base of aggregation sum methods have made it possible to formulate soil landscape mapping prediction functions according to agro-ecological environments in the humid intertropical zone. This is essential for the orientation of soil survey work. Nevertheless, other comparative methods, such as the coding mapping method, could provide elements for discussion to validate the models.

Response of the Maize Variety EV87-28 to a Fertilization Strategy Involving Indorama Granular Urea on Ferralsol in the Central Ivory Coast

In Côte d’Ivoire, the decline in soil fertility strongly impacts the productivity of maize (Zea mays L.) on heavily leached ferralitic soil. In this study, the general objective was therefore to improve the productivity of maize EV87-28 on the Ferralsols in pre-forested areas during different cropping seasons. Eight (8) micro-plots were set up according to a total randomization device with three repetitions. Two factors were studied: nitrogen fertilizer modalities (main factor) and crop season (secondary factor). Growth, flowering and yield parameters were measured and analyzed. The results showed that there was no interaction between the nitrogen fertilizer factor and the cropping season factor. In addition, this study showed the short rainy season had the most positive impact on growth, flowering and yield parameters than the long rainy season. The results also showed that the different nitrogen fertilizer modalities had no statistically different effects on growth, flowering and yield parameters. However, quantitative differences were reported, highlighting one nitrogen fertilizer modality, which is the combination of urea granule + farm manure (75% urea indorama granules and 25% farm manure). The combination of urea granule + farm manure (75% urea indorama granules and 25% farm manure) had the best effect on corn grain yield. So, the combination of urea (75%) and manure (25%), that resulted in yield gain, could be recommended for corn fertilization during the small rainy season.

Technical-Economic Performance, Carcass and Meat Quality of COBB500 Broilers Fed Rations Incorporating Mango By-Product Feeds in Ivory Coast (West Africa)

The study evaluated the growth performance and carcass quality of COBB500 broilers fed two experimental rations incorporating feed and mango fine ED10 for a batch of 83 birds, ED20 (batch of 83 birds) in comparison with a commercial control ration CCD (84 birds). For this purpose, 250 day-old chicks of this breed were purchased in Korhogo and transported to Tengréla in Ivory Coast for rearing. The results show that substituting mango provender ans and mango seed flour for maize resulted in rations with costs per kgMS of 215.35FCFA, 2016.93FCFA and 320FCFA for the ED10, ED20 and CCD rations respectively. The production costs per kg of chicken (FCPkgLW) of the CCD ration were significantly higher than those of the ED10 and ED20 (p 0.05). ADGs were significantly different and decreasing from CCD, ED20 to ED10 (p 0.05). Average weights at 42nd day for ED20 and CCD were homogeneous (p > 0.05) and significantly higher than for ED10 (p 0.05). By day 49th the average weight of ED20 had reached and exceeded that of CCD by day 42nd. PSLW, HCW and CCW were significantly different and decreasing from CCW, ED20 to ED10 (p 0.05). Average hot (HCY) and cooled (CCY) carcass yields of ED20 and CCD rations were comparable (p > 0.05) and significantly higher than those of ED10 ration (p = 0.009) and 0.003). Average drumstick and neck weights were significantly higher and lower for CCD, ED20 and ED10 (p 0.05). For all other parts of the cut, the average weights of the CCD ration were significantly higher (p 0.05) than those of the ED20 and ED10 rations, which were homogeneous (p 0.05). The incorporation of mango provender and mango seed flour in broiler rations offers the prospect of reduced production costs, less competition between man and animals over cereals, and lean meat production that is more appreciated than that of chickens fed conventional feed. As it stands, the ED20 ration can be recommended as a growth diet for broilers. It would be necessary to determine the levels of anti-nutritional substances in mango feeds and to assess the in vivo digestibility of mango ingredients and the diets incorporating them.

