COVID-19/Tuberculosis Co-Infection at the Epidemic Treatment Center (ETC) of Saint-Louis (Senegal): About 9 Cases

Introduction: COVID-19 is a global public health emergency that can cause acute respiratory distress syndrome. In countries where tuberculosis (TB) is endemic, coinfection of COVID-19 and TB is often encountered, which increases the risk of developing severe forms of COVID-19. Objectives: The aim of this study was to determine the prevalence of COVID-19/TB coinfection at the Epidemic treatment center (ETC) in Saint-Louis (Senegal) and to describe the epidemiological, clinical, paraclinical, and outcome profile of co-infected patients. Patients and Methods: This is a retrospective, cross-sectional, descriptive cohort study based on the records of COVID-19/ TB co-infected patients who were hospitalized at the ETC in Saint-Louis (Senegal) over an 18-month period from March 2020 to September 2021. Results: Out of a total of 454 hospitalizations, we collected records of 9 patients co-infected with COVID-19/TB, resulting in a prevalence of 2%. The study included patients with a median age of 34 years (range: 10-86 years), with a male predominance (7 cases) and a sex ratio of 3.5. The majority of patients (88.9%) had severe forms of COVID-19. Dyspnea and cough were reported in all patients (100%). Pulmonary TB was the most frequent localization, with 9 cases. The diagnosis of COVID-19 was confirmed by nasopharyngeal PCR in all patients (100%). Bacilloscopy was positive in 3 out of 5 cases. One patient tested positive for GeneXpert? MTB/RIF without rifampicin resistance. All patients were prescribed the hydroxychloroquine-azithromycin combination and anti-tuberculosis treatment. Out of the nine patients, four recovered (44.4%) and five died (55.5%). Conclusion: COVID-19/TB coinfection had a low prevalence in our cohort, but was associated with a high mortality due to the frequent occurrence of severe forms of the disease.

Profile of SARS-CoV-2 Infected Patients Hospitalized at the Epidemic Treatment Center (ETC) in Saint-Louis, Senegal during the First Two Waves

Introduction: The SARS-CoV-2 infection is a major public health emergency. Several risk factors are involved in the occurrence of respiratory distress that can lead to death despite resuscitation measures. Objectives: The aim of this study was to describe the epidemiological, clinical, paraclinical, therapeutic, and evolution profile of patients infected with SARS-CoV-2 hospitalized at the CTE of Saint-Louis (Senegal) during the first two waves. Patients and Methods: We conducted a retrospective, cross-sectional, descriptive, and analytical study that included all patients hospitalized at the ETC of Saint-Louis (Senegal) with SARS-CoV-2 infection from March 2020 to April 2021. Results: A total of 358 cases were collected, 256 (71.5%) during the first wave and 102 (28.5%) during the second wave. The mean age was 49.5 years (19.5). There was a male predominance (58.4%), with a sex ratio of 1.4. Hypertension was the main comorbidity, with 87 cases (24.3%). The most common functional signs were cough in 194 cases (54.2%), dyspnea in 143 cases (40%) and ageusia in 134 cases (37.4%). Thoracic CT scans were performed on 20 patients (5.6%), with severe involvement (50% - 75%) observed in 50% of cases. Hydroxychloroquine-azithromycin was prescribed to 351 patients (98%). Overall, 338 (94.4%) recovered and 17 (4.7%) died. In multivariate analysis, factors associated with death were male sex [OR = 2.645;95% CI: 1.530 - 4.785;p = 0.011], age 60 years [OR = 1.039;95% CI: 0.564 - 1.914;p = 0.002], the presence of comorbidities [OR = 2.171;95% CI: 0.564 - 3.429;p = 0.033], SpO2 (ambient air) 95% [OR = 2.061;95% CI: 0.616 - 3.827;p = 0.03], acute respiratory distress syndrome (ARDS) [OR = 0.635;95% CI: 0.316 - 1.275;p = 0.001], severe form [OR = 1.664;95% CI: 0.298 - 2.478;p = 0.016], occurrence of complications [OR = 0.521;95% CI: 0.287 - 0.944;p = 0.032], high creatinine levels [OR = 2.061;95% CI: 1.616 - 3.827;p = 0.026], and lymphopenia [OR = 0.485;95% CI: 0.370 - 0.636;p = 0.001]. Conclusion: In our series, infection with SARS-CoV-2 was associated with low lethality. Several risk factors were identified that need to be considered for successful management of patients.

