Eta Ngole Mbong

International Medical Corps

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Alfred K. Njamnshi

Université de Yaoundé I

Leonard N. Nfor

Université de Yaoundé I

Julius Y. Fonsah

South African Brain Research Institute

Leonard Ngarka

Université de Yaoundé I

Andreas Ateke Njoh

University of Bangui

W.F.T. Muna

Yaoundé General Hospital

E.T. Chokote

Université de Yaoundé I

Shiromi M. Perera

International Medical Corps

Adam C. Levine

Brown University

N. Koki

Hoya (Japan)

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Université de Yaoundé I

London School of Hygiene & Tropical Medicine

Central Hospital of Yaoundé

Pfizer (United Kingdom)

World Health Organization

Ministry of Public Health

University of Douala

Centers for Disease Control and Prevention

Wellcome Trust

South African Brain Research Institute

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Maternal, fetal, and perinatal outcomes among pregnant women admitted to an Ebola treatment center in the Democratic Republic of Congo, 2018–2020

PLoS ONE (2023)

David Philpott Neil Rupani Monique Gainey Eta Ngole Mbong Prince Imani‐Musimwa

Objective This study aims to investigate maternal, fetal, and perinatal outcomes during the 2018–2020 Ebola outbreak in Democratic Republic of Congo (DRC). Methods Mortality between pregnant and non-pregnant women of reproductive age admitted to DRC’s Mangina Ebola treatment center (ETC) were compared using propensity score matching. Propensity scores were calculated using age, initial Ebola viral load, Ebola vaccination status, and investigational therapeutic. Additionally, fetal and perinatal outcomes of pregnancies were also described. Results Twenty-seven pregnant women were admitted to the Mangina ETC during December 2018—January 2020 among 162 women of childbearing age. We found no evidence of increase mortality among pregnant women compared to non-pregnant women (relative risk:1.0, 95%CI: 0.58–1.72). Among surviving mothers, pregnancy outcomes were poor with at least 58% (11/19) experiencing loss of pregnancy while 16% (3/19) were discharged with viable pregnancy. Two mothers with viable pregnancies were vaccinated, and all received investigational therapeutics. Two live births occurred, with one infant surviving after the infant and mother received an investigational post-exposure prophylaxis and Ebola therapeutic respectively. Conclusions Pregnancy was not associated with increased mortality among women with EVD in the Mangina ETC. Fetal and perinatal outcomes remained poor in pregnancies complicated by EVD, though novel therapeutics may have potential for improving these outcomes.

10.1371/journal.pone.0286843

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Citations (2)

Not every worm wrapped around a stick is a guinea worm: a case of Onchocerca volvulus mimicking Dracunculus medinensis

Parasites & Vectors (2015)

Eta Ngole Mbong Gerald Etapelong Sume Flaubert Danbe Walter Kang Kum Valeri Oben Mbi

Despite being certified guinea worm free in 2007, Cameroon continues surveillance efforts to ensure rapid verification of any suspected reoccurrence. This includes the investigation of every rumor and confirmation of each suspicious expulsed worm. This paper presents fieldwork carried out to investigate a guinea worm rumor in Cameroon which turned out to be an Onchocerca volvulus mimicking Dracunculus medinensis.

Dracunculiasis

10.1186/s13071-015-1004-1

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Citations (9)

Clinical predictors of sleep disorders in sickle-cell disease (SCD) patients in Cameroon

Journal of the Neurological Sciences (2013)

Eta Ngole Mbong Samuel Eric Chokote Leonard N. Nfor Leonard Ngarka Andreas Ateke Njoh

Sleep

Hemoglobinopathy

10.1016/j.jns.2013.07.2471

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Citations (0)

Likelihood of obstructive sleep apnea in people living with HIV in Cameroon – preliminary findings

Sleep Science and Practice (2017)

Andreas Ateke Njoh Eta Ngole Mbong Valeri Oben Mbi Michel K. Mengnjo Leonard N. Nfor