Micropenis Associated or Not with Cryptorchidism in the Endocrinology Department of Yopougon University Hospital in Ivory Coast: Epidemiological, Clinical, Paraclinical and Therapeutic Aspects

Background: Congenital malformations such as micropenis and cryptorchidism do not have immediate dramatic consequences. However, the diagnosis is often unknown at birth, and therefore late. In Ivory Coast, there are few studies on cryptorchidism and micropenis. We conducted this study to identify the epidemiological, clinical, etiological and therapeutic characteristics of the micropenis associated or not with cryptorchidism at Yopougon University Hospital. Methods: We conducted a retrospective descriptive study in the Department of Endocrinology-Diabetology of the Yopougon University Hospital carried out over 13 years from January 2005 to December 2018. All patients were included regardless of the presence of a micropenis associated or not with cryptorchidism in the clinical or paraclinical examination. Results: A total of 14 micropenis were reported associated in 6 cases with cryptorchidism. It was unilateral cryptorchidism in 4 patients or 66.66% of cases. The average age of affected patients was 21.32 years with extremes ranging from 10 months to 48 years. The reason for consultation was micropenis in 12 out of 14 cases or 85.75%. The associated signs apart from cryptorchidism were obesity in 42.86% of cases, gynecomastia in 35.71% of cases. The aetiology was dominated by idiopathic causes. Treatment with testosterone enanthate was more effective in pre-pubertal children than in adults. Conclusion: The diagnosis of micropenis associated or not with cryptorchidism is late because of the frustrations, taboos and psycho-social states that it causes. However, drug treatment is effective when treatment is started early.

Analysis of the Quality of Physical and Chemical Parameters of Groundwater in Three Localities in the Sub-Prefecture of Zanzra (Ivory Coast)

The availability of groundwater of acceptable quality has become a difficult challenge to meet in many countries, particularly Côte d’Ivoire. The State of Côte d’Ivoire and rural populations are building hydraulic infrastructure for this purpose. However, the quality of water coming from these infrastructures remains to be determined. This study therefore aims to analyze certain physicochemical parameters of the groundwater of Gloazra, Kouezra and Trahonfla. These are temperature, pH, electrical conductivity, TDS, salinity level, hardness, alkalinity, chloride content and bicarbonate. To determine the pH, electrical conductivity, temperature, TDS, and salinity rate, an electrochemical analysis was carried out. The titrimetric analysis made it possible to determine the chloride and bicarbonate content, alkalinity, and hardness. The results indicate that the studied groundwater is soft and acidic with good mineralization. This water does not present a health hazard to consumers but can affect hydraulic equipment and household containers.

Contribution of SAR Radar Imagery in the Detection of Suspicious Vessels in the Ivorian EEZ

The present work proposed a method for match SAR and AIS data to detect vessels carrying out suspicious activity in the Ivorian EEZ. Two superposition methods, detected AIS and SAR data, based on point-to-point association on the one hand and point-to-line on the other hand, were used to detect suspicious vessels in Ivorian marine waters. The results showed that most vessels detected in the Ivorian EEZ do not declare their positions to avoid being spotted. These funds are likely to practice illegal, undeclared and unregulated fishing (INN fishing). This clandestine activity is very recurrent in Ivorian waters. This is illustrated by the number of suspicious vessels detected by SAR radar imagery which is greater compared to declared or authorized vessels.

Calcium-Magnesium Ca/Mg Ratios and Their Agronomic Implications for the Optimization of Phosphate Fertilization in Rainfed Rice Farming on Acidic Ferralsol in the Forest Zone of Ivory Coast