Comparative Study of the Efficacy of Misoprostol and Oxytocin Im in the Prevention of Post-Partum haemorrhage in a Low-Resource Setting

Background: In developing countries, postpartum hemorrhage is responsible for 30% of maternal deaths. Although the World Health Organization recommends the use of oxytocin for the prevention of postpartum hemorrhage, the use of misoprostol is increasingly common. The objective of this study was to determine the frequency of postpartum hemorrhage in parturients delivering at Saint-Vincent Hospital and to compare the effectiveness of misoprostol use versus oxytocin in preventing postpartum hemorrhage. Material and Methods: We conducted a comparative longitudinal study at the Saint Vincent Hospital comparing 10 units of intramuscular oxytocin with 600 micrograms of sublingual misoprostol. The study was conducted from 01 January 2017 to 31 December 2019, a period of 3 years. The study population consisted of 2161 consenting women. Of these, 1289 received 10 IU of intramuscular oxytocin and 872 received 600 micrograms of misoprostol. The collected data were entered using Microsoft Excel 2013 and analysed using SPSS version 21 software. Results: The frequency of administration of Misoprostol and oxytocin in parturients was 40.4% and 59.6% respectively in this study. One hundred and fourteen cases of postpartum hemorrhage (114/2161 or 5.3%) were noted among the parturients. The average age of parturients who received oxytocin was 24.36 ± 4.45 years vs 24.63 ± 5.11 years among parturients who received Misoprostol;(p = 0.190). The mean parity was 2.52 ± 1.46 vs 2.66 ± 1.44;(p = 0.020). We noted a high proportion (78.3%) of postpartum hemorrhage from the oxytocin group vs. 21.7% from the Misoprostol group (OR 2.5-fold), with a statistically significant difference (p 0.001). We noted high proportions of uterine atony (92.3%) from the oxytocin group vs 7.7% from the Misoprostol group (p = 0.004). Uterine atony was the actual factor associated with postpartum hemorrhage (OR = 10.0895% CI: 1.78 - 57.10;p = 0.009). Conclusion: Misoprostol 600 Microgram administered sublingually immediately after neonatal expulsion and before delivery was 2.5 times more effective than oxytocin 10 IU/IM. Misoprostol is therefore a good alternative to oxytocin and offers more advantages in management, use and outcome than oxytocin.

Bedouin farms in the Saint Katherine mountainous area(South Sinai,Egypt)

This study aims to assess the natural and cultivated plant species in 26 Bedouin farms in Saint Katherine Protectorate(SKP),identify their soil and water characteristics,and assess the suitability of these farms for the cultivation of some wild medicinal plants.The farms were selected to represent wide wadis with deep sand and clay deposits,gorge-like wadis covered with rock fragments of different sizes,spot-like oases,and the Al Q’aa Plain.Using TWINSPAN(two-way indicator species analysis)and DCA(detrended correspondence analysis)techniques,the 26 farms were classified into 5 groups(Ⅰ-Ⅴ)based on their floristic composition of wild plants.These groups reflect an elevation gradient among the farms above sea level from a mean of 119 m to a mean of1,865m.A total of 73 wild species were recorded,with47 in groupⅡ(500-1,000 m)and 25 in group V(>1,700 m).The common target species were Artemisia judaica,Acacia tortilis subsp.raddiana,Origanum syriacum subsp.sinaicum and Varthemia montana(34.6%-26.9%).The cultivated speciesnumbered 25,with 17 in groupⅡ(500-1,000 m) andⅡin groupⅣ(1,500-1,700 m).The common fruit trees were olive,grape,fig,apple,palm,almond,apricot and pomegranate(73.0%-42.3%).Based on the soil characteristics,13 farms belong to soil class 2that describes good soils with moderate limitations,and 12 belong to soil class 3 that describes moderately good soils,which can be used regularly for crops after proper treatment.

Numerical Simulation of Saint-Venant Equations with Thermal Energy Dependency: Applications on Global Warming

Since the Industrial Revolution, humanity has been intensifying the burning of fossil fuels and as a consequence, the average temperature on Earth has been increasing. The 20th century was the warmest and future prospects are not favorable, that is, even higher temperatures are expected. This demonstrates the importance of studies on the subject, mainly to predict possible environmental, social and economic consequences. The objective of this work was to identify the interference of the increase in ambient temperature in the dynamics of fluids, such as ocean waves advancing over the continent. For this, thermal energy was considered in the Saint-Venant equations and computational implementations were performed via Lax-Friedrichs and Adams-Moulton methods. The results indicated that, in fact, depending on the amount of thermal energy transferred to the fluid, the advance of water towards the continent can occur, even in places where such a phenomenon has never been observed.