Obstructive Sleep Apnea (OSA) has been observed to be common among people living with HIV/AIDS (PLWHA). Sleep scales can be used to screen patients at increased “risk” of OSA who can benefit from polysomnography. This study therefore sought to generate preliminary data on this often unattended complication of HIV Infection in Cameroon. A case control study carried out at the Yaoundé Central Hospital in which 82 participants were enrolled: 39 PLWHA age- and sex-matched with 43 controls. The Berlin sleep questionnaire was used to assess the likelihood of OSA in both groups. Participants were aged 20 to 59 years with a mean age of 34.27 ± 9.29 (35.72 ± 10.09 and 32.92 ± 8.41 respectively for cases and controls, p = 0.180). Cases (PLWHA) compared to controls had higher likelihood of OSA (43.6% versus 14.0%, AOR 3.93 95% CI 1.12–13.80 on adjusting for socioeconomic status, depression and smoking) as well as 10 times higher rates of daytime somnolence (23.1% versus 2.3%, p = 0.005). Significant differences were found between PLHWA at “risk” of OSA and those without only with regards to rate of compliance to Highly Active anti-Retroviral Therapy (HAART), and mean abdominal and waist circumferences. The likelihood of obstructive sleep apnea (OSA) in PLHWA is higher than in HIV negative controls. Integration of screening for OSA in HIV/AIDS care with the aid of sleep scales would permit timely diagnosis and management and reduce the incidence of chronic cardiorespiratory co-morbidities in PLWHA.

Depression

10.1186/s41606-016-0003-2

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Outcome of deliveries among adolescent girls at the Yaoundé central hospital

BMC Pregnancy and Childbirth (2014)

Florent Ymélé Fouélifack Theodore Yangsi Tameh Eta Ngole Mbong Philip Njotang Nana Jeanne Hortence Fouedjio

Adolescent pregnancies are a growing public health problem in Cameroon. We sought to study the outcome of such pregnancies, in order to inform public health action.A cross-sectional analysis of 5997 deliveries which compared the outcome of deliveries in adolescent (10-19 years old) pregnant women registered at the Yaoundé Central Hospital between 2008 and 2010 to that of their non-adolescent adult (≥ 20 years old) counterparts. Variables used for comparison included socio-demographic and obstetric characteristics of parturients, referral status, and maternal and fetal outcomes. Predictors of maternal and of perinatal mortality were determined through binomial logistic modeling.Adolescent deliveries represented 9.3% (560) of all pregnancies registered. Adolescent pregnancies had significantly higher rates of both gestational duration extremes: preterm as well as post-term deliveries (29.3% versus 24.5%, p = 0.041 OR 1.28 95% CI 1.01-1.62 and 4.9 versus 2.4%, p = 0.014 OR 2.11 95% CI 1.46-3.87 respectively). Both groups did not differ significantly with respect to mean blood loss, rates of cesarean or instrumental deliveries. Adolescent deliveries however required significantly twice as many episiotomies (OR 2.15 95% CI 1.59-2.90). The likelihood of perineal tears in the adolescent group was significantly higher than that in the adult group on assuming episiotomies done would have been tears if they had not been carried out (OR 1.45 95% CI 1.16-1.82). Adolescent parturients had a higher likelihood of apparent fetal death at birth as well as perinatal fetal death after resuscitation efforts (AOR 1.75 95% CI 1.25-2.47 and AOR 1.69 95% CI 1.17-2.45 respectively).Comparisons of pregnancy outcomes between early (10-14 years), middle (15-17 years) and late adolescence (18-19 years) found no significant differences. Predictors of maternal death included having been referred, having had ≥5 deliveries and preterm deliveries. These were also predictors of perinatal death, as well as being a single mother, primiparous, and multiple gestations.Adolescent pregnancies in Cameroon compared to those in adults are associated with poorer outcomes. There is need for adolescent-specific services to prevent teenage pregnancies as well as interventions to prevent and manage the above mentioned predictors of in-facility maternal and perinatal mortality.