This study is a contribution to improving rice productivity on acidic plateau soils of the tropical rainforest zone. It is based on taking into account the cationic balances of the soil in order to optimize the phosphorus (P) nutrition of rice on these acidic soils, where this nutrient constitutes a limiting factor for agricultural production. Three (3) pot trials were conducted in Adiopodoumé in the forested south of Côte d’Ivoire. The interactive effects of calcium carbonate (0, 25, 50 and 75 kg Ca ha−1) and magnesium sulfate (0, 25, 50 and 75 kg Mg ha−1) were evaluated on the response of NERICA 5 rice at doses 0, 25, 50 and 75 kg P ha−1 of natural phosphate from Togo, applied only once at the start of the experiment. Additional fertilizers of nitrogen (N) (100 kg N ha−1) and potassium (K) (50 kg KCl ha−1) were added to each of the tests in a split-plot device. The test results revealed a paddy production potential of approximately 3 to 5 t⋅ha−1 for NERICA 5 on an acidic soil, under the effect of the interaction of P, Ca and Mg. The quadratic response of rice yield to the doses of these fertilizers would be more dependent on their balance, itself influenced by Ca nutrition. For the sustainability and maintenance of rice production in agro-ecology studied, it was recommended doses of 38 kg Ca ha−1, 34 kg Mg ha−1 in a Ca/Mg ratio (1/1) with intakes of 41 kg P ha−1, overall in a ratio 1/1/1 (P/Ca/Mg) more favorable to the availability of free iron considered a guiding element of mineral nutrition. Thus, these promising results should be confirmed in a real environment for better management of the fertilization of rice cultivated on acidic plateau soils in Côte d’Ivoire.

Influence of Sorbent Type on Drying Efficiency, Production Costs and Nutritional Values of Mango By-Products Feeds for Livestock

The aim of the study was to determine the best food absorbents between wheat, rice and maize bran and palm kernel cake, from a technical and economic point of view, in order to make a better recommandation for their use in the production process of food based on mango by-products (peels, peels + pulp). To this end, series of 18 kg of fresh feed were prepared and spread out in a stall for sun-drying using a randomized Fisher system. Preparations were made using either mango peels (75%) + absorbent (25%) or pulp + mango peels (67%) + sorbent (33%). The results show that mango Peel feed loses more water (WL) with lover production yields (PY), higher mango incorporation rates into dry feed (MRI), longer drying times (UDT) and lower production costs (CPkgPD) than mango peel + pulp. The average DM, MAT, ADF and NDF fiber contents were almost equal to those of mango peels + pulp feed. The average Crude Fiber (CF) (25.13%) and DEp (2839 kcal/kgDM) contents were higher for mango skin feed than for mango skin + pulp feed, at 8.59% and 2536 for MAT and DEp respectively. Mango peels + wheat bran (PSB25) and whole mango (MESB33) feeds recorded the highest and almost equal levels of TCP, NDF and MM. Production costs per kg of feed dry mater (CPkgDM) for feed produced at 25% were on average 33% higher than for whole mango (WM) feed. Excluding mango raw material, palm kernel meal (PK), rice bran (RB), maize bran (MB) and wheat bran (WB) can be ranked 1st, 2nd, 3rd and 4th in terms of cumulative performance of production parameters. Producers can then choose the type of sorbent they wish to use according to this ranking and the local availability of the sorbent. These feeds can be used for both ruminants and monogastrics, but are better suited to ruminant feeding due to their high fiber content.

Tracing the Origin of Metasedimentary Rocks in the Tortiya Diamond Region (Northern Côte d’Ivoire)

Metasedimentary rocks from the Tortiya diamondiferous region (northern Côte d’Ivoire), located in the Ivorian Paleoproterozoic domain, were analyzed with the aim of identifying their different petrographic facies, constraining their provenance and tectonic environment, and assessing the effects of sedimentary processes and weathering on the signature of their source rocks. These analyses were carried out with a view to helping trace the origin of Tortiya diamonds, which are generally hosted in these metasediments. Major and trace element geochemical data reveal that these samples are characterized by negative Eu anomaly values, low to moderate weathering index values and a high compositional variation index (ICV). These results led to the definition of these metasediments as immature sediments potentially originating from rapid erosion and sediment deposition from local sources. Chemical alteration index (CIA) values and Al2O3-(CaO* + Na2O)-K2O composition space suggest low to medium degrees of meteoric alteration of the parent rock. These rocks therefore show poorly differentiated compositions from the parent rock and poor sediment sorting. Geochemical data and ratios of immobile elements, e.g. Al2O3/TiO2, Cr/Th, Eu/Eu* and (La/Yb)n, indicate that the clastic materials derive mainly from felsic to intermediate sources. Sedimentary tectonic discrimination diagrams demonstrate that most of the samples from the Tortiya diamond-bearing region were deposited on an active continental margin or in a continental arc-island environment. Although this region has a long history of diamond mining, its petrogenesis remains unresolved, and this petrogeochemical work is a step towards initiating scientific research in the area.