Psychological Assessment Involving Spirituality With Members of the Church of Jesus Christ of Latter-Day Saints

Interest in including spiritual assessments in therapeutic settings has increased in recent years.Even though many psychologists view spirituality as very important to clients’well-being,many report that they do not discuss spirituality in their practice.An inclusion of spirituality may be particularly important when dealing with specific groups for which spirituality/religiosity is a large part of their worldview,such as members of the Church of Jesus Christ of Latter-day Saints.Therefore,this study examined a number of comprehensive spiritual assessment tools to consider when working with members of the Church of Jesus Christ.These tools were evaluated by 100 clinicians.In general,this set of tools was moderately to be mostly consistent with the culture of the Church,with each one having specific strengths and limitations.

Prevalence and Associated Factors of Diabetic Kidney Disease in Senegalese Patients: A Cross-Sectional Study in Saint-Louis

Introduction: Diabetes is a leading cause of chronic kidney disease in the world. During the next decade, its burden is expected to increase in Africa with potential complications such as chronic kidney disease. However, epidemiology and risk factors of diabetic kidney disease are poorly described at population level. This study aimed to determine prevalence of diabetic kidney disease (DKD) in adult diabetics living in Saint-Louis, northern Senegal. Methods: A cross-sectional study including diabetic patients followed-up aged ≥18 years during a five-year period (2013-2018) in Saint-Louis. Clinical and biological parameters were collected during annual community-based mass screening. Diabetes was defined as fasting blood glucose ≥ 1.26 g/L confirmed by a second lab dosage. DKD was defined as persistence of albuminuria ≥ 30 mg/24h and/or estimated glomerular filtration rate (eGFR) 2. Data were analyzed with Stata 12.0. Results: We included a total of 1310 diabetic patients among whom 3.7% (95% CI = 1.4% - 9.8%) presented DKD. Their mean age was 46.2 ± 11.8 years and sex-ratio was 0.7. Micro-albuminuria and macro-albuminuria were present respectively in 59.2% and 18.4% of patients with DKD and half of them had a normal eGFR. Before the survey 89.8% of patients with DKD were not aware of their renal disease and only four of them had seen a nephrologist. After multivariate analysis, age (OR = 1.5;95% CI = 1.1 - 3.4), duration of diabetes (OR = 1.2;95% CI = 1.6 - 4.4) and hypertension (OR = 2.5;95% CI = 1.4 - 4.6) were associated with the presence of DKD in diabetic patients while no significant association was not found with gender, blood glucose level, smoking and familial history. Conclusion: DKD is a frequent complication in diabetic adult population living in Saint-Louis. Early detection and management should be promoted in order to prevent progression to end-stage renal disease.

Prevalence and the Risk Factors of Renal Insufficiency in the City of Saint Louis in Senegal

Background: The true scale of renal insufficiency (RI) in Sub-Saharan Africa remains unknown due to the lack of national registries. The aim of this study is to describe the epidemiological characteristics of renal insufficiency in urban areas in Saint Louis of Senegal. Materials and Methods: It is an observational, cross-sectional and descriptive study. The study was conducted during 27 days starting from 3 to 30 May 2010. All senegalese residents of Saint Louis (older than 15 years at the time of the study) in whom creatinine clearance was performed were included in the study. The sampling method used was a systematic random sampling, stratified cluster. The survey was designed by an expert comitee based on STEPS survey of the World Health Organization. RI was defined as a glomerular filtration rate (GFR) 2. Results: Among 1424 people initially selected a final selection of 1416 was made. The sex ratio was 0.45. The mean age was 43.4 ± 17.8 years. The overall prevalence of renal insufficiency according to MDRD (Modification of diet in renal disease) formula was 181 cases or 12.7%. The mean age of the people with renal insufficiency was 47.6 ± 17.4 years. Renal insufficiency was correlated to height blood pressure (p = 0.01) and Physical inactivity (p = 0.0001). The prevalence of renal insufficiency was higher in diabetics (71.4%) and obese people (66.6%) than in non-diabetics (64.9%) and non-obese people (56.5%), although the difference was not statistically significant. Dyslipidemia and smoking were not correlated to the risk of occurrence of IR. Conclusions: This study reports the increasing magnitude of RI and its risk factors in the city of Saint Louis in Senegal. It is imperative to establish à national prevention strategies to avoid the dizzying growth of this scourge.