10.1186/1471-2393-14-102

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Citations (53)

Sleep disorders in HIV–/INS;AIDS patients in Cameroon, sub-Saharan Africa

Journal of the Neurological Sciences (2013)

Alfred K. Njamnshi Andreas Ateke Njoh Eta Ngole Mbong Leonard N. Nfor Leonard Ngarka

Sleep

10.1016/j.jns.2013.07.2449

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Citations (6)

Obstructive sleep apnea in sickle-cell disease patients in Cameroon

Journal of the Neurological Sciences (2013)

Julius Y. Fonsah E.T. Chokote Eta Ngole Mbong Leonard N. Nfor Leonard Ngarka

Sleep

10.1016/j.jns.2013.07.2472

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Citations (3)

Harbingers of hope: Scientists and the pursuit of world peace

Clinical Psychology in Europe (2023)

Seithikurippu R. Pandi‐Perumal Willem van de Put Andreas Maercker Stevan E. Hobfoll Velayudhan Mohan Kumar

The ongoing wars in many regions—such as the conflict between Israel and Hamas—as well as the effects of war on communities, social services, and mental health are covered in this special editorial. This article emphasizes the need for international efforts to promote peace, offer humanitarian aid, and address the mental health challenges faced by individuals and communities affected by war and violence.

10.32872/cpe.13197

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Citations (1)

Sleep patterns and risk of cognitive impairment in hypertensive patients in Yaounde, Cameroon, Sub-Saharan Africa

Journal of the Neurological Sciences (2015)

Alfred K. Njamnshi Michel K. Mengnjo Eta Ngole Mbong E.T. Chokote Leonard N. Nfor

Sleep

Cognitive Decline

10.1016/j.jns.2015.08.320

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Citations (2)

Risk factors for hospitalisation and death from COVID-19: a prospective cohort study in South Sudan and Eastern Democratic Republic of the Congo

BMJ Open (2022)

Eva Leidman Shannon Doocy Grace Heymsfield Abdou Sebushishe Eta Ngole Mbong

Objectives Our study described demographic characteristics, exposures and symptoms, and comorbidities to evaluate risk factors of hospitalisation and mortality among cases in Juba, South Sudan (SSD) and North and South Kivu in eastern Democratic Republic of the Congo (DRC). Design Prospective observational cohort of COVID-19 cases. Methods Individuals presenting for care at one of five study facilities in SSD (n=1) or DRC (n=4) or referred from home-based care by mobile medical teams between December 2020 and June 2021 were eligible for enrolment. Demographic characteristics, COVID-19 exposures, symptoms at presentation, as well as acute and chronic comorbidities, were evaluated using a standard questionnaire at enrolment. Disease progression was characterised by location of care using mixed-effects regression models. Results 751 individuals were eligible for enrolment. Among cases followed to discharge or death (n=519), 375 were enrolled outpatients (75.7%). A similar number of cases were enrolled in DRC (n=262) and SSD (n=257). Overall mortality was 4.8% (95% CI: 3.2% to 6.9%); there were no outpatient deaths. Patients presenting with any symptoms had higher odds of hospitalisation (adjusted OR (AOR) 2.78, 95% CI 1.47 to 5.27) and all deaths occurred among symptomatic individuals. Odds of both hospitalisation and mortality were greatest among cases with respiratory symptoms; presence of low oxygen levels on enrolment was strongly associated with both hospitalisation (AOR 7.77, 95% CI 4.22 to 14.29) and mortality (AOR 25.29, 95% CI 6.42 to 99.54). Presence of more than one chronic comorbidity was associated with 4.96 (95% CI 1.51 to 16.31) times greater odds of death; neither infectious comorbidities evaluated, nor malnutrition, were significantly associated with increased mortality. Conclusions Consistent with prior literature, older age, low oxygen level, other respiratory symptoms and chronic comorbidities were all risk factors for mortality. Patients presenting with these characteristics were more likely to be hospitalised, providing evidence of effective triage and referral. Trial registration number NCT04568499 .

Odds

10.1136/bmjopen-2021-060639

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Citations (11)