One Case of Acute Fluid Pericarditis and Hyperthyroidism at Teaching Hospital of Bouake (Ivory Coast): Cause-Effect Relationship or Accidental Association?

Cardiovascular complications during hyperthyroidism are dominated by arrhythmias, heart failure and coronary heart disease. Pericardial effusion which is a common complication of hypothyroidism is extremely rare in hyperthyroidism. We report the case of a 45-year-old woman admitted for management of pleuro-pericarditis associated with atrial fibrillation in the context of cardiothyreosis. The treatment consisted of a pericardial puncture associated with synthetic anti-thyroid drugs and anti-tuberculosis drugs with positive clinical and echocardiographic outcomes.

Hematization of Quartz Grains: Study of the Surface of Quartz Grains (M.E.B) and Semi-Quantitative Mineralization

Interest in the Côte d’Ivoire sedimentary basin has led to numerous investigations. All these investigations are aimed at understanding the functioning of the basin and a paleogeographic approach including sediment transport dynamics. However, the use of exoscopy and semi-quantitative mineralogy has been little developed. This study was carried out to compensate for this lack of interest in these methods. Its aim is to understand the transformation of quartz into hematite using exoscopy and semi-quantitative mineralogy in the Adiaké locality, in the eastern onshore basin of Côte d’Ivoire. Two methods were applied to 250 μm-diameter quartz grains from the 40 m coasts. Exoscopy provides information on microscopic texture, surface and corrosion, as well as determining the transport mechanism and deposition phases of quartz grains. Semi-quantitative mineralogy provides an estimate of the weight percentages of major element oxides and the ultrastructure of quartz grains. Exoscopy showed that these grains had been subjected to torrential fluvial transport. They were marked by mechanical and chemical traces during this transport and evolved in different environments. Semi-quantitative mineralogy shows the existence of negative and positive correlations between oxides. Negative correlations indicate a substitution, in order of importance, of silicon by iron, phosphorus and aluminum in these quartz. Positive correlations show that there is no substitution between the oxides concerned in these quartz grains. Divo’s quartz grains have recorded several mechanical and chemical microstructures of their sedimentary episodes, with the appearance of iron nodules in the ports left by silica.

Diabetes Mellitus and COVID-19 at the Bouake University Hospital Center (Côte d’Ivoire)

Context: COVID-19 is a global public health problem and diabetes mellitus is a poor prognostic factor for the disease. The aim of this study was to investigate the epidemiological, clinical and evolutionary characteristics of COVID-19 in diabetic patients in Bouaké. Patients and Methods: This was a retrospective study carried out from January 2021 to December 2022. We included patients with diabetes known before COVID-19 infection and having a positive COVID-19 RT-PCR. Data were analyzed with Epi info7 software. Results: Among 1122 infected patients, 71 patients (6.3%) were diabetic, the sex ratio was 1.3 and the mean age was 58.7 years. Type 2 diabetes (97.2%) was predominant and the average seniority was 3.1 years. Arterial hypertension (46.5%) was the main comorbidity. The main clinical signs were cough (69%), dyspnea (43.7%) and fever (23.9%). Oxygen saturation was Conclusion: Diabetes mellitus remains one of the most important comorbidities of severe Covid-19. The death rate of diabetics was high. Hence the need to vaccinate people living with diabetes.