METHOD TO CALCULATE BENDING CENTER AND STRESS INTENSITY FACTORS OF CRACKED CYLINDER UNDER SAINT-VENANT BENDING

Using the single crack solution and the regular solution elf plane harmonic function, the problem of Saint-Venant bending of a cracked cylinder by a transverse force was reduced to solving two sets of integral equations and its general solution was then obtained. Based on the obtained solution, a method to calculate the bending center and the stress intensity factors of the cracked cylinger whose cross-section is not thin-walled, but of small torsion rigidity is proposed. Some numerical examples are given.

Giorgio Vasari’s Saint Michael the Archangel in the Cupola of Santa Maria del Fiore: A Neoplatonic Sphere

This essay discusses the manifold depictions of Saint Michael The Archangel in Italian Renaissance art,in particular in Giorgio Vasari’s imagery.It starts with a brief explanation of who Michael The Archangel is,explores his visual iconography in pagan,Judeo-Christian,and Byzantine imagery,and examines the impact of Renaissance Neoplatonism on the interpretation of Saint Michael and his symbolic roles.The Renaissance Neoplatonic philosopher Marsilio Ficino explained the significance of the Platonic celestial ladder as a spiritual vehicle for the human soul to achieve divine love.One step of this ladder is the Angelic Mind.It is here that the sparkling light of the realm of the Angelic Mind reveals the splendor and beauty of God’s grace.This is the realm where Michael,a Seraphim and a messenger of God,resides,delivering God’s messages of grace and love to humanity throughout the world.Giorgio Vasari(1511-1574)visualized these divine messages metaphorically in frescos on two major vaults.The first is in the small cupola of the Pope Pius V Chapel in the Vatican,once called Saint Michael’s Chapel,where between 1560 and 1566 Vasari and his assistants painted al fresco the Saint Michael and the Devils,a depiction of Michael the Archangel combatting vices personified as demons who want to prevent human beings from obtaining the divine grace that will allow their souls to ascend toward heaven(Figure 1).Between 1570 and 1574,Vasari continued his metaphorical visualization of God’s divine message in a large vault,the octagonal cupola of Santa Maria del Fiore,the Dome of the Cathedral of Florence,the major focus in this essay(Figure 2).He and his assistants painted al fresco the Last Judgment,portraying Saint Michael The Archangel residing in a heavenly realm-the divine reign of God,where he mediates and witnesses God’s divine judgment on humankind(Figure 13).Here,celestial trumpeters loudly announce the separation of good and bad souls of the terrestrial realm,Earth.The bad souls rapidly descend into a Dantesque infernal realm where demons capture them and transform them into hybrid forms.In contrast,the good souls quickly emerge from Earth to ascend into Heaven.Their skeletal figures transform into angelic beings,ready to receive divine grace and eternal love.

Hamilton体系与与弹性力学Saint－Venant问题

本文一改传统的在Ｌａｇｒａｎｇｅ体系欧几里德空间中用半道法讨论Ｓａｉｎｔ－Ｖｅｎａｎｔ问题的方法，而在具有守恒性的Ｈａｍｉｌｔｏｎ体系中辛空间里研究该问题．通过讨论Ｈａｍｉｌｔｏｎ算子矩阵的零本征值及其Ｊｏｒｄａｎ型，直接求解出全部Ｓａｉｎｔ－Ｖｅｎａｎｔ问题的解．

Aurélien Lecour,Tony Saint Hua,their leDIVAN in China

Le Divan, the BrandConcept and inspirationsLe Divan is a project born in 2007 with its sole purpose to bring to life the artistic vision of Tony Saint Hua and Aurélien Lecour. It is an avenue for the two designers to dream,

Difficulties in the Management of Systemic Autoimmune Diseases in Saint-Louis Du Senegal through the Analysis of a Series of 70 Observations