Prevalence and Factors Associated with Intestinal Metaplasia in Chronic Helicobacter pylori Gastritis in a Country with High Endemicity: Ivory Coast Case

Context/Objective: Few studies have been carried out in a country with high endemicity for Helicobacter pylori (H. pylori) infection in Sub-Saharan Africa looking for the association of intestinal metaplasia (IM) with chronic gastritis. We hypothesize that IM is correlated with the intensity of H. pylori infection in a country with high endemicity, Ivory Coast. The objective of this study was to determine the prevalence of intestinal metaplasia in chronic H. pylori gastritis in Ivory Coast. Methods: This was a prospective, cross-sectional, multicenter study, carried out over a period of 5 months, in the reference hospital centers of Abidjan, specialized in Gastroenterology. All patients who had undergone Gastroscopy with biopsies according to the criteria of the Sydney System for the anatomopathological study, those with chronic gastritis and/or H. pylori intestinal metaplasia on histology and in whom all the parameters of the Sydney system classification had been well informed. The quantitative variables were expressed by their means accompanied by their standard deviations and the qualitative variables by their numbers and percentages. Chi-square and Fischer tests were used to look for associations between variables. The significance level was set at 5%. Results: 152 patients were retained. The mean age was 44.9 ± 12.9 years. The prevalence of intestinal metaplasia was 11.8%. In univariate analysis, no significant association was found between clinical and pathological sociodemographic factors (age, sex, ethnicity, educational level, profession) and intestinal metaplasia in chronic Helicobacter pylori gastric cases. In multivariate analysis we found that prolonged use of Proton Pump Inhibitors (PPIs) and a history of Gastroesophageal Reflux Disease (GERD) were significantly associated with the absence of IM. Conclusion: Chronic H. pylori gastritis is the main risk factor for intestinal metaplasia. Prolonged use of PPIs and a history of GERD were significantly identified as factors that would protect against intestinal metaplasia.

3D Modeling and Estimation of the Tonnage of the Granite Quarry of Linguésso (North-West of Côte d’Ivoire) by Electrical Methods

A survey and evaluation was carried out on a potential granitoid quarry site in the locality of Linguésso (North West of Ivory Coast) with the aim of identifying and estimating the quantity of exploitable granite based on the electrical resistivity methods. The combination of electrical trailing, sounding and tomography techniques allowed the determination of the characteristics of the rock deposit, namely the electrical signature (between 19,259 Ωm and 86,316 Ωm), the extension (N90°), the rooting (between 0 and 45 m) and the fracturing (between N14° and N160°) of the granitic formation sought. The modeling resulted in an estimated mineable rock volume of 2,936,250 m3 providing a production quantity of 7,927,875 tonnes.

Chemostratigraphic Characterization Tests on Sedimentary Formations in the Côte D’Ivoire Offshore Basin: Case of A-X and B-X Wells

The tests performed with two hundred and thirty-nine (239) samples from the A-X and B-X drillings help to know their sedimentological and chemostratigraphic characters. In sedimentological term formations are composed of sand, sandstone, limestone, siltstone and argillite that alternate along the drill. In chemostratigraphic term two megasequences (MS1 and MS2) have been identified. A correlation of chemostratigraphic data completed by the lithology results allowed a subdivision of oil wells that shows two main types of deposits environments. First, a proximal marine environment to continental and to Albian marked by a detrital flow deducted from the concentrations evolution of indicator elements of terrigenous material that are K, Mg, and Rb. On the other hand, a deep to shallow marine environment of Cenomanian to Paleocene marked by the presence of predominantly clay sediments and abundant glauconite in the lower Senonian. Nevertheless, there is a transition or intermediate environment that is characterized by the presence of glauconite and detrital flows.

Structural Control of Auriferous Mineralization in the Birimian: Case of the Agbahou Deposit in the Region of Divo, Côte d’Ivoire

Located in the southwestern of the Oume-Fettekro greenstone belt, the Agbahou gold deposit is controlled by structural factors. Geophysics, teledetection and core data suggest the presence of NE and NW faults. However, the NE-faults define two major shear zones (ATZ: Agbahou Tectonic Zone and WTZ: West Tectonic Zone) that control the Agbahou gold mineralization. These first order structures are subparallel to the regional tectonic grain mostly north-east oriented. They seem to respectively develop on the both arms (eastern and western) of an anticline moderately plunging ~25° towards northeast. Each shear-zone contains several second-order shear-zones or lenses of variable direction and of 50° - 80° dip. NW-faults however correspond to strike-slip faults and their development should be related to transcurrent tectonics. They acted as control channels on the distribution of gold mineralizations. The ductile-brittle character of shear-zones favored the ascent of hydrothermal fluids and the formation of multiple auriferous quartz veins: veins Type IIa and veins Type IIb relating respectively to the shear-veins and extensional veins. However, Agbahou also shows the existence of a disseminated sulphides-bearing mineralization within host-rocks. At Agbahou, the precipitation of gold probably occurred in a post to late ductile-brittle deformation period.