Introduction: Systemic Autoimmune Diseases (SAID) long considered very rare in Africa are increasingly the subject of publications. The objective of this work is to identify the difficulties in the management of these pathologies in an internal medicine department in northern Senegal by analyzing the epidemiological, clinical-biological, therapeutic and evolutionary aspects of SAID. Methods: This was a descriptive cross-sectional study carried out in the internal medicine department of the Saint-Louis University Hospital Center. Included were all the files of patients followed in outpatient and/or hospitalization for autoimmune diseases according to the criteria of the American College of Rheumatology, during the period from January 2017 to December 2020. The data were analyzed using SPSS software version 21.0. As the study was descriptive, no statistical test was performed. Results: Out of 3800 patients, 70 presented SAID, i.e. a hospital prevalence of 1.8%. Polyarthritis was the first reason for consultation in 97% followed by skin manifestations in 8%. The patients had positive anti-nuclear autoantibodies in 88% of cases. Rheumatoid arthritis was the predominant condition (71%) followed by systemic lupus erythematosus (SLE) (15%) and undifferentiated autoimmune diseases in 10%. Eleven percent (11%) of patients had an associated autoimmune disease. Corticosteroids were used in the treatment of these conditions in 97% of cases and methotrexate was the most prescribed immunosuppressant (54%). Thirty-two percent (32%) of patients are lost to follow-up. Conclusion: SAID are diverse and under diagnosed;they are characterized by diagnostic delay above all linked to access to specialists and sometimes to the high cost of paraclinical examinations, in particular immunology. Treatment remains based primarily on corticosteroid therapy and conventional immunosuppressants in the face of the unavailability of biotherapies.

Impact of Urban Anthropogenic Pressures on the Mangrove Forest of Sainte Marie (East Madagascar)

This article demonstrates the urban anthropogenic threats and their impacts on Sainte Marie (Eastern Madagascar) mangrove ecosystem. In addition to conducting interview with 158 residents, floristic inventories were carried out in order to compare the mangrove structure between a control site and another one that was impacted by Belle Vue dyke (south of the District downtown) rehabilitation. From 2003 to 2014, the island of Sainte Marie lost 0.47% per year of its mangrove area. 87% of the harvested resources from this ecosystem are fish products and are related to human nutrition. The mangrove is used as a dumping ground for liquid and solid waste in the lots of Saint Joseph and La Pointe. Defecation in the open air is topical under the island’s mangrove forest. A very weak resilience of the mangrove impacted by the rehabilitation of Belle Vue dyke was noted. Indeed, regenerations of Bruguiera gymnorrhiza and Ceriops tagal have struggled to rebuild. The total height and diameter of impacted trees decreased by 37.2% and 44.3%, respectively. The development of an updated urban master plan, including mangroves in the related zoning process is an imperative measurement for the conservation and/or valuation of existing lots.

SAINT治疗重度抑郁度患者的大脑可控性分析

目的本研究基于脑网络控制理论,通过对重复经颅磁刺激治疗前后及治疗响应差异的大脑可控性分析,定量反映斯坦福加速智能神经调控疗法(SAINT)的可能响应机制。方法本研究纳入32名重度抑郁症(MDD)患者。基于患者治疗前后的静息态功能性磁共振成像,建立功能连接矩阵;根据连接矩阵构建线性控制模型,计算大脑各区域的平均可控性(AC)和模态可控性(MC);根据治疗后汉密尔顿抑郁评定量表(HAMD-17)的评分下降程度将患者分为治疗响应组和治疗无响应组,采用双样本t检验比较两组之间以及治疗前后可控性的差异与变化;并研究统计检验结果中存在显著差异的脑区的治疗前可控性与HAMD-17评分下降程度之间的相关性。结果治疗前后MDD患者右侧颞中回、右侧顶下叶、左侧额上回、双侧副中央叶状叶和双侧楔前叶的AC和MC发生显著变化(P<0.05)。治疗前治疗响应组和治疗无响应组之间左侧颞上回的AC、左侧后颞上沟的AC和MC均存在显著差异(P<0.05);且左侧后颞上沟区域的AC和MC、左侧颞上回的AC均与HAMD-17评分下降百分比显著负相关(P<0.05)。结论SAINT的神经响应机制可能与MDD患者右侧颞中回、右侧顶下叶、左侧额上回、双侧副中央叶状叶和双侧楔前叶的AC和MC测量有关。此外,SAINT的治疗效果可能与治疗前患者左侧后颞上沟的AC和MC以及左侧颞上回的AC程度相关。

SAINT快速抗抑郁和缓解自杀意念的动态功能连接研究

目的结合滑动窗口法分析斯坦福加速智能神经调控疗法(SAINT)治疗重度抑郁症(MDD)患者大脑网络的动态功能连接(DFC)特征。方法本文结合DFCN滑动窗口法和K均值聚类动态方法,研究SAINT快速抗抑郁和缓解自杀意念的神经环路的DFC变化,通过神经影像数据与临床特征,贝克自杀意念量表中文版、汉密尔顿抑郁评定量表(HAMD-17)的相关性分析,探索其动态网络的连接变化。结果聚类结果显示为正强度低频率的状态Ⅰ,负强度高频率的状态Ⅱ,DFC指标状态转换次数和分数窗口在治疗前后有显著差异,平均停留时间状态Ⅰ和状态Ⅱ与HAMD-17呈负相关,分析发现,抑郁症状与高频稀疏的网络有密切关系。下额回(IFG)、岛屿回(INS)、扣带回(CG)、基底神经节(BG)、枕外侧皮质(LOcC)等节点功能连接强度和变异性发生改变。结论SAINT治疗后的MDD患者IFG、INS、CG、BG、LOcC回路DFC存在异常,可能为探索SAINT的潜在机制提供新启示。

Giorgio Vasari＇s Saint Michael： A Symbol of Neoplatonic Light

This essay includes a brief explanation of who is Michael The Archangel; discusses the manifold depictions of Saint Michael in Italian Renaissance art, in particular in Giorgio Vasari＇s imagery; and examines the impact of Neoplatonism in the interpretation of The Archangel and Michael＇s symbolic role. The Renaissance Neoplatonic philosopher Marsilio Ficino explained the signification of the Platonic celestial ladder as a spiritual vehicle for the human soul to achieve the divine＇s love. One step of this ladder is the Angelic Mind. The sparkling light of the Angelic Mind＇s realm reveals the splendor and beauty of God＇s grace. This is the realm where Michael, a Seraphim and a messenger of God, resides, delivering God＇s messages of grace and love to humanity throughout the world. In the vault of the Pope Pius V Chapel at the Vatican, once called Saint Michael＇s Chapel, for example, Giorgio Vasari （1511-1574） metaphorically visualized these divine messages. He painted al fresco Michael The Archangel in combat against personifications of vices as demons who want to prevent human beings from the obtaining divine grace that will allow their souls to ascend toward divine love.

French luxury firm Kering's revenue ascends to €5,077 mn in Q1

Kering Group reported a 2 per cent YoY growth in Q1 FY23 revenue to€5,077 million,up 1 per cent YoY on a comparable ba­sis,with sales in Western Europe and Japan leading the momen­tum.Gucci's revenue increased by 1 per cent YoY,while Yves Saint Laurent reported a 9 per cent YoY growth,and Bottega Veneta's revenue was stable at€395 million.

The Prevalence of Female Genital Bilharziasis (FGB) in the Northern Region of Senegal

Introduction: Female Genital Bilharzia (FGB) is a pathology secondary to infection by Schistosoma haematobium. It is one of the neglected tropical diseases, capable of causing infertility, difficulties in childbirth and even cervical cancer. It represents a real public health problem. We therefore conducted a study in the maternity ward of the Saint-Louis regional hospital, with the overall aim of determining the prevalence of FBG in patients undergoing colposcopy. The specific objectives were to define the patient profile, and to compare colposcopic images with the World Health Organization (WHO) atlas. Methodology: We conducted a descriptive, analytical cross-sectional study of all colposcopic images taken at the maternity ward of the Saint-Louis regional hospital from August 1, 2018, to September 30, 2020, i.e. 25 months. The images were compared with the BGF images described in the WHO atlas. Results: We collected 178 colposcopy images. FBG images numbered 50, or 28%. The mean age of the patients was 44.5 years ±11.4 at the extremes of 18 and 78 years. Mean gestational age was 4.69 ± 2.72. Among patients with a bilharzian lesion on the cervix, visual acid inspection (VIA) was negative in 60% of cases (p = 0.007, Odd Ratio = 3.6 (1.49 - 9.07)). Conclusion: the results of our study show that FBG is a reality in our daily practice. It occurs in adult, multigestating, non-occupational women whose examination reveals a negative visual inspection with acetic acid (VIA). Healthcare providers therefore need to be trained in the recognition of lesions associated with genital bilharziasis, and public awareness needs to be raised.