Childhood Heart Disease in Côte d’Ivoire: Retrospective Multicentric Study about 228 Cases

Introduction: In Cote d’Ivoire, the paediatrician has to face a diagnosis and management problem in front of pediatric heart disease, with consequent a high lethality. Objective: To describe the epidemiological, diagnostic, therapeutic and progressive aspects of childhood cardiopathy for the improvement of prognosis and professional practice. Materials and methods: This was a multicenter retrospective and descriptive study conducted from January 2011 to March 2016 in two main hospitals universities, one located in Abidjan and the other in Bouaké. It concerned children aged 0 to 15 admitted for cardiac disease diagnosed on clinical and/or echocardiographic arguments. The variables studied were the epidemiological, diagnostic, therapeutic and evolutionary aspects. Results: A total of 49.760 admissions including 228 infantile heart disease cases (congenital 113, acquired 51, indeterminate 64) are overall prevalence of 4.6‰. They involved 106 boys and 122 girls. In 74.6% of cases, the age was between 0 and 2 years. Respiratory distress 73.7% was the main reason for consultation. The main congenital heart diseases (CHD) are ventricular septal defect (VSD) (31%), atrial septal defect (ASD) (20.4%), atrioventricular canal (AVSD) (12.4%) and tetralogy of Fallot (TOF) (11.5%). As for acquired forms (AHD), rheumatic mitral insufficiency (41.2%) and tuberculous pericarditis (15.7%) were the two main causes. Treatment progress is marked by stabilization (71.1%) and death (14%). Death was significantly associated with low socioeconomic status (p = 0.01) and with complication (p 0.001). Conclusion: Infantile heart diseases are relatively less frequent and serious in Cote d’Ivoire. To improve the prognosis, close collaboration between the pediatrician and the cardiologist is required for early diagnosis and management.

Impact of Climate Variability on Water Resources: The Case of Marc Delorme-Cnra Station, Southeast of Ivory Coast

This study aims to characterize the climatic variability in the South-East of Ivory Coast and to show its impact on the supply of water resources. To do this, statistical and hydrological methods were applied to climatic data collected at the Marc DELORME Research Station of the CNRA. The statistical trend tests on this data revealed a significant decrease in precipitation and an increase in temperature, insolation and evaporation. Statistical break methods indicate a rainfall break in 1982 which marks a modification of the rainfall regime thus translating a drop in rainfall of 15%, a recession in the frequency of rainy days in general and in particular in rainfall heights between 10 and 30 mm and greater than 50 mm. This break is accompanied by a shortening of the rainy seasons, with average rainfall durations ranging from 54 days (short rainy season) to 104 days (great rainy season). Despite the disturbances in the different seasons of the year, the monthly rainfall regimes in the area have not changed. The assessment of the effects of drought on water resources using the Standardized Precipitation and Evapotranspiration Index (SPEI) for three-time scales (1 month, 3 months and 12 months) indicates a severe drought ranging from 3% to 7% over the period 1961 to 2018. However, despite the presence of this severe drought, the intensity of the drought was found to be moderate on all time scales. The Thorrnthwaite method was used to highlight the impacts of this climatic variability on the region’s water resources. The average annual recharge estimated at 402 mm, has been reduced to 153 mm during a deficit period, a decrease of about 62%. The average annual runoff, which was 294 mm, fells to 257 mm, a decrease of about 13%. This recorded decrease in the water infiltrated after the rainfall break (1983-2018), explains the heterogeneous decrease in the depth of the water